Depression symptom and professional mental health service use

Neumann

et al. 2017

JPMC

Background: People suffering from acute psychosocial crises often require immediate help. To supplement existing institutions and services, a counseling program ("Hel.p") was founded; this study evaluates that program following a two-year trial period. Methods:The program offered anonymous, free-of-charge appointments to the public conducted by consultants holding, at minimum, a bachelor's degree in social work. Supervised by a judge and a psychologist, client-centered counseling sessions were conducted each week.Results: Thirty-five counselors counseled 70 people. The clients were 37.6 +/-18.4 years old and mostly female (67.1%). The counseling topics included health and diseases (16.1%) and general family problems (11.3%). The majority of the sessions (63.5%) took place during acute psychosocial crises.Conclusions: "Hel.p" functions as a supplement to established outreach clinics for people with acute psychosocial crises. It bridges the gap between individuals' acute psychosocial problems and the delayed psychiatric/psychotherapeutic treatment caused by resource restrictions in the health care system.

Section: Resultssupporting

confidence: 74%

Social Work In Psychosocial Crises: Analysis Of A Voluntary Psychosocial Counseling Program To Close A Supply Gap In Psychosocial Therapy

Neumann

et al. 2017

JPMC

“…People with a depressed mood can feel sad, anxious, empty, hopeless, helpless, worthless, guilty, irritable, ashamed or restless [2]. They may lose interest in physical activities, have a loss of appetite or overeating, have problems concentrating, remembering details or making decisions and, even more seriously, may attempt or commit suicide.…”

Section: Introductionmentioning

confidence: 99%

Effect of Probiotics on Depression: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2016

It has been reported that gut probiotics play a major role in the bidirectional communication between the gut and the brain. Probiotics may be essential to people with depression, which remains a global health challenge, as depression is a metabolic brain disorder. However, the efficacy of probiotics for depression is controversial. This study aimed to systematically review the existing evidence on the effect of probiotics-based interventions on depression. Randomized, controlled trials, identified through screening multiple databases and grey literature, were included in the meta-analysis. The meta-analysis was performed using Review Manager 5.3 software using a fixed-effects model. The meta-analysis showed that probiotics significantly decreased the depression scale score (MD (depressive disorder) = −0.30, 95% CI (−0.51–−0.09), p = 0.005) in the subjects. Probiotics had an effect on both the healthy population (MD = −0.25, 95% CI (−0.47–−0.03), p = 0.03) and patients with major depressive disorder (MDD) (MD = −0.73, 95% CI (−1.37–−0.09), p = 0.03). Probiotics had an effect on the population aged under 60 (MD = −0.43, 95% CI (−0.72–−0.13), p = 0.005), while it had no effect on people aged over 65 (MD = −0.18, 95% CI (−0.47–0.11), p = 0.22). This is the first systematic review and meta-analysis with the goal of determining the effect of probiotics on depression. We found that probiotics were associated with a significant reduction in depression, underscoring the need for additional research on this potential preventive strategy for depression.

Mental Health and Physical Activity

“…Depression can reduce a patient's overall capacity for self-care (Souza et al, 2015). It is known that depressed people seek for help poorly and that approximately only one-fifth to one-third of them have adequate treatment (Hämäläinen et al, 2008;Kim et al, 2015;Kleinberg et al, 2013). A physically active lifestyle in turn, is associated with better capacity for self-care (Hassmen, Koivula, & Uutela, 2000).…”

Section: Main Findings and Study Implicationsmentioning

confidence: 99%

“…Depressive symptoms can also predispose to metabolic syndrome (Vanhala, Jokelainen, Keinänen-Kiukaanniemi, Kumpusalo, & Koponen, 2009). Although effective treatments are available, only a minority of people suffering from depression seek and receive appropriate treatment (Hämäläinen, Isometsä, Sihvo, Pirkola, & Kiviruusu, 2008;Kim, Cho, Park, & Park, 2015;Kleinberg, Aluoja, & Vasar, 2013). There are many reasons for this, including lack of resources, lack of trained health care providers, social stigma associated with mental disorders and inaccurate assessment (World Health Organization, 2015).…”

Section: Introductionmentioning

confidence: 99%

Does level of leisure time physical activity, in a sample of patients with depression, predict health care utilization over a subsequent 5-year period? Findings from a Finnish cohort study

Raatikainen

Vanhala

Mäntyselkä

et al. 2018

Objectives:The main aim of this study was to investigate the association between leisure time physical activity (LTPA) and health care utilization (HCU) and furthermore, socio-demographic and clinical factors according to LTPA level among depressed patients based on data drawn from the Finnish Depression and Metabolic Syndrome in Adults (FDMSA) -study (2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016). Methods: 447 depressed patients aged 35-65 from municipalities within the Central Finland Hospital District participated in this study. Depressive symptoms (DS) were determined with the Beck Depression Inventory (≥10 points) and the psychiatric diagnosis confirmed with a diagnostic interview (M.I.N.I.). Severity of depression was evaluated using the Montgomery-Åsberg Depression Rating Scale (MADRS). LTPA was assessed using a selfreported questionnaire. Use of health services was counted from participant's health care records. Results: Of the 447 depressed patients, 25% reported their LTPA level as low, 41% as moderate and 34% as high. Among depressed patients, higher levels of LTPA were linearly associated with lower BDI (p < 0.001), MADRS (p = 0.002), BMI (p = 0.005), triglyceride (p = 0.025) and higher HDL (p = 0.002) values. LTPA level was not related to health care utilization among depressed patients. The health services most used were physician services.Conclusions: According to this study, the level of LTPA in baseline does not predict the future use of health care services among depressed patients in Finnish adult population. Although higher levels of LTPA are positively associated with many health-related factors, promoting PA alone is not enough when aiming to manage and modify HCU among depressed patients.