scholarly journals A-41 Exploring the Influence of Referral Source on State Anxiety Levels of Concussed Patients

2020 ◽  
Vol 35 (5) ◽  
pp. 637-637
Author(s):  
K Stephenson ◽  
M N Womble ◽  
R J Elbin

Abstract Objective To explore the influence of referral source on state anxiety in concussed athletes. Method One hundred thirty athletes (mean age = 16.46, SD = 1.93 yrs; 42% female) seeking care for a concussion at a specialty clinic within 30 days of injury (M = 8.83, SD = 6.12 days) were enrolled in the study. Demographic (e.g., age, sex, and history of anxiety) and referral source (e.g., emergency department/urgent care, primary care/pediatrician, and athletic trainer) information were collected, and the State-Trait Anxiety Inventory (STAI) was administered to all participants. A one-way analysis of variance (ANOVA) was conducted to compare STAI scores between referral groups, and a logistic regression (LR) was used to assess the relationship between referral sources and patients with and without clinical levels of state anxiety (STAI > 40). Statistical significance for all analyses was (p < .05). Results Approximately 25% (32/130) of patients reported a history of anxiety, and 46% (60/130) scored above clinical cutoffs for clinical anxiety. The referral groups did not differ on STAI scores (F(3, 130) = 1.12, p = .34), and the LR was not significant, (χ2(2, N = 130) = 3.75, p = 0.15). Conclusions History of anxiety was highly correlated with state anxiety at the first clinical visit; however, patients referred from different medical sources did not differ on clinical levels of anxiety at the first clinical visit following concussion.

2019 ◽  
Vol 34 (5) ◽  
pp. 755-755
Author(s):  
K Stephenson-Brown ◽  
A Otwell ◽  
P Schatz ◽  
M Womble ◽  
R J Elbin

Abstract Purpose To document the relationship between concussion symptoms and state anxiety in concussed adolescent athletes. Methods One hundred fifty-three concussed athletes (mean age=16.06, SD=1.62 yrs.) completed the Post-Concussion Symptom Scale (PCSS) and the State-Trait Anxiety Inventory (STAI) at their initial clinical visit within 30 days of injury (M=8.29, SD=6.46 days). Due to violations of normality (Shapiro-Wilk=.95), Spearman’s Rank Order correlations were conducted between STAI state scores and PCSS affective, somatic, cognitive-migraine-fatigue, and sleep clusters and total symptoms. Correlations were also conducted within sub-samples of patients seen within one week (M=3.80, SD=1.72days) and 8 – 30 days post-injury (M=13.91, SD=5.76 days). Statistical significance was set at (p<.05). Results In the total sample (n=153), STAI state scores were significantly associated with total symptoms (r=.54), and the affective (r=.53), sleep (r=.44), cognitive-migraine-fatigue (r=.47), and somatic (r=.33) symptom clusters. All significant relationships among STAI state scores and PCSS total symptoms and symptom clusters were retained for patients seen within 1 week as well as patients completing their first clinical visit 8-30 days post-concussion (p<.05). Conclusion Post-concussion endorsement of concussion symptoms increases as a function of state anxiety. Although the PCSS affective symptom cluster is not a validated measure to diagnose anxiety; these findings support the utility of the PCSS to evaluate for potentially elevated anxiety in concussed adolescent athletes.


1985 ◽  
Vol 56 (1) ◽  
pp. 37-38 ◽  
Author(s):  
G. Nigro ◽  
I. Galli

139 Italian undergraduates (61 men and 78 women) responded to the Italian version of the Christie's Mach IV scale and to the Italian version of the Spielberger's State-Trait Anxiety Inventory. Positive correlations between Mach IV scores and both State Anxiety and Trait Anxiety scores were found for both sexes. The authors hypothesized that moderate anxiety may be associated with high Machiavellianism. Further implications of the findings were discussed.


1978 ◽  
Vol 46 (3) ◽  
pp. 855-858 ◽  
Author(s):  
Robert A. Reeves ◽  
Ed M. Edmonds ◽  
Dollie L. Transou

A 2 (trait anxiety) × 4 (color) factorial design was used to determine the effects of red, green, yellow, and blue on state anxiety as a function of high and low trait anxiety. The State-Trait Anxiety Inventory was used to assess both trait (A-Trait) and state (A-State) anxiety for the 10 students assigned to each of the eight treatment combinations. High A-Trait students were significantly more anxious while viewing blue, red, and green than were the low A-Trait students and blue produced significantly more state anxiety than did either yellow or green. These results are consistent with state-trait theory and indicate that the effects of color on state anxiety may be confounded with trait anxiety unless the levels of A-Trait are equivalent for each color condition. The role of cultural and individual differences in the relationship between color and emotion and implications for research are discussed.


1992 ◽  
Vol 74 (3) ◽  
pp. 895-904 ◽  
Author(s):  
Daniel Fasko ◽  
Geri Hall ◽  
Michael R. Osborne ◽  
Richard W. Boerstler Hulen Kornfeld

To achieve deep relaxation in seriously ill persons, Tibetan medicine has employed a breathing process, known as “comeditation,” which requires a caregiver to focus attention on the chest of the reclining patient while making a sound or number keyed to the patient's exhalation. This study investigated the relationship between state and trait anxiety and lowered respiratory rate, using the comeditation procedure. Ten subjects were assigned randomly to either a control or comeditation group. Anxiety was measured on the State-Trait Anxiety Inventory. Analysis indicated a decrease in State-Anxiety scores in the comeditation group, but no differences between groups in pulse and respiration rates or trait anxiety. Implications for theory and research are discussed.


Open Medicine ◽  
2012 ◽  
Vol 7 (6) ◽  
pp. 747-752 ◽  
Author(s):  
Rima Azar ◽  
Samahra Singer

AbstractMany women suffer from new or worsening anxiety during pregnancy. In this pilot study, we investigated the effect of timing and severity of prenatal state anxiety symptoms on reduced birth weight. We hypothesized that: (1) Women with state anxiety symptoms during mid-gestation would deliver newborns with lower birth weight in comparison to participants with symptoms in early gestation and (2) compared to women with lower anxiety symptoms (< 50th percentile), women with medium-to-high state anxiety symptoms (> 50th percentile) would have lower birth weight offspring. The sample consisted of the first 30 pregnant women who agreed to participate in this pilot study. We assessed anxiety symptoms, using the State-Trait Anxiety Inventory during early and mid-gestation. We obtained birth weight from clinical charts. A hierarchical multiple regression showed that, after controlling for covariates, state anxiety symptoms in mid-gestation were associated with lower infant birth weight [F(9, 7) = 20.30, p<.001]. However, birth weight did not differ as a function of the severity of maternal state anxiety [F(1, 23)=.14, p=.71 and F(1, 24)=1.76, p=.20., respectively]. Clearly, our pilot data need replication. Once statistical significance is established with larger samples, it will be informative to examine the clinical significance of those findings.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
C. I. Marinescu ◽  
M. Leyes ◽  
M. A. Ribas ◽  
M. Peñaranda ◽  
J. Murillas ◽  
...  

The main aim of this study is to describe the relationship between serum levels of atazanavir, renal toxicity, and lithiasis. This is a prospective observational study of patients being treated with atazanavir (ATV) at Son Espases Teaching Hospital, Palma de Mallorca, between 2011 and 2013. The study includes 98 patients. Sixteen were found to have a history of urolithiasis. During a median monitoring period of 23 months, nine patients suffered renal colic, in three of whom ATV crystals were evidenced in urine. Cumulative incidence of renal colic was 9.2 per 100 patients. The variables related to having renal colic were the presence of alkaline urine pH and lower basal creatinine clearance. The mean serum level of ATV was slightly higher in patients with renal colic—1,303 μg/L versus 1,161 μg/L—but did not reach statistical significance. Neither were any significant differences detected by analysing the levels according to the timetable for ATV dosage. Cumulative incidence of renal colic was high in patients being treated with ATV, in 33% of whom the presence of ATV crystals was evidenced in urine. We were unable to demonstrate a relationship between ATV serum levels and renal colic or progression towards renal failure.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 466
Author(s):  
Diana Antonia Iordăchescu ◽  
Corina Ioana Paica ◽  
Alina Estera Boca ◽  
Corina Gică ◽  
Anca Maria Panaitescu ◽  
...  

The present study aims to highlight how women perceive and adapt to infertility difficulties. To better understand the difficulties that women diagnosed with infertility are experiencing, the study explores this concept in correlation with anxiety and coping. 240 women with fertility problems from various parts of Romania completed the State-Trait Anxiety Inventory (STAI-Form Y), Brief COPE and the scale “Difficulties With Infertility and Its Treatment.” Statistical analyzes showed that women who were at the beginning of treatment obtained higher scores on the anxiety [F(2,237) = 4.76, p = 0.009] and on the difficulties scale [F(2,237) = 3.53, p = 0.031], compared to participants who resorted to repeated fertilization procedures. It is important to emphasize that there is a significant positive correlation between the perception of infertility difficulties and coping, and also between difficulties and state anxiety. Regarding the relationship between state anxiety and coping, there were significant positive associations between maladaptive coping strategies and state anxiety, while adaptive strategies were negatively associated with state anxiety. In addition, regarding coping strategies, venting and self-blame occurred predominantly in women who know that the cause of infertility is female-related. These findings draws attention to the fact that infertile women live this experience at very high levels of anxiety, using quite a few adaptive coping mechanisms. These results highlight the need to investigate ways to reduce anxiety and optimizing adaptive coping strategies.


2018 ◽  
Author(s):  
Rajesh R Nandy ◽  
Karabi Nandy ◽  
Emily T Hébert ◽  
Michael S Businelle ◽  
Scott T Walters

BACKGROUND Behavior and emotions are closely intertwined. The relationship between behavior and emotions might be particularly important in populations of underserved people, such as people with physical or mental health issues. We used ecological momentary assessment (EMA) to examine the relationship between emotional state and other characteristics among people with a history of chronic homelessness who were participating in a health coaching program. OBJECTIVE The goal of this study was to identify relationships between daily emotional states (valence and arousal) shortly after waking and behavioral variables such as physical activity, diet, social interaction, medication compliance, and tobacco usage the prior day, controlling for demographic characteristics. METHODS Participants in m.chat, a technology-assisted health coaching program, were recruited from housing agencies in Fort Worth, Texas, United States. All participants had a history of chronic homelessness and reported at least one mental health condition. We asked a subset of participants to complete daily EMAs of emotions and other behaviors. From the circumplex model of affect, the EMA included 9 questions related to the current emotional state of the participant (happy, frustrated, sad, worried, restless, excited, calm, bored, and sluggish). The responses were used to calculate two composite scores for valence and arousal. RESULTS Nonwhites reported higher scores for both valence and arousal, but not at a statistically significant level after correcting for multiple testing. Among momentary predictors, greater time spent in one-on-one interactions, greater time spent in physical activities, a greater number of servings of fruits and vegetables, greater time spent interacting in a one-on-one setting as well as adherence to prescribed medication the previous day were generally associated with higher scores for both valence and arousal, and statistical significance was achieved in most cases. Number of cigarettes smoked the previous day was generally associated with lower scores on both valence and arousal, although statistical significance was achieved for valence only when correcting for multiple testing. CONCLUSIONS This study provides an important glimpse into factors that predict morning emotions among people with mental health issues and a history of chronic homelessness. Behaviors considered to be positive (eg, physical activity and consumption of fruits and vegetables) generally enhanced positive affect and restrained negative affect the following morning. The opposite was true for behaviors such as smoking, which are considered to be negative.


10.2196/10186 ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. e10186 ◽  
Author(s):  
Rajesh R Nandy ◽  
Karabi Nandy ◽  
Emily T Hébert ◽  
Michael S Businelle ◽  
Scott T Walters

Background Behavior and emotions are closely intertwined. The relationship between behavior and emotions might be particularly important in populations of underserved people, such as people with physical or mental health issues. We used ecological momentary assessment (EMA) to examine the relationship between emotional state and other characteristics among people with a history of chronic homelessness who were participating in a health coaching program. Objective The goal of this study was to identify relationships between daily emotional states (valence and arousal) shortly after waking and behavioral variables such as physical activity, diet, social interaction, medication compliance, and tobacco usage the prior day, controlling for demographic characteristics. Methods Participants in m.chat, a technology-assisted health coaching program, were recruited from housing agencies in Fort Worth, Texas, United States. All participants had a history of chronic homelessness and reported at least one mental health condition. We asked a subset of participants to complete daily EMAs of emotions and other behaviors. From the circumplex model of affect, the EMA included 9 questions related to the current emotional state of the participant (happy, frustrated, sad, worried, restless, excited, calm, bored, and sluggish). The responses were used to calculate two composite scores for valence and arousal. Results Nonwhites reported higher scores for both valence and arousal, but not at a statistically significant level after correcting for multiple testing. Among momentary predictors, greater time spent in one-on-one interactions, greater time spent in physical activities, a greater number of servings of fruits and vegetables, greater time spent interacting in a one-on-one setting as well as adherence to prescribed medication the previous day were generally associated with higher scores for both valence and arousal, and statistical significance was achieved in most cases. Number of cigarettes smoked the previous day was generally associated with lower scores on both valence and arousal, although statistical significance was achieved for valence only when correcting for multiple testing. Conclusions This study provides an important glimpse into factors that predict morning emotions among people with mental health issues and a history of chronic homelessness. Behaviors considered to be positive (eg, physical activity and consumption of fruits and vegetables) generally enhanced positive affect and restrained negative affect the following morning. The opposite was true for behaviors such as smoking, which are considered to be negative.


1973 ◽  
Vol 1 (2) ◽  
pp. 119-122 ◽  
Author(s):  
Dean G. Kilpatrick ◽  
Philip G. Mcleod

To evaluate the relationship between trait anxiety (TA) and fearfulness, 36 female nursing students were given the Wolpe-Lang Fear Survey Schedule (FSSIII) and the State-Trait Anxiety Inventory (STAT). High TA subjects selected from this sample were found to be more fearful than low TA subjects, and a correlation of 0.52 was obtained between fearfulness scores and TA scores. An analysis of the items and situations rated as most fear-producing indicated that half of these items represented social or interpersonal fears, and that one-third of the subjects rated harmless snakes as very much disturbing. These findings appear to support Spielberger's contention that TA represents susceptibility to arousal of state anxiety by a variety of stimuli and stimulus situations.


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