Stressors and Coping Methods of Turkish Adolescents With High and Low Risk of Depression: A Qualitative Study.

BACKGROUND: Stress and coping skills are essential factors in the etiology of depression. Understanding the stressors and coping strategies of adolescents in Turkey may help determine the content of the country-specific depression prevention program. AIMS: The purpose of this study was to understand the stressors of adolescents with a high or low risk of depression and how they coped with these stressors. METHOD: This descriptive qualitative study was conducted in a high school in western Turkey. The data were collected via semistructured individual interviews. Eleven adolescents with high risk of depression and 10 adolescents with low risk of depression were included in the study. Content analysis technique was used to analyze the data. RESULTS: The stressors of adolescents and their coping were grouped into three themes: stressors, factors affecting coping strategies of adolescents, and coping. Stressors theme consists of three subthemes: family relationship, peer relationship, and telephone/internet usage. The factors affecting coping strategies of adolescents theme consists of four subthemes: cognitive distortions, self-perception, family relationships, and peer relationships. The coping theme consists of two subthemes: engagement coping and disengagement coping. CONCLUSIONS: It was determined that adolescents with a high risk of depression had more stressors and used more disengagement-coping techniques. It is recommended that to prevent depression among adolescents, school nurses should take initiatives to strengthen the coping strategies of adolescents with high risk of depression.

Hippocampal shape alterations in healthy young women with familial risk for unipolar depression.

BACKGROUND: Although reduced hippocampal volume (HCV) is a common finding in depression, it is unclear whether the structural alterations leading to reduction of HCV are pre-existing risk factors before the onset of clinical symptoms or a cumulative process that begins with the onset of clinical symptoms. The aim of the present study was to understand the anatomical status of the hippocampus prior to the clinical symptoms in subjects with high familial risk for depression. METHODS: Twenty-seven young women (mean age: 22.3 ±â€¯2.1 years) who were at high risk for familial unipolar depression and 26 age- and gender-matched healthy controls (mean age: 22.1 ±â€¯2.1 years) with low familial risk for depression were included in the study. Total hippocampal volumes were measured by manual tracing. For 3D shape differences, the spherical harmonic basis functions (SPHARM) software was used. The segmented images were parameterized, and the point-to-point based group difference was compared by the Hotelling's T-squared test with total brain volume and Beck Depression Scale as covariates. RESULTS: Although there was no difference in overall HCVs, shape analyses revealed a contracted area on the Cornu Ammonis (CA) 1 region of the right hippocampus head in the high-risk group compared to the low-risk group. Cross-sectional design and small sample size, including only females, were the main limitations of this study. CONCLUSION: This study with shape analyses provided data suggesting that local structural hippocampal alterations in the CA1 region might be associated with depression vulnerability in women at high risk.

Predictors of anxiety and depression in operating room nurses during the COVID-19 pandemic: A multi-center cross-sectional study.

BACKGROUND: Operating room nurses (ORNs) who directly deal with the treatment and care of COVID-19 patients during the pandemic are at risk in terms of psychological stress and other mental health problems. OBJECTIVE: The aim of the study was to compare the anxiety and depression levels of ORNs working in different countries in the COVID-19 outbreak, and to determine the predictors and the difference between countries. METHODS: This was a descriptive and cross-sectional study. Data were collected online using a google form between February 2021-February 2022. The universe of the research is nurses who are members of national Perioperative Nurses Association (USA, Türkiye, Australia, England, India, Israel) and 1127 ORNs participated the study. In multivariate analysis, independent predictors of anxiety and depression status were examined by binary logistic regression analysis. RESULTS: The rate of anxiety is 5.46 times higher in nurses in the USA, 5.07 times higher among nurses in Australia, and 4.49 times higher for nurses in England. It was determined that the rate of depression in ORNs working in Türkiye was 5.97 times higher. It was found that the rate of depression is 1.59 times higher in ORNs living away from the family after care of COVID-19 patient. CONCLUSION: Despite some differences between countries in terms of health system, patient potential, economic and the opportunities offered, generally high levels of anxiety and/or depression indicate that all ORNs need urgent support. Identifying risk factors will help recognize anxiety and depression in ORNs and take measures to protect their mental health during the pandemic.

The Reflection of Self-Esteem on the Brain Structure: A Voxel Based Morphometry Study in Healthy Young Adults.

Introduction: Low self-esteem is a known risk factor for mental illnesses. Neuroimaging studies have identified evidence for a functional association between default mode network (DMN) and self-esteem levels. However, it is not clear whether there is a similar association between trait self-esteem and the structures composing DMN. This study aimed to investigate the relationship between the DMN associated brain structures and trait self-esteem. Methods: We obtained 3T structural magnetic resonance imaging (MRI) data of 75 healthy subjects and detected anatomical regions correlated with their Rosenberg Self-Esteem scores via voxel-based morphometry (VBM). Results: We found positive associations between self-esteem and regional grey matter volumes in the right temporoparietal junction/inferior parietal lobule (BA 39), cortical midline regions at precuneus/dorsal cingulate cortex (BA 31), rostral and dorsal anterior cingulate cortices (BA 32). Conclusion: The results of the current study support the fMRI studies suggesting self-esteem levels associated with DMN. Further neuroimaging studies should consider the functional and structural coupling of the default mode network during the execution of the functions related to self-esteem.

Gradual Loss of Social Group Support during Competition Activates Anterior TPJ and Insula but Deactivates Default Mode Network.

Group forming behaviors are common in many species to overcome environmental challenges. In humans, bonding, trust, group norms, and a shared past increase consolidation of social groups. Being a part of a social group increases resilience to mental stress; conversely, its loss increases vulnerability to depression. However, our knowledge on how social group support affects brain functions is limited. This study observed that default mode network (DMN) activity reduced with the loss of social group support from real-life friends in a challenging social competition. The loss of support induced anterior temporoparietal activity followed by anterior insula and the dorsal attentional network activity. Being a part of a social group and having support provides an environment for high cognitive functioning of the DMN, while the loss of group support acts as a threat signal and activates the anterior temporoparietal junction (TPJ) and insula regions of salience and attentional networks for individual survival.

The predictive role of nursing students' individual characteristics and psychological resilience in psychological distress.

PURPOSE: This study aims to determine the predictive role of nursing students' individual characteristics and psychological resilience in psychological distress. DESIGN AND METHODS: This study is a descriptive cross-sectional study. The study sample included 652 nursing students. Binary logistic regression analysis was used for analysis. FINDINGS: It has been determined that 65.3% of nursing students have psychological distress. Having a chronic disease, being a woman, poor academic success, choosing the profession so as not to be unemployed, being single and low psychological resilience are factors that affect psychological distress. PRACTICE IMPLICATIONS: It is recommended to screen nursing students for psychological distress to increase interventions that improve the psychological resilience of risky students.

A Dimension in Recovery: Return to Working Life After Breast Cancer.

BACKGROUND: Returning to work (RTW) after breast cancer is an important step in psychosocial recovery. OBJECTIVE: To explore experiences of Turkish breast cancer survivors about returning or continuing to work. METHODS: This study utilized a qualitative descriptive approach. Data were collected through semistructured interviews conducted with 12 breast cancer survivors with full employment. The data were analyzed using inductive content analysis method. RESULTS: Four themes emerged as a result of analysis of obtained data: decision-making process, difficulties in work life, sources of motivation for maintenance of work life, and benefits of RTW. CONCLUSIONS: The results of the study showed that RTW involves many uncertainties, and women experience difficulties resulting from themselves, work life, and colleagues. Support from family, colleagues, and employers is an important source of motivation in women's coping with these difficulties. In addition, RTW positively influences psychosocial well-being. IMPLICATIONS FOR PRACTICE: Health professionals should provide support as part of follow-up care regarding difficulties in the return to and continuation of work experienced by breast cancer survivors. Future studies could focus on experiences of all stakeholders including physicians, nurses, colleagues, and employers.