Cerebral malaria is associated with long-term mental health disorders: a cross sectional survey of a long-term cohort

Background: The COVID-19 pandemic generated a surge of critically ill patients greater than the NHS capacity. Additionally there have been multiple well-documented impacts associated with the national COVID-19 pandemic surge on ICU workers including an increased prevalence of mental health disorders on a scale potentially sufficient to impair high-quality care delivery. Aim: To identify prevalence of probable mental health disorders, functional impairment and establish demographic and professional predictors of probable mental health disorders, and functional impairment, in ICU staff between November 2020 to April 2021. Methods: English ICU staff were surveyed before, during and after the winter 2020/2021 surge using a survey which comprised of validated measures of mental health. Results: 6080 surveys were completed, by nurses (57.5%), doctors (27.9%), and other healthcare staff (14.5%). Reporting probable mental health disorders increased from 51% (prior to), to 64% (during) and then dropped to 46% (after) the peak. Younger, less experienced and nursing staff were most likely to report probable mental health disorders. Additionally, during and after the winter, over 50% of participants met threshold criteria for functional impairment. Staff who reported probable post-traumatic stress disorder, anxiety or depression were more likely to meet threshold criteria for functional impairment. Conclusions: The winter of 2020/2021 was associated with an increase in poor mental health outcomes and functional impairment during a period of peak caseload. These effects are likely to impact on patient care outcomes and the longer-term resilience of the healthcare workforce.

Download Full-text

Mental health stigma in Ukraine: cross-sectional survey

Global Mental Health ◽

10.1017/gmh.2021.9 ◽

2021 ◽

Vol 8 ◽

Author(s):

Eleanor Quirke ◽

Vitalii Klymchuk ◽

Orest Suvalo ◽

Ioannis Bakolis ◽

Graham Thornicroft

Keyword(s):

Mental Health ◽

Mental Illness ◽

Mental Disorders ◽

Health Knowledge ◽

Mental Health Disorders ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Health Disorders ◽

Mental Health Knowledge ◽

Intended Behaviour

Abstract Background and study objectives This study aimed to assess among Ukrainian adults: (1) knowledge of mental disorders; (2) attitudes towards people with mental health disorders, and to the delivery of mental health treatment within the community; and (3) behaviours towards people with mental disorders. Methodology A cross-sectional survey of Ukrainian adults aged 18–60 was conducted. Stigma-related mental health knowledge was measured using the mental health knowledge schedule. Attitude towards people with mental health disorders was assessed using the Community Attitudes towards Mental Illness scale. The Reported and Intended Behaviour scale was used to assess past and future intended behaviour towards people with mental health disorders. Results Associations between gender, age, and educational level and the knowledge and attitudes measures were identified. There was evidence of a positive association between being male and positive intended behaviours towards people with mental health disorders [mean difference (MD) = 0.509, 95% confidence interval (CI) 0.021–0.998]. Older age was negatively associated with positive intended behaviours towards people with mental health disorders (MD = −0.017, 95% CI 0.0733 to −0.001). Higher education was positively associated with stigma-related mental health knowledge (MD = 0.438, 95% CI 0.090–0.786), and negatively associated with authoritarian (MD = 0.755, 95% CI 0.295–1.215) attitudes towards people with mental health problems. Conclusion Overall, the findings indicate a degree of awareness of, and compassion towards, people with mental illness among Ukrainian adults, although this differed according to gender, region, and education level. Results indicate a need for the adoption and scaling-up of anti-stigma interventions that have been demonstrated to be effective.

Download Full-text

Mental Health Disorders in General Practice in France: A Cross-Sectional Survey

Translational Biomedicine ◽

10.21767/2172-0479.100096 ◽

2016 ◽

Vol 07 (04) ◽

Cited By ~ 3

Author(s):

Gladys Ibanez ◽

Saphanie Son ◽

Julie Chastang ◽

Anne Marie Magnier

Keyword(s):

Mental Health ◽

General Practice ◽

Mental Health Disorders ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Health Disorders

Download Full-text

Prevalence and Comorbidity of Depression and Anxiety among Medical Students in Babcock University, Ogun State, Nigeria

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2021/v19i430321 ◽

2021 ◽

pp. 46-55

Author(s):

Naomi A. Dike-Israel ◽

Dora O. Akinboye

Keyword(s):

Mental Health ◽

Medical Students ◽

Survey Design ◽

Mental Health Disorders ◽

Strong Positive Correlation ◽

Depression And Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Ogun State ◽

Health Disorders

Background: Depression and anxiety are mental health disorders which both result in high negative affect and are two of the most common mental health disorders globally. Stress is one factor implicated in the cause and aggravation of such mental disorders. Medicine is among some of the most stressful courses that a student can undertake in the university. Aim: The aim of the study was to determine the prevalence and comorbidity of depression and anxiety among medical students in Ogun state, Nigeria. Study Design: Cross-sectional survey design Methodology: 225 medical students (MBBS) aged 15-26 (mean: 19.09±2.14), majority of whom were female (69.8%), attending a private university in Ogun state participated in the study. The levels of depression and anxiety were assessed by administering an instrument comprising of the Beck Depression Inventory-II (BDI-II) and the Beck Anxiety Inventory (BAI). Results: Findings indicated a prevalence of depression (moderate: 16.0%, severe: 9.8%) and anxiety (moderate: 11.1%, severe: 17.3%). The study revealed significant gender differences in the manifestation of depression (male: 19.1%, female: 28.7%) and anxiety (male: 13.3%, female: 35.0%) indicating that female students are more likely to be diagnosed with both disorders. The study identified a strong positive correlation between depression and anxiety in medical students (r = 0.803). Conclusion: Depression and anxiety are significantly prominent disorders among medical students. Therefore, sensitization and periodic mental health screening for medical students should be carried out to ensure optimal health.

Download Full-text

Toxoplasmosis, but not borreliosis, is associated with psychiatric disorders: A cross-sectional survey on 46 thousand of subjects

10.1101/231803 ◽

2017 ◽

Cited By ~ 4

Author(s):

Jaroslav Flegr ◽

Jiří Horáček

Keyword(s):

Mental Health ◽

Mental Health Disorders ◽

Internet Survey ◽

World Population ◽

Negative Effects ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Substantial Role ◽

Increased Risk ◽

Health Disorders

ABSTRACTInfection by the parasite Toxoplasma, which affects about 33% of world population, is associated with increased risk of several mental health disorders, the most strongly with schizophrenia. It is unknown whether toxoplasmosis really plays a substantial role in the etiopathogenesis of these disorders and whether schizophrenia is associated with this infection the most strongly, or whether this association has just been the most intensively studied for historical reasons. We used the data from 3,440 and 7,800 subjects tested for toxoplasmosis and borreliosis, respectively, who took part in an internet survey, for searching in the associations of these infections with 22 mental health disorders and other indices of impaired mental health. The typical symptom associated with toxoplasmosis was anxiety, and the typical toxoplasmosis-associated disorders were autism (OR=4.86), schizophrenia (OR=3.34), attention deficit hyperactivity disorder (OR=3.02), Asperger syndrome (OR=2.49), antisocial personality disorder (OR=1.81), OCD (OR=1.69), and anxiety disorder (OR=1.57). Borreliosis was associated only with symptoms of depression and with major depression (OR=1.65). The negative effects of borreliosis were detectable only in the Toxoplasma-infected subjects. Toxoplasmosis could play a substantial role in the etiopathogenesis of mental health disorders and its association with schizophrenia is the second strongest association, after autism.

Download Full-text

M.I.C.E—Mental Health Intervention for Children with Epilepsy: a randomised controlled, multi-centre clinical trial evaluating the clinical and cost-effectiveness of MATCH-ADTC in addition to usual care compared to usual care alone for children and young people with common mental health disorders and epilepsy—study protocol

Trials ◽

10.1186/s13063-020-05003-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Sophie D. Bennett ◽

◽

J. Helen Cross ◽

Anna E. Coughtrey ◽

Isobel Heyman ◽

...

Keyword(s):

Mental Health ◽

Young People ◽

Usual Care ◽

Psychological Intervention ◽

Mental Health Disorders ◽

Long Term Conditions ◽

Children And Young People ◽

Health Disorders ◽

Randomised Controlled

Abstract Background Mental health disorders in the context of long-term conditions in children and young people are currently overlooked and undertreated. Evidence-based psychological treatments for common childhood mental health disorders (anxiety, depression and disruptive behaviour disorders) have not been systematically evaluated in young people with epilepsy despite their high prevalence in this population. The aim of this multi-site randomised controlled trial is to determine the clinical and cost-effectiveness of adding a modular psychological intervention to usual care for the mental health disorders in comparison to assessment-enhanced usual care alone. Methods In total, 334 participants aged 3–18 years attending epilepsy services will be screened for mental health disorders with the Strengths and Difficulties Questionnaire (SDQ) and the diagnostic Development and Wellbeing Assessment (DAWBA). Those identified as having a mental health disorder and consenting to the trial will be randomised to either receive up to 22 sessions of the modular psychological intervention (MATCH-ADTC) delivered over the telephone over 6 months by non-mental health professionals in addition to usual care or to assessment-enhanced usual care alone. Outcomes will be measured at baseline, 6 months and 12 months post-randomisation. It is hypothesised that MATCH-ADTC plus usual care will be superior to assessment-enhanced usual care in improving emotional and behavioural symptoms. The primary outcome is the SDQ reported by parents at 6 months. Secondary outcomes include parent-reported mental health measures such as the Revised Children’s Anxiety and Depression Scale, quality of life measures such as the Paediatric Quality of Life Inventory and physical health measures such as the Hague Seizure Severity Scale. Outcome assessors will be blinded to group assignment. Qualitative process evaluations and a health economic evaluation will also be completed. Discussion This trial aims to determine whether a systematic and integrated approach to the identification and treatment of mental health disorders in children and young people with epilepsy is clinically and cost-effective. The findings will contribute to policies and practice with regard to addressing mental health needs in children and young people with other long-term conditions. Trial registration ISRCTN ISRCTN57823197. Registered on 25 February 2019.

Download Full-text