B-51 Impact of Resilience on Symptoms and Mood during Recovery in Adolescents and Young Adults Following Sports-Related Concussion

2019 ◽  
Vol 34 (6) ◽  
pp. 997-997
Author(s):  
T Meredith-Duliba ◽  
S Bunt ◽  
N Didehbani ◽  
S Miller ◽  
J Straub ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Assessment Tool ◽  
Initial Visit ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Resilience Scale ◽  
Symptom Evaluation ◽  
Sport Concussion ◽  
Patient Health ◽  
Stressful Experience

Abstract Objective It is unclear how resilience, the ability to “bounce back” from a stressful experience, is associated with recovery following a sport-related concussion (SRC). The aim of this project is to assess how resilience is related to symptoms following SRC. Method Participants (N = 353) aged 12-25 were evaluated within 30 days of injury at clinics in the ConTex Concussion Registry. The Sport Concussion Assessment Tool-5 symptom evaluation, Brief Resilience Scale (BRS), General Anxiety Disorder-7 Item (GAD-7), and Patient Health Questionnaire-8 Item (PHQ-8) were administered at initial visit and at three-months. BRS scores were used to place subjects into low (n = 40), average (n = 214), and high (n = 99) resilience groups, with a 2 (time) by 3 (group) repeated measures ANOVA to compare symptom scales. Results At initial visit subjects with low resilience reported higher GAD-7 [F (2,308) = 3.95, p = .02; 95% C.I. 5.19, 7.64] and PHQ-8 [F (2,311) = 4.40, p = .01; 95% C.I. 4.76, 7.47] scores compared to average and high resilience samples and demonstrated significant interaction effects with time. Subjects with low resilience also endorsed more initial SCAT5 symptoms [F (2,350) = 3.69, p = .026, 95% C.I. 10.99, 14.18] but showed no interaction with time. Conclusion Findings suggest that resilience may influence mood (anxiety & depression) initially and during SRC recovery. Consideration of resilience as a pre-injury factor may be important in SRC research.

scholarly journals Psychological Effects of the COVID-19 Pandemic on Hungarian Adults

2020 ◽  
Vol 17 (24) ◽  
pp. 9565
Author(s):  
Csanád Szabó ◽  
Judit Pukánszky ◽  
Lajos Kemény
Keyword(s):  
Perceived Stress ◽  
Psychological Effects ◽  
Measuring Instruments ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Psychological Variables ◽  
Ways Of Coping ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Patient Health

We aimed to explore psychological effects of the coronavirus pandemic on Hungarian adults in the time of the national quarantine situation in May 2020.We conducted a cross-sectional observational study with the use of an anonymous online questionnaire that consisted of 65 items. The following measuring instruments were used: Perceived Stress Scale (PSS-10); The General Anxiety Disorder Assessment (GAD)-2; The Patient Health Questionnaire (PHQ)-2; European Quality of Life Visual Analogue Scale (EQ-VAS); Self-administered inventory of complaints (Hungarian questionnaire); Shortened (Hungarian) version of the Ways of Coping Questionnaire; 2 open-ended questions to examine the participants’ mood and ways of coping during the pandemic. The data of 431 participants were analyzed, their average age was 47.53 ± 11.66 years, and the percentage of females was 90%. The mean of participants’ scores were the following: 19.34 ± 7.97 for perceived stress, 73.05 ± 21.73 for health status, and 8.68 ± 4.65 for neurotic complaints. Thirty-four and one-tenth percent of participants were depressed, 36.2% were anxious, and they tended to use problem-focused coping strategies more frequently than emotion-focused ones. We found significant correlations between all of the seven examined psychological variables. Our results highlight the importance of stress management in the psychological support of healthy adults in quarantine situation caused by the coronavirus pandemic.

Culturally Sensitive Assessment of Anxious-Depressive Distress in Vietnam: Avoiding Category Truncation

2018 ◽  
Vol 55 (3) ◽  
pp. 384-404 ◽  
Author(s):  
Devon E. Hinton ◽  
Amie Alley Pollack ◽  
Bahr Weiss ◽  
Lam T. Trung
Keyword(s):  
Psychiatric Symptoms ◽  
Anxiety And Depression ◽  
Strongly Correlated ◽  
General Survey ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Study Results ◽  
Standing Up ◽  
Patient Health ◽  
Highly Correlated

The present study investigated what complaints are prominent in psychologically distressed Vietnamese in Vietnam beyond standard symptoms assessed by Western diagnostic instruments for anxiety and depression. To form the initial Vietnamese Symptom and Cultural Syndrome Addendum (VN SSA), we reviewed the literature, consulted experts, and conducted focus groups. The preliminary VN SSA was then used in a general survey (N = 1004) of five provinces in Vietnam. We found that the VN SSA items were highly and significantly correlated with a measure of anxious-depressive psychopathology (a composite measure of the General Anxiety Disorder-7; Posttraumatic Diagnostic Scale; and Patient Health Questionnaire-9). The VN SSA item most highly correlated to anxious-depressive psychopathology was “thinking a lot” ( r = .54), reported by 15.8% of the sample. Many other symptoms in the addendum also were prominent, such as orthostatic dizziness (i.e., dizziness upon standing up; r = .41), reported by 22.9% of the sample. By way of comparison, somatic complaints more typically assessed to profile Western anxious-depressive distress, such as palpitations, were less prominent, as evidenced by being less strongly correlated to Western psychiatric symptoms and being less frequent (e.g., palpitations: r = .31, 7.1% of the sample). Study results suggest that to avoid category truncation when profiling anxious-depressive distress among Vietnamese that items other than those in standard psychopathology measures should also be assessed.

scholarly journals A Counseling Application as an Alternative Tool in Increasing Coping Self-Efficacy Among University Students With Academic Distress During Coronavirus Disease 2019 Pandemic in Indonesia: A Study Protocol for a Randomized Controlled Non-Inferiority Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Zahrotur Rusyda Hinduan ◽  
Miryam Wedyaswari ◽  
Ilham Phalosa Reswara ◽  
Hari Setyowibowo
Keyword(s):  
University Students ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Well Being ◽  
Clinical Trial Registration ◽  
Treatment As Usual ◽  
Intention To Treat ◽  
Use Of Technology ◽  
Resilience Scale ◽  
Patient Health

The coronavirus disease 2019 (COVID-19) pandemic increased education-related distress among University students globally, including in Indonesia. Psychological factors, such as academic demands, limited opportunity to meet their peers, problematic use of technology, and domestic problems, influenced the well-being of the students, leading to poor academic performance. A mobile-based counseling application was developed to address the distress among University students. The application was meant to reach students living remotely to enable them to access psychological assistance. Therefore, the purpose of this study was to describe a protocol aimed to evaluate the equivalence of the application when compared to the Treatment-As-Usual (TAU) in increasing the coping self-efficacy (CSE) and resilience of students as well as in decreasing their level of depression. A two-armed parallel randomized control non-inferiority trial will be conducted among approximately 430 students with selected academic problems. The participants will be randomly allocated into the TAU and the intervention groups. The primary and secondary outcomes will be measured by the Indonesian versions of the Coping Self-Efficacy (CSE) Scale, the Resilience Scale (RS-14), and the Patient Health Questionnaire (PHQ-9). The data will be collected at baseline, at the end of each session, and after 3 months. The outcomes will be analyzed using repeated-measures ANOVAs, intention-to-treat, and per-protocol analysis. If proven, the application will be used as an alternative media in helping the students.Clinical Trial Registration: Thailand Clinical Trials Registry (TCTR20200530001); Date of registration: May 28, 2020.

scholarly journals dePression, ANxiety, and acaDEMImiC performance in COVID- 19: The PANDEMIC study: A cross-sectional survey study

2021 ◽  
Author(s):  
Francisco José Barbosa-Camacho ◽  
Olaya Moramay Romero-Limón ◽  
Juan Carlos Ibarrola-Peña ◽  
Yolanda Lorelei Almanza-Mena ◽  
Kevin Josue Pintor-Belmontes ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Self Concept ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Scale Scores ◽  
Patient Health ◽  
Screening Scale

Abstract BackgroundAfter almost nine months of social isolation, the high incidence of depression and anxiety is understandable. However, depression and anxiety can adversely affect the quality of life. One of the biggest challenges in this global pandemic is providing education within public and private academic institutes.MethodsThis study was a cross-sectional survey distributed online from April to June 2020. We used the Patient Health Questionnaire-9 depression screening scale and the General Anxiety Disorder-7 screening scale to identify the presence of mental health disorders such as depression or anxiety in undergraduate and graduate students. We used the Academic Self-Concept Scale to determine whether these disorders altered students' perception of their academic performance.ResultsA total of 610 students answered the survey: 386 female (63.3%) and 224 male (36.7%). Most students (71.5%) had not participated in online courses before. When asked about their class preferences, 581 students (95.2%) preferred to be taught in classes. The average Academic Self-Concept Scale score was 2.76 ± 0.35. The Academic Self-Concept Scale scores were divided into Confidence and Effort categories, and their respective mean scores were 2.71 ± 0.37 and 2.82 ± 0.45. The total mean Patient Health Questionnarie-9 scores were 11.94 ± 6.90, and the mean General Anxiety Disorder-7 score was 10.30 ± 5.66. There were significant effects of the severity of depression and anxiety on the Academic Self-Concept Scale scores (p < 0.001 and p < 0.05, respectively).ConclusionsThe findings suggest that changing from classroom-based teaching to online delivery is not a challenge for students in the normal situation. However, being quarantined can be stressful and frustrating, which may challenge effective learning.Trial registrationThe study protocol was submitted to ClinicalTrials.gov and registered with the identifier: NCT04420416.

scholarly journals Ansiedade e depressão em atendimento presencial e telessaúde durante a pandemia de Covid-19: um estudo comparativo

2021 ◽  
Vol 19 ◽  
Author(s):  
Gabriel Trevizani Depolli ◽  
Jéssica Nascimento Brozzi ◽  
Andressa de Oliveira Perobelli ◽  
Bruno Lima Alves ◽  
Carmen Barreira-Nielsen
Keyword(s):  
Anxiety Disorder ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Patient Health

Resumo O estudo visou comparar escores de ansiedade e depressão em profissionais da saúde em atendimento remoto ou presencial em um hospital universitário brasileiro durante a pandemia de Covid-19 e identificar fatores associados à ansiedade e à depressão. Para tanto, realizou-se um estudo observacional e transversal. Os participantes responderam aos protocolos Patient Health Questionnaire-9 e General Anxiety Disorder-7, além de um questionário sociodemográfico, e foram divididos em três grupos: profissionais da telessaúde (G1), profissionais que exercem de maneira presencial (G2) e profissionais que exercem de ambas as formas (G3). Participaram 159 profissionais da saúde, sendo 36 homens e 123 mulheres, a maioria de enfermeiros, com a média de idade de 42 anos. Os participantes do G2 apresentaram maiores escores de ansiedade e depressão quando comparados aos demais. No entanto, não houve diferenças e associações estatísticas significantes entre esses grupos (p>0,05). ‘Idade’, ‘tipo de profissão’ e ‘receber diagnóstico de Covid-19’ tiveram associações estatísticas com ansiedade e depressão. Concluiu-se que não houve diferença significante entre ansiedade e depressão em profissionais da saúde que trabalham de forma remota ou presencial, assim como não houve associações entre os protocolos e os grupos. ‘Idade’ ‘profissão’ e ‘receber diagnóstico de Covid-19’ podem interferir nesses escores.

scholarly journals Jordanian ostomates' health problems and self-care ability to manage their intestinal ostomy: a cross-sectional study

2020 ◽  
Vol 25 (8) ◽  
pp. 679-696
Author(s):  
Rami A Elshatarat ◽  
Inas A Ebeid ◽  
Khadega A Elhenawy ◽  
Zyad T Saleh ◽  
Ahmad H Abu Raddaha ◽  
...  
Keyword(s):  
Self Care ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Cross Sectional ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Questionnaire Score ◽  
Patient Health ◽  
And Training

Background Ostomates have several physical, psychological and social health problems. These problems negatively impact the ostomates' quality of life. Aims This study aims to identify Jordanian ostomates' health problems and their self-care ability to manage their ostomies. Methods This is a cross-sectional study. A convenience sampling method was used to recruit 168 Jordanian patients with intestinal ostomies. A self-report questionnaire was used to collect the data. Results On average, the participants’ physiological ostomy-related problem scores were 8.76 ± 2.37 (out of 13 problems) and the total score of self-care ability to manage their ostomies was 16.56 ± 2.62 (out of 24). About 22% of the participants had ‘moderately severe’ to ‘severe’ depression (nine-item Patient Health Questionnaire score ≥15) and 33.9% had ‘moderate’ to ‘severe’ anxiety (seven-item General Anxiety Disorder questionnaire score ≥10). About half of the participants had exposure to teaching and/or training about ostomy care. About 85% of participants were willing to attend health education and training programmes about ostomy care. There was a significant correlation between high ostomates’ self-care ability to manage their ostomies and a low number of physiological health problems ( r = −0.67, p = 0.04), a low depression (Patient Health Questionnaire 9) score ( r = −0.54, p = 0.039) and a low anxiety (seven-item General Anxiety Disorder questionnaire) score ( r = −0.71, p < 0.027). Conclusions Health teaching and training about intestinal ostomy management, psychosocial support, follow-up assessment and treatment for ostomy-related problems are recommended for all ostomates.

scholarly journals Depression and Anxiety Symptoms in UK Thalidomide Survivors: A Brief Survey

Disabilities ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 23-29
Author(s):  
Elizabeth Newbronner ◽  
Ruth Wadman
Keyword(s):  
Mental Health Problems ◽  
Health Problems ◽  
Postal Survey ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Patient Health ◽  
Common Mental Health Problems ◽  
The Uk

Between 1958 and 1961, the drug Thalidomide was prescribed in the UK as a treatment for morning sickness. It caused severe birth defects. Thalidomide survivors are now experiencing a range of secondary health problems, including depression and anxiety. Internationally, it is estimated that 40% to 50% of Thalidomide survivors have recently experienced common mental health problems. The aim of this study was to gather information about the pattern of symptoms of depression and anxiety amongst UK Thalidomide survivors. A cross-sectional postal survey of 182 UK Thalidomide survivors, which used Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder Scale (GAD-7) to measure self-reported depression and anxiety, was conducted. Data were first analysed using descriptive statistics. A point-biserial correlation was used to examine whether being unable to work was associated with higher depression and anxiety scores. Prevalence of all levels of depression and anxiety was higher amongst the Thalidomide survivors than the general UK population but broadly similar to other groups of adults with disabling conditions. Being unable to work was associated with higher depression and anxiety scores. More research is needed to understand the relationship between early acquired physical disability and depression, in particular the implications, over the life course, of secondary health problems and changing social roles.

P054 WHAT ARE THEY WORRIED ABOUT?: FINDINGS FROM THE IBD DISTRESS SCALE

2020 ◽  
Vol 26 (Supplement_1) ◽  
pp. S68-S68
Author(s):  
Jacklyn Stellway Beard ◽  
Erynn Beeson ◽  
Heather MacKay ◽  
Jennifer Paternostro ◽  
Mikelle Bassett ◽  
...  
Keyword(s):  
Current Treatment ◽  
Self Report ◽  
Depression And Anxiety ◽  
Treatment Protocols ◽  
Patients Âgés ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Patient Health ◽  
Item Responses ◽  
Distress Scale

Abstract Introduction It is intuitive to expect youth with IBD will have higher rates of depression and anxiety than their otherwise healthy peers, and most research bears this notion. However, existing literature of emotional distress has not consistently addressed the differentiation between general depression and anxiety and normative emotional experiences of IBD. Assessment measures often used for youth with IBD align with the DSM criteria; based on symptoms, without considering etiology or context (e.g., chronic disease). The IBD Distress Scale (IDS) was designed to identify distress/worry in response to extraordinary circumstances of having IBD. Methods The IDS is a 27-item measure of distress related to IBD symptoms, treatment, and disease burden. The youth self-report was completed by 108 patients ages 12–19, and 101 parents. The IDS measure was administered with general measures of depression (Patient Health Questionnaire, PHQ8) and anxiety (General Anxiety Disorder, GAD7) to youth with IBD attending their routine gastroenterology appointment. Item responses were classified as “not a problem,” “moderate problem,” or “serious problem.” For some analyses, “not a problem” and “moderate problem” were collapsed. Correlations and frequencies were conducted to compare youth and parent responses. Results Results identified top “serious problems” rated by youth and parents, separately. The highest rated problem for youth was worries about not being able to eat what others are eating, with 18% reporting this as a serious problem. The second most highly rated “serious problem” by youth was fear of not having bathroom access (15%). For parents, the highest rated “serious problem” was fear of surgery (24%). Parents also rated worrying about next flare, and feeling there’s no way to avoid a flare, as “serious problems,” both with 16% frequency. Pearson correlations for the top problems identified as “serious” by youth and parents revealed significant agreement for socially-oriented worries; e.g., anxiety about patient not being able to eat what others are eating (r=.33). Conclusion The CCF states IBD treatment goals are five-fold: achieve remission; control inflammation; maintain remission; prevent and manage complications; maximize quality of life. Based on research with other diseases, integrating the IDS into current IBD treatment protocols is a logical step for identifying target areas for treatment. Thematically, results revealed youth and parents worry about future-oriented (e.g., worrying about next flare) and socially-oriented issues (e.g., possibility of not having access to a bathroom). The identified themes enlighten current treatment and provide guidance for improved interventions. Future directions should include development and implementation of appropriate interventions specific to the identified serious problems for IBD distress.

scholarly journals Saúde mental dos profissionais de saúde do serviço de atendimento móvel de urgência da cidade de Maceió durante a pandemia da Covid-19

2021 ◽  
Vol 4 (5) ◽  
Author(s):  
Thays Oliveira Silva ◽  
Davy Nicodemos de Lucena ◽  
Juliana Seara dos Santos Vieira ◽  
Rodolfo Augusto dos Santos Mendonça ◽  
Aída Felisbela Leite Lessa Araújo ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Patient Health

A pandemia instituída pela Organização Mundial de Saúde (OMS), devido ao surgimento desenfreado da cepa Sars-Cov-2, já existente, porém, não tão presente e/ou conhecido no meio, da família Coronaviridae, desencadeou um número elevado de infectados a nível mundial, principalmente de profissionais de saúde, e morte de milhares de pessoas. O objetivo é identificar os impactos causados durante esse período na saúde mental dos profissionais de saúde que atuam no Serviço de Atendimento Móvel de Urgência de Maceió-AL. A pesquisa foi realizada com esses profissionais, no Centro Universitário CESMAC, através de formulários online via Google forms. Os questionários foram divididos em três partes: a primeira tem a finalidade de avaliar a relação entre trabalho exercido e o medo de contrair a COVID-19, incidência de sintomas ansiosos e/ou depressivos durante a pandemia, entre outros; a segunda e terceira partes são utilizadas para aplicação do Patient Health Questionnaire-9 (PHQ-9), para rastreamento de depressão, e o General Anxiety Disorder-7 (GAD-7), para a frequência de sintomas ansiosos, nas últimas semanas. Os participantes da pesquisa apresentaram média de idade de 38,5 anos (DP: 10,5) e eu os mesmos apresentaram e desenvolveram com mais frequência ansiedade e depressão nesse período, principalmente naqueles que com idade menor, além de aumento no consumo de álcool, principalmente entre os profissionais do sexo masculino. Diante dos dados encontrados, faz-se necessária a busca por estratégias de orientação e prevenção quanto à saúde mental desses profissionais.

scholarly journals Sleep and Mood Disturbances during the COVID-19 Outbreak in an Urban Chinese Population in Hong Kong: A Longitudinal Study of the Second and Third Waves of the Outbreak

2021 ◽  
Vol 18 (16) ◽  
pp. 8444
Author(s):  
Chun Sing Lam ◽  
Branda Yee-Man Yu ◽  
Denise Shuk Ting Cheung ◽  
Teris Cheung ◽  
Simon Ching Lam ◽  
...  
Keyword(s):  
Hong Kong ◽  
Sleep Quality ◽  
Health Resources ◽  
Severity Index ◽  
Third Wave ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
The Third ◽  
Patient Health ◽  
The Impact

In response to the worsening situation of the COVID pandemic, this follow-up study aimed to assess the impact of the “third wave” of the outbreak on sleep and mood disturbances among Hong Kong citizens. A total of 339 respondents included in our last study during the second wave (4–11 August 2020) joined this survey (response rate = 51.1%). The questionnaire collected data on sleep conditions, mood, stress, and risk perception. The sleep quality and mood status were assessed using the Insomnia Severity Index (ISI), General Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9. The weighted prevalence of insomnia, anxiety, and depression was 33.6%, 15.3%, and 22.0%, respectively. Compared with the last survey, five out of six sleep parameters significantly worsened despite the lack of difference in the ISI score. The GAD-7 score was significantly lower. Old-aged adults were less likely to maintain good sleep quality compared with middle-aged adults (adjusted OR = 4.03, 95% CI: 1.04–15.73). Respondents without psychiatric disorder were more likely to be anxiety-free across the two time points (adjusted OR = 7.12, 95% CI: 1.33–38.03). One-third of Hong Kong people reported poor sleeping quality in the third wave of the COVID-19 outbreak. Policy-makers need to propose a contingent plan to allocate mental health resources to vulnerable subpopulations.

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