Do Community Free-Medication Service Policy Improve Patient Medication Adherence? A Cross-Sectional Study of Patients With Severe Mental Disorders in Beijing Community

Background: Nowadays, mental health problems have become a major concern affecting economic and social development, with severe mental health disorders being the top priority. In 2013, Beijing began to implement the Community Free-Medication Service policy (CFMS). This article aims to evaluate the effect of the policy on medication adherence.Methods: In this study, multi-stage sampling was used to select representative patients as samples. Some of the baseline data were obtained by consulting the archives, and information about patient medication adherence measured by Brooks Medication Adherence Scale was obtained through face-to-face interviews. Logistic regression was used to examine the impact of the policy.Results: Policy participation had a significant positive impact on medication adherence (OR = 1.557). The effect of policy participation on medication adherence in the Medication-only mode and Subsidy-only mode were highly significant, but it was not significant in the Mixed mode.Conclusion: This study found that the CFMS in Beijing as an intervention is effective in improving the medication adherence of community patients. However, the impact of the policy is not consistent among service modes. Reinforcement magnitude and frequency should be considered when designing reinforcement interventions.

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Impact of COVID-19 Lockdown on Physical and Mental Health of 5-12 Years Old Children from Parents’ Perspective: A cross-sectional Study

Asia Pacific Journal of Health Management ◽

10.24083/apjhm.v16i3.981 ◽

2021 ◽

Vol 16 (3) ◽

pp. 92-102

Author(s):

Isha Tajane ◽

Aamena Golwala ◽

Devanshi Nangia ◽

Isha Chavan

Keyword(s):

Mental Health ◽

Online Survey ◽

Mental Health Problems ◽

Recovery Period ◽

Cross Sectional Study ◽

Physical And Mental Health ◽

Cross Sectional ◽

Psychosocial Wellbeing ◽

Crisis Recovery ◽

The Impact

The COVID-19 pandemic has forced children to spend increased amounts of time at home resulting in adverse effects on their physical and psychosocial wellbeing. Parents need to be aware about the changes in the mental and physical health of the children. Objectives: To identify the physical and mental health problems the children are facing because of the lockdown and to assess the awareness of such problems amongst the parents. Design: A cross sectional online survey was conducted to assess the impact of COVID-19 on physical and mental health of the children from parents' perspectives. Setting: Mumbai, Maharashtra, India Main Outcome Measure: Parent reported questionnaire. Results and conclusion: There were a significant increase in the number of hours spent on mobile phones, sitting, and sleeping during the lockdown as compared to before the lockdown whereas the number of hours spent on physical activity significantly decreased and also impacted their mental health. By taking part in the survey, the parents of the children became aware of the changes occurring in their child. These findings can guide immediate programmatic and policy efforts to preserve and promote child health during the COVID-19 outbreak and crisis recovery period, and to inform strategies to mitigate potential harm during future pandemics.

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Social cognition in refugee children: an experimental cross-sectional study of emotional processing with Syrian families in Turkish communities

Royal Society Open Science ◽

10.1098/rsos.210362 ◽

2021 ◽

Vol 8 (8) ◽

pp. 210362

Author(s):

Gustaf Gredebäck ◽

Sara Haas ◽

Jonathan Hall ◽

Seth Pollak ◽

Dogukan Cansin Karakus ◽

...

Keyword(s):

Mental Health ◽

Emotional Processing ◽

Mental Health Problems ◽

Positive Impact ◽

Cross Sectional Study ◽

Refugee Children ◽

Traumatic Experiences ◽

Post Traumatic Stress ◽

Cross Sectional ◽

Processing Abilities

More than 5.6 million people have fled Syria since 2011, about half of them children. These children grow up with parents that often suffer from war-related mental health problems. In this study, we assess emotional processing abilities of 6–18 year-old children growing up in families that have fled from Syria and reside in Turkish communities (100 families, 394 individuals). We demonstrate that mothers', but not fathers’, post-traumatic stress (PTS) impacts children's emotional processing abilities. A 4% reduction of mothers' PTS was equivalent to 1 year of development in children, even when controlling for parents’ traumatic experiences. Making a small investment in increased mental health of refugee mothers might have a positive impact on the lives of their children.

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Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

VASA ◽

10.1024/0301-1526/a000771 ◽

2019 ◽

Vol 48 (3) ◽

pp. 262-269 ◽

Cited By ~ 3

Author(s):

Christian-Alexander Behrendt ◽

Tilo Kölbel ◽

Thea Schwaneberg ◽

Holger Diener ◽

Ralf Hohnhold ◽

...

Keyword(s):

Multidisciplinary Team ◽

Positive Impact ◽

Cross Sectional Study ◽

Invasive Treatment ◽

Cross Sectional ◽

Hospital Outcomes ◽

Vascular Intervention ◽

Medical Specialties ◽

Team Decision ◽

The Impact

Abstract. Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

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The impact of COVID-19 pandemic on training and mental health of residents: a cross-sectional study

BMC Medical Education ◽

10.1186/s12909-021-02655-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Eman Alshdaifat ◽

Amer Sindiani ◽

Wasim Khasawneh ◽

Omar Abu-Azzam ◽

Aref Qarqash ◽

...

Keyword(s):

Mental Health ◽

Residency Training ◽

Training Programs ◽

Cross Sectional Study ◽

Protective Equipment ◽

Sectional Study ◽

Cross Sectional ◽

Surgical Residents ◽

Tertiary Center ◽

The Impact

Abstract Background Residency programs have been impacted by the Coronavirus disease 2019 (COVID-19) pandemic. In this study we aim to investigate and evaluate the impact of the pandemic on residents as well as residency training programs. Methods This was a cross-sectional study including a survey of 43 questions prepared on Google forms and electronically distributed among a convenience sample of residents training at a tertiary center in North Jordan during the COVID-19 pandemic. Data were collected in the period between October 30th and November 8th of 2020. The survey included questions that addressed the impact of the pandemic on residents’ health as well as training programs. The study participants included residents in training at KAUH in 2020 and were stratified according to the type of residency program (surgical residents (SRs) and non-surgical residents (NSRs)). Statistical methods included descriptive analysis, Chi-square or Fisher’s exact test, Mann Whitney U test, and Cramer’s V and r statistics as measures of effect sizes. Results Of all 430 residents, 255 (59%) responded to the survey. A total of 17 (7%) of residents reported being infected with COVID-19 and a significant difference was reported between SRs and NSRs (10% vs 4%, V = .124 “small effect” (95% CI; .017–.229), p = 0.048). Approximately, 106 (42%) reported a decrease in the number of staff working at the clinic and 164 (64%) reported limited access to personal protective equipment during the pandemic. On a 4-point Likert scale for the feeling of anxiety, the median was 2 (2–3 IQR) in the NSRs group, vs 2 (1–2 IQR) in the SRs groups, with the NSRs being more likely to feel anxious (r = 0.13 “small effect” (95% CI; 0.007–0.249), p = .044). Similarly, the proportion of residents who reported feeling anxious about an inadequacy of protective equipment in the work area was significantly greater in the NSRs group (90.3% vs 75.2%; V = .201 “small effect” (95% CI; .078–.313), p = .001), as well as the proportion of residents who reported feeling increased stress and anxiety between colleagues being also significantly higher in the NSRs group (88.1% vs 76%; V = .158 “small effect” (95% CI; .032–.279), p = .012). Conclusion The burden of the ongoing pandemic on the mental health status of residents is very alarming and so providing residents with psychological counseling and support is needed. Also, critical implications on the flow of residency training programs have been noticed. This necessitates adapting and adopting smart educational techniques to compensate for such limitations.

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From Stress to Psychopathology: Relationship with Self-Reassurance and Self-Criticism in Czech University Students

International Journal of Mental Health and Addiction ◽

10.1007/s11469-021-00516-z ◽

2021 ◽

Author(s):

Yasuhiro Kotera ◽

Jaroslava Dosedlova ◽

Denise Andrzejewski ◽

Greta Kaluzeviciute ◽

Makoto Sakai

Keyword(s):

Mental Health ◽

University Students ◽

Mental Health Problems ◽

Cross Sectional Study ◽

Health Problems ◽

Transactional Model ◽

Cross Sectional ◽

Convenience Sample ◽

Path Analyses ◽

As Stress

AbstractPsychological stress has become a major concern, potentially leading to diverse health problems including psychopathology such as depression and anxiety. Transactional Model of Stress and Coping is an established model, conceptualizing stressful experiences via person–environment relationship. This cross-sectional study aimed to explore the pathway from stress to depression/anxiety, with a focus on self-criticism (inadequate-self and hated-self) and self-reassurance (reassured-self) in Czech students who suffered from high prevalence of mental health problems. Convenience sample of 119 undergraduates completed the Depression Anxiety and Stress Scale-21 and the Forms of the Self-Criticizing/Attacking & Self-Reassuring Scale. Correlation and path analyses were conducted. The Strengthening the Reporting of Observational Studies in Epidemiology guidelines were used to aid an accurate and complete report of the study. Depression, anxiety, and stress were positively associated with inadequate-self and hated-self while negatively associated with reassured-self. Both inadequate-self and hated-self partially mediated the stress–depression and stress–anxiety relationships, whereas reassured-self only partially mediated the stress–depression relationship. Inadequate-self had greater impact on the stress–depression/anxiety pathways than hated-self and reassured-self. Findings indicate that clinical treatment may benefit from targeting the feelings of inadequacy to prevent stress progressing to psychopathology. This is particularly relevant as stress levels are rising globally. Our findings offer developments to the Transactional Model, and help practitioners and educators identify solutions to protect mental health of Czech university students.

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Media consumption and mental health during COVID-19 lockdown: a UK cross-sectional study across England, Wales, Scotland and Northern Ireland

Journal of Public Health ◽

10.1007/s10389-021-01506-0 ◽

2021 ◽

Author(s):

Ruth D Neill ◽

Carolyn Blair ◽

Paul Best ◽

Emily McGlinchey ◽

Cherie Armour

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Media Exposure ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Future Research ◽

Media Consumption ◽

Sectional Study ◽

Cross Sectional ◽

Longitudinal Data Collection

Abstract Aim As individuals adjust to new ‘norms’ and ways of living during the COVID-19 lockdown, there is a continuing need for up-to-date information and guidance. Evidence suggests that frequent media exposure is related to a higher prevalence of mental health problems, especially anxiety and depression. The aim of this study was to determine whether COVID-19 related media consumption is associated with changes in mental health outcomes. Methods This paper presents baseline data from the COVID-19 Psychological Wellbeing Study. The cross-sectional study data was collected using an online survey following the Generalised Anxiety Disorder scale (GAD-7) and the Patient Health Questionnaire (PHQ-9), with some other basic information collected. Logistic regression analysis was used to examine the influence of socio-demographic and media specific factors on anxiety and depression. Results The study suggested that media usage is statistically significantly associated with anxiety and depression on the GAD-7 and PHQ-9 scales with excessive media exposure related to higher anxiety and depression scores. Conclusion This study indicated that higher media consumption was associated with higher levels of anxiety and depression. Worldwide it should be acknowledged that excessive media consumption, particularly social media relating to COVID-19, can have an effect on mental health. However, as this was a cross-sectional study we cannot infer any directionality as we cannot infer cause and effect; therefore, future research involving longitudinal data collection and analyses of variables over time is warranted.

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Line managers’ hiring intentions regarding people with mental health problems: a cross-sectional study on workplace stigma

Occupational and Environmental Medicine ◽

10.1136/oemed-2020-106955 ◽

2021 ◽

pp. oemed-2020-106955

Author(s):

Kim M E Janssens ◽

Jaap van Weeghel ◽

Carolyn Dewa ◽

Claire Henderson ◽

Jolanda J. P. Mathijssen ◽

...

Keyword(s):

Mental Health ◽

Social Inclusion ◽

Mental Health Problems ◽

Cross Sectional Study ◽

Health Problems ◽

Job Applicants ◽

Cross Sectional ◽

Line Managers ◽

Job Applicant ◽

Workplace Stigma

ObjectivesStigma may negatively affect line managers’ intention to hire people with mental health problems (MHP). This study aims to evaluate line managers’ knowledge and attitudes concerning job applicants with MHP, and to assess which factors are associated with the intention (not) to hire an applicant with MHP.MethodsA sample of Dutch line managers (N=670) filled out a questionnaire on their knowledge, attitudes and experiences concerning applicants/employees with MHP. Descriptive analyses and multiple regression analyses were used.ResultsThe majority (64%) was reluctant to hire a job applicant with MHP, despite the fact that only 7% had negative and 52% had positive personal experiences with such employees. Thirty per cent were reluctant to hire an applicant if they knew the applicant had past MHP. Associated with higher reluctance to hire an applicant with MHP were the concerns that it will lead to long-term sickness absence (β (95% CI)=0.39 (0.23 to 0.55)), that the employee cannot handle the work (β (95% CI)=0.16 (0.00 to 0.33)) that one cannot count on the employee (β (95% CI)=0.41 (0.23 to 0.58)) and higher manager education level (β (95% CI)=0.25 (0.05 to 0.44)). Conversely, associated with positive hiring intentions was being in favour of diversity and/or inclusive enterprise (β(95% CI)=−0.64 (−0.87 to −0.41)).ConclusionsAs the majority of managers were reluctant to hire applicants with MHP, and even 30% were reluctant to hire applicants who had past MHP, these findings have major implications for social inclusion in the Netherlands, where about 75% of employees would disclose MHP at work.

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Experience of stigma among mental health service users in Hong Kong: Are there changes between 2001 and 2017?

International Journal of Social Psychiatry ◽

10.1177/0020764018815926 ◽

2018 ◽

Vol 65 (1) ◽

pp. 64-72 ◽

Cited By ~ 3

Author(s):

Ka-Fai Chung ◽

Samson Tse ◽

Chit-Tat Lee ◽

Michael Ming-Cheuk Wong ◽

Wing-Man Chan

Keyword(s):

Mental Health ◽

Hong Kong ◽

Mental Health Service ◽

Health Service ◽

Mental Health Problems ◽

Cross Sectional Study ◽

Baseline Survey ◽

Service Users ◽

Cross Sectional ◽

Over Time

Background: Public expenditure on mental health education has grown exponentially in the past two decades. Does the experience of stigma among people with mental health problems improve over time? Our study aims to compare the levels of perceived stigmatization, rejection experiences and stigma–coping among mental health service users in Hong Kong between 2001 and 2017 using longitudinal and repeated cross-sectional study design. Method: The baseline survey was completed by 193 psychiatric outpatients in 2001. They were traced for re-assessment in 2017. Another sample of 193 outpatients matched in age, gender and psychiatric diagnosis was recruited in 2017 for cross-sectional comparison. Participants completed a 39-item questionnaire on stigma experiences, Beck Depression Inventory and Disability Assessment Schedule at both time points. Results: In total, 109 of 193 participants (56.5%) of the 2001 survey were re-assessed. No significant change in perceived stigmatization, rejection experiences and stigma–coping was found among the 109 participants interviewed in 2001 and 2017. For cross-sectional comparison, significant differences in two perceived stigma items were observed upon Bonferroni correction (chi-square test, p < .005) and remained significant after controlling for confounding factors by regression analysis. Improvements in perceived stigmatization were on marriage and friendship, while viewpoints on trustworthiness, dangerousness, devaluation, avoidance and personal failure remained unchanged, and there was no improvement in rejection experiences and stigma–coping. Conclusion: Positive attitude changes over time are unlikely to occur if there is no targeted intervention on stigma. Our findings highlight that evidence-based antistigma interventions are urgently needed.

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IS SPIRITUALITY HELPING TO OVERCOME ANXIETY, DEPRESSION AND MENTAL STRESS AMONG BLIND ADOLESCENTS? : A CROSS SECTIONAL STUDY OF A BLIND SCHOOL, MEERUT

10.36106/ijsr/7811403 ◽

2020 ◽

pp. 63-65

Author(s):

Anuradha Davey ◽

Kaynat Nasser ◽

Sanjeev Davey

Keyword(s):

Mental Health ◽

Low Vision ◽

Cross Sectional Study ◽

Vision Impairment ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

General Mental Health ◽

Coping Ability ◽

The Impact

Background Vision impairment can extend from no vision – visual impairment – or exceptionally low vision to not having the option to see specific hues. Serious vision misfortune or visual deficiency can influence your kid's development and learning. Early mediation can enable your kid to contact his maximum capacity. Otherworldliness gives an individual a feeling of rising above their prompt conditions and an intrapersonal development of direction and importance for their own life, with an inward feeling of association and trust in their own interior assets. Objective The goals of this study were to examine the impact of spirituality on both coping skills and vision-specific health-related quality of life (HRQOL) and the effect of psychological manifestations among Sparsh Govt. Blind Inter College, Partapur Meerut. Methods A cross sectional study was conducted and purposive sampling was used. Percentages and chi square test was used to find the most common and association of different psychological manifestations. Result In our study, 13.8% had depression of varying degree. The most common psychological manifestation was anxiety (46.7%) among them and 11.7% of students were feeling stress in their life. Students with depression and stress affected coping ability while stress had no affect Conclusion It was found in the study that spirituality was positively associated with coping ability and hence with general mental health. Moreover, spirituality was associated significantly with vision-specific HRQOL. The results showed that spirituality played a mediating role in the linkage between vision impairment and general mental health among adolescents of Sparsh Govt. Blind Inter College, Partapur, Meerut.

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A United Kingdom Pilot Study of Kinetic Shift Therapy and Mindfulness Based Therapy for Clients Living with Intellectual Disabilities and Enduring Mental Health Problems

Journal of Psychiatry and Mental Health ◽

10.16966/2474-7769.137 ◽

2021 ◽

Vol 6 (1) ◽

Author(s):

Collins-McGroarty J ◽

Faulkes-Sharrock E ◽

Wilkes R

Keyword(s):

Mental Health ◽

Intellectual Disabilities ◽

Mental Health Problems ◽

Positive Impact ◽

Health Problems ◽

Behavioral Issues ◽

Client Group ◽

Sensitive Topics ◽

Kinetic Shift ◽

The Impact

Objective: Clients with moderate intellectual disabilities are reported to struggle with ongoing mental health problems, especially around emotional and behavioral issues around sensitive topics like their sexuality, which is not always easy to communicate through traditional talking therapies for this client group, therefore a group of individuals were selected to determine the impact of a newer energy psychotherapy technique called Kinetic Shift Therapy (KS) alongside Mindfulness based therapy (MBT) which is utilized more, however with limited published research to determine the positive impact on the symptoms and behaviors that affect this client group.

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