scholarly journals Chronicling moral distress among healthcare providers during the COVID‐19 pandemic: A longitudinal analysis of mental health strain, burnout, and maladaptive coping behaviours

2021 ◽  
Author(s):  
Chloe A. Wilson ◽  
Hannah Metwally ◽  
Smith Heavner ◽  
Ann Blair Kennedy ◽  
Thomas W. Britt
Keyword(s):  
Mental Health ◽  
Longitudinal Analysis ◽  
Moral Distress ◽  
Healthcare Providers ◽  
Maladaptive Coping ◽  
Coping Behaviours

scholarly journals A239 INFLAMMATORY BOWEL DISEASE PSYCHOTHERAPY PROTOCOL: GUT-DIRECTED COGNITIVE BEHAVIOURAL THERAPY, CLINICAL HYPNOSIS, AND EMOTION REGULATION COPING SKILLS DEVELOPMENT

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 116-117
Author(s):  
J P Paulton ◽  
J Prevost
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Coping Skills ◽  
Somatic Symptoms ◽  
Maladaptive Coping ◽  
Mental Health Symptoms ◽  
Medical Treatments ◽  
Health Symptoms ◽  
Clinical Hypnosis ◽  
Coping Behaviours

Abstract Background IBD patients have a heightened risk for mental health illness, but general psychotherapy has shown mixed results. This psychotherapy protocol specialized for IBD patients uses recommended mental health therapies to treat specific chronic mental health illness. Therapy focuses on practicing CBT, clinical hypnosis, and emotion regulation healthy coping skills to self-manage chronic mental health symptoms. Standard therapies for acute mental illness, e.g. anxiety, depression, and suicidality, should be used as appropriate. Aims Aims of psychotherapy in IBD include improvement of mental health, symptoms management, quality of life (QOL), and adherence to medical treatments. Cognitive behavioural therapy (CBT) changes maladaptive coping behaviours and thinking. Clinical hypnosis improves somatic symptoms, e.g. chronic pain, nausea, and cramping. Emotion regulation improves ability to process stressful emotions, and has been shown to be affected by chronic diseases, including moderate to severe Crohn’s disease. Methods Patients learn to self-manage chronic mental health symptoms with healthy coping skills. CBT allows patients to identify maladaptive coping behaviours and thinking. Healthy coping behaviours and thinking patterns are chosen, supported, and adapted to. Clinical hypnosis uses relaxation techniques, e.g. progressive muscle relaxation, visualizations, and positive suggestions as a complimentary therapy for somatic symptoms. Emotion regulation develops tolerance and healthy processing of stressors. Results Therapy effectiveness is evaluated by improvements in patients’ mental health, symptoms management, QOL, and adherence to medical treatments. Mental health improvement, QOL, and emotion regulation are monitored by patient self-report, e.g. questionnaires. Maladaptive coping behaviours and thinking changed using CBT are individual to each patient. Somatic symptoms improved using clinical hypnosis are determined by monitoring or patient self-report. Adherence to medical treatments, as appropriate, is monitored. Conclusions This IBD psychotherapy protocol uses gut-directed CBT, clinical hypnosis, and emotion regulation therapies, designed to improve mental health, symptoms management, QOL, and adherence to medical treatments. Healthy coping skills treat maladaptive coping behaviours and thinking, somatic symptoms, and emotion dysregulation. Chronic mental health illness associated with IBD, is treated using this specialized psychotherapy. Funding Agencies None

scholarly journals Stress and Maladaptive Coping of Italians Health Care Professionals during the First Wave of the Pandemic

2021 ◽  
Vol 11 (12) ◽  
pp. 1586
Author(s):  
Paolo Grandinetti ◽  
Martina Gooney ◽  
Florian Scheibein ◽  
Roberta Testa ◽  
Gaetano Ruggieri ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Video Games ◽  
Alcohol Consumption ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Maladaptive Coping ◽  
Cross Sectional ◽  
Coping Behaviour ◽  
Coping Behaviours

Stress during the pandemic has had an impact on the mental health of healthcare professionals (HCPs). However, little is known about coping and “maladaptive” coping behaviours of this population. This study investigates “maladaptive” coping behaviours and their correlation with stress, anxiety and insomnia of Italian HCPs during the pandemic. It reports on a cross-sectional, descriptive and correlational study based on a survey of 1955 Italian HCPs. Overall participants reported increases in cigarette smoking, time spent online and video playing. Overall reported alcohol consumption decreased but increased in those reporting drinking more than once a week. Those reporting starting smoking during the pandemic were found to have higher SAS and PSS scores. Those reporting being online for 3 or more hours were found to have higher ISS scores. Doctors who reported playing video games were found to have higher PSS, ISS and SAS scores whilst nurses who reported playing video games were found to have higher ISS scores. Doctors who reported playing for longer than one hour had higher PSS scores. Online behaviours may be a coping behaviour of HCPs affected by the pandemic. However, this is an underexplored area for the wellbeing of HCPs. These deficits need to be addressed going forward.

scholarly journals A pilot comparison of medical records sensitivity perspectives of patients with behavioral health conditions and healthcare providers

2021 ◽  
Vol 27 (2) ◽  
pp. 146045822110099
Author(s):  
Hiral Soni ◽  
Julia Ivanova ◽  
Adela Grando ◽  
Anita Murcko ◽  
Darwyn Chern ◽  
...  
Keyword(s):  
Mental Health ◽  
Drug Abuse ◽  
Behavioral Health ◽  
Health Information ◽  
Healthcare Providers ◽  
Health Conditions ◽  
Mixed Methods Approach ◽  
Record Data ◽  
Category Labels

This pilot study compares medical record data sensitivity (e.g., depression is sensitive) and categorization perspective (e.g., depression categorized as mental health information) of patients with behavioral health conditions and healthcare providers using a mixed-methods approach employing patient’s own EHR. Perspectives of 25 English- and Spanish-speaking patients were compared with providers. Data categorization comparisons resulted in 66.3% agreements, 14.5% partial agreements, and 19.3% disagreements. Sensitivity comparisons obtained 54.5% agreement, 11.9% partial agreement, and 33.6% disagreements. Patients and providers disagreed in classification of genetic data, mental health, drug abuse, and physical health information. Factors influencing patients’ sensitivity determination were sensitive category comprehension, own experience, stigma towards category labels (e.g., drug abuse), and perception of information applicability (e.g., alcohol dependency). Knowledge of patients’ sensitivity perceptions and reconciliation with providers could expedite the development of granular and personalized consent technology.

scholarly journals Trajectory of Food Insecurity and Its Association with Longitudinal Mental Health and Sleep Outcomes in Adolescents from Economically Disadvantaged Families

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1696
Author(s):  
Ting-Hsuan Lee ◽  
Jen-Hao Kuo ◽  
Chia-Yi Liu ◽  
Yi-Fang Yu ◽  
Carol Strong ◽  
...  
Keyword(s):  
Mental Health ◽  
Food Insecurity ◽  
Economically Disadvantaged ◽  
Mental Health Problems ◽  
Transition Period ◽  
Sleep Problems ◽  
Healthcare Providers ◽  
Estimating Equation ◽  
Health Problems ◽  
Disadvantaged Families

Background: Adolescence is a critical transition period in the course of human development. Although food insecurity (FI) has been shown to be associated with adverse mental health and sleep outcomes in US adolescents, there is a paucity of research examining the relationships between FI, mental health, and sleep outcomes in Taiwanese adolescents. Furthermore, it is unknown how the change of FI over time (i.e., the trajectory of FI) is related to health outcomes. Methods: The data come from the Taiwan Database of Children and Youth in Poverty, which is a national longitudinal project measuring FI in five survey waves (2009–2017). We employed group-based trajectory modeling to classify various FI trends over the five waves using STATA. Furthermore, a generalized estimating equation analysis was conducted with FI trajectories as the independent variable to see how FI trajectory is related to mental health and sleep outcomes. Results: In total, 1921 participants aged 12–18 years in the first wave were deemed valid for the analysis. We classified the participants into four FI trajectory groups: persistently low FI (24.8%), persistently moderate FI (64.7%), declining from high to low FI (4.1%), and food-secure groups (6.4%). As compared to food-secure adolescents, the persistently moderate FI group was more likely to have mental problems (β = 0.30, [95% confidence interval 0.21–0.38]), while the other FI groups were only marginally associated with mental health problems. Moreover, adolescents in the persistently low FI group (β = 0.13, [0.02–0.23]) and persistently moderate FI group (β = 0.39, [0.29–0.48]) were found to have more sleep problems than those in the food-secure group. Conclusions: Our study describes the FI profile of adolescents from economically disadvantaged families and the difficulties they might encounter. With this information, healthcare providers can aid adolescents in the early stages of mental health problems and provide guidance when appropriate.

scholarly journals Mental health and sleep habits/problems in children aged 3–4 years: a population study

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Fumie Horiuchi ◽  
Kentaro Kawabe ◽  
Yasunori Oka ◽  
Kiwamu Nakachi ◽  
Rie Hosokawa ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Healthcare Providers ◽  
Poor Mental Health ◽  
Mental Health Status ◽  
Control Group ◽  
Sleep Habits ◽  
Psychological Burden ◽  
Wake Time ◽  
Health Group

Abstract Background Sleep is essential for mental health at all ages, but few studies have investigated the importance of sleep for mental health in early childhood. Therefore, this study examined the association between mental health and sleep habits/problems in children aged 3–4 years. Methods Children aged 3 to 4 years who were living in the community (n = 415; 211/204 boys/girls) were recruited for this study. Their mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ), and their sleep habits/problems were evaluated using the Child and Adolescent Sleep Checklist. Results Based on the total difficulties score of the SDQ, the children were divided into two groups: a poor mental health group (n = 76) and a control group (n = 339). In terms of sleep habits, which included total sleep time, bedtime, wake time, and nap conditions, there were no differences between the two groups. Regarding sleep-related problems, however, anxiety before going to sleep (p = 0.026), circadian rhythm abnormalities (p = 0.014), and sleepiness during classes outside of naptimes (p = 0.031) were significantly higher in the poor mental health group than in the control group. Multiple regression analysis showed that poor mental health status was significantly associated with sleepiness and snoring (p = 0.017 and p = 0.018, respectively). Conclusions The mental health status of 3–4-year-old children was associated with sleep-related problems, namely sleepiness and snoring. Healthcare providers should pay attention to children’s irregular sleep-wake patterns; moreover, interventions for appropriate sleep hygiene will reduce the psychological burden on both children and their families.

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