scholarly journals Impact of Covid-19 on the mental health of singaporean GPs: a cross-sectional study

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0072
Author(s):  
Alvin Lum ◽  
Yen-Li Goh ◽  
Kai Sheng Wong ◽  
Junie Seah ◽  
Gina Teo ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Problems ◽  
Demographic Data ◽  
Tertiary Care ◽  
Multivariate Regression Analysis ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
The Impact

BackgroundCovid-19 has stressed healthcare systems and workers worldwide. General practitioners (GPs), as first points-of-contact between suspected cases and the healthcare system, assume frontline roles in this crisis. While the prevalence of mental health problems and illnesses arising in healthcare workers (HCWs) from tertiary care settings during Covid-19 is well-examined,(1) the impact on GPs remains understudied.AimTo describe the prevalence and predictors of anxiety, burnout, depression, and post-traumatic stress disorder (PTSD) amongst GPs during the Covid-19 pandemicDesign & settingSurvey of GPs operating in Singapore primary care clinicsMethodGPs completed a survey which comprised of four validated psychometric instruments. Open-ended questions asked of respondents’ challenges and their envisaged support. Data were analysed with multiple logistic regression with demographic data as covariates; concepts of grounded theory were used to analyse the qualitative responses.Results257 GPs participated. 55 (21.4%) met the scales’ criteria for anxiety, 211 (82.1%) for burnout, 68 for (26.6%) for depression, and 23 (9.1%) for PTSD. Multivariate regression analysis showed working in a public primary care setting was associated with anxiety and depression. Qualitative analyses uncovered possible stressors: changes to clinical and operational practices, increased workloads, and financial difficulties.ConclusionMental health issues were found present in Singaporean GPs during the pandemic. Prevalence of anxiety, burnout and depression were found to be higher than those reported pre-Covid-19. Our findings also provide determinants of the issues which serve as possible foci for targeted interventions.

Criminal Orders of Protection for Domestic Violence: Associated Revictimization, Mental Health, and Well-being Among Victims

2019 ◽  
pp. 088626051988386
Author(s):  
Tami P. Sullivan ◽  
Nicole H. Weiss ◽  
Jacqueline Woerner ◽  
Janan Wyatt ◽  
Camille Carey
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Mental Health Problems ◽  
Well Being ◽  
Depression Symptom ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Criminal Protection ◽  
The Impact ◽  
Health And Well Being

All states issue criminal protection orders (POs) with the intention of improving the lives of victims of domestic violence (DV); however, there is a dearth of research examining their impact. This study aims to examine the impact of criminal POs with different levels of restrictions on victims’ revictimization, mental health, and well-being. A cross-sectional design was used to collect data regarding two time points during one interview among a sample of 298 victims in a criminal DV case. Across the three levels of PO restrictions (limited, residential stay-away, and full no-contact), participants reported significantly reduced physical, sexual, and psychological DV; unwanted pursuit behavior; post-traumatic stress and depression symptom severity; and perceived stress and fear of revictimization. The amount of change varied between groups for revictimization variables. Full no-contact restrictions were associated with the greatest decreases in revictimization. However, findings must be interpreted with caution given the heterogeneity in victims’ experiences; some victims experienced an increase in revictimization and mental health problems and a decrease in well-being. Findings suggest that the court, through criminal POs, may be a system through which to reach victims who might not otherwise connect with services to promote safety and resilience.

Socio Demographic and Clinical Profile of Indoor Female Patients of RINPAS

2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mentally Ill ◽  
Mental Health Problems ◽  
Demographic Data ◽  
Relevant Information ◽  
Health Problems ◽  
High Rate ◽  
Physical And Mental Health ◽  
Cross Sectional

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient

scholarly journals Does the Type of Exposure to Workplace Violence Matter to Nurses’ Mental Health?

Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 41
Author(s):  
Farinaz Havaei
Keyword(s):  
Mental Health ◽  
Workplace Violence ◽  
Violence Exposure ◽  
Mental Health Problems ◽  
Survey Methods ◽  
Health Problems ◽  
Cumulative Exposure ◽  
Post Traumatic Stress ◽  
Indirect Exposure ◽  
The Impact

Workplace violence is a prevalent phenomenon in healthcare, particularly among nursing professionals. Exposure to workplace violence may be direct through firsthand involvement, indirect through secondhand witnessing, or both. Even though implications for victims of workplace violence have been well-studied, less is known about the various types of exposure and their effects on nurse mental health. The purpose of this study is to examine the impact of workplace-violence exposure types on the mental health of nurses, while accounting for the intensity of the incident/s. This study employs an exploratory correlational design with survey methods. Nurses from British Columbia (BC), Canada, were invited by the provincial nurses’ union to complete an electronic survey in Fall 2019. A total of 2958 responses from direct-care nurses in acute-care settings were analyzed using logistic regression. The results showed that mental-health problems increased with cumulative exposure; even though nurses with solely indirect exposure to workplace violence did not report greater mental-health problems, those experiencing solely direct exposure, or both direct and indirect exposure, were two to four times more likely to report high levels of post-traumatic stress disorder (PTSD), anxiety, depression and burnout compared to their counterparts with no exposure. There is an urgent need for better mental-health support, prevention policies and practices that take into account the type of workplace-violence exposure.

scholarly journals GAMBARAN TINGKAT KECEMASAN KORBAN GEMPA LOMBOK

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
DEWI NURSUKMA PURQOTI ◽  
Zurriyatun Thoyyibah ◽  
ELISA OKTAVIANA
Keyword(s):  
Mental Health ◽  
Rating Scale ◽  
Mental Health Problems ◽  
The Body ◽  
Stress Disorders ◽  
Narrative Form ◽  
Specific Situation ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Sample Number

Earthquakes are consistently proven to relate of mental health issues such as anxiety, depression and post-traumatic stress disorders immediately after disaster. This condition will deteriorate if not detected early and well handled, so it requires mental health services (trauma healing). Excessive anxiety can have a detrimental impact on the mind as well as the body can even cause physical illness. Objectives: The study aims to determine the level of anxiety victims of Lombok earthquake. Methods: This research is a descriptive study with a cross sectional approach. Sampling techniques used by Purposive Sampling with a sample number of 40 people. Data analysis used is univariate with data presented in narrative form, frequency distribution table and percentage. Results: The results showed that 15 respondents experienced mild anxiety (37.5%) and 25 respondents experienced moderate anxiety (62.5%).  Discussion: In addition to physical impact, earthquake incidence also raises mental health problems, one of which is anxiety. Anxiety is a response to a specific situation that threatens and is a normal thing to happen. The instruments used in this study are the Hamilton Anxiety Rating Scale (HARS) questionnaire. Anxiety in the medium category still experienced by respondents can be influenced by gender, age, level of education and experience in the event of an earthquake. Conclusion: most of the respondents in this study is still experiencing moderate anxiety.

Impact of Media and Time Management Pattern on Mental Wellbeing among the General Population during COVID-19 Lockdown in India – A Cross-Sectional, Respondent-Driven Survey

2021 ◽  
Vol 8 (19) ◽  
pp. 1432-1439
Author(s):  
Vishwak Reddy Vatte ◽  
Praveen Khairkar ◽  
Srinivas Kandrakonda ◽  
Tabitha Jezreel ◽  
Satya Revanth Karri ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Time Management ◽  
Mental Health Problems ◽  
Smart Phone ◽  
Social Networking Site ◽  
Mental Wellbeing ◽  
Cross Sectional ◽  
Management Pattern ◽  
The Impact

BACKGROUND In COVID-19 pandemic, nation-wide complete lockdown was enforced for about 10 weeks which was an unprecedented experience for all and potentially influenced mental wellbeing partly through infodemic mismanagements. This study intended to analyse the impact of media and time management pattern on mental wellbeing among general population during COVID-19 lockdown in India. METHODS An online study questionnaire was circulated among general population between 1 st April and 12th May 2020 using social networking site (s). The questionnaire included socio-demographic details, source of information and knowledge on COVID-19, impact of time spent on media, smart phone, productive and relaxation activities, general views on lockdown experience and further mental health status was screened using standardized DASS - 21 Scale. Appropriate descriptive and inferential statistics were done using SPSS statistic 26.0. RESULTS A total of 891 people responded from 11 states, mostly (89 %) from South India, and 27.5 % were having mental health problems on DASS - 21 scale. Most of the participants opined that COVID-19 information on traditional (53 %) and social media (85 %) were not completely authentic and perhaps amplifying perceptual responses. Excess time spent on media (46 %) and smart phone over exposure (61 %) had significant mental health issues and on contrary individuals who managed their time well, indulging in productive and relaxation activities were found to be psychologically stable (P < 0.05). CONCLUSIONS This study highlights the impact of media and time management pattern during lockdown emphasizing both positive and negative predictors of mental health. There is clearly a need for media regulation and working in collaboration with authorities for better mental wellbeing of the society in ongoing fight with COVID19. KEYWORDS COVID-19, Lockdown, Media, Smartphone, Time Management Pattern

scholarly journals Resiliency and mental health of school teachers in Okinawa

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Paul Ratanasiripong ◽  
Takashi China ◽  
Nop T Ratanasiripong ◽  
Shiho Toyama
Keyword(s):  
Mental Health ◽  
Demographic Data ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Teaching Profession ◽  
Regression Analyses ◽  
School Teachers ◽  
Cross Sectional ◽  
Content Type ◽  
The Impact

PurposeThe purpose of this paper is to describe the mental health issues among teachers globally and to investigate the significant factors that specifically impact the mental health of school teachers in Okinawa, Japan.Design/methodology/approachThis cross-sectional study examined depression, anxiety, stress, self-esteem and resiliency among 174 teachers from seven schools in Okinawa, Japan. The study questionnaire consisted of four parts, including demographic data, Depression, Anxiety, and Stress scale (DASS-42), Rosenberg Self-Esteem Scale (RSE), and Connor-Davidson Resiliency Scale (CD-RISC). Multiple regression analyses were performed to identify predictors of mental health variables.FindingsOf the 174 teachers, 111 were females (64%) and 60 were males (35%). Average age of participants was 41.65 (SD = 10.07). Average number of years being a teacher was 15.50 (SD = 9.88). There was a significant gender difference in the level of self-esteem. Significant differences in anxiety were found among varying grade levels taught. Regression analyses indicated that resiliency and self-esteem significantly predicted depression, anxiety and stress among school teachers in Okinawa.Originality/valueThis is the first study among school teachers in Okinawa that examined the impact of resiliency and self-esteem on their mental health. To reduce psychological distress common within the teaching profession, social and environmental support should be provided within the school to better foster the successful promotion of teacher resiliency and self-esteem.

scholarly journals Abusive experiences and psychiatric morbidity in women primary care attenders

2003 ◽  
Vol 183 (4) ◽  
pp. 332-339 ◽  
Author(s):  
Jeremy Coid ◽  
Ann Petruckevitch ◽  
Wai-Shan Chung ◽  
Jo Richardson ◽  
Stirling Moorey ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Substance Misuse ◽  
Psychiatric Morbidity ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Health Measures ◽  
Post Traumatic ◽  
Mental Health Effects

BackgroundAbusive experiences in childhood and adulthood increase risks of psychiatric morbidity in women and independently increase risks of further abuse over the lifetime. It is unclear which experiences are most damaging.AimsTo measure lifetime prevalence of abusive experiences and psychiatric morbidity, and to analyse associations in women primary care attenders.MethodA cross-sectional, self-report survey of 1207 women attending 13 surgeries in the London borough of Hackney, UK. Independent associations between demographic measures, abusive experiences and psychiatric outcome were established using logistic regression.ResultsChildhood sexual abuse had few associations with adult mental health measures, in contrast to physical abuse. Sexual assault in adulthood was associated with substance misuse; rape with anxiety, depression and post-traumatic stress disorder but not substance misuse. Domestic violence showed strongest associations with most mental health measures, increased for experiences in the past year.ConclusionsAbuse in childhood and adulthood have differential effects on mental health; effects are increased by recency and severity. Women should be routinely questioned about ongoing and recent experiences as well as childhood.

scholarly journals 257 The Effect of the COVID-19 Pandemic on Mental Health Associated Trauma, Admissions and Fractures at a London Major Trauma Centre

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M S Jamal ◽  
D Hay ◽  
K Al-Tawil ◽  
A Petohazi ◽  
V Gulli ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Diagnosis ◽  
Major Trauma ◽  
Mental Health Problems ◽  
Demographic Data ◽  
Trauma Centre ◽  
Related Factors ◽  
Number Of Patients ◽  
Major Trauma Centre ◽  
The Impact

Abstract Aim Non-injury related factors have been extensively studied in major trauma and shown to have a significant impact on patient outcomes, with mental illness and associated medication use proven to have a negative effect on bone health and fracture healing. We report the epidemiological effect of COVID-19 pandemic on mental health associated Orthopaedic trauma, fractures, and admissions to our centre. Method We collated data retrospectively from the electronic records of Orthopaedic inpatients in an 8-week non-COVID and COVID period analysing demographic data, referral and admission numbers, orthopaedic injuries, surgery performed and patient co-morbidities including psychiatric history. Results here were 824 Orthopaedic referrals and 358 admissions (6/day) in the non-COVID period with 38/358 (10.6%) admissions having a psychiatric diagnosis and 30/358 (8.4%) also having a fracture. This was compared to 473 referrals and 195 admissions (3/day) in the COVID period with 73/195 (37.4%) admissions having a documented psychiatric diagnosis and 47/195 (24.1%) a fracture. 22/38 (57.9%) and 52/73 (71.2%) patients were known to mental health services, respectively. Conclusions Whilst total numbers utilising the Orthopaedic service decreased, the impact of the pandemic and lockdown disproportionately affected those with mental health problems, a group already at higher risk of poorer functional outcomes and non-union. The proportion of patients with both a fracture and a psychiatric diagnosis more than doubled and the number of patients presenting due to a traumatic suicide attempt almost tripled. It is imperative that adequate support is in place for vulnerable mental health patients, particularly as we are currently experiencing the “second wave” of COVID-19.

scholarly journals Unravelling the impact of COVID-19 on mental health: A scoping review on traumatogenic events using the phases of response to disaster model

2021 ◽  
pp. 218-236
Author(s):  
den Cruyce Nele Van
Keyword(s):  
Mental Health ◽  
Scoping Review ◽  
Disaster Response ◽  
Mental Health Problems ◽  
Economic Status ◽  
Psychological Needs ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
The Impact ◽  
Over Time

Background: Disease outbreaks such as the COVID-19 pandemic give rise to high levels of psychological distress in people worldwide. Since this is the first pandemic of its kind, the best available evidence is needed on what psychological needs could be expected during and after the pandemic. Objectives: In this scoping review existing research on traumatogenic events is examined in order to identify the potential impact on mental health of the COVID pandemic. The research findings are organized using the the phases of disaster response model. Results: A total of 34 longitudinal studies, 2 studies with multiple waves of data collection and 92 cross-sectional studies met the inclusion criteria. The studies included in this scoping review could be classified as: 87 studies on COVID-19, 2 on SARS, 19 on wars, 19 on terrorist attacks and 1 on a nuclear accident. Results indicate that stress, anxiety, depressive symptoms, insomnia, denial, anger, grief and fear can be anticipated as common reactions. The longer a pandemic continues, the higher the psychological strain is expected to be. Conclusions: The phases of response to disaster model offers a valid frame to unravel the impact of the pandemic on mental health over time. Specific attention must be given to vulnerable groups, whereby specific risk factors include age, gender, pre-existing mental health problems, healthcare profession, migration background, isolation and low socio economic status. However, these may change over time, and a delayed manifestation of psychosocial problems needs to be considered too. Mental health governance is, therefore, warranted throughout and even up to 6 months after the pandemic.

scholarly journals Mental health problems in the general population during and after the first lockdown phase due to the SARS-Cov-2 pandemic: Rapid review of multi-wave studies

2020 ◽  
Author(s):  
Dirk Richter ◽  
Steffi Riedel-Heller ◽  
Simeon Zuercher
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Rapid Review ◽  
Care Utilization ◽  
Related Factors ◽  
Cross Sectional ◽  
Health Crisis ◽  
General Populations ◽  
The Impact

BackgroundThe SARS-Cov-2 pandemic and the lockdown response have increased mental health problems in general populations compared to pre-pandemic times. The course of mental health problems during and after the first lockdown phase has not yet been reviewed.MethodsWe conducted a rapid review of multi-wave studies in general populations with time points during and after the first lockdown phase. Repeated cross-sectional and longitudinal studies were included. The main outcome assessed was whether indicators of mental health problems have changed during and after the first lockdown phase. The study was registered with PROSPERO No. CRD42020218640Findings23 studies with 56 indicators were included in the qualitative review. Studies that reported data from pre-pandemic assessments through lockdown indicated an increase in mental health problems. During lockdown no uniform trend could be identified. After lockdown mental health problems decreased slightly.InterpretationAs mental health care utilization indicators and data on suicides do not suggest an increase in demand during the first lockdown phase, we regard the increase in mental health problems as general distress that is to be expected during a global health crisis. Several methodological, pandemic-related, response-related and health policy-related factors need to be considered when trying to gain a broader perspective on the impact of the first wave of the pandemic and the first phase of lockdown on general populations’ mental health.

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