Screening for psychological distress in neurosurgical brain tumor patients using the Patient Health Questionnaire-2

2012 ◽  
Vol 22 (8) ◽  
pp. 1895-1900 ◽  
Author(s):  
Adomas Bunevicius ◽  
Vytenis Deltuva ◽  
Sarunas Tamasauskas ◽  
Arimantas Tamasauskas ◽  
Robertas Bunevicius
Keyword(s):  
Brain Tumor ◽  
Psychological Distress ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Tumor Patients ◽  
Patient Health ◽  
Screening For Psychological Distress

scholarly journals Effects of mindfulness training programmes delivered by a self-directed mobile app and by telephone compared with an education programme for survivors of critical illness: a pilot randomised clinical trial

Thorax ◽  
2018 ◽  
Vol 74 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Christopher E Cox ◽  
Catherine L Hough ◽  
Derek M Jones ◽  
Anna Ungar ◽  
Wen Reagan ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Psychological Distress ◽  
Critical Illness ◽  
Education Programme ◽  
Randomised Clinical Trial ◽  
Mobile App ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Icu Patients ◽  
Patient Health

BackgroundPatients who are sick enough to be admitted to an intensive care unit (ICU) commonly experience symptoms of psychological distress after discharge, yet few effective therapies have been applied to meet their needs.MethodsPilot randomised clinical trial with 3-month follow-up conducted at two academic medical centres. Adult (≥18 years) ICU patients treated for cardiorespiratory failure were randomised after discharge home to 1 of 3 month-long interventions: a self-directed mobile app-based mindfulness programme; a therapist-led telephone-based mindfulness programme; or a web-based critical illness education programme.ResultsAmong 80 patients allocated to mobile mindfulness (n=31), telephone mindfulness (n=31) or education (n=18), 66 (83%) completed the study. For the primary outcomes, target benchmarks were exceeded by observed rates for all participants for feasibility (consent 74%, randomisation 91%, retention 83%), acceptability (mean Client Satisfaction Questionnaire 27.6 (SD 3.8)) and usability (mean Systems Usability Score 89.1 (SD 11.5)). For secondary outcomes, mean values (and 95% CIs) reflected clinically significant group-based changes on the Patient Health Questionnaire depression scale (mobile (−4.8 (−6.6, −2.9)), telephone (−3.9 (−5.6, −2.2)), education (−3.0 (−5.3, 0.8)); the Generalized Anxiety Disorder scale (mobile −2.1 (−3.7, −0.5), telephone −1.6 (−3.0, −0.1), education −0.6 (−2.5, 1.3)); the Post-Traumatic Stress Scale (mobile −2.6 (−6.3, 1.2), telephone −2.2 (−5.6, 1.2), education −3.5 (−8.0, 1.0)); and the Patient Health Questionnaire physical symptom scale (mobile −5.3 (−7.0, −3.7), telephone −3.7 (−5.2, 2.2), education −4.8 (−6.8, 2.7)).ConclusionsAmong ICU patients, a mobile mindfulness app initiated after hospital discharge demonstrated evidence of feasibility, acceptability and usability and had a similar impact on psychological distress and physical symptoms as a therapist-led programme. A larger trial is warranted to formally test the efficacy of this approach.Trial registration numberResults, NCT02701361.

scholarly journals Initial investigation of somatization in the general population of Serbia: Prevalence, manifestations and predictors

2018 ◽  
Vol 71 (11-12) ◽  
pp. 360-367
Author(s):  
Nikola Rokvic
Keyword(s):  
Psychological Distress ◽  
General Population ◽  
Personality Traits ◽  
Well Being ◽  
Stress Factors ◽  
Patient Health Questionnaire ◽  
Big Five Personality ◽  
Health Questionnaire ◽  
Psychological Constructs ◽  
Patient Health

Introduction. Somatization is one of the most prevalent current health issues affecting the well-being and quality of life in the general population. Many psychological constructs influence somatization and its outcomes. It was our aim to assess the features and prevalence of somatization in general population of Serbia by using the Patient Health Questionnaire-15 instrument, as well as to determine its relations with personality traits, factors of psychological distress and well-being. Material and Methods. Two studies were performed: Study 1 (N = 714) aimed to determine the relations between the Big Five personality traits, alexithymia and somatization, and Study 2 (N = 807) investigated the relationship between factors of psychological distress such as depression, anxiety and stress, factors of well-being such as life satisfaction and subjective vitality with somatization. Results. In Study 1, Neuroticism and Toronto Alexithymia Scale-20 Factor 1, difficulty identifying feelings, strongly correlated with somatization, and the measured constructs explained 33.4% of somatization variance. In Study 2, anxiety and stress had the strongest correlation indices from the measured constructs and Study 2 regression model explained 44.7% of the variance. The most prevalent symptoms measured by the Patient Health Questionnaire-15 were tiredness, back pain and headaches. Conclusion. Somatization levels were slightly higher than those previously reported in general population. However, they were still well under those reported in the clinical populations. Symptom prevalence was compatible with previous findings in the general population, whereas Neuroticism and anxiety were most closely associated with somatization. Further research is needed to define other factors that contribute to the development of somatization.

Somatoforme Symptome, Angst und Depression bei Migranten aus der Türkei, aus Osteuropa und aus der ehemaligen Sowjetunion

2010 ◽  
Vol 58 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Ricarda Mewes ◽  
Winfried Rief ◽  
Alexandra Martin ◽  
Heide Glaesmer ◽  
Elmar Brähler
Keyword(s):  
Psychische Gesundheit ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Epidemiologische Studien ◽  
Patient Health

Hintergrund: Gegenüberstellende epidemiologische Studien zur psychischen Gesundheit bei verschiedenen Migrantengruppen in Deutschland fehlen weitgehend. Sie sind jedoch von großer Wichtigkeit, um den Therapiebedarf für diese Gruppen zu bestimmen und Angebote entsprechend auszurichten. Die vorliegende Studie möchte die Ausprägung einer depressiven, somatoformen und angstbezogenen Symptomatik bei osteuropäischen, türkischen und Migranten aus der ehemaligen Sowjetunion in der Allgemeinbevölkerung miteinander vergleichen und untersuchen, ob es Unterschiede in der Bereitschaft gibt, für verschiedene Beschwerden einen Arzt aufzusuchen. Methode: 43 osteuropäische Migranten (beide Eltern in Polen, Rumänien, Slowakischer Republik, Tschechischer Republik oder Ungarn geboren), 49 Migranten aus der ehemaligen Sowjetunion (beide Eltern in Russland, Ukraine, Weißrussland oder Kasachstan geboren; Russlanddeutsche Personen fallen auch in diese Gruppe) und 42 Personen mit türkischem Migrationshintergrund wurden mit dem Patient-Health-Questionnaire auf depressive, somatoforme und angstbezogene Symptome untersucht und mit einem Fragebogen zu ihrer Bereitschaft befragt, für verschiedene Beschwerden einen Arzt aufzusuchen. Die Gruppen wurden mit Varianzanalysen unter Kontrolle möglicher konfundierender Variablen miteinander verglichen. Ergebnisse: Unter Kontrolle von Geschlecht, Alter, Partnerschaft und Erwerbstätigkeit zeigten sich keine signifikanten Unterschiede in depressiver, somatoformer und ängstlicher Symptomatik zwischen den drei Gruppen. Unter Kontrolle für Alter und Geschlecht zeigten sich ebenfalls keine Unterschiede in der Bereitschaft, für verschiedene Beschwerden einen Arzt aufzusuchen. Frauen berichteten mehr somatoforme Beschwerden als Männer und zeigten eine höhere Bereitschaft, einen Arzt zu konsultieren. Diskussion: Es lassen sich keine kulturellen Einflüsse in Bezug auf die psychische Gesundheit und den Umgang mit verschiedenen Beschwerden bei diesen eher gut integrierten Migranten feststellen. Weitere Studien zu dieser Fragestellung mit größeren Stichproben und unter Einbezug schlechter Deutsch sprechender Migranten wären wünschenswert.

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