Impact of Social Anxiety and Humor Styles on Mental Health

The present study is a “cross-sectional survey research”; aimed toward monitoring the impact of Social Anxiety and Humor Styles on Mental Health. For the study, 500 subjects (205 males, 295 females) were approached. The sample was obtained through the use of random sampling. “The age range” of the applicants was as of 18 to 31 years. The Liebowitz Social Anxiety Scale by Michael Liebowitz was used to measure the Social Anxiety among the participants, the “four Humor Styles (Affiliative, Self-enhancing, Aggressive and Self-defeating)” be measured by means of Humor Style Questionnaire by Dr. Rod A. Martin, and the Mental Health Inventory (MHI-5) by Veit and Ware was used to measure the Mental Health of the research participants. Results of the study revealed that Social Anxiety and Humor Styles have a significant impact on Mental Health. The study further monitored how men and women differ in terms of Social Anxiety, Humor Styles and Mental Health. The findings suggested that no gender differences exist in Social Anxiety and Mental Health. As far as the four Humor Styles are concerned, no gender difference was found in “Aggressive and Self-enhancing Humor Styles”; while Affiliative and “Self-defeating Humor Styles” varied in terms of gender. The findings of the study suggested that make use of the “Adaptive Humor Styles Affiliative and Self-enhancing” lessens the Social Anxiety and causes amelioration in the Mental Health; while the use of “Mal-adaptive Humor Styles (Aggressive and Self-defeating)” exacerbates the Social Anxiety and causes deterioration in the Mental Health.

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Attitudes and experiences of nursing staff to the Mental Health Act 2001: lessons for future mental health legislation

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2014.8 ◽

2014 ◽

Vol 31 (2) ◽

pp. 83-87 ◽

Cited By ~ 2

Author(s):

A. M. Doherty ◽

F. Jabbar ◽

B. D. Kelly

Keyword(s):

Mental Health ◽

Nursing Staff ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mental Health Act ◽

Clinical Nursing ◽

Mental Health Legislation ◽

Paper Work ◽

Health Legislation ◽

The Impact

ObjectivesThe Mental Health Act 2001 was implemented in 2006 to bring Ireland into line with international practice and United Nations Conventions on Human Rights. Previous studies have reported some practical difficulties for the professionals involved. We wished to examine the experiences of nursing staff and the impact of the Act on clinical nursing practice since its implementation.MethodThis cross-sectional survey was conducted by questionnaire. It contained questions examining training in and attitudes to the Act, and any resultant changes in nursing practise.ResultsA total of 317 questionnaires were returned. Of the nurses, 92% reported having received training in the Act, and 56% of nursing staff believed that their workload had increased as a result of the change in legislation. Of those who made a comment, 76.5% were negative, with increased paper work, lack of clarity and an excessive focus on legalities being the most common difficulties reported.ConclusionsNursing staff have shown mixed attitudes to the Mental Health Act 2001, but many of the difficulties encountered are similar to those experienced by other professionals.

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Task-shifting in Mental Health Services: Extent, Impact and Challenges in Ghana

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.988 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S618-S618

Author(s):

V. Agyapong

Keyword(s):

Mental Health ◽

Health Policy ◽

Health Workers ◽

Continuing Professional Development ◽

Task Shifting ◽

Mental Health Workers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Impact

AimTo examine the role and scope of practice of community mental health workers (CMHWs) as well as the impact and challenges associated with of work of CMHWs within Ghana's mental health delivery system.MethodsA cross sectional survey of 11 psychiatrists, 29 health policy directors and 164 CMHWs as well as key informant interviews with 3 CMHWs, 5 psychiatrists and 2 health policy directors and three focus group discussions with 21 CMHWs. Results of quantitative data were analysed with SPSS version 20 whilst the results from qualitative data were analysed manually through thematic analysis.ResultsIn addition to duties prescribed in their job descriptions, all the CMHWs identified several jobs that they routinely perform including jobs reserved for higher level cadres such as medication prescribing for which most of the CMHWs have no training. Some CMHWs reported they had considered leaving the mental health profession because of the stigma, risk, lack of opportunities for continuing professional development and career progression as well as poor remuneration. Almost all the stakeholders believed CMHWs in Ghana receive adequate training for the role they are expected to play although many identify some gaps in the training of these mental health workers for the expanded roles they actually play. All the stakeholders expressed concerns about the quality of the care provided by CMHWs.ConclusionThe study highlights several important issues, which facilitate or hinder effective task-shifting arrangements from psychiatrists to CMHWs and impact on the quality of care provided by the latter.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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The impact of COVID-19 on mental health outcomes among hospital fever clinic attendants across Nepal: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0248684 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0248684

Author(s):

Hridaya Raj Devkota ◽

Tula Ram Sijali ◽

Ramji Bogati ◽

Meraj Ahmad ◽

Karuna Laxmi Shakya ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Health Outcomes ◽

Psychological Impact ◽

Cross Sectional Study ◽

Mental Health Outcomes ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mental Health Programs ◽

The Impact

Background The COVID-19 pandemic has been creating a panic and distressing situations among the entire population globally including Nepal. No study has been conducted assessing the psychological impact of this pandemic on the general public in Nepal. The objective of this study is to assess the mental health status during COVID-19 outbreak and explore the potential influencing factors among the population attending the hospital fever clinics with COVID–19 symptoms. Methods A cross-sectional survey was conducted between May—June, 2020 with a sample of 645 participants aged 18 and above in 26 hospitals across Nepal. Telephone interviews were conducted using a semi-structured questionnaire along with a validated psychometric tool, the Depression, Anxiety and Stress (DASS-21) scale. The metrics and scores of symptoms and their severity were created and analyzed. Multivariate logistic regression was used to determine the association of potential covariates with outcome variables. Results The prevalence of anxiety, depression and stress were 14%, 7% and 5% respectively. In reference to Karnali, participants from Bagmati province reported higher level of anxiety (OR 3.44, 95% CI 1.31–9.06), while stress (OR 4.27, 95% CI 1.09–18.32) and depressive symptoms (OR 3.11, 95% CI 1.05–9.23) observed higher among the participants in Province 1. Women were more at risk of anxiety (OR 3.41, 95% CI 1.83–6.36) than men. Similarly, people currently living in rented houses reported more stress (OR 2.97, 95% CI 1.05–8.43) and those living far from family reported higher rates of depressive symptoms (OR 3.44, 95% CI 1.03–11.46). Conclusion The study identified increased prevalence of stress, anxiety and depressive symptoms during the initial stage of COVID-19 pandemic in Nepal. Considering the findings, there is urgent need to develop and implement appropriate community-based mental health programs targeting individuals who have had COVID-19 symptoms and who are prone to develop adverse mental health outcomes.

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Moral injury and peri- and post-military suicide attempts among post-9/11 veterans

Psychological Medicine ◽

10.1017/s0033291721005274 ◽

2022 ◽

pp. 1-10

Author(s):

Shira Maguen ◽

Brandon J. Griffin ◽

Dawne Vogt ◽

Claire A. Hoffmire ◽

John R. Blosnich ◽

...

Keyword(s):

Mental Health ◽

Suicide Attempt ◽

Military Service ◽

Suicide Attempts ◽

Moral Injury ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Nationally Representative ◽

Military Suicide ◽

The Impact

Abstract Background Our goal was to examine the association between moral injury, mental health, and suicide attempts during military service and after separation by gender in post-9/11 veterans. Methods A nationally representative sample of 14057 veterans completed a cross-sectional survey. To examine associations of exposure to potentially morally injurious events (PMIEs; witnessing, perpetrating, and betrayal) and suicidal self-directed violence, we estimated two series of multivariable logistic regressions stratified by gender, with peri- and post-military suicide attempt as the dependent variables. Results PMIE exposure accounted for additional risk of suicide attempt during and after military service after controlling for demographic and military characteristics, current mental health status, and pre-military history of suicidal ideation and attempt. Men who endorsed PMIE exposure by perpetration were 50% more likely to attempt suicide during service and twice as likely to attempt suicide after separating from service. Men who endorsed betrayal were nearly twice as likely to attempt suicide during service; however, this association attenuated to non-significance after separation in the fully adjusted models. In contrast, women who endorsed betrayal were over 50% more likely to attempt suicide during service and after separation; PMIE exposure by perpetration did not significantly predict suicide attempts before or after service among women in the fully adjusted models. Conclusions Our findings indicate that suicide assessment and prevention programs should consider the impact of moral injury and attend to gender differences in this risk factor in order to provide the most comprehensive care.

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Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic

Annals of Intensive Care ◽

10.1186/s13613-021-00880-y ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Alexandra Laurent ◽

Alicia Fournier ◽

Florent Lheureux ◽

Guillaume Louis ◽

Saad Nseir ◽

...

Keyword(s):

Mental Health ◽

Intensive Care ◽

Perceived Stress ◽

High Intensity ◽

General Health Questionnaire ◽

Positive Thinking ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mediation Analyses ◽

The Impact

Abstract Background We investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France. Methods This cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses. Results In total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08–0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09–0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02–0.20). Perceived stress mediated the impact of the crisis context on mental health (B = 0.23, 95%-CI = 0.05, 0.41) and the impact of stress on mental health was moderated by positive thinking, b = − 0.32, 95% CI = − 0.54, − 0.11. Conclusion COVID-19 negatively impacted the mental health of ICU professionals. Professionals working in zones where the epidemic was of high intensity were significantly more affected, with higher levels of perceived stress. This study is supported by a grant from the French Ministry of Health (PHRC-COVID 2020).

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Mental health and risk behaviors of children in rural China with different patterns of parental migration: a cross-sectional study

Child and Adolescent Psychiatry and Mental Health ◽

10.1186/s13034-019-0298-8 ◽

2019 ◽

Vol 13 (1) ◽

Cited By ~ 1

Author(s):

Feng Wang ◽

Jingjing Lu ◽

Leesa Lin ◽

Xudong Zhou

Keyword(s):

Mental Health ◽

Risk Behaviors ◽

Rural Areas ◽

Future Research ◽

Emotional Symptoms ◽

Cross Sectional Survey ◽

Full Data ◽

Cross Sectional ◽

Left Behind ◽

The Impact

Abstract Background One in seven members of China’s population are migrants. There are an estimated 41 million children left behind in rural areas who are living without one or both of their parents. The impact of two- and single-parent migration on child mental health and risk behaviors is unclear. The aim of this study was to compare the mental health and risk behaviors among children whose parents are either both migrating (B-LBC), have one parent migrating (O-LBC) or those whose parents do not migrate (N-LBC). Methods This study was a cross-sectional survey using a self-administered questionnaire conducted in rural areas with high proportions of left behind children (LBC) in Anhui Province, southeast China. The tools used were the Strength and Difficulties Questionnaires, Youth Risk Behavior Survey and the Young’s Internet Addiction Test for Chinese. Results Full data were available for 699 B-LBC, 552 O-LBC and 741 N-LBC. After adjusting for gender, age, grade, number of siblings and self-rated socio-economic status, B-LBC were significantly more likely to have higher emotional symptoms scores (B(SE) = 0.36(0.11), p < 0.01), higher hyperactivity scores (B(SE) = 0.22(0.11), p < 0.01) and higher total difficulties scores (B(SE) = 0.79(0.29), p < 0.01) than N-LBC. B-LBC were also more likely to be an addicted internet user (OR(95%CI) = 1.91(1.33, 2.76), p < 0.01) compared to N-LBC. However, there were no identified differences between O-LBC and N-LBC or between O-LBC and B-LBC in any measures. Conclusions Our findings found that living with one parent or both parents was associated with better mental health and fewer risk behaviors than was being separated from both parents. Future research is needed to consider the implications of these findings for policies and programs to protect LBC, especially for those with two migrating parents.

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Differential Impact of Types of Social Support in the Mental Health of Formerly Incarcerated Latino Men

American Journal of Men s Health ◽

10.1177/1557988313508303 ◽

2013 ◽

Vol 8 (3) ◽

pp. 226-239 ◽

Cited By ~ 14

Author(s):

Miguel Muñoz-Laboy ◽

Nicolette Severson ◽

Ashley Perry ◽

Vincent Guilamo-Ramos

Keyword(s):

Mental Health ◽

Social Support ◽

Emotional Support ◽

Health Indicators ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Latino Men ◽

Formerly Incarcerated ◽

The Impact

The role of social support in the mental health of formerly incarcerated Latino men (FILM) is an issue overlooked in public health prevention efforts. The objectives of this analysis were to (a) describe the levels of social support perceived and received by FILM; (b) identify the associations, if any, between levels of social support and mental health indicators such as depression and anxiety; and (c) explore the impact of familism and hypermasculinity on the receptivity of social support and the potential role of these factors in mediating associations between social support and mental health indicators. To accomplish the objectives, we conducted a cross-sectional survey with FILM ( n = 259), ages 18 to 59, in New York City, and one nominated member of their social network ( n = 130 dyads). In this analysis, we examined four dimensions of social support (instrumental, informational, appraisal, and emotional) from two perspectives: provided (as reported by members of the social networks) and perceived (as reported by FILM). The major outcome variables for this analysis were the presence/absence of major anxiety and depressive symptoms. Our logistic regression analyses suggest that perceived emotional support was inversely associated with both anxiety and depression. Our findings suggest that familism mediated the association between perceived emotional support and anxiety/depression. Therefore, we must consider designing network enhancement interventions that focus on both FILM and their social support systems.

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Characterising the impact of COVID-19 environment on mental health, gender affirming services and socioeconomic loss in a global sample of transgender and non-binary people: a structural equation modelling

BMJ Global Health ◽

10.1136/bmjgh-2020-004424 ◽

2021 ◽

Vol 6 (3) ◽

pp. e004424

Author(s):

Arjee Javellana Restar ◽

Harry Jin ◽

Brooke Jarrett ◽

Tyler Adamson ◽

Stefan David Baral ◽

...

Keyword(s):

Mental Health ◽

Latent Variables ◽

Structural Equation ◽

Poor Mental Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Final Model ◽

Study Results ◽

Gender Affirmation ◽

The Impact

BackgroundWe characterised the impact of COVID-19 on the socioeconomic conditions, access to gender affirmation services and mental health outcomes in a sample of global transgender (trans) and non-binary populations.MethodsBetween 16 April 2020 and 3 August 2020, we conducted a cross-sectional survey with a global sample of trans and non-binary people (n=849) through an online social networking app. We conducted structural equational modelling procedures to determine direct, indirect and overall effects between poor mental health (ie, depression and anxiety) and latent variables across socioecological levels: social (ie, reduction in gender affirming services, socioeconomic loss impact) and environmental factors (ie, COVID-19 pandemic environment).ResultsAnxiety (45.82%) and depression (50.88%) in this sample were prevalent and directly linked to COVID-19 pandemic environment. Adjusted for gender identity, age, migrant status, region, education and level of socioeconomic status, our final model showed significant positive associations between relationships of (1) COVID-19 pandemic environment and socioeconomic loss impact (β=0.62, p<0.001), (2) socioeconomic loss impact and reduction in gender affirming services (β=0.24, p<0.05) and (3) reduction in gender affirming services and poor mental health (β=0.19, p<0.05). Moreover, socioeconomic loss impact and reduction in gender affirming services were found to be partial mediators in this model.ConclusionThe study results supported the importance of bolstering access to gender affirming services and strengthening socioeconomic opportunities and programmatic support to buffer the impact of COVID-19 pandemic environment on poor mental health among trans and non-binary communities globally.

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Knowledge, attitudes and practices of patients with chronic illnesses during the COVID-19 pandemic: A cross-sectional survey from Pakistan

Chronic Illness ◽

10.1177/17423953211023961 ◽

2021 ◽

pp. 174239532110239

Author(s):

Muhammad Muzaffar Mahmood ◽

Junaid Rehman ◽

Bushra Arif ◽

Zahra Rehman ◽

Muhammad Aasim ◽

...

Keyword(s):

Mental Health ◽

Community Response ◽

Chronic Illnesses ◽

Physical And Mental Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Attitudes And Practices ◽

Negative Impacts ◽

The Impact ◽

Knowledge Attitudes And Practices

Objectives We studied the impact of the Covid-19 pandemic on the physical and mental health of patients with chronic illnesses and their behavioural responses. Methods We conducted a cross-sectional knowledge, attitudes and practices (KAP) survey among outpatients with chronic illnesses in Lahore, Pakistan. Results Four hundred and one participants were surveyed (84% above 50 years of age). One or two chronic illnesses were present in 130 (32%), three or four in 211 (53%) and more than four in 60 (15%). The majority correctly identified the sources of Covid-19 infection and higher risk patients. Of the respondents, 127 (32%) described feeling more vulnerable. Respondents reported a lack of trust in the community response (199; 49.6%) and hospital measures (167; 41.6%) to slow the spread of Covid-19 and 369 (92%) practiced some degree of social distancing. Respondents described negative impacts of lockdown measures on their physical and mental health (235; 58.6% and 262; 65.3%, respectively). Many reported difficulty in getting medical help during the pandemic (302; 75.2%). Half of the respondents (200; 49.8%) felt that delays in receiving care had adversely affected their health. Conclusions Respondents with chronic illnesses frequently reported negative behavioural and health impacts during the Covid-19 pandemic.

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Impact of the COVID-19 pandemic on mental health of nursing students in Japan: protocol for a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2021-055916 ◽

2021 ◽

Vol 11 (12) ◽

pp. e055916

Author(s):

Jun Kako ◽

Yoshiyasu Ito ◽

Kohei Kajiwara ◽

Yasutaka Kimura ◽

Takahiro Kakeda ◽

...

Keyword(s):

Mental Health ◽

Nursing Students ◽

Large Scale ◽

Statistical Significance ◽

Self Report ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Related Factors ◽

Cross Sectional ◽

The Impact

IntroductionThe COVID-19 pandemic is spreading globally with a high risk of mortality. It is also significantly affecting mental health. For nursing students, the impact of COVID-19 on mental health is predicted to be significant; however, sufficient data have not been obtained. Therefore, this study will aim to assess the mental health of nursing students and evaluate the related factors.Methods and analysisThis proposed study is a cross-sectional survey using a self-report questionnaire. An online questionnaire will be distributed among all nursing students of eight universities in Japan. The survey questionnaire will consist of questions related to demography, life satisfaction, fear of COVID-19, mental health and physical activities. The target sample size is 1300 nursing students. We will calculate descriptive statistics for each measurement item and perform univariate and logistic regression analyses to evaluate the potential risk factors for anxiety, depression and insomnia symptoms in nursing students. The strength of association will be assessed using the OR and its 95% CIs. Statistical significance will be set at a p<0.05.Ethics and disseminationThe protocol was approved by the Institutional Review Board (IRB) of the University of Hyogo on 22 March 2021 (ID: 2020F29). In addition, all of the participating facilities required ethical approval from their local IRBs. The findings will be disseminated through peer-reviewed publications and conference presentations. We believe that the proposed large-scale investigation of the mental health of nursing students during the COVID-19 pandemic and the relationship between mental health and fear of COVID-19 are novel and will be a strength of this study.

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