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1.
J Addict Nurs ; 35(2): 59-66, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38829995

RESUMO

INTRODUCTION: Electronic cigarette use is the most prevalent form of tobacco among young college adults between 18 and 25 years old. In addition, during the young adult years, mental health issues surface, such as anxiety. As a result of these factors, it is imperative to describe the experience of electronic cigarettes among college students to better understand the cycle of addiction among electronic cigarette users. OBJECTIVE: This study aims to explore and describe the experience of electronic cigarette use among college students who report feelings of anxiety. METHODS: A qualitative descriptive study design with the Roy Adaptation Model as the theoretical framework was used to describe the experience. The setting was at one medium-sized private university on the east coast of the United States. Twenty participants met the study inclusion criteria of traditional undergraduate students aged 18-25 years. Data were collected using a demographic questionnaire, a smoking status questionnaire, a self-report feelings of anxiety questionnaire, and a semistructured interview guide. RESULTS: Data analysis synthesized three themes: the perfect storm, the power of ripping the nic, and trapped in that cycle. It was found through interviews that feelings of anxiety and the vape culture, along with the college experience, led to the powerful draw to electronic cigarette use among this population. CONCLUSION: This study reflects findings that the college life experience, the vape culture, and the feelings of anxiety contribute to electronic cigarette use and, finally, lead to intense addiction.


Assuntos
Ansiedade , Estudantes , Vaping , Humanos , Estudantes/psicologia , Adulto Jovem , Masculino , Feminino , Universidades , Adolescente , Adulto , Vaping/psicologia , Vaping/epidemiologia , Ansiedade/psicologia , Sistemas Eletrônicos de Liberação de Nicotina , Inquéritos e Questionários , Pesquisa Qualitativa , Estados Unidos/epidemiologia
2.
Psychooncology ; 33(6): e6364, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38824493

RESUMO

OBJECTIVE: Clinical fear of cancer recurrence (FCR) was recently defined by a group of experts during a Delphi study. Five criteria were agreed upon, namely: (a) high levels of preoccupation, (b) high levels of worry, (c) that are persistent, (d) hypervigilance and hypersensitivity to physical sensations that e) may result in functional impairment. No existing instruments comprehensively capture all these criteria for clinical FCR. METHODS: To remedy this gap, a set of three patient-reported outcome instruments including a one-item screener, self-report questionnaire, and semi-structured clinical interview, named the Ottawa Clinical Fear of Recurrence instruments, were developed. To do so, the research team first conducted a literature review of potential items. Additional FCR experts discussed the content of the screener and interview. The self-report's items were assessed for content validity by the same expert panel using Likert ratings and the Content Validity Index to narrow down the number of items. The three instruments were piloted with a group of cancer survivors to assess face validity following the European Organization for Research and Treatment of Cancer recommendations. RESULTS: The literature review and content validity assessment led to a final draft pre-pilot of 23 potential items for the self-report questionnaire. The instruments were piloted. Pilot study participants suggested changing wording and response options (particularly for the self-report) for greater clarity. CONCLUSIONS: Based on the feedback received, minor modifications were made, mostly for the self-report. In general, content and face validity for the three instruments were good for both experts and cancer survivors.


Assuntos
Medo , Recidiva Local de Neoplasia , Autorrelato , Humanos , Medo/psicologia , Inquéritos e Questionários/normas , Feminino , Reprodutibilidade dos Testes , Recidiva Local de Neoplasia/psicologia , Pessoa de Meia-Idade , Masculino , Psicometria/instrumentação , Adulto , Sobreviventes de Câncer/psicologia , Idoso , Projetos Piloto , Entrevistas como Assunto , Neoplasias/psicologia , Medidas de Resultados Relatados pelo Paciente , Ansiedade/psicologia
3.
BMC Psychol ; 12(1): 321, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38824588

RESUMO

PURPOSE: Social context and time are two dimensions within which our entire existence is embedded. Therefore, prompting a positive set of attitudes and beliefs towards these elements is fundamental for individuals' psychological well-being. Currently, there is limited understanding regarding the interplay between the sense of community and time perspective in relation to psychological distress. The present study aims, at investigating the effects that the sense of community and time perspective have on the levels of anxiety, depression, and stress. Particular attention has been dedicated to testing whether the effect of sense of community on anxiety, depression, and stress is mediated by the deviation from a balanced time perspective. METHODS: To accomplish our purposes, we asked 352 participants to complete an online survey and respond to the Depression, Anxiety, Stress Scale (DASS-21), the Zimbardo Time Perspective Inventory (ZTPI), and the Multi-Dimensional Sense of Community Scale (MTSOCS). From these scales, we obtained the scores for anxiety, depression, and stress as well as a general score for the sense of community and the deviation from a balanced time perspective. We computed three General Linear Mediation Models, one for each scale of the DASS-21. RESULTS: The results showed that the relationship between sense of community and psychological distress was mediated by the deviation from a balanced time perspective extending previous findings and enriching the existing literature on time perspective. CONCLUSION: The results described so far could be applied to build a series of interventions aimed at promoting psychological well-being in the general population. Considering our findings, we suggest that individuals' health could be promoted by both improving their sense of community, which in turn would decrease their levels of stress, and by restructuring their time perspective when it became dysfunctional and unbalanced.


Assuntos
Ansiedade , Depressão , Estresse Psicológico , Humanos , Masculino , Feminino , Estresse Psicológico/psicologia , Adulto , Depressão/psicologia , Ansiedade/psicologia , Adulto Jovem , Pessoa de Meia-Idade , Percepção do Tempo , Adolescente , Inquéritos e Questionários
4.
Med Educ Online ; 29(1): 2366557, 2024 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-38870397

RESUMO

BACKGROUND: High rates of burnout, anxiety, and depression in medical students are widespread, yet we have limited knowledge of the medical school experiences of students with mental health issues. The aim of the study is to understand the impact of mental health issues on students' experience and training at medical school by adopting a qualitative approach. METHODS: Qualitative study using in-depth semi-structured interviews with 20 students with mental health issues from eight UK medical schools of varying size and location. Students were purposefully sampled to gain variety in the type of mental health issue experienced and demographic characteristics. Reflexive thematic analysis was employed using NVivo software. RESULTS: Three themes were identified. 1) Culture of medicine: medical culture contributed to causing mental ill-health through study demands, competitiveness with peers, a 'suck it up' mentality where the expectation is that medical school is tough and medical students must push through, and stigma towards mental ill-health. 2) Help-seeking: students feared others discovering their difficulties and thus initially tried to cope alone, hiding symptoms until they were severe. There were multiple barriers to help-seeking including stigma and fear of damage to their career. 3) Impact on academic life: mental health issues had a detrimental impact on academic commitments, with students' unable to keep up with their studies and some needing to take time out from medical school. CONCLUSION: This study provides insight into how medical culture contributes both to the cause of mental health difficulties and the reluctance of medical students to seek help. Mental health issues had a considerable negative impact on medical students' ability to learn and progress through their degree. Addressing the medical culture factors that contribute to the cause of mental health issues and the barriers to help-seeking must be a priority to ensure a healthier medical workforce.


Assuntos
Saúde Mental , Pesquisa Qualitativa , Faculdades de Medicina , Estudantes de Medicina , Humanos , Estudantes de Medicina/psicologia , Feminino , Masculino , Entrevistas como Assunto , Reino Unido/epidemiologia , Estigma Social , Adulto Jovem , Transtornos Mentais/psicologia , Transtornos Mentais/epidemiologia , Depressão/epidemiologia , Depressão/psicologia , Adulto , Comportamento de Busca de Ajuda , Esgotamento Profissional/psicologia , Esgotamento Profissional/epidemiologia , Ansiedade/epidemiologia , Ansiedade/psicologia
5.
J Sch Psychol ; 104: 101286, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38871411

RESUMO

Immigration-related problems and stressors are prevalent and pressing concerns among Latinx and Asian American school-age youth. Youth fears related to family deportation have been associated with adverse mental health outcomes. This study used an ecological framework to examine the impact of immigration stress and school- and community-level resources and protective factors on Latinx and Asian American youth internalizing symptoms. The sample included 1309 Asian American and 701 Latinx students (N = 2010) who participated in a routine school-based mental health needs assessment survey. Multilevel regressions analyses revealed that first-generation youth, Latinx youth, and female youth were more vulnerable to experiencing immigration-related problems and worry. Student perceptions of negative school climate and community violence were associated with greater internalizing symptoms regardless of immigration worry. Moderation analyses revealed that immigration-related problems and worry were positively associated with internalizing symptoms and that this relationship did not differ by race/ethnicity. However, immigration worry was a particular risk factor for students who perceived their neighborhood community as safe. Findings highlight that a sociopolitical climate that sows immigration-related challenges fuels youth distress and that students' experiences of their community environment can play an essential role as a psychological resource.


Assuntos
Asiático , Hispânico ou Latino , Instituições Acadêmicas , Estresse Psicológico , Estudantes , Violência , Humanos , Feminino , Masculino , Hispânico ou Latino/psicologia , Hispânico ou Latino/estatística & dados numéricos , Adolescente , Asiático/psicologia , Estudantes/psicologia , Violência/psicologia , Violência/etnologia , Estresse Psicológico/psicologia , Estresse Psicológico/etnologia , Características de Residência , Emigração e Imigração , Criança , Emigrantes e Imigrantes/psicologia , Ansiedade/psicologia , Ansiedade/etnologia
6.
BMC Pregnancy Childbirth ; 24(1): 426, 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38872085

RESUMO

BACKGROUND: Experiencing a miscarriage can have profound psychological implications, and the added strain of the COVID-19 pandemic may have compounded these effects. This study aimed to explore the psychological experiences, assess the levels of psychological distress (depression, anxiety, and post-traumatic stress disorder), and examine the relationships of personal significance of miscarriage and perceived stress with psychological distress of women in North Carolina who suffered a miscarriage of a desired pregnancy between March 30, 2020, and February 24, 2021, of the COVID-19 pandemic, at 14 to 31 months after the loss. METHODS: We conducted a cross-sectional mixed-methods study using a convergent parallel design. A total of 71 participants from North Carolina completed the online survey and 18 completed in-depth interviews. The survey assessed demographics, mental health and reproductive history, personal significance of miscarriage, perceived stress, anxiety, depression, and PTSD. Interview questions asked about the psychological experience of the miscarriage and how the COVID-19 pandemic affected them and their experience. RESULTS: Findings indicated moderate to severe levels of depression, anxiety, and PTSD, which persisted 14 to 31 months post-miscarriage. After conducting hierarchical binary logistic regressions, we found that perceived stress and prior trauma increased the odds of depression, perceived stress increased the odds of anxiety, and personal significance and prior trauma increased the odds of PTSD symptoms 14-31 months post-miscarriage. Notably, a subsequent successful childbirth emerged as a protective factor against depression, anxiety, and PTSD. Qualitative findings depicted emotions such as profound isolation, guilt, and grief. Women noted that additional pandemic-specific stressors exacerbated their distress. The categories identified via conventional content analysis fell under five broader thematic groups: mental health disorders, negative emotions/feelings, positive emotions/feelings, thoughts, and other experiences. CONCLUSIONS: Miscarriage during the COVID-19 pandemic intensified and added complexity to the psychological distress experienced by affected women. The study underscores the need for comprehensive mental health screenings, specialized support for vulnerable groups, and the necessity of trauma-informed care. Providers are strongly encouraged to adopt a multifaceted, individualized approach to patient care that is cognizant of the unique stressors introduced by the pandemic.


Assuntos
Aborto Espontâneo , Ansiedade , COVID-19 , Depressão , Transtornos de Estresse Pós-Traumáticos , Estresse Psicológico , Humanos , COVID-19/psicologia , COVID-19/epidemiologia , Feminino , Aborto Espontâneo/psicologia , Adulto , Estudos Transversais , Gravidez , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Depressão/psicologia , Depressão/epidemiologia , Estresse Psicológico/psicologia , Ansiedade/psicologia , North Carolina/epidemiologia , Angústia Psicológica , SARS-CoV-2 , Inquéritos e Questionários , Adulto Jovem , Saúde Mental
7.
BMC Palliat Care ; 23(1): 147, 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38872168

RESUMO

PURPOSE: This study aimed to assess the therapeutic efficacy of Reiki therapy in alleviating anxiety. METHODS: In adherence to academic standards, a thorough search was conducted across esteemed databases such as PubMed, Web of Science, Science Direct, and the Cochrane Library. The primary objective of this search was to pinpoint peer-reviewed articles published in English that satisfied specific criteria: (1) employing an experimental or quasi-experimental study design, (2) incorporating Reiki therapy as the independent variable, (3) encompassing diverse patient populations along with healthy individuals, and (4) assessing anxiety as the measured outcome. RESULTS: The study involved 824 participants, all of whom were aged 18 years or older. Reiki therapy was found to have a significant effect on anxiety intervention(SMD=-0.82, 95CI -1.29∼-0.36, P = 0.001). Subgroup analysis indicated that the types of subjects (chronically ill individuals and the general adult population) and the dosage/frequency of the intervention (≤ 3 sessions and 6-8 sessions) were significant factors influencing the variability in anxiety reduction. CONCLUSION: Short-term Reiki therapy interventions of ≤ 3 sessions and 6-8 sessions have demonstrated effectiveness in reducing health and procedural anxiety in patients with chronic conditions such as gastrointestinal endoscopy inflammation, fibromyalgia, and depression, as well as in the general population. It is important to note that the efficacy of Reiki therapy in decreasing preoperative anxiety and death-related anxiety in preoperative patients and cancer patients is somewhat less consistent. These discrepancies may be attributed to individual pathophysiological states, psychological conditions, and treatment expectations.


Assuntos
Ansiedade , Toque Terapêutico , Humanos , Ansiedade/terapia , Ansiedade/psicologia , Toque Terapêutico/métodos , Adulto
8.
Front Immunol ; 15: 1324987, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38827735

RESUMO

Introduction: The COVID vaccination program with new types of vaccinations and early reports of allergic reactions to vaccines led to vaccination hesitancy in patients with allergies. In this study, we aimed to characterize patients who present at an allergy center with specific questions regarding risk assessment to COVID vaccines in comparison to regular allergy center patients. Methods: A total of 50 patient charts of patients with risk assessment for COVID vaccination (COV group) and 50 regular allergy center patients (ALL group) were assessed for documented allergies, comorbidities, total IgE, and tryptase levels and hospital anxiety and depression score (HADS). Skin prick testing (SPT) with additives of COVID vaccines [polyethylene glycol (PEG), polysorbate] were performed if indicated based on medical history. Results: Patients who presented for examination prior to a possible COVID vaccination were mostly female (86%) and had more frequently reported allergic reactions to drugs in the past, but only in a minor group (28%) were the reactions qualified as anaphylaxis. The group COV patients scored significantly higher in the HADS for anxiety and depression than the regular group ALL patients. The same trend was observed when data were corrected for gender. It is worth noting that patients without any prior contact to COVID vaccines scored comparable regarding anxiety to patients with prior reaction to COVID vaccinations, but significantly higher in the depression score. In 19 patients (38%) who met the indications for SPT for the suspicious contents PEG and Polysorbate 80, the tests did not show a positive result. Furthermore, 84% of patients underwent the prick test, but only 15% of patients who received consultation alone agreed to vaccination at our center. No vaccination-related event was documented in these patients. Discussion: In conclusion, vaccination hesitancy was frequently elicited by negative experiences with drugs and putative drug allergies. Female patients predominate in this patient group, and the anxiety and depression scores were significantly elevated. Allergological workup, including SPT, led to a high rate of subsequent vaccinations, whereas a discussion with the patients about risks and individualized advice for vaccination without testing only rarely resulted in documented vaccinations.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Hesitação Vacinal , Vacinação , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ansiedade/psicologia , COVID-19/prevenção & controle , COVID-19/psicologia , Vacinas contra COVID-19/efeitos adversos , Depressão , Hipersensibilidade/psicologia , Saúde Mental , Testes Cutâneos , Vacinação/psicologia , Hesitação Vacinal/psicologia
9.
Dyslexia ; 30(3): e1775, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38837597

RESUMO

Dyslexia, a neurocognitive difference characterised by poor word-reading, is associated with elevated risk for internalising (e.g., anxiety) and externalising (e.g., aggression) mental health concerns, the reasons are largely unknown. We took a neurodiversity perspective and explored whether school-connectedness mediated these associations. A total of 283 primary school children (87 with dyslexia) and their caregivers (95.4% mothers) completed a battery of well-validated connectedness and mental health measures. Two mediation models (one for child-report and one for caregiver-report) tested direct and indirect effects of dyslexia on anxiety, depression and conduct problems via several domains of school-connectedness. After controlling for gender and neurodevelopmental conditions other than dyslexia, there were no direct effects of dyslexia on child- or caregiver-reported internalising symptoms or child-reported conduct problems. Dyslexia was associated with child and caregiver reported anxiety, depression and conduct problems via low levels of school (but not teacher, friend or peer) connectedness. Findings highlight school-connectedness as an important intervention target for the mental health of children with dyslexia. Future research is needed to test associations between dyslexia, school-connectedness and mental health over time.


Assuntos
Ansiedade , Depressão , Dislexia , Instituições Acadêmicas , Humanos , Feminino , Masculino , Criança , Ansiedade/psicologia , Depressão/psicologia , Transtorno da Conduta , Saúde Mental
10.
BMC Psychiatry ; 24(1): 416, 2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38834978

RESUMO

AIMS: This study aims to investigate the association between fear of cancer recurrence (FCR) and death anxiety (DA) among Chinese cancer patients, while considering the mediating effects of experiential avoidance (EA) and meaning in life (MIL). METHODS: From February to June 2023, convenience sampling was used to select newly diagnosed cancer patients in a tertiary Cancer Hospital in Chinese Hunan Province as the survey objects. A total of 436 cancer patients completed the Fear of Cancer Recurrence Inventory, the Meaning in Life Questionnaire, the Acceptance and Action Questionnaire-II, and the Templer's death anxiety scale. Descriptive analysis and Pearson correlation analysis were conducted using SPSS 28.0 software. Serial mediation analysis was performed by Hayes' PROCESS macro. RESULTS: Gender, age, educational level, marital status, residence, occupation, per capita monthly household income, tumor type, and cancer stage were controlled in the model. The results revealed that fear of cancer recurrence had a significant direct effect on death anxiety (Effect = 0.075, 95% CI: 0.064 to 0.087). Additionally, three indirect pathways were identified: (1) through experiential avoidance (Effect = 0.037, 95% CI: 0.026 to 0.049), (2) through meaning in life (Effect = 0.022, 95% CI: 0.014 to 0.031), and (3) through the serial mediators involving meaning in life and experiential avoidance (Effect = 0.016, 95% CI: 0.010 to 0.023). The total indirect effect of the three mediation paths was 63.56%. CONCLUSION: Fear of cancer recurrence is a significant psychological distress experienced by cancer patients, which not only directly contributes to death anxiety but also may triggers changes, such as experiential avoidance and meaning in life. Ultimately, this comprehensive psychological distress leads to death anxiety.


Assuntos
Ansiedade , Atitude Frente a Morte , Medo , Neoplasias , Humanos , Masculino , Medo/psicologia , Feminino , Pessoa de Meia-Idade , Ansiedade/psicologia , Neoplasias/psicologia , China , Adulto , Recidiva Local de Neoplasia/psicologia , Idoso , Análise de Mediação , Inquéritos e Questionários , População do Leste Asiático
11.
Sci Rep ; 14(1): 13075, 2024 06 06.
Artigo em Inglês | MEDLINE | ID: mdl-38844485

RESUMO

The global trend of advanced aging comes at the cost of amplified onset of age-related diseases. Dementia is a common multifactorial age-related neurodegenerative disorder, which manifests with progressive declines in cognitive functioning and ability to perform activities of daily living. As polices discourage institutionalized care, family members act as primary caregivers and endure increased vulnerability to physical and mental health problems secondary to care-related changes in life routine and relationships. Targeting clinically significant distress at earlier stages through valid brief measures may promote caregivers' wellbeing and dementia care continuity/quality. This study aimed to determine the optimal cutoff score of the Depression Anxiety Stress Scale 8-items (DASS-8) in a convenience sample of 571 European caregivers (Mean age = 53 ± 12 years, Italian = 74.4%, Swiss = 25.6%) through three methods. K-means clustering classified the sample into high- and low-distress clusters based on DASS-8 score of 19. Receiver operator curve (ROC) analysis using 48 and 7 cutoffs of the Zarit Burden Interview (ZBI) and the Three-Item University of California, Los Angeles, Loneliness Scale-version 3 (UCLALS3), revealed two DASS-8 cutoffs (12.5 and 14.5, area under the curve (AUC) = 0.85 and 0.92, p values < .001, 95% CI 0.82-0.88 and 0.89 to 0.94, sensitivity = 0.81 and 0.78, specificity = 0.76 and 0.89, Youden index = 0.57 and 0.67, respectively). Decision modeling produced two DASS-8 cutoffs (9.5 and 14.5) for predicting low and high caregiving burden and loneliness, respectively. According to the median of all DASS-8 cutoffs (14.5) the prevalence of mental distress was 50.8%. Distress correlated with key mental problems such as burnout and loneliness-in path analysis, DASS-8 scores were predicted by the ZBI, UCLALS3, care dependency, and receiving help with care, especially among older, female, and spouse caregivers. Further diagnostic workup should follow to confirm psycho-pathogenicity among caregivers with DASS-8 scores above 14.5. Investigations of the DASS-8 in other countries/populations may confirm the validity of this cutoff score.


Assuntos
Cuidadores , Demência , Depressão , Solidão , Humanos , Cuidadores/psicologia , Feminino , Demência/psicologia , Masculino , Pessoa de Meia-Idade , Solidão/psicologia , Adulto , Depressão/psicologia , Idoso , Esgotamento Psicológico , Estresse Psicológico , Ansiedade/psicologia , Curva ROC , Escalas de Graduação Psiquiátrica
12.
BMC Psychol ; 12(1): 332, 2024 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-38845048

RESUMO

Much research has focused on how emotional and spiritual intelligences promote well-being and help combat mental health issues. This comparative study, which was conducted in Israel and India with emerging adults enrolled in higher education, explored the relationship of emotional intelligence, spiritual intelligence, anxiety and depression, and satisfaction with life. The results in Israel showed a positive correlation of emotional intelligence with satisfaction with life, but in India, only spiritual intelligence correlated positively with satisfaction with life. In both groups, female participants scored higher on all variables than male participants. We offer initial explanations for these results.


Assuntos
Ansiedade , Depressão , Inteligência Emocional , Satisfação Pessoal , Espiritualidade , Humanos , Índia , Masculino , Feminino , Israel , Ansiedade/psicologia , Depressão/psicologia , Depressão/epidemiologia , Adulto Jovem , Adulto , Fatores Sexuais , Adolescente
13.
Cancer Med ; 13(11): e7330, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38845478

RESUMO

OBJECTIVES: Patients with advanced colorectal cancer (CRC) have multiple concurrent physical and psychological symptoms. This study aimed to explore the relationship between anxiety, depression, and symptom burden in advanced CRC. METHODS: A multicenter cross-sectional study was conducted in 10 cancer centers from geographically and economically diverse sites in China. A total of 454 patients with advanced CRC completed the Hospital Anxiety and Depression Scale and the MD Anderson Symptom Inventory. Multiple regression analysis was applied to explore the relationship between anxiety, depression and symptom burden. RESULTS: About one-third of the patients showed symptoms of anxiety or depression. Patients with anxiety or depression reported significantly higher symptom burden than those without (p < 0.001). Patients with anxiety or depression reported a higher proportion of moderate-to-severe (MS) symptom number than those without (p < 0.001). About 52% of the patients with anxiety or depression reported at least three MS symptoms. The prevalence of MS symptoms was ranging from 7.3% (shortness of breath) to 22% (disturbed sleep), and in patients with anxiety or depression was 2-10 times higher than in those without (p < 0.001). Disease stage (ß = -2.55, p = 0.003), anxiety (ß = 15.33, p < 0.001), and depression (ß = 13.63, p < 0.001) were associated with higher symptom burden. CONCLUSIONS: Anxiety and depression in patients with advanced cancer correlated with higher symptom burden. Findings may lead oncology professionals to pay more attention to unrecognized and untreated psychological symptoms in symptom management for advanced cancer patients.


Assuntos
Ansiedade , Neoplasias Colorretais , Depressão , Humanos , Neoplasias Colorretais/psicologia , Neoplasias Colorretais/epidemiologia , Neoplasias Colorretais/complicações , Masculino , Feminino , Estudos Transversais , Pessoa de Meia-Idade , Depressão/epidemiologia , Depressão/etiologia , Depressão/psicologia , Ansiedade/epidemiologia , Ansiedade/psicologia , Idoso , China/epidemiologia , Prevalência , Adulto , Idoso de 80 Anos ou mais , Qualidade de Vida , Carga de Sintomas
14.
Medicine (Baltimore) ; 103(23): e38489, 2024 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-38847708

RESUMO

Patients with autoimmune diseases treated with corticosteroids sometimes display feelings of anxiety regarding corticosteroid use. In this single-center prospective study, we aimed to evaluate the serial changes in anxiety levels related to corticosteroid use in 18 patients with autoimmune diseases. The degree of anxiety toward corticosteroid use was assessed using the visual analogue scale. Comprehension of drug characteristics and use was assessed using the Likert scale. To assess the patients' levels of depression and anxiety we used the State-Trait Anxiety Inventory. These surveys were conducted immediately before the initiation of corticosteroid therapy and just before discharge from the hospital. We observed a decrease in anxiety levels related to corticosteroid use and State-Trait Anxiety Inventory scores before discharge. However, we did not detect a correlation between these score changes. Additionally, we found that patients who had a poor understanding of the drugs showed little or no changes in their anxiety levels related to corticosteroid use at discharge. These results suggest that some aspects of anxiety related to corticosteroids might be groundless and substantiated by assumptions without a complete understanding of corticosteroid functioning. Patient education regarding corticosteroid use may lead to reductions in anxiety levels and improvement in quality of life of the patients.


Assuntos
Corticosteroides , Ansiedade , Humanos , Estudos Prospectivos , Feminino , Masculino , Ansiedade/tratamento farmacológico , Ansiedade/psicologia , Pessoa de Meia-Idade , Corticosteroides/uso terapêutico , Corticosteroides/administração & dosagem , Adulto , Idoso , Doenças Autoimunes/tratamento farmacológico , Doenças Autoimunes/psicologia , Depressão/tratamento farmacológico , Depressão/psicologia , Qualidade de Vida
15.
PLoS One ; 19(6): e0304741, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38829855

RESUMO

This study aims to investigate the mediation effect of narcissism and the mediation effect moderated by gender in the effect of social anxiety on university students' SNS addiction. In this cross-sectional survey, university students, aged 19 to 29 were selected from two provinces in South Korea. The sample size was calculated using G*power 3.1., and a sample of 170 university students was used in the final analysis. To perform the analysis, descriptive statistics; independent t-test, one-way ANOVA, and Pearson's correlation were used. The data collected was statistically analyzed using SPSS Program 23.0 and SPSS PROCESS macro (version 4.0). The moderated mediation effect was significant in both male and female groups. The mediation effect of narcissism on the relationship between social anxiety and SNS addiction proneness was stronger in the female group than in the male group. The findings have the potential to provide substantial basic data for developing health promotion and education programs to reduce university students' social anxiety, narcissism, and SNS addiction.


Assuntos
Ansiedade , Narcisismo , Estudantes , Humanos , Masculino , Feminino , Estudantes/psicologia , Universidades , Adulto , Adulto Jovem , Estudos Transversais , Ansiedade/psicologia , Ansiedade/epidemiologia , República da Coreia/epidemiologia , Comportamento Aditivo/psicologia , Fatores Sexuais , Rede Social , Transtorno de Adição à Internet/psicologia , Transtorno de Adição à Internet/epidemiologia , Inquéritos e Questionários
16.
Sci Rep ; 14(1): 12691, 2024 06 03.
Artigo em Inglês | MEDLINE | ID: mdl-38830986

RESUMO

Young athletes commonly encounter various mental health challenges due to the distinct pressures inherent in sports environments. This study investigates the effectiveness of mobile-delivered mindfulness meditation interventions in alleviating mental health indicators of depression, perceived stress, and anxiety, and enhancing self-esteem and resilience among young male judo athletes in South Korea. Pre- and post-test questionnaires were completed by 53 judo athletes. Participants were then allocated to the intervention group (N = 27; Mage = 13.77 [SD = 1.11]), which used a mobile meditation software program, or the control group (N = 27; Mage = 13.56 [SD = 1.05]). Data analysis compared intervention and control group scores using multiple statistical methods, including independent sample t-tests, paired sample t-tests, and 2 (time) × 2 (group) repeated measures analysis of variance. Following the intervention, the mindfulness group exhibited significant enhancements in the mental health indicators of depression (GMD = 2.74 [95% CI 0.90-4.56], Cohen's D = 0.84), perceived stress (GMD = 0.35 [95% CI 0.002-0.70], Cohen's D = 0.56), and anxiety (GMD = 0.2 [95% CI 0.001-0.40, Cohen's D = 0.56]. Self-esteem also had a significant increase (GMD = 0.55 [95% CI - 0.22 to - 0.88], Cohen's D = 0.95). The findings of this study underscore the potential benefits of mobile-delivered mindfulness meditation interventions in addressing mental health challenges among young male judo athletes. The significant enhancements observed in scores on measures of depression, perceived stress, anxiety, and self-esteem among participants in the mindfulness group highlight the effectiveness of such interventions in promoting mental health in sports settings.


Assuntos
Ansiedade , Atletas , Depressão , Artes Marciais , Meditação , Saúde Mental , Atenção Plena , Humanos , Masculino , Atenção Plena/métodos , Meditação/métodos , Meditação/psicologia , Atletas/psicologia , República da Coreia , Artes Marciais/psicologia , Adolescente , Depressão/terapia , Depressão/psicologia , Ansiedade/terapia , Ansiedade/psicologia , Estresse Psicológico/terapia , Autoimagem , Inquéritos e Questionários
17.
BMC Palliat Care ; 23(1): 139, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38840188

RESUMO

BACKGROUND: This study investigates the mediating effect of meaning in life between death anxiety and attitude toward palliative care among nursing students. METHODS: We enrolled 363 undergraduate nursing students using a convenience sampling method as the respondents and conducted a survey using general information about nursing students, the Chinese version of the FATCOD-B Scale, the Chinese version of the Death Anxiety Scale, and the Chinese version of the Meaning in Life Questionnaire. The SPSS25.0 statistical software was used to analyze the mediating effect. RESULTS: The mean total attitude score toward palliative care was (104.72 ± 10.62). Death anxiety had a significant negative predictive effect on the attitude toward palliative care (ß = -0.520, P < 0.01). When the mediating variable of the presence of meaning in life was included, the negative predictive effect of death anxiety on attitude toward palliative care remained significant (ß = -0.379, P = 0.036); the mediating effect (-0.141) accounted for 27.12% of the total impact (-0.520). CONCLUSIONS: The presence of meaning in life mediates the relationship between death anxiety and attitude toward palliative care. This implies that nursing educators, through their role in educating nursing students about the meaning of life, can significantly influence the development of a positive attitude toward palliative care.


Assuntos
Ansiedade , Atitude Frente a Morte , Cuidados Paliativos , Estudantes de Enfermagem , Humanos , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Feminino , Masculino , Cuidados Paliativos/métodos , Cuidados Paliativos/psicologia , Ansiedade/psicologia , Inquéritos e Questionários , Adulto Jovem , Adulto , Atitude do Pessoal de Saúde , Bacharelado em Enfermagem/métodos , Psicometria/instrumentação , Psicometria/métodos
18.
BMC Psychiatry ; 24(1): 438, 2024 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-38867156

RESUMO

BACKGROUND: Anxiety and depression can seriously undermine mental health and quality of life globally. The consumption of junk foods, including ultra-processed foods, fast foods, unhealthy snacks, and sugar-sweetened beverages, has been linked to mental health. The aim of this study is to use the published literature to evaluate how junk food consumption may be associated with mental health disorders in adults. METHODS: A systematic search was conducted up to July 2023 across international databases including PubMed/Medline, ISI Web of Science, Scopus, Cochrane, Google Scholar, and EMBASE. Data extraction and quality assessment were performed by two independent reviewers. Heterogeneity across studies was assessed using the I2 statistic and chi-square-based Q-test. A random/fixed effect meta-analysis was conducted to pool odds ratios (ORs) and hazard ratios (HRs). RESULTS: Of the 1745 retrieved articles, 17 studies with 159,885 participants were suitable for inclusion in the systematic review and meta-analysis (seven longitudinal, nine cross-sectional and one case-control studies). Quantitative synthesis based on cross-sectional studies showed that junk food consumption increases the odds of having stress and depression (OR = 1.15, 95% CI: 1.06 to 1.23). Moreover, pooling results of cohort studies showed that junk food consumption is associated with a 16% increment in the odds of developing mental health problems (OR = 1.16, 95% CI: 1.07 to 1.24). CONCLUSION: Meta-analysis revealed that consumption of junk foods was associated with an increased hazard of developing depression. Increased consumption of junk food has heightened the odds of depression and psychological stress being experienced in adult populations.


Assuntos
Depressão , Fast Foods , Humanos , Fast Foods/efeitos adversos , Depressão/psicologia , Depressão/epidemiologia , Adulto , Estresse Psicológico/psicologia , Ansiedade/psicologia , Lanches/psicologia
19.
Sci Rep ; 14(1): 13408, 2024 06 11.
Artigo em Inglês | MEDLINE | ID: mdl-38862724

RESUMO

The 18-item version of the Experiences in Close Relationships-revised (ECR-R-18) is a valid and reliable scale used among Thai adolescents. However, it revealed problematic items that impacted the scale's internal consistency. The study aimed to achieve two objectives: (1) develop a new, shorter scale by retaining only highly loaded items equally between attachment anxiety and attachment avoidance, and (2) evaluate the psychometric properties of the shorter ECR-R version compared to the existing 18-item scale. Objective 1 was achieved through Study 1, involving 204 youths aged 16-18 years (64% female). All participants completed the 18-item ECR-R, and exploratory factor analysis was conducted to identify suitable items for the new ECR-R-AD. Objective 2 was fulfilled in Study 2, which included a total of 443 students in grades aged 15-18 years old (88% female) from Thai boarding schools in Northern Thailand. All participants completed both the 18-item ECR-R, and confirmatory factor analysis of both the existing 18-item and the new shorter scale was performed and compared. Additional measures including the Rosenberg Self-Esteem Scale, Perceived Stress Scale-10, and Relationship Questionnaire were completed alongside the ECR-R to assess convergent, discriminant, and criterion validity. The invariance test for the new ECR-R across genders was conducted using multigroup confirmatory factor analysis. For objective 1, Study 1 developed a new scale called "ECR-R-10-AD" with 10 items, comprising 5 for attachment anxiety and 5 for attachment avoidance. The McDonald's omega values were 0.866 for avoidance and 0.823 for anxiety subscales. The corrected correlation between the ECR-R-18 and ECR-R-10-AD was significant. For objective 2, Study 2 found that the first-order two-factor solution model fit the data best for the ECR-R-10-AD. Convergent, discriminant, and criterion validity with other measurements and invariance tests based on sex were established for the ECR-R-AD. The ECR-R-10-AD provided sufficient psychometric properties among Thai adolescents. Factorial validity, convergent validity, and measurement invariance were established. As the ECR-R-10-AD is brief, it can be administered with less burden. Limitations and future research were discussed.


Assuntos
Psicometria , Humanos , Adolescente , Feminino , Masculino , Psicometria/métodos , Tailândia , Inquéritos e Questionários , Reprodutibilidade dos Testes , Análise Fatorial , Ansiedade/psicologia , Relações Interpessoais , População do Sudeste Asiático
20.
JAMA Netw Open ; 7(6): e2416491, 2024 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-38865126

RESUMO

Importance: Racial discrimination is a psychosocial stressor associated with youths' risk for psychiatric symptoms. Scarce data exist on the moderating role of amygdalar activation patterns among Black youths in the US. Objective: To investigate the association between racial discrimination and risk for psychopathology moderated by neuroaffective processing. Design, Setting, and Participants: This cohort study used longitudinal self-report and functional magnetic resonance imaging (fMRI) data from Black youth participants in the US from the Adolescent Brain Cognitive Development (ABCD) study. Data were analyzed from January 2023 to May 2024. Exposures: At time 1 of the current study (12 months after baseline), youths self-reported on their experiences of interpersonal racial discrimination and their feelings of marginalization. Amygdalar response was measured during an emotionally valenced task that included blocks of faces expressing either neutral or negative emotion. Main Outcomes and Measures: At 24 and 36 months after baseline, youths reported their internalizing (anxiety and depressive symptoms) and externalizing symptoms (aggression and rule-breaking symptoms). Results: A total of 1596 youths were a mean (SD) age of 10.92 (0.63) years, and 803 were female (50.3%). Families in the study had a mean annual income range of $25 000 to $34 999. Two factors were derived from factor analysis: interpersonal racial discrimination and feelings of marginalization (FoM). Using structural equation modeling in a linear regression, standardized ß coefficients were obtained. Neural response to faces expressing negative emotion within the right amygdala significantly moderated the association between FoM and changes in internalizing symptoms (ß = -0.20; 95% CI, -0.32 to -0.07; P < .001). The response to negative facial emotion within the right amygdala significantly moderated the association between FoM and changes in externalizing symptoms (ß = 0.24; 95% CI, 0.04 to 0.43; P = .02). Left amygdala response to negative emotion significantly moderated the association between FoM and changes in externalizing symptoms (ß = -0.16; 95% CI, -0.32 to -0.01; P = .04). Conclusions and Relevance: In this cohort study of Black adolescents in the US, findings suggest that amygdala function in response to emotional stimuli can both protect and intensify the affective outcomes of feeling marginalized on risk for psychopathology, informing preventive interventions aimed at reducing the adverse effects of racism on internalizing and externalizing symptoms among Black youths.


Assuntos
Tonsila do Cerebelo , Negro ou Afro-Americano , Imageamento por Ressonância Magnética , Racismo , Humanos , Feminino , Masculino , Racismo/psicologia , Negro ou Afro-Americano/psicologia , Negro ou Afro-Americano/estatística & dados numéricos , Criança , Tonsila do Cerebelo/fisiopatologia , Tonsila do Cerebelo/diagnóstico por imagem , Adolescente , Estudos Longitudinais , Estados Unidos/epidemiologia , Depressão/psicologia , Depressão/etnologia , Ansiedade/psicologia , Ansiedade/etnologia , Estudos de Coortes , Autorrelato
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