Behind the masks: A cross-sectional study on intolerance of uncertainty, perceived vulnerability to disease and psychological flexibility in relation to state anxiety and wellbeing during the COVID-19 pandemic

Studies have revealed that anxiety is associated with intolerance of uncertainty (IU); however, no study has examined the predictive effect of IU on anxiety in individuals with liver transplantation (LT). Therefore, this study aimed to identify the relationship between anxiety and IU levels in individuals who received LT. A descriptive cross-sectional study with a convenience sample ( N = 118) was conducted at a center in eastern Turkey. The data were analyzed using descriptive statistics, correlation, and hierarchical linear regression analysis. The mean scores for the dimensions of IU, state anxiety and trait anxiety were 34.42 ± 8.35, 40.38 ± 10.07, and 41.88 ± 7.53, respectively. IU and anxiety in individuals with LT were identified as related dynamics. Present findings suggest that uncertainty and IU can be considered in the conceptualization and treatment of anxiety and related pathologies. Nurses may seriously consider these results in order to increase the quality of the treatment and care provided to patients.

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Mental health and its association with coping strategies and intolerance of uncertainty during the COVID-19 pandemic among the general population in Saudi Arabia: cross-sectional study

BMC Psychiatry ◽

10.1186/s12888-021-03370-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ahmad N. AlHadi ◽

Mohammed A. Alarabi ◽

Khulood M. AlMansoor

Keyword(s):

Mental Health ◽

Saudi Arabia ◽

Coping Strategies ◽

Intolerance Of Uncertainty ◽

Cross Sectional Study ◽

Self Report ◽

Sectional Study ◽

Mental Health Symptoms ◽

Cross Sectional ◽

Health Symptoms

Abstract Background The COVID-19 pandemic has had a major impact on people’s lives globally. The outbreak in Saudi Arabia worsened when the number of cases and deaths rose in March and April of 2020, leading to a national lockdown. This study aimed to assess the factors associated with mental health symptoms in a sample of people residing in Saudi Arabia during the COVID-19 pandemic. Methods We conducted an observational cross-sectional study using an online survey distributed via social media, completed by 3032 respondents from all Saudi regions. We collected demographic data, illness history, and scores of validated self-report scales to assess mental health symptoms, intolerance of uncertainty, and coping strategies. Results In total, respondents indicated moderate to very severe symptoms during the pandemic as follows: 20.9% for depression, 17.5% for anxiety, and 12.6% for stress. Younger age, female gender, and history of mental illness were associated with higher levels of depression, anxiety, stress, and insomnia. Intolerance of uncertainty and certain coping strategies (such as denial or self-blame) were associated with more severe symptoms. Conclusions Mental health is a key concern during the COVID-19 pandemic, especially for the identified vulnerable groups. Agencies concerned with mental health during crises may use the studied associated factors of mental health symptoms to generate targeted policies or interventions.

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How deep is your thought? The relations between intolerance of uncertainty, worry and weight and shape concerns in adolescent girls with anorexia nervosa

10.21203/rs.3.rs-882669/v1 ◽

2021 ◽

Author(s):

Jojanneke Bijsterbosch ◽

Anouk Keizer ◽

Paul Boelen ◽

Unna Danner ◽

Lot Sternheim

Keyword(s):

Anorexia Nervosa ◽

Adolescent Girls ◽

Cognitive Processes ◽

Intolerance Of Uncertainty ◽

Cross Sectional Study ◽

Intervention Strategies ◽

Mediation Model ◽

Sectional Study ◽

Cross Sectional ◽

Weight And Shape Concerns

Abstract Background Inherent to anorexia nervosa (AN) are repetitive thoughts about weight and shape. Growing research suggests the relevance of intolerance of uncertainty (IU) and worry in maintaining these types of repetitive thoughts. The relation between these cognitive processes and weight and shape concerns in adolescents with AN is understudied. This study aims to investigate associations between prospective and inhibitory IU, worry, and weight and shape concerns. Methods In a cross-sectional study, 93 adolescent girls with AN completed three questionnaires, measuring prospective and inhibitory IU, worry, and weight and shape concerns, respectively. A mediation model with worry as a mediator between inhibitory IU and prospective IU and weight and shape concerns was tested. Results A direct and total effect of inhibitory IU on weight and shape concerns was found. Worry did not mediate the relation between inhibitory or prospective IU and weight and shape concerns. Conclusions These results confirm the importance of inhibitory IU in adolescents with AN, more specifically to weight and shape concerns. This group may benefit from intervention strategies targeting IU. Worry seems less relevant to weight and shape concerns in adolescents.

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Depression and anxiety in pet owners after a diagnosis of cancer in their pets: a cross-sectional study in Japan

BMJ Open ◽

10.1136/bmjopen-2018-024512 ◽

2019 ◽

Vol 9 (2) ◽

pp. e024512 ◽

Cited By ~ 4

Author(s):

Yuko Nakano ◽

Masato Matsushima ◽

Azusa Nakamori ◽

Junshiro Hiroma ◽

Eiji Matsuo ◽

...

Keyword(s):

Trait Anxiety ◽

State Anxiety ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

Pet Owners ◽

Diagnosis Of Cancer ◽

High Trait ◽

High Trait Anxiety

ObjectiveTo determine the presence and predictors of depression and anxiety in pet owners after a diagnosis of cancer in their pets.DesignCross-sectional study.SettingA veterinary medical centre specialised in oncology for dogs and cats and two primary veterinary clinics in Japan.ParticipantsThe participants for analysis were 99 owners of a pet with cancer diagnosis received in the past 1–3 weeks and 94 owners of a healthy pet.Main outcome measuresSelf-reported questionnaires were used to assess depression and anxiety. Depression was assessed using the Center of Epidemiologic Studies Depression Scale, and anxiety was measured by using the State–Trait Anxiety Inventory-Form JYZ.ResultsDepression scores were significantly higher in owners of a pet with cancer than owners of a healthy pet, even after adjustment for potential confounders (p<0.001). Within the owners of a pet with cancer, depression was significantly more common in those who were employed than those who were unemployed (p=0.048). State anxiety scores were significantly higher in owners of a pet with cancer than owners of a healthy pet, even after adjustment for potential confounders, including trait–anxiety scores (p<0.001). Furthermore, in owners of a pet with cancer, state anxiety was higher in owners with high trait anxiety (p<0.001) and in owners whose pets had a poor prognosis (p=0.027).ConclusionThe results indicate that some owners tended to become depressed and anxious after their pets had received a diagnosis of cancer. Employment may be a predictor of depression. High trait anxiety and a pet with a poor prognosis may increase owners’ state anxiety. Including the pet in a family genogram and attention to the pet’s health condition may be important considerations for family practice.

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Predictors of maternal state anxiety on arrival at a Japanese hospital outpatient clinic: a cross-sectional study

Journal of Clinical Nursing ◽

10.1111/jocn.12788 ◽

2015 ◽

Vol 24 (17-18) ◽

pp. 2383-2391 ◽

Cited By ~ 1

Author(s):

Shingo Ueki ◽

Kazuteru Niinomi ◽

Yuko Takashima ◽

Ryoko Kimura ◽

Kazuyo Komai ◽

...

Keyword(s):

Outpatient Clinic ◽

State Anxiety ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Hospital Outpatient ◽

Hospital Outpatient Clinic

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Impact of Parenting Styles on Psychological Flexibility Among Adolescents of Pakistan: A Cross-Sectional Study

Child and Adolescent Social Work Journal ◽

10.1007/s10560-021-00754-z ◽

2021 ◽

Author(s):

Akhtar Bibi ◽

Raheela Hayat ◽

Nadia Hayat ◽

Sadia Zulfiqar ◽

Nadia Shafique ◽

...

Keyword(s):

Mental Health ◽

Parenting Styles ◽

Empirical Work ◽

Psychological Flexibility ◽

Total Sample ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Adolescent Population ◽

The Impact

AbstractThe parenting styles and psychological flexibility have been significant variables; however, little empirical work has addressed the impact of parenting in terms of the expansion of psychological flexibility. The present study investigated the impact of different parenting styles as a predictor of psychological flexibility in the adolescent population. A total sample of 100 adolescents (50 boys and 50 girls) whose ages ranged between 12 and 18 years without any previous psychiatric and medical history were recruited from different educational institutes of Pakistan. Results revealed that parenting styles are positively associated with psychological flexibility (r = 0.75, p < 0.05). Moreover, parenting styles significantly predict psychological flexibility among adolescents (p < 0.05). However, no gender differences were found across both variables among adolescents. These findings have highlighted the significance of parenting styles and psychological flexibility with respect to the mental health of adolescents.

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Privacy, Self-Esteem, Anxiety in Women Having Pelvic Examination

Clinical Nursing Research ◽

10.1177/10547738211058597 ◽

2021 ◽

pp. 105477382110585

Author(s):

Habibe Bay ◽

Bihter Akin

Keyword(s):

State Anxiety ◽

Personal Information ◽

Self Esteem ◽

Cross Sectional Study ◽

The Body ◽

Pelvic Examination ◽

Sectional Study ◽

Cross Sectional ◽

Web Based ◽

Gynecology And Obstetrics

This study aims to determine the privacy perception, self-esteem and anxiety levels of women undergoing pelvic examination and influencing factors. This web-based cross-sectional study was conducted with 415 women who underwent pelvic examination. The data were collected using a Personal Information Form, the Body Privacy Scale for Gynecology and Obstetrics, the Rosenberg Self-Esteem Scale and the State Anxiety Inventory. It was found that self-esteem ( R2 = .055, p < .0001) and state anxiety ( R2 = .037, p: .004) were significantly related to body privacy perceptions. The results of the study showed that making a statement to the women before the examination positively affected their perception of privacy. It is recommended for health professionals to be trained on the importance of privacy and communication during pelvic examination to increase their awareness on the topic.

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Birth, breastfeeding, psychological flexibility and self‐compassion as predictors of mother–infant emotional availability in a cross‐sectional study

Infant Mental Health Journal ◽

10.1002/imhj.21935 ◽

2021 ◽

Author(s):

Koa Whittingham ◽

Amy E. Mitchell

Keyword(s):

Psychological Flexibility ◽

Cross Sectional Study ◽

Emotional Availability ◽

Sectional Study ◽

Cross Sectional ◽

Self Compassion

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A Cross-Sectional Study of Psychological Flexibility as a Mediator for the Relationship Between Acculturative Stress and Cardiovascular Health Behaviors Among Second-Generation Arab Americans

Journal of Transcultural Nursing ◽

10.1177/1043659620984515 ◽

2020 ◽

pp. 104365962098451

Author(s):

Randa Merizian ◽

R. Kevin Mallinson ◽

Panagiota Kitsantas ◽

Sina Gallo

Keyword(s):

Health Behaviors ◽

Acculturative Stress ◽

Second Generation ◽

Cardiovascular Health ◽

Heart Association ◽

Psychological Flexibility ◽

Cross Sectional Study ◽

Arab Americans ◽

Sectional Study ◽

Cross Sectional

Introduction: Second-generation Arab Americans may be at risk for poor cardiovascular health behaviors, but these behaviors are poorly understood. The purpose of this study was to examine the effects of acculturative stress and psychological flexibility on cardiovascular health behaviors among second-generation Arab Americans. Method: In a cross-sectional study, survey data were collected in 2018 at local mosques, churches, and a university campus. Cardiovascular health behaviors were measured with a questionnaire based on the American Heart Association Life’s Simple 7. Acculturative stress and psychological flexibility were assessed using reliable and valid measures. Results: Participants ( n = 325) with higher acculturative stress were significantly more likely to report intermediate overall cardiovascular health behaviors ( p = .01) and poor to intermediate diet ( p = .00). Psychological flexibility partially mediated poor/intermediate smoking ( p = .02) and intermediate diet ( p = .00) scores. Discussion: Nurses may consider the role of acculturation when designing culturally sensitive interventions to promote cardiovascular health in second-generation populations.

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Pain, Fatigue, Nausea, and Vomiting as Predictors of Anxiety in Patients Undergoing Hematopoietic Stem Cell Transplantation: A Cross-sectional Study

10.21203/rs.3.rs-984888/v1 ◽

2021 ◽

Author(s):

Nilofar Pasyar ◽

Masoume Rambod ◽

Fatemeh Zahedi ◽

Mani Ramzi

Keyword(s):

Stem Cell ◽

Hematopoietic Stem Cell Transplantation ◽

Stem Cell Transplantation ◽

State Anxiety ◽

Cross Sectional Study ◽

Nausea And Vomiting ◽

Sectional Study ◽

Cross Sectional ◽

Hematopoietic Stem ◽

Anxiety Levels

Abstract PurposeThe present study aimed to determine the predictive roles of pain, fatigue, nausea, and vomiting in anxiety among the patients undergoing Hematopoietic Stem Cell Transplantation (HSCT).MethodsThe present cross-sectional study was conducted on 200 patients treated by HSCT referred to the centers affiliated to Shiraz University of Medical Sciences, Iran. The data were collected using Spielberger Anxiety Questionnaire, Numerical Pain Scale, Brief Fatigue Inventory, and Rhodes Nausea and Vomiting Index. Then, the data were analyzed using Spearman’s test and multiple regression analysis.ResultsThe means of state anxiety, trait anxiety, pain, fatigue, and nausea, vomiting and retching were 41.67 (SD = 9.71), 43.78 (SD = 9.00), 3.79 (SD = 2.79), 4.23 (SD = 2.48), 6.31 (SD = 7.53), respectively. The results showed that the participants with higher pain and fatigue scores had higher anxiety levels. The individuals who had more nausea and vomiting had higher anxiety levels, as well. It indicated that fatigue, pain, amount of vomiting, and severity of nausea, vomiting and retching were the predictors of trait anxiety. This study showed the predictor role of pain, fatigue, and severity of retching in state anxiety. ConclusionThe study findings revealed an association between anxiety and pain, fatigue, nausea, and vomiting among the HSCT patients. The results also showed that fatigue and pain were the predictors of anxiety among the patients. Yet, future studies are recommended to determine the other factors contributing to anxiety among the HSCT patients.

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