Rumination as a key to understanding anxiety and depression in cardiac patients

It is now commonly understood that cardiac health professionals need to attend not only to patients' physical rehabilitation, but also to their emotional and mental health recovery. To ensure that mental health support is directed to those patients most at risk of poor psychological recovery post cardiac event, researchers and clinicians are continually seeking to understand the mechanisms underlying the association between anxiety, depression and heart health. One characteristic that differentiates patients with elevated risk of persistent post-event anxiety and depression is their style of cognitive processing, particularly whether they engage in negative ruminative thinking. In this article, the authors outline the impact of ruminative cognitive styles on anxiety and depression in cardiac event survivors, and highlight the importance of identifying ruminators early on in their recovery in order to appropriately direct and tailor mental health support for those who need it most.

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Assessment of the Impact of a Daily Rehabilitation Program on Anxiety and Depression Symptoms and the Quality of Life of People with Mental Disorders during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041434 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1434

Author(s):

Joanna Smolarczyk-Kosowska ◽

Anna Szczegielniak ◽

Mateusz Legutko ◽

Adam Zaczek ◽

Łukasz Kunert ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Rehabilitation Program ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Sf 36 ◽

Mental Health Support ◽

Health Support ◽

The Impact

Community psychiatry is a modern and effective form of care for patients with mental disorders. The aim of the study was to assess the impact of a rehabilitation program at the Mental Health Support Centre in Tarnowskie Góry (Poland) on reducing severity of anxiety and depression symptoms, as well as improving overall quality of life during the COVID-19 pandemic. The study involved 35 patients, examined with an authors’ questionnaire on sociodemographic data, the Hospital Scale of Anxiety and Depression (HADS) and the Short Form Health Survey (SF-36). Data was obtained during the first national lockdown and compared to data gathered before the pandemic on the same study group. Imposed restrictions, negative emotional state during lockdown, subjectively assessed higher health risk and a low level of knowledge about the COVID-19 pandemic did not significantly correlate with a severity of depression and anxiety, as well as general quality of life. However, the comparison of the results obtained in HADS and SF-36 scales show a significant improvement in both categories. Rehabilitation activities, including physical training, cognitive exercise and social therapy, reduce the severity of the symptoms and have a positive effect on the overall quality of life in patients suffering from schizophrenia and affective disorders. Therefore, holistic mental health support services may positively affect building an individual resilience. The severity of anxiety symptoms during the COVID-19 pandemic shows a negative correlation with the patient’s age.

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Imaging Journeys of Recovery and Learning: A Participatory Arts-Based Inquiry

Qualitative Health Research ◽

10.1177/1049732318804832 ◽

2018 ◽

Vol 29 (6) ◽

pp. 833-845

Author(s):

Briege Casey ◽

Margaret Webb

Keyword(s):

Mental Health ◽

Personal Development ◽

Visual Analysis ◽

Self Esteem ◽

Mental Health Recovery ◽

Positive Effects ◽

Mental Health Support ◽

Health Support ◽

Participatory Arts ◽

The Relationship

The relationship between processes of mental health recovery and lifelong learning is an area of increasing international interest. Experiences of transformation, positive effects on self-esteem, self-insight, and empowerment have been identified regarding both endeavors. Recognition of these benefits has stimulated collaborative development of educational programs in personal development, self-efficacy, and recovery principles. The importance of evaluating this educational provision has been emphasized; however, there has been little detailed exploration of students’ experiences and perceptions of recovery and learning in the context of recovery education programs. In this article, we present a participatory arts-based inquiry with 14 women, including mental health service users, who undertook a recovery training program to support their roles as mental health support workers in Ireland. Participatory visual analysis revealed three recurring themes; the interrelatedness of learning and recovery journeys, knowledge as a source of stability and rescue and the need for resilience in learning and recovery.

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The impact of mental health support for the chronically ill on hospital utilisation: Evidence from the UK

Social Science & Medicine ◽

10.1016/j.socscimed.2021.114675 ◽

2021 ◽

pp. 114675

Author(s):

Jonathan Gruber ◽

Grace Lordan ◽

Stephen Pilling ◽

Carol Propper ◽

Rob Saunders

Keyword(s):

Mental Health ◽

Chronically Ill ◽

Mental Health Support ◽

Health Support ◽

Hospital Utilisation ◽

The Uk ◽

The Impact

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COVID-19 Suicide Survivors—A Hidden Grieving Population

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.626807 ◽

2020 ◽

Vol 11 ◽

Author(s):

Sara Pinto ◽

Joana Soares ◽

Alzira Silva ◽

Rosário Curral ◽

Rui Coelho

Keyword(s):

Mental Health ◽

Help Seeking ◽

Social Stigma ◽

Complicated Grief ◽

Health Staff ◽

Suicide Survivors ◽

Increased Risk ◽

Mental Health Support ◽

Health Support ◽

The Impact

Present time has been dominated by the COVID-19 pandemic. People are grieving several non-death related situations: the loss of a job, of a status, of a role, of their life. Restrictive measures and uncertainty about the future makes individuals vulnerable to feelings of hopelessness and helplessness. Mental health support has been hindered and teams are reinventing themselves to reach people in need. Nevertheless, decompensation of previous psychiatric disorders, increasing levels of depression and anxiety, economical handicaps and fear of the infection, are prompting several cases of COVID-19 related suicides worldwide. Every suicide affects between 5 and 80 individuals, which are known as suicide survivors. Suicide grief is particularly challenging, with rates of complicated grief as high as 40%. Suicide survivors are at increased risk of developing depression, anxiety disorders and of suicidal behaviors. Moreover, feelings of guilt and shame, as well as social stigma, are major obstacles for them to reach form help. This article aims to review the existing literature on COVID-19 related suicides, complicated grief in suicide survivors and highlight modifiable risk factors for both conditions, as well as propose some public health measures to reduce the impact of the pandemic context on self-inflicted harm and its consequences on families, friends and the community. Obstacles to access to mental health support need to be overcome through the use of technology. Technicians should actively approach populations more vulnerable to develop suicidal ideation. Social media have the obligation to provide accurate an non-sensationalistic information. Families and friends should maintain social proximity, despite the need for physical distancing. When a suicide death occurs, police forces and health staff should be prepared to share the news with the family using an empathic and humane approach and providing psychological support. Funerals, memorials and other services should be held as much as possible. Closer contacts should be signalized and closely followed in order to detect the need for specific interventions. Help seeking behaviors should be promoted. Additionally, people should be educated on suicide and its impacts, in order to reduce stigma.

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The Psychological Impact of Coronavirus on University Students and its Socio-Economic Determinants in Malaysia

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211056217 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110562

Author(s):

Muhammad Irfan ◽

Faizah Shahudin ◽

Vincent J. Hooper ◽

Waqar Akram ◽

Rosmaiza B. Abdul Ghani

Keyword(s):

Mental Health ◽

University Students ◽

Family Income ◽

Psychological Impact ◽

Anxiety Level ◽

Factors Associated ◽

Mental Health Support ◽

Health Support ◽

The Government ◽

The Impact

The objective of this article is to examine the impact of coronavirus disease 2019 (COVID-19) upon university students’ anxiety level and to find the factors associated with the anxiety level in Malaysia. We collected data from 958 students from 16 different universities using an originally designed questionnaire. The Generalized Anxiety Disorder Scale 7-item (GAD-7) was used to estimate the anxiety. Then we applied the ordered logit model to calculate the odds ratios (OR) and factors associated with the anxiety level. We find that 12.3% of students were normal, whereas 30.5% were experiencing mild anxiety, 31.1% moderate anxiety, and 26.1% severe anxiety. Surprisingly, only 37.2% of students were aware of mental health support that was provided by their universities. However, age above 20 years (OR = 1.30), ethnicity Chinese (OR = 1.72), having any other disease (OR = 2.0), decreased family income (OR = 1.71), more time spent on watching COVID-19-related news (OR = 1.52), and infected relative or friends (OR = 1.62) were risk factors for anxiety among students. We conclude that the government of Malaysia should monitor the mental health of the universities’ students more closely and universities should open online mental health support clinics to avoid the adverse impacts of anxiety.

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The psychological impact of coronavirus on university students and its socio-economic determinants in Malaysia

10.1101/2020.10.27.20220723 ◽

2020 ◽

Author(s):

Muhammad Irfan ◽

Faizah Shahudin ◽

Vincent James Hooper ◽

Waqar Akram ◽

Rosmaiza Binti Abdul Ghani

Keyword(s):

Mental Health ◽

Anxiety Disorder ◽

University Students ◽

Family Income ◽

Psychological Impact ◽

Economic Determinants ◽

Mental Health Support ◽

Health Support ◽

The Government ◽

The Impact

AbstractThis article examines the impact of coronavirus disease 2019 (COVID-19) upon university students’ anxiety level and finds the factors associated with the anxiety disorder in Malaysia. We collected data from 958 students from 16 different universities using an originally designed questionnaire. The Generalized Anxiety Disorder Scale 7-item (GAD-7) was used to estimate the anxiety. We find that 12.3% students were normal, whereas 30.5% were experiencing mild, 31.1% moderate, and 26.1% severe anxiety. Surprisingly, only 37.2% of students were aware of mental health support which was provided by their universities. Moreover, it was found that gender as male (Odds Ratio (OR= 0.798, 95% Confidence Interval (CI)= 0.61 - 1.04)) and having internet access (OR = 0.44, 95% CI= 0.24 - 0.80) were alleviating factors for the anxiety. Whereas, age above than 20 years (OR= 1.30, 95% CI= 0.96 - 1.75), ethnicity Chinese (OR=1.72, 95% CI= 0.95 - 3.1), any other disease (OR=2.0, 95% CI=1.44 - 2.79), decreased family income (OR=1.71, 95% CI=1.34 - 2.17), more time spent on watching COVID-19 related news (OR=1.52, 95% CI=1.17 - 1.97), and infected relative or friends (OR=1.62, 95% CI=1.06 - 2.50) were risk factors for anxiety among students. We suggest that the government of Malaysia should monitor the mental health of the universities’ students more closely and universities should open online mental health support clinics to avoid the adverse impacts of the anxiety disorder.

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Self-harm presentations to Emergency Departments and Place of Safety during the ‘first wave’ of the UK COVID-19 pandemic: South London and Maudsley data on service use from February to June 2020

10.1101/2020.12.10.20247155 ◽

2020 ◽

Author(s):

Eleanor Nuzum ◽

Evangelia Martin ◽

Gemma Morgan ◽

Rina Dutta ◽

Christoph Mueller ◽

...

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Health Service ◽

Service Use ◽

Substantial Impact ◽

Mental Health Support ◽

Self Harm ◽

Health Support ◽

Clinical Records ◽

The Impact

AbstractThe lockdown and social distancing policy imposed due to the COVID-19 pandemic has had a substantial impact on both mental health service delivery, and the ways in which people are accessing these services. Previous reports from the South London and Maudsley NHS Trust (SLaM; a large mental health service provider for around 1.2m residents in South London) have highlighted increased use of virtual contacts by mental health teams, with dropping numbers of face-to-face contacts over the first wave of the pandemic. There has been concern that the impact of the COVID-19 pandemic would lead to higher mental health emergencies, particularly instances of self-harm. However, with people advised to stay at home during the ‘first wave’ lockdown, it is as yet unclear whether this impacted mental health service presentations. Taking advantage of SLaM’s Clinical Records Interactive Search (CRIS) data resource with daily updates of information from its electronic mental health records, this paper describes overall presentations to Emergency Department (ED) mental health liaison teams, and those with self-harm. The paper focussed on three periods: i) a pre-lockdown period 1st February to 15th March, ii) a lockdown period 16th March to 10th May and iii) a post-lockdown period 11th May to 28th June. In summary, all attendances to EDs for mental health support decreased during the lockdown period, including those with self-harm. All types of self-harm decreased during lockdown, with self-poisoning remaining the most common. Attendances to EDs for mental health support increased post-lockdown, although were only just approaching pre-lockdown levels by the end of June 2020.

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Impact of Stigma in Covid-19 Patient: A Litteratur Review

JOURNAL FOR QUALITY IN PUBLIC HEALTH ◽

10.30994/jqph.v4i1.133 ◽

2020 ◽

Vol 4 (1) ◽

pp. 161-164

Author(s):

Arif Nurma Etika ◽

Endang Mei Yunalia ◽

Erik Irham Lutfi ◽

Wiwin Sulisyawati

Keyword(s):

Mental Health ◽

Mortality Rate ◽

Literature Review ◽

Search Engine ◽

Health Workers ◽

Negative Impact ◽

High Virulence ◽

Mental Health Support ◽

Health Support ◽

The Impact

Background: Covid - 19 is a disease that has a high virulence so it is easily transmitted, even now it has become a pandemic. Because the impact is mainly for people who have comorbid and also the mortality rate in patients and misleading media, so many people who give stigma to patients and their families. The stigma given to patients suffering from Covid-19 is thought to have a significant impact on the patient. Purpose: Aim of this study to analyze the impact of stigma on patients with Covid-19 Methods: the method used in writing this article is literature review. By using the google scholar search engine, Pubmed, DOAJ, Science Dirrect, Research Gate, with the keywords Covid, impact and Stigma, in 2020, the articles that meet the criteria are 6 articles. Results: Based on the existing analysis, it was found that stigma, both internal stigma and external stigma can affect the mental health of patients with co-19, in addition to other impacts also caused among them are socioeconomic problems Conclusion: It is recommended for health workers to provide mental health support for patients with Covid-19, in addition it is also necessary to have a policy that minimizes the negative impact caused

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Understanding Mental Health: What Are the Issues for Black and Ethnic Minority Students at University?

Social Sciences ◽

10.3390/socsci7100196 ◽

2018 ◽

Vol 7 (10) ◽

pp. 196 ◽

Cited By ~ 10

Author(s):

Jason Arday

Keyword(s):

Mental Health ◽

Ethnic Minority ◽

Minority Students ◽

Ethnic Minorities ◽

Racial Inequality ◽

Culturally Appropriate ◽

Mental Health Support ◽

Health Support ◽

The Impact ◽

Culturally Appropriate Services

Black and Minority Ethnic (BME) communities continue to experience inequalities within the United Kingdom (UK) mental health system despite major government policy initiatives. Access to higher education for many ethnic minorities remains problematic. Within higher education, BME students consistently face barriers in terms of accessing culturally appropriate services including a lack of cultural understanding, communication issues, and where and how to seek help. This paper attempts to address the problems facing ethnic minorities with regard to accessing mental health services at university. Importantly, this paper highlights that barriers to accessing mental health support for ethnic minorities directly impact upon attainment outcomes and psychological well-being. This study utilizes the narratives of 32 BME university students to examine the impact of negotiating racial inequality and discrimination at university and the impact upon mental health. Aspects examined considered the impact of belonging, isolation, and marginalization on mental health and how this consequently affects university participation for BME students. Utilizing a thematic analysis paradigm, the key findings presented point towards differential healthcare outcomes for ethnic minority university students experiencing mental illness. The empirical findings in this paper suggest that currently ethnic minority service users experience overt discrimination and a lack of access to culturally appropriate services that are cognizant of the racialized plights faced by BME individuals. These findings inform an overarching dialogue, which suggests that mental health service providers need to work more collegially with people from BME communities prior to service design and delivery. Furthermore, the findings suggest that, upon presenting mental health issues, information should be made available in appropriate languages for ethnic minorities to support understanding about their illnesses and how they can seek professional intervention and help. Conclusions and recommendations provided advocate greater diversification of mental health support systems for ethnic minority students within universities. Conclusions drawn will also consider how existing systems can function to dismantle racial inequality within the mental health profession.

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