Relationship between payment problems and health: A nation-wide register study in Norway.

Previous studies have found a solid correlation between payment problems and health, and a large body of literature has recognised the impact of debt burden on ill health. However, few have looked at the reversed causality-the impact of health on over-indebtedness and payment problems. In this article, we investigate whether or not a person with mental and physical health challenges is more likely to experience debt enforcement, and we take a step further to explore the role of health status on receiving debt settlement for those with severe payment problems. The article uses register data from Statistics Norway, the Norwegian Patient Registry and the Mortgages Registry from 2009 to 2018. When using conditional logistic models and fixed-effects Poisson regressions with a one-year lagged effect, we find that mental disorders significantly contribute to individuals' financial strains, while physical health does not play a substantial role. When integrating the models with dynamic health effects, all health indicators turned out to have substantial impacts, indicating an extended delayed physical health effect on financial outcomes. Poor health leads to increased payment problems, yet individuals facing health challenges have a lower likelihood of receiving necessary assistance in debt settlement. These findings emphasise the need for tailored services to address the financial challenges of debtors with diverse health conditions.

Physical activity and its relationship to burden and health concerns in family caregivers of people with dementia.

BACKGROUND: Caring for people with dementia (PwD) usually triggers stress and leads to mental and somatic health complaints (SHCs). Physical activity (PA) can provide burden relief in PwD caregivers, but it is not clear whether PA habits would contribute to reducing SHCs. This study aims to analyze the effect of PA on the relationship between burden and SHCs in a sample of family caregivers of PwD. METHODS: One hundred and fifty-seven caregivers of PwD reported their PA habits, and completed the Giessen's Subjective Health Complaints Questionnaire (GBB-8) and the Zarit Burden Interview (ZBI). The relationship between PA habits, burden of care (ZBI), and SHCs (B-GBB-8 scale) was examined. Subsequently, the moderating effect of PA habits on the relationship between burden and SHCs was tested. RESULTS: PA habit was inversely associated with ZBI (rbp = -0.242) and GBB-8 scores (rbp (Gastrointestinal) = -0.174; rbp (Musculoskeletal) = -0.195; rbp (Exhaustion) = -0.247; rbp (Cardiovascular) = -0.250; and rbp (Overall) = -0.257, respectively), whereas moderate positive correlations were found between ZBI and GBB-8 scores (r (Gastrointestinal) = 0.483; r (Musculoskeletal) = 0.536; r (Exhaustion) = 0.542; r (Cardiovascular) = 0.438; and r (Overall) = 0.598, respectively). The interaction effect of PA habit and burden was significant for the overall SHCs (b = -0.11; P < 0.05) and cardiovascular complaints (b = -0.06; P < 0.05). However, the association between burden and SHCs was significant (P < 0.001) only for sedentary caregivers. CONCLUSION: These findings indicate that maintaining an active lifestyle through regular PA could potentially help alleviate the adverse effects of caregiver burden on somatic health among caregivers of PwD. Encouraging and endorsing PA interventions for informal caregivers might yield substantial advantages for their health and general well-being.

Changes in somatic and mental health indicators of instructor-officers under stress.

OBJECTIVE: Aim: To investigate changes in the indicators of somatic and mental health of instructor-officers in higher educational institutions with specific learning environment under stress. PATIENTS AND METHODS: Materials and Methods: The research involved instructor-officers of the National Academy of Internal Affairs (Ukraine, n = 86) with different teaching experiences: up to 10 years (group 1, n = 22), from 10 to 20 years (group 2, n = 31), over 20 years (group 3, n = 33). The study of somatic and mental health was carried out in September-October 2021 (Stage 1) and in September-October 2023 (Stage 2). RESULTS: Results: Significantly negative changes in the indicators of somatic and mental health of instructor-officers with different experiences of teaching under stress were found. The most pronounced negative changes were found in the body weight index, vital index, strength index, Martin-Kushelevsky index, and emotional exhaustion of instructors. Among the studied groups of instructor-officers, the greatest changes occurred in instructors with 10 to 20 years of experience and more than 20 years, and the least - in instructors with up to 10 years of experience. CONCLUSION: Conclusions: It was found that the professional activities of instructor-officers, which take place under stress, negatively affect both the somatic and mental health of instructors, regardless of their teaching experience. Such activities lead to an increase in body weight, deterioration of the functioning of the main body systems, and increased professional burnout of instructors. This can lead to several psychosomatic disorders and diseases in instructor-officers and a decrease in the quality of their teaching activities.

Self-assessment of somatic and mental health by instructor-officers under the influence of negative factors of professional activities.

OBJECTIVE: Aim: To investigate the impact of negative factors of professional activities in the context of the COVID-19 pandemic and martial law in Ukraine on the somatic and mental health of instructor-officers with different teaching experiences. PATIENTS AND METHODS: Materials and Methods: The research involved 131 instructor-officers with different teaching experiences. Three groups of instructor-officers were formed: Group 1 - instructors with up to 10 years of teaching experience (n = 30), Group 2 - instructors with 10 to 20 years of experience (n = 47), Group 3 - instructors with more than 20 years of experience (n = 54). The self-assessment of somatic and mental health was carried out using a questionnaire developed by the authors. RESULTS: Results: The negative impact of the factors of professional activities in the context of the COVID-19 pandemic and martial law in Ukraine on the somatic and mental health of instructor-officers was established. More than 50 % of the instructors rated their health as satisfactory, and more than 20 % as poor. The overwhelming majority of instructors reported a slight (over 40 %) and significant (over 30 %) deterioration in both somatic and mental health. Health problems over the past year have interfered with the performance of professional duties for more than 80 % of instructor-officers. CONCLUSION: Conclusions: The systematic impact of negative factors can lead to some psychosomatic disorders and diseases in instructor-officers and a decrease in the quality of their teaching activities. This necessitates the search for ways to restore the somatic and mental health of instructor-officers.

Psychotherapy for comorbid depression and somatic disorders: a systematic review and meta-analysis.

BACKGROUND: The treatment of depression in patients with somatic disorders is crucial, given its negative impact on quality of life (QoL), functioning, and even on the somatic disease prognosis. We aimed to examine the most updated evidence on the effects of psychotherapy in patients with depression and somatic disorders, including HIV, oncological, cardiometabolic, and neurological disorders. METHODS: We conducted a meta-analysis of 75 randomized trials (8209 participants) of psychotherapy for adults with somatic disorders and a diagnosis or elevated symptoms of depression. Outcomes included depression, QoL, somatic health-related outcomes, and mortality. RESULTS: Psychotherapy significantly reduced the severity of depression at post-treatment across all categories of somatic disorders (Hedges'g = 0.65; 95% CI 0.52-0.79), with sustained effects at 6-11 months (g = 0.38; 95% CI 0.22-0.53) and at 12 months follow-up or longer (g = 0.13; 95% CI 0.04-0.21). Psychotherapy also showed significant effects on QoL (g = 0.26; 95% CI 0.17-0.35), maintained up to 11 months follow-up (g = 0.25; 95% CI 0.16-0.34). No significant effects were observed on the most frequently reported somatic health-related outcomes (glycemic control, pain), and neither on mortality. Heterogeneity in most analyses was very high, and only 29 (38%) trials were rated at low risk of bias (RoB). CONCLUSIONS: Psychotherapy may be an effective treatment option for patients with depression and somatic disorders, with long-term effects on depression severity and QoL. However, these results should be interpreted with caution due to heterogeneity and RoB.

Factors associated with health-related quality of life in people living with HIV in Norway.

BACKGROUND: Despite the advances in the treatment of HIV, people living with HIV (PLHIV) still experience impairment of health-related quality of life (HRQOL). The aim of the study was to explore factors associated with HRQOL in a well-treated Norwegian HIV population. METHODS: Two hundred and forty-five patients were recruited from two outpatient clinics to participate in this cross-sectional study of addiction, mental distress, post-traumatic stress disorder, fatigue, somatic health, and HRQOL. The latter was measured using the 36-Item Short Form Health Survey (SF-36). Stepwise multiple linear regression analysis was used to examine the adjusted associations between demographic and disease-related variables and HRQOL. RESULTS: The study population was virologically and immunologically stable. Their mean age was 43.8 (SD = 11.7) years, 131 (54%) were men, and 33% were native Norwegians. Compared with the general population (published in previous studies), patients reported worse SF-36 scores for five of eight domains: mental health, general health, social function, physical role limitation, and emotional role limitation (all p < 0.001). Compared with men, women reported better SF-36 scores within the domains vitality (63.1 (23.6) vs. 55.9 (26.7), p = 0.026) and general health (73.4 (23.2) vs. 64.4 (30.1), p = 0.009). In the multivariate analyses, higher SF-36- physical component score values were independently associated with young age (p = 0.020), being employed, student, or pensioner (p = 0.009), low comorbidity score (p = 0.015), low anxiety and depression score (p = 0.015), being at risk of drug abuse (p = 0.037), and not being fatigued (p < 0.001). Higher SF-36-mental component score values were independently associated with older age (p = 0.018), being from a country outside Europe or from Norway (p = 0.029), shorter time since diagnosis, low anxiety and depression score (p < 0.001), answering 'no' regarding alcohol abuse (p = 0.013), and not being fatigued (p < 0.001). CONCLUSIONS: HRQOL was poorer in PLHIV than in the general population in Norway. It is important to focus on somatic and mental comorbidities when delivering health-care services in the ageing population of PLHIV to improve HRQOL even among a well-treated group of PLHIV as found in Norway.

Internet-based interventions for parents with children 0-5 years: A scoping review.

AIM: This study aims to review the existing literature on Internet-based health interventions directed to support parents of children aged 0-5 years. METHODS: We systematically searched electronic databases between January 2000 and 2018. The search consisted of terms describing eHealth, intervention and families and/or children. RESULTS: Internet-based parent support interventions were most often directed at rehabilitation and selective prevention, and we identified more studies on mental health (57%) than somatic health (41%). Developmental disorders were the most frequently studied mental health condition (n = 33), while interventions for obesity (15%) were the most studied somatic health condition. Forty-four percent of mental health studies were RCTs and 65% of interventions were theory driven. Interventions most often used a behavioural approach, included guidance and delivered content via text-based information. CONCLUSION: Several significant gaps were identified such as the need for more research outside of English-speaking countries, more systematic reviews and effect studies. This review also elucidates the need for researchers to improve reporting on the theoretical approaches employed in interventions, and to focus on determining the importance of guidance. Finally, program developers should consider using more audio-visual technology to avoid reinforcing social inequalities in access to healthcare.

[The regional aspects of social economic factors effect on morphophysiological status and somatic health of young women].

The analysis of various social, economic, and demographic factors demonstrates different degrees and directions of their impact on human body systems and human health in general. The examination of residents of several cities of Russia and neighboring countries provides an opportunity to assess strength and direction of relationship between socioeconomic factors and morphofunctional health. The comprehensive morphofunctional examination was applied to 722 young females aged 18.8±0.05 years from six cities: Moscow, Samara, Saransk, Arkhangelsk (the Russian Federation), Tiraspol (the Transdniestria Moldavian Republic), and Baku (the Republic of Azerbaijan). The economic, demographic, social and ecological indicators of the city and relevant region were considered as factors of urban environment. The Spearman's rank correlation coefficient (RS). was used as measure of relation between attributes. The variability of morphophysiological characteristics is hardly related to the population density (RS -0.18-0.15). At the same time the greatest contribution was demonstrated by complex of economic factors and environmental pollution (RS up to -0.29 for both). The relationships between functional indicators of cardiovascular system and economic status of the region, associated demographic factors, and indicators of air pollution were established in the surveyed cities. In overall, the results suggest that cardiovascular system is the most susceptible area to influence of city-level social economic factors and demonstrates deterioration of functional indicators under economic decline at the regional level. In other morphophysiological systems, adaptive changes were established only as tendencies. The deterioration conditions of human body systems under impact of urban environment factors is evident in some cities. The observed deterioration potentially can adversely affect health during growth and will further be aggravated by ongoing negative environmental influences. In this regard, it is necessary to enhance knowledge about impact of external influences on human health and body systems to develop directed preventive measures improving quality of life.

Prevalence and predictors of fatigue among people living with HIV in Norway.

Fatigue is the most commonly noted symptom among people living with human immunodeficiency virus (PLHIV). The aim of this study was to investigate the prevalence and predictors of fatigue among PLHIV in Norway. Two hundred and forty-four people were recruited from two hospitals to participate in a survey, which contained seven instruments used to investigate mental health, addiction, quality of life, and fatigue. More than a third of the participants (38.5%) suffered from fatigue. Predictors of fatigue were the presence of mental distress (adjusted odds ratio [AOR] 8.98, 95%CI 3.81, 21.15), multimorbidity (AOR 5.13, 95%CI 1.40, 18.73), living alone (AOR 2.99, 95%CI 1.36, 6.56), trouble sleeping (AOR 2.67, 95%CI 1.06, 6.71), and increased body pain (AOR 1.44, 95%CI 1.25, 1.67). To improve the quality of life for many PLHIV, the continuum of HIV care must address fatigue and its predictors.

Pain intensity, pain-related anxiety, and somatic and mental health symptoms: a test among latinx young adults.

Latinx individuals demonstrate significant pain-related health disparities compared to other racial/ethnic groups. Moreover, young adulthood (18-25 years of age) is a primary developmental window wherein pain-related health problems are first encountered and may be related to more severe somatic and mental health symptoms. Pain-related anxiety may be one mechanistic construct linking individual differences in the experience of pain intensity to poorer somatic experiences and mental health among Latinx young adults. Thus, the current study examined pain-related anxiety as an explanatory factor underlying the relationship between pain intensity and body vigilance, perceptions of health, worry, anxious arousal, and depressive symptoms among Latinx young adults. Participants included 401 Latinx young adults (Mage = 21 years; SD = 2.02; age range: 18-25 years; 83% female) at a large, southwestern university. Results revealed that individual differences in pain intensity had a significant indirect effect on the studied somatic and negative affect variables through pain-related anxiety. These novel findings suggest future work should continue to explore pain-related anxiety in the association between the experience of pain and somatic and mental health among Latinx young adults.

ANALYSIS OF STUDENTS' SOMATIC HEALTH AND EMOTIONAL STATE DURING SPORTS GAMES CLASSES.

OBJECTIVE: The aim: Is to investigate the impact of sports games (football) on the level of somatic health and emotional state of students in the process of studying. PATIENTS AND METHODS: Materials and methods: The study was conducted at Kharkiv State Academy of Physical Culture and Sumy State University (Ukraine) in 2018-2019. The study involved 87 male students of the main department. Two groups were formed: an experimental group (EG, n=42), the students of which were engaged in a sports-oriented form of physical education (in the class of football), and a control group (CG, n=45), the students of which were training according to the traditional methods of organizing physical education classes at higher education institutions. The somatic health of students was assessed according to the method of H. L. Apanasenko, which provided for the determination of body mass, life, power, and Robinson indexes, heart rate recovery time after a standard exercise. The emotional state of students was determined by the WAM (Well-being, Activity, Mood) methodology. RESULTS: Results: At the end of the study, the EG students showed a significantly better level of somatic health than the CG students; the difference was significant and accounted for 3.18 points (p<0.001). At the same time, during the study, the EG students had a more pronounced significant increase in all studied health indicators (p<0.001). The best emotional state level of the students of both groups was recorded at the end of the study, but in the EG students it was significantly (p<0.05) better than in the CG students by 0.55-0.73 points. CONCLUSION: Conclusions: It was found that sports games classes, including football, had a positive effect on the level of somatic health and emotional state of students. Significant changes were observed in the performance of the respiratory and cardiovascular systems of students. The high level of somatic health and good emotional state of students will help to improve mastering academic disciplines at higher education institutions, provide preparation for active life and help to improve future professional activities.

HEALTH STATUS OF INSTRUCTIONAL STAFF OF HIGHER EDUCATION INSTITUTIONS WITH SPECIAL TRAINING CONDITIONS.

OBJECTIVE: The aim is to study the level and dynamics of instructor officers' somatic health during the course of employment at Ukrainian higher education institutions with special training conditions. PATIENTS AND METHODS: Materials and methods: The study involved male instructor officers of the National Academy of Internal Affairs (Kyiv, Ukraine) of different age groups (n=103), who conduct training sessions with cadets - future police officers. The first age group (up to 25 years of age) comprised 8 instructors, the second one (26-30 years of age) - 11 instructors, the third one (31-35 years of age) - 14 instructors, the fourth one (36-40 years of age) - 16 instructors, the fifth one (41-45 years of age) - 19 instructors, the sixth one(46-50 years of age) - 17 instructors, and the seventh one (over 50 years of age) - 18 instructors. The study was conducted in 2017-2019. The level of instructor officers' health was examined according to the methodology of G. L. Apanasenko, which provides for the calculation of body mass, vital, strength, and Robinson indices, as well as the duration of recovery of heart rate after standard exercise. The research methods: theoretical analysis and generalization of literature sources, pedagogical testing and observation, methods of mathematical statistics. RESULTS: Results: Insufficient level of health was revealed among instructor officers of all age groups - the level of somatic health of the vast majority of instructional staff (over 75 %) is assessed as "low" and "below average", more than 95 % of instructors are below the "safe zone" according to the methodology of G. L. Apanasenko. CONCLUSION: Conclusions: The research shows that the current system of physical training of higher education institutions with special training conditions is ineffective and needs to be refined in order to strengthen the health of instructor officers, increase their efficiency and, in general, improve the effectiveness of training future police officers at higher education institutions.

[The increasing of the somatic health in students using differently directed fitness].

The purpose of study is to scientifically substantiate the methodology of applying differently directed fitness tools to increase the level of somatic health, physical and mental workability of students. The experimental sampling consisted of 186 students (106 girls, 80 boys) of the Belgorod State National Research Institute and the Belgorod University of Cooperation, Economics and Law. Two groups of respondents were organized: control group (n=85; 47 girls, 38 boys) that included students involved into officially approved education program of the Chair of Physical Culture and experiment group (n=101; 59 girls, 42 boys) that included students involved into experimental program. It is established that Pilates stabilizes and topes up muscles of entire body, improves coordination abilities of students involved, improves body-build constitution, promotes reducing of back pain, improves cardio-respiratory system functioning and is the most called-for fitness direction for reducing psycho-emotional tension. The step aerobics positively effects on the cardio-respiratory system, the entire musculoskeletal system and physical workability. The level of somatic health in experiment group after the experiment improved from "below average" to "average". In control group both before and after the experiment, the level of somatic health corresponded to "below average". After the experiment, the physical performance indices in experiment group improved and remained at the same level in control group. In the experiment group all analyzed indices of mental workability increased and acquired measured character.

Child abuse and physical health: A population-based study on physical health complaints among adolescents and young adults.

Aims: To investigate whether adolescents and young adults with a history of child abuse had more physical health complaints compared to their unexposed peers. We also aimed to estimate associations between different child abuse types with physical health complaints and associations between the number of child abuse types and physical health complaints. Methods: This population-based telephone survey over two waves included 506 adolescents and young adults exposed to child abuse and 504 non-abused peers aged 16-33 years. We applied linear regression analyses to investigate associations between child abuse types and physical health complaints, unadjusted and mutually adjusted for co-occurring abuse, and to investigate how the number of child abuse types associated with physical health complaints. Results: Participants exposed to child abuse reported significantly more physical health complaints. The child abuse types strongly co-occurred. When adjusting for co-occurring child abuse, only sexual and emotional abuse were significantly associated with physical health complaints. Physical health complaints increased with the higher number of child abuse types experienced. Conclusions: Our findings suggest that exposure to abuse, particularly sexual and emotional, during childhood predicts physical health complaints in adolescence and early adulthood. In a public health perspective, early identification of child abuse may be beneficial in preventing physical health complaints later in life.

Comprehensive assessment of unutilized and obsolete pesticides impact on genetic status and health of population of Almaty region.

The group of persistent organic pollutants (POPs) are particularly dangerous for the environment and by consequence for human health because of the risk to be transmitted in the food chain. Among them, the urgent problem of obsolete and forbidden organochlorinated pesticides (OCPs) needs a rigorous management in many countries, including Kazakhstan. The aim of our study was to evaluate the effect of pesticides content in food products on the genetic status and health of the population living on the contaminated areas near destroyed warehouses for OCPs (4 villages of Talgar district and 1 control site, Almaty region). The food products sampled in Taukaraturyk (control site), and in 4 villages where non-utilized obsolete pesticides were discovered: Beskainar, Kyzylkairat, Amangeldy, and Belbulak. The contents of 24 pesticides in food products from plant (apples, pears, tomatoes, cucumbers, sweet peppers) and animal (beef meat, cow milk, honey) origin, that grown in places of localization of non-utilized OCPs, were determined, sometimes in high and unacceptably high concentrations (before 2500 times over MRL). In pears, the pesticides content (especially DDT, γ-HCH, ß-HCH, endosulfan, and aldrin pesticide group), was higher than in other fruits. Among vegetables, the highest levels of all groups of pesticide were found in cucumbers. Beef meat samples demonstrated increased contents of ß-HCH, γ-HCH, endrin and dieldrin. In cow milk samples only the high concentration of dieldrin was found. The content of pesticides in meat was 4-5 times higher than in milk. The medical examinations, carried out among the cohorts living around the polluted by pesticides territories and control cohort from ecologically favorable village, showed that there were more individuals with high and middle levels of somatic health in the control group than in groups exposed to OCPs. The long-term effect of the pesticide contamination of the environment on genetic status of the population was assessed by chromosomal aberration (CA) frequencies. The highest level of chromosomal aberrations was identified for the examined residents of Kyzylkairat (41%) and Belbulak (38%), a high level in Amangeldy (12%), and middle level in Beskainar (6.5%). The association between the CA frequency, health status and the pesticides contents in food were assessed by a Spearman rank correlation. The low indicators of somatic health status were strictly associated with high levels of CA, and good health status indicates that the CA rates did not exceed the spontaneous level of mutagenesis. The strongest correlation was shown between high levels of chromosomal aberrations and the content of different pesticides in pears (Cr = 0.979-0.467), tomatoes (Cr = 0.877-0.476), cucumbers (Cr = 0.975-0.553) and meat (Cr = 0.839-0.368). The obtained results highlight the need to improve health protection by increasing the public awareness to the security of the storage of obsolete OCPs in order to strengthen food safety by efficient control services.

Humour styles as predictors of psychological and somatic health in under graduates of COMSATS University, Lahore.

OBJECTIVE: To determine the predictability of humour styles on psychological and Somatic health of university students. METHODS: The study was carried out at COMSATS University Islamabad, Lahore Campus during the period of 1st September 2018 to 30th December, 2018. Correlation research design was used to assess the study objectives. A sample of 199 (93 females & 106 males) university students falling in age range from 18 to 26 years with mean age =21.02±1.78 years were assessed on self-report measures to Humour styles questionnaire, Physical Health Questionnaire, and Depression, Anxiety and Stress Scale. RESULTS: It was found from simultaneous regression analyses that after controlling potential confounding effects due to demographic, affiliative humour was a negative predictor of stress, anxiety, and depression; while aggressive humour was a positive predictor of stress only. However, both negative humour styles, that are aggressive and self defeating humour styles, were negative predictors of somatic health. CONCLUSION: It was concluded that relationship oriented positive humour style is a protective factor against psychological distress but negative humour styles are detrimental for physical health.

Complex estimation of fitness training systems and women's somatic health of the first period mature age.

OBJECTIVE: The aim: To model, to ground and to check experimentally the efficiency of the complex organized system of fitness trainings and system of health improving trainings; to discover their influence on the status of women's somatic health of the first period mature age. PATIENTS AND METHODS: Materials and methods: Analysis, systematization, pedagogical observation, modelling, pedagogical experiment, tests: Ruffier, Stange, Romberg's, Harvard step test and tests of PWC170. RESULTS: Results: Complex organized system of fitness trainings (dosed, systematic, complex motive activity, managed by trainer) appeared more effective (11.68 %) in comparison with system of individual health improving trainings (6.54 %). Both systems contributed to reducing of weight (CG2 - 3.8 %, EG2 - 16.3 %),decrease in body's parts sizes, in particular, of breast (CG2 - 0.5 %, EG2 - 1.3 %), waist (CG2 - 2.3 %; EG2 - 13.75 %), pelvis (CG2 - 3.6 %; EG2 - 5.3 %), formation of physical characteristics (strength - CG2 - 2.1 %, EG2 - 17.4 % and flexibility - CG2 - 4.5 % and EG2 - 9 %).Differences in the level of physical capacity are marked, mainly, in the control group (PWC170absolute - 12.2 %; PWC170relative - 19.3 %), in comparison with experimental (PWC170 absolute - 10.2 %; PWC170 relative - 17.5 %). CONCLUSION: Conclusions: In general both systems assisted the improvement of somatic health level that proves the efficiency of system approach to organization of trainings in this agerelated group.

[The increase level of somatic health in students by multi directional means of fitness].

The purpose of the study is to substantiate methodology of using multidirectional fitness tools to improve level of somatic health, and as a result, physical and mental efficiency of students. The study sampling included 186 students (106 girls, 80 boys). Two groups were formed: control group (n=85: 47 girls, 38 boys) and experimental group (n=101: 59 girls, 42 boys) in the content of educational program were included experimental method. The study demonstrated that Pilates stabilizes and topes up muscles of entire body, improves coordination abilities, improves physique, favors reducing back pain, improves cardio-respiratory system and reduces psycho-emotional tension. The step aerobics positively effect on cardio-respiratory system and entire musculoskeletal system, as well as has a on physical performance. The somatic health of students in experimental group after experiment improved from "below average" to "average". In control group, before and after the experiment, level of somatic health made to "below average". After experiment, physical performance indicators in experimental group improved. The indices of students of control group remained at the same level. In experimental group, all indices of mental performance increased and began to have regular character.

Somatic comorbidity in children and adolescents with psychiatric disorders.

In the adult population, psychiatric disorders are associated with somatic illness. Explanatory life style factors have been found, but also a failure to recognize somatic illness in this group. Another factor is side effects from long-term use of antipsychotic drugs. Given the psychiatric-somatic comorbidity in the adult population, it is of interest to investigate whether an association exists already during childhood. The aim of the present study was to investigate the frequency of somatic illness in children and adolescents with a psychiatric diagnose. Data were obtained from the regional health care database Vega, Sweden. Psychiatric and somatic diagnoses obtained during 2011-2013 for individuals aged 3-18 years were extracted. Descriptive statistics were used to examine difference in somatic morbidity between children with and without psychiatric diagnoses. Logistic regression was used in age-stratified models to test the association between psychiatric and somatic diagnoses. Anxiety and behavioral disorders were associated with all somatic conditions investigated at nearly all ages. The same applied to substance use, investigated at age 9-18 years. Affective disorders were associated with all somatic conditions at age 12-18 years. Psychotic conditions were associated with asthma, bowel disorders and myalgia in adolescents. Children with psychiatric disorders are at remarkably high risk for concurrent somatic illness. The associations span across many types of conditions and across all ages. The results support the need for awareness of somatic morbidity in child and adolescent psychiatric clinical settings, and the need for coordinated health care for children with comorbid states.

Factors associated with self-rated health in primary care.

BACKGROUND: Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse. OBJECTIVE: To examine the associations between patients' self-rated health and their sleep problems, somatic health complaints, and unmet needs in interpersonal relationships. DESIGN: We collected data via questionnaires for this cross-sectional study from general practice. SETTING: Primary health care in Norway. SUBJECTS: 1302 consecutive patients participated. MAIN OUTCOME MEASURES: The questionnaire included a single question about SRH, the Bergen Insomnia Scale (BIS), five questions on somatic health complaints, and three questions from the Basic Psychological Needs Scale (BPNS) pertaining to the relationships domain. We analyzed our data using ordinal logistic regression models. RESULTS: Our response rate was 74%. The prevalence of fair/poor SRH was 26%, with no gender differences. We revealed a significant association between increasing age and reduced SRH. The study showed that sleep problems and somatic health complaints were strongly associated with SRH, and unmet needs in relationships were also significantly and independently associated with reduced SRH in a full model analysis. CONCLUSION: Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships were all associated with reduced SRH. These factors are all modifiable and could be managed both within and outside a primary care setting in order to improve SRH. Key Points There was a high prevalence of reduced SRH in clinical general practice Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships were all associated with reduced SRH These predictors are all modifiable with a potential to improve SRH.