LESSONS FROM THE FIRST COVID WAVE AND STRAIN - A STUDY OF PSYCHIATRIC DISORDERS IN THE PANDEMIC - FACTORS ASSOCIATED AND PREVENTIVE STRATEGIES

2021 ◽  
pp. 22-28
Author(s):  
Ojas Unavane ◽  
Karishma Rupani ◽  
Kajal Makwana ◽  
Shilpa Adarkar ◽  
Upali Anand

Background: The COVID-19 pandemic has affected people worldwide. Desperate times (SARS COV-2 being a novel virus) called in for desperate measures in that right from its containment strategies to failed treatment trials have had various ramications affecting various spheres of our lives. It has already been established that the pandemic has taken a toll on mental health, cutting across all strata of society. However, apart from the pandemic in it itself as a causative factor, there are various other factors contributing to the increase in the mental health burden; some of which are modiable. An in-depth understanding of these modiable risk factors is the need of the hour, so that policies and guidelines can be framed accordingly to salvage what can be; of the mental health of the population at large. Understanding these modiable risk factors are lessons learned which will help us mitigate the mental health morbidity during the subsequent waves of the Pandemic. Aim: To study the prevalence and factors associated with the psychiatric morbidity in the general population during the COVID - 19 pandemic. Methods: The data was collected by snowball sampling using an online form to collect the demographic and clinical variables with the DASS - 21 scale appended. Conclusion: The prevalence of depression and anxiety was found to be 25.3 % and 26.2 % respectively. The signicant factors associated with psychiatric morbidity ranged across the psychological biological and social domains, some non-modiable whilst others modiable risk factors. The modiable factors identied were substance use, past history of psychiatric illness, chronic physical illness, increased screen time use, watching news (online) about the pandemic, working hours, disruption of a daily routine and a change in the lifestyle of people

1992 ◽  
Vol 68 (03) ◽  
pp. 261-263 ◽  
Author(s):  
A K Banerjee ◽  
J Pearson ◽  
E L Gilliland ◽  
D Goss ◽  
J D Lewis ◽  
...  

SummaryA total of 333 patients with stable intermittent claudication at recruitment were followed up for 6 years to determine risk factors associated with subsequent mortality. Cardiovascular diseases were the underlying cause of death in 78% of the 114 patients who died. The strongest independent predictor of death during the follow-up period was the plasma fibrinogen level, an increase of 1 g/l being associated with a nearly two-fold increase in the probability of death within the next 6 years. Age, low ankle/brachial pressure index and a past history of myocardial infarction also increased the probability of death during the study period. The plasma fibrinogen level is a valuable index of those patients with stable intermittent claudication at high risk of early mortality. The results also provide further evidence for the involvement of fibrinogen in the pathogenesis of arterial disease.


Author(s):  
Abdullah Nimer ◽  
Suzan Naser ◽  
Nesrin Sultan ◽  
Rawand Said Alasad ◽  
Alexander Rabadi ◽  
...  

Burnout syndrome is common among healthcare professions, including resident physicians. We aimed to assess the prevalence of burnout among resident physicians in Jordan, and a secondary aim was to evaluate the risk factors associated with the development of burnout syndrome in those residents, including gender, working hours, psychological distress, training sector, and specialty. In this cross-sectional study, 481 residents were recruited utilizing multistage stratified sampling to represent the four major health sectors in Jordan. Data were collected using an online questionnaire, where the Copenhagen Burnout Inventory (CBI) was used to assess the prevalence of burnout. The prevalence, group differences, and predictors of burnout were statistically analyzed using STATA 15. Overall, 373 (77.5%) residents were found to have burnout. Factors associated with higher levels of burnout were psychological stress (β = 2.34, CI = [1.88–2.81]), longer working hours (β = 4.07, CI = [0.52–7.62], for 51–75 h a week, β = 7.27, CI = [2.86–11.69], for 76–100 h a week and β = 7.27, CI = [0.06–14.49], for >100 h a week), and obstetrics/gynecology residents (β = 9.66, CI = [3.59–15.73]). Conversely, medical sub-specialty residents, as well as private and university hospital residents, had lower burnout levels. We concluded that decreasing the workload on residents, offering psychological counseling, and promoting a safety culture for residents might help in mitigating burnout consequences.


2018 ◽  
Vol 69 (6) ◽  
pp. 677-684 ◽  
Author(s):  
Jennifer M. Boggs ◽  
Arne Beck ◽  
Sam Hubley ◽  
Edward L. Peterson ◽  
Yong Hu ◽  
...  

2021 ◽  
pp. 1-16
Author(s):  
E. Davies ◽  
W. McConn-Palfreyman ◽  
J.M. Williams ◽  
G.P. Lovell

Horseracing stable staff have a multifaceted role, acting as care givers, skilled athletes and equine experts, resulting in inherent high emotional, physical and mental demands. Despite these demands, and reports of significant injury risk to those working in racing at ground level, there has been no research investigating the psychological risk factors for injury in UK racing stable staff and how psychological responses to injury may affect long term mental health and wellbeing. With mental health at the forefront of industry consideration, this narrative review aimed to reflect on the current literature to propose occupational, life and social stressors that may be increasing the risk of injury in racing staff. In addition, this review aims to apply current injury theory to propose whether stable staff are at heightened risk of injury mismanagement. A literature search was undertaken to investigate the psychological aspects of injury, using five search engines and the following key words: injury, psychological responses, occupational, sport and/or athlete, equestrian, horseracing, jockey, risk of injury, rehabilitation, and injury minimisalisation. Articles were selected based on relevance to review aims, and research findings were synthesised under two primary areas: predictors of injury (working hours, job security, job control, life stressors, mental health and drug misuse) and responses to injury (positive and negative responses to injury, the role of social support, rehabilitation adherence, and injury minimalisation). Whilst there are limitations to narrative reviews, this study provides a novel interpretation of injury risk and responses specific to staff working in horseracing, where injury-related challenges are currently a key focus for sector employees, managerial staff and racing organisations. Recommendations for further research have been made to direct the advancement of knowledge in the field.


2020 ◽  
pp. 002076402097100
Author(s):  
Muhammad Syawal Amran

Background: An outbreak of global pandemic COVID-19 profoundly affects life around the globe. Prolonged isolation, contact restriction and economic shutdown impose a deeply change to the psychosocial environment. These indicate a tendency to threaten the mental health of adolescents’ significantly. Detecting adolescents’ psychosocial risk during Pandemic COVID-19, particularly when they stay at home, may be helpful to better understand their mental health well- being. Aims: The current study aimed to explore psychosocial risk factors associated with mental health of adolescents’ in the midst of the outbreak. Method: This research uses a qualitative approach which focuses on focus group discussions interviews. This research took 6 weeks via online communication platform involving ( n = 15) adolescents from the Low Income Household. Result: The participants adolescents’ psychosocial risk experience during amidst of Outbreak Covid-19 Pandemic are composed of (1) self- conflict (develop negative thought at home, unplanned of daily activities, changing sleep pattern and irregular wake up time and massively use internet) (2) Family Members (Conflict between parent and miscommunication between siblings) (3) School (Piling up on homework, Inadequate guidance for homework and Inability to comprehend online learning). These psychosocial risk factors have caused disruption to daily life adolescents’ during outbreaks and almost inevitably trigger a spike in mental health issues. Conclusion: Overall of study emphasized that psychosocial risks are important factors that can be addressed in order to reduce mental health problem.


2014 ◽  
Vol 59 (3) ◽  
pp. 193-207 ◽  
Author(s):  
R. Giallo ◽  
M. Seymour ◽  
J. Matthews ◽  
S. Gavidia-Payne ◽  
A. Hudson ◽  
...  

1989 ◽  
Vol 154 (4) ◽  
pp. 516-522 ◽  
Author(s):  
Margaret M. Ryan ◽  
Lorraine Dennerstein ◽  
Roger Pepperell

Sixty women aged between 30 and 55 years, having hysterectomy for benign conditions, were prospectively studied to investigate psychological adjustment to operation, and to explore social, psychological and physical factors associated with psychological outcome. A further 30 women were included for prospective research on psychological outcome. Investigations took place within two weeks of operation and after four months and 14 months. The findings indicated a high prevalence of pre-operative psychological morbidity (55%), which reduced to 31.7% afterwards. There was no evidence that hysterectomy led to a greater psychological distress. The principal risk factors of poor psychological outcome were the previous scores on the mental health measures and personality inventory. Involvement in the research process did not appear to affect psychological outcome.


2021 ◽  
Vol 13 (9) ◽  
pp. 1
Author(s):  
Sukjai Charoensuk ◽  
Kanyawee Mokekhaow ◽  
Duanphen Channarong ◽  
Chariya Sonpugdee

When the COVID-19 outbreak spread across the globe, Thailand was the first country to report a COVID patient outside of China. We conducted a cross-sectional descriptive study to examine the mental health condition and the risk factors associated with the mental health problems of people in state quarantine. Our study sample included 4,069 people who were in state quarantine in the eastern region of Thailand. We administered a stress assessment test, a depression screening questionnaire, a suicidal risks screening tool and a COVID-19 anxiety screening scale, which were developed by the Department of Mental Health, Thailand. We found that most people in state quarantine reported a moderate level of COVID-19 anxiety, a mild level of stress, and no current risk of suicide. The risk factors associated with stress were female gender (OR = 2.290, p < 0.001, 95% CI [1.687, 3.109]) and having chronic diseases (OR = 2.443, p < 0.001, 95%CI [1.720, 3.470]). The factor associated with depression was female gender (OR = 1.380, p < 0.001, 95%CI [1.201, 1.586]). The factors associated with risks for suicide were female gender (OR = 2.059, p < 0.001, 95%CI [1.553, 2.729]) and having chronic diseases (OR = 2.128, p < 0.001, 95%CI [1.510, 2.998]). The factors associated with COVID-19 anxiety were female gender (OR = 1.469, p < 0.001, 95%CI [1.294, 1.669]) and having chronic diseases (OR = 1.329, p = 0.011, 95%CI [1.066, 1.657]). A system to screen for mental health problems and rapid assistance offered to people in state quarantine who are at risk of mental health problems are recommended to reduce the severity of the problems.


Author(s):  
Tore Bonsaksen ◽  
Laila Skogstad ◽  
Trond Heir ◽  
Øivind Ekeberg ◽  
Inger Schou-Bredal ◽  
...  

The aim of the study was to examine the prevalence of suicide thoughts and -attempts during the early stage of the COVID-19 outbreak and examine factors associated with suicide thoughts in the general Norwegian population. A sample of 4527 adults living in Norway were recruited via social media. Data related to suicide thoughts and attempts, mental health variables, pandemic-related concerns and sociodemographic variables were collected. Associations with suicide thoughts were analyzed with logistic regression analysis. In the sample, 3.6 % reported suicide thoughts during the last month, while 0.2 % had attempted to commit suicide during the same period. Lower age (OR: 0.66, p < 0.001), daily alcohol use (OR: 3.29, p < 0.001), being in the risk group for COVID-19 complications (OR: 2.38, p < 0.01), and having economic concerns related to the pandemic (OR: 2.51, p < 0.001) were associated with having suicide thoughts. In addition to known risk factors, the study suggests that aspects specific to COVID-19 may be important for suicidal behaviors during the pandemic.


2019 ◽  
Vol 76 (6) ◽  
pp. 389-395 ◽  
Author(s):  
Lee S Friedman ◽  
Kirsten S Almberg ◽  
Robert A Cohen

ObjectivesThe mining industry is increasingly adopting extended workdays of 10–12 hour shifts. Studies demonstrate that long work hours are associated with psychomotor impairments caused by fatigue and an increased risk of injury. However, studies involving miners remain limited. This analysis aimed to identify risk factors associated with long working hour injuries and to determine if long working hour incidents were associated with being killed or incidents involving multiple injured workers.MethodsData from US Mine Safety and Health Administration Part 50 reports, 1983–2015, were used to identify long working hour injuries, which were defined as incidents occurring nine or more hours after the start of a shift.ResultsA total of 52 206 injuries (9.6%) occurred during long working hours. The proportion of long working hour injuries increased from 5.5% of all injuries in 1983 to its peak in 2015 at 13.9% (p<0.001). Risk factors associated with long working hour injuries included irregular shift starts, being newly employed, employment by a contractor, metal/non-metal operations and mines with <100 employees. In two separate adjusted models, long working hour injuries were associated with a higher odds of death (adjusted OR [aOR]=1.32; 95% CI 1.18 to 1.48) and single incidents resulting in two or more workers injured (aOR=1.73; 95% CI 1.58 to 1.89).ConclusionsLong working hour injuries were associated with a lack of routine, being new at the mine and specific mining activities. An international shift towards using contract labour and extended workdays indicates that injuries during long working hours will likely continue to grow as a problem in the mining industry.


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