scholarly journals SANITARY-EPIDEMIOLOGIC AND PSYCHOLOGICAL WELLBEING OF ADOLESCENTS: RISK FACTORS, TECHNOLOGIES OF PROVIDING

2018 ◽  
pp. 26-30 ◽  
Author(s):  
I.S. Labutieva
Keyword(s):  
Mental Disorders ◽  
General Education ◽  
Age Groups ◽  
Personal Characteristics ◽  
Well Being ◽  
Risk Groups ◽  
Psychological Wellbeing ◽  
Educational Institutions ◽  
Educational Organizations

In modern conditions, there is an increase in the prevalence of mental disorders among all age groups and high rates of adolescent suicides. The purpose of the study is to assess the sanitary-epidemiological and psychological well-being of adolescents studying in various educational institutions. The object of the study was 100 girls and 100 boys aged 15-18 years, studying in general education schools and col-leges. The study used hygienic, sociological, clinical, follow-up and statistical methods. The assessment of the conditions and organization of training in the schools surveyed allowed them to be classified as optimally acceptable, and in colleges – to potentially dangerous, and to predict in the latter the formation of morphofunctional deviations in adolescents. Various forms of mental disorders were revealed in 67.5 % of the surveyed patients. A significant part (36 %) of them were made up of painful conditions, 16 % of them – neurotic reactions, 20 % – pathocharacter reactions. Actually, neuroses were revealed in 20 % of surveyed patients. There was found a significant prevalence of mental disorders in adolescents in colleges – 82 %, compared to schools – 53 % due to pathocharacter reactions. Pathocharacterological and accented personal characteristics are the most important predictors of mental disorders. From them are formed risk groups, which should be in the sphere of attention of medical and pedagogical workers of educational organizations. The features of the formation of mental disorders in adolescents require pri-mary and secondary psychoprophylaxis in these groups.

scholarly journals BORDER MENTAL DISORDERS IN TRAINING TEENAGERS: PREVALENCE, RISK FACTORS, FOUNDATIONS OF PSYCHO-HYGIENE

2019 ◽  
Vol 21 (3) ◽  
pp. 161-167 ◽  
Author(s):  
Vladimir V. Chubarovsky ◽  
I. S. Labuteva ◽  
V. R. Kuchma
Keyword(s):  
Risk Factors ◽  
Mental Disorders ◽  
General Education ◽  
Mental Distress ◽  
Age Groups ◽  
Significant Proportion ◽  
Personal Characteristics ◽  
Risk Groups ◽  
Special Studies ◽  
Mental Pathology

Official medical statistics and special studies indicate an increase in the prevalence of mental illness among all age groups, and there are high rates of teenage suicides. The aim of the study is to investigate the mental health of adolescents studying in various educational institutions. The object of the study was 100 girls and 100 young men aged 15-18 years training in general education schools and colleges. The study used sociological, clinical, follow-up and statistical methods. Various forms of mental disorders were detected in 67.5% of the examined. A significant part (36%) of them were made up of pre-illnesses, 16% of them were neurotic responses, 20% were pathological responses. Actually, neuroses were detected in 20% of the subjects. According to the structure of neurotic states, states of dysmorphomanic and depressive type were a significant proportion of them. There were no statistically significant differences in the prevalence of mental pathology between girls and boys. In adolescents training in colleges, the prevalence of mental disorders was found to be of 82% appeared to be more than in teenagers training in schools (53%) due to responses of pathological character. Adolescents without mental disorders are more likely to exercise for 60 minutes less or more than 3 times a week, have a more long night’s sleep, spend less time on gadgets, spend more time less than 3 hours and less often - more than 3 hours. These factors can be considered as risk factors for the development of mental distress. Pathological character and accented personal characteristics are the most important predictors of mental disorders, based of they, there are formed risk groups, which should be in the sphere of attention of medical and pedagogical workers of educational organizations. A retrospective analysis of the prevalence of mental pathology in the historical interval of 15 years shows a decrease in the frequency of the neurotic response due to an increase in the proportion of neuroses in modern adolescents and an increase in the prevalence of pathocharacterological responses in them. It can be considered as risk factors for the development of mental distress. Preventive measures should be carried out by doctors, paramedics, nurses in medical aid departments.

scholarly journals COMPLEX ASSESSMENT OF SANITARY AND HYGIENIC WELFARE IN EDUCATIONAL ORGANIZATIONS WITH A HEALTH SAVING POSITION

2019 ◽  
Vol 63 (2) ◽  
pp. 86-91
Author(s):  
Nadezhda I. Novichkova ◽  
T. N. Ershova ◽  
O. V. Sobolevskaya ◽  
N. S. Kutakova
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
General Education ◽  
Integrated Assessment ◽  
Health And Safety ◽  
Well Being ◽  
Educational Environment ◽  
Educational Institutions ◽  
Educational Organizations ◽  
Comprehensive Indicator

Introduction. The deterioration in the health of children and adolescents in the dynamics of education in general education organizations dictates the need to minimize the risk factors for the development of school-related diseases based on the development of a methodology for calculating the level of hygienic well-being of these organizations, taking into account existing health care opportunities (preserving and improving the health of students). The purpose of the study is to develop a comprehensive indicator for assessing the sanitary and hygienic well-being of educational institutions from the standpoint of health and safety. Material and methods. The methodology for the integrated assessment of the educational environment includes: a) defining a list of the most significant hygienic indicators from the standpoint of health preservation; b) an assessment of the weight of each of them; c) the development of a comprehensive indicator of sanitary and epidemiological well-being, combining individual indicators into one with its translation into a qualitative assessment. Results. Based on the materials of the research, a rationale for a comprehensive assessment of sanitary and hygienic well-being in educational organizations from the standpoint of health care has been proposed, that is, a technique is proposed, the use of which will help determine the full use of opportunities for maintaining and improving health in an educational organization. Discussion. Developed as a result of the conducted research, the algorithm for constructing a comprehensive indicator for assessing sanitary and hygienic well-being allows objectively characterizing the conditions and modes of education in educational institutions from the standpoint of health and safety, determining the risk factors of the educational environment and predicting the likelihood of school-related diseases. The construction of a complex indicator is proposed to be used as an additional assessment of the educational organization’s capacity to preserve the health of students in the dynamics of learning. Conclusion. The proposed model of an integrated assessment of the educational environment, which is based on quantitative (scoring) and qualitative assessments, identifying the resources for maintaining and promoting health in general education organizations, determines: risk factors of the educational environment; definition and prediction of the probability of changes in the students’ health status (positive and negative); justification of the system of management decisions to minimize risk factors and prevent violations in students’ health.

Prevalence of mental disorders in non-demented elderly people in primary care

2015 ◽  
Vol 27 (5) ◽  
pp. 757-768 ◽  
Author(s):  
Luisa Baladón ◽  
Ana Fernández ◽  
Maria Rubio-Valera ◽  
Jorge Cuevas-Esteban ◽  
Diego J. Palao ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Perceived Stress ◽  
Age Groups ◽  
Well Being ◽  
The Elderly ◽  
Cross Sectional Survey ◽  
Somatic Comorbidity ◽  
Axis I

ABSTRACTBackground:Mental disorders in the elderly are common, with a 12-month prevalence in the community ranging from 8.54% to 26.4%. Unfortunately, many mental disorders are unrecognized, untreated, and associated with poor health outcomes. The aim of this paper is to describe the prevalence of mental disorders in the elderly primary care (PC) population and its associated factors by age groups.Methods:Cross-sectional survey, conducted in 77 PC centers in Catalonia (Spain), 1,192 patients over 65 years old. The prevalence of mental disorders was assessed through face-to-face evaluations using the Structured Clinical Interview for DSM-IV Axis I Disorders, Research Version (SCID-I-RV) and the Mini International Neuropsychiatric Interview (MINI); chronic physical conditions were noted using a checklist; and disability through the Sheehan Disability Scales (SDS).Results:Nearly 20% of participants had a mental disorder in the previous 12 months. Anxiety disorders were the most frequent, (10.9%) (95% CI = 8.2–14.4), followed by mood disorders (7.4%) (95% CI = 5.7–9.5). Being female, greater perceived stress and having mental health/emotional problems as the main reason for consultation were associated with the presence of any mental disorder. There were no differences in prevalence across age groups. Somatic comorbidity was not associated with the presence of mental disorders.Conclusions:Mental disorders are highly prevalent among the elderly in PC in Spain. Efforts are needed to develop strategies to reduce this prevalence and improve the well-being of the elderly. Based on our results, we thought it might be useful to assess perceived stress regularly in PC, focusing on people who consult for emotional distress, or that have greater perceived stress.

Effectiveness and feasibility of a humor training in a routine care setting for people suffering from mental disorders

2019 ◽  
Vol 32 (3) ◽  
pp. 449-473
Author(s):  
Nektaria Tagalidou ◽  
Marlene Faschingbauer ◽  
Teresa Mussuros ◽  
Willibald Ruch ◽  
Anton-Rupert Laireiter
Keyword(s):  
Mental Disorders ◽  
Care Setting ◽  
Mental Health Center ◽  
Training Group ◽  
Well Being ◽  
Routine Care ◽  
Clinical Samples ◽  
Control Group ◽  
Treatment As Usual

AbstractThe study tested effectiveness and feasibility of a humor training for members of a community mental health center suffering from schizophrenia, personality disorders, depression, or anxiety. The training group (n=28) was compared to a treatment-as-usual control group (n=26). Outcomes were divided into primary (coping humor and cheerfulness) and secondary ones (well-being, depression, anxiety, and symptomatology), and were assessed prior to and after treatment and at a six-week follow-up. Additionally, gelotophobia was explored as a confounding variable of the training outcome. Linear mixed models showed improvements in coping humor and cheerfulness compared to the control group. However, effects did not remain stable at follow-up, and secondary outcomes were unaffected by the training. Interestingly, people with higher levels in gelotophobia tended to score worse on many outcomes before training. These differences disappeared after completion but recurred in the follow-up. Feedback indicated feasibility of the training within the institution. Summarizing the results, this is one of the first studies that tried to implement humor training in a routine care setting for people with mental disorders. Results are promising, however further research is needed to investigate humor trainings in clinical samples more profoundly.

Bone and cardiac status in 10-year survivors of breast cancer

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 681-681
Author(s):  
M. E. Trudeau ◽  
H. L. Lickley ◽  
L. Zhang ◽  
G. Hawker ◽  
S. Narod ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cardiovascular Risk ◽  
High Risk ◽  
Well Being ◽  
Risk Groups ◽  
Smoking History ◽  
Standards Of Care ◽  
Mineral Density ◽  
Cholesterol Lowering

681 Background: A prospective case-control study was carried out on 425 women treated for breast cancer who survived for 10 years without evidence of recurrence (cases) matched for age, race and length of follow-up from diagnosis to 425 women with benign breast disease followed for 10 or more years (controls). For cases, only 23% received chemotherapy and 33% hormone therapy. Methods: We examined multiple indicators of physical and emotional well-being and report here the results pertaining to cardiac and bone health. Bone mineral density (BMD) was assessed using DXA at the lumbar spine and hip, expressed as gm/cm2, and classified as normal/low bone mass/osteoporosis. Cardiac health was assessed using 10 year cardiovascular risk, calculated as low, moderate or high based on age, cholesterol and triglyceride levels, smoking history and blood pressure (according to the calculation published by Genest J et al. CMAJ 2003). Treatment received for both bone and cardiac disease was evaluated. The comparison of cases and controls was assessed using the Wilcoxon non-parametric or Chi-squared tests. Results: Body mass index (BMI) was significantly greater for cases versus controls (27.5 ± 2.4 vs 26.7 ± 4.9; p = 0.034). The mean BMD (corrected for weight) was 1.08 ± 0.05 g/cm2 at the spine for cases, compared with 1.11 ± 0.06 g/cm2 for controls (p <0.0001). Among those with osteoporosis at follow-up, 30% of cases compared with 35% of controls had been treated with bisphosphonates; 10% cases and 55% of controls with osteoporosis had received HRT. There were no significant differences in 10-year cardiovascular risk between the cases and controls. Overall, 78% were low, 18% moderate, and 4% high risk. Cholesterol-lowering medications were prescribed to only ≤23% of the moderate and high risk groups in both cases and controls. Conclusions: Despite greater BMI, cases had lower BMD and were less likely to have received treatment for osteoporosis than were controls. 10 year cardiovascular risk was not significantly different in the cases versus controls despite the greater use of HRT in the controls. Both groups appear to be undertreated with cholesterol-lowering medications by today’s standards of care. These findings can help to inform the content of survivorship programs. No significant financial relationships to disclose.

Efficacy and safety of avelumab plus axitinib (A + Ax) versus sunitinib (S) in elderly patients with advanced renal cell carcinoma (aRCC): Extended follow-up results from JAVELIN Renal 101.

2021 ◽  
Vol 39 (6_suppl) ◽  
pp. 301-301
Author(s):  
Yoshihiko Tomita ◽  
Robert J. Motzer ◽  
Toni K. Choueiri ◽  
Brian I. Rini ◽  
Hideaki Miyake ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Objective Response ◽  
Age Groups ◽  
Progression Free Survival ◽  
Final Analysis ◽  
Risk Groups ◽  
Phase Iii ◽  
Age Group ◽  
Grade 3

301 Background: In the phase III JAVELIN Renal 101 trial (NCT02684006), A + Ax demonstrated significantly longer progression-free survival (PFS) and a higher objective response rate (ORR) vs S in patients with previously untreated aRCC. The role of immune checkpoint + VEGFR inhibition in elderly patients remains unclear. Here we report the efficacy of A + Ax vs S by age group from the second interim analysis (IA) of overall survival (OS) and the safety of A + Ax by age group from the first IA. Methods: Patients were randomized 1:1 to receive A 10 mg/kg intravenously every 2 wk + Ax 5 mg orally twice daily or S 50 mg orally once daily for 4 wk (6-wk cycle). PFS and ORR per independent central review (RECIST 1.1), OS, and safety by age group (<65, ≥65 to <75, and ≥75 y) were assessed. Results: A total of 271/138/33 and 275/128/41 patients in each age group (<65, ≥65 to <75, and ≥75 y, respectively) were randomized to the A + Ax or S arm, respectively. The proportion of IMDC risk groups was generally well balanced between the A + Ax and S arm in each age group, although in the ≥75 y age group, the frequency of patients with intermediate risk was slightly higher in the A + Ax arm, and that of patients with favorable risk was slightly higher in the S arm. The percentages of patients with favorable/intermediate/poor risk in each age group were 19%/61%/19%, 28%/58%/13%, and 12%/76%/12% in the A + Ax arm vs 20%/63%/16%, 23%/60%/16%, and 24%/61%/15% in the S arm. At data cut-off (Jan 2019) for the second IA, median follow-up for OS and PFS was 19.3 vs 19.2 mo and 16.8 vs 15.2 mo for the A + Ax vs S arm, respectively. The table shows OS, PFS, and ORR by age group. In the A + Ax arm, the most common treatment-emergent adverse events (AEs) were diarrhea (62%/68%/42%), hypertension (49%/49%/55%), palmar-plantar erythrodysesthesia syndrome (37%/31%/15%), fatigue (37%/53%/30%), and nausea (34%/37%/21%) in each age group. Grade ≥3 treatment-emergent AEs and immune-related AEs were observed in 69%/74%/73% and 39%/40%/24% of patients in each age group, respectively. Conclusions: A + Ax demonstrated favorable efficacy across age groups, including patients aged ≥75 y. OS was still immature; follow-up for the final analysis is ongoing. The safety profile was generally consistent between age groups. Clinical trial information: NCT02684006 . [Table: see text]

scholarly journals “Stay at Home” in Italy during the COVID-19 Outbreak: A Longitudinal Study on Individual Well-Being among Different Age Groups

2021 ◽  
Vol 11 (8) ◽  
pp. 993
Author(s):  
Alessandro Quaglieri ◽  
Giulia Lausi ◽  
Angelo Fraschetti ◽  
Jessica Burrai ◽  
Benedetta Barchielli ◽  
...  
Keyword(s):  
Time Perspective ◽  
Age Groups ◽  
Population Data ◽  
Well Being ◽  
Psychological Status ◽  
Stressful Situation ◽  
Italian Population ◽  
Time Points ◽  
Negative Effect

The restrictions imposed by the Italian government because of the coronavirus outbreak have been shown to be demanding on the Italian population. Data were collected at four different time points from 29 March 2020 to 3 May 2020 and during the final follow-up survey on 12 October 2020. In the present study, we provided longitudinal evidence on the relationship between the lockdown and mental health dimensions, such as emotional state, perceived stress, and time perspective, for three age groups. The results allowed us to observe their psychological status from different perspectives at five different time points. Notably, a negative effect of the lockdown individual well-beings emerged as a trend, and differences in individual adaptation strategies to a prolonged stressful situation were observed at the follow-up. Indeed, pairwise comparisons between age groups showed that the young adult group (18–23 years old) seemed to be the most psychologically affected by the lockdown. The findings are discussed according to the most recent literature on the topic. To the best of our knowledge, this is one of the first longitudinal studies carried out in Italy concerning the general psychological effects of the coronavirus lockdown.

Classification models for identification of at-risk groups for incident memory complaints

2013 ◽  
Vol 26 (2) ◽  
pp. 257-271 ◽  
Author(s):  
Tessa N. van den Kommer ◽  
Hannie C. Comijs ◽  
Kelly J. Rijs ◽  
Martijn W. Heymans ◽  
Martin P. J. van Boxtel ◽  
...  
Keyword(s):  
At Risk ◽  
Missing Data ◽  
Predictive Value ◽  
Memory Performance ◽  
Age Groups ◽  
Risk Groups ◽  
Classification Models ◽  
Memory Complaints ◽  
Sense Of Mastery

ABSTRACTBackground:Memory complaints in older adults may be a precursor of measurable cognitive decline. Causes for these complaints may vary across age groups. The goal of this study was to develop classification models for the early identification of persons at risk for memory complaints using a broad range of characteristics.Methods:Two age groups were studied, 55–65 years old (N = 1,416.8) and 65–75 years old (N = 471) using data from the Longitudinal Aging Study Amsterdam. Participants reporting memory complaints at baseline were excluded. Data on predictors of memory complaints were collected at baseline and analyzed using logistic regression analyses. Multiple imputation was applied to handle the missing data; missing data due to mortality were not imputed.Results:In persons aged 55–65 years, 14.4% reported memory complaints after three years of follow-up. Persons using medication, who were former smokers and had insufficient/poor hearing, were at the highest risk of developing memory complaints, i.e. a predictive value of 33.3%. In persons 65–75 years old, the incidence of memory complaints was 22.5%. Persons with a low sense of mastery, who reported having pain, were at the highest risk of memory complaints resulting in a final predictive value of 56.9%. In the subsample of persons without a low sense of mastery who (almost) never visited organizations and had a low level of memory performance, 46.8% reported memory complaints at follow-up.Conclusions:The classification models led to the identification of specific target groups at risk for memory complaints. Suggestions for person-tailored interventions may be based on these risk profiles.

scholarly journals The Problem of Bullying in Educational Organizations through the Look of Children and Teachers

2019 ◽  
Vol 16 (3) ◽  
pp. 74-82
Author(s):  
L.R. Khalikova
Keyword(s):  
General Education ◽  
School Environment ◽  
Educational Institutions ◽  
State University ◽  
Educational Organizations ◽  
Republic Of Bashkortostan ◽  
The Republic ◽  
The Look ◽  
Moscow State University ◽  
Key Questions

The article presents the results of research among students and teachers to study the ideas about bulling and the specifics of its manifestations in educational organizations of the Republic of Bashkortostan. 20,480 students were examined. For this, we used a questionnaire developed by E.V. Novikova, an Educational Psychologist at Gymnasium No. 91, and I.R. Khokh, a Medical Psychologist of Clinical Psychotherapeutic Center of the Ministry of Health of the Republic of Bashkortostan. In parallel with the survey of children, a survey among teachers of the republic was also conducted. The survey involved 3219 teachers of educational institutions of the Republic of Bashkortostan. The researxh was aimed at as key questions as: how employees of general education organizations recognize, respond, and describe bullying; how do they explain its causes and consequences; what measures and measures are taken to prevent bullying in the school environment. The questionary was based on the methods developed by Russian scientists A.A. Bochaver, A.V. Zhilinskaya, and K.D. Khlomov from the Center “Perekrestok” of the Moscow State University of Psychology and Education.

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