Pre- and Postoperative Health Status of Patients with Nonfunctioning and Secretory Pituitary Adenomas and an Analysis of Related Factors

Purpose. To identify the characteristics of the physical and mental health status of patients with pituitary adenomas, explore the postoperative reversibility of impaired health status, and assess the impact of clinical characteristics, hormone levels, anxiety, depression, and disease stigma on health status. Methods. We prospectively enrolled 147 and 138 patients with nonfunctioning and secretory pituitary adenomas, respectively. Health status was evaluated in 8 domains using the 36-item Short-Form Health Survey before and 3 months after transsphenoidal surgery. The Self-Rating Anxiety Scale, the Self-Rating Depression Scale, and the Stigma Scale for Chronic Illness were used to assess the psychological status. Results. Compared with the healthy population reference values, general physical and mental health, social functioning, and role limitations due to physical and psychological health problems were all found to be significantly impaired in the adenoma patients. Health status was worse in patients with adrenocorticotropic hormone- (ACTH-) secreting and growth hormone- (GH-) secreting adenomas than in patients with nonfunctioning adenomas. Among the patients, 11.6% had anxiety and 30.9% had depression. Higher scores for anxiety, depression, and disease stigma; older age; higher body mass index; and tumor recurrence were independent risk factors for health status impairment in at least one domain. Physical function impairment and role limitations caused by physical health problems became worse after surgery, whereas the mental component of health status remained the same. Conclusion. Health status was impaired in patients with pituitary adenomas, especially secretory adenomas. Physical function and role limitations were worse 3 months after surgery than before surgery. Mental problems, old age, obesity, and tumor recurrence reduced health status.

Download Full-text

Increasing Trends in Physical and Mental Health Problems among US Workers in Different Job Sectors During the COVID-19 Pandemic

International Journal of Translational Medical Research and Public Health ◽

10.21106/ijtmrph.351 ◽

2021 ◽

Vol 5 (2) ◽

pp. 90-102

Author(s):

Gopal K Singh ◽

Hyunjung Lee ◽

Romuladus E. Azuine

Keyword(s):

Mental Health ◽

Public Sector ◽

Family Business ◽

Mental Health Problems ◽

Health Workers ◽

Health Problems ◽

The Self ◽

Physical And Mental Health ◽

Non Profit ◽

The Government

Background: The COVID-19 pandemic has had a substantial adverse impact on workers’ employment and physical and mental health. However, job losses, job-related household income shocks, and their related physical and mental health problems have not been well-documented. Using temporal, nationally representative data, this study examines inequalities in job-related income losses and their resultant health impact among US workers aged 18-64 years in different job sectors during the pandemic. Methods: Using April, August, and December 2020 rounds of the US Census Bureau’s Household Pulse Survey (N=56,156, 82,173, and 51,500), job-related income losses among workers in various job sectors and associated impacts on self-assessed health, depression, anxiety, worry, and lack of interest were analyzed by multivariable logistic regression. Results: In December 2020, 64.0% of self-employed and 66.3% of unemployed adults reported that they or someone in their household experienced a loss of employment income since the start of the pandemic in March 2020. This percentage was the lowest for the public sector (35.2%) and non-profit-sector (45.0%) workers. Job/income losses increased by 26% between April and December for workers in the private and non-profit sectors. Prevalence of fair/poor overall health, serious depression, serious anxiety, serious worry, and serious lack of interest increased substantially during the pandemic for workers in all sectors, with the self-employed, those in the family business, and the unemployed experiencing the highest risk and those in the government/public and non-profit sectors experiencing the lowest risk of poor physical and mental health. Workers in all sectors reporting job-related income losses experienced approximately 2-to-4-fold higher odds of poor overall health, serious depression, serious anxiety, serious worry, and serious lack of interest, compared to public-sector workers with no job/income losses, controlling for covariates. Conclusion and Implications for Translation: Job-related income losses and prevalence of poor overall health and mental health among workers in all sectors increased markedly during the pandemic, with the self-employed, family business, and unemployed workers being especially vulnerable to poor health, depression, anxiety, and stress. Copyright © 2021 Singh, et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

Download Full-text

2313

Journal of Clinical and Translational Science ◽

10.1017/cts.2017.258 ◽

2017 ◽

Vol 1 (S1) ◽

pp. 73-73

Author(s):

Nikhil Satchidanand ◽

Jeffrey Fine ◽

Gregory S. Cherr

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Health Status ◽

Physical Function ◽

Psychosocial Factors ◽

Health Survey ◽

Well Being ◽

Mental Health Status ◽

Community Dwelling ◽

Physical And Mental Health

OBJECTIVES/SPECIFIC AIMS: To explore associations among bio-psychosocial factors predictive of overall physical and mental health status as assessed using the SF-12 Health Survey. METHODS/STUDY POPULATION: Community-dwelling, male and female elders with peripheral arterial disease (PAD) were administered an assessment battery to identify factors associated with self-assessed physical and mental health status using the SF-12 Health Survey. The battery included an assessment of pain, depressive symptoms, perceived social support, perceived psychological stress, physical function, as well as selected demographic variables. RESULTS/ANTICIPATED RESULTS: Preliminary linear regression analyses have identified several factors predictive of physical and mental health status including depressive symptoms, pain, perceived stress, and physical function. A more in-depth examination using path analysis is anticipated to reveal important mediational associations, wherein physical function is a strong mediator between bio-psychosocial factors and overall physical and mental health status. DISCUSSION/SIGNIFICANCE OF IMPACT: Aging is often associated with a reduction in physical and mental well-being, frequently exacerbated by the development and progression of chronic disease. PAD is a common chronic condition that places significant burden on the older patient and their family. Identifying and developing a more in-depth understanding of the factors that impact health status in PAD is an important and timely objective. We anticipate that our findings will inform development of more targeted and effective intervention strategies we can employ to improve the quality of life among elders struggling to manage PAD.

Download Full-text

COVID-19 quarantine: Two-way interaction between physical activity and mental health

European Journal of Translational Myology ◽

10.4081/ejtm.2020.9509 ◽

2021 ◽

Vol 30 (4) ◽

Author(s):

Mohsen Khosravi

Keyword(s):

Mental Health ◽

Physical Activity ◽

Coronary Heart Disease ◽

Heart Disease ◽

Immune System ◽

Mental Health Problems ◽

Psychological Symptoms ◽

Health Problems ◽

Physical And Mental Health ◽

Anxiety Depression

Recent studies have revealed that physical activity significantly reduces the risk of coronavirus disease 2019 (COVID-19) infection by strengthening the immune system. Also, regular physical activity can reduce the risks of developing physical and mental health problems such as diabetes, hypertension, coronary heart disease, stress, anxiety, depression, etc. However, the two-way interaction between physical activity and psychological symptoms has not been well addressed yet. This paper is intended to examine various dimensions of this interaction and its effects on mental health at the time of COVID-19 quarantine.

Download Full-text

P–497 Anxiety, depression and sexual dysfunction among women with genital diseases

Human Reproduction ◽

10.1093/humrep/deab130.496 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

D Libei ◽

M X C Yin ◽

C H Chan ◽

H W R Li

Keyword(s):

Mental Health ◽

Health Status ◽

Sexual Dysfunction ◽

Sexual Activity ◽

Study Design ◽

Mental Health Problems ◽

Health Problems ◽

Mental Health Status ◽

Anxiety Depression ◽

The Relationship

Abstract Study question How is the prevalence of anxiety, depression and sexual dysfunction among Chinese women who is suffering from genital diseases? What is the relationship among their anxiety, depression and sexual dysfunction? Summary answer Anxiety, depression and sexual dysfunction symptoms were self-reported by the participants. Besides, their anxiety, depression and sexual dysfunction were inter-correlated. What is known already Reduced sexual activity and dysfunctional problems are highly prevalent in females. Approximately 43% of American women reported experiencing sexual problems. Women who are facing pressure on childbirth, may be more likely to have mental health problems. Some studies have shown that having gynecological disease can lead to anxiety, depression and sexual dysfunction. However, the mental health of females who are suffering from genital diseases has been little studied. Study design, size, duration The investigation was carried out from March to November, 2020. Participants were recruited in the Hong Kong University-Shenzhen Hospital, located in Shenzhen, China. 135 patients were approached while 116 agreed to join the survey. Participants/materials, setting, methods 116 women (35.42±8.19 years old) with a diagnosis of fallopian tube disease, ovarian benign disease or uterine disease voluntarily filled a questionnaire which contains the Female Sexual Function Index–6 Items (FSFI–6) and the Hospital Anxiety and Depression Scale (HADS). Descriptive analysis and stepwise regression were used to present participants’ self-reported anxiety, depression, and sexual dysfunction problems, as well as the relationship among their anxiety, depression, and sexual dysfunction. Main results and the role of chance 25% of the participants reported anxiety symptoms; 9.5% of the women reported depressive symptoms; while 37.3% reported sexual dysfunction problems. Anxiety (p < 0.001) was significantly associated with depression. Depressive symptom can significantly predict sexual dysfunction (p < 0.05) while anxiety was not associated with sexual dysfunction (p > 0.05). Targeted interventions are needed to improve the mental health status of women with genital diseases in China. Limitations, reasons for caution This study can only present mental health status of this population. To better show the odds ratio of mental health problems, a case-control study design is needed. Besides, future qualitative or longitudinal studies are needed to detect the risk factors for the poor mental health of women with genital diseases. Wider implications of the findings: Reduced sexual activity and dysfunctional problems are highly prevalent in females with genital diseases. Sexuality is an important element in patients’ quality of life. For female patients with genital diseases, we should not only treat their physical symptoms, but also guide and treat patients in mental ways. Trial registration number ChiCTR2000031343

Download Full-text

Predicting Mental Health Problems with Automatic Identification of Metaphors

Journal of Healthcare Engineering ◽

10.1155/2021/5582714 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Nan Shi ◽

Dongyu Zhang ◽

Lulu Li ◽

Shengjun Xu

Keyword(s):

Mental Health ◽

Social Media ◽

Health Status ◽

Mental Health Problems ◽

State Of The Art ◽

Health Problems ◽

Automatic Identification ◽

Social Phobias ◽

Anxiety Depression ◽

Better Than

Mental health problems are prevalent and an important issue in medicine. However, clinical diagnosis of mental health problems is costly, time-consuming, and often significantly delayed, which highlights the need for novel methods to identify them. Previous psycholinguistic and psychiatry research has suggested that the use of metaphors in texts is linked to the mental health status of the authors. In this paper, we propose a method for automatically detecting metaphors in texts to predict various mental health problems, specifically anxiety, depression, inferiority, sensitivity, social phobias, and obsession. We perform experiments on a composition dataset collected from second-language students and on the eRisk2017 dataset collected from Social Media. The experimental results show that our approach can help predict mental health problems in authors of written texts, and our algorithm performs better than other state-of-the-art methods. In addition, we report that the use of metaphors even in nonnative languages can be indicative of various mental health problems.

Download Full-text

Prisoner health status at three rural Haitian prisons

International Journal of Prisoner Health ◽

10.1108/ijph-02-2017-0010 ◽

2018 ◽

Vol 14 (3) ◽

pp. 197-209

Author(s):

Katherine LaMonaca ◽

Mayur Desai ◽

John P. May ◽

Evan Lyon ◽

Frederick L. Altice

Keyword(s):

Mental Health ◽

Health Status ◽

Food Insecurity ◽

Physical Function ◽

Low Income ◽

Physical And Mental Health ◽

Content Type ◽

Supplemental Food ◽

Prisoner Health ◽

Increased Risk

Purpose Little is known about the health status of prisoners in low-income countries. In Haiti, prisons typically lack adequate medical care, clean water and food, though some prisoners receive additional food from visitors. The purpose of this paper is to characterize the physical and mental health of Haitian prisoners in three select prisons and examine the effects of having visitors and length of detention on health status. The authors hypothesized that prisoners with more visitors and shorter detention times would have better overall health status. Design/methodology/approach The authors conducted a cross-sectional study of 290 male inmates in three regional prisons in Haiti. Data were collected on prisoners’ sociodemographic characteristics, number of visitors, length of detention, body mass index (BMI), self-reported physical and mental health status, and food insecurity. Findings Overall, prisoners at all three prisons had poor health outcomes. Prisoners with more visitors were significantly less likely to be underweight and more likely to have a higher BMI, better self-reported physical function and lower levels of food insecurity. The length of incarceration was negatively associated with physical function and self-rated health, but positively associated with BMI. These results suggest that prisoners who do not receive supplemental food from visitors are at increased risk for food insecurity and poor nutritional and physical health status. Originality/value These findings demonstrate the importance of supplemental food from visitors in stabilizing prisoner health in Haiti and emphasize the need for the provision of adequate nutrition to all prisoners. This study also suggests that policies that reduce incarceration times could improve health status among prisoners.

Download Full-text

The Physical and Mental Health of A Large Military Cohort: Baseline Functional Health Status of the Millennium Cohort

PsycEXTRA Dataset ◽

10.1037/e513482010-001 ◽

2007 ◽

Author(s):

Tyler C. Smith ◽

◽

Mark Zamorski ◽

Besa Smith ◽

James R. Riddle ◽

...

Keyword(s):

Mental Health ◽

Health Status ◽

Functional Health ◽

Functional Health Status ◽

Physical And Mental Health

Download Full-text

Socio Demographic and Clinical Profile of Indoor Female Patients of RINPAS

Indian Journal of Psychiatric Social Work ◽

10.29120/ijpsw.2017.v8.i1.13 ◽

2017 ◽

Vol 8 (1) ◽

pp. 33

Author(s):

Rajni Suri ◽

Anshu Suri ◽

Neelam Kumari ◽

Amool R. Singh ◽

Manisha Kiran

Keyword(s):

Mental Health ◽

Mental Illness ◽

Mentally Ill ◽

Mental Health Problems ◽

Demographic Data ◽

Relevant Information ◽

Health Problems ◽

High Rate ◽

Physical And Mental Health ◽

Cross Sectional

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients.Â Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient

Download Full-text

Is social camouflaging associated with anxiety and depression in autistic adults?

Molecular Autism ◽

10.1186/s13229-021-00421-1 ◽

2021 ◽

Vol 12 (1) ◽

Author(s):

Laura Hull ◽

Lily Levy ◽

Meng-Chuan Lai ◽

K. V. Petrides ◽

Simon Baron-Cohen ◽

...

Keyword(s):

Mental Health ◽

Intellectual Disability ◽

Social Anxiety ◽

Online Survey ◽

Mental Health Problems ◽

Autistic Traits ◽

Health Problems ◽

Autistic People ◽

Autistic Adults ◽

Anxiety Depression

Abstract Background There is inconsistent evidence for a clear pattern of association between ‘camouflaging’ (strategies used to mask and/or compensate for autism characteristics during social interactions) and mental health. Methods This study explored the relationship between self-reported camouflaging and generalised anxiety, depression, and social anxiety in a large sample of autistic adults and, for the first time, explored the moderating effect of gender, in an online survey. Results Overall, camouflaging was associated with greater symptoms of generalised anxiety, depression, and social anxiety, although only to a small extent beyond the contribution of autistic traits and age. Camouflaging more strongly predicted generalised and social anxiety than depression. No interaction between camouflaging and gender was found. Limitations These results cannot be generalised to autistic people with intellectual disability, or autistic children and young people. The sample did not include sufficient numbers of non-binary people to run separate analyses; therefore, it is possible that camouflaging impacts mental health differently in this population. Conclusions The findings suggest that camouflaging is a risk factor for mental health problems in autistic adults without intellectual disability, regardless of gender. We also identified levels of camouflaging at which risk of mental health problems is highest, suggesting clinicians should be particularly aware of mental health problems in those who score at or above these levels.

Download Full-text