scholarly journals Post-Intensive Care Syndrome and Its New Challenges in Coronavirus Disease 2019 (COVID-19) Pandemic: A Review of Recent Advances and Perspectives

2021 ◽  
Vol 10 (17) ◽  
pp. 3870
Author(s):  
Nobuto Nakanishi ◽  
Keibun Liu ◽  
Daisuke Kawakami ◽  
Yusuke Kawai ◽  
Tomoyuki Morisawa ◽  
...  
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Mental Health Problems ◽  
Cognitive Impairments ◽  
Early Mobilization ◽  
Health Problems ◽  
Physical Impairments ◽  
Abcdef Bundle ◽  
Care Nursing ◽  
Post Intensive Care Syndrome

Intensive care unit survivors experience prolonged physical impairments, cognitive impairments, and mental health problems, commonly referred to as post-intensive care syndrome (PICS). Previous studies reported the prevalence, assessment, and prevention of PICS, including the ABCDEF bundle approach. Although the management of PICS has been advanced, the outbreak of coronavirus disease 2019 (COVID-19) posed an additional challenge to PICS. The prevalence of PICS after COVID-19 extensively varied with 28–87% of cases pertaining to physical impairments, 20–57% pertaining to cognitive impairments, and 6–60% pertaining to mental health problems after 1–6 months after discharge. Each component of the ABCDEF bundle is not sufficiently provided from 16% to 52% owing to the highly transmissible nature of the virus. However, new data are emerging about analgesia, sedation, delirium care, nursing care, early mobilization, nutrition, and family support. In this review, we summarize the recent data on PICS and its new challenge in PICS after COVID-19 infection.

scholarly journals Mental health, physical impairment and violence among FSWS in North Karnataka, South India: a story of intersecting vulnerabilities

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S237-S238
Author(s):  
Alicja Beksinska ◽  
Tara S Beattie ◽  
Lucy Platt ◽  
Parinita Bhattacharjee ◽  
Ravi Prakash ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Physical Health ◽  
International Development ◽  
Mental Health Problems ◽  
Health Problems ◽  
Physical Impairment ◽  
London School ◽  
Physical Impairments ◽  
Health Impairments

AimsThis study examines the prevalence and associations between recent violence experience, mental health and physical health impairment among Female Sex Workers (FSWs) in north Karnataka, India.BackgroundMulti-morbidity, in particular the overlap between physical and mental health problems, is an important global health challenge to address. FSWs experience high levels of gender-based violence, which increases the risk of poor mental health, however there is limited information on the prevalence of physical health impairments and how this interacts with mental health and violence.MethodWe conducted secondary analysis of cross-sectional quantitative survey data collected in 2016 as part of a cluster-RCT with FSWs called Samvedana Plus. Bivariate and multivariate analyses were used to examine associations between physical impairment, recent (past 6 months) physical or sexual violence from any perpetrator, and mental health problems measured by PHQ-2 (depression), GAD-2 (anxiety), any common mental health problem (depression or anxiety), self-harm ever and suicidal ideation ever.Result511 FSWs participated. One fifth had symptoms of depression (21.5%) or anxiety (22.1%), one third (34.1%) reported symptoms of either, 4.5% had ever self-harmed and 5.5% reported suicidal ideation ever. Over half (58.1%) reported recent violence. A quarter (27.6%) reported one or more chronic physical impairments. Mental health problems such as depression were higher among those who reported recent violence (29%) compared to those who reported no recent violence (11%). There was a step-wise increase in the proportion of women with mental health problems as the number of physical impairments increased (e.g. depression 18.1% no impairment; 30.2% one impairment; 31.4% ≥ two impairments). In adjusted analyses, mental health problems were significantly more likely among women who reported recent violence (e.g. depression and violence AOR 2.42 (1.24–4.72) with rates highest among women reporting recent violence and one or more physical impairments (AOR 5.23 (2.49–10.97).ConclusionOur study suggests multi-morbidity of mental and physical health problems is a concern amongst FSWs and is associated with recent violence experience. Programmes working with FSWs need to be mindful of these intersecting vulnerabilities, inclusive of women with physical health impairments and include treatment for mental health problems as part of core-programming.Samvedana Plus was funded by UKaid through Department for International Development as part of STRIVE (structural drivers of HIV) led by London School of Hygiene and Tropical Medicine and the What Works to Prevent Violence Against Women and Girls Global Programme led by South African Medical Research Council

scholarly journals A systematic review of the published literature on interventions to improve personal self-care for people with severe mental health problems

2020 ◽  
pp. 030802262097946
Author(s):  
Mary Birken ◽  
Hei Ting Wong ◽  
Peter McPherson ◽  
Helen Killaspy
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Problems ◽  
Cognitive Impairments ◽  
Self Care ◽  
Health Problems ◽  
Research Literature ◽  
Personal Hygiene ◽  
Randomised Controlled ◽  
Functional Problems

Introduction People with severe mental health problems often struggle to manage everyday tasks such as personal hygiene, housework, shopping, cooking and budgeting. These functional problems result in self-neglect and are associated with specific cognitive impairments and poor outcomes. Despite their importance, little guidance is available for practitioners in how to address these problems. Method We conducted a systematic review of the research literature published since 1990 on the effectiveness of interventions that aim to assist people with severe mental health problems to manage their personal self-care. We searched six major electronic databases and followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance in the conduct of the review and reporting of results. Results Our search identified 2808 papers of which only eight met our inclusion criteria. The included papers comprised six randomised controlled trials and two ‘pre-post’ studies reporting on evaluations of five different interventions. We used narrative synthesis to summarise our findings. The strongest evidence was for cognitive adaptation training, comprising environmental supports provided in the home that address the functional problems arising from specific cognitive impairments. Conclusion The paucity of research into interventions to assist personal self-care for people with severe mental health problems is surprising. More research in this area is urgently needed.

scholarly journals COVID-19 and Post-intensive Care Syndrome: Community-Based Care for ICU Survivors

2020 ◽  
pp. 108482232097495
Author(s):  
Ellen M.T. Smith ◽  
Alan Chong W. Lee ◽  
James M. Smith ◽  
Alecia Thiele ◽  
Hallie Zeleznik ◽  
...  
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Critical Illness ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Screening Tools ◽  
Care Providers ◽  
Community Based ◽  
The Impact ◽  
Post Intensive Care Syndrome

Survivors of critical illness, including those with COVID-19, are likely to experience post-intensive care syndrome (PICS). PICS involves a constellation of physical, cognitive, and mental health problems that can occur following hospitalization in an intensive care unit (ICU). This focused review describes the impact of PICS on an individual’s function, societal participation, and family. Specific evidence-based screening tools for in-home identification of the deficits associated with PICS are recommended. Recognition of PICS through early screening by home health care providers is crucial in order to assemble the physical rehabilitation, mental health, and community resources needed to mitigate the long-term effects of COVID-19 and other critical illnesses. This review concludes with further PICS resources for community-based providers to enhance their knowledge and expertise and to prepare them for caring for COVID-19 and other critical illness survivors.

Mental health problems among nurses in paediatric cardiac intensive care

2017 ◽  
Vol 26 (15) ◽  
pp. 870-873 ◽  
Author(s):  
Renata Santos Tito ◽  
Patrícia Campos Pavan Baptista ◽  
Fabio José da Silva ◽  
Vanda Elisa Andres Felli
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Mental Health Problems ◽  
Health Problems ◽  
Cardiac Intensive Care

scholarly journals The Mental Health of People with Disabilities

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Narsimulu
Keyword(s):  
Mental Health ◽  
General Population ◽  
Mental Health Problems ◽  
People With Disabilities ◽  
Health Problems ◽  
Support Needs ◽  
Disabled People ◽  
Physical Impairments ◽  
Mental Health Support ◽  
Health Support

Disabled people are more likely to experience a lot, or a great deal, of worry than those who are not disabled. People with disabilities (e.g. physical impairments such as cerebral palsy, multiple sclerosis, spinal cord injury etc) are just as likely as the general population to experience mental health problems. They may be even more likely than the general population to need and use mental health services. Possible reasons for this may include – higher rates of poverty and unemployed amongst disabled people which are themselves associated with poor mental health; the greater risks of abuse experienced by disabled children and adults; and, some people with mental health support needs may be more likely to become physically disabled as a result of accidents or attempted suicide. There is also increasing acknowledgement that long-term mental health problems are correlated with conditions such as heart disease and diabetes. People with disabilities appear to be at greater risk of mental health problems than the general population and therefore make a disproportionate contribution to mental health morbidity internationally. The personal and social costs of mental disorders are considerable throughout the world. The mental health of populations has been recognized as an international priority (World Health Organisation 2005). An important part of addressing this will be attending to the needs of people with disabilities who are a disproportionately disadvantaged group. In the following sections we briefly examine what is currently known about the association between disability and mental health. It is suggested that people with physical impairments and mental health support needs tend to be overlooked by policy-makers and commissioners of services. Many people with disabilities report having difficulty accessing mental health services because of their physical impairments. Many also have difficulty accessing physical disability services because of the inadequate recognition of mental health needs with disability related services.

Fetal growth and subsequent mental health problems in children aged 4 to 13 years

2000 ◽  
Vol 42 (01) ◽  
pp. 14 ◽  
Author(s):  
Stephen R Zubrick ◽  
Jennifer J Kurinczuk ◽  
Brett M C McDermott ◽  
Robert S McKelvey ◽  
Sven R Silburn ◽  
...  
Keyword(s):  
Mental Health ◽  
Fetal Growth ◽  
Mental Health Problems ◽  
Health Problems

Mental Health Among Adolescents from Returned Portuguese Immigrant Families

2010 ◽  
Vol 69 (3) ◽  
pp. 131-139 ◽  
Author(s):  
Félix Neto
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Mental Health Problems ◽  
Immigrant Families ◽  
Health Problems ◽  
Mental Health Outcomes ◽  
Control Group ◽  
Older Adolescents ◽  
The Mean ◽  
Portuguese Adolescents

This study investigated mental health problems and their predictors among adolescents from returned immigrant families. The sample consisted of 360 returned adolescents (mean age = 16.8 years; SD = 1.9). The mean duration of a sojourn in Portugal for the sample was 8.2 years (SD = 4.5). A control group of 217 Portuguese youths were also included in the study. Adolescents from immigrant families reported mental health levels similar to those of Portuguese adolescents who have never migrated. Girls showed more mental health problems than boys. Younger adolescents showed fewer mental health problems than older adolescents. Adaptation variables contributed to mental health outcomes even after acculturation variables were accounted for. Implications of the study for counselors are discussed.

Physical and Psychological Benefits of Written Emotional Expression

2015 ◽  
Vol 20 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Éva Kállay
Keyword(s):  
Mental Health ◽  
Expressive Writing ◽  
Mental Health Problems ◽  
Cost Effective ◽  
Health Problems ◽  
Future Research ◽  
Psychological Benefits ◽  
Cost Effective Treatment ◽  
Meta Analyses

Abstract. The last several decades have witnessed a substantial increase in the number of individuals suffering from both diagnosable and subsyndromal mental health problems. Consequently, the development of cost-effective treatment methods, accessible to large populations suffering from different forms of mental health problems, became imperative. A very promising intervention is the method of expressive writing (EW), which may be used in both clinically diagnosable cases and subthreshold symptomatology. This method, in which people express their feelings and thoughts related to stressful situations in writing, has been found to improve participants’ long-term psychological, physiological, behavioral, and social functioning. Based on a thorough analysis and synthesis of the published literature (also including most recent meta-analyses), the present paper presents the expressive writing method, its short- and long-term, intra-and interpersonal effects, different situations and conditions in which it has been proven to be effective, the most important mechanisms implied in the process of recovery, advantages, disadvantages, and possible pitfalls of the method, as well as variants of the original technique and future research directions.

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