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1.
Z Psychosom Med Psychother ; 65(3): 288-303, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31476999

RESUMO

Is the influence of religiousness on fearful, depressive and somatic symptoms and psychic traumatization overestimated? A representative cross-sectional study Objectives: The aim of this study is to prove if religious faith, spirituality and religious praxis are joined with lower depression, anxiety and physical pain-level and if subjects with traumatic experiences report more spirituality. Methods: In this consecutive study, 2508 adults of a representative sample in Germany were interviewed about religious faith and spirituality in relation to depression, anxiety, physical disorders as well as traumatic experiences. Results: Unlike our hypotheses people who are charged with mental (PHQ-4; Löwe et al. 2010) or physical disorders (GBB_8; Kliem et al. 2017) report more spirituality and more private religious/spiritual praxis than people without mental or physical problems. As expected people with traumatic experiences in their childhood (CTS; Grabe et al. 2012) describe significantly more spirituality than people without these experiences. Conclusions: Other than expected people with more mental or physical disorders report more spirituality and more private religious/spiritual praxis. It is to discuss if spirituality is less a protective factor for mental or physical disorders than disorders activate to look for spirituality and private religious/spiritual praxis.


Assuntos
Ansiedade/psicologia , Depressão/psicologia , Medo/psicologia , Sintomas Inexplicáveis , Trauma Psicológico/psicologia , Religião e Psicologia , Espiritualidade , Adulto , Ansiedade/epidemiologia , Criança , Estudos Transversais , Depressão/epidemiologia , Alemanha/epidemiologia , Humanos , Entrevistas como Assunto , Trauma Psicológico/epidemiologia
2.
Bratisl Lek Listy ; 120(9): 695-698, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31475557

RESUMO

OBJECTIVES: The objective of the study was to evaluate prevalence of depression and anxiety among college students studying at Comenius University in Bratislava. The secondary aim was to evaluate the impact of depression and anxiety on various domains of social functioning. METHODS: The data were collected through a cross-sectional online survey. The sample consisted of 1,331 students. We administered scales measuring the depression, anxiety, satisfaction with life, and social functioning as part of a larger survey. RESULTS: When using a customary cut­off score for PHQ-9 and GAD-7, a proportion of 35.5 % and 25.5 % of students were above the threshold for depression and anxiety, respectively. When using more stringent criteria, the prevalence rates for depression and anxiety were 16.4 % and 9.3 %, respectively. Both conditions co­occur in 6.8 % of students. Symptom domains were related to satisfaction with life and social functioning. CONCLUSION: Depression and anxiety are prevalent among college students. We found that symptoms of mood and anxiety disorders were associated with lower satisfaction with life and lower level of functioning at school as well as in social and family lives. The implications for mental health policies at universities are discussed (Tab. 2, Ref. 27).


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Estudos Transversais , Humanos , Transtornos do Humor/epidemiologia , Satisfação Pessoal , Prevalência , Eslováquia/epidemiologia , Estudantes , Universidades
3.
Pan Afr Med J ; 33: 69, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31448031

RESUMO

Introduction: Test anxiety and depression are of the major challenges experienced in students' life, considering the inverse associations they have on their mental wellbeing and academic performance. Evidence from Sudan have reported high figures of adolescent's mental health problems of depression and anxiety. However, studies investigating its association with academic exam stress are lacking. We investigated the prevalence of exam anxiety and depression severity among student setting for Sudan national boarding examination, aiming at identifying possible predictors related to student's socio-demographic and academic status and measuring correlation between exam anxiety and depression severity status among students. Methods: Using cross-sectional design, data obtained using standardized west side anxiety scale for measuring test anxiety; and patient's health questionnaire (PHQ9) of nine items for measuring depression was presented in percentages. Association with sociodemographic and academic factors was measured using logistic regression models. Analysis was run at 0.05 level of significance. Results: Depression and exam anxiety were found to be highly correlated. The highest fractions of students are those with high levels of test anxiety and moderate to severe depression. Gender, maternal level of education, previous exam experience and academic performance are significant predictor for student's exam anxiety status. Conclusion: High figures of exam anxiety and depression are there among Sudanese students setting for their third years boarding exam. Males, low academic performance and maternal low education are risk factors. School mental health services and programs addressing such group of students are highly demanded in line with more elaborative research efforts in this arena.


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Estudantes/psicologia , Escala de Ansiedade Frente a Teste , Adolescente , Estudos Transversais , Avaliação Educacional , Feminino , Humanos , Modelos Logísticos , Masculino , Prevalência , Fatores de Risco , Instituições Acadêmicas , Índice de Gravidade de Doença , Fatores Sexuais , Sudão , Inquéritos e Questionários
4.
Cancer Invest ; 37(7): 299-310, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31379217

RESUMO

Age-related decreases in Quality of Life (QoL) are often compounded by comorbidities, including cancer. This study aimed to examine QoL changes before and after a new cancer diagnosis using data from the National Health and Aging Trend Study (NHATS), linked to Medicare claims (N = 136). There was a significant increase in the relative odds of fair/poor self-reported health and needing help with Activities of Daily Living. There was also a marginal increase in depression, but no change in anxiety or pain scores. Results underscore importance of considering pre-cancer QoL when making treatment decisions for older adult cancer patients.


Assuntos
Atividades Cotidianas/psicologia , Neoplasias/diagnóstico , Qualidade de Vida/psicologia , Idoso , Idoso de 80 Anos ou mais , Ansiedade/epidemiologia , Ansiedade/etiologia , Estudos de Coortes , Feminino , Humanos , Masculino , Neoplasias/psicologia , Autorrelato , Estados Unidos
5.
Medicine (Baltimore) ; 98(31): e16620, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31374028

RESUMO

Psychological state of patients with ovarian cancer is worthy of attention. We aimed to investigate the levels of anxiety and depression in patients with ovarian cancer. We also investigated the dynamic changes in anxiety and depression levels after chemotherapy.A total of 228 females were included in this study. Among them, a total of 111 participants had ovarian cancer and 117 females who underwent a physical examination were selected as healthy controls. All patients enrolled were asked to fill in the Self-rating Depression Scale and the Self-rating Anxiety Scale. For patients with ovarian cancer, repeat questionnaires were measured after cycle 1 chemotherapy.The depression score of patients with ovarian cancer was 45.90 ± 10.19, significantly higher than in controls (36.08 ± 9.06, P < .001). Similar results were observed in respect of anxiety score. The score of ovarian cancer patients was 39.53 ± 12.92, significantly higher than of controls (32.15 ±â€Š7.44, P < .001). Multivariate analyses were conducted, and the results showed that young age was the independent risk factor associated with depression among patients with ovarian cancer, while young age and singleness were the independent risk factors associated with anxiety. Repeat questionnaires were measured after chemotherapy. Interestingly, we found depression scores decreased from 45.90 ±â€Š10.19 to 36.29 ±â€Š8.98 after chemotherapy (P < .001), while anxiety score increased from 39.53 ±â€Š12.92 to 42.75 ±â€Š9.96 after chemotherapy (P = .009). Multivariate analysis suggested that only higher income and higher baseline depression score were the independent and most relevant risk factors associated with depression remission after chemotherapy. For patients with anxiety remission, only higher baseline anxiety score was the independent risk factor associated with anxiety remission.This study suggests that for patients with ovarian cancer, timely monitoring of the patient's psychological state, especially before and after chemotherapy treatment, is very important. Assessing the changes in the patient's psychological state, screening the population with risk factors, and prompt intervention by mobilizing social support may be effective in preventing depression and anxiety in such population.


Assuntos
Antineoplásicos/uso terapêutico , Ansiedade/epidemiologia , Depressão/epidemiologia , Neoplasias Ovarianas/tratamento farmacológico , Neoplasias Ovarianas/epidemiologia , Adulto , Fatores Etários , Idoso , Antineoplásicos/administração & dosagem , China/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Neoplasias Ovarianas/psicologia , Fatores de Risco , Fatores Socioeconômicos
6.
Medicine (Baltimore) ; 98(31): e16631, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31374032

RESUMO

BACKGROUND: This systematic review protocol describes the methods that will be used to evaluate the efficacy and safety of ear acupuncture for trauma-related disorders after large-scale disasters. METHODS AND ANALYSIS: The following electronic databases will be searched up to May 2019 without language or publication status restrictions: Medline, EMBASE, the Cochrane Central Register of Controlled Trials, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, and PsycARTICLES. We will also search Korean, Chinese, and Japanese databases. Any clinical studies with original data related to ear acupuncture for trauma-related disorders after large-scale disaster will be included. Traumatic stress-related symptoms will be assessed as primary outcomes. Depression, anxiety, adverse events, and total effective rate will be evaluated as secondary outcomes. Two researchers will independently perform the study selection, data extraction, and assessment of study quality. Descriptive analyses of the details of participants, interventions, and outcomes for all included studies will be conducted. Data synthesis and analysis will be performed using RevMan version 5.3. The methodological quality of the included studies will be evaluated according to the study design. ETHICS AND DISSEMINATION: Ethical approval is not required because individual patient data are not included. The findings of this systematic review will be disseminated through a peer-reviewed publication or conference presentations. PROSPERO REGISTRATION NUMBER: CRD42019134658.


Assuntos
Acupuntura Auricular/métodos , Desastres , Saúde Mental , Trauma Psicológico/terapia , Acupuntura Auricular/efeitos adversos , Ansiedade/epidemiologia , Ansiedade/terapia , Dor Crônica/epidemiologia , Dor Crônica/terapia , Depressão/epidemiologia , Depressão/terapia , Humanos , Trauma Psicológico/epidemiologia , Projetos de Pesquisa
7.
Medicine (Baltimore) ; 98(32): e16794, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31393408

RESUMO

To investigate the emotional problems (depressive and anxiety symptoms) of mothers of children with autism spectrum disorder (ASD) and explore the role of the mother's socioeconomic status (SES) and the core symptoms of the child on the mother's emotional problems.This cross-sectional survey was performed in 180 mothers of children with ASD in Chang Sha city of China. The 7-item Generalized Anxiety Disorder Scale (GAD-7) and the 9-item Patient Health Questionnaire (PHQ-9) were used to assess the anxiety and depressive symptoms of the mothers of the autistic children. The education level and annual family income, as well as occupation, were be selected as components of the mother's SES. Autism Behaviour Checklist (ABC) and Social Responsiveness Scale (SRS) were used for the evaluation of the core symptoms of the children. A general information questionnaire was also used. The ordinal regression was used to examine the effect of the SES and children's core symptoms on maternal emotional problems.The valid response rate was 92.7% (167 of 180 questionnaires were returned). Of the mothers studied, 72.5% and 80.2% had depressive and anxiety symptoms, respectively, and 67.1% suffered from both symptoms. Mother's SES was observed to be unrelated to maternal anxiety symptoms (P >.05). Only 1 component of the SES (junior high school education level) was related to depressive symptoms (OR = 0.31, 95% CI 0.12-0.80). SRS score under 115 (OR = 0.38, 95% CI 0.16-0.93) of autistic children was a protective factor against maternal anxiety symptoms. The borderline and mild behavioral problems (OR = 0.43, 95% CI 0.19-0.99; OR = 0.45, 95% CI 0.22-0.94, respectively) of autistic children were protective factors against maternal depressive symptoms.Mothers of autistic children generally exhibited high levels of anxiety and depressive symptoms. The core symptoms of the autistic children were observed to be strongly associated with both maternal anxiety and depressive symptoms. Improvements in the core symptoms of children with ASD may help reduce maternal anxiety and depressive symptoms to some extent.


Assuntos
Transtorno do Espectro Autista/fisiopatologia , Saúde Mental/estatística & dados numéricos , Mães/psicologia , Classe Social , Adulto , Ansiedade/epidemiologia , Criança , Pré-Escolar , China , Estudos Transversais , Depressão/epidemiologia , Emoções , Feminino , Humanos , Relações Interpessoais , Linguagem , Masculino , Índice de Gravidade de Doença , Adulto Jovem
8.
Nord J Psychiatry ; 73(6): 365-371, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31311376

RESUMO

Introduction: Subjection to sexual harassment among adolescents have been associated with negative mental health outcomes, such as depression and social anxiety. Self-esteem and social support may modify these associations. Methods: The Adolescent Mental Health Cohort 10-year replication data were used. It is a cross-sectional classroom survey involving 656 girls and 636 boys aged (mean (sd)) 15.6 (0.4) years and 15.7 (0.4) years, respectively. Subjection to sexual harassment was elicited with five questions. Depression was measured by the Beck's 13-item Depression Inventory, social anxiety by the SPIN-Fin Inventory, self-esteem by Rosenberg's Self-Esteem Scale and social support by the PSSS-R scale. The data were analysed using cross-tabulations with chi-square statistics and logistic regressions. Resutls: Among girls, social anxiety and higher self-esteem were positively associated with experiencing subjection to sexual harassment in multivariate models. No statistically significant associations were detected among boys between experiences of sexual harassment and any of the four variables. Conclusion: Experiences of being sexually harassed correlate among adolescents with high social anxiety but also with high self-esteem. Sexual harassment among adolescents may partly be explained as inept ways of showing interest, but it may nevertheless have detrimental effects on the well-being of the those subjected to it.


Assuntos
Comportamento do Adolescente/psicologia , Ansiedade/epidemiologia , Fobia Social/epidemiologia , Autoimagem , Assédio Sexual/psicologia , Assédio Sexual/estatística & dados numéricos , Adolescente , Ansiedade/psicologia , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Fobia Social/psicologia , Apoio Social
9.
BMC Public Health ; 19(1): 908, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31286909

RESUMO

BACKGROUND: Asylum-seeking children and adolescents (ASCs) who have resettled in Western countries show elevated rates of psychological distress, including Posttraumatic Stress Symptoms (PTSS), depression, and anxiety. Most longitudinal data suggest a relatively stable course of symptoms during the first years in exile. However, no longitudinal examination of the mental health of ASCs, who resettled in Europe in the wake of the 2015-17 European migrant crisis, has been conducted so far. METHODS: A prospective cohort study looked at 98 ASCs who resettled in southern Germany throughout 2015-17. They mainly came from Afghanistan, Syria, Eritrea, and Iraq. Baseline assessments were undertaken 22 months, on average, after resettlement, and follow-up assessments 1 year thereafter. Seventy-two ASCs could be secured for the follow-up. The measures included self-report questionnaires screening for PTSS, depression, anxiety, externalizing behavior, and post-migration factors that were administered in an interview-like setting. Results were analyzed using hierarchical multiple regression analysis. RESULTS: Participating ASCs reported on average eight potentially traumatic experiences and high levels of psychological distress at baseline that had significantly declined at follow-up. At follow-up, rates of clinically significant symptoms ranged from 9.7% (externalizing behavior) to 37.5% (PTSS). There was considerable individual variation in symptom change resulting in multiple mental health trajectories. ASCs whose asylum applications had been rejected presented significantly more symptoms than ASCs whose asylum applications had been accepted between assessments. Baseline psychopathology and asylum status predicted follow-up symptom severity. CONCLUSIONS: In contrast to earlier studies, the symptom severity in this sample of ASCs in Germany ameliorated between assessments. Decisions on the asylum applications of ASCs are thought to contribute to the course of symptoms. Since levels of psychological distress were still high, dissemination and implementation of appropriate treatments for ASCs is crucial.


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Refugiados/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Estresse Psicológico/epidemiologia , Adolescente , Afeganistão/etnologia , Ansiedade/psicologia , Criança , Depressão/psicologia , Eritreia/etnologia , Feminino , Seguimentos , Alemanha/epidemiologia , Humanos , Iraque/etnologia , Estudos Longitudinais , Masculino , Análise Multivariada , Estudos Prospectivos , Análise de Regressão , Autorrelato , Transtornos de Estresse Pós-Traumáticos/psicologia , Estresse Psicológico/psicologia , Síria/etnologia , Fatores de Tempo
10.
Medicine (Baltimore) ; 98(27): e16274, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31277153

RESUMO

This study aimed to investigate the recognition rate of psychological distress in general hospitals in China and to examine the main associated factors.Using a cross-sectional study design, the questionnaires were administered to a total of 1329 inpatients from a tertiary hospital. The Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder 7-item scale (GAD-7), the Patient Health Questionnaire (PHQ-15) and the Whiteley-7 (WI-7) were used to assess patients' mental health status. Two subjective questions were used to identify the awareness of psychological distress in patients and doctors.The frequency of psychological distress measured by the questionnaires was high in our sample (53.4%). However, the recognition rates of both patients (34.9%) and by doctors (39.1%) was low. The concordance rate between patients and doctors of whether the patient had psychological distress or not was extremely poor (Kappa = 0.089, P = .001). Factors associated with the poor concordance rate included patients' annual household income and clinically significant self-reported symptoms of anxiety and hypochondriasis.The recognition rate of psychological distress was underestimated and this may be related to a lack of awareness of mental disturbances and patients' low annual household income.


Assuntos
Ansiedade/epidemiologia , Hospitais Gerais/estatística & dados numéricos , Médicos/psicologia , Qualidade de Vida , Estresse Psicológico/epidemiologia , Carga de Trabalho/psicologia , Adulto , Idoso , Ansiedade/etiologia , Ansiedade/psicologia , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Índice de Gravidade de Doença , Fatores Socioeconômicos , Estresse Psicológico/complicações , Inquéritos e Questionários
11.
J Cancer Res Clin Oncol ; 145(8): 2141-2148, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31278473

RESUMO

PURPOSE: Many cancer patients (PTS) suffer from somatic or non-somatic symptoms. Studies have shown positive effects of music intervention (MI) on aspects of quality of life or symptom management. METHODS: Since there are poor data available about patient's needs regarding the use of MI as an adjunct to cancer treatment, n = 548 tumor PTS were polled anonymously at the outpatient department of the University Hospital Mannheim Tumor Center using a self-designed questionnaire. Univariate and multivariate analyses were performed. RESULTS: 486 data sets were eligible for analysis. 240 of the PTS were male and median age was 63 years. 38% had metastatic disease. 81% (n = 386) were currently receiving anti-tumor treatment. The majority of the PTS stated to have somatic symptoms. However, some of the PTS reported non-somatic symptoms like anxiety, loneliness, and depression. N = 187 (40%) of the PTS reported interest in complementary MI. In the univariate and multivariate analyses, especially PTS with non-somatic complaints and PTS, actively playing or making music showed significantly more interest in complementary MI, hoping for a relaxing therapeutic effect. PTS who play instruments would prefer more active forms of MI. CONCLUSION: 40% of PTS reported interest in additional MI during cancer treatment. PTS with non-somatic symptoms as well as patients affine to music might benefit from the use of MI potentially reducing their symptom burden. The inconsistent and heterogeneous data from randomized trials underline the importance of systematic research approaches with more relevant and standardized endpoints.


Assuntos
Terapias Complementares/métodos , Musicoterapia , Música , Neoplasias/terapia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/complicações , Ansiedade/epidemiologia , Ansiedade/psicologia , Ansiedade/terapia , Terapias Complementares/psicologia , Terapias Complementares/estatística & dados numéricos , Depressão/complicações , Depressão/epidemiologia , Depressão/psicologia , Depressão/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Música/psicologia , Neoplasias/epidemiologia , Neoplasias/patologia , Neoplasias/psicologia , Qualidade de Vida , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Estresse Psicológico/terapia , Inquéritos e Questionários , Adulto Jovem
12.
Rom J Ophthalmol ; 63(2): 146-152, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31334393

RESUMO

Purpose: Preoperative anxiety over cataract surgery affects a large number of patients. This study aims to evaluate the effect of slow-stroke back massage on the anxiety of candidates for cataract surgery. Design: Quasi-experimental study. Methods: This study was a quasi-experimental study, which involved 60 candidates for cataract surgery referred to Amiralmomenin Hospital, Zabol in Iran between August 1, 2015, and March 30, 2016. These patients were randomly divided into two groups of slow-stroke back massage group (n=30) and control group (n=30). After obtaining an informed consent, the anxiety levels were measured by the Spielberger state trait anxiety questionnaire in the slow-stroke back massage group and the control group on the morning of the surgery before and immediately after the massage. SPSS software version 22 was used for data analysis. Independent t-test and chi-square test were used to compare the data. Findings: According to the results, there was a significant difference between the anxiety levels of the patients in the intervention group before and after the massage (p < 0.001). Conclusions: Based on the results of this study, Slow-stroke-back massage, which is a low-cost and safe method, significantly reduces anxiety in patients who are candidates for cataract surgery.


Assuntos
Ansiedade/prevenção & controle , Extração de Catarata/psicologia , Massagem/métodos , Cuidados Pré-Operatórios/métodos , Adulto , Ansiedade/epidemiologia , Ansiedade/etiologia , Dorso , Feminino , Humanos , Incidência , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Inquéritos e Questionários , Resultado do Tratamento
13.
Bone Joint J ; 101-B(7): 800-807, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31256659

RESUMO

AIMS: Psychological factors play a critical role in patient presentation, satisfaction, and outcomes. Pain catastrophizing, anxiety, and depression are important to consider, as they are associated with poorer outcomes and are potentially modifiable. The aim of this study was to assess the level of pain catastrophizing, anxiety, and depression in patients with a range of hip pathology and to evaluate their relationship with patient-reported psychosocial and functional outcome measures. PATIENTS AND METHODS: Patients presenting to a tertiary-centre specialist hip clinic were prospectively evaluated for outcomes of pain catastrophizing, anxiety, and depression. Validated assessments were undertaken such as: the Pain Catastrophizing Scale (PCS), the Hospital Anxiety Depression Scale (HADS), and the 12-Item Short-Form Health Survey (SF-12). Patient characteristics and demographics were also recorded. Multiple linear regression modelling, with adaptive least absolute shrinkage and selection operator (LASSO) variable selection, was used for analysis. RESULTS: A total of 328 patients were identified for inclusion, with diagnoses of hip dysplasia (DDH; n = 50), femoroacetabular impingement (FAI; n = 55), lateral trochanteric pain syndrome (LTP; n = 23), hip osteoarthrosis (OA; n = 184), and avascular necrosis of the hip (AVN; n = 16) with a mean age of 31.0 years (14 to 65), 38.5 years (18 to 64), 63.7 years (20 to 78), 63.5 years (18 to 91), and 39.4 years (18 to 71), respectively. The percentage of patients with abnormal levels of pain catastrophizing, anxiety, or depression was: 22.0%, 16.0%, and 12.0% for DDH, respectively; 9.1%, 10.9%, and 7.3% for FAI, respectively; 13.0%, 4.3%, and 4.3% for LTP, respectively; 21.7%, 11.4%, and 14.1% for OA, respectively; and 25.0%, 43.8%, and 6.3% for AVN, respectively. HADS Anxiety (HADSA) and Hip Disability Osteoarthritis Outcome Score Activities of Daily Living subscale (HOOS ADL) predicted the PCS total (adjusted R2 = 0.4599). Age, HADS Depression (HADSD), and PCS total predicted HADSA (adjusted R2 = 0.4985). Age, HADSA, patient's percentage of perceived function, PCS total, and HOOS Quality of Life subscale (HOOS QOL) predicted HADSD (adjusted R2 = 0.5802). CONCLUSION: Patients with hip pathology may exhibit significant pain catastrophizing, anxiety, and depression. Identifying these factors and understanding the impact of psychosocial function could help improve patient treatment outcomes. Perioperative multidisciplinary assessment may be a beneficial part of comprehensive orthopaedic hip care. Cite this article: Bone Joint J 2019;101-B:800-807.


Assuntos
Ansiedade/etiologia , Catastrofização/etiologia , Depressão/etiologia , Impacto Femoroacetabular/psicologia , Necrose da Cabeça do Fêmur/psicologia , Luxação do Quadril/psicologia , Osteoartrite do Quadril/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Catastrofização/diagnóstico , Catastrofização/epidemiologia , Depressão/diagnóstico , Depressão/epidemiologia , Feminino , Indicadores Básicos de Saúde , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Dor/psicologia , Medidas de Resultados Relatados pelo Paciente , Estudos Prospectivos , Escalas de Graduação Psiquiátrica , Síndrome , Adulto Jovem
14.
NeuroRehabilitation ; 44(3): 341-351, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31177236

RESUMO

BACKGROUND: Patients admitted for rehabilitation often lack sufficient natural light to entrain their circadian rhythm. OBJECTIVE: Installed diurnal naturalistic light may positively influence the outcome of depressive mood, anxiety, and cognition in such patients. METHODS: A quasi-randomized controlled trial. Ninety stroke patients in need of rehabilitation were randomized between May 1, 2014, and June 1, 2015 to either a rehabilitation unit equipped entirely with always on naturalistic lighting (IU), or to a rehabilitation unit with standard indoor lighting (CU).Examinations were performed at inclusion and discharge. The following changes were investigated: depressive mood based on the Hamilton Depression scale (HAM-D6) and Major Depression Inventory scale (MDI), anxiety based on the Hospital Anxiety and Depression Scale (HADS), cognition based on the Montreal Cognitive Assessment (MoCA) and well-being based on the Well-being Index (WHO-5). RESULTS: Depressive mood (MDI p = 0.0005, HAM-D6 p = 0.011) and anxiety (HADS anxiety p = 0.045) was reduced, and well-being (WHO-5 p = 0.046) was increased, in the IU at discharge compared to the CU. No difference was found in cognition (MoCA p = 0.969). CONCLUSIONS: This study is the first to demonstrate that exposure to naturalistic light during admission may significantly improve mental health in rehabilitation patients. Further studies are needed to confirm these findings.


Assuntos
Ansiedade/terapia , Cognição , Depressão/terapia , Fototerapia/métodos , Reabilitação do Acidente Vascular Cerebral/métodos , Acidente Vascular Cerebral/terapia , Idoso , Idoso de 80 Anos ou mais , Ansiedade/epidemiologia , Ansiedade/psicologia , Cognição/fisiologia , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Admissão do Paciente/tendências , Fototerapia/tendências , Escalas de Graduação Psiquiátrica , Acidente Vascular Cerebral/epidemiologia , Acidente Vascular Cerebral/psicologia , Reabilitação do Acidente Vascular Cerebral/tendências , Resultado do Tratamento
15.
NeuroRehabilitation ; 44(3): 457-458, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31177247

RESUMO

 The aim of this commentary is to discuss in a rehabilitation perspective the published Cochrane Review "Interventions for treating anxiety after stroke" by Knapp, Campbell Burton, Holmes, Murray, Gillespie, Lightbody, Watkins, Chun, & Lewis1, under the direct supervision of the Cochrane Stroke Group. This Cochrane Corner is produced in agreement with NeuroRehabilitation by Cochrane Rehabilitation.


Assuntos
Ansiedade/psicologia , Ansiedade/terapia , Acidente Vascular Cerebral/psicologia , Acidente Vascular Cerebral/terapia , Ansiedade/epidemiologia , Humanos , Terapia de Relaxamento/métodos , Terapia de Relaxamento/psicologia , Acidente Vascular Cerebral/epidemiologia , Reabilitação do Acidente Vascular Cerebral/métodos , Reabilitação do Acidente Vascular Cerebral/psicologia , Reabilitação do Acidente Vascular Cerebral/tendências , Resultado do Tratamento
16.
BMC Public Health ; 19(1): 684, 2019 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-31159766

RESUMO

BACKGROUND: Frequent users of emergency medical services (EMS) comprise a disproportionate percentage of emergency department (ED) visits. EDs are becoming increasingly overwhelmed and a portion of use by frequent callers of EMS is potentially avoidable. Social factors contribute to frequent use however few studies have examined their prevalence. This study aims to describe social isolation/loneliness, poverty, and quality of life in a sample of frequent callers of EMS in the Hamilton region, a southern Ontario mid-sized Canadian city. STUDY DESIGN: Cross-sectional quantitative study. METHODS: We surveyed people who called EMS five or more times within 12 months. A mailed self-administered survey with validated tools, and focused on four major measures: demographic information, social isolation, poverty, and quality of life. RESULTS: Sixty-seven frequent EMS callers revealed that 37-49% were lonely, 14% had gone hungry in the preceding month, and 43% had difficulties making ends meet at the end of the month. For quality of life, 78% had mobility problems, 55% had difficulty with self-care, 78% had difficulty with usual activities, 87% experienced pain/discomfort, and 67% had anxiety/depression. Overall quality adjusted life years value was 0.53 on a scale of 0 to 1. The response rate was 41.1%. CONCLUSIONS: Loneliness in our participants was more common than Hamilton and Canadian rates. Frequent EMS callers had higher rates of poverty and food insecurity than average Ontario citizens, which may also act as a barrier to accessing preventative health services. Lower quality of life may indicate chronic illness, and users who cannot access ambulatory care services consistently may call EMS more frequently. Frequent callers of EMS had high rates of social loneliness and poverty, and low quality of life, indicating a need for health service optimization for this vulnerable population.


Assuntos
Serviços Médicos de Emergência , Aceitação pelo Paciente de Cuidados de Saúde , Pobreza , Qualidade de Vida , Isolamento Social , Atividades Cotidianas , Adulto , Idoso , Ansiedade/epidemiologia , Doença Crônica , Estudos Transversais , Demografia , Depressão/epidemiologia , Serviços Médicos de Emergência/estatística & dados numéricos , Serviço Hospitalar de Emergência , Feminino , Abastecimento de Alimentos , Acesso aos Serviços de Saúde , Humanos , Fome , Solidão , Masculino , Ontário/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Anos de Vida Ajustados por Qualidade de Vida , Inquéritos e Questionários
17.
Br J Sports Med ; 53(11): 700-706, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31097451

RESUMO

OBJECTIVES: To present an overview of the existing epidemiological evidence regarding the occurrence of mental health symptoms and disorders among current and former elite athletes. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Five electronic databases were searched from inception to November 2018: PubMed (MEDLINE), SportDiscus via EBSCO, PSycINFO via ProQuest, Scopus and Cochrane. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We included original quantitative studies that were written in English, were conducted exclusively among current or former elite athletes, and presented incidence or prevalence rates of symptoms of mental disorders. RESULTS: Twenty-two relevant original studies about mental health symptoms and disorders among current elite athletes were included: they presented data especially on symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 2895 to 5555 current elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 19% for alcohol misuse to 34% for anxiety/depression. Fifteen relevant original studies about mental health symptoms and disorders among former elite athletes were included: they similarly presented data especially about symptoms of distress, sleep disturbance, anxiety/depression and alcohol misuse. Meta-analyses comprising 1579 to 1686 former elite athletes showed that the prevalence of mental health symptoms and disorders ranged from 16% for distress to 26% for anxiety/depression. CONCLUSIONS: Our meta-analyses showed that the prevalence of mental health symptoms and disorders ranged from 19% for alcohol misuse to 34% for anxiety/depression for current elite athletes, and from 16% for distress to 26% for anxiety/depression for former elite athletes.


Assuntos
Atletas/psicologia , Transtornos Mentais/epidemiologia , Transtornos Relacionados ao Uso de Álcool/epidemiologia , Ansiedade/epidemiologia , Depressão/epidemiologia , Humanos , Incidência , Prevalência , Transtornos do Sono-Vigília/epidemiologia
18.
Br J Sports Med ; 53(11): 722-730, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31097452

RESUMO

OBJECTIVE: To identify and quantify determinants of anxiety symptoms and disorders experienced by elite athletes. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Five online databases (PubMed, SportDiscus, PsycINFO, Scopus and Cochrane) were searched up to November 2018 to identify eligible citations. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Articles were included if they were published in English, were quantitative studies and measured a symptom-level anxiety outcome in competing or retired athletes at the professional (including professional youth), Olympic or collegiate/university levels. RESULTS AND SUMMARY: We screened 1163 articles; 61 studies were included in the systematic review and 27 of them were suitable for meta-analysis. Overall risk of bias for included studies was low. Athletes and non-athletes had no differences in anxiety profiles (d=-0.11, p=0.28). Pooled effect sizes, demonstrating moderate effects, were identified for (1) career dissatisfaction (d=0.45; higher anxiety in dissatisfied athletes), (2) gender (d=0.38; higher anxiety in female athletes), (3) age (d=-0.34; higher anxiety for younger athletes) and (4) musculoskeletal injury (d=0.31; higher anxiety for injured athletes). A small pooled effect was found for recent adverse life events (d=0.26)-higher anxiety in athletes who had experienced one or more recent adverse life events. CONCLUSION: Determinants of anxiety in elite populations broadly reflect those experienced by the general population. Clinicians should be aware of these general and athlete-specific determinants of anxiety among elite athletes.


Assuntos
Ansiedade/epidemiologia , Atletas/psicologia , Fatores Etários , Traumatismos em Atletas , Feminino , Humanos , Masculino , Sistema Musculoesquelético/lesões , Satisfação Pessoal , Fatores Sexuais
19.
Medicine (Baltimore) ; 98(22): e15836, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31145327

RESUMO

Occupational stress impairs nurses' psychosomatic wellbeing, which includes anxiety, depression, sleep quality, and somatic symptoms; however, few studies have focused on the associations between the subdimensions of occupational stress [workload and time pressure (WTP), professional and career issues (PC), patient care and interaction (PCI), interpersonal relationships and management problems (IRMP), resource and environment problem (REP)] and psychosomatic wellbeing among nurses in China. This study thus examined these associations using a cross-sectional survey in Sichuan, China. An online application was devised to collect data, with the scales of sociodemographic and occupational variables, Nurse Job Stressor Questionnaire, the 9- and 15-item Patient Health Questionnaires, the 7-item Generalized Anxiety Disorder scale, and the Pittsburgh Sleep Quality Index. Investigation was completed by 2889 nurses (96.7% women; mean age = 31.20 ±â€Š6.72 years). Relationships were identified by correlation and multivariate regression analyses. Most (68.3%) nurses had high levels of occupational stress. The multivariate analyses revealed that WTP was correlated with anxiety (P = .003). PC was associated with depression (P = .033) and sleep quality (P = .078). PCI was correlated with anxiety (P = .031) and somatic symptoms (P = .005). IRMP was associated with anxiety (P = .018), depression (P = .001), and somatic symptoms (P = .025). Lastly, REPs had nonsignificant relationships with depression, anxiety, sleep quality, and somatic symptoms. In sum, nurses had high levels of occupational stress; therefore, a series of strategies should be implemented to help nurses cope with the above issues, which could promote nurses' psychosomatic wellbeing, and have a buffering effect on nurses' depression, anxiety, poor sleep quality, and somatic symptoms.


Assuntos
Saúde Mental/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/epidemiologia , Transtornos Psicofisiológicos/epidemiologia , Adulto , Fatores Etários , Ansiedade/epidemiologia , China , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Satisfação no Emprego , Masculino , Fatores Sexuais , Sono , Fatores Socioeconômicos , Carga de Trabalho/psicologia , Local de Trabalho/psicologia
20.
Medicine (Baltimore) ; 98(20): e15623, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31096472

RESUMO

To investigate the usefulness of the oxidized regenerated cellulose patch (ORCP) for postbiopsy hemostasis, anxiety, and depression in patients undergoing transrectal ultrasound-guided prostate biopsy.This was a prospective-retrospective study of 300 patients who underwent systematic 12-core prostate biopsy from August 2016 through March 2018. The ORCP was inserted into the rectum immediately after prostate biopsy in the prospective group (n = 150), while the retrospective group (n = 150) underwent prostate biopsy alone. The frequency rate and duration of hematuria, rectal bleeding, and hematospermia were compared between the 2 groups. Anxiety and depression were assessed with the hospital anxiety and depression scale before and after prostate biopsy in the prospective group.The frequency rates of hematuria and hematospermia showed no significant differences between the prospective versus retrospective groups (64.7% vs 66.7%, P = .881; 18 vs 20%, P = .718; respectively). Frequency of rectal bleeding was significantly lower in the prospective group than in the retrospective group (26.7% vs 42.7%, P = .018). However, there were no significant differences in median duration of rectal bleeding, hematuria, or hematospermia between the 2 groups (2, 5, and 2 days vs 2, 7, and 1 day, P > .05, respectively, for the prospective vs retrospective group). Multivariate analysis found that ORCP insertion was a significant protective factor against postbiopsy rectal bleeding (P = .038, odds ratio 0.52). Only anxiety level in the prospective group before versus after prostate biopsy was significantly reduced (5 vs 4, P = .011).ORCP insertion after prostate biopsy is an effective and simple method for decreasing rectal bleeding. ORCP insertion may also alleviate anxiety in patients undergoing prostate biopsy.


Assuntos
Biópsia com Agulha de Grande Calibre/efeitos adversos , Celulose Oxidada/administração & dosagem , Hemorragia/etiologia , Hemorragia/prevenção & controle , Hemostáticos/administração & dosagem , Próstata/patologia , Idoso , Ansiedade/epidemiologia , Bandagens , Depressão/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Reto , Ultrassonografia de Intervenção
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