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1.
Epidemiol Psychiatr Sci ; 29: e85, 2020 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-31915097

RESUMEN

Given the high prevalence (30-35%) of psychosocial and psychiatric morbidity amongst cancer patients in any phase of the disease trajectory, screening for emotional problems and disorders has become mandatory in oncology. As a process, screening begins at the entry to the cancer care system and continues at clinically meaningful times, periodically during active cancer care, or when clinically indicated. The goal is to facilitate proper referral to psychosocial oncology specialists for more specific assessment and care, as well as treatment and evaluation of the response, according to the implementation of distress management guidelines. In this editorial, we will provide a non-exhaustive overview of relevant protocols, with particular reference to the National Comprehensive Cancer Network (NCCN) Distress Management in Oncology Guidelines, and review the challenges and the problems in implementing screening, and the assessment and management of psychosocial and psychiatric problems in cancer centres and community care.


Asunto(s)
Tamizaje Masivo/métodos , Neoplasias/psicología , Estrés Psicológico/diagnóstico , Humanos , Salud Mental , Neoplasias/complicaciones , Guías de Práctica Clínica como Asunto , Calidad de Vida/psicología , Estrés Psicológico/etiología , Estrés Psicológico/terapia
2.
Epidemiol Psychiatr Sci ; 29: e86, 2020 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-31915100

RESUMEN

With cancer incidence increasing over time worldwide, attention to the burden of psychiatric and psychosocial consequences of the disease is now mandatory for both cancer and mental health care professionals. Psychiatric disorders have been shown to affect at least 30-35% of cancer patients during all phases of the disease trajectory, and differ in nature according to stage and type of cancer. Other clinically relevant distressing psychosocial and existential conditions (e.g. demoralisation, health anxiety, loss of meaning and existential distress) not included as 'disorders' in the usual diagnostic and nosological systems (i.e. meta-diagnostic conditions) have also been shown to be present in another 15-20% of cancer patients. In this editorial, we will present a summary of the extensive literature regarding the epidemiology of the several psychosocial disorders affecting cancer patients as a cause of distress and burden to be taken into consideration and addressed in cancer care through evidence-based intervention.


Asunto(s)
Trastornos Mentales/complicaciones , Salud Mental , Neoplasias/psicología , Estrés Psicológico/psicología , Ansiedad/etiología , Disfunción Cognitiva/etiología , Costo de Enfermedad , Depresión/etiología , Humanos , Trastornos Mentales/psicología , Neoplasias/complicaciones , Neoplasias/diagnóstico , Psicooncología , Calidad de Vida , Estrés Psicológico/diagnóstico , Estrés Psicológico/etiología
3.
Oral Dis ; 26(1): 96-110, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31650646

RESUMEN

OBJECTIVES: To validate the Hospital Anxiety and Depression Scale (HADS) and the 10-item Perceived Stress Scale (PSS-10) for use in patients with oral lichen planus (OLP) and to provide cross-sectional analysis of anxiety, depressive and distress symptoms in patients with OLP. METHODS: Validity and reliability of both instruments were assessed in 260 participants with OLP in one tertiary oral medicine centre through confirmatory factor analysis and calculation of reliability coefficients. Prevalence, clinical and demographic predictors of the presence of psychological symptoms in OLP were calculated and identified using multivariated logistic regression. RESULTS: Factor analysis results demonstrated that a bifactor model described the underlying structure of both scales better than other models. Values of omega indicated adequate reliability of total HADS and PSS-10 score while low coefficient omega hierarchical values limit clinical applicability of their subscale scores. The prevalence of anxiety, depressive and distress symptoms in OLP was 39.23%, 20.77% and 27.69%, respectively. Pain intensity, disease comorbidities, age, smoking and alcohol consumption were found to be independent predictors of the presence of psychological symptoms in OLP. CONCLUSION: The HADS and PSS-10 are appropriate to use as general measures of psychological distress and perceived stress in patients with OLP.


Asunto(s)
Liquen Plano Oral/psicología , Pruebas Psicológicas , Estrés Psicológico/diagnóstico , Adulto , Anciano , Anciano de 80 o más Años , Ansiedad/diagnóstico , Estudios Transversales , Depresión/diagnóstico , Análisis Factorial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
4.
Anaesthesia ; 75(1): 96-108, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31729019

RESUMEN

Anaesthetists are thought to be at increased risk of suicide amongst the medical profession. The aims of the following guidelines are: increase awareness of suicide and associated vulnerabilities, risk factors and precipitants; to emphasise safe ways to respond to individuals in distress, both for them and for colleagues working alongside them; and to support individuals, departments and organisations in coping with a suicide.


Asunto(s)
Anestesistas/psicología , Anestesistas/estadística & datos numéricos , Trastornos Mentales/diagnóstico , Estrés Psicológico/diagnóstico , Suicidio/prevención & control , Suicidio/psicología , Guías como Asunto , Humanos , Trastornos Mentales/complicaciones , Trastornos Mentales/psicología , Factores de Riesgo , Estrés Psicológico/complicaciones , Estrés Psicológico/psicología , Suicidio/estadística & datos numéricos , Reino Unido
5.
Support Care Cancer ; 28(1): 55-64, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30980258

RESUMEN

PURPOSE: To facilitate access to and provision of psychosocial care to cancer patients in the community, the Cancer Support Community (CSC) developed CancerSupportSource® (CSS), an evidence-based psychosocial distress screening program. The current study examined the psychometric properties and multi-dimensionality of a revised 25-item version of CSS, and evaluated the scale's ability to identify individuals at risk for clinically significant levels of depression and anxiety. METHODS: CSS development and validation were completed in multiple phases. Exploratory factor analysis was completed with 1436 individuals diagnosed with cancer to examine scale dimensionality, and nonparametric receiver operating characteristic (ROC) curve analyses were used to determine scoring thresholds for depression and anxiety risk scales. Internal consistency reliability and convergent and discriminant validity were also examined. Confirmatory factor analysis and intraclass correlation coefficients were subsequently calculated with a separate sample of 1167 individuals to verify the scale factor structure and examine test-retest reliability. RESULTS: Five factors were identified and confirmed: (1) emotional well-being, (2) symptom burden and impact, (3) body image and healthy lifestyle, (4) health care team communication, and (5) relationships and intimacy. Psychometric evaluation of the total scale and factors revealed strong internal consistency reliability, test-retest reliability, and convergent and divergent validity. Sensitivity of CSS 2-item depression and 2-item anxiety risk scales were .91 and .92, respectively. CONCLUSIONS: Results indicate that CancerSupportSource is a reliable, valid, multi-dimensional distress screening program with the capacity to screen for those at risk for clinically significant levels of depression and anxiety.


Asunto(s)
Supervivientes de Cáncer/psicología , Tamizaje Masivo/métodos , Neoplasias/psicología , Psicometría/métodos , Estrés Psicológico/diagnóstico , Adulto , Anciano , Ansiedad/diagnóstico , Ansiedad/etiología , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/etiología , Depresión/diagnóstico , Depresión/etiología , Trastorno Depresivo/diagnóstico , Trastorno Depresivo/etiología , Femenino , Humanos , Masculino , Tamizaje Masivo/normas , Persona de Mediana Edad , Neoplasias/complicaciones , Neoplasias/diagnóstico , Psicometría/normas , Reproducibilidad de los Resultados , Apoyo Social
6.
Support Care Cancer ; 28(1): 249-259, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31030278

RESUMEN

BACKGROUND: It is unknown how many distressed patients receive the additional supportive care recommended by Australian evidence-based distress management guidelines. The study identifies the (1) distress screening practices of Australian cancer services; (2) barriers to improving practices; and (3) implementation strategies which are acceptable to service representatives interested in improving screening practices. METHOD: Clinic leads from 220 cancer services were asked to nominate an individual involved in daily patient care to complete a cross-sectional survey on behalf of the service. Questions related to service characteristics; screening and management processes; and implementation barriers. Respondents indicated which implementation strategies were suitable for their health service. RESULTS: A total of 122 representatives participated from 83 services (51%). The majority of respondents were specialist nurses or unit managers (60%). Approximately 38% of representatives' services never or rarely screen; 52% who screen do so for all patients; 55% use clinical interviewing only; and 34% follow referral protocols. The most common perceived barriers were resources to action screening results (74%); lack of time (67%); and lack of staff training (66%). Approximately 65% of representatives were interested in improving practices. Of the 8 implementation strategies, workshops (85%) and educational materials (69%) were commonly selected. Over half (59%) indicated a multicomponent implementation program was preferable. CONCLUSIONS: Although critical gaps across all guideline components were reported, there is a broad support for screening and willingness to improve. Potential improvements include additional services to manage problems identified by screening, more staff time for screening, additional staff training, and use of patient-report measures.


Asunto(s)
Tamizaje Masivo , Neoplasias/psicología , Pautas de la Práctica en Medicina/normas , Estrés Psicológico/diagnóstico , Estrés Psicológico/terapia , Adulto , Australia/epidemiología , Instituciones Oncológicas/normas , Auditoría Clínica , Estudios Transversales , Prestación de Atención de Salud/normas , Femenino , Adhesión a Directriz/estadística & datos numéricos , Humanos , Masculino , Tamizaje Masivo/métodos , Tamizaje Masivo/normas , Neoplasias/diagnóstico , Neoplasias/epidemiología , Neoplasias/terapia , Pautas de la Práctica en Medicina/estadística & datos numéricos , Mejoramiento de la Calidad/normas , Derivación y Consulta/normas , Derivación y Consulta/estadística & datos numéricos , Estrés Psicológico/epidemiología , Estrés Psicológico/etiología , Encuestas y Cuestionarios
7.
Medicine (Baltimore) ; 98(44): e17764, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31689836

RESUMEN

While stress is known to cause many diseases, there is no established method to determine individuals vulnerable to stress. Sasang typology categorizes humans into four Sasang types (So-Eum, Tae-Eum, So-Yang, and Tae-Yang), which have unique pathophysiologies because of their differential susceptibilities to specific stimuli, including stress. The purpose of this study was to determine if Sasang typology can be used identify individuals who are vulnerable to stress by evaluation of heart rate variability (HRV).This was a cross-sectional study. A total of 399 healthy men and women aged 30 to 49 years were recruited. Physical examinations for stress included HRV measurement and blood tests. The subjects also completed questionnaires about psychological stress, self-awareness, and lifestyle. HRV was analyzed using frequency-domain analysis. Subjects were divided into So-Eum (SE) and non-So-Eum (non-SE) groups according to their diagnosis.The weight and body mass index in the SE group were significantly lower than those in the non-SE group (both, P = .000). There were no significant between-group differences in any other demographic variables. In HRV analysis, the normalized high frequency (nHF) was higher (P = .008) while the normalized low frequency (nLF; P = .008) and LF:HF ratio (LF/HF; P = .002) were lower in the SE group than in the non-SE group.Although there was no difference in variables affecting HRV, HRV values were significantly different between groups. The LF/HF value for the SE group was at the lower limit of the normal range, although there were no associated clinical problems. These findings suggest that individuals with the SE type are more susceptible to stress than those with the other types. Thus, middle-aged individuals who are vulnerable to stress can be identified using Sasang typology.


Asunto(s)
Susceptibilidad a Enfermedades/diagnóstico , Frecuencia Cardíaca/fisiología , Medicina Tradicional Coreana/métodos , Psicometría/métodos , Estrés Psicológico/diagnóstico , Adulto , Índice de Masa Corporal , Estudios Transversales , Susceptibilidad a Enfermedades/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Somatotipos/psicología , Estrés Psicológico/psicología , Encuestas y Cuestionarios
8.
BMC Psychol ; 7(1): 68, 2019 Oct 26.
Artículo en Inglés | MEDLINE | ID: mdl-31655623

RESUMEN

BACKGROUND: In the last decade academic stress and its mental health implications amongst university students has become a global topic. The use of valid and theoretically-grounded measures of academic stress in university settings is crucial. The aim of this study was to examine the factorial structure, reliability and measurement invariance of the short student version of the effort-reward imbalance questionnaire (ERI-SQ). METHODS: A total of 6448 Italian university students participated in an online cross-sectional survey. The factorial structure was investigated using exploratory factor analysis and confirmatory factor analysis. Finally, the measurement invariance of the ERI-SQ was investigated. RESULTS: Results from explorative and confirmatory factor analyses showed acceptable fits for the Italian version of the ERI-SQ. A modified version of 12 items showed the best fit to the data confirming the 3-factor model. Moreover, multigroup analyses showed metric invariance across gender and university course (health vs other courses). CONCLUSIONS: In sum, our results suggest that the ERI-SQ is a valid, reliable and robust instrument for the measurement of stress among Italian university students.


Asunto(s)
Estrés Psicológico/diagnóstico , Estudiantes/psicología , Encuestas y Cuestionarios , Universidades , Adulto , Estudios Transversales , Análisis Factorial , Femenino , Humanos , Italia , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Recompensa , Estrés Psicológico/psicología , Adulto Joven
9.
Medicina (Kaunas) ; 55(10)2019 Sep 24.
Artículo en Inglés | MEDLINE | ID: mdl-31554339

RESUMEN

Background and objectives: Stress in nursing students is a very common experience, especially when they face clinical practice. The aims of this study were to perform a transcultural adaptation and to examine the reliability and repeatability of the Instrument for the Assessment of Stress in Nursing Students for a Spanish population. Methods: A test-retest analysis was carried out in two face-to-face sessions with the students with a lapse of 10 days between the two sessions. A cross-sectional descriptive study was carried out between the months of May and June 2018. Sixty-four nursing students were recruited with a consecutive sampling method that targeted individuals in the freshman class. Results: A good internal consistency was shown for the total score (α = 0.8861) and for each of the six domains. The test-retest reliability, using the Wilcoxon paired test, was not significant, indicating no differences between the total scores or the domain scores (p ≥ 0.05). Finally, Bland and Altman plots of visual distributions did not show differences between the total scores and the domain scores. Conclusion: The Instrument for the Assessment of Stress in Nursing Students was shown to be a reliable tool for measuring stress factors among Spanish nursing students.


Asunto(s)
Estrés Psicológico/diagnóstico , Estudiantes de Enfermería/psicología , Encuestas y Cuestionarios , Adolescente , Adulto , Estudios Transversales , Educación en Enfermería , Femenino , Humanos , Masculino , Psicometría , Reproducibilidad de los Resultados , España , Adulto Joven
10.
Nutrients ; 11(9)2019 Sep 16.
Artículo en Inglés | MEDLINE | ID: mdl-31527485

RESUMEN

A systematic review and meta-analysis was undertaken to examine and quantify the effects of B vitamin supplementation on mood in both healthy and 'at-risk' populations. A systematic search identified all available randomised controlled trials (RCTs) of daily supplementation with ≥3 B group vitamins with an intervention period of at least four weeks. Random effects models for a standardized mean difference were used to test for overall effect. Heterogeneity was tested using the I2 statistic. Eighteen articles (16 trials, 2015 participants) were included, of which 12 were eligible for meta-analysis. Eleven of the 18 articles reported a positive effect for B vitamins over a placebo for overall mood or a facet of mood. Of the eight studies in 'at-risk' cohorts, five found a significant benefit to mood. Regarding individual facets of mood, B vitamin supplementation benefited stress (n = 958, SMD = 0.23, 95% CI = 0.02, 0.45, p = 0.03). A benefit to depressive symptoms did not reach significance (n = 568, SMD = 0.15, 95% CI = -0.01, 0.32, p = 0.07), and there was no effect on anxiety (n = 562, SMD = 0.03, 95% CI = -0.13, 0.20, p = 0.71). The review provides evidence for the benefit of B vitamin supplementation in healthy and at-risk populations for stress, but not for depressive symptoms or anxiety. B vitamin supplementation may particularly benefit populations who are at risk due to (1) poor nutrient status or (2) poor mood status.


Asunto(s)
Afecto/efectos de los fármacos , Ansiedad/tratamiento farmacológico , Depresión/tratamiento farmacológico , Suplementos Dietéticos , Estrés Psicológico/tratamiento farmacológico , Complejo Vitamínico B/uso terapéutico , Deficiencia de Vitamina B/tratamiento farmacológico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/psicología , Depresión/diagnóstico , Depresión/epidemiología , Depresión/psicología , Suplementos Dietéticos/efectos adversos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estado Nutricional , Ensayos Clínicos Controlados Aleatorios como Asunto , Medición de Riesgo , Factores de Riesgo , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología , Estrés Psicológico/psicología , Resultado del Tratamiento , Complejo Vitamínico B/efectos adversos , Deficiencia de Vitamina B/diagnóstico , Deficiencia de Vitamina B/epidemiología , Deficiencia de Vitamina B/psicología , Adulto Joven
11.
Eur J Oncol Nurs ; 42: 97-102, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31479847

RESUMEN

PURPOSE: (a) To identify subgroups with unique psychoneurological symptom-cluster experience (depression, cognitive impairment, fatigue, sleep disturbance, and pain) and (b) to examine whether the selected demographic, clinical, psychological, and biological factors determine a symptom-cluster experience in cancer patients. METHOD: The sample included 203 patients with diverse cancer types recruited from a Korean university hospital. Latent profile analyses were conducted to identify subgroups. Influencing factors of subgroup membership (demographic/clinical variables, hemoglobin level, social support, and psychological stress) were included as covariates in latent profile analysis and analyzed by multinomial logistic regression. RESULTS: Latent profile analyses classified patients into two subgroups with a unique symptom cluster experience: patients experiencing high intensity in all symptoms within the cluster (the all-high-symptom subgroup, 71%) and patients experiencing low intensity in all symptoms within the cluster (all-low-symptom subgroup, 29%). The validity of the two subgroups was confirmed by the group classification accuracy (97% of the all-low-symptom subgroup and 99% of the all-high-symptom subgroup) and by significant Wald's mean equality tests, showing each symptom (depression, cognitive impairment, fatigue, sleep disturbance, and pain) significantly differentiated the two subgroups (ps < .001). Psychological stress independently determined the subgroup membership. Patients with high levels of stress were more likely to be in the all-high-symptom group (OR = 4.69, p < .0001). Hemoglobin level, cancer diagnosis, social support, and previous chemotherapy experience did not influence group membership. CONCLUSIONS: A large number of patients experience five psychoneurological symptoms simultaneously due to psychological stress. Interventions targeted to stress would be beneficial for those patients.


Asunto(s)
Neoplasias/complicaciones , Neoplasias/psicología , Estrés Psicológico/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Dolor en Cáncer/diagnóstico , Dolor en Cáncer/epidemiología , Dolor en Cáncer/psicología , Análisis por Conglomerados , Depresión/diagnóstico , Depresión/epidemiología , Depresión/psicología , Fatiga/diagnóstico , Fatiga/epidemiología , Fatiga/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Trastornos del Sueño-Vigilia/diagnóstico , Trastornos del Sueño-Vigilia/epidemiología , Estrés Psicológico/diagnóstico , Evaluación de Síntomas , Síndrome , Adulto Joven
12.
Dis Colon Rectum ; 62(10): 1204-1211, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31490829

RESUMEN

BACKGROUND: Almost all patients with familial adenomatous polyposis undergo abdominal surgery with a risk of disease and surgery-related complications. This, the familial nature of the syndrome, and its wide-ranging manifestations make patients prone to mental health symptoms. If this is true, patients need appropriate evaluation and treatment. OBJECTIVE: The purpose of this study was to record the experience of mental health symptoms in a group of unselected patients with FAP. DESIGN: We conducted an observational study using an anonymized mental health symptom survey for patients affected with familial adenomatous polyposis. SETTINGS: The study was conducted using the Hereditary Colorectal Cancer Registry in a tertiary referral center. PATIENTS: Patients affected with familial adenomatous polyposis were included. MAIN OUTCOME MEASURES: Results of the mental health survey were measured. RESULTS: Seventy nine of 100 patients completed the survey; 57 endorsed ≥1 psychosocial symptom (72.2%). with a mean of 4 per patient. Nine patients (11.4%) met all 4 of the American Psychiatric Association diagnostic criteria for posttraumatic stress disorder, and 8 (10.1%) endorsed partial posttraumatic stress disorder criteria (3/4 symptoms). Patients who met all of the criteria for posttraumatic stress disorder had an average of 9.3 psychosocial symptoms each compared with 8.3 for those who met 3 of 4 and 2.2 for those who met <3. Six patients endorsed suicidal thoughts, all of whom met 3 or 4 of the criteria for posttraumatic stress disorder. LIMITATIONS: The study was limited by its referral bias toward severe cases and relatively small number of patients. Because of the limitations of an anonymous self-administered screening, no mental health diagnoses have been given. CONCLUSIONS: Patients with familial adenomatous polyposis are at risk for mental health symptoms, which can be multiple and severe. Some patients need professional counseling. A correlation between familial adenomatous polyposis patients with posttraumatic stress disorder and suicidal ideation is important. See Video Abstract at http://links.lww.com/DCR/A995. SÍNTOMAS PSICOPATOLÓGICOS EN PACIENTES CON PÓLIPOSIS ADENOMATOSO FAMILIAR: UN ESTUDIO OBSERVACIONAL: Un mayoría de pacientes con póliposis adenomatoso familiar (PAF) se someten a cirugía abdominal con los riesgos de enfermedad propria y complicaciones relacionadas a cirugía. Estos factores, la relación familiar del síndrome y sus manifestaciones altamente variables hacen que los pacientes sean propensos a psicopatologías. Si estas consideraciones son validas, los pacientes requieren evaluación y tratamiento adecuado. OBJETIVO: Documentar la experiencia de los síntomas psicopatológicos en un grupo de pacientes no seleccionados con PAF. DISEÑO:: Estudio observacional utilizando una encuesta anónima de síntomas psicopatológicos en pacientes afectados con póliposis adenomatoso familiar. AMBIENTE CLINICO: Registro de cáncer colorrectal hereditario en un centro de referencia de tercer nivel. PACIENTES: Individuos afectados con póliposis adenomatoso familiar. OBJETIVOS PRINCIPALES A VALORACIÓN:: Resultados de la encuesta de salud mental. RESULTADOS: Setenta y nueve de 100 pacientes completaron la encuesta; 57 afirmaron uno o más síntomas psicosociales (72,2%) con un promedio de 4 por paciente. 9 (11,4%) pacientes cumplieron con los 4 criterios de diagnóstico de la Asociación Estadounidense de Psiquiatría para el trastorno por estrés postraumático, y 8 (10,1%) llenaron los criterios del trastorno de estrés postraumático parcial (3/4 síntomas). Los pacientes que cumplieron con todos los criterios para el trastorno por estrés postraumático tuvieron un promedio de 9.3 síntomas psicosociales cada uno, en comparación con 8.3 para los que cumplieron con 3/4 y 2.2 para los que cumplieron con <3. 6 pacientes afirmaron pensamientos de suicidio, todos los cuales cumplieron con 3 o 4 de los criterios para el trastorno por estrés postraumático. LIMITACIONES: Sesgo de referencia hacia casos graves, y un número relativamente pequeño de pacientes. Debido a las limitaciones de un examen anónimo auto administrado, no se confirmaron diagnósticos de psicopatología. CONCLUSIONES: Los pacientes con póliposis adenomatoso familiar tienen riesgo de síntomas de salud mental alterada que pueden ser múltiples y graves. Algunos pacientes necesitan asesoramiento profesional. La correlación entre los pacientes con póliposis adenomatoso familiar con trastorno por estrés postraumático y ideación suicida es importante. Vea el Resumen del Video en http://links.lww.com/DCR/A995.


Asunto(s)
Poliposis Adenomatosa del Colon/psicología , Salud Mental , Estrés Psicológico/etiología , Adolescente , Adulto , Femenino , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Factores de Riesgo , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios , Estados Unidos/epidemiología , Adulto Joven
13.
BMC Psychol ; 7(1): 58, 2019 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-31470909

RESUMEN

BACKGROUND: Perceived stress reflects a person's feeling of how much stress the individual is under at a given time. The Perceived Stress Scale (PSS) is a popular instrument measuring the extent to which individuals perceive situations in their life as excessive relative to the ability to cope. Based on a literature review, however, several issues related to the scale remain: (a) the dimensionality is not established, (b) little information about the individual items exists, and (c) much research is based on university student samples. To address these, this study evaluated the psychometric properties of the Korean version of the Perceived Stress Scale (KPSS) using a military sample. METHODS: This study was conducted in South Korea with 373 military personnel, aged 19-30 years. Both classical test theory (CTT) and the Rasch rating scale model were used to examine the psychometric properties of the KPSS, including factor structure, concurrent validity, reliability, and item analyses. RESULTS: Internal consistency reliability for the overall and negative/positive perception subscales was.85, .85 and .86, respectively. Based on Rasch reliability, person and item reliability were .82 and .98, respectively. Person and item separation were 2.13 and 7.19, respectively. Concurrent validity was established, with significantly positive association with the measures of depression and negative association with the measure of life satisfaction. Findings from the CFA suggested that a bifactor model with two group factors was the best fit to the observed data. The RSM showed that all but one item had acceptable infit and outfit statistics, and item difficulty ranged from -.73 to 1.22. Besides, the RSM showed positive and moderate inter-item correlations ranging from .42 to .75. CONCLUSIONS: The results provided evidence that a 10-item Korean version of the Perceived Stress Scale was a reliable and valid scale to measure perceived stress in military samples.


Asunto(s)
Personal Militar , Pruebas Psicológicas , Estrés Psicológico/diagnóstico , Adulto , Depresión/diagnóstico , Depresión/psicología , Femenino , Humanos , Masculino , Psicometría/métodos , Reproducibilidad de los Resultados , República de Corea , Estrés Psicológico/psicología , Adulto Joven
14.
Psychiatr Danub ; 31(Suppl 3): 331-337, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31488749

RESUMEN

INTRODUCTION: Academic learning is the most important source of stress among young students worldwide and appears to be quite severe in eastern countries. We aimed to examine the relationship between academic stress and depression among adolescents. METHODS: A cross-sectional study was conducted among adolescents in United Arab Emirates using the Perceived Stress Scale - 14 (PSS-14) and Educational Stress Scale (ESS) for Adolescents (English and Arabic versions). RESULTS: The overall PSS was high in 186 (20%) of the respondents, and moderate in 695 (76%). A multiple regression model of predictors of the PSS showed statistically significant correlations between the total PSS-14 scores and age (p<0.0004), gender (p<0.0001), and grade (p<0.001). A multiple regression model of the PSS-14 questionnaire as predictors of the ESSA revealed that Four variables on PSS-14 were statistically significant predictors of the ESSA: history of depression (p<0.0001), content with academic achievement (p<0.0001), high academic expectation of parents (p<0.003), and a believe capable of meeting parental expectations (p<0.0001). CONCLUSIONS: Adolescents with severe academic stress need to be identified early. We suggest that an interdisciplinary team in the schools including student advisors and counselors be developed to further address stressors. In addition, students should be taught different stress management techniques such as cognitive behavioral skills to improve their ability to cope with school demands. The identification of stressors may lead to strategies that might address the quality of teaching and mental health evaluation among adolescents.


Asunto(s)
Éxito Académico , Depresión/psicología , Motivación , Padres/psicología , Estrés Psicológico , Adolescente , Factores de Edad , Estudios Transversales , Depresión/diagnóstico , Humanos , Factores Sexuales , Estrés Psicológico/diagnóstico , Estrés Psicológico/prevención & control , Emiratos Árabes Unidos
15.
WMJ ; 118(2): 71-74, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31532931

RESUMEN

BACKGROUND: Concern about climate change may affect mental health. We evaluated the relationship between primary care patients' attitudes toward climate change and dysphoria. METHODS: In 2013, we surveyed 571 adult primary care patients in southern Wisconsin. Attitudes toward climate change were measured using a 46-point composite of 9 questions. Dysphoria was measured using a 13-point composite summing the Patient Health Questionnaire (PHQ-2) and the Generalized Anxiety Disorder scale (GAD-2). RESULTS: Patients frequently reported concern about climate change and 22.5% experienced dysphoria. A significant, positive correlation existed between the composite climate change score and the dysphoria score (rs=0.345; P<0.001). CONCLUSION: Primary care patients are concerned about climate change and this concern is positively related to dysphoria. The level to which dysphoria is due to climate change should be elucidated.


Asunto(s)
Ansiedad/diagnóstico , Cambio Climático , Depresión/diagnóstico , Atención Primaria de Salud , Estrés Psicológico/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Wisconsin
16.
Riv Psichiatr ; 54(4): 160-167, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31379381

RESUMEN

BACKGROUND: Breast cancer diagnosis and treatments have a strong impact on women's lives. This study aimed to evaluate the changes in emotional traits in women aged 38-50 years over a three-year period. METHOD: By cross-sectional study design, a sample of n. 126 patients in range age 38-50 has been recruited in different timing of cancer disease, in order to evaluate the patients' emotional traits (variables: anxiety, anger, psychological distress, and depression) at the time of diagnosis, and 6, 12, 18, 24, and 36 months after diagnosis. Anger, anxiety, psychological distress, and depression were evaluated. RESULTS: Results showed significant differences in each emotional variable during treatment. Anxiety showed a decreasing trend, whereas anger tended to improve significantly. At 12 and 24 months from the diagnosis, patients seemed more aware about their own psychological needs compared with the period immediately after the diagnosis (T0) and during the treatments. Women who had recently received a diagnosis (T0) seemed more resilient in their responses in facing an emergency. CONCLUSIONS: Increased survival rate after breast cancer diagnosis is strongly linked to the management of emotional weakness of BC women because of modified living. Patients need to be supported to regain their life after clinical treatments though tailored psychological treatment along survivorship, not only in primary treatment.


Asunto(s)
Neoplasias de la Mama/psicología , Emociones , Supervivencia , Adulto , Ira , Ansiedad/diagnóstico , Estudios Transversales , Depresión/diagnóstico , Femenino , Humanos , Estudios Longitudinales , Persona de Mediana Edad , Pruebas Psicológicas , Autoinforme , Estrés Psicológico/diagnóstico , Tasa de Supervivencia , Factores de Tiempo
17.
Trials ; 20(1): 500, 2019 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-31412913

RESUMEN

BACKGROUND: Persons with mild to borderline intellectual disabilities generally show dysfunctions in mentalization and stress regulation, resulting in problematic social relationships and personal distress. Intervention programs may improve mentalizing abilities. The aim of this study is to examine the effectiveness of the serious game 'You & I' in changing mentalizing abilities and stress regulation in adults with mild to borderline intellectual disabilities. METHODS: A two-arm, parallel, superiority randomized controlled trial will be used with 172 adults with mild to borderline intellectual disabilities. Participants will be randomly assigned to either the experimental group to play the serious game 'You & I' or a waitlist control group. Participants will be assessed at baseline, post intervention (5 weeks after baseline), and follow-up (6-8 weeks after post intervention). They also will fill in questionnaires for personal factors, personal development, personal well-being, social validity, autism spectrum quotient (demographic variables), mentalizing abilities (primary outcome measure), and stress regulation (secondary outcome measure). DISCUSSION: The serious game 'You & I' aims to improve mentalizing abilities in adults with mild to borderline intellectual disabilities, which is expected to lead to improved regulation of stress in social relationships. The study's unique feature is the use of a serious game to improve mentalizing abilities. If the intervention is effective, the serious game can be implemented on a broad scale in Dutch care organizations for people with intellectual disabilities as an effective preventive tool to improve mentalizing abilities. TRIAL REGISTRATION: Netherlands Trial Register, NTR7418 . Registered on 2 August 2018.


Asunto(s)
Discapacidad Intelectual/rehabilitación , Mentalización , Personas con Discapacidad Mental/rehabilitación , Estrés Psicológico/prevención & control , Juegos de Video , Adaptación Psicológica , Estudios de Equivalencia como Asunto , Humanos , Discapacidad Intelectual/diagnóstico , Discapacidad Intelectual/psicología , Personas con Discapacidad Mental/psicología , Países Bajos , Conducta Social , Estrés Psicológico/diagnóstico , Estrés Psicológico/psicología , Factores de Tiempo , Resultado del Tratamiento
18.
Artículo en Inglés | MEDLINE | ID: mdl-31431004

RESUMEN

Exposure to air pollution affects human activity and health. Particularly, in Asian countries, the influence of particulate matter on humans has received wide attention. However, there is still a lack of research about the effects of particulate matter on human outdoor activities and mental health. Therefore, we aimed to explore the association between exposure to particulate matter with a diameter of less than 10 µm (PM10) and outdoor activity along with mental health in South Korea where issues caused by particulate matter increasingly have social and economic impacts. We examined this relationship by combining the physical and habitual factors of approximately 100,000 people in 2015 from the Korean National Health Survey. To measure each individual's exposure to particulate matter, we computed the total hours exposed to a high PM10 concentration (>80 µg/m3) in a given district one month before the survey was conducted. After dividing all districts into six groups according to the exposed level of the high PM10, we applied the propensity score-weighting method to control for observable background characteristics. We then estimated the impact of the high PM10 on outdoor activity and mental health between the weighted individuals in each group. Our main findings suggest that the impact of PM10 on outdoor activity and stress shows an inverted-U shaped function, which is counterintuitive. Specifically, both outdoor activity and stress levels tend to be worsened when the exposure time to a high PM10 (>80 µg/m3) was more than 20 h. Related policy implications are discussed.


Asunto(s)
Contaminantes Atmosféricos/efectos adversos , Contaminación del Aire/efectos adversos , Ejercicio/psicología , Salud Mental/estadística & datos numéricos , Material Particulado/efectos adversos , Estrés Psicológico/etiología , Adulto , Anciano , Anciano de 80 o más Años , Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Estudios Transversales , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Material Particulado/análisis , Puntaje de Propensión , República de Corea/epidemiología , Factores de Riesgo , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología
19.
J Autism Dev Disord ; 49(11): 4646-4657, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31463630

RESUMEN

In a context described as a challenge in parenting (having an autistic child), we sought to highlight the emotional skills that mothers gain as a result of interacting with their child, and how they then use these skills. Mothers of autistic children (n = 136) and mothers of non-autistic children (n = 139) responded to emotional intelligence, resilience, and coping scales. Comparisons revealed smaller differences between groups than expected. Nevertheless, mothers of autistic children showed greater resilience abilities than mothers of non-autistic children. Moreover, we noted differences between both groups regarding their use of emotional skills. Emotional intelligence is a resource that deserves to be explored in terms of its clinical implications, especially among the parents of autistic children.


Asunto(s)
Adaptación Psicológica/fisiología , Trastorno Autístico/psicología , Inteligencia Emocional/fisiología , Madres/psicología , Responsabilidad Parental/psicología , Resiliencia Psicológica , Adolescente , Adulto , Trastorno Autístico/diagnóstico , Trastorno Autístico/terapia , Niño , Preescolar , Femenino , Humanos , Masculino , Persona de Mediana Edad , Padres/psicología , Estrés Psicológico/diagnóstico , Estrés Psicológico/psicología , Estrés Psicológico/terapia , Adulto Joven
20.
Nutrients ; 11(8)2019 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-31443228

RESUMEN

Stress has been reported to affect dietary intake and chronic disease. This study aimed to investigate the association between psychosocial stress and cardiovascular disease (CVD) in relation to dietary intake. This cross-sectional analysis was performed on 23,792 men enrolled in the Korean Genome and Epidemiology Study from 2004 to 2013. Stress was assessed by the Psychosocial Well-Being Index. Stress level was positively associated with the risks of CVD (odds ratio (OR) for quartile 4 compared to quartile 1 = 1.30 (95% confidence interval 1.24-1.37), p-trend < 0.0001), including hypertension (OR = 1.26 (1.20-1.33), p-trend < 0.0001), heart disease (OR = 1.55 (1.34-1.80), p-trend = 0.0001), and cerebrovascular disease (OR = 2.47 (1.97-3.09), p-trend < 0.0001). As the level of stress increased, the intake of fruits and vegetables, as well as antioxidant nutrients, was decreased. Stress level showed an inverse association with dietary variety score (p-trend = 0.0001). In addition, dietary variety score was inversely associated with fruits and vegetables consumption (p-trend < 0.0001). These results suggest that the CVD risks for those with higher stress levels may be partially related to the decreased consumption of fruits and vegetables and dietary variety score.


Asunto(s)
Enfermedades Cardiovasculares/epidemiología , Dieta/efectos adversos , Conducta Alimentaria , Frutas , Valor Nutritivo , Estrés Psicológico/epidemiología , Verduras , Factores de Edad , Enfermedades Cardiovasculares/diagnóstico , Enfermedades Cardiovasculares/fisiopatología , Estudios Transversales , Humanos , Masculino , Persona de Mediana Edad , Estado Nutricional , Pronóstico , Ingesta Diaria Recomendada , República de Corea/epidemiología , Medición de Riesgo , Factores de Riesgo , Factores Sexuales , Estrés Psicológico/diagnóstico , Estrés Psicológico/fisiopatología
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