Comorbid anxiety and depression, depression, and anxiety in comparison in multi-ethnic community of west China: prevalence, metabolic profile, and related factors

2021 ◽  
Author(s):  
Xiaolei Liu ◽  
Wanyu Zhao ◽  
Fengjuan Hu ◽  
Qiukui Hao ◽  
Lisha Hou ◽  
...  
Keyword(s):  
Metabolic Profile ◽  
Ethnic Community ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Related Factors ◽  
West China ◽  
Comorbid Anxiety

scholarly journals QOLP-17. FACTORS ASSOCIATED WITH PSYCHOLOGICAL DISTRESS IN CAREGIVERS OF PATIENTS WITH MALIGNANT GLIOMAS

2019 ◽  
Vol 21 (Supplement_6) ◽  
pp. vi201-vi201
Author(s):  
Sophia Landay ◽  
Maya Anand ◽  
Nora Horick ◽  
Jamie Jacobs ◽  
Kit Quain ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Malignant Gliomas ◽  
Tumor Location ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Wild Type ◽  
Related Factors ◽  
Caregiver Depression ◽  
Factors Associated ◽  
Caregiver Anxiety

Abstract BACKGROUND Caregivers of patients with newly diagnosed malignant gliomas experience high rates of psychological distress. However, the factors associated with distress in this population have not been well described. We sought to evaluate patient-related, caregiver-related and tumor-related factors associated with depression and anxiety in this caregiver population. METHODS We conducted a prospective study in patients with newly diagnosed malignant gliomas and their caregivers, collecting self-report data within 6 weeks of diagnosis. Patients’ and caregivers’ depression and anxiety were assessed using the Hospital Anxiety and Depression Scale, with subscale scores >7 considered clinically significant. Information about the tumor location and molecular features was extracted from the medical record. We used univariate and multivariate linear models to evaluate the association between caregiver anxiety and depression at baseline and specific caregiver-, patient- and tumor-related factors. RESULTS We enrolled 61 patient-caregiver dyads in this study. 26.2% (16/61) of caregivers had significant depression symptoms, and 47.5% (29/61) had significant anxiety. In the multivariable analysis, factors associated with higher caregiver depression score included younger caregiver age (< 65 years old; B=4.24, p=0.0002), left-sided tumor location (B=1.98, p=0.030), IDH wild-type tumor status (B=3.44, p=0.0008) and patient anxiety (B=2.28, p=0.017). Factors associated with higher caregiver anxiety were younger caregiver age (B=2.47, p=0.089) and left-sided tumor location (B=4.23, p=0.001). CONCLUSIONS Younger caregiver age and caring for a patient with a tumor on the left side of the brain were associated with worse caregiver depression and anxiety. Higher caregiver depression was correlated with caregivers whose loved one had significant anxiety or had an IDH wild-type tumor. Understanding the factors associated with caregiver anxiety and depression may guide neuro-oncology clinicians in identifying caregivers who may be at an increased risk for psychological distress at the time of their loved one’s diagnosis, allowing for earlier initiation of support services for these caregivers.

Intelligence and academic achievement in inpatient adolescents with comorbid anxiety and depression

2021 ◽  
Vol 85 (1) ◽  
pp. 23-41
Author(s):  
Anna P. Schrack ◽  
Diana Joyce-Beaulieu ◽  
Jann W. MacInnes ◽  
John H. Kranzler ◽  
Brian A. Zaboski ◽  
...  
Keyword(s):  
Academic Achievement ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Academic Functioning ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Comorbid Depression ◽  
Comorbid Anxiety ◽  
Severity Of Depression ◽  
The Relationship

Few studies have investigated the relationship between comorbid depression and anxiety and cognitive and academic functioning. To understand this relationship, this study used a retrospective chart review from an inpatient facility for 42 adolescents diagnosed with a comorbid anxiety and depressive disorder. Multiple regression was used to determine whether anxiety and depression predicted academic achievement, as well as whether intelligence predicted current levels of anxiety and depression. Results indicated that higher severity of depression was associated with lower reading (β = –0.39) and writing (β = –0.40) achievement, while higher severity of anxiety was associated with higher scores on reading (β = 0.41) and writing (β = 0.36). Full-scale IQ was not significantly predictive of anxiety severity (β = 0.08) or depression severity (β = –0.24). Results are discussed in terms of identifying risk factors and improving outcomes for adolescents with severe comorbid anxiety and depression psychopathology.

scholarly journals Comorbid Anxiety and Depression and Related Factors Among Pregnant and Postpartum Chinese Women During the Coronavirus Disease 2019 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Zheng Luo ◽  
Luyao Xue ◽  
Li Ma ◽  
Zhengkui Liu
Keyword(s):  
Regression Analysis ◽  
Family Support ◽  
Chinese Women ◽  
Multiple Logistic Regression Analysis ◽  
Anxiety And Depression ◽  
Postpartum Women ◽  
Multiple Logistic Regression ◽  
Related Factors ◽  
Comorbid Anxiety ◽  
Poor Family

Objective: To identify the prevalence of comorbid anxiety and depression (CAD) and analyze the relationship between CAD and sociodemographic and obstetric-related variables in pregnant and postpartum Chinese women during the COVID-19 pandemic.Methods: Participants were 2,237 pregnant and postpartum women (aged 19–47 years) who visited various medical institutions in China between February 28, 2020, and April 26, 2020. They were asked to complete an online survey assessing the anxiety and depression, obstetric characteristics, and sociodemographic variables. The women were grouped into the following categories in accordance with the Generalized Anxiety Disorder Scale-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9): (a) CAD, (b) “anxiety only,” (c) “depression only,” and (d) “no depression or anxiety.” After estimating the prevalence of CAD, “anxiety only,” and “depression only,” we carried out chi-squared tests and multiple logistic regression analysis to examine the related factors between these groups of pregnant and postpartum Chinese women.Results: Comorbid anxiety and depression, “anxiety only,” and “depression only,” occurred in 6.3, 5.8, and 3.9% of participants, respectively. The prevalence rates of CAD during the first, second, and third trimesters of pregnancy and the postpartum period were found to be 7.4, 6.5, 5.7, and 8.2%, respectively. The factors that differed among the groups were age (p &lt; 0.05), marital status (p &lt; 0.001), level of education (p &lt; 0.05), family support (p &lt; 0.001), and total live births (p &lt; 0.001). “Poor family support” (odds ratio (OR): 1.90; 95% confidence interval (CI): 1.30–2.78; p = 0.0009) and “no birth” (OR: 1.91; 95% CI: 1.32–2.75; p = 0.0006) remained significant factors for the CAD group, while “poor family support” (OR: 2.16; 95% CI: 1.34–3.47; p = 0.0015) remained a significant factor for the “depression only” group when their results were compared to those of the “no depression or anxiety” group in the multiple logistic regression analysis.Conclusion: Pregnant and postpartum Chinese women with poor family support and primipara are at high risk for CAD during the COVID-19 pandemic. These results support the need for targeted perinatal programs to address CAD in pregnant and postpartum women during the pandemic period.

scholarly journals Healthcare Expenditures Associated with Comorbid Anxiety and Depression among Adults with Migraine

2019 ◽  
Author(s):  
Monira Alwhaibi ◽  
Abdulkarim M. Meraya ◽  
Yazed AlRuthia
Keyword(s):  
Medical Expenditure Panel Survey ◽  
Cross Sectional Study ◽  
Medical Expenditure ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Comorbid Depression ◽  
Healthcare Expenditures ◽  
Cross Sectional ◽  
Comorbid Anxiety ◽  
Anxiety Screening

Abstract Objective. To examine direct healthcare expenditures among adults with migraine alone or with comorbid anxiety and/or depression. Methods. This was a retrospective cross-sectional study using the 2012, 2014, and 2016 Medical Expenditure Panel Survey data. Adult patients aged ≥22 years with migraine headache were included in the study. The direct healthcare expenditures of four migraine groups (migraine alone, migraine and anxiety, migraine and depression, migraine and both conditions) were compared. Results. There were 1,556 patients met the inclusion criteria and were eventually enrolled in the study. Approximately, 50% of the study sample had migraine with comorbid depression and/or anxiety (16.1% have depression, 12.3% have anxiety disorder, and 13.9% have both). The mean total healthcare expenditures of adults with migraine alone ($6,461) were significantly lower than those with comorbid depression and anxiety ($11,102), comorbid anxiety ($10,817), and comorbid depression ($14,577). Migraine with comorbid anxiety and depression was significantly associated with incremental costs of $1,027 in outpatient’s and $662 emergency room healthcare expenditures, compared to the migraine alone group after controlling for a multitude of covariates. Besides, migraine with comorbid anxiety and/or depression was significantly associated with incremental costs of prescription drug, compared to the migraine alone group. Conclusions. The healthcare expenditures associated with migraine with comorbid depression and/or anxiety are significantly higher than those without mental health comorbidities. Therefore, regular depression and anxiety screening for patients with migraine may help in reducing the healthcare expenditures associated with depression and/or anxiety comorbidities as well as in improving the quality of care.

scholarly journals Anxiety and Depression in Patients With Physical Diseases and Associated Factors: A Large-Scale Field Survey in General Hospitals in China

2021 ◽  
Vol 12 ◽  
Author(s):  
Wanlin Yang ◽  
Ling Xiao ◽  
Zhiyong Yuan ◽  
Huan Huang ◽  
Yilei Xiang ◽  
...  
Keyword(s):  
Large Scale ◽  
Rating Scales ◽  
Clinical Symptoms ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Related Factors ◽  
General Hospitals ◽  
Co Morbidity ◽  
Physical Diseases ◽  
Clinical Departments

Introduction: To investigate the characteristic of anxiety and depression among patients in general hospitals, and explore the degree of the clinical symptoms and correlated social economic factors.Methods: This is a cross-sectional survey of anxiety and depression in patients with physical diseases, who were suspected of depression and anxiety based on their clinical performance by their physicians and PHQ ≧ 8, from various clinical departments of 57 general hospitals in China. Data regarding demographic characteristics and clinical characteristics were collected. Social and psychological factors and the severity of anxiety or depression were collected through self-rating scales. Finally, we used multivariate logistic regression to identify the factors associated with anxiety and depression in patients with physical diseases.Results: A total of 2,105 (84.6%) valid and completed questionnaires were returned. The proportion of anxiety, depression, combined depression and anxiety, either anxiety or depression among the patients with physical diseases from all clinical departments was 63.3, 75.1, 57.1, and 81.2% respectively. Further regression analysis indicated that gender, monthly income, specific physical diseases, personality traits, social supports and life negative events were related factors of both anxiety and depression.Conclusions: Anxiety and depression were common in patients with physical diseases, with a high proportion of co-morbidity of anxiety and depression. Females, patients with cancer, poor social support and negative life events reported more severe anxiety and depression. The results may help to understand the present situation of anxiety and depression in general hospitals in china, and identify the patients with high risk of depression and anxiety.

scholarly journals Depression and anxiety in the Malaysian urban population and their association with demographic characteristics, quality of life, and the emergence of the COVID-19 pandemic

2020 ◽  
Author(s):  
Mohammad Farris Iman Leong Bin Abdullah ◽  
Hazwani Ahmad Yusof ◽  
Noorsuzana Mohd Shariff ◽  
Rohayu Hami ◽  
Noor Farahiya Nisman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urban Population ◽  
World Health ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
World Health Organization Quality ◽  
Comorbid Anxiety ◽  
Prevalence Of Depression ◽  
Health Organization

Abstract The prevalence of depression and anxiety have been shown to be higher in the urban population compared with the rural population. The present study investigated the prevalence of depression, anxiety, and depression with comorbid anxiety and their associated factors in a random sample drawn from several urban communities in Malaysia. This study also compared the odds of developing depression, anxiety, and depression with comorbid anxiety before and after the emergence of the Coronavirus Disease 2019 (COVID-19) pandemic. We recruited 326 participants who were administered a sociodemographic characteristics questionnaire, the 21-item Depression, Anxiety, and Stress Scale (DASS-21), to assess the presence or absence of depression, anxiety, and depression with comorbid anxiety, and the World Health Organization Quality of Life-BREF (WHOQoL-BREF) to assess their QoL. The following prevalence values were obtained among the participants: depression, 23.9%; anxiety, 41.7%; and depression with comorbid anxiety, 19.9%. The factors significantly associated with higher odds of psychological complications included those assessed after the emergence of COVID-19 as a global pandemic and the presence of comorbid stress. Higher physical health-related QoL, psychological QoL, and environment-related QoL reduced the odds of psychological complications. Based on our findings, we recommended a few measures to curb psychological complications among the urban population, particularly as the battle to contain COVID-19 is still ongoing.

Depression and Anxiety in Psoriatic Disease: Prevalence and Associated Factors

2014 ◽  
Vol 41 (5) ◽  
pp. 887-896 ◽  
Author(s):  
Emily McDonough ◽  
Renise Ayearst ◽  
Lihi Eder ◽  
Vinod Chandran ◽  
Cheryl F. Rosen ◽  
...  
Keyword(s):  
Depression Scale ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Hospital Anxiety ◽  
Related Factors ◽  
Increased Risk ◽  
Prevalence Of Depression ◽  
Unit Increase ◽  
Fatigue Severity

Objective.(1) To determine the prevalence of depression and anxiety in patients with psoriatic arthritis (PsA) and to identify associated demographic and disease-related factors. (2) To determine whether there is a difference in the prevalence of depression and anxiety between patients with PsA and those with psoriasis without PsA (PsC).Methods.Consecutive patients attending PsA and dermatology clinics were assessed for depression and anxiety using the Hospital Anxiety and Depression Scale. Patients underwent a clinical assessment according to a standard protocol and completed questionnaires assessing their health and quality of life. T tests, ANOVA, and univariate and multivariate models were used to compare depression and anxiety prevalence between patient cohorts and to determine factors associated with depression and anxiety.Results.We assessed 306 patients with PsA and 135 with PsC. There were significantly more men in the PsA group (61.4% vs 48% with PsC) and they were more likely to be unemployed. The prevalence of both anxiety and depression was higher in patients with PsA (36.6% and 22.2%, respectively) compared to those with PsC (24.4% and 9.6%; p = 0.012, 0.002). Depression and/or anxiety were associated with unemployment, female sex, and higher actively inflamed joint count as well as disability, pain, and fatigue. In the multivariate reduced model, employment was protective for depression (OR 0.36) and a 1-unit increase on the fatigue severity scale was associated with an increased risk of depression (OR 1.5).Conclusion.The rate of depression and anxiety is significantly higher in patients with PsA than in those with PsC. Depression and anxiety are associated with disease-related factors.

Smoking in relation to anxiety and depression: Evidence from a large population survey: The HUNT study

2008 ◽  
Vol 23 (2) ◽  
pp. 77-84 ◽  
Author(s):  
Arnstein Mykletun ◽  
Simon Overland ◽  
Leif Edvard Aarø ◽  
Hanne-Marthe Liabø ◽  
Robert Stewart
Keyword(s):  
Large Population ◽  
Population Based ◽  
Alcohol Problems ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Comorbid Anxiety ◽  
Hunt Study ◽  
Former Smokers ◽  
Never Smokers ◽  
Anxiety Depression

AbstractSmoking is reported to be associated with depression and anxiety. The present study (a) examines these associations taking comorbidity into account, (b) investigates possible confounders, (c) examines how former smokers compared to current and never-smokers in terms of anxiety and depression, and if anxiety and depression decline by time since cessation. Participants (66%) aged 20–89 years in a population-based health survey (N = 60,814) were screened employing the HADS. (a) The association with smoking was strongest in comorbid anxiety depression, followed by anxiety, and only marginal in depression. Associations were stronger in females and younger participants. (b) Variables partly accounting for the association comprised somatic symptoms, socio-demographics, alcohol problems, and low physical activity. (c) Anxiety and depression were most common in current smokers, followed by quitters, and then never-smokers. No decline in anxiety or depression was found with time since cessation. Previous studies of associations between depression and smoking might have overestimated the association when ignoring comorbid anxiety.

scholarly journals Healthcare Expenditures Associated With Comorbid Anxiety and Depression Among Adults With Migraine

2021 ◽  
Vol 12 ◽  
Author(s):  
Monira Alwhaibi ◽  
Abdulkarim M. Meraya ◽  
Yazed AlRuthia
Keyword(s):  
Medical Expenditure Panel Survey ◽  
Financial Burden ◽  
Cross Sectional Study ◽  
Medical Expenditure ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Comorbid Depression ◽  
Healthcare Expenditures ◽  
Cross Sectional ◽  
Comorbid Anxiety

Introduction: Depression and anxiety are common among patients with migraine and usually associated with a humanistic and financial burden. This study aims to examine the direct healthcare expenditures among adults with migraine alone or with comorbid anxiety and/or depression.Methods: This was a retrospective cross-sectional study using 2012, 2014, and 2016 Medical Expenditure Panel Survey data. Adult patients aged ≥22 years with migraine headache were included in the study. The direct healthcare expenditures of four migraine groups (migraine alone, migraine and anxiety, migraine and depression, and migraine and both conditions) were compared.Results: There were 1,556 patients who met the inclusion criteria and eventually enrolled in the study. Approximately 42% of the study sample had migraine with comorbid depression and/or anxiety (16.1% have depression, 12.3% have anxiety disorder, and 13.9% have both). The mean total healthcare expenditures of adults with migraine alone ($6,461) were significantly lower than those with comorbid depression and anxiety ($11,102), comorbid anxiety ($10,817), and comorbid depression ($14,577). Migraine with comorbid anxiety and depression was significantly associated with incremental costs of $1,027 in outpatient and $662 emergency room healthcare expenditures and prescription drug compared to the migraine alone group.Conclusions: The healthcare expenditures associated with migraine with comorbid depression and/or anxiety are significantly higher than those without mental health comorbidities. Therefore, regular depression and anxiety screening for patients with migraine may help reduce the healthcare expenditures associated with depression and/or anxiety comorbidities and improve the quality of care.

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