論文 Results of the COVID-19 mental health international for the health professionals (COMET-HP) study: depression, suicidal tendencies and conspiracism. Social psychiatry and psychiatric epidemiology,:1-24 2023(Mar. 03) Author:Konstantinos N Fountoulakis; Grigorios N Karakatsoulis; Seri Abraham; Kristina Adorjan; Helal Uddin Ahmed; Renato D Alarcón; Kiyomi Arai; Sani Salihu Auwal; Julio Bobes; Teresa Bobes-Bascaran; Julie Bourgin-Duchesnay; Cristina Ana Bredicean; Laurynas Bukelskis; Akaki Burkadze; Indira Indiana Cabrera Abud; Ruby Castilla-Puentes; Marcelo Cetkovich; Hector Colon-Rivera; Ricardo Corral; Carla Cortez-Vergara; Piirika Crepin; Domenico de Berardis; Sergio Zamora Delgado; David de Lucena; Avinash de Sousa; Ramona di Stefano; Seetal Dodd; Livia Priyanka Elek; Anna Elissa; Berta Erdelyi-Hamza; Gamze Erzin; Martin J Etchevers; Peter Falkai; Adriana Farcas; Ilya Fedotov; Viktoriia Filatova; Nikolaos K Fountoulakis; Iryna Frankova; Francesco Franza; Pedro Frias; Tatiana Galako; Cristian J Garay; Leticia Garcia-Álvarez; Paz García-Portilla; Xenia Gonda; Tomasz M Gondek; Daniela Morera González; Hilary Gould; Paolo Grandinetti; Arturo Grau; Violeta Groudeva; Michal Hagin; Takayuki Harada; Tasdik M Hasan; Nurul Azreen Hashim; Jan Hilbig; Sahadat Hossain; Rossitza Iakimova; Mona Ibrahim; Felicia Iftene; Yulia Ignatenko; Matias Irarrazaval; Zaliha Ismail; Jamila Ismayilova; Asaf Jacobs; Miro Jakovljević; Nenad Jakšić; Afzal Javed; Helin Yilmaz Kafali; Sagar Karia; Olga Kazakova; Doaa Khalifa; Olena Khaustova; Steve Koh; Svetlana Kopishinskaia; Korneliia Kosenko; Sotirios A Koupidis; Illes Kovacs; Barbara Kulig; Alisha Lalljee; Justine Liewig; Abdul Majid; Evgeniia Malashonkova; Khamelia Malik; Najma Iqbal Malik; Gulay Mammadzada; Bilvesh Mandalia; Donatella Marazziti; Darko Marčinko; Stephanie Martinez; Eimantas Matiekus; Gabriela Mejia; Roha Saeed Memon; Xarah Elenne Meza Martínez; Dalia Mickevičiūtė; Roumen Milev; Muftau Mohammed; Alejandro Molina-López; Petr Morozov; Nuru Suleiman Muhammad; Filip Mustač; Mika S Naor; Amira Nassieb; Alvydas Navickas; Tarek Okasha; Milena Pandova; Anca-Livia Panfil; Liliya Panteleeva; Ion Papava; Mikaella E Patsali; Alexey Pavlichenko; Bojana Pejuskovic; Mariana Pinto da Costa; Mikhail Popkov; Dina Popovic; Nor Jannah Nasution Raduan; Francisca Vargas Ramírez; Elmars Rancans; Salmi Razali; Federico Rebok; Anna Rewekant; Elena Ninoska Reyes Flores; María Teresa Rivera-Encinas; Pilar A Saiz; Manuel Sánchez de Carmona; David Saucedo Martínez; Jo Anne Saw; Görkem Saygili; Patricia Schneidereit; Bhumika Shah; Tomohiro Shirasaka; Ketevan Silagadze; Satti Sitanggang; Oleg Skugarevsky; Anna Spikina; Sridevi Sira Mahalingappa; Maria Stoyanova; Anna Szczegielniak; Simona Claudia Tamasan; Giuseppe Tavormina; Maurilio Giuseppe Maria Tavormina; Pavlos N Theodorakis; Mauricio Tohen; Eva-Maria Tsapakis; Dina Tukhvatullina; Irfan Ullah; Ratnaraj Vaidya; Johann M Vega-Dienstmaier; Jelena Vrublevska; Olivera Vukovic; Olga Vysotska; Natalia Widiasih; Anna Yashikhina; Panagiotis E Prezerakos; Michael Berk; Sarah Levaj; Daria Smirnova 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.
The effect of different degrees of lockdown and self-identified gender on anxiety, depression and suicidality during the COVID-19 pandemic: Data from the international COMET-G study. Psychiatry Research,315:114702-114702 2022(Sep.) Author:Konstantinos N. Fountoulakis; Grigorios N. Karakatsoulis; Seri Abraham; Kristina Adorjan; Helal Uddin Ahmed; Renato D. Alarcón; Kiyomi Arai; Sani Salihu Auwal; Michael Berk; Sarah Bjedov; Julio Bobes; Teresa Bobes-Bascaran; Julie Bourgin-Duchesnay; Cristina Ana Bredicean; Laurynas Bukelskis; Akaki Burkadze; Indira Indiana Cabrera Abud; Ruby Castilla-Puentes; Marcelo Cetkovich; Hector Colon-Rivera; Ricardo Corral; Carla Cortez-Vergara; Piirika Crepin; Domenico De Berardis; Sergio Zamora Delgado; David De Lucena; Avinash De Sousa; Ramona Di Stefano; Seetal Dodd; Livia Priyanka Elek; Anna Elissa; Berta Erdelyi-Hamza; Gamze Erzin; Martin J. Etchevers; Peter Falkai; Adriana Farcas; Ilya Fedotov; Viktoriia Filatova; Nikolaos K. Fountoulakis; Iryna Frankova; Francesco Franza; Pedro Frias; Tatiana Galako; Cristian J. Garay; Leticia Garcia-Álvarez; Maria Paz García-Portilla; Xenia Gonda; Tomasz M. Gondek; Daniela Morera González; Hilary Gould; Paolo Grandinetti; Arturo Grau; Violeta Groudeva; Michal Hagin; Takayuki Harada; Tasdik M. Hasan; Nurul Azreen Hashim; Jan Hilbig; Sahadat Hossain; Rossitza Iakimova; Mona Ibrahim; Felicia Iftene; Yulia Ignatenko; Matias Irarrazaval; Zaliha Ismail; Jamila Ismayilova; Asaf Jacobs; Miro Jakovljević; Nenad Jakšić; Afzal Javed; Helin Yilmaz Kafali; Sagar Karia; Olga Kazakova; Doaa Khalifa; Olena Khaustova; Steve Koh; Svetlana Kopishinskaia; Korneliia Kosenko; Sotirios A. Koupidis; Illes Kovacs; Barbara Kulig; Alisha Lalljee; Justine Liewig; Abdul Majid; Evgeniia Malashonkova; Khamelia Malik; Najma Iqbal Malik; Gulay Mammadzada; Bilvesh Mandalia; Donatella Marazziti; Darko Marčinko; Stephanie Martinez; Eimantas Matiekus; Gabriela Mejia; Roha Saeed Memon; Xarah Elenne Meza Martínez; Dalia Mickevičiūtė; Roumen Milev; Muftau Mohammed; Alejandro Molina-López; Petr Morozov; Nuru Suleiman Muhammad; Filip Mustač; Mika S. Naor; Amira Nassieb; Alvydas Navickas; Tarek Okasha; Milena Pandova; Anca-Livia Panfil; Liliya Panteleeva; Ion Papava; Mikaella E. Patsali; Alexey Pavlichenko; Bojana Pejuskovic; Mariana Pinto Da Costa; Mikhail Popkov; Dina Popovic; Nor Jannah Nasution Raduan; Francisca Vargas Ramírez; Elmars Rancans; Salmi Razali; Federico Rebok; Anna Rewekant; Elena Ninoska Reyes Flores; María Teresa Rivera-Encinas; Pilar Saiz; Manuel Sánchez de Carmona; David Saucedo Martínez; Jo Anne Saw; Görkem Saygili; Patricia Schneidereit; Bhumika Shah; Tomohiro Shirasaka; Ketevan Silagadze; Satti Sitanggang; Oleg Skugarevsky; Anna Spikina; Sridevi Sira Mahalingappa; Maria Stoyanova; Anna Szczegielniak; Simona Claudia Tamasan; Giuseppe Tavormina; Maurilio Giuseppe Maria Tavormina; Pavlos N. Theodorakis; Mauricio Tohen; Eva Maria Tsapakis; Dina Tukhvatullina; Irfan Ullah; Ratnaraj Vaidya; Johann M. Vega-Dienstmaier; Jelena Vrublevska; Olivera Vukovic; Olga Vysotska; Natalia Widiasih; Anna Yashikhina; Panagiotis E. Prezerakos; Daria Smirnova Abstract:INTRODUCTION: During the COVID-19 pandemic various degrees of lockdown were applied by countries around the world. It is considered that such measures have an adverse effect on mental health but the relationship of measure intensity with the mental health effect has not been thoroughly studied. Here we report data from the larger COMET-G study pertaining to this question. MATERIAL AND METHODS: During the COVID-19 pandemic, data were gathered with an online questionnaire from 55,589 participants from 40 countries (64.85% females aged 35.80 ± 13.61; 34.05% males aged 34.90±13.29 and 1.10% other aged 31.64±13.15). Anxiety was measured with the STAI, depression with the CES-D and suicidality with the RASS. Distress and probable depression were identified with the use of a previously developed cut-off and algorithm respectively. STATISTICAL ANALYSIS: It included the calculation of Relative Risk (RR), Factorial ANOVA and Multiple backwards stepwise linear regression analysis RESULTS: Approximately two-thirds were currently living under significant restrictions due to lockdown. For both males and females the risk to develop clinical depression correlated significantly with each and every level of increasing lockdown degree (RR 1.72 and 1.90 respectively). The combined lockdown and psychiatric history increased RR to 6.88 The overall relationship of lockdown with severity of depression, though significant was small. CONCLUSIONS: The current study is the first which reports an almost linear relationship between lockdown degree and effect in mental health. Our findings, support previous suggestions concerning the need for a proactive targeted intervention to protect mental health more specifically in vulnerable groups.
Results of the COVID-19 MEntal health inTernational for the General population (COMET-G) study. European Neuropsychopharmacology,54:21-40 2021(Oct.) Author:Konstantinos N. Fountoulakis; Grigorios Karakatsoulis; Seri Abraham; Kristina Adorjan; Helal Uddin Ahmed; Renato D. Alarcón; Kiyomi Arai; Sani Salihu Auwal; Michael Berk; Sarah Bjedov; Julio Bobes; Teresa Bobes-Bascaran; Julie Bourgin-Duchesnay; Cristina Ana Bredicean; Laurynas Bukelskis; Akaki Burkadze; Indira Indiana Cabrera Abud; Ruby Castilla-Puentes; Marcelo Cetkovich; Hector Colon-Rivera; Ricardo Corral; Carla Cortez-Vergara; Piirika Crepin; Domenico De Berardis; Sergio Zamora Delgado; David De Lucena; Avinash De Sousa; Ramona Di Stefano; Seetal Dodd; Livia Priyanka Elek; Anna Elissa; Berta Erdelyi-Hamza; Gamze Erzin; Martin J. Etchevers; Peter Falkai; Adriana Farcas; Ilya Fedotov; Viktoriia Filatova; Nikolaos K. Fountoulakis; Iryna Frankova; Francesco Franza; Pedro Frias; Tatiana Galako; Cristian J. Garay; Leticia Garcia-Álvarez; Maria Paz García-Portilla; Xenia Gonda; Tomasz M. Gondek; Daniela Morera González; Hilary Gould; Paolo Grandinetti; Arturo Grau; Violeta Groudeva; Michal Hagin; Takayuki Harada; Tasdik M. Hasan; Nurul Azreen Hashim; Jan Hilbig; Sahadat Hossain; Rossitza Iakimova; Mona Ibrahim; Felicia Iftene; Yulia Ignatenko; Matias Irarrazaval; Zaliha Ismail; Jamila Ismayilova; Asaf Jakobs; Miro Jakovljević; Nenad Jakšić; Afzal Javed; Helin Yilmaz Kafali; Sagar Karia; Olga Kazakova; Doaa Khalifa; Olena Khaustova; Steve Koh; Svetlana Kopishinskaia; Korneliia Kosenko; Sotirios A. Koupidis; Illes Kovacs; Barbara Kulig; Alisha Lalljee; Justine Liewig; Abdul Majid; Evgeniia Malashonkova; Khamelia Malik; Najma Iqbal Malik; Gulay Mammadzada; Bilvesh Mandalia; Donatella Marazziti; Darko Marčinko; Stephanie Martinez; Eimantas Matiekus; Gabriela Mejia; Roha Saeed Memon; Xarah Elenne Meza Martínez; Dalia Mickevičiūtė; Roumen Milev; Muftau Mohammed; Alejandro Molina-López; Petr Morozov; Nuru Suleiman Muhammad; Filip Mustač; Mika S. Naor; Amira Nassieb; Alvydas Navickas; Tarek Okasha; Milena Pandova; Anca-Livia Panfil; Liliya Panteleeva; Ion Papava; Mikaella E. Patsali; Alexey Pavlichenko; Bojana Pejuskovic; Mariana Pinto Da Costa; Mikhail Popkov; Dina Popovic; Nor Jannah; Nasution Raduan; Francisca Vargas Ramírez; Elmars Rancans; Salmi Razali; Federico Rebok; Anna Rewekant; Elena Ninoska Reyes Flores; María Teresa Rivera-Encinas; Pilar Saiz; Manuel Sánchez de Carmona; David Saucedo Martínez; Jo Anne Saw; Görkem Saygili; Patricia Schneidereit; Bhumika Shah; Tomohiro Shirasaka; Ketevan Silagadze; Satti Sitanggang; Oleg Skugarevsky; Anna Spikina; Sridevi Sira Mahalingappa; Maria Stoyanova; Anna Szczegielniak; Simona Claudia Tamasan; Giuseppe Tavormina; Maurilio Giuseppe; Maria Tavormina; Pavlos N. Theodorakis; Mauricio Tohen; Eva Maria Tsapakis; Dina Tukhvatullina; Irfan Ullah; Ratnaraj Vaidya; Johann M. Vega-Dienstmaier; Jelena Vrublevska; Olivera Vukovic; Olga Vysotska; Natalia Widiasih; Anna Yashikhina; Panagiotis E. Prezerakos; Daria Smirnova Abstract:INTRODUCTION: There are few published empirical data on the effects of COVID-19 on mental health, and until now, there is no large international study. MATERIAL AND METHODS: During the COVID-19 pandemic, an online questionnaire gathered data from 55,589 participants from 40 countries (64.85% females aged 35.80 ± 13.61; 34.05% males aged 34.90±13.29 and 1.10% other aged 31.64±13.15). Distress and probable 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: Probable depression was detected in 17.80% and distress in 16.71%. 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 (31.82% vs. 13.07%). At least half of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop depression was associated with history of Bipolar disorder and self-harm/attempts (RR = 5.88). Suicidality was not increased in persons without a history of any mental disorder. Based on these results a model was developed. CONCLUSIONS: The final model revealed multiple vulnerabilities and an interplay leading from simple anxiety to probable depression and suicidality through distress. This could be of practical utility since many of these factors are modifiable. Future research and interventions should specifically focus on them.
Awareness of Pre-Alcoholic Status and Changes in Such Awareness Analysis of Narratives by Male Japanese Patients and Their Families JOURNAL OF ADDICTIONS NURSING,25(1):35-40 2014(Jan.) Author:Kiyomi Arai; Michiyo Oka; Emiko Motegi Abstract:In this study, we investigated the extent of awareness on the part of alcoholic people with regard to their alcoholism and changes in such awareness over time. We conducted qualitative, descriptive analysis of data obtained during semistructured interviews of alcoholic people and family members with whom they lived during the pre-alcoholic stage. The awareness of pre-alcoholic people was found to involve seven elements and to undergo changes at three stages of alcohol consumption (when enjoying the effects of alcohol, when escaping from a reality difficult to face directly, and when alcohol began to cause health problems). The results suggest that professional support for pre-alcoholic people should be tailored to the stage of alcohol use of each individual case and should include advice on appropriate alcohol consumption. In addition, identification and follow-up of problematic drinkers and short-term intervention are required.
プレアルコホリックの認識における変化のプロセス : アルコール依存症患者とその家族の語りからの分析 日本アルコール・薬物医学会雑誌 = Japanese journal of alcohol studies & drug dependence,48(3):198-215 2013(Jun.) Author:新井 清美; 森田 展彰; 韮澤 博一 Abstract:アルコール依存症専門病棟に入院している患者と当時同居していた家族15組のインタビューから、患者と家族におけるプレアルコホリックの認識の相違を掴むことができ、より早期の段階での介入の可能性を示すことができた。健康的な飲酒からアルコール依存症へと飲酒行動が変わっていくプロセスは、《お酒の効用を求める》、《直視し難い現実から逃れる》、《健康上の障害が出現する》、《飲酒への自制が利かなくなっていく》の4つの段階を辿っており、第2段階から患者と家族の認識の相違が現れる。第3段階以降、患者・家族間のコミュニケーションが不足することで認識や感情の相違が大きくなっていく。第4段階では患者と家族の認識の共通点が見られなくなり、家族からの飲酒に関する否定的な反応が否認を強めることに働きかけ、自己防衛を高めている。このように、患者と家族とで問題を認識するのに時間的差異が生じることで、飲酒問題がより深刻化するという負の連鎖をもたらすことに影響している。このことを考慮し、患者のみならず、家族へも介入することで患者・家族間の効果的なコミュニケーション方法の獲得に働きかけることが重要である。これにより、プレアルコホリックの段階に応じた飲酒行動変容に向けたレディネスを獲得する一助とし、問題が深刻化することを予防していくことが見込まれる。(著者抄録)
アルコール依存症者の喫煙行動とSOC(Sense of Coherence) 日本社会精神医学会雑誌,16(1):13-21 2007(Jul.) Author:松下 年子; 伊藤 美保; 新井 清美 Abstract:入院・通院中のアルコール依存症者85名(男性68、女性17)を対象に、喫煙に関するアンケートとFTND(Fagerstorm Test for Nicotine Dependence),SOC(Sense of Coherence)調査を実施した結果、喫煙率は77.6%(非喫煙者の61.1%に喫煙歴あり)、喫煙者の平均喫煙本数は23.3±10.6本であり、本対象者の喫煙率、喫煙本数がともに全国平均と比較して高いことが示された。また、喫煙者のFTND平均得点は5.5±2.1点で、FTNDにてニコチン依存症と判定される者(6点以上)は喫煙者の50.0%、全対象者の38.8%を占めていた。対象男性のSOC平均得点は51.0±10.9点で、日本人一般人口のそれと比較して明らかに低かった。さらに、喫煙を始めた年齢が低い者ほどニコチン依存度は高く、ニコチン依存度が高い者ほどSOCが低い傾向にあった。以上より、アルコール依存者の依存性という精神病理の一側面が、SOCが意味するところの対処能力や精神特性、パーソナリティ的要素によって占められる可能性、つまり、SOCが依存性の一指標になり得る可能性が示唆された。(著者抄録)
アルコール依存症患者の喫煙とニコチン依存 アディクション看護,3(1):55-61 2006(Sep.) Author:松下 年子; 安積 美保; 伊藤 美保; 太田 春美; 新井 清美 Abstract:アルコール依存症専門病棟に入院中またはクリニック通院中の当該患者85名(男性68名、女性17名)へ、喫煙歴および喫煙に対する意識調査を実施するとともに、ニコチン依存度スケールであるFTND(Fagerstrom Test for Nicotine Dependence)を用いた調査を行った。その結果、喫煙者は66名(77.6%)で、非喫煙者の57.9%に喫煙歴が認められた。また、FTNDを用いた測定では、明らかなニコチン依存症を示した者(FTND6点以上)は喫煙者66名のうち33名(50%)であった。
SY31: The current countermeasures regarding gambling addiction in Japan SY31-3: Difficulties and supports for family members of people with gambling disorder in Japan 6th. International Conference on Behavioral Addictions 2019(Jun. 19) Presenter:Nobuaki Morita; Kiyomi Arai; Noriko Tanaka; Yukiko Kawaguchi
SY24: Considering the countermeasure toward casino opening SY24-3: The process of gambling problem getting serious 6th. International Conference on Behavioral Addictions 2019(Jun. 18) Presenter:新井清美
Difficulties and supports for family members of people with gambling disorder International Society for Biomedical Research on Alcoholism 2018(Sep. 12) Presenter:Nobuaki Morita; Kiyomi Arai; Noriko Tanaka; Yukiko Kawaguchi
Development of Assessment Tool for Factors Related to Pathological Gambling and Risk Judgment Impact,Volume 2019(Number 3):85-87 2019 Author:Arai,Kiyomi
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