scholarly journals Religion/Spirituality, Moral Injury, and Mental Health among Health Professionals in China

2020 ◽  
Author(s):  
zhizhong wang ◽  
Faten Al Zaben ◽  
Harold.G. Koenig
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Mainland China ◽  
Cross Sectional Study ◽  
Moderating Effect ◽  
Moral Injury ◽  
Cross Sectional ◽  
Linear Regression Modeling ◽  
Causal Nature ◽  
The Relationship

Abstract Purpose: Moral injury (MI) is prevalent among healthcare professionals, and has been shown in those experiencing traumatic events to be associated with suicidal thoughts, depression, anxiety, and other adverse mental health outcomes. The present study examines the relationship between religion/ spiritual (R/S) and MI among physicians and nurses in mainland China during the COVID-19 pandemic. Methods: A cross-sectional study was conducted in 3,006 physicians and nurses in areas of China where the COVID-19 pandemic was causing high rates of hospitalization and death. The Moral Injury Symptoms Scale-Health Professional (MISS-HP) was administered along with measures of clinician mental health and R/S. Hierarchical linear regression modeling was used to examine the mediating and moderating effect of MI on the relationship between R/S and mental health.Results: Importance of religion was positively correlated with MI symptoms (β=2.41, P<0.01), depressive (β=0.74, P<0.01), and anxiety symptoms (β=0.65, P<0.01) after controlling of multiple demographic variables. MI significantly mediated the relationship between R/S and both depression and anxiety. MI explained 60% (0.46/0.76) of the total association between R/S and depression and 58% (0.38/0.65) of the association with anxiety. No moderating effect was found.Conclusion: Although cross-sectional findings, these results suggest that concern over transgressing moral values during the pandemic may have been a driving factor for negative mental health symptoms among Chinese health professionals for whom religion was important. Future longitudinal studies are needed to determine the causal nature of these relationships.

scholarly journals Spirituality, moral injury and mental health among Chinese health professionals

BJPsych Open ◽  
2021 ◽  
Vol 7 (4) ◽  
Author(s):  
Zhizhong Wang ◽  
Faten Al Zaben ◽  
Harold G. Koenig ◽  
Yuanlin Ding
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Mainland China ◽  
Cross Sectional Study ◽  
Moral Injury ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Crisis ◽  
Causal Nature ◽  
The Relationship

Background Moral injury has been found to be prevalent among healthcare professionals during the COVID-19 public health crisis. Aims The present study examines the relationship between spirituality, moral injury, and mental health among physicians and nurses in mainland China during the COVID-19 pandemic. Method An online cross-sectional study was conducted involving 3006 physicians and nurses in mainland China, where the COVID-19 pandemic has caused high rates of hospital admission and death. The Moral Injury Symptoms Scale-Health Professional was administered, along with measures of mental health and spirituality. Hierarchical linear regression modelling was used to examine the mediating and moderating role of moral injury in the relationship between spirituality and mental health. Results Spirituality was positively correlated with moral injury (β = 2.41, P < 0.01), depressive symptoms (β = 0.74, P < 0.01) and anxiety symptoms (β = 0.65, P < 0.01) after controlling sociodemographic variables. Moral injury significantly mediated the relationship between spirituality and both depression and anxiety, explaining 60% (0.46/0.76) of the total association between spirituality and depression and 58% (0.38/0.65) of the association with anxiety. No moderating effect of moral injury was found on the spirituality–mental health relationship. Conclusions Although they were the findings of a cross-sectional study, these results suggest that concern over transgressing moral values during the pandemic may have been a driving factor for negative mental health symptoms among Chinese health professionals for whom spirituality was somewhat important. Future longitudinal studies are needed to determine the causal nature of these relationships.

scholarly journals Attitude toward Aging Mediates the Relationship between Personality and Mental Health in Older Adults

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 594
Author(s):  
Teshome Sirak Bedaso ◽  
Buxin Han
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Life Satisfaction ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Personality Factors ◽  
Health Issues ◽  
Cross Sectional ◽  
Potential Mediator ◽  
The Relationship

This study aimed to examine attitude toward aging as a potential mediator of the relationship between personality factors and mental health in terms of depression and life satisfaction among older adults. A cross-sectional study was conducted with 438 Ethiopian elderly individuals aged 60 to 69. The results of the regression-based path analysis showed that after adjusting for demographic data, the relationship between agreeableness and depression in older adults was partially mediated by attitude toward aging. Likewise, attitude toward physical change due to aging and psychological growth subscales jointly mediated the correlation between neuroticism and depression. However, a significant direct path between neuroticism and depression persisted. On the contrary, openness had no significant direct association with depression apart from an indirect through psychosocial loss. The link between life satisfaction and agreeableness as well as openness to experience were partially mediated by psychosocial loss. Therefore, a person’s attitude toward aging and personality characteristics should be taken into consideration while designing interventions for managing mental health issues among older adults.

scholarly journals Safety culture: perception of health professionals in a mental hospital

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2316-2322 ◽  
Author(s):  
Isabelly Costa Lima de Oliveira ◽  
Maria Lígia Silva Nunes Cavalcante ◽  
Samia Freitas Aires ◽  
Rodrigo Jácob Moreira de Freitas ◽  
Beatriz Viana da Silva ◽  
...  
Keyword(s):  
Mental Health ◽  
Safety Culture ◽  
Health Professionals ◽  
Mental Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Attitudes ◽  
Perception Of Safety ◽  
Female Predominance ◽  
Nursing Professionals

ABSTRACT Objective: To evaluate the culture of patient safety in a mental health service. Method: Cross-sectional study conducted with health professionals in a mental hospital, by applying the Safety Attitudes Questionnaire (SAQ). Descriptive and inferential analyses were performed. Results: One-hundred and three professionals participated in the study, with female predominance (64.1%) and time of performance equal to or greater than 21 years (32.4%). The nursing professionals of technical level and with statutory work regime were the most participative, 54.4% and 52% respectively. The total score was 69 points. The domain that reached the highest score was Job satisfaction (80 points) and the lowest was Working conditions (57 points). The statutory professionals and those with longer professional experience obtained better scores in the perception of safety culture. Conclusion: The result of safety culture was below the recommended, indicating the need for strengthening this construct in mental health hospitals.

scholarly journals Depression and empathy in health professionals who work in the long-term care institutions for older adults

2021 ◽  
Vol 15 (3) ◽  
pp. 381-386
Author(s):  
Marina Miranda Borges ◽  
Ana Julia de Lima Bomfim ◽  
Marcos Hortes Nisihara Chagas
Keyword(s):  
Older Adults ◽  
Health Professionals ◽  
Long Term Care ◽  
Cross Sectional Study ◽  
Reactivity Index ◽  
Cross Sectional ◽  
Term Care ◽  
Patient Health ◽  
The Relationship

ABSTRACT Empathy is an important factor to guarantee the quality of care provided in the long-term care institutions (LTCIs) for older adults, and depression is a factor that affects the health of the professional and, consequently, the care. Thus, it is important that studies are conducted on the relationship of these variables in this context. Objective: The aim of this study is to verify the relationship between empathy and depressive symptoms among health professionals working in the LTCIs. Methods: A cross-sectional study was carried out at LTCIs in the state of São Paulo, Brazil. The final sample was constituted by 101 health professionals (i.e., caregivers and nursing technicians) with direct participation in the care of institutionalized older adults. The instruments were used as follows: the Interpersonal Reactivity Index (IRI) to assess empathy and the Patient Health Questionnaire-9 (PHQ-9) for the diagnosis of depression. For the analyses, the patients were divided into groups with and without depression, according to the score of the PHQ-9. Results: The prevalence of depression among health professionals was 19.8%. Significant statistical differences were found between the groups for the total score of the IRI (p=0.029), for the emotional domain (p=0.023), and for the personal distress (p=0.009). Conclusions: The findings indicate that the presence of depression among health professionals at LTCIs is related to the higher levels of empathy, especially in the emotional domain. Thus, future studies that contribute to understanding how care must be provided with empathy, but without harming the health of the professional, should be carried out.

scholarly journals The relationship between deinstitutionalization and quality of care in longer-term psychiatric and social care facilities in Europe: A cross-sectional study

2017 ◽  
Vol 42 ◽  
pp. 95-102 ◽  
Author(s):  
T. Taylor Salisbury ◽  
H. Killaspy ◽  
M. King
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Service User ◽  
Multilevel Models ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
The Relationship

AbstractBackgroundThe process of deinstitutionalization (community-based care) has been shown to be associated with better quality of life for those with longer-term mental health problems compared to long stay hospitals. This project aimed to investigate the relationship between national progress towards deinstitutionalization and (1) quality of longer-term mental health care (2) service users’ ratings of that care in nine European countries.MethodsQuality of care was assessed in 193 longer-term hospital- and community-based facilities in Bulgaria, Germany, Greece, Italy, the Netherlands, Poland, Portugal, Spain and the UK. Data on users’ ratings of care were collected from 1579 users of these services. Country level variables were compiled from publicly available data. Multilevel models were fit to assess associations with quality of care and service user experiences of care.ResultsSignificant positive associations were found between deinstitutionalization and (1) five of seven quality of care domains; and (2) service user autonomy. A 10% increase in expenditure was associated with projected clinically important improvements in quality of care.ConclusionsGreater deinstitutionalization of mental health mental health services is associated with higher quality of care and better service user autonomy.

Youth violence and mental health: repeating exposures

2017 ◽  
Vol 10 (3) ◽  
pp. 174-186 ◽  
Author(s):  
Manuel Ángel Oscós-Sánchez
Keyword(s):  
Mental Health ◽  
Youth Violence ◽  
Exposure To Violence ◽  
Cross Sectional Study ◽  
Original Research ◽  
Repeated Testing ◽  
Cross Sectional ◽  
Content Type ◽  
The Core ◽  
The Relationship

Purpose The purpose of this paper is to discover and describe salient repeating and less common features of the recent medical literature about youth violence as it relates to mental health. How the relationship between youth violence and mental health is commonly conceptualized, investigated, and reported is summarized. Negative cases, unique approaches, and concepts are discussed. Design/methodology/approach An Ovid Medline literature search was conducted with the search parameters of “adolescent and violence” and “psychiatry or psychology or mental health.” In total, 66 articles met inclusion criteria and were analyzed using grounded theory procedures and techniques. Findings In all, 49 articles were reports of original research, 14 were literature reviews, and three were editorials. The articles included discussions of youth violence and mental health among young people in 49 countries. Most original research used cross-sectional designs that tested and supported the core hypothesis that greater exposure to violence is associated with more mental health issues. The relationship is robust even though characterizations of “exposure to violence” and “mental health” were highly variable. Meta-analytic and intervention studies were rare. Originality/value The core feature of the last decade of medical research has been the repeated testing and confirmation that a relationship between exposure to violence and mental health exists. Future youth violence research should move beyond continuing to test this hypothesis with cross-sectional study designs.

scholarly journals Attitudes toward concordance in psychiatry: a comparative, cross-sectional study of psychiatric patients and mental health professionals

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Carlos De las Cuevas ◽  
Amado Rivero-Santana ◽  
Lilisbeth Perestelo-Pérez ◽  
Jeanette Pérez-Ramos ◽  
Pedro Serrano-Aguilar
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Patients ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

The Relationship of Mother's Spiritual Well-being and Forgiveness with Mother-to-infant Attachment in Women Referring to Maternity Hospital Affiliated to Shiraz University of Medical Sciences

2020 ◽  
Vol 16 (2) ◽  
pp. 116-122
Author(s):  
Hanieh Dehestani ◽  
Zeinab Moshfeghy ◽  
Fatemeh Ghodrati
Keyword(s):  
Mental Health ◽  
Great Influence ◽  
Well Being ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Spiritual Health ◽  
Cross Sectional ◽  
Spiritual Well Being ◽  
High Level ◽  
The Relationship

Background: The mental health of the mother has a great influence on the health of her fetus. Objective: The aim of this study was to investigate the relationship between the mother's spiritual well-being and forgiveness with maternal-fetal attachment (MFA). Methods: This is a descriptive-analytic cross-sectional study. A sample of 200 female participants was selected by applying a simple sampling method among the mothers hospitalized in 3 clinics during the period of 2017-2018. The Paloutzian and Ellison Spiritual Health and Pollard & Anderson Forgiveness Questionnaires were used toassess the correlation between the spiritual health and forgiveness of the mother with MFA. Results: The relationship between attachment parameters including sentimental and emotional behaviors (r = 0.365, p = 0.0001), near-proximity-keeping behaviors (r = 0.261, p = 0.002), care behaviors (r = 0.339, p = 0.0001), mother’s attention to baby (r = 0.19, p = 0.026), versus all attachment behaviors (r = 0.349, p = 0.0001) and high level of spiritual well-being was significant, whereas the relationship between the mother’s forgiveness score and all the attachment components was not meaningful. However, the high level of forgiveness score was significant with all of the attachment components (p<0.0001). Conclusion: There was a significant relationship between the mother’s mental health and forgiveness and the attachment versus its components. It is recommended that in order to reduce the stress level and promotion of MFA, training courses for spiritual programs and mechanisms for the creation of forgiveness should be scheduled in the pregnancy plans.

Stress, Coping, and Comorbidity among Hemodialysis Patients

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S.-C.J. Yeh
Keyword(s):  
Coping Strategies ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Moderating Effect ◽  
Hierarchical Regression ◽  
Stress Coping ◽  
Cross Sectional ◽  
Face To Face ◽  
Positive Coping ◽  
The Relationship

Purposes:The primary purposes of this study were 1) to examine relationships among stress, coping and comorbidity and 2) to test the interaction effect of comorbidity.Background:Hemodialysis imposes a variety of physical and psychosocial stressors that challenge patients. Comorbidity is a risk factor for many health outcomes. Research on how comorbidity influences the relationship between coping and stress is limited.Method:In this cross-sectional study using face to face interviews, we interviewed 2642 hemodialysis patients fifteen years or older on dialysis for at least 3 months from October 2002 to January 2003. The Hemodialysis Stressor Scale measured stressors and the Jalowiec Coping Scale were used to measure coping strategies. A hierarchical regression was used to analyze the data.Results:Hemodialysis patients with comorbidities were found to have higher levels of stress. Comorbidity had a moderating effect between choice of problem-oriented responses and isolated thoughts as coping strategies. These findings show that hemodialysis patients with comorbidities often choose positive coping strategies.Conclusion:HD patients with comorbidity have a higher stress scores than those without comorbidities. Comorbidity not only has a direct impact on stress but also has a moderating effect on the relationship between coping and stress. Therefore, taking into account the comorbidity factor became very crucial when assessing the HD patients’ level of stress.

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