scholarly journals Duration of maternal mental health-related outcomes after an infant’s death: A retrospective matched-cohort study using linkable administrative data

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Elizabeth Wall-Wieler ◽  
Leslie Roos ◽  
James Bolton
Keyword(s):  
Mental Health ◽  
Psychotropic Medication ◽  
Maternal Mental Health ◽  
Medication Use ◽  
First Year ◽  
Death Of A Child ◽  
Health Related ◽  
One Year ◽  
Child's Death ◽  
Linkable Administrative Data

IntroductionMothers have increased mental illness such as anxiety and depression after the death of a child. Objectives and ApproachThe mental health of all mothers who experience the death of an infant (< 1 years old) in Manitoba, Canada between April 1, 1999, and March 31, 2011 (n = 534) is examined in the four years leading up to, and the four years following, the death of their child to determine how long increased levels of mental-health realted outcomes remain elevated after the death of an infant. Mental health-related outcomes of these mothers are compared with a matched (3:1) cohort of mothers who did not experience the death of a child (n = 1,602). ResultsCompared with mothers who did not experience the death of a child, mothers experiencing this event had higher rates of anxiety diagnoses and psychotropic prescriptions starting 6 months before the death. Elevated rates of anxiety continued for the first year and elevated rates of psychotropic prescriptions continued for six months after the death of the child. Mothers who experienced the death of a child had higher rates of depression diagnoses in the year after the death. Relative rates (RR) of depression (RR = 4.94), anxiety (RR = 2.21), and psychotropic medication use (RR = 3.18) were highest in the six months after the child’s death. Conclusion/ImplicationsElevated rates of depression, anxiety, and psychotropic medication use after the death of a child end within one year of the child’s death.

scholarly journals The effect of social support to postpartum depression in postpartum mother in 2018

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Dessy Hertati ◽  
Evi Nurhidayati
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Postpartum Depression ◽  
Maternal Depression ◽  
Maternal Mental Health ◽  
Post Partum ◽  
Depression Symptoms ◽  
The Social ◽  
One Year ◽  
Postpartum Mothers

The Effect Of Social Support To Postpartum Depression in Postpartum Mother. Post-partum mother have the potential of depression. Their new role as mother gives a higher burden on their mental health. According to the American of Pedriatrics, a retrospective study conducted by nursing found that one of seven women was hospitalized for depression during pregnancies up to one year after childbirth. The prevalence of maternal depression in 2 weeks after delivery was 80-85% and more than 8-15% will develop into postpartum depression. Pregnant mother who did not receive social support were associated with the incidence of postpartum depression with an OR of 2.12 to 3.38 as well as postpartum mothers who received less social support associated with postpartum depression with OR values of 2.06 to 9.64.The study was conducted by literature studies on 10 previous studies about social support variables and the occurrence of postpartum depression. It was found that social support is essential for post-partum mothers in order to keep their confidence to take care their babies and adapt to new things. The social supports were expected from husbands, families, health professionals and environment. Several factors such as culture, education level, demography, and birth experience have the effects on the potential of post-partum depression. Low level of social support increased maternal depression and reduce maternal mental health within four weeks after delivery. High levels of depression can lead to self-harming, acute depression symptoms such as sadness, crying, irritability, anxiety, concentration difficulty, lability of feelings and sleep and appetite disorders, even at an advanced level, it can lead to suicide. In order to minimize and overcome postpartum depression, midwives are expected to provide promotive preventive care on mental health both in prenatal and antenatal periods.

scholarly journals A Longitudinal Study of a Multicomponent Exercise Intervention with Remote Guidance among Breast Cancer Patients

2020 ◽  
Vol 17 (10) ◽  
pp. 3425 ◽  
Author(s):  
Xiaosheng Dong ◽  
Xiangren Yi ◽  
Meng Ding ◽  
Zan Gao ◽  
Daniel J. McDonough ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Physical Activity ◽  
Muscle Strength ◽  
Cancer Patients ◽  
Exercise Intervention ◽  
Breast Cancer Patients ◽  
Health Related ◽  
One Year

Purpose: Breast cancer patients in treatment suffer from long-term side effects that seriously influence their physical and mental health. The aim of this study was to examine effectiveness of a 12-week multicomponent exercise (ME) with remote guidance intervention on health-related outcomes after one year among breast cancer patients. Methods: In phases I–III, 60 patients (51.2 ± 7.9 years) with breast cancer (BC) who completed chemotherapy/postoperative radiotherapy within the previous four months to two years were randomly assigned to (1) multicomponent exercise with remote guidance (ME) and (2) usual care (UC). Eligible participants were approached to assess cancer-related quality of life (QOL), muscle strength, cardiorespiratory endurance, and physical activity (PA) barriers after one year. Results: The results demonstrated that, after one year, the ME group reported higher vitality-related QOL (5.776, 95% confidence interval [CI] 0.987, 10.565, effect size [ES] = 0.360), mental health-related QOL (9.938, 95% CI 4.146, 15.729, ES = 0.512), leg strength and endurance (2.880, CI 1.337, 4.423, ES = 0.557), and strength and endurance of upper extremities (2.745, 95% CI 1.076, 4.415, ES = 0.491) and lower physical activity (PA) hindrance (5.120, 95% CI 1.976, 8.264, ES = 0.486) than the UC group. Conclusions: The ME group observed significant differences from the UC group in QOL, muscle strength, cardiopulmonary endurance, and PA participation. These findings suggested that the multicomponent exercise intervention with remote guidance produced long-term health benefits for breast cancer patients.

scholarly journals The supervision register: one year on

1996 ◽  
Vol 20 (3) ◽  
pp. 143-145 ◽  
Author(s):  
Phillip J. Vaughan
Keyword(s):  
Mental Health ◽  
Response Rate ◽  
Postal Survey ◽  
First Year ◽  
Regional Health ◽  
Adult Mental Health ◽  
Health Authorities ◽  
Regional Health Authorities ◽  
One Year

A postal survey was conducted within four regional Health Authorities to ascertain how widely the supervision register had been applied in its first year of operation in adult mental health. A 72% response rate was achieved. The results showed that the register has been absorbed organisationally but is less accepted professionally. One hundred and nineteen of the 367 consultants in the sample (32%) had no entries on the register at 31st March 1995. The provision of training on its use had a significant effect on compliance, although London-based services had marginally less registrations per consultant than their colleagues elsewhere. Very few outside agencies had required access to the register.

scholarly journals Impact of Supervised Exercise on One-Year Medication Use in Older Veterans with Multiple Morbidities

2020 ◽  
Vol 6 ◽  
pp. 233372142095675
Author(s):  
Marc J. Pepin ◽  
Willy M. Valencia ◽  
Janet Prvu Bettger ◽  
Megan Pearson ◽  
Kenneth M Manning ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Conditions ◽  
Medication Use ◽  
Veterans Affairs ◽  
Lipid Lowering ◽  
Supervised Exercise ◽  
One Year ◽  
Multiple Morbidities ◽  
The Ideal

Exercise is touted as the ideal prescription to treat and prevent many chronic diseases. We examined changes in utilization and cost of medication classes commonly prescribed in the management of chronic conditions following participation in 12-months of supervised exercise within the Veterans Affairs Gerofit program. Gerofit enrolled 480 veterans between 1999 and 2017 with 12-months participation, with 453 having one or more active prescriptions on enrollment. Active prescriptions overall and for five classes of medications were examined. Changes from enrollment to 12 months were calculated, and cost associated with prescriptions filled were used to estimate net cost changes. Active prescriptions were reduced for opioids (77 of 164, 47%), mental health (93 of 221, 42%), cardiac (175 of 391, 45%), diabetes (41 of 166, 25%), and lipid lowering (56 of 253, 22%) agents. Cost estimates resulted in a net savings of $38,400. These findings support the role of supervised exercise as a favorable therapeutic intervention that has impact across chronic conditions.

Maternal Mental Health during Children's First Year of Life: Association with Receipt of Section 8 Rental Assistance

2013 ◽  
Vol 23 (2) ◽  
pp. 281-297 ◽  
Author(s):  
Arvin Garg ◽  
Lori Burrell ◽  
Yorghos Tripodis ◽  
Elizabeth Goodman ◽  
Jeanne Brooks-Gunn ◽  
...  
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
First Year ◽  
Section 8 ◽  
First Year Of Life

scholarly journals Mental health, psychotropic medication use, and menstrual cycle characteristics

2018 ◽  
Vol Volume 10 ◽  
pp. 1073-1082 ◽  
Author(s):  
Yael Nillni ◽  
Amelia Wesselink ◽  
Elizabeth Hatch ◽  
Ellen Mikkelsen ◽  
Jaimie L Gradus ◽  
...  
Keyword(s):  
Mental Health ◽  
Menstrual Cycle ◽  
Psychotropic Medication ◽  
Medication Use

scholarly journals Associations between food insecurity and psychotropic medication use among women living with HIV in the United States

2020 ◽  
Vol 29 ◽  
Author(s):  
Henry J. Whittle ◽  
William R. Wolfe ◽  
Lila A. Sheira ◽  
Edward A. Frongillo ◽  
Kartika Palar ◽  
...  
Keyword(s):  
Mental Health ◽  
Food Insecurity ◽  
Psychotropic Medication ◽  
Medication Use ◽  
The United States ◽  
Psychotropic Medications ◽  
Structural Factors ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Living With Hiv

Abstract Aims Psychotropic prescription rates continue to increase in the United States (USA). Few studies have investigated whether social-structural factors may play a role in psychotropic medication use independent of mental illness. Food insecurity is prevalent among people living with HIV in the USA and has been associated with poor mental health. We investigated whether food insecurity was associated with psychotropic medication use independent of the symptoms of depression and anxiety among women living with HIV in the USA. Methods We used cross-sectional data from the Women's Interagency HIV Study (WIHS), a nationwide cohort study. Food security (FS) was the primary explanatory variable, measured using the Household Food Security Survey Module. First, we used multivariable linear regressions to test whether FS was associated with symptoms of depression (Center for Epidemiologic Studies Depression [CESD] score), generalised anxiety disorder (GAD-7 score) and mental health-related quality of life (MOS-HIV Mental Health Summary score; MHS). Next, we examined associations of FS with the use of any psychotropic medications, including antidepressants, sedatives and antipsychotics, using multivariable logistic regressions adjusting for age, race/ethnicity, income, education and alcohol and substance use. In separate models, we additionally adjusted for symptoms of depression (CESD score) and anxiety (GAD-7 score). Results Of the 905 women in the sample, two-thirds were African-American. Lower FS (i.e. worse food insecurity) was associated with greater symptoms of depression and anxiety in a dose–response relationship. For the psychotropic medication outcomes, marginal and low FS were associated with 2.06 (p < 0.001; 95% confidence interval [CI] = 1.36–3.13) and 1.99 (p < 0.01; 95% CI = 1.26–3.15) times higher odds of any psychotropic medication use, respectively, before adjusting for depression and anxiety. The association of very low FS with any psychotropic medication use was not statistically significant. A similar pattern was found for antidepressant and sedative use. After additionally adjusting for CESD and GAD-7 scores, marginal FS remained associated with 1.93 (p < 0.05; 95% CI = 1.16–3.19) times higher odds of any psychotropic medication use. Very low FS, conversely, was significantly associated with lower odds of antidepressant use (adjusted odds ratio = 0.42; p < 0.05; 95% CI = 0.19–0.96). Conclusions Marginal FS was associated with higher odds of using psychotropic medications independent of depression and anxiety, while very low FS was associated with lower odds. These complex findings may indicate that people experiencing very low FS face barriers to accessing mental health services, while those experiencing marginal FS who do access services are more likely to be prescribed psychotropic medications for distress arising from social and structural factors.

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