Aim: Research on the health consequences of violent victimization of people with disabilities is lacking. This study aims to identify the factors that are associated with physical and mental health impacts of anti-disability bias victimization. Methods: The study drew on a unique sample of 331 self-identified people with disabilities, all over the age of 15, residing in Czechia. From this sample, 47 questionnaires were excluded. The respondents were asked about the most serious incident of anti-disability bias victimization in the last five years. A series of bivariate binary logistic regressions were performed - with the consequences of this incident as outcomes (mental health and physical health). Results: 90 respondents (32%) reported experiencing the most serious incident of bias victimization in the last five years. 60% of victims reported anxiety and sadness, and 28% deterioration in physical health. The results suggest that victims experience physical and mental health consequences unequally. Age, perceived disability in specific areas, visibility of disability, presence of multiple disabilities, and number of offenders are associated with the experience of physical health deterioration. Education, perceived disability in specific areas, and visibility of disability are associated with the experience of mental health impacts. Conclusion: Certain groups of people with disabilities who experience victimization report poorer physical and mental health outcomes. This differential experience should be considered in immediate responses and prevention programs.
- MeSH
- duševní zdraví statistika a číselné údaje MeSH
- emoce MeSH
- lidé MeSH
- logistické modely MeSH
- násilí psychologie statistika a číselné údaje MeSH
- postižení * psychologie statistika a číselné údaje MeSH
- předsudek * psychologie statistika a číselné údaje MeSH
- sociální problémy psychologie statistika a číselné údaje MeSH
- zdraví statistika a číselné údaje MeSH
- zpráva o sobě MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
Aim: The study aimed to investigate the level of postpartum anxiety in the research sample of women after childbirth and factors related to increased level of postpartum anxiety. The goal was also to establish the basic psychometric properties of the Postpartum Specific Anxiety Scale (PSAS-SK) in the Slovak language, and explore selected sociodemographic, perinatal, and anamnestic factors related to increased level of postpartum anxiety in a Slovak research sample. Design: Quantitative cross-sectional research study. Methods: The study involved 122 postpartum women (four-eight weeks postpartum, age 29.5; ± 4.8; 19-42). Data were collected using the standardized PSAS-SK questionnaire alongside sociodemographic and anamnestic data. Statistical analyses included nonparametric tests (Kruskal-Wallis test and Mann-Whitney U test) and confirmatory factor analysis (CFA) to assess the results. Results: Clinically significant levels of postpartum anxiety occurred in 25% of research participants. We found a significant relationship between perception of childbirth as traumatic and increased levels of postpartum anxiety. However, no significant relationship was confirmed between level of postpartum anxiety and education parity, type of childbirth, complications during pregnancy, perinatal loss, skin-to-skin contact, or health complications in the child. The PSAS-SK had high internal consistency in a Slovak research sample (Cronbach's alpha 0.96). Results of the CFA focusing on confirmation of the four-factor structure of the PSAS-SK indicated the following results: χ2(df = 405) = 2188.0, p < 0.001, CFI = 0.07, RMSEA = 0.008. Conclusion: The Postpartum Specific Anxiety Scale is a valuable tool for the early detection of postpartum anxiety symptoms and for supporting interventions to manage heightened anxiety during the postpartum period, including recommendation of specialized mental health care when appropriate.
- MeSH
- dospělí MeSH
- duševní zdraví statistika a číselné údaje MeSH
- faktorová analýza statistická MeSH
- gynekologicko-porodnické oddělení nemocnice MeSH
- lidé MeSH
- neparametrická statistika MeSH
- poporodní deprese * diagnóza epidemiologie psychologie MeSH
- psychometrie * metody MeSH
- statistika jako téma MeSH
- úzkost diagnóza epidemiologie psychologie MeSH
- zpráva o sobě MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- validační studie MeSH
- Geografické názvy
- Slovenská republika MeSH
- MeSH
- duševní poruchy terapie MeSH
- duševní zdraví * statistika a číselné údaje MeSH
- zdraví MeSH
- Publikační typ
- úvodní články MeSH
- Geografické názvy
- Česká republika MeSH
Úvod: Revmatoidní artritida (RA) je zatížena řadou komorbidit. Duševní onemocnění mohou vést k vyšším dopadům RA na život nemocného. Cílem naší studie bylo zkoumat výskyt psychiatrické komorbidity a její dopady na RA v rámci terciárního revmatologického centra v České republice. Metody: Jedná se o průřezovou studii terciárního centra, zavzati byli pacienti s RA trvající 2–15 let, s detailní charakteristikou onemocnění včetně aktivity (Disease Activity Score – DAS-28) a zdraví jedinci jako kontrolní skupina. Psychické zdraví bylo hodnoceno pomocí Mini mezinárodního europsychiatrického interview (M.I.N.I.), Beckova inventáře deprese (BDI-II) a úzkosti (BAI). Další dotazníková šetření spočívala v kvalitě života (5DEQ), funkčních schopnostech (HAQ) a sociodemografických údajích. Výsledky: Nemocní s RA se významně liší od kontrol jak v přítomnosti jakéhokoliv psychického onemocnění (PO) z testovaných M.I.N.I. modulů (24,78 % vs. 6,67 %, p < 0,001), zejména velké depresivní epizody a suicidality, tak i dosažení hranic pro depresi (18,59 % vs. 3,8 %) a anxietu (38,93 % vs. 13,08 %; obojí p < 0,0001) pomocí sebehodnotících dotazníků. Pacienti s RA a PO jsou ve střední aktivitě onemocnění (DAS28 3,40 ± 1,39) na rozdíl od M.I.N.I. negativních (2,79 ± 1,07, p < 0,05). Obdobný nález stran aktivity RA lze pozorovat u nemocných se současnou depresí a anxietou dle Beckových dotazníků. Tito lidé mají navíc významně nižší kvalitu života (5DEQ 0,56 ± 0,25 vs. 0,76 ± 0,17, p < 0,01 a 0,59 ± 0,07 a 0,80 ± 0,11, p < 0,001) a horší funkční schopnosti (HAQ1,68 ± 0,96 vs. 0,38 ± 0,40 a 1,28 ± 0,93 vs. 0,25 ± 0,42, obojí p < 0,0001). Závěr: Studie jako první mapuje vztah duševního zdraví u revmatoidní artritidy v České republice. Klinická data ukazují, že pacienti se současnou psychiatrickou komorbiditou Adresa pro korespondenci: MUDr. Markéta Hušáková Revmatologický ústav Praha Na Slupi 4 128 00 Praha 2 e-mail: husakova@revma.cz Autoři prohlašují, že nejsou v konfliktu zájmů. Do redakce doručeno: 29. 1. 2025 Práce vznikla s podporou výzkumnému projektu AZV NU21-09-00297 a je součástí výzkumného záměru RÚ 00023728.
Introduction: Rheumatoid arthritis (RA) is associated with multiple comorbidities. Mental health disorders can exacerbate the impact of RA on patients’ lives. The aim of our study was to investigate the prevalence of psychiatric comorbidities and their effects on RA in a tertiary rheumatology center in the Czech Republic. Methods: This is a cross-sectional study conducted at a tertiary center, including patients with RA with disease duration of 2–15 years, with a detailed characterization of disease activity (Disease Activity Score – DAS-28). A control group of healthy individuals was also included. Mental health was assessed using the Mini International Neuropsychiatric Interview (M.I.N.I.), the Beck Depression Inventory (BDI-II), and the Beck Anxiety Inventory (BAI). Additional questionnaires evaluated quality of life (5DEQ), functional abilities (HAQ), and sociodemographic characteristics. Results: RA patients significantly differed from controls in the presence of any psychiatric disorder (PD) in the M.I.N.I. modules (24.78% vs. 6.67%, p < 0.001), particularly major depressive episodes and suicidality. They also had a higher prevalence of depression (18.59% vs. 3.8%) and anxiety (38.93% vs. 13.08%; p < 0.0001 in both) based on self-reported questionnaires. RA patients with a positive M.I.N.I. screening had a moderate disease activity (DAS28 3.40 ± 1.39) compared to M.I.N.I.-negative patients (2.79 ± 1.07, p < 0.05). A similar pattern was observed in patients with concurrent depression and anxiety according to the Beck inventories. These individuals also had significantly lower quality of life (5DEQ 0.56 ± 0.25 vs. 0.76 ± 0.17, p < 0.01 and 0.59 ± 0.07 vs. 0.80 ± 0.11, p < 0.001) and worse functional abilities (HAQ 1.68 ± 0.96 vs. 0.38 ± 0.40 and 1.28 ± 0.93 vs. 0.25 ± 0.42; p < 0.0001 in both). Conclusion: This is the first study to examine the relationship between mental health and rheumatoid arthritis in the Czech Republic. Clinical data indicate that RA patients with concurrent psychiatric comorbidities experience higher disease activity, poorer quality of life, and reduced functional abilities.
- MeSH
- deprese diagnóza epidemiologie etiologie MeSH
- duševní zdraví * statistika a číselné údaje MeSH
- kvalita života psychologie MeSH
- lidé MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- revmatoidní artritida * diagnóza psychologie MeSH
- úzkost diagnóza epidemiologie etiologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
OBJECTIVE: Medical students usually do not meet the recommendations on the minimum level of physical activity, despite knowing the impact that physical activity has on the prevention and treatment of various diseases. Medical students are considered to be insufficiently physically active. The aim of this study is to determine the prevalence of physically active fifth-year medical students at five universities in Serbia, as well as to identify factors associated with insufficient physical activity of students. METHODS: A cross-sectional study was performed in the population of fifth-year medical students from five different universities in Serbia. The research instrument was a questionnaire specially designed based on similar research. Descriptive and analytical statistics methods were used in statistical analysis. RESULTS: The study included a total of 573 fifth-year medical students from five universities in Serbia: 311 (54.3%) Belgrade; 86 (15.0%) Kragujevac; 58 (10.1%) Nis; 66 (11.5%) Kosovska Mitrovica; 52 (9.1%) Novi Sad. Insufficient physical activity was statistically significantly associated with studying at the University of Kosovska Mitrovica (OR = 3.98, 95% CI: 1.83-8.57). There was a statistically significant difference in the frequency of anti-anxiety medications use in the last 12 months between students with sufficient and insufficient physical activity (p = 0.040) as well as in the average number of cigarettes smoked per day between students with sufficient and those with insufficient physical activity (2.82 ± 6.35 vs. 4.50 ± 8.29, p = 0.043). There was also a statistically significant difference in the average score on the Beck's depression scale between students with sufficient and students with insufficient physical activity (6.51 ± 6.59 vs. 10.03 ± 9.37, p < 0.001) and in the average score on Zung's anxiety scale (34.86 ± 8.18 vs. 38.07 ± 8.71, p = 0.003). CONCLUSION: A high percentage of medical faculty students (86.6%) are physically active. Differences in the level of physical activity were observed between students of these five universities as well as between students with different levels of physical activity.
- MeSH
- cvičení * MeSH
- dospělí MeSH
- duševní zdraví * statistika a číselné údaje MeSH
- lidé MeSH
- mladý dospělý MeSH
- prevalence MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- studenti lékařství * psychologie statistika a číselné údaje MeSH
- univerzity MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Srbsko MeSH
Introduction: The main objective of our research was to measure the impact on health of isolation and online education due to the Covid-19 pandemic, and particularly risk behaviours and mental health in adolescents with low socioeconomic status. Methods: We used an online questionnaire before (Q1) and after (Q2) the introduction of digital education, which was completed by a total of 212 Hungarian secondary school students. We measured the prevalence of risk behaviours and psychosomatic symptoms: subjective well-being, life satisfaction, self-esteem, sense of coherence, and changes in coping mechanisms among the students. Results: Stable smoking (p = 0.316), alcohol consumption habits (p = 0.573), and cannabis use (p = 0.607) did not change significantly between the two data sets. Psychosomatic symptoms (p = 0.111), life satisfaction (p = 0.727), self-esteem (p = 0.053) and sense of coherence (p = 0.602) also showed no significant change. However, there was an increase in the level of subjective well-being (p = 0.017) and in the proportion of those who used cognitive restructuring (p = 0.035) or problem-focused coping (p = 0.012) as coping mechanisms. Conclusion: Digital education had no negative impact on the health indicators of the students with low socioeconomic status. There were no significant changes in risk behaviours between the two surveys, while the students' mental health changed in a positive direction in several aspects.
- MeSH
- COVID-19 * psychologie MeSH
- distanční studium MeSH
- duševní zdraví statistika a číselné údaje MeSH
- korelace dat MeSH
- lidé MeSH
- mladiství MeSH
- nízký socioekonomický status MeSH
- průzkumy a dotazníky MeSH
- psychologie adolescentů MeSH
- psychosomatické poruchy epidemiologie etiologie MeSH
- sociální izolace * psychologie MeSH
- statistika jako téma MeSH
- zdravotně rizikové chování MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
OBJECTIVE: The EU global health priorities focus on ensuring better health and well-being for people throughout their lives as well as on reducing inequalities between countries. The COVID-19 pandemic can be understood as a set of several events that directly or indirectly affected the mental health of people around the world. The aim of this study was to identify the main groupings of co-occurrence of all keywords related to the main keywords "COVID-19" and "mental health" acquired through search in the Scopus database using the VOSviewer tool. METHODS: Descriptive study based on a bibliometric analysis of the occurrence of the keywords "COVID-19" and "mental health" in scientific articles retrieved from the Scopus database on 31 January 2023 covering period from 2020 to 2022 plus January 2023 in the field of medical research. The result was 1,625 articles extracted into a csv file and inserted into VOSviewer tool. By counting the number of co-occurrences of keywords using the VOSviewer, the final result was 1,211 keywords. Out of the 1,211 keywords 44 different keywords with the total power link strength of association with the keywords "COVID-19" and "mental health" were selected. RESULTS: The presence of high rates and power links of depression and anxiety after the pandemic situation has been confirmed by visualization of keywords in scientific articles retrieved from Scopus database. The keywords "social support", "social isolation", "perceived social support", and "dementia" inform us about potential areas of research and trigger discussion about the impact of the recent pandemic on mental health. Another warning was the occurrence of the keyword "obesity" and its association with health consequences for individuals and society. Among all countries, the United States, the United Kingdom and China contributed the most with scientific publications focusing on pandemic and mental health. CONCLUSION: The visualization of the keywords "COVID-19" and "mental health", specifically "depression" and "anxiety" create a new area for further research as well as establishing preventive measures leading to protection from mental health damage in the events of possible dangers of this type.
- MeSH
- bibliometrie * MeSH
- COVID-19 * epidemiologie psychologie MeSH
- deprese epidemiologie MeSH
- duševní zdraví * statistika a číselné údaje MeSH
- lidé MeSH
- pandemie MeSH
- SARS-CoV-2 * MeSH
- úzkost epidemiologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Background: During coronavirus disease 2019 (COVID-19) pandemic, workers in the healthcare sector are experiencing high workload, making them susceptible to psychological illness.Purpose: This study aimed to explore the influence of COVID-19 outbreak on the depressive symptoms and quality of life among health workers (HWs) in Saudi Arabia.Methods: In this cross-sectional study, the psychological impact and quality of life were assessed using Patient Health Questionnaire-9 (PHQ-9) and Quality-of-Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q). Results: A total of 151 HWs participated in the study, from which 80 participants completed the survey (response rate: 53%). Females (85.5%) were predominantly higher than males (14.5%). Minimal to mild depressive symptoms were observed in about 47%, whereas only 11.25% of health workers had severe depressive symptoms. Females had lower PHQ-9 scores compared to males. The occurrence of moderately severe to severe depression in medical HWs was more than two folds compared to non-medical workers (26.5% and 12.9%, respectively). Around 73% of HWs had a Q-LES-Q score above 50%, which indicates moderate to high quality of life. The younger participants had a lower quality of life. Similar scores of Q-LES-Q were reported in both females and males.Conclusion: Throughout the pandemics, mental status and quality of life of workers in the healthcare sector can be affected. During COVID-19 outbreak, moderately severe to severe depressive symptoms were seen in 21.3% of HWs in Saudi Arabia. Additionally, 27.5% had lower quality of life. Longitudinal studies are needed to determine variable changes over time. Recognizing the psychological impact of COVID-19 pandemic can guide policymakers to tailor interventions that support the most vulnerable workers.
- MeSH
- COVID-19 * epidemiologie psychologie MeSH
- duševní zdraví statistika a číselné údaje MeSH
- hodnotící studie jako téma MeSH
- internetové poradenství metody statistika a číselné údaje MeSH
- lidé MeSH
- poskytování zdravotní péče metody statistika a číselné údaje MeSH
- průzkumy a dotazníky statistika a číselné údaje MeSH
- psychosociální intervence * metody statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- přehledy MeSH
AIMS: The United Nations warned of COVID-19-related mental health crisis; however, it is unknown whether there is an increase in the prevalence of mental disorders as existing studies lack a reliable baseline analysis or they did not use a diagnostic measure. We aimed to analyse trends in the prevalence of mental disorders prior to and during the COVID-19 pandemic. METHODS: We analysed data from repeated cross-sectional surveys on a representative sample of non-institutionalised Czech adults (18+ years) from both November 2017 (n = 3306; 54% females) and May 2020 (n = 3021; 52% females). We used Mini International Neuropsychiatric Interview (MINI) as the main screening instrument. We calculated descriptive statistics and compared the prevalence of current mood and anxiety disorders, suicide risk and alcohol-related disorders at baseline and right after the first peak of COVID-19 when related lockdown was still in place in CZ. In addition, using logistic regression, we assessed the association between COVID-19-related worries and the presence of mental disorders. RESULTS: The prevalence of those experiencing symptoms of at least one current mental disorder rose from a baseline of 20.02 (95% CI = 18.64; 21.39) in 2017 to 29.63 (95% CI = 27.9; 31.37) in 2020 during the COVID-19 pandemic. The prevalence of both major depressive disorder (3.96, 95% CI = 3.28; 4.62 v. 11.77, 95% CI = 10.56; 12.99); and suicide risk (3.88, 95% CI = 3.21; 4.52 v. 11.88, 95% CI = 10.64; 13.07) tripled and current anxiety disorders almost doubled (7.79, 95% CI = 6.87; 8.7 v. 12.84, 95% CI = 11.6; 14.05). The prevalence of alcohol use disorders in 2020 was approximately the same as in 2017 (10.84, 95% CI = 9.78; 11.89 v. 9.88, 95% CI = 8.74; 10.98); however, there was a significant increase in weekly binge drinking behaviours (4.07% v. 6.39%). Strong worries about both, health or economic consequences of COVID-19, were associated with an increased odds of having a mental disorder (1.63, 95% CI = 1.4; 1.89 and 1.42, 95% CI = 1.23; 1.63 respectively). CONCLUSIONS: This study provides evidence matching concerns that COVID-19-related mental health problems pose a major threat to populations, particularly considering the barriers in service provision posed during lockdown. This finding emphasises an urgent need to scale up mental health promotion and prevention globally.
- MeSH
- Betacoronavirus MeSH
- COVID-19 MeSH
- depresivní porucha unipolární epidemiologie etiologie MeSH
- dospělí MeSH
- duševní poruchy epidemiologie etiologie MeSH
- duševní zdraví statistika a číselné údaje MeSH
- koronavirové infekce epidemiologie psychologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- pandemie MeSH
- poruchy nálady epidemiologie etiologie MeSH
- poruchy způsobené alkoholem epidemiologie etiologie MeSH
- prevalence MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- psychiatrické posuzovací škály MeSH
- SARS-CoV-2 MeSH
- sebevražda statistika a číselné údaje MeSH
- úzkostné poruchy epidemiologie etiologie MeSH
- virová pneumonie epidemiologie psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
