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      The importance of rapid assessment tools in evaluating mental health in emergency departments among patients with chronic diseases

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          Abstract

          Background

          Rapid screening tools such as the WHO well-being Index (WWBI), Six-item screener (SIS), and the CLOX-1 test can be used to assess overall mental health and cognition, respectively. We sought to evaluate mental health with cognition in individuals with chronic diseases and stable vital signs presenting to the Emergency Department (ED).

          Methods

          An observational study in the ED with 279 participants was conducted.

          Results

          Chronic diseases were more prevalent among 51–70 years (43.4%) and diabetes was most common (58.8%). Fever (22.6%) and GI bleeding (32.6%) presentation were high. Participants with low WWBI had low SIS compared to the ones with higher scores (83.3% vs. 17.7%, p < 0.001) and also had low CLOX-1 compared to ones with high CLOX-1 (67.3% vs. 5%, <0.001). A positive correlation between WWBI with SIS (correlation coefficient = 0.305, p < 0.001) and CLOX-1 (0.441, <0.001). Regression analysis indicates a positive association between WWBI and the SIS (standardized regression coefficient = 0.187, 95%CI = 0.236–1.426, and p = 0.006) and CLOX 1 (0.338, 0.2–0.463, <0.001).

          Conclusion

          In the ED, the evaluation of mental health even among cognitive impaired is feasible and crucial.

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          Most cited references34

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          The WHO-5 Well-Being Index: a systematic review of the literature.

          Christian Topp, Søren Dinesen Østergaard, Susan Søndergaard … (2015)
          The 5-item World Health Organization Well-Being Index (WHO-5) is among the most widely used questionnaires assessing subjective psychological well-being. Since its first publication in 1998, the WHO-5 has been translated into more than 30 languages and has been used in research studies all over the world. We now provide a systematic review of the literature on the WHO-5.
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            The effect of pain on cognitive function: a review of clinical and preclinical research.

            Orla Moriarty, Brian McGuire, David Finn (2011)
            Cognitive impairment is commonly associated with the pain experience. This impairment represents a major obstacle to daily activities and rehabilitation, especially in the chronic pain population. Here we review clinical and preclinical studies that have investigated pain-related alterations in cognition. These include impaired attentional, executive and general cognitive functioning. We describe the anatomical, neurochemical and molecular substrates common to both cognitive processing and supraspinal pain processing, and present the evidence for their involvement in pain-related cognitive impairment. We also examine the added complexity of cognitive impairment caused by analgesic medications and how this can further impact on morbidity in chronic pain patients. The need for a better understanding of the mechanisms of both pain-induced and treatment-related cognitive impairment is highlighted. Further research in this area will aid our understanding of patient symptoms and their underlying pathophysiology, ultimately leading to increased provision of guided therapy. Copyright © 2011 Elsevier Ltd. All rights reserved.
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              Six-Item Screener to Identify Cognitive Impairment Among Potential Subjects for Clinical Research

              Christopher M Callahan, Frederick Unverzagt, Siu L Hui … (2002)
              Article 0 comments Cited 179 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Aditya Lal Vallath: URI : https://loop.frontiersin.org/people/535001/overviewRole: Role: Role: Role: Role: Role: Role:
                Barath Prashanth Sivasubramanian: URI : https://loop.frontiersin.org/people/2603898/overviewRole: Role: Role: Role: Role:
                Diviya Bharathi Ravikumar: Role: Role: Role: Role: Role:
                Akshita Lalendran: Role:
                Suhasini Krishnan: URI : https://loop.frontiersin.org/people/2365751/overviewRole:
                Sudeshna Samanta: Role: Role:
                Snigda Banerjee: Role:
                Tania Das: Role: Role:
                Ritwick Kundu: Role: Role:
                Vyom Richharia: Role: Role:
                Ravisha More: Role: Role:
                Mishika Khithani: Role: Role:
                Sahana Nazimudeen: Role: Role:
                Sasidhar Gunturu: URI : https://loop.frontiersin.org/people/1825081/overviewRole: Role:
                Indraneel Dasgupta: Role: Role:
                Journal
                Journal ID (nlm-ta): Front Public Health
                Journal ID (iso-abbrev): Front Public Health
                Journal ID (publisher-id): Front. Public Health
                Title: Frontiers in Public Health
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2296-2565
                Publication date (Electronic): 01 March 2024
                Publication date Collection: 2024
                Volume: 12
                Electronic Location Identifier: 1258749
                Affiliations
                [1] 1Department of Emergency Medicine, Peerless Hospital and BK Roy Research Center , Kolkata, India
                [2] 2Department of Infectious Diseases, University of Texas Health Science Center at San Antonio , San Antonio, TX, United States
                [3] 3Department of Internal Medicine, Employees State Insurance Corporation , Chennai, Tamil Nadu, India
                [4] 4Department of Psychiatry, Icahn School of Medicine at Mount Sinai , New York, NY, United States
                [5] 5Dubai Academic Health Corporation , Dubai, United Arab Emirates
                [6] 6BBA Hospital Management, George Group of Colleges , Kolkata, India
                [7] 7Clinical Pharmacology and Research, Peerless Hospital and BK Roy Research Center , Kolkata, India
                [8] 8Department of Orthopedics and Trauma, Peerless Hospital and BK Roy Research Center , Kolkata, India
                [9] 9Department of Public Health, Bharati Vidyapeeth Deemed University Medical College , Pune, India
                [10] 10National AIDS Research Center, University of Aberdeen , Aberdeen, Scotland, United Kingdom
                [11] 11Independent Practice , Dubai, United Arab Emirates
                Author notes

                Edited by: Mosad Zineldin, Linnaeus University, Sweden

                Reviewed by: Svetlana Ranko Radevic, University of Kragujevac, Serbia

                Gabriella Martino, University of Messina, Italy

                *Correspondence: Suhasini Krishnan, suhasini.krishnan98@ 123456gmail.com
                Article
                DOI: 10.3389/fpubh.2024.1258749
                PMC ID: 10940474
                PubMed ID: 38496389
                SO-VID: 2dc2576d-5fe6-49a2-b690-009f915d1a70
                Copyright © Copyright © 2024 Vallath, Sivasubramanian, Ravikumar, Lalendran, Krishnan, Samanta, Banerjee, Das, Kundu, Richharia, More, Khithani, Nazimudeen, Gunturu and Dasgupta.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 14 July 2023
                Date accepted : 30 January 2024
                Page count
                Figures: 0, Tables: 4, Equations: 0, References: 39, Pages: 7, Words: 5514
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. We have received funding from the Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
                Categories
                Subject: Public Health
                Subject: Original Research
                Custom metadata
                section-at-acceptance Public Mental Health

                Keywords: mental health,clox-1,six-item screener,who well-being index,emergency department
                Data availability:
                Keywords: mental health, clox-1, six-item screener, who well-being index, emergency department

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