Levels Of Psychiatric Symptomatology Research Articles

Recently resettled refugee women-at-risk in Australia evidence high levels of psychiatric symptoms: individual, trauma and post-migration factors predict outcomes

BackgroundDespite increasing numbers of refugee women-at-risk being resettled and their potential vulnerability, there exists no empirical research into the psychiatric health of this unique subgroup with which to guide policy and practice. This research aimed to investigate psychiatric symptom status of a sample of refugee women-at-risk recently resettled in Australia, as well as factors contributing to symptoms of trauma, anxiety, depression, and somatization. The level of psychiatric symptomatology is compared to reference groups of women from Sudan and Burma, who entered Australia under the Humanitarian Entry Programme, and who did not meet criteria as women-at-risk.MethodsThis is a cross-sectional survey of 104 refugee women-at-risk across several ethnic groups including a demographic questionnaire, the Harvard Trauma Questionnaire, Post-migration Living Difficulties Checklist, and Hopkins Symptom Checklist to assess individual factors, traumatic experiences, post-migration problems, and symptoms of trauma, anxiety, depression, and somatization. A series of multiple hierarchical regression analyses examined factors predicting psychiatric symptoms.ResultsSubstantial proportions of participants reported psychiatric distress in symptomatic ranges, including for traumatization (41%), post-traumatic stress disorder (20%), anxiety (29%), and depression (41%), as well as significant symptoms of somatization (41%). These findings are significantly higher than those derived from reference groups of women from Sudan or Burma, resettled in the same area and utilizing a similar methodology. Higher numbers of trauma events and post-migration living difficulties predicted higher trauma, depression, and somatic (but not anxiety) symptoms. Having children predicted higher trauma, anxiety, and somatic symptoms. Greater English fluency predicted higher anxiety symptoms. Region of birth predicted anxiety and depression symptoms. Age predicted trauma and anxiety symptoms.ConclusionsFindings suggest that recently arrived refugee women-at-risk are at high risk of psychiatric disorders. The results indicate a need for comprehensive psychiatric assessment to identify women in need of treatment very early after resettlement, with implications for medical practice, service delivery, and policy programs.

Acute stress recovery through listening to Melomics relaxing music: A randomized controlled trial

ABSTRACTDaily life entails having to cope with many stressful situations. Although stress-related reactions could sometimes provoke impairments in physiological processes due to the frequency of exposure or the stress burden of the event, physiological recovery after coping with stressors is highly implied in the aversive consequences of stress. To analyze the effects of listening to relaxing music (generated by the Melomics computer system) on the cardiovascular recovery and subjective feelings of anxiety after undergoing an acute-stress episode, a double-blind randomized controlled trial was conducted in healthy adults (N = 24; M = 23.05 years, SD = 2.97). Participants reported their levels of psychiatric symptomatology and anxiety and were then exposed to a stress induction protocol. Afterward, they underwent a period of recovery where they would be exposed to either a relaxing music track or silence, depending on a random assignation. Heart-derived functioning and self-reported anxiety were monitored throughout the study stages. All the participants showed stress-related reactions throughout the study stages, as it was shown for the study outcomes. Regarding the effect of listening to music, participants who listened to relaxing music during the recovery stage showed higher levels of sample entropy than controls, highlighting a large effect size on this difference (η2partial = .59). Relaxing music promotes more adaptive emotional regulation after coping with an acutely stressful event. This study aims to shed light on the actual effects of music interventions, and encourage the use of music-based interventions on health services.

Posttraumatic stress disorder in the family and friends of patients who have suffered spontaneous subarachnoid hemorrhage

Significant others (SOs), such as spouses and life partners, of patients who have survived subarachnoid hemorrhage (SAH) can experience psychiatric symptoms and psychosocial disability. The cause of such symptoms has not been established. Authors of the present study analyzed whether posttraumatic stress disorder (PTSD) subsequent to a loved one's SAH is a plausible explanation for these symptoms. The authors examined a large representative sample of 86 patient/SO pairs 3.5 months postictus. All SOs were evaluated using a diagnostic PTSD measure, and coping skills were assessed. The cognitive, physical, and emotional status of patients was comprehensively examined. Twenty-six percent of SOs met the diagnostic criteria for PTSD, which represents a 3-fold increase in the rate expected within the general population. To establish the cause of PTSD, a logistic regression was performed, and results of this test showed that the use of maladaptive coping strategies was the best predictor of the disorder. A patient's level of disability held no significant association with the development of PTSD in his or her SO. The elevated incidence of PTSD in SOs helps to explain why these persons report concerning levels of psychiatric symptomatology and psychosocial disability. Greater attention must be given to an SO's adjustment to the experience of having a loved one suffer an SAH. This need is all the more pertinent given that SOs often act as informal caregivers and that PTSD could interfere with their ability to effectively minister. Because bad coping skills seem to be the main cause of PTSD, teaching SOs better strategies might prevent the disorder and any resulting psychosocial disability.

Psychological health and well-being among young Irish adults.

The aim of this study was to examine and describe levels of psychological health and well-being in a group of young people living in Dublin. A sample of 97 young people (50 males, 47 females) were assessed for psychological status, suicidal ideation, substance misuse, contact with the law, self-esteem and locus of control as well as various social indicators such as educational attainment and social connectedness. A screening version of the Structured Clinical Interview for DSM-IV Axis Diagnosis (SCID) was used to assess psychological functioning and the Beck Scale for Suicide Ideation was employed to ascertain suicidal ideation. Self-esteem was measured using the Rosenberg Self-Esteem Scale and locus of control was measured using a scale devised by Pearlin, Menaghan, Lieberman and Mullan (1981). Symptom levels were high and approximately one fifth of respondents had a probable psychiatric condition (most commonly depression or anxiety). Yet, only a small percentage was receiving treatment for psychiatric difficulties. Over half of the participants had used nonprescription drugs at some time. Alcohol consumption was high, especially amongst male respondents. Over half of those interviewed were categorised as misusing alcohol and/or drugs and participants greatly underestimated their level of alcohol use. Approximately one-quarter had had some contact with the law which was related to deficits in educational attainment and the latter variable was associated with childhood economic disadvantage. These findings suggest that among a sample of 97 young Irish people, a high level of psychiatric symptomatology and excessive use of alcohol is evident. This remains largely untreated as only a small percentage of the group had sought help for psychological difficulties which suggests a need to address the issues of mental health awareness, alcohol use and the accessibility of services. The paper also underlines the association between economic disadvantage and lack of educational attainment with associated linkages to offending.

Forecasting Length of Stay in Child Residential Treatment

A sample of 126 consecutively admitted residential treatment children (mean age = 9.86, SD=1.84; 70.6% male; 42.1% African American; 50% Caucasian) were studied over a five-year period to identify predictors of length-of-stay. Cox regression was the primary statistical method used to analyze psychiatric and behavioral rating data for children assessed by teachers and treatment staff using the Devereux Scales of Mental Disorders (DSMD). Parental alcohol abuse, and children's age, medication status, race, initial DSMD total and critical pathology scores, were predictive of length-of-stay. Residential length-of-stay was strongly linked to initial levels of psychiatric symptomatology. Models that can help forecast length of stay are vital tools in helping to improve both clinical and utilization management strategies.

Ethnic and Gender Differences in Distress Among Anglo American, African American, Japanese American, and Mexican American Spousal Caregivers of Persons with Dementia

Distress, coping, and social resources were compared in a sample of 202 Japanese-, Anglo-, African-, and Mexican American spousal caregivers of persons with dementia using a Stress-Coping model. Both ethnicity and gender showed differential effects on the outcome and on the moderating variables. Female caregivers in all ethnic groups reported significantly higher levels of psychiatric symptomatology. All 4 ethnic groups reported high rates of psychological distress, with Mexican Americans reporting significantly higher rates of depression than Anglo or African Americans. Ethnicity was related to (1) the kind of caregiving appraisals (spiritual, pessimistic, and lack of support), (2) coping styles (escape-avoidance and seeking social support), and (3) social support. African Americans were more likely to be spiritual appraisers, to have more positive appraisals, and to have more social support available to them. Gender differences were evident on 4 out of the 6 caregiver appraisals, but none of the coping styles. Although males tended to have more perfectionistic appraisals, they were also more likely to view caregiving with a less negative and more self-efficacious outlook.

Cumulative effect of family environment on psychiatric symptomatology among multiethnic adolescents

Purpose: To examine the influence of family adversity and support on levels of psychiatric symptomatology in Hawaiian and non-Hawaiian adolescents. Method: More than 4000 students from five high schools in Hawaii completed a survey during the 1992–1993 school year about their family environment and mental health. The response rate was approximately 60%. Logistic regression analyses were performed and responses for Hawaiians and non-Hawaiians were compared. Results: Hawaiian adolescents experienced significantly more adversity than their non-Hawaiian counterparts. The cumulative effect of family adversity had a greater effect on psychiatric symptomatology than any single indicator. Family support reduced the risk for internalizing symptoms, particularly for Hawaiian adolescents. The influence of family support was less clear for externalizing symptoms, increasing the risk for some adolescents and decreasing the risk for others. Conclusion: We identified strong associations between family adversity and levels of psychiatric symptomatology. We found that Hawaiian adolescents are at increased risk for psychiatric symptomatology, given the presence of family adversity and the effect of reduced family support. However, risk was also substantial for non-Hawaiians. Clinicians need to assess the family environment routinely and implement family-oriented interventions.

Chronic neurobehavioural effects of mercury poisoning on a group of Zulu chemical workers

Primary objective: To assess the nature and severity of reported neurobehavioural symptoms of mercury poisoning, in a group of Zulu chemical workers (n = 16), employed by a mercury processing plant, exposed to neurotoxic levels of mercury, 5 years after exposure. Research design: A group-control design was adopted, where the exposed group was matched for age, sex, race, occupational and educational background. Method/procedures: Both groups were administered a specially selected battery of psychometric tests to measure neuropsychological functioning. Outcome and results: The exposed group had significantly impaired short term verbal and spatial memory, impaired sustained and divided attention, and impaired motor speed. They also suffered from elevated clinical levels of psychiatric symptomatology, including anxiety, depression and phobic avoidance, and neurological symptoms of tremor, weakness in the limbs, and excessive sweating. Conclusions: The exposed group suffered from varying degrees of permanent neuropsychological disability, which adversely affects their ability to work and be financially independent. Psychometric measures for monitoring cognitive symptoms are discussed.

Levels of Psychological Distress among Occupational Therapy Students

This study measured levels of psychological distress among a sample of Irish occupational therapy students. Students from all four undergraduate classes (n=102) were surveyed, using the General Health Questionnaire (GHQ-28). Over 40% of the students scored as having a ‘just significant clinical disturbance’ on the GHQ-28. Mean GHQ scores (or symptom levels) varied throughout the 4-year course and were highest just before examinations and during fieldwork placements. Students who had unhealthy diets or who smoked had significantly higher levels of psychiatric symptomatology. The prevalence of psychological distress among occupational therapy students was similar to that found in students from four other disciplines; however, the university students had much higher levels of symptomatology than the non-university peer group. The article concludes with some suggestions for dealing with stressful aspects of professional education and some recommendations for further research.

A Modwied Scoring Algorithm for the PDQ-R: Psychiatric Symptomatology and Substance Use in Adolescents with Personality Disorders

A study was conducted to investigate the extent to which adolescents diagnosed with one or more personality disorders on a self-report instrument are at an elevated risk for psychiatric symptomatology and psychoactive substance abuse. A modified version of the Personality Diagnostic Questionnaire-Revised (PDQ-R), the Revised Hopkins Symptom Checklist (SCL-90-R), and a standard retrospective substance use diary were administered to 441 undergraduate students, 181 and 166 of whom participated in 1- and 2-month follow-up sessions at which the SCL-90-R and the substance use diary were read ministered. Results were that (a) personality disorder prevalence estimates produced by the modified PDQ-R approximated those obtained by previous researchers who have administered structured clinical interviews to general community samples; and (b) individuals diagnosed with one or more personality disorders by the modified PDQ-R manifested higher levels of psychiatric symptomatology and substance use at both baseline and follow-up than did nondiagnosed subjects.

People aged over sixty‐five years living in a mental handicap hospital—THIRTEEN YEARS ON

People aged over 65 years living in a mental handicap hospital on July 1st, 1989 were rated using a standardised psychiatric interview and other assessments. The results were compared with a similar survey carried out in 1976. Although the number of people had declined slightly, from 38 to 36, they constituted an increased proportion of the hospital population. Basic ability ratings were lower in 1989 than in 1976, but the difference was not statistically significant. Levels of psychiatric symptomatology were similar in both surveys. It was estimated that 58.3 per cent of the people surveyed in 1989 could be placed in non‐hospital residential care.

Effectiveness of individual counseling by professional and peer helpers for family caregivers of the elderly.

This study of the effectiveness of individual counseling for daughters and daughters-in-law (N = 87) who were the primary caregivers for frail elderly parents revealed that participants who received professional counseling demonstrated significantly better outcomes than a no-treatment control group in regard to subjective well-being, level of psychiatric symptomatology, and perceived change in aspects of the caregiver-care-receiver relationship. Participants who received peer counseling demonstrated similar gains but did not improve significantly more than did control subjects in subjective well-being. Both forms of counseling had no significant effect on caregivers' formal and informal social support networks.

IMPACT OF SEXUAL AND PHYSICAL ABUSE ON WOMEN'S MENTAL HEALTH

The level of psychiatric symptomatology was assessed with the General Health Questionnaire and the Present State Examination in a random community sample of women. Subsequently it was ascertained which of the women had been the victims of sexual or physical abuse, in either childhood or adult life. Women with a history of being abused were significantly more likely to have raised scores on both measures of psychopathology and to be identified as psychiatric cases. 20% of women who had been exposed to sexual abuse as a child were identified as having psychiatric disorders, predominantly depressive in type, compared with 6·3% of the non-abused population. Similar increases in psychopathology were found in women who had been physically or sexually assaulted in adult life. These findings indicate that the deleterious effects of abuse can continue to contribute to psychiatric morbidity for many years.

Paid Employment, Life Events, Social Support, and Mental Health in Working-Class Mothers

Working-class mothers with dependent children are at relatively high risk for mental health problems. Although paid employment has not been found to influence the mental health of mothers in general, there is some evidence that working-class mothers do benefit. In a community survey of 193 working-class mothers, we tested for direct effects of employment and examined these effects in interaction with life event stress, social support, and the presence of a preschool child. Subject selection minimized confounding among these variables. No overall effect of paid employment or preschool children was found. Mothers who had suffered a severely stressful life event in the previous year had higher levels of psychiatric symptomatology. Employment reduced this risk when social support was available but, in the absence of social support, was associated with high symptom levels.

Immunoglobulins, cognitive status and duration of illness in alzheimer's disease

Immunologic changes have been reported in the dementing illnesses of mid and late life. The results of two studies of drug-free males meeting research diagnostic criteria for primary neuronal degeneration of the Alzheimer's type suggest that serum IgG levels decrease with the progression of dementia. Serum IgG levels were inversely correlated with duration of illness and the levels of psychiatric symptomatology. Performance on the mini-mental status examination was positively associated with serum IgG concentrations.