Depression, Anxiety, Stress, Associated with Lichen Planus in Jordanian Women and the Impact on Their Quality of Life.

Purpose: To identify mental health problems in patients with lichen planus (LP). We evaluated the impact of LP on patients' mental health and quality of life and the associations with sociodemographic and clinical characteristics. Materials and Methods: This cross-sectional study was conducted in Amman, Jordan, between August 2022 and May 2023. We conducted a survey of 126 women with LP mean age of 48.61 years and a standard deviation of 15.25 years. The survey included sociodemographic characteristics, the Arabic version of the Dermatology Life Quality Index (DLQI), and the 21-item Depression, Anxiety, and Stress scale. Results: The DLQI scores indicated that LP had substantial effects on the quality of life of most of the participants (63.5%), and the condition was significantly correlated with depression (r = 0.381), anxiety (r = 0.469), and stress (r = 0.475). Longer disease duration and misdiagnosis prior to LP diagnosis were also significantly correlated with quality of life (r = 0.388 and r = 0.317, respectively), as were the LP symptoms. The most robust correlation coefficients were observed for itching symptoms and location in the genital area (r = 0.277 and r = 0.354), respectively. Conclusion: Depression, anxiety, and stress can significantly reduce the quality of life among patients with LP. This study proves the need for healthcare providers to consider interventions that improve the psychological well-being and QOL of patients. Additionally, this study highlights the importance of the implementation of evidence-based practice to improve the timely diagnosis of LP. It is essential to follow a comprehensive approach when diagnosing and treating LP. This involves a multidisciplinary collaboration between different specialties as well focusing on patient education.

Analyzing Role Overload, Mental Health, and Quality of Life Among Jordanian Female Healthcare Professionals: A Cross-Sectional Study.

Purpose: To identify the role overload, mental health distress, and quality of life among Jordanian female healthcare professionals and explore their interrelationships. Patients and Methods: This cross-sectional correlational research involved 412 female participants (physicians, nurses, and pharmacists) from the government and private sectors in Jordan. The Role Overload, Depression, Anxiety, and Stress Scale-21 (DASS-21) and the World Health Organization Quality of Life-Brief Version were used for data collection. Statistical analyses included descriptive statistics, Pearson correlation, multiple linear regression, multivariate analysis of variance, Tukey's post hoc test, Spearman rho, and linear regression tests (p=0.05). Results: Results indicate that 83.2% of participants experienced moderate to high role overload, with 72.9% displaying signs of moderate to extreme depression. Professionals working >40 hours/week experienced elevated stress levels, while those with chronic illnesses exhibited higher mean scores for depressive symptoms (M= 16.91 vs M= 14.49, p=0.002) and stress (M= 20.55 vs M= 18.57, p=0.033). Professionals attending older individuals reported increased role overload (M= 3.66 vs M= 3.14, p<0.001), higher stress (M=19.99 vs M=18.14, p=0.027), and lower physical (M=51.79 vs 55.41, p =0.025) and psychological (M=50.04 vs M=53.57, p=0.045) quality of life. Simple regression analysis revealed that role overload significantly predicted stress, depression, and anxiety. Role overload's impact on depression scores (ß = 2.108, t=5.234, p<0.001), as well as anxiety (ß =1.933, t=5.014, p<0.001), was associated with an inverse correlation with both physical (ß =1.671, R2= 3.4, p<0.001) and psychological (ß =1.914, R2= 1.4%, p=0.018) quality of life of healthcare professionals. Mental distress and role overload significantly predicted participants' physical and psychological quality of life. Conclusion: This study established a significant association between role overload, quality of life, and psychological health of female healthcare professionals in Jordan, with implications for enhancing their well-being.

Telenursing implications for future education and practice: Nursing students' perspectives and knowledge from a course on child health.

BACKGROUND: Technology advancements have altered the standard of nursing care, and education. This suggests the necessity to equip prospective nurses to provide competent care in a highly technical and digital environment via telenursing. AIMS: The aim of this study was to assess the perceptions and knowledge of nursing students about telenursing. METHODS: Using a descriptive cross-sectional design. A self-reported questionnaire was used. The distribution of 110 questionnaires to nursing students attending two private colleges in Jordan resulted in an 83.6% (n = 92) response rate. Descriptive and inferential statistics were applied. RESULTS: The results showed a positive perception toward telenursing practice, as well as the difficulty in precisely defining telenursing. Age, internet usage patterns, and knowledge were all factors considered telenursing predictors. 32% of the variance was explained by the model. Telenursing would be beneficial for future nursing professionals by incorporating telenursing into the curriculum. CONCLUSIONS: The learning environment is extends somewhat beyond the classroom, making it is necessary to integrate telenursing into education in order to redefine the future of the nursing practice.

Predictors of COVID-19 vaccine hesitancy among Jordanian older adults.

AIMS: We examined the predictive factors of COVID-19 vaccine hesitancy among Jordanian older adults. BACKGROUND: Vaccine hesitancy among older adults is influenced by several factors. DESIGN: This study employed a cross-sectional design. METHODS: Online surveys were conducted between November 2021 and April 2022. The surveys included socio-demographic variables, COVID-19 vaccine-related information, the Vaccine Attitude Examination Scale and the Fear of COVID-19 Scale. RESULTS: Participants were 350 older adults (aged 68.1 ± 7.21 years; 62.9% females). Linear regression analyses were performed to assess the impact of correlated variables on the explanation of anti-vaccination attitudes. Participants reported a moderate level of fear of COVID-19 and a moderate level of hesitancy towards receiving the COVID-19 vaccine. The linear regression model revealed that several chronic illnesses, fear of COVID-19 and number of family incidences of COVID-19 explained vaccine hesitancy. CONCLUSIONS: Raising awareness among older adults about the desired effect of the COVID-19 vaccine in terms of minimizing hospitalization, disease consequences and mortality rate is required. Well-tailored interventions are essential to reduce vaccine hesitancy among older adults and reinforce the importance of receiving the vaccine for those with multi-morbidities.

Premenstrual Syndrome and Its Association with Perceived Stress: The Experience of Medical Students in Jordan.

Objective: To assess the prevalence of premenstrual and menstrual symptoms and to investigate premenstrual severity's association with perceived stress of premenstrual syndrome among medical students. Methods: This is a cross-sectional study. Data were collected between March and April 2021, a self-administered online questionnaire (Supplementary Material) was distributed to a sample of female medical students in Jordan (n=594). Results: The mean age was 21.6 ±2.2 years, and the mean body mass index (BMI) was 22.8 ±4.1 kg/m2. Most students were in their 5th and 6th university year, where 75.4% reported having dysmenorrhea, 45.8% used pharmacological agents for pain relief, while 54.2% used non-pharmacological means, and 58.1% occasionally skipped lectures. Most participants reported a constellation of physical and psychological symptoms. The mean for the premenstrual severity scale score was 29.3, and the mean for the perceived stress scale scores was 21.6. There was a statistically significant correlation between the premenstrual severity scale score and the perceived stress scale, between the premenstrual severity scale and absenteeism, between premenstrual severity scale and year of study, and between dysmenorrhea and the perceived stress scale, but not between the severity of symptoms and method of pain relief. Conclusion: Premenstrual and menstrual symptoms have a negative impact on students that affects their academic participation. More support should be given from universities to address the menstruation-related struggles of female students.

The impact of confinement on older Jordanian adults' mental distress during the COVID-19 pandemic: A web-based cross-sectional study.

PURPOSE: This study aimed to determine the impact of Coronavirus disease, 2019 (COVID-19) confinement on older Jordanian adults' mental distress and to assess which study variables that predict Posttraumatic Stress disorder. DESIGN AND METHODS: This cross-sectional study was conducted on 315 older Jordanian adults using an online survey in Amman, Jordan between May 28 and June 12. FINDINGS: The assessment revealed a moderate level of avoidance (M = 1.97, SD = 0.7), a higher effect of intrusion (M = 2.08, SD = 0.9), an above midpoint level of fear 18.50 ± 8.6, and mild depression (M = 6.96, SD = 7.3). Hierarchical Multiple Regression model revealed that 77.8% of the Impact of Event Scale-Revised was explained by both Fear of COVID-19 Scale and Patient Health Questionnaire-9 (R change = 0.66, SE = 8.4, p < 0.001). PRACTICE IMPLICATION: This suggests that confinement affects different aspects of the psychological well-being of older Jordanian adults. An early assessment and intervention can make confinement as tolerable as possible.

Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers.

The emergence of Coronavirus disease 2019 (COVID-19) has affected health-care workers' psychological and mental health. Few studies have been conducted examining the psychological effect of COVID-19 on health-care worker psychological health in Jordan. Therefore, the present study aims to assess the respective levels of fear, anxiety, depression, stress, social support, and the associated factors, experienced by Jordanian health-care workers during the COVID-19 Pandemic. This study adopted a cross-sectional, correlational design to collect data from 365 health-care workers in Amman, Jordan, from August 16th to 23rd, 2020. Along with collecting sociodemographic characteristics, the Fear of COVID-19 Scale, the Depression, Anxiety, Stress Scale, and the Multidimensional Scale of Perceived Social Support electronically administered to participants. The majority of the participants (69.3%) were registered nurses. The mean overall score for the Fear of COVID-19 scale was 23.64 (SD + 6.85) which again exceeded the mid-point for the total score range (21), indicating elevated level fear of the COVID-19 pandemic. Participants had displayed extremely severe depression 40%, extremely severe anxiety 60%, and 35% severely distressed. Scores for depression (21.30 ± 10.86), anxiety (20.37 ± 10.80), stress (23.33 ± 10.87) were also high. Factors determined to be associated with psychological distress were being male, married, aged 40 years and older, and having more clinical experience. Assessment of social support indicated moderate-to-high levels of perceived support for all dimensions (significant other: 5.17 ± 1.28, family: 5.03 ± 1.30, friends: 5.05 ± 1.30). Weak significant correlations were found between social support and the other study variables (r < 0.22), indicating a weak association with fear, depression, anxiety, and stress, respectively. Overall, Jordanian health-care workers sample reported fear, depression, anxiety, and stress. The associated factors were being male, married, aged 40 years and older, and having more clinical experience. Regarding social support, participants primarily relied on support from their families, followed by support from friends.

Inflammatory Markers, Metabolic Profile, and Psychoneurological Symptoms in Women with Breast Cancer: A Literature Review.

Breast cancer is one of the most prevalent cancers in women. The improvement in breast cancer treatment has significantly increased the proportion of survival rate for women with breast cancer. Despite the advancement in breast cancer treatment, a great proportion of survivors suffer from co-occurring psychoneurological symptoms which impact their quality of life. The most frequently reported psychoneurological symptoms among women with breast cancer are depressive symptoms, anxiety, fatigue, sleep disturbances, and pain. These symptoms usually appear as a cluster. Inflammatory activation and serum metabolic alterations have been associated with the etiology of cancer and with various chronic neurocognitive disorders. However, to date, no studies considered the combined effects of inflammatory markers and metabolites in the development of psychoneurological symptoms in women with breast cancer especially those who were treated with chemotherapy. Further clarification of the relationships between the inflammatory markers, serum metabolic alterations, and psychoneurological symptoms in women with breast cancer should be pursued.

Predictors of the burden on family carers of patients on haemodialysis in Jordan.

BACKGROUND: Family caregivers of patients on haemodialysis can experience life changes and depression. AIMS: This study assessed the self-perceived burden on their family caregivers of haemodialysis patients in Jordan, and the caregivers' perceived burden of caregiving and depression. The predictors of caregiver outcomes were determined. METHODS: This cross-sectional study included 190 patients on haemodialysis and their caregivers in Jordan. Patients' self-perceived burden on their caregivers was assessed using the self-perceived burden scale. For caregivers, burden was assessed using the Oberst caregiving burden scale and Bakas caregiving outcomes scale - difficulty subscale. Caregivers' depression was assessed using the patient health questionnaire-9. Mean scores and standard deviations (SD) were calculated. Multiple regression analysis was done to determine the predictors of caregiver outcomes. RESULTS: Patients thought that they were a moderate to severe burden on their caregivers (mean score 36.31, SD 3.48). Caregivers perceived themselves as moderately burdened, and thought that their lives had changed for the worse because of caregiving (mean score 2.82, SD = 0.98). Caregivers were moderately depressed (mean score 1.80, SD 0.42). Multiple regression analysis showed that the perceived difficulty of caregiving tasks and patients' self-perceived burden predicted the caregiver outcomes. The difficulty of caregiver tasks explained 38% of the overall variance in the caregiver outcomes. Patient's self-perceived burden on their caregivers explained 16.4% of the variance. CONCLUSION: Factors that affect the burden on caregivers of dialysis patients should be identified and interventions considered to support caregivers and reduce this burden.

Psychological distress and perceived burden in caregivers of persons with autism spectrum disorder.

PURPOSE: To investigate psychological distress among parents of children with autism spectrum disorder and the associated sociodemographic factors influencing parents' distress. DESIGN AND METHODS: A cross-sectional design with a sample of 123 Jordanian parents providing care to children with autism spectrum disorder was used. A sociodemographic questionnaire, the Oberst Caregiving Burden Scale, the Bakas Caregiving Outcomes Scale, and the Hospital Anxiety and Depression Scale were utilized for data collection. FINDINGS: Parents reported moderate levels of burden, negative life changes, and borderline depression and anxiety. The perceived burden related to caregiving task difficulty positively correlated with that related to time spent on tasks and negatively correlated with caregivers' caregiving-related outcomes. The perceived burden of caregiving tasks was negatively correlated with depression and anxiety and anxiety levels were positively correlated with depression (P < 0.001). PRACTICE IMPLICATION: Healthcare providers, advanced practice nurses, and policy makers should be aware of the burden, anxiety, and depression experienced by caregivers of children with autism spectrum disorder.

The impact of an educational intervention in caregiving outcomes in Jordanian caregivers of patients receiving hemodialysis: A single group pre-and-post test.

OBJECTIVES: Chronic renal failure affects the physiological, psychological, functional ability, and independent status of the patient, which might result in a burden to the family members caring for them. The objective of the study was to identify caregivers' level of burden and establish the impact of educational intervention programs on caregiving outcomes. METHODS: This was a one-group pre-test post-test study conducted between April and August 2017 on family caregivers of hemodialysis patients. A convenient sample of 169 caregivers was used. A socio-demographic questionnaire, the OBCS, and BCOS were utilized for data collection, which occurred at baseline and two weeks post-intervention. The collected data were analyzed using SPSS where t-test determined the impact of the intervention. RESULTS: Caregivers were found to be moderately burdened (M = 2.73, SD = 0.23) and their lives had changed for the worst as a result of caregiving (M = 3.17, SD = 5.89). There were significant differences in caregiving outcome scores before and after the intervention (P < 0.05). CONCLUSION: Caring for patients receiving hemodialysis adds extra responsibilities to the caregivers' schedule thus leaving them substantially burdened. Educating caregivers on the required care eased their burden and improved caregiving outcomes. Recommendations are made that healthcare professionals should assess caregiver burden, and address their physical and mental health needs. Caregivers should also be regularly educated on the regular caregiving tasks to ease their burden.

Coping strategies and socio-demographic characteristics among Jordanian caregivers of patients receiving hemodialysis.

Individuals who care for family members receiving chronic hemodialysis (HD) are likely to experience burdens that may adversely impact their patients. Effective coping strategies are shaped by various factors, including sociodemographic characteristics. To assess the relationship between caregivers and their patients, we studied 225 family-member caregivers of chronic HD patients through answering the Ways of Coping Questionnaire-Revised. Sociodemographic data, including caregiver age, gender, educational level, relationship to the patients, length of care time and weekly hours of caregiving were analyzed using the t-test, analysis of variance and least-significant difference post hoc test. Of the eight coping strategies investigated, seven were significantly related to at least one of the analyzed sociodemographic variables; these were confrontive coping, distancing, self-controlling, seeking social support, accepting responsibility, planful problem solving and positive reappraisal. The findings of the present study may be useful for administering dialysis by nurses for identifying coping strategies among caregivers and for establishing plans of care that would promote coping strategies in relation to the caregiver's sociodemographic characteristics.

Burden and coping strategies among Jordanian caregivers of patients undergoing hemodialysis.

Recent studies reported hemodialysis patients' sufferings from physical and psychosocial issues, but few studies reported family-caregiver burdens. This study aims to explore the burdens and coping strategies of caregivers of patients receiving hemodialysis. Caregivers of patients undergoing hemodialysis (n = 139) at 3 dialysis units were given 3 forms: Caregiver and Patient Characteristics, Oberst Caregiving Burden Scale Difficulty Subscale, and Ways of Coping Questionnaire. Descriptive statistics, correlational analysis, and multiple regression analysis were performed. The Oberst Caregiving Burden Scale was significantly related to self-controlling (r = 0.20) and seeking social support (r = 0.17). Caregiver burden was positively and significantly correlated with self-controlling coping subscale, with t = 1.10, P = 0.05, and ß = 0.25. Living with the patient was the only variable that was a significant predictor of burden, with t = 2.96, P = 0.00, and ß = 0.331. Living with patients predicted caregiver burden, and the burden scale correlated with self-controlling. The findings contribute to the evidence on the adverse health effects of caregivers of patients receiving hemodialysis. This study suggests that nursing interventions should target caregiver knowledge for better coping.