scholarly journals Comparison of Perceived Covid-19 Related Mental Health Stress in SMI and Non-SMI Psychiatric Populations

2021 ◽  
Author(s):  
William Walker

The purpose of the present study was to investigate differences in perceived COVID-19 associated mental health-related stress in individuals with psychiatric diagnoses at opposite ends of the DSM diagnostic severity spectrum. The opposite poles of the spectrum were represented by Adjustment Disorder (AjD) at one end and disorders categorized as Serious Mental Illness (SMI) at the other. The study hypothesized that persons with SMI disorders are more likely to report their mental health negatively affected by COVID-19 stress compared to individuals with non-SMI disorders. An observational, cross-sectional model was used to collect data from client intake forms completed between April 2020 and December 2020. Participants were 25 male and 23 female U.S. citizens (mean age = 32.9) diagnosed with either SMI or Adjustment Disorder. COVID-related mental health stress was measured by answering 'yes' or 'no' to the following question: "Do you feel that your mental health is being negatively impacted (for the worse) by the life-changes, hardships, and stress being caused by the current coronavirus outbreak?" A Pearson chi-square analysis was used to compare the two groups. Results indicated that individuals diagnosed with SMI disorders were significantly more likely to report their mental health negatively affected by COVID-related stress compared to individuals diagnosed with Adjustment Disorder (SMI 74% vs. AdJ 19%, p<.001). In this study, individuals with a pre-existing SMI disorder are almost four times (Risk Ratio: 3.89) more likely to be adversely affected by perceived stress associated with the COVID-19 pandemic than individuals diagnosed with Adjustment Disorder. No significant differences were found between the two diagnostic groups on sociodemographic characteristics (gender/age/ethnicity). These findings suggest that the mental health of individuals diagnosed with SMI may be considerably more negatively impacted by current COVID-19 related stress and therefore require greater clinical attention compared to those diagnosed with Adjustment Disorder and other non-SMI diagnoses.

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
William Walker Jr. ◽  

The purpose of the present study was to investigate differences in perceived COVID-19 associated mental health-related stress in individuals with psychiatric diagnoses at opposite ends of the DSM diagnostic severity spectrum. The opposite poles of the spectrum were represented by Adjustment Disorder (AjD) at one end and disorders categorized as Serious Mental Illness (SMI) at the other. The study hypothesized that persons with SMI disorders are more likely to report their mental health negatively affected by COVID-19 stress compared to individuals with non-SMI disorders. An observational, cross-sectional model was used to collect data from client intake forms completed between April 2020 and December 2020. Participants were 25 male and 23 female U.S. citizens (mean age = 32.9) diagnosed with either SMI or Adjustment Disorder. COVID-related mental health stress was measured by answering 'yes' or 'no' to the following question: "Do you feel that your mental health is being negatively impacted (for the worse) by the life-changes, hardships, and stress being caused by the current coronavirus outbreak?" A Pearson chi-square analysis was used to compare the two groups. Results indicated that individuals diagnosed with SMI disorders were significantly more likely to report their mental health negatively affected by COVID-related stress compared to individuals diagnosed with Adjustment Disorder (SMI 74% vs. AdJ 19%, p<.001). In this study, individuals with a pre-existing SMI disorder are almost four times (Risk Ratio: 3.89) more likely to be adversely affected by perceived stress associated with the COVID-19 pandemic than individuals diagnosed with Adjustment Disorder. No significant differences were found between the two diagnostic groups on sociodemographic characteristics (gender/age/ethnicity). These findings suggest that the mental health of individuals diagnosed with SMI may be considerably more negatively impacted by current COVID-19 related stress and therefore require greater clinical attention compared to those diagnosed with Adjustment Disorder and other non-SMI diagnoses.


Author(s):  
Smita Vyas

Background: Increasing technological advantage lead to the higher health disadvantages to IT professionals who spent most of the time working in front of the computer. They are experiencing many neural, visual and musculoskeletal ailments. The present study was done with the aim to limelight the health issues among IT employees in IT Park, Chennai.Methods: This cross-sectional quantitative survey related to health issues among IT professionals was done on 417 employees of Chennai IT Park during the period from January 2018 to May 2018. The predesigned questionnaire included socio-demographic and health related issues. It was sent to the employees through various media including Facebook messenger, LinkedIn private messaging and email. The data was analyzed and presented in number and percentages and the related associations were analysed by Chi square test.Results: The prevalence of pain in eye was the major visual problem noticed in 157 (38%) patients and the rate of incidence was similar in both males and females. About 50% of the participants had pain/stiffness in lower back. Feeling nervous ness is the related stress condition experienced by the respondents (49%). Other health correlated issues noticed among the participants was headache (40%). The prevalence rate of these factors was higher in males compared to females.Conclusions: The study concluded that IT professionals face several health issues in terms of visual, musculoskeletal and stress problems in Chennai IT Park. 


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1526
Author(s):  
Amira Daher ◽  
Ofra Halperin

The coronavirus disease of 2019 (COVID-19) greatly affected people’s lifestyles. We used an online, cross-sectional survey during a COVID-19-related lockdown in Israel, with the aim of investigating the effects of such lockdowns on students’ self-perceived stress and neck pain (NP). College students (N = 295) completed questions on sociodemographic characteristics, the Neck Disability Index (NDI), the Perceived Stress Scale, the Visual Analogue Scale (VAS), and NP frequency (four-point scale). Logistic regression models were calculated with the NDI as the dependent variable. In total, 35.6% of students experienced at least moderate NP-related disability (NDI ≥ 15), more during than before the lockdown. NP increased gradually, from a lifetime mean of 1.80 to a lockdown mean of 3.07 (χ2 = 316.72; p < 0.001). Students’ self-perceived stress was moderate, and 59.3% reported experiencing study-related stress. Higher levels of self-perceived stress, study-related stress, sitting >3 h/day, and a higher VAS score were associated with a higher risk of an NDI ≥ 15 (Nagelkerke’s R2 = 0.513, p < 0.001). The transition from on-campus to online learning seems to have exacerbated students’ NP, which was correlated to their study stress and lifestyles. These findings advocate for the need to promote the physical and mental health of students via e.g., mental health services and occupational and ergonomic consulting services.


2021 ◽  
pp. 002076402110272
Author(s):  
Dulangi Dahanayake ◽  
Harshini Rajapakse ◽  
Anuprabha Wickramasinghe ◽  
Miyuru Chandradasa ◽  
Yasodha Rohanachandra ◽  
...  

Background: Studies from around the world have shown higher rates of anxiety, depression, alcohol and other drug use, and burnout in medical students. Aims: The aim of this study was to identify the socio-demographic factors and severity of difficulties Sri Lankan medical students face regarding psychological wellbeing and burnout. Method: This one-off survey used a cross-sectional design, assessing substance use, psychological wellbeing, and burnout using the CAGE, GHQ-12, and OLBI. The survey was open to all medical students in six universities in Sri Lanka. Chi-square analysis was used to assess the statistical significance related to categorical dependent variables and one-way ANOVA for continuous dependent variables. Results: A higher prevalence of diagnosed mental health conditions was found following admission to the medical course in comparison prior to admission. Sixty-two percent of students had a score of more than 2 on the GHQ-12 indicating caseness. The OLBI identified exhaustion in 79% of students. The CAGE questionnaire was positive in 4.8% of students. Conclusions: Only a small proportion of students are recognizing their mental health difficulties and seeking help. Further understanding is required as to why this is, as well as re-evaluation of the demands of the curriculum. Effective ways of regularly identifying and providing practical and evidence-based support for mental health problems in medical and other undergraduates need to be identified and introduced.


2015 ◽  
Vol 17 (4) ◽  
Author(s):  
Sushama A. Khopkar ◽  
Suvi M. Virtanen ◽  
Sangita Kulathinal

 Background: Both hypertension and depression are common disorders and obesity is on the rise in low and middle-income countries. Because early life changes may prove to be precursors to the development of diseases in adult, assessing the mental and physical health of younger population is crucial. This study aimed to determine the association between blood pressure, mental health and anthropometric status of adolescents from urban slums in Nashik, India.  Methods: A cross-sectional observational study was conducted among eligible adolescents during November 2010 and April 2011 in two randomly selected slums of Nashik, Maharashtra, India. A total of 545 adolescents were selected from 276 households. Data on socio-demographic indicators, anthropometry, blood pressure, mental wellbeing, and addictions were collected using pretested structured questionnaires by house visits. Mental wellbeing was examined using the General Health Questionnaire with 12 items (GHQ-12). A higher score indicates more-optimal mental wellbeing. Linear mixed effects models were used to analyse the data. Results: Girls had better mental wellbeing scores than boys. Adolescents with low mental wellbeing score had higher percentage of stunting (22%) compared to high scores. The factors associated significantly with systolic blood pressure (SBP) were age, mid mental wellbeing score, stunting, and thinness. For diastolic blood pressure (DBP), sex, high mental wellbeing score, and father's education were, in addition, also significant. When moving from the low to mid mental wellbeing score, SBP and DBP decreased and the same was observed for high score. The prevalence of prehypertension was 20%.  Conclusion: The findings showed that the adolescents do run a higher risk of substance abuse, health-related problems and higher SBP and DBP if there is an evidence of distress. It brings into focus the importance of mental health management in adolescents. 


2021 ◽  
Vol 9 ◽  
Author(s):  
Rainer Reile ◽  
Lembe Kullamaa ◽  
Reeli Hallik ◽  
Kaire Innos ◽  
Maarja Kukk ◽  
...  

Objective: To study the population-level mental health responses during the first wave of coronavirus disease 2019 (COVID-19) outbreak in Estonia and analyze its socio-demographic, behavioral, and health-related variations among general population.Methods: This study used nationally representative data on 4,606 individuals, aged 18–79 years from a rapid-response cross-sectional survey conducted in April 2020. Point prevalence and mutually adjusted prevalence rate ratios for perceived stress from log-binomial regression analysis were presented for socio-demographic, behavioral, and health-related variables.Results: This study found that 52.2% of population aged 18–79 reported elevated stress levels in relation to COVID-19 outbreak. Higher levels of perceived stress were found in women, in younger age groups, in Estonians, and in those with higher self-perceived infection risk, presence of respiratory symptoms, and less than optimal health, according to self-reports.Conclusion: Although, the potential long-term health effects of the current crisis are yet unknown, the alarmingly high stress levels among people indicate that the COVID-19 pandemic might have had a widespread effect on people's mental health.


1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Lia Mulyati ◽  
Dedy Rachman ◽  
Yana Herdiana

Budaya keselamatan merupakan kunci untuk mendukung tercapainya peningkatan keselamatan dan kesehatan kerja dalam organisasi. Upaya membangun budaya keselamatan merupakan langkah pertama dalam mencapai keselamatan pasien. Terdapat beberapa faktor yang berkontribusi dalam perkembangan budaya keselamatan yaitu; sikap baik individu maupun organisasi, kepemimpinan, kerja tim, komunikasi dan beban kerja. Penelitian ini bertujuan mengetahui faktor determinan yang berhubungan dengan terciptanya budaya keselamatan pasien di RS Pemerintah Kabupaten Kuningan. Teknik pengambilan sampel yang digunakan incidental sampling 88 orang perawat pelaksana. Rancangan penelitian menggunakan survey analitik dengan pendekatan cross sectional, uji hipotesis digunakan Chi Square dan regresi logistik ganda. Hasil penelitian menunjukan terdapat pengaruh yang signifikan antara persepsi terhadap manajemen (p 0.0005, odd rasio 21.3), dukungan tim kerja (p 0.0005, odd rasio 13.34), stress kerja (p 0.006, odd rasio 3.94), kepuasan kerja (nilai p 0. 002) dengan budaya keselamatan pasien. Tidak terdapat pengaruh yang signifikan kondisi kerja dengan budaya keselamatan pasien dengan nilai p 0.507. Berdasarkan analisis multuvariat diperoleh persepsi terhadap manajemen menjadi factor determinan dengan nilai p 0.000 < α 0.05. Simpulan; unsur pimpinan memiliki pengaruh yang signifikan dalam menciptakan budaya keselamatan pasien. Pimpinan memiliki kewenangan dalam menerapkan system yang berlaku dalam organisasi, oleh karena itu gaya kepemimpinan, teknik komunikasi serta kemampuan manajerial merupakan suatu hal yang sangat perlu diperhatikan dalam menciptakan atmosfer kerja yang kondusif sebagai upaya terciptanya budaya keselamatan pasien. Berdasarkan hasil penelitian bahwa model kepemimpinan transformasional merupakan model yang sesuai diterapkan untuk meningkatkan budaya keselamatan pasien, pelatihan keterampilan komunikasi efektif serta pengembangan model pendidikan antar profesi sebagai upaya peningkatan kemampuan kolaborasi.Kata kunci:Budaya keselamatan pasien, stress kerja, kepuasan kerja.Determinant factors that are Influencing Patient Safety Culture in a Government-owned Hospitals in Kuningan Regency AbstractSafety culture is a key to support the achievement of occupational health and safety in an organization. An effort to build safety culture is the first step in ensuring patient safety. There are some factors that contribute in the development of safety culture, namely, individual and organizational attitude, leadership, team work, communication, and work load. This study aimed to identify the determinant factors that are related to achievement of patient safety culture in a government-owned hospital in Kuningan Regency. Eighty eight samples of nurses were recruited using incidental sampling technique. The research design was using cross sectional study, the hypothesis testing were using Chi Square and multiple logistic regression. The results showed that there were significant influenced between perception towards management (p= 0.0005, odd rasio 21.3), team work support (p= 0.0005, odd rasio 13.34), work-related stress (p= 0.006, odd rasio 3.94), work satisfaction (p= 0. 002) with patient safety culture. There was not significant influenced between work condition and patient safety (p= 0.507). The multivariate analysis showed that perception towards management was the determinant factor for patient safety culture (p 0.000 < α 0.05). In conclusion, leaders have significant influence in creating patient safety culture. Leaders have authority to implement systems in the organization. Therefore, leadership style, communication technique, and managerial ability are important in order to create a conducive atmosphere for developing patient safety culture. As recommendation, transformational leadership is a model that is appropriate to be applied in order to increase patient safety culture, trainings of effective communication and inter-professional education model are also needed to increase the collaboration skills among health professionals.Keywords:Patient safety culture, work-related stress, work satisfaction.


GIS Business ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. 359-370
Author(s):  
Dr. Ravi S. Dalawai

Indian population is in growing trend from 942.2 million in 1994 to 1.36 billion in 2019.Among this six per cent of India's population was of the age 65 and above (UNFPA, 2019). Today the work culture is totally changed. Both husband and wife are forced to work in the current scenario and unable to take care of their parents. The changing structure created increased problems for old age people leads to loneliness, psychological, physical health and financial insecurity. The study paper provides insight into the social and demographic factor and health related sickness of the oldest people. This research explained the cross-sectional study included a representative sample (n=116) of adults aged ≥60 years. The sample was chosen using a four-stage stratified random-cluster survey sampling method .The Chi Square test and ANOVA test was analyzed using SPSS20.


2020 ◽  
Vol 5 (2) ◽  
pp. 240-249
Author(s):  
Satrio Wibowo Rahmatullah ◽  
◽  
Ika Maulida Nurrahma ◽  
Adnan Syahrizal

Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.


Author(s):  
Kate Emond ◽  
Melanie Bish ◽  
Michael Savic ◽  
Dan I. Lubman ◽  
Terence McCann ◽  
...  

Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and location of practice; continuous variables were compared using the non-parametric Mann–Whitney and Kruskal–Wallis tests. Perceived confidence and preparedness were each modelled in multivariable ordinal regressions. Female paramedics were younger with higher qualifications but were less experienced than their male counterparts. Compared to paramedics working in metropolitan regions, those working in rural and regional areas were generally older with fewer qualifications and were significantly less confident and less prepared to manage mental health presentations (p = 0.001). Compared to male paramedics, females were less confident (p = 0.003), although equally prepared (p = 0.1) to manage mental health presentations. These results suggest that higher qualifications from the tertiary sector may not be adequately preparing paramedics to manage mental health presentations, which signifies a disparity between education provided and workforce preparedness. Further work is required to address the education and training requirements of paramedics in regional and rural areas to increase confidence and preparedness in managing mental health presentations.


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