scholarly journals Posttraumatic stress disorder and depression of survivors 12 months after the outbreak of Middle East Respiratory Syndrome in South Korea

2020 ◽  
Author(s):  
Hye Yoon Park ◽  
Wan Beom Park ◽  
So Hee Lee ◽  
Jeong Lan Kim ◽  
Jung Jae Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Middle East ◽  
Health Outcomes ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Physical Symptoms ◽  
Middle East Respiratory Syndrome ◽  
Mental Health Outcomes

Abstract Background: The 2015 outbreak of Middle East Respiratory Syndrome (MERS) in the Republic of Korea is a recent and representative occurrence of nationwide outbreaks of Emerging Infectious Diseases (EIDs) . In addition to physical symptoms, posttraumatic stress disorder (PTSD) and depression are common following outbreaks of EID. Methods: The present study investigated the long-term mental health outcomes and related risk factors in survivors of MERS. A prospective nationwide cohort study was conducted 12 months after the MERS outbreak at multi-centers throughout Korea. PTSD and depression as the main mental health outcomes were assessed with the Impact of Event Scale-Revised Korean version (IES-R-K) and the Patient Health Questionnaire-9 (PHQ-9) respectively. Results: 42.9% of survivors reported PTSD (IES-R-K ≥ 25) and 27.0% reported depression (PHQ-9 ≥ 10) at 12 months post-MERS. A multivariate analysis revealed that anxiety (adjusted odds ratio [aOR], 5.76; 95%CI, 1.29–25.58; P = 0.021), and a greater recognition of stigma (aOR, 11.09, 95%CI, 2.28–53.90; P = 0.003) during the MERS-affected period were independent predictors of PTSD at 12 months after the MERS outbreak. Having a family member who died from MERS predicted the development of depression (aOR, 12.08, 95%CI, 1.47–99.19; P = 0.020). Conclusion: This finding implies that psychosocial factors, particularly during the outbreak phase, influenced the mental health of patients over a long-term period. Mental health support among the infected subjects and efforts to reduce stigma may improve recovery from psychological distress in an EID outbreak.

scholarly journals Posttraumatic stress disorder and depression of survivors 12 months after the outbreak of Middle East Respiratory Syndrome in South Korea

2020 ◽  
Author(s):  
Hye Yoon Park ◽  
Wan Beom Park ◽  
So Hee Lee ◽  
Jeong Lan Kim ◽  
Jung Jae Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Middle East ◽  
Health Outcomes ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Physical Symptoms ◽  
Middle East Respiratory Syndrome ◽  
Mental Health Outcomes

Abstract Background: The 2015 outbreak of Middle East Respiratory Syndrome (MERS) in the Republic of Korea is a recent and representative occurrence of nationwide outbreaks of Emerging Infectious Diseases (EIDs). In addition to physical symptoms, posttraumatic stress disorder (PTSD) and depression are common following outbreaks of EID.Methods: The present study investigated the long-term mental health outcomes and related risk factors in survivors of MERS. A prospective nationwide cohort study was conducted 12 months after the MERS outbreak at multi-centers throughout Korea. PTSD and depression as the main mental health outcomes were assessed with the Impact of Event Scale-Revised Korean version (IES-R-K) and the Patient Health Questionnaire-9 (PHQ-9) respectively.Results: 42.9% of survivors reported PTSD (IES-R-K ≥ 25) and 27.0% reported depression (PHQ-9 ≥ 10) at 12 months post-MERS. A multivariate analysis revealed that anxiety (adjusted odds ratio [aOR], 5.76; 95%CI, 1.29–25.58; P = 0.021), and a greater recognition of stigma (aOR, 11.09, 95%CI, 2.28–53.90; P = 0.003) during the MERS-affected period were independent predictors of PTSD at 12 months after the MERS outbreak. Having a family member who died from MERS predicted the development of depression (aOR, 12.08, 95%CI, 1.47–99.19; P = 0.020).Conclusion: This finding implies that psychosocial factors, particularly during the outbreak phase, influenced the mental health of patients over a long-term period. Mental health support among the infected subjects and efforts to reduce stigma may improve recovery from psychological distress in an EID outbreak.

scholarly journals Posttraumatic stress disorder and depression of survivors 12 months after the outbreak of Middle East Respiratory Syndrome in South Korea

2020 ◽  
Author(s):  
Hye Yoon Park ◽  
Wan Beom Park ◽  
So Hee Lee ◽  
Jeong Lan Kim ◽  
Jung Jae Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Middle East ◽  
Health Outcomes ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Physical Symptoms ◽  
Middle East Respiratory Syndrome ◽  
Mental Health Outcomes

Abstract Background: The 2015 outbreak of Middle East Respiratory Syndrome (MERS) in the Republic of Korea is a recent and representative occurrence of nationwide outbreaks of Emerging Infectious Diseases (EIDs) . In addition to physical symptoms, posttraumatic stress disorder (PTSD) and depression are common following outbreaks of EID. Methods: The present study investigated the long-term mental health outcomes and related risk factors in survivors of MERS. A prospective nationwide cohort study was conducted 12 months after the MERS outbreak at multi-centers throughout Korea. PTSD and depression as the main mental health outcomes were assessed with the Impact of Event Scale-Revised Korean version (IES-R-K) and the Patient Health Questionnaire-9 (PHQ-9) respectively. Results: 42.9% of survivors reported PTSD (IES-R-K ≥ 25) and 27.0% reported depression (PHQ-9 ≥ 10) at 12 months post-MERS. A multivariate analysis revealed that anxiety (adjusted odds ratio [aOR], 5.76; 95%CI, 1.29–25.58; P = 0.021), and a greater recognition of stigma (aOR, 11.09, 95%CI, 2.28–53.90; P = 0.003) during the MERS-affected period were independent predictors of PTSD at 12 months after the MERS outbreak. Having a family member who died from MERS predicted the development of depression (aOR, 12.08, 95%CI, 1.47–99.19; P = 0.020). Conclusion: This finding implies that psychosocial factors, particularly during the outbreak phase, influenced the mental health of patients over a long-term period. Mental health support among the infected subjects and efforts to reduce stigma may improve recovery from psychological distress in an EID outbreak.

Correlates of posttraumatic stress disorder among Veterans in the Canadian Longitudinal Study on Aging

2021 ◽  
Author(s):  
Danielle E. Gauvin ◽  
Christina Wolfson ◽  
Alice B. Aiken ◽  
Anthony Feinstein ◽  
Parminder Raina ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Longitudinal Study ◽  
Posttraumatic Stress ◽  
Military Service ◽  
Stress Disorder ◽  
Adult Population ◽  
National Study ◽  
The Military

LAY SUMMARY Little is known about the mental health of Veterans as they get older. How does the mental health and aging process of Veterans compare to people who have not served in the military? The Canadian Longitudinal Study on Aging (CLSA) is a long-term national study of the aging adult population in Canada. A total of 51,338 participants across Canada aged 45 to 85 years were recruited at the study baseline between 2011 and 2015. Of the CLSA participants, about 4,500 self-identified as Veterans, with military service dating back as early as 1941. The goal of this study was to describe the mental health, in particular posttraumatic stress disorder (PTSD), of Veterans in the CLSA at the study baseline and examine differences across Veteran sub-groups and compared to non-Veterans.

The dynamic course of psychological outcomes following the Victorian Black Saturday bushfires

2020 ◽  
pp. 000486742096981
Author(s):  
Richard A Bryant ◽  
Lisa Gibbs ◽  
H Colin Gallagher ◽  
Phillipa Pattison ◽  
Dean Lusher ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stressful Life Events ◽  
Stress Disorder ◽  
Mental Health Problems ◽  
Stressful Events ◽  
Psychological Disorder ◽  
Property Loss

Objectives: To profile the long-term mental health outcomes of those affected by the 2009 Black Saturday bushfires and to document the course of mental health since the disaster. Method: The longitudinal Beyond Bushfires study included 1017 respondents (Wave 1; 3–4 years after the fires), 736 (76.1%) at Wave 2 (5 years after the fires) and 525 (51.6%) at Wave 3 (10 years after the fires). The survey indexed fire-related and subsequent stressful events, probable posttraumatic stress disorder, major depressive disorder, alcohol use, severe distress and receipt of health services for mental health problems. Results: Relative to their status 3–4 years after the fires, there were reduced rates of fire-related posttraumatic stress disorder (6.2% vs 12.2%), general posttraumatic stress disorder (14.9% vs 18.7%) and severe distress (4.4% vs 7.5%) at 10 years. There were comparable rates between Wave 1 and Wave 3 for depression (10.9% vs 8.3%) and alcohol abuse (21.8% vs 18.5%). Of people in high-affected regions, 22.1% had posttraumatic stress disorder, depression or severe distress at Wave 3. One-third to one-half of participants who reported probable posttraumatic stress disorder or depression at any assessment did not display the disorder at the next assessment. Worsening of mental health at Wave 3 was associated with the extent of property loss, exposure to recent traumatic events or recent stressful life events. Only 24.6% of those with a probable disorder had sought professional help for this in the previous 6 months. Conclusion: Approximately one-fifth of people from high-affected areas have a probable psychological disorder a decade after the fires. Mental health appears to fluctuate for those who are not consistently resilient, apparently as a result of ongoing stressors. The observation that most people with probable disorder are not receiving care highlights the need for further planning about managing long-term mental health needs of disaster-affected communities.

scholarly journals Food insecurity is associated with anxiety, stress, and symptoms of posttraumatic stress disorder in a cohort of women with or at risk of HIV in the United States

2019 ◽  
Vol 149 (8) ◽  
pp. 1393-1403 ◽  
Author(s):  
Henry J Whittle ◽  
Lila A Sheira ◽  
William R Wolfe ◽  
Edward A Frongillo ◽  
Kartika Palar ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
At Risk ◽  
Posttraumatic Stress Disorder ◽  
Food Security ◽  
Health Outcomes ◽  
Food Insecurity ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
The United States

ABSTRACT Background Food insecurity, which disproportionately affects marginalized women in the United States, is associated with depressive symptoms. Few studies have examined relations of food insecurity with other mental health outcomes. Objective The aim of this study was to investigate the associations of food insecurity with symptoms of generalized anxiety disorder (GAD), stress, and posttraumatic stress disorder (PTSD) in the Women's Interagency HIV Study (WIHS), a prospective cohort study of women with or at risk of HIV in the United States. Methods Participants were 2553 women with or at risk of HIV, predominantly African American/black (71.6%). Structured questionnaires were conducted during April 2013–March 2016 every 6 mo. Food security (FS) was the primary predictor, measured using the Household Food Security Survey Module. We measured longitudinal outcomes for GAD (GAD-7 score and a binary GAD-7 screener for moderate-to-severe GAD). Only cross-sectional data were available for outcomes measuring perceived stress (PSS-10 score) and PTSD (PCL-C score and a binary PCL-C screener for PTSD). We examined associations of FS with the outcomes through use of multivariable linear and logistic regression, including lagged associations with GAD outcomes. Results After adjusting for sociodemographic and health-related factors including HIV serostatus, current marginal, low, and very low FS were associated with increasingly higher GAD-7 scores, and with 1.41 (95% CI: 1.10, 1.80; P < 0.01), 2.03 (95% CI: 1.59, 2.61; P < 0.001), and 3.23 (95% CI: 2.43, 4.29; P < 0.001) times higher odds of screening positive for moderate-to-severe GAD, respectively. Low and very low FS at the previous visit (6 mo earlier) were independently associated with GAD outcomes at current visit. Associations of FS with PSS-10 and PCL-C scores exhibited similar dose-response relations. Very low FS was associated with 1.93 (95% CI: 1.15, 3.24; P < 0.05) times higher odds of screening positive for PTSD. Conclusions Food insecurity may be associated with a range of poor mental health outcomes among women in the United States with or at risk of HIV.

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