scholarly journals SCHIZOPHRENIA AND EPILEPSY;

2017 ◽  
Vol 24 (05) ◽  
pp. 757-766
Author(s):  
Wahida Anjum

Introduction: Persistently dealing with chronic mental illness makes the caregiverssuffer from burden and mental health problems which are intensified if the caregiver is female.Therefore, there is need to improve the mental health of caregivers by using relaxation trainingin such a way that would reduce the burden of care in caregivers. Objectives: It is assumedthat female caregivers would be differing significantly in mental health problems as comparedto man. Relaxation training would improve mental health as compared to controlling the actualcondition. High burden would have inverse relationship with GHQ’s differential scores. Therewould be significant interaction between gender and burden, gender and training, burden andtraining, gender, burden and training. Study Design: A 2(Gender) X 2(Burden) X 2(Training)mixed factorial between subject design was used. Setting & Period: This study was conductedwithin 6 months of duration at the department of Psychiatry, Sir Ganga Ram Hospital Lahore.Material & methods: Purposive Sample technique was used. Sample consisted of 40 womenand 40 men out door patient’s caregivers of schizophrenia and epilepsy at Sir Ganga RamHospital, Lahore. Their age ranged from 20 to 60 years (M = 35.05, SD = 0.89). We assessedcaregiver’s burden by using Urdu version of Burden of Assessment (BAS) along with BAS, wealso recorded demographic information about the caregivers and assessed patients whomthey served on ICD-10 and clinical diagnoses for schizophrenia and epilepsy. Inherent to thestudy was a General Health Questionnaire (GHQ) which measured health of all caregivers fromdifferent dimensions. It included somatic, anxiety & insomnia, social dysfunction, depressionand psychological health of all caregivers. Compliant with a number of researchers, we designa training program to alleviate caregivers burden of health coping strategies, safeguard fromunfounded options about the patients and the disease and maximize the efficiency in dealingwith the patient and his/her disease. Results: Results found significant main effects on genderas women suffered from high burden and mental health problems as compared to men. Asame significant main effect was also found for burden which increased health-related issues.Another significant main effect was found on training. The experimental group whom researcherprovided relaxation training was significantly low on GHQ differential score as compared tocontrolled condition. Since we divided caregivers into high and low burden groups we foundthat general health of high burden group are more porn to degradation than low burden group.However, low health indicated on GHQ subscales is improved after training for both highand low burden group. Conclusions: We concluded that caregivers need to get substantialunderstanding of the patients disease and they need to get first-hand knowledge and trainingof what they are getting into when they are looking after diseased patients.

Author(s):  
Elainy da S. Camilo Loiola ◽  
Tiago Oliveira Loiola ◽  
Renan Santos Mugrabi

The literature indicates a high prevalence of mental disorders in the university population and reveals the vulnerability of this public to psychic illness. Thus, exploring protective and risk constructs related to mental health problems in higher education students is important to collaborate with more effective interventions. Studies already associate personal and academic characteristics including age, income, and academic performance with mental illness of university students. However, there is still little scientific knowledge about psychosocial predictors such as quality of life to psychological disorders in this population. This study analyzed the predictive effect of quality of life on mental health of academics from a Public University of western Amazonia of Brazil. A cross-sectional design was carried out with 301 university students, who responded to the instruments: Quality of Life of the World Health Organization (WHOQOL-bref); Maslach Burnout Invetory/Student SurveyBI (MBI-SS); General Health Questionnaire (QSG); and a socio-demographic and academic characterization form. The results of the regression analyses indicated that the Quality-of-Life domains predicted the dimensions of emotional exhaustion and professional efficacy of burnout syndrome and influenced the five factors of general health, namely psychic stress, desire for death, distrust in performance capacity, sleep disorders and psychosomatic disorders. These findings suggest that strategies focused on increasing quality of life can mitigate mental health problems among university students.


2021 ◽  
Vol 20 (3) ◽  
pp. 1-32
Author(s):  
Reyna Jazmín Martínez Arriaga ◽  
Leivy Patricia González Ramírez ◽  
Nancy Evelyn Navarro Ruiz ◽  
José María De la Roca -Chiapas ◽  
Oscar Ulises Reynoso González

Introducción: El personal de enfermería es uno de los grupos más afectados por la actual pandemia por COVID-19. Se han reportado problemas de salud mental en esta población, sin embargo, también es importante estudiar la resiliencia, para identificar sus fortalezas. El objetivo de este estudio fue estudiar la resiliencia en enfermeros mexicanos y los factores sociodemográficos y de salud mental asociados a ella. Se llevó a cabo un estudio transversal.Método: Se envió vía online un cuestionario sociodemográfico y relacionado a COVID-19, así como el Inventario de Resiliencia y el Cuestionario General de Salud-28. Se incluyeron 556 enfermeros, la mayoría fueron mujeres (80%), solteras (60.8%) y con edades entre 26-35 años (38.3%).Resultados: Se encontraron niveles bajos de resiliencia en los enfermeros más jóvenes (p<0.001, ɳ2=0.05), solteros (p<0.001, ɳ2=0.02) y con menor nivel educativo (p=0.001, ɳ2=0.02). Los predictores de resiliencia fueron la búsqueda de información sobre salud mental (β =-0.152, p <0.001), nivel educativo más alto (β = 0.142, p<0.001), niveles bajos de depresión (β=-0.307, p<0.001) y bajos niveles de disfunción social (β =-0.261, p<0.001).Conclusión: Estos hallazgos permiten identificar los factores asociados a la resiliencia en los enfermeros y cómo estos juegan un rol muy importante en su salud mental. Asimismo, estos datos permiten la identificación de grupos con mayor riesgo psicosocial, con la finalidad de guiar estrategias en salud mental orientadas a aumentar la resiliencia. Introduction: Nursing personnel are one of the groups which have been most affected by the current COVID-19 pandemic. Although mental health problems have been reported in this population, it is important to study resilience, in order to identify its strengths. The purpose was to study resilience in Mexican nurses and the mental health and sociodemographic factors associated with it. A cross-sectional study was used. Method: A sociodemographic and COVID-19 related questionnaire, the Resilience Inventory and the General Health Questionnaire-28, was sent via online. 556 nurses were included, the majority were women (80%), single (60.8%), aged between 26-35 years (38.3%). Results: Lower resilience was found among nurses who were younger (p<0.001, ɳ2=0.05), single (p<0.001, ɳ2=0.02) and with lower levels of education (p=0.001, ɳ2=0.02). Predictors of resilience included the search for mental health information (β =-0.152, p <0.001), higher education (β = 0.142, p<0.001), low levels of depression (β=-0.307, p<0.001) and low levels of social dysfunction (β =-0.261, p<0.001). Conclusion: This findings allowed to identify the factors which are associated with resilience among nurses and how this plays an important role in their mental. Likewise, this data allows for the identification of high psychosocial risk groups, to better guide mental health strategies aimed at increasing resilience. Resumo:Introdução:O pessoal de enfermagem é um dos grupos mais afetados pela atual pandemia de COVID-19. Problemas de saúde mental têm sido relatados nessa população, porém também é importante estudar a resiliência, para identificar seus pontos fortes. O objetivo deste estudo foi estudar a resiliência em enfermeiras mexicanas e os fatores sociodemográficos e de saúde mental a ela associados. Foi realizado um estudo transversal.Método:Um questionário sociodemográfico relacionado ao COVID-19 foi enviado online, assim como o Resilience Inventory e o General Health Questionnaire-28. Foram incluídos 556 enfermeiros, a maioria mulheres (80%), solteiros (60,8%) e com idade entre 26-35 anos (38,3%).Resultados:Baixos níveis de resiliência foram encontrados nos enfermeiros mais jovens (p <0,001, ɳ2 = 0,05), solteiros (p <0,001, ɳ2 = 0,02) e com menor escolaridade (p = 0,001, ɳ2 = 0,02). Os preditores de resiliência foram a busca por informações sobre saúde mental (β = -0,152, p <0,001), maior escolaridade (β = 0,142, p <0,001), baixos níveis de depressão (β = -0,307, p <0,001 ) e baixos níveis de disfunção social (β = -0,261, p <0,001).Conclusão:Esses achados permitem identificar os fatores associados à resiliência em enfermeiros e como eles desempenham um papel muito importante em sua saúde mental. Da mesma forma, esses dados permitem identificar grupos de maior risco psicossocial, a fim de nortear estratégias de saúde mental que visem aumentar a resiliência.


2020 ◽  
Vol 50 (4) ◽  
pp. 415-417 ◽  
Author(s):  
Susan Rees ◽  
Jane Fisher

Approximately 1 in 10 of the current 26 million people who are refugees reside in high-income countries. They have commonly experienced trauma related to violence, insecurity, persecution and shortage of food and medicine. Our research suggests that COVID-19 and its health and social sequalae may be triggering past traumatic reactions, exacerbating mental health problems and undermining functioning. The purpose of this article is to promptly communicate these anecdotal findings to general health practitioners to ensure informed and sensitive health care delivery to this vulnerable population.


2019 ◽  
Vol 185 (5-6) ◽  
pp. e703-e710
Author(s):  
Morten Nordmo ◽  
Sigurd William Hystad ◽  
Sverre Sanden ◽  
Bjørn Helge Johnsen

Abstract Introduction Minor mental health problems among service members deployed in combat areas are relatively common, but social support is a protective factor. With the advent of digital communication, as well as more frequent family separations, a stable family support system may be more important than before. In this exploratory study, we aimed to test the relationship between perceived family support and the development of minor psychiatric symptoms during a 4-month naval counter piracy mission in the Gulf of Aden. Materials and Methods We measured minor mental health problems with the general health questionnaire 12 (GHQ-12) and family support at three intervals, 3 weeks before deployment, 2 months into the mission, and at the end of deployment. We used mixed multilevel regression analysis to analyze the main effects of family support and time, as well as their interaction. All analyses were controlled for military rank. Results We found that minor psychiatric symptoms increased at both midway (B = 0.51, P &lt; 0.05) and toward the end of the mission (B = 0.72, P &lt; 0.01). The results also showed that receiving more family support is associated with fewer psychiatric symptoms (B = −0.87, P &lt; 0.01). Family support also moderated the development of symptoms toward the end of the mission (B = −0.73, P &lt; 0.01). The buffering effect was such that service members with a high degree of family support experienced no increase in minor psychiatric symptoms during the deployment. Conclusions The results indicate that naval deployment is associated with a small increase in minor mental health problems and that having a high degree of family support buffers this effect. Efforts to increase support among military families may positively influence the wellbeing of naval sailors during combat missions.


Author(s):  
Christiane Otto ◽  
Franziska Reiss ◽  
Catharina Voss ◽  
Anne Wüstner ◽  
Ann-Katrin Meyrose ◽  
...  

Abstract Mental health and well-being are of great interest in health policy and research. Longitudinal surveys are needed to provide solid population-based data. We describe the design and methods of an 11-year follow-up of the German BELLA study in children, adolescents and young adults, and we report on age- and gender-specific courses of general health and well-being, long-term health-related outcomes of mental health problems, and mental health care use. The BELLA study is the module on mental health and well-being within the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Standardised measures were used at each of the five measurement points of the BELLA study. In the 11-year follow-up, young people aged 7–31 years participated (n = 3492). Individual growth modelling, linear regression and descriptive analyses were conducted. Self-reported general health and well-being were both better in younger (vs. older) and in male (vs. female) participants according to the data from all five measurement points. Mental health problems in childhood and adolescence (measured at baseline) predicted impaired health outcomes at 6-year and 11-year follow-ups. Approximately one out of four children with a diagnosed mental disorder was not undergoing mental health treatment. With its 11-year follow-up, the prospective longitudinal BELLA study provides new and solid data on mental health and well-being from childhood to adulthood in Germany, and these data are important for health promotion and prevention practices. These results are consistent with previous findings. Promising future analyses are planned.


2002 ◽  
Vol 32 (3) ◽  
pp. 285-294 ◽  
Author(s):  
C. Androutsopoulou ◽  
M. Livaditis ◽  
K. I. Xenitidis ◽  
G. Trypsianis ◽  
M. Samakouri ◽  
...  

Objective: Psychiatric problems are often expressed through, or coexist with, somatic symptoms. Cultural factors may influence this association. This study aims to 1) estimate the prevalence of mental health problems in a sample of primary care attendees in a rural area of Greece, and 2) investigate the differences in psychiatric symptomatology among patients from different religious/cultural backgrounds. Method: Over a three-month period, 300 consecutive adult patients (Christians and Moslems) at the rural Primary Care Health Centre of Iasmos in Thrace, Greece, were assessed with the 28-item General Health Questionnaire. Results: The probable prevalence of mental health problems was estimated at 32 percent. Only for a small minority of the patients (3.3 percent) psychological problems were the presenting complaint. Moslems scored significantly higher than Christians in the somatic complaints subscale ( p < 0.001). Conclusions: Mental health problems are common in primary care although they rarely constitute a reason for consultation. Sociocultural background may affect the presentation of psychological distress. Primary health care staff have a significant role in identifying hidden psychiatric morbidity.


Author(s):  
Dorothy Cotton ◽  
Terry G. Coleman

As early as the 1970s, some police agencies began to develop education and training initiatives as well as specialized response initiatives to assist police in responding to calls for service involving people with mental health problems. Various versions of Memphis's Crisis Intervention Team program as well as various co-response models have become increasingly common. However, the effectiveness of these often stand-alone programs remains unclear. What has become clear is that police agencies require a strategic approach to interactions between police and vulnerable populations including those with mental health problems. This chapter, which provides an overview of the evolution of these specialized police responses, proposes that there is a need for a more comprehensive third generation approach—a strategic approach—rather than solely a “program” approach. Identification is made of specific areas in which the unique skills of psychologists are important in furthering the success of the necessary strategic approach.


Author(s):  
Alan Ralph

Significant numbers of teenagers globally are reported to have health and mental health problems. Parenting factors have been shown to be related to adolescent health and mental health problems as well as other social determinants. Teen Triple P is described as an example of an intervention developed as an upward extension of the Triple P—Positive Parenting Program for parents of children from 12 to 16 years of age. Challenges that need to be addressed to increase parental access to trained practitioners are discussed, including the tendency among workers in the adolescent mental health field to be oriented to working directly with the teenager and the identification and training of a workforce that has the capacity and opportunity to work with parents of teenagers.


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