Criminality in Greece during the years of financial crisis: 2008–2014

Tsouvelas, George; Konstantakopoulos, George; Vakirtzis, Antonios; Giotakos, Orestis; Papaslanis, T.; Kontaxakis, V.P.

doi:10.22365/jpsych.2018.291.19

Cited by 6 publications

(4 citation statements)

References 13 publications

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“…Tobacco smoking has been associated with a wide range of psychiatric/psychological and non‐psychiatric difficulties in BD 25,38,44 and it decreases the plasma levels and the effectiveness of several psychotropic drugs 5 . Finally, smoking also impacts quality of life of patients with BD 53 . For these reasons, among others, smoking cessation should be a priority.…”

Section: Discussionmentioning

confidence: 99%

“…Fourthly, tobacco smoking is associated with a higher frequency of sleep disturbances, anger, impulsivity and emotional lability 6,23,27 —which can all worsen the course of BD. Moreover, tobacco smoking decreases quality of life and increases the large economic burden within patients who are likely to have already low economic income 53 . Finally, tobacco smoking interacts with medications prescribed in BD 58 by inducing the cytochrome P450 1A2, that metabolizes numerous psychotropic medications such as antidepressants 49 and antipsychotics 3 .…”

Section: Introductionmentioning

confidence: 99%

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Physical and mental health status of former smokers and non‐smokers patients with bipolar disorder

Nobile,

Godin,

Gard

et al. 2023

Acta Psychiatr Scand

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Objectives Up to 70% individuals with bipolar disorder (BD) are lifetime tobacco smokers, a major modifiable risk factor for morbidity. However, quitting smoking is rarely proposed to individuals with BD, mainly because of fear of unfavorable metabolic or psychiatric changes. Evaluating the physical and mental impact of tobacco cessation is primordial. The aim of this study was to characterize the psychiatric and nonpsychiatric correlates of tobacco smoking status (never‐ vs. current vs. former smokers) in individuals with BD. Methods 3860 individuals with ascertained BD recruited in the network of Fondamental expert centers for BD between 2009 and 2020 were categorized into current, former, and never tobacco smokers. We compared the sociodemographic and clinical characteristics assessed by standard instruments (e.g., BD type, current symptoms load, and non‐psychiatric morbidity—including anthropometric and biological data) of the three groups using multinomial regression logistic models. Corrections for multiple testing were applied. Results Current smokers had higher depression, anxiety, and impulsivity levels than former and never‐smokers, and also higher risk of comorbid substance use disorders with a gradient from never to former to current smokers—suggesting shared liability. Current smokers were at higher risk to have a metabolic syndrome than never‐smokers, although this was only evidenced in cases, who were not using antipsychotics. Conclusions Tobacco smoking was associated with high morbidity level. Strikingly, as in the general population, quitting smoking seemed associated with their return to the never‐smokers' levels. Our findings strongly highlight the need to spread strategies to treat tobacco addiction in the BD population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical and mental health status of former smokers and non‐smokers patients with bipolar disorder

Nobile,

Godin,

Gard

et al. 2023

Acta Psychiatr Scand

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“…Box 1. Preliminary Context-Mechanism-Outcome Configurations care (staff, infrastructure, delayed discharges) [24][25][26][27][28][29] ; increased suicide/suicidal attempts [30][31][32][33] ; increased mental health problems [34][35][36] ; and unmet need [37][38][39][40][41] (see Supplementary file 4). These adverse impacts were often directly or indirectly associated with decreased healthcare expenditure [42][43][44][45][46][47] ; increased household expenditure often associated with increased out-of-pocket payments for healthcare [48][49][50][51][52][53][54][55] ; reduced access to or utilisation of care [56][57][58][59][60][61][62] ; and reduced and strained workforce.…”

Section: Quantitative Datamentioning

confidence: 99%

How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience – A Realist Review

Fleming

Caffrey

Belle

et al. 2022

Int J Health Policy Manag

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Background: The Great Recession, following the 2008 financial crisis, led many governments to adopt programmes of austerity. This had a lasting impact on health system functionality, resources, staff (numbers, motivation and morale) and patient outcomes. This study aimed to understand how health system resilience was impacted and how this affects readiness for subsequent shocks. Methods: A realist review identified legacies associated with austerity (proximal outcomes) and how these impact the distal outcome of health system resilience. EMBASE, CINAHL, MEDLINE, EconLit and Web of Science were searched (2007– May’21), resulting in 1,081 articles. Further theory-driven searches resulted in an additional 60 studies. Descriptive, inductive, deductive and retroductive realist analysis (utilising excel and Nvivo) aided the development of Context, Mechanism, Outcomes Configurations (CMOCs), alongside stakeholder engagement to confirm or refute emerging results. Causal pathways, and the interplay between context and mechanisms that led to proximal and distal outcomes, were revealed. The refined CMOCs and policy recommendations focused primarily on workforce resilience. Results: Five CMOCs demonstrated how austerity-driven policy decisions can impact health systems when driven by the priorities of external agents. This created a real or perceived shift away from the values and interests of health professionals, a distrust in decision-making processes and resistance to change. Their values were at odds with the realities of implementing such policy decisions within sustained restrictive working conditions (rationing of staff, consumables, treatment options). A diminished view of the profession and an inability to provide high-quality, equitable, and needs-led care, alongside stagnant or degraded working conditions, led to moral distress. This can forge legacies that may adversely impact resilience when faced with future shocks. Conclusion: This review reveals the importance of transparent, open communication, in addition to co-produced policies in order to avoid scenarios that can be detrimental to workforce and health system resilience.

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“…25,26 Εμμέσως η επίτα-ση επιθετικότητας μπορεί να συμβάλει και στην άνοδο της εγκληματικότητας που παρατηρήθηκε κατά την πρόσφατη ελληνική κρίση αλλά και σε διεθνές επίπεδο στο παρελθόν. [27][28][29] Εξετάζοντας τη συχνότητα των διαγνωστικών κατηγοριών που εμφάνισαν τα νέα περιστατικά στο ΚΚΨΥ κατά έτος, δεν προκύπτουν σημαντικές διαφοροποιήσεις, που θα μπορούσαν να σχετίζονται με την κρίση. Ιδιαίτερο ενδιαφέρον έχει το εύρημα αυτό όσον αφορά στις καταθλιπτικές και αγχώδεις διαταραχές, για τις οποίες έχει βρεθεί επανειλημμένα ότι σχετίζονται με ανεργία και εργασιακή ανασφάλεια και ότι τείνουν γι' αυτό να αυξάνονται σε οικονομικές κρίσεις.…”

Section: συζήτησηunclassified

The impact of the recent financial crisis on the users’ profile of a community mental health unit

et al. 2019

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Criminality in Greece during the years of financial crisis: 2008–2014

Cited by 6 publications

References 13 publications

Physical and mental health status of former smokers and non‐smokers patients with bipolar disorder

Physical and mental health status of former smokers and non‐smokers patients with bipolar disorder

How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience – A Realist Review

The impact of the recent financial crisis on the users’ profile of a community mental health unit

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