scholarly journals Predictors of psychological distress in patients at home following cardiac surgery: an explorative panel study

2011 ◽  
Vol 11 (3) ◽  
pp. 339-348 ◽  
Author(s):  
Herdís Sveinsdóttir ◽  
Brynja Ingadóttir
Keyword(s):  
Cardiac Surgery ◽  
Psychological Distress ◽  
Panel Study ◽  
At Home

scholarly journals Mental health in higher education students and non-students: evidence from a nationally representative panel study

2021 ◽  
Author(s):  
Evangeline Tabor ◽  
Praveetha Patalay ◽  
David Bann
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Psychological Distress ◽  
Panel Study ◽  
Education Students ◽  
Lower Odds ◽  
Score Difference ◽  
Mental Health Support ◽  
Health Support ◽  
Nationally Representative

AbstractDespite increasing policy focus on mental health provision for higher education students, it is unclear whether they have worse mental health outcomes than their non-student peers. In a nationally-representative UK study spanning 2010–2019 (N = 11,519), 17–24 year olds who attended higher education had lower average psychological distress (GHQ score difference =  − 0.37, 95% CI − 0.60, − 0.08) and lower odds of case-level distress than those who did not (OR = 0.91, 95% CI 0.81, 1.02). Increases in distress between 2010 and 2019 were similar in both groups. Accessible mental health support outside higher education settings is necessary to prevent further widening of socioeconomic inequalities in mental health.

Abstract 328: Aversive Cognitions and Engagement in Physical Activity at Hospital Discharge and 1 Year After Cardiac Arrest

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Sarah Diaddigo ◽  
Michelle Chee ◽  
David Roh ◽  
Soojin Park ◽  
Jan Claassen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Arrest ◽  
Psychological Distress ◽  
High Volume ◽  
Underlying Mechanism ◽  
Spontaneous Circulation ◽  
Fear Of Recurrence ◽  
Sensitivity Index ◽  
Increased Risk ◽  
At Home

Introduction: We have shown that cardiac arrest-induced psychological distress is associated with an increased risk of cardiovascular disease (CVD) events and death. Low physical activity (PA) is a known risk factor for recurrent CVD events. We hypothesize that aversive cognitions about PA due to fear of trauma-related bodily sensations may lead to poor engagement in PA after cardiac arrest (CA). Methods: We prospectively enrolled 58 adults with a return of spontaneous circulation after in-hospital or out-of-hospital CA between 9/2015-8/2018 at a high-volume, major academic center. We studied 58 patients who survived CA and were discharged from Columbia University. Aversive cognitions about PA were measured with the following items: 1) “I am anxious when I think about doing PA at home;” 2) “I worry that doing PA at home will trigger another cardiac event;” 3) “I fear that I won’t know what is and isn’t safe;” 4) “I worry that I will die.” Patients responded using a 4-point Likert scale and “extremely” or “moderately” responses were classified as having aversive cognitions for each item. Items were adapted from the Anxiety Sensitivity Index. Results: Of 58 patients included (50% women, 52% minorities, average age 55±17 years) greater than 2/3 of the respondents reported at least one of the concerns about PA both at discharge and 12 months after discharge. Many (62% at discharge and 65% at 12 months) are not engaged in recommended levels of physical activity. Patients who reported at least 1 concern were almost 4 times more likely to have NOT engaged in PA at home (vs those who reported no concerns) since the CA event (OR= 4 (1.3-14) P=0.01), after adjusting for age, sex, and time since the event. Fear of death was independently associated with low engagement after adjusting for age, sex, and time since the event (OR 1.9 (1-3.7) P=0.05). Of all 58 participants, 71% at discharge and 76% at 12 months reported feeling that any PA done at home without medical supervision was either “not safe at all” or “only somewhat safe.” Conclusion: Survivors of CA frequently experience PA-induced anxiety and avoid PA because of the fear of recurrence or death. PA avoidance as an underlying mechanism by which psychological distress worsens prognosis in CA patients should be tested prospectively.

Psychological distress and its correlates in older care-dependent persons living at home

2009 ◽  
Vol 13 (3) ◽  
pp. 319-327 ◽  
Author(s):  
Elin Thygesen ◽  
Hans Inge Saevareid ◽  
Torill Christine Lindstrom ◽  
Knut Engedal
Keyword(s):  
Psychological Distress ◽  
At Home

Pediatric cardiac surgery in Indonesia

1998 ◽  
Vol 8 (4) ◽  
pp. 437-439 ◽  
Author(s):  
Toshihide Asou ◽  
Jusuf Rachmat
Keyword(s):  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Surgical Outcome ◽  
Congenital Heart ◽  
Pediatric Cardiac Surgery ◽  
Cardiac Surgeons ◽  
Cardiac Center ◽  
Doctors And Nurses ◽  
At Home

AbstractPediatric cardiac surgery in Indonesia first developed thanks to the cooperation of various cardiac centers abroad. The establishment of the ‘Harapan Kita’ National Cardiac Center in 1985 was one of the most important initial steps. Thereafter, the discipline advanced remarkably in terms of the number of the operations performed and the variety of the diseases treated and, as a result, the surgical outcome also improved. Numerous problems remain to be solved. Only 1% of the children with congenital heart disease are today properly treated in Indonesia. Some of the underlying problems responsible for this situation include a shortage of pediatric cardiac professionals, the lack of the information and education on the part of the patients, and a shortage of funding, both privately and publicly. It would thus be welcome for pediatric cardiac surgeons, cardiologists and nurses in Indonesia to learn about congenital heart disease from doctors and nurses in advanced countries in order to improve the outlook at home.

Psychological distress and intensive care unit stay after cardiac surgery: The role of illness concern.

2015 ◽  
Vol 34 (3) ◽  
pp. 283-287 ◽  
Author(s):  
Lydia Poole ◽  
Tara Kidd ◽  
Elizabeth Leigh ◽  
Amy Ronaldson ◽  
Marjan Jahangiri ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Psychological Distress ◽  
Intensive Care Unit Stay

Psychological distress and styles of coping in parents of children awaiting elective cardiac surgery

2000 ◽  
Vol 10 (3) ◽  
pp. 239-244 ◽  
Author(s):  
Elisabeth M. Utens ◽  
Herma J. Versluis-Den Bieman ◽  
Frank C. Verhulst ◽  
Maarten Witsenburg ◽  
Ad J.J.C. Bogers ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Psychological Distress ◽  
Emotional Development ◽  
Congenital Heart ◽  
General Health Questionnaire ◽  
Future Research ◽  
Catheter Intervention ◽  
Reference Groups ◽  
Elective Cardiac Surgery ◽  
Parental Reactions

AbstractAimsWe sought to assess the level of psychological distress, and the styles of coping of, parents of children with congenital heart disease. The study was based on questionnaires, which were completed, on average, four weeks, with a range from 0.1 to 22.1 weeks, prior to elective cardiac surgery or elective catheter intervention.MethodsWe used the General Health Questionnaire, and the Utrecht Coping List, to compare scores from parents of those undergoing surgery, with scores of reference groups, and with scores of the parents of those undergoing intervention.ResultsOverall, in comparison with our reference groups, the parents of the 75 children un dergoing surgery showed elevated levels of psychological distress, manifested as anxiety, sleeplessness, and social dysfunctioning. They also demonstrated less adequate styles of coping, being, for example, less active in solving problems. With only one exception, no differences were demonstrated in parental reactions to whether cardiac surgery or catheter intervention had been planned. The mothers of the 68 patients who were to undergo cardiac surgery, however, reported greater psychological distress and manifested greater problems with coping than did the fathers.ConclusionElevated levels of psychological distress, and less adequate styles of coping, were found in the parents of patients about to undergo cardiac surgery, especially the mothers, when compared to reference groups. Future research should investigate whether these difficulties persist, and whether this will influence the emotional development of their children with congenital cardiac malformations.

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