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Lecture 13

lecture 13 HLTB03 Mental Health.docx

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University of Toronto Scarborough
Health Studies
Dan Silver

Lecture 12: Mental Health  how would you describe your health  When a health researcher’s perspective, interested in physiological health, is what type of data we are trying to get  5 point, ordinal type of rating of your health [1-5 or a-e]; higher=more better  Categorical variables; you have different categories  Health; a state of complete physical, mental and social well bring and not just the absence of disease or illness; includes social, economic, and physical environmental factors that contribute to health  WHO: defines mental health: a state of wellbeing, where individual realizes his abilities and cope with normal stresses of life and work productively… Problems  20% of Canadian pop. Suffers from mental health problems. 2% is severe illness  12% of Canadians will experience a major depressive episode over their lifetime  5% of people experience a major depressive episode annually From a policy perspective there are issues with funding and quantifying:  distinction between direct and indirect costs; direct are easier to put dollar value on  direct costs: hospital stays, medication, visits from psychologists and social workers  indirect costs: lost productivity, unemployment, reduced quality of life, non- institutional treatments  ex: person with depression missed week because of depressive episode, you may not see that depending on the way they are paid and so forth  an issue like schizophrenia who is unable to cope in the workforce, we might never know their potential because they are institutionalized, example of indirect because they might have had a job, and what their productivity looks like  family; how they took care of the person, if a member didn’t get a job due to that, example: sister was caretaker and that she didn’t get a job so no monetary value to her mental health policy in Canada  mental health is a provincial responsibility  throughout there is an emphasis on : o mental health promotion o prevention of mental disorders o projection of human rights and freedoms o community care sociology of mental illness and mental health trans-institutionalization: the process of shifting the mentally ill from one institution to another example: individual used a snow plow and killed a police officer; trial was deemed mentally ill  like a jail to mental health facility  CAMH the myths of mental illness  people with mental illness are violent and dangerous  People with mental illness are poor and/or less intelligent  Not myth; fact from textbook: Overlap with poverty people who have depression  Mental illness is a single, rare disorder [there is a whole range and spectrum of disorders] Depression: Main symptoms  A sad, despairing mood that;  Is present most days and lasts most of the day  More than 2 weeks Temporal depression  Seasonal affective disorder: this type of depression is usually affected by the weather and time of the year  Postpartum depression: this occurs in women, following the birth of the child, about 13% of women will experience this type of depression Gender and depression  Women: major depressive can occur in 10 to 25% of women almost twice as men  Men: the rate of completed suicide in men is 4x more that of women, though more women attempt it Women and depression  Gender inequality and education  Income inequality  Low socioeconomic status Depression often accompanies other diseases relationship b/w physiological and mental health high level of comorbidity b/w mental and physical illness  Slide… tobacco use: is associated with depression via the effects major depressive disorder [DSM-IV]  You have had an episode of depression lasting at least 2 weeks with at least 5 of the following symptoms o Depressed, sad, blue,  Symptoms are severe enough to upset your daily routine or seriously impair your work or interfere with relationships  Depression doesn’t  Slides Measurement of depressive symptoms  The center for epidemiologic studies of depression scale  CES-D o Scale; 0-3  Scoring: less than 15 not depressed, 15-21 mild to moderate and over 21 possibility
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