scholarly journals Prevalence of Common Mental Disorders and its Association with Life Events and Social Support in Mothers Attending a Well-Child Clinic

SAGE Open ◽  
2016 ◽  
Vol 6 (4) ◽  
pp. 215824401667732 ◽  
Author(s):  
Nusrat Husain ◽  
Ipshita Mukherjee ◽  
Amber Notiar ◽  
Zahir Alavi ◽  
Barbara Tomenson ◽  
...  

Common mental disorders (CMD), such as depression and anxiety disorders that affect mothers with young children, are a major public health issue in developing countries. This study investigates the prevalence of CMD and its associated factors among mothers attending a well-child clinic in Mombasa, Kenya. In this cross-sectional study, 429 women were screened for the presence of CMD using the Self-Reporting Questionnaire–20 (SRQ-20). Social support and social stress were measured using the OSLO Social Support Scale and the Life Events Checklist. The prevalence of CMD was 20%. High SRQ scorers were more likely to be single or separated/divorced compared with low scorers. Language, neighborhood, and financial difficulties were found to be significant independent correlates of CMD through multiple logistic regression analysis. Rates of CMD among mothers with young children in Kenya are high. This is important for nurses and pediatricians whose contact offers them an opportunity to detect CMD and refer mothers for appropriate support.

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Amália Ivine Santana Mattos ◽  
Tânia Maria de Araújo ◽  
Maura Maria Guimarães de Almeida

ABSTRACT OBJECTIVE To analyze the interaction between the psychosocial aspects of work and the occurrence of common mental disorders among health workers. METHODS This is a cross-sectional study conducted with a representative sample of workers of the primary health care of five municipalities of the State of Bahia, Brazil, in 2012. The variable of outcome were the common mental disorders evaluated by the SRQ-20, and the variables of exposure were high demand (high psychological demand and low control over the work) and low social support in the workplace. Interaction was checked by the deviation of the additivity of the effects for the factors studied from the calculation of excess risk from interaction, proportion of cases attributed to interaction, and the synergy index. RESULTS The global prevalence of common mental disorders was 21%. The group of combined exposure has shown higher magnitude (high demand and low social support), reaching 28% when compared to the 17% in the situation of no exposure (low demand and high social support). CONCLUSIONS The results strengthen the hypothesis of interaction between the factors investigated, directing to the synergy of the effects.


2019 ◽  
Vol 14 (41) ◽  
pp. 1911
Author(s):  
Amine Selim de Salles Gonçalves Melado ◽  
Filipe Alvarenga Caetano Vitorino ◽  
Ana Rosa Murad Szpilman ◽  
Wanêssa Lacerda Poton

Objective: To identify the prevalence of common mental disorders (CMD) in medical students at Vila Velha University (UVV), ES, and its associated factors. Methods: A cross-sectional study was conducted with 360 medical students from February to April 2018. A self-administered, confidential and online questionnaire was used, including sociodemographic, economic data, family support, friends’ network, physical activity and academic performance, as well as Self-Reporting Questionnaire (SRQ-20). Statistical analysis was performed using the STATA program, version 13.0. The Ethics Committee on Research with Humans approved the study, under number 2.108.290. Results: The prevalence of CMD among students was 45.6%. Risk factors were mental disorder in the family (RR 1.24, 95% CI 1.01-1.54), poor sleep quality (RR 1.49, 95% CI 1.17-1.90), fear that impaired the academic result (RR 1.33, 95% CI 1.01-1.77), feeling rejected by friends (RR 1.45, 95% CI 1.07-1.96), thinking about giving up the course (RR 1.67, 95% CI 1.29-2.17) and physical discomfort during the test (RR 1.63, 95% CI, 1.21-2.20). Conclusions: The overall prevalence of CMD among students was high, and the risk factors were significant. It is recommended that educational institutions and responsible government agencies be able to formulate and subsidize preventive actions and care for the mental health of medical students.  


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Samuel Scott ◽  
Alejandra Arrieta ◽  
Neha Kumar ◽  
Purnima Menon ◽  
Agnes Quisumbing

Abstract Objectives The mental wellbeing of mothers with young children has been shown to positively affect child development. Little, however, is known about which factors are related to optimal maternal mental health in high poverty rural contexts where women face a broad array of challenges at multiple levels daily. Methods Data were from 1644 mother-infant pairs in five Indian states as part of the Women Improving Nutrition through Group-based Strategies study. Common mental disorders (CMD) were assessed through the 20-item Self Reporting Questionnaire. We report on factors spanning nutritional (women's weight, fertility, food security, child illness), occupational (self-reported type of work, time spent in labor, domestic and caretaking activities), social (group membership, decision-making, gender attitudes, household dependents) and environmental (shocks, water, sanitation) aspects of life. Logistic regression models with district controls were used to examine associations between these factors and CMD. Results On average, women were 26 years old and their children were 15 months old. CMD was present in 262 (16%) of the mothers. Risk factors for CMD included having a failed pregnancy (AOR 1.40, 95% CI 1.01-1.93), and food insecurity (1.13, 1.07-1.20). Protective factors included being engaged in agricultural labor as a main occupation relative to being a housewife (0.20, 0.11-0.35) more time working (AOR associated with 1 more hour of work: 0.88, 0.81-0.97), higher decision-making (0.91, 0.86-0.96), group membership (non-significant trend; 0.76, 0.56-1.02), and having an improved toilet (0.51, 0.35-0.73). Conclusions In a sample of rural and mostly tribal Indian households, we found a moderate prevalence of poor mental wellbeing among mothers with young children. We also found that the determinants span a range of factors. Future research should aim to better understand the ways in which working outside the home, albeit in rigorous agricultural work, appears to protect the wellbeing of women in this context. It is plausible that agricultural work mitigates food insecurity, connects women with others and generates income, but these pathways need empirical and ethnographic examination. Funding Sources Bill & Melinda Gates Foundation; CGIAR Research Program on Agriculture for Nutrition and Health.


2007 ◽  
Vol 29 (3) ◽  
pp. 250-253 ◽  
Author(s):  
Letícia Marín-León ◽  
Helenice Bosco de Oliveira ◽  
Marilisa Berti de Azevedo Barros ◽  
Paulo Dalgalarrondo ◽  
Neury José Botega

OBJECTIVE: To analyze the association between the socioeconomic characteristics of individuals and common mental disorders. METHOD: A cross-sectional survey of a representative sample of the urban population, 14 years and older, in Campinas (Brazil) (n = 515) was conducted using a multipurpose instrument that included the Self-Reporting Questionnaire (SRQ-20) to assess common mental disorders in the previous 3 months. Weighted prevalence of common mental disorders was calculated for each independent variable. Crude and adjusted prevalence ratios were estimated using Poisson regression. RESULTS: The overall prevalence was 17% (95% CI 12.8-22.3), 8.9% in males and 24.4% in females. An inverse association was found between common mental disorders and the socioeconomic characteristics (schooling and employment) even after controlling for all the other variables. Higher common mental disorders prevalence was observed in those with less than 5 years of schooling (PR = 5.5) and unemployed or underemployed (PR = 2.0). CONCLUSIONS: As in other studies, common mental disorders were unevenly distributed; it was significantly more frequent in socially disadvantaged individuals. Specific actions to reduce inequalities in the general and mental health system should be studied.


2013 ◽  
Vol 44 (7) ◽  
pp. 1485-1498 ◽  
Author(s):  
M. ten Have ◽  
R. de Graaf ◽  
J. van Weeghel ◽  
S. van Dorsselaer

BackgroundFew studies have been published on the association between mental disorders and violence based on general population studies. Here we focus on different types of violence, adjusting for violent victimization and taking account of the limitations of previous population studies.MethodData were used from the first two waves of the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2), a nationally representative face-to-face survey of the general population aged 18–64 years (n = 6646). Violence was differentiated into physical and psychological violence against intimate partner(s), children or any person(s) in general. DSM-IV diagnoses were assessed with the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0).ResultsPsychological violence occurs considerably more frequently than physical violence, but both showed almost identical associations with mental disorders. After adjustment for sociodemographic characteristics, most of the main categories of common mental disorders were associated with violence. The strongest associations were found for externalizing disorders (substance use, impulse-control, antisocial personality disorder). After additional adjustment for violent victimization, negative life events and social support, most diagnostic correlates lost their significance whereas substance use (in particular alcohol) disorders were still associated with most types of violence.ConclusionsThe increased risk of violent offending among people with common mental disorders, other than substance use disorders, can be attributed to factors other than their mental illness.


2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Bibiane Dias Miranda Parreira ◽  
Bethania Ferreira Goulart ◽  
Vanderlei José Haas ◽  
Sueli Riul da Silva ◽  
Juliana Cristina dos Santos Monteiro ◽  
...  

Abstract OBJECTIVE Identifying the prevalence of Common Mental Disorders and analyzing the influence of sociodemographic, economic, behavioral and reproductive health variables on Common Mental Disorders in women of childbearing age living in the rural area of Uberaba-MG, Brazil. METHOD An observational and cross-sectional study. Socio-demographic, economic, behavioral and reproductive health instruments were used, along with the Self-Reporting Questionnaire (SRQ-20) to identify common mental disorders. Multiple logistic regression was used for multivariate data analysis. RESULTS 280 women participated in the study. The prevalence of Common Mental Disorders was 35.7%. In the logistic regression analysis, the variables of living with a partner and education level were associated with Common Mental Disorders, even after adjusting for the other variables. CONCLUSION Our findings evidenced an association of social and behavioral factors with Common Mental Disorders among rural women. Identification and individualized care in primary health care are essential for the quality of life of these women.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kassahun Alemu Gelaye ◽  
Malede Mequanent Sisay ◽  
Temesgen Yihunie Akalu ◽  
Destaw Fetene Teshome ◽  
Haileab Fekadu Wolde ◽  
...  

Abstract Background Seasonal migrant farmworkers in Ethiopia are a vulnerable segment of the population facing numerous threats to their mental health. This research aimed to determine the magnitude of common mental disorders (CMDs) and its associated factors among seasonal migrant farmworkers in the northwest of Ethiopia. Methods A cross-sectional study was conducted. A total of 950 seasonal migrant farmworkers were selected randomly. CMDs were assessed using the self-reporting questionnaire (SRQ-20) and a structured questionnaire was employed to collect the associated characteristics of socio-demographic data. Data were analyzed using descriptive statistics, bivariate, and multivariable binary logistic regression. The adjusted odds ratio (AOR) with a 95% confidence level was used to declare a statistically significant association with CMDs. Results The prevalence of CMDs was found to be 23.05% (219/950; 95% CI 20.47–25.84) among seasonal migrant farmworkers. The prevalence of psychological stress was 74.53% (708/950; 95% CI 71.65–77.20). Having a daily income below USD 5 (AOR = 1.53, 95% CI: 1.10–2.15), moderate perceived stress (AOR = 3.18, 95% CI: 1.18, 5.36), severe perceived stress (AOR = 16.15, 95% CI: 8.96, 29.11), and heat-related illness (AOR = 1.60, 95% CI: 1.11, 2.30) were associated with a higher likelihood of experiencing CMD. On the other hand, those seasonal migrant farmworkers who migrated for the first time (AOR = 0.38, 95% CI: 0.23–0.65) and those who received health related information (AOR = 0.60, 95% CI: 0.42, 0.85) were less likely to have CMDs. Conclusion In this study, CMDs were found to be prevalent among seasonal migrant farmworkers. These findings highlight the importance of systematic development of community-based mental health services in combination with rural primary health care centers and an integrated approach to the health care of farmworkers such as screening, early identification, and treatment of CMDs of seasonal migrant farmworkers.


2005 ◽  
Vol 27 (3) ◽  
pp. 194-200 ◽  
Author(s):  
Vera Lúcia Dutra Facundes ◽  
Ana Bernarda Ludermir

OBJECTIVES: This study aimed to determine the prevalence of common mental disorders (CMDs) among the population of graduate students in Physical Education, Nursing, Dentistry and Medicine at the University of Pernambuco, as well as to analyze the relationship between CMDs and some characteristics of the teaching-learning process. METHODS: A cross-sectional study was carried out in the second semester of 2001 involving all students in the second and sixth semesters of each course. A total of 443 students responded to two self-reporting questionnaires: the Self Reporting Questionnaire-SRQ-20 and another questionnaire regarding characteristics of the teaching-learning process. RESULTS: The overall prevalence of CMDs was 34.1% and was significantly higher among students who felt overloaded (OR = 2.67; 95% CI = 1.6-4.5) or reported special situations during childhood and adolescence (OR = 2.55; 95% CI = 1.5-4.4). CONCLUSION: These findings can serve as the basis for development of programs of disease prevention and student mental health care, as well as collaborating with reflections on the teaching-learning processes in university courses.


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