scholarly journals Prehrana in prehranska dopolnila v psihiatriji

2018 ◽  
Vol 87 (1-2) ◽  
Author(s):  
Anja Plemenitaš

Modern approaches to management of medical conditions are based on a holistic view, taking into account bidirectional connections between physical and mental health. The current pharmacologically focused model has so far provided modest benefits in addressing the burden of poor mental health. Convincing data suggest that diet quality and select nutrient-based supplements might influence a range of neurochemical modulatory activities, improving the management of mental disorders. Examples of these nutrient-based supplements include omega-3 fatty acids, S-adenosyl methionine, N-acetyl cysteine, zinc, B vitamins (including folic acid), and vitamin D. The traditional Mediterranean diet is considered to be the most beneficial diet in our region. Based on the results of preclinical studies, we are increasingly aware of the role of intestinal microbiota in the pathogenesis and potential treatment of mental disorders. Bidirectional signalling between the brain and the gut microbiome involving vagal neurocrine and endocrine signalling mechanisms influences mental and physical wellbeing. These findings suggest that using prebiotics, probiotics or in the strict sense psychobiotics, as well as incorporating fermented foods in the diet, could have a potential role in the management of mental disorders. As of now, we lack sufficient evidence to implement recommendations for dietary supplements in treatment guidelines, however, this might change in light of emerging data from contemporary research studies, at least for certain indications.

Author(s):  
Xiao Cheng ◽  
Mengna Song ◽  
Jingxia Kong ◽  
Xinglin Fang ◽  
Yuqing Ji ◽  
...  

To examine the effects of prolonged visual display terminal (VDT) working hours and exercise frequency on VDT-related symptoms, we recruited 944 Chinese internet staff for the study. A self-administered questionnaire survey was used to obtain the hours of daily VDT work, exercise frequency, and the physical and mental health of the participants. The daily VDT working time of participants was 8.7 hours. Musculoskeletal pain and eye complaints were prevalent, and the participants had poor mental health status. When daily VDT operation time was more than 11 hours, VDT-related symptoms, including backache (odds ratios (OR) = 3.59), wrist pain (OR = 1.88), hip pain (OR = 2.42), dry eyes (OR = 2.22), and ocular soreness (OR = 2.16) were more likely to occur, and an increased risk of serious occupational stress (OR = 6.75) and job burnout (OR = 2.66) was found in internet workers. Compared with those who never exercised, appropriate exercise frequency (three times per week) was helpful to relieve pain in the shoulders (OR = 0.28), neck (OR = 0.45), back (OR = 0.30), lower back (OR = 0.25), and wrists (OR = 0.38), as well as to prevent vision loss (OR = 0.33) and job burnout (OR = 0.42). Therefore, avoiding excessive VDT exposure and performing moderate exercise could protect the physical and mental health of internet staff from the adverse effects of VDT.


Author(s):  
Ioannis Bakolis ◽  
Ryan Hammoud ◽  
Robert Stewart ◽  
Sean Beevers ◽  
David Dajnak ◽  
...  

Abstract Purpose The World Health Organisation (WHO) recently ranked air pollution as the major environmental cause of premature death. However, the significant potential health and societal costs of poor mental health in relation to air quality are not represented in the WHO report due to limited evidence. We aimed to test the hypothesis that long-term exposure to air pollution is associated with poor mental health. Methods A prospective longitudinal population-based mental health survey was conducted of 1698 adults living in 1075 households in South East London, from 2008 to 2013. High-resolution quarterly average air pollution concentrations of nitrogen dioxide (NO2) and oxides (NOx), ozone (O3), particulate matter with an aerodynamic diameter < 10 μm (PM10) and < 2.5 μm (PM2.5) were linked to the home addresses of the study participants. Associations with mental health were analysed with the use of multilevel generalised linear models, after adjusting for large number of confounders, including the individuals’ socioeconomic position and exposure to road-traffic noise. Results We found robust evidence for interquartile range increases in PM2.5, NOx and NO2 to be associated with 18–39% increased odds of common mental disorders, 19–30% increased odds of poor physical symptoms and 33% of psychotic experiences only for PM10. These longitudinal associations were more pronounced in the subset of non-movers for NO2 and NOx. Conclusions The findings suggest that traffic-related air pollution is adversely affecting mental health. Whilst causation cannot be proved, this work suggests substantial morbidity from mental disorders could be avoided with improved air quality.


2010 ◽  
Vol 196 (3) ◽  
pp. 192-199 ◽  
Author(s):  
Madhabika B. Nayak ◽  
Vikram Patel ◽  
Jason C. Bond ◽  
Thomas K. Greenfield

BackgroundThe relationship between partner alcohol use and violence as risk factors for poor mental health in women is unclear.AimsTo describe partner-related and other psychosocial risk factors for common mental disorders in women and examine interrelationships between these factors.MethodData are reported on 821 women aged 18–49 years from a larger population study in north Goa, India. Logistic regression models evaluated the risks for women's common mental disorders and tested for mediation effects in the relationship between partner alcohol use and these disorders.ResultsExcessive partner alcohol use increased the risk for common mental disorders two- to threefold. Partner violence and alcohol-related problems each partially mediated the association between partner excessive alcohol use and these mental disorders. Women's own violence-related attitudes were also independently associated with them.ConclusionsPartner alcohol use, partner violence and women's violence-related attitudes must be addressed to prevent and treat common mental disorders in women.


2020 ◽  
Author(s):  
Norito Kawakami ◽  
Maiko Fukasawa ◽  
Kiyomi Sakata ◽  
Ruriko Suzuki ◽  
Hiroaki Tomita ◽  
...  

Abstract Background: People living in temporary housing for long periods after a disaster are at risk of poor mental health. This study investigated the post-disaster incidence and remission of common mental disorders among adults living in temporary housing for the three years following the 2011 Great East Japan Earthquake.Methods: Three years after the disaster, face-to-face interviews were conducted with 1,089 adult residents living in temporary housing in the disaster area, i.e., the shelter group, and a random sample of 852 community residents from non-disaster areas of East Japan. The World Health Organization Composite International Diagnostic Interview was used to diagnose DSM-IV mood, anxiety, and alcohol use disorders. Information on demographic variables and disaster experiences was also collected. Results: Response rates were 49% and 46% for the shelter group and the community residents, respectively. The incidence of mood/anxiety disorder in the shelter group was elevated only in the first year post-disaster compared to that of the general population. The rate of remission for mood and anxiety disorders was significantly lower in the shelter group than in the community residents. The proportion seeking medical treatment was higher in the shelter group.Conclusions: The onset of common mental disorders increased in the first year, but then levelled off in the following years among residents in temporary housing after the disaster. Remission from incident post-disaster mental disorders was slower in the shelter group than in the general population. Post-disaster mental health service could consider the greater incidence in the first year and prolonged remission of mental disorders among survivors with a long-term stay in temporary housing after a disaster.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 95-95
Author(s):  
Taylor Jansen ◽  
Richard Chunga ◽  
Chae Man Lee ◽  
Shuangshuang Wang ◽  
Haowei Wang ◽  
...  

Abstract Mental health issues in older adults are prevalent, yet often undetected or untreated and can contribute to poor physical health, increased disability, and higher mortality rates. The current study describes state and local community rates of mental health indicators of older adults 65+ in MA, NH, and RI. Data sources used to calculate rates were: the American Community Survey (2009-2013 RI, 2012-2016 MA and NH), the Medicare Current Beneficiary Summary File (2012-2013 RI, 2015 MA and NH), and the Behavioral Risk Factor Surveillance System (2012-2014 RI, 2013-2015 MA, and 2014-2016 NH). Small area estimation techniques were used to calculate age-sex adjusted community rates for more than 150 health indicators. This research examines disparities in rates for 3 mental health indicators depression, self-reported poor mental health, and self-reported poor/fair health status. Depression rates: MA 31.5% (19.91-48.82%), RI 30% (19.7-38.5%), and NH 28.8% (18.26-40.56%). Self-reported poor mental health: RI 7.5% (4.8-12.5%), MA 7.0% (2.10-16.59%), and NH 6.9% (3.42-10.13%). Self-reported fair/poor health: RI 20.4% (8.6-38.8%), MA 18.0%, (7.2-34.38%), and NH 16.5% (13.31-21.60%). Results showed variability in rates across states. MA had the highest rates of depression, the greatest differences in rates, and access to the most mental health providers. RI had the highest community rates for poor physical and mental health, and the highest percentage of residents age 85+. Understanding the distribution of community rates makes disparities evident, and may help practitioners and policymakers to allocate resources to areas of highest need. Research funded by the Tufts Health Plan Foundation.


Author(s):  
Harriet Ward ◽  
Lynne Moggach ◽  
Susan Tregeagle ◽  
Helen Trivedi

AbstractThe chapter explores the progress made by the 93 adoptees in the core follow-up sample in terms of physical and mental health and education from the time they entered their adoptive homes until they were followed up, on average 18 years later. It draws on data collected through responses to an online survey concerning 93 adoptees (44% of the cohort) completed at follow-up, and interviews focusing on 24 adult adoptees. On entering their placements, 40% of adoptees were developmentally delayed; 13% had poor physical health; 38% were in poor mental health. Emotional and behavioural problems affected their academic progress; 76% required specialist help. After placement, 74% improved in physical health, 66% in mental health and 68% in academic performance. The challenges faced by adoptive parents provide a powerful case for careful preparation and long-term post-adoption support.


2020 ◽  
Author(s):  
Norito Kawakami ◽  
Maiko Fukasawa ◽  
Kiyomi Sakata ◽  
Ruriko Suzuki ◽  
Hiroaki Tomita ◽  
...  

Abstract Background: People living in temporary housing for long periods after a disaster are at risk of (developing) poor mental health. This study investigated the post-disaster incidence and remission of common mental disorders among adults living in temporary housing for the three years following the 2011 Great East Japan Earthquake.Methods: Three years after the disaster, face-to-face interviews were conducted with 1,089 adult residents living in temporary housing in the disaster area, i.e., the shelter group, and a random sample of 852 community residents of East Japan. The World Health Organization Composite International Diagnostic Interview was used to diagnose DSM-IV mood, anxiety, and alcohol use disorders. Information on demographic variables and disaster experiences was also collected. Results: Response rates were 49% and 46%, for the shelter group and the community residents, respectively. The incidence of mood/anxiety disorder in the shelter group was elevated only in the first year post-disaster compared to that of the general population. The rate of remission for mood and anxiety disorders was significantly lower in the shelter group than in the community residents. The proportion seeking medical treatment was higher in the shelter group.Conclusions: The onset of common mental disorders increased in the first year, but then levelled off in the following years among residents in temporary housing after the disaster. Remission from incident post-disaster mental disorders was slower in the shelter group than in the general population. Post-disaster mental health service could consider the greater incidence in the first year and prolonged remission of mental disorders among survivors with a long-term stay in temporary housing after a disaster.


2019 ◽  
Vol 37 (01) ◽  
pp. 017-023
Author(s):  
Michele Hugin ◽  
Jonathan G. Shaw

AbstractIn the post-9/11 era, the number of young women serving, and deploying, in the military grew rapidly; as they exit service, there is tremendous increase in reproductive-aged women Veterans. Here, we review the limited but growing research regarding Veterans' pregnancy and obstetric outcomes. U.S. women Veterans returning from deployment carry a high burden of physical and mental health conditions, and often trauma. As poor mental health is known to predict poorer maternal and infant sequelae, there are unique concerns around perinatal outcomes in Veterans. Accordingly, there is new attention to their reproductive risks and needs—evidenced by recent research and programmatic efforts within the VA. Emerging research suggests that the unique health profiles of pregnant Veterans, including prevalent posttraumatic stress disorder, predict increased risk of preterm birth, preeclampsia, and gestational diabetes. In the most contemporary large study, relying on California birth data, Veterans who relied on VA for their health care coverage were high risk, with increased rates of preeclampsia and Cesarean delivery. Additionally, Veterans' infants (compared with non-Veterans') were more likely to require NICU care. Additional research is needed to explore upstream factors leading to these poorer outcomes. Current effort to coordinate VA and non-VA care for Veteran mothers is warranted.


Avicenna ◽  
2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Chokri Kooli

As the Covid-19 pandemic persists, the public health interventions reported that many individuals during this pandemic situation experience different circumstances that lead to their poor mental health performance, such as isolation stress, anxiety, depression, anger, confusion, and unemployment. The aim of this study is to examine the existing literature in a comprehensive manner and to explore the impact of COVID-19 on the mental health of UAE health workers. This study also examined the psychological factors that influence workers’ mental health due to the pandemic of COVID-19. An online questionnaire was administered to answer the research question. The results proved that the pandemic has affected both physical and mental health of UAE health workers. Consequently, the adoption of preventive actions at the governmental, organizational, and individual levels is highly recommended. In this research, the implementation of effective communication and the application of adequate psychological services have been suggested. To this end, the role of policy makers to be involved in placing governmental initiatives that prevent the spread of the virus and protect the mental health of workers has been highlighted.


2014 ◽  
Vol 27 (5) ◽  
pp. 739-746 ◽  
Author(s):  
Richard A. Burns ◽  
Peter Butterworth ◽  
Colette Browning ◽  
Julie Byles ◽  
Mary Luszcz ◽  
...  

ABSTRACTBackground:Physical health has been demonstrated to mediate the mental health and mortality risk association. The current study examines an alternative hypothesis that mental health mediates the effect of physical health on mortality risk.Methods:Participants (N = 14,019; women = 91%), including eventual decedents (n = 3,752), were aged 70 years and older, and drawn from the Dynamic Analyses to Optimise Ageing (DYNOPTA) project. Participants were observed on two to four occasions, over a 10-year period. Mediation analysis compared the converse mediation of physical and mental health on mortality risk.Results:For men, neither physical nor mental health was associated with mortality risk. For women, poor mental health reported only a small effect on mortality risk (Hazard Risk (HR) = 1.01; p < 0.001); more substantive was the risk of low physical health (HR = 1.04; p < 0.001). No mediation effects were observed.Conclusions:Mental health effects on mortality were fully attenuated by physical health in men, and partially so in women. Neither mental nor physical health mediated the effect of each other on mortality risk for either gender. We conclude that physical health is a stronger predictor of mortality risk than mental health.


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