Depression, anxiety and perceived stress in women with and without PCOS: a community-based study

2018 ◽  
Vol 49 (09) ◽  
pp. 1510-1520 ◽  
Author(s):  
Anna L. Damone ◽  
Anju E. Joham ◽  
Deborah Loxton ◽  
Arul Earnest ◽  
Helena J. Teede ◽  
...  

AbstractBackgroundPolycystic ovary syndrome (PCOS) is associated with increased psychological distress in clinical populations. We aimed to assess depression, anxiety and perceived stress in women with and without PCOS in a large community-based sample and investigate the role of stress in contributing to and mediating the relationship between PCOS, depression and anxiety.MethodsA cross-sectional analysis was performed from the Australian Longitudinal Study of Women's Health (ALWSH) comparing women with (n = 478) or without (n = 8134) a self-reported diagnosis of PCOS. Main outcome measures were depression, anxiety and perceived stress measured using validated scales. The χ2 and t tests were used to assess differences between groups. Univariable and multivariable regression were performed to determine factors contributing to each outcome.ResultsWomen reporting PCOS, compared with women not reporting PCOS, reported higher prevalence of depression (27.3% v. 18.8%), anxiety symptoms (50% v. 39.2%) and greater score for perceived stress (1.01 ± 0.03 v. 0.88 ± 0.01). After adjusting for body mass index, infertility and socio-demographic factors, women with PCOS were still more likely to be depressed, anxious and to have a higher level of perceived stress. There was a high-level mediation effect of stress between PCOS and both depression and anxiety.ConclusionCompared with women not reporting PCOS, women reporting PCOS have increased depression, anxiety and perceived stress. Stress may play a role in the association between PCOS, depression and anxiety. Further studies should consider assessment and management of stress in PCOS as it may be relevant for understanding the aetiology and treatment of psychological distress.

Author(s):  
Mubeen Akhtar ◽  
Sadia Maroof ◽  
Shamyle Rizwan Khan

Abstract Objectives: The present research was carried out to find out an estimate of gelotophobia among obese individuals. Perceived stress and differences on socio-demographic factors were also studied. Method: The survey design cross-sectional study was conducted from January to June in 2018. A sample of 70 consenting participants (men = 22, women = 48) with BMI ? 25 were recruited through purposive sampling. The instruments of Geloph<15> and Perceived Stress Scale (PSS) were used to assess the level of gelotophobia and level of stress in the sample. Demographic details of sample were also recorded to achieve study objectives. Result: The estimate of gelotophobia among obese individuals in the current study showed that 64.2% majority sample had moderate level of gelotophobia, while 10% of the sample had high level of gelotophobia. Statistically significant differences were observed in the level of gelotophobia among individuals having different levels of socio-economic status (p < .05) and with history of being ridiculed by peers (p < .05). However, the present study did not show any significant demographic difference in perceived stress (p > .05). Conclusion: The findings of the study could provide evidence in favour of developing and implementing suitable intervention programs to help control risk of gelotophobia among obese individuals. The study could also assist in creating awareness and understanding about harmful consequences of bullying and nurturing a healthier narrative of conversations and humour among the youth. Keywords: Humor fear, obesity, BMI, body weight. Continuous...


2015 ◽  
Vol 106 (3) ◽  
pp. e147-e153 ◽  
Author(s):  
Larisa C. Lotoski ◽  
Rachel Engler-Stringer ◽  
Nazeem Muhajarine

2011 ◽  
Vol 69 (2b) ◽  
pp. 342-348 ◽  
Author(s):  
S Stefanello ◽  
L Marín-Léon ◽  
P T Fernandes ◽  
L M Li ◽  
N J Botega

OBJECTIVE: To estimate the frequency of depression/anxiety and to establish the social, epilepsy and psychiatric characteristics in individuals with epilepsy. METHOD: A cross-sectional study was employed to evaluate 153 subjects with epilepsy who were identified in a previous community-based survey. First, a structured interview was conducted, followed by a psychiatric evaluation. Subjects with depression were compared to those without, and subjects with anxiety were compared to those without. RESULTS: The prevalence of anxiety and depression was 39.4 and 24.4%, respectively. Both were associated with low schooling (OR 3.8, 95% CI 1.6 to 9.0 and OR 2.8, 95% CI 1.2 to 6.5 for depression and anxiety, respectively), lifetime suicidal thoughts (OR 4.4, 95% CI 1.9 to 10.3 and OR 3.6, 95% CI 1.7 to 7.7) and lifetime suicide attempts (OR 9.3, 95% CI 2.6 to 32.8 and OR 6.9, 95% CI 1.8 to 26.4). CONCLUSION: The high rates of depression and anxiety reinforced the need for recognition and treatment of mental disorders in epilepsy.


Author(s):  
Maria Kaczmarek ◽  
Sylwia Trambacz-Oleszak

Higher stress reactivity during adolescence is a vulnerability marker of exposure to various environmental stressors. This study aimed to investigate the association between a high level of perceived stress experienced by adolescents and stressful stimuli induced from school environment, peer, and parental relationships. The data used were from a cross-sectional, observational study conducted in a stratified sample of 1846 adolescents (13–18 years) in the Wielkopolska province, Poland. Data were collected through self-administered questionnaires and anthropometric measurements. Perceived stress was assessed using the Perceived Stress Scale (PSS-10). The association of a high level of perceived stress with school-induced exposures was determined using multivariate logistic regression after adjusting for gender, age, height and weight status and interpersonal relationships (STATISTICA 13.1). It was found that girls were over three times more likely than boys to experience a high level of perceived stress. Moreover, girls appeared to be more vulnerable than boys to school-related stressors and weight status, while boys to stressors that can arise from interpersonal relationships. School environment was the only predictor factor of high perceived stress level with a large effect size in both boys (OR = 4.45; 95% CI: 3.11–6.36) and girls (OR = 6.22; 95% CI: 4.18–7.59). Given the findings of the present study, preventive programs are critical to mitigate the effect of stress from school on adolescents’ health and well-being.


Author(s):  
Elham Shahraki ◽  
Mansoor Shakiba ◽  
Seyedeh Yasaman Ghasemi-Aliabadi

Background: Chronic renal failure is a disabling condition with multiple complication such as depression and anxiety; they are common in hemodialysis patients and have negatively effect on quality of life. In this study we investigate the prevalence of depression and anxiety in Zahedan hemodialysis patients. Methods: A total 200 patients undergoing regular hemodialysis for more than six months included in this descriptive cross-sectional study. After consent The Hamilton Rating Scale for Depression and anxiety (HAM-D7) in a version translated into and adapted to Persian, were used. Results: The patients median age was (43.06 ± 16.11) years and 38.5% was male. Mild depression was observed in (15) 7.5%, moderate in (81) 40.5% and sever depression in (104) 52% of patients. In this study 19.5% (39) of patients has moderate anxiety and 80.5% (161) patients with sever anxiety. A significant correlation was found between duration of dialysis, older age and depression. But there wasn’t any relationship between age and duration of dialysis with anxiety. Anxiety and depression found without any significant differences in both males and females. Conclusion: We found high level of depression an anxiety in Zahedan hemodialysis patients.


Author(s):  
Lars Göran Wallgren

Using the Job Demands-Resources (JD-R) model, this cross-sectional study tests whether the direct effects and interaction effects of job demand and motivators affect the level of perceived stress among information technology (IT) consultants. A web-based questionnaire survey was conducted among 380 IT consultants at ten IT consultancy companies in Sweden. The results showed that job demands, autonomy, and motivators are important factors that explain perceived stress among the IT consultants. Those consultants with a high level of job demands and a low level of autonomy had a four times higher risk of perceived stress than the consultants with the theoretically lowest level of strain. However, the interaction effect of job demands/autonomy and the interaction effect of job demands/motivators on perceived stress were non-significant. It is suggested that IT consultants’ autonomy exists within the demands dictated by others - Theory Y embedded in Theory X. Future avenues for research are suggested.


Author(s):  
Benedict Francis ◽  
Jesjeet Gill ◽  
Ng Yit Han ◽  
Chiara Petrus ◽  
Fatin Azhar ◽  
...  

Medical students are vulnerable to depression and anxiety due to the nature of their academic life. This study aimed to determine the prevalence of depressive and anxiety symptoms among medical students and the association between religious coping, religiosity and socio-demographic factors with anxiety and depressive symptoms. A cross sectional design was used for this study. Scales used were the Malay version of the Duke Religious Index (DUREL-M), the Malay version of the Brief Religious Coping Scale (Brief RCOPE) and the Malay version Hospital and Anxiety Depression Scale (HADS-M). 622 students participated in this study. They scored moderately on the organized (mean: 3.51) and non-organized religious (mean: 3.85) subscales of the DUREL, but had high intrinsic religiosity (mean: 12.18). The prevalence of anxiety and depressive symptoms were 4.7% and 17.4% respectively, which is lower than local as well as international data. Islam, negative religious coping and the presence of depressive symptoms were significantly associated with anxiety symptoms. Only the presence of anxiety symptoms was significantly associated with depressive symptoms. Negative religious coping, rather than positive religious coping, has significant association with depressive and anxiety symptoms. Redirecting focus towards negative religious coping is imperative to boost mental health outcomes among medical students.


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