Mental and Social Health Commons^™

Anxiety, Depression And Insomnia During Covid-19 Pandemic Among The Public In Malaysia: The Association With Knowledge, Attitude And Practice (Kap), And Social Media Addiction, Lim Kuok Quan

Student Works (2020-2029)

Background: The COVID-19 pandemic caused severe distress to the government and the public. The community had to adapt to the movement control order, impacting social interaction, employment, and schooling. The public’s knowledge, attitude, and practice (KAP) of the pandemic and possibly frequent social media usage during sudden and prolonged social isolation might affect one’s mental health. Objectives: The study measured anxiety, depression and insomnia in the participants and its association with knowledge, attitude, practice (KAP) and social media usage during the pandemic. Methods: This cross-sectional online survey study was conducted between April 2020 and June 2020. The participants were from …

A Cross Sectional Study On Resilience And Coping Strategies Among Medical Officers During The Covid-19 Pandemic And It's Association With Depression And Anxiety, Rahul Yong Wern Kean

Student Works (2020-2029)

Introduction: The mental well-being of medical officers during the Covid-19 pandemic is becoming an increasing concern. The on-going pandemic has drastically increased work demands for doctors and this resulted in high levels of stress, depression and burnout among medical officers. Objectives: This study aims to determine the patterns of resilience and coping strategies of front-line medical officers during the Covid-19 pandemic, as well as their association with depression and anxiety. Study design: This is a single center, cross sectional study on Covid-19 front-line medical officers posted in medical wards in Hospital Tuanku Ja’afar, Seremban. The instruments used were a sociodemographic …

Mental Health Disorders Among Rohigya Refugees In Malaysia, Kushilpal Kaur Satwant Singh

Student Works (2020-2029)

Mental health disorders among refugees has been recognized as a major public health issue. However, to date, there is limited evidence on the prevalence of Mental health disorders among Rohingya refugees residing in transit countries such as Malaysia. This study aimed to examine the prevalence and associated factors of Major Depressive Disorder (MDD), generalized anxiety disorder (GAD) and post-traumatic stress disorder (PTSD) among Rohingya refugees in Malaysia. Adult Rohingya refugees residing in Selangor (n= 220) were randomly selected to participate in this cross-sectional study that was conducted from June to November 2019. Perceived social support, religious orientation, and food security …

The House Of Love And The Mental Hospital: Zones Of Care And Recovery In South India, Murphy Halliburton

Publications and Research

The Movement for Global Mental Health has defined the person suffering psychopathology in low-income countries as an abused and suffering subject in need of saving by biomedical psychiatry. Based on fieldwork in Kerala, South India, carried out at psychiatric clinics and a psychosocial rehabilitation centre, this paper examines patients’ experiences of illness, the degree and quality of family support, and attributions made to the role of ‘sneham’, or love, in recovery. The role of love and family involvement may help explain the provocative finding by WHO epidemiological studies that ‘developing’ countries – and India in particular – showed better rates …

As Time Goes By: Understanding Child And Family Factors Shaping Behavioral Outcomes After Traumatic Brain Injury, Charles S Cox

Faculty, Staff and Student Publications

Objective: To model pre-injury child and family factors associated with the trajectory of internalizing and externalizing behavior problems across the first 3 years in children with pediatric traumatic brain injury (TBI) relative to children with orthopedic injuries (OI). Parent-reported emotional symptoms and conduct problems were expected to have unique and shared predictors. We hypothesized that TBI, female sex, greater pre-injury executive dysfunction, adjustment problems, lower income, and family dysfunction would be associated with less favorable outcomes.

Methods: In a prospective longitudinal cohort study, we examined the level of behavior problems at 12 months after injury and rate of change from …

Customizing Early Intervention Treatment For Psychosis In The Uthealth - Harris County Psychiatric Center, Scott D Lane

Faculty, Staff and Student Publications

High-need, high-cost patients include those with diagnosed serious mental illnesses (e.g., schizophrenia; SMI). They often delay or fail to seek treatment. If they receive treatment, care is often sought from generalist settings (e.g., primary care or emergency medicine) or is suboptimal due to the provision of limited, non-evidence-based intervention and lack of communication, integration, and coordination among providers. This results in high aggregate costs and poor outcomes. Value-based health care requires care coordination to address the medical and social needs of this population. We describe a unique early intervention program for SMI that emanates from an inpatient setting: The Early …

Recurrent Nontuberculous Mycobacterial Tenosynovitis

Faculty, Staff and Student Publications

Background: Nontuberculous mycobacteria are an uncommon pathogen for musculoskeletal infection and are difficult to treat because of delays in diagnosis, prolonged treatment requiring both antimycobacterial therapy and surgical debridement, and high rates of resistance to antimycobacterial therapy.

Case Report: We report the case of an 88-year-old male with recurrent Mycobacterium avium complex tenosynovitis despite receiving multiple courses of pharmacologic therapy and surgical debridement.

Conclusion: Nontuberculous mycobacterial musculoskeletal infections can be difficult to diagnose and equally difficult to treat. A combination of antimycobacterial therapy and surgical debridement is often required; however, the rate of treatment failure remains high, particularly with rapidly …

Prevalence And Correlates Of Sex Selling And Sex Purchasing Among Adults Seeking Treatment For Cocaine Use Disorder, Joy M Schmitz

Faculty, Staff and Student Publications

Exchange sex places individuals with cocaine use disorder (CUD) at particularly high risk for deleterious safety and health outcomes. A substance use treatment provider who is aware of a patient's exchange sex behavior is better able to provide appropriate screening, care, and/or referral to risk reduction services. However, little is known about exchange sex, especially purchasing, among treatment-seeking adults with CUD. The current study examined the prevalence and correlates of sex selling and sex purchasing among treatment-seeking men and women with CUD (