scholarly journals Relationship of Leisure Time Activities With Fatigue and Mental Health Problems in People With Multiple Sclerosi

2021 ◽  
Vol 22 (2) ◽  
pp. 154-167
Author(s):  
Seyed Mohammad Sadegh Hosseini ◽  
◽  
Sahar Nurani Gharaborghe ◽  
Keyword(s):  
Mental Health ◽  
Leisure Time ◽  
Mental Health Problems ◽  
Leisure Activities ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Social Activities ◽  
Religious Activities ◽  
Relationship Of ◽  
The Relationship

Objective: One of the essential aspects of life in patients with Multiple Sclerosis (MS) is leisure time activities. One of the duties of occupational therapists is the evaluation and implementation of therapeutic interventions in the field of leisure for patients with neurological disorders such as MS. However, before presenting any intervention for increasing the ability of MS patients to spend their leisure time, it is necessary to study the concept of this field scientifically and systematically and identify and evaluate the factors affecting it. Many symptoms of MS, such as fatigue and mental health problems, may affect leisure activities. This study examines the relationship of leisure time activities with fatigue and mental health problems (stress, anxiety, and depression) in MS patients. Materials & Methods: This research is a cross-sectional study. The study population consisted of all MS patients referred to Imam Khomeini Clinic, Mobasher Kashani Hospital, and MS Association in Hamadan City, Iran, in 2019. Of them, 99 (70 women, 29 men) with a Mean±SD age of 32.28±8.26 years were selected by using a convenience sampling method and based on the inclusion and exclusion criteria. For data collection, we used the MS leisure questionnaire, Fatigue Severity Scale (FSS), Visual Analog Fatigue Scale (VAFS), Expanded Disability Status Scale (EDSS), and Depression-Anxiety-Stress Scale (DASS). After obtaining written informed consent from the patients, the study questionnaires were completed by them. The collected data were analyzed in SPSS v. 16. The Spearman correlation test was used to examine the relationship of leisure time activities with fatigue and mental health problems. Results: There was a significant relationship between leisure activities and fatigue tests of VAFS (P=0.003) and FSS (P=0.001). Fatigue showed a high negative correlation with all leisure domains (r=0.350, P=0.001) of difficult, social, spiritual/religious, out-of-home physical, and art/cultural activities and reduced them. The overall score of DASS was significantly correlated with leisure time spiritual/religious activity (r= -0.263), out-of-home physical activity (r= -0.213) and art/cultural activity (r= -0.205). Regarding its subscales, anxiety showed a significant correlation only with leisure time social activities (r= -0.259), stress with spiritual/religious activities (r= -0.212), and depression with all domains of leisure time activities except for difficult activities (P≤0.005) Conclusion: Leisure time activities are associated with fatigue and mental health problems (stress, anxiety, and depression) in MS patients. Stress and anxiety only affect their leisure time social activities. Fatigue or mental health problems can reduce the amount of leisure time.

scholarly journals Bioethical aspects of assisted suicide and euthanasia in people suffering from mental health problems

2020 ◽  
Vol 148 (3-4) ◽  
pp. 251-254
Author(s):  
Bojana Pavlovic ◽  
Danijela Tiosavljevic ◽  
Danka Sinadinovic
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Cognitive Functions ◽  
Assisted Suicide ◽  
Mental Health Problems ◽  
Psychiatric Patients ◽  
Health Problems ◽  
Joint Decision ◽  
Relationship Of ◽  
The Relationship

This paper deals with euthanasia and assisted suicide in people with mental health problems, based on the fundamental principles of contemporary medical ethics. In some situations, psychiatric patients are incapable of realizing they are ill and they need to be treated due to the compromise of cognitive functions. It is difficult to establish the relationship of negotiation and joint decision-making with such patients, so it is necessary that the psychiatrist takes responsibility in order to protect both their patient and the environment from any potentially harmful activity.

Multiple agencies with diverse goals

2017 ◽  
Author(s):  
James McGuire ◽  
Lisa Wootton
Keyword(s):  
Mental Health ◽  
Professional Practice ◽  
Mental Health Problems ◽  
Health Problems ◽  
Forensic Mental Health ◽  
England And Wales ◽  
Legal Context ◽  
Everyday Work ◽  
Relationship Of ◽  
The Relationship

This chapter charts the relationships between three large areas of background knowledge and professional practice, at the intersection of which everyday work in forensic mental health takes place. We describe the three underpinning models (biomedical, psychological, and sociological) the differences between them in training and in outlook, and the relationship of each to the legal context in which all must operate. Representing different models of human problems and distress, we recognize that sometimes there is friction between them. Their diverse perspectives notwithstanding, these models can be integrated, and they all have an indispensable part to play in how we understand and respond to the difficulties of working with people with mental health problems who also break the law. We illustrate this with reference to how services are delivered, and conclude by discussing the role played by Multi- Agency Public Protection Arrangements (MAPPA) in England and Wales.

Attachment to God and Quest as Moderators of the Relationship between Religious Doubt and Mental Health

2021 ◽  
pp. 009164712199240
Author(s):  
Noah S. Love ◽  
Cassidy A. Merlo ◽  
M. Elizabeth Lewis Hall ◽  
Peter C. Hill
Keyword(s):  
Mental Health ◽  
Positive Relationship ◽  
Mental Health Problems ◽  
Negative Relationship ◽  
Health Problems ◽  
Positive Mental Health ◽  
Attachment To God ◽  
Religious Doubt ◽  
Avoidant Attachment ◽  
The Relationship

The present study examined attachment to God and quest as potential moderators of the relationship between religious doubt and mental health. A sample of Christian participants ( N = 235) completed a survey which included measures of attachment to God, quest, religious doubt, and mental health. As hypothesized, attachment to God and quest significantly moderated an individual’s experience of religious doubt. Low avoidant attachment to God (i.e., a more secure attachment) was associated with a more negative relationship between cognitive religious doubt and positive mental health than high avoidant attachment. In contrast, low avoidant attachment to God also ameliorated the positive relationship between affective religious doubt and mental health problems. Low anxious attachment was associated with a stronger negative relationship between both measures of religious doubt (i.e., cognitive and affective) and positive mental health. In addition, high soft quest weakened all four of the relationships between measures of religious doubt and mental health. High hard quest ameliorated the positive relationship between both measures of religious doubt and mental health problems. These results indicate that an individual’s attachment to God and the way an individual is oriented toward religion each play a role in the mental health outcomes associated with religious doubt.

scholarly journals Trauma, Sleep and Mental Health Problems in Low-Income Young Adults

2021 ◽  
Vol 18 (3) ◽  
pp. 1145
Author(s):  
Rachel A. Fusco ◽  
Yan Yuan ◽  
Hyunji Lee ◽  
Christina E. Newhill
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Low Income ◽  
Mental Health Problems ◽  
Trauma Exposure ◽  
Health Problems ◽  
Equation Modeling ◽  
Poor Sleep ◽  
Depression And Anxiety ◽  
The Relationship

Low-income young adults are more likely to have exposure to trauma, which increases risk for mental health problems. Although adequate sleep promotes good health, people with histories of trauma are more likely to have sleep problems. The current study explored whether poor sleep mediated the relationship between trauma exposure and mental health. A sample of 143 low-income 18–24-year-old young adults completed depression, anxiety, and trauma exposure measures and wore sleep monitors for four nights. Structural equation modeling (SEM) was used to examine both direct and indirect effects of variables. Results showed that higher trauma exposure was associated with depression and anxiety. Mean sleep hours per night was fewer than six, far below recommended guidelines for optimal health and functioning. Fewer sleep hours partially mediated the relationship between both trauma exposure and depression and anxiety, and the direct effect from trauma remained significant after adjusting for the partial mediation from sleep.

scholarly journals Nationwide assessment of the mental health of UK Doctoral Researchers

2021 ◽  
Author(s):  
Cassie M Hazell ◽  
Jeremy Niven ◽  
Laura Chapman ◽  
Paul Roberts ◽  
Sam Cartwright-Hatton ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Poor Mental Health ◽  
Academic Community ◽  
Anxiety And Depression ◽  
Control Group ◽  
Evidence Based ◽  
Preventative Measures ◽  
Common Mental Health Problems

Doctoral Researchers (DRs) are an important part of the academic community and, after graduating, make substantial social and economic contributions. Despite this importance, DR wellbeing has long been of concern. Recent studies have concluded that DRs may be particularly vulnerable to poor mental health problems, but direct comparisons of the prevalence of mental health problems between them and a control group is lacking. Here, by comparing DRs with educated working controls, we show that DRs report significantly greater anxiety and depression, and that this difference is not explained by a higher rate of pre-existing mental health problems. Moreover, most DRs perceive poor mental health as a ‘normal’ part of the PhD process. Thus, our findings suggest a hazardous impact of PhD study on mental health, with DRs being particularly at risk of developing common mental health problems. This provides an evidence-based mandate for universities and funders to reflect upon practices related to DR training and mental health. Our attention should now be directed towards understanding what factors may explain heightened anxiety and depression among DRs so as to inform preventative measures and interventions.

scholarly journals Digital cognitive behaviour therapy for insomnia (CBTi) for adolescents with mental health problems. Results from a feasibility open trial. (Preprint)

2019 ◽  
Author(s):  
Bethany Cliffe ◽  
Abigail Croker ◽  
Megan Denne ◽  
Jacqueline Smith ◽  
Paul Stallard
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Severity Scale ◽  
Sleep Condition ◽  
Condition Indicator ◽  
Insomnia Severity

BACKGROUND Insomnia in adolescents is common, persistent, and associated with poor mental health including anxiety and depression. Insomnia in adolescents attending child mental health services is seldom directly treated and the effects of digital CBTi on the mental health of adolescents with significant mental health problems is unknown. OBJECTIVE This paper reports an open study assessing the feasibility of adding supported online CBT for insomnia to the usual care of young people aged 14-17 years attending specialist child and adolescent mental health services. METHODS Thirty-nine adolescents aged 14-17 attending specialist child and adolescent mental health services with insomnia were assessed and offered digital CBTi. The digital intervention was Sleepio, an evidence based, self-directed, fully automated CBTi that has proven effective in multiple randomized controlled trials with adults. Self-report assessments of sleep (Sleep Condition Indicator, Insomnia Severity Scale, online sleep diaries), anxiety (Revised Child Anxiety and Depression Scale) and depression (Mood and Feelings Questionnaire) were completed at baseline and post-intervention. Post-use interviews assessed satisfaction with digital CBTi. RESULTS Average baseline sleep efficiency was very poor (52.9%) with participants spending an average of 9.6 hrs in bed but only 5.1 hrs asleep. All scored <17 on the Sleep Condition Indicator with 36/39 (92.3%) scoring ≥15 on the Insomnia Severity Scale, suggesting clinical insomnia. 36 (92.3%) scored ≥ 27 on the Mood and Feelings Questionnaire for major depression and 20 (51.3%) had clinically elevated symptoms of anxiety. The majority (76%) were not having any treatment for their insomnia, with the remaining 24% receiving medication. Sleepio was acceptable with 77% (30/39) activating their account and 67% (21/30) completing the program. Statistically significant pre-post improvements were found in weekly diaries of sleep efficiency (p=.005) and sleep quality (p=.001) and on measures of sleep (SCI; p=.001: ISI; p=.001), low mood (MFQ; p=.024) and anxiety (RCADS; p=.015). Satisfaction was high; with 89% finding Sleepio helpful, 94% would recommend it to a friend with 39% expressing a definite preference for a digital intervention. CONCLUSIONS Our study has a number of methodological limitations, particularly the small sample size, absence of a comparison group and follow-up assessment. Nonetheless, our findings are encouraging and suggest that digital CBTi for young people with mental health problems might offer an acceptable and an effective way to improve both sleep and mental health. CLINICALTRIAL N/a

scholarly journals Relationship of Depression, Aging and Immune System During Covid-19 Pandemic: A Review

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Farah Iylia Binti Fauzi ◽  
Siti Fatimah Binti Salleh ◽  
Mohammad Shahadat Hossen
Keyword(s):  
Mental Health ◽  
Immune System ◽  
Elderly People ◽  
Social Isolation ◽  
Mental Health Problems ◽  
Preventive Measures ◽  
Coping Mechanisms ◽  
Depression And Anxiety ◽  
Relationship Of ◽  
The Relationship

COVID-19 is a highly contagious virus that first appeared in China in December 2019. It has affected over 157 million people and killed over 3.2 million. The paper reviews the function of the immune system for COVID-19 prevention, depression, and anxiety due to COVID-19 and their effects on the immune system and the relationship of aging with the immune system and depression and anxiety. It has been found that several elderly people lack the coping mechanisms required to deal with the stress caused by COVID-19. Hence, identifying the factors and mechanisms that lead to this resilience will aid in the development of preventive measures for certain elderly people and groups with more severe mental health problems. Additionally, it would be beneficial to understand how technology could be leveraged to accomplish this goal. During the pandemic, various steps such as social isolation, quarantine, and self-isolation are needed to be implemented properly to slow the spread of the virus. Meanwhile, to help halt the pandemic, everybody must be vaccinated as soon as possible until any bans on social gatherings and social isolation can be removed, allowing other sectors such as schooling, social activities, and life to resume normalcy.

scholarly journals Relationships Among the Internal Health Locus of Control, Mental Health Problems, and Subjective Well-Being of Adults in South Korea

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1588
Author(s):  
Sunhwa Shin ◽  
Eunhye Lee
Keyword(s):  
Mental Health ◽  
Locus Of Control ◽  
South Korea ◽  
Mental Health Problems ◽  
Health Locus Of Control ◽  
Well Being ◽  
Health Problems ◽  
Mediating Effect ◽  
Subjective Well Being ◽  
The Relationship

The purpose of this study was to confirm the relationship between internal health locus of control, mental health problems, and subjective well-being in adults during the prolonged COVID-19 pandemic. In particular, the mediating effect of mental health problems on the relationship between internal health locus of control and subjective well-being was examined. A cross-sectional descriptive design was conducted via online survey. The participants were 600 adults over 20 years of age living in South Korea. The collected data were analyzed using hierarchical regression analysis and SPSS Process Macro (Model 4). As a result of the study, the internal health locus of control had a significant negative effect on mental health problems. In addition, in the process of the internal health locus of control affecting subjective well-being, the mediating effect of mental health problems was significantly shown. In the period of an infectious disease pandemic such as COVID-19, it is necessary to establish a strong internal health locus of control of individuals and to promote monitoring and treatment introduction for those with a low internal health locus of control. In addition, it was discussed that controlling mental health problems can improve subjective well-being, which is life satisfaction and happiness.

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