Social psychiatry and psychiatric epidemiology
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Soc Psychiatry Psychiatr Epidemiol · Mar 2010
Comparative StudyWhat do predict anxiety and depression in breast cancer patients? A follow-up study.
Psychological adjustment following cancer occurrence remains a key issue among the survivors. This study aimed to investigate psychological distress in patients with breast cancer following completion of breast cancer treatments and to determine its associated factors. ⋯ Although the findings indicated that the levels of anxiety and depression decreased over time, a significant number of women had elevated anxiety and depression at the 18 months follow-up. This suggests that all women should be routinely screened for psychological distress and that quality cancer care include processes to treat that 30% of women who have elevated psychological distress. In addition, if breast cancer patients indicated that they are suffering from fatigue or pain, these women who are at particular risk should be especially screened.
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Soc Psychiatry Psychiatr Epidemiol · Jan 2010
Comparative StudyEthnic differences in psychological well-being in adolescence in the context of time spent in family activities.
In Britain and elsewhere there is ethnic variation in mental health in adulthood but less is known about adolescence. Few studies examining the role of family life in adolescent mental well-being have been based on a multi-ethnic UK sample. We explored whether family activities explain ethnic differences in mental health among adolescents in London, UK. ⋯ Despite ethnic patterning of the frequency of family activities, adjusting for differences in these variables did not account for the better psychological well-being of minorities. Family activities were, however, important independent correlates of psychological well-being for all groups in this sample.
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Soc Psychiatry Psychiatr Epidemiol · Jan 2010
Comparative StudyPain associated with specific anxiety and depressive disorders in a nationally representative population sample.
To examine in a nationally representative sample (a) the differential association of specific anxiety and depressive disorders defined according to DSM-IV with pain disorder (PD) and pain symptoms, and (b) whether pain-associated anxiety and depressive disorders and their comorbidity have different implications in terms of impairment, disability, health care utilization, and substance use. ⋯ Pain is strongly associated with specific anxiety and depressive disorders. In light of the individual and societal burden due to pain, and the demonstrated role of comorbid anxiety or/and depression, our results call for further investigation of the underlying mechanisms for this association as well as targeted treatments for these comorbidities.
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Soc Psychiatry Psychiatr Epidemiol · Jan 2010
Comparative StudyAdolescent risk factors for excessive alcohol use at age 32 years. A 16-year prospective follow-up study.
To examine which socioeconomic, family, personal and lifestyle risk factors in adolescence were the strongest independent predictors of excessive alcohol use in adulthood. ⋯ Early interventions for adolescent substance use and a set of specific psychosocial risk factors should be tailored and evaluated as methods for identifying those at high risk of and preventing excessive alcohol use in adulthood.
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Soc Psychiatry Psychiatr Epidemiol · Dec 2009
Comparative StudyRisk of mental disorders in refugees and native Danes: a register-based retrospective cohort study.
Refugees are vulnerable to mental health disorders because of migration trauma. However, register-based prevalence studies are missing. ⋯ Refugees have high rates of various mental disorders. Healthcare services should target refugees' mental health from arrival in the receiving country.