Dependency and self-criticism in post-partum depression and anxiety: a case control study

2009 ◽  
Vol 16 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Nicole Vliegen ◽  
Patrick Luyten

2019 ◽  
Author(s):  
Bayaki SAKA ◽  
Julienne TECLESSOU ◽  
Abla Sefako AKAKPO ◽  
Abas MOUHARI-TOURE ◽  
Panawè KASSANG ◽  
...  

Abstract Objectif The aim of this study was to investigate psychiatric comorbidities (depression and anxiety) associated with acne in dermatology in Lomé (Togo). Material and methods We conducted a case-control study between July 2017 and February 2018. Each case was matched to two controls by sex and age (± 5 years). The ECLA grid was used for the clinical evaluation of acne, and the GAD-7 and PHQ-9 questionnaires were used for respective screening of anxiety and depression. Results We recruited, with their consent, 900 subjects including 300 patients and 600 matched to two controls according to sex and age (± 5 years). The mean age of the cases was 23.7±5.7 years and that of the controls was 23.6 ± 6.2 years, with no difference between the two groups (p = 0.9362). The overall severity score for acne according to the ECLA grid ranged from 2 to 28 points. The severity of acne was not correlated with anxiety scores (GAD-7: r = -0.02; p = 0.6724) and depression (PHQ-9: r = 0.11; p = 0.0567). The GAD-7 questionnaire allowed us to note 72 cases of anxiety (24%) among our patients and 37 cases among our controls (6.2%). The mean GAD-7 score in the cases was 6.5±4.9 compared with 2.9±3.8 in the controls (p <0.0001). Similarly, the PHQ-9 questionnaire allowed us to detect 92 cases of depression (30.7%) among our patients and 82 cases of depression among our controls (13.7%). The average of the PHQ 9 score in the cases was 7.2 ± 5.2 versus 4.0 ± 4.7 in the controls (p <0.0001). Conclusion: Depression and anxiety are significantly associated with acne, regardless of severity. It is important to look for them in any patient admitted for acne, for a psychological / psychiatric decision.



2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P1426-P1426 ◽  
Author(s):  
I. R. Gaisin ◽  
A. S. Iskchakova ◽  
L. V. Shilina


Author(s):  
Arianna Di Florio ◽  
Jessica Mei Kay Yang ◽  
Karen Crawford ◽  
Veerle Bergink ◽  
Ganna Leonenko ◽  
...  


2017 ◽  
Vol 23 (4) ◽  
pp. 400-410 ◽  
Author(s):  
Ting Fu ◽  
Haixia Cao ◽  
Rulan Yin ◽  
Lijuan Zhang ◽  
Qiuxiang Zhang ◽  
...  


2017 ◽  
Vol 41 (S1) ◽  
pp. S252-S252
Author(s):  
G. Pontoni ◽  
M. Maur ◽  
R. Ferrari ◽  
A. Guida ◽  
S. Poletti ◽  
...  

BackgroundMindfulness based interventions (MBIs) have shown efficacy in improving psychological symptoms including depression and anxiety in cancer patients (pts). The study aimed to explore feasibility and reproducibility of MBIs in an Italian Cancer Centre measuring biochemical and psychological parameters.MethodsIn this pilot prospective case-control study, we recruited newly diagnosed pts receiving adjuvant chemotherapy (CT). A MBIs program was designed consisting of 2.5 hours weekly for 8 weeks and, including meditation, yoga and body scan. Material for 45 minutes (mn) home daily practice was provided. Primary endpoint was to evaluate feasibility. Secondary endpoints were assessment of quality of life (QoL), psychological and biochemical outcomes of stress, tested at baseline (W0), W4, W8, W24, W48. PSS (Perceived Stress Reduction), POMS (profile of mood states scores), EuroQoL (EQ-5D-3L) were administered.ResultsTen pts underwent MBIs program arm. We present preliminary results, while data of control arm are being collected. All pts were female, two pts (20%) dropped out. Median age was 56 years. All received adjuvant CT, 5/8 received radiotherapy and hormone therapy. Mean of sessions attending was 6.8 (76%). Median daily practice was 30 mn. EQ-5D item for depression and anxiety showed decreasing trend in mean score from moderate to light (P = 0.15) and significant improvement of auto-perceived QoL was observed comparing W0 and W8 (P = 0.02)ConclusionsIn a sensitive setting such as start CT, we found high pts compliance to MBIs. Improvement in self-perceived QoL after starting program was found and comparing anxious-depressive symptoms outcomes with control arm is still needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.



2019 ◽  
Vol 50 (4) ◽  
pp. 751-764
Author(s):  
Shirin Amini ◽  
Sima Jafarirad ◽  
Reza Amani ◽  
Mehdi Sayyah Bargard ◽  
Bahman Cheraghian ◽  
...  

Purpose Post-partum depression (PPD) is a mood disorder that affects 20-40 per cent of women in their post-delivery period worldwide. The purpose of this paper is to compare dietary intakes of energy, macronutrients, cholesterol, saturated fatty acids (SFAs), mono-unsaturated fatty acids (MUFAs), poly-unsaturated fatty acids (PUFAs), some micronutrients and antioxidants in PPD patients with healthy controls. Design/methodology/approach This case-control study was conducted on 163 women in postpartum period (81 PPD and 82 non-PPD) using Edinburgh questionnaire for the diagnosis of PPD. Dietary nutrients intake was assessed using 147-item semi-quantitative food frequency questionnaire (FFQ). Portion sizes of food items were converted to grams per day. Logistic regression models were used to estimate the association between tertiles of dietary intakes with the odds ratio (OR) of PPD. Findings According to the fully adjusted model, highest tertile compared to lowest tertile dietary intake of SFAs [OR = 0.01; 95 per cent confidence interval (CI) = 0.00, 0.01, p = 0.001], MUFAs (OR = 0.01; 95 per cent CI = 0.00, 0.02, p < 0.001), total fats (OR = 0.01; 95 per cent CI =0.00, 0.01, p < 0.001) and cholesterol (OR = 0.06 ; 95 per cent CI = 0.01, 0.08, p < 0.001), thiamine (OR = 0.01; 95 per cent CI = 0.00, 0.01, p < 0.001), riboflavin (OR = 0.10; 95 per cent CI = 0.02, 0.39, p < 0.001), pyridoxine (OR = 0.03; 95 per cent CI =0.01, 0.32, p < 0.001), folate (OR = 0.01; 95 per cent CI = 0.00, 0.01, p < 0.001), cobalamine (OR = 0.01; 95 per cent CI = 0.00, 0.01, p < 0.001) , selenium (OR = 0.79 ; 95 per cent CI =1.36, 3.32, p < 0.001), iron (OR =0.68; 95 per cent CI = 0.24, 0.94, p < 0.001) and iodine (OR = 0.36; 95 per cent CI =1.10, 1.38, p < 0.001) had a protective effect on the incidence of PPD. Furthermore, higher intake of vitamin A and beta-cryptoxanthin can increase the incidence of PPD (OR =114.29; 95 per cent CI =17.85, 118.12, p < 0.001) and (OR = 4.85; 95 per cent CI = 1.49, 15.69, p = 0.015), respectively. Originality/value PPD may have destructive effects on the relationship between mother and infant. Results of previous studies demonstrated nutrients are required for the synthesis of neurotransmitters and have biochemical role in the nervous system.



2020 ◽  
Vol 5 (2) ◽  
pp. 89-93
Author(s):  
Therecia Wijayati

As data obtained from the Indonesian Ministry of Health (2008) shows that the Maternal Mortality Rate (MMR) in Indonesia reaches 290.8 per 100,000 live births. This means that more than 1,800 mothers die per year or 2 mothers die every hour or as a result of abortion and complications in pregnancy, bleeding and eclampsia in childbirth, and postpartum infections. Research Methods: In this study, the research design used was a case control study with a retrospective approach. This study aims to see the risk of bleeding due to prolonged labor. Results: It shows that the highest number of incidents of prolonged labor was ≤ 24 hours, as many as 35 cases (51.5%), while primary post partum hemorrhage was 34 (50%). Labor that lasts more than 24 hours is called prolonged labor. Prolonged labor always poses a risk / complication for either the mother or the fetus she is carrying. Conclusion: The results showed that most of the respondents who experienced primary post partum hemorrhage were with labor> 24 hours, as many as 24 (36.8%) cases. The results of the analysis showed that there was a relationship between prolonged labor and the incidence of primary post partum hemorrhage with a value of P = 0.000 and the estimated incidence of primary partum hemorrhage in prolonged labor was calculated with OR = 9.03 times.



2019 ◽  
Vol 10 (2) ◽  
pp. 546-560
Author(s):  
Deffi Uprianti Bakri ◽  
Syahredi S. Adenin ◽  
Irza Wahid

Latar Belakang: Penyebab kematian ibu terbesar yaitu perdarahan, lebih dari separuh jumlah seluruh kematian ibu terjadi karena perdarahan postpartum. Perdarahan postpartum  dapat juga disebabkan oleh beberapa faktor risiko seperti  umur, jumlah paritas, jarak antar kelahiran. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian perdarahan postpartum.Tujuan: Penelitian ini menggunakan metode analitik restropektif dengan pendekatan Case Control Study terhadap 58 ibu yang bersalin di wilayah kerja dinas kesehatan Kabupaten Merangin yang terdiri dari kasus dan control.Metode: Sampel dipilih secara simple random sampling. Analisis statistik menggunakan uji Chi-Square untuk dapat menyimpulkan adanya hubungan dua variabel bermakna atau tidak bermakna.Hasil: Hasil uji chi square menunjukkan terdapat hubungan yang bermakna antara umur(p: 0,001, OR: 3,63; CI: 1,686-7,843), paritas (p: 0,000, OR: 5,971; CI: 2,658-13,413), jarak kelahiran (p: 0,000, OR: 5,388; CI: 2,433-11,933).Simpulan: Kesimpulan penelitian ini yaitu ibu hamil dengan umur, paritas dan jarak kelahiran berisiko akan meningkatkan kejadian perdarahan postpartum. Oleh karena itu  diharapkan kepada tenaga kesehatan untuk dapat meningkatkan edukasi kepada masyarakat tentang keluarga berencana dengan jumlah  yang aman.Kata Kunci:  Umur, Paritas, Jarak kelahiran, Perdarahan Post Partum



Author(s):  
Yusuf Topalahmetoğlu ◽  
Mehmet Metin Altay ◽  
Derya Akdağ Cırık ◽  
Yusuf Aytaç Tohma ◽  
Eser Çolak ◽  
...  


2022 ◽  
Author(s):  
Banan Rasool ◽  
Shwan Amen ◽  
Redar Amin ◽  
Gazang Abdullah ◽  
Ondřej Ferra ◽  
...  

Abstract Background:Patients on Polypharmacy regime due to having a chronic illness are at a higher risk of developing some form of negative psychological outcome as a result of their disease. This study aims to determine the impact of polypharmacy on the psychological aspects of a patient living with a chronic disease.Method:A case-control study conducted amongst patients in an outpatient clinic of an Internist (July 1st to September 1st, of 2021) in the city of Erbil, Iraq. Data was extracted from a self-assessed questioner. 200 participants were divided into polypharmacy (case group) and non-polypharmacy group (control group). Polypharmacy, being defined as the use of 5 or more medication which meant that participants in the case group must fit into these criteria. A ‘Hospital Anxiety and Depression Scale’ (HADS) was used to determine the presence of symptoms of depression and/or anxiety.Results:A totally of 200 patients were included in the study. Of these 100 participants were from the non-polypharmacy group while the remaining 100 were from the polypharmacy group. Of these, depression among non-polypharmacy group (control) participants were 11% while 76% were found to be non-cases of depression. Compared to that, 31% of the polypharmacy group had depression while 51% were non-cases for depression. Also. the prevalence of depression and anxiety was increasing with an increase in number of medications taken by the patients. Depression was present in 11% of patients who took 4 or less medications while the prevalence increased to 21.1%, 34.9% and 42.1% in patients who took five, six to eight, and more than nine medications, respectively.Conclusion: There is a significant link between polypharmacy and psychological distress in patients with chronic diseases with a focus on depression and anxiety. Healthcare providers can help in detecting polypharmacy and in providing recommendations for simplifying medication regimes and reducing the outcomes of chronic diseases. Trial registration: - This article doesn’t contain any health care intervention on human participants.



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