scholarly journals Associations between depression and anxiety symptoms with quality of life in cardiac arrest survivors with good neurologic recovery and informal caregivers of cardiac arrest survivors

2020 ◽  
Vol 2 ◽  
pp. 100046
Author(s):  
Alex Presciutti ◽  
Mary M. Newman ◽  
Ana-Maria Vranceanu ◽  
Jonathan A. Shaffer ◽  
Sarah M. Perman
2021 ◽  
Vol 5 ◽  
pp. 100085
Author(s):  
Alex Presciutti ◽  
Mary M. Newman ◽  
Jim Grigsby ◽  
Ana-Maria Vranceanu ◽  
Jonathan A. Shaffer ◽  
...  

Author(s):  
Natalia D. McIver ◽  
Barry Krakow ◽  
Jessica Krakow ◽  
Michael R. Nadorff ◽  
Victor A. Ulibarri ◽  
...  

Abstract Objective At-risk high school students, those considered to have a higher probability for academic failure or dropping out, were assessed for various sleep disorders. Effects were compared between students with and without the nightmare triad syndrome (NTS+), the sleep disorders’ cluster of frequent nightmares, insomnia disorder and suspected sleep-disordered breathing (SDB). Methods Data were gathered at a charter school for at-risk youth using: computer based surveys, physical airway exams, and mental health interviews by school social worker. Ninety-two students were enrolled, and 70 completed all study components. Results Students were teenaged [17.10 (1.50) years], male (52.2%) slightly overweight [BMI 25.50 (6.41)] Hispanics (87.0%); two-thirds (65 of 92) subjectively reported a sleep problem. Frequent nightmares (39.1%), insomnia (ISI ≥ 12, 41.3%), and SDB risk (79.3%) were common. Several presumptive sleep disorders (insomnia, SDB risk, parasomnia, or nightmares) were associated with worse sleep quality and lower quality of life. Nineteen students met criteria for NTS. Compared to NTS−, NTS+ showed significantly lower quality of life (p < 0.003, g = 0.84). Regression analyses revealed higher levels of depression and anxiety symptoms in NTS+ students. NTS was associated with reduced quality of life independent of anxiety symptoms. Conclusion Prevalence of presumptive sleep disorders was high with a tendency for clusters of sleep disorders in the same individual. Students with NTS+ showed worse outcomes and reduced quality of life, mediated partially by depression and anxiety. To examine relationships between sleep disorders and mental health in at-risk adolescents, research investigations must include both subjective and objective measurements of sleep.


2018 ◽  
Vol 10 (1) ◽  
pp. 38-44
Author(s):  
Mehmet Kabalcı ◽  
Ali Bolat ◽  
Turgut Kültür ◽  
Yıldırım Gültekin ◽  
Serap Yörübulut

2021 ◽  
Author(s):  
Judith Cornelius ◽  
Charlene Whitaker-Brown ◽  
Jaleesa Smoot ◽  
Sonia Hart ◽  
Zandria Lewis ◽  
...  

BACKGROUND African Americans have a higher rate of having heart failure (HF) with an earlier age of onset when compared to other racial/ethnic groups. Scientific literature suggests that by 2030 African Americans will have a 30% increased prevalence rate of HF coupled with depression and anxiety. In addition to depression, anxiety is a predictor of worsening functional capacity, decreased quality of life, and increased hospital readmissions. Currently, there is no consensus on the best way to treat HF patients with depression and anxiety. One promising type of treatment-cognitive behavior therapy (CBT) – has shown to significantly improve patients’ quality of life and treatment compliance but CBT has not been used with text messaging reminders to enhance the effect of reducing symptoms of depression and anxiety in minority heart failure patients. OBJECTIVE The purpose of this study is to: 1) Adapt/modify the COPE curriculum for delivery to HF patients using a text-messaging component to improve depression and anxiety symptoms; 2) Administer the adapted intervention to 10 patients to examine feasibility and acceptability of the approach and modify as needed; and 3) Examine trends in depression and anxiety symptoms post-intervention. We hypothesize that patients will show an improvement in depression scores and anxiety symptoms post-intervention. METHODS This study will comprise a mixed methods approach. We will use the 8-steps of the ADAPT-ITT model to adapt the intervention. The first step in this exploratory feasibility research involves assembling individuals of the targeted population (n= 10) to discuss questions on a specific topic. We will gather data in focus groups during both phases by creating an environment that encourages participants to discuss their beliefs, perceptions, and points of view on the COPE for young adults curriculum and its applicability to African-American HF patients with enhanced text messaging reminders (TXT COPE HF). In Phase 2, we will examine the feasibility and acceptability of the enhanced text messaging intervention; (TXT COPE HF) and its preliminary effects with 10 participants. The Beck Depression Inventory will assess depression and the State Trait Anxiety Inventory will assess their anxiety. Changes will be compared from baseline to endpoint using paired t-tests. An exit focus group (n=10) will be held to examine facilitators and barriers with the text messaging protocol. RESULTS The pilot feasibility study was funded in November 2019. Institutional review board approval was delayed due to COVID but was obtained April 2021. Recruitment will occur June to August 2021 and results are expected by December 2021. CONCLUSIONS The findings of this study will add to the body of literature on the treatment of patients with heart failure.


Author(s):  
Vaida Meidutė ◽  
Vida Janina Česnaitienė

Background. Mood disorders affect the quality of life and functional abilities in older people. The elderly are often physically inactive, suffering from chronic diseases. It is not clear if physical exercise improves quality of life and motor function in patients with depressive and anxiety symptoms.The aim. To determine the impact of physical exercise on depression and anxiety symptoms, quality of life and muscle strength in the elderly.Methods. Eighteen individuals over 60 years of age were studied. Subjects were evaluated before and after physical exercise interventions using the following assessment methods: Hospital Anxiety and Depression Scale; Short version of the WHO Quality of Life Questionnaire WHOQOL-BREF; Manual muscle testing.Results. Subjects had decreased scores for depression, anxiety, and general psychoemotional area, improved quality of life scores in all areas, and improved muscle strength in all groups studied. The percentage change after exercise intervention was better in functional movements in those who rated their physical health worse before exercise. The percentage change in subjects who rated psychological health better before physical exercise intervention was better in the area of anxiety and overall psychoemotional status than in those who rated it worse. In the area of social relations, the percentage change did not differ between the groups (p < 0.05).Conclusion. After eight weeks of physical exercise intervention in the elderly, depression and anxiety rates were reduced, and quality of life and motor functions were improved in the subjects.Keywords. Physical exercise, depression and anxiety, the elderly, quality of life, motor functions.


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