Perceived Mental Health Status and Health Outcomes of Individuals with Self-Reported Mental Disorders

ObjectiveThis study aims to assess and compare demographic and psychological factors and sleep status of frontline healthcare workers (HCWs) in relation to non-frontline HCWs.Design, settings, participants and outcomesThis cross-sectional study was conducted from 8 April 2020 to 17 April 2020 using an online survey across varied healthcare settings in Oman accruing 1139 HCWs.The primary and secondary outcomes were mental health status and sociodemographic data, respectively. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), and insomnia was evaluated by the Insomnia Severity Index. Samples were categorised into the frontline and non-frontline groups. χ2 and t-tests were used to compare groups by demographic data. The Mantel-Haenszel OR was used to compare groups by mental health outcomes adjusted by all sociodemographic factors.ResultsThis study included 1139 HCWs working in Oman. While working during the pandemic period, a total of 368 (32.3%), 388 (34.1%), 271 (23.8%) and 211 (18.5%) respondents were reported to have depression, anxiety, stress and insomnia, respectively. HCWs in the frontline group were 1.5 times more likely to report anxiety (OR=1.557, p=0.004), stress (OR=1.506, p=0.016) and insomnia (OR=1.586, p=0.013) as compared with those in the non-frontline group. No significant differences in depression status were found between the frontline and non-frontline groups (p=0.201).ConclusionsTo our knowledge, this is the first study to explore the differential impacts of the COVID-19 pandemic on different grades of HCWs. This study suggests that frontline HCWs are disproportionally affected compared to non-frontline HCWs, with managing sleep–wake cycles and anxiety symptoms being highly endorsed among frontline HCWs. As psychosocial interventions are likely to be constrained owing to the pandemic, mental healthcare must first be directed to frontline HCWs.

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Does service timing matter for psychological outcomes in cardiac rehabilitation? Insights from the National Audit of Cardiac Rehabilitation

European Journal of Preventive Cardiology ◽

10.1177/2047487317740951 ◽

2017 ◽

Vol 25 (1) ◽

pp. 19-28 ◽

Cited By ~ 7

Author(s):

Jennifer Sumner ◽

Jan R Böhnke ◽

Patrick Doherty

Keyword(s):

Mental Health ◽

Health Status ◽

Health Outcomes ◽

Cardiac Rehabilitation ◽

Depression Scale ◽

Wait Time ◽

Mental Health Status ◽

Mental Health Outcomes ◽

Anxiety And Depression ◽

National Audit

Background The presence of mental health conditions in cardiac rehabilitation (CR) patients such as anxiety and depression can lead to reduced programme adherence, increased mortality and increased re-occurrence of cardiovascular events undermining the aims and benefit of CR. Earlier research has identified a relationship between delayed commencement of CR and poorer physical activity outcomes. This study wished to explore whether a similar relationship between CR wait time and mental health outcomes can be found and to what degree participation in CR varies by mental health status. Methods Data from the UK National Audit of Cardiac Rehabilitation, a dataset that captures information on routine CR practice and patient outcomes, was extracted between 2012 and 2016. Logistic and multinomial regression models were used to explore the relationship between timing of CR and mental health outcomes measured on the hospital anxiety and depression scale. Results The results of this study showed participation in CR varied by mental health status, particularly in relation to completion of CR, with a higher proportion of non-completers with symptoms of anxiety (5% higher) and symptoms of depression (8% higher). Regression analyses also revealed that delays to CR commencement significantly impact mental health outcomes post-CR. Conclusion In these analyses CR wait time has been shown to predict the outcome of anxiety and depression status to the extent that delays in starting CR are detrimental. Programmes falling outside the 4-week window for commencement of CR following referral must strive to reduce wait times to avoid negative impacts to patient outcome.

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Gender Differences in the Prevalence of Mental Health, Psychological Distress and Psychotropic Medication Consumption in Spain: A Nationwide Population-Based Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126350 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6350

Author(s):

Clara Maestre-Miquel ◽

Ana López-de-Andrés ◽

Zichen Ji ◽

Javier de Miguel-Diez ◽

Arturo Brocate ◽

...

Keyword(s):

Mental Health ◽

Gender Differences ◽

Psychological Distress ◽

Health Status ◽

Mental Disorders ◽

Psychotropic Drug ◽

Smoking Habit ◽

Mental Health Status ◽

Drug Consumption ◽

Self Rated Health

Background: To assess gender differences in the prevalence of self-reported mental disorders, psychological distress and psychotropic drug consumption, and to identify sociodemographic and health-related variables associated with these conditions in the male and female population (aged ≥ 18 years). Methods: A cross-sectional study was carried on 22,141 subjects aged 18 and over, using data from the Spanish National Health Interview Survey 2017. Results: We found an overall prevalence of mental disorders, psychological distress and psychotropic drug consumption of 13.8%, 18.3% and 13.9%, respectively. After multivariable adjustment, women showed significantly increased probabilities of 1.74-fold for mental disorders, 1.26-fold for psychological distress and 1.26-fold for psychotropic drug consumption compared to men. Variables such as gender, age, nationality, marital status, educational level, self-rated health, the presence of different chronic disorders, alcohol consumption and smoking habit were independently associated with mental disorders, psychological distress and psychotropic drug consumption. Several variables showed a differential effect on mental health status and psychotropic drug consumption according to gender. Conclusions: Women suffer from mental disorders, experience psychological distress and consume psychotropic drugs significantly more than men in Spain. Possible explanations for these results may be related to differences in emotional processing, willingness to report diseases and even intrinsic biological traits. Screening for mental health status and psychotropic drug consumption should be considered, particularly in Spanish women, younger adults and individuals who are not married, are obese, have poor self-rated health, suffer from chronic diseases or have a smoking habit.

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A Survey on Mental Health Status and Related Factors among Cancer Patients in Iran

10.21203/rs.2.11682/v1 ◽

2019 ◽

Author(s):

masood taheri ◽

Mahnaz Afshari ◽

saeede alidoost ◽

Hassan Abolghasem Gorji ◽

Amir Rakhshan

Keyword(s):

Mental Health ◽

Health Status ◽

Mental Disorders ◽

Psychiatric Disorders ◽

Cancer Patients ◽

Mental Health Status ◽

Related Factors ◽

Cross Sectional ◽

Research Population ◽

Treatment Plans

Abstract Background Cancer is one of the most common non-communicable diseases and the second cause of death in Iran. The progress in medical technologies and treatment plans has caused the patients to live longer; however, these patients are confronted with psychological challenges and their mental health is influenced because of different reasons. This study is carried out to investigate the mental health status of the cancer patients in the Center for Specific Diseases. Methods The present research is a cross-sectional, descriptive, and analytic study carried out in 2018 in Tehran province, Iran. In the present study, the mental health of the cancer patients referring to the Center for Specific Diseases in Tehran was evaluated in one setting, and no intervention was provided. The research population included 124 cancer patients of Tehran referring to the Center for Specific Diseases. Results the overall prevalence of psychiatric disorders in patients under study was 50%. The highest sensitivity to mental disorders in each of the variables was related to men (52.7%), patients aging 40-55 (45.7%), married (51.5%), unemployed (62.5%), and illiterate patients (80%). The findings of this study indicated that there is no statistically significant relationship between the prevalence of psychiatric disorders among patients with cancer and the variables in the study. Conclusions The results of this study indicated a high prevalence of depression disorder among cancer patients. Psychosocial stresses caused by cancer cause mental disorders, including depression in patients.

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The Association Between Mental Health of HIV Patients and Antiretroviral Medication Adherence

international journal high risk behaviors & addiction ◽

10.5812/ijhrba.102149 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Mohammadreza Heydari ◽

Morteza Mehraeen ◽

Parisa Keshani ◽

Marjan Faghih

Keyword(s):

Mental Health ◽

Health Status ◽

Medication Adherence ◽

Mental Disorders ◽

Low Income ◽

Female Gender ◽

Mental Health Status ◽

Aids Patients ◽

Antiretroviral Medication ◽

Hiv Aids

Background: Various factors, like mental disorders, may affect the desire for medication and adherence in HIV/AIDS patients. Objectives: The present study aimed to determine levels of neurotic disorders and associations of disorders level and HAART medication adherence in HIV/AIDS patients. Patients and Methods: Finally, 150 patients of Behavioral Disease Counseling Center of Shiraz were selected by a convenience method and were evaluated by Symptom Checklist-25 (SCL-25) and Medication Adherence Questionnaire (MAQ). Results: Seventy-eight percent of patients had normal mental health status. Also, 83% had very good medication adherence. Female gender, single or divorced, and working in temporary and low-income jobs were associated with decreased mental health status. Higher age and education were associated with increased adherence. Anxiety was the most common and effective disorder. Decreased mental health' status was shown to reduce drug adherence. Conclusions: Treatment of mental disorders, particularly anxiety, can be one of the most effective ways to increase drug compliance in HIV/AIDS patients.

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Social participation, inclusion and mental well-being following SARS-CoV-2 related lockdown restrictions in adults with and without mental disorders. Results from a follow-up study in Germany

10.31234/osf.io/6svxw ◽

2020 ◽

Author(s):

Matthias Schützwohl ◽

Eduard Mergel

Keyword(s):

Mental Health ◽

Health Status ◽

Mental Disorders ◽

Social Participation ◽

Social Inclusion ◽

Well Being ◽

Mental Health Status ◽

Follow Up Study ◽

The Impact

Objectives: In Germany, as in many other countries, several lockdown restrictions were put in place with the aim of curbing the spread of SARS-CoV-2 infections. This study investigated the impact of the coronavirus pandemic and the related lockdown restrictions on opportunities for social participation, social inclusion and psychological well-being for adults with and without mental disorders within a follow-up study based on pre- and post-lockdown assessments. Methods: Study participants (n=132) were assigned to one of three groups, depending on the mental health status at the initial survey. Parameters of interest were assessed using the Measure of Participation and Social Inclusion for Use in People with a Chronic Mental Disorder (F-INK), the Index for the Assessment of Health Impairments (IMET), and the Brief Symptom Inventory (BSI-18).Results: The impact on opportunities for social participation and social participation considerably differed depending on the participants’ mental health status at the first assessment. Independent of this, we found no detrimental effects on the psychological well-being of participants four weeks after the implementation of lockdown restrictions.Conclusion: Findings imply a general resilience in well-being during the preliminary stages of the coronavirus pandemic. This result adds to the growing number of existing studies which show a heterogeneous pattern overall and especially in international comparison. Further follow-up studies with larger samples should address the divergent effects. Besides, efforts are needed to improve social participation and inclusion opportunities that are severely impaired for individuals with chronic mental disorders regardless of lockdown or physical distancing restrictions.

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Mental Health Status, Health Care Utilisation, and Service Satisfaction among Immigrants in Montreal: An Epidemiological Comparison

The Canadian Journal of Psychiatry ◽

10.1177/0706743716677724 ◽

2016 ◽

Vol 62 (8) ◽

pp. 570-579 ◽

Cited By ~ 18

Author(s):

Rob Whitley ◽

JiaWei Wang ◽

Marie-Josee Fleury ◽

Aihua Liu ◽

Jean Caron

Keyword(s):

Mental Health ◽

Health Status ◽

Mental Disorders ◽

Health Service ◽

Emotional Problems ◽

Mental Health Status ◽

Health Service Utilisation ◽

Service Satisfaction ◽

Service Utilisation ◽

Time Points

Objective: To examine variations between immigrants and nonimmigrants in 1) prevalence of common mental disorders and other mental health variables; 2) health service utilisation for emotional problems, mental disorders, and addictions, and 3) health service satisfaction. Methods: This article is based on a longitudinal cohort study conducted from May 2007 to the present: the Epidemiological Catchment Area Study of Montreal South-West (ZEPSOM). Participants were followed up at 4 time points (T1, n = 2433; T4, n = 1095). Core exposure variables include immigrant status (immigrant vs. nonimmigrant), duration of residence, and region of origin. Key outcome variables included mental health status, health service utilisation, and health service satisfaction. Data were analysed both cross-sectionally and longitudinally. Results: Immigrants had been in Canada for 20 years on average. Immigrants had significantly lower rates of high psychological distress (32.6% vs. 39.1%, P = 0.016), alcohol dependence (1.4% vs. 3.9%, P =0.010), depression (5.2% vs. 9.2%, P = 0.008), and various other mental disorders. They had significantly higher scores of mental well-being (48.9 vs. 47.1 score, P = 0.014) and satisfaction with social (34.0 vs. 33.4 score, P = 0.021) and personal relationships (16.7 vs. 15.6 score, P < 0.001). Immigrants had significantly lower rates of health service utilisation for emotional problems, mental disorders, and addictions and significantly higher rates of health service satisfaction at all time points. Asian and African immigrants had particularly low rates of utilisation and high rates of satisfaction. Conclusions: Immigrants had better overall mental health than nonimmigrants.

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A Survey on Mental Health Status and Related Factors among Cancer Patients in Iran

10.21203/rs.2.11899/v1 ◽

2019 ◽

Author(s):

masood taheri ◽

mahnaz afshari ◽

saeede alidoost ◽

hassan abolghasem gorji ◽

amir rakhshan

Keyword(s):

Mental Health ◽

Health Status ◽

Mental Disorders ◽

Psychiatric Disorders ◽

Cancer Patients ◽

Mental Health Status ◽

Related Factors ◽

Cross Sectional ◽

Research Population ◽

Treatment Plans

Abstract Background: Cancer is one of the most common non-communicable diseases and the second cause of death in Iran. The progress in medical technologies and treatment plans has caused the patients to live longer; however, these patients are confronted with psychological challenges and their mental health is influenced because of different reasons. This study is carried out to investigate the mental health status of the cancer patients in the Center for Specific Diseases. Methods: The present research is a cross-sectional, descriptive, and analytic study carried out in 2018 in Tehran province, Iran. In the present study, the mental health of the cancer patients referring to the Center for Specific Diseases in Tehran was evaluated in one setting, and no intervention was provided. The research population included 124 cancer patients of Tehran referring to the Center for Specific Diseases. Results: the overall prevalence of psychiatric disorders in patients under study was 50%. The highest sensitivity to mental disorders in each of the variables was related to men (52.7%), patients aging 40-55 (45.7%), married (51.5%), unemployed (62.5%), and illiterate patients (80%). The findings of this study indicated that there is no statistically significant relationship between the prevalence of psychiatric disorders among patients with cancer and the variables in the study. Conclusions: The results of this study indicated a high prevalence of depression disorder among cancer patients. Psychosocial stresses caused by cancer cause mental disorders, including depression in patients.

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Social Mental Health during COVID-19 Pandemic in Iran: A cross-sectional study among the general population of Razavi Khorasan province, Iran

10.32592/ircmj.2021.23.11.1010 ◽

2021 ◽

Keyword(s):

Mental Health ◽

Health Status ◽

General Population ◽

Mental Disorders ◽

Online Survey ◽

Physical Symptoms ◽

Current Situation ◽

Mental Health Status ◽

Depression Symptoms ◽

Snowball Sampling

Background: The potential impact of the novel coronavirus pandemic on social mental health has become a great concern and the current situation can cause different mental disorders. According to the importance of mental health, we performed this study to evaluate the mental health status of the general population of Iran in Razavi Khorasan province. Methods: The online survey was conducted and made available for the general population of Razavi Khorasan through the snowball sampling technique within a week. the demographic information, contact history with COVID-19, and physical symptoms history of COVID-19 were collected by the survey. To maintain the population's mental health status, the Depression, Anxiety, and Stress Scale (DASS-21) were used. Filling the online survey by a maximum of two members of a family was considered to reduce the risk of bias. Results: Finally, 461 responders from Razavi Khorasan province were included in this study. In total, 41.8% of responders investigated the depression symptoms, 32.1% were in anxiety mood and 34.5% had stress symptoms. The ratio of men to women was approximately 1:2. Most responders were in the of 30-40 years and the most frequent marital status was being single. Families with 3-5 members were organized the 81.5% of responders. Near one-third of the studied population was in bachelor as educational status. Conclusion: According to our study paying attention to the general population’s mental health status is important during the COVID-19 pandemic and conducting protocols to prevent or reduce the risk of mental disorders that can be caused by the current situation.

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Prevalence of Emotional Disorders Among Students of University of Medical Sciences; Iran

The Open Psychology Journal ◽

10.2174/1874350101407010029 ◽

2014 ◽

Vol 7 (1) ◽

pp. 29-32 ◽

Cited By ~ 1

Author(s):

Valiollah Akbari ◽

Abbas Hajian ◽

Parisa Damirchi

Keyword(s):

Mental Health ◽

Health Status ◽

Medical Students ◽

Mental Disorders ◽

Emotional Disorders ◽

General Health Questionnaire ◽

Mental Health Status ◽

Social Dysfunction ◽

Cross Sectional ◽

Medical University

Background: No nation-wide data are available on mental disorders in medical students. Such information can be useful for having a proper approach to and intervention for our students' health condition. Aim: To determine the mental health status in all of the students who study in one medical university. Methods: After invitation of all 790 students, 688 accepted to take part in this cross sectional study. We used the 28-items of General Health Questionnaire (GHQ-28) to evaluate mental health status. Results: Over one third (37.8%) of our participants had mental disorders. There was no difference between genders. Emergency medicine students had the most prevalence of mental disorders (51.4%). The increase in the years of education was associated with that of the risk of involvement. Social dysfunction and depression were more prevalent than somatization and anxiety symptoms. Lower level of graduation was associated with higher depressive symptoms and medical students were at higher risk for social dysfunction. Conclusion: Prevalence rates among the students of the medical university are higher in comparison with the population and needs serial evaluation plans to screen and prevent mental disorders in this part of the population.

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