The interface of physical and mental health

(Ansar Abbas, Multan)

Introduction:
According to WHO:“Mental Health is a state of well-being in which an individual realises
his/her own abilities ,can cope with normal sentences of life , can work productively and
fruitfully and is able to make a contribution to his/her community.”“Physical health is a state
of complete physical ,Mental and social well being and not merely the absence of disease.”
The association b/w mental and physical health are:
Poor mental health is a risk factor for chronic physical conditions.
Serious mental health increases risk of developing chronic physical
conditions and vice versa for physical health.
Effects Of Mental Health On Physical Health:
People having poor mental health are at risk of chronic physical conditions .
Depression has been linked to many chronic illnesses such as
diabetes,asthma,cancer,CVDs,erectile dysfunctions in males,irritable bowel
syndrome common in women,schizophrenia has been linked to CVDs and
respiratory disorders.
According to centres for disease control and prevention's national
diabetes statistics:
Report, estimated 37.3 million People in UN stateHaving diabetes. About1 in 4 adults
in diabetes Don't know they have disease .Diabetes is a major cause Memory loss in
American adults .Cvds are Leading cause of death.serbi an population And in 2010
The accounted for 54.7 Of All causes of death .
According to conditional logistic Regression analysis After adjustment for
conventional economy risk odds ratios 95% confidence intervals for work related
stressful events, Financial stress, death's and diseases And general stress were
3.78( 1.83-7.81),3.80(1.96-7.38),1.69(1.03-2.78)and 3.54(2.01-6.22)respectively.
Mental Health Barriers:
People Having chronic physical conditions are at risk of poor mental health psoriasis
tic people Experience psychological distress that negatively impacts their overall
health And quality of life .
Around 1/3 Of people did serious medical conditions, will have symptoms of
depression
Such as Low mood mental health, problem Sleep problem and loss of interest in
activities.
mental health Barriers barriers to access To access and treatment some conditions
are barriers Treatment of Mental Health. financial barriers as e.g traditional 60
minute therapy session Can range from $100 and $200 depending on state and
weather or provider is considered In network
a patient with major depression can spend on average of 10,836,I hear, on
treatmentOf. lack of available services caused by a combination of highly demand
for treatment and low supply of trained professionals.
Limited availability of mental health education and awareness .
Social stigma of mental health treatment e.g,risk of facing discriminations in cultural
social circles creates barriers to seeking treatment.racial barriers are among different
social and ethnic groups .one survey finds that white adults (23)%are more than
black( 13.6%) adults to seek and receive mental health treatment.
According to research from
american psychologist association( APA)and the bureau of labour statistics
84%,psychologist,67% of social workers and 88% of mental health counsellor are
white .people are loss likely to seek help if they think doctor couldn't understand on
empathise with their background and experienced.
A-2016 article by Dawn shows statement about mental health in pakistan as 50
million pakistan suffer from mental issues .pakistan also has staggeringly low no of
psychiatrists -2020 article published by the Lancet psychiatry says pakistan
population stands at more than 200 million people yet nation has fewer than 500
psychiatric .
A-2015 article by inamullah Ansari says pakistan has 4 psychiatric hospitals
available to whole country .mental health carriers a stigma which distress people
from seeking professional help .many believe that mental health issues stem from
“supernatural formes”
Pakistani womens face significant societal stigmas and gender biases ,dowries,and
exchange marriages are common especially in rural areas ,violence and in extreme
circumstances.A UN study founds that a staggering 90 % of pakistani women
surveyed suffered mental and verbal abuse from their spouses and 50 % of womens
endured physical abuse .
Mental disorder is considered as a course in pakistan .
Mental health is considered a luxury and therefore not talked about among people .
Mental Health:Correlation with religion:
The Amazed Research indicates that higher levels of religious beliefs and practice
(religiously) is associated with better mental health .
Famous Israeli sociologist Aaron Antonovsky argued that :”existential commitment
(including religiosity) can provide a sense of coherence ,”imparting deep meaning
and organising framework to individual life experience .
His research showed that he can even allow holocaust survivors to live a mentally
healthy risk.
Regarding with islam, muslims perform salah and fasts as an act of prayers
.Research demonstrated that action of salah dislikes decrease frontal lobe activity .
According to the hypothesis of Arne Dietrics in 2006 ,decreased frontal lobe activity
produces a therapeutic effect in certain mental issues such as depression ,anxiety,
obsessive compulsive disorder (OCD) post traumatic stress disorder(PTSD) .
A cross cultural study involving 132 countries and close to 140,000 people found that
people in poor countries like Niger and Togo repeated some of the highest rates of
meaning of life but also lowest rates of happiness.This suggests that happiness
doesn't explain the disparity in su side rate .
Natural and physical health are common co.warbilities and where present ,have a
significant effect on health outcomes including mortality.
Service users ,families ,clinicians and policy makers all agree that a joined up
approach to physical and mental health is needed .Negative approaches to improve
the physical health and longevity of people with SMI in particular are urgently needed
across the board.

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Ansar Abbas
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