bluuebunny/crossref_metadata_2025_split huggingface dataset:
Burnout syndrome among health care workers in the tertiary psychiatric facility in Serbia
Authors: Terzic-Supic Z , Trajkovic G , Camagic K , Todorovic J , Djordjevic V , Stasevic-Karlicic I 
Published: October 2020

Abstract

Background
Recent studies reported there is a high prevalence of burnout syndrome in healthcare workers and particularly among mental health professionals. The aim of this study was to examine the burnout syndrome in the tertiary level psychiatric hospital and potential factors associated with it.

Methods
This study was conducted as a cross sectional study, during September 2017 in Clinic for psychiatric disorders “Dr Laza Lazarevic” Belgrade, Serbia. The study included 159 health care professionals. Instrument used consisted of section on socio-demographic characteristics, linguistically adapted Serbian versions of Maslach Burnout Inventory - General Survey (MBI-GS) with three subscales (emotional exhaustion-EE, depersonalization- DP, low personal accomplishment-PA) and Beck's Depression Inventory (BDI).

Results
The mean age of the participants was 42.46±10.2 years (the youngest participant was 20 years old, and the oldest was 65 years old). In the overall sample, almost 70% of respondents were educated nurse-technicians. The physicians had the highest values on the EE and DP scale and the lowest values on PA scale: physicians- EE scale: 24.86 ± 15.27, DP scale: 4.29 ± 5.77, PA scale: 37.19 ± 9.77 vs. nurses: EE scale: 17.70 ± 13.58, DP scale: 4.07 ± 6.15, PA scale: 32.56 ± 16.62 vs. health associates: EE scale: 15.54 ± 5.85, DP scale: 3.18 ± 3.43, PA scale: 37.00 ± 6.53. The score on EE-subscale was associated with the years of age (ß=0.310, p = 0.037) and score on Beck's depression inventory (ß=0.828, p &lt; 0.001). The score on DP scale was associated with the score on Beck depression inventory (ß=0.339, p &lt; 0.001). The score on PA scale was associated with the score on Beck depression inventory (ß=0.363, p &lt; 0.001).

Conclusions
Physicians are the category of employees in psychiatry with the highest severity of burnout syndrome at work, and the degree of development of this syndrome depends on age and degree of depression.

Key messages
Physicians are the most vulnerable to the burnout syndrome among health care workers at psychiatry. All three domains of burnout are associated with the scores on Beck depression inventory.
Dialogical research to open up new narrative patterns among young women living with severe anxiety
Authors: Cantarero Arevalo L , Fejfer Olsen S 
Published: October 2020

Abstract

Background
16,889 new cases of severe anxiety (SA) were diagnosed in Denmark in 2019. Incidence rate is highest among 16 to 24 year-old women, a population group with 64% risk of being diagnosed with SA. Experiences of stigma and shame are common among this group, affecting negatively their quality of life and opportunity to recover. The aim is 1) to gain insight into the digital narratives young women with SA share through social networking websites, and 2) to open up the possibility to develop new narrative patterns using dialogical research as a method rooted in Bakhtin (1895-1975) and further developed by Frank (2005).

Methods
Netnography of four large Facebook groups focused on anxiety was used to gain insight into the patients' narratives and to build guiding themes for the off-line dialogical interviews (DI). Biographical narrative patterns were analyzed in light of a narrative-constructivist approach. Participants were invited to sign an informed consent prior to the DI and received ample information about the project aims and their rights.

Results
8 young women diagnosed with SA participated in the off-line DI. They had experienced stress, loss, betrayal or violation against them prior to the trigger of SA. All had constructed a narrative that explained why they were suffering from SA. Patient experiences were dominated by the struggle to control intrusive thoughts and to live in a threatening world. Some felt stigmatized and tried to hide their condition from colleagues, friends and family. They had different preferences regarding healthcare needs and were active in their search for alternative ways to cope with SA.

Conclusions
Participants perceived DI as beneficial. It thus has the potential to not only explore the patient's perspective in depth, but also serve as therapy during the process of inquiry.

Key messages
Dialogical research has the potential to not only explore the patient’s perspective in depth, but also serve as therapy during the process of inquiry. Young women suffering with severe anxiety experience shame and stigma, which worsen their condiction and hinder their opportunity to recover.
Socioeconomic Inequalities in Mental Health in Mongolia
Authors: Dorjdagva J , Batbaatar E , Dorjsuren B , Kauhanen J 
Published: October 2020

Abstract

Background
Promotion of mental health and well-being is recently recognized as a health priority at the global level. In Mongolia, mental health issues have been on the rise. However, less is known on socioeconomic inequality in mental health in the country. The aim of this study is to examine socioeconomic inequality in mental health in the adult population in Mongolia.

Methods
This study analyzed the data of 30,567 adults from the Household Socio-Economic Survey, collected in 2012 by the National Statistical Office of Mongolia. Self-reported mental health was used as a health outcome variable. Socioeconomic status was measured by household income. We employed the Wagstaff's concentration index to assess the degree of socioeconomic inequality in mental health.

Results
The results show that the prevalence of self-reported mental health was 1.17% among the respondents. The adults living in urban areas suffer significantly more with mental illness compared to the adults living in rural settlements. The Wagstaff's concentration index for mental health was significantly negative (-0.243), indicating that mental health problems were concentrated among the lower-income groups. The decomposition results show that education, economic activity status and marital status were the main contributors to socioeconomic inequalities in mental health after removing age-sex related contributions.

Conclusions
Socioeconomic inequality in mental health exists in the adult population in Mongolia, which was mainly explained by the education level, employment and marital status. Prospective policies are needed to reduce socioeconomic inequality in mental health in the country.

Key messages
Socioeconomic inequality in mental health exists in Mongolia. It calls for further policy actions.
The emotional impact of medical error on Portuguese medical residents - An exploratory study
Authors: Mota D , Moreira de Sousa A , Ribeiro L 
Published: October 2020

Abstract

Background
The consequences of the medical error on patients are unquestionable. However, the emotional impact on the health professional that made the error is usually devastating and usually neglected. The present study aimed to study the perception and experiences in a sample of medical residents regarding the emotional impact of the medical error in a clinician.

Methods
A cross-sectional and exploratory study analyzed a sample of 264 Portuguese residents. A survey with multiple-choice questions was created, taking into account the available scientific literature on this topic. The survey was then shared online within the mailing lists and social groups of Portuguese medical residents. The responses were collected between 14th-29th February 2020. Descriptive and logistic regression analyses were carried out using R 3.6.1 and Rstudio 1.2.5033.

Results
48,1% of the residents mentioned that at a certain point in their careers, they made a medical error. 98,4% of them had indirect contact (e.g., discussions with colleagues) with scenarios where a medical error could or was made. The residents that made a medical error had mainly feelings of guilt (85,8%), anxiety (73,2%), and frustration (64.6%). 93,7% of the clinicians that made a medical error reported more caution and the implementation of preventive measures in their future practice. 16,5% of them thought about leaving the medical profession. The odds for a medical error are 2,44 higher (95% CI 1,49-4,02) in the later phase of medical residency.

Conclusions
Although international literature describes the impact of medical error on the clinician, there is no published research on this theme in Portugal. The results allowed us to explore the emotional impact of these events and underline the unmet need for psychological support for the health professional. This exploratory study may serve as support for other research studies on this matter with a more robust methodology and a bigger sample size.

Key messages
Medical error is frequent and has an emotional impact on medical residents. Need for further research in Portugal and the creation of programs for psychological support.
Impact of retirement on depression, a systematic review
Authors: Gianfredi V , Patti A , Amerio A , Fracella B , Gaetti G , Vigezzi G P , Odone A 
Published: October 2020

Abstract

Aim
Due to the improving of life conditions, life expectancy is steadily increasing, especially in developed countries. In this perspective, Governments have to face important challenges as guaranteeing the welfare state, providing pensions and long-term healthcare for an increasing number of people. To maintain the sustainability of the pension system, many developed countries are rising the proportion of elderly persons in paid employment by both extending working life through a higher official retirement age and preventing premature exit from paid employment. However, postponing the exit from work exposes workers to potential stressors for a longer period. Stress is one of the risk factors for depression, that represent one of the leading causes of burden of disease. Our aim is to retrieve evidence in order to understand the association between retirement and risk of depression.

Methods
This is a systematic literature review, conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. In January 2020, the following databases PubMed/Medline, Embase, Psycoinfo, and Cochrane were used to perform the search, using a combination of three components of keywords: depression, aging and retirement.

Results
A total of 2,203 studies were retrieved of which 782 were excluded because duplicates. Screening of 1,421 retrieved studies is in progress and data will be showed in tables and summarized in narrative form. Results are preliminary.

Conclusions
The present research intends to bridge the lack of knowledge on the association between retirement and depression, to tackle these methodological limitations of the evidence, and to contribute to the advancement of scientific knowledge on the link between work life extension and mental health. Poor mental health is a major source of disability. Improving mental health of workers remains a critical goal if future populations need to reach older age in good health and continue to work.

Key messages
Work life has been extended but low information are available regarding its impact on depression. Depression is a leading cause of burden of disease and studies aimed to reduce its incidence are extremely needed.
Factors associated with the violence and victimization in dating between high school students
Authors: Villegas Vázquez E A , Leyva Chipol J C , Valencia Almeida S I , Márquez Celedonio F G , Villegas Domínguez J E 
Published: October 2020

Abstract

Introduction
According to data from the World Health Organization (WHO), 3 out of 10 adolescents report that they suffer violence in dating. In the Mexican case, 76% of adolescents between 15 and 17 years have suffered 17% sexual and 15% physical psychological violence. In 2019, Veracruz registered in the first place of feminicide in Mexico with a rate of 3.44 per 100 thousand women

Methods
A cross-sectional, prospective, observational and analytical study was carried out from December to February 2020. Middle-high school students from the Veracruz-Boca del Río region were included, who had a dating relationship and were excluded those who did not accept to participate. The CADRI test was applied to quantify “violence committed and victimization in dating”.

Results
741 students were included. There was a prevalence of violence committed of 86.2% and victimization of 89.2%. Being a woman, having active sex life, relationships over 12 months, living in a rural area, having a history of physical, psychological and sexual violence in previous relationships, daily life and in your family were the main factors associated with the violence committed, highlighting physical violence in previous relationships (OR 7.36 95% CI 1.8-31.6) (p &lt; 0.05). With regard to victimization, the associated factors were being a woman, having a relationship greater than 12 months, having suffered physical, psychological and sexual violence in the family, daily life and previous relationships, the main one being psychological violence (OR 7.1 IC95 % 2.5-19.8) in previous relationships, as well as sexual violence in everyday life (OR 6.0 IC95% 1.4-25.1) (p &lt; 0.05.)

Conclusions
The violence generated and victimization share associated factors, the most important being women, having a history of physical, psychological and sexual violence in the family, daily life and previous relationships.

Key messages
Women suffer more aggressions at different stages of their lives, which may increase the risk to tolerate aggressions or be more aggressive or suffer mental health problems. We must study if the violence generated by women is a response to a previous aggression.
Burden of mental health disability in Kerala: A secondary time trend analysis from 2002 to 2018
Authors: Joseph J , Sankar H , Nambiar D 
Published: October 2020

Abstract
The fourth target of Sustainable Development Goal (SDG) 3 advocates for the promotion of mental health and wellbeing. The Indian state of Kerala is recognized for its gains in health and development but has substantial burden of mental health ailments. Historical analysis is vital to understand the pattern of mental health morbidity. The current study focusses on comparable estimates available from three largescale population-based surveys in India to explore trends in prevalence of mental health disorders over the years and map resources and infrastructure available for mental health care in Kerala.
We undertook a secondary analysis of national demographic surveys from 2002 to 2018 which reported information on mental health and availability of health infrastructure and human resources. Data were collated and descriptive analyses were conducted. We compared the national and state level estimates over the years to study the trend in the prevalence of mental health disability.
The prevalence of mental retardation and intellectual disability in Kerala increased from 194 per hundred thousand persons in 2002 to 300 per hundred thousand persons in 2018, two times higher to the national average. The prevalence of mental illness increased from 272 per hundred thousand people to 400 per hundred thousand people in sixteen years. The prevalence was higher among males (statistical significance was not indicated) in mental illness and mental retardation. 2018 data showed that the public sector had 0.01 hospitals and 5.53 beds per hundred thousand persons available for mental health treatment.
Results showed a substantial increase in mental health illness over the 16-year study period that has affected males and females, as well as all social classes of the state. The current health infrastructure and human resources in the public sector of the state are inadequate to meet the current burden of the problem and to ensure universal access to care for its population.

Key messages
The trend in prevalence of mental health disorders in the state is increasing across the years. There is a mismatch between the extend of the problem and resources available in public sector.
Cardiovascular health metrics and prevalence of cardiovascular disease in the Republic of Moldova
Authors: Raevschi E M , Martin B C 
Published: October 2020

Abstract

Background
Achieving and maintaining cardiovascular health of individuals has a significant impact on reducing cardiovascular disease (CVD) and mortality at the population level.

Methods
We performed a cross-sectional community survey of 2,612 adult respondents in the Republic of Moldova. The American Heart Association cardiovascular health metrics score was used in total and by its two components: (1) health factors (blood pressure, total cholesterol, glucose, body mass index); (2) health behaviors (nonsmoking, physical activity, healthy diet score). The prevalence of CVD was identified as the main outcome measure.

Results
The prevalence of CVD was lower in study participants having all 7 cardiovascular health metrics (14.7%; 95% CI, 2.8% to 26.6%) compared to those with 0 to 1 cardiovascular health metrics (78.2%; 95% CI, 67.3% to 89.1%). Among participants who met all health factor metrics, the prevalence of CVD was lower (15.1%; 95% CI, 5.5% to 24.7%) compared to those with 0 to 1 health factor metrics (72.5 %; 95% CI, 69.9% to 75.0%). Study respondents who engaged in all health behaviors and those who engaged in 0 to 1 health behaviors had a similarly high prevalence of CVD (60.1%; 95% CI, 57.4% to 62.8% and 60.4%; 95% CI, 55.3% to 65.4%, respectively).

Conclusions
Lower prevalence of CVD was related to a greater total score of cardiovascular health metrics and with health factor components. While those diagnosed CVD appear willing to improve their behaviors, the population at risk is not likely to engage in health behaviors to prevent the onset of CVD.

Key messages
Increasing individual’s responsibility in addressing their own health implies improvement of community health. Strategies for health promotion should focus more on an individual’s motivation to assume personal responsibility for behaviors affecting their health.
Social inequalities in multimorbidity among European population
Authors: Alvarez-Galvez J , Suarez-Lledo V , Almenara-Barrios J , O'Ferral-Gonzalez C , Lagares-Franco C , Gonzalez-Caballero J L 
Published: October 2020

Abstract

Background
Life expectancy has increased dramatically in all regions of the world over the last years. The average life expectancy in Western Europe was 79 years for males and 84 years for females in 2018. Consequently, the number of people suffering (or at risk of) long-term conditions, such as diabetes, heart disease, musculoskeletal disorders, mental health conditions, or cancer is also rising rapidly. Multimorbidity can be defined as the presence of two or more chronic medical conditions in an individual and is one of the main challenges facing governments and healthcare systems around the world. This health condition is associated with a lower quality of life, increased disability, functional decline, higher healthcare utilisation and fragmentation of care, complex treatment, and higher mortality. This study is aimed to identify the underlying determinants of social inequalities in multimorbidity.

Methods
We used latent class analysis to identify multimorbidity subgroups with interdependent disease patterns using the European Social Survey. The statistical model was based on 13 chronic diseases: heart problem, high blood pressure, breathing problems, allergies, back or neck pain, muscular or joint pain in hand or arm, muscular pain in foot or leg, stomach or digestion related, skin condition, severe headaches, diabetes, cancer, and obesity.

Results
Specific multimorbidity classes with singular disease patterns were identified among different socioeconomic groups the in the latent class analysis. The study showed that some disease combinations were more prevalent between different socioeconomic groups and countries. In particular, musculoskeletal diseases and cardiovascular diseases were found to be the most prevalent multimorbidity classes in Europe.

Conclusions
These findings suggests that tailored public health strategies are needed to address social inequalities in multimorbidity.

Key messages
Multimorbidity patterns present a different distribution depending on socioeconomic characteristics of population. Tailored public health strategies are needed to address social inequalities in multimorbidity.
Economic impact of cervical cancer premature mortality in Brazil 2001-2030: a human capital approach
Authors: De M , Cancela Camargo , Borges L , de Souza Lopes , Leite Martins L F , Correa Schilithz A , Bezerra de Souza D L , Hanly P , Barchuk A , Soerjomataram I , Sharp L , Pearce A 
Published: October 2020

Abstract

Background
Cervical cancer is a preventable disease, vaccination and screening for precursor lesions are effective primary prevention measures. Some developed countries aim to eradicate it in the near future. In Brazil, there is still a need for progress in cervical cancer control. Using the human capital approach, we estimate how much cervical cancer-related premature mortality indirectly impacts the economy through productivity loss. Given the diversity of sociodemographic profiles in Brazil, we estimated lost productivity due to cervical cancer by regions, providing evidence for local decision-makers.

Methods
Data of all cancers deaths among working-age women (15-64 years) occurring between 2001 and 2015 were extracted from the National Mortality System, by region and age-group. Data on life expectancy, workforce participation, unemployment and wages were obtained from the Brazilian National Institute of Geographics and Statistics. NordPred package by software R was used to calculate predictions to 2030. Loss of productivity was calculated as the value of time between death and potential retirement age, adjusted for unemployment and participation rates.

Results
Nationally, 76,617 premature cervical deaths occurred between 2001 and 2015, and 90,437 deaths are predicted for 2016-2030, corresponding to an observed cost of US$2,260,623 (thousands) and a predicted cost of US$4,939,561 (thousands). The impact of cervical-cancer related productivity varied by region. In the affluent South and Southeast regions, 14% and 11.5% of the loss related to cancer premature mortality will be due to cervical cancer (2016-2030) while in the North and Northeast, it will be responsible for 26.8% and 17.5% of the loss, respectively.

Conclusions
If the situation in Brazil remains the same, the economic impact of cervical cancer deaths among working-age women will remain critical. It is urgent to reinforce primary prevention measures, especially in the North and Northeast regions.

Key messages
The number of cervical cancer deaths among working-age women in Brazil is predicted to increase until 2030. It is urgent to reinforce cervical cancer primary prevention measures, especially in the North and Northeast regions.