Assessment of Risk Factors and Consequences of Mental Health Problems Among Mental Health Patients Admitted in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia

2021 ◽  
pp. 105413732110204
Author(s):  
Awgchew Shimelash Yasegnal

Introduction Mental health problem is a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning. Objective To assess the risk factors and consequence of mental health problems among patients admitted in Felege Hiwot Referal Hospital in Bahir Dar, Ethiopia. Methodology: Phenomenological research design was used to conduct this study. Using available sampling, a total of 10 participants were involved. Interview was used as a means of collecting the data. The data was analyzed by thematic and narration techniques of analysis. Result Early life experience, social crises, economic problem, biological causes like brain damage and injury, heredity, drug use, and traditional believes such as sin, curse, witchcraft, evil spirit, herbal medicine are found to be the risk factors. Low self esteem, loneliness, hopelessness, economic problem, suicidal attempt, unable to detect the need of the patients, history taking challenge, low level of patience, low drug adherence, and counter transference are found to be the consequence of mental health problem. Conclusion People with mental health problem in the long run are highly prone to suicidal attempt and commitment as a result mental health problem. Recommendations: Concerned government bodies/Health Bureau/and the people shall work on the problems proactively and minimize the consequences through intensive follow up of people with mental health problems.

2019 ◽  
Vol 6 (1) ◽  
pp. 65-76
Author(s):  
Kamala Poudel ◽  
Bhuwan Kumari Dangol ◽  
Roshana Shrestha

Introduction: Mental health and its related problems are growing concerns over the country. It is challenge to determine the epidemiology of childhood mental disorders. Early detection and effective intervention is necessary for holistic development of the futures citizens. Objectives: To assess the mental health problems and self-esteem of schoolchildren studying in urban Schools of Dharan Sub-metropolitan City. Materials and method: Cross-sectional descriptive research design was followed. The study population included schoolchildren studying in grade 9 and 10 in schools of Dharan (n = 450).  Simple random sampling technique was used to select the school and students. Mental health problems were assessed using self-administered Strength and Difficulties Questionnaire and self-esteem level was monitored using self-administered Rosenberg Self-esteem Scale. Data was analyzed by using descriptive and inferential statistics. Results: Majority (55.6%) of the students were male. Among the total students 12.9% had mental health problems. Gender difference was statistically significant as girls had higher (14.5%) mental health problem (p value = 0.027).Girls (15%) were statistically significant more likely to have emotional problems within domain of mental health problem than boys (p value = 0.003).) whereas boys had conduct problem. Self-esteem level was significantly negatively correlated with mental health problems (r = -0.256, p= 0.000).  Conclusion: Mental health problem is high prevalent among school children. There was statistically significant negative correlation between mental health problems and self-esteem of the schoolchildren.  


2020 ◽  
Vol 8 (T1) ◽  
pp. 268-271
Author(s):  
Darmadi Darmadi ◽  
Riska Habriel Ruslie

BACKGROUND: Coronavirus disease-2019 (COVID-19) emerges in Wuhan, China and becomes a pandemic on March 2020. Its manifestations mainly cover respiratory and gastrointestinal symptoms. In fact, mental health disorders are common in patients with COVID-19 but receive minimum attention. AIM: We aimed to discuss mental health disturbances in relation to COVID-19 and its management. MATERIALS AND METHODS: We gathered literature regarding the topic from electronic sources, including PubMed and Google Scholar. RESULTS: There are several pathogeneses proposed regarding the incidence of mental health problems. The symptoms of mental health problems vary widely and also affect health-care personnel. Diagnosing mental health problem in COVID-19 patients is quite difficult because no examinations are specific enough. The management of mental health problems includes psychological and medical managements. CONCLUSION: Further study regarding mental health problem and its management in patients with COVID-19 is mandatory.  


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S488-S489
Author(s):  
Carlie J Sloan ◽  
Marsha R Mailick ◽  
Jinkuk Hong ◽  
Jung-Hwa Ha ◽  
Jan S Greenberg ◽  
...  

Abstract The negative impact of having a child with special needs on parental well-being is well documented. Previous research has suggested age attenuation of these impacts. However, this has not yet been examined longitudinally in late life. Therefore, it is unclear how the effect of having a child with a developmental disability or mental health problem changes as parents age and children become less likely to live at home. Using responses from the Study of Midlife in the United States (MIDUS), this study investigates: (1) longitudinal changes in the effect of having a child with a developmental or mental health problem on parental well-being, (2) age and gender moderations on these effects, and (3) the unique impact of factors directly related to the child’s condition. Multiple linear regressions revealed that having a child with a developmental disability was predictive of higher negative affect, more somatic symptoms, and lower psychological well-being longitudinally. Additionally, there was a main effect of having a child with a mental health problem in predicting higher negative affect. However, age moderations were revealed such that the effect of having a child with a developmental disability or mental health problem was diminished for older parents. Additionally, within-group analyses revealed that longer duration of developmental disabilities and later parental age of onset of mental health problems were predictive of better outcomes. Overall, results suggest that although having a child with special needs is related to poorer well-being, these effects can attenuate as parents age and adapt.


2015 ◽  
Vol 2 (2) ◽  
pp. 107-118 ◽  
Author(s):  
Eva Tola ◽  
Petra Metzenthin ◽  
Claudia Mischke

Abstract Background: Early specialised care is important for those with mental health problems to prevent e.g. chronic progression. Targeted professionally initiated intervention to stabilise mental health status is only possible if affected individuals actively seek support. The reasons for inadequate use of qualified services have not been sufficiently investigated from the perspectives of those affected. There is only limited insight into the help-seeking behaviour of those with mental health issues. Aim: This study sheds light on the ‘experience’ of help-seeking to time of first contact with a psychiatric institution. It specifically concentrates on the perspective of those affected and their subjective problems. Method: Using a qualitative-inductive design, patients at a crisis centre were retrospectively interviewed using a guideline-supported approach. Interview results were analysed using Saldaña (2013) opening coding (two circles). Results: The patients’ experience can be categorised as ‘real’ problems as the cause, exacerbated mental health problems and utilising mental health services. Help-seeking is determined by the need to manage causal, ‘real’ (everyday, social) problems. Many mental health problem have long not been recognised as such, and thus help-seeking is initially focussed on ‘real’ problems. At all levels of help-seeking, from recognition of a mental health Problem to overcoming barriers preventing use of specialised help, affected persons require the support of third parties. Conclusions: The results indicate the need for a patient-orientated transformation of mental health primary care to provide for more easily accessible services that take into account the everyday and social problems of those with related problems.


2012 ◽  
Vol 36 (3) ◽  
pp. 104-107 ◽  
Author(s):  
Anonymous

SummaryOne in four of the UK population is expected to have a mental health problem at some time in their lives. There is no reason to believe that this statistic should not apply to doctors just as it does to everyone else. This paper discusses the obstacles to accessing treatment that doctors with mental ill health face, and goes on to consider potential solutions to these problems. There is a great pool of talent within the field of medicine and those doctors with mental health problems often have increased empathy as well as professional expertise. This article sets out to demonstrate that there are ways of supporting these doctors and enabling them to overcome their illnesses and regain satisfaction in their work.


2011 ◽  
Vol 26 (S2) ◽  
pp. 580-580
Author(s):  
I. Sibitz ◽  
R. Lakeman ◽  
M. Parkinson ◽  
J. Walsh ◽  
P. Mc Gowan ◽  
...  

BackgroundThe aim of the study was to assess the experiences of discrimination as reported by people with mental health problems and to explore the impact of hospitalisation.Methods306 people with mental health problems provided sociodemographic data and data on discrimination using the discrimination and stigma scale version 12 (DISC-12) with the domains negative experienced discrimination, anticipated discrimination, overcoming stigma and discrimination, and positive experienced discrimination. Logistic regression analysis was used to test the impact of hospitalisation on discrimination, controlled for age, gender, education, employment, diagnosis and having been prescribed medication.ResultsHospitalisation had a major impact on negative discrimination: People were more likely to be treated unfairly in making or keeping friends, in marriage or divorce, by people in their neighbourhood, in social life, by mental health staff and in terms of privacy, if they had been hospitalised. They were also more likely to be avoided or shunned by people who knew about the mental health problem. People with a history of hospitalisation also reported more anticipated discrimination: They had stopped themselves more often from having a close personal relationship and concealed their mental health problem from others more often than those without a history of hospitalisation. However, people who had been hospitalised also experienced more positive discrimination in terms of being treated more positively in getting welfare benefits or disability pensions and in housing.ConclusionFindings suggest that treatment in hospital contributed to a higher extent to experienced discrimination than treatment in the community.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amy J. Morgan ◽  
Julie-Anne A. Fischer ◽  
Laura M. Hart ◽  
Claire M. Kelly ◽  
Betty A. Kitchener ◽  
...  

Abstract Background Mental Health First Aid (MHFA) training teaches community members how to provide initial support to someone with a mental health problem. Key gaps in the evidence base supporting the training are the longevity of effects beyond 6 months, effects on mental health first aid behavior, and the impact of support on the recipient of aid. This study aimed to evaluate the effect of the Youth MHFA course 3 years after training. Methods 384 Australian parents of an adolescent aged 12–15 were randomized to receive either the 14-h Youth MHFA course or the 15-h Australian Red Cross Provide First Aid course. This paper reports outcomes at baseline and 3 years later. Primary outcomes were cases of adolescent mental health problems, and parental support towards their adolescent if they developed a mental health problem, rated by the parent and adolescent. Secondary outcomes included parent knowledge about youth mental health problems, intentions and confidence in supporting a young person, stigmatizing attitudes, and help-seeking for mental health problems. Data were analyzed with mixed-effects models with group by measurement occasion interactions. Results 3-year follow-up data was obtained from 149 parents and 118 adolescents, who were aged 16.5 years on average. Between baseline and 3-year follow-up, there was a non-significant reduction in adolescent cases of mental health problems relative to the control group (odds ratios (OR) 0.16–0.17), a non-significant improvement in parental support reported by adolescents with a mental health problem (OR 2.80–4.31), and a non-significant improvement in the quality of support that parents reported providing to their adolescents with a mental health problem (d = 0.38). Secondary outcomes that showed significant improvements relative to the control group were parental knowledge about youth mental health problems (d = 0.31) and adolescent perceptions of general social support from their parents (d = 0.35). Conclusions This paper reports on the longest follow-up of Mental Health First Aid training in a controlled trial. Three years after training, participants had maintained their improved knowledge about mental health problems. There were some indications of other positive effects, but the study was underpowered to clearly show benefits to mental health first aid skills and recipients of aid. Trial registration ACTRN12612000390886, registered retrospectively 5/4/2012, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=347502


Author(s):  
Habtamu Kerebih ◽  
Hailay Abrha ◽  
Reiner Frank ◽  
Mubarek Abera

Abstract Background: Teachers perception of child mental health problems and their attitude to school-based mental health services helps in designing early intervention strategies aimed at promoting the service. However, little is known in this regard among primary school teachers in Ethiopia. Therefore, this study assessed perceptions and attitude of primary school teachers to child mental health problem and school-based mental health programs in Jimma town, southwest Ethiopia in 2013. Methods: A cross-sectional study design was implemented among 568 primary school teachers in Jimma town, from 1 to 30 October 2013. Perceptions and attitude of teachers to children with mental health problems and school mental health related information were assessed using a structured self- administered questionnaire. Results: About 40% of teachers recognized the list of psychopathology items presented to them as child mental health problems while 54.4% of them rated child mental health problem as severe. Externalizing behaviors were perceived as the most severe problems. Teaching experience and teaching in public schools were significantly associated with the perception of severe type of child mental health problems. About 95% of teachers acknowledged that school-based mental health programs are important but limited availability was reported. Conclusion: Despite the high problem severity ratings, teachers’ perception of the psychopathology as a mental health problem in children was low. There was also a favorable attitude on the importance and the need of school-based child mental health programs. Thus, creating mental health awareness for teachers and establishing school mental health services to intervene in child mental health problem is crucial.


2021 ◽  
Author(s):  
◽  
Charlotte Thompson

<p><b>The New Zealand Emergency Department (ED) nurse is faced daily with the challenge of caring for patients of all ages with a wide variety of presenting complaints. Courses are available for ED specialty work such as trauma and paediatric assessment. However, as this thesis argues, it is difficult to access updated and ongoing education in relation to caring for people with mental health problems who present to the Emergency Department. In addition to this education deficit are the challenges of providing care in an overcrowded ED environment. Such factors contribute to a perceived lack of confidence and sometimes ambivalence or frustration on the part of nursing staff in caring for this group. This may result in an inconsistent standard of care for the the person with a mental health problem unless such issues are addressed.</b></p> <p>The aim of this research paper was to explore the education needs of ED nurses when caring for people with mental health problems. A literature review was undertaken to investigate the broad education strategies available to overcome these challenges. Diverse approaches were identified such as workshops, clinical guidelines, and mental health consultation-liaison roles. Research was also identified that examined ED nursing attitudes and their learning needs in relation to mental health.</p> <p>This paper concludes with a discussion of recommendations for the New Zealand setting with the intention of developing a more confident and competent nursing workforce, who are better prepared to care for the person with a mental health problem.</p>


2020 ◽  
Vol 77 (9) ◽  
pp. 603-610 ◽  
Author(s):  
Mahée Gilbert-Ouimet ◽  
Xavier Trudel ◽  
Karine Aubé ◽  
Ruth Ndjaboue ◽  
Caroline Duchaine ◽  
...  

ObjectivesWomen have a higher incidence of mental health problems compared with men. Psychosocial stressors at work are associated with mental health problems. However, few prospective studies have examined the association between these stressors and objectively measured outcomes of mental health. Moreover, evidence regarding potential differences between women and men in this association is scarce and inconsistent. This study investigates whether psychosocial stressors at work are associated with the 7.5-year incidence of medically certified work absence due to a mental health problem, separately for women and men.MethodsData from a prospective cohort of white-collar workers in Canada (n=7138; 47.3% women) were used. We performed Cox regression models to examine the prospective association between self-reported psychosocial stressors at work (job strain model) at baseline and the 7.5-year HR of medically certified work absence of ≥5 days due to a mental health problem.ResultsDuring follow-up, 11.9% of participants had a certified work absence, with a twofold higher incidence among women. Women (HR 1.40, 95% CI 1.01 to 1.93) and men (HR 1.41, 95% CI 0.97 to 2.05) exposed to high strain (high demands and low control) had a higher incidence of work absence compared with those unexposed. Among women only, those exposed to an active job situation (high demands and high control) also had a higher risk (HR 1.82, 95% CI 1.29 to 2.56).ConclusionsPrevention efforts aimed at reducing psychosocial stressors at work could help lower the risk of work absence for both women and men. However, important differences between women and men need to be further studied in order to orient these efforts.


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