Spirituality, moral injury and mental health among Chinese health professionals

Background Moral injury has been found to be prevalent among healthcare professionals during the COVID-19 public health crisis. Aims The present study examines the relationship between spirituality, moral injury, and mental health among physicians and nurses in mainland China during the COVID-19 pandemic. Method An online cross-sectional study was conducted involving 3006 physicians and nurses in mainland China, where the COVID-19 pandemic has caused high rates of hospital admission and death. The Moral Injury Symptoms Scale-Health Professional was administered, along with measures of mental health and spirituality. Hierarchical linear regression modelling was used to examine the mediating and moderating role of moral injury in the relationship between spirituality and mental health. Results Spirituality was positively correlated with moral injury (β = 2.41, P < 0.01), depressive symptoms (β = 0.74, P < 0.01) and anxiety symptoms (β = 0.65, P < 0.01) after controlling sociodemographic variables. Moral injury significantly mediated the relationship between spirituality and both depression and anxiety, explaining 60% (0.46/0.76) of the total association between spirituality and depression and 58% (0.38/0.65) of the association with anxiety. No moderating effect of moral injury was found on the spirituality–mental health relationship. Conclusions Although they were the findings of a cross-sectional study, these results suggest that concern over transgressing moral values during the pandemic may have been a driving factor for negative mental health symptoms among Chinese health professionals for whom spirituality was somewhat important. Future longitudinal studies are needed to determine the causal nature of these relationships.

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Religion/Spirituality, Moral Injury, and Mental Health among Health Professionals in China

10.21203/rs.3.rs-77800/v1 ◽

2020 ◽

Author(s):

zhizhong wang ◽

Faten Al Zaben ◽

Harold.G. Koenig

Keyword(s):

Mental Health ◽

Health Professionals ◽

Mainland China ◽

Cross Sectional Study ◽

Moderating Effect ◽

Moral Injury ◽

Cross Sectional ◽

Linear Regression Modeling ◽

Causal Nature ◽

The Relationship

Abstract Purpose: Moral injury (MI) is prevalent among healthcare professionals, and has been shown in those experiencing traumatic events to be associated with suicidal thoughts, depression, anxiety, and other adverse mental health outcomes. The present study examines the relationship between religion/ spiritual (R/S) and MI among physicians and nurses in mainland China during the COVID-19 pandemic. Methods: A cross-sectional study was conducted in 3,006 physicians and nurses in areas of China where the COVID-19 pandemic was causing high rates of hospitalization and death. The Moral Injury Symptoms Scale-Health Professional (MISS-HP) was administered along with measures of clinician mental health and R/S. Hierarchical linear regression modeling was used to examine the mediating and moderating effect of MI on the relationship between R/S and mental health.Results: Importance of religion was positively correlated with MI symptoms (β=2.41, P<0.01), depressive (β=0.74, P<0.01), and anxiety symptoms (β=0.65, P<0.01) after controlling of multiple demographic variables. MI significantly mediated the relationship between R/S and both depression and anxiety. MI explained 60% (0.46/0.76) of the total association between R/S and depression and 58% (0.38/0.65) of the association with anxiety. No moderating effect was found.Conclusion: Although cross-sectional findings, these results suggest that concern over transgressing moral values during the pandemic may have been a driving factor for negative mental health symptoms among Chinese health professionals for whom religion was important. Future longitudinal studies are needed to determine the causal nature of these relationships.

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An investigation of mediators for the relationship between parent mental health and adolescent problematic internet use: a cross-sectional study in Romanian adolescents

Journal of Evidence-Based Psychotherapies ◽

10.24193/jebp.2018.2.16 ◽

2018 ◽

Vol 18 (2) ◽

pp. 97-116

Author(s):

Costina Păsărelu ◽

◽

Anca Dobrean ◽

Keyword(s):

Mental Health ◽

Internet Use ◽

Cross Sectional Study ◽

Problematic Internet Use ◽

Sectional Study ◽

Cross Sectional ◽

Parent Mental Health ◽

The Relationship

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Attitudes of medical students towards psychiatry and mental illnesses: a cross-sectional study from Pakistan

BJPsych Open ◽

10.1192/bjo.2021.802 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S303-S304

Author(s):

Syed Muhammad Jawad Zaidi ◽

Muhammad Hamza ◽

Raja Adnan Ahmed ◽

Mishal Fatima ◽

Hassan Nadeem ◽

...

Keyword(s):

Mental Health ◽

Medical Students ◽

Multiple Regression ◽

Personal Experience ◽

Positive Attitude ◽

Cross Sectional Study ◽

Mental Illnesses ◽

Sectional Study ◽

Cross Sectional ◽

Health Crisis

AimsThe increasing burden of mental disorders coupled with the social stigmatization in Pakistan is an immense barrier in combating the emerging mental health crisis. The low number of qualified psychiatrists and poor intake in post-graduate psychiatry training programs in the region further complicates the problem. Thus, our study aims to assess the attitudes of Pakistani medical students towards psychiatry. Furthermore, we also aim to evaluate how experience and different levels of exposure to psychiatry among students affect their attitudes towards psychiatry as a career choice.MethodThis cross-sectional study was conducted via an online survey made on Google Forms. A total of 831 medical students studying across various private and public medical institutions of Pakistan responded to the survey. The questionnaire comprised of demographical details (gender, age, institution, and academic year) exposure to psychiatry, duration of psychiatry rotation, and personal experience with mental illness. The attitudes of medical students towards psychiatry were evaluated using the English version of the 30-item Attitudes Towards Psychiatry (ATP-30) scale. Chi-square test and multiple regression with backward method were used to analyze the data.ResultThe Cronbach's alpha value of the ATP-30 scale was 0.830. The participants in our study had a mean score of 107.6 ± 12 on ATP-30. Overall, most participants had a positive attitude towards psychiatry. Multiple regression analysis revealed a significant model pertaining to predictors of attitude toward psychiatry (F (df) = 11.28 (830), P < 0.001). However, the predictors included in the model accounted for only 5.8% of the variation in ATP-30 scores. According to it, those students had a more positive attitude toward psychiatry who identified as female, older and having any sort of exposure toward psychiatric specialty, direct involvement in psychiatric patient care, and reporting personal experience of mental illnesses.ConclusionOur study showed that medical students had a positive attitude towards psychiatry but female medical students, students with previous exposure to psychiatry, and students with longer psychiatry rotations tend to view psychiatry more positively. The generally positive trend towards psychiatry in Pakistan indicates the need to sustain improvements through proactive measures. We recommend longer placements for medical students in mental health settings for at least 4 weeks or longer. Medical schools should also promote research, discussions, and seminars on different psychiatric illnesses in order to enhance awareness among the students.

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Psychosocial and coping responses toward 2019 coronavirus diseases (COVID-19): a cross-sectional study within the Chinese general population

QJM ◽

10.1093/qjmed/hcaa226 ◽

2020 ◽

Vol 113 (10) ◽

pp. 731-738 ◽

Cited By ~ 4

Author(s):

Q Li

Keyword(s):

Mental Health ◽

General Population ◽

Psychiatric Disorders ◽

General Health Questionnaire ◽

Cross Sectional Study ◽

Psychological Status ◽

Sectional Study ◽

Cross Sectional ◽

Health Crisis ◽

And Coping

Summary Background The 2019 coronavirus diseases (COVID-19) led out the mental health crisis. Aim To determine the psychological status and post-traumatic stress symptoms (PTSD) among general population (except confirmed and suspected cases, and close contacts) and their association with the coping strategy types during the COVID-19 outbreak. Design A cross-sectional study. Methods Participants were recruited from the community through snowball sampling with anonymous online questionnaires, using 28-item General Health Questionnaire, 22-item Impact of Events Scale-Revised and 28-item Brief Coping Inventory to measure their psychiatric disorders, PTSD level and coping strategies. Results Of the total 1109 participants, 42.65% and 67.09% self-reported psychiatric disorders and high PTSD level, respectively. Age, occupation and education level were significantly association with psychological status. The status of psychiatric disorders was also significantly related to high PTSD level. Using both emotion and problem coping was better for psychiatric status [adjusted odds ratio (aOR) = 0.72, 95% confidence interval (CI): 0.54–0.98], and problem-focused coping was significantly associated with high PTSD level (aOR = 2.09, 95% CI: 1.25–3.51). Conclusion Negative psychological outcomes were common among the general people during the COVID-19 outbreak, and the findings may provide references for intervention guidelines of mental health for the community population.

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Attitudes toward concordance in psychiatry: a comparative, cross-sectional study of psychiatric patients and mental health professionals

BMC Psychiatry ◽

10.1186/1471-244x-12-53 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 23

Author(s):

Carlos De las Cuevas ◽

Amado Rivero-Santana ◽

Lilisbeth Perestelo-Pérez ◽

Jeanette Pérez-Ramos ◽

Pedro Serrano-Aguilar

Keyword(s):

Mental Health ◽

Mental Health Professionals ◽

Health Professionals ◽

Psychiatric Patients ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Mental health among COVID-19 survivors and healthcare workers exposed to COVID-19 in Wuhan, China: a cross-sectional study

10.21203/rs.3.rs-30351/v1 ◽

2020 ◽

Author(s):

Bin Chen ◽

Yan Wang ◽

Ting Yang ◽

Cheng Li ◽

Zhiling Sun

Keyword(s):

Mental Health ◽

Healthcare Workers ◽

Cross Sectional Study ◽

Psychological Status ◽

Impact Factors ◽

Sectional Study ◽

Cross Sectional ◽

Health Crisis ◽

Significant Difference ◽

Low Educated

Abstract Then novel coronavirus disease (COVID-19) epidemic was considered to be the worst and complex virus outbreak, which caused 56,985 deaths as of April 22, 2020 already. The epidemic infectious may cause mental health crisis. Meanwhile, little is known about the specific psychological status of the COVID-19 survivors and healthcare workers. This cross-sectional study surveyed the mental health among 20 COVID-19 survivors, 54 nurses, and 24 hygienists in Wuhan, China and analyze the possible impact factors using the Symptom Check List 90 - Revised (SCL90-R) questionnaire. 3 indices and 9 dimensions were compared among job, education level, gender, age, marriage classification. This study found that mental distress among participants was not very serious in general. The survivors presented a highest score, then the hygienists, and the lowest in nurses. Low-educated and women showed significant increase. No significant difference was noted in age and marriage classification. Our study indicated that the survivors need psychological support immediately. Meanwhile, healthcare workers warrant more attention, especially low-educated and women. Comprehensive emergency response plan was warranted.

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Association Between Mental Health and Feeding Methods among 1- Month Postpartum Women in Japan: A Cross-Sectional Study

Women, Midwives and Midwifery ◽

10.36749/wmm.1.3.47-56.2021 ◽

2021 ◽

Vol 1 (3) ◽

pp. 47-56

Author(s):

Masayo Matsuzaki ◽

Hiroko Matsumoto ◽

Mie Shiraishi ◽

Risa Kobayashi ◽

Sachi Watanabe ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Multiple Logistic Regression Analysis ◽

Cross Sectional Study ◽

Mixed Feeding ◽

Sectional Study ◽

Cross Sectional ◽

Wide Range ◽

Feeding Methods ◽

The Relationship

Background: The rate of predominant breastfeeding was 51.3% at 1 month postpartum, even though 93.4% of Japanese mothers expressed a desire to predominantly breastfeed during pregnancy. A wide range of historical, socioeconomic, cultural, and individual factors, as well as mental health, affect breastfeeding practices. However, the relationship between breastfeeding and mental health—depressive symptoms—has been controversial. Purpose: The aim of this study was to identify factors relationship including mental health and the feeding methods adopted by mothers at 1 month postpartum in Japan. Methods: A cross-sectional study was conducted at 2 Tokyo area hospitals between July and October 2014. We recruited a total of 560 eligible women. The participants included 392 women without severe illnesses or low birth weight babies at 1 month postpartum. The feeding methods were “mainly breastfeeding” (exclusively or mostly breastfeeding) and “mixed feeding and formula only”. Depressive symptoms as a mental health were assessed using the Edinburgh Postnatal Depression Scale (EPDS). Multiple logistic regression analysis clarified the factors associated with mainly breastfeeding. Results: The mean (SD) age for the categories of mainly breastfeeding and mixed feeding and formula only was 33.0 (5.1) and 33.9 (5.5) years, respectively (p = 0.085). Women who were mainly breastfeeding at 1 month postpartum were more likely to be multiparous (adjusted odds ratio [AOR]: 1.80, CI:1.11 - 2.94), had EPDS score < 9 (AOR:1.87, CI:1.09 – 3.20), and had been desirous of breastfeeding from their pregnancy (AOR: 7.73, CI: 4.68 – 12.74). Conclusion: Our results suggested that healthcare providers should focus on the relationship between feeding methods and new mothers’ mental health. Further research must identify effective care strategies for women who desire to breastfeed exclusively.

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The relationship between mental health self-efficacy and mental well-being in England, UK: A Cross-sectional study

10.21203/rs.3.rs-30125/v1 ◽

2020 ◽

Author(s):

Frederike Katharina Lemmel ◽

Rebecca Jones ◽

Sonia Johnson ◽

Anita Jolly ◽

Miriam Miller ◽

...

Keyword(s):

Mental Health ◽

Self Efficacy ◽

Help Seeking ◽

Well Being ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Psychological Well Being ◽

Mental Well Being ◽

The Relationship

Abstract Background. Mental well-being is an essential concept in research and public health as it is recognised as an indicator of population mental health and quality of life. Previous studies have provided evidence that general self-efficacy is positively related to mental well-being. The aim of this study is to examine whether higher help-seeking self-efficacy and higher psychological well-being self-efficacy respectively, are associated with increased mental well-being.Methods. In this cross-sectional study 1795 adults from the general English population were recruited from a market research panel to fill out an online questionnaire between 24th September 2018 and 05th October 2018. Two simple linear regression analyses were used to investigate the relationship between each of help-seeking self-efficacy and psychological well-being self- efficacy as exposure variables and mental well-being as the outcome. Multiple imputation by chained equations was used to handle missing data.Results. No evidence was found for an association between either help-seeking self-efficacy or psychological well-being self-efficacy and mental well-being.Conclusions. These findings do not provide evidence that improving help-seeking or psychological well-being self-efficacy could lead to improving well-being. Methodological limitations, such as unmeasured confounders might be responsible for the lack of evidence in this study. Having a mental health condition is a potential negative confounder that might not have been measured adequately.

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Depression, Anxiety and Stress among Students amidst COVID-19 Pandemic: A Cross-Sectional Study in Philippines

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v9i2.1673 ◽

2021 ◽

Vol 9 (2) ◽

pp. 102

Author(s):

Joel Rey U. Acob ◽

Hidayat Arifin ◽

Yulis Setiya Dewi

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Mental Health Program ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Monthly Income ◽

Cross Sectional ◽

Health Crisis ◽

History Of

Background: COVID-19 considered as a global health crisis poses mental health problems among individual and specifics to students.Purpose: This study aimed to determine the depression, anxiety, and stress levels among students amidst COVID-19 pandemic in Philippines.Methods: A cross-sectional study was undertaken in Region 8, Eastern Visayas Philippines. A total of 311 tertiary respondents randomly selected both private and government owned higher education institutions. The data compilation was done using online questionnaires through Google Forms with validated version of the Stress, Anxiety and Depression Scales 21 (DASS21) is used to calculate students' level of stress, anxiety and, depression with their socio-demographic featuresResults: We revealed that depression, anxiety and stress are instituted in 18.6 %, 35.1 % and 2.85% of students, respectively, amidst the COVID – 19 pandemics. The symptoms of disorders were moderate to extremely severe in 6.1%, 23.5%, and 0.6% of the study sample, respectively. Age, gender, marital status and family history of illness are significantly different with age group 20 and below, females, singles, and families with no history of illness displaying high level of anxiety. Results also established an association between anxiety and family’s monthly income and history of illness. The higher the monthly income and no presence of illness of families, the more anxious the person.Conclusion: Finally, the variables used, explained only 1.5% depression, 3.4% anxiety and 1.4% stress in this time of COVID-19 outbreak. It is therefore recommended to essentially develop community-based mental health program for preventive purposes.

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The relationship between work, mental health, physical health, and fatigue in patients with rheumatoid arthritis: A cross-sectional study

Journal of Health Psychology ◽

10.1177/1359105317727842 ◽

2017 ◽

Vol 25 (5) ◽

pp. 665-673 ◽

Cited By ~ 1

Author(s):

Dorota Żołnierczyk-Zreda ◽

Anna Jędryka-Góral ◽

Joanna Bugajska ◽

Sylwia Bedyńska ◽

Marek Brzosko ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Mental Health ◽

Physical Health ◽

Structural Equation ◽

Cross Sectional Study ◽

Equation Modeling ◽

Occupational Activity ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

To evaluate the relationship between work, mental health, physical health, and fatigue in patients with rheumatoid arthritis, the data of 282 participants were drawn from baseline. The results of structural equation modeling showed that among rheumatoid arthritis patients, those who were engaged in occupational activity had lower levels of fatigue compared to those who did not work and that this relationship was mediated by better mental health, not by physical health.

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