scholarly journals Studies show high anxiety and depression among individuals with cancer

Cancer ◽  
2017 ◽  
Vol 123 (7) ◽  
pp. 1084-1085 ◽  
Author(s):  
Carrie Printz
2021 ◽  
Vol 5 ◽  
pp. 47-53
Author(s):  
R.D. Peskovets ◽  
◽  
S.Yu. Shtarik ◽  

Aim of study. To study gender-based association of high anxiety and depression with ischaemic heart disease exemplified by open population of the city of Krasnoyarsk. Material and methods. A representative sample formed from unoccupied population permanently residing in the city of Krasnoyarsk aged 25-64. Psychometric testing was performed via the Hospital Anxiety and Depression Scale (HADS), the prevalence of ischaemic heart disease was determined based on conventional epidemiological criteria. Results. High values of age-adjusted prevalence of anxiety and depression in the studied sample amounted to 40.1% and 35.0% respectively with no association with the gender. Ischaemic heart disease (IHD) was registered in 10.6% of the patients (15.8% male and 8.6% female subjects, p=0.092). Statistically significant association between IHD and high anxiety (OR=2.39; 95% CI 1.19-4.8; p=0.013) and depression (OR=2.1; 95% CI 1.1-4.1; p=0.031). Gender-discrete analysis has shown analogical associations of IHD with anxiety (OR=4.41; 95% CI 1.57-12.38; р=0.004) and depression (OR=2.91; 95% CI 1.20-7.10; р=0.027) in the female group. Analysis has shown absence of interrelation between the studied risk factors and IHD in the male group of patients. Conclusion. The factor of gender defines association between high anxiety and depression scores according to the HADS in open population of the city of Krasnoyarsk.


2021 ◽  
pp. 1-2
Author(s):  
Klaus Rohrschneider

Glaucoma is considered a chronic disease that requires lifelong management. Chronic diseases are known to be highly associated with psychological disturbances such as depression and anxiety. There have also been many studies on association between anxiety or depression and glaucoma. The majority of these studies explained that the glaucoma diagnosis causes anxiety or depression. However, It is also necessary to evaluate whether the psychological disturbance itself affect glaucoma. Therefore, we investigated the association of anxiety and depression with glaucoma progression, and elucidate mechanisms underlying that. We included 251 eyes with open angle glaucoma who were followed up for at least 2 years in this retrospective case-control study. The Beck Anxiety Inventory (BAI) and Beck Depressive Inventory-II (BDI-II) were used to assess anxiety and depression in glaucoma patients. Patients were classified into groups (high-anxiety group; HA-G, low-anxiety group; LA-G, high-depression group; HD-G, low-depression group; LD-G) according to their score on the BAI or BDI-II (separately). In logistic regression analysis, disc hemorrhage, peak intraocular pressure (IOP) and RNFL thickness loss rate were significantly associated with high anxiety (p = 0.017, p = 0.046, p = 0.026). RNFL thinning rate and disc hemorrhage were significant factors associated with anxiety in multivariate models (p = 0.015, p = 0.019). Multivariate linear regression analysis showed a significant positive correlation between the rate of RNFL thickness loss and BAI score (B = 0.058; 95% confidential interval = 0.020–0.097; p = 0.003), and RNFL loss and IOP fluctuation (B = 0.092; 95% confidential interval = 0.030–0.154; p = 0.004). For the depression scale, visual field mean deviation and heart rate variability were significantly associated with high depression in multivariate logistic regression analysis (p = 0.003, p = 0.006). We suggest that anxiety increase the risk of glaucoma progression and they are also associated with IOP profile and disc hemorrhage.


1993 ◽  
Vol 72 (3_suppl) ◽  
pp. 1145-1146 ◽  
Author(s):  
Steven E. Schneider ◽  
Walter M. Phillips

The adaptive demands of a physicians' residency program include relocation to another area, mastery of a new organizational system, and a new level of role responsibility, in addition to education and patient care activities. This study examined the prevalence of significant psychiatric symptoms in medical, surgical, and pediatric interns for three four-month intervals. Following a cohort of 39 residents over the course of their first year, using the SCL-90—R, there was an elevated prevalence ( M = 35%) of significant anxiety and depression throughout the year. Given the consistent high anxiety and depression, more research needs to be undertaken to understand the interaction of initial and ongoing adaptive demands.


2020 ◽  
Author(s):  
Dylan Hammond ◽  
Pengfei Xu ◽  
Hui Ai ◽  
Nicholas T Van Dam

High anxiety may be related insufficient sensitivity to changing reinforcement during operant learning. Whether such findings are specific to anxiety is unclear given a wider literature relating negative affect to abnormal learning and the possibility that relationships are not consistent across incentive types (i.e. punishment and reward) and outcomes (i.e., positive or negative). In two separate samples ( = 76; = 49), participants completed an operant learning task with positive, negative, and neutral socio-affective feedback, designed to assess adaptive responses to changing environmental volatility. Contrary to expectations, general affective distress, rather than anxiety or depression specifically, was related to an increase, rather than a decrease, in the rate of learning for negative outcomes in volatile, relative to stable, environments. Our results suggest an important but general role in anxiety and depression of overweighting negative feedback when the value of an action becomes uncertain, as when environmental volatility increases.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11556-11556
Author(s):  
Reena Jayani ◽  
Can-Lan Sun ◽  
Kemeberly Charles ◽  
Enrique Soto Perez De Celis ◽  
Leana Chien ◽  
...  

11556 Background: Anxiety and depression are associated with decreased quality of life, treatment adherence, and survival in patients with cancer. Mental Health Inventory (MHI-17) is a validated screening tool for psychological well-being, but cut points for older adults with cancer are unknown. The goal of this study is to identify cut points on MHI-17 Anxiety (MHI-A) and Depression (MHI-D) subscales which correlate with patient-reported anxiety and depression in older adults with cancer. Methods: This is a secondary analysis of baseline data from a randomized controlled trial in adults aged 65+ with solid tumors starting chemotherapy. At baseline, patients completed MHI-17. MHI-A and MHI-D were calculated (range 0-100; higher scores represent better mental health). Self-reported anxiety was obtained from single-item Linear Analog Scale Assessment (0-5 = low, 6-10 = high). Self-reported depression was obtained from Yale Depression Screen, “Do you often feel sad or depressed?” The association of MHI-A and MHI-D with the patient-reported outcomes was analyzed using logistic regression. Youden’s index was used to determine the optimal cut points for MHI-A and MHI-D for identifying patients with high anxiety and depression. Results: 458 patients (median age 71 (range 65-91), 57% female, 55% non-Hispanic white) were included in this analysis. The most common cancer types were: GI (31%), breast (19%), GU (18%), and pulmonary (16%); 75% had stage IV cancer. Twenty-four percent (N = 110) reported high anxiety and 21% (N = 97) depression. Median scores for MHI-A and MHI-D were 75 (range 0-100) and 80 (range 0-100). The optimal cut point for high anxiety on MHI-A was 65; this had an accuracy of 76.1%, a sensitivity of 71.8%, and a specificity of 77.5%. The optimal cut point for depression on MHI-D was 70; this had an accuracy of 80.1%, a sensitivity of 80.4%, and a specificity of 79.8%. Conclusions: The current study identified optimal cut points for MHI-Anxiety and MHI-Depression subscales to identify older adults with cancer starting chemotherapy with self-reported anxiety and depression. In the absence of patient-reported anxiety and depression, these cut points could be used to identify older patients with cancer at risk for poor mental health.


2021 ◽  
Vol 12 ◽  
Author(s):  
Valery Krupnik

Depressive, anxiety, and trauma-related disorders have many symptoms in common such as unstable mood, high anxiety, sleep disturbance, impaired concentration among others. This degeneracy creates ambiguity in classifying psychiatric disorders and raises the question of their categorical vs. dimensional nature. Consequently, such ambiguity presents a dilemma for choosing diagnosis-specific vs. trans-diagnostic therapies. In this paper, I build on a theory that considers affective disorders on the continuum of stress response from normative to traumatic. Using an integrative evolutionary-stress response-predictive processing (iESP) model, I arrange affective disorders on a continuum of precision-weighting dysregulation, where depressive, anxiety and trauma-induced disorders have a characteristic pattern of precision-weighting dysregulation. I specifically address the relationship between anxiety and depressive stress responses, exploring the role of anxiety in the dynamics of depressive stress response and the resulting high co-occurrence of anxiety and depression symptoms. Finally, I discuss the model's relevance for therapy of depression.


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