scholarly journals 243 Mental health status and sexual habits in young patient after acute coronary syndrome

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Claudio Nicolò ◽  
Marco Franzino ◽  
Lorenzo Pistelli ◽  
Giulia De Sanctis ◽  
Francesca Parisi ◽  
...  

Abstract Aims Acute coronary syndrome (ACS) has a huge potential impact on patients’ life, and little is known on the long-term effect on mental health in young patients. Methods and results We included consecutive young patients (≤45 years at presentation) with ACS referred from October 2013 until March 2021 to our clinic. Physical and mental status was evaluated through the standardized SF12 scale for physical (PCS) and mental status (MCS). Depression and perceived stress were evaluated with the patient health questionnaire 9 (PHQ9) and perceived stress scale (PSS). A total of 91 patients have been included and followed for a median of 40 months. History of anxiety or depression at baseline was reported in 1.1% and 2.2%, respectively. Physical and mental health status was impaired in 65.8% and 42.1% of patients, respectively (Figure). Predictors of poorer physical health were lower LVEF, WMSI, and multivessel disease. Predictors of poorer mental health were age and nuisance bleeding during follow-up. Mild/moderate depression was reported in 47.3%. Moderate/high stress was reported in 78.1%. 37.1% patients affirmed that their career trajectory worsened after the event and 37.8% declared a reduction of income. 53.8% declared mild to significant changes in their sexual activity, while 83.8% declared to have received no advises on sexual activity from their Doctor. Conclusions In conclusion, ACS is a dramatic event with a significant impact on young patients’ life at a physical, mental, and social level. Measures of social/psychological support in the aftermath of the event merit consideration in future research.

2020 ◽  
Vol 48 (1) ◽  
pp. 030006051987347
Author(s):  
Li-Yun Guo ◽  
Heng Sun ◽  
Min Hu ◽  
Yun-Hai Jiang ◽  
Zhi-Hang Luo

2020 ◽  
Author(s):  
Hong Jiang ◽  
Longmei Jin ◽  
Xu Qian ◽  
Xu Xiong ◽  
Xuena La ◽  
...  

BACKGROUND China is the first country experienced the large scale of COVID-19 epidemic. To interrupt the transmission, social distancing strategies were required. Many routine health care services were severely disrupted, including antenatal care services. The mental health status as well as how pregnant women reacted to the situation, where and how did they obtain antenatal care information are unknown. OBJECTIVE This study aimed to determine mental health status by measuring perceived stress, anxiety and depression, to explore approaches of obtaining antenatal health information and to determine their associations with the mental health status among pregnant women during COVID-19 epidemic in China. METHODS We conducted an online survey to assess mental health status among pregnant women and collected information on approaches of accessing antenatal care information during the COVID-19 epidemic from February 5 to 28, 2020. RESULTS A total of 1,873 women from 22 provinces/regions of China participated in the survey. The occurrence of experiencing perceived stress, anxiety and depression among pregnant women was 89.1% (95% CI: 87.6%, 90.4%), 18.1% (95% CI: 16.4%, 19.9%) and 45.9% (95% CI: 43.6%, 48.1%), respectively. Hospitals’ official accounts in the Chinese social media platforms WeChat and Weibo were the most popular channels for pregnant women to obtain antenatal care information. Access to antenatal care information and services via the hospitals’ official social media accounts were associated with a significantly lower risk of suffering from stress (adjusted odds ratio (aOR)=0.47, 95% confidence interval (CI): 0.30 to 0.73, P=0.001), anxiety (aOR=0.52, 95% CI: 0.40 to 0.68, P<0.001) and depression (aOR=0.72, 95% CI: 0.58 to 0.90, P=0.003). CONCLUSIONS During the COVID-19 epidemic, occurrence of experiencing perceived stress, anxiety and depression was high in Chinese pregnant women. Mental health care in the current pandemic is urgently needed to reassure and support pregnant women. Developing specific contents for pregnant women on how to cope in emergency and major disease outbreak via social media platforms could be an effective way to mitigate mental health disorders in future epidemic preparedness and response. CLINICALTRIAL NA


2018 ◽  
Vol 2 (3) ◽  
pp. 63
Author(s):  
Stephanie Molina ◽  
Sarah Jane Racal

Background: Stress, especially among young people, leads to life-threatening mental conditions such as depression and suicide. Nursing students, in particular, are exposed to different kinds of stress such as pressures from both academic and clinical exposures coupled with expectations to succeed. These stressors influence individual coping styles which may eventually affect students’ mental, physical, and over-all wellbeing leading to the decline in their learning and academic performance. Aims: This descriptive-correlational study was aimed at exploring the relationships among stress, coping, and mental health status among nursing students at a private university in Nakhon Pathom, Thailand. Methods: Using a systematic random sampling, a descriptive cross-sectional study was done among one hundred and fifty 3rd and 4th year nursing students under the international nursing program. The Perceived Stress Scale, Brief COPE, and the General Health Questionnaire were used to assess the level of stress, the coping strategies used, and the mental health status of the respondents. Descriptive statistics, t-test, and Pearson’s correlation were used to answer the research questions. Results: It revealed that the nursing students had moderate level of perceived stress, used acceptance as the most common form of coping, and substance use and denial as the least used. Furthermore, the respondents had mild level of mental health related-illness. Significant gender differences were found in the perceived level of stress, and use of coping strategies. While mental health status significantly differed according to year level and interest in nursing. Significant mild to moderate relationships were found among perceived stress level, coping strategies, mental health status, and selected socio-demographic variables. Conclusion: The findings of the study provide additional useful information on the relationships of stress, coping, and health outcomes. Results can also be useful in creating a stress management program for nursing students such as awareness on individual stress response and reinforcing the use of healthy coping strategies. 


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
D Libei ◽  
M X C Yin ◽  
C H Chan ◽  
H W R Li

Abstract Study question How is the prevalence of anxiety, depression and sexual dysfunction among Chinese women who is suffering from genital diseases? What is the relationship among their anxiety, depression and sexual dysfunction? Summary answer Anxiety, depression and sexual dysfunction symptoms were self-reported by the participants. Besides, their anxiety, depression and sexual dysfunction were inter-correlated. What is known already Reduced sexual activity and dysfunctional problems are highly prevalent in females. Approximately 43% of American women reported experiencing sexual problems. Women who are facing pressure on childbirth, may be more likely to have mental health problems. Some studies have shown that having gynecological disease can lead to anxiety, depression and sexual dysfunction. However, the mental health of females who are suffering from genital diseases has been little studied. Study design, size, duration The investigation was carried out from March to November, 2020. Participants were recruited in the Hong Kong University-Shenzhen Hospital, located in Shenzhen, China. 135 patients were approached while 116 agreed to join the survey. Participants/materials, setting, methods 116 women (35.42±8.19 years old) with a diagnosis of fallopian tube disease, ovarian benign disease or uterine disease voluntarily filled a questionnaire which contains the Female Sexual Function Index–6 Items (FSFI–6) and the Hospital Anxiety and Depression Scale (HADS). Descriptive analysis and stepwise regression were used to present participants’ self-reported anxiety, depression, and sexual dysfunction problems, as well as the relationship among their anxiety, depression, and sexual dysfunction. Main results and the role of chance 25% of the participants reported anxiety symptoms; 9.5% of the women reported depressive symptoms; while 37.3% reported sexual dysfunction problems. Anxiety (p &lt; 0.001) was significantly associated with depression. Depressive symptom can significantly predict sexual dysfunction (p &lt; 0.05) while anxiety was not associated with sexual dysfunction (p &gt; 0.05). Targeted interventions are needed to improve the mental health status of women with genital diseases in China. Limitations, reasons for caution This study can only present mental health status of this population. To better show the odds ratio of mental health problems, a case-control study design is needed. Besides, future qualitative or longitudinal studies are needed to detect the risk factors for the poor mental health of women with genital diseases. Wider implications of the findings: Reduced sexual activity and dysfunctional problems are highly prevalent in females with genital diseases. Sexuality is an important element in patients’ quality of life. For female patients with genital diseases, we should not only treat their physical symptoms, but also guide and treat patients in mental ways. Trial registration number ChiCTR2000031343


2008 ◽  
Vol 36 (2) ◽  
pp. 257-266 ◽  
Author(s):  
Babak Moeini ◽  
Froug Shafii ◽  
Alireza Hidarnia ◽  
Gholam Reza Babaii ◽  
Behrooz Birashk ◽  
...  

Psychological stress has been found to be associated with a variety of ailments and health outcomes in adolescents. This study investigated the relationships between perceived stress, general self-efficacy and mental health status among Iranian male adolescents recruited from midtown high schools in Tehran who studied in 12th grade (N = 148). Pupils completed three questionnaires for assessing perceived stress (PSS-14; Cohen, Kamarck, & Mermelstein, 1983), general self-efficacy (GSE; Schwarzer & Jerusalem, 1995) and psychological well-being (GHQ-28; Goldberg & Hillier, 1979). Statistical analysis revealed that greater stress was associated with lower general self-efficacy and lower mental health status. A significant inverse relationship between self-efficacy and general health was found among these students. Results are discussed in relation to their implications for effective mental health education (e.g., stress management training) for adolescents.


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