Social participation, inclusion and mental well-being following SARS-CoV-2 related lockdown restrictions in adults with and without mental disorders. Results from a follow-up study in Germany

2020 ◽  
Author(s):  
Matthias Schützwohl ◽  
Eduard Mergel
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Mental Disorders ◽  
Social Participation ◽  
Social Inclusion ◽  
Well Being ◽  
Mental Health Status ◽  
Follow Up Study ◽  
The Impact

Objectives: In Germany, as in many other countries, several lockdown restrictions were put in place with the aim of curbing the spread of SARS-CoV-2 infections. This study investigated the impact of the coronavirus pandemic and the related lockdown restrictions on opportunities for social participation, social inclusion and psychological well-being for adults with and without mental disorders within a follow-up study based on pre- and post-lockdown assessments. Methods: Study participants (n=132) were assigned to one of three groups, depending on the mental health status at the initial survey. Parameters of interest were assessed using the Measure of Participation and Social Inclusion for Use in People with a Chronic Mental Disorder (F-INK), the Index for the Assessment of Health Impairments (IMET), and the Brief Symptom Inventory (BSI-18).Results: The impact on opportunities for social participation and social participation considerably differed depending on the participants’ mental health status at the first assessment. Independent of this, we found no detrimental effects on the psychological well-being of participants four weeks after the implementation of lockdown restrictions.Conclusion: Findings imply a general resilience in well-being during the preliminary stages of the coronavirus pandemic. This result adds to the growing number of existing studies which show a heterogeneous pattern overall and especially in international comparison. Further follow-up studies with larger samples should address the divergent effects. Besides, efforts are needed to improve social participation and inclusion opportunities that are severely impaired for individuals with chronic mental disorders regardless of lockdown or physical distancing restrictions.

scholarly journals Mental Health Status of Sri Lanka Navy Personnel Three Years after End of Combat Operations: A Follow Up Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e108113 ◽  
Author(s):  
Raveen Hanwella ◽  
Nicholas E. L. W. Jayasekera ◽  
Varuni A. de Silva
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Sri Lanka ◽  
Mental Health Status ◽  
Follow Up Study ◽  
Navy Personnel

scholarly journals Mental Health Status of Healthcare Professionals and Students of Health Sciences Faculties in Kuwait during the COVID-19 Pandemic

2021 ◽  
Vol 18 (4) ◽  
pp. 2203
Author(s):  
Zahra Alsairafi ◽  
Abdallah Y. Naser ◽  
Fatemah M. Alsaleh ◽  
Abdelmoneim Awad ◽  
Zahraa Jalal
Keyword(s):  
Mental Health ◽  
Chronic Disease ◽  
Health Status ◽  
Healthcare Professionals ◽  
Severe Depression ◽  
Well Being ◽  
Health Sciences ◽  
Mental Health Status ◽  
Binary Logistic Regression Analysis ◽  
The Impact

Objectives: This study aimed to assess the impact of the COVID-19 pandemic on the mental health status of healthcare professionals (HCPs) and undergraduate students in the health sciences center (HSCUs). In addition, it explored the factors associated with the increased levels of mental health burden among the study population. Methods: A cross-sectional study was performed using two online-administered questionnaires: the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 7-item (GAD-7), which were distributed in parallel to HCPs and HSCUs in Kuwait. These instruments are validated assessment scales to assess mental health status: depression (PHQ-9) and anxiety (GAD-7). Statistical analyses were carried out using SPSS- version 25. Results: A total of 857 individuals (559 HCPs and 298 HSCUs) participated in this study. The prevalence of moderately severe depression or severe depression (PHQ-9 total score of ≥15) among respondents was 66.6%. The median (interquartile range, IQR) PHQ-9 score was significantly higher among HSCUs (20 {11.5}) compared to HCPs (17 {8}). The prevalence of severe anxiety (GAD-7 total score of ≥15) among respondents was 36.7%. There were no significant differences between the median (IQR) GAD-7 scores among the HCPs (14 {7}) and HSCUs (13 {8}). Binary logistic regression analysis revealed that three variables were significantly and independently associated with severe depression among HCPs. The prevalence of severe depression was found to be greater among females compared to males. In addition, it was significantly lower among those who were aged ≥50 years, and those who reported that they were not in direct contact with COVID-19 patients. Among HSCUs, females showed greater depression than males. In contrast, those aged >29 years and who had no history of chronic disease showed lower depression compared to their counterparts in the 18–29 years age group and who had a chronic disease history. Conclusions: The COVID-19 pandemic had a significant negative impact on the mental health of HCPs and HSCUs in Kuwait. This highlights the need for proactive efforts to support their mental health and well-being through educational campaigns and psychological support programs.

scholarly journals Psychological Profiles of Chinese Patients With Hemodialysis During the Panic of Coronavirus Disease 2019

2021 ◽  
Vol 12 ◽  
Author(s):  
Zhen-Hua Yang ◽  
Xiao-Ting Pan ◽  
Yu Chen ◽  
Lu Wang ◽  
Qiu-Xin Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Status ◽  
Initial Study ◽  
Hemodialysis Patients ◽  
Dialysis Patients ◽  
Follow Up Study ◽  
The Impact

Background: Hemodialysis patients not only suffer from somatic disorders but are also at high risks of psychiatric problems. Early this year, the outbreak of coronavirus disease 2019 (COVID-19) has caused great panic and anxiety worldwide. The impact of this acute public health event on the psychological status of hemodialysis patients and its relationship with their quality of life have not been fully investigated.Methods: This study comprised two parts. The initial study enrolled maintenance hemodialysis patients treated in Ruijin Hospital for more than 3 months from March to May 2020 during the ongoing COVID-19 pandemic. Patients completed three questionnaires including the Impact of Events Scale–Revised (IES-R), General Health Questionnaire-28 (GHQ-28), and Kidney Disease Quality of Life (KDQOL) Short Form (SF). Follow-up study was performed from December 2020 to January 2021, when the pandemic of COVID-19 has been effectively contained in China. Only patients enrolled in the initial study were approached to participate in the follow-up study.Results: There were 273 maintenance dialysis patients enrolled in the initial study and 247 finished the follow-up study. For the initial study, the estimated prevalence of nonspecific psychiatric morbidity was 45.8% (125/273) by GHQ-28. By IES-R, 53/273 (19.4%) patients presented with total scores above 24 that reflected clinical concerns. We found a significant difference regarding KDQOL scores between patients with different stress response (IES-R) groups (p = 0.026). Our follow-up study showed that KDQOL and SF-36 scores were significantly improved in comparison with those in the initial study (p = 0.006 and p = 0.031, respectively). Though total scores of GHQ-28 and IES-R did not change significantly, some subscales improved with statistical significance. Furthermore, gender, education background, and duration of hemodialysis were three factors that may affect patients' mental health, quality of life, or health status while dialysis duration was the only variable that correlated with those parameters. However, these correlations were combined effects of the COVID-19 pandemic and the dialysis itself.Conclusions: We found a correlation between changes in the mental health status of dialysis patients and changes in their quality of life. These responses were also mediated by patients' psychosocial parameters. Our results urge the necessity of psychotherapeutic interventions for some patients during this event.

scholarly journals A longitudinal study on the COVID-19 pandemic and its divergent effects on social participation and mental health across different study groups with and without mental disorders

2021 ◽  
Author(s):  
Eduard Mergel ◽  
Matthias Schützwohl
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Social Participation ◽  
Social Inclusion ◽  
Well Being ◽  
Study Groups ◽  
Brief Symptom Inventory ◽  
Initial Survey

Abstract Purpose With the rapid spread of COVID-19 and the restrictions imposed in many parts of the world, there is growing concern about its impact on mental health. This longitudinal study investigated the social participation, social inclusion and psychological well-being in adults with and without mental disorders before the beginning of the pandemic, as well as during and after strict lockdown restrictions in Germany. Methods The sample (n = 106) consisted of three groups: participants with a chronic mental disorder, with an acute mental disorder, and without a mental disorder at the time of the initial survey. Parameters of interest were assessed using the Measure of Participation and Social Inclusion for Use in People with a Chronic Mental Disorder (F-INK), the Index for the Assessment of Health Impairments (IMET) and the Brief Symptom Inventory (BSI-18). Results The perceived impairments in social participation and the associated changes in behaviour varied depending on the presence of a mental disorder at the time of the initial survey and were largely temporary, i.e. limited to the period of strict lockdown restrictions. We found no further detrimental effects on mental health 4 weeks after lockdown or later, when a policy of physical distancing was in place. Conclusion Overall, our findings suggest a general resilience to the official restrictions and measures as well as the pandemic itself. However, further efforts are needed to improve the situation of people with chronic mental disorders and their limited opportunities for social participation.

scholarly journals The Impact of the COVID-19 Pandemic on Mental Health and Psychological Well-Being of Young People Living in Austria and Turkey: A Multicenter Study

2020 ◽  
Vol 17 (23) ◽  
pp. 9111
Author(s):  
Türkan Akkaya-Kalayci ◽  
Oswald D. Kothgassner ◽  
Thomas Wenzel ◽  
Andreas Goreis ◽  
Anthony Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Young People ◽  
Online Survey ◽  
Mental Health Problems ◽  
Well Being ◽  
Mental Health Status ◽  
Health State ◽  
Psychological Well Being ◽  
The Impact

Little is known about the impact of the COVID-19 pandemic on the mental health and psychological well-being of young people. The aim of this study is to investigate the psychological well-being and changes in the mental-health state of young people living in Austria and Turkey. By using an anonymous online survey, we recruited 1240 people aged 15–25 years from these two countries. We used the “Psychological General Well-being” and a self-created questionnaire to capture individual experiences during the COVID-19 pandemic and quarantine period. The native Turks indicated higher “anxiety” (ps < 0.010), lower “vitality” (ps < 0.011), and lower “general health” (ps < 0.011) than native Austrians or Austrian migrants and increased “depression” (p = 0.005) and lower “self-control” (p = 0.022), than Austrian migrants. Moreover, 50.9% of native Turks reported a decrease in their mental health status, compared to 31.1% of native Austrians and 23.7% of Austrian migrants. Participants with financial problems (OR = 1.68) and prior mental health problems (i.e., already in treatment by the time of COVID-19, OR = 5.83) reported a higher probability for a worsening in their mental health status. Our results show that the COVID-19 pandemic impaired the psychological well-being and mental health of young people. Especially people in Turkey were most affected, probably due to the stringent policies to fight COVID-19.

scholarly journals The impact of podoconiosis, lymphatic filariasis, and leprosy on disability and mental well-being: A systematic review

2021 ◽  
Vol 15 (7) ◽  
pp. e0009492
Author(s):  
Oumer Ali ◽  
Asrat Mengiste ◽  
Maya Semrau ◽  
Abraham Tesfaye ◽  
Abebaw Fekadu ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Status ◽  
Lymphatic Filariasis ◽  
Neglected Tropical Diseases ◽  
Psychosocial Care ◽  
Psychosocial Interventions ◽  
Well Being ◽  
Mental Health Status ◽  
The Impact

Leprosy, podoconiosis, and lymphatic filariasis (LF) are among the priority neglected tropical diseases (NTDs) in Ethiopia. The disability, psychosocial, and mental health status of people affected by these NTDs are still overlooked in global NTD discourse. The objective of this systematic review was to synthesize the existing evidence describing the disability, psychosocial, and mental health status of people affected by leprosy, podoconiosis, and LF prior to developing a holistic physical and psychosocial care package for these individuals. We searched papers reporting on disability, psychosocial, and mental health status linked to these 3 NTDs. The protocol was registered in PROSPERO with registration number CRD42019128400. Peer-reviewed articles were searched and extracted from Medline, PsycINFO, Global Health, and Embase. Articles published in English, irrespective of the year of publication, using a quantitative study methodology, were included. Abstracts and full texts were reviewed by 2 reviewers. Data were extracted and narratively summarized, as the studies were heterogeneous and used different outcome measures. Out of 1,318 titles/abstracts screened and 59 full text studies reviewed, 24 fulfilled the inclusion criteria. Fourteen studies provided evidence of the disability associated with leprosy, podoconiosis, or LF. Ten studies provided evidence on the association between the 3 NTDs and mental health or psychosocial outcomes. The prevalence of grade 2 disability varied from 3.9% to 86%. The most commonly reported mental health impacts were depression and mental distress. A high burden of mental illness was reported, varying from 12.6% to 71.7%; the suicidal ideation was also high (18.5%). In conclusion, disability and poor psychosocial and mental health status are associated with leprosy, podoconiosis, and LF. For optimum management of these NTDs, holistic care including both physical and psychosocial interventions is vital.

Preoperative Mental Health Score and Postoperative Outcome After Hallux Valgus Surgery

2018 ◽  
Vol 39 (12) ◽  
pp. 1403-1409 ◽  
Author(s):  
Sean Wei Hong Lai ◽  
Camelia Qian Ying Tang ◽  
Arjunan Edward Kumanan Graetz ◽  
Gowreeson Thevendran
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Functional Outcome ◽  
Pain Score ◽  
Hallux Valgus ◽  
Short Form ◽  
Mental Health Status ◽  
Area Of Interest ◽  
Sf 36

Background: Preoperative mental health status as a predictor of operative outcome has been a growing area of interest. In this paper, the correlation between preoperative mental health status and postoperative functional outcome following scarf osteotomy for hallux valgus correction was explored. Methods: Parameters were tabulated preoperatively and postoperatively at a minimum of 1-year follow-up. They included the Short Form 36 (SF-36), American Orthopaedic Foot & Ankle Society (AOFAS) forefoot score, hallux valgus angle (HVA), and intermetatarsal angle (IMA) measurements and the visual analog score (VAS) to quantify pain. SF-36 mental component summary (MCS) score was used as a surrogate for patient’s mental health status. Seventy-six consecutive cases were analyzed at a minimum of 1-year follow-up. Results: There were significant improvements in all 8 domains of the SF-36, with the mean MCS score increasing from 52.3 ± 7.6 preoperatively to 55.7 ± 6.8 postoperatively. Preoperative MCS scores were not correlated to changes in AOFAS score, PCS score, VAS pain score, HVA or IMA. Preoperative MCS was observed to be correlated to postoperative AOFAS ( r = 0.381, P = .001) and PCS score ( r = 0.315, P = .006). Patients with a preoperative MCS score ⩾50 had a statistically higher postoperative AOFAS and PCS score than patients with MCS score <50. There was no correlation between preoperative MCS scores and improvements in radiologic parameters. There was also no correlation between the improvements in radiologic parameters and improvements in both the AOFAS and VAS pain scores. Conclusion: Preoperative mental health (as measured by the MCS score) was only correlated to postoperative functional outcome (as measured by the postoperative AOFAS and PCS score), but not other postoperative outcomes (VAS pain score, radiologic parameters). Level of Evidence: Level III, comparative study.

Prevalence and association of discrimination and bullying and the impact on mental health in an occupational setting

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Elizabeth Stratton ◽  
Michael J. Player ◽  
Ariane Dahlheimer ◽  
Isabella Choi ◽  
Nicholas Glozier
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Content Type ◽  
Occupational Setting ◽  
Male Dominated ◽  
Relationship Of ◽  
The Impact

PurposeDiscrimination and bullying contribute to mental ill-health in the workplace. At face value, they would seem linked but are often dealt with by different legislations. Workplace studies generally focus on bullying and population studies on discrimination. The authors aimed to evaluate the prevalence and relationship of discrimination and bullying in a male-dominated workforce, associated factors and relative impact on mental ill-health.Design/methodology/approachAn online cohort survey was conducted amongst employees of an Australian mining company, measuring discrimination, bullying, demographics and workplace and health factors over two months. Cross-sectional and prospective analyses assessed the prevalence of each, their association and their effects on depression and anxiety.FindingsA total of 580 employees (82% male) participated. There was no association between workplace bullying (n = 56, 9.7%) and discrimination (n = 160, 27.6%). Discrimination, but not bullying, was associated with higher depression, anxiety and suicidal ideation and lower well-being and resilience. After controlling for demographic, workplace and health and well-being factors, depression had the main effect on discrimination ß = 0.39, p = 0.003. Discrimination predicted an increase in depression scores at follow-up F (1, 129) = 4.88, p = 0.029.Originality/valueIn this male-dominated industry, discrimination was more prevalent than bullying. Discrimination, but not bullying, was associated with poorer mental health both cross sectionally and prospectively. Supporting the need to assess and manage discrimination and bullying in the workplace independently and the need for interventions to reduce a broader range of adverse interpersonal behaviours.

scholarly journals The mental health and depression of rural-to-urban migrant workers compared to non-migrant workers in Shanghai: a cross-sectional study

2019 ◽  
Vol 11 (Supplement_1) ◽  
pp. S55-S63
Author(s):  
Zan Li ◽  
Junming Dai ◽  
Ning Wu ◽  
Junling Gao ◽  
Hua Fu
Keyword(s):  
Mental Health ◽  
Job Satisfaction ◽  
Logistic Regression ◽  
Health Status ◽  
Migrant Workers ◽  
Well Being ◽  
Mental Health Status ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Urban Migrant

Abstract Background Migrant workers worldwide commonly are susceptible to mental disorders. Since the 1980s, there has been a large-scale increase in the number of migrant workers in China; this development parallels the acceleration of socio-economic transformation. Studies addressing this population rarely focus on workers’ mental health or psychological well-being, yet it is imperative to understand the mental health status of rural-to-urban migrant workers and study the relationship between migration and mental health. Methods A cross-sectional survey of 3286 participants (response rate 85.4%) was conducted among different work units in Shanghai. All of the variables of this survey were assessed by a self-administered questionnaire, with depression measured by the Patient Health Questionnaire-9 (PHQ-9) scale and poor mental health (PMH) measured by the World Health Organization 5-Item Well-Being Index (WHO-5) scale. Pearson’s χ2 test and logistic regression were used to compare migrants with urbanites, and to identify factors related to mental health outcomes. Results Migrant workers (15.3%) had a slightly higher prevalence of depression than non-migrant (12.0%) workers, with notable PMH (26.9%) among participants >45 y of age. In the logistic regression models, those who reported low job satisfaction, unhealthy organizations, poor physical health (self-rated) and long working hours were 2.86 (95% CI 2.14 to 3.84), 1.42 (95% CI 1.06 to 1.91), 1.89 (95% CI 1.41 to 2.55) and 1.48 (95% CI 1.08 to 2.03) times more likely to have depression, respectively. Similarly, workers >45 y of age were 2.92 (95% CI 1.65 to 5.16) and 1.80 (95% CI 1.01 to 3.21) times more likely to have PMH for low job satisfaction and unhealthy organizations, respectively. Conclusions There are numerous potential causes affecting the mental health of Chinese internal migrant workers. Strengthening the construction of healthy organizations and enhancing workers’ job satisfaction may improve the mental health status or psychological well-being of this group.

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