The Relationship Between Childhood Adversity and Other Aspects of Clinical Complexity in Psychiatric Outpatients

2019 ◽  
pp. 088626051986596
Author(s):  
Robert G. Maunder ◽  
Lesley Wiesenfeld ◽  
Andrea Lawson ◽  
Jonathan J. Hunter
Keyword(s):  
Psychological Distress ◽  
Childhood Abuse ◽  
Childhood Adversity ◽  
World Health ◽  
Cross Sectional ◽  
Abuse And Neglect ◽  
Clinical Complexity ◽  
Childhood Loss ◽  
Distress Scale ◽  
The Relationship

Childhood abuse, neglect, and loss are common in psychiatric patients, and the relationship between childhood adversity and adult mental illness is well known. However, beyond diagnoses that are specifically trauma-related, such as posttraumatic stress disorder, there has been little research on how childhood adversity contributes to complex presentations that require more intensive treatment. We examined the relationship between childhood adversity and other contributors to clinical complexity in adult outpatients seeking mental health assessment. In a cross-sectional study, patients completed standard measures of psychological distress and functional impairment. Psychiatrists completed an inventory of clinical complexity, which included childhood abuse, neglect, and loss. Of 4,903 patients seen over 15 months, 1,315 (27%) both consented to research and had the measure of complexity completed. Childhood abuse or neglect was identified in 474 (36.0%) and significant childhood loss in 236 (17.9%). Correcting for multiple comparisons and controlling for psychiatric diagnosis, age, and sex, patients with childhood abuse or neglect were significantly more likely to also have 11 of 31 other indices of clinical complexity, with odds ratios ranging from 1.7 to 5.0. Both childhood abuse or neglect and childhood loss were associated with greater overall complexity (i.e., more indices of complexity, χ2 = 136 and 38 respectively, each p < .001). Childhood abuse and neglect (but not childhood loss) were significantly associated with psychological distress (Kessler Psychological Distress Scale [K10] score, F = 6.2, p = .01) and disability (World Health Organization Disability Assessment Scale 2.0 [WHODAS 2.0] score, F = 5.0, p = .03). Childhood abuse and neglect were associated with many characteristics that contribute to clinical complexity, and thus to suboptimal outcomes to standard, guideline-based care. Screening may alert psychiatrists to the need for intensive, patient-centered, and trauma-informed treatments. Identifying childhood adversity as a common antecedent of complexity may facilitate developing transdiagnostic programs that specifically target sources of complexity.

scholarly journals Higher stress scores for female medical students measured by the Kessler Psychological Distress Scale (K10) in Pakistan

2014 ◽  
Vol 11 ◽  
pp. 27 ◽  
Author(s):  
Khadija Qamar ◽  
Muhammad Rizwan Bash Kiani ◽  
Aisha Ayyub ◽  
Atif Ahmed Khan ◽  
Mohammad Osama
Keyword(s):  
Psychological Distress ◽  
Medical Students ◽  
Stress Level ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Distress Scale ◽  
The Relationship ◽  
Academic Year ◽  
Self Administered Questionnaire ◽  
Kessler Psychological Distress Scale

The aim of this study was to determine the stress level of medical students and the relationship between stress and academic year. A cross-sectional, descriptive study was conducted at an undergraduate medical school with a five-year curriculum, in Pakistan, from January 2014 to April 2014. Medical students in the first four years were included in the study. The Kessler Psychological Distress Scale (K10), a self-administered questionnaire, was distributed to the students. A total of 445 medical students completed the questionnaire. The average stress score was 19.61 (SD = 6.76) with a range from 10 to 43. Stress was experienced by 169 students (41.7%). The scores of female students were higher than scores of males, indicating a higher stress level (P = 0.011). The relationship between stress and academic year was insignificant (P = 0.392).

scholarly journals Cyberchondria, Uncertainty, and Psychological Distress among Omanis during COVID-19: An Online Cross-Sectional Survey

2020 ◽  
Author(s):  
Khloud Al Dameery ◽  
Mohammed Quteshat ◽  
Ibtisam Al Harthy ◽  
Atika Khalaf
Keyword(s):  
Psychological Distress ◽  
Online Survey ◽  
Population Policy ◽  
Short Form ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Socio Demographic Factors ◽  
Distress Scale ◽  
The Relationship

Abstract Background: Frequent surfing on the internet for self-diagnosis and treatment in association with quarantine during the COVID-19 pandemic leaves people with uncertainty and psychological distress. The aim was to explore the relationship between cyberchondria, psychological distress, and uncertainty in Oman. Methods: A descriptive correlational study was designed. Data was collected through an online survey from 393 Omani participants using the short-form version of the Cyberchondria Severity Scale, the Kessler Psychological Distress Scale, and the Intolerance of Uncertainty Scale. Descriptive and correlational analyses were conducted.Results: The majority of the participants were aged between 18-26 and 45-54 years (32.8% and 30.8% respectively). Almost three-quarters of the participants were female (n= 291, 74%) and half were single (n= 218, 55.5%). No significant associations were found between cyberchondria and the socio-demographic factors or the COVID-19 status. However, significant positive fair correlation was found between cyberchondriac experiences and psychological distress (rs =0.373), and cyberchondria and uncertainty (rs = 0.442).Conclusions: To the best of our knowledge, this study is the first of its kind investigating the relationship between cyberchondria, physiological distress, and uncertainty in the Omani population. Policy makers and stakeholders are encouraged to facilitate the reporting and observation of accurate and up-to-date information distributed to the population to avoid misleading information, and thus reduce the distress and uncertainty related to cyberchondriac behaviors.

scholarly journals The Mediating Role of Resilience in the Relationship between Perceived Stress and Mental Health

2021 ◽  
Vol 18 (18) ◽  
pp. 9762
Author(s):  
Mariela Loreto Lara-Cabrera ◽  
Moisés Betancort ◽  
C. Amparo Muñoz-Rubilar ◽  
Natalia Rodríguez Novo ◽  
Carlos De las Cuevas
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Emotional Disorders ◽  
Perceived Stress ◽  
World Health ◽  
Direct Patient Care ◽  
Cross Sectional ◽  
Mediating Role ◽  
The Relationship

The COVID-19 pandemic has created great uncertainty around the world, and due to the pandemic, nurses have been exposed to an increase in highly stressful clinical situations. This study examines the relationships between perceived stress and emotional disorders among nurses who have provided direct patient care during the COVID-19 pandemic and explores the mediating role of resilience in these relationships. In an online cross-sectional design, we asked Spanish nurses (N = 214) to complete self-reported scales, and we performed correlation and mediation analyses between perceived stress (Perceived Stress Scale, PSS-4), resilience (Wagnild Resilience Scale, RS-14), wellbeing (World Health Organization Wellbeing Index, five items, WHO-5), anxiety (PHQ-2) and depression (GAD-2). The nurses self-reported moderate levels of perceived stress, considerable psychological distress and high resilience. We found resilience to be significantly negatively correlated with the reported levels of perceived stress, anxiety and depression (p < 0.001). The mediating analysis revealed that resilience played a protective role in the direct relationships of stress with depression, anxiety, and psychological distress. To conclude, our findings supported the hypothesis that resilience mediated the relationship between stress and mental health.

Childhood adversity and cognitive function in schizophrenia spectrum disorders and healthy controls: evidence for an association between neglect and social cognition

2017 ◽  
Vol 48 (13) ◽  
pp. 2186-2193 ◽  
Author(s):  
S Kilian ◽  
L Asmal ◽  
B Chiliza ◽  
MR Olivier ◽  
L Phahladira ◽  
...  
Keyword(s):  
Social Cognition ◽  
Cognitive Function ◽  
Childhood Abuse ◽  
Childhood Trauma ◽  
Cognitive Impairments ◽  
Verbal Learning ◽  
Childhood Adversity ◽  
Healthy Controls ◽  
Abuse And Neglect ◽  
The Relationship

AbstractBackgroundChildhood adversity is associated with cognitive impairments in schizophrenia. However, findings to date are inconsistent and little is known about the relationship between social cognition and childhood trauma. We investigated the relationship between childhood abuse and neglect and cognitive function in patients with a first-episode of schizophrenia or schizophreniform disorder (n = 56) and matched healthy controls (n = 52). To the best of our knowledge, this is the first study assessing this relationship in patients and controls exposed to similarly high levels of trauma.MethodsPearson correlational coefficients were used to assess correlations between Childhood Trauma Questionnaire abuse and neglect scores and cognition. For the MCCB domains displaying significant (p < 0.05) correlations, within group hierarchical linear regression, was done to assess whether abuse and neglect were significant predictors of cognition after controlling for the effect of education.ResultsPatients and controls reported similarly high levels of abuse and neglect. Cognitive performance was poorer for patients compared with controls for all cognitive domains except working memory and social cognition. After controlling for education, exposure to childhood neglect remained a significant predictor of impairment in social cognition in both patients and controls. Neglect was also a significant predictor of poorer verbal learning in patients and of attention/vigilance in controls. However, childhood abuse did not significantly predict cognitive impairments in either patients or controls.ConclusionThese findings are cross sectional and do not infer causality. Nonetheless, they indicate that associations between one type of childhood adversity (i.e. neglect) and social cognition are present and are not illness-specific.

Mediation of Coping Strategies among Patients with Advanced Cancer

2021 ◽  
pp. 105477382110032
Author(s):  
Nurul Huda ◽  
Yun-Yen ◽  
Hellena Deli ◽  
Malissa Kay Shaw ◽  
Tsai-Wei Huang ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Coping Strategies ◽  
Advanced Cancer ◽  
Well Being ◽  
Cross Sectional ◽  
Correlational Research ◽  
Resampling Procedure ◽  
Relationship Of ◽  
Anxiety Depression ◽  
The Relationship

The purpose of this study was to test the mediating effects of coping on relationships of psychological distress and stress with anxiety, depression, and quality of life. A cross-sectional and correlational research study was used to recruit a sample of 440 patients with advanced cancer in Indonesia. A bootstrap resampling procedure was used to test the significance of the total and specific indirect effects of coping. Data analysis showed that problem-focused coping (PFC) mediated relationships of psychological distress and stress on depression, anxiety and functional well-being. PFC also mediated the relationship between stress and social well-being. Emotional-focused coping (EFC) mediated the relationship of stress with physical and emotional well-being. EFC also mediated the relationships between psychological distress and physical well-being. Thus, proper assessments and interventions should be tailored and implemented for patients in order to facilitate their use of coping strategies when needed in stressful situations.

scholarly journals Perceived discrimination and psychological distress among immigrants to Canada: The mediating role of bicultural identity orientations

2021 ◽  
pp. 136843022199008
Author(s):  
Mustafa Firat ◽  
Kimberly A. Noels
Keyword(s):  
Psychological Distress ◽  
Undergraduate Students ◽  
Structural Equation ◽  
Perceived Discrimination ◽  
The Other ◽  
Equation Modeling ◽  
Bicultural Identity ◽  
Cross Sectional ◽  
Mediating Role ◽  
The Relationship

Bicultural identity orientations have rarely been examined in relation to both perceived discrimination and psychological distress. Furthermore, these constructs have usually been studied in isolation, but their intersection is essential for understanding intercultural relations in multicultural societies. Using cross-sectional data from 1,143 Canadian undergraduate students from immigrant families, this study explored the relationship between perceived discrimination and psychological distress, and how bicultural identity orientations might mediate this relationship. The structural equation modeling results indicated that perceived discrimination was associated with higher levels of psychological distress and hybrid, monocultural, alternating, and conflicted orientations, but lower levels of complementary orientation. Alternating and conflicted orientations were related to higher psychological distress, whereas the other orientations were not. Alternating and conflicted orientations mediated the relationship between perceived discrimination and psychological distress, whereas the other orientations did not. The findings are discussed in light of theories on identity integration, rejection–identification, and acculturation.

The Association Between Chronic Disease and Psychological Distress: An Australian Twin Study

2020 ◽  
Vol 23 (6) ◽  
pp. 322-329
Author(s):  
Jessica Tyler ◽  
Janine Lam ◽  
Katrina Scurrah ◽  
Gillian Dite
Keyword(s):  
Psychological Distress ◽  
Chronic Disease ◽  
Environmental Factors ◽  
Twin Study ◽  
Disease Status ◽  
Adult Health ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Genetic And Environmental Factors ◽  
Distress Scale

AbstractThere is a commonly observed association between chronic disease and psychological distress, but many potential factors could confound this association. This study investigated the association using a powerful twin study design that can control for unmeasured confounders that are shared between twins, including genetic and environmental factors. We used twin-paired cross-sectional data from the Adult Health and Lifestyle Questionnaire collected by Twins Research Australia from 2014 to 2017. Linear regression models fitted using maximum likelihood estimations (MLE) were used to test the association between self-reported chronic disease status and psychological distress, measured by the Kessler Psychological Distress Scale (K6). When comparing between twin pairs, having any chronic disease was associated with a 1.29 increase in K6 (95% CI: 0.91, 1.66; p < .001). When comparing twins within a pair, having any chronic disease was associated with a 0.36 increase in K6 (95% CI: 0.002, 0.71; p = .049). This within-pair estimate is of most interest as comparing twins within a pair naturally controls for shared factors such as genes, age and shared lived experiences. Whereas the between-pair estimate does not. The weaker effect found within pairs tells us that genetic and environmental factors shared between twins confounds the relationship between chronic disease and psychological distress. This suggests that associations found in unrelated samples may show exaggerated estimates.

Impact of childhood abuse and neglect on substance abuse and psychological distress in adulthood

2007 ◽  
Vol 20 (5) ◽  
pp. 833-844 ◽  
Author(s):  
Meeyoung Min ◽  
Kathleen Farkas ◽  
Sonia Minnes ◽  
Lynn T. Singer
Keyword(s):  
Substance Abuse ◽  
Psychological Distress ◽  
Childhood Abuse ◽  
Abuse And Neglect

scholarly journals Suicidal Ideation and Predictors of Psychological Distress during the COVID-19 Pandemic in Eswatini: A Population-Based Household Telephone Survey

2021 ◽  
Vol 18 (13) ◽  
pp. 6700
Author(s):  
Mduduzi Colani Shongwe ◽  
Song-Lih Huang
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Telephone Survey ◽  
Population Based ◽  
Cross Sectional ◽  
Increased Risk ◽  
Psychological Distress Scale ◽  
The Government ◽  
Distress Scale

The unpredictability of the COVID-19 pandemic can induce psychological distress in individuals. We investigated perceived stressors, prevalence of psychological distress and suicidal ideation, and predictors of psychological distress among adults during the COVID-19 pandemic in Eswatini. This study was a cross-sectional, population-based household telephone survey of 993 conveniently sampled adults (18+ years) from all the four administrative regions of Eswatini. Data were collected between 9 June and 18 July 2020 during the first wave of the COVID-19 pandemic, when the country was under a partial lockdown. COVID-19-related psychological distress was assessed using the Kessler 6-item Psychological Distress Scale (K6). We performed weighted modified Poisson regression analyses to identify significant predictors of moderate/severe psychological distress (K6 scores: ≥5). The weighted prevalences of moderate (K6 scores: 5–12) and severe psychological distress (K6 scores: ≥13) were 41.7% and 5.4%, respectively. Participants reported several perceived COVID-19-related stressors, including worries and fears of the contagion-specific death, serious need for food and money, and concerns about loss of income or business. The weighted prevalence of suicidal ideation was 1.5%. Statistically significant predictors of increased risk for moderate/severe psychological distress included living in the Hhohho and Manzini regions; feeling not well informed about COVID-19; feeling lonely; having received COVID-19 food or financial relief from the government; feeling burdened by the lockdown; being married; and being youth (18–24 years). The results call for the government to urgently augment the provision of mental health services during the pandemic. Mental health practitioners and programs may use several stressors and risk factors identified in this study to inform interventions and government policies aimed at reducing psychological distress induced by the pandemic.

Exploring the Relationship Between Sleep Quality, Sleep Hygiene, and Psychological Distress in a Sample of Canadian Varsity Athletes

2021 ◽  
pp. 1-14
Author(s):  
Jessica Murphy ◽  
Christopher Gladney ◽  
Philip Sullivan
Keyword(s):  
Psychological Distress ◽  
Sleep Quality ◽  
Quality Index ◽  
Student Athletes ◽  
Pittsburgh Sleep Quality Index ◽  
Sleep Hygiene ◽  
Hygiene Practice ◽  
Quality Sleep ◽  
Distress Scale ◽  
The Relationship

Student athletes balance academic, social, and athletic demands, often leading to increased levels of stress and poor sleep. This study explores the relationship between sleep quality, sleep hygiene, and psychological distress in a sample of student athletes. Ninety-four student athletes completed the six-item Kessler Psychological Distress Scale (K6), Sleep Hygiene Practice Scale, and four components from the Pittsburgh Sleep Quality Index. Age, gender, and sport were also collected. The Pittsburgh Sleep Quality Index revealed that 44.7% of student athletes received ≥6.5 hr of sleep each night; 31% of athletes showed signs of severe mental illness according to the K6. Stepwise regression predicted K6 scores with the Pittsburgh Sleep Quality Index and the Sleep Hygiene Practice Scale scores as independent variables. A significant model accounting for 26% of the variation in K6 scores emerged; sleep schedule and sleep disturbances were significant predictors. Athletic staff should highlight the importance of sleep for mental health; suggestions on how to help athletes are provided.

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