Journal articles on the topic 'Psychological distress /K6'
To see the other types of publications on this topic, follow the link: Psychological distress /K6.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Psychological distress /K6.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Sunderland, Matthew, Megan J. Hobbs, Tracy M. Anderson, and Gavin Andrews. "Psychological distress across the lifespan: examining age-related item bias in the Kessler 6 Psychological Distress Scale." International Psychogeriatrics 24, no. 2 (September 21, 2011): 231–42. http://dx.doi.org/10.1017/s1041610211001852.
Full textAbstract:
ABSTRACTBackground: Old age respondents may differ systemically in their responses to measures of psychological distress over and above their actual latent distress levels when compared to younger respondents. The current study aimed to investigate the potential for age-related bias(es) in the Kessler 6 Psychological Distress Scale (K6) items.Methods: Data from the 2007 Australian National Survey of Mental Health and Wellbeing were analyzed using Item Response Theory to detect the presence of item bias in each of the K6 items. The potential for item bias was assessed by systematically comparing respondents classed as young (16–34 years), middle aged (35–64 years), and old aged (65–85 years). The significance and magnitude of the item bias between the age groups was assessed using the log-likelihood ratio method of differential item functioning.Results: After statistical adjustment, there were no biases of significant magnitude influencing the endorsement of K6 items between young and middle-aged respondents or between middle-aged and old age respondents. There was a bias of significant magnitude present in the endorsement of the K6 item addressing levels of fatigue between young and old age respondents.Conclusions: Despite the identification of significant item bias in the endorsement of K6 items between the age groups, the magnitude and influence of the bias on total K6 scores is likely to have little influence on the overall interpretation of group data when comparing psychological distress across the lifespan. Researchers should be cautious, however, when examining individual levels of fatigue related to psychological distress in older individuals.
2
Caceres, Nenette A., Qais Alemi, Larry Ortiz, and Carl Stempel. "ETHNIC DIFFERENCES IN THE RELATIONSHIP BETWEEN SOCIAL CAPITAL AND PSYCHOLOGICAL DISTRESS IN OLDER CALIFORNIANS." Innovation in Aging 3, Supplement_1 (November 2019): S839—S840. http://dx.doi.org/10.1093/geroni/igz038.3092.
Full textAbstract:
Abstract Seniors aged 65 and older are at great risk of psychological distress given their functional decline, which is known to limit participation and engagement in community life. The purpose of this study is to examine whether higher indices of social capital have a positive impact on the mental health of older, ethnic Californians. We conducted a secondary analysis of data for 7,485 Californians 65 and older from the 2016 California Health Interview Survey (CHIS). A principal components analysis generated two social capital measures; one measuring safety and social cohesion, the other civic engagement. Hierarchical linear regression analyses were conducted to assess the independent effects of social capital subscales on the severity of psychological distress as measured by the Kessler-6 (K6).Respondents were on average moderately distressed, with small yet significantly higher K6 scores observed among African Americans, Asians, and Native Americans. The addition of our social capital variables in subsequent steps resulted in little yet significant change in explaining psychological distress (ΔR2 = .02, p < .001) with only neighborhood safety and social cohesion being inversely associated with K6 (β = -.15, p < .001). The interaction between ethnicity and neighborhood safety and social cohesion resulted in non-significant associations with K6 scores for all ethnic minority subgroups; however, for African Americans the relationship with psychological distress actually increased significantly (β = .24, p < .001). Our findings suggest that specific types of social capital may be helpful in remediating psychological distress for certain ethnic minority groups.
3
Owari, Yutaka. "Relationship between Psychological Distress and Prolonged Sedentary Bouts in the Elderly: Four Period Analysis." Healthcare 9, no. 6 (June 4, 2021): 676. http://dx.doi.org/10.3390/healthcare9060676.
Full textAbstract:
Background: Too much sitting is associated with low mental health in elderly individuals. We clarified the relationship between psychological distress and the rate of prolonged sedentary bouts (PSBs) among the elderly over four periods. Methods: In a secondary analysis, a sample population of 68 adults aged 65 years or older in Japan was used. The following proxy variables were used: PSB (mental health) and the Kessler 6 scale; K6 scores (psychological distress). Results: Using the cross-lagged effects models, from “2016 K6” to “2017 PSB” (p = 0.004), from “2017 K6” to “2018 PSB” (p < 0.001), and from “2018 K6” to “2019 PSB” (p = 0.021) were all significant; however, the reverse were not all significant in one period. In four periods, from “2016 PSB” to “2019 K6” (p = 0.025) was significant; however, the reverse was not significant. Fit indices were obtained: χ2 = 7.641 (p = 0.182), goodness of fit index (GFI) = 0.891, comparative fit index (CFI) = 0.901, and root mean square error of approximation (RMSEA) = 0.121 in structural equation modelling. Conclusions: Psychological distress may affect the rate of PSB after one year, and the rate of PSB may affect the rate of psychological distress after three years in elderly individuals.
4
Khan, Asaduzzaman, Riaz Uddin, Naznin Alam, Shuhana Sultana, Mahbub-Ul Alam, and Rushdiá Ahmed. "Psychometric properties of the Bangla version of the Kessler Psychological Distress Scale (K6)." Global Psychiatry 2, no. 2 (September 4, 2019): 183–94. http://dx.doi.org/10.2478/gp-2019-0016.
Full textAbstract:
AbstractObjectiveThe 6 item Kessler Psychological Distress Scale (K6) is a screening tool for psychological distress with robust psychometric properties; however, information is lacking on such properties of the scale on its Bangla version. The aim of this study was to evaluate the psychometric properties of the Bangla version of the K6 scale in young people.MethodA self-administered questionnaire survey was conducted between August 2017 and April 2018 among 718 students aged 13-24 years (45% females) from Dhaka, Bangladesh. Psychological distress was assessed using the Bangla K6. The survey was repeated in a week. Statistical software AMOS 25 and Stata SE 14 were used to conduct the analyses.ResultsThe Bangla K6 scale demonstrated an acceptable internal consistency with high Cronbach alpha. Principal component analysis confirmed a single-factor structure of the scale. Confirmatory factor analysis supported the one-factor structure of the scale with adequate fit to the survey data. Test-retest reliability was acceptable with good reliability coefficients. Receiver operating characteristic analyses showed good prediction of depressive symptoms by the Bangla K6 scores.DiscussionThis study provides an initial support for the Bangla K6 scale as an acceptable instrument to assess psychological distress of Bangla-speaking young people. More research is needed to understand our ability to identify vulnerable individuals, whose native language is Bangla and who are in need of mental health support.
5
Shongwe, Mduduzi Colani, and Song-Lih Huang. "Suicidal Ideation and Predictors of Psychological Distress during the COVID-19 Pandemic in Eswatini: A Population-Based Household Telephone Survey." International Journal of Environmental Research and Public Health 18, no. 13 (June 22, 2021): 6700. http://dx.doi.org/10.3390/ijerph18136700.
Full textAbstract:
The unpredictability of the COVID-19 pandemic can induce psychological distress in individuals. We investigated perceived stressors, prevalence of psychological distress and suicidal ideation, and predictors of psychological distress among adults during the COVID-19 pandemic in Eswatini. This study was a cross-sectional, population-based household telephone survey of 993 conveniently sampled adults (18+ years) from all the four administrative regions of Eswatini. Data were collected between 9 June and 18 July 2020 during the first wave of the COVID-19 pandemic, when the country was under a partial lockdown. COVID-19-related psychological distress was assessed using the Kessler 6-item Psychological Distress Scale (K6). We performed weighted modified Poisson regression analyses to identify significant predictors of moderate/severe psychological distress (K6 scores: ≥5). The weighted prevalences of moderate (K6 scores: 5–12) and severe psychological distress (K6 scores: ≥13) were 41.7% and 5.4%, respectively. Participants reported several perceived COVID-19-related stressors, including worries and fears of the contagion-specific death, serious need for food and money, and concerns about loss of income or business. The weighted prevalence of suicidal ideation was 1.5%. Statistically significant predictors of increased risk for moderate/severe psychological distress included living in the Hhohho and Manzini regions; feeling not well informed about COVID-19; feeling lonely; having received COVID-19 food or financial relief from the government; feeling burdened by the lockdown; being married; and being youth (18–24 years). The results call for the government to urgently augment the provision of mental health services during the pandemic. Mental health practitioners and programs may use several stressors and risk factors identified in this study to inform interventions and government policies aimed at reducing psychological distress induced by the pandemic.
6
Yamamoto, Tetsuya, Chigusa Uchiumi, Naho Suzuki, Junichiro Yoshimoto, and Eric Murillo-Rodriguez. "The Psychological Impact of ‘Mild Lockdown’ in Japan during the COVID-19 Pandemic: A Nationwide Survey under a Declared State of Emergency." International Journal of Environmental Research and Public Health 17, no. 24 (December 15, 2020): 9382. http://dx.doi.org/10.3390/ijerph17249382.
Full textAbstract:
This study examined the psychological distress caused by non-coercive lockdown (mild lockdown) in Japan. An online survey was conducted with 11,333 people (52.4% females; mean age = 46.3 ± 14.6 years, range = 18–89 years) during the mild lockdown in the seven prefectures most affected by COVID-19 infection. Over one-third (36.6%) of participants experienced mild-to-moderate psychological distress (Kessler Psychological Distress Scale [K6] score 5–12), while 11.5% reported serious psychological distress (K6 score ≥ 13). The estimated prevalence of depression (Patient Health Questionnaire-9 score ≥ 10) was 17.9%. Regarding the distribution of K6 scores, the proportion of those with psychological distress in this study was significantly higher when compared with the previous national survey data from 2010, 2013, 2016, and 2019. Healthcare workers, those with a history of treatment for mental illness, and younger participants (aged 18–19 or 20–39 years) showed particularly high levels of psychological distress. Psychological distress severity was influenced by specific interactional structures of risk factors: high loneliness, poor interpersonal relationships, COVID-19-related sleeplessness and anxiety, deterioration of household economy, and work and academic difficulties. Even when non-coercive lockdowns are implemented, people’s mental health should be considered, and policies to prevent mental health deterioration are needed. Cross-disciplinary public–private sector efforts tailored to each individual’s problem structure are important to address the mental health issues arising from lockdown.
7
Goodwin, Robin, Masahito Takahashi, Shaojing Sun, and Menachem Ben-Ezra. "Psychological distress among tsunami refugees from the Great East Japan earthquake." BJPsych Open 1, no. 1 (June 2015): 92–97. http://dx.doi.org/10.1192/bjpo.bp.115.000422.
Full textAbstract:
BackgroundThe 2011 Great Japan tsunami and nuclear leaks displaced 300 000 people, but there are no large studies of psychological distress suffered by these refugees.AimsTo provide a first assessment of major factors associated with distress and dysfunctional behaviour following the disasters.MethodAll refugee families living in Miyagi were sent a questionnaire 10–12 months after the disasters. 21 981 participants (73%) returned questionnaires. Questions assessed psychological distress (Kessler Psychological Distress Scale, K6), dysfunctional behaviours, demographics, event exposure, change in physical activity, household visitors and emotional support.ResultsNine percent scored 13+ on the K6 indicating risk of severe mental illness. Psychological distress was greater among Fukushima refugees. Demographic variables, family loss, illness history and change in physical activity were associated with psychological distress and dysfunctional behaviours. Associations between psychological distress and dysfunction and visitors/supporters depended on relation to supporter.ConclusionsPractitioners need to recognise existing disease burden, community histories and family roles when intervening following disasters.
8
Nguyen, Long Hoang, Hai Minh Vu, Giang Thu Vu, Tung Hoang Tran, Kiet Tuan Huy Pham, Binh Thanh Nguyen, Hai Thanh Phan, et al. "Prevalence and Factors Associated with Psychological Distress among Older Adults Admitted to Hospitals After Fall Injuries in Vietnam." International Journal of Environmental Research and Public Health 16, no. 22 (November 15, 2019): 4518. http://dx.doi.org/10.3390/ijerph16224518.
Full textAbstract:
Although psychological distress is one of the major health issues among aging populations, little is known about how this challenge affects older patients after falls. A cross-sectional study was conducted in Thai Binh province, Vietnam, to explore the prevalence of psychological distress and associated factors among 405 older patients after falls. The 6-item Kessler Psychological Distress Scale (K6) was used to measure psychological distress. Socio-demographic and clinical characteristics were collected using a structured questionnaire. Multivariate Tobit and Logistic regressions were used to determine factors associated with psychological distress. The prevalence of psychological distress among participants was 26.2%. Patients who were alone or older had a higher likelihood of psychological distress. Patients with a history of falls in the past 12 months were more likely to suffer from psychological distress (OR = 2.87, 95%CI = 1.74; 4.72). Having two and three comorbidities was significantly associated with greater K6 scores and a higher risk of psychological distress. This study underlined a significantly high prevalence of psychological distress among older patients after falls. Providing frequent mental health monitoring, screening, treatment, and facilitating social engagements are important implications to improve the mental health of this population.
9
Sullivan, Philip, Mishka Blacker, Jessica Murphy, and John Cairney. "Levels of Psychological Distress of Canadian University Student-Athletes." Canadian Journal of Higher Education 49, no. 1 (April 21, 2019): 47–59. http://dx.doi.org/10.47678/cjhe.v49i1.188192.
Full textAbstract:
The mental health of Canadian university students is fairly well researched, but there is relatively little evidence concerning the mental health of Canadian university student-athletes. Recent research in the United States and Canada has suggested that mental health (e.g., anxiety and depression) differs between student-athletes and student non-athletes. However, the results are ambivalent as to whether student-athletes experience more or less psychological distress than their non-athlete peers. To address this gap, the purpose of the current study was to measure the levels of psychological distress in a national sample of 284 university student-athletes. Each athlete completed the Kessler Psychological Distress Scale (K6; Kessler et al., 2002) via a secure online platform. The average score on the K6 for student-athletes was 8.2 out of 24; 19.8% of the sample surpassed the cut-off for assessing the prevalence of severe mental illness. A regression analysis found that gender, starting status, and scholarship status significantly predicted levels of psychological distress. Females, non-starters, and student-athletes without a scholarship were associated with increases in K6 scores.
10
Tomata, Yasutake, Takashi Watanabe, Fumiya Tanji, Shu Zhang, Yumi Sugawara, and Ichiro Tsuji. "The Impact of Psychological Distress on Incident Functional Disability in Elderly Japanese: The Ohsaki Cohort 2006 Study." International Journal of Environmental Research and Public Health 15, no. 11 (November 8, 2018): 2502. http://dx.doi.org/10.3390/ijerph15112502.
Full textAbstract:
Background: Although psychological distress is known to be a risk factor for death, there are relatively few data on the impact of psychological distress on incident functional disability in older adults. The aim of this study was to examine the impact of psychological distress on incident functional disability in older adults. Methods: We conducted a cohort study of 12,365 disability-free individuals aged ≥65 years who live in Ohsaki City, Japan. In 2006, the level of psychological distress was assessed using the K6 (range: 0–24 points). Data on 10-year functional disability were retrieved from the public Long-term Care Insurance database. The multivariate-adjusted hazard ratios (HRs) and population attributable fractions (PAFs) according to the K6 groups (<5, 5–9, 10–12, and ≥13 points) were estimated. Results: Among 94,636 person-years, incident functional disability occurred in 4533 persons (36.7%). Significantly higher risk was observed in higher K6 score groups. The multiple-adjusted HRs (95% CIs) of incident functional disability were 1.14 (1.06–1.22) for 5–9 points, 1.28 (1.15–1.43) for 10–12 points, and 1.62 (1.44–1.84) for ≥13 points, in comparison with <5 points (p-trend < 0.001). The PAFs in each of the K6 score groups were 3.0% for 5–9 points, 1.7% for 10–12 points, and 2.6% for ≥13 points. Conclusions: Even when mild to moderate, psychological distress had a considerable impact on incident functional disability in this cohort.
11
Shikimoto, Ryo, Mitsuhiro Sado, Akira Ninomiya, Kimio Yoshimura, Baku Ikeda, Toshiaki Baba, and Masaru Mimura. "Predictive factors associated with psychological distress of caregivers of people with dementia in Japan: a cross-sectional study." International Psychogeriatrics 30, no. 8 (November 10, 2017): 1089–98. http://dx.doi.org/10.1017/s1041610217002289.
Full textAbstract:
ABSTRACTBackground:Caregivers of people with dementia are likely to have psychological distress that sometimes results in mental health problems, such as depression. The objective of this study was to examine some predictive factors that are thought to be associated with psychological distress of caregivers of people with dementia in Japan.Methods:Design: A cross-sectional study. Sample: As part of a study to estimate the cost of dementia in Japan, 1,437 people with dementia-caregiver dyads were enrolled in the current informal care time study. The measurements in the study included were the basic characteristics of the caregivers and the people with dementia, and the informal care time during a week.Analysis:Factors that predict caregivers’ psychological distress, which was measured by Kessler's Psychological Distress scale (K6) score, were evaluated using univariate and multivariate regression analyses.Results:Approximately 69% of the caregivers recorded a K6 score higher than 4, while 18% scored higher than 12. According to the results of the logistic regression analysis (cut-off 4/5), the K6 score was associated with mental and comorbid diseases of people with dementia, informal care time, its lower number of caregivers, and the level of nursing care. According to the results of logistic regression analysis (cut-off 12/13), the K6 score was associated with mental symptoms and comorbid disease of people with dementia, sex of caregivers, informal care time, and its lower number of caregivers.Conclusion:Our findings indicated that the psychological distress of the caregivers is quite high and that informal care time and behavioral and psychological symptoms of dementia are associated with it. These results corroborate with previous findings.
12
Yamamoto, Suzuki, Owari, and Miyatake. "Relationships between Physical Activity, Sleeping Time, and Psychological Distress in Community-Dwelling Elderly Japanese." Medicina 55, no. 7 (June 27, 2019): 318. http://dx.doi.org/10.3390/medicina55070318.
Full textAbstract:
Background and objectives: It is well-known that lifestyle is closely associated with psychological distress in many elderly subjects. However, the effect of intervention with physical activity and/or sleeping on psychological distress has not been fully discussed. The purpose of this cross-sectional study was to investigate the relationships between physical activity, sleeping time, and psychological distress in community-dwelling elderly Japanese subjects. Materials and Methods: A total of 108 elderly Japanese (31 men and 77 women) subjects were enrolled in this cross-sectional study. Psychological distress was evaluated using the K6 questionnaire. Physical activity, including sedentary behavior, was measured using a tri-accelerometer. Sleeping time was evaluated using a self-reported questionnaire. Results: The median of the K6 scores was 1.0 (0–18), and the sedentary behavior (%) and walking time (minutes/day) were 57.2 ± 10.7 and 80.7 (17.9–222.4), respectively. Sleeping time was negatively correlated with psychological distress. In addition, multiple linear regression showed that walking time and sleeping time were important factors for psychological distress, even after adjusting for confounding factors. Conclusions: These results suggest that increased walking time and sleeping time may be beneficial for reducing psychological distress in community-dwelling elderly Japanese subjects.
13
Bessaha, Melissa L. "Factor Structure of the Kessler Psychological Distress Scale (K6) Among Emerging Adults." Research on Social Work Practice 27, no. 5 (July 6, 2015): 616–24. http://dx.doi.org/10.1177/1049731515594425.
Full textAbstract:
Objective: Confirmatory factor analysis was used to assess the factor structure of the 6-item version of the Kessler Psychological Distress Scale (K6). Methods: A subsample of emerging adults, aged 18–29 ( n = 20,699), from the 2013 National Survey of Drug Use and Health were used in this study. Results: Each of the models (one-factor, two-factor depression and anxiety and second-order two-factor psychological distress by depression and anxiety) demonstrated good fit, with significant loadings on each factor. The second-order two-factor model and the two-factor model were equivalent and a better fit than the one-factor model. Conclusions: Findings suggest that researchers and practitioners may confidently use the K6 to screen for psychological distress symptoms within the emerging adult population.
14
Nagasu, Miwako, Kaori Muto, and Isamu Yamamoto. "Impacts of anxiety and socioeconomic factors on mental health in the early phases of the COVID-19 pandemic in the general population in Japan: A web-based survey." PLOS ONE 16, no. 3 (March 17, 2021): e0247705. http://dx.doi.org/10.1371/journal.pone.0247705.
Full textAbstract:
Owing to the rapid spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic worldwide, individuals experience considerable psychological distress daily. The present study aimed to clarify the prevalence of psychological distress and determine the population most affected by risk factors such as the pandemic, socioeconomic status (SES), and lifestyle-related factors causing psychological distress in the early phases of the pandemic in Japan. This study was conducted via a web-based survey using quota sampling to ensure representativeness of the Japanese population aged 20–64 years. A cross-sectional study of 11,342 participants (5,734 males and 5,608 females) was conducted using a self-administered questionnaire that included the Japanese version of the Kessler 6 Psychological Distress Scale (K6) and questions related to the pandemic, SES, and lifestyle. The prevalence of psychological distress, represented by a K6 score of 5 or more, was 50.3% among males and 52.6% among females. Both males and females with annual household incomes less than 2 million yen and males aged in their twenties had significantly higher K6 scores than those with annual household incomes above 2 million yen and males aged over 30 years. Binary logistic regression analyses found pandemic-related factors such as medical history, inability to undergo clinical tests immediately, having trouble in daily life, unavailability of groceries, new work style, and vague anxiety; SES-related factors such as lesser income; and lifestyle-related factors such as insufficient rest, sleep, and nutritious meals to be significantly related to psychological distress. Psychological distress was more prevalent among people with low income and in younger generations than among other groups. There is an urgent need to provide financial, medical, and social support to those affected by the coronavirus disease 2019 (COVID-19) pandemic.
15
Fushimi, Masahito. "The Relationship between Individual Personality Traits (Internality-Externality) and Psychological Distress in Employees in Japan." Depression Research and Treatment 2011 (2011): 1–6. http://dx.doi.org/10.1155/2011/731307.
Full textAbstract:
This study examines the relationship between the internality-externality (I-E) scale as an indicator of coping styles and the Kessler 6 (K6) scale as an indicator of psychological distress and analyzes the effects of sociodemographic and employment-related factors on this relationship. Employees from Akita prefecture in Japan were invited to complete self-administered questionnaires. A uniform pattern of findings emerged in the relationship between the two scales as follows: all the significant correlations were negative, that is, as the I-E score increased, the K6 score decreased. Furthermore, significant effects were observed for the I-E scale regarding sex, age, education, employee type, and employment status and the K6 scale with multiple regression analyses. Among these, the effect of the K6 scale was significant for the I-E scale in both males and females. The results of this study may help improve mental health clinicians' understanding of psychological distress in employees.
16
Schmitz, Norbert, Alain Lesage, and JianLi Wang. "Should Psychological Distress Screening in the Community Account for Self-Perceived Health Status?" Canadian Journal of Psychiatry 54, no. 8 (August 2009): 526–33. http://dx.doi.org/10.1177/070674370905400805.
Full textAbstract:
Objective: Psychological distress questionnaires are often used as screening instruments for mental disorders in clinical and epidemiologic settings. Poor physical health may affect the screening properties of a questionnaire. We evaluate the effect of self-perceived health status on the screening performance of the Kessler K10 and K6 scales in a community sample. Methods: We used data from the Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). Psychological distress was measured by the 6–item (K6) and the 10–item (K10) Kessler instrument. Depression and anxiety disorders were assessed using the World Mental Health Composite International Diagnostic Interview (1–month estimates). Optimal cut-off points regarding health status were determined by finding the K6 and K10 values that allowed for the best balance between sensitivity and specificity. Stratum-specific likelihood ratios (SSLRs) were computed to define strata with discriminating power. Results: There was a strong association between the screening performance of the K6 and K10 scales and self-perceived health status: for the K10 scale, a cut-off point of 5/6 yielded the best balance between sensitivity and specificity for subjects with excellent or very good health status, while a cut-off point of 14/15 yielded the best balance between sensitivity and specificity for subjects with poor health status. Conclusions: The combination of the K6 and K10 scales, with a self-rated health status item, may improve screening properties of the 2 scales.
17
Tyler, Jessica, Janine Lam, Katrina Scurrah, and Gillian Dite. "The Association Between Chronic Disease and Psychological Distress: An Australian Twin Study." Twin Research and Human Genetics 23, no. 6 (December 2020): 322–29. http://dx.doi.org/10.1017/thg.2020.86.
Full textAbstract:
AbstractThere is a commonly observed association between chronic disease and psychological distress, but many potential factors could confound this association. This study investigated the association using a powerful twin study design that can control for unmeasured confounders that are shared between twins, including genetic and environmental factors. We used twin-paired cross-sectional data from the Adult Health and Lifestyle Questionnaire collected by Twins Research Australia from 2014 to 2017. Linear regression models fitted using maximum likelihood estimations (MLE) were used to test the association between self-reported chronic disease status and psychological distress, measured by the Kessler Psychological Distress Scale (K6). When comparing between twin pairs, having any chronic disease was associated with a 1.29 increase in K6 (95% CI: 0.91, 1.66; p < .001). When comparing twins within a pair, having any chronic disease was associated with a 0.36 increase in K6 (95% CI: 0.002, 0.71; p = .049). This within-pair estimate is of most interest as comparing twins within a pair naturally controls for shared factors such as genes, age and shared lived experiences. Whereas the between-pair estimate does not. The weaker effect found within pairs tells us that genetic and environmental factors shared between twins confounds the relationship between chronic disease and psychological distress. This suggests that associations found in unrelated samples may show exaggerated estimates.
18
Inoue, Mariko, and Kazue Yamaoka. "Social Factors Associated With Psychological Distress and Health Problems Among Elderly Members of a Disaster-Affected Population: Subgroup Analysis of a 1-Year Post-disaster Survey in Ishinomaki Area, Japan." Disaster Medicine and Public Health Preparedness 11, no. 1 (November 15, 2016): 64–71. http://dx.doi.org/10.1017/dmp.2016.147.
Full textAbstract:
AbstractObjectiveWe aimed to investigate the influence of social factors, especially social support, on psychological distress and the prevalence of health problems (HPs) among victims living in their homes 14 to 21 months after the Great East Japan Earthquake and tsunami.MethodsA subgroup analysis was performed for elderly participants of a cross-sectional household survey in Ishinomaki area, Japan. The prevalence of psychological HPs was assessed by using a psychological distress questionnaire (K6) and by recording the number of subjective HPs. Perceived social support was assessed in 3 dimensions: informational, emotional, and instrumental support. Univariate and multivariate logistic regression models were used to examine the association between social factors and psychological health.ResultsAn elderly subgroup with 879 participants was used for analyses. Psychological distress (K6 score≥9) was observed in 6.8% of the participants aged 65 to 74 years and in 8.0% of those aged ≥75 years. Receiving a long-term care service was associated with having HPs, and discontinuation of attendance at a hospital as an outpatient was associated with psychological distress. Receiving emotional support was associated with lower psychological distress and not having HPs.ConclusionsEmotional support was found to be an important factor for promoting health among elderly disaster victims. (Disaster Med Public Health Preparedness. 2017;11:64–71)
19
Hoang, Chi Linh, Hai Minh Vu, Hai Quang Pham, Huong Lan Thi Nguyen, Linh Gia Vu, Bach Xuan Tran, Carl A. Latkin, Roger C. M. Ho, and Cyrus S. H. Ho. "Psychological Distress of Patients Experiencing Different Types of Road Traffic Injuries in Vietnam." International Journal of Environmental Research and Public Health 17, no. 10 (May 14, 2020): 3429. http://dx.doi.org/10.3390/ijerph17103429.
Full textAbstract:
Road-related injuries are often catastrophic, and the eighth leading cause of all-aged mortality. While psychological problems, including anxiety, driving phobia, and post-traumatic stress have been found to be common among injured survivors, the literature in this area is still limited. This study aimed to evaluate the prevalence of distress between different types of road injuries among 413 patients in Thai Binh hospitals from October to December 2018. The Kessler Psychological Distress Scale (K6) was used to assess mental health status. Sociodemographic and clinical characteristics were also collected. The results of Multiple Logistic and Tobit regression models were utilized. Psychological issues were found in 13.8% of the participants. In terms of K6 profile, nervous, restless/fidgety, and “everything was an effort” were the three most frequently endorsed aspects. Having soft-tissue injuries had a 0.32-time lower likelihood of psychological distress compared to those having other injuries. Additionally, patients who were diagnosed with fractures were 4.5-times more likely to report psychological distress. Our finding highlights the need for psychological screening to reduce disabilities associated with non-fatal injury related to road traffic crashes.
20
Owari, Yutaka, and Nobuyuki Miyatake. "Relationship between Psychological Distress and Continuous Sedentary Behavior in Healthy Older Adults." Medicina 55, no. 7 (June 30, 2019): 324. http://dx.doi.org/10.3390/medicina55070324.
Full textAbstract:
Background: Our purpose is to clarify whether psychological distress (PD) affects the rate of continuous sedentary behavior (CSB). Materials and Methods: In this secondary analysis, a sample population of 80 healthy older adults aged 65 years or older participated in a health club of college A from 2016 to 2017. We conducted Structural Equation Modeling (SEM) using the cross-lagged and synchronous effects models. We adopted the following as proxy variables: CSB (based on the ratio of 1.5 METs sessions or more continuing for over 30 min) CSB and PD (based on the Kessler psychological distress scale: K6). Results: “2016 K6” had a significant influence on “2017 CSB” (standardization factor (β) = 0.136, p = 0.020) using the cross-lagged effects model, and “2017 K6” significantly influenced “2017 CSB” (β = 0.166, p = 0.039) using the synchronous effects model. Fit indices were Adjusted Goodness-of-Fit Index (AGFI) = 0.990, Confirmatory Fit Index (CFI) = 1.000, and Root Mean Square Error of Approximation (RMSEA) = 0.000. Conclusion: The results suggest that PD may affect the ratio of CSB one year later.
21
Shon, En-Jung. "MEASUREMENT EQUIVALENCE OF THE KESSLER 6 PSYCHOLOGICAL DISTRESS SCALE FOR OLDER ASIAN IMMIGRANT SUBGROUPS." Innovation in Aging 3, Supplement_1 (November 2019): S713. http://dx.doi.org/10.1093/geroni/igz038.2617.
Full textAbstract:
Abstract The Kessler 6 (K6) Psychological Distress Scale is a well-known screening instrument to screen for psychological distress of general population. While some studies (e.g., Mitchell & Beals, 2011) concluded that the K6 was appropriate for capturing psychological distress of diverse racial/ethnic groups, other studies (e.g., Andersen et al., 2011) reported that it was less successful in screening for psychological distress of diverse racial/ethnic groups. Few studies conducted measurement equivalence test across older Asian immigrant subgroups. Using Multiple Group Analysis, this study examined whether parameters of the single factor model (items: nervous, hopeless, restless or fidgety, so depressed, everything was an effort, and worthless) is equivalent across the two Asian immigrants (≥65 years; Chinese [n=175] and Korean [n=300] immigrants). Data were generated from the California Health Interview Survey. The configural model showed good fit (X2=41.70 [df=16, p<.001], X 2/df=2.61, CFI=.98, GFI=.97, RMSEA=.06 [90% CI=.04-.08], and SRMR=.04). When all factor loadings were constrained, it indicated measurement non-invariance status between Chinese and Koran (ΔX 2=17.86, Δdf=5, p=.003, CFI=.972, ΔCFI=.009). Given findings of non-invariance on the full constrained model, the invariance test of each factor loading was performed additionally. It was focused on evaluating which items were similar or different across the two groups. The three items, ‘hopeless,’ ‘restless,’ and ‘depress,’ were significantly nonequivalent between the two groups. Clinicians/researchers should aware of the potential risk for misclassification when they try to screen for psychological distress in older Chinese or Korean immigrants. Professionals should pay attention to cross-cultural comparability when interpreting results from the K6.
22
Nakaya, Naoki, Tomohiro Nakamura, Naho Tsuchiya, Akira Narita, Ichiro Tsuji, Atsushi Hozawa, and Hiroaki Tomita. "Psychological Distress and the Risk of Withdrawing From Hypertension Treatment After an Earthquake Disaster." Disaster Medicine and Public Health Preparedness 11, no. 2 (June 23, 2016): 179–82. http://dx.doi.org/10.1017/dmp.2016.102.
Full textAbstract:
AbstractObjectiveThis study examined the association between psychological distress and the risk of withdrawing from hypertension treatment (HTTx) 1 year after the earthquake disaster in the coastal area affected by the Great East Japan Earthquake (GEJE).MethodsUsing cross-sectional data from 2012, we studied people over 20 years of age living in Shichigahama Town, Miyagi, on the northeastern coast of Japan, which had been severely inundated by the tsunami that followed the GEJE in 2011. A total of 1014 subjects were categorized as in need of HTTx. Withdrawing from HTTx was assessed by using a self-reported questionnaire.ResultsSubjects with a higher degree of psychological distress (Kessler-6 [K6] score ≥ 13) exhibited a significantly higher risk of withdrawing from HTTx, compared with subjects with a lower degree of psychological distress (K6 score ≤ 12; odds ratio=4.0; 95% confidence interval: 1.3-10.6, P<0.01).ConclusionsThis study indicated that psychological distress is a risk factor for withdrawing from HTTx in post-disaster settings. Our data suggested that the increased risk of withdrawing from HTTx associated with post-disaster psychological distress may underlie the increased prevalence of vascular diseases after the earthquake disaster in coastal areas affected by the tsunami. (Disaster Med Public Health Preparedness. 2017;11:179–182)
23
Botha, Ferdi, Peter Butterworth, and Roger Wilkins. "Evaluating How Mental Health Changed in Australia through the COVID-19 Pandemic: Findings from the ‘Taking the Pulse of the Nation’ (TTPN) Survey." International Journal of Environmental Research and Public Health 19, no. 1 (January 4, 2022): 558. http://dx.doi.org/10.3390/ijerph19010558.
Full textAbstract:
The COVID-19 pandemic has had a significant impact on mental health at the level of the population. The current study adds to the evidence base by examining how the prevalence of psychological distress changed in Australia during the pandemic. The study also assesses the psychometric properties of a new single-item measure of mental distress included in a survey program conducted regularly throughout the pandemic. Data are from 1158 respondents in wave 13 (early July 2020) of the nationally representative Taking the Pulse of the Nation (TTPN) Survey. The questionnaire included the six-item Kessler Psychological Distress Scale (K6) and a new single-item measure of distress. Results show a significant increase in the prevalence of psychological distress in Australia, from 6.3% pre-pandemic to 17.7% in early July 2020 (unadjusted odds ratio = 3.19; 95% CI (confidence interval) = 2.51 to 4.05). The new single-item measure of distress is highly correlated with the K6. This study provides a snapshot at one point in time about how mental health worsened in Australia during the COVID-19 pandemic. However, by demonstrating the accuracy of the new single-item measure of distress, this analysis also provides a basis for further research examining the trajectories and correlates of distress in Australia across the pandemic.
24
Ferro, Mark A. "The Psychometric Properties of the Kessler Psychological Distress Scale (K6) in an Epidemiological Sample of Canadian Youth." Canadian Journal of Psychiatry 64, no. 9 (January 2, 2019): 647–57. http://dx.doi.org/10.1177/0706743718818414.
Full textAbstract:
Objective: This study (1) describes the distribution of Kessler Psychological Distress Scale (K6) scores in an epidemiological sample of youth, (2) reports its item correlations and internal consistency reliability, (3) tests for measurement invariance by age (youth vs. adults) and sex, and (4) examines its predictive power for past-year psychiatric disorders. Method: Youth aged 15 to 19 years ( n = 2010) and adults aged 20 to 64 years ( n = 2010) from the Canadian Community Health Survey–Mental Health who completed the K6 were included. Past-year psychiatric disorders were measured using the World Health Organization Composite International Diagnostic Interview 3.0 (WHO-CIDI). Polychoric correlation matrices and ordinal reliability coefficients were calculated to assess internal consistency of the K6, and confirmatory factor analysis was used to test for measurement invariance. Area under the curves (AUCs) were computed to determine the extent to which the K6 predicted a positive screen on the WHO-CIDI. Results: K6 scores showed a J-shaped distribution, with >50% of youth having scores ≤3. Item and total scores were higher for females versus males. Item correlations were robust (0.31-0.78) and internal consistency was high (α = 0.86). Full measurement invariance was demonstrated between youth and adults, as well as between male and female youth. The K6 was a strong predictor of major depressive episode (AUC = 0.848), generalized anxiety disorder (AUC = 0.847), and bipolar disorder (AUC = 0.853). Conclusions: The K6 is a valid and reliable measure of psychological distress among youth. Its brevity and robust predictive power for psychiatric disorder confirm its utility in clinical and community settings to identify youth needing comprehensive psychiatric assessment.
25
Naito, Yumi, Noriyuki Enomoto, Yosuke Kameno, Hidenori Yamasue, Takafumi Suda, and Yoshihiro Hotta. "Kessler Psychological Distress (K6) Questionnaire Scores Can Predict Autistic Traits and the Current and Prospective Suicidal Ideation in Medical University Students: A Prospective Study." SAGE Open 11, no. 1 (January 2021): 215824402199459. http://dx.doi.org/10.1177/2158244021994590.
Full textAbstract:
Mental distress is highly prevalent in university students, and autistic traits can hinder academic education. The substantial lifestyle changes experienced by new university students can induce mood and anxiety dysfunctions and subsequent suicide-related behaviors. The aims of this study were to evaluate the detectability of suicidal ideation using the Kessler Psychological Distress (K6) questionnaire, a short and easily administered measure, and to elucidate the relationship between K6 scores and developmental disorders following university admission in medical students. The mental states of 341 new students at University School of Medicine were prospectively evaluated using the short questionnaire including the K6 at admission and 6 months later. Participants were simultaneously assessed on the five core features of autism spectrum disorder (ASD), four features of attention-deficit hyperactivity disorder (ADHD), and presence of suicidal ideation on this short questionnaire. K6 scores were significantly higher 6 months after admission than at admission ( p = .028). Students with suicidal ideation had significantly higher K6 scores than those without ( p < .001), and K6 scores at admission differentiated students with suicidal ideation both at admission (area under the curve [AUC] = 0.947) and 6 months after admission (AUC = 0.913). K6 scores were positively correlated with scores of ASD- and ADHD-related items (ρ = .451 and .440, respectively) and with autism-spectrum quotient scores ( p = .041, ρ = .501). In conclusion, the K6 questionnaire may be useful in efficiently detecting university students with suicidal ideation or autistic traits.
26
Lam, Janine R., Jessica Tyler, Katrina J. Scurrah, Nicola J. Reavley, and Gillian S. Dite. "The Association between Socioeconomic Status and Psychological Distress: A Within and Between Twin Study." Twin Research and Human Genetics 22, no. 5 (October 2019): 312–20. http://dx.doi.org/10.1017/thg.2019.91.
Full textAbstract:
AbstractLow socioeconomic status (SES) has been established as a risk factor for poor mental health; however, the relationship between SES and mental health problems can be confounded by genetic and environmental factors in standard regression analyses and observational studies of unrelated individuals. In this study, we used a within-pair twin design to control for unmeasured genetic and environmental confounders in investigating the association between SES and psychological distress. We also employed within–between pair regression analysis to assess whether the association was consistent with causality. SES was measured using the Index of Relative Socio-economic Disadvantage (IRSD), income and the Australian Socioeconomic Index 2006 (AUSEI06); psychological distress was measured using the Kessler 6 Psychological Distress Scale (K6). Data were obtained from Twins Research Australia’s Health and Lifestyle Questionnaire (2014–2017), providing a maximum sample size of 1395 pairs. Twins with higher AUSEI06 scores had significantly lower K6 scores than their co-twins after controlling for shared genetic and environmental traits (βW [within-pair regression coefficient] = −0.012 units, p = .006). Twins with higher income had significantly lower K6 scores than their co-twins after controlling for familial confounders (βW = −0.182 units, p = .002). There was no evidence of an association between the IRSD and K6 scores within pairs (βW, p = .6). Using a twin design to eliminate the effect of potential confounders, these findings further support the association between low SES and poor mental health, reinforcing the need to address social determinants of poor mental health, in addition to interventions targeted to individuals.
27
Pratt, Laura A. "Serious Psychological Distress, as Measured by the K6, and Mortality." Annals of Epidemiology 19, no. 3 (March 2009): 202–9. http://dx.doi.org/10.1016/j.annepidem.2008.12.005.
Full text
28
Eguchi, Hisashi, Akizumi Tsutsumi, Akiomi Inoue, Hiroyuki Hikichi, and Ichiro Kawachi. "Association of workplace social capital with psychological distress: results from a longitudinal multilevel analysis of the J-HOPE Study." BMJ Open 8, no. 12 (December 2018): e022569. http://dx.doi.org/10.1136/bmjopen-2018-022569.
Full textAbstract:
ObjectivesWorkplace social capital (WSC) is increasingly recognised as a social contextual determinant of workers’ mental health, but longitudinal data are sparse. We aimed to evaluate the impact of changes in unit-level WSC on psychological distress among Japanese employees using a prospective multilevel repeated-measures design.Participants and study designWe conducted a 2-year prospective cohort study with 1,944 men and 786 women aged 18–65 years. Participants worked at two manufacturing worksites in Japan and were free from mental illness from the first to third study waves. We used a three-level multilevel regression design to evaluate the prospective association of unit-level WSC with individual-level psychological distress. WSC was measured using a validated six-item instrument and individual-level psychological distress with the Kessler Psychological Distress Scale (K6).ResultsThe null model indicated a significant degree of between-work unit variation in psychological distress (intraclass correlation=0.1%, p<0.001). In the full model, each SD increase in unit-level WSC was associated with 0.69 point improvement in K6 scores (95% CI −1.12 to −0.26).ConclusionsThis prospective study builds on existing knowledge by showing an association between unit-level WSC and modest improvements in mental health among employees in Japan. We recommend that WSC is considered alongside other contextual influences when assessing employees’ mental health risks.
29
Morales Aliaga, María Lisseth, Tomoko Ito, Takehiro Sugiyama, Timothy Bolt, and Nanako Tamiya. "Association between Having Cancer and Psychological Distress among Family Caregivers Using Three Years of a Nationwide Survey Data in Japan." International Journal of Environmental Research and Public Health 18, no. 19 (October 6, 2021): 10479. http://dx.doi.org/10.3390/ijerph181910479.
Full textAbstract:
We aimed to describe the characteristics of caregivers with cancer compared to those without and analyze the association between having cancer and caregivers’ psychological distress in Japan. We used data from the Japanese Comprehensive Survey of Living Conditions in 2010, 2013, and 2016. The participants were 5258 family caregivers aged ≥40 years, caring for only one family member whose information in the dataset was available for all the covariates included in the model. The family caregivers’ psychological distress was defined by the Kessler Psychological Distress Scale (K6) score (K6 ≥ 5). We conducted a Poisson regression analysis to examine the association between having cancer and family caregivers’ distress. The sample of family caregivers consisted of mostly females (69.3%) and people within the 40–64 years age group (51.8%). As a result, family caregivers with cancer increased across the survey periods; a higher number of participants were unemployed. When adjusted for covariates, including the presence of other diseases, having cancer was significantly associated with distress (risk ratio 1.33, 95% confidence interval 1.05–1.69) among family caregivers. Family caregivers with cancer are expected to increase in the future; it is important to provide them with more support in managing both their treatment and caregiving to cope with their distress.
30
Carl, Yonatan, Rosa L. Frias, Sara Kurtevski, Tamara González Copo, Ana R. Mustafa, Cristina M. Font, Andrew R. Blundell, Elsa C. Rodriguez, and Ruth Sacasa. "The Correlation of English Language Proficiency and Indices of Stress and Anxiety in Migrants from Puerto Rico after Hurricane Maria: A Preliminary Study." Disaster Medicine and Public Health Preparedness 14, no. 1 (June 21, 2019): 23–27. http://dx.doi.org/10.1017/dmp.2019.22.
Full textAbstract:
ABSTRACTObjective:Using validated psychological assessment instruments, this study examined the psychological distress associated with potential language barriers experienced by over 135 000 Puerto Rican residents who either temporarily or permanently migrated to the continental United States with the landfall of Hurricane Maria in 2017.Methods:Participants were Puerto Rican residents (n = 107) who remained in Puerto Rico (control) or left the island for at least 3 months because of Hurricane Maria (migrants). Participants completed an online survey in their preferred language (Spanish or English), which assessed self-reported English language proficiency, Kessler Psychological Distress Scale (K6), Posttraumatic Stress Disorder Checklist for DSM 5, Patient Health Questionnaire 9-item depression scale, and the Generalized Anxiety Disorder 7-item scale. It was hypothesized that migrants with lower self-reported English proficiency would have comparatively higher indices of post-disaster distress than those with a higher proficiency.Results:Dividing the migrant group by preferred language for questionnaire completion, the Fisher’s exact test showed significant differences in prevalence of severe mental distress, as defined by K6 scores above 13, between the Spanish-preferring migrants (30.4%), English-preferring migrants (0%), and controls (9.6%).Conclusion:Our results support a possible correlation between decreased language proficiency in post-disaster migrants and a higher risk factor for severe mental distress.
31
Schultze-Lutter, F., C. Michel, B. Schimmelmann, E. Meisenzahl, and N. Osman. "Are the Kessler Psychological Scales suitable for screening for mental disorders in low-threshold mental health services in German-speaking countries?" European Psychiatry 65, S1 (June 2022): S352. http://dx.doi.org/10.1192/j.eurpsy.2022.894.
Full textAbstract:
Introduction The Kessler Psychological Distress Scales (K10 and K6) are used as screening tools to assess psychological distress and are the first-line assessment of need for help in the Headspace services. Objectives Thus, we studied the psychometric properties of their German versions in a Swiss community sample to evaluate their potential usefulness to screen for mental disorders or relevant mental problems in low threshold transdiagnostic German-speaking services. Methods The sample consisted of 829 citizens of the Swiss canton Bern of age 19-43 years. K10/K6 were validated against Mini-International Neuropsychiatric Interview (M.I.N.I.) diagnoses, questionnaires about health status and quality of life. Receiver Operating Characteristic (ROC) curve analyses were used to test for general discriminative ability and to select optimal cut-offs of the K10 and K6 for non-psychotic full-blown and subthreshold mental disorders. Results Cronbach’s alphas were 0.81 (K10) and 0.70 (K6). ROC analyses indicated much lower optimal thresholds than earlier suggested; 10 for K10 and 6 for K6. At these thresholds, against M.I.N.I. diagnoses, Cohen’s Kappa (<=0.173) and correspondence rates (<=58.14%) were insufficient throughout. Values were higher at the earlier suggested threshold, yet, at the cost of sensitivity that was below 0.5 in all but three, and below 0.3 in all but six cases. Conclusions For the lack of sufficient validity and sensitivity, respectively, our findings suggest that both K10 and K6 would only be of limited use in a low-threshold transdiagnostic mental health service – comparable to Headspace – for young adults in Switzerland and likely other German-speaking countries. Disclosure No significant relationships.
32
KESSLER, R. C., G. ANDREWS, L. J. COLPE, E. HIRIPI, D. K. MROCZEK, S. L. T. NORMAND, E. E. WALTERS, and A. M. ZASLAVSKY. "Short screening scales to monitor population prevalences and trends in non-specific psychological distress." Psychological Medicine 32, no. 6 (August 2002): 959–76. http://dx.doi.org/10.1017/s0033291702006074.
Full textAbstract:
Background. A 10-question screening scale of psychological distress and a six-question short-form scale embedded within the 10-question scale were developed for the redesigned US National Health Interview Survey (NHIS).Methods. Initial pilot questions were administered in a US national mail survey (N = 1401). A reduced set of questions was subsequently administered in a US national telephone survey (N = 1574). The 10-question and six-question scales, which we refer to as the K10 and K6, were constructed from the reduced set of questions based on Item Response Theory models. The scales were subsequently validated in a two-stage clinical reappraisal survey (N = 1000 telephone screening interviews in the first stage followed by N = 153 face-to-face clinical interviews in the second stage that oversampled first-stage respondents who screened positive for emotional problems) in a local convenience sample. The second-stage sample was administered the screening scales along with the Structured Clinical Interview for DSM-IV (SCID). The K6 was subsequently included in the 1997 (N = 36116) and 1998 (N = 32440) US National Health Interview Survey, while the K10 was included in the 1997 (N = 10641) Australian National Survey of Mental Health and Well-Being.Results. Both the K10 and K6 have good precision in the 90th–99th percentile range of the population distribution (standard errors of standardized scores in the range 0·20–0·25) as well as consistent psychometric properties across major sociodemographic subsamples. The scales strongly discriminate between community cases and non-cases of DSM-IV/SCID disorders, with areas under the Receiver Operating Characteristic (ROC) curve of 0·87–0·88 for disorders having Global Assessment of Functioning (GAF) scores of 0–70 and 0·95–0·96 for disorders having GAF scores of 0–50.Conclusions. The brevity, strong psychometric properties, and ability to discriminate DSM-IV cases from non-cases make the K10 and K6 attractive for use in general-purpose health surveys. The scales are already being used in annual government health surveys in the US and Canada as well as in the WHO World Mental Health Surveys. Routine inclusion of either the K10 or K6 in clinical studies would create an important, and heretofore missing, crosswalk between community and clinical epidemiology.
33
Yoshida, Koji, Tetsuko Shinkawa, Hideko Urata, Kanami Nakashima, Makiko Orita, Kiyotaka Yasui, Atsushi Kumagai, et al. "Psychological distress of residents in Kawauchi village, Fukushima Prefecture after the accident at Fukushima Daiichi Nuclear Power Station: the Fukushima Health Management Survey." PeerJ 4 (August 31, 2016): e2353. http://dx.doi.org/10.7717/peerj.2353.
Full textAbstract:
BackgroundTo shed light on the mental health of evacuees after the accident at Fukushima Daiichi Nuclear Power Station (FDNPS), we evaluate the results of the Fukushima Health Management Survey (FHMS) of the residents at Kawauchi village in Fukushima, which is located less than 30 km from the FDNPS.MethodsWe conducted the cross-sectional study within the framework of the FHMS. Exposure values were “anorexia,” “subjective feelings about health,” “feelings about sleep satisfaction,” and “bereavement caused by the disaster,” confounding variables were “age” and “sex,” and outcome variables were “K6 points.” We collected data from the FHMS, and employed the Kessler Psychological Distress Scale (K6) and the posttraumatic stress disorder (PTSD) Checklist Stressor-Specific Version (PCL-S) to carry out the research. A total of 13 or greater was the cut-off for identifying serious mental illness using the K6 scale. The study subjects included residents (n = 542) of over 30 years of age from Kawauchi village, and data were used from the period of January 1, 2012 to October 31, 2012.ResultsA total of 474 residents (87.5%) scored less than 13 points in the K6 and 68 (12.6%) scored 13 points or more. The proportion of elderly residents (over 65 years old) among people with K6 score above the cut-off was higher than that among people with K6 score below the cut-off (44.1 vs 31.0%, p < 0.05). In addition, the proportion of residents with anorexia and mental illness among people with K6 score above the cut-off was higher than among people with K6 score below the cut-off (p < 0.001 and p < 0.05, respectively). The amount of residents who scored 44 points or more in the PCL-S among people with K6 score above the cut-off was also considerably higher than among people with K6 score below the cut-off (79.4 vs 12.9%, p < 0.001). Interestingly, the proportion of residents who scored more than among people with K6 score above the cut-off and the among people with PCL-S score above the cut-off in Kawauchi was higher than in previous studies in other locations.ConclusionsThese results suggest that there are severe mental health problems, such as depression and PTSD, among adults as a consequence of the accident at the FDNPS. Our study showed that residents who lived in the evacuation zone before the disaster are at high risk psychological distress. To facilitate local residents’ recovery from Fukushima, there is a need to continue providing them with physical and mental support, as well as communication regarding the health risks of radiation.
34
FURUKAWA, T. A., R. C. KESSLER, T. SLADE, and G. ANDREWS. "The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being." Psychological Medicine 33, no. 2 (February 2003): 357–62. http://dx.doi.org/10.1017/s0033291702006700.
Full textAbstract:
Background. Two new screening scales for psychological distress, the K6 and K10, have been developed but their relative efficiency has not been evaluated in comparison with existing scales.Method. The Australian National Survey of Mental Health and Well-Being, a nationally representative household survey, administered the WHO Composite International Diagnostic Interview (CIDI) to assess 30-day DSM-IV disorders. The K6 and K10 were also administered along with the General Health Questionnaire (GHQ-12), the current de facto standard of mental health screening. Performance of the three screening scales in detecting CIDI/DSM-IV mood and anxiety disorders was assessed by calculating the areas under receiver operating characteristic curves (AUCs). Stratum-Specific Likelihood Ratios (SSLRs) were computed to help produce individual-level predicted probabilities of being a case from screening scale scores in other samples.Results. The K10 was marginally better than the K6 in screening for CIDI/DSM-IV mood and anxiety disorders (K10 AUC: 0·90, 95%CI: 0·89–0·91 versus K6 AUC: 0·89, 95%CI: 0·88–0·90), while both were significantly better than the GHQ-12 (AUC: 0·80, 95%CI: 0·78–0·82). The SSLRs of the K10 and K6 were more informative in ruling in or out the target disorders than those of the GHQ-12 at both ends of the population spectrum. The K6 was more robust than the K10 to subsample variation.Conclusions. While the K10 might outperform the K6 in screening for severe disorders, the K6 is preferred in screening for any DSM-IV mood or anxiety disorder because of its brevity and consistency across subsamples. Precision of individual-level prediction is greatly improved by using polychotomous rather than dichotomous classification.
35
Iio, Yoko, Yukihiro Mori, Yuka Aoyama, Hana Kozai, Mamoru Tanaka, Makoto Aoike, Hatsumi Kawamura, Manato Seguchi, Masato Tsurudome, and Morihiro Ito. "A Survey of Living Conditions and Psychological Distress in Japanese University Freshmen during the COVID-19 Pandemic." Healthcare 11, no. 1 (December 28, 2022): 94. http://dx.doi.org/10.3390/healthcare11010094.
Full textAbstract:
Since the novel coronavirus disease 2019 (COVID-19) pandemic, educational institutions have implemented measures such as school closures, raising concerns regarding the increase in psychological distress among university students. The purpose of this study is to identify factors that have influenced psychological distress among college freshmen during the COVID-19 pandemic. A questionnaire survey was conducted at the conclusion of the sixth wave of COVID-19 in Japan. Psychological distress was measured using the six-item Kessler Psychological Distress Scale (K6). Factors affecting psychological distress were calculated using regression analysis. Of the 2536 participants, 1841 (72.6%) reported having no psychological distress, while 695 (27.4%) reported having psychological distress. Factors that were identified to contribute to psychological distress were lack of sleep, weight gain or loss, worsening of interpersonal relationships, and physical symptoms and illnesses. A willingness to join an athletic club and having an environment in which it is easy to discuss worries and anxieties with others were factors that were identified to hinder psychological distress. It is necessary for universities to offer enhanced supports for physical and interpersonal activities. Additionally, it is imperative to encourage students to look after their physical health and to actively utilize university-based consultation systems.
36
Adjei Boakye, Eric, Katherine M. Polednik, Arun Sharma, Yamile Molina, Vy Pham, Teresa L. Deshields, and Nosayaba Osazuwa-Peters. "Mental distress among adolescent and young adult (AYA) and adult cancer survivors." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): e19116-e19116. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19116.
Full textAbstract:
e19116 Background: Mental distress is associated with poor treatment adherence and adverse psychosocial outcomes, and cancer survivors, especially adolescent and young adults (AYA), may experience greater distress than older adults and the general population. We tested this hypothesis by examining the association between AYA vs. adult cancer survivors vs. the general population without a history of cancer, and mental distress. Methods: Using the 2014-2017 National Health Interview Surveys, 2,516 AYA cancer survivors (aged 15 – 39 years) were identified. We then used propensity score matching (matched on sociodemographics, comorbidities, smoking status and visit to mental health professional in past year) to create 2,516 older cancer survivors (aged ≥ 40 years); and 2,516 adults without cancer (general population) as the comparison groups. Mental distress (outcome of interest) was measured using the validated Kessler nonspecific mental/psychological distress (K6) scale. The 6-item K6 scale examines how frequently within the past 30 days an individual felt nervous, hopeless, restless or fidgety, worthless, sad, and that everything was an effort. Responses were summed to yield a score ranging between 0 and 24 and classified as none/low (0≤K6 < 5), moderate (5≤K6 < 13), and severe (K6≥13) mental distress. Two separate weighted multinomial logistic regression models estimated the odds of mental distress in study population (AYA vs. adult cancer survivors; and AYA vs. general population), adjusting for known covariates. Results: Mental distress was more prevalent among AYAs than adult cancer survivors (moderate: 24.0% vs 18.3%; and severe: 5.7% vs 4.2% [ P= .0002]); and the general population (moderate: 24.3% vs 16.7%; and severe: 6.1% vs 5.3% [ P< .0001]). Similarly, prevalence was higher among adult cancer survivors than the general population (moderate: 16.8% vs 13.6%; and severe: 3.2% vs 2.7% [ P= .0002]). In the multivariable multinomial analyses, AYAs had greater odds of mental distress (aORmoderate = 1.44; 95% CI 1.09, 1.89; and aORsevere = 1.77; 95% CI 1.21, 2.58) vs. adult cancer survivors. AYAs also had greater odds of mental distress vs. the general population (aORmoderate = 1.39; 95% CI 1.08, 1.79), but no significant difference in severe distress. Conclusions: About 1-in-4 AYA cancer survivors report some mental distress, and distress is more prevalent among this younger age group than older adults with cancer and the general population. Psychosocial care may be especially needed in this younger population to mitigate adverse psychosocial outcomes.
37
Cunningham, Timothy J., Anne G. Wheaton, and Wayne H. Giles. "The Association between Psychological Distress and Self-Reported Sleep Duration in a Population-Based Sample of Women and Men." Sleep Disorders 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/172064.
Full textAbstract:
Mental health and sleep are intricately linked. This study characterized associations of psychological distress with short (≤6 hours) and long (≥9 hours) sleep duration among adults aged ≥18 years. 2013 Behavioral Risk Factor Surveillance System data (n=36,859) from Colorado, Minnesota, Nevada, Tennessee, and Washington included the Kessler 6 (K6) scale, which has been psychometrically validated for measuring severe psychological distress (SPD); three specifications were evaluated. Overall, 4.0% of adults reported SPD, 33.9% reported short sleep, and 7.8% reported long sleep. After adjustment, adults with SPD had 1.58 (95% CI: 1.45, 1.72) and 1.39 (95% CI: 1.08, 1.79) times higher probability of reporting short and long sleep duration, respectively. Using an ordinal measure showed a dose-response association with prevalence ratios of 1.00, 1.16, 1.38, 1.67, and 2.11 for short sleep duration. Each additional point added to the K6 scale was associated with 1.08 (95% CI: 1.07, 1.10) and 1.02 (95% CI: 1.00, 1.03) times higher probability of reporting short and long sleep duration, respectively. Some results were statistically different by gender. Any psychological distress, not only SPD, was associated with a higher probability of short sleep duration but not long sleep duration. These findings highlight the need for interventions.
38
Tanji, Fumiya, and Yuki Kodama. "Prevalence of Psychological Distress and Associated Factors in Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 19 (October 1, 2021): 10358. http://dx.doi.org/10.3390/ijerph181910358.
Full textAbstract:
Little is known about psychological distress and its associated factors during the COVID-19 pandemic among nursing students, especially during the initial spread. The present study aimed to investigate the prevalence of psychological distress among Japanese nursing students after the first semester of 2020 with shifted classes and practice online. Furthermore, we examined whether factors such as health issues and resilience were associated with psychological distress. The data were obtained from a cross-sectional, self-administered questionnaire survey at a Japanese nursing college from September to November 2020 (n = 289). We collected data such as sociodemographic variables, medical history, insomnia, and resilience (Bidimensional Resilience Scale). Psychological distress was measured using the K6 scale (scores ≥ 5). The prevalence of psychological distress was 58.5%. The multivariate Poisson regression analysis found a negative association between innate resilience factors, and positive associations between medical history, insomnia, and psychological distress. The present study showed that more than half of the study participants experienced high levels of psychological distress. Our results suggest the importance of monitoring mental health among nursing students, focusing not only on health issues, but also personality components such as innate resilience during the prolonged COVID-19 pandemic.
39
Pun, Khagi Maya, Bimala Panthee, and Priscilla Samson. "Psychological Distress among Adults of an Urban Community of Lalitpur District, Nepal." International Journal of Health Sciences and Research 11, no. 7 (July 22, 2021): 197–203. http://dx.doi.org/10.52403/ijhsr.20210729.
Full textAbstract:
Introduction: Psychological distress is a widespread indicator of mental health. It is a state of emotional suffering associated with stressors and demands that are difficult to cope with in daily life. The study aimed to identify the prevalence of the psychological distress among adult population. Methods: A cross-sectional house to house survey was conducted in an urban community for four weeks in 2018. Face to face interview was done among 618 adults using Kessler K6 Nepali version interview questionnaire. Descriptive and inferential statistics (Pearson Chi-square and Pearson correlation) were used for analyzing the data. P value was set at 0.05. Results: We found that 0.3% adults had severe psychological distress, 1.5% had mild to moderate and 98.2% had no psychological distress. Education, past history of mental health problem and occupational status were significantly associated with psychological distress (p-value = < 0.05). Age, alcohol intake and smoking cigarettes were positively correlated with psychological distress (r = 0.12), (r = 0.13), (r = 0.10) respectively and education was significantly negatively correlated with psychological distress (r = - 0.16). Conclusion: Our findings showed low psychological distress among urban community adults. Education, history of mental problem and occupation were associated with psychological distress. Higher the age, positive history of smoking and alcohol were associated with high psychological distress. However, the adults who had high education had low psychological distress. Thus, it suggests that elderly people in an urban community might need psychological support. Key words: Adults, Psychological distress, Urban community.
40
Janzen, B. L., Nazeem Muhajarine, and I. W. Kelly. "Work-Family Conflict, and Psychological Distress in Men and Women among Canadian Police Officers." Psychological Reports 100, no. 2 (April 2007): 556–62. http://dx.doi.org/10.2466/pr0.100.2.556-562.
Full textAbstract:
The present study examined the relations among sex, work-family conflict, and psychological distress in 78 Canadian police officers (50 men and 28 women). The average age of the officers was 36.1 yr. ( SD= 8.0), and nearly one-third of the respondents had been in policing 16 years or more. Ordinary least-squares regression was conducted to examine the association of Psychological Distress scores, as measured by the K6, with four types of work-family conflict: Time-based Work-to-Family Conflict, Time-based Family-to-Work Conflict, Strain-based Work-to-Family Conflict, and Strain-based Family-to-Work Conflict. Being single and having higher perceived Strain-based Work-to-Family Conflict were associated with greater scores on Psychological Distress. No statistically significant sex differences emerged in the self-reported type or direction of work-family conflict or in the factors associated with Psychological Distress.
41
Kim-Mozeleski, Jin E., and Janice Y. Tsoh. "Food Insecurity and Psychological Distress Among Former and Current Smokers With Low Income." American Journal of Health Promotion 33, no. 2 (June 27, 2018): 199–207. http://dx.doi.org/10.1177/0890117118784233.
Full textAbstract:
Purpose: To examine how food insecurity and psychological distress interact in its association with smoking and to explore how food insecurity and psychological distress are associated with quitting smoking using quit ratio estimates. Design: Cross-sectional study. Setting: Data from the 2015 California Health Interview Survey. Participants: A total of 3007 lower income adults who have ever smoked. Measures: Ever smoking was defined as smoking 100+ cigarettes in the entire lifetime, with current smoking defined as smoking “every day” or “some days” and former smoking defined as smoking “not at all.” Psychological distress and food insecurity were measured by the 6-item K6 Psychological Distress Scale and the 6-item Food Security Survey Short Form, respectively. Analysis: Multiple logistic regression analysis was used to examine correlates of smoking status. Quit ratios (percentage of ever smokers who have quit) were calculated across study variables. Results: Reporting food insecurity with psychological distress was independently associated with lower odds of being a former smoker, compared to reporting food security without psychological distress. The quit ratio was lower among ever smokers reporting food insecurity with distress (41%) compared to ever smokers reporting food security without distress (63%). Conclusions: Specific conditions of impoverishment, such as food insecurity, interact with psychological distress in its association with continued smoking. Interventions to reduce socioeconomic disparities in smoking should consider the interacting role of food insecurity and psychological distress.
42
Katayama, Akihiko, Nobuyuki Miyatake, Hiroyuki Nishi, Hiroo Hashimoto, Kazuhiro Uzike, Noriko Sakano, Keiko Tanaka, and Kiichi Koumoto. "Evaluation of psychological distress using the K6 in patients on chronic hemodialysis." Environmental Health and Preventive Medicine 20, no. 2 (December 4, 2014): 102–7. http://dx.doi.org/10.1007/s12199-014-0432-4.
Full text
43
Sugawara, Norio, Norio Yasui-Furukori, Kazushi Maruo, Kazutaka Shimoda, and Tomiki Sumiyoshi. "Psychological Distress in Caregivers for People with Dementia: A Population-Based Analysis of a National Cross-Sectional Study." Journal of Alzheimer's Disease 85, no. 2 (January 18, 2022): 667–74. http://dx.doi.org/10.3233/jad-210680.
Full textAbstract:
Background: Taking care of patients with dementia is often stressful and exhausting. The burden placed on caregivers (CGs) for care recipients with dementia (CRDs) has been reported to cause psychological distress. Objective: The aim of this study was to evaluate the psychological distress experienced by CGs for CRDs and identify the sociodemographic factors affecting that distress. Methods: We utilized the 2013 Comprehensive Survey of the Living Conditions for CRDs and CGs. Linked data from 643 pairs of CRDs and CGs were extracted. Serious psychological distress experienced by CGs was measured by Kessler’s Psychological Distress scale (K6) with a cutoff point of 13. Factors predictive of psychological distress were evaluated using multivariable logistic regression analysis with the forward selection method. Results: Overall, the mean age of the CGs was 63.5±11.6 years, and 5.3%(34/643) experienced serious psychological distress. Male sex of CRDs, knowing how to access consulting services, spending almost all day for nursing care, and having subjective symptoms within a few days of completing the survey were associated with having serious psychological distress, while older age, participating in shopping as part of the nursing activities, and having their own house were related to freedom from serious psychological distress. Conclusion: Clinicians should be aware of the risk factors for psychological distress in CGs and consider providing support to reduce the distress imposed by modifiable factors. Further studies are warranted to examine whether such efforts would improve the mental health of CGs for CRDs.
44
Batterham, Philip J., Matthew Sunderland, Natacha Carragher, Alison L. Calear, Andrew J. Mackinnon, and Tim Slade. "The Distress Questionnaire-5: Population screener for psychological distress was more accurate than the K6/K10." Journal of Clinical Epidemiology 71 (March 2016): 35–42. http://dx.doi.org/10.1016/j.jclinepi.2015.10.005.
Full text
45
Owari, Yutaka, and Nobuyuki Miyatake. "Long-Term Relationship between Psychological Distress and Continuous Sedentary Behavior in Healthy Older Adults: A Three Panel Study." Medicina 55, no. 9 (August 31, 2019): 555. http://dx.doi.org/10.3390/medicina55090555.
Full textAbstract:
Background and objectives: Psychological distress (PD) is associated with continuous sedentary behaviors (CSB; based on the ratio of 1.5 metabolic equivalents (METs) sessions or more continuing for over 30 min) in older adults, but the long-term relation is not sufficiently clarified. This study aims to clarify the long-term relationship between PD and the rate of CSB. Materials and Methods: In this secondary analysis, a sample population of 72 healthy elderly people aged 65 years or older participated in a health club of college A from 2016 to 2018. We conducted structural equation modeling (SEM) using the cross-lagged and synchronous effects models. We adopted the following as proxy variables: CSB and PD (based on the Kessler 6 scale (K6) scores). Results: “2016 K6” to“2017 CSB” (standardization factor (β = 0.141, p = 0.025), “2017 K6” to “2018 CSB” (β = 0.187, p < 0.001) and “2016 CSB” to “2018 CSB” (β = 0.188, p < 0.001) were all statistically significant using the cross-lagged effects models. Fit indices were adjusted goodness of fit index (AGFI) = 0.961, comparative fit index (CFI) = 1.000, and root mean square error of approximation (RMSEA) = 0.000. Conclusion: The results suggest that PD may affect the ratio of CSB one year later, and CSB may affect the ratio of PD two year later.
46
Sinclair, Ka`imi, Kelly Gonzales, Claire Woosley, Tish Rivera-Cree, and Dedra Buchwald. "An Intersectional Mixed Methods Approach to Understand American Indian Men’s Health." International Journal of Mens Social and Community Health 3, no. 2 (September 8, 2020): e66-e89. http://dx.doi.org/10.22374/ijmsch.v3i2.35.
Full textAbstract:
This study used a parallel, convergent, mixed-methods design with TribalCrit theory and intersectionality as analytical frameworks to identify how the identities of American Indian men intersect with broader structures and systems in shaping their eating and physical activity choices and behaviors, and in eliciting recommendations for a men’s lifestyle intervention. American Indian men were recruited in Minneapolis, Minnesota, and Portland, Oregon, between March and December 2017, and in Phoenix, Arizona, in December 2019 to participate in a survey and focus groups. The survey included questions on demographics and physical and cultural activities men engage in, perceived social support for lifestyle behaviors, masculine characteristics, and values important to American Indian men. The six-item Kessler Psychological Distress Scale was used to assess psychological distress. Focus groups were audio recorded and transcribed for a phenomenological analysis. Descriptive statistics and correlations were computed for survey data. We conducted 15 focus groups with 151 adult American Indian men in three urban sites. The mean age of participants ranged from 36 to 51 across the sites; 7–32% were college graduates; 13–22% were currently married, and 28–41% were working full time. The most important values reported by participants were being strong mentally and emotionally, a good parent, responsible, spiritual, and a good spouse or partner. On the K6 psychological distress scale, 63–70% scored ≥5 but <13 (moderate mental distress), and 8–15% scored ≥13, indicating severe mental distress. Younger age was significantly correlated with higher mean K6 score (P < 0.0001). Settler colonialism that took root in the United States imposed cultural and gender hegemony, which in turn enforced a patriarchal capitalist system that has had long-lasting and deleterious effects on American Indians, particularly American Indian men.
47
Khan, Asaduzzaman, Riaz Uddin, Naznin Alam, Shuhana Sultana, Mahbub-Ul Alam, and Rushdia Ahmed. "Psychometric properties of the Bangla version of the Kessler Psychological Distress Scale (K6)." GLOBAL PSYCHIATRY ARCHIVES 2, no. 2 (October 23, 2020): 183–94. http://dx.doi.org/10.52095/gpa.2020.1333.
Full text
48
Imamura, Kotaro, Natsu Sasaki, Yuki Sekiya, Kazuhiro Watanabe, Asuka Sakuraya, Yutaka Matsuyama, Daisuke Nishi, and Norito Kawakami. "The Effect of the Imacoco Care Psychoeducation Website on Improving Psychological Distress Among Workers During the COVID-19 Pandemic: Randomized Controlled Trial." JMIR Formative Research 6, no. 3 (March 10, 2022): e33883. http://dx.doi.org/10.2196/33883.
Full textAbstract:
Background The prolonged COVID-19 pandemic has affected mental health among workers. Psychoeducational intervention via a website could be effective for primary prevention of mental illness among workers in the current COVID-19 pandemic. Objective The aim of this randomized controlled trial is to examine the effect of a newly developed online psychoeducational website named Imacoco Care on reducing psychological distress and fear about COVID-19 infection among workers. Methods Participants in the study were recruited from registered members of a web survey company in Japan. Participants who fulfilled the eligibility criteria were randomly allocated to the intervention or control group. Participants in the intervention group were invited to access the Imacoco Care program within a month after the baseline survey. The Kessler Psychological Distress Scale (K6) and the Fear of COVID-19 Scale (FCV-19S) scores were obtained at baseline and at 1- and 3-month follow-ups. Results A total of 1200 workers were randomly allocated to the intervention and control groups (n=600 [50%] per group). The Imacoco Care intervention group showed a significant favorable effect on K6 scores (P=.03) with a small effect size (ES; Cohen d=–0.14) and an adverse effect on FCV-19S scores (P=.01) with a small ES (Cohen d=0.16) at 3-month follow-up. In the per protocol analysis (including only participants who had read the Imacoco Care content at least 1 time), the Imacoco Care intervention group also showed a significant favorable effect on reducing K6 scores (P=.03), while an adverse effect on FCV-19S scores was not significant (P=.06) in the intervention group at 3-month follow-up. Conclusions A web-based psychoeducation approach may be effective for improving psychological distress among workers; however, it may be important not only to distribute information but also to encourage active engagement with the content of the program to prevent adverse effects of psychoeducational intervention. Trial Registration University Hospital Medical Information Network Clinical Trials Registry (UMIN-CTR) UMIN000042556; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048548
49
Hino, Ayako, Akiomi Inoue, Kosuke Mafune, Mayumi Tsuji, Seiichiro Tateishi, Akira Ogami, Tomohisa Nagata, Keiji Muramatsu, and Yoshihisa Fujino. "Association between Long Working Hours and Psychological Distress: The Effect Modification by Request to Stay Home When Sick in the Workplace during the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 19, no. 7 (March 25, 2022): 3907. http://dx.doi.org/10.3390/ijerph19073907.
Full textAbstract:
The effect of workplace infection control measures required by the COVID-19 pandemic on the association between long working hours and psychological distress has not yet been fully revealed. This study investigated the effect of requesting to stay home when sick (RSH) on the association between long working hours and psychological distress. We conducted a cross-sectional survey in December 2020 among participants who had previously registered with a Japanese web survey company. A total of 27,036 workers completed a self-administered questionnaire which assessed usual daily overtime work hours. RSH was assessed using an original single-item scale, while psychological distress was measured with the K6 scale. After the interaction effect of overtime work hours and RSH on psychological distress was tested, we conducted stratified analyses using RSH. The statistical analysis demonstrated a significant interaction effect (p for interaction < 0.001). When we conducted stratified analyses, the odds ratios increased with longer working hours, both with and without RSH groups; however, the risk of long working hours causing psychological distress was greater in the latter group (odds ratio = 1.95 [95% confidence interval: 1.62–2.36] than in the former group (odds ratio = 1.73 [95% confidence interval: 1.55–1.93]). We found that working without RSH could strengthen the association between long working hours and psychological distress. Our findings contribute to preventing the deterioration of mental health during the COVID-19 pandemic.
50
Orui, Masatsugu, Chihiro Nakayama, Nobuaki Moriyama, Masaharu Tsubokura, Kiyotaka Watanabe, Takeo Nakayama, Minoru Sugita, and Seiji Yasumura. "Those Who Have Continuing Radiation Anxiety Show High Psychological Distress in Cases of High Post-Traumatic Stress: The Fukushima Nuclear Disaster." International Journal of Environmental Research and Public Health 18, no. 22 (November 17, 2021): 12048. http://dx.doi.org/10.3390/ijerph182212048.
Full textAbstract:
Background: this cross-sectional study aimed to clarify the associations among media utilization, lifestyles, and the strong radiation anxiety that has persisted 9 years after the 2011 nuclear accident. Moreover, the relationships among psychological distress, post-traumatic stress, and strong radiation anxiety were examined. Methods: for the multivariate regression analysis, the independent variables were radiation anxiety at the time of the accident and the current status, categorized as “continuing/emerging strong radiation anxiety”. Media utilization (local, national, internet, and public broadcasts, and public relations information) and lifestyle variables (sleep quality, regular exercise, and drinking habits) were set as the dependent variables. Moreover, the psychological distress of residents with continuing/emerging strong radiation anxiety was examined by an analysis of covariance stratified by post-traumatic stress. Result: there was no significant association between lifestyle variables and media utilization, except for local media (OR: 0.435, 95% CI: 0.21–0.90). Conversely, significantly high psychological distress was confirmed among residents with continuing/emerging radiation anxiety. The K6 score, representing psychological distress, for those with higher post-traumatic stress was 12.63; for those with lower post-traumatic stress, it was 5.13 (p = 0.004). Conclusions: residents with continuing/emerging strong radiation anxiety showed high psychological distress, which has been strengthened by higher post-traumatic stress.