scholarly journals Does service timing matter for psychological outcomes in cardiac rehabilitation? Insights from the National Audit of Cardiac Rehabilitation

2017 ◽  
Vol 25 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Jennifer Sumner ◽  
Jan R Böhnke ◽  
Patrick Doherty
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Cardiac Rehabilitation ◽  
Depression Scale ◽  
Wait Time ◽  
Mental Health Status ◽  
Mental Health Outcomes ◽  
Anxiety And Depression ◽  
National Audit

Background The presence of mental health conditions in cardiac rehabilitation (CR) patients such as anxiety and depression can lead to reduced programme adherence, increased mortality and increased re-occurrence of cardiovascular events undermining the aims and benefit of CR. Earlier research has identified a relationship between delayed commencement of CR and poorer physical activity outcomes. This study wished to explore whether a similar relationship between CR wait time and mental health outcomes can be found and to what degree participation in CR varies by mental health status. Methods Data from the UK National Audit of Cardiac Rehabilitation, a dataset that captures information on routine CR practice and patient outcomes, was extracted between 2012 and 2016. Logistic and multinomial regression models were used to explore the relationship between timing of CR and mental health outcomes measured on the hospital anxiety and depression scale. Results The results of this study showed participation in CR varied by mental health status, particularly in relation to completion of CR, with a higher proportion of non-completers with symptoms of anxiety (5% higher) and symptoms of depression (8% higher). Regression analyses also revealed that delays to CR commencement significantly impact mental health outcomes post-CR. Conclusion In these analyses CR wait time has been shown to predict the outcome of anxiety and depression status to the extent that delays in starting CR are detrimental. Programmes falling outside the 4-week window for commencement of CR following referral must strive to reduce wait times to avoid negative impacts to patient outcome.

scholarly journals Factors associated with mental health outcomes across healthcare settings in Oman during COVID-19: frontline versus non-frontline healthcare workers

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e042030 ◽  
Author(s):  
Muna Alshekaili ◽  
Walid Hassan ◽  
Nazik Al Said ◽  
Fatima Al Sulaimani ◽  
Sathish Kumar Jayapal ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Healthcare Workers ◽  
Online Survey ◽  
Demographic Data ◽  
Mental Health Status ◽  
Mental Health Outcomes ◽  
Healthcare Settings ◽  
Frontline Healthcare Workers

ObjectiveThis study aims to assess and compare demographic and psychological factors and sleep status of frontline healthcare workers (HCWs) in relation to non-frontline HCWs.Design, settings, participants and outcomesThis cross-sectional study was conducted from 8 April 2020 to 17 April 2020 using an online survey across varied healthcare settings in Oman accruing 1139 HCWs.The primary and secondary outcomes were mental health status and sociodemographic data, respectively. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), and insomnia was evaluated by the Insomnia Severity Index. Samples were categorised into the frontline and non-frontline groups. χ2 and t-tests were used to compare groups by demographic data. The Mantel-Haenszel OR was used to compare groups by mental health outcomes adjusted by all sociodemographic factors.ResultsThis study included 1139 HCWs working in Oman. While working during the pandemic period, a total of 368 (32.3%), 388 (34.1%), 271 (23.8%) and 211 (18.5%) respondents were reported to have depression, anxiety, stress and insomnia, respectively. HCWs in the frontline group were 1.5 times more likely to report anxiety (OR=1.557, p=0.004), stress (OR=1.506, p=0.016) and insomnia (OR=1.586, p=0.013) as compared with those in the non-frontline group. No significant differences in depression status were found between the frontline and non-frontline groups (p=0.201).ConclusionsTo our knowledge, this is the first study to explore the differential impacts of the COVID-19 pandemic on different grades of HCWs. This study suggests that frontline HCWs are disproportionally affected compared to non-frontline HCWs, with managing sleep–wake cycles and anxiety symptoms being highly endorsed among frontline HCWs. As psychosocial interventions are likely to be constrained owing to the pandemic, mental healthcare must first be directed to frontline HCWs.

Mental Health of Employees at a Canadian Animal Welfare Organization

2019 ◽  
pp. 1-37
Author(s):  
Jennifer Dunn ◽  
Colleen Best ◽  
David L. Pearl ◽  
Andria Jones-Bitton
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Animal Welfare ◽  
Compassion Fatigue ◽  
Depression Scale ◽  
Maslach Burnout Inventory ◽  
Mental Health Outcomes ◽  
Dark Side ◽  
Anxiety And Depression ◽  
Quality Of Life Scale

AbstractDespite numerous benefits, a dark side exists in human and veterinary caregiving professions that can negatively impact caregiver mental health. It was postulated that other nonhuman animal caregivers, animal welfare employees, might experience mental health outcomes similar to those in analogous caregiving occupations. This study investigated employee mental health at a Canadian animal welfare organization using five validated mental health instruments: Perceived Stress Scale (stress), Hospital Anxiety and Depression Scale (anxiety and depression), Professional Quality of Life Scale (compassion satisfaction and compassion fatigue), Maslach Burnout Inventory Scale (burnout), and Connor-Davidson Resilience Scale (resilience). Front-line and support staff tended to have poorer mental health outcomes relative to the study population mean, potential for burnout was a notable concern, and resilience was below normal for most employees. These results shed light on the mental health of an animal caregiving occupation that has largely been ignored. Strategies for building employee resilience are discussed.

scholarly journals Common Occupational Trauma: Is There a Relationship with Workers’ Mental Health?

Trauma Care ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 66-74
Author(s):  
Nicola Magnavita ◽  
Ilaria Capitanelli ◽  
Gabriele Arnesano ◽  
Angela Iuliano ◽  
Igor Mauro ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Major Trauma ◽  
Depression Scale ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Anxiety And Depression ◽  
Minor Trauma ◽  
Cross Sectional ◽  
Increased Risk

Exposure to major trauma can have significant consequences for workers’ mental health, but common trauma may also result in poor mental health outcomes. This cross-sectional study retrospectively investigated the occurrence of common physical or psychological workplace trauma in 901 health, social service, and trading company workers and studied these experiences in relation to occupational stress, anxiety, and depression. Stress was measured with the effort/reward imbalance (ERI) model while anxiety and depression were evaluated with the Goldberg Anxiety and Depression Scale (GADS). Healthcare workers reported a high frequency of trauma and significantly higher levels of stress, anxiety, and depression than other workers. Even in the entire population of workers of the various professional categories, verbal violence (harassment and threats), traffic accidents, home injuries, and family bereavement were significantly associated with high levels of stress, anxiety, and depression. Major trauma survivors are known to be at increased risk of mental disorders and require support in the workplace, however, even minor repeated emotional trauma and injuries can affect mental health. During mandatory health surveillance, the occupational physician should systematically collect information on minor trauma and mental health outcomes when assessing the occupational fitness of the workers assigned to him.

scholarly journals Evaluating the Depression, Anxiety, Stress, and Predictors of Psychological Morbidity among COVID-19 Survivors in Mashhad, Iran

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zanireh Salimi ◽  
Romina Najafi ◽  
Alireza Khalesi ◽  
Reza Oskoei ◽  
Fatemeh Moharreri ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Hospital Stay ◽  
Depression Scale ◽  
Length Of Hospital Stay ◽  
Psychological Outcomes ◽  
Mental Health Status ◽  
Anxiety And Depression ◽  
Hospital Data ◽  
Number Of Children

Background: The outbreak of coronavirus disease 2019 (COVID-19) pandemic has led to public panic and psychological problems. In this regard, few studies have reported the post-discharge mental health status of COVID-19 survivors. Objectives: This study aimed to evaluate the mental health status of COVID-19 survivors and determine the risk factors of adverse psychological outcomes. Methods: This cross-sectional study consisted of 188 COVID-19 survivors discharged from hospital. Data were recorded using social media applications. To evaluate the mental health status, Hospital Anxiety and Depression Scale (HADS) and Depressive Anxiety and Stress Scale 42 (DASS-42) were used. Ordinal regression with a logit link was used to assess the simultaneous effect of variables. Results: The mean age of participants was 56.4 ± 9.6 years, and the majority of patients were male (62.2%). According to HADS, 81 (43.1%) and 24 (12.8%) patients suffered from anxiety and depression, respectively. Using DASS-42, we reported at least a mild degree of depression [23 (12.2%)], anxiety [20 (10.6%)], and stress [74 (39.4%)] among the discharged patients. Depression, anxiety, and stress were significantly associated with length of hospital stay (P < 0.05). In addition, there was a direct association between stress and patients’ number of children (β = 0.38, P = 0.02). Conclusions: Depression, anxiety, and stress are relatively high among COVID-19 survivors. Length of hospital stay and number of children were identified as the predisposing factors for adverse psychological outcomes.

scholarly journals Mental health among immigrants in Germany – the impact of self-attribution and attribution by others as an immigrant

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yuriy Nesterko ◽  
Michael Friedrich ◽  
Elmar Brähler ◽  
Andreas Hinz ◽  
Heide Glaesmer
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Population Based ◽  
Migration Background ◽  
Mental Health Outcomes ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Related Factors ◽  
Logistic Regression Models ◽  
The Impact

Abstract Background In Germany, the term ‘migration background’ has been established to differentiate between immigrants and natives. In the present study post-traumatic stress disorder (PTSD), anxiety, and depression were analysed in immigrant populations in Germany by considering self-attribution as well as attribution by others on one’s own ‘migration background’. Methods In a population-based survey (N = 2317), socio-demographic characteristics, migration background (official statistics definition vs. self-attribution as well as the anticipated attribution by others), PTSD (PCL-5), and symptoms of anxiety and depression (PHQ-4) were assessed. Logistic regression models were applied to predict mental health outcomes by considering socio-demographic and immigration-related factors. Results A total of 10.7% of respondents (N = 248) had a ‘migration background’. Immigrants of the 2nd generation compared to 1st generation immigrants are less likely to see themselves as immigrants. Attribution as an immigrant (self and/or by others) was found as significant predictor for PTSD and depression, but not anxiety. Conclusions It seems useful to focus on immigration-related factors considering subjective perspectives and not only comparing immigrants and natives using a federal statistics definition. Our findings suggest that research on the association between immigration-related factors such as attribution as an immigrant and mental health outcomes might be a promising approach to better identify subgroups at higher risk of mental distress.

Predictors of Interest in Participation in an Animal-Assisted Activity Program among Elderly Citizens

2016 ◽  
Vol 24 (3) ◽  
pp. 213-229 ◽  
Author(s):  
Oriel J. Strickland ◽  
Stacie Davidson
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Assisted Living ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Attitude Scale ◽  
Mental Health Outcomes ◽  
Willingness To Participate ◽  
Activity Program ◽  
And Gender

Animal-Assisted Activity Programs have been shown to improve physiological and mental health outcomes among program participants. The purpose of this study was to assess the significance of gender, depression, and companion animal attitudes as predictors of interest in participation in an animal-assisted activity program. The participants were 62 residents (average age 82 years) at assisted-living centers who responded to survey measures including the Pet Attitude Scale (pas), Center for Epidemiological Studies Depression Scale (ces-d), and a newly developed scale to measure interest in an animal assisted activity program. Pet attitudes and gender significantly predicted willingness to participate in the program. These results provide a contribution to the literature, which has not yet documented predictors of interest in participation in such a program among elderly citizens.

scholarly journals Mental health among immigrants in Germany – the impact of self-attribution and attribution by others as an immigrant

2019 ◽  
Author(s):  
Yuriy Nesterko ◽  
Michael Friedrich ◽  
Elmar Brähler ◽  
Andreas Hinz ◽  
Heide Glaesmer
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Population Based ◽  
Migration Background ◽  
Mental Health Outcomes ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Related Factors ◽  
Logistic Regression Models ◽  
The Impact

Abstract Background In Germany, the term ‘migration background' has been established to differentiate between immigrants and natives. In the present study post-traumatic stress disorder (PTSD), anxiety and depression were analysed in immigrant populations in Germany by considering self-attribution as well as attribution by others on one’s own ‘migration background’. Methods In a population-based survey (N = 2317), socio-demographic characteristics, migration background (official statistics definition vs. self-attribution as well as the anticipated attribution by others), PTSD (PCL-5), symptoms of anxiety and depression (PHQ-4) were assessed. Logistic regression models were applied to predict mental health outcomes by considering socio-demographic and immigration-related factors. Results A total of 10.7% of the respondents (N = 248) had a ‘migration background’. Immigrants of the 2nd generation compared to 1st generation immigrants are less likely to see themselves as immigrants. Attribution as an immigrant (self and/or by others) was found as significant predictor for PTSD and depression, but not anxiety. Conclusions It seems useful to focus on immigration-related factors considering subjective perspectives and not only comparing immigrants and natives using a federal statistics definition. Our findings suggest that research on the association between immigration-related factors such as attribution as an immigrant and mental health outcomes might be a promising approach to better identify subgroups at higher risk of mental distress.

Sign in / Sign up

Export Citation Format

Share Document