Pregnancy with Anxiety and Depression during Covid-19 Pandemic: A single Centre Study

Background: Corona-virus pandemic has become a major health problem worldwide. It evokes mental health disorders affecting the population globally, especially pregnant women and is associated with adverse maternal and fetal outcomes.The aim of the study was to assess anxiety and depression in pregnant women during the Covid-19 pandemic.Material & Methods:This was a cross-sectional study conducted at Islami Bank Central Hospital Kakrail, Dhaka, Bangladesh. Pregnant women visiting the gynae&obs outpatient department, and women who had recently delivered in the gynae ward (in the past 15 days) were included in the study and asked to fill out a questionnaire.Results:A total of 152 patients were enrolled and analyzed in this study. Out of the total, 108 (71.05%) of the patients were less than 30 years, 38 (25.00%) were between 31 and 35 years old, and only 6 (3.95%) were older than 35 years. We found that 103(67.76%) of pregnant women had developed mental health disorders during this pandemic and there is a need to reform policies for the care and counseling of pregnant women as they are particularly susceptible.Conclusions:This study examined the mental health of pregnant women during the COVID-19 pandemic. The majority of the women thought COVID-19 could affect their pregnancy. Proper screening and diagnosis would bring early treatment to the needy thus preventing complications to both the mother and the newborn.

Mental health problems among military personnel during the outbreak of coronavirus disease 2019: Cause analysis and coping strategy / 第二军医大学学报

The outbreak of coronavirus disease 2019 (COVID-2019) has greatly affected the normal production and life of the society. Mental health conditions of military personnel are very important for the maintenance of the stability of the army. Based on the previous studies, this study explored the mental health problems that may occur among first-line officers and soldiers, isolated personnel and stationed officers and soldiers, analyzed their causes, and proposed the coping strategies from the perspectives of problem solving and emotion regulation.

Study on Domestic Violence against women in Nepalese village of Terai Region

Background and Objectives: The South East Asian Region has one of the highest incidences of gender based violence in the world which deprives women from the use of their right and liberty. This study was under taken to explore the causes and consequences of domestic violence against women in Meghanath Gorhanna VDC in Mahottari district of Nepal.Material and Methods: : An explorative quantitative and qualitative research design based study was conducted from September to December 2014 in married female of ward, No. 1, 2 and 4 of Meghanath Gorhanna VDC which is located in Mahottari district of Nepal suffering from domestic violence. Sample size consisted of 20 in each ward and sum of total was 60. In-depth interviews, focused group discussion and observation were tools used for data collection.Results: The result of this study reveals that 40% of victims were between age group 20 to 29 years. Domestic violence was higher among illiterate 20(33%). 12(20%) of the women were victimized due to alcoholism of their husband followed by male honor and patriarchal social values. Similarly, majority of the respondents 47(78.3%) suffered from psychological abuse followed by physical assault. 20(33.3%) women were suffered from physical violence. 10% women were suffered from sexual abuse and harassment. The findings also suggest 23(35%) had mental health problem and 14(23 %) women were suffered from reproductive health problem.Conclusion: The study highlights that various factors such as excessive intake of alcohol, patriarchal system of the society, polygamy, sexual dissatisfaction and dowry contributes for the domestic violence in women. The adverse effects of the violence on women are physical health problem, mental health problem, reproductive health problem, chronic conditions and negative health behavior.

Evaluation of factors affecting psychological morbidity in emergency medicine practitioners / 世界急诊医学杂志（英文）

@#BACKGROUND: Assessing and evaluating mental health status can provide educational planners valuable information to predict the quality of physicians'' performance at work. These data can help physicians to practice in the most desired way. The study aimed to evaluate factors affecting psychological morbidity in Iranian emergency medicine practitioners at educational hospitals of Tehran.METHODS: In this cross sectional study 204 participants (emergency medicine residents and specialists) from educational hospitals of Tehran were recruited and their psychological morbidity was assessed by using a 28-question Goldberg General Health Questionnaire (GHQ-28). Somatization, anxiety and sleep disorders, social dysfunction and depression were evaluated among practitioners and compared to demographic and job related variables.RESULTS: Two hundreds and four participants consisting of 146 (71.6％) males and 58 (28.4％) females were evaluated. Of all participants, 55 (27％) were single and 149 (73％) were married. Most of our participants (40.2％) were between 30–35 years old. By using GHQ-28, 129 (63.2％) were recognized as normal and 75 (36.8％) suffered some mental health disorders. There was a signifi cant gender difference between normal practitioners and practitioners with disorder (P=0.02) while marital status had no significant difference (P=0.2). Only 19 (9.3％) declared having some major mental health issue in the previous month.CONCLUSION: Females encountered more mental health disorders than male (P=0.02) and the most common disorder observed was somatization (P=0.006).

Mental Health Problems in Child and Adolescent Obesity

OBJECTIVES: The purpose of this study was to investigate mental health problems in obese child and adolescent patients. We assess the frequency of mental health problems and their differences according to sex, school grade and severity of obesity. METHODS: The sample consisted of 106 children and adolescents aged 8-16 years (61 boys with mean age 10.98±2.26, 45 girls with mean age 9.74±1.96, p=.004) who were diagnosed with obesity and recruited at the Department of Pediatrics of Jeju National University Hospital. The participants completed the Korean-Child Behavior Checklist (K-CBCL), Children's Depression Inventory (CDI), Korean version of the Eating Attitude Test-26 (KEAT-26), and somatotype drawings. RESULTS: The percentage of participants having a T-score in clinical range on one or more CBCL subscale was 37.7%. The percentage of participants in the high risk group for depression (CDI score above 17) was 20.8% and that in the high risk group for eating disorder (EAT-26 score above 20) was 6%. The girls showed significantly lower CBCL T-scores in social competence (48.39±15.66 vs. 38.91±22.04, p=.011), adjustment function (49.51±17.35 vs. 40.38±22.58, p=.020) and school competence (53.34±10.47 vs. 48.22±15.11, p=.042) than the boys, but the percentages of boys and girls in clinical range were not significantly different. The middle school students showed (significantly) higher CBCL T-scores in somatic symptoms (60.86±9.44 vs. 55.74±6.76, p=.005), aggressive behavior (58.81±6.74 vs. 54.68±6.22, p=.009), total problems (59.86±9.91 vs. 54.88±9.76, p=.039) and externalizing problems (57.90±10.57 vs. 52.44±9.38, p=.022) than the elementary school students. The severe obesity group showed significantly higher CBCL T-scores in attention problems (59.18±9.45 vs. 54.15±5.34, p=.001), social problems (59.25±8.59 vs. 55.96±6.50, p=.038), delinquent behavior (58.07±6.97 vs. 54.73±6.00, p=.017) and total problems (59.21±11.65 vs. 54.67±9.03, p=.037) than the mild to moderate obesity group. CONCLUSION: Significant proportions of obese children and adolescents suffer from mental health problems. Clinicians need to pay attention to the mental health risk, especially in obese adolescents and severely obese children and adolescents.

Effect of Korean High School Students' Mental Health on Academic Achievement and School Dropout Rate

OBJECTIVES: The purpose of this study was to explore the influence of high school students' mental health on their academic achievement and school dropout rate by using longitudinal data. METHODS: For this study, 153 high schools were randomly sampled on a nationwide scale. The descriptive data was collected from a school information internet site which is organized by the Korean Ministry of Education. We used the schools' mean scores on the Adolescent Mental Health Problem-Behavior Questionnaire-II (AMPQ-II) scale which was used for estimating students' mental health in the 2013 school-based mental health screening test. The data analysis was conducted by using hierarchical regression analysis. RESULTS: The results of this study showed that the AMPQ-II scale's mean scores have significant effects on the following year's academic achievement and annual dropout rates. Especially, the AMPQ-II scale's mean scores tend to increase the school dropout rate in vocational schools. CONCLUSION: The finding of this study is that Korean high school students' mental health states significantly influence their academic achievement and school dropout rate.

A Study on Children's Mental Health of Mothers with Mental Illness / 신경정신의학

OBJECTIVES: This study aimed to identify risk factors and protective factors for the mental health problems of the children of mothers with mental illnesses. METHODS: We interviewed 136 mothers with mental illnesses, each of whom had at least one child under age 18, using a structured questionnaire to obtain sociodemographic data, clinical characteristics (diagnosis, chronicity, number of hospitalizations, symptom severity) and protective factors, such as social support and parental and marital cohesion. In addition, these mothers completed the Korean personality rating scale for their children, evaluating their children's mental health problems (behavioral, emotional, and developmental). RESULTS: High scores on measures of mental health problems in children correlated with significantly lower economic level, fewer social supports, lower marital and parental cohesion and more symptoms associated with the mother's mental illness. Using a decision tree analysis, we determined the important predictors were protective factors (parental cohesion, economic level, and social support), even though risk factors, such as mother's symptoms, were also important. CONCLUSION: This study proposes that for these children, preventive interventions that meet mothers' needs could minimize psychopathology in their children.