Assessment of Chronic Pain in Military Patients with PTSD

2017 ◽  
Vol 41 (S1) ◽  
pp. S721-S721
Author(s):  
E. Ben Zina ◽  
M.W. Krir ◽  
H. Bel Hadj ◽  
A. Tajmout ◽  
C. Ben Cheikh ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Mental Health Problems ◽  
Short Form ◽  
Depression Scale ◽  
High Rate ◽  
Traumatic Experience ◽  
Military Hospital ◽  
Future Research ◽  
Physical And Mental Health ◽  
Pain Symptoms

IntroductionPatients with post-traumatic stress disorder (PTSD) presents often with several concomitant physical and mental health problems. Recent evidence suggests that pain is one of the most commonly reported symptoms in patients with PTSD, regardless of the nature of their traumatic experience.Aim of the studyTo evaluate chronic pain in patients with PTSD in a Tunisian military sample.MethodsTransversal descriptive study of a sample of 22 patients treated for PTSD in the Principal Military Hospital of Instruction of Tunis during the period between August and October 2016.The PTSD Checklist for DSM-5 (PCL-5), Hospital Anxiety and Depression scale (HAD), and the Brief Pain Inventory Short Form (BPI-SF) were administered for patients.ResultsAll the patients of the study were male. The mean age of the sample was 29.6 years. Fifty percent presented with a co-morbid major depression and 59.1% with chronic pain symptoms. Locations of chronic pain were as follow: limb pain (69.23%), back pain (38.46%), headache (30.76%) and torso pain (7.69%). Sequelae from combat-related trauma were present in 31.8% of cases.ConclusionThe results of this study illustrate a high rate of chronic pain symptoms among PTSD patients. This suggests that closer attention should be given to the interaction of medical problems, especially pain, with PTSD symptomatology in clinical management and in future research.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Implications of Non-Response of Older Women to a Short form of the Center for Epidemiologic Studies Depression Scale

2003 ◽  
Vol 57 (1) ◽  
pp. 37-54 ◽  
Author(s):  
Jennifer R. Powers ◽  
Anne F. Young ◽  
Anne Russell ◽  
Nancy A. Pachana
Keyword(s):  
Short Form ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Future Research ◽  
Physical And Mental Health ◽  
Medical Outcomes ◽  
Epidemiological Surveys ◽  
Sf 36 ◽  
Depression Scales ◽  
Short Form Health

The Center for Epidemiologic Studies Depression Scale (CES-D) is frequently used in epidemiological surveys to screen for depression, especially among older adults. This article addresses the problem of non-completion of a short form of the CES-D (CESD-10) in a mailed survey of 73- to 78-year-old women enrolled in the Australian Longitudinal Study on Women's Health. Completers of the CESD-10 had more education, found it easier to manage on available income and reported better physical and mental health. The Medical Outcomes Study Short Form Health Survey (SF-36) scores for non-completers were intermediate between those for women classified as depressed and not depressed using the CESD-10. Indicators of depression had an inverted U-shaped relationship with the number of missing CESD-10 items and were most frequent for women with two to seven items missing. Future research should pay particular attention to the level of missing data in depression scales and report its potential impact on estimates of depression.

Socio Demographic and Clinical Profile of Indoor Female Patients of RINPAS

2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mentally Ill ◽  
Mental Health Problems ◽  
Demographic Data ◽  
Relevant Information ◽  
Health Problems ◽  
High Rate ◽  
Physical And Mental Health ◽  
Cross Sectional

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient

scholarly journals Trait mindfulness during pregnancy and perception of childbirth

2020 ◽  
Author(s):  
Lianne P. Hulsbosch ◽  
Myrthe G. B. M. Boekhorst ◽  
Eva S. Potharst ◽  
Victor J. M. Pop ◽  
Ivan Nyklíček
Keyword(s):  
Short Form ◽  
Depression Scale ◽  
Future Research ◽  
Trait Mindfulness ◽  
Positive Perception ◽  
Dispositional Mindfulness ◽  
Childbirth Experience ◽  
Acting With Awareness ◽  
Mindfulness Facets ◽  
Spontaneous Delivery

Abstract Women’s subjective childbirth experience is a risk factor for postpartum depression and childbirth-related posttraumatic stress symptoms. Subjective childbirth experience is influenced not only by characteristics of the childbirth itself but also by maternal characteristics. A maternal characteristic that may be associated with a more positive childbirth experience is trait mindfulness. The current study aimed to assess this association and to assess whether trait mindfulness during pregnancy had a moderating role in the possible association between non-spontaneous delivery and perception of childbirth. A subsample of 486 women, participating in a longitudinal prospective cohort study (Holistic Approach to Pregnancy and the first Postpartum Year study), completed the Three Facet Mindfulness Questionnaire-Short Form at 22 weeks of pregnancy. Women completed the Childbirth Perception Scale and the Edinburgh Postnatal Depression Scale between 7 and 21 days postpartum. The mindfulness facets acting with awareness and non-reacting were significantly associated with a more positive perception of childbirth, after adjusting for covariates. Moderation analyses showed a significant interaction between acting with awareness and non-spontaneous delivery and non-judging and non-spontaneous delivery. Non-spontaneous delivery was associated with a more negative perception of childbirth for low/medium scores of acting with awareness and non-judging, but not for high scores on these mindfulness facets. Trait mindfulness during pregnancy may enhance a positive perception of childbirth. Because this is among the first studies examining the association between maternal dispositional mindfulness and perception of childbirth, future research is needed to confirm the results of the current study.

Fractures and the increased risk of suicide

2018 ◽  
Vol 100-B (6) ◽  
pp. 780-786 ◽  
Author(s):  
C-F. Chang ◽  
E. C-C. Lai ◽  
M-K. Yeh
Keyword(s):  
Mental Health Problems ◽  
Conditional Logistic Regression ◽  
Spinal Fractures ◽  
High Rate ◽  
Physical And Mental Health ◽  
Additional Risk ◽  
Never Married ◽  
Increased Risk ◽  
Contextual Setting ◽  
Control Study

Aims A high rate of suicide has been reported in patients who sustain fractures, but the association remains uncertain in the context of other factors. The aim of this study was to examine the association between fractures and the risk of suicide in this contextual setting. Patients and Methods We performed a case-control study of patients aged 40 years or older who died by suicide between 2000 and 2011. We included patients’ demographics, physical and mental health problems, and socioeconomic factors. We performed conditional logistic regression to evaluate the associations between fractures and the risk of suicide. Results We included a total of 34 794 patients who died by suicide and 139 176 control patients. We found that fractures as a homogenous group (adjusted odds ratios (aOR), 1.48; 95% confidence interval (CI) 1.43 to 1.53), and specifically pelvic (aOR 2.04; 95% CI 1.68 to 2.47) and spinal fractures (aOR 1.53; 95% CI 1.43 to 1.64), were associated with a higher risk of suicide. In addition, we found that patients who had a lower income, had never married, had lower levels of educational attainment, or had coexistent physical and mental conditions such as anxiety, mood disorders, and psychosis-related disorders had a higher risk of suicide. Conclusion Fractures, specifically those of the hip and spine, were associated with an increased risk of suicide. The findings suggest that greater clinical attention should be given to this risk in patients with fractures, especially for those with additional risk factors. Cite this article: Bone Joint J 2018;100-B:780–6.

scholarly journals Prevalence of geriatric depression in the Kavre district, Nepal: Findings from a cross sectional community survey

2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care Services ◽  
Mental Health Problems ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Well Being ◽  
The Elderly ◽  
Geriatric Depression ◽  
Cross Sectional

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence

scholarly journals Development and Evaluation of a Program to Improve Understanding of Physical and Mental Health of Older Primiparas and Strengthen Marital Relationships: A Semi-Experimental Study without Control Groups

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Nakajima K ◽  
◽  
Hirose A ◽  
Nameda T ◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
Experimental Study ◽  
Edinburgh Postnatal Depression Scale ◽  
Mental Health Problems ◽  
Depression Scale ◽  
Outcome Evaluation ◽  
Mutual Understanding ◽  
Physical And Mental Health ◽  
Control Groups ◽  
Maternity Hospitals

Objectives: Older primiparas are more likely to be at risk for physical and mental health problems. The purpose of this study is to develop and evaluate a program to understand the physical and mental health of older primiparas and strengthen their marital relationship. Design: A semi-experimental study of one group without control groups. Method: Participants included 15 older primiparas Japanese couples who attended regular childbirth and childcare preparation classes held at two maternity hospitals in Japan. Participants responded to sociodemographic questions, Edinburgh Postnatal Depression Scale (EPDS), questions regarding understanding, satisfaction, and utilization of the program (process evaluation), and the Quality Marriage Index (QMI; outcome evaluation). Data was collected before the pregnancy program and one and three months after childbirth. Results: Participants understood and were satisfied with the information provided in the program. There was no significant decrease in postpartum marital satisfaction after participating in the program. However, the usefulness assessment of the pregnancy program dropped to about 80% at one and three months after childbirth. Conclusions: Findings indicate that this program improves mutual understanding and sharing of thoughts and feelings between couples. It was suggested that a postnatal program be held so that the couple could continue learning after childbirth.

Frailty and Its Correlates in Cognitively Intact Community-Dwelling Older Adults

2021 ◽  
pp. 1-7
Author(s):  
Audai A. Hayajneh ◽  
Hanan Hammouri ◽  
Mohammad Rababa ◽  
Sami Al-Rawashedeh ◽  
Debra C. Wallace ◽  
...  
Keyword(s):  
Older Adults ◽  
Short Form ◽  
Secondary Analysis ◽  
Depression Scale ◽  
Community Dwelling ◽  
High Rate ◽  
Comorbid Conditions ◽  
High Prevalence ◽  
Cognitively Intact ◽  
Community Dwelling Older Adults

<b><i>Background:</i></b> Frailty syndrome is characterized by a decline in physiological and psychological reserve and may be associated with poor health outcomes. <b><i>Objectives:</i></b> The current study explored frailty and its correlates among cognitively intact community-dwelling older adults. <b><i>Methods:</i></b> A secondary analysis of data collected from 109 community-dwelling older adults who are cognitively intact was conducted for the purpose of this study. The Arabic versions of the culturally adapted Tilburg Frailty Indicator, the Montreal Cognitive Assessment, the Geriatric Depression Scale, and the Short Form-36 Quality of Life (QOL) survey. Multiple linear regression was used to examine the relationships between frailty and depression. <b><i>Results:</i></b> The results indicated a high prevalence of frailty (78%) and depression (38%) among cognitively intact community-dwelling older adults. Frailty was found to be associated with increased age, being single or illiterate, living alone, having a high number of comorbid conditions, having high rate of depression, and having poor QOL. <b><i>Conclusion:</i></b> High prevalence of frailty is associated with high depression scores, a high number of comorbid conditions, and poor QOL among cognitively intact community-dwelling older adults.

Patient-reported outcomes after aortic and mitral valve surgery – results from the DenHeart Study

2017 ◽  
Vol 17 (3) ◽  
pp. 246-254 ◽  
Author(s):  
Britt Borregaard ◽  
Ola Ekholm ◽  
Lars Riber ◽  
Jan Sørensen ◽  
Jacob E Møller ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Patient Reported Outcomes ◽  
Short Form ◽  
Depression Scale ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Assessment System ◽  
Physical And Mental Health ◽  
Patient Reported

Background: Clinical course, co-morbidity and age often differs between patients undergoing aortic and mitral valve surgery and this might affect patient-reported outcomes. Aims: The purpose of this study was to describe differences in patient-reported physical and mental health and health-related quality of life after aortic valve or mitral valve surgery, and to identify demographic and clinical characteristics associated with worse patient-reported physical and mental health, and health-related quality of life. Methods: Patient-reported outcomes were measured at discharge as a part of a national, cross-sectional study (DenHeart). Patient-reported outcome measures included: Short-Form-12, Hospital Anxiety and Depression Scale, EuroQol-5D-5L, HeartQol and Edmonton Symptom Assessment System. Demographic and clinical information was obtained from national registers. Results: Of 354 patients (65% men, mean age: 68 years), 79% underwent aortic valve surgery. Patients who had undergone aortic valve surgery had more symptoms of anxiety compared with patients who had undergone mitral valve surgery (34% vs 17%, p=0.003, Hospital Anxiety and Depression Scale anxiety cut-off score of eight). Being female was associated with worse patient-reported outcomes on all measures, whereas being unmarried was associated with worse physical health (Physical Component Score Short-Form-12) and symptom burden (Edmonton Symptom Assessment System). Length of stay was associated with worse symptoms on EuroQol-5D-5L Visual Analogue Scale. Age and comorbidity were not associated with patient-reported outcomes. Conclusion: Patients who had undergone aortic valve and mitral valve surgery did not significantly differ in patient-reported health at discharge, except for symptoms of anxiety. Being female was the only characteristic associated with overall worse patient-reported outcomes at discharge.

Pilot study of eDOL, a new mHealth application and web platform for medical follow-up of chronic pain patients (Preprint)

2021 ◽  
Author(s):  
NICOLAS KERCKHOVE ◽  
Noémie Delage ◽  
Sébastien Cambier ◽  
Nathalie Cantagrel ◽  
Eric Serra ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Real Life ◽  
Basic Research ◽  
High Rate ◽  
Future Research ◽  
Chronic Pain Patients ◽  
Pain Patients

BACKGROUND The pharmacopoeia of analgesics is old, their effectiveness is limited, with undesirable effects and little progress has been made in recent years. Thus, innovation is limited despite prolific basic research. Better characterization of patients could help to identify the predictors of successful treatments through research programs, and therefore enable physicians to carry out better decision-making in the initial choice of treatment and in the follow-up of their patients. Nevertheless, the current assessment of chronic pain patients provides only fragmentary data on their painful daily experiences. Thus, it is essential to modify the temporality in which patients’ sensations are assessed, with real-life monitoring of different parameters, i.e. subjective and objective markers of chronic pain. Consequently, recent studies have highlighted the urgent need to develop self-management and chronic pain management programs through e-health programs, and enhance their therapeutic value. OBJECTIVE We hypothesize that regular patient self-monitoring using an mHealth application would lead physicians to obtain deeper knowledge and a new vision of chronic pain patients, while for patients it would play a positive therapeutic role, as they become active in their own management and benefit from online advice. Such an assessment would not only contribute to better patient characterization and help in the choice of the most appropriate treatment, but could also improve adherence to treatment. To address this issue, we evaluated the feasibility and acceptability, by patients and physicians, of a new mHealth application called eDOL. METHODS An observational study assessing the feasibility and acceptability of the eDOL tool was conducted. Patients completed several questionnaires via eDOL over a period of 2 weeks, and then repeatedly over a period of 3 months. Physicians saw their patients at a follow-up visit that took place at least 3-months after the inclusion visit. The primary endpoint, a composite criterion reflecting the acceptability of eDOL and the feasibility of its use, was assessed using satisfaction questionnaires for both patients and physicians after the completion of study. RESULTS One hundred and thirty-three patients were included of whom 105 were analyzable. Our results showed a rate of adherence of approximately 60% of patients after 3 months of using eDOL, a median acceptability score around 7/10 for both patients and physicians, a high rate of completion of the baseline questionnaires / meters, and a low rate for follow-up questionnaires / meters and forms. We were also able to characterize subgroups of patients and determine a profile of those who adhered to eDOL. CONCLUSIONS This work demonstrates that eDOL is highly feasible and acceptable for both chronic pain patients and their physicians. It also shows that such a tool can integrate many parameters to ensure the detailed characterization of patients for future research works and pain management. CLINICALTRIAL NCT03931694

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