Factors Associated with Psychiatric Symptoms in Patients Undergoing Chronic Hemodialysis

1981 ◽  
Vol 26 (8) ◽  
pp. 562-566 ◽  
Author(s):  
W. John Livesley
Keyword(s):  
Rural Areas ◽  
Nuclear Family ◽  
Psychiatric Symptoms ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
Chronic Hemodialysis ◽  
Home Dialysis ◽  
Family Factor ◽  
High Incidence

Psychiatric morbidity in a sample of 85 patients undergoing chronic hemodialysis was assessed using standard questionnaires (General Health Questionnaire and Middlesex Hospital Questionnaire). Examination of the effects of demographic, illness, treatment, and history variables on questionnaire scores revealed that psychiatric symptoms were more frequent in women than in men, in those on home dialysis, in those living in rural areas, in unemployed men and in those with a disturbed nuclear family. Factor analysis of symptoms assessed by one of the questionnaires (GHQ) revealed six factors: general dissatisfaction, suicidal ideation, confidence and well-being, usefulness and enjoyment, concentration and alertness, sleep disturbance. Interview responses revealed a high incidence of general distress and anxiety and also a high incidence of sexual problems.

scholarly journals Reliability, Validity and Factor Structure of the 12-Item General Health Questionnaire among General Population

2015 ◽  
Vol 3 (3) ◽  
pp. 478-483 ◽  
Author(s):  
Miodraga Stefanovska Petkovska ◽  
Marjan I. Bojadziev ◽  
Vesna Velikj Stefanovska
Keyword(s):  
Factor Structure ◽  
Rural Areas ◽  
Urban Areas ◽  
General Health ◽  
General Health Questionnaire ◽  
Principal Component ◽  
Well Being ◽  
Health Questionnaire ◽  
Oblique Rotation ◽  
Nationally Representative

AIM: The aim of the study is to analyze the internal consistency; validity and factor structure of the twelve item General Health Questionnaire for the Macedonian general population.MATERIAL AND METHODS: Data came from nationally representative sample of 1603 randomly selected Macedonians all aged 18 years or older.RESULTS: The mean GHQ score in the general sample was found to be 7.9 (SD = 4.3). The results revealed a higher GHQ score among women (M = 8.91, SD = 4.5) compared to men (M = 6.89; SD = 4.2). The participants from the rural areas obtained a lower GHQ score (M = 7.55, SD = 3.8) compared to participants coming from the urban areas (M = 9.37, SD = 4.1). The principal component analysis with oblique rotation (direct oblimin) with maximum likelihood procedure solution was performed and the results yielded a three factor solution which jointly accounted for 57.17% of the total variance: Factor I named social management (items 1, 3, 4, 6, 7 and 8); Factor II stress (items 2, 5 and 9) and Factor III named self-confidence (items 10, 11 and 12). Its factor structure is in line with representative research from other population groups.CONCLUSION: The GHQ-12 can be used effectively for assessment of the overall psychological well-being and detection of non-psychotic psychiatric problems among the Macedonian population.

scholarly journals Psychological well-being and substance abuse among adolescents (13 to 19 years) in Central Kerala

2018 ◽  
Vol 5 (10) ◽  
pp. 4283
Author(s):  
Rajalakshmy Aiyappan ◽  
Sherin Billy Abraham ◽  
Aneeta Veronica Mary ◽  
Amritalakshmy K. J. ◽  
An Rahael V. ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Nuclear Family ◽  
General Health Questionnaire ◽  
Well Being ◽  
Cross Sectional Study ◽  
Psychological Wellbeing ◽  
Developmental Phase ◽  
School Students ◽  
Cross Sectional ◽  
Psychological Well Being

Background: Adolescence is a developmental phase between childhood and adulthood, a period where one gains a desire of intimacy and increased responsibilities. Based on their interaction with family and society, adolescents develop positive outcomes such as getting involved in healthy behaviour and negative outcomes such as depression and substance abuse. The objectives of the study were to determine the prevalence of poor psychological well-being and substance abuse among adolescents (13 to 19 years) in Central Kerala, and to assess the role of substance abuse in psychological well-being in adolescents.Methods: A cross sectional study was conducted among 300 secondary and higher secondary school students in three government aided institutions in Central Kerala. All students available in the school at the time of the study formed the inclusion criteria; however, 10th standard students were excluded. Data on basic demographic variables were collected. General Health Questionnaire and Adolescent Alcohol Drug Involvement Scale (AADIS) were used to collect information on psychological wellbeing and alcohol use. The data were entered and analysed using standard statistical package. For significance testing, Chi square test was carried out.Results: Mean age was 14.49 years with a standard deviation of 1.31. Males were 64.5% and 82.6% belonged to nuclear family. Psychological wellbeing was significantly better in males compared to females (p=0.025). Males (7.6%) and females (4.3%) were found to be using alcohol by AADIS questionnaire. Those who were not under the influence of alcohol had better well-being when compared to those who consumed alcohol (p=0.0016).Conclusions: Prevalence of poor psychological wellbeing and substance abuse among adolescents was 7.8% and 6.4% respectively. Females were more emotionally unstable than males. Substance abuse cause further deterioration of mental function in adolescents.

The Psychological Well-being of Supporters of the Demented Elderly

1987 ◽  
Vol 150 (3) ◽  
pp. 293-298 ◽  
Author(s):  
J. M. Eagles ◽  
A. Craig ◽  
F. Rawlinson ◽  
D. B. Restall ◽  
J. A. G. Beattie ◽  
...  
Keyword(s):  
General Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
Elderly Subjects ◽  
Health Questionnaire ◽  
Psychiatric Assessment ◽  
Psychological Well Being ◽  
Stress Scale

Interviews were conducted with the co-resident supporters of 79 elderly subjects. Forty of these elderly subjects had been diagnosed as being demented (20 mildly, 12 moderately and eight severely) following psychiatric assessment. The supporters were screened for psychological well-being with the 60-item General Health Questionnaire (GHQ) and the Relatives' Stress Scale (RSS). Supporters of demented relatives showed significantly raised levels of stress on the RSS, but no increase in psychiatric morbidity on the GHQ, when compared with the supporters of non-demented relatives. The implications of these findings are discussed.

Normality, deviance and minor psychiatric morbidity in the community

1993 ◽  
Vol 23 (2) ◽  
pp. 475-485 ◽  
Author(s):  
Jeremy Anderson ◽  
Felicia Huppert ◽  
Geoffrey Rose
Keyword(s):  
Mental Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Collective Responsibility ◽  
Well Being ◽  
Control Measures ◽  
Frequency Distributions ◽  
Factors Affecting ◽  
Close Relationship ◽  
Large Random Sample

SynopsisThis paper investigates factors affecting the distribution of psychiatric morbidity in the community. It identifies a close relationship between mean Chronic General Health Questionnaire (CGHQ) scores in subdivisions of a large random sample of the community (the Health and Lifestyle Survey, N = 6317) and the prevalence in these groups of abnormal, above-threshold CGHQ scores. The frequency distributions of CGHQ scores in these different populations move up and down as a whole: like other physiological and behavioural attributes, these mental health outcomes in individuals are associated with characteristics of the populations in which they arise. Populations thus carry a collective responsibility for their own mental health and well-being. This implies that explanations for the differing prevalence rates of psychiatric morbidity must be sought in the characteristics of their parent populations; and control measures are unlikely to succeed if they do not involve population-wide changes.

Physical and Psychiatric Comorbidity in General Practice

1996 ◽  
Vol 169 (2) ◽  
pp. 236-242 ◽  
Author(s):  
S. R. Kisely ◽  
D. P. Goldberg
Keyword(s):  
General Practice ◽  
Psychiatric Comorbidity ◽  
Psychiatric Symptoms ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Female Gender ◽  
Medical Illness ◽  
Social Disability ◽  
Increased Risk ◽  
Research Interview

BackgroundThe aim of this study was to determine the association between physical and psychiatric morbidity among general practice patients and to explore the influence of possible intervening variables.MethodPhysical and psychiatric morbidity in 1620 consecutive patients attending their general practitioner (GP) was assessed using a two-stage design. Ninety-four per cent of the patients (n=1523) were successfully screened using the General Health Questionnaire (GHQ–12); 428 of the 602 patients (71%) eligible for the second stage were interviewed using the Composite International Diagnostic Instrument adapted for use in primary health care (CIDI–PHC), the Brief Disability Questionnaire (BDQ) and the Groningen Social Disability Schedule (GSDS) to assess psychiatric, physical and social status. Assessments of physical and psychiatric morbidity were also obtained from the patients' GPs.ResultsThere was a significant association between physical and psychiatric morbidity, although patients with four symptoms or less of physical illness were no more likely to be psychiatric cases than those with none. The association was accounted for by patients at the severe end of the physical continuum with five or more medically explained somatic symptoms: these were twice as likely to be psychiatric cases as those with no such symptoms. Female gender, social disability and physical disability were all significantly more likely to be associated with psychiatric disorder, whether measured by GP or research interview; and these relationships remained after the data were corrected for age differences.ConclusionsPatients in general practice with moderate to severe physical morbidity are at increased risk of developing psychiatric illness, and when medical illness is present, psychiatric symptoms are more severe. As physical and psychiatric comorbidity is relatively common in general practice, the specific needs of these patients should receive greater attention.

scholarly journals Study on Psychiatric Morbidity Among Young Patients of Acne Vulgaris at Tertiary Care Institute

2017 ◽  
Vol 4 (1) ◽  
pp. 64
Author(s):  
Mayuresh Ghadge ◽  
Sunil Gupte
Keyword(s):  
Rural Areas ◽  
Acne Vulgaris ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Young Patients ◽  
Well Being ◽  
Skin Condition ◽  
Coping Mechanisms ◽  
Care Institute ◽  
The Impact

Background: Acne vulgaris is a skin condition occurs mainly in adolescents and young adults. It can affect an appearance of a person adversely. The impact of acne on the psychological well being has been the object of increasing attention in recent years. Most of the studies which have been conducted to identify the psychopathologies in patients with acne vulgaris have focused their attention on depression and anxiety. Aim: The aim of the present study was to identify sociodemographic profile and the psychiatric morbidity in patients with acne vulgaris as well as coping mechanisms used by them. Setting and Design: A descriptive observational study was conducted in the department of dermatology and psychiatry at a tertiary health care institute. Material and Method: Hundred patients of acne vulgaris were selected. They were interviewed using a special proforma, screened using Mini –international Neuropsychiatry interview English Version 6.0.0 and mechanism of coping scale by Parikh et al. Statistical Analysis Used: The data was analysed using SPSS version 19 & EPI INFO software. Result: Psychiatric morbidity was found in 35% of the study population. Psychiatric morbidity was found more in females, patients from nuclear families, patients living in rural areas and acne with grade 3 & 4. It is also found that coping mechanisms problem solving & expressive action were used more by the patients without any psychiatric morbidity. On the other hand, coping mechanisms fatalism & passivity were used more by the patients with psychiatric morbidity. Conclusion: Patients with acne vulgaris in whom psychiatric morbidity is present, should be routinely evaluated and their psychiatric morbidity need to be treated for maximise their health.

Concomitants of paranoia in the general population

2010 ◽  
Vol 41 (5) ◽  
pp. 923-936 ◽  
Author(s):  
D. Freeman ◽  
S. McManus ◽  
T. Brugha ◽  
H. Meltzer ◽  
R. Jenkins ◽  
...  
Keyword(s):  
General Population ◽  
Social Functioning ◽  
Social Inclusion ◽  
Psychiatric Symptoms ◽  
Problem Drinking ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
Human Populations ◽  
Post Traumatic Stress ◽  
Nationally Representative

BackgroundParanoia is an unregarded but pervasive attribute of human populations. In this study we carried out the most comprehensive investigation so far of the demographic, economic, social and clinical correlates of self-reported paranoia in the general population.MethodData weighted to be nationally representative were analysed from the Adult Psychiatric Morbidity Survey in England (APMS 2007; n=7281).ResultsThe prevalence of paranoid thinking in the previous year ranged from 18.6% reporting that people were against them, to 1.8% reporting potential plots to cause them serious harm. At all levels, paranoia was associated with youth, lower intellectual functioning, being single, poverty, poor physical health, poor social functioning, less perceived social support, stress at work, less social cohesion, less calmness, less happiness, suicidal ideation, a great range of other psychiatric symptoms (including anxiety, worry, phobias, post-traumatic stress and insomnia), cannabis use, problem drinking and increased use of treatment and services.ConclusionsOverall, the results indicate that paranoia has the widest of implications for health, emotional well-being, social functioning and social inclusion. Some of these concomitants may contribute to the emergence of paranoid thinking, while others may result from it.

scholarly journals Religion, spirituality and mental health: results from a national study of English households

2013 ◽  
Vol 202 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Michael King ◽  
Louise Marston ◽  
Sally McManus ◽  
Terry Brugha ◽  
Howard Meltzer ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Symptoms ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
Eating Attitudes ◽  
National Study ◽  
Neurotic Disorder ◽  
Spiritual But Not Religious ◽  
Abnormal Eating ◽  
Religious Understanding

BackgroundReligious participation or belief may predict better mental health but most research is American and measures of spirituality are often conflated with well-being.AimsTo examine associations between a spiritual or religious understanding of life and psychiatric symptoms and diagnoses.MethodWe analysed data collected from interviews with 7403 people who participated in the third National Psychiatric Morbidity Study in England.ResultsOf the participants 35% had a religious understanding of life, 19% were spiritual but not religious and 46% were neither religious nor spiritual. Religious people were similar to those who were neither religious nor spiritual with regard to the prevalence of mental disorders, except that the former wereless likely to have ever used drugs (odds ratio (OR)=0.73, 95% CI 0.60-0.88) or be a hazardous drinker (OR=0.81, 95% CI 0.69-0.96). Spiritual people were more likely than those who were neither religious nor spiritual to have ever used (OR = 1.24, 95% CI 1.02-1.49) or be dependent on drugs (OR = 1.77, 95% CI 1.20-2.61), and to have abnormal eating attitudes (OR = 1.46, 95% Cl 1.10-1.94), generalised anxiety disorder (OR =1.50, 95% Cl 1.09-2.06), any phobia (OR = 1.72, 95% CI 1.07-2.77) or any neurotic disorder (OR = 1.37, 95% CI 1.12-1.68). They were also more likely to be taking psychotropic medication (OR = 1.40, 95% CI 1.05-1.86).ConclusionsPeople who have a spiritual understanding of life in the absence of a religious framework are vulnerable to mental disorder.

Human potential in the system of social and economic development: problems and prospects of Vinnytsia region

2020 ◽  
pp. 71-80
Author(s):  
Olesya Tomchuk
Keyword(s):  
Economic Development ◽  
Human Development ◽  
Rural Areas ◽  
Structural Changes ◽  
Agricultural Sector ◽  
Positive Impact ◽  
Well Being ◽  
Human Potential ◽  
High Tech ◽  
Social And Economic Development

The article highlights the problems and prospects of human development, which is the basis for the long-term strategies of social and economic growth of different countries and regions at the present stage. Submitting strategies of this type provides an opportunity to focus on individual empowerment and to build a favorable environment for effective management decisions in the field of forming, maintaining, and restoring human potential. The analysis of the Vinnytsia region human potential dynamics in the regional system of social and economic development factors was carried out. Application of generalized assessment of the regional human development index components allowed the identification of the main trends that characterize the formation of human potential of the territory, including the reproduction of the population, social environment, comfort and quality of life, well-being, decent work, and education. The article emphasizes that despite some positive changes in the social and economic situation of the region and in assessing the parameters of its human development level relative to other regions of Ukraine, Vinnytsia region is now losing its human potential due to negative demographic situation and migration to other regions and countries. The main reason for such dynamics is proven to be related to the outdated structure of the region's economy, the predominance of the agricultural sector, the lack of progressive transformations in the development of high-tech fields of the economy. An important factor is the low level of urbanization of the region, which leads to the spread of less attractive working conditions and less comfortable living conditions. The key factors that cause the growth of urbanization in the region have been identified, including the significant positive impact of the transport and social infrastructure expansion, the lack of which in rural areas leads to a decrease in the level and comfort of life. Without progressive structural changes in the economy and the resettlement system, the loss of human potential will continue.

The Nexus Between Seniors' Tourism Expenditure and Well-Being in China

2020 ◽  
Vol 25 (1) ◽  
pp. 169-174
Author(s):  
Renuka Mahadevan ◽  
Vanessa Sha Fan
Keyword(s):  
Economic Growth ◽  
Life Satisfaction ◽  
Government Policy ◽  
Rural Areas ◽  
Empirical Relationship ◽  
Well Being ◽  
Tourism Demand ◽  
Leisure Travel ◽  
Policy Strategy ◽  
Tourism Expenditure

An examination of the two-way relationship between tourism expenditure and life satisfaction for seniors is undertaken in this article. This examination uses panel data on China's seniors and tracks the same seniors over 3 years. Results show that there is bidirectional causality between tourism expenditure and life satisfaction, casting doubt on previous studies that do not consider this two-way relationship. This empirical relationship highlights the importance of a two-pronged policy strategy— a government policy committed to social tourism programs for seniors who may not be able to afford travel and those who reside in rural areas. Another government strategy is to address aged concerns related to mobility and health to improve well-being and the provision of appropriate facilities for leisure travel. Senior tourism demand was found to be income inelastic and this result means that senior tourism can buffer Chinese economic growth in times of economic crisis and uncertainty, making the twin policy strategy a worthwhile consideration.

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