scholarly journals Physical Activity and Mental Health Among Physicians in Tertiary Psychiatric Hospitals: A National Crosssectional Survey in China

2021 ◽  
Vol 12 ◽  
Author(s):  
Jin Luo ◽  
Huanzhong Liu ◽  
Yuanli Liu ◽  
Feng Jiang ◽  
Yi-Lang Tang

This study aimed to examine the level of mental health and its correlates, particularly physical activity (PA) frequency, among physicians in tertiary psychiatric hospitals. In a national crosssectional survey, 4,520 physicians nested in 41 tertiary psychiatric hospitals from 29 provinces completed the online questionnaire. Their mean age was 38.5 ± 8.6 years, and 41.86% of physicians were men. More than one-third (35.24%) of physicians reported no PA in the past month, and only 21.88% reported happiness. Only 55.15 and 58.10% of the physicians reported normal status of depression and anxiety, respectively. In the adjusted multivariable ordinal logistic regression, higher PA frequency was associated with depression, anxiety, and happiness, except those who reported PA almost every day. Programs that aim to increase PA may promote the mental health of physicians in tertiary psychiatric hospitals.

2019 ◽  
Vol 139 (6) ◽  
pp. 316-319 ◽  
Author(s):  
CB Doyle ◽  
A Khan ◽  
NW Burton

Aims: The purpose of this study was to assess Emirati university students’ knowledge of physical activity guidelines and perceptions of the benefits of physical activity for mental health. Methods: A random sample ( n = 628) completed an online questionnaire assessing the recommended amount of physical activity for good health (min/week) and to what extent exercise can help improve wellbeing, and manage depression and anxiety/stress (5-point Likert-type scale). Results: Only 3% of respondents identified 150 min/week and less than half (39%) of the respondents reported an amount within the range of 150–300 min/week. Most respondents believed that physical activity could improve wellbeing (69%), and manage depression (71%) and anxiety/stress (74%). Females were more likely than males to view physical activity as a way to manage depression ( p = .003), and anxiety/stress ( p = .002). Conclusions: More work may be required to promote awareness of physical activity guidelines in this population, and males’ awareness of mental health benefits of physical activity.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 414-414
Author(s):  
Anna Huang ◽  
Kristen Wroblewski ◽  
Ashwin Kotwal ◽  
Linda Waite ◽  
Martha McClintock ◽  
...  

Abstract The classical senses (vision, hearing, touch, taste, and smell) play a key role in social function by allowing interaction and communication. We assessed whether sensory impairment across all 5 modalities (global sensory impairment [GSI]) was associated with social function in older adults. Sensory function was measured in 3,005 home-dwelling older U.S. adults at baseline in the National Social Life, Health, and Aging Project and GSI, a validated measure, was calculated. Social network size and kin composition, number of close friends, and social engagement were assessed at baseline and 5- and 10-year follow-up. Ordinal logistic regression and mixed effects ordinal logistic regression analyzed cross-sectional and longitudinal relationships respectively, controlling for demographics, physical/mental health, disability, and cognitive function (at baseline). Adults with worse GSI had smaller networks (β=-0.159, p=0.021), fewer close friends (β=-0.262, p=0.003) and lower engagement (β=-0.252, p=0.006) at baseline, relationships that persisted at 5 and 10 year follow-up. Men, older people, African-Americans, and those with less education, fewer assets, poor mental health, worse cognitive function, and more disability had worse GSI. Men and those with fewer assets, worse cognitive function, and less education had smaller networks and lower engagement. African-American and Hispanic individuals had smaller networks and fewer close friends, but more engagement. Older respondents also had more engagement. In summary, GSI independently predicts smaller social networks, fewer close friends, and lower social engagement over time, suggesting that sensory decline results in decreased social function. Thus, rehabilitating multisensory impairment may be a strategy to enhance social function as people age.


Author(s):  
Seung-Man Lee ◽  
Wi-Young So ◽  
Hyun-Su Youn

This study assessed the health perceptions of 333 Korean adolescents during the coronavirus disease (COVID-19) pandemic via an online questionnaire administered in October 2020, which queried the perceived importance and actual performance of health behaviors. The health perception scales used in the survey consists of the six dimensions of mental health, disease, physical activity, sleep, diet, and sanitary health. The data were primarily analyzed using paired sample t-test for analysis of difference and importance-performance analysis (IPA). The IPA results were presented in four quadrants—“keep up the good work,” “concentrate here,” “low priority,” and “possible overkill.” The results indicated that first, there was a positive relationship between the importance and performance of all the subdimensions of health perception. Second, sanitary healthcare was rated as being of the greatest importance and was performed most, while physical activity management was rated least important and performed least. Third, statistically significant differences were found between importance and performance for all items of mental health, disease, physical activity, sleep, and diet dimensions, and some differences were found for items assessing the hygiene control dimension. Fourth, in the two-dimensional IPA model, “sanitary health” and “disease” are in Quadrant I (keep up the good work); “mental health,” in Quadrant II (concentrate here); and “physical activity,” “sleep,” and “diet,” in Quadrant III (low priority). No components of healthcare were in Quadrant IV (possible overkill). Based on these results, we emphasize the importance of adolescent health education and discuss solutions to enhance the performance of healthcare activities.


2018 ◽  
Vol 41 (4) ◽  
pp. 707-713 ◽  
Author(s):  
Allison Milner ◽  
Anne-Marie Bollier ◽  
Eric Emerson ◽  
Anne Kavanagh

Abstract Background People with disabilities often face a range of social and economic adversities. Evidence suggests that these disadvantages result in poorer mental health. Some research also indicates that people with disabilities are more likely experience thoughts about suicide than people without disability, although most of this research is based on small cross-sectional samples. Methods We explored the relationship between self-reported disability (measured at baseline) and likelihood of reporting thoughts of suicide (measured at follow up) using a large longitudinal cohort of Australian males. A logistic regression model was conducted with thoughts of suicide within the past 12 months (yes or no) as the outcome and disability as the exposure. The models adjusted for relevant confounders, including mental health using the SF-12 MCS, and excluded males who reported thoughts of suicide at baseline. Results After adjustment, there was a 1.48 (95% CI: 0.98–2.23, P = 0.063) increase in the odds of thoughts of suicide among men who also reported a disability. The size of association was similar to that of being unemployed. Conclusions Males reporting disability may also suffer from thoughts of suicide. We speculate that discrimination may be one explanation for the observed association. More research on this topic is needed.


2011 ◽  
Vol 139 (suppl. 1) ◽  
pp. 6-9 ◽  
Author(s):  
Milutin Nenadovic

Discordances of harmonic mental functioning are as old as the human kind. Psychopathological behaviour of an individual in the past was not treated as an illness. That means that psychopathology was not considered an illness. In all past civilizations discordance of mental harmony of an individual is interpreted from the physiological aspect. Psychopathologic expression was not considered an illness, so social attitudes about psychiatric patients in the past were non-medical and generally speaking inhuman. Hospitals did not follow development of medicine for admission of psychiatric patients in past civilizations, not even in the antique era. According to historic sources, the first hospital that was meant for mental patients only was established in the 15th century, 1409 in Valencia (Spain). Therefore mental patients were isolated in a special institution-hospital, and social community rejected them. Only in the new era psychopathological behavior begins to be treated as an illness. Therefore during the 19th century psychiatry is developed as a special branch of medicine, and mental disorder is more and more seen according to the principals of interpretation of physical illnesses. By the middle of the 19th century psychiatric hospitals are humanized, and patients are being less physically restricted. Deinstitutialisation in protection of mental health is the heritage of reforms from the beginning of the 19th century which regarded the prevention of mental health protection. It was necessary to develop institutions of the prevention of protection in the community which would primarily have social support and characteristics.


1981 ◽  
Vol 5 (11) ◽  
pp. 202-204
Author(s):  
Leonard Fagin

The spate of suicides and riots in unemployment-stricken towns has recently brought to public attention a feature of joblessness which had not figured in the minds of those that thought that it would only have financial and probably minor social consequences. Since then, a flurry of interest has been spurred by the media; they regularly report on studies that show some association between unemployment and ill health, quite often, and not surprisingly, to make party political meal of a long-term problem that is bound to have implications for health provision in this country, at least over the next two decades. As psychiatrists we all know the central role played by regular, satisfying employment in the mental health of our patients, and I am sure many of us are affected by our total inability to secure adequate rehabilitation alternatives on which we are sure our patients' future, and that of their families, depend to a great extent. Some of us may also have been aware of the increased demand on mental health resources over the past few years and of the worrying tendency for admissions into psychiatric hospitals to be prolonged because of the time it takes for an ex-patient to re-enter the labour force.


2021 ◽  
Vol 12 ◽  
Author(s):  
Lei Xia ◽  
Feng Jiang ◽  
Jeffrey Rakofsky ◽  
Yulong Zhang ◽  
Yudong Shi ◽  
...  

Objectives: Mental healthcare has gained momentum and significant attention in China over the past three decades. However, many challenges still exist. This survey aimed to investigate mental health resources and the psychiatric workforce in representative top-tier psychiatric hospitals in China.Methods: A total of 41 top-tier psychiatric hospitals from 29 provinces participated, providing data about numbers and types of psychiatric beds, numbers of mental health professionals, outpatient services and hospitalization information covering the past 3 years, as well as teaching and training program affiliation.Results: Significant variations were found among participating hospitals and across different regions. Most of these hospitals were large, with a median number of psychiatric beds of 660 (range, 169-2,141). Child and geriatric beds accounted for 3.3 and 12.6% of all beds, respectively, and many hospitals had no specialized child or geriatric units. The overall ratios of psychiatrists, psychiatric nurses, and psychologists per bed were 0.16, 0.34, and 0.03, respectively. More than 40% of the hospitals had no clinical social workers. Based on the government's staffing guidelines, less than one third (31.7%) of the hospitals reached the lower limit of the psychiatric staff per bed ratio, and 43.9% of them reached the lower limit of the nurse per bed ratio.Conclusion: Although some progress has been made, mental health resources and the psychiatric workforce in China are still relatively insufficient with uneven geographical distribution and an acute shortage of psychiatric beds for children and elderly patients. In the meantime, the staffing composition needs to be optimized and more psychologists and social workers are needed. While addressing these shortages of mental health resources and the workforce is important, diversifying the psychiatric workforce, promoting community mental health care, and decentralizing mental health services may be equally important.


2021 ◽  
Vol 19 (2) ◽  
pp. 107-112
Author(s):  
Matheus Cabanha Paniago Almada ◽  
Romano Deluque Júnior ◽  
Cesar Augusto Marton ◽  
Mariane Moreira Ramiro do Carmo

OBJETIVO: Discutir os modos como um estado de quarentena e de distanciamento social, por motivos de pandemia, alteram os hábitos de atividade física da população e incidem em impactos diante da saúde mental das pessoas inseridas no referido contexto. MÉTODOS: O presente estudo pretende ser um ensaio de discussão teórica, com delineamentos explicativos/analíticos, utilizando-se de artigos recentemente publicados e indexados, para identificar os pontos negativos e positivos do distanciamento social e da quarentena, bem como, discutir os seus efeitos na saúde mental. Pretende-se ainda, argumentar em favor da prática de atividades físicas, como ferramenta redutora da tensão e da ansiedade, tão características do atual cenário pandêmico. RESULTADOS: Considerando que uma situação de distanciamento social, ou de quarentena, alteram os hábitos da população, verifica-se que as mudanças de rotinas fazem emergir sentimentos de frustração e tédio, além disso, a falta de contato físico e social provoca a sensação de isolamento perante o resto do mundo e angústia aquele que vivencia o fenômeno. Uma estratégia para combater os efeitos negativos na saúde mental decorrente a quarentena e o iso-lamento social, é a prática de atividades físicas. Dentre os benefícios da prática de atividades físicas para a saúde mental, demonstrou-se que a mesma, quando feita regularmente, está associada a diminuição de sintomas de depressão e ansiedade. CONCLUSÃO: Sabendo dos impactos psicológicos que são gerados nesse período, e fazendo uma associa-ção com os estudos que demonstram os benefícios das atividades físicas, é possível afirmar que a prática dos pode ser uma estratégia eficiente de enfrentamento, porém, estudos es-pecíficos devem ainda ser realizados.ABSTRACT. Mental health and physical activity practice in quarantine: a theoretical discussion essay.OBJECTIVE: To discuss the ways in which a state of quarantine and social detachment, for reasons of a pandemic, changes the habits of the population and impacts on the mental health of people in the context. METHODS: The present study intends to be a theoretical discussion essay, with explanatory / analytical designs, which uses recently published and indexed articles, to identify the negative and positive points of social detachment and quarantine, as well as to discuss its effects on mental health. It is also intended to argue in favor of the practice of physical activities, as a tool to reduce tension and anxiety, so characteristic of the current pandemic scenario.  RESULTS: Considering that a situation of social detachment, or quarantine changes the habits of the population, it is also verified that changes in routines emerge feelings of frustration and boredom, in addition, the lack of physical and social contact causes feeling of isolation from the rest of the world and distressing those who experience the phenomenon. A strategy to combat the negative effects on mental health resulting from quarantine and social isolation, is the practice of physical exercises. Among the benefits of physical exercise for mental health, it has been shown that regular physical activity is associated with decreased symptoms of depression and anxiety. CONCLUSION: Knowing the psychological impacts that are generated in this period, and making an association with the studies that demonstrate the benefits of physical exercises, it is possible to say that the practice of activities can be an efficient coping strategy, however, specific studies must still be performed.


BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e021119 ◽  
Author(s):  
Marc-André Bélair ◽  
Dafna E Kohen ◽  
Mila Kingsbury ◽  
Ian Colman

BackgroundPhysical and sedentary activities have been identified as potentially modifiable risk factors for many diseases, including mental illness, and may be effective targets for public health policy and intervention. However, the relative contribution of physical activity versus sedentary behaviour to mental health is less clear. This study investigated the cross-sectional association between physical activity, sedentary activity and symptoms of depression and anxiety at age 14–15 in the National Longitudinal Survey of Children and Youth (NLSCY).MethodsRespondents aged 14–15 years between 1996 and 2009 who reported on symptoms of depression in the NLSCY were included (n=9702). Multinomial logistic regression was used to assess the relationship between physical and sedentary activity and symptoms of depression and anxiety. Joint models including both physical and sedentary activity were also explored. Models were adjusted for sex, ethnicity, immigration status, family income, parental education, recent major stressful life events and chronic health conditions.ResultsThe odds of having moderate and severe symptoms of depression and anxiety compared with no symptoms was 1.43 (1.11 to 1.84) and 1.88 (1.45 to 2.45) times higher, respectively, in physically inactive youth relative to physically active youth. The odds of having moderate and severe symptoms of depression and anxiety compared with no symptoms was 1.38 (1.13 to 1.69) and 1.31 (1.02 to 1.69) times higher, respectively, in sedentary youth relative to non-sedentary youth. In joint models including both physical and sedentary activity, sedentary activity was not consistently associated with symptoms of depression and anxiety.ConclusionsBoth physical inactivity and sedentary activity appear to be significantly related to symptoms of depression and anxiety. The importance of distinguishing these two behaviours has relevance for research as well as policies targeting physical activity and mental health in youth.


2019 ◽  
Vol 32 ◽  
Author(s):  
Rayane Luizi da COSTA ◽  
Lize STANGARLIN-FIORI ◽  
Renata Labronici BERTIN ◽  
Caroline Opolski MEDEIROS

ABSTRACT Objective To evaluate the job satisfaction of nutritionists who work in food service in the state of Paraná (Brazil). Methods A survey was carried out with 249 nutritionists through a semi-structured online questionnaire, which assessed their profile, professional activities, and job satisfaction. The Mann-Whitney and Kruskal-Wallis tests and the ordinal logistic regression at a 5% significance level were applied to evaluate the differences and relationship between job satisfaction and the independent variables. Results The average age of the survey participants was 31.9±6.4 years, the majority was female (95.58%), and graduated between 2000 and 2016 (90.36%). The survey revealed that 55.41% of the nutritionists were satisfied at work, 33.68% were indifferent, 6.86% were highly satisfied, and 4.04% were dissatisfied. The variables that influenced job satisfaction the most were age, years of training, income, and workdays in the week. Income explained satisfaction positively. There was statistical difference in relation to the satisfaction of participants regarding their knowledge on food service (p=0.0350), completion of postgraduate courses (p=0.0082), and interest in working in an area of nutrition other than food service (p<0.0001). Conclusion Although most professionals are satisfied, many were indifferent to job satisfaction, which may reflect a low perspective on their current job or poor experience in the food service. These results suggest the need for further actions aiming at raising nutritionists’ perceived professional importance.


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