scholarly journals Study on Metabolic Indexes of Obesity in Patients with Common Mental Disorders in Stable Stage

Author(s):  
Xiaoling Li ◽  
Xiaojie shi ◽  
Yukang Tan ◽  
Yang Yu ◽  
Chaohua Tang ◽  
...  

Abstract Background The incidence rate of obesity has been increasing steadily year by year, and it is a serious worldwide public health problem,especially for people with mental disorders.Aim To explore the related factors of obesity by analyzing the metabolic indexes of patients with common mental disorders in stable stage. Methods 576 subjects with major depressive disorder (MDD), bipolar disorder (BD) or schizophrenia (SCZ) were included, who received fixed drug dose and routine drug treatment for 2 years or more. Their venous blood was collected, and the blood metabolic indexes were analyzed. Results BD and SCZ are more prone to obesity than MDD. Multiple linear regression analysis showed that the value of BMI increased with the increase of age(B = 0.084, p < 0.001), TG(B = 0.355, p = 0.024), LDL(B = 0.697, p < 0.001), LDH(B = 0.011, p = 0.002), SCr(B = 0.051, p < 0.001), UA(B = 0.014, p < 0.001), HbA1c(B = 0.702, p = 0.004) and hsCRP(B = 0.101, p < 0.001). And It decreased with the increase of HDL(B = -1.493, p < 0.001). Discussion People with mental disorders who take drugs are prone to obesity. They should regularly check blood indicators and strengthen weight management to reduce the risk of obesity and promote their health.

2021 ◽  
pp. 156918612110323
Author(s):  
Sam Shih ◽  
Ashley Chan ◽  
Eva Yeung ◽  
Amily Tsang ◽  
Rose Chiu ◽  
...  

Background/objectives Several studies have indicated that stress is associated with common mental disorders, and work stress trebles the risk of developing them. However, a validated assessment tool for measuring and establishing psychological stress correlates in this group of clients remains unavailable. The objectives of the present study were to examine the psychometric properties of the Chinese version of the Perceived Stress Scale-10 (CPSS-10) on people with common mental disorders with different employment statuses and explore its correlates. Methods Two hundred and fifty-two participants with common mental disorders were recruited. The data were analysed through exploratory factor and confirmatory analyses to investigate construct validity. The convergent and discriminant validities were examined based on their correlation with other measures, while the internal consistency was estimated using Cronbach’s α coefficient. A t-test was used to detect differences between groups. The CPSS-10 correlates were explored using multiple linear regression analysis. Results Principal component analysis with varimax rotation yielded two factors, which accounted for 63.82% of the total variance, while confirmatory factor analysis confirmed its factor structure. The CPSS-10 had a positively moderate to strong correlation with other measures, thereby indicating its acceptable convergent and discriminant validities. The internal consistency ranged from acceptable to good for the two subscales and ten overall items, while the item-total correlation was adequate except for the seventh item. There were no group differences in gender nor employment status. Finally, the CPSS-10 predictors were studied. Conclusion The CPSS-10 is a reliable and valid instrument for people with common mental disorders with different employment statuses.


2016 ◽  
Vol 21 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Dong-Kee Kim ◽  
In Seok Moon ◽  
Hye Jin Lim ◽  
Shin-young Yoo ◽  
Kyung Wook Heo ◽  
...  

Objective: To investigate the time course of tinnitus changes in patients receiving cochlear implantation (CI) in a prospective, multicenter setting and to determine related factors. Materials and Methods: A total of 79 adult patients who underwent CI were included in this study. We used the same questionnaires sequentially 5 times. The questionnaires included the Visual Analog Scale (VAS) for tinnitus severity, the Tinnitus Handicap Inventory (THI), Beck's Depression Index (BDI), and the Brief Encounter Psychosocial Instrument (BEPSI) for stress assessment. Results: Tinnitus was present in 59 (74.7%) of the 79 study subjects. After CI, tinnitus was eliminated in 10 patients (25%) and improved in 16 patients (40%) of the 40 patients who completed the final questionnaires, and most of the tinnitus reduction occurred in the early period of CI use. In an analysis of psychological functioning with CI, BDI was reduced significantly after CI. Multiple linear regression analysis revealed that preoperative auditory steady-state response (ASSR), THI, and final BDI score were significantly associated with the changes in tinnitus after CI. Conclusions: Most of the tinnitus reduction occurred within 1 month after CI use, and the changes were significantly associated with THI, ASSR, and BDI scores 6 months after CI. CI is a valuable therapeutic modality in tinnitus of a deafened ear.


2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Kentaro Usuda ◽  
Daisuke Nishi ◽  
Miyuki Makino ◽  
Hisateru Tachimori ◽  
Yutaka Matsuoka ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Nordling ◽  
L Nordeman ◽  
I M Skoglund ◽  
C Björkelund ◽  
G Hensing

Abstract Background In the sickness absence and return-to-work process communication between stakeholders is beneficial but difficult to achieve. Addressing work-related issues early in the process could support decision making. The aim of this study was to test if early systematic communication about work and health between physician, patient/employee and employer facilitated by a communication tool, the Capacity Note, was feasible for patients with common mental disorders (CMD) in primary care. Methods In a pragmatic trial, physicians at primary health care centers (PHCCs) were randomized to control/intervention physician and were responsible for identifying eligible patients. In addition to usual care, intervention patients used the Capacity Note with their physician and were then instructed to use it with their employer and return it to the physician. Control patients received usual care. A study log book and sick leave data for each PHCC were used for process evaluation purposes. Results Eighteen of 24 PHCCs in the region were contacted; eight participated. At study start, 434 patients filled the basic inclusion criteria. Of these, 93 were identified as eligible by the physicians and were asked to participate. Around 40% declined participation, most commonly due to lack of energy or hesitation to talk to the employer. The final sample included 56 patients. Of the 28 intervention patients nine (32%) completed the intervention. Conclusions The study was negatively affected by suboptimal research conditions in primary care (e.g. severe time constraints). Also, the patients' hesitation to participate highlights the sensitivity of the topic and the difficulties in doing research in this vulnerable patient group. Thus, the feasibility was hampered by both organizational and patient related factors. It is of utmost importance to improve possibilities for social psychiatric research in primary care given the high prevalence of CMD and associated reduced capacity to work. Key messages Discussing health-related issues with the employer was seen as a sensitive matter among patients with common mental disorders. Research on best practices for sickness certification and return-to-work was difficult to achieve due to both personal and organizational factors.


2020 ◽  
Author(s):  
Suqin Tang ◽  
Zhendong Xiang

Abstract Background: Deaths by COVID-19 have left behind nearly 12 million recent bereaved individuals worldwide and researchers have raised concerns that the circumstances of COVID-19 related deaths will lead to a rise prevalence of prolonged grief disorder (PGD) cases. However, to date, no studies have examined the prevalence of PGD among people bereaved due to COVID-19. This study aimed to estimate the prevalence of PGD and investigated demographic and loss-related factors associated with prolonged grief symptoms among Chinese individuals bereaved due to COVID-19.Methods: This was a cross-sectional online survey conducted between September 1 and October 3, 2020. A total of 422 Chinese participants (55.5% males; 32.73 [9.31] years old) who lost a close person due to COVID-19 participated in the study. Demographic and loss-related information was collected, and self-reported prolonged grief symptoms were measured by a 13-item International Prolonged Grief Disorder Scale (IPGDS: 1–65) and a 17-item Traumatic Grief Inventory Self Report (TGI-SR: 1–85). Multiple linear regression analysis was used to determine the associated factors of levels of grief symptoms.Results: Prevalence of PGD was 37.8% screened by IPGDS and 39.9% by TGI-SR. No difference was found in levels of grief symptoms between participants whose close one died more than 6 months ago and those who experienced the loss less than 6 months ago. More severe prolonged grief symptoms was associated with losing a close person by COVID-19 rather than complications (B: 5.284; 95% CI: 0.521–10.047), losing a partner (B: 6.645; 95% CI: 2.547–10.743), child (B: 6.013; 95% CI: 0.128–11.899), parent (B: 5.554; 95% CI: 1.679–9.429), grandparent (B: 4.894; 95% CI: 0.690–0.097), feeling more traumatic about the loss (B: 1.574; 95% CI: 0.413–2.735), being closer to the deceased (B: 1.610; 95% CI: 0.368–2.851), and having more conflicts with the deceased (B: 0.743; 95% CI: -0.040–1.527).Conclusions: Echoing to researchers’ concerns, prevalence of PGD is high among people bereaved due to COVID-19. Individuals with higher risk of developing PGD should be identified and bereavement support should be offered as early as possible.


2020 ◽  
Author(s):  
Ruibei Bai ◽  
Zhaohui Wang ◽  
Jing Liang ◽  
Jing Qi ◽  
Xi He

Abstract ObjectivesThe purpose of this study was to explore the impact of the COVID-19 outbreak on children’s behavior and their parents’ mental health in China. MethodsA total of 30861 children’s parents were selected from throughout China to complete the self-made Child behavior Questionnaire and Child Parents Mental Health Questionnaire. ResultsThe results showed that there were significant differences in children’s behavior scores in variables such as age, whether or not an only child and place of residence; There were significant differences in physical, emotional and cognitive scores of parents in variables such as gender, age, education, occupation, place of residence, whether there are medical staff in family, the relationship with children, and children’s age. The correlation analysis showed that children’s behavior and parents’ physical, emotion and cognition were significantly correlated with epidemic-related factors. The stepwise multiple linear regression analysis showed that epidemic-related factors can significantly predict children’s behavior and parents’ physical, emotion, and cognition. ConclusionsThese results can provide theoretical basis for the behavior management of children at home and the psychological adjustment of parents during the epidemic.


2018 ◽  
Vol 1 (2) ◽  
pp. 42-49
Author(s):  
Saad Ahmed Ali Jadoo ◽  
Ilker Dastan ◽  
Mustafa Ali Mustafa Al-Samarrai ◽  
Shukur Mahmood Yaseen ◽  
Perihan Torun

Background: Doctors and paramedics in countries suffering from long-acting conflicts, including Iraq, are working in severe and exceptional conditions, putting them under severe physical and psychological pressure, therefore examining burnout is important when dealing with the quality of care and working conditions. This study aimed to assess the point prevalence and to explore factors associated with emotional exhaustion (EE) among medical doctors in Iraq. Methods: Descriptive and a cross-sectional study was conducted (January to June 2014) among a randomly selected sample of medical doctors (n=576, 87.3% response rate) working in twenty large general hospitals and medical centers. In addition to EE, the self-administered questionnaire used was consisting of questions on sociodemographic, work-related characteristics, conflict-related variables, and job satisfaction. EE was measured using the emotional exhaustion subscale of the Maslach Burnout Inventory (MBI). Results: The prevalence of EE reported by 60.0% of the respondents. In multiple linear regression analysis, the emotional burnout was higher among doctors who were married, female, bearing children, being threatened, displaced internally, non-specialist doctors, working more than 40 hours per week, experienced unsafe medical practice, disagreed with the way manager handle the staff and those who reported that the doctor-patient relationship as not excellent.  Conclusion: Our findings suggest that job dissatisfaction, conflict, and violence-related factors were significantly associated with a high level of emotional exhaustion among Iraqi physicians.


1980 ◽  
Vol 11 (4) ◽  
pp. 200-202 ◽  
Author(s):  
John H. Pitts

During the period between September I, 1976 and August 31, 1978, 197 clients of the Hearing-impaired Project of the Dallas Vocational Rehabilitation Area had their cases closed either successfully (status 26), or unsuccessfully (statuses 28 and 30). This study examined the case records of all 197 clients in an attempt to discover the variables predictive of rehabilitation success and failure. The statistical procedures of the Pearson Product-moment Correlation Coefficient and Multiple Linear Regression Analysis were used. Thirty-six predictor variables were grouped into the six subsets of personal characteristics, employment related factors, hearing-impaired background, rehabilitation background, rehabilitation services provided during the current case, and costs of the current case. The results of this analysis together with conclusions and recommendations are presented in this article.


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