The Diagnostic Apathia Scale predicts the ability to return to work following depression or anxiety

2013 ◽  
Vol 26 (6) ◽  
pp. 364-371 ◽  
Author(s):  
LC Hellström ◽  
LF Eplov ◽  
M Nordentoft ◽  
SD Østergaard ◽  
P Bech
Keyword(s):  
Return To Work ◽  
Predictive Validity ◽  
Rating Scale ◽  
Well Being ◽  
Randomised Clinical Trial ◽  
Psychological Well Being ◽  
Memory Problems ◽  
Severity Of Depression ◽  
Clinically Significant ◽  
Personal Interests

ObjectiveThe aim of this study was to evaluate the validity of a new apathy rating scale in predicting the ability to return to work (RTW) in patients with depression or anxiety a year after discharge from a psychiatric hospital.MethodsWe evaluated 56 patients with depression or anxiety, who participated in an on-going randomised clinical trial using RTW as primary outcome. The degree of apathy was measured by the Diagnostic Apathia Scale, which contains six items covering the following neuropsychological symptoms: concentration/memory problems, difficulties in decision making, lassitude, tiredness/fatigue, insomnia, and reduced ability to work and engage in personal interests. The scale was analysed for psychometric validity (scalability) and for its ability to predict RTW. Finally, the predictive validity of the Diagnostic Apathia Scale regarding RTW was compared with scales measuring severity of depression/anxiety symptoms, disability, and psychological well-being.ResultsThe Diagnostic Apathia Scale displayed sufficient scalability, that is, the total score was a psychometrically valid measure of apathy. Only the Diagnostic Apathia Scale, and not the scales measuring severity of symptoms, disability, or psychological well-being, had predictive validity regarding RTW. Thus, 76% with ‘clinically significant apathy’ at baseline were unable to RTW versus 50% of the patients without apathy (p<0.05).ConclusionThe Diagnostic Apathia Scale was found to have an acceptable predictive validity in terms of patients’ ability to RTW 1 year after discharge from hospitalisation for depression or anxiety.

scholarly journals Psychological Well-Being among Nursing Students

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Ali Sabri Radeef Al-Ani
Keyword(s):  
Nursing Students ◽  
Well Being ◽  
Emotional Disturbances ◽  
Depression Anxiety Stress Scale ◽  
Psychological Well Being ◽  
Academic Factors ◽  
Stress Symptoms ◽  
Significant Depression ◽  
Severity Of Depression ◽  
Clinically Significant

Introduction:  Nursing students are subjected to a variety of stressors during their study. Severe and prolonged stressors may affect the psychological well-being in the form of depression, anxiety and stress which may affect students’ academic performance, physical health and quality of life. Therefore, this study aimed to determine the rate and severity of depression, anxiety and stress symptoms and also to assess the relationship between these symptoms with stressors faced by the students. Materials and method: A sample of 174 nursing students from International Islamic University Malaysia participated in this study. Depression Anxiety, Stress Scale (DASS-21) was used to assess the psychological well-being by determining the prevalence and severity of depression, anxiety and stress (DAS) symptoms. The sources of stressors were identified by giving the students a list of the most possible source of stressors which were chosen depending on previous studies, and then the severity of stressors and their relationship with these symptoms were assessed. Results: The overall prevalence of depression, anxiety and stress symptoms was 51.7%, 81.6% and 43.1% respectively but it was found that 13.2%, 44.3% and 10.3% of nursing students have clinically significant depression, anxiety and stress respectively. No significant differences between the gender and age of students in relation to DAS symptoms. Regarding the source of stressors, the top five stressors decided by the students were fear of failing, examination and grades, study pressure and obligations, fear of unemployment after graduation and academic overload. Conclusion: Depression, anxiety and stress symptoms are present among nursing students which require early intervention. Academic factors can be considered as sources of stressors that may precipitate emotional disturbances among the nursing students.

Improving Youth Mental Health Services Access Using a Single-Session Therapy Approach

2020 ◽  
Vol 39 (3) ◽  
pp. 46-55
Author(s):  
Maureen Kachor ◽  
Joanne Brothwell
Keyword(s):  
Mental Health ◽  
Rating Scale ◽  
Well Being ◽  
Pilot Project ◽  
Health Clinic ◽  
Wait Times ◽  
Single Session ◽  
Therapy Services ◽  
Clinically Significant ◽  
Outcome Rating Scale

This article describes the implementation and evaluation of a single-session therapy (SST) pilot project in a youth community-based mental health clinic. The intent was to improve access to therapy services in order to reduce wait times, support youth's and their caregivers’ functioning, relieve immediate distress and connect youth to resources while waiting for ongoing therapy. Wait times were reduced by 90 days when SST was implemented following intake. Caregivers reported clinically significant improvement in adolescent well-being at one-month follow-up using the Outcome Rating Scale. Clinicians embraced the implementation of SST as a complementary service to multisession therapy in the clinic setting.

Neuropsychological performance of HIV-1 infected men with major depression

1997 ◽  
Vol 3 (5) ◽  
pp. 457-463 ◽  
Author(s):  
KATHY J. GOGGIN ◽  
SIDNEY ZISOOK ◽  
ROBERT K. HEATON ◽  
J. HAMPTON ATKINSON ◽  
SANDRA MARSHALL ◽  
...  
Keyword(s):  
Major Depression ◽  
Drug Use ◽  
Rating Scale ◽  
Memory Test ◽  
Neuropsychological Impairment ◽  
Neuropsychological Battery ◽  
Psychiatric Interview ◽  
Severity Of Depression ◽  
Clinically Significant ◽  
Hiv 1

This study sought to determine if human immunodeficiency virus–type 1 (HIV-1) infected depressed men were more likely to be neuropsychologically impaired than their nondepressed counterparts. Subjects were 47 HIV-1 infected men who met DSM–III–R criteria for current major depressive disorder (MDD) and 47 HIV-1 infected nondepressed male controls (M age = 34.2 years) equated on HIV-1 disease severity, demographics, and drug use. The psychiatric interview included the Structured Clinical Inventory for the DSM–III–R, and Hamilton Rating Scale for Depression. The neuropsychological battery included tests covering 8 functional domains based on an expanded Halstead-Reitan Battery. The medical assessment included a history and physical examination, immunologic staging, and evaluation of prescription and recreational drug use. Prevalence of global neuropsychological impairment in the two groups (depressed vs. control) did not differ [53% vs. 38% respectively; χ2(1, N = 94) = 2.11, p > .05]. While syndromically depressed patients performed less well than nondepressed individuals on memory tests [delayed retention portions of the Story Memory Test: F(1,91) = 5.34, p < .05; and Figure Memory Test: F(1,90) = 4.16, p < .05], the majority of depressed participants (64%) did not have clinically impaired memory. No relationship between neuropsychological impairment and severity of depression was observed. The results suggest that, while HIV-1 infected men with major depression may perform more poorly than nondepressed men on some aspects of memory tasks, they are not more likely to evidence clinically significant neurocognitive impairment. (JINS, 1997, 3, 457–463.)

scholarly journals A Return-to-Work Intervention for Prematurely Retired Depression or Anxiety Disorder Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Eva Behrens-Wittenberg ◽  
Felix Wedegaertner
Keyword(s):  
Return To Work ◽  
Repeated Measures ◽  
Well Being ◽  
Controlled Study ◽  
Control Group ◽  
Depression And Anxiety ◽  
Psychological Well Being ◽  
Novel Approach ◽  
Work Intervention

Background: Depression and anxiety disorders are the most common cause for premature retirement of people of middle age. These people are expelled from the workforce. The following social disintegration can have an additional detrimental effect on subjects' psychological well-being which further reduces the chance to re-enter the workforce. Depression and anxiety in general need not be regarded as irreversible causes of disability. Therefore, long-term disability should be avoidable in many cases. This two-arm prospective controlled study tests a novel approach for those who have become economically inactive due to their illness with the goal to improve psychological well-being and return to work. Forty-one subjects were followed-up on over a period of 12 months and compared to 41 control cases. ANOVA for repeated measures showed that experimental subjects' psychological well-being and work ability was much better after the intervention than in the control group. These findings show that an individually tailored return-to-work intervention can be a useful therapeutic tool even after retirement.

scholarly journals Are return to work beliefs, psychological well-being and perceived health related to return-to-work intentions among women on long-term sick leave for common mental disorders? A cross-sectional study based on the theory of planned behaviour

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Åsa Hedlund ◽  
Marja-Leena Kristofferzon ◽  
Eva Boman ◽  
Annika Nilsson
Keyword(s):  
Sick Leave ◽  
Return To Work ◽  
Theory Of Planned Behaviour ◽  
Common Mental Disorders ◽  
Perceived Health ◽  
Well Being ◽  
Cross Sectional ◽  
Planned Behaviour ◽  
Psychological Well Being

Abstract Background Long-term sick leave due to common mental disorders (CMDs) is a great burden in society today, especially among women. A strong intention to return to work (RTW) as well as symptom relief may facilitate RTW in this group. However, there is a lack of knowledge regarding what constitutes a strong intention. The Theory of Planned Behaviour is well-suited to identifying underlying beliefs about intentions to perform a behaviour. By including psychological well-being and perceived health, a more comprehensive picture of determinants of RTW intention might be achieved. Thus, the aim of the present study was to identify associations between RTW beliefs, psychological well-being, perceived health and RTW intentions among women on long-term sick leave due to CMDs, and to do so based on the Theory of Planned Behaviour. Methods The study was cross-sectional. Between October 2019 and January 2020, 282 women on long-term sick leave (> 2 months) due to CMDs were included in the study. The questionnaires for data collection were: “RTW Beliefs Questionnaire”, the “General Health Questionnaire -12” and the “EuroQol Visual Analogue Scale”. Standard multiple regression analysis was performed both with and without adjustment for potential confounders. Results The results showed that a more positive attitude towards RTW, stronger social pressure to RTW, higher perceived control over RTW and higher psychological well-being were associated with stronger RTW intention. The adjusted analysis eliminated the importance of psychological well-being for RTW intention, but showed that women who reported that their employer had taken actions to facilitate their RTW had stronger RTW intention. Conclusion The RTW beliefs, derived from the Theory of Planned Behaviour, were all important for a strong RTW intention, while psychological well-being and perceived health showed weaker associations. Furthermore, having an employer that take actions for facilitating RTW was associated with stronger RTW intentions. Though some caution is warranted regarding the representativeness of the sample, the results do improve our understanding of some important determinants of RTW intention among women on long-term sick leave for CMDs.

scholarly journals Core Depressive Symptoms In Depressed Cancer OutpatientsB

2011 ◽  
Vol 7 (1) ◽  
pp. 178-181 ◽  
Author(s):  
Massimo Pasquini ◽  
Isabella Berardelli ◽  
Ambra Cabra ◽  
Annalisa Maraone ◽  
Gabriella Matteucci ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cancer Patients ◽  
Depressed Mood ◽  
Rating Scale ◽  
Depression Scale ◽  
Well Being ◽  
Mild Depression ◽  
Self Assessment ◽  
Moderate Depression ◽  
Severity Of Depression

Objective: This study aimed to estimate the prevalence of core depressive symptoms among cancer outpatients diagnosed with depressive or adjustment disorders with depressed mood. We also aimed to detect potential differences between patient self-assessment and psychiatrist evaluation in classifying the severity of depression. Methods: Fifty-two outpatients diagnosed with solid tumor malignancy and depressive or adjustment disorder with depressed mood were assessed using the Hamilton Depression Rating Scale (HAMD-17) (and its shortened version the HAMD-7) and the Zung Self-Rating Depression Scale (ZSDS) (and its shortened version BZSDS). Results: Based on HAMD-7 results, the prevalence of moderate depression was low (7.7%); using the BZSDS moderate depression was absent. Mild depression was identified in 82.3% and 73% of our subjects using the HAMD-7 and the BZSDS, respectively. The strength of agreement between psychiatrist and patients’ self-evaluation for mild depression was “slight”, employing the original and the abbreviated versions of both scales. Conclusion: Our findings suggest that the prevalence of core depressive symptoms is very low in cancer patients diagnosed with depressive disorder. The lack of a strong agreement between psychiatrist and patient in classifying the severity of depression highlights the importance of factors such as well-being and functional status among depressed cancer patients in their self assessment of depression.

scholarly journals Well-Being at Work after Return to Work (RTW): A Systematic Review

2020 ◽  
Vol 17 (20) ◽  
pp. 7490
Author(s):  
José-María Figueredo ◽  
Cristina García-Ael ◽  
Andrea Gragnano ◽  
Gabriela Topa
Keyword(s):  
Systematic Review ◽  
Job Satisfaction ◽  
Return To Work ◽  
Well Being ◽  
Health Problems ◽  
Synthesis Methods ◽  
Subjective Well Being ◽  
Psychological Well Being ◽  
Theoretical Approaches ◽  
Work Health

Background: Employees’ well-being at work after the return to work (RTW) is considered a key aspect of rehabilitation and maintenance of workability. This systematic review aimed at identifying the common psychosocial factors that predict the subjective and psychological well-being in RTW processes after having a long-standing health problem or disability. Objective: To evaluate the subjective and psychological well-being at work of employees with chronic or long-standing health problems or those returning to work after any cause of disability. Data source: Systematic review of articles published in English or Spanish using PsycINFO, PsycARTICLES, MEDLINE, Psychology, and Behavioral Sciences Collection, and Pubpsych. An additional study was identified by contacting expert academics in the field. The search equations used included terms such as Return to Work, Long-Standing Health Problems or Disability, Work Health Balance, and job satisfaction or subjective well-being. Eligibility criteria for the studies: Studies that included a measure of employees’ well-being at work following return to work were selected for the review. Evaluation of the studies and synthesis methods: The studies were selected using predefined fields which included quality criteria. Results: Of the 264 articles returned by the initial search, a total of 20 were finally selected. Results were organized around the three different theoretical approaches for understanding RTW and its antecedents and consequences: (a) RTW and autonomy at work have a positive effect on psychological well-being; (b) job demand is linked to less job satisfaction, whereas a higher level on the work–health balance is associated with job satisfaction and work engagement; (c) internal and external support is linked to job satisfaction in the case of a disease. Limitations: The evidence provided by the results is restricted by the limited availability of studies focusing on well-being at work following return to work. Moreover, the studies identified are of different kinds, thereby preventing comparisons. Conclusions and implications of the main findings: Employees’ subjective well-being after return to work has received very little attention to date. Given its importance in the current configuration of the labor market, it should be the object of more research.

scholarly journals Psychometric evaluation and predictive validity of Ryff's psychological well-being items in a UK birth cohort sample of women

2006 ◽  
Vol 4 (1) ◽  
Author(s):  
Rosemary A Abbott ◽  
George B Ploubidis ◽  
Felicia A Huppert ◽  
Diana Kuh ◽  
Michael EJ Wadsworth ◽  
...  
Keyword(s):  
Birth Cohort ◽  
Predictive Validity ◽  
Psychometric Evaluation ◽  
Well Being ◽  
Psychological Well Being

The Self-Efficacy in Multiple Sclerosis (SEMS) Scale

2018 ◽  
Vol 34 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Silvia Bonino ◽  
Federica Graziano ◽  
Martina Borghi ◽  
Davide Marengo ◽  
Giorgia Molinengo ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Coping Strategies ◽  
Measurement Invariance ◽  
Sense Of Coherence ◽  
Self Efficacy ◽  
Concurrent Validity ◽  
Rasch Analysis ◽  
Well Being ◽  
Psychological Well Being ◽  
And Coping

Abstract. This research developed a new scale to evaluate Self-Efficacy in Multiple Sclerosis (SEMS). The aim of this study was to investigate dimensionality, item functioning, measurement invariance, and concurrent validity of the SEMS scale. Data were collected from 203 multiple sclerosis (MS) patients (mean age, 39.5 years; 66% women; 95% having a relapsing remitting form of MS). Fifteen items of the SEMS scale were submitted to patients along with measures of psychological well-being, sense of coherence, depression, and coping strategies. Data underwent Rasch analysis and correlation analysis. Rasch analysis indicates the SEMS as a multidimensional construct characterized by two correlated dimensions: goal setting and symptom management, with satisfactory reliability coefficients. Overall, the 15 items reported acceptable fit statistics; the scale demonstrated measurement invariance (with respect to gender and disease duration) and good concurrent validity (positive correlations with psychological well-being, sense of coherence, and coping strategies and negative correlations with depression). Preliminary evidence suggests that SEMS is a psychometrically sound measure to evaluate perceived self-efficacy of MS patients with moderate disability, and it would be a valuable instrument for both research and clinical applications.

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