scholarly journals COVID-19 Pandemic and Mental Health: Digital Trainings to Support Psychosomatic Rehabilitation Patients (Preprint)

10.2196/30610 ◽  
2021 ◽  
Author(s):  
Franziska Maria Keller ◽  
Alina Dahmen ◽  
Christina Derksen ◽  
Lukas Kötting ◽  
Sonia Lippke
Keyword(s):  
Mental Health ◽  
Psychosomatic Rehabilitation

scholarly journals Implementing Digital Trainings within Medical Rehabilitations: Improvement of Mental Health and Synergetic Outcomes with Healthcare Service

2021 ◽  
Vol 18 (17) ◽  
pp. 8936
Author(s):  
Franziska Maria Keller ◽  
Alina Dahmen ◽  
Christina Derksen ◽  
Lukas Kötting ◽  
Sonia Lippke
Keyword(s):  
Mental Health ◽  
Repeated Measures ◽  
Healthcare Service ◽  
New Technologies ◽  
Intervention Group ◽  
Healthcare Services ◽  
Rehabilitation Program ◽  
Face To Face ◽  
Psychosomatic Rehabilitation ◽  
Digital Interventions

The need for new technologies in healthcare services has been stressed. However, little is known about the effectiveness of digital interventions integrated in psychosomatic rehabilitation processes. Data from 724 patients from psychosomatic rehabilitation clinics were analyzed with regard to the effectiveness of digital trainings indicated by a change in symptoms related to depression, anxiety, stress, and loneliness from pre– to post–rehabilitation. Rehabilitation satisfaction was examined in association with reaching rehabilitation goals and satisfaction with communication. A mixed repeated measures analyses of covariance, analyses of covariance, and hierarchical stepwise regression analyses were performed. Results indicated a superior effectiveness for the intervention group receiving all offered digital treatments in addition to the regular face-to-face rehabilitation program with regard to symptoms of depression (F (2674) = 3.93, p < 0.05, ηp2 = 0.01), anxiety (F (2678) = 3.68, p < 0.05, ηp2 = 0.01) post-rehabilitation, with large effect sizes for both depression (d = 1.28) and anxiety (d = 1.08). In addition, rehabilitation satisfaction was positively associated with reaching rehabilitation goals and perceived communication with healthcare workers. Digital interventions appeared effective in supporting mental health of psychosomatic rehabilitation patients’ post-rehabilitation. These findings support the inclusion of multidisciplinary and interdisciplinary digital and face-to-face treatment programs and call for more implementations of new technologies in a context of complexity to improve health and healthcare service.

scholarly journals COVID-19 Pandemic and Mental Health: Digital Trainings to Support Psychosomatic Rehabilitation Patients (Preprint)

2021 ◽  
Author(s):  
Franziska Maria Keller ◽  
Alina Dahmen ◽  
Christina Derksen ◽  
Lukas Kötting ◽  
Sonia Lippke
Keyword(s):  
Mental Health ◽  
General Population ◽  
Perceived Stress ◽  
Perceived Usefulness ◽  
Medical Rehabilitation ◽  
The Internet ◽  
Intention To Use ◽  
Rehabilitation Treatment ◽  
Psychosomatic Rehabilitation ◽  
Symptoms Of Depression

BACKGROUND The COVID-19 pandemic has largely affected mental health status and psychological well-being. Especially individuals with a pre-existing mental health disorder seem more impaired by lockdown measures posing as major stress factors. Medical rehabilitation treatment can help to cope with these stressors. The internet and digital applications provide a platform to add to regular treatment and to conduct research on this topic. OBJECTIVE Making use of internet-based assessments, this study investigated individuals from the general population and individuals from medical, psychosomatic rehabilitation clinics. Levels of depression, anxiety, loneliness, and perceived stress during the COVID-19 pandemic, common COVID-19 related worries, and the intention to use common digital applications were compared. Furthermore, we investigated whether partaking in internet-delivered digital trainings prior to and during the rehabilitation stay, as well as the perceived usefulness of digital trainings are associated with improved mental health after rehabilitation. METHODS A large-scale online cross-section study was conducted among the general population (n=1812) in Germany from May 2020 to April 2021. In addition, a longitudinal study was conducted making use of the internet among psychosomatic rehabilitation patients at two measurement timepoints, before (n=1719) and after (n=738) medical rehabilitation, between July 2020 and April 2021. Validated questionnaires and adapted items were used to assess mental health and corona-related worries. Digital trainings were evaluated. Propensity score matching, multivariate analyses of covariances, exploratory factor analysis, and hierarchical regression analyses were performed. RESULTS Patients from the psychosomatic rehabilitation clinics reported increased symptoms with regard to depression, anxiety, loneliness, and stress (F(4,2028)=183.74, P<.001, ηp2=.27) compared to the general population. Rehabilitation patients perceived greater satisfaction in communication with healthcare professionals (F(1,837)=31.67, P<.001, ηp2=.04), had lower financial worries (F(1,837)=38.96, P<.001, ηp2=.04), but higher household-related worries (F(1,837)=5.34, P=.02, ηp2=.01) compared to the general population. Symptoms of depression, anxiety, loneliness, and perceived stress were lower post rehabilitation (F(1,712)=23.21, P<.001, ηp2=.04) than prior to the rehabilitation. Psychosomatic patients reported a greater intention to use common apps and digital trainings (F(3,2021)=51.41, P<.001, ηp2=.07) than the general population. With regard to digital trainings offered prior and during the rehabilitation stay, the perceived usefulness of digital rehabilitation goal trainings was associated with decreased symptoms of depression (ß=-.14, P<.001), anxiety (ß=-.12, P<.001), loneliness (ß=-.18, P<.001) and stress post rehabilitation (ß=-.19, P<.001). Participation in digital group therapy for depression was associated with an overall change in depression (F(1,725)=4.82, P=.03, ηp2=.01) and anxiety (F(1,725)=6.22, P=.01, ηp2=.01) from pre to post-rehabilitation. CONCLUSIONS This study validated the increased mental health constraints of psychosomatic rehabilitation patients in comparison to the general population and the potentials of rehabilitation treatment. Digital rehabilitation components are promising tools that can prepare patients for their rehabilitation stay, integrated well with face-to-face therapy during rehabilitation and support care after rehabilitation.

scholarly journals Implemented New Technologies within the Complexity of Medical Rehabilitations: Improvement of Mental Health and Synergetic Outcomes with Healthcare Service Effects

2021 ◽  
Author(s):  
Franziska Maria Keller ◽  
Alina Dahmen ◽  
Christina Derksen ◽  
Lukas Kötting ◽  
Sonia Lippke
Keyword(s):  
Mental Health ◽  
Repeated Measures ◽  
Healthcare Service ◽  
New Technologies ◽  
Intervention Group ◽  
Healthcare Services ◽  
Rehabilitation Program ◽  
Face To Face ◽  
Psychosomatic Rehabilitation ◽  
Digital Interventions

The need for new technologies into healthcare services has been stressed. However, little is known about the effectiveness of digital interventions integrated in psychosomatic rehabilitation processes. Data from 724 patients from psychosomatic rehabilitation clinics were analyzed for effectiveness of digital trainings examined by a change in symptoms related to depression, anxiety, stress and loneliness from pre- to post-rehabilitation. Rehabilitation satisfaction was examined in association with reaching rehabilitation goals and satisfaction with communication. Mixed repeated measures analysis of covariances, analysis of covariances, and hierarchical stepwise regression analyses were performed. Results indicated a superior effectiveness for the intervention group receiving all offered digital treatments in addition to the regular face-to-face rehabilitation program with regard to symptoms of depression, F(2,674)=3.93, p&lt;.05, ηp2=.01), and anxiety, F(2,678)=3.68, p&lt;.05, ηp2=.01), post-rehabilitation with large effect sizes for both depression (d=1.28) and anxiety (d=1.08). In addition, rehabilitation satisfaction was positively associated with reaching rehabilitation goals and perceived communication with healthcare workers. Digital interventions appeared effective in supporting mental health of psychosomatic rehabilitation patients post-rehabilitation. This finding supports the inclusion of multidisciplinary and interdisciplinary digital and face-to-face treatment programs and call for more implementations of new technologies in a context of complexity to improve health and healthcare service.

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

Prevalence of Self-Reported Depression Symptoms and Perceived Anxiety Among Community-Dwelling U.S. Adults Reporting Tinnitus

2020 ◽  
Vol 5 (4) ◽  
pp. 959-970
Author(s):  
Kelly M. Reavis ◽  
James A. Henry ◽  
Lynn M. Marshall ◽  
Kathleen F. Carlson
Keyword(s):  
Mental Health ◽  
Fold Increase ◽  
Community Dwelling ◽  
Self Report ◽  
Depression Symptoms ◽  
Community Based Interventions ◽  
Data Set ◽  
Health Distress ◽  
Validated Questionnaire ◽  
Mental Health Distress

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475

Stress and fitness in ward-based mental health nurses

1997 ◽  
Vol 6 (5) ◽  
pp. 419-420 ◽  
Author(s):  
Jerome Carson ◽  
Leonard Fagin ◽  
Sukwinder Maal ◽  
Nicolette Devilliers ◽  
Patty O'Malley
Keyword(s):  
Mental Health ◽  
Mental Health Nurses
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