Medical and Social Factors Associated with Psychological Distress in a Sample of Community Aged

1981 ◽  
Vol 26 (4) ◽  
pp. 244-250 ◽  
Author(s):  
Elizabeth Luke ◽  
William Norton ◽  
Kathryn Denbigh

Two hundred persons over 80 in two urban communities were interviewed. Of those interviewed, 21% evidenced psychological impairment as defined by the presence of at least one of the following self-report symptoms: 1) depression; 2) periods of inability to function; 3) suicidal ideation; 4) alcohol problems and 5) use of psychotropic medication. A profile of the psychologically impaired group compared to the psychologically healthy showed that accidents (mostly falls), eye problems and few social contacts were significantly associated with impairment. Approximately 75% had some restrictions on activity due to physical health problems. Social isolation was marked: 54% either had no children or saw them less than once a month; 38% visited with close friends or relatives less than once a month; 19% were rated as having very little or no social support; and 23% socialized beyond the household less than once a week. Social interaction was the strongest predictor of psychological well-being (Affect Balance Scale) in a multiple regression analysis that included physical health and socioeconomic variables. Questions about service needs and utilization indicated unmet needs in the areas of transportation, house maintenance, medical services, and a regular visiting service.

Author(s):  
Oriol Ríos-González ◽  
Mimar Ramis-Salas ◽  
Juan Carlos Peña-Axt ◽  
Sandra Racionero-Plaza

Background: Men who develop behaviors connected with the model of hegemonic masculinity present several health problems. Previous research has shown the types of problems that men commonly suffer in this regard such as chronic diseases, dietary disorders, and traffic accidents. To combat and overcome this situation, several campaigns, policies and recommendations have been undertaken, and consequently, their influence has been analyzed. However, there have been few investigations into the role of men’s friendship in the reduction of these physical health problems. The findings presented in this article are focused on this issue, illustrating the impact of male friendship on the shaping of healthy behaviors. Methods: Drawing upon a qualitative-based methodology articulated in a case study of the Men in Dialogue association, located in Spain, the study has followed the premises of the communicative approach, a total of 15 structured online open-ended questionnaires have been performed and analyzed. The median age of the participants is 37.5 years. Results: The findings show how men involved in Men in Dialogue are promoting a kind of masculine friendship that is improving men’s emotional well-being and, consequently, their physical health.


2020 ◽  
Vol 19 (1) ◽  
pp. 40
Author(s):  
Sari Monik Agustin ◽  
Agatha Josephine

Previous research also shows that social media has positive and negative roles related to interpersonal relationships and mental health. The social media used significantly increases social capital and mental well-being, which benefits people with low self-esteem and life satisfaction. Some psychotherapists even use an Instagram platform as their therapeutic medium. This preliminary study frameworks are Stuart Hall’s reception theory, the concept elaborations of social support and online social support, as well as a discussion of the character of social media, Instagram. This paper is based on a qualitative research with data from interviews with 3 female informants on 20-29 years old and gethappy.id account followers. This research succeeded in identifying 2 receptions that emerged from the female group of Instagram account followers gethappy.id. The dominant reader comes from informants who have severe physical health problems and mental health problems related to these physical health problems. Meanwhile, negotiating reader arise from informants who do not have personal physical and mental health problems, but who have a social environment with physical and mental health problems. Another important finding is that the main social support remains family and friends. Social media support is needed when the two main social supports are not present.


2010 ◽  
Vol 25 (S2) ◽  
pp. S29-S33 ◽  
Author(s):  
H.L. Millar

AbstractMedical morbidity and mortality levels remain elevated in people with schizophrenia compared with the general population. Despite the increasing recognition of an excess of physical health problems in this population, health screening remains limited. Medical risk in this population can be related to a variety of sources. The disease process itself as well as poor diet and sedentary lifestyle contribute to the overall physical health problems. In addition antipsychotic medication can contribute to the risk of cardiovascular and metabolic problems. The Dundee Health Screening Clinic was developed to address the needs of this population by monitoring physical health and providing follow-up to ensure that patients received the necessary care. The Clinic demonstrates how a coordinated approach can be used to take simple steps to improve the overall well-being of these patients. It was set up by adapting the manpower resources and procedures of the community mental health team and local resource centre, without specific additional funding. Simple clinical measurements and tests were conducted in the Clinic and patients clearly demonstrated on a satisfaction questionnaire that they considered the health checks important. This Clinic is an example of how a holistic approach can impact on both the physical and mental well-being of patients and offer them improved care and therefore a better quality of life.


2019 ◽  
Vol 10 (1) ◽  
pp. 155-169
Author(s):  
Justyna Szrajda ◽  
Ewa Sygit-Kowalkowska ◽  
Magdalena Weber-Rajek ◽  
Malwina Tudorowska ◽  
Marcin Ziółkowski ◽  
...  

Abstract Background Representatives of helping professions who are working with socially maladjusted youths and children with developmental disorders are particularly exposed to occupational stress. The aim of the study was to evaluate mental and physical well-being, as well as their correlates and predictors in a group of employees working at youth educational centres and sociotherapy centres. Materials and Methods A total of 96 employees working at youth educational centres and sociotherapy centres took part in the study. The following psychometric tools were used: the Psychosocial Working Conditions Questionnaire, the Mini-COPE, the LOT-R, and the GSES. Results The results obtained indicate that people working in helping professions experience mental and physical health problems. Only 3% of the subjects declared they sleep all night. Over 40% and over 35% of the subjects estimate they suffer from low mood and irritation episodes, respectively, rather frequently or continually. Subjects with poorer mental health are more likely to use Helplessness, Avoidance behaviours, or Turning to religion to cope with stress. The strongest predictor of mental well-being is the sense of self-efficacy. Whereas, the strongest predictor of physical well-being is the ability to cope with stress by giving into the feeling of Helplessness.   Conclusions The study demonstrated poor mental and physical well-being of the subjects. A statistically significant correlation was found between sex and the level of mental and physical health. Employees working at youth educational centres and sociotherapy centres with better mental and physical well-being had a stronger sense of self-efficacy and a higher level of life optimism.


2018 ◽  
Author(s):  
Justyna Szrajda ◽  
Ewa Sygit Kowalkowska ◽  
Magdalena Weber-Rajek ◽  
Marcin Ziółkowski ◽  
Alina Borkowska

AbstractRepresentatives of helping professions are particularly exposed to occupational stress. The aim of the study was to evaluate mental and physical well-being, as well as their correlates and predictors in a group of employees working at youth educational centres and sociotherapy centres. A total of 96 employees working at youth educational centres and sociotherapy centres in Kujawsko-Pomorskie voivodeship took part in the study. The following psychometric tools were used: the Psychosocial Working Conditions Questionnaire, the Mini-COPE, the LOT-R, and the GSES. The results obtained indicate that people working in helping professions experience mental and physical health problems. Only 3% of the subjects declared they sleep all night. Over 40% and over 35% of the subjects estimate they suffer from low mood and irritation episodes, respectively, rather frequently or continually. Subjects with poorer mental health are more likely to use Helplessness, Avoidance behaviours, or Turning to religion to cope with stress. The strongest predictor of mental well-being is the sense of self-efficacy. Whereas, the strongest predictor of physical well-being is the ability to cope with stress by giving into the feeling of Helplessness. The study demonstrated poor mental and physical well-being of the subjects. A statistically significant correlation was found between sex and the level of mental and physical health. Employees working at youth educational centres and sociotherapy centres with better mental and physical well-being had a stronger sense of self-efficacy and a higher level of life optimism. Hence, the sense of self-efficacy is a predictor for better mental well-being.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 391-391
Author(s):  
Omar Staben ◽  
Frank Infurna ◽  
Eileen Crimmins

Abstract There is a long-standing literature that has documented the importance of both the immediate and distal context in impacting mental and physical health across the adult lifespan. The goal of this symposium is to bring together a collection of papers that target the extent to which the immediate and distal context as measured through objective and subjective indicators relate to pertinent outcomes of mental and physical health. Staben and colleagues use an intensive longitudinal design in middle-aged adults to show that objective and subjective indicators of the neighborhood are associated with higher levels of and are protective against the impact of monthly adversity on mental health and well-being. Munoz and colleagues evaluate associations between objective and subjective early-life neighborhood contexts and whether they play a role in cognitive function at midlife. They find that poorer age-five self-report conditions were associated with lower working memory. Osuna and colleagues examine how both neighborhood and housing conditions play a role on psychological well-being. They find that housing and neighborhood safety conditions are associated with depressive symptoms over time. Piazza and colleagues examine associations between daily financial thoughts, SES, and indices of emotional and physical health. They find that individuals who reported more daily financial thoughts also reported more negative affect and physical symptoms. The discussion by Crimmins will integrate the four papers by highlighting the importance of how different forms of context can impact development in adulthood and old age, particularly in relation to health and well-being and consider future routes of inquiry.


Twin Research ◽  
1999 ◽  
Vol 2 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Katherine M Kirk ◽  
Lindon J Eaves ◽  
Nicholas G Martin

AbstractMeasures of self-transcendence, physical health and psychological well-being were included in a self-report Health and Lifestyle questionnaire administered to Australian twins aged over 50 between 1993 and 1995. Self-transcendence appears to be higher among older Australian women than men, and was significantly associated with religious affiliation, marital status (in women) and age (in men). No strong correlations were observed between self-transcendence and any measure of psychological or physical health. Additive genetic effects were found to be important in influencing self-transcendence, with heritability estimates of 0.37 and 0.41 for men and women respectively, whilst shared environment effects were not found to be significant. Multivariate modelling of self-transcendence scores and self-reported church attendance behavior indicated substantially different etiologies for these variables, with implications for methods of investigation of religiosity and spirituality.


2018 ◽  
Vol 64 (4) ◽  
pp. 381-388 ◽  
Author(s):  
Juliana Onwumere ◽  
Sophia Howes ◽  
David Shiers ◽  
Fiona Gaughran

Background: Reduced life expectancies are recorded in adults with psychotic disorders. Informal carers play key roles in improving illness outcomes for patients, including significantly reducing rates of relapse and hospitalisation. There is, however, a dearth of literature detailing carers’ perspectives on physical health problems in the relatives they care for and implications for those in the caregiving role. The study sought to explore carers’ subjective experiences of supporting a relative with psychosis and physical health problems. Methods: Carers of adults with psychosis were interviewed individually, or as part of a group, about physical health problems in the relatives they care for. Results: Five key themes were identified from the interviews that reflected (1) ubiquity of physical health problems in psychosis, (2) gaps in service provision for those living with mental and physical health problems, (3) carers’ role in responding to service gaps, (4) difficult conversations and (5) impact on carer health. Conclusion: Service initiatives that are designed to improve patient physical health in psychosis should not overlook the role that informal carers might have in supporting this process. The implications that patient physical health problems present for carer well-being and the quality of the caregiving relationship in psychosis deserve further investigation.


2010 ◽  
Vol 61 (2) ◽  
pp. 145-162 ◽  
Author(s):  
Yadollah Abolfathi Momtaz ◽  
Rahimah Ibrahim ◽  
Tengku Aizan Hamid ◽  
Nurizan Yahaya

Spousal death is one the most stressful life events that seriously affects the psychological well being of widowed. This study examined the mediating effects of social and personal religiosity on the psychological well being of widowed elderly people. The sample for this study was comprised of 1367 widowed and married elderly Muslims from Malaysia. Psychological well being, religiosity, and physical health were measured using WHO-5 Well being Index, Intrinsic Extrinsic religiosity scale, and a checklist of 16 physical health problems, respectively. Data analysis was conducted using the Statistical Package for Social Sciences (version-13). As expected, bivariate correlation analysis revealed that widowhood is statistically and negatively associated with psychological well being. Results of multiple hierarchical regression analyses and Sobel test showed that only the indirect effect of widowhood through personal religiosity was statistically significant (Sobel = −2.79, p < .01). Sobel test for social religiosity was not significant (Sobel = −1.54, p > .05). The results of this study confirmed earlier studies, which found that widowhood negatively affects psychological well being of elderly people. Overall, the findings show that the potential solace provided by religiosity can decrease the negative effects of widowhood on the psychological well being of widowed elderly people.


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