scholarly journals Psychiatric Symptomatology in Medical Students in Lebanon: What about us?

2021 ◽  
Author(s):  
Alfred Chabbouh ◽  
Carmen Al Haddad ◽  
Grace El Bejjani ◽  
Vanessa Daou ◽  
Michele Chahoud
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Psychiatric Symptoms ◽  
Healthcare Providers ◽  
Private University ◽  
Additional Stress ◽  
Psychiatric Symptomatology ◽  
Dsm 5 ◽  
Being Bullied ◽  
Level 1

Medical students are an at-risk population to develop mental health disorders, especially students in Lebanon who are facing constant additional stress due to the volatile situation in the country. The present study used the APA’s DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure – Adult to screen for psychiatric symptoms in 12 different domains. Out of the sample of 364 students from all universities in Lebanon, only 5.2% had already a psychiatric diagnosis. Of the non-diagnosed subpopulation, a massive percentage of 92.75% screened positive and subsequently, were in need of further mental health evaluation. Roughly half of the participants described the existence of barriers for them to seek mental health services, finances and stigma being major reasons. Predictors of a more severe screen were being from a private university and previously being bullied. The situation in medical schools in Lebanon is profoundly alarming. Shouldn’t the health of future healthcare providers be a priority?

scholarly journals College student mental health: An evaluation of the DSM–5 self-rated Level 1 cross-cutting symptom measure.

2018 ◽  
Vol 30 (10) ◽  
pp. 1382-1389 ◽  
Author(s):  
Adrian J. Bravo ◽  
◽  
Margo C. Villarosa-Hurlocker ◽  
Matthew R. Pearson
Keyword(s):  
Mental Health ◽  
College Student ◽  
Student Mental Health ◽  
Dsm 5 ◽  
College Student Mental Health ◽  
Level 1

scholarly journals The DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure identifies high levels of coexistent psychiatric symptomatology in patients referred for insomnia treatment

2018 ◽  
Vol Volume 10 ◽  
pp. 377-383 ◽  
Author(s):  
Hailey Meaklim ◽  
John Swieca ◽  
Moira Junge ◽  
Irena Laska ◽  
Danielle Kelly ◽  
...  
Keyword(s):  
Psychiatric Symptomatology ◽  
Dsm 5 ◽  
Insomnia Treatment ◽  
Level 1

scholarly journals Homeless Shelter Users in the Postdeinstitutionalization Era

2000 ◽  
Vol 45 (1) ◽  
pp. 55-62 ◽  
Author(s):  
HL Stuart ◽  
J Arboleda-Flórez
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Risks ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
Community Action ◽  
Homeless Shelter ◽  
Psychiatric Symptomatology ◽  
Public Health Risks ◽  
Wide Range

Objective: To describe the psychiatric symptomatology and mental health service needs of homeless shelter users in Calgary, Alberta. Data were collected as part of a broad-based community action initiative designed to reduce the problem of homelessness. Methods: A semistructured interview was conducted with a representative sample of 250 emergency shelter users. Mental health problems were measured through self-reports of 9 psychiatric symptoms known to be related to illnesses prevalent among homeless populations (depression, anxiety, and psychoses). The CAGE alcohol screen was also used. Results: Three-quarters of the sample expressed some symptomatology. About one-third were estimated to have a significant mental health problem. The lifetime prevalence of alcohol abuse was 33.6%. Higher levels of psychiatric symptomatology appeared to relate to a wide range of hardships, personal and public health risks, addictive behaviours, victimization, economic and interpersonal life events, dissatisfaction, and stress. Also, those with significant symptomatology frequently needed mental health care services but often did not know where to access them. Conclusions: The prevalence of mental health and substance abuse problems within homeless populations is significant and associated with considerable hardship as well as personal and public health risks.

733 PTSD and Sleep Disorders in Medical Learners and Healthcare Providers

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A286-A286
Author(s):  
Meagan Tinsley ◽  
Grace Hunt ◽  
Mark Alvarez ◽  
Rachel Gremillion ◽  
Allison Jumonville ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Healthcare Providers ◽  
Educational Experience ◽  
Average Score ◽  
Survey Tool ◽  
Email Address ◽  
Minimum Score ◽  
Physical Consequences ◽  
The Impact

Abstract Introduction Medical student mental health and wellness has been an increasingly hot topic over the past decade. Much of the research, however, has remained focused more on anxiety and depression and less on other less common but just as detrimental mental health disorders such as PTSD, bipolar disorder, OCD and others. In addition to the more traditional psychological stresses medical students experience, they also experience physical consequences of their training, often with sleep patterns suffering most initially. Methods The questionnaire consists of thirty-five questions, compromising of demographic questions, questions relating to USMLE exams and education, the STOP-Bang Questionnaire, Epworth Sleepiness Scale, Fatigue Severity Scale and PTSD DSM-V Questionnaire. This survey was sent out between March and April of 2020 and was distributed to all medical students and residents with an LSU Health Shreveport email address via RedCAP, an encrypted electronic survey tool. Results A total of 78 participants responded to our survey, with 91.1% identifying as medical students and the rest as residents. 64.1%, identified as female, 34.6% identified as male and 1.3% declined to answer. While 43% of our participants found their educational experience emotionally traumatizing, 75% of them felt that preparing and/or taking USMLE exams was emotionally traumatizing. In regards the portions of our questionnaire that served as sleep disorder screening questions, the average score for the STOP-Bang was 1.48 (SD +/- 1.15) the average score for the ESS was 6.85 (SD +/- 4.72) and the average score for the FSS was 32.04 (SD +/- 11.99). It should be noted that, while the average score of the PTSD screening portion was 20.34 (SD +/- 17.47), 18 participants scored above 38, the minimum score needed to qualify for a PTSD diagnosis. Conclusion These results suggest some correlations that warrant further future study. It is worrisome that while less than half of our participants stated their educational experience as harrowing, 75% stated preparing for and/or taking these required exams was emotionally traumatizing. The possible connections suggested here between USMLE exams and an increase in fatigue, lack of motivation and PTSD symptoms urge us to look more closely at the impact of the USMLE. Support (if any):

scholarly journals Identifying the Factor Structure of the DSM-5 Level 1 Cross-Cutting Symptom Measure

2021 ◽  
Author(s):  
Alison Gibbons ◽  
Cristan Farmer ◽  
Jacob S Shaw ◽  
Joyce Y Chung
Keyword(s):  
Mental Health ◽  
Factor Structure ◽  
Health Impact ◽  
Future Research ◽  
Calendar Time ◽  
Factor Solution ◽  
Confirmatory Factor Analyses ◽  
Dsm 5 ◽  
Level 1 ◽  
Research Populations

The DSM-5 Level 1 Cross-Cutting Symptom Measure (DSM-XC) is a transdiagnostic mental health symptom measure that has shown promise in informing clinical diagnostic evaluations and as a screening tool for research. However, few studies have assessed the latent dimensionality of the DSM-XC or provided guidance on how to score the survey. In this report, we examined the factor structure of the DSM-XC in a sample of over 3500 participants enrolled in a protocol on the mental health impact of COVID-19 conducted through the National Institute of Mental Health Intramural Research Program (NIMH IRP) (ClinicalTrials.gov identifier: NCT04339790). We began by conducting an exploratory factor analysis (EFA) to identify the best solution for our data, and then employed a confirmatory factor analyses (CFAs) to evaluate the fit of the two-factor solution proposed by Lace and Merz (Lace & Merz, 2020), the fit of our proposed solution, and the measurement invariance of our proposed solution across age, sex, and calendar time. We found a six-factor solution stemming from our EFAs to best fit our data. Each factor captures symptoms related to a specific construct of psychopathology: mood, worry, activation, somatic, confusion, and substance use. Future research should evaluate this six-factor structure using additional datasets to confirm its consistency across research populations and settings.

Met and unmet needs among adults with mild to moderate intellectual disability with and without mental health problems

2020 ◽  
Author(s):  
Matthias Schützwohl
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Unmet Needs ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
Health Problems ◽  
Service Planning ◽  
Support Needs ◽  
Behaviour Problem ◽  
Prevalence Rates

Background: People with an intellectual disability (ID) show a great number and complex constellation of support needs. With respect to the planning of services, it is important to assess needs at the population level. ID services need to know to what extent support needs of clients with mental health problems differ from support needs of clients without any mental health problem.Aims: The aim of this study was to compare the prevalence rates of needs in relevant study groups. Methods: Data was generated from the MEMENTA-Study (“Mental health care for adults with intellectual disability and a mental disorder”). The Camberwell Assessment of Need for Adults with Intellectual Disabilities (CANDID) was used to assess met und unmet support needs. Data was available for n=248 adults with mild to moderate ID.Results: Mean total number of needs and unmet needs was associated with mental health status. However, in most particular areas under study, individuals without significant psychiatric symptoms or any behaviour problem needed as much as often help as individuals with such mental health problems. A higher rate of need for care among study participants with significant psychiatric symptoms or any behaviour problem was mainly found with regard to these specific areas (“minor mental health problems”, “major mental health problems”, “inappropriate behaviour”) or with regard to closely related areas (“safety of others”).Conclusions: Differences in prevalence rates mainly occurred in such areas of need that rather fall under the responsibility of mental health services than under the responsibility of ID services. This has implications for service planning.

Comparative characteristics of educational stress and mental health of senior medicine students at different universities (results of an interregional study)

2020 ◽  
pp. 34-46
Author(s):  
Victoria Ruzhenkova ◽  
Irina Sheremet’eva ◽  
Viktor Ruzhenkov
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
The State ◽  
Panic Attacks ◽  
Stress Factors ◽  
Anxiety And Depression ◽  
State University ◽  
The Future ◽  
Training Stress ◽  
Medical University

Stress negatively affects the mental health of students, causes anxiety and depression, leads to poor academic performance, lowers level of professional training and success in the future. The purpose of the research is to study the state of mental health of medical students to develop recommendations for the prevention of maladaptation. Materials and methods. 252 5-year students aged 20–29 (22 ± 1,1) years, 168 (66,7 %) females and 84 (33,3 %) males (137 students of Belgorod State University and 115 of Altay State Medical University (ASMU)) were examined by medico-sociological and psychometric methods. Results. It was established that every fifth student of the Belgorod State University and every third of the ASMU did not enter the medical university on their own initiative. Less than half (43 %) of Belgorod State University students and 30.4 % of the ASMU ones are convinced that the choice of profession was correct, 35 and 37.4 % are, consequently, completely disappointed with it. Students of Belgorod State University dealt with training stress factors poorer and, as a result, have more pronounced mental symptoms of training stress, difficulties in organizing the daily regimen, irregular nutrition, and fear of the future. Regardless of the region of studying, the number of students not committed to the medical profession, after 5 years of study, is more than 3 times higher among those who enter the university not on their own initiative. Students of the ASMU hit substances, skipped classes, played computer games and took sedative drugs more often to overcome academic stress. The degree of anxiety before the exams in students of Belgorod State University was higher (9 points) than in their peers from the State Medical University (7 points). An extremely high (8–10 points) level of anxiety before exams was characteristic of 75,9 and 44,3 % of students, respectively. The former were more likely to experience clinically significant panic attacks: 27,7 and 6,1 %. Conclusion. Given the high incidence of social phobia (19,1–24,1 %), depression (22,6–32,2 %) and anxiety (21,9– 27,8 %) among medical students, the development and implementation of psycho-correctional programs aimed at the formation of adaptive ways to overcome stress, reduce anxiety and depression is required. This will prevent the development of psychosomatic disorders and addictions.

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