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  1. Article ; Online: Gender-inclusive practice in pregnancy determination for transgender, gender diverse and non-binary patients in medical imaging.

    Badawy, Mohamed K / Dadoo, Prisha / Grossmann, Kristy / Lane, Riki / Colon-Cabrera, David

    Journal of medical imaging and radiation oncology

    2023  Volume 67, Issue 6, Page(s) 625–633

    Abstract: In recent years, there has been an increased awareness and understanding of the varying gender identities within our society. Consequently, there has also been a need for healthcare providers to be cognizant of the unique needs of a gender-diverse ... ...

    Abstract In recent years, there has been an increased awareness and understanding of the varying gender identities within our society. Consequently, there has also been a need for healthcare providers to be cognizant of the unique needs of a gender-diverse population. Determining the pregnancy status of transgender, gender-diverse and non-binary patients in medical imaging settings has been poorly handled, and there is a lack of standardisation in the Australian and Aotearoa New Zealand setting. The potential risk of exposing a gender-diverse pregnant patient to ionising radiation increases the need for guidance to ensure potentially pregnant persons are not missed during screening questionnaires. This review article explores various approaches to pregnancy status determination for gender-diverse patients, recognising the complexities involved and emphasising the need for future work to establish a widely accepted solution.
    MeSH term(s) Female ; Humans ; Pregnancy ; Transgender Persons ; Gender Identity ; Australia ; Diagnostic Imaging ; New Zealand
    Language English
    Publishing date 2023-06-21
    Publishing country Australia
    Document type Review ; Journal Article
    ZDB-ID 2389687-5
    ISSN 1754-9485 ; 1440-1673 ; 1754-9477 ; 0004-8461
    ISSN (online) 1754-9485 ; 1440-1673
    ISSN 1754-9477 ; 0004-8461
    DOI 10.1111/1754-9485.13551
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  2. Article ; Online: Examining the role of governmsent in shaping disability inclusiveness around COVID-19: a framework analysis of Australian guidelines.

    Colon-Cabrera, David / Sharma, Shivika / Warren, Narelle / Sakellariou, Dikaios

    International journal for equity in health

    2021  Volume 20, Issue 1, Page(s) 166

    Abstract: Background: The COVID-19 pandemic has uncovered the ways in which disabled people are made more vulnerable due to structural inequalities. These vulnerabilities are the result of the interaction between individual and structural factors that shape how ... ...

    Abstract Background: The COVID-19 pandemic has uncovered the ways in which disabled people are made more vulnerable due to structural inequalities. These vulnerabilities are the result of the interaction between individual and structural factors that shape how risk is experienced by disabled people. In Australia, these vulnerabilities are influenced by the way disability services and care for disabled people are delivered through a consumer-directed approach. We analysed the policies and documentation made by the Australian Government and state and territory governments during the pandemic to explore whether these were disability-inclusive. We aimed to unpack how these policies shaped disabled people as vulnerable citizens.
    Methods: Guided by documentary research, we used framework analysis to examine the policies of the Australian Government and state and territory governments. We analysed legislation that was given royal assent by the federal, state and territory governments, and documents (reports, fact sheets, guidance documents, etc.) published by the federal government and the state of Victoria (given that this state experienced the brunt of the epidemic in Australia) between February 2020 to August of 2020.
    Results: We found that most of the resources were not aimed at disabled people, but at carers and workers within disability services. In addition, most policies formulated by the Australian Government were related to the expansion of welfare services and the creation of economic stimulus schemes. However, while the stimulus included unemployed people, the expansion of benefits explicitly excluded disabled people who were not employed. Most of the legislation and documents offered accessibility options, though most of these options were only available in English. Disability oriented agencies offered more extensive accessibility options.
    Conclusions: The findings indicate a large number of documents addressing the needs of disabled people. However, disability-inclusiveness appeared to be inconsistent and not fully considered, leaving disabled people exposed to greater risk of COVID-19. Neoliberal policies in the health and welfare sector in Australia have led to an individualisation of the responsibility to remain healthy and a reliance on people as independent consumers. Governments need to take a clear stance towards the emergence of such a discourse that actively disvalues disabled people.
    MeSH term(s) Australia/epidemiology ; COVID-19/epidemiology ; Disabled Persons ; Government ; Guidelines as Topic ; Humans ; Pandemics ; Policy ; Risk Assessment ; Vulnerable Populations
    Language English
    Publishing date 2021-07-16
    Publishing country England
    Document type Journal Article
    ISSN 1475-9276
    ISSN (online) 1475-9276
    DOI 10.1186/s12939-021-01506-2
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  3. Article: Gender-Affirming Hormone Therapy for the Trans, Gender Diverse, and Nonbinary Community: Coordinating World Professional Association for Transgender Health and Informed Consent Models of Care.

    Solanki, Pravik / Colon-Cabrera, David / Barton, Chris / Locke, Peter / Cheung, Ada S / Spanos, Cassandra / Grace, Julian / Erasmus, Jaco / Lane, Riki

    Transgender health

    2023  Volume 8, Issue 2, Page(s) 137–148

    Abstract: Purpose: Before commencing gender-affirming hormone therapy, people undergo assessments through the World Professional Association for Transgender Health (WPATH) model (typically with a mental health clinician), or an informed consent (IC) model ( ... ...

    Abstract Purpose: Before commencing gender-affirming hormone therapy, people undergo assessments through the World Professional Association for Transgender Health (WPATH) model (typically with a mental health clinician), or an informed consent (IC) model (without a formal mental health assessment). Despite growing demand, these remain poorly coordinated in Australia. We aimed to compare clients attending WPATH and IC services; compare binary and nonbinary clients; and characterize clients with psychiatric diagnoses or longer assessments.
    Methods: Cross-sectional audit of clients approved for gender-affirming treatment (March 2017-2019) at a specialist clinic (WPATH model,
    Results: WPATH model clients had more psychiatric diagnoses (mean 1.4 vs. 1.1,
    Conclusion: WPATH model clients are more likely to have binary identities, mental health diagnoses, and longer assessments than IC model clients. Better coordination is needed to ensure timely gender-affirming care.
    Language English
    Publishing date 2023-03-31
    Publishing country United States
    Document type Journal Article
    ISSN 2688-4887
    ISSN 2688-4887
    DOI 10.1089/trgh.2021.0069
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  4. Article ; Online: Examining the role of governmsent in shaping disability inclusiveness around COVID-19

    David Colon-Cabrera / Shivika Sharma / Narelle Warren / Dikaios Sakellariou

    International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-

    a framework analysis of Australian guidelines

    2021  Volume 11

    Abstract: Abstract Background The COVID-19 pandemic has uncovered the ways in which disabled people are made more vulnerable due to structural inequalities. These vulnerabilities are the result of the interaction between individual and structural factors that ... ...

    Abstract Abstract Background The COVID-19 pandemic has uncovered the ways in which disabled people are made more vulnerable due to structural inequalities. These vulnerabilities are the result of the interaction between individual and structural factors that shape how risk is experienced by disabled people. In Australia, these vulnerabilities are influenced by the way disability services and care for disabled people are delivered through a consumer-directed approach. We analysed the policies and documentation made by the Australian Government and state and territory governments during the pandemic to explore whether these were disability-inclusive. We aimed to unpack how these policies shaped disabled people as vulnerable citizens. Methods Guided by documentary research, we used framework analysis to examine the policies of the Australian Government and state and territory governments. We analysed legislation that was given royal assent by the federal, state and territory governments, and documents (reports, fact sheets, guidance documents, etc.) published by the federal government and the state of Victoria (given that this state experienced the brunt of the epidemic in Australia) between February 2020 to August of 2020. Results We found that most of the resources were not aimed at disabled people, but at carers and workers within disability services. In addition, most policies formulated by the Australian Government were related to the expansion of welfare services and the creation of economic stimulus schemes. However, while the stimulus included unemployed people, the expansion of benefits explicitly excluded disabled people who were not employed. Most of the legislation and documents offered accessibility options, though most of these options were only available in English. Disability oriented agencies offered more extensive accessibility options. Conclusions The findings indicate a large number of documents addressing the needs of disabled people. However, disability-inclusiveness appeared to be inconsistent and not ...
    Keywords Australia ; Convention on the Rights of Persons with Disabilities ; COVID-19 ; Disability ; Inclusiveness ; Policy analysis ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Exploring the potential of delivering mental health care services using digital technologies in Bangladesh: A qualitative analysis.

    Koly, Kamrun Nahar / Saba, Jobaida / Muzaffar, Rasma / Modasser, Rifath Binta / M, Tasdik Hasan / Colon-Cabrera, David / Warren, Narelle

    Internet interventions

    2022  Volume 29, Page(s) 100544

    Abstract: Background: Bangladesh is a lower-middle-income country affected by a severe lack of mental health service availability due to a scarcity of mental health experts, limited mental health literacy, and community stigma. In other low and middle-income ... ...

    Abstract Background: Bangladesh is a lower-middle-income country affected by a severe lack of mental health service availability due to a scarcity of mental health experts, limited mental health literacy, and community stigma. In other low and middle-income countries, the online provision of mental health care services has addressed issues affecting service availability, accessibility, mass awareness of services, and stigma.
    Objective: The current study sought to understand stakeholders' perceptions of the potential of digital media-based mental health care delivery in strengthening Bangladesh's mental health system.
    Method: Online in-depth interviews were conducted with seven psychiatrists and eleven people with lived experiences of mental health issues. In addition, two online focus groups were conducted with ten psychologists and nine mental health entrepreneurs. A thematic analysis of the audio transcriptions was used to identify themes.
    Result: Stakeholders perceived that the benefits of digital media-based mental health services included the potential of increasing the awareness, availability, and accessibility of mental health services. Participants recommended: the rehabilitation of existing pathways; the use of social media to raise awareness; and the implementation of strategies that integrate different digital-based services to strengthen the mental health system and foster positive mental health-seeking behaviors.
    Conclusion: Growing mental health awareness, combined with the appropriate use of digital media as a platform for distributing information and offering mental services, can help to promote mental health care. To strengthen mental health services in Bangladesh, tailored services, increased network coverage, and training are required on digital mental health.
    Language English
    Publishing date 2022-05-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2764252-5
    ISSN 2214-7829 ; 2214-7829
    ISSN (online) 2214-7829
    ISSN 2214-7829
    DOI 10.1016/j.invent.2022.100544
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  6. Article ; Online: Pandemic Diaries: Lived Experiences of Loneliness, Loss, and Hope Among Older Adults During COVID-19.

    Neves, Barbara Barbosa / Colón Cabrera, David / Sanders, Alexandra / Warren, Narelle

    The Gerontologist

    2022  Volume 63, Issue 1, Page(s) 120–130

    Abstract: Background and objectives: While research on loneliness in later life has increased during the coronavirus disease 2019 (COVID-19) pandemic, we still lack diverse qualitative approaches capturing lived experiences of lonely older adults. Approaches to ... ...

    Abstract Background and objectives: While research on loneliness in later life has increased during the coronavirus disease 2019 (COVID-19) pandemic, we still lack diverse qualitative approaches capturing lived experiences of lonely older adults. Approaches to research with older adults instead of on them are also scant in gerontological literature on loneliness. Through solicited diaries, this study aimed to explore how older Australians who were already lonely before the pandemic managed lockdowns (stay-at-home orders) in Victoria, Australia, which lived through one of the longest lockdowns in the world.
    Research design and methods: This article is based on qualitative diaries completed by 32 older adults (aged 65 and older). Diaries provide a 'live' document where participants become active research partners, recording and sharing their perceptions and experiences. This method is useful to capture sensitive issues, but to the best of our knowledge has not been employed in loneliness studies. Data were thematically analyzed through the identification of themes within and across diaries.
    Results: Loneliness was defined by participants as a detrimental absence of companionship and meaningful social interactions. For most, lockdowns exacerbated loneliness, presented new triggers, and upended coping strategies. The disruption of the 'emotion work' involved with managing loneliness led to a reconfiguration of response strategies, including through digital technology, which brought both challenges (e.g., digital ageism) and opportunities (e.g., novel communication forms).
    Discussion and implications: Understanding how older people living alone define and respond to loneliness in diverse contexts-for example, before and during a pandemic that restricts social interaction-provides critical insights to inform interventions to tackle loneliness.
    MeSH term(s) Humans ; Aged ; Loneliness/psychology ; Social Isolation/psychology ; COVID-19/epidemiology ; Pandemics ; Communicable Disease Control ; Victoria/epidemiology
    Language English
    Publishing date 2022-07-23
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 216760-8
    ISSN 1758-5341 ; 0016-9013
    ISSN (online) 1758-5341
    ISSN 0016-9013
    DOI 10.1093/geront/gnac104
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  7. Article: Results of the COVID-19 mental health international for the health professionals (COMET-HP) study

    Fountoulakis, Konstantinos N. / Karakatsoulis, Grigorios N. / Abraham, Seri / Adorjan, Kristina / Ahmed, Helal Uddin / Alarcón, Renato D. / Arai, Kiyomi / Auwal, Sani Salihu / Bobes, Julio / Bobes-Bascaran, Teresa / Bourgin-Duchesnay, Julie / Bredicean, Cristina Ana / Bukelskis, Laurynas / Burkadze, Akaki / Cabrera Abud, Indira Indiana / Castilla-Puentes, Ruby / Cetkovich, Marcelo / Colon-Rivera, Hector / Corral, Ricardo /
    Cortez-Vergara, Carla / Crepin, Piirika / de Berardis, Domenico / Zamora Delgado, Sergio / de Lucena, David / de Sousa, Avinash

    Social Psychiatry and Psychiatric Epidemiology

    Depression, suicidal tendencies and conspiracism

    2023  Volume 58, Issue 9, Page(s) 1387–1410

    Abstract: Introduction: The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak. Materials and methods: The data came from the larger COMET-G study. ... ...

    Title translation Ergebnisse der internationalen COVID-19-Studie zur psychischen Gesundheit von Angehörigen der Gesundheitsberufe (COMET-HP): Depression, Suizidalität und Verschwörungstheorie. (DeepL)
    Abstract Introduction: The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak. Materials and methods: The data came from the larger COMET-G study. The study sample includes 12,792 health professionals from 40 countries (62.40% women aged 39.76 ± 11.70; 36.81% men aged 35.91 ± 11.00 and 0.78% non-binary gender aged 35.15 ± 13.03). Distress and clinical depression were identified with the use of a previously developed cut-off and algorithm, respectively. Statistical analysis: Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses, and Factorial Analysis of Variance (ANOVA) tested relations among variables. Results: Clinical depression was detected in 13.16% with male doctors and 'non-binary genders' having the lowest rates (7.89 and 5.88% respectively) and 'non-binary gender' nurses and administrative staff had the highest (37.50%); distress was present in 15.19%. A significant percentage reported a deterioration in mental state, family dynamics, and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (24.64% vs. 9.62%; p < 0.0001). Suicidal tendencies were at least doubled in terms of RASS scores. Approximately one-third of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop clinical depression was associated with a history of Bipolar disorder (RR = 4.23). Conclusions: The current study reported findings in health care professionals similar in magnitude and quality to those reported earlier in the general population although rates of clinical depression, suicidal tendencies, and adherence to conspiracy theories were much lower. However, the general model of factors interplay seems to be the same and this could be of practical utility since many of these factors are modifiable. (c) The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2023
    Keywords COVID-19 ; Conspiracy Beliefs ; Distress ; Einstellungen von Gesundheitspersonal ; Emotionale Belastung ; Gesundheitspersonal ; Health Personnel ; Health Personnel Attitudes ; Krankenpflegepersonal ; Major Depression ; Mental Health ; Nurses ; Pandemics ; Pandemie ; Psychische Gesundheit ; Suicidality ; Suizidalität ; Verschwörungsglaube
    Language English
    Document type Article
    ZDB-ID 623071-4
    ISSN 0933-7954
    ISSN 0933-7954
    DOI 10.1007/s00127-023-02438-8
    Database PSYNDEX

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  8. Article: Somatic multicomorbidity and disability in patients with psychiatric disorders in comparison to the general population: a quasi-epidemiological investigation in 54,826 subjects from 40 countries (COMET-G study).

    Fountoulakis, Konstantinos N / Karakatsoulis, Grigorios N / Abraham, Seri / Adorjan, Kristina / Ahmed, Helal Uddin / Alarcón, Renato D / Arai, Kiyomi / Auwal, Sani Salihu / Berk, Michael / Bjedov, Sarah / Bobes, Julio / Bobes-Bascaran, Teresa / Bourgin-Duchesnay, Julie / Bredicean, Cristina Ana / Bukelskis, Laurynas / Burkadze, Akaki / Cabrera Abud, Indira Indiana / Castilla-Puentes, Ruby / Cetkovich, Marcelo /
    Colon-Rivera, Hector / Corral, Ricardo / Cortez-Vergara, Carla / Crepin, Piirika / De Berardis, Domenico / Zamora Delgado, Sergio / Lucena, David De / Sousa, Avinash De / Stefano, Ramona Di / Dodd, Seetal / Priyanka Elek, Livia / Elissa, Anna / Erdelyi-Hamza, Berta / Erzin, Gamze / Etchevers, Martin J / Falkai, Peter / Farcas, Adriana / Fedotov, Ilya / Filatova, Viktoriia / Fountoulakis, Nikolaos K / Frankova, Iryna / Franza, Francesco / Frias, Pedro / Galako, Tatiana / Garay, Cristian J / Garcia-Álvarez, Leticia / García-Portilla, Maria Paz / Gonda, Xenia / Gondek, Tomasz M / Morera González, Daniela / Gould, Hilary / Grandinetti, Paolo / Grau, Arturo / Groudeva, Violeta / Hagin, Michal / Harada, Takayuki / Hasan, Tasdik M / Azreen Hashim, Nurul / Hilbig, Jan / Hossain, Sahadat / Iakimova, Rossitza / Ibrahim, Mona / Iftene, Felicia / Ignatenko, Yulia / Irarrazaval, Matias / Ismail, Zaliha / Ismayilova, Jamila / Jakobs, Asaf / Jakovljević, Miro / Jakšić, Nenad / Javed, Afzal / Kafali, Helin Yilmaz / Karia, Sagar / Kazakova, Olga / Khalifa, Doaa / Khaustova, Olena / Koh, Steve / Kopishinskaia, Svetlana / Kosenko, Korneliia / Koupidis, Sotirios A / Kovacs, Illes / Kulig, Barbara / Lalljee, Alisha / Liewig, Justine / Majid, Abdul / Malashonkova, Evgeniia / Malik, Khamelia / Malik, Najma Iqbal / Mammadzada, Gulay / Mandalia, Bilvesh / Marazziti, Donatella / Marčinko, Darko / Martinez, Stephanie / Matiekus, Eimantas / Mejia, Gabriela / Memon, Roha Saeed / Meza Martínez, Xarah Elenne / Mickevičiūtė, Dalia / Milev, Roumen / Mohammed, Muftau / Molina-López, Alejandro / Morozov, Petr / Muhammad, Nuru Suleiman / Mustač, Filip / Naor, Mika S / Nassieb, Amira / Navickas, Alvydas / Okasha, Tarek / Pandova, Milena / Panfil, Anca-Livia / Panteleeva, Liliya / Papava, Ion / Patsali, Mikaella E / Pavlichenko, Alexey / Pejuskovic, Bojana / Pinto Da Costa, Mariana / Popkov, Mikhail / Popovic, Dina / Raduan, Nor Jannah Nasution / Vargas Ramírez, Francisca / Rancans, Elmars / Razali, Salmi / Rebok, Federico / Rewekant, Anna / Ninoska Reyes Flores, Elena / Rivera-Encinas, María Teresa / Saiz, Pilar / Sánchez de Carmona, Manuel / Saucedo Martínez, David / Saw, Jo Anne / Saygili, Görkem / Schneidereit, Patricia / Shah, Bhumika / Shirasaka, Tomohiro / Silagadze, Ketevan / Sitanggang, Satti / Skugarevsky, Oleg / Spikina, Anna / Mahalingappa, Sridevi Sira / Stoyanova, Maria / Szczegielniak, Anna / Tamasan, Simona Claudia / Tavormina, Giuseppe / Tavormina, Maurilio Giuseppe Maria / Theodorakis, Pavlos N / Tohen, Mauricio / Tsapakis, Eva Maria / Tukhvatullina, Dina / Ullah, Irfan / Vaidya, Ratnaraj / Vega-Dienstmaier, Johann M / Vrublevska, Jelena / Vukovic, Olivera / Vysotska, Olga / Widiasih, Natalia / Yashikhina, Anna / Prezerakos, Panagiotis E / Smirnova, Daria

    CNS spectrums

    2024  Volume 29, Issue 2, Page(s) 126–149

    Abstract: Background: The prevalence of medical illnesses is high among patients with psychiatric disorders. The current study aimed to investigate multi-comorbidity in patients with psychiatric disorders in comparison to the general population. Secondary aims ... ...

    Abstract Background: The prevalence of medical illnesses is high among patients with psychiatric disorders. The current study aimed to investigate multi-comorbidity in patients with psychiatric disorders in comparison to the general population. Secondary aims were to investigate factors associated with metabolic syndrome and treatment appropriateness of mental disorders.
    Methods: The sample included 54,826 subjects (64.73% females; 34.15% males; 1.11% nonbinary gender) from 40 countries (COMET-G study). The analysis was based on the registration of previous history that could serve as a fair approximation for the lifetime prevalence of various medical conditions.
    Results: About 24.5% reported a history of somatic and 26.14% of mental disorders. Mental disorders were by far the most prevalent group of medical conditions. Comorbidity of any somatic with any mental disorder was reported by 8.21%. One-third to almost two-thirds of somatic patients were also suffering from a mental disorder depending on the severity and multicomorbidity. Bipolar and psychotic patients and to a lesser extent depressives, manifested an earlier (15-20 years) manifestation of somatic multicomorbidity, severe disability, and probably earlier death. The overwhelming majority of patients with mental disorders were not receiving treatment or were being treated in a way that was not recommended. Antipsychotics and antidepressants were not related to the development of metabolic syndrome.
    Conclusions: The finding that one-third to almost two-thirds of somatic patients also suffered from a mental disorder strongly suggests that psychiatry is the field with the most trans-specialty and interdisciplinary value and application points to the importance of teaching psychiatry and mental health in medical schools and also to the need for more technocratically oriented training of psychiatric residents.
    MeSH term(s) Male ; Female ; Humans ; Metabolic Syndrome/epidemiology ; Metabolic Syndrome/drug therapy ; Mental Disorders/epidemiology ; Mental Disorders/drug therapy ; Antipsychotic Agents/therapeutic use ; Mental Health ; Comorbidity
    Chemical Substances Antipsychotic Agents
    Language English
    Publishing date 2024-01-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008418-3
    ISSN 2165-6509 ; 1092-8529
    ISSN (online) 2165-6509
    ISSN 1092-8529
    DOI 10.1017/S1092852924000026
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  9. Article ; Online: Non-binary gender, vulnerable populations and mental health during the COVID-19 pandemic: Data from the COVID-19 MEntal health inTernational for the general population (COMET-G) study.

    Fountoulakis, Konstantinos N / Vrublevska, Jelena / Abraham, Seri / Adorjan, Kristina / Ahmed, Helal Uddin / Alarcón, Renato D / Arai, Kiyomi / Auwal, Sani Salihu / Berk, Michael / Bjedov, Sarah / Bobes, Julio / Bobes-Bascaran, Teresa / Bourgin-Duchesnay, Julie / Bredicean, Cristina Ana / Bukelskis, Laurynas / Burkadze, Akaki / Abud, Indira Indiana Cabrera / Castilla-Puentes, Ruby / Cetkovich, Marcelo /
    Colon-Rivera, Hector / Corral, Ricardo / Cortez-Vergara, Carla / Crepin, Piirika / De Berardis, Domenico / Delgado, Sergio Zamora / De Lucena, David / De Sousa, Avinash / Di Stefano, Ramona / Dodd, Seetal / Elek, Livia Priyanka / Elissa, Anna / Erdelyi-Hamza, Berta / Erzin, Gamze / Etchevers, Martin J / Falkai, Peter / Farcas, Adriana / Fedotov, Ilya / Filatova, Viktoriia / Fountoulakis, Nikolaos K / Frankova, Iryna / Franza, Francesco / Frias, Pedro / Galako, Tatiana / Garay, Cristian J / Garcia-Álvarez, Leticia / García-Portilla, Maria Paz / Gonda, Xenia / Gondek, Tomasz M / González, Daniela Morera / Gould, Hilary / Grandinetti, Paolo / Grau, Arturo / Groudeva, Violeta / Hagin, Michal / Harada, Takayuki / Hasan, Tasdik M / Hashim, Nurul Azreen / Hilbig, Jan / Hossain, Sahadat / Iakimova, Rossitza / Ibrahim, Mona / Iftene, Felicia / Ignatenko, Yulia / Irarrazaval, Matias / Ismail, Zaliha / Ismayilova, Jamila / Jacobs, Asaf / Jakovljević, Miro / Jakšić, Nenad / Javed, Afzal / Kafali, Helin Yilmaz / Karia, Sagar / Kazakova, Olga / Khalifa, Doaa / Khaustova, Olena / Koh, Steve / Kosenko, Korneliia / Koupidis, Sotirios A / Lalljee, Alisha / Liewig, Justine / Majid, Abdul / Malashonkova, Evgeniia / Malik, Khamelia / Malik, Najma Iqbal / Mammadzada, Gulay / Mandalia, Bilvesh / Marazziti, Donatella / Marčinko, Darko / Martinez, Stephanie / Matiekus, Eimantas / Mejia, Gabriela / Memon, Roha Saeed / Martínez, Xarah Elenne Meza / Mickevičiūtė, Dalia / Milev, Roumen / Mohammed, Muftau / Molina-López, Alejandro / Morozov, Petr / Muhammad, Nuru Suleiman / Mustač, Filip / Naor, Mika S / Nassieb, Amira / Navickas, Alvydas / Okasha, Tarek / Pandova, Milena / Panfil, Anca-Livia / Panteleeva, Liliya / Papava, Ion / Patsali, Mikaella E / Pavlichenko, Alexey / Pejuskovic, Bojana / Da Costa, Mariana Pinto / Popkov, Mikhail / Popovic, Dina / Raduan, Nor Jannah Nasution / Ramírez, Francisca Vargas / Rancans, Elmars / Razali, Salmi / Rebok, Federico / Rewekant, Anna / Flores, Elena Ninoska Reyes / Rivera-Encinas, María Teresa / Saiz, Pilar / de Carmona, Manuel Sánchez / Martínez, David Saucedo / Saw, Jo Anne / Saygili, Görkem / Schneidereit, Patricia / Shah, Bhumika / Shirasaka, Tomohiro / Silagadze, Ketevan / Sitanggang, Satti / Skugarevsky, Oleg / Spikina, Anna / Mahalingappa, Sridevi Sira / Stoyanova, Maria / Szczegielniak, Anna / Tamasan, Simona Claudia / Tavormina, Giuseppe / Tavormina, Maurilio Giuseppe Maria / Theodorakis, Pavlos N / Tohen, Mauricio / Tsapakis, Eva Maria / Tukhvatullina, Dina / Ullah, Irfan / Vaidya, Ratnaraj / Vega-Dienstmaier, Johann M / Vukovic, Olivera / Vysotska, Olga / Widiasih, Natalia / Yashikhina, Anna / Smirnova, Daria

    Journal of affective disorders

    2024  Volume 352, Page(s) 536–551

    Abstract: Background: The COVID-19 pandemic has brought significant mental health challenges, particularly for vulnerable populations, including non-binary gender individuals. The COMET international study aimed to investigate specific risk factors for clinical ... ...

    Abstract Background: The COVID-19 pandemic has brought significant mental health challenges, particularly for vulnerable populations, including non-binary gender individuals. The COMET international study aimed to investigate specific risk factors for clinical depression or distress during the pandemic, also in these special populations.
    Methods: Chi-square tests were used for initial screening to select only those variables which would show an initial significance. Risk Ratios (RR) were calculated, and a Multiple Backward Stepwise Linear Regression Analysis (MBSLRA) was followed with those variables given significant results at screening and with the presence of distress or depression or the lack of both of them.
    Results: The most important risk factors for depression were female (RR = 1.59-5.49) and non-binary gender (RR = 1.56-7.41), unemployment (RR = 1.41-6.57), not working during lockdowns (RR = 1.43-5.79), bad general health (RR = 2.74-9.98), chronic somatic disorder (RR = 1.22-5.57), history of mental disorders (depression RR = 2.31-9.47; suicide attempt RR = 2.33-9.75; psychosis RR = 2.14-10.08; Bipolar disorder RR = 2.75-12.86), smoking status (RR = 1.15-5.31) and substance use (RR = 1.77-8.01). The risk factors for distress or depression that survived MBSLRA were younger age, being widowed, living alone, bad general health, being a carer, chronic somatic disorder, not working during lockdowns, being single, self-reported history of depression, bipolar disorder, self-harm, suicide attempts and of other mental disorders, smoking, alcohol, and substance use.
    Conclusions: Targeted preventive interventions are crucial to safeguard the mental health of vulnerable groups, emphasizing the importance of diverse samples in future research.
    Limitations: Online data collection may have resulted in the underrepresentation of certain population groups.
    MeSH term(s) Humans ; Female ; Male ; COVID-19/epidemiology ; Mental Health ; Pandemics ; Population Groups ; Vulnerable Populations ; Communicable Disease Control ; Substance-Related Disorders/epidemiology ; Depression/epidemiology
    Language English
    Publishing date 2024-02-19
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2024.02.050
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  10. Article ; Online: Results of the COVID-19 mental health international for the health professionals (COMET-HP) study: depression, suicidal tendencies and conspiracism.

    N Fountoulakis, Konstantinos / N Karakatsoulis, Grigorios / Abraham, Seri / Adorjan, Kristina / Ahmed, Helal Uddin / Alarcón, Renato D / Arai, Kiyomi / Auwal, Sani Salihu / Bobes, Julio / Bobes-Bascaran, Teresa / Bourgin-Duchesnay, Julie / Bredicean, Cristina Ana / Bukelskis, Laurynas / Burkadze, Akaki / Cabrera Abud, Indira Indiana / Castilla-Puentes, Ruby / Cetkovich, Marcelo / Colon-Rivera, Hector / Corral, Ricardo /
    Cortez-Vergara, Carla / Crepin, Piirika / de Berardis, Domenico / Zamora Delgado, Sergio / de Lucena, David / de Sousa, Avinash / di Stefano, Ramona / Dodd, Seetal / Elek, Livia Priyanka / Elissa, Anna / Erdelyi-Hamza, Berta / Erzin, Gamze / Etchevers, Martin J / Falkai, Peter / Farcas, Adriana / Fedotov, Ilya / Filatova, Viktoriia / Fountoulakis, Nikolaos K / Frankova, Iryna / Franza, Francesco / Frias, Pedro / Galako, Tatiana / Garay, Cristian J / Garcia-Álvarez, Leticia / García-Portilla, Paz / Gonda, Xenia / Gondek, Tomasz M / Morera González, Daniela / Gould, Hilary / Grandinetti, Paolo / Grau, Arturo / Groudeva, Violeta / Hagin, Michal / Harada, Takayuki / Hasan, Tasdik M / Azreen Hashim, Nurul / Hilbig, Jan / Hossain, Sahadat / Iakimova, Rossitza / Ibrahim, Mona / Iftene, Felicia / Ignatenko, Yulia / Irarrazaval, Matias / Ismail, Zaliha / Ismayilova, Jamila / Jacobs, Asaf / Jakovljević, Miro / Jakšić, Nenad / Javed, Afzal / Yilmaz Kafali, Helin / Karia, Sagar / Kazakova, Olga / Khalifa, Doaa / Khaustova, Olena / Koh, Steve / Kopishinskaia, Svetlana / Kosenko, Korneliia / Koupidis, Sotirios A / Kovacs, Illes / Kulig, Barbara / Lalljee, Alisha / Liewig, Justine / Majid, Abdul / Malashonkova, Evgeniia / Malik, Khamelia / Iqbal Malik, Najma / Mammadzada, Gulay / Mandalia, Bilvesh / Marazziti, Donatella / Marčinko, Darko / Martinez, Stephanie / Matiekus, Eimantas / Mejia, Gabriela / Memon, Roha Saeed / Meza Martínez, Xarah Elenne / Mickevičiūtė, Dalia / Milev, Roumen / Mohammed, Muftau / Molina-López, Alejandro / Morozov, Petr / Muhammad, Nuru Suleiman / Mustač, Filip / Naor, Mika S / Nassieb, Amira / Navickas, Alvydas / Okasha, Tarek / Pandova, Milena / Panfil, Anca-Livia / Panteleeva, Liliya / Papava, Ion / Patsali, Mikaella E / Pavlichenko, Alexey / Pejuskovic, Bojana / Pinto da Costa, Mariana / Popkov, Mikhail / Popovic, Dina / Raduan, Nor Jannah Nasution / Vargas Ramírez, Francisca / Rancans, Elmars / Razali, Salmi / Rebok, Federico / Rewekant, Anna / Reyes Flores, Elena Ninoska / Rivera-Encinas, María Teresa / Saiz, Pilar A / Sánchez de Carmona, Manuel / Saucedo Martínez, David / Saw, Jo Anne / Saygili, Görkem / Schneidereit, Patricia / Shah, Bhumika / Shirasaka, Tomohiro / Silagadze, Ketevan / Sitanggang, Satti / Skugarevsky, Oleg / Spikina, Anna / Mahalingappa, Sridevi Sira / Stoyanova, Maria / Szczegielniak, Anna / Tamasan, Simona Claudia / Tavormina, Giuseppe / Tavormina, Maurilio Giuseppe Maria / Theodorakis, Pavlos N / Tohen, Mauricio / Tsapakis, Eva-Maria / Tukhvatullina, Dina / Ullah, Irfan / Vaidya, Ratnaraj / Vega-Dienstmaier, Johann M / Vrublevska, Jelena / Vukovic, Olivera / Vysotska, Olga / Widiasih, Natalia / Yashikhina, Anna / Prezerakos, Panagiotis E / Berk, Michael / Levaj, Sarah / Smirnova, Daria

    Social psychiatry and psychiatric epidemiology

    2023  Volume 58, Issue 9, Page(s) 1387–1410

    Abstract: Introduction: The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak.: Materials and methods: The data came from the larger COMET-G ... ...

    Abstract Introduction: The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak.
    Materials and methods: The data came from the larger COMET-G study. The study sample includes 12,792 health professionals from 40 countries (62.40% women aged 39.76 ± 11.70; 36.81% men aged 35.91 ± 11.00 and 0.78% non-binary gender aged 35.15 ± 13.03). Distress and clinical depression were identified with the use of a previously developed cut-off and algorithm, respectively.
    Statistical analysis: Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses, and Factorial Analysis of Variance (ANOVA) tested relations among variables.
    Results: Clinical depression was detected in 13.16% with male doctors and 'non-binary genders' having the lowest rates (7.89 and 5.88% respectively) and 'non-binary gender' nurses and administrative staff had the highest (37.50%); distress was present in 15.19%. A significant percentage reported a deterioration in mental state, family dynamics, and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (24.64% vs. 9.62%; p < 0.0001). Suicidal tendencies were at least doubled in terms of RASS scores. Approximately one-third of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop clinical depression was associated with a history of Bipolar disorder (RR = 4.23).
    Conclusions: The current study reported findings in health care professionals similar in magnitude and quality to those reported earlier in the general population although rates of clinical depression, suicidal tendencies, and adherence to conspiracy theories were much lower. However, the general model of factors interplay seems to be the same and this could be of practical utility since many of these factors are modifiable.
    MeSH term(s) Humans ; Female ; Male ; COVID-19/epidemiology ; Mental Health ; Suicidal Ideation ; Depression/epidemiology ; Anxiety/epidemiology ; Anxiety/psychology ; Health Personnel
    Language English
    Publishing date 2023-03-03
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 623071-4
    ISSN 1433-9285 ; 0037-7813 ; 0933-7954
    ISSN (online) 1433-9285
    ISSN 0037-7813 ; 0933-7954
    DOI 10.1007/s00127-023-02438-8
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