scholarly journals Determinants of maternal health four weeks after delivery: cross-sectional findings from the KUNO-kids health study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Veronika Pinker ◽  
Susanne Brandstetter ◽  
Christina Tischer ◽  
Birgit Seelbach-Göbel ◽  
Michael Melter ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Status ◽  
Maternal Health ◽  
Parental Stress ◽  
Health Study ◽  
Social And Emotional ◽  
History Of ◽  
High Level ◽  
Somatic Diseases

Abstract Background The aim of this study was to examine the interaction of a multitude of socio-economic, lifestyle, environmental, psychosocial and birth related determinants and their effect on maternal health four weeks after delivery. Methods We used data from a German birth cohort study, the KUNO-Kids health study. Social determinants, as well as the self-rated maternal health and the physical and mental health status of mothers (indicated by means of the SF-12-questionnaire) were assessed through standardized questionnaires and personal interviews right after delivery and four weeks later. Linear regression models were calculated to determine the relationship between influencing factors and health outcomes. Results 1428 women were included in the analysis. Maternal self-rated health showed significant positive associations with breastfeeding (B (regression coefficient) 2.67; 0.86–4.48 (95% Confidence interval)) and estimating one’s child as rather healthy (B 0.27; 0.19–0.34) and negative associations with social and emotional strains (B -3.50; -5.11- -1.88), obesity (B -2.56; -4.69- -0.42), having experienced a C-section (B -1.73; -3.23- -0.23), a positive history of somatic diseases (B -2.14; -3.53- -0.74), parental stress (B -0.39; -0.66- -0.11) and education of more than ten years (B -2.42; -3.95- -0.90). Maternal physical health status showed significant negative associations with age (B -0.13; -0.25- -0.01), employment before maternity leave (B -1.90; -3.59- -0.21), social and emotional strains (B -1.50; -2.67- -0.34), parental stress (B -0.28; -0.45- -0.12), C-section (B -4.06; -5.12- -2.99), having the first child (B -2.03; -3.09- -0.97) and a history of somatic diseases (B -2.00; -2.99- -1.01). Maternal mental health status showed significant positive associations with education of more than 10 years (B 2.27; 0.98–3.56) and a high level of social support (B 1.20; 0.06–2.34), while social and emotional strains (B -4.16; -5.48- -2.84) and parental stress (B -0.70; -0.92- -0.47) were negatively associated. Conclusions We identified important protective factors for maternal health four weeks after delivery, such as a high level of social support. However, parental stress and social and emotional strains in particular seem to have a negative influence on maternal health. These findings have public health relevance.

An Ego-Centric Model of Criminal Arrest Among Mental Health Court Participant Network

2021 ◽  
pp. 104438942110323
Author(s):  
Jeremiah W. Jaggers ◽  
David C. Kondrat ◽  
Kelli E. Candida ◽  
Keith Miller
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Illness ◽  
Social Network ◽  
Emotional Support ◽  
Network Density ◽  
Multilevel Logistic Regression ◽  
Mental Health Courts ◽  
Social And Emotional ◽  
History Of

People with serious mental illness are disproportionately represented among prison/jail populations. Mental health courts (MHC) serve as an alternative to incarceration. In this study, we explore the extent to which MHC participants have members of their social network who were reported as having a history of arrests. Multilevel logistic regression demonstrated friends who used drugs, race, and network density were all predictive of MHC participants’ friends who have a history of arrest. Results demonstrate an association between MHC participation and arrest among individuals in their social network. Given the importance of social support in recovery from mental illness and in desisting from crime, such limitations can be problematic. MHC participants may be disinclined to engage with the very individuals who are able to provide social and emotional support.

Social support and mental health status of internal migrants in Beijing

2020 ◽  
Vol 48 (4) ◽  
pp. 1-16
Author(s):  
Ying Zhou ◽  
Jianhua Wang
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Status ◽  
Marital Status ◽  
Rating Scale ◽  
Mental Health Disorder ◽  
Mental Health Status ◽  
Self Report ◽  
Monthly Income ◽  
Internal Migrants

We investigated the mental health status of 320 internal migrants in Beijing according to gender, age, marital status, and monthly income, and examined the relationship between their mental health status and social support mechanisms. Participants completed the self-report Symptom Checklist-90-R and Social Support Rating Scale. Results showed that their mental health was significantly worse than the Chinese adult norm as assessed in 2017. Participants' social support varied according to age, marital status, and monthly income. Female participants younger than 30 years old with a monthly income lower than 3,000 yuan comprised the group with the most mental health disorder symptoms. They thus required greater personal attention to their health. The results suggested that social support can predict mental health among internal migrants. Directions for further research are discussed.

Roles of Psychological Distress and Social Support in the Relationship Between Childhood Maltreatment and Perceived Needs for Mental Health Care

2021 ◽  
pp. 088626052110063
Author(s):  
Tingting Gao ◽  
Songli Mei ◽  
Muzi Li ◽  
Carl D’ Arcy ◽  
Xiangfei Meng
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Care ◽  
Psychological Distress ◽  
Mental Health Care ◽  
Childhood Maltreatment ◽  
Perceived Needs ◽  
Perceived Need ◽  
History Of ◽  
The Relationship

Childhood maltreatment is a major public health issue worldwide. It increases a range of health-risk behaviors, psychological and physical problems, which are associated with an increased need for mental health services in adulthood. Identification of mediating factors in the relationship between maltreatment and seeking mental health care may help attenuate the negative consequences of childhood maltreatment and promote more appropriate treatment. This study aims to examine whether the relationship between childhood maltreatment and perceived need for mental health care is mediated by psychological distress and/or moderated by social support. Data from the Canadian Community Health Survey-Mental Health 2012 are analyzed. A total of 8,993 participants, who had complete information on childhood maltreatment and diagnoses of mental disorders or psychological distress, are included in this study. Structural equation modeling and the PROCESS macro were used to identify relationships among childhood maltreatment, perceived needs for mental health care, and psychological distress. Hierarchical linear regression was then used to verify the moderated mediation model. We found that psychological distress partially mediated the effect of childhood maltreatment on perceived needs for mental health care in adulthood. Social support played an important role in terms of moderating the relationship between maltreatment and perceived needs for care. For those with a history of childhood maltreatment, those who perceived a low level of social support were more likely to have higher levels of psychological distress and perceived need for mental health care. This is the first study to identify the separate and combined roles of psychological distress and social support in the relationship between childhood maltreatment and perceived need for mental health care. Selective prevention strategies should focus on social support to improve mental health services among people with a history of childhood maltreatment.

Do Racial Differences in Coping Resources Explain the Black–White Paradox in Mental Health? A Test of Multiple Mechanisms

2021 ◽  
pp. 002214652110410
Author(s):  
Patricia Louie ◽  
Laura Upenieks ◽  
Christy L. Erving ◽  
Courtney S. Thomas Tobin
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Depressive Symptoms ◽  
Racial Differences ◽  
Black Americans ◽  
Self Esteem ◽  
Coping Resources ◽  
Religious Attendance ◽  
Health Study ◽  
White Americans

A central paradox in the mental health literature is the tendency for black Americans to report similar or better mental health than white Americans despite experiencing greater stress exposure. However, black Americans’ higher levels of certain coping resources may explain this finding. Using data from the Nashville Stress and Health Study (n = 1,186), we examine whether black Americans have higher levels of self-esteem, social support, religious attendance, and divine control than white Americans and whether these resources, in turn, explain the black–white paradox in mental health. In adjusted models, the black–white paradox holds for depressive symptoms and any DSM-IV disorder. Findings indicate that black Americans have higher levels of self-esteem, family social support, and religiosity than white Americans. Causal mediation techniques reveal that self-esteem has the largest effect in explaining black–white differences in depressive symptoms, whereas divine control has the largest effect in explaining differences in disorder.

scholarly journals Reverberations of Family Illness: A Longitudinal Assessment of Informal Caregiving and Mental Health Status in the Nurses’ Health Study

2002 ◽  
Vol 92 (8) ◽  
pp. 1305-1311 ◽  
Author(s):  
Carolyn C. Cannuscio ◽  
Camara Jones ◽  
Ichiro Kawachi ◽  
Graham A. Colditz ◽  
Lisa Berkman ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Informal Caregiving ◽  
Mental Health Status ◽  
Health Study ◽  
Longitudinal Assessment

scholarly journals Green spaces and General Health: Roles of mental health status, social support, and physical activity

2016 ◽  
Vol 91 ◽  
pp. 161-167 ◽  
Author(s):  
Payam Dadvand ◽  
Xavier Bartoll ◽  
Xavier Basagaña ◽  
Albert Dalmau-Bueno ◽  
David Martinez ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Support ◽  
Health Status ◽  
General Health ◽  
Mental Health Status ◽  
Green Spaces

Primary Care Patients' Reactions to Mental Health Screening

1996 ◽  
Vol 26 (4) ◽  
pp. 431-441 ◽  
Author(s):  
Mark Zimmerman ◽  
David T. Lush ◽  
Neil J. Farber ◽  
Jon Hartung ◽  
Gary Plescia ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Psychiatric Treatment ◽  
Primary Care Clinic ◽  
Empirical Support ◽  
Medical Patients ◽  
Care Clinic ◽  
History Of ◽  
Primary Care Patients ◽  
High Level

Objective: The authors examined whether there is empirical support for the notion that medical patients are upset by being asked questions about psychiatric disorders. Method: Six hundred and one patients attending a primary care clinic completed the SCREENER—a newly developed, brief self-administered questionnaire that surveys a broad range of psychopathology. In addition, they completed a second questionnaire that assessed their attitudes toward the SCREENER. Results: We found a high level of acceptance by patients. The questions were judged easy to answer, and they rarely aroused significant negative affect. Fewer than 2 percent of the patients judged the questions difficult to answer, and fewer than 3 percent were “very much” embarrassed, upset, annoyed, or uncomfortable with the questions. Individuals with a history of psychiatric treatment and poorer current mental health reacted more unfavorably to the questionnaire. Conclusions: From the patient's perspective, it is feasible and acceptable to use self-administered questionnaires for routine screening of psychiatric problems in primary care settings.

Mental health status of clients from three HIV/AIDS palliative care projects

2004 ◽  
Vol 2 (2) ◽  
pp. 125-138 ◽  
Author(s):  
DANIEL KARUS ◽  
VICTORIA H. RAVEIS ◽  
KATHERINE MARCONI ◽  
PETER SELWYN ◽  
CARLA ALEXANDER ◽  
...  
Keyword(s):  
Mental Health ◽  
New York ◽  
Palliative Care ◽  
Health Status ◽  
Underserved Populations ◽  
Well Being ◽  
Poor Mental Health ◽  
Mental Health Status ◽  
History Of ◽  
Meaning And Purpose

Objective:To describe mental health status and its correlates among clients of three palliative care programs targeting underserved populations.Methods:Mental Health Inventory (MHI-5) scores of clients from programs in Alabama (n= 39), Baltimore (n= 57), and New York City (n= 84) were compared.Results:Mean MHI-5 scores did not differ among sites and were indicative of poor mental health. Significant differences were noted among sites with regard to client sociodemographics, physical functioning, and perceptions of interpersonal relations. Results of multivariate regression models estimated for each site suggest variation in the relative importance of potential predictors among sites. Whereas poorer mental health was primarily associated with history of drug dependence at Baltimore and more physical symptomatology at New York, better mental health was most strongly correlated with more positive perceptions of interpersonal relationships at Baltimore and increasing age and more positive perceptions of meaning and purpose in life at New York.Significance of results:The data presented suggest the importance of assessing clients' history of and current need for mental health services. Evidence of a relationship between positive perceptions of meaning and purpose and better psychological function underscores the importance of existential issues for the overall well-being of those who are seriously ill.

scholarly journals T-ACE and predictors of self-reported alcohol use during pregnancy in a large, population-based urban cohort

2014 ◽  
Vol 3 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Matthew Hicks ◽  
Suzanne C. Tough ◽  
David Johnston ◽  
Jodi Siever ◽  
Margaret Clarke ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Alcohol Use ◽  
Large Population ◽  
First Trimester ◽  
Population Based ◽  
Poor Mental Health ◽  
Self Report ◽  
History Of ◽  
The Relationship

Hicks, M., Tough, S., Johnston, D., Siever, J., Clarke, M., Sauve, R., Brant, R., & Lyon, A. (2014). T-ACE and predictors of self-reported alcohol use during pregnancy in a large, population-based urban cohort. The International Journal Of Alcohol And Drug Research, 3(1), 51-61. doi:10.7895/ijadr.v3i1.117Aims: To determine 1) the relationship between T-ACE score and maternal self-reported alcohol use prior to and during pregnancy, and 2) the relationship between T-ACE score and maternal demographics, mental health and life circumstances.Design: Prospective, population-based cohort study.Setting: Three urban maternity clinics in Calgary, Canada.Participants: 1,929 pregnant women attended by family physicians at low-risk maternity clinics.Measures: Women completed three standardized questionnaires over the telephone in the first and third trimesters and eight weeks post-delivery, including the T-ACE and questions about drug and alcohol use, demographics, mental health and life circumstances.Findings: 43.6% of subjects had a positive T-ACE score at intake (score 2 or greater). A positive T-ACE score was predictive of alcohol use throughout pregnancy, although most women reported no alcohol after the first trimester (93.1%). Multivariate analysis indicated that a positive T-ACE score was significantly associated with being less than 30 years of age; being Caucasian; smoking during pregnancy; having an income of less than $80,000 per annum; having a history of depression; having a history of alcohol use and binge drinking during a previous pregnancy; lower social support; and poor network orientation.Conclusions: There was a positive association between the T-ACE score and maternal self-report of alcohol use, poor mental health and poor social support. Routine use of the T-ACE to assess for risk of an alcohol-exposed pregnancy may also help identify women with complex needs who could benefit from additional prenatal support.

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