scholarly journals Family caregiver’s loneliness and related health factors: what can be changed?

Author(s):  
Sylvie Bonin-Guillaume ◽  
Sylvie Arlotto ◽  
Alice Blin ◽  
Stéphanie Gentile

Abstract Background Loneliness is a public health issue which may affect the entire population. Loneliness is associated with depression, sleep disorders, fatigue and increase the risk of obesity and diabetes. Risk factors for loneliness include poor social network and poor physical and mental health. The main objective was to study factors related to loneliness of family caregivers caring for independent older people. Methods We performed a non-interventional observational cross-sectional study in south-eastern France. Family Caregivers caring for people aged 70 and over living at home were included. These older people were independent, without long-term conditions and who applied for professional social assistance for daily living. Data were collected through a questionnaire, administered face-to-face or by telephone. Loneliness and perceived health status were measured through a single-question. Burden was assessed through the Mini-Zarit Scale, frailty was measured through the Gerontopole Frailty Screening Tool. Results Of the 876 caregivers included, 10% felt lonely often or always. They reported more physical and mental health issues than those who did not feel loneliness (p<0.001). Family caregivers with loneliness were more likely to be looking after a parent and were twice as likely to have a moderate to severe burden (OR=2.6). They were more likely to feel anxious (OR=5.6), to have sleep disorders (OR=2.4), to be frail (OR=2) and to feel their health as poor or bad (OR=2). Conclusions Loneliness has a negative impact on health, frailty and burden of family caregivers. Means must be implemented to anticipate the consequences of the loneliness felt by family caregivers, notably by orienting them towards the relevant services.

2021 ◽  
Vol 10 (14) ◽  
pp. 3012
Author(s):  
Sandra Giménez ◽  
Miren Altuna ◽  
Esther Blessing ◽  
Ricardo M. Osorio ◽  
Juan Fortea

Sleep disorders, despite being very frequent in adults with Down syndrome (DS), are often overlooked due to a lack of awareness by families and physicians and the absence of specific clinical sleep guidelines. Untreated sleep disorders have a negative impact on physical and mental health, behavior, and cognitive performance. Growing evidence suggests that sleep disruption may also accelerate the progression to symptomatic Alzheimer’s disease (AD) in this population. It is therefore imperative to have a better understanding of the sleep disorders associated with DS in order to treat them, and in doing so, improve cognition and quality of life, and prevent related comorbidities. This paper reviews the current knowledge of the main sleep disorders in adults with DS, including evaluation and management. It highlights the existing gaps in knowledge and discusses future directions to achieve earlier diagnosis and better treatment of sleep disorders most frequently found in this population.


2021 ◽  
Vol 9 (7) ◽  
pp. 116-139
Author(s):  
Chong-Hwan Son

The present study investigated the effects of characteristics of caregivers and the caregiving situation on family caregivers’ physical/mental health, using the multiple regression analysis with the time-series and cross-sectional data from the 2015-2018 Behavioral Risk Factor Surveillance System (BRFSS). The regression results indicated that the caregiving role could increase the risk of developing physical/mental health problems. Importantly, this study revealed that the characteristics of caregivers and care recipients were significantly associated with caregivers’ physical/mental health outcomes. Especially the results showed that the caregiver support program was the most significant factor linked to caregivers’ physical/mental health. It pointed to the importance of caregiver education and support programs for family caregivers to cope with the stress from providing care or daily assistance. The results also pinpointed which area of support services for informal caregivers would be a priority to enhance. Thus, the public health policymakers should re-evaluate the current long-term care program to establish a more effective caregiving structure, especially caregiver education and support programs for family caregivers, to improve the informal caregivers’ quality of life.       


2020 ◽  
Vol 31 (2) ◽  
pp. 303
Author(s):  
Rosa María Urbanos-Garrido ◽  
Beatriz González López-Valcárcel

In this paper we explore the consequences of the economic crisis on the Spanish adult health with special emphasis on the effects of unemployment. We use the conceptual model of Dahlgren and Whitehead. We analyze longitudinal microdata from the Survey of Living Conditions (ECV) 2006-2011 and cross-sectional microdata from the National Health Survey of Spain (ENSE) 2011-12, using econometric models to explain the level of physical and mental health of individuals and their changes when varying income and employment status. Our analysis of ECV concludes that while the housing conditions and needs met proxies significantly influence self-assessed health, neither variations in individual income or the shift from employment to unemployment have a significant influence. Models based on data from the ENSE, however, conclude that after controlling for other determinants of health, unemployment has a significant negative impact on physical and mental health, and that impact is stronger the longer unemployment lasts.


Author(s):  
Reem Ashour ◽  
Sana Elashie ◽  
Bayan Alkeilan ◽  
Mujahed Shraim

Aims: The aim of this study was to: (I) estimate the prevalence of SPA among students in Qatar University (QU); (II) assess the correlation between daily duration of smartphone use (SPU) and SPA; (III) assess the relationship between SPA with (a) current Grade point Average (GPA), (b) psychological distress, and (c) students’ perceived negative impact of SPU on their learning and academic performance, sleep at night, social activity, and physical and mental health. Methods: We used a cross-sectional study using a selfadministered survey to address the aims of the study. An electronic survey was distributed to all QU students registered in the Fall 2019 in addition to a paper survey distribution to fifteen classes, selected at random from all colleges in QU. The survey used smartphone addiction scale (SAS) to measure SPA; General Health Questionnaire 28 (GHQ-28) to measure the likelihood of student having “psychological distress”; ten statements to identify students perceived negative impact of SPU on academic performance, sleep at night, physical and mental health, and social activity; current GPA as a measure of academic performance. Descriptive statistics and multivariable linear and logistics regression analyses were performed to analyses the data. The Study was ethically approved QU institutional review Board. Results: A total of 717 students participated in the study. The mean daily duration of SPU among students was 6.5 hours per day (SD= 3.7), and he prevalence of SPA was 59%. Duration of SPU in hours and SPA score (r=0.282, p= <0.001). The prevalence of psychological distress among students was 51.0%. Increase in daily duration of SPU, male gender, presence of psychological stress, not having a chronic disease, and not performing physical exercise in the previous week were independently associated with increased odds of SPA. We found a significant interaction between gender and psychological distress with SPA. Male students with psychological distress were at lower odds of SPA than female students with psychological distress (OR= 0.39; 95% CI 0.17, 0.87). SPA was a statistically significant predictor of all included domains of perceived negative impact of SPU, including sleep at night, learning in class, study time, academic performance, physical and mental health, and social activity. After adjustment for significant variables, students with no SPA had increased odds of having higher current GPA category by 2.04 times (1.05, 3.95) than students with SPA. The characteristics of students did not vary significantly according to survey completion method. The sensitivity analyses showed similar findings between the predictors and the outcome variables in all analyses. Therefore, our sensitivity analyses suggest that our findings are unlikely to have been affected by selection bias, response bias, or social acceptability bias. Conclusion: SPA is highly prevalent among QU students. SPA or longer duration of SPU have negative impact on academic performance, psychological distress, and perceived physical and mental health, and social activity.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 620-621
Author(s):  
Rie Suzuki ◽  
Jennifer Blackwood ◽  
Shailee Shah ◽  
Noah Webster

Abstract Background Identifying the factors to improve the quality of life (QOL) is vital to decrease morbidity and mortality rates among older adults. Although unfavorable neighborhood features have a significant negative impact on QOL, few studies have investigated these relationships in a deprived community. The purpose of the study was to understand how neighborhood walkability is associated with QOL using the SF-36 among urban-dwelling older adults. Methods This is a cross-sectional survey. Participants were recruited in 2018 and 2019 at regional health clinics in Flint, MI. To be eligible, participants had to be over 65 years old and Flint residents. Results Of the 132 participants, the majority were female (66%), African American (77%), single, divorced, or widowed (75%), and educated below GED level (84%). After adjusting for gender, assistive device use, medication, and the Supplemental Security Income receipt, multiple regression analysis revealed that those with better perceptions of land-mixed use and accessibility within their neighborhood were more likely to have better physical health (β = .36, p&lt;.05). However, the perceptions of greater pedestrian safety were associated with the poor physical and mental health (PCS; β = -0.19, p &lt;.05; MCS; β = -0.25, p &lt; .05). Perceptions of the presence of walking hazards and crime were not significantly associated with QOL. Discussion Findings suggest that neighborhood walkability characteristics are associated with physical health. The development of walking programs with accessible neighborhoods will be urgent to improve the health-related QOL for older adults living in a targeted community.


2021 ◽  
pp. 75-82
Author(s):  
João Gabriel de Azevedo José Romero ◽  
Franklin Teixeira de Salles-Neto ◽  
Juliana Stuginski-Barbosa ◽  
Paulo César Rodrigues Conti ◽  
Camila Megale Almeida-Leite

Background: Pandemic of COVID-19, the potentially fatal disease caused by SARS-CoV-2, had caused intangible consequences on global health systems, economy, daily life, education, travel, leisure, work, and mental health. Its impact on mental and physical health, especially in health professionals, has been described. Objective: This study aimed to review and discuss the published evidence regarding the presence of headache on COVID-19 healthcare workers. Methods: In this review, we searched for all articles published in various data bases including PubMed / Medline, Scopus, and Web of Science and all original research studies, letters to editor, case reports, commentaries and reviews published in English, Portuguese or Spanish were searched. Two researchers independently analyzed published articles in order to include/exclude based on inclusion or exclusion criteria.  Results: Thirteen articles were included.  All studies included in this review were observational; eleven were cross-sectional studies, one was a prospective/cohort and one was a retrospective. Two studies evaluated psychological outcomes, mental health disorders and associated factors, one study investigated symptoms and causes of somatic symptom disorder and all other studies evaluated headaches associated with Personal Protective Equipment (PPI). Conclusions: The present review shows that COVID-19 pandemic has negative impact on physical and mental health in healthcare workers and headache has been associated to psychological stress and work overload during pandemic.  Further studies are necessary to better investigate COVID-19 pandemic effects on headaches and other neurological conditions.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Hüsna Çevik ◽  
Mehmet Ungan

Abstract Background The COVID-19 pandemic has had a negative impact on resident training in different branches and affected the physical and mental health of frontline residents adversely. This nationwide cross-sectional survey aimed to investigate the effects of the COVID-19 pandemic on family medicine residents in Turkey, including the levels of depression and burnout. Methods An anonymous online survey was distributed to all family medicine residents via e-mail and a web link between 28.11.2020 and 12.12.2020. Information on sociodemographic data and the residency programme were evaluated, and factors associated with depression and burnout were examined using the Patient Health Questionnaire-9 (PHQ-9) and the Burnout Measure-Short Version (BMS) respectively. Results Although the weekly average working hours of the 477 respondents increased significantly during the pandemic (p < 0.05), the average weekly working time in the Family Medicine (FM) outpatient clinic decreased. The greatest concern of 58.3% of the residents was fear of transmitting COVID-19 to their family members. 90.2% of the residents stated that training programmes were negatively or very negatively affected. According to PHQ-9 scores, 15.7% of residents had moderately severe, and 14.9% severe depression. The BMS scores of the residents demonstrated that 24.1% had a very severe burnout problem, and 23.3% should seek professional help as soon as possible. Being single, having no children, female gender, lack of personal protective equipments and increased contact time with COVID-19 patients were associated with higher scores in the depression and burnout scales (p < 0.05). Conclusions The COVID-19 pandemic has had a negative impact on training programmes for FM residents, who are at the forefront of the pandemic in Turkey, and this situation is closely related to depression and burnout. Due to the unpredictability of the pandemic, long-term plans should be made for the training needs of residents in order to protect their physical and mental health.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e050223
Author(s):  
Lyndsey Jayne Cubitt ◽  
Yu Ri Im ◽  
Ciaran James Scott ◽  
Louise Claire Jeynes ◽  
Paul David Molyneux

The COVID-19 pandemic has brought unprecedented challenges to the medical workforce. This has put them at increased risk of burnout at a time when levels are already worryingly high in the profession, with recent studies consistently showing that around half of doctors meet the validated criteria for burnout.ObjectivesTo understand the wider factors influencing and impacting upon hospital doctors’ well-being during the COVID-19 pandemic in England.DesignCross-sectional survey and mixed quantitative–qualitative analysis.SettingAcute National Health Service (NHS) Foundation Trust in England.ParticipantsAn online survey was circulated in early June 2020 to all 449 doctors employed by the Trust. 242 doctors completed the survey (54% response rate).Primary outcome measuresQuestions assessed occupational details, self-reported changes in physical and mental health, satisfaction with working hours and patterns, availability of personal protective equipment (PPE), medication and facilities, communication and sought to identify areas seen as having a significant effect on doctors’ well-being.Results96% of respondents requiring PPE were able to access it. Nearly half of the respondents felt that their mental health had deteriorated since the start of the pandemic. Over a third stated that their physical health had also declined. Issues identified as having a negative impact on doctors included increased workload, redeployment, loss of autonomy, personal issues affecting family members, anxiety around recovery plans, inadequate access to changing and storage facilities and to rest areas that allow for social distancing. Doctors appreciated access to ‘calm rooms’ that were made available for staff, access to clinical psychology support, free drinks and free car parking on site.ConclusionThe emerging themes are suggestive of increased burnout risk among doctors during the COVID-19 pandemic and encompass factors well beyond shortage of PPE. Small organisational initiatives and the implementation of changes suggested by survey respondents can have a positive impact on doctors’ well-being.


2018 ◽  
Vol 5 (2) ◽  
pp. 81-84
Author(s):  
Rajani Shrestha

Introductions: Osteoarthritis (OA) is a non-inflammatory degenerative disorder of the joint. It has negative impact on health related quality of life (QOL), both in physical and mental health. This study aimed to assess QOL of patient with knee osteoarthritis. Methods: A descriptive cross-sectional study was conducted in outpatient department of orthopedic in Patan hospital, Patan Academy of Health Sciences. Non-probability purposive sampling technique was used. Data was collected from 21st July to 18th August 2017 among 125 knee osteoarthritis patients by face-to-face interview using structured interview. Results: Overall QOL of patients with knee osteoarthritis was good in mental health component mean score (62.09) and poor in physical health with a mean score of (38.18). The physical component of QOL was significantly associated with age (p<0.04) and occupation (p<0.001). There was no association between independent variable and mental component of QOL. Conclusions: The significant proportion of the patients have poor quality of life in physical health component, but majority of patients have good mental health.


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