Evolution Of Mental Health Research Articles

The role of job insecurity and work-family conflict on mental health evolution during COVID-19 lockdown

ABSTRACT The aim of this intensive longitudinal study was (1) to explore the temporal evolution of two mental health indicators (anxiety and depressive symptoms, and insomnia) throughout COVID-19 lockdown in Spain, and (2) to examine its association with two work-related stressors (job insecurity and work-family conflict). A sample of 1519 participants responded to several questionnaires during the lockdown (between 16 March and 29 April 2020). Results of latent growth modelling showed a curvilinear increase of our two mental health indicators over time (a logarithmic growth for anxiety and depression, accentuated during the first part of the lockdown, and a quadratic growth for insomnia, accentuated during the second part). Regarding its association with work-related stressors, we found that higher levels of job insecurity and work-family conflict were related to higher levels of anxiety, depression, and insomnia. Additionally, we found a significant interaction between time and the two forms of work-family conflict (work-to-home and home-to-work), showing that people with more work-family conflict experienced stronger growth in all mental-health indicators. Overall, this study contributes to the description of the temporal dynamics of mental health during the COVID-19 outbreak in Spain, as well as its association with two key work-related stressors.

The Evolution of Mental Health in Patients with Psoriasis during the COVID-19 Pandemic

Introduction: The aim of this study was to assess the impact of the Covid-19 pandemic on mental health on a sample of 37 patients with psoriasis in Brăila County. Methods: A cross-sectional study on a sample of 37 patients with psoriasis was conducted by questionnaires e-mailed to patients. The study was conducted between November 20th, 2020 - January 15th, 2021. Mental health was measured using the Hamilton Anxiety Assessment Scale (HAS). Data collected on predictors included, but were not limited to, sex, age, background, marital status, level of education, smoking, alcohol consumption, comorbidities, period of self-isolation, severity of psoriasis, and type of treatment for psoriasis. Results: There were 37 participants included. Factors associated with poor mental health were: place of origin (54% from urban areas), sex (62.1% women), age (67.5% between 65 and 80 years old), period of self-isolation (81% in self-isolation for more than 14 days), comorbidities (75.6% with multiple comorbidities) and form of treatment for psoriasis (48.6% are systemically administered treatment for psoriasis). Conclusions: In this sample of patients with psoriasis from Brăila County who isolate or socially distance themselves, urban patients, women, elderly, those with comorbidities and those who are systemically administered treatment for psoriasis were associated with a high score on the Hamilton anxiety assessment scale. However, we have to admit that our research has some limitations. First, the number of participants included in the study was small. Secondly, we used an online way to conduct the study. Thirdly, we used a self-assessment scale to assess the anxiety symptoms of psoriasis patients, which might have some deviation from the outcome. Looking beyond the current situation, it is essential to evaluate and restructure the way we think about patient’s care.

The evolution of mental health in schools: where from, where next?

ABSTRACT The current agenda for mental health in schools is considered in relation to the concept of mental health and how it has been iterated in schools in the UK. Key contributions from education pioneers are outlined, providing a time line for the first half of the twentieth century particularly informed by psychoanalysis. Mid twentieth century the term mental health begins to be used explicitly and we see the emergence of mental health counselling in schools. Developments culminate in Wall’s (1955) landmark book Education and Mental Health, which set out a whole school approach. In the latter part of the twentieth century we see a move towards a targeted approach, and the curriculum development for Social and Emotional Aspects of Learning (SEAL) and the consolidation of current policy drivers for mental health are set out. It is argued that in the future, in light of COVID-19, we will see new bridges between home and school, with schools acting more as community hubs supporting the mental health of children and their families.

American Veterans and the Evolution of Mental Health: A Historical Review of Diagnoses and Depiction

This article reviews the interwoven history surrounding mental health diagnoses and military veteran depictions of the twentieth and twenty-first centuries. Including a detailed historical review focusing on three major time periods: WWI-Korean War (1915-1950s); Vietnam War (1960s-1980s); and the Gulf/Middle East conflicts (1981-Present). By noting prevailing connections throughout these time periods, including the continuity of stigma and the depictions of veterans as well as the evolution of changing interpretations in what images and depictions of veterans mean including their associated social and political usages. Finally, a number of implications, both positive and negative surrounding the interconnected nature of veterans and mental health (namely PTSD), are offered, with recommendations for future inquiry and policy.

Prevalence of mental disorders in children treated in a public psychiatric hospital

To determine the prevalence of mental disorders in children treated at a regional psychiatric hospital. Period prevalence study. A secondary database was supplied by the Hospital Psiquiátrico Universitario del Valle (HPUV) of Santiago de Cali. This database came from the systematized clinical history of the year 2014. The population consisted of underage patients who consulted during the period. All the records available in the database were used. Of the total number of children who visited the clinic, 35.7% (755) were females and 64.3% were males (1 361). The main psychiatric diagnosis observed in this population was depressive episode (11.6%), followed by mixed behavioral and emotional disorder (8.5%). The evolution of mental health over time has not changed significantly. The 2015 National Mental Health Survey presents similar results to those found in this study, particularly in the Pacific region, where depression and behavioral disorders are more prevalent.

Association between self-perception of aging, view of cancer and health of older patients in oncology: a one-year longitudinal study

BackgroundIdentifying older people affected by cancer who are more at risk of negative health outcomes is a major issue in health initiatives focusing on medical effectiveness. In this regard, psychological risk factors such as patients’ perception of their own aging and cancer could be used as indicators to improve customization of cancer care. We hypothesize that more negative self-perception of aging (SPA) and view of cancer could be linked to worse physical and mental health outcomes in cancer patients.MethodsOne hundred one patients diagnosed with cancer (breast, gynecological, lung or hematological) were followed for 1 year. They were evaluated on four occasions (baseline, 3, 6 and 12 months after the baseline). Their SPA, view of cancer and health (physical and mental) were assessed at each time of evaluation.ResultsNegative SPA and/or view of cancer at baseline are associated with negative evolution of patients’ physical and mental health. Moreover, when the evolution of SPA and cancer view were taken into account, these two stigmas are still linked with the evolution of mental health. In comparison, only a negative evolution of SPA was linked to worse physical health outcomes.ConclusionsSuch results indicate that SPA and view of cancer could be used as markers of vulnerability in older people with cancer.

Generalized Estimating Equations (GEE) to handle missing data and time-dependent variables in longitudinal studies: an application to assess the evolution of Health Related Quality of Life in coronary patients.

to analyse the evolution of Health Related Quality of Life (HRQL) in coronary patients (CP) and to identify predictive factors influencing this evolution in a situation with missing data and time-dependent variables. prospective study with repeated measures. a total of 175 CP were included. General Estimating Equations (GEE) models were used to assess the evolution of HRQL in these patients. These models, not commonly used in this context, are applied here as an alternative to traditional techniques that do not handle missing data and time-dependent covariates properly. HRQL assessed by SF-36v1 Questionnaire at baseline, 3 and 6 months after discharge. role physical, bodily pain, general health, vitality, and the physical component summary of SF-36 improved over the follow-up. Being woman, older, and having higher scores on GHQ-28 were associated to a decrease in HRQL throughout time. Previous history of coronary heart disease, comorbidities, revascularisation, rehospitalisation, and episode of angina had a negative impact on HRQL, especially between 3 and 6 months after discharge. the analysis of the evolution of HRQL with a longitudinal approach using GEE models shows the predictive effect of the variables analysed during the follow-up, including the time itself and time-dependent covariates such as the evolution of mental health. In addition, it allows to particularise the predictive effect of covariates at each period within the follow-up.

Individual differences in the evolution of mental health: Which are the most relevant in chronic pain?

Pain-reduction interventions have quite succeeded in improving physical functioning, but not mental distress. We expected that Neuroticism (N) might partially explain this, as it seems to be less dependent on pain intensity changes than other psychological variables. To test that, 105 consecutive chronic pain patients (mean age: 61.294 years; SD = 14.441; 62.100% women) were assessed the day of their first visit ( t = 0) at the Pain Clinique of the Vall d’Hebron Hospital in Barcelona (Spain) and 6 months after ( t = 1). Both times they were administered the NEO-FFI (personality), the SPSI-R (problem-solving), the ABI (beliefs) and the SF-36 (mental health). Results showed that, when controlling for mental health ( t = 0), only N ( t = 0) ( β = −0.404, p t = 1). As expected, N was the best predictor of mental health. Therefore, psychological treatments might be especially relevant for chronic pain patients high in N, as they tend to be more mentally distressed over time.

The evolution of mental health in Spain during the economic crisis

We analyse how mental health and socioeconomic inequalities in the Spanish population aged 16-64 years have changed between 2006-2007 and 2011-2012. We observed an increase in the prevalence of poor mental health among men (prevalence ratio = 1.15, 95% CI 1.04-1.26], especially among those aged 35-54 years, those with primary and secondary education, those from semi-qualified social classes and among breadwinners. None of these associations remained after adjusting for working status. The relative index of inequality by social class increased for men from 1.02 to 1.08 (P = 0.001). We observed a slight decrease in the prevalence of poor mental health among women (prevalence ratio = 0.92, 95% CI 0.87-0.98), without any significant change in health inequality.

Job strain and evolution of mental health among nurses.

The objective of this 2nd phase of a 2-year study among female nurses was to provide further empirical validation of the demands-control and social support model. The association of job strain with psychological problems and the potential modifying role of social support at work were examined. A questionnaire was sent at the workplace to 1,741 nurses. The same associations were found between psychological demands, decision latitude, and a combination of the 2 with psychological distress and emotional exhaustion for current exposure and for cumulative exposure. Social support had a direct effect on these psychological symptoms but did not modify their association with job strain. Longitudinal and prospective data are needed to study the occurrence and persistence of health problems when exposure is maintained or retrieved.

Job strain and evolution of mental health among nurses.

Job strain and evolution of mental health among nurses.

An evolving managed care system: Public mental health services in San Francisco

This article describes the San Francisco Division of Mental Health's evolution toward managed care for its Medicaid eligible population. The reorganization of services reflects a local reform initiative documented in the Division's strategic plan. In addition to responding to federal mandates for serving the seriously mentally ill and the state guidelines for the managed mental health carve-out, the author also discusses the obstacles to implementing managed care as well as the future issues to be addressed.