Quality of life impact of mental health conditions in England: results from the adult psychiatric morbidity surveys

Background: Poor mental health is known to adversely affect functional abilities, social isolation and quality of life (QoL). It is, therefore, crucial to consider the long-term impacts of mental health conditions as autistic adults grow older. Objectives: Our objectives were to understand the extent of: (i) autistic traits, co-occurring physical and mental health conditions; (ii) age-related differences in those conditions; and (iii) their impact on everyday living and QoL. Method: Fifty-two autistic adults (aged 18-79 years) participated in the first study (T1); 28 took part in a follow-up at T2 (mean retest interval 2.5 years). Standardised self-report measures of autistic traits, mental health and QoL were completed at both time points. Results: Over half of autistic adults experienced at least one co-occurring condition, and over a third met the criteria for 3+ conditions. Depression symptoms were particularly high in autistic women. Mental and physical health problems were related to autistic traits, difficulties in everyday life, and were a strong and consistent predictor of poor QoL (T1; T2) across the lifespan. Conclusion: Our findings highlighted that mental health difficulties persisted into older age and did not reduce over time. Together, these findings raise important questions about mental health provision in adult autism.

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Motivations and Psychological Characteristics of Nondirected Uterus Donors From The Dallas UtErus Transplant Study

Progress in Transplantation ◽

10.1177/15269248211046027 ◽

2021 ◽

pp. 152692482110460

Author(s):

Ann M. Warren ◽

Kenleigh McMinn ◽

Giuliano Testa ◽

Anji Wall ◽

Giovanna Saracino ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Posttraumatic Stress ◽

Psychological Characteristics ◽

Health Conditions ◽

Treatment Quality ◽

Critical Element ◽

Uterus Transplantation ◽

Mental Health Conditions

Introduction Uterus transplantation has demonstrated success in clinical trials. Questions regarding how it should transition to a clinical procedure must be addressed. A critical element is an evidence regarding the psychological experiences of living uterus donors, especially donors who are nondirected (altruistic). Project aims To describe the motivations for donation, psychological characteristics, and mental health history of nondirected living uterus donors in the Dallas UtErus Transplant Study (NCT02656550). Design An observational design was used to evaluate 44 self-referred nondirected uterus donors for the uterus transplant program. The donors participated in a clinical interview with a licensed psychologist and completed assessment instruments for depression, anxiety, posttraumatic stress, health-related quality of life, and resilience at the time of evaluation. Results Among the 11 donors, the median age was 36 years, 10 were married, 10 were of non-Hispanic/Latino ethnicity, and all had given birth (median of 2 children). The most frequent motivations for the donation were to provide another woman with the opportunity to carry her own child and to contribute to science. No participants met clinical criteria for depression, anxiety or posttraumatic stress but 4 reported current mental health conditions and 7 reported past or present treatment. Quality of life and resilience scores were above population norms. Conclusion Women selected as nondirected uterus donors were motivated to help other women experience carrying their own child and to contribute to science. A minority of women reported mental health conditions and/or treatment, and this was determined not to exclude participation with uterus donation.

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Prevalence of binge drinking and its association with mental health conditions and quality of life in Singapore

Addictive Behaviors ◽

10.1016/j.addbeh.2019.106114 ◽

2020 ◽

Vol 100 ◽

pp. 106114 ◽

Cited By ~ 2

Author(s):

Ying Ying Lee ◽

Peizhi Wang ◽

Edimansyah Abdin ◽

Sherilyn Chang ◽

Saleha Shafie ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Binge Drinking ◽

Health Conditions ◽

Mental Health Conditions

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Co-production of the quality of patient-centered outcomes research partnerships instrument for people with mental health conditions

Patient Experience Journal ◽

10.35680/2372-0247.1533 ◽

2021 ◽

Vol 8 (1) ◽

pp. 148-156

Author(s):

Karen L. Fortuna ◽

Amanda Myers ◽

Jessica Brooks ◽

Caroline Collins-Pisano ◽

Skyla Marceau ◽

...

Keyword(s):

Mental Health ◽

Outcomes Research ◽

Health Conditions ◽

Patient Centered ◽

Research Partnerships ◽

Mental Health Conditions

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Measuring the effects of 3d Immersion Technology (3Scape) on mental health in outpatients from the START program at Glenrose Rehabilitation Hospital: a feasibility study (Preprint)

10.2196/preprints.25017 ◽

2020 ◽

Author(s):

Antonio Miguel-Cruz ◽

Anna-Maria Ladurner ◽

Megan Kohls-Wiebe ◽

David Rawani ◽

Fiona Jaffray

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Older Adults ◽

Standard Of Care ◽

Health Conditions ◽

Control Group ◽

Day Hospital ◽

Rehabilitation Hospital ◽

Randomized Controlled

BACKGROUND Mental health is a prevalent condition amongst Canadians. Mental health conditions are the leading cause of disability, as each year 1 in 5 Canadians experiences a mental health issue. Five percent of people aged 65 years and older perceive their mental health as fair or poor, and 6.3% of them have mood disorders. Regarding older adults with cognitive impairments such as dementias, up to 40 to 50 per cent of them experience depression at some point. We believe that older adults can benefit significantly from information and telecommunication technologies (ICTs) as a strategy for improving mental health conditions such as depression and anxiety, while at the same time improving their quality of life. 3Scape Systems Inc. is an Albertan-based private company that has produced a series of specialized 3D videos that have been designed to simulate real-life events and engage individuals living with mental health disorders and cognitive impairments such as dementia. OBJECTIVE The purpose of this study is to explore the trial design and effects of 3Scape videos on older adults’ symptoms of depression, anxiety, and quality of life, as well as the efficacy of this technology in reducing the caregiver burden on the START Psychiatry Day Hospital program at Glenrose Rehabilitation Hospital (GRH), and to provide data in order to estimate the parameters required to design a definitive Randomized Controlled Trial (RCT). METHODS The trial will use a randomized controlled design comprising 15 intervention participants and 15 control group participants. The participants will be adults aged 65 years and older who are cognitively intact or who have a minimal cognitive impairment, i.e. Montreal Cognitive Assessment (MOCA) ≥18), and clients from the START Psychiatry Day Hospital program at GRH. This study’s primary outcome variables are related to the clients’ depressive and anxiety symptoms, and their quality of life. The control group will receive the standard of care (i.e. the START Psychiatry Day Hospital program at GRH). The intervention group will receive the same standard of care as the control group at each facility and will use the 3Scape Systems videos for the therapeutic activities. RESULTS Our study is currently on hold due to the Covid-19 global pandemic. The recruitment process is expected to resume by November 2020 and the primary impact analysis is expected to be conducted by February 2021. CONCLUSIONS This study will provide valuable information such as the measurement of comparative intervention effects, perception of older adults and hand therapists about the 3Scape Systems, the associated costs of treatment, and product costings. This will contribute to the evidence planning process, which will be crucial for the future adoption of the 3Scape Systems. CLINICALTRIAL International Registered Report Identifier (IRRID): ISRCTN: 93685907 (available at https://doi.org/10.1186/ISRCTN93685907)

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A descriptive study of mental health and burnout among Nigerian medical students

International Journal of Social Psychiatry ◽

10.1177/00207640211057706 ◽

2021 ◽

pp. 002076402110577

Author(s):

Olatunde Olayinka Ayinde ◽

Eniola Racheal Akinnuoye ◽

Andrew Molodynski ◽

Oliver Battrick ◽

Oye Gureje

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Medical Students ◽

Medical School ◽

Psychiatric Morbidity ◽

Well Being ◽

Health Conditions ◽

Mental Wellbeing ◽

Short Version ◽

Mental Health Conditions

Background: Increasing attention is being paid to medical students’ mental wellbeing globally due in part to their exposure to stressors inherent in medical education and the numerous reports of elevated rates of mental health conditions in this population. Aims: This study aimed to identify stressors and determine prevalence rates of psychiatric morbidity, substance use and burnout in a sample of Nigerian medical students. Methods: In a cross-sectional online survey, 505 medical students from 25 Nigerian medical schools completed a socio-demographic questionnaire, short version of the General Health Questionnaire (GHQ-12), the CAGE questionnaire and the Oldenburg Burnout Inventory (OLBI). Result: The most commonly reported sources of stress were study (75.6%), money (52.3%) and relationships (30.1%). Nine students (1.8%) had received a mental health diagnosis prior to medical school but this number had increased to 29 (5.7%) whilst in medical school, with the majority being cases of anxiety and depressive disorders. The prevalence of psychological distress was 54.5%, but <5% of affected students had received any help for their mental health conditions. Twenty five students (5%) met criteria for problematic alcohol use and 6% had used cannabis. The proportions of students who met criteria for disengagement and exhaustion domains of the OLBI were 84.6% and 77.0% respectively. Conclusion: The prevalence of psychological distress and burnout is high among medical students. Interventions for medical students’ well-being should be tailored to their needs and should target risk factors related to personal, organisational and medical school academic structure attributes.

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Homelessness

Pained ◽

10.1093/oso/9780197510384.003.0048 ◽

2020 ◽

pp. 171-174

Author(s):

Michael D. Stein ◽

Sandro Galea

Keyword(s):

Public Health ◽

Quality Of Life ◽

Mental Health ◽

Support Services ◽

Housing First ◽

Health Conditions ◽

Supportive Services ◽

Housing Stability ◽

One Step

This chapter assesses the effects of homelessness on public health. Homelessness has the power to move people to action like few other issues. Unfortunately, efforts to tackle homelessness have fallen short. Historically, making housing contingent on sobriety and employment has imperiled millions. Encouragingly, Housing First—a program that provides housing and support services without requiring employment or pretreatment for mental health conditions and substance use disorders—has started to gain traction. The program has led to improvements in housing stability, reduced hospitalizations and use of emergency departments, and better quality of life. Adding to the challenge, however, is the fact that over 8 million more Americans are just one step away from homelessness. Unlike the homeless, they are often invisible. Preventing homelessness in these lower income households requires the creation of a living wage. Prevention is also about identifying risk and providing supportive services when an individual or family is on the brink.

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