Acute Stress, Depression, and Anxiety Symptoms Among English and Spanish Speaking Children with Recent Trauma Exposure

Introduction: Children affected by parental HIV are more likely than unaffected peers to experience trauma and are at-risk for negative psychological and social outcomes. This study aimed to examine the relationship between adverse childhood events and psychosocial functioning among children affected by parental HIV.Methods: A total of 790 children ages 6–17 from Henan, China were enrolled in a longitudinal, randomized controlled trial of a resilience-based psychosocial intervention. At baseline, children reported on numerous psychosocial factors, including trauma exposure, symptoms of anxiety and depression, and peer social functioning. We used linear regression analysis to test the direct effect of trauma exposure on peer social functioning. We then tested whether depression and anxiety symptoms served as two potential parallel mediators in the association between trauma exposure and peer social functioning.Results: Trauma exposure was significantly associated with poor peer social functioning (β = −0.10, p = 0.005) when controlling for key covariates. When depression and anxiety symptoms were added to the model, the association between trauma exposure and peer social functioning became nonsignificant. Instead, there were significant indirect effects from trauma exposure to peer social functioning via depression (β = −0.06, 95%CI[−0.09, −0.03]) and anxiety (β = −0.02, 95%CI[−0.04, −0.00]).Conclusion: This study is among the first to link trauma exposure to peer social functioning deficits for children affected by parental HIV and demonstrates that symptoms of anxiety and depression mediate this relationship. Findings underscore the need for comprehensive psychosocial support for children affected by HIV, including screening for trauma exposure and mental health disorders.

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Inventory of Depression and Anxiety Symptoms

PsycTESTS Dataset ◽

10.1037/t00312-000 ◽

2007 ◽

Author(s):

David Watson ◽

Michael W. O’Hara ◽

Leonard J. Simms ◽

Roman Kotov ◽

Michael Chmielewski ◽

...

Keyword(s):

Anxiety Symptoms ◽

Depression And Anxiety

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Factors Related to Positive Memory Count Among Trauma-Exposed Individuals: A Scoping Review

Trauma Violence & Abuse ◽

10.1177/15248380211013130 ◽

2021 ◽

pp. 152483802110131

Author(s):

Ateka A. Contractor ◽

Stephanie V. Caldas ◽

Megan Dolan ◽

Nicole H. Weiss

Keyword(s):

Scoping Review ◽

Stress Disorder ◽

Acute Stress ◽

Longitudinal Research ◽

Trauma Exposure ◽

Memory Specificity ◽

Scoping Reviews ◽

Meta Analyses ◽

Study Designs ◽

Positive Memories

To examine the existing knowledge base on trauma experiences and positive memories, we conducted a scoping review of trauma and post-trauma factors related to positive memory count. In July 2019, we searched PubMed, Medline, PsycINFO, Web of Science, Cumulative Index of Nursing and Allied Health Literature, Embase, and PTSDpubs for a combination of words related to “positive memories/experiences,” “trauma/posttraumatic stress disorder (PTSD),” and “number/retrieval.” Twenty-one articles met inclusion criteria (adult samples, original articles in English, peer-reviewed, included trauma-exposed group or variable of trauma exposure, trauma exposure examined with a trauma measure/methodology, assessed positive memory count, empirical experimental/non-experimental study designs). Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines, two authors reviewed abstracts, completed a secondary search, and independently extracted data. Our review indicated (1) that depression and PTSD were most researched; (2) no conclusive relationships of positive memory count with several psychopathology (depression, acute stress disorder, eating disorder, and anxiety), cognitive/affective, neurobiological, and demographic factors; (3) trends of potential relationships of positive memory count with PTSD and childhood interpersonal traumas (e.g., sexual and physical abuse); and (4) lower positive memory specificity as a potential counterpart to greater overgeneral positive memory bias. Given variations in sample characteristics and methodology as well as the limited longitudinal research, conclusions are tentative and worthy of further investigations.

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Trauma, Sleep and Mental Health Problems in Low-Income Young Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18031145 ◽

2021 ◽

Vol 18 (3) ◽

pp. 1145

Author(s):

Rachel A. Fusco ◽

Yan Yuan ◽

Hyunji Lee ◽

Christina E. Newhill

Keyword(s):

Mental Health ◽

Young Adults ◽

Low Income ◽

Mental Health Problems ◽

Trauma Exposure ◽

Health Problems ◽

Equation Modeling ◽

Poor Sleep ◽

Depression And Anxiety ◽

The Relationship

Low-income young adults are more likely to have exposure to trauma, which increases risk for mental health problems. Although adequate sleep promotes good health, people with histories of trauma are more likely to have sleep problems. The current study explored whether poor sleep mediated the relationship between trauma exposure and mental health. A sample of 143 low-income 18–24-year-old young adults completed depression, anxiety, and trauma exposure measures and wore sleep monitors for four nights. Structural equation modeling (SEM) was used to examine both direct and indirect effects of variables. Results showed that higher trauma exposure was associated with depression and anxiety. Mean sleep hours per night was fewer than six, far below recommended guidelines for optimal health and functioning. Fewer sleep hours partially mediated the relationship between both trauma exposure and depression and anxiety, and the direct effect from trauma remained significant after adjusting for the partial mediation from sleep.

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Does peritraumatic distress predict PTSD, depression and anxiety symptoms during and after COVID-19 lockdown in France? A prospective longitudinal study

Journal of Psychiatric Research ◽

10.1016/j.jpsychires.2021.02.035 ◽

2021 ◽

Vol 137 ◽

pp. 81-88

Author(s):

Olga Megalakaki ◽

Cyrille Kossigan Kokou-Kpolou ◽

Justine Vaudé ◽

Sunyoung Park ◽

Steven Kator Iorfa ◽

...

Keyword(s):

Longitudinal Study ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Prospective Longitudinal Study ◽

Peritraumatic Distress ◽

Prospective Longitudinal

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Repetitive Thought in Psychopathology: The Relation of Rumination and Worry to Depression and Anxiety Symptoms

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.22.3.271 ◽

2008 ◽

Vol 22 (3) ◽

pp. 271-288 ◽

Cited By ~ 14

Author(s):

Megan E. Hughes ◽

Lauren B. Alloy ◽

Alex Cogswell

Keyword(s):

Anxiety Symptoms ◽

Self Report ◽

Depression And Anxiety ◽

Regression Analyses ◽

Cognitive Content ◽

Future Outlook ◽

Repetitive Thought ◽

Partial Correlations ◽

Secondary Analyses ◽

Looming Maladaptive Style

The relation between repetitive thought and depression and anxiety symptoms was examined in an undergraduate sample. Individuals completed self-report measures of rumination, worry, depression, and anxiety as well as other related constructs including private self-consciousness, looming maladaptive style, cognitive style, cognitive content, and future outlook. Regression analyses and tests for significant differences between partial correlations were utilized to assess the study hypotheses. The results indicated that rumination and worry overlap in their association with depression and anxiety symptoms, and that rumination may be an especially important component of this overlap. Secondary analyses demonstrated that rumination and worry are two distinct constructs, as their patterns of associations with related constructs were different.

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Prevalence and predictors of posttraumatic stress disorder, depression and anxiety among hospitalized patients with coronavirus disease 2019 in China

BMC Psychiatry ◽

10.1186/s12888-021-03076-7 ◽

2021 ◽

Vol 21 (1) ◽

Cited By ~ 1

Author(s):

Yaru Chen ◽

Xin Huang ◽

Chengyuan Zhang ◽

Yuanyuan An ◽

Yiming Liang ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Posttraumatic Stress Disorder ◽

Posttraumatic Stress ◽

Stress Disorder ◽

Perceived Social Support ◽

Trauma Exposure ◽

Hospitalized Patients ◽

Depression And Anxiety ◽

Negative News

Abstract Background Coronavirus disease 2019 (COVID-19) has affected more than 5 million people around the world and killed more than 300,000 people; thus, it has become a global public health emergency. Our objective was to investigate the mental health of hospitalized patients diagnosed with COVID-19. Methods The PTSD checklist for DSM-5 (PCL-5), Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), Trauma Exposure Scale, abbreviated version of the Connor–Davidson Resilience Scale (CD-RISC-10), Perceived Social Support Scale (PSSS) and Demographic Questionnaire were used to examine posttraumatic stress disorder (PTSD), depression, anxiety, trauma exposure, resilience and perceived social support among 898 patients who were hospitalized after being diagnosed with COVID-19 in China. The data were analyzed with t tests, one-way ANOVA and multivariable logistic regression analysis. Results The results showed that the prevalence of PTSD, depression and anxiety was 13.2, 21.0 and 16.4%, respectively. Hospitalized patients who were more impacted by negative news reports, had greater exposure to traumatic experiences, and had lower levels of perceived social support reported higher PTSD, depression and anxiety. Conclusions Effective professional mental health services should be designed to support the psychological wellbeing of hospitalized patients, especially those who have severe disease, are strongly affected by negative news and have high levels of exposure to trauma.

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Ayahuasca use and reported effects on depression and anxiety symptoms: An international cross-sectional study of 11,912 consumers

Journal of Affective Disorders Reports ◽

10.1016/j.jadr.2021.100098 ◽

2021 ◽

Vol 4 ◽

pp. 100098

Author(s):

Jerome Sarris ◽

Daniel Perkins ◽

Lachlan Cribb ◽

Violeta Schubert ◽

Emerita Opaleye ◽

...

Keyword(s):

Cross Sectional Study ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional

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Determinants of patient-reported outcome trajectories and symptomatic recovery in Improving Access to Psychological Therapies (IAPT) services

Psychological Medicine ◽

10.1017/s0033291720005395 ◽

2021 ◽

pp. 1-10

Author(s):

Jan Stochl ◽

Emma Soneson ◽

Freya Stuart ◽

Jessica Fritz ◽

Annabel E. L. Walsh ◽

...

Keyword(s):

Symptom Severity ◽

Severe Depression ◽

Anxiety Symptoms ◽

Rate Of Change ◽

Depression And Anxiety ◽

Rapid Improvement ◽

Baseline Severity ◽

Psychological Therapies ◽

Patient Reported ◽

Functionally Impaired

Abstract Background Despite evidence for the general effectiveness of psychological therapies, there exists substantial heterogeneity in patient outcomes. We aimed to identify factors associated with baseline severity of depression and anxiety symptoms, rate of symptomatic change over the course of therapy, and symptomatic recovery in a primary mental health care setting. Methods Using data from a service evaluation involving 35 527 patients in England's psychological and wellbeing [Improving Access to Psychological Therapies (IAPT)] services, we applied latent growth models to explore which routinely-collected sociodemographic, clinical, and therapeutic variables were associated with baseline symptom severity and rate of symptomatic change. We used a multilevel logit model to determine variables associated with symptomatic recovery. Results Being female, younger, more functionally impaired, and more socioeconomically disadvantaged was associated with higher baseline severity of both depression and anxiety symptoms. Being older, less functionally impaired, and having more severe baseline symptomatology was associated with more rapid improvement of both depression and anxiety symptoms (male gender and greater socioeconomic disadvantage were further associated with rate of change for depression only). Therapy intensity and appointment frequency seemed to have no correlation with rate of symptomatic improvement. Patients with lower baseline symptom severity, less functional impairment, and older age had a greater likelihood of achieving symptomatic recovery (as defined by IAPT criteria). Conclusions We must continue to investigate how best to tailor psychotherapeutic interventions to fit patients’ needs. Patients who begin therapy with more severe depression and/or anxiety symptoms and poorer functioning merit special attention, as these characteristics may negatively impact recovery.

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Association between self-care agency and depression and anxiety in patients with diabetic retinopathy

BMC Ophthalmology ◽

10.1186/s12886-021-01883-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Bo Zhang ◽

Qin Wang ◽

Xuancan Zhang ◽

Li Jiang ◽

Lezhi Li ◽

...

Keyword(s):

Diabetic Retinopathy ◽

Rural Areas ◽

Self Care ◽

Depression Scale ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Clinical Factors ◽

Cross Sectional ◽

History Of ◽

Care Agency

Abstract Background This study aimed at investigating: 1) the relationship between self-care agency and depression and anxiety; 2) the sociodemographic and clinical factors associated with depression and anxiety in patients with diabetic retinopathy (DR) in China. Methods A cross-sectional study was conducted. One-hundred and five patients with DR were recruited. Self-care agency was assessed by the exercise of self-care agency (ESCA) scale. Depression and anxiety were assessed by the hospital anxiety and depression scale (HADS-D and HADS-A). Pearson or Spearman correlations were performed to assess the association between self-care agency and depression and anxiety. Stepwise multivariate linear regression analyses were conducted to assess the contribution of the sociodemographic and clinical factors to depression and anxiety. Results Thirty-six (34.3%) and 43 (41.1%) patients exhibited depressive and anxiety symptoms, respectively. Only 24 (22.9%) patients showed a high self-care agency. The ESCA total and subscale scores were negatively correlated depressive symptoms (P < 0.05). Self-care skills were negatively correlated with anxiety symptoms (P < 0.05). ESCA total score, rural residence, history of hypertension and visual acuity were associated with depression; self-care skills and diastolic blood pressure were associated with anxiety. Conclusions Self-care agency negatively correlates with depression and anxiety in patients with DR. Special attention should be paid to patients living in rural areas and/or those having a history of hypertension when assessing depression and anxiety in patients with DR. Future studies are needed to clarify the causal relationship between self-care agency and depression and anxiety.

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