scholarly journals Impact of COVID-19 pandemic on mental health of general population in Kashmir Valley, India

Author(s):  
Feroz Ahmad Wani ◽  
Rifat Jan ◽  
Mudasir Ahmad

Background: The high morbidity and morbidity associated with epidemics and disasters and economic losses thereof is a high psychosocial risk. Estimation of the burden of mental health issues and recognition of various risk groups will lead to better allocation of resources to prevent the increased burden of psychiatric morbidity during the epidemic.Methods: This was an online survey conducted during COVID-19 pandemic based on self reporting DASS 21 scale.Results: Among the participants 49.5% had depression, 34.8% had anxiety and 22.3% had stress in varying severity from mild to extremely severe forms. Female gender, less age, high level of education and unemployment were the risk factors for increased psychiatric morbidity.Conclusions: There is a dire need to recognize the mental health threat due to COCID-19 pandemic and implement the steps to protect the vulnerable population from it. 

2020 ◽  
pp. 136346152093793
Author(s):  
Pirko Selmo ◽  
Christine Knaevelsrud ◽  
Nabil Mohamad ◽  
Jürgen Rehm

Research on the psychological impact of war on affected populations is important for the planning and provision of interventions. However, most studies that address the effects of political violence have been restricted to Western countries, and even after six years of civil war in Syria, there has been no study addressing its psychological impact on the general population. The present study used an online survey to examine the level of psychological symptoms and correlates of distress in a sample of 387 subjects from different areas of Syria. We used t-tests to compare symptoms across zones with different levels of war activity, and multiple regression models to identify predictors of distress. Results indicate a high level of psychological distress indicative of psychopathology in all regions across the country. Rates were higher in areas with more intensive exposure (‘hot’ zones). Greater symptom severity was associated with living in a hot zone, female gender, older age, the number of potentially traumatic events, daily stressors, and (low) perceived feeling of safety; whereas social support, religiosity, and religious coping were associated with lower levels of symptoms. The elevated levels of mental health problems and direct relation between the level of exposure to violence and poorer mental health point to the need for mental health services. Reducing daily stressors and ensuring safety could contribute significantly to better mental health, although this does not replace the need for evidence-based psychotherapy. The planning and delivery of psychological interventions by NGOs should be informed by issues related to stigma, lack of understanding and acceptance of psychological care.


Author(s):  
Brinda Prasanna Kumar ◽  
Adarsh Eregowda ◽  
Sahana Giliyaru

Background: Outbreak of the 2019 novel Corona virus disease-2019 (COVID-19) pandemic has led to unanticipated psychological impact globally. Mental health of adolescents also requires significant attention. Therefore, this study aims to investigate the psychological stress and anxiety among adolescents in India during the COVID-19 pandemic and identify the most important precursors.Methods: An online survey was undertaken where adolescents in the age group of 10 to 19 years were invited to participate with a self-administered questionnaire. A snowball sampling strategy was used, focusing on recruiting adolescents living in Bangalore, India. Perceived stress scale-4 (PSS-4) and Generalized anxiety disorder-2 (GAD-2) Scale were used. Questionnaires were anonymous to ensure confidentiality and reliability of data. Data collection took place over five daysResults: 156 (52.0%) had a high PSS-4 score of ≥8 and 132 (44.0%) respondents had a high GAD-2 score of ≥3. Female gender and age were found to be statistically significant detrimental factors of stress and anxiety respectively (p<0.05). Academic delay and uncertainty about the future were found to be the most significant causes of perceived psychological distress among adolescents.Conclusions: Majority of the adolescents experienced varying degrees of stress and anxiety due to the COVID-19 outbreak. Our findings have both clinical and policy implications. The findings of our study indicate the need to identify adolescents as high-risk groups to ensure timely targeted psychological interventions and stress mitigating measures.


Author(s):  
Sharmi Bascarane ◽  
Pooja P. Kuppili ◽  
Vikas Menon

Abstract Background Psychiatric disorders are more common among people undergoing cosmetic procedures than the general population and evaluating mental health can be cumbersome for plastic surgeons. We aim to summarize the available literature in this regard and propose an integrated approach to psychiatric assessment and management of mental health issues among this group. Methods Electronic search of MEDLINE, Google Scholar, and PsycINFO databases was done to identify relevant peer-reviewed English language articles from inception till April 2020. Generated abstracts were screened for their eligibility. Included articles were grouped according to their thematic focus under the following headings; prevalence of psychiatric morbidity among clients posted for cosmetic surgery, assessment tools, and management of psychiatric morbidity in relation to undergoing cosmetic surgery. Results A total of 120 articles were reviewed. The prevalence of psychiatric disorder in patients undergoing cosmetic surgery was 4 to 57% for body dysmorphic disorder (BDD); the corresponding figures for depression, anxiety, and personality disorder were 4.8 to 25.8, 10.8 to 22, and 0 to 53%, respectively. A range of tools have been used to assess these disorders and specific measures are also available to assess clinical outcomes following surgery. Screening for these disorders is essential to prevent unnecessary surgical procedures, as well as to ensure timely management of the psychiatric comorbidity. Conclusion Psychiatric morbidity is a common concomitant in cosmetic surgery. A structured and integrated approach to evaluation and management of psychiatric morbidity will help to optimize postsurgical outcomes.


Author(s):  
Catharina Zehetmair ◽  
Valentina Zeyher ◽  
Anna Cranz ◽  
Beate Ditzen ◽  
Sabine C. Herpertz ◽  
...  

Providing refugees with psychosocial support is particularly important considering the high level of mental health problems prevalent in this population. A psychosocial walk-in clinic operating within a state reception and registration center in Germany has been supporting mentally burdened refugees since 2016. This study focused on patients’ perspectives on their mental health burden, the psychosocial walk-in clinic, and future help seeking. We conducted interviews with n = 22 refugees attending the walk-in clinic from March to May 2019. Qualitative analysis focused on the following four topics: (1) mental burden from the patients’ perspective, (2) access to the psychosocial walk-in clinic, (3) perception of counseling sessions, and (4) perception of follow-up treatment. The results show that the majority of interviewees were burdened by psychological and somatic complaints, mostly attributed to past experiences and post-migratory stress. Therapeutic counseling and psychiatric medication were found to be particularly helpful. Most of the participants felt motivated to seek further psychosocial support. Key barriers to seeking psychosocial help included shame, fear of stigma, and lack of information. Overall, the psychosocial walk-in clinic is a highly valued support service for newly arrived refugees with mental health issues.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043397
Author(s):  
Austen El-Osta ◽  
Aos Alaa ◽  
Iman Webber ◽  
Eva Riboli Sasco ◽  
Emmanouil Bagkeris ◽  
...  

ObjectiveInvestigate the impact of the COVID-19 lockdown on feelings of loneliness and social isolation in parents of school-age children.DesignCross-sectional online survey of parents of primary and secondary school-age children.SettingCommunity setting.Participants1214 parents of school-age children in the UK.MethodsAn online survey explored the impact of lockdown on the mental health of parents with school-age children, and in particular about feelings of social isolation and loneliness. Associations between the UCLA Three-Item Loneliness Scale (UCLATILS), the Direct Measure of Loneliness (DMOL) and the characteristics of the study participants were assessed using ordinal logistic regression models.Main outcome measuresSelf-reported measures of social isolation and loneliness using UCLATILS and DMOL.ResultsHalf of respondents felt they lacked companionship, 45% had feelings of being left out, 58% felt isolated and 46% felt lonely during the first 100 days of lockdown. The factors that were associated with higher levels of loneliness on UCLATILS were female gender, parenting a child with special needs, lack of a dedicated space for distance learning, disruption of sleep patterns and low levels of physical activity during the lockdown. Factors associated with a higher DMOL were female gender, single parenting, parenting a child with special needs, unemployment, low physical activity, lack of a dedicated study space and disruption of sleep patterns during the lockdown.ConclusionsThe COVID-19 lockdown has increased feelings of social isolation and loneliness among parents of school-age children. The sustained adoption of two modifiable health-seeking lifestyle behaviours (increased levels of physical activity and the maintenance of good sleep hygiene practices) wmay help reduce feelings of social isolation and loneliness during lockdown.


2021 ◽  
pp. 11-13
Author(s):  
Mruthyunjaya N ◽  
Vaibhavi PS ◽  
Vinod Kulkarni G

Background: The current SARS CoV-2 pandemic has affected the mental health of various sectors of the country while it has also jeopardised the education system. In this background the present study was done to explore the mental health of the nal year medical undergraduate students and their concerns regarding the curriculum. Materials and Methods:An online survey was conducted among the nal year MBBS students in India and psychiatric morbidity was measured by the Depression, Anxiety, and Stress Scale-21. A total of 83 complete responses out of 130 were received and the data was assessed using SPSS software. Results: Out of the 83 study participants, about 34.9% were depressed, about 39.5% and 32.9% were having anxiety and stress, respectively. Sleep disturbances were signicantly associated with depressive symptoms (p value - 0.0001) and those with stress (p value - 0.01) while change in appetite was also signicantly associated with stress (p value - 0.01). Conclusion: The current pandemic has led to growing concerns in the educational sector especially medical education where MBBS students are facing psychological distress along with newer challenges in their academics like distant education as against traditional bedside teaching for acquiring clinical skills.


2021 ◽  
Author(s):  
◽  
Darshani Jai Kumareswaran

<p>The primary aim of this thesis was to understand some of the factors that make an individual more likely to ascribe to conspiracy theories. Ascription to conspiracy theories was conceptualised dimensionally along a continuum labelled Conspiracy Theory Affinity (CTA). Strong CTA reflects both a high level of belief in conspiracy theories and a tendency to create conspiracy theories (conspiracy theorising). To gauge this, I measured level of conspiracy belief, conspiracy pattern perception (conspiracy theory creation), as well as various forms of psychopathology. The findings of the psychopathology study (study 4) suggested that high conspiracy theory affinity individuals are more likely to present with high levels of paranoia, delusion, general mental pathology, as well as a high level and range of schizotypal traits. The conspiracy theory literature has also suggested that a lack of control is germane to development and maintenance of the tendency to believe in conspiracy theories (Abalakina-Paap et al., 1999; Douglas & Sutton, 2008; Groh, 1987; Hofstadter, 1965; Leman, 2007; Newheiser, Farias, & Tausch, 2011; Swami et al., 2013; Sullivan et al., 2010; Whitson & Galinsky, 2008). The literature also suggests that one compensatory strategy commonly used to re-establish a semblance of control is illusory pattern perception. Illusory pattern perception or Apophenia, is when unrelated stimuli (either visual or situational) are perceived to be connected in some meaningful way. Therefore, I also sought to establish if a direct link between illusory pattern perception and CTA actually exists. In studies 1 and 2 I experimentally induced a sense of low control using methods that have proven effective in previous research. The findings of these studies suggested that a lack of control does not necessarily reflect that a person is more likely to engage in conspiracy pattern perception. However, the findings also suggested that when a low level of control is felt by an individual who also has a magical thinking style, they are more likely to demonstrate illusory visual pattern perception. Limitations of these studies and therefore their potential influence on interpretations of the findings were also considered. Another major research aim of this thesis was to elucidate how society perceives conspiracy theorists and how those with strong CTA perceive the label of conspiracy theorist. The findings of two studies (studies 3b and 5) revealed that the majority of respondents considered conspiracy theorists to be characteristically similar to those with current mental health concerns and also convicted criminals, and dissimilar to targets with resolved mental health issues and no current mental health issues (e.g. the average man). In contrast however, those with strong CTA rated the target Conspiracy Theorist significantly more favourably than those with low CTA. Theoretical and clinical implications of these findings across these 5 studies are discussed, and methodological limitations are also acknowledged.</p>


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S288-S289
Author(s):  
Brishti Sengupta ◽  
Pritha Dasgupta

AimsTo survey the effect of COVID-19 on mental health of both medical professionals and the general population, as well as attitudes surrounding the disclosure of mental illness.MethodAn online survey comprised of two questionnaires, one for medical professionals and one for the general population, were conducted via social media. Both questionnaires asked respondents of the effect of COVID-19 on their mental health, and the former asked respondents about the effect of COVID-19 on their patient group's mental health. The questionnaires went on to ask respondents about their attitudes to mental health disclosure in various scenarios, to varying groups of people. The general population group was also asked how they would react if someone else disclosed their mental illness to them.ResultThe questionnaire for the medical professionals gained 62 respondents and the one for the general population had 122 respondents, with responses from multiple nations. Overall, COVID-19 has affected everyone's mental health to a degree, and all groups had reservations about disclosing their mental health issues to others. The medical professionals were especially reluctant to disclose mental illness to their patients, but were more comfortable when it came to disclosing mental illness to colleagues. The general population, however, was much more reluctant to disclose mental health issues to their colleagues. The general population were, on the whole, willing to listen to and help anyone who came to them with mental health concerns. Both groups surveyed showed reluctance toward disclosure to the wider community.ConclusionCOVID-19 appears to significantly affect not only physical health, but mental health as well. There is at least some degree of stigma surrounding the disclosure of mental health issues. While most would be happy to help anyone who came to them with their mental health problems, there seems to be an attitude shift when people must contend with mental health issues of their own.


2021 ◽  
pp. 000486742110493
Author(s):  
Olatunde Olayinka Ayinde ◽  
Oluwasemiloore Peace Atere ◽  
Ugonna Ibeawuchi ◽  
Toyin Bello ◽  
Abiola Ogunkoya ◽  
...  

Objectives: Anti-police (#EndSARS) protests took place in October 2020 across several Nigerian cities, resulting in deaths, injuries and loss of property, but the psychological sequelae of these protests have not been studied. Method: In a cross-sectional online survey, we collected data on psychiatric morbidity and potential risk factors from 426 Nigerian social media users, who self-identified as participants or non-participants in a recent anti-police protest. Results: We found elevated rates of psychiatric morbidity, with worse outcomes for protesters compared to non-protesters (psychological distress [44.2% vs 29.8%], depression [26.0% vs 14.9%], anxiety [51.0% vs 29.8%], post-traumatic stress disorder [7.4% vs 1.8%], current substance use [11.2% vs 4.5%] and suicidal ideation [7.1% vs 4.4%], respectively). After adjusting for the effects of COVID-19 pandemic and previous mental health diagnosis, the predictors of poor mental health among non-protesters were being unmarried (odds ratio = 7.4, p = 0.01) and low resilience (odds ratio range = 4.1–5.4, p < 0.03) while for the protesters, the predictors were low resilience (odds ratio range = 2.9–4.7, p < 0.01), being from Northern Nigeria (odds ratio = 4.7, p < 0.01) or residing in Northern Nigeria (odds ratio = 2.8, p = 0.03), being under-/unemployed (odds ratio range = 2.1–2.5, p < 0.04), holding the view that the protest was caused by the state of the economy (odds ratio = 2.0, p = 0.01), belief that the protest had a direct negative impact on the protester (odds ratio = 2.3, p = 0.04) and willingness to participate in future protests (odds ratio = 4.13, p = 0.02). Conclusion: We conclude that participating in the #EndSARS protest was associated with significant psychiatric morbidity. There is need to recognise and address the mental health sequelae of collective actions, and invest in programmes that build resilience and address socio-political determinants of mental health, especially with a focus on youth.


2018 ◽  
Vol 49 (2) ◽  
pp. 335-350 ◽  
Author(s):  
Jialiang Cui ◽  
Limin Mao ◽  
Grenville Rose ◽  
Christy E Newman

Abstract This study explored how social workers located in Sydney and Hong Kong conceptualised client empowerment. Further, it investigated these professionals’ perceived facilitators and barriers to their empowerment practices, based on an ecological framework. A cross-sectional online survey was used, where the original Empowerment Scale for clients with mental health issues was adapted to measure conceptualisation of client empowerment from social workers’ perspectives. Eighty-three social workers serving people with mental health issues (MHIs) in Sydney and eighty in Hong Kong responded. A two-factor model was generated suggesting that practitioners tend to conceptualise client empowerment into two aspects: a relation-based dimension and a resource-oriented one. Compared with their Sydney counterparts, the Hong Kong practitioners considered resource-oriented empowerment as more integral to client empowerment (t(161) = 4.17, p &lt; 0.001). Several key factors were found to be independently associated with endorsement of the two-factor client-empowerment model by practitioners: perceived less support from medical specialists but more support from teams serving the same client, perceived benefits of social work training and, finally, beliefs in the importance of social workers’ role in client empowerment. The study highlights the multiple dimensions of client empowerment and a wide range of inter-professional and sociostructural factors enabling social workers’ practices that support empowerment. Our paper highlights the role of professional empowerment as a stepping stone to enable their client-empowerment practices through policy support and inter-professional collaboration.


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