scholarly journals Preoperative morbidity and joint awareness while awaiting hip arthroscopy for femoroacetabular impingement

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
P. G. Robinson ◽  
T. R. Williamson ◽  
I. R. Murray ◽  
J. F. Maempel ◽  
D. J. MacDonald ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Significant Negative Correlation ◽  
Mental Health Status ◽  
Waiting List ◽  
Mental Wellbeing ◽  
Continuous Variables ◽  
Duration Of Symptoms

Abstract Purpose The Forgotten Joint Score (FJS-12) is a valid tool in the evaluation of patients undergoing hip arthroscopy, assessing the unique concept of joint awareness in the setting of a patient’s hip pathology. The preoperative burden on patients’ mental wellbeing of impaired joint function or symptoms is well established. The purpose of this study was to determine patients’ awareness of their hip joint whilst awaiting hip arthroscopy for femoroacetabular impingement, to explore any association between joint awareness and mental health status, and to determine whether this relates to time spent waiting for arthroscopy preoperatively. Methods A prospective database of patients undergoing hip arthroscopy between January 2018 and November 2020 was analysed. All patients with a diagnosis of femoroacetabular impingement (FAI) undergoing arthroscopic treatment were included. Questionnaires included the FJS-12, twelve item international hip outcome tool (iHOT-12), EuroQol 5D-5L (EQ-5D-5L) and the Tegner activity score. Pearson’s correlation coefficient was used to assess relationships between continuous variables. Results Preoperative functional outcomes were completed by 81 patients (97.5%) prior to undergoing hip arthroscopy. Median preoperative FJS-12 score was 16.67 (IQR 8.33 – 29.68). Forty-four patients reported any level of anxiety/depression preoperatively (54.3%). Preoperative FJS-12 showed a significant negative correlation with worsening mental health status (r = − 0.359, p <  0.001), and a significant positive correlation with EQ-5D-5L (r = 0.445, p <  0.001). The duration of symptoms or time on the waiting list did not correlate with increased joint awareness or worsened mental health. Conclusion Joint awareness is high when awaiting hip arthroscopy for FAI. Increasing levels of joint awareness correlate with poorer mental health status and poorer quality of life measures, however these parameters do not seem to be associated with increased duration of symptoms prior to surgery or time on the waiting list for surgery.

scholarly journals Food Insecurity and Mental Health Status Among Immigrants in High-Income Countries Between 2014–2017

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 179-179 ◽  
Author(s):  
Nan Dou ◽  
Diane Mitchell ◽  
Muzi Na
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Food Insecurity ◽  
Mental Health Status ◽  
High Income ◽  
Mental Wellbeing ◽  
Linear Regression Models ◽  
Annual Household Income ◽  
Data Set ◽  
Negative Experience

Abstract Objectives To assess the prevalence and trend of food insecurity (FI), mental wellbeing and their associations in the understudied immigrants living in high-income countries between 2014–2017. Methods Using nationally representative Gallup World Poll data from 2014 to 2017, a total of 15,343 immigrants from 48 World Bank defined high-income countries were included. Individual FI status was measured by the Food Insecurity Experience Scale (FIES) and categorized into food secure and mild, moderate and severe FI groups. Mental wellbeing was assessed by the Negative Experience Index (NEI, the greater the worse) and the Positive Experience Index (PEI, the greater the better). Multiple linear regression models were used to examine the association between FI and NEI/PEI, adjusting for age, gender, marital status, education, employment status, annual household income, residency, household size, and the number of children younger than 15 y in the household. Results The prevalence of FI in immigrants decreased from 38.4% in 2014 to 28.9% in 2017 globally (p-trend &lt;0.001). During 2014–2017, the overall mental wellbeing in immigrants improved as the mean (SD) NEI decreased from 32.8 (1.1) to 27.8 (0.5) and PEI increased from 63.1 (1.1) to 73.2 (0.5), respectively (both p-trend &lt;0.001). In the pooled adjusted model, FI was dose-responsively associated with greater NEI in mild (12.8 [11.7, 14.1]), moderate (20.5 [18.7,22.3]), and severe FI groups (28.3 [26.1, 30.5]) as compared to the food secure referent. By year analyses revealed that the gap in NEI between immigrants in the severe FI and food secure group widened by ∼10 points from 22.7 [14.7, 30.8] in 2014 to 32.3 [28.24, 36.38] in 2017. The dose-responsive association and its trend over time was less clear in PEI. Conclusions Progressive FI is significantly associated with poor mental wellbeing among immigrants in high income countries. Despite the improvement in food security and mental health status in immigrants, severely food insecure immigrants have had worsened mental wellbeing in recent years. Future policies are required to address disparities in food access and mental health in vulnerable immigrants. Funding Sources FAO's Voices of the Hungry Project for having granted access to the full GWP data set and supporting materials, which allowed the present study to be conducted.

Intrarural variation in mental health status and help-seeking of veterans in the upper midwest.

2018 ◽  
Vol 42 (3-4) ◽  
pp. 161-173
Author(s):  
Sarah Beehler ◽  
Sy Han (Steven) Chiou ◽  
B R. Balmer ◽  
Xuan Li
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Help Seeking ◽  
Mental Health Status ◽  
Upper Midwest

Negative Cognitions and Mental Health Status by Mandatory Quarantine Survey

2020 ◽  
Author(s):  
Meiqi Xin ◽  
Sitong Luo ◽  
Rui She ◽  
Yanqiu Yu ◽  
Lijuan Li ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Mental Health Status ◽  
Negative Cognitions

Mental Health Status and Health-Related Quality of Life among Systemic Lupus Erythematosus (SLE) Patients in Thailand: A Multi-Site Study

2020 ◽  
Vol 103 (11) ◽  
pp. 1185-1193
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Status ◽  
Lupus Erythematosus ◽  
Self Esteem ◽  
Mental Health Status ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Background: The systemic lupus erythematosus (SLE) patients oftentimes suffer from both physical and psychosocial challenges that may lead to low health-related quality of life (HRQoL). However, limited research has been done in this area. Objective: To examined mental health status and HRQoL among SLE patients in Thailand. Materials and Methods: The present study was a cross-sectional study conducted at the rheumatology clinic of four major hospitals in Thailand. The paper-based questionnaire consisted of demographic, health history such as depression, anxiety, stress Scale (DASS-21), and the Rosenberg self-esteem scale (RSE), and the disease-specific Lupus Quality of Life scale (LupusQoL). Depending on the variable’s level of measurement such as categorical or continuous, Spearman’s Rho or Pearson’s product moment correlation coefficients were used to explore the relationships among the variables. Hierarchical multiple regression was used to identify the predictors of LupusQoL. Results: Among the 387 participants, many might have experienced depression, anxiety, and stress (30%, 51%, and 29%, respectively). Self-esteem among the participants was good (31.8 out of 40). All eight domains of LupusQoL were affected with intimate relationship domain being impacted the most. The overall LupusQoL was significantly associated with the number of prescribed medications (r=–0.23), depression (r=–0.70), anxiety (r=–0.58), stress (r=–0.67), and self-esteem (r=0.59), p<0.001. Significant predictors of the overall LupusQoL were mental health status (depression, anxiety, and stress) and self-esteem, F (3, 81)=43.10, p<0.001, adjusted R²=0.60. Conclusion: SLE patients should be holistically assessed in both physical and psychological aspects. In addition to proper medical treatments, healthcare providers should use a multidisciplinary team approach to resolve the patients’ psychosocial issues, which in turn, may increase the patients’ quality of life. Self-care education may be necessary to help the patients manage the condition and decrease the number of medications. Keywords: Mental health, Quality of life, SLE, Thailand

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