P.0116 Depressive symptoms and personality traits are the main factors associated with wellbeing independent of the diagnosis of depression

Summary: The cathartic effect of suicide is traditionally defined as the existence of a rapid, significant, and spontaneous decrease in the depressive symptoms of suicide attempters after the act. This study was designed to investigate short-term variations, following a suicide attempt by self-poisoning, of a number of other variables identified as suicidal risk factors: hopelessness, impulsivity, personality traits, and quality of life. Patients hospitalized less than 24 hours after a deliberate (moderate) overdose were presented with the Montgomery-Asberg Depression and Impulsivity Rating Scales, Hopelessness scale, MMPI and World Health Organization's Quality of Life questionnaire (abbreviated versions). They were also asked to complete the same scales and questionnaires 8 days after discharge. The study involved 39 patients, the average interval between initial and follow-up assessment being 13.5 days. All the scores improved significantly, with the exception of quality of life and three out of the eight personality traits. This finding emphasizes the fact that improvement is not limited to depressive symptoms and enables us to identify the relative importance of each studied variable as a risk factor for attempted suicide. The limitations of the study are discussed as well as in particular the nongeneralizability of the sample and setting.

Download Full-text

Effect of Temperature during Drying and Storage of Dried Figs on Growth, Gene Expression and Aflatoxin Production

Toxins ◽

10.3390/toxins13020134 ◽

2021 ◽

Vol 13 (2) ◽

pp. 134

Author(s):

Ana Isabel Galván ◽

Alicia Rodríguez ◽

Alberto Martín ◽

Manuel Joaquín Serradilla ◽

Ana Martínez-Dorado ◽

...

Keyword(s):

Gene Expression ◽

Aflatoxin Production ◽

Effect Of Temperature ◽

Mycotoxin Production ◽

Industrial Processing ◽

Factors Associated ◽

Different Temperatures ◽

Major Producer ◽

Main Factors ◽

And Storage

Dried fig is susceptible to infection by Aspergillus flavus, the major producer of the carcinogenic mycotoxins. This fruit may be contaminated by the fungus throughout the entire chain production, especially during natural sun-drying, post-harvest, industrial processing, storage, and fruit retailing. Correct management of such critical stages is necessary to prevent mould growth and mycotoxin accumulation, with temperature being one of the main factors associated with these problems. The effect of different temperatures (5, 16, 25, 30, and 37 °C) related to dried-fig processing on growth, one of the regulatory genes of aflatoxin pathway (aflR) and mycotoxin production by A. flavus, was assessed. Firstly, growth and aflatoxin production of 11 A. flavus strains were checked before selecting two strains (M30 and M144) for in-depth studies. Findings showed that there were enormous differences in aflatoxin amounts and related-gene expression between the two selected strains. Based on the results, mild temperatures, and changes in temperature during drying and storage of dried figs should be avoided. Drying should be conducted at temperatures >30 °C and close to 37 °C, while industry processing, storage, and retailing of dried figs are advisable to perform at refrigeration temperatures (<10 °C) to avoid mycotoxin production.

Download Full-text

Factors Associated with Free Hospital Outpatient Service Use among Middle-Aged and Older Urban Homeless Adults in Taipei

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105330 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5330

Author(s):

Lan-Ping Lin ◽

Li-Yun Wang ◽

Tai-Wen Wang ◽

Yun-Cheng Chen ◽

Jin-Ding Lin

Keyword(s):

Logistic Regression ◽

Depressive Symptoms ◽

Chronic Diseases ◽

Service Use ◽

Outpatient Service ◽

Homeless People ◽

Cross Sectional Survey ◽

Factors Associated ◽

Hospital Outpatient ◽

Outpatient Visits

Homeless individuals have many negative experiences with inequality regarding access to and the use of primary healthcare services, so policies to eliminate the disparities in and barriers to primary care access for these people are needed. The aim of this study was to explore the use and determinants of free hospital outpatient services for homeless people, in order to describe the provision of free healthcare policies for this vulnerable population in Taipei. One cross-sectional survey was conducted to recruit homeless people aged 45 years old and over in Taipei in 2018. A structured questionnaire was used, and face-to-face interviews were conducted by three social workers to collect the data. Finally, 129 participants were recruited in the study. The results show that 81.4% of the homeless people had made free hospital outpatient care visits (mean = 5.9 visits) in the last three months. An unadjusted logistic regression analysis showed that those homeless people who reported having usual healthcare providers, with higher depressive symptom scores, who used medication and had been hospitalized within one year, and had more chronic diseases, were significantly more likely to make free hospital outpatient visits. The adjusted logistic regression model indicates that homeless people with severe depressive symptoms (odds ratio (OR) = 9.32, 95% CI = 1.15–56.07), who had received medication (OR = 3.93; 95% CI = 1.06–14.52), and who had more than five chronic diseases (OR = 1.06, 95% CI = 1.35–13.27), were significantly more likely to make free hospital outpatient visits than their counterparts. The findings highlight that homeless people have higher healthcare requirements than the general population, and the healthcare system should pay more attention to factors associated with higher outpatient service use, such as homelessness, severe depressive symptoms, the receipt of medication and chronic diseases.

Download Full-text

Trajectories of Depressive Symptoms and Anxiety during Pregnancy and Associations with Pregnancy Stress

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052733 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2733 ◽

Cited By ~ 1

Author(s):

Hyejung Lee ◽

Ki-Eun Kim ◽

Mi-Young Kim ◽

Chang Gi Park ◽

Jung Yeol Han ◽

...

Keyword(s):

Depressive Symptoms ◽

Pregnant Women ◽

Healthcare Providers ◽

Sociodemographic Factors ◽

Survey Questionnaire ◽

Emotional Status ◽

Factors Associated ◽

Latent Trajectory ◽

Logistic Regressions ◽

Health Hospital

The purposes of this study were to investigate the trajectory groups of depressive symptoms and anxiety in women during pregnancy and to identify the factors associated with those groups. Participants were recruited from the outpatient clinic of a women’s health hospital in Seoul, Korea. Pregnant women (n = 136) completed a survey questionnaire that included questions on depressive symptoms, anxiety, and pregnancy stress; additionally, their saliva was tested for cortisol hormone levels three times during their pregnancies. The group-based trajectory modeling approach was used to identify latent trajectory groups. Ordinal logistic regressions were used to explore the association of latent trajectory groups with sociodemographic factors and pregnancy stress. Three trajectory groups of depressive symptoms were identified: low-stable (70%), moderate-stable (25%), and increased (5%). Four trajectory groups of anxiety were identified: very low-stable (10%), low-stable (67%), moderate-stable (18%), and high-stable (5%). The only factor associated with both the depressive symptoms and anxiety trajectory groups was pregnancy stress (p < 0.001). Most participants showed stable emotional status; however, some participants experienced higher levels of depressive symptoms and anxiety related to higher pregnancy stress. These pregnant women may need additional care from healthcare providers to promote their wellbeing during pregnancy.

Download Full-text

Prevalence and factors associated with anxiety and depressive symptoms among patients hospitalized with hematological malignancies after chimeric antigen receptor T-cell (CAR-T) therapy: A cross-sectional study

Journal of Affective Disorders ◽

10.1016/j.jad.2021.02.041 ◽

2021 ◽

Vol 286 ◽

pp. 33-39

Author(s):

Hongyuan Dai ◽

Shuya Xu ◽

Jing Han ◽

Zhenyu Li ◽

Jiang Cao ◽

...

Keyword(s):

Depressive Symptoms ◽

T Cell ◽

Chimeric Antigen Receptor ◽

Hematological Malignancies ◽

Antigen Receptor ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Car T

Download Full-text

Factors associated with depressive symptoms in African American crack cocaine smokers

Journal of Substance Use ◽

10.1080/14659890802695857 ◽

2009 ◽

Vol 14 (3-4) ◽

pp. 161-174 ◽

Cited By ~ 7

Author(s):

L. Nilsson Schönnesson ◽

M. Williams ◽

J. Atkinson ◽

S. Timpson

Keyword(s):

African American ◽

Depressive Symptoms ◽

Crack Cocaine ◽

Factors Associated

Download Full-text

Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes

Journal of Diabetes Research ◽

10.1155/2017/1769897 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Xu Wang ◽

Biyu Shen ◽

Xun Zhuang ◽

Xueqin Wang ◽

Weiqun Weng

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Type 2 Diabetes ◽

Regression Analysis ◽

Depressive Symptoms ◽

Kidney Diseases ◽

Chronic Kidney Diseases ◽

Factors Associated

Aim.To assess the depressive symptoms status of chronic kidney diseases in Nantong, China, with type 2 diabetes and to identify factors associated with depressive symptoms.Methods.In this cross-sectional analytic study, 210 type 2 diabetic patients were recruited from the Second Affiliated Hospital of Nantong University. Depressive symptoms were assessed with the depression subscale of the Hospital Anxiety and Depression Scale (HAD-D). The quality of life was measured with the RAND 36-Item Health Survey (SF-36). And the independent risk factors of depressive symptoms were assessed by using a stepwise forward model of logistic regression analysis.Results.The mean age of the study subjects was 57.66 years (SD: 11.68). Approximately 21.4% of subjects reported depressive symptoms (n=45). Forward stepwise logistic regression analysis showed that female gender (P=0.010), hypertension (P=0.022), Stage IV (P=0.003), and Stage V (P<0.001) were significant risk factors for depressive symptoms. The quality of life of individuals with HAD-D score <11 was significantly better compared with individuals with HAD-D score ≥ 11.Conclusions.These results indicate that clinicians should be aware that female patients with chronic kidney diseases with T2DM in their late stage with hypertension are at a marked increased risk of depressive symptoms. Providing optimal care for the psychological health of this population is vital.

Download Full-text

Factors Associated with Frailty According to Gender of Older Adults Living Alone

Healthcare ◽

10.3390/healthcare9040475 ◽

2021 ◽

Vol 9 (4) ◽

pp. 475

Author(s):

Hye-Young Jang ◽

Ji-Hye Kim

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Nutritional Status ◽

Chronic Diseases ◽

Multinomial Logistic Regression ◽

Living Alone ◽

Factors Associated ◽

Chi Squared ◽

Korean Elderly

This study was conducted to identify the factors associated with frailty according to gender of older adults living alone in Korea. Data from the National Survey of the Living Conditions of Korean Elderly in 2017 were used. Participants were 2340 older adults who live alone. Frailty was determined based on the frailty criteria developed by van Kan et al. that consist of fatigue, resistance, ambulation, and illness. The collected data were analyzed using descriptive statistics, chi-squared test, t-test, Jonckheere–Terpstra test and multinomial logistic regression. Among the older men living alone, 47.7% were in the pre-frail and 5.1% were in the frail. On the other hand, 51.8% were in the pre-frail and 12.2% were in the frail among the older women living alone. The factors associated with frailty according to gender are as follows. In males, depressive symptoms, limitation in IADL, and number of medications in pre-frail; BMI, limitation in IADL, and number of chronic diseases in frail. In females, depressive symptoms, number of chronic diseases, age, and nutritional status in pre-frail; limitation in IADL, depressive symptoms, age, number of chronic diseases, number of medications, nutritional status in frail. Based on the findings of this study, it is considered necessary to approach frailty management considering gender as well as the classification of frailty.

Download Full-text

Toe Temperatures During Dartmoor Training

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-74-181 ◽

1988 ◽

Vol 74 (3) ◽

pp. 181-186

Author(s):

S. P. L. Travis

Keyword(s):

Surface Temperature ◽

Ambient Temperature ◽

Skin Temperature ◽

Air Temperature ◽

Factors Associated ◽

Recording Period ◽

Exposure To Cold ◽

Main Factors ◽

Minimum Air Temperature

AbstractThe surface temperature of eight Royal Marine recruits was monitored in the field during Autumn training on Dartmoor (minimum air temperature 4.5°C). The lowest skin temperature recorded was 6.1°C. One subject experienced a toe temperature below 10° for 5.5 hours and below 15°C for 12.6 hours during a 24 hour recording period. Ambient temperature and inactivity during exposure to cold were the main factors associated with low toe temperatures but individual responses varied widely.

Download Full-text