Postpartum Mood Disorders Screening in the NICU

2016 ◽  
Vol 35 (4) ◽  
pp. 240-242 ◽  
Author(s):  
Patricia Scheans ◽  
Rebecca Mischel ◽  
Margi Munson ◽  
Katya Bulaevskaya
Keyword(s):  
Mental Health ◽  
Mood Disorders ◽  
Systematic Approach ◽  
Family Health ◽  
Well Being ◽  
Health Impacts ◽  
Long Term Outcomes ◽  
Tertiary Referral ◽  
Health And Well Being

AbstractMaternal depression is increasingly recognized as the leading complication of childbearing. A mother’s mental health impacts the well-being and long-term outcomes of her children. This column will discuss a systematic approach to screening for maternal postpartum mood disorders (PPMDs) and referring women to resources according to an established algorithm. This work was undertaken in a tertiary referral NICU and performed by dedicated NICU personnel with the goals of optimizing NICU infants’ outcomes and supporting maternal and family health and well-being.

scholarly journals The effects of the London 2012 Olympics and related urban regeneration on physical and mental health: the ORiEL mixed-methods evaluation of a natural experiment

2018 ◽  
Vol 6 (12) ◽  
pp. 1-248 ◽  
Author(s):  
Steven Cummins ◽  
Charlotte Clark ◽  
Daniel Lewis ◽  
Neil Smith ◽  
Claire Thompson ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Urban Regeneration ◽  
Well Being ◽  
Health Impacts ◽  
Limited Evidence ◽  
London 2012 ◽  
Health And Well Being ◽  
Paralympic Games

Background There is limited evidence for public health policy-makers on the health impacts of urban regeneration programmes. Objectives To assess whether or not the London 2012 Olympic and Paralympic Games, and related urban regeneration, were associated with an increase in physical activity and mental health and well-being; to assess whether or not any benefits were sustained over time; and to capture the experiences of residents of the Olympic host boroughs. Design Quasi-experimental prospective cohort study of adolescents and their parents/carers, with a nested qualitative longitudinal study of families. Setting London boroughs of Newham, Barking and Dagenham, Tower Hamlets and Hackney. Participants A cohort of 2254 adolescents in 25 schools; a repeat cross-sectional study of parents/carers and a sample of 20 families for the qualitative study. Intervention The London 2012 Olympic and Paralympic Games, and urban regeneration primarily associated with the redevelopment of the Olympic Park for legacy use. Primary outcome measures Change in the proportion of respondents meeting physical activity recommendations (using self-reported physical activity); change in the proportion of respondents reporting depression and anxiety and change in well-being score. Main results At 6 months, adolescents who became inactive were less likely to come from the intervention borough (Newham) than from comparison boroughs [risk ratio (RR) = 0.69, 95% confidence interval (CI) 0.51 to 0.93]. At 18 months, there were no statistically significant differences between intervention and comparison boroughs for all adolescent physical activity and screen-time transitions. Those who visited the Olympic Park more than once a month were the least likely to remain inactive (RR 0.11, 95% CI 0.02 to 0.48) and the least likely to become inactive (RR 0.38, 95% CI 0.24 to 0.60) compared with those who were active at baseline and at the 18-month follow-up. No impacts on parental/carer physical activity were observed. Adolescents who were ‘no longer depressed’ (RR 1.53, 95% CI 1.07 to 2.20) or ‘remained depressed’ (RR 1.78, 95% CI 1.12 to 2.83) at 6 months were more likely to be from the intervention borough. For well-being, there was no association between boroughs and change in well-being between baseline and the 6-month follow-up. At 18 months’ follow-up, adolescents who ‘remained depressed’ (RR 1.93, 95% CI 1.01 to 3.70) were more likely to be from the intervention borough than from comparison boroughs. No associations were observed for well-being at 18 months. There was limited evidence of change for parental mental health and well-being. The qualitative study found that residents generally welcomed the unexpected chance to live in a cleaner, safer and more unified environment. The findings suggested that the Games temporarily alleviated certain stressors in the social and physical environment. Overall, the Games lessened participants’ sense of social exclusion and appeared to generate a sense of inclusion and respite, even if this was only temporary. Study limitations include the potential for adolescents to not be assigned the correct level of exposure to urban regeneration and the effect of reductions in central and local public budgets owing to the UK Government’s deficit reduction programme. Conclusions This study provided the highest quality data to date on the short- and medium-term social and health impacts of sporting mega-events. We found limited evidence that the London 2012 Olympic and Paralympic Games had a positive effect on adolescent or parental physical activity, mental health or well-being. Funding The National Institute for Health Research Public Health Research programme.

scholarly journals Social media and mental health: Reviewing effects on eudaimonic well-being

2021 ◽  
Author(s):  
Adrian Meier ◽  
Leonard Reinecke
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Media Use ◽  
Well Being ◽  
Social Media Use ◽  
Self Actualization ◽  
Resilience Factors ◽  
Omission Bias ◽  
Health And Well Being

Do social media affect users’ mental health and well-being? By now, considerable research has addressed this highly contested question. Prior studies have investigated the effects of social media use on hedonic well-being (e.g., affect and life satisfaction), psychopathology (e.g., depressive or anxiety symptoms), or psychosocial risk/resilience factors (e.g., loneliness, stress, self-esteem). Yet, public concern over social media effects often centers on more long-term negative outcomes, which may be better captured by indicators of eudaimonic well-being. Indeed, neglecting the eudaimonic side of well-being may have introduced outcome omission bias, since eudaimonia is both conceptually and empirically distinct from other dimensions of mental health and may be uniquely affected by social media use. Specifically, psychology currently theorizes eudaimonic well-being to be best represented by the experiences of (a) meaningfulness, (b) authenticity, and (c) self-actualization. A research synthesis of how social media use relates to these core indicators of eudaimonia is currently missing, however. We thus present a first narrative review that synthesizes both theoretical and empirical links between three key social media uses (i.e., active, passive, and “screen time”) and eudaimonic well-being. The synthesis shows that while there are indeed several plausible theoretical links, the evidence is too scarce and inconsistent to allow definitive conclusions at this time. We instead give recommendations for how the field can close important gaps by investigating whether social media afford or constrain opportunities to find meaning, live authentically, and grow as a person.

scholarly journals Sub-acute and long-term effects of ayahuasca on mental health and well-being in healthy ceremony attendants: A replication study

2021 ◽  
Author(s):  
Kim I. van Oorsouw ◽  
Malin V. Uthaug ◽  
Natasha L. Mason ◽  
Nick J. Broers ◽  
Johannes G. Ramaekers
Keyword(s):  
Mental Health ◽  
Therapeutic Potential ◽  
Well Being ◽  
Altered States Of Consciousness ◽  
Altered States ◽  
Long Term Effects ◽  
States Of Consciousness ◽  
First Time ◽  
Health And Well Being

Abstract Background and aims There is a growing body of evidence suggesting that the psychedelic plant tea, ayahuasca, holds therapeutic potential. Uthaug et al. (2018) demonstrated that a single dose of ayahuasca improved mental health sub-acutely and 4-weeks post-ceremony in healthy participants. The present study aimed to replicate and extend these findings. A first objective was to assess the sub-acute and long-term effects of ayahuasca on mental health and well-being in first-time and experienced users. A second aim was to extend the assessment of altered states of consciousness and how they relate to changes in mental health. Method Ayahuasca ceremony attendants (N = 73) were assessed before, the day after, and four weeks following the ceremony. Results We replicated the reduction in self-reported stress 4-weeks post ceremony, but, in contrast, found no reduction in depression. Also, increased satisfaction with life and awareness the day after the ceremony, and its return to baseline 4 weeks later, were replicated. New findings were: reduced ratings of anxiety and somatization, and increased levels of non-judging 4-weeks post-ceremony. We replicated the relation between altered states of consciousness (e.g., experienced ego dissolution during the ceremony) and mental health outcomes sub-acutely. The effects of ayahuasca did not differ between experienced and first-time users. Conclusion Partly in line with previous findings, ayahuasca produces long-term improvements in affect in non-clinical users. Furthermore, sub-acute mental health ratings are related to the intensity of the psychedelic experience. Although findings replicate and highlight the therapeutic potential of ayahuasca, this needs to be confirmed in placebo-controlled studies.

scholarly journals IMPROVING HEALTH AND WELL-BEING OF GRANDPARENTS RAISING GRANDCHILDREN: A STRENGTHS-BASED INTERVENTION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S356-S356
Author(s):  
Christine Fruhauf ◽  
Loriena Yancura ◽  
Aimee Fox ◽  
Nathaniel Riggs ◽  
Heather Greenwood-Junkiermeyer ◽  
...  
Keyword(s):  
Mental Health ◽  
Short Form ◽  
Self Care ◽  
Well Being ◽  
Community Services ◽  
Grandparents Raising Grandchildren ◽  
Self Assessments ◽  
Health And Well Being

Abstract Many grandparents raising grandchildren experience depression. Few interventions take a strengths-based approach to improve their mental health. To address this gap, this study utilized an adapted version of Powerful Tools for Caregivers (PTC) for grandparents (PTC-G) to improve their self-care, communication, and self-efficacy. Grandparents completed self-assessments including the CES-D short form prior to the intervention, immediately after the 6-week program, and at 6-months. Focus groups were also conducted during the 6-month follow-up to further explore positive behavior change. Data from all sources were analyzed to show that the PTC-G program significantly lowered depressive symptoms of grandparents raising grandchildren. Qualitative data shows that grandparents report increased awareness and use of self-care practices and community services. By improving the health and well-being of grandparents raising grandchildren, the PTC-G intervention shows promise in reducing depression and improving long-term mental health outcomes in vulnerable grandfamilies.

scholarly journals The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. Fisher ◽  
A. Roberts ◽  
A. R. McKinlay ◽  
D. Fancourt ◽  
A. Burton
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Physical Health ◽  
Well Being ◽  
Severe Illness ◽  
Health And Wellbeing ◽  
Being There ◽  
The Impact ◽  
Health And Well Being

Abstract Background The COVID-19 pandemic and associated restrictions caused major global disruption. Individuals with long-term physical health conditions (LTCs) are at higher risk of severe illness and often subject to the strictest pandemic guidance, so may be disproportionally affected. The aim of this study was to qualitatively explore how living with a LTC during the COVID-19 pandemic affected people’s mental health and wellbeing. Methods Participants were people living with LTCs who participated in telephone/video call interviews based on a semi-structured topic guide. Key themes and subthemes were determined using deductive and inductive thematic analysis. Results The sample included 32 participants with LTCs (most commonly cancer, respiratory conditions or cardiovascular diseases), mean age 57 (SD 13) years, 66% female and 72% white British. There were four overarching themes specific to living with a LTC. These were 1) high levels of fear and anxiety related to perceived consequences of catching COVID-19, 2) impact of shielding/isolation on mental health and wellbeing, 3) experience of healthcare during the pandemic and 4) anxiety created by uncertainty about the future. Fourteen subthemes were identified, including concerns about accessing essential supplies and the importance of social support. Individuals who lived alone and were advised to shield could be profoundly negatively affected. Conclusions This study found that there were a number of aspects of living with a LTC during the pandemic that had a significant impact on mental health and well-being. There should be focus on how best to provide practical and social support to people with LTCs during a pandemic, particularly if they have to shield or isolate.

Commentary on “The experiences of Covid-19 ‘lockdown’ for people with a learning disability: results from surveys in Jersey and Guernsey”

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gemma Rogers
Keyword(s):  
Mental Health ◽  
Intellectual Disabilities ◽  
Design Methodology ◽  
Well Being ◽  
Content Type ◽  
People With Intellectual Disabilities ◽  
Long Term Consequences ◽  
Health And Well Being ◽  
Over Time

Purpose This paper aims to consider the experiences of people with intellectual disabilities in relation to the COVID-19 pandemic and subsequent lockdown restrictions. Design/methodology/approach This commentary reflects on the issues raised by Morris et al., and in the wider literature. Findings Although there have been some benefits to lockdown for people with intellectual disabilities, mainly they have experienced isolation, increased mental health and well-being challenges, difficulty in accessing services, support and adequate adapted information. Originality/value This commentary argues that it is important to continue to capture the experiences of people with intellectual disabilities now and over time to assess the long-term consequences of the pandemic and to design services which are respondent to their needs.

Medical Students' Quest Towards the Long White Coat

2017 ◽  
pp. 1-42
Author(s):  
Christina Ramirez Smith
Keyword(s):  
Mental Health ◽  
Medical Education ◽  
Medical Students ◽  
Well Being ◽  
Medical Doctor ◽  
White Coat ◽  
Practice Of Medicine ◽  
Education Medical ◽  
Health And Well Being

Every year across the globe, thousands of students begin the quest towards becoming a medical doctor and donning a long white coat. Global research indicates that after beginning medical education, medical students' mental health and well-being dramatically declines. The loss of well-being continues into the residency and practice of medicine. The aim of this chapter is to broadly examine the pressures unique to medical students within the context of medical education training, higher education, and the general population. A call for medical education to adopt innovative policy, plans, and administrative and curricular changes designed to foster a culture conducive to the long-term positive mental health and well-being of medical students during training and into the internship and long-term practice of medicine concludes the chapter.

scholarly journals Long-term Outcomes of Military Service in Aging and the Life Course: A Positive Re-envisioning

2015 ◽  
Vol 56 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Avron Spiro ◽  
Richard A. Settersten ◽  
Carolyn M. Aldwin
Keyword(s):  
Military Service ◽  
Later Life ◽  
Well Being ◽  
Policy Implications ◽  
Negative Consequences ◽  
Long Term Outcomes ◽  
Positive Effects ◽  
Health And Well Being ◽  
Over Time

Abstract Most research on military service focuses on its short-term negative consequences, especially the mental and physical injuries of those deployed in warzones. However, studies of long-term outcomes reveal surprisingly positive effects of military service—both those early in adulthood that grow over time and others that can emerge later in life. These multidomain effects have been found in veterans of World War II and the Korean War and are now being seen in veterans of the Vietnam War. Although some are directly attributable to public policies such as the GI Bill, which facilitate educational and economic gains, there are personal developmental gains as well, including autonomy, emotional maturity and resilience, mastery, and leadership skills, that lead to better health and well-being in later life. These long-term effects vary across persons, change over time within persons, and often reflect processes of cumulative advantage and disadvantage. We propose a life-span model of the effects of military service that provides a perspective for probing both long-term positive and negative outcomes for aging veterans. We further explicate the model by focusing on both sociocultural dynamics and individual processes. We identify public-use data that can be examined to evaluate this model, and offer a set of questions that can be used to assess military service. Finally, we outline an agenda for dedicated inquiry into such effects and consider policy implications for the health and well-being of aging veterans in later life.

scholarly journals A Mixed-Methods Pilot Study of Perinatal Risk and Resilience During COVID-19

2020 ◽  
Vol 11 ◽  
pp. 215013272094407 ◽  
Author(s):  
Charlotte V. Farewell ◽  
Jennifer Jewell ◽  
Jessica Walls ◽  
Jenn A. Leiferman
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Pilot Study ◽  
Mood Disorders ◽  
Depressive Symptomatology ◽  
Perinatal Care ◽  
Well Being ◽  
Perinatal Period ◽  
Postpartum Women ◽  
Health And Well Being

Introduction/Objectives: National guidelines underscore the need for improvement in the detection and treatment of mood disorders in the perinatal period. Exposure to disasters can amplify perinatal mood disorders and even have intergenerational impacts. The primary aim of this pilot study was to use mixed-methods to better understand the mental health and well-being effects of the coronavirus disease 2019 (COVID-19) pandemic, as well as sources of resilience, among women during the perinatal period. Methods: The study team used a simultaneous exploratory mixed-methods design to investigate the primary objective. Thirty-one pregnant and postpartum women participated in phone interviews and were invited to complete an online survey which included validated mental health and well-being measures. Results: Approximately 12% of the sample reported high depressive symptomatology and 60% reported moderate or severe anxiety. Forty percent of the sample reported being lonely. The primary themes related to stress were uncertainty surrounding perinatal care, exposure risk for both mother and baby, inconsistent messaging from information sources and lack of support networks. Participants identified various sources of resilience, including the use of virtual communication platforms, engaging in self-care behaviors (eg, adequate sleep, physical activity, and healthy eating), partner emotional support, being outdoors, gratitude, and adhering to structures and routines. Conclusions: Since the onset of COVID-19, many pregnant and postpartum women report struggling with stress, depression, and anxiety symptomatology. Findings from this pilot study begin to inform future intervention work to best support this highly vulnerable population.

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