scholarly journals Long-Term Mental Health Outcomes in Mothers and Siblings of Children With Cancer: A Population-Based, Matched Cohort Study

2020 ◽  
Vol 38 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Jacqui van Warmerdam ◽  
Rinku Sutradhar ◽  
Paul Kurdyak ◽  
Cindy Lau ◽  
Jason D. Pole ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Childhood Cancer ◽  
Family Members ◽  
Population Based ◽  
Mental Health Outcomes ◽  
Affected Child ◽  
Outpatient Visits ◽  
Health Related

PURPOSE Although a diagnosis of childhood cancer can have a profound effect on the entire family unit, its impact on the long-term mental health of family members is not well characterized. METHODS A provincial childhood cancer registry in Ontario, Canada, was linked to birth records to identify separate population-based cohorts of mothers and siblings of children diagnosed with cancer between 1998 and 2014. The mother and sibling cohorts were matched to corresponding population controls and linked to health services data. The rate of mental health–related outpatient visits (family physician, psychiatrist) and the incidence of severe psychiatric events (psychiatric emergency department visit, psychiatric hospitalization, suicide) were compared between mothers and siblings and their controls. Possible predictors of mental health outcomes were examined, including demographics, characteristics of the cancer-affected child, and cancer treatment. RESULTS We identified 4,773 mothers and 7,897 siblings of children diagnosed with cancer during the study period. Compared with controls, both groups experienced elevated rates of outpatient visits (mothers: rate ratio [RR], 1.4; P < .0001; siblings: RR, 1.1; P < .0001). The risk of severe psychiatric events was not increased in either cohort. Mother and sibling demographic factors associated with increased risk of adverse mental health included younger maternal age at cancer diagnosis, low socioeconomic status, and rural residence among mothers and older sibling age among siblings. Treatment-related variables pertaining to the cancer-affected child were not associated with mental health outcomes. Mental health outcomes clustered within families. CONCLUSION Both mothers and siblings experience elevated and prolonged need for mental health–related health care as compared with the general population. Demographic risk factors predict subpopulations at highest risk. Increased psychosocial support for family members during and after cancer therapy is warranted.

scholarly journals Adverse mental health outcomes in a population-based cohort of survivors of childhood cancer

Cancer ◽  
2018 ◽  
Vol 124 (9) ◽  
pp. 2045-2057 ◽  
Author(s):  
Paul C. Nathan ◽  
Alex Nachman ◽  
Rinku Sutradhar ◽  
Paul Kurdyak ◽  
Jason D. Pole ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Childhood Cancer ◽  
Population Based ◽  
Mental Health Outcomes ◽  
Survivors Of Childhood Cancer

Incidence and Predictors of Mental Health Outcomes Among Survivors of Adolescent and Young Adult Cancer: A Population-Based Study Using the IMPACT Cohort

2021 ◽  
pp. JCO.20.02019
Author(s):  
Riddhita De ◽  
Rinku Sutradhar ◽  
Paul Kurdyak ◽  
Suriya Aktar ◽  
Jason D. Pole ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adult ◽  
Health Outcomes ◽  
Psychotic Disorder ◽  
Population Based ◽  
Mental Health Outcomes ◽  
Adolescent And Young Adult ◽  
Increased Risk ◽  
The Impact

PURPOSE Risk and predictors of long-term mental health outcomes in survivors of adolescent and young adult (AYA) cancers are poorly characterized. Mental health is consequently neglected in long-term follow-up. METHODS We identified all AYA in Ontario, Canada age 15-21 years when diagnosed with one of six common cancers between 1992-2012 using a population-based database, and compared them with matched controls. Linkage to provincial healthcare data allowed analysis of rates of outpatient (family physician and psychiatrist) visits for psychiatric indications and time to severe psychiatric events (emergency room visit, hospitalization, and suicide). Demographic-, disease-, and treatment-related predictors of adverse outcomes, including treatment setting (adult v pediatric), were examined. RESULTS Among 2,208 survivors and 10,457 matched controls, 5-year survivors experienced higher rates of outpatient mental health visits than controls (671 visits per 1,000 person-years v 506; adjusted rate ratio [RR] 1.3; 95% CI, 1.1 to 1.5; P = .006). Risk of a severe psychiatric episode was also increased among survivors (adjusted hazard ratio [HR], 1.2; 95% CI, 1.1 to 1.4, P = .008). Risk of a psychotic disorder–associated severe event was doubled in survivors (HR, 2.0, 95% CI, 1.3 to 2.4; P = .007) although absolute risk remained low (15-year cumulative incidence 1.7%; 95% CI, 1.0 to 2.7). In multivariable analysis, survivors treated in adult centers experienced substantially higher outpatient visit rates compared with those treated in pediatric settings (RR 1.8; 95% CI, 1.0 to 3.1; P = .04). CONCLUSION Survivors of AYA cancer are at substantially increased risk of adverse mental health outcomes, with those treated in adult centers at particular risk. Although absolute incidence was low, survivors were at increased risk of psychotic disorder–associated severe events. Long-term mental health surveillance is warranted, as is research into effective interventions during or after cancer treatment.

Motoric Subtypes of Delirium and Long-Term Functional and Mental Health Outcomes in Adults After Critical Illness

2021 ◽  
Vol 49 (5) ◽  
pp. e521-e532
Author(s):  
Kimberly F. Rengel ◽  
Christina J. Hayhurst ◽  
James C. Jackson ◽  
Christina S. Boncyk ◽  
Mayur B. Patel ◽  
...  
Keyword(s):  
Mental Health ◽  
Critical Illness ◽  
Health Outcomes ◽  
Mental Health Outcomes

scholarly journals Mental health outcomes after major trauma in Ontario: a population-based analysis

2018 ◽  
Vol 190 (45) ◽  
pp. E1319-E1327
Author(s):  
Christopher C.D. Evans ◽  
Yvonne DeWit ◽  
Dallas Seitz ◽  
Stephanie Mason ◽  
Avery Nathens ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Major Trauma ◽  
Population Based ◽  
Mental Health Outcomes

scholarly journals Reframing political violence and mental health outcomes: outlining a research and action agenda for Latin America and the Caribbean region

2006 ◽  
Vol 11 (2) ◽  
pp. 293-302 ◽  
Author(s):  
Duncan Pedersen
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Political Violence ◽  
Latin American ◽  
Mental Health Outcomes ◽  
Guerrilla Warfare ◽  
Caribbean Region ◽  
Post Conflict ◽  
Forms Of Violence

In recent decades, the number of people exposed to traumatic events has significantly increased as various forms of violence, including war and political upheaval, engulf civilian populations worldwide. In spite of widespread armed conflict, guerrilla warfare and political violence in the Latin American and Caribbean region, insufficient attention had been paid in assessing the medium and long-term psychological impact and additional burden of disease, death, and disability caused by violence and wars amongst civilian populations. Following a review of the literature, a few central questions are raised: What is the short, medium and long-term health impact of extreme and sustained forms of violence in a given population? How political violence is linked to poor mental health outcomes at the individual and collective levels? Are trauma-related disorders, universal outcomes of extreme and sustained violence? These questions lead us to reframe the analysis of political violence and mental health outcomes, and reexamine the notions of trauma, after which a research and action agenda for the region is outlined. In the concluding sections, some basic principles that may prove useful when designing psychosocial interventions in post-conflict situations are reviewed.

Cognitive, physical, and mental health outcomes between long-term cannabis and tobacco users

2018 ◽  
Vol 79 ◽  
pp. 178-188 ◽  
Author(s):  
M.E. Lovell ◽  
R. Bruno ◽  
J. Johnston ◽  
A. Matthews ◽  
I. McGregor ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Mental Health Outcomes ◽  
Physical And Mental Health

Adolescent Concussion and Mental Health Outcomes: A Population-based Study

2019 ◽  
Vol 43 (2) ◽  
pp. 258-265 ◽  
Author(s):  
Max N. Yang ◽  
Kristen Clements-Nolle ◽  
Brian Parrish ◽  
Wei Yang
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Population Based ◽  
Mental Health Outcomes ◽  
Population Based Study

scholarly journals Community Support as a Moderator of Postdisaster Mental Health Symptoms in Urban and Nonurban Communities

2013 ◽  
Vol 7 (5) ◽  
pp. 443-451 ◽  
Author(s):  
Jenny S. West ◽  
Matthew Price ◽  
Kirstin Stauffacher Gros ◽  
Kenneth J. Ruggiero
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Protective Factor ◽  
Community Support ◽  
Recovery Process ◽  
Population Based ◽  
Mental Health Outcomes ◽  
Depression Symptoms ◽  
Interpersonal Effects ◽  
Disaster Exposure

AbstractObjectiveWe examined the association between disaster exposure, community support, and mental health outcomes in urban and nonurban participants of Galveston and Chambers counties after Hurricane Ike. The moderating effect of community support was evaluated as a protective factor relative to postdisaster mental health.MethodsA representative population-based sample of 157 urban and 714 nonurban adults were interviewed 12 to 17 months after the hurricane about their mental health functioning, disaster exposure, and perceptions of community support.ResultsA series of multiple regressions demonstrated that disaster exposure was associated with mental health outcomes for both groups. The strength of the association varied across population samples.Community support moderated the association between interpersonal effects of the disaster and posttraumatic stress disorder (PTSD) and depression outcomes in nonurban participants and the association between property damage and PTSD in urban participants.ConclusionsCommunity support played a larger role in reducing PTSD and depression symptoms associated with the interpersonal effects of a disaster in the nonurban sample only. Communities may play a more beneficial role in the recovery process in nonurban areas that have elevated levels of injury or death attributed to a disaster. (Disaster Med Public Health Preparedness. 2013;0:1–9)

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