scholarly journals Combination of comorbidal pathology under non-psychotic mental disorders with disability attention to participants of warnings

2018 ◽  
Vol 22 (4) ◽  
pp. 588-591
Author(s):  
K.M. Semenenko
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mathematical Analysis ◽  
Mutual Influence ◽  
Clinical Manifestations ◽  
Economic Conditions ◽  
Professional Status ◽  
Microsoft Excel ◽  
Attention Disorder

The long-term combined effect of the complex of pathogenic psycho-traumatic factors as a result of extreme events in our country and unsuccessful socio-economic conditions, somato-vegetative disorders in the history provoke a certain part of the combatants of the formation of various mental disorders, among which psychological disorders of the nonpsychotic spectrum come to the fore. The urgency of the study is due to the fact that to date, there is a lack of certain information on the mutual influence of mental and somatic pathology, the features of the influence of the comorbid somatic pathology on the course of non-psychotic mental disorders in the participants of the fighting depending on their correlation during clinical manifestations and the adequacy and effectiveness of the use of screening clinical questionnaires for the diagnosis of the prevalence of disorders in this patient congenital, as well as the end is not developed algorithms for diagnosis, treatment tactics and rehabilitation of non-psychotic mental disorders in participants in combat operations with comorbid somatic pathology. Today, there is an urgent need to introduce and actively use effective preventive and rehabilitation measures in order to prevent the development of violations of the mental health of servicemen and restore their social and professional status. The purpose of this study was to establish associations of manifestations of non-psychotic mental disorders with disturbances of attention from combatants with comorbid somatic pathology. For this psychodiagnostic examination, an algorithm for the method of Schultz table was introduced. A survey was conducted by 179 respondents. A mathematical analysis of the results was performed using Microsoft Excel 5.0 programs. It was revealed that all of the subjects (100%) had disturbed attention. Thus, often, the timely detection of comorbid disorders is decisive in terms of further patient prediction: the heavier somatic pathology, the more expressed non-psychotic mental disorders, namely those that correlate with attention disorder.  

scholarly journals Exploring Perceptions of Continuity of Care Among People With Long-Term Mental Disorders in Denmark

2019 ◽  
Vol 29 (13) ◽  
pp. 1916-1929
Author(s):  
Anna P. Folker ◽  
Mette M. Kristensen ◽  
Amalie O. Kusier ◽  
Maj Britt D. Nielsen ◽  
Sigurd M. Lauridsen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Continuity Of Care ◽  
Service Users ◽  
Mental Health Care System ◽  
Template Analysis ◽  
Depth Interviews

Continuity of mental health care is central to improve the treatment and rehabilitation of people with mental disorders. While most studies on continuity of care fail to take the perspectives of service users into account, the aim of this study was to explore the perceived meanings of continuity of care among people with long-term mental disorders. Fifteen service users participated in semi-structured in-depth interviews. We used template analysis to guide the analysis. The main transversal themes of continuity were “Navigating the system” and “Connecting to people and everyday life.” While the first theme related to the participants’ experiences of their interaction with the mental health care system, the latter related to their hopes and perceived opportunities for a good life as desired outcomes of mental health care. We conclude that efforts to improve continuity of mental health care should be tailored to the priorities of service users.

scholarly journals Youth Mental Health Tracker: protocol to establish a longitudinal cohort and research database for young people attending Australian mental health services

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e035379
Author(s):  
Cathrin Rohleder ◽  
Yun Ju Christine Song ◽  
Jacob J Crouse ◽  
Tracey A Davenport ◽  
Frank Iorfino ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Mental Disorders ◽  
Health Services ◽  
Physical Health ◽  
Youth Mental Health ◽  
Severe Illness ◽  
Trajectory Data

IntroductionMental disorders are a leading cause of long-term disability worldwide. Much of the burden of mental ill-health is mediated by early onset, comorbidities with physical health conditions and chronicity of the illnesses. This study aims to track the early period of mental disorders among young people presenting to Australian mental health services to facilitate more streamlined transdiagnostic processes, highly personalised and measurement-based care, secondary prevention and enhanced long-term outcomes.Methods and analysisRecruitment to this large-scale, multisite, prospective, transdiagnostic, longitudinal clinical cohort study (‘Youth Mental Health Tracker’) will be offered to all young people between the ages of 12 and 30 years presenting to participating services with proficiency in English and no history of intellectual disability. Young people will be tracked over 3 years with standardised assessments at baseline and 3, 6, 12, 24 and 36 months. Assessments will include self-report and clinician-administered measures, covering five key domains including: (1) social and occupational function; (2) self-harm, suicidal thoughts and behaviour; (3) alcohol or other substance misuse; (4) physical health; and (5) illness type, clinical stage and trajectory. Data collection will be facilitated by the use of health information technology. The data will be used to: (1) determine prospectively the course of multidimensional functional outcomes, based on the differential impact of demographics, medication, psychological interventions and other key potentially modifiable moderator variables and (2) map pathophysiological mechanisms and clinical illness trajectories to determine transition rates of young people to more severe illness forms.Ethics and disseminationThe study has been reviewed and approved by the Human Research Ethics Committee of the Sydney Local Health District (2019/ETH00469). All data will be non-identifiable, and research findings will be disseminated through peer-reviewed journals and scientific conference presentations.

scholarly journals Dysfunction of the symphysis as one of the actual problems of modern obstetrics

2021 ◽  
Vol 12 (3) ◽  
pp. 44-49
Author(s):  
A. A. Borscheva ◽  
G. M. Pertseva ◽  
N. A. Alekseeva
Keyword(s):  
Postpartum Period ◽  
Elective Caesarean Section ◽  
Clinical Manifestations ◽  
Statistical Processing ◽  
Microsoft Excel ◽  
Ultrasonic Examination ◽  
Pregnancy And Childbirth ◽  
Ultrasound Diagnostics ◽  
Main Factor

Objective: To analyze the factors of the course and outcome of pregnancy in women with pubic joint dysfunction (DLS).Materials and Methods: Th e authors performed a retrospective analysis of the course of pregnancy and the outcome of childbirth in women with pubic joint dysfunction (DLS) observed in 2016 – 2019. As a result, data on the clinical course of pregnancy and childbirth in 75 women with DLS were obtained. All women underwent routine clinical and biochemical examinations, ultrasound diagnostics (US), dopplerometry (DPM), and cardiotocography (CTG). Th e analysis of all the above parameters was carried out according to the data of birth histories for 2016-2018. Statistical processing of the obtained results was carried out using the programs Statistica 10 and Microsoft Excel 2013.Results: Clinical manifestations, as well as changes in ultrasound data, became the main factor in deciding on the method of delivery. All patients with second-degree DLS delivered by elective Caesarean section at 39 – 40 weeks of gestation. Women with the fi rst degree of DLS had a vaginal birth. Ultrasound examination in the postpartum period did not reveal an increase in the diastasis of the pubic joint in any woman. All the postpartum women had no complications during the postpartum period.Conclusion: DLS is a serious complication, which can lead to serious consequences in some cases in the postpartum period. It may require surgical treatment and subsequent long-term rehabilitation. For early diagnostics of DLS, it may be advisable to conduct a mandatory ultrasonic examination of the pubic joint, which is the “gold standard” for the diagnosis of this pathology, to all patients during screening ultrasonic examination.

Long-term mental health care for people with severe mental disorders – the importance of workplace rehabilitation

2013 ◽  
Vol 10 (02) ◽  
pp. 87-94
Author(s):  
J. Boardman
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Health Problems ◽  
Personal Recovery ◽  
Severe Mental Disorders ◽  
Individual Placement And Support ◽  
Meaningful Activity ◽  
Workplace Rehabilitation

SummaryWork and meaningful activity have historically played a key role in rehabilitation services for people with severe mental health problems and continues to do so today. People with long-term and severe mental disorders have low rates of employment. In the last 30 years the increasing emphasis on raising the sights of mental health services to focus on personal recovery and the importance given to social justice and to combating social exclusion has led to a focus on gaining open employment. Individual Placement and Support (IPS) has emerged as an important and evidence-based scheme for getting people with severe mental health problems into open employment. Despite the strong and consistent evidence for the effectiveness of IPS, these schemes are not widely implemented. This paper summarises the background to, and research on, IPS and possible barriers to its wider implementation.

Empowerment of ODGJ (People with Mental Disorders) through Training of Batik Ikat Making in Posyandu Jiwa "Waluyo Jiwo" Bacem Village Ponggok Blitar

2021 ◽  
Vol 2 (1) ◽  
pp. 001-009
Author(s):  
Nawang Wulandari ◽  
Thatit Nurmawati ◽  
Eka Yulis Setyani ◽  
Elva Budhy Christiningtyas ◽  
Khusnul Arifianti ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Occupational Therapy ◽  
Community Service ◽  
Psychological Support ◽  
Economic Conditions ◽  
Knowledge And Skills ◽  
Entrepreneurial Spirit ◽  
Service Activity

This community service activity was carried out to increase the productivity of ODGJ (People With Mental Disorders). ODGJ who have experienced improvements and do not have a job, they have not been trusted to work by the community. Besides, below average economic conditions require solutions to overcome them. The purpose of the implementation of this activity was to provide activities or activities that can help improve the economy of ODGJ through empowering ODGJ with training in Batik making. The method used in the form of training and mentoring for ODGJs to make Batik with several stages, namely the first provision of knowledge and skills to all ODGJ and Mental Health Cadres (as providers of psychological support). The second and third stages were the activities of making Batik Ikat. This activity was carried out for ODGJ who were members of the “Waluyo Jiwo” Jiwa Posyandu in Bacem Ponggok Village, Blitar. Implementation in February 2020 and followed by 14 ODGJ. The results of this activity indicate that ODGJ are able to follow and carry out activities that have been planned well. Batik activity is one form of occupational therapy for ODGJ that needs to be continued so that ODGJ's independence and entrepreneurial spirit can increase, ODGJ will be more productive.

Pregnancy

2018 ◽  
pp. 383-388
Author(s):  
Philip Boyce ◽  
Megan Galbally ◽  
Alain Gregoire
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Mental Disorders ◽  
Fetal Development ◽  
Mental Health Problems ◽  
Healthy Lifestyle ◽  
Targeted Interventions ◽  
Mental Health Benefits ◽  
Common Mental Health Problems

The application of public health approaches, including universal and targeted interventions during pregnancy, can have long-term mental health benefits for women and the next generation. Access to good antenatal care, ensuring women have adequate nutrition and micronutrients, a healthy lifestyle (in particular avoiding smoking), and being immunized against flu may reduce the risk of the fetus developing disorders with a neurodevelopmental origin, in particular schizophrenia and, to a lesser extent, bipolar disorder. The identification of and early intervention in common mental health problems among pregnant women and identifying potentially modifiable risk factors during pregnancy will reduce morbidity in women and may help prevent postpartum mental disorders. Such strategies will also optimize fetal development and reduce the risk of subsequent mental disorders in infants. Finally, pregnancy is also a time when interventions can be applied to minimize the risk of disorders, such as bipolar disorder, relapsing following childbirth.

scholarly journals Recent advances in understanding maternal perinatal mood disorders

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 916 ◽  
Author(s):  
Thalia Robakis ◽  
Eugenia Jernick ◽  
Katherine Williams
Keyword(s):  
Mental Health ◽  
Clinical Manifestations ◽  
Complex Field ◽  
New Mothers ◽  
Efficacy Data ◽  
Treatment And Prevention ◽  
Pregnancy And Postpartum ◽  
Maternal Mental Illness ◽  
Mental And Physical Health

The study of perinatal mental health (mental health during pregnancy and postpartum) is a complex field of study that is of major importance both for the mental and physical health of new mothers and for the neurobehavioral development and long-term functioning of the children they bear. In this review, we cover the most recent additions to this rapidly evolving field. Notable advances include further illumination of the epidemiological patterns and clinical manifestations of perinatal mood disruption; new efficacy data on treatment and prevention; clarifications of the respective contributions of maternal mental illness and psychotropic medication to outcomes of pregnancy, birth, and child development; and updated expert guidelines for screening.

A study on mental health in elder long term unemployed persons

2011 ◽  
Vol 26 (S2) ◽  
pp. 557-557 ◽  
Author(s):  
B. Meiler ◽  
C. Steil ◽  
I. Wiesten ◽  
J. Wiltfang ◽  
B. Kis
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Personality Disorders ◽  
Psychotic Disorders ◽  
Psychiatric Examination ◽  
Clinical Interviews ◽  
High Incidence ◽  
Icd 10 ◽  
And Gender

IntroductionThere are complex associations between work and mental health. Self-efficacy, experience of own abilities and appropriate challenges are important prerequisites of mental health. Availability of these factors is specifically decreased in the elder long term unemployed and results in higher vulnerability for mental impairment.ObjectivesInvestigation on mental health of elder long term unemployed personsAimsTo examine incidence of mental disorders in elder long term unemployed personsMethodsSenior long term unemployed participants in a vocational reintegration program were examined. Clients were allocated by choice to the study by their placement officers. An extensive psychiatric examination including structured clinical interviews (SKID) and clinical and personality questionnaires (BDI, STAI, MSWS, SCL 90-R, SF36, AUDIT, FTNA) was performed with each subject.Results90 subjects were included into the study so far and 42 completed the psychiatric examination. The mean age was 54.7 years and gender ratio was balanced. 94% were diagnosed with a psychiatric disorder and 80% were diagnosed with more than one disorder according to ICD-10. In particular, 78.6% of the subjects had depression, 40.5% anxiety disorders, 35.7% combined personality disorders, 26.2% posttraumatic disorders, 21.4% addiction disorders, 16.7% single personality disorders and 7.1% psychotic disorders.ConclusionA large proportion of the long term unemployed persons examined is affected by mental disorders. Along with the high incidence of depressive, anxiety and addiction disorders there was a considerable number of personality and specifically trauma-related disorders. Accordingly, personality disorders may be a risk factor for unemployment in elder people too.

scholarly journals AGING OF THE CHORNOBYL CATASTROPHE SURVIVORS AND PROBLEMS OF THEIR MENTAL HEALTH SURVEY

2021 ◽  
Vol 26 ◽  
pp. 162-187
Author(s):  
N. Gunko ◽  
◽  
K. Loganovsky ◽  
V. Buzunov ◽  
N. Korotkova ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Survey ◽  
Mental Health Disorders ◽  
The State ◽  
Demographic Aging ◽  
Continue Research ◽  
Health Disorders ◽  
Mental Health Survey

Background. Depopulation processes in Ukraine have been affected by the Chornobyl catastrophe (ChC), but the rate of demographic aging of survivors remains uncertain. Although the mental health disorders of the survivors are recognized internationally, problems of their research remain unresolved. Thus, these areas of research are relevant. Objective is to determine the rate of demographic aging of survivors of the Chornobyl NPP (ChNPP) accident and to analyze the state of their mental health survey, outlining solutions. Materials and methods. Information and statistical sources for 1986–2019 of the Ministry of Health of Ukraine and the State Statistics Service of Ukraine on the age of the ChC survivors are used. The results of previous own research and other scientists using the data of the Clinical and Epidemiological Register (CER) of the State Institution «National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine» (NRCRM), the State Register of ChC survivors (SRU), and the Department of Radiation Psychoneurology, Institute of Clinical Radiology, NRCRM are integrated. Theoretical, general scientific, demographic and mathematical-statistical research methods and documentary analysis are used. Results. It is shown that in 2018, compared to 1995, the number of the ChC survivors, who are under the supervision of the Ministry of Health of Ukraine, decreased by almost 987 thousand. The part of people born from persons of the 1st–3rd accounting groups increased in the structure of survivors (from 13.1 % in 1995 to 13.6 %), and this decreased in persons living or lived in the territories subject to supervision (75.1 % and 63.1 %, respectively), but in evacuees and Chornobyl clean-up workers (liquidators) this did not change significantly. A high level of aging of the ChC survivors (except for the 4th group) is revealed: liquidators – 59.0 %; evacuees – 25.0 %, and residents of radioactively contaminated territories (RCT) – 30.7 %. It has been proved that the countries of RCT differ significantly in the number of the ChC survivors and their structure. The increase in the post-accident period indicators of the level of aging and the average age of the RCT population indicates negative changes in age parameters and the need to continue research to identify factors «responsible» for such changes. Long-term mental health disorders and neuropsychiatric effects in the ChC survivors have been identified – an excess of cerebrovascular pathology and neurocognitive deficits, especially in liquidators, which may indicate an accelerated aging. Radiation risks have been revealed for acute and chronic cerebrovascular pathology and organic mental disorders of non-psychotic and psychotic levels. Neurophysiological and molecular-biological atypia of aging processes under an exposure to low doses of and low dose rate of ionizing radiation have been found. The psyche under the age of 40 years old at the time of exposure is more vulnerable. Existing statistical and registry data underestimate the level of mental disorders in the population of Ukraine, including the ChC survivors by an order of magnitude. Conclusions. The ChC survivors are aging in the country. The negative tendencies in age parameters of survival indicate the need to continue research to identify the factors «responsible» for such changes. Mental health disorders and neuropsychiatric effects in the ChC survivors are underestimated. It is necessary to create a national psychiatric registry of Ukraine and long-term (lifelong) monitoring of survivors with well-planned clinical and epidemiological studies of general and mental health with reliable dosimetric support based on national registries using the latest information technologies. Key words: Chornobyl catastrophe survivors, demographic aging, mental health, registers.

scholarly journals Inevitable aging and the resultant mental disorders In developing countries: a sociological appraisal

2020 ◽  
Vol 2 (1) ◽  
pp. 01-03
Author(s):  
Mohammad Sheykhi
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Disorders ◽  
Structural Changes ◽  
Heart Function ◽  
Health Conditions ◽  
Medical Sciences ◽  
Effects Of Aging

Aging is inevitably associated with a large number of body functions including the mental health. In addition to that, heart function, emotions, moods etc. could be mentioned as the results of gradual aging. Such conditions are usually accompanied with increase in medications consumption and decline in quality of life. Though usually medical sciences study mental health conditions, sociology also needs to be applied to appraise the "cause and effect" of mental health. As life expectancy is globally increasing, more and more people are subject to mental disorders, Alzheimer's disorders, dementia, depression and many more, as the effects of aging extensively impact mental health. Therefore, under the conditions of rapid aging, geriatrics needs to be strengthened and improved as much as possible to safeguard mental health. However, structural changes in terms of biological, physical, psychological and chemical reactions which inevitably occur with aging, need prevention and appropriate medication, and other investments in long term, and if not, other vulnerabilities will inevitably appear.

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