scholarly journals Socio-economic consequences of mental distress: quantifying the impact of self-reported mental distress on the days of incapacity to work and medical costs in a two-year period: a longitudinal study in Germany

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gerhard Müller ◽  
Manuela Bombana ◽  
Monika Heinzel-Gutenbrenner ◽  
Nikolaus Kleindienst ◽  
Martin Bohus ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Distress ◽  
Linear Models ◽  
Longitudinal Research ◽  
Depression Scale ◽  
Routine Data ◽  
Medical Costs ◽  
First Year ◽  
Second Year ◽  
The Impact

Abstract Background Mental disorders are related to high individual suffering and significant socio-economic burdens. However, it remains unclear to what extent self-reported mental distress is related to individuals’ days of incapacity to work and their medical costs. This study aims to investigate the impact of self-reported mental distress for specific and non-specific days of incapacity to work and specific and non-specific medical costs over a two-year span. Method Within a longitudinal research design, 2287 study participants’ mental distress was assessed using the Hospital Anxiety and Depression Scale (HADS). HADS scores were included as predictors in generalized linear models with a Tweedie distribution with log link function to predict participants’ days of incapacity to work and medical costs retrieved from their health insurance routine data during the following two-year period. Results Current mental distress was found to be significantly related to the number of specific days absent from work and medical costs. Compared to participants classified as no cases by the HADS (2.6 days), severe case participants showed 27.3-times as many specific days of incapacity to work in the first year (72 days) and 10.3-times as many days in the second year (44 days), and resulted in 11.4-times more medical costs in the first year (2272 EUR) and 6.2-times more in the second year (1319 EUR). The relationship of mental distress to non-specific days of incapacity to work and non-specific medical costs was also significant, but mainly driven from specific absent days and specific medical costs. Our results also indicate that the prevalence of presenteeism is considerably high: 42% of individuals continued to go to work despite severe mental distress. Conclusions Our results show that self-reported mental distress, assessed by the HADS, is highly related to the days of incapacity to work and medical costs in the two-year period. Reducing mental distress by improving preventive structures for at-risk populations and increasing access to evidence-based treatments for individuals with mental disorders might, therefore, pay for itself and could help to reduce public costs.

scholarly journals Socio-Economic Consequences of Mental Distress: Quantifying the Impact of Self-Reported Mental Distress on the Days of Incapacity to Work and Medical Costs in the Following 2 years: A Longitudinal Study in Germany

2020 ◽  
Author(s):  
Gerhard Müller ◽  
Manuela Bombana ◽  
Monika Heinzel-Gutenbrenner ◽  
Nikolaus Kleindienst ◽  
Martin Bohus ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Distress ◽  
Longitudinal Research ◽  
Depression Scale ◽  
Routine Data ◽  
Severe Case ◽  
Medical Costs ◽  
First Year ◽  
Second Year ◽  
The Impact

Abstract Background: Mental disorders are related to high individual suffering and significant socio-economic burdens. However, it remains unclear to what extent self-reported mental distress is related to individuals’ days of incapacity to work and their medical costs. This study aims to investigate the impact of self-reported mental distress for specific and non-specific days of incapacity to work and specific and non-specific medical costs over a two-year span.Method: Within a longitudinal research design, 2,287 study participants' mental distress was assessed using the Hospital Anxiety and Depression Scale (HADS). Days of incapacity to work and medical costs were retrieved from a German health insurance’s routine data during the following two-year period.Results: Current mental distress was found to be significantly related to the number of specific days absent from work and medical costs. Compared to participants classified as no cases by the HADS (2.6 days), severe case participants showed 27.3-times as many specific days of incapacity to work in the first year (72 days) and 10.3-times as many days in the second year (44 days), and resulted in 11.4-times more medical costs in the first year (2272 EUR) and 6.2-times more in the second year (1319 EUR). The relationship of mental distress to non-specific days of incapacity to work and non-specific medical costs is also significant, but mainly driven from specific absent days and specific medical costs. Our results also indicate that the prevalence of presenteeism is considerably high: 42% of individuals continued to go to work despite severe mental distress. Conclusions: Our results show that self-reported mental distress, assessed by the HADS, is highly related to the days of incapacity to work and medical costs in the two-year period. Reducing mental distress by improving preventive structures for at-risk populations and increasing access to evidence-based treatments for individuals with mental disorders might, therefore, pay for itself and could help to reduce public costs.

scholarly journals 987. Repeated Exposure to an Adjuvanted Quadrivalent Subunit Influenza Virus Vaccine (aQIV): A Randomized, Observer Blind, Multicenter Study

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S292-S292 ◽  
Author(s):  
Wendy Daly ◽  
Keith Ramsey ◽  
Aino Forsten ◽  
Esther Heijnen ◽  
Brett Leav ◽  
...  
Keyword(s):  
Geometric Mean ◽  
Influenza Virus Vaccine ◽  
Influenza Vaccines ◽  
First Year ◽  
Research Support ◽  
Blood Samples ◽  
Company Stock ◽  
Immunogenicity Assessment ◽  
Second Year ◽  
The Impact

Abstract Background The safety, immunogenicity, and efficacy associated with administration of of aQIV in children 6 months through 5 years of age was investigated.1 Although enhanced immunogenicity in children was demonstrated for MF59-adjuvanted influenza vaccines after first administration, the impact of repeated vaccination on immunogenicity and safety has not been evaluated. Methods A total of 607 subjects who participated in parent study, now aged 12 months through 6 years, were enrolled the subsequent year and received a single dose of study vaccine. Enrolled subjects received the same type of influenza vaccine administered in the parent study (aQIV or nonadjuvanted comparator). Blood samples were taken for immunogenicity assessment prior to the second year vaccination, and 21 and 180 days after vaccination. Results At baseline, approximately 12 months after vaccination in the parent study, subjects in the aQIV group had significantly greater geometric mean titer (GMT) values against all four homologous strains compared with subjects in the nonadjuvanted vaccine group. After year 2 vaccination, CBER criteria for seroconversion and hemagglutination inhibition (HI) titer ≥1:40 were met for the aQIV group for all four homologous strains tested at Day 22. At both Day 22 and Day 181, subjects who received aQIV had significantly greater GMT values for HI against all four homologous strains compared with those who received nonadjuvanted vaccine. Increased immune response of aQIV vs. nonadjuvanted vaccine was also observed for the selected heterologous strains tested at baseline, Day 22 and Day 181. In terms of safety, transient and generally mild to moderate reactogenicity was more commonly observed in the aQIV group vs. the nonadjuvanted group, but overall safety profiles were similar and comparable to the parent study. Conclusion This first-year revaccination study in young children confirms enhanced immunogenicity and similar safety profile after repeat aQIV vaccination compared with repeat nonadjuvanted influenza vaccination. Reference 1.Vesikari T et al. Lancet Respir Med 2018;6:345–356. Disclosures K. Ramsey, Seqirus: Investigator, Research support. Novartis: Investigator, Research support. E. Heijnen, Seqirus: Employee and Shareholder, Global Employee Share Plan and Salary. B. Leav, Seqirus: Employee and Shareholder, Salary. J. Oberye, Seqirus: Employee and Shareholder, Global Employee Share Plan and Salary. B. Zhang, Seqirus: Employee and Shareholder, Company stock and Salary. T. Vesikari, Seqirus: Consultant, Consulting fee.

scholarly journals Characterizing Longitudinal Change in Physical Activity and Fear of Falling in Glaucoma

2020 ◽  
Author(s):  
Jian-Yu E ◽  
Aleksandra Mihailovic ◽  
Jennifer A. Schrack ◽  
Tianjing Li ◽  
David S. Friedman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Visually Impaired ◽  
Linear Models ◽  
Longitudinal Research ◽  
Fear Of Falling ◽  
Longitudinal Change ◽  
Longitudinal Changes ◽  
Injurious Falls ◽  
The Impact

Abstract Background: Older adults with visual impairments experience a higher risk of falling, and are more vulnerable to adverse health consequences associated with falls than those with normal vision. This study aims to characterize the longitudinal changes of objectively measured physical activity and self-reported fear of falling (FoF) related to types of falls in visually impaired older adults. Methods: We obtained data from the Falls in Glaucoma Study (FIGS), a prospective cohort study that recruited 234 participants at the Johns Hopkins Wilmer Eye Institute from 2013 to 2015. Falls were defined as unintentionally coming to rest on the ground or a lower level, and injurious falls were determined though follow-up calls. Study participants were categorized into three groups – fallers with injurious consequences, fallers without injurious consequences, and non-fallers based on fall status in the first year. Physical activity was assessed using a waist-bound accelerometer (Actical). FoF was evaluated by questionnaire, with Rasch modeling generating FoF scores where higher scores reflected worse FoF. The three-year longitudinal changes of physical activity and FoF were modeled using mixed-effects models. Results: In linear models fully adjusted for visual field damage and other covariates, physical activity among injurious fallers declined 425 steps/year (95% confidence interval [CI]: -793, -57), 13 active minutes/year (95% CI: -21, -6), and 3 minutes/year of moderate/vigorous activity (95% CI: -5, 0) more over the three-year study period compared to non-fallers; however, physical activity did not decline among non-injurious fallers. No longitudinal increases in FoF scores were observed in injurious or non-injurious fallers.Conclusions: Among visually impaired older adults, injurious falls identified prospectively over 12 months contributed to a significant decline in physical activity over a three-year period, while no significant increases were observed for FoF. Further longitudinal research is warranted to better understand how different groups respond to falls, either via behavioral changes and/or changes in FoF, and to characterize the impact of reduced physical activity in fallers.

scholarly journals PRE-SERVICE SCIENCE TEACHERS’ CONCEPTIONS OF THE "CONDUCTION OF HEAT IN SOLIDS"

2017 ◽  
Vol 16 (2) ◽  
pp. 163-174
Author(s):  
Tülay Şenel Çoruhlu
Keyword(s):  
Science Teachers ◽  
Grade Level ◽  
Structured Interview ◽  
Service Science ◽  
First Year ◽  
Data Collection Process ◽  
Second Year ◽  
Faculty Of Education ◽  
The Impact ◽  
The City

There has been various researchers focus on “heat transfer". "Convection, radiation and conduction" discussed as mere elements of the wider object of analysis in these research. Given the lack of sufficient emphasis on conduction in solids, no cross age research conducted with pre-service science teachers supported by drawings, interviews, and open-ended questions could be found. Employing a cross-age design, this research determined pre-service science teachers' (PSTs’) conceptions in the "conduction of heat in solid". The sample group of the research consists of 257 PSTs (first year student-n=55; second year student-n=76, third year student-n=56, and fourth year student-n=70) selected from Department of Science Education in Fatih Faculty of Education at the Karadeniz Technical University in the city of Trabzon in Turkey. Conceptual understanding test and semi-structured interview were used in the data collection process. The test including two questions was administered to 257 PSTs from different years. Semi-structured interview including one question was conducted with 16 voluntary PSTs (4 students from each grade level). The research found that PSTs had difficulties in terms of describing and showing the movement of the particles of solid under the impact of heat. In the light of the findings, it can be suggested that animations should be used to the teaching of the movement of the particles under the impact of heat. Keywords: cross-age study, conduction of heat in solid, pre-service science teachers.

Psychosocial Interventions for Schizophrenia

1992 ◽  
Vol 9 (4) ◽  
pp. 238-245 ◽  
Author(s):  
Ian R. H. Falloon ◽  
Charles Brooker ◽  
Victor Graham-Hole
Keyword(s):  
Mental Disorders ◽  
Psychosocial Interventions ◽  
Index Patient ◽  
Environmental Stresses ◽  
Therapeutic Interventions ◽  
First Year ◽  
Major Advance ◽  
Social Support Systems ◽  
The Impact

During the past decade there has been a major advance in clinical management of schizophrenic disorders (Falloon & Shanahan, 1990; Lam, 1991; Schooler & Hogarty, 1987). This has resulted from application of strategies based upon a vulnerability-stress model of mental disorders. This considers mental disorders to result from interactions between specific biological vulnerability and non-specific environmental stresses (Falloon & Fadden, 1993).Therapeutic interventions derived from this model combine biomedical strategies, predominantly optimal pharmacotherapy, with psychosocial strategies that aim to enhance the capacity of the index patient and his/her social network to cope with the impact of environmental stresses on the course of the disorder. Ten controlled studies have been published since 1980 that meet minimal standards of research design, with follow-up for at least 1 year (Bellack, Turner, Hersen, & Luber, 1985; Falloon, 1985; Gunderson et al., 1984; Hogarty et al., 1986; Leff, Kuipers, Berkowitz, Eberlein-Fries, & Sturgeon, 1982; Leff et al., 1989; Malm, 1982; McFarlane, 1990; Tarrier et al., 1988; Wallace & Liberman, 1985). Nine also provided 2-year results. Overall, these studies show that the addition of psychosocial strategies to optimal case management and long-term drug prophylaxis halves the rate of major clinical exacerbations in people suffering from schizophrenia. This benefit is most notable during the first year after a major schizophrenic episode, particularly when the psychosocial interventions encompass patients' immediate social support systems, usually the family or marital household (Falloon, 1985; Hogarty et al., 1986; Leff et al., 1982; Leff et al., 1989; McFarlane, 1990; Tarrier et al., 1988).

The Impact of Curricular Interventions on Intended Second Year Re-Enrollment

2005 ◽  
Vol 7 (1) ◽  
pp. 61-89 ◽  
Author(s):  
Jennifer R. Keup
Keyword(s):  
Service Learning ◽  
Learning Communities ◽  
First Year Experience ◽  
First Year ◽  
Interactive Relationship ◽  
Second Year ◽  
First Year Seminars ◽  
Cooperative Institutional Research Program ◽  
The Impact ◽  
Curricular Interventions

Utilizing data from the national administration of a Cooperative Institutional Research Program (CIRP) baseline and follow-up survey of the first-year experience during the 2002–2003 academic year, this study explores the relationship between three curricular interventions—first-year seminars, service-learning, and learning communities—and the longitudinal process of first-to-second year retention. The findings from descriptive analyses showed that there are numerous positive relationships between these three interventions and integrative first-year experiences as defined by Tinto's (1987, 1993) longitudinal model of departure. Further, logistic regression suggests that service-learning courses have an indirect impact on the intent to re-enroll for a second year of college, while first-year seminars and learning communities may have an interactive relationship in their impact on the outcome measure.

Improving paediatric residents’ knowledge and perspectives regarding the insulin pump using a novel educational workshop

2017 ◽  
Vol 94 (1108) ◽  
pp. 87-91 ◽  
Author(s):  
Shipra Bansal ◽  
Albara Marwa ◽  
Kannan Kasturi ◽  
Sheila Perez-Colon
Keyword(s):  
Insulin Pump ◽  
Knowledge Score ◽  
Educational Interventions ◽  
First Year ◽  
Second Year ◽  
Didactic Lecture ◽  
Analyse Data ◽  
The Impact ◽  
Residents Attitudes ◽  
Educational Workshop

ObjectivesAs a pilot study, we aimed to investigate the knowledge and perceptions of categorical paediatric residents (RES) at our institution regarding insulin pumps (IPs) and the impact following a targeted workshop.MethodsAll RES at our institution in attendance at a routine noon conference participated in a workshop, completing an anonymous survey before and right after the intervention to evaluate knowledge, attitudes and self-reported comfort regarding IPs. The workshop consisted of a didactic lecture followed by an insulin pump (IP) device demonstration of three commonly available brands. Knowledge score (KS) was calculated for each RES based on the total correct responses. Attitudes were assessed via 5-point Likert scale. Frequencies, t-test and McNemar tests were used to analyse data.ResultsThirty four completed surveys were analysed out of 49 RES (69.3%) who attended the workshop. Among them, there were 19 first-year, 8 second-year and 7 third-year residents. Following the intervention, KS increased significantly (p<0.001) with progression in residents’ attitudes. Overall, more RES reported being comfortable with handling the IP, including looking up and changing the settings (p<0.001).ConclusionThere is scope for improvement in the knowledge and perceptions of RES regarding IPs. Educational interventions like ours are needed to familiarise our future physicians with IPs to allow hospitals to provide their systematic and safe inpatient use.

scholarly journals Implementation of a Safe Patient Handling Program in a Multihospital Health System From Inception to Sustainability: Successes Over 8 Years and Ongoing Challenges

2017 ◽  
Vol 65 (11) ◽  
pp. 546-559 ◽  
Author(s):  
Christine Olinski ◽  
Christine E. Norton
Keyword(s):  
Health System ◽  
Health And Safety ◽  
Gradual Transition ◽  
First Year ◽  
Patient Handling ◽  
Training And Education ◽  
Safe Patient Handling ◽  
Second Year ◽  
Primary Focus ◽  
The Impact

Musculoskeletal injuries, especially back injuries, are among the most frequent injuries sustained by direct caregivers who lift, transfer, and reposition patients. These injuries can be debilitating and, for some caregivers, career ending. In the first year following implementation of the safe patient handling program in a multihospital health care system, an 82% reduction in Occupational Health and Safety Administration (OSHA) recordable patient handling injuries was realized, a 94% decrease in days away from work, an 85% reduction in restricted duty days, and an 82% reduction in incurred workers’ compensation costs. These reductions have been sustained for an 8-year period since the program’s implementation in 2008. The primary focus of the program’s first year was training and education. Compliance and retraining efforts began in the second year, followed by a gradual transition to the present emphasis on sustainability. This article describes the development and implementation of a safe patient handling program in a multihospital health system and the impact on caregiver injuries over 8 years. Also presented are key strategies that were used to achieve sustainability.

Longitudinal Characteristics of the Center for Epidemiologic Studies—Depression Scale

2000 ◽  
Vol 86 (3) ◽  
pp. 819-826 ◽  
Author(s):  
Robert H. Poresky ◽  
Karen Clark ◽  
Ann Michelle Daniels
Keyword(s):  
Positive Affect ◽  
Low Income ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
First Year ◽  
Factor Analyses ◽  
Varimax Rotation ◽  
Five Factors ◽  
Second Year

The internal structure of the Center for Epidemiologic Studies–Depression Scale was examined within the context of a three-year longitudinal study of 80 low-income parents of young children. The baseline, first-year, and second-year follow-up home interviews included the scale. Principal components factor analyses with varimax rotation yielded six factors for the baseline data, and five factors for the follow-up data with different items loading on different factors each year suggesting some instability of the factors. Cronbach alpha estimates of the internal consistency of the original factors showed satisfactory values for Depressed Affect, Positive Affect, and possibly Somatic, but not for Interpersonal. However, alpha for the total score was very strong. Positive Affect and the total score also showed stability over the three administrations. These results question the use of the original factor scores for the CES–Depression as subscales but support the use of the total score as a measure of depression.

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