Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 720
Filtrar
1.
Med Sci Monit ; 26: e926602, 2020 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-32966271

RESUMO

BACKGROUND This study aimed to use online questionnaires to evaluate the factors associated with anxiety and depression in Chinese visiting scholars in the United States during the COVID-19 pandemic. MATERIAL AND METHODS Using a cross-sectional design, 311 Chinese scholars visiting 41 states in the United States were interviewed on 20 and 21 April 2020 through WeChat using the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) questionnaire. RESULTS Of these 311 visiting scholars, 69 (22.2%) reported no symptoms of anxiety or depression, whereas 63 (20.3%) reported severe anxiety and 67 (21.5%) reported severe depression. Risk of anxiety was 93% higher in visiting scholars with than without accompanying parents in the US (odds ratio [OR], 1.93; 95% confidence interval [CI], 1.01-3.68) and was 1.72-fold (95% CI, 1.04-2.84) higher in those experiencing stress about family members with COVID-19. Stresses about personal security and return to China on schedule were associated with 1.73-fold (95% CI, 1.03-2.92) and 3.00-fold (95% CI, 1.51-5.95) higher risks of anxiety, respectively. Risks of depression were 1.86-fold (95% CI, 1.14-3.05), 1.84-fold (95% CI, 1.10-3.07), and 3.45-fold (95% CI, 1.72-6.92) higher in visiting Chinese scholars who were than were not experiencing stresses about financial support, personal security and return to China on schedule, respectively. CONCLUSIONS Chinese scholars visiting the United States during the COVID-19 pandemic experienced severe psychological distress. Surveys that include larger numbers of visiting scholars are warranted.


Assuntos
Ansiedade/etiologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Depressão/etiologia , Intercâmbio Educacional Internacional , Pandemias , Pneumonia Viral/psicologia , Estresse Psicológico/etiologia , Adulto , Ansiedade/etnologia , China/etnologia , Estudos Transversais , Depressão/etnologia , Feminino , Humanos , Masculino , Casamento , Pais , Testes Psicológicos , Risco , Estresse Psicológico/etnologia , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
2.
J Reprod Infant Psychol ; 38(3): 340-348, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32573258

RESUMO

INTRODUCTION: The fact that little is yet known about the possible implications of COVID-19 for pregnancy, puts pregnant women at greater risk of heightened anxiety and psychological distress. In this study, we sought to explore the psychological distress and COVID-19-related anxiety of pregnant women during the crisis. METHODS: Israeli Jewish and Arab pregnant women (n = 336) aged 20-47 completed a set of questionnaires during the COVID-19 pandemic in March 2020. RESULTS: The levels of all COVID-19-related anxieties were quite high (much or very much), with the highest regarding public places and transportation (87.5%, 70%, respectively), followed by concerns over the possible infection of other family members and the health of the foetus (71.7%, 70%, respectively), going for pregnancy check-ups (68.7%,), being infected themselves, and the delivery (59.2%, 55.4%, respectively). Although COVID-19-related anxieties were shared by pregnant women characterised by diverse sociodemographic variables, with very small nuances, Arab women were more anxious about each of the issues than Jewish women. DISCUSSION: Our findings highlight the importance of assessing anxiety and distress in pregnant women during the COVID-19 pandemic, as well as the need to be attentive to the double stress of pregnant women in times of crisis and to the potential vulnerability of subgroups, such as cultural minorities.


Assuntos
Ansiedade/etnologia , Infecções por Coronavirus/psicologia , Depressão/etnologia , Pneumonia Viral/psicologia , Complicações na Gravidez/psicologia , Gestantes/psicologia , Adulto , Ansiedade/etiologia , Árabes/psicologia , Árabes/estatística & dados numéricos , Betacoronavirus , Depressão/etiologia , Feminino , Humanos , Israel/epidemiologia , Judeus/psicologia , Judeus/estatística & dados numéricos , Pessoa de Meia-Idade , Pandemias , Gravidez , Inquéritos e Questionários , Adulto Jovem
3.
PLoS One ; 15(6): e0235056, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32579575

RESUMO

Globally, cancer patients obtain much of their disease information online. Online health communities allow patients to share questions and information about diseases. However, there have been few studies on the factors affecting online health community participation behavior in cancer patients. Online social networking is associated with mental health problems, and patients with thyroid cancer experience high levels of distress, anxiety and depression. The purpose of this study was to investigate factors associated with use of online health communities by patients with thyroid cancer to understand the characteristics of patients participating in such online communities. A questionnaire survey was completed by 114 thyroid cancer patients admitted for surgery at a general hospital in Seoul, Korea. General characteristics, clinical characteristics, attitude toward cancer, distress, and anxiety and depression scores of patients who joined an online health community (user group) and patients who did not (non-user group) were compared. The factors affecting online health community participation were education (p = 0.049), tumor size (p = 0.010), attitude toward cancer (p = 0.022), and anxiety and depression (p = 0.021). The average score of satisfaction with the online health community was 4.25 of 5. The user group had larger tumors, a high awareness of the risk of thyroid cancer, and high levels of anxiety and depression. Patients who actively used the online health community have relatively larger cancer size and had higher levels of mental stress. As such patients are often very anxious and depend heavily on the gathered information, the quality of this information is important. Healthcare professionals need to develop appropriate interventions for patients participating in the online health community.


Assuntos
Carcinoma Papilar/psicologia , Participação da Comunidade/estatística & dados numéricos , Inquéritos Epidemiológicos/estatística & dados numéricos , Neoplasias da Glândula Tireoide/psicologia , Adolescente , Adulto , Idoso , Ansiedade/diagnóstico , Ansiedade/etnologia , Ansiedade/psicologia , Grupo com Ancestrais do Continente Asiático/estatística & dados numéricos , Carcinoma Papilar/diagnóstico , Carcinoma Papilar/etnologia , Depressão/diagnóstico , Depressão/etnologia , Depressão/patologia , Feminino , Inquéritos Epidemiológicos/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , República da Coreia , Neoplasias da Glândula Tireoide/diagnóstico , Neoplasias da Glândula Tireoide/etnologia , Adulto Jovem
4.
BMC Public Health ; 20(1): 341, 2020 Mar 17.
Artigo em Inglês | MEDLINE | ID: mdl-32183773

RESUMO

BACKGROUND: The health of forcibly displaced individuals changes along their migration path and estimates of disease burden are essential to develop health care policies and practices adequately corresponding to their health care needs. This study aims to describe the health status and use of medication among Syrian refugees in two different migration phases: in a transit setting and in a recipient country. Further, we aim to investigate the associations between migration related exposures and both chronic pain and mental health among Syrian refugees. METHODS: This is a cross-sectional study based on survey data collected among 827 adult Syrian refugees in Lebanon and Norway during 2017-2018. The survey instrument included items measuring somatic status (including chronic pain), mental health (using the HSCL-10 and HTQ items), use of medication and migration related exposures. We used descriptive statistics to calculate standardised prevalence proportions and regression analyses to study associations between migration related exposures and health outcomes. RESULTS: The response rate was 85%. The mean age in the sample was 33 years and 41% were women. Half of the participants reported that they had never had any health problems. The prevalence of non-communicable diseases was 12%. Headache and musculoskeletal complaints were the most prevalent conditions reported, with 30% reporting chronic pain lasting for more than six months. Symptoms indicating anxiety and/or depression were presented by 35%, while 7% revealed symptoms compatible with post-traumatic stress disorder. Among those reporting non-communicable diseases a substantial share did not seem to receive adequate treatment. Trauma experiences were associated with both chronic pain and anxiety/depression symptoms, and the latter were also associated with migrating without family members. CONCLUSIONS: Migrant-friendly public health policies and practises should acknowledge migration related risks, address discontinuity in care of chronic conditions and target common complaints such as chronic pain and mental health problems among forcibly displaced individuals.


Assuntos
Emigração e Imigração , Transtornos Mentais/epidemiologia , Doenças não Transmissíveis/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Refugiados/estatística & dados numéricos , Adulto , Ansiedade/epidemiologia , Ansiedade/etnologia , Dor Crônica/epidemiologia , Dor Crônica/etnologia , Dor Crônica/psicologia , Estudos Transversais , Depressão/epidemiologia , Depressão/etnologia , Feminino , Nível de Saúde , Inquéritos Epidemiológicos , Humanos , Líbano/epidemiologia , Masculino , Transtornos Mentais/etnologia , Pessoa de Meia-Idade , Doenças não Transmissíveis/etnologia , Noruega/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Prevalência , Refugiados/psicologia , Análise de Regressão , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/etnologia , Síria/etnologia
5.
Psychol Health ; 35(1): 87-106, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31189338

RESUMO

Objective: The purpose of this study was to test two 2-month psychosocial interventions (Telephone Interpersonal Counseling [TIPC] and Supportive Health Education [SHE]) to improve quality of life (QOL) outcomes for Latinas with breast cancer and their informal caregivers. Methods: Two hundred and forty-one Latinas with breast cancer and their caregivers were assessed at baseline, immediately after the 2-month intervention, at 4 and 6 months after baseline. QOL outcomes were psychological distress, symptoms and social support. Results: Linear mixed effects models showed that for cancer survivors at 2 months, TIPC produced lower adjusted mean depression scores compared to SHE. At 4 months, SHE had reduced total number of symptoms, global symptom distress, and social isolation compared to TIPC. Only total number of symptoms was lower in SHE than in TIPC at 6 months. Among caregivers at 2 months, total number of symptoms, global symptom distress, and anxiety were lower, and self-efficacy for symptom management was higher in SHE compared to TIPC. Caregiver depression was lower in TIPC compared to SHE at 4 months. Conclusions: These telephone delivered interventions improved different outcomes. TIPC demonstrated superior benefits for depression management and SHE was more successful in anxiety and cancer-related symptom management.


Assuntos
Neoplasias da Mama/etnologia , Cuidadores/psicologia , Aconselhamento/métodos , Hispano-Americanos/psicologia , Educação de Pacientes como Assunto , Angústia Psicológica , Telefone , Adulto , Ansiedade/etnologia , Ansiedade/prevenção & controle , Neoplasias da Mama/psicologia , Cuidadores/estatística & dados numéricos , Depressão/etnologia , Depressão/prevenção & controle , Feminino , Hispano-Americanos/estatística & dados numéricos , Humanos , Qualidade de Vida , Resultado do Tratamento
6.
Neuropsychol Rehabil ; 30(1): 85-100, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29607708

RESUMO

Most traumatic brain injury (TBI) outcome studies have been conducted in developed countries involving individuals from the dominant culture. The present study compared outcomes following TBI in individuals from Culturally and Linguistically Diverse (CALD) backgrounds with those from non-CALD backgrounds. 103 CALD and 103 non-CALD participants with predominantly moderate to severe TBI completed a series of questionnaires an average of 22 months post-injury. Groups were comparable in most demographic and injury-related variables, but CALD participants had lower pre-injury employment rates. Individuals in the CALD group were significantly less independent in light domestic duties, shopping, and financial management and reported significantly lower cognitive independence, mobility, and participation in occupational and social activities than non-CALD participants post-injury. They also reported heightened awareness of post-injury deficits, different beliefs regarding injury consequences and factors aiding recovery, more anxiety and depression symptoms, and less problem-focused coping. Higher functional outcome was associated with having a value system that is Australian, younger age at injury, and higher education. Overall, independent of rehabilitation access, individuals from a CALD background showed poorer functional outcome following TBI than those from a non-CALD background. Addressing this discrepancy should be a priority for rehabilitation programmes.


Assuntos
Lesões Encefálicas Traumáticas/etnologia , Lesões Encefálicas Traumáticas/terapia , Cultura , Atividades Cotidianas , Adaptação Psicológica , Adolescente , Adulto , Idoso , Ansiedade/etnologia , Ansiedade/etiologia , Austrália , Lesões Encefálicas Traumáticas/psicologia , Depressão/etnologia , Depressão/etiologia , Emprego , Feminino , Humanos , Idioma , Masculino , Pessoa de Meia-Idade , Comportamento Social , Resultado do Tratamento , Adulto Jovem
7.
Fertil Steril ; 112(6): 1160-1171, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31843093

RESUMO

OBJECTIVE: To determine the prevalence of symptoms of anxiety and depression in Chinese women during and after menopause, and the associated risk factors. DESIGN: Prospective community-based cohort study. SETTING: An urban community in Beijing, People's Republic of China. PATIENT(S): Four hundred and thirty women who had transitioned through natural menopause. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Symptoms of anxiety and depression. RESULT(S): Symptoms of depression were more common than symptoms of anxiety. The prevalence of symptoms of depression rose from 14.5% during premenopause, to 18.2% during the menopausal transition, and 19.6% in the postmenopause period. The prevalence of symptoms of anxiety rose from 3.1% premenopause, to 7.0% during the menopausal transition, and 7.4% in the postmenopause period. Compared with women in the premenopausal stage, perimenopausal and postmenopausal women were more likely to have symptoms of anxiety and depression, but these differences were not statistically significant. Multivariable analysis showed that poor health status, trouble falling asleep, and early awakening were independently associated with symptoms of anxiety, and that a higher body mass index, poor health, low education status, and night sweats were independently associated with symptoms of depression. CONCLUSION(S): Symptoms of depression were more prevalent than symptoms of anxiety. Our findings suggest that symptoms of anxiety and depression are more common during and after menopause than in premenopausal women. These findings highlight the importance of screening and evaluation of women undergoing the menopausal transition for symptoms of anxiety and depression, especially those with risk factors.


Assuntos
Afeto , Ansiedade/etnologia , Grupo com Ancestrais do Continente Asiático/psicologia , Depressão/etnologia , Menopausa/etnologia , Adulto , Ansiedade/diagnóstico , Ansiedade/psicologia , Pequim/epidemiologia , Depressão/diagnóstico , Depressão/psicologia , Feminino , Humanos , Menopausa/psicologia , Pessoa de Meia-Idade , Prevalência , Estudos Prospectivos , Fatores de Risco
8.
Nurs Res ; 68(6): 494-500, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31693556

RESUMO

BACKGROUND: Recognizing the effects of acculturation on quality of life and emotional health, especially during pregnancy, we developed an intervention that would target these factors in order to improve maternal well-being during the prenatal period and potentially improve infant outcomes, particularly preterm birth for Mexican-American women (Latinas). OBJECTIVE: The purpose of these pilot studies was to test the acceptability, feasibility, and preliminary efficacy of the mastery lifestyle intervention (MLI) to decrease depressive and anxiety symptoms and improve coping as implemented in prenatal clinics with culturally homogenous groups of Latinas. METHODS: The MLI was tested in three small pilot studies (n = 15), one in El Paso, Texas (an urban area), and two in Bastrop, Texas (a rural area outside Austin), for acceptability and feasibility. A pretest/posttest, quasi-experimental design was used with pregnant self-identified Mexican-American Latinas at 14-20 weeks' gestation. Measures of anxiety, depressive symptoms, and positive and negative coping were used. RESULTS: Feasibility was a success in terms of implementation of the MLI in an active prenatal clinic setting and the use of electronic tablets for data collection and entry of data into REDcap. Satisfaction was high, with the location of the MLI being at their primary OB/GYN clinic. Participants reported that six intervention sessions appear to be ideal as was the class length of 1.5 to 2 hours. On Cohen's d, there were medium to large effect size decreases in depressive and anxiety symptoms and small to medium effect size decreases in the use of negative coping strategies and small effect sizes for increases in positive coping strategies. DISCUSSION: Pilot testing of the MLI indicated that it was well accepted from the participants and feasible as a culturally tailored behavioral therapy administered in a group setting by nurse practitioners. Our initial pilot results also suggest preliminary efficacy as indicated by moderate to large Cohen's d effect sizes for depression and anxiety.


Assuntos
Ansiedade/prevenção & controle , Depressão/prevenção & controle , Estilo de Vida/etnologia , Americanos Mexicanos/psicologia , Complicações na Gravidez/prevenção & controle , Cuidado Pré-Natal , Aculturação , Adaptação Psicológica , Adulto , Ansiedade/etnologia , Depressão/etnologia , Estudos de Viabilidade , Feminino , Humanos , Projetos Piloto , Gravidez , Complicações na Gravidez/etnologia , Qualidade de Vida , Texas
9.
BMC Public Health ; 19(1): 1521, 2019 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-31727039

RESUMO

BACKGROUND: Improving the rates of, and instruments used in, screening for perinatal depression and anxiety among Aboriginal and Torres Strait Islander women are important public health priorities. The Kimberley Mum's Mood Scale (KMMS) was developed and later validated as an effective and acceptable perinatal depression and anxiety screening tool for the Kimberley region under research conditions. Other regions have expressed interest in using the KMMS with perinatal Aboriginal and Torres Strait Islander women. It is, however, important to re-evaluate the KMMS in a larger Kimberley sample via a real world implementation study, and to test for applicability in other remote and regional environments before recommendations for wider use can be made. This paper outlines the protocol for evaluating the process of implementation and establishing the 'real world' validity and acceptability of the KMMS in the Kimberley, Pilbara and Far North Queensland in northern Australia. METHODS: The study will use a range of quantitative and qualitative methods across all sites. KMMS validation/revalidation internal consistency of Part 1 will be determined using Cronbach's alpha. Equivalence for identifying risk of depression and anxiety compared to a standard reference assessment will be determined from receiver operating characteristic curves. Sensitivity and specificity will be determined based on these cut-points. Qualitative methods of phenomenology will be used to explore concepts of KMMS user acceptability (women and health professionals). Additional process evaluation methods will collate, assess and report on KMMS quality review data, consultations with health service administrators and management, field notes, and other documentation from the research team. This information will be reported on using the Dynamic Sustainability Framework. DISCUSSION: This project is contributing to the important public health priority of screening Aboriginal and Torres Strait Islander women for perinatal depression and anxiety with tools that are meaningful and responsive to cultural and clinical needs. Identifying and addressing barriers to implementation contributes to our understanding of the complexity of improving routine clinical practie. TRIAL REGISTRATION: The study was registered retrospectively on 15/05/2019 with the Australian and New Zealand Clinical Trial registry (ACTRN12619000580178).


Assuntos
Afeto , Ansiedade/diagnóstico , Depressão/diagnóstico , Programas de Rastreamento/métodos , Saúde Mental/etnologia , Grupo com Ancestrais Oceânicos/psicologia , Assistência Perinatal/métodos , Adolescente , Adulto , Ansiedade/etnologia , Depressão/etnologia , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/etnologia , Feminino , Humanos , Lactente , Recém-Nascido , Ilhas , Programas de Rastreamento/normas , Mães/psicologia , Gravidez , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/etnologia , Gestantes/etnologia , Gestantes/psicologia , Psicometria , Queensland , Projetos de Pesquisa , Estudos Retrospectivos , Adulto Jovem
10.
Artigo em Inglês | MEDLINE | ID: mdl-31569371

RESUMO

The purpose of this study is to investigate the direct and indirect relationships among death anxiety, religious doubt, and depressive symptoms in older adults. This study also investigates race as a moderator for these relationships. This study used data from the Religion, Aging, and Health Survey. Participants identified as Christian, identified as Black or White, lived in a non-institutionalized household within the U.S., were retired, and spoke English. Using PROCESS, results revealed that religious doubt partially mediated the relationship between death anxiety and depressive symptoms. Furthermore, moderated mediation models revealed that race moderated the relationship between religious doubt and depressive symptoms. Specifically, there was significant, positive relationship between religious doubt and depressive symptoms for participants who identified as Black but not White. Results highlight how religious doubt can influence depressive outcomes among the geriatric communities of color. Limitations and future directions are also discussed.


Assuntos
Envelhecimento/etnologia , Ansiedade/etnologia , Grupos de Populações Continentais , Depressão/etnologia , Religião , Idoso , Idoso de 80 Anos ou mais , Emoções , Feminino , Humanos , Masculino
11.
Int J Soc Psychiatry ; 65(6): 496-506, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288604

RESUMO

BACKGROUND: Resilience, or an individual's positive response in managing life's adversities, is of increasing interest in addressing the mental health disparities in refugees. Although the link between stressful life events and poor mental health is established, research on the role of resilience on the mental health of refugees is limited. AIMS: This study assessed the association between resilience and anxiety or depression in resettled Bhutanese adults in Western Massachusetts. METHODS: A cross-sectional survey was conducted among 225 Bhutanese (men: 113, women: 112) refugees aged 20-65 residing in Massachusetts. Resilience was measured with the 25-item Wagnild and Young's Resilience Scale including two constructs as follows: a 17-item 'personal competence' that measures self-reliance, independence, determination, resourcefulness, mastery and perseverance and an 8-item 'acceptance of self and life' that measures adaptability, flexibility and a balanced perspective of life. Higher total scores indicate greater resilience. The Hopkins Symptom Checklist-25 was used to measure anxiety (10-item) and depression (15-item) with a cutoff mean score of ⩾1.75 for moderate to severe symptoms. Associations of resilience with anxiety or depression scores were assessed using multiple-linear and logistic regression analyses. RESULTS: The proportion of participants with above threshold anxiety and depression were 34.2% and 24%, respectively. Resilience was inversely associated with both anxiety (beta for 1 unit change in resilience scores: ß = -0.026; p = .037) and depression (ß = -0.036, p = .041). 'Personal competence' resilience was inversely associated with both anxiety (ß = -0.041 p = .017) and depression (ß = -0.058, p = .019), but 'acceptance of self and life' resilience was not. Participants with the highest tertile of resilience scores had a significantly decreased risk of anxiety (ORs (95% CI): 0.13 (0.04-0.40)) and depression (0.16 (0.04-0.60)). CONCLUSION: Higher resilience was associated with reduced anxiety and depression among Bhutanese with personal competence resilience accounting for most of the effects. These findings suggest the potential targets for mental-health intervention to improve resilience in refugees.


Assuntos
Ansiedade/etnologia , Depressão/etnologia , Saúde Mental/etnologia , Refugiados/psicologia , Resiliência Psicológica , Adulto , Butão/etnologia , Estudos Transversais , Feminino , Humanos , Modelos Lineares , Modelos Logísticos , Masculino , Massachusetts/epidemiologia , Pessoa de Meia-Idade , Análise Multivariada , Escalas de Graduação Psiquiátrica , Apoio Social , Transtornos de Estresse Pós-Traumáticos/etnologia , Adulto Jovem
12.
Matern Child Health J ; 23(12): 1627-1647, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31264094

RESUMO

INTRODUCTION: Migration-related experiences can increase Latinas' risk of perinatal depression and anxiety. Few studies have investigated these associations among Latinas due to a lack of survey instruments explicitly assessing migration experiences. This study assessed the feasibility and acceptability of the Migration Experiences Survey (MES), a newly-developed measure of migration and deportation fears and explored associations between those experiences and mental health in a sample of immigrant Latinas in the perinatal period. METHODS: This cross-sectional study recruited women from community health clinics in Chapel Hill, NC between July 2013 and 2014. Twenty-five immigrant women were enrolled in the study during their third trimester of pregnancy. Women were interviewed in English or Spanish during pregnancy and at 8 weeks postpartum. The Edinburgh Postnatal Depression Scale was used to assess depressive symptoms and the Spielberger State-Trait Anxiety Inventory was used to determine anxiety symptoms. The MES was administered at 8 weeks postpartum. Nonparametric tests were conducted to determine associations between deportation fears and maternal mood. RESULTS: Results show that the MES is acceptable for collecting data on migration experiences and assessing deportation fears among immigrant Latinas, regardless of depressive or anxiety symptoms. More than 40% had migration safety concerns and fears of deportation. Self or family-related fears of deportation were significantly associated with prenatal state anxiety and trait anxiety (p < .05). No significant associations between deportation fears and depressive symptoms were observed. DISCUSSION: The MES is a useful tool for gathering information about migration experiences associated with perinatal anxiety.


Assuntos
Ansiedade/diagnóstico , Depressão/diagnóstico , Emigrantes e Imigrantes/psicologia , Hispano-Americanos/psicologia , Complicações na Gravidez/psicologia , Adolescente , Adulto , Ansiedade/etnologia , Ansiedade/psicologia , Depressão/etnologia , Depressão/psicologia , Feminino , Humanos , Entrevistas como Assunto , América Latina/etnologia , México/etnologia , Assistência Perinatal , Período Pós-Parto , Gravidez , Terceiro Trimestre da Gravidez , Escalas de Graduação Psiquiátrica , Apoio Social , Fatores Socioeconômicos , Estresse Psicológico/complicações , Estados Unidos/epidemiologia
13.
J Nerv Ment Dis ; 207(8): 651-658, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31318738

RESUMO

There is a public health need to better characterize the individual-based differences that may be involved in the expression and maintenance of psychological and related health problems among Latinx individuals. One individual difference factor that may be relevant to the nexus of psychological and physical concerns is heart-focused anxiety. The current study sought to evaluate the potential explanatory relevance of heart-focused anxiety as an important individual difference factor for anxiety, depression, pain experience, and functional impairment. Participants included 158 Latinx adults (Mage = 39.26, SD = 13.19; 85.4% female) from a primary health clinic. Results indicated that heart-focused anxiety was significantly related to anxious arousal, pain intensity, pain disability, and functional impairment. However, no significant effects were evident for depressive symptoms. These data indicate that heart-focused anxiety may be an underrecognized cognitive factor relevant to better understanding anxiety and pain among Latinx adults in primary care.


Assuntos
Ansiedade/etnologia , Depressão/etnologia , Pessoas com Deficiência , Cardiopatias , Hispano-Americanos , Dor/etnologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde
14.
J Relig Health ; 58(5): 1847-1856, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31309442

RESUMO

Several research studies from the USA and Western industrialized countries have reported a negative association between religiosity and anxiety. However, Arabic studies using mainly Muslim samples are limited. The objective of the present study was to apply meta-analysis statistical techniques to 10 Arabic studies of this association. All of the respondents were Arab citizens, ranging in age between 14 and 43 years, and the vast majority of them were Muslims. Religiosity and anxiety were assessed with seven different scales. In all of the studies, the administration of the scales was in small group sessions and in the Arabic language. Pearson correlation coefficients were calculated between the religiosity and anxiety scale scores. All the correlations were negative. All but one were statistically significant, ranging from - 0.16 to - 0.43. The mean effect size was - 0.22, and the impact of age and gender on the correlation was not significant. This result suggests that religiosity may affect anxiety by providing buffering and coping mechanisms.


Assuntos
Ansiedade/etnologia , Árabes/psicologia , Islamismo/psicologia , Espiritualidade , Estresse Psicológico/complicações , Adaptação Psicológica , Adolescente , Adulto , Ansiedade/etiologia , Ansiedade/psicologia , Transtornos de Ansiedade , Humanos , Religião e Psicologia , Adulto Jovem
15.
PLoS One ; 14(7): e0217372, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31260454

RESUMO

Suicide is a major public health concern worldwide. This study aimed to predict the suicidal behavior of Chinese university students by studying psychological measures such as hopelessness, orientation to happiness, meaning in life, depression, anxiety, stress, and coping styles. In November 2016, a stratified-clustered-random sampling approach was utilized to select subjects from two large public medical-related universities in Shandong province, China. This sample consisted of 2,074 undergraduate students (706 males, 1,368 females; mean age = 19.79±1.39 years). The students' major risk factors for suicide were depression, anxiety, stress, and hopelessness, and the students' minor risk factors included orientation to happiness and coping styles (including self-distraction, self-blame and substance use). Notably, the presence of meaning in life had a positive effect on preventing suicide and acted as a protective factor, which suggests that it is important to identify risk factors as well as protective factors relevant to the target population group in order to increase the effectiveness of counseling and suicide prevention programs.


Assuntos
Adaptação Psicológica , Ansiedade/psicologia , Depressão/psicologia , Estresse Psicológico/complicações , Transtornos Relacionados ao Uso de Substâncias/psicologia , Suicídio/psicologia , Adolescente , Ansiedade/complicações , Ansiedade/epidemiologia , Ansiedade/etnologia , Grupo com Ancestrais do Continente Asiático , China/epidemiologia , Depressão/complicações , Depressão/epidemiologia , Depressão/etnologia , Feminino , Humanos , Masculino , Angústia Psicológica , Fatores de Risco , Autoavaliação , Estresse Psicológico/epidemiologia , Estresse Psicológico/etnologia , Estudantes/psicologia , Transtornos Relacionados ao Uso de Substâncias/complicações , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/etnologia , Ideação Suicida , Suicídio/etnologia , Suicídio/prevenção & controle , Suicídio/estatística & dados numéricos , Inquéritos e Questionários , Universidades , Adulto Jovem
16.
Anesth Analg ; 129(4): 1118-1123, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31295177

RESUMO

BACKGROUND: Unconscious racial bias in anesthesia care has been shown to exist. We hypothesized that black children may undergo inhalation induction less often, receive less support from child life, have fewer opportunities to have a family member present for induction, and receive premedication with oral midazolam less often. METHODS: We retrospectively collected data on those <18 years of age from January 1, 2012 to January 1, 2018 including age, sex, race, height, weight, American Society of Anesthesiologists (ASA) physical status, surgical service, and deidentified anesthesiology attending physician. Outcome data included mask versus intravenous induction, midazolam premedication, child life consultation, and family member presence. Racial differences between all outcomes were assessed in the cohort using a multivariable logistic regression model. RESULTS: A total of 33,717 Caucasian and 3901 black children were eligible for the study. For the primary outcome, black children 10-14 years were 1.3 times more likely than Caucasian children to receive mask induction (adjusted odds ratio [AOR], 1.3; 95% confidence interval [CI], 1.1-1.6; P = .001). Child life consultation was poorly documented (<0.5%) and not analyzed. Black children <15 years of age were at least 31% less likely than Caucasians to have a family member present for induction (AOR range, 0.4-0.6; 95% CI range, 0.31-0.84; P < .010). Black children <5 years of age were 13% less likely than Caucasians to have midazolam given preoperatively (AOR, 0.9; 95% CI, 0.8-0.9; P = .012). CONCLUSIONS: This study suggests that disparities in strategies for mitigating anxiety in the peri-induction period exist and adultification may be 1 cause for this bias. Black children 10 to 14 years of age are 1.3 times as likely as their Caucasian peers to be offered inhalation induction to reduce anxiety. However, black children are less likely to receive premedication with midazolam in the perioperative period or to have family members present at induction. The cause of this difference is unclear, and further prospective studies are needed to fully understand this difference.


Assuntos
Afro-Americanos , Anestesia Geral , Ansiedade/prevenção & controle , Grupo com Ancestrais do Continente Europeu , Disparidades em Assistência à Saúde/etnologia , Procedimentos Cirúrgicos Operatórios , Administração Oral , Adolescente , Comportamento do Adolescente/etnologia , Fatores Etários , Anestesia Geral/efeitos adversos , Anestesia Geral/psicologia , Ansiolíticos/administração & dosagem , Ansiedade/etnologia , Ansiedade/psicologia , Criança , Comportamento Infantil/etnologia , Feminino , Humanos , Masculino , Midazolam/administração & dosagem , Pré-Medicação , Estudos Retrospectivos , Fatores de Risco , Procedimentos Cirúrgicos Operatórios/efeitos adversos , Procedimentos Cirúrgicos Operatórios/psicologia
17.
Psychooncology ; 28(9): 1819-1828, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31216604

RESUMO

OBJECTIVE: Intrusive thoughts, defined as unwanted and recurrent thoughts about a stressful experience, are associated with psychological distress in women with breast cancer. This study assessed moderating effects of various social support dimensions on associations between intrusive thoughts and psychological distress among Latina breast cancer survivors. METHODS: We used baseline data from a randomized controlled trial of a stress management intervention delivered to 151 Spanish-speaking Latinas with nonmetastatic breast cancer within 1 year of diagnosis. Intrusive thoughts, four dimensions of social support (emotional/informational, tangible, affectionate, and positive social interaction), and symptoms of anxiety and depression were assessed through in-person interviews. Information on age, time since diagnosis, breast cancer variables, history of depression, and marital status served as covariates. Generalized linear models were used to investigate bivariate and multivariate associations and to explore moderation effects of the four dimensions of social support. RESULTS: In bivariate models, intrusive thoughts were associated positively with depression (ß = .024, .001) and anxiety (ß = .047, P < .001) symptoms. Adjusting for other factors, intrusive thoughts remained associated with depression symptoms (ß = .022, .008), regardless of level of social support (for all support dimensions). For anxiety, there were significant interactions of tangible (ß = -.013, .034) and affectionate (ß = -.022, .005) support with intrusive thoughts. Intrusive thoughts were associated more strongly with anxiety symptoms among women reporting less tangible and affectionate support than those with higher levels of these types of support. CONCLUSIONS: Tangible and affectionate support have protective effects on anxiety symptoms among Spanish-speaking Latina breast cancer survivors experiencing intrusive thoughts, but not depression symptoms.


Assuntos
Ansiedade/etnologia , Neoplasias da Mama/etnologia , Sobreviventes de Câncer/psicologia , Hispano-Americanos/psicologia , Apoio Social , Pensamento , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Neoplasias da Mama/psicologia , Sobreviventes de Câncer/estatística & dados numéricos , Depressão/etnologia , Depressão/psicologia , Feminino , Hispano-Americanos/estatística & dados numéricos , Humanos , Idioma , Pessoa de Meia-Idade , Fatores de Proteção
18.
Transcult Psychiatry ; 56(4): 643-666, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31169469

RESUMO

In a large national survey in Cambodia (N = 2689), the present study investigated the prominence of certain culturally salient symptoms and syndromes in the general population and among those with anxious-depressive distress (as determined by the Hopkins Symptom Checklist-25, or HSCL). Using an abbreviated Cambodian Symptom and Syndrome Addendum (CSSA), we found that the CSSA complaints were particularly elevated among those with anxious-depressive distress. Those with anxious-depressive distress had statistically greater mean scores on all the CSSA items as well as severity of endorsement analyzed by percentage: among those with HSCL caseness, 75.3% were bothered "quite a bit" or "extremely" by "thinking a lot" (vs. 27.5% without caseness); 53.8% were bothered by "standing up and feeling dizzy" (vs. 13.8%); and 45.6% by blurry vision (vs. 16.8%). In a logistic regression analysis to predict anxious-depressive distress, 51% of the variance was accounted for by five predictors: "weak heart," "thinking a lot," dizziness, "khyâl hitting up from the stomach," and sleep paralysis. Using ROC analysis, a cut-off score of 1.81 on the CSSA was optimal as a screener to indicate anxious-depressive distress, giving a sensitivity of 0.86. The study results suggest that to avoid category truncation (i.e., the omission of key complaints that are part of an assessed distress domain) when profiling anxious-depressive distress among Cambodia population that items other than those in standard psychopathology measures should be assessed such as "thinking a lot," "weak heart," "blurry vision," and "dizziness upon standing up."


Assuntos
Ansiedade/etnologia , Depressão/etnologia , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Idioma , Estresse Psicológico/etnologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Camboja , Competência Cultural , Etnopsicologia/métodos , Etnopsicologia/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
19.
Public Health ; 171: 66-75, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31103615

RESUMO

OBJECTIVES: Over a quarter of UK births are to women who were born outside of the UK. Black and Minority Ethnic (BME) women are disproportionately affected by poor mental health and inequitable access to mental health care in the perinatal period, yet the influence of the migrant status (mothers' UK vs. non-UK birth) is poorly understood. This study aimed to explore the relationship between ethnicity, migration and mental health indicators among mothers participating in a large nationally representative cohort study. STUDY DESIGN: This is a secondary analysis of data from the Millennium Cohort Study. METHODS: Logistic regression quantified the crude and adjusted effects of self-reported ethnicity and migrant status on prevalence of psychological distress and treatment for anxiety/depression at 9-month and 5-year postpartum. RESULTS: We found substantial variation in the prevalence of distress according to ethnicity and migrant status, with Indian and Pakistani women at greatest risk. Despite equal or greater risk, BME and migrant women were less likely to report treatment for anxiety/depression. Mutually adjusted analyses showed ethnicity to be a stronger predictor of both outcomes than migrant status; however, at 5 years, being a migrant independently predicted lower odds of treatment, for a statistically similar level of distress. CONCLUSIONS: Migrant women are likely to be at high risk of poor mental health in the perinatal period and beyond, yet may face significant barriers to accessing mental health care. A better understanding of ethnicity and migration as interrelated risk factors for perinatal mental ill-health is needed to help National Health Service organisations develop policy and practice that is flexible and responsive to diversity.


Assuntos
Grupo com Ancestrais do Continente Africano/psicologia , Grupos Étnicos/psicologia , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Grupos Minoritários/psicologia , Mães/psicologia , Migrantes/psicologia , Adulto , Grupo com Ancestrais do Continente Africano/estatística & dados numéricos , Ansiedade/epidemiologia , Ansiedade/etnologia , Ansiedade/terapia , Estudos de Coortes , Depressão/epidemiologia , Depressão/etnologia , Depressão/terapia , Grupos Étnicos/estatística & dados numéricos , Feminino , Acesso aos Serviços de Saúde , Humanos , Transtornos Mentais/etnologia , Serviços de Saúde Mental , Grupos Minoritários/estatística & dados numéricos , Mães/estatística & dados numéricos , Período Pós-Parto , Gravidez , Prevalência , Fatores de Risco , Autorrelato , Migrantes/estatística & dados numéricos , Reino Unido/epidemiologia
20.
J Affect Disord ; 250: 85-93, 2019 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-30836284

RESUMO

BACKGROUND: Depression and anxiety are comorbid. From the network model perspective, comorbidity is due to direct interactions between depression and anxiety symptoms. These interacting symptoms are called bridge symptoms, suppression of which is expected to halt other symptoms. This study investigates the network structure of depression, anxiety, and bridge symptoms in a sample of migrant domestic workers, who are among the most vulnerable and marginalized groups of workers. METHOD: Data were collected from 1375 Filipino domestic workers in Macao Special Administrative Region, China. Data from a subsample of 355 consisting of participants who met criteria for depression and anxiety were used in analysis. R software was used to estimate the network. RESULTS: The eight strongest edges were between items from the same disorder. Six were between depression symptoms, like "concentration difficulties" and "psychomotor agitation/retardation," and "psychomotor agitation/retardation" and "thoughts of death." Two were between anxiety symptoms, including "worry too much" and "trouble relaxing." For centrality indices, "fatigue" had highest strength and closeness, and "restlessness" had highest betweenness. Results revealed three bridge symptoms: "fatigue," "depressed mood," and "anhedonia." LIMITATIONS: The results may not generalize to the entire Filipino population. Further, while the centrality index of strength had adequate stability, it was not highly stable. CONCLUSIONS: The current study highlighted critical transdiagnostic bridge symptoms as specific candidates for intervention. "Psychomotor agitation/retardation" was identified as key priority due to its association with suicidal ideation. Systemic multilevel interventions at the person-level (e.g., cognitive therapy and behavioral activation), and at the structural and policy-level to alleviate psychosocial stressors, could be applied to address disorder comorbidity in this population.


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Migrantes/estatística & dados numéricos , Adulto , Ansiedade/etnologia , Ansiedade/psicologia , China/epidemiologia , Comorbidade , Depressão/etnologia , Depressão/psicologia , Feminino , Humanos , Masculino , Filipinas/etnologia , Agitação Psicomotora/epidemiologia , Agitação Psicomotora/etnologia , Agitação Psicomotora/psicologia , Migrantes/psicologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA