scholarly journals A-32 Acute Concussive Symptom Profiles in Adolescents and Young Adults with History of Depression and Anxiety

2020 ◽  
Vol 35 (5) ◽  
pp. 628-628
Author(s):  
C Presley ◽  
T Meredith-Duliba ◽  
T Tarkenton ◽  
M Stokes ◽  
S Miller ◽  
...  
Keyword(s):  
Young Adults ◽  
Symptom Severity ◽  
Adolescents And Young Adults ◽  
Depression And Anxiety ◽  
Cognitive Fatigue ◽  
Anxiety Group ◽  
Symptom Profiles ◽  
Symptom Profile ◽  
History Of ◽  
History Of Depression

Abstract Objective The aims of this study are (1) to examine the clinical symptom profiles of individuals with depression and/or anxiety history following a concussion and (2) to compare profile differences across groups. Method Participants aged 12-25 (n=129, mean=15.6) with premorbid diagnoses of depression (n=24), anxiety (n=50), or depression+anxiety (n=55) were evaluated within 21 days after sustaining a concussion as part of the North Texas Concussion Registry (ConTex) using the Post-Concussion Symptom Scale (PCSS). Following the model described by Kontos and Collins (2014), symptom clusters were derived from the PCSS to create six domains (cognitive/fatigue, vestibular, ocular, posttraumatic migraine, anxiety/mood, cervical). ANOVAs with Tukey’s post-hoc tests were conducted to compare domain symptom severity and total symptom severity across groups. Results There were no demographic differences between groups. A single symptom profile was prominent across each group, with the primary, secondary, and tertiary symptomatic domains being posttraumatic migraine, ocular, and cognitive/fatigue, respectively. Across each domain the depression+anxiety group was most symptomatic, followed in order by the depression and anxiety groups. The depression+anxiety group reported significantly higher anxiety/mood (M=2.0 vs. M=1.3) and cognitive/fatigue (M=2.9 vs M=2.1) symptom severity compared to the anxiety group. Group differences on total symptom severity approached significance (F=2.83, p=.06). Conclusions The observed symptom profiles suggest that the acute-concussive response is similar in adolescents and young adults with history of depression and/or anxiety. Multiple premorbid conditions, such as depression and anxiety, appear to magnify overall symptom severity. Further research is warranted to understand the relationship between symptom burden and premorbid mental health factors.

scholarly journals INITIAL CLINICAL PRESENTATION OF PEDIATRIC PATIENTS WITH PSYCHOLOGICAL DISORDERS FOLLOWING CONCUSSION

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0008
Author(s):  
Hannah M. Worrall ◽  
Shane M. Miller ◽  
C. Munro Cullum ◽  
Jane S. Chung
Keyword(s):  
Symptom Severity ◽  
Pediatric Patients ◽  
Clinical Presentation ◽  
Anxiety And Depression ◽  
Anxiety Group ◽  
Severity Scores ◽  
Significant Difference ◽  
History Of ◽  
Concussion History ◽  
History Of Depression

Background: There is limited evidence regarding the impact of pre-existing psychological disorders on the initial clinical presentation in pediatric patients following concussion. Hypothesis/Purpose: To examine differences in clinical symptom measures between pediatric patients with a history of depression and/or anxiety and no history of psychological disorder (PD) following a concussion. Methods: Data were prospectively collected from participants enrolled in the North Texas Concussion Network Registry (ConTex) between August 2015 and March 2020. Participants aged 5-18 years diagnosed with a concussion were included. Demographic variables and a range of clinical measures from initial presentation were reviewed, including SCAT-5 Symptom Log, Patient Health Questionnaire (PHQ-8), Generalized Anxiety Disorder (GAD-7) scale, and Brief Resiliency Scale (BRS). Participants were separated into four groups based on self-reported prior diagnosis: depression, anxiety, depression+anxiety, and no PD. Results: A total of 1770 participants were included: 50 with depression, 82 with anxiety, 84 with both, and 1554 with no history of PD. There was no significant difference in age, sex, prior concussion history, or time to presentation between the depression and no PD group, or between the anxiety and no PD group. A significant difference was found between the depression+anxiety group and no PD group in the following variables: age (15.11±1.8 vs 13.68±2.61 years, p<0.001), prior concussion history (40.5% vs 23.9%, p=0.001), and time to presentation (31.47±25.82 vs 19.85±26.33 days, p=0.01). Additionally, there were more females in the depression+anxiety group than the no PD group (71.4% vs 47.8%, p<0.001). The depression, anxiety, and depression+anxiety groups had significantly higher rates of learning disorders than the no PD group (40%, 47.6%, 46.4% vs 16.4%, all p<0.001). A significant difference in SCAT-5 symptom severity scores between the depression, anxiety, and depression+anxiety groups compared to the no PD group was found. The PD groups all reported higher GAD-7 and PHQ-8 scores and lower BRS scores compared to the no PD group. The depression+anxiety group had the highest symptom severity, GAD-7, and PHQ-8 scores along with the lowest BRS score. Table 1.1 summarizes these significant findings. Conclusion: Differences were seen in participants with a history of depression and/or anxiety at initial clinical presentation, including history of learning disability, SCAT-5 symptom severity scores, and common screening tests for depression, anxiety, and resiliency compared to those without a history of PD. Understanding these differences at initial presentation may urge providers to engage multidisciplinary teams early in facilitating patient recovery. Tables/Figures: [Table: see text]

scholarly journals Giving back in a safe space: experience of peer bloggers using a social media website for adolescents with depression or anxiety (Preprint)

2020 ◽  
Author(s):  
Sana Karim ◽  
Kimberly Hsuing ◽  
Maria Symonds ◽  
Ana Radovic
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Young Adults ◽  
Self Esteem ◽  
Adolescents And Young Adults ◽  
Medium Effect ◽  
Website Usability ◽  
History Of ◽  
History Of Depression ◽  
Blog Posts

BACKGROUND Supporting Our Valued Adolescents (SOVA) is a moderated and anonymous social media website intervention. SOVA ambassadors are adolescents and young adults (AYA) asked to write monthly blog posts and comment on others’ posts on topics surrounding mental health. OBJECTIVE To understand the feasibility and acceptability of peer blogging for a moderated mental health intervention website, and explore whether bloggers - AYA who self-report symptoms of depression and anxiety - experience potential benefit. METHODS AYA ages 14-26 with self-reported history of depression or anxiety were recruited to the SOVA Peer Ambassador Program. Participants were asked to write one blog post a month and comment at least four times a month on other blog posts, for which they were compensated up to $15US monthly. Outcome variables measured at baseline and three months post-intervention included website usability and feasibility, depressive symptoms, anxiety symptoms, mental health treatment history, cybercoping, personal blogging style, self-esteem, loneliness, mental health stigma, social support, and positive youth development characteristics. Open-ended questions were asked about blogging acceptability and usability. RESULTS Of 66 adolescents and young adults showing interest and completing onboarding, 57 (86.4%) wrote at least one blog post, with an average of three posts per person. A sample of 34 (51.2%) participants completed a three-month survey for full analysis. Almost all 34 participants were satisfied with the experience of blogging (94%) and rated the website usability as good (80.1 (SD + 14.9). At three months, self-esteem scores increased by 2.1, with a small-medium effect size (P = 0.01, d = 0.45); and youth competence and confidence increased by 0.7 (P = 0.002) and 1.3 (P = 0.002), with medium effect sizes (d = 0.62, d=0.60), respectively. CONCLUSIONS A blogging intervention for adolescents and young adults with a history of depression or anxiety was feasible with regular and active engagement, and shows evidence in a one-sample design for positive changes in strength-based assets – self-esteem, competence, and confidence - which map onto resilience.

Symptoms of Depression and Anxiety in Adolescents and Young Adults With Allergies: A Comparison to Healthy Peers

2011 ◽  
Author(s):  
Elizabeth S. Molzon ◽  
Stephanie E. Hullmann ◽  
Angelica R. Eddington ◽  
Carmen A. Del Olmo Vazquez ◽  
Larry L. Mullins
Keyword(s):  
Young Adults ◽  
Adolescents And Young Adults ◽  
Depression And Anxiety ◽  
Symptoms Of Depression

Effect on Neuropsychiatric Disorders of Organophosphate Pesticides Exposure among Rice Farmers in Sukoharjo, Central Java

2020 ◽  
Author(s):  
Ayu Laela Fitriyani ◽  
◽  
Setyo Sri Rahardjo ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Family History ◽  
Work Stress ◽  
Depression And Anxiety ◽  
High Exposure ◽  
Rice Farmers ◽  
Central Java ◽  
Loss And Grief ◽  
History Of ◽  
Family History Of Depression ◽  
History Of Depression

ABSTRACT Background: Chronic exposure to organophosphate pesticides can increase the risk of neuropsychiatric disorders, including depression and anxiety. Unsafe behavior from farmers will endanger the health of farmers, especially in the form of neuropsychiatric disorders (depression and anxiety). This study aimed to analyze the effects of pesticide exposure and psychosocial determinants on depression and anxiety. Subjects and Method: A retrospective cohort study was conducted in Sukoharjo, Central Java. The study population was rice farmers. A sample of 200 rice farmers who use organophospate pesticide was selected by fixed exposure sampling. The dependent variable was neuropsychiatry (anxiety and depression). The independent variables were exposure to organophospate pesticide, had family history of depression, loss and grief, post trauma, work stress, and the use of personal protective equipment (PPE). The data were collected by questionnaire and analyzed by a multiple linear regression. Results: The risk of depression increased with high exposure to organophospate pesticide (b= 0.15; 95% CI= 0.05 to 0.26; p= 0.005), had family history of depression (b= 5.10; 95% CI= 2.60 to 7.60; p<0.001), loss and grief (b= 2.94; 95% CI= 0.76 to 5.11; p= 0.008), post trauma (b= 2.57; 95% CI= 0.24 to 4.89; p= 0.031), and work stress (b= 0.16; 95% CI= 0.05 to 0.27; p= 0.005). The risk of depression decreased with the use of PPE (b= -0.69; 95% CI= -1.32 to -0.076; p= 0.028). The risk of anxiety increased with high exposure to organophospate pesticide (b= 0.13; 95% CI= 0.02 to 0.24; p= 0.025), post trauma (b= 5.96; 95% CI= 3.48 to 8.44; p<0.001), loss and grief (b= 3.39; 95% CI= 1.07 to 5.71; p<0.001), had family history of depression (b= 2.95; 95% CI= 0.29 to 5.62; p= 0.004), and work stress (b= 0.19; 95% CI= 0.07 to 0.30; p=0.002). The risk of anxiety decreased with the use of PPE (b= -0.09; 95% CI= -1.57 to -0.024; p=0.008). Conclusion: The risk of depression increases with high exposure to organophospate pesticide, family history of depression, loss and grief, post trauma, and work stress. The risk of depression decreases with the use of PPE. The risk of anxiety increases with high exposure to organophospate pesticide, post trauma, loss and grief, had family history of depression, and work stress. The risk of anxiety decreases with the use of PPE. Keywords: Neuropsychiatry disorder, depression, anxiety Correspondence: Ayu Laela Fitriyani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +625796333986. DOI: https://doi.org/10.26911/the7thicph.01.48

scholarly journals Etiologic specificity of waking Cortisol: Links with maternal history of depression and anxiety in adolescent girls

2017 ◽  
Vol 208 ◽  
pp. 103-109 ◽  
Author(s):  
Brandon L. Goldstein ◽  
Greg Perlman ◽  
Roman Kotov ◽  
Joan E. Broderick ◽  
Keke Liu ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Depression And Anxiety ◽  
Maternal History ◽  
History Of ◽  
History Of Depression

scholarly journals Suicidal Ideations and Attempts in Patients with Isolated Dystonia

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000011596
Author(s):  
Alexis Worthley ◽  
Kristina Simonyan
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Depression And Anxiety ◽  
Electronic Survey ◽  
Increased Risk ◽  
Generalized Dystonia ◽  
History Of ◽  
History Of Depression ◽  
Global Population ◽  
Question Survey

Objective:To evaluate the hypothesis that individuals with isolated dystonia are at an increased risk for suicidal behavior, we administered an anonymous electronic survey to patients with dystonia, asking them about their history of suicidal ideations and suicide attempt.Methods:A total of 542 patients with dystonia completed an online 97-question survey, which captured the demographics of suicidal behavior and major psychiatric disorders in these patients. Statistical analyses examined the prevalence of suicidal behavior in patients with dystonia compared to the prevalence of suicidal ideations and attempt in the general global population and assessed the significance of risk associations between suicidality and psychiatric history in these patients.Results:Overall, 32.3% of patients with isolated dystonia reported a lifetime history of suicidal behavior, which was significantly different from the reported rates of suicidal ideation (9.2%) and attempt (2.7%) in the general global population. The prevalence of suicidality was higher in patients with multifocal/segmental and generalized forms of dystonia (range of 46%-50%) compared to patients with focal dystonias (range of 26.1%-33.3%). The highest suicidal ideation-to-attempt ratio of 4:1 was found in patients with generalized dystonia. Suicidality in patients with focal dystonia was significantly associated with their history of depression and anxiety disorders.Conclusion:Patients with isolated dystonia have an increased, albeit unrecognized, prevalence of suicidal behavior compared to the general global population. The screening for suicidal risk should be incorporated as part of the clinical evaluation of patients with dystonia to prevent their suicide-induced injury and death.

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