Association of shift work with depression and anxiety in middle-aged adults: a large cross-sectional study among Iranian industrial manufacturing employees

Purpose This study aimed to examine the association of shift work with depression and anxiety in a large sample of formal and contractual employees of a mill steel company, Isfahan, Iran. Design/methodology/approach This cross-sectional study was performed in 2014 among 3,060 formal and contractual employees of a mill steel company Isfahan, Iran, randomly selected from 16,000 people. Data gathering was done by some validated Iranian version of self-administered questionnaires including, International Physical Activity – Short Form, Effort–Reward Imbalance, Hospital Anxiety and Depression Scale. Logistic regression was used as the main statistical method. Findings The results showed individuals in the rotating shift compared with day shift had a higher risk of depression (OR: 1.43; 95% CI: 1.12–1.84). Whereas after adjustment for various confounders, this relationship was not significant (OR: 1.19; 95% CI: 0.81–1.76). Anxiety was not associated with shift work, both in crude and adjusted models (OR: 1.08; 95% CI: 0.81–1.44) and (OR: 0.90; 95% CI: 0.67–1.19), respectively. Research limitations/implications Owing to the cross-sectional design of this study, cause–effect relationships could not be inferred from our findings. All the data used in the present analysis were collected by self-administered questionnaires. Practical implications Although our findings did not show significant association between shift work and mental health, further studies are suggested for obtaining informative data worldwide in this regard among workforce particularly among industrial employees. Originality/value Few studies have addressed the effects of shift work on mental health among industrial employees worldwide, and there is no study in developing countries.

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Prevalence of Depression and Anxiety amongst Cancer Patients in a Hospital Setting: A Cross-Sectional Study

Psychiatry Journal ◽

10.1155/2016/3964806 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

Anish Khalil ◽

Muhammad Faheem ◽

Ammad Fahim ◽

Haran Innocent ◽

Zainab Mansoor ◽

...

Keyword(s):

Cancer Patients ◽

Tertiary Care ◽

Hospital Setting ◽

Depression Scale ◽

Cross Sectional Study ◽

Mental Wellbeing ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.

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Mental health of undergraduate distance learners: a cross-sectional study

Asian Association of Open Universities Journal ◽

10.1108/aaouj-08-2021-0097 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Gayani P. Gamage ◽

H.M.Chulani J. Herath

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Distance Learning ◽

Physical Health ◽

Undergraduate Students ◽

Cross Sectional Study ◽

Distance Learners ◽

Sectional Study ◽

Cross Sectional ◽

Content Type

PurposeMental health is as important as physical health and new university entrants report high prevalence of depression. In open and distance learning (ODL), students must manage both work and studies. Those who are unable to effectively balance these aspects may experience negative outcomes such as dropping out, distress and physical health problems. Therefore, the study aims to investigate psychological distress amongst distance-learning undergraduate students to gather evidence for recommending necessary interventions.Design/methodology/approachA cross-sectional study was conducted using depression, anxiety, stress scale (DASS-21). Participants were undergraduate students from the Open University of Sri Lanka (OUSL). The students' socio-demographic details, history of physical and mental illnesses were also recorded.FindingsAccording to scoring, 51% of the sample was categorised as “psychologically distressed” relating to the anxiety levels they reported whilst depression (35%) and stress remained (20%) at low levels. The three-factor structure of DASS-21 was also confirmed with reliability scores of 0.8 obtained for all three sub-scales.Research limitations/implicationsThe limitations were low-response rate (less than 50%) and inability to provide causal explanations for psychological distress. Further research could address these.Practical implicationsThe current research identified anxiety as a psychologically distressing factor for ODL students with the use of a reliable screening tool. Therefore, exploring reasons and interventions to help reduce anxiety could be developed.Social implicationsMajority of distance learners are contributing to a country's economy whilst learning to improve their current socio-economic status. Therefore, addressing these negative impacts is important.Originality/valueThe study explored ODL students' psychological distress and highlighted the need to identify causes and development of support systems to enhance mental well-being.

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Stigma and quality of life for patients with facial dystonia: a cross-sectional study

10.21203/rs.3.rs-1184753/v1 ◽

2022 ◽

Author(s):

MING YI ◽

Jing LI ◽

Gang LIU ◽

Weixi ZHANG ◽

Ying WANG ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Short Form ◽

Cross Sectional Study ◽

Control Group ◽

Hamilton Depression Scale ◽

Sectional Study ◽

Cross Sectional ◽

Facial Dystonia

Abstract Background Facial appearance and expressions influence social interaction. However, few studies have reported on the stigma associated with spasms from facial dystonia. This study investigated the stigma and quality of life for these patients. Methods This cross-sectional study included 90 patients with facial dystonia (hemifacial spasm [HFS], blepharospasm [BSP], and blepharospasm-oromandibular dystonia [BOD]; 30 patients per group) and 30 individuals without dystonia (control group) from October 2019 to November 2020. All participants underwent stigma, quality of life, and mental health evaluations using seven questions related to stigma, the 36-item Short Form Health Survey, the 14-item version of the Hamilton Anxiety Scale (HAMA), and the 24-item version of the Hamilton Depression Scale. Results Nineteen patients (21.11%) felt stigmatized. Patients with BPS and HFS had more difficulty finding a job and were more susceptible to discrimination than healthy individuals. The role-physical and social function scores were significantly lower in the dystonia groups than in the control group. The vitality score of the BPS group and the mental health scores in the BPS and BOD groups were significantly less than those of the control group. The HAMA scores in the BPS and BOD groups were significantly higher than in the control group. Regression analysis demonstrated that the disease course influenced depression. Conclusion Enacted stigma from a negative public attitude may be the main factor triggering stigma in patients with facial dystonia, with detrimental effects on psychosocial outcomes, including social rights, quality of life, and mood.

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A cross-sectional study on geriatric depression and its associated risk factors in an urban area of Hyderabad, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214995 ◽

2021 ◽

Vol 9 (1) ◽

pp. 191

Author(s):

Nirmala Nagarada Gadde ◽

Bhagya Rekha Gogolla ◽

Vineesh Allenki ◽

Ravi Babu Damu

Keyword(s):

Urban Area ◽

Short Form ◽

Depression Scale ◽

Cross Sectional Study ◽

Age Group ◽

Geriatric Depression ◽

Sectional Study ◽

Mild Depression ◽

Geriatric Population ◽

Cross Sectional

Background: The geriatric population is increasing with advancements in the health sector all over the world. At the same time, old age tackles physical, mental and social challenges. Mental health of the elderly is least concerned in developing countries, especially depression, which is easy to screen and our study aims to know its burden and associated risk factors.Methods: A cross-sectional study was conducted between October 2021 and November 2021 among the geriatric population of Mansoorabad, an urban area in Hyderabad, using the short form of geriatric depression scale (GDS) to assess their depression status. Study subjects who met our criteria were selected through simple random sampling. Data collected were entered and analyzed with MS excel software 2007 and Epi info 3.5.3.Results: In our study sample of 161, males were 61 (37.9%), females-100(62.1%). Most of the study subjects were in the age group 60-70 years (137, 85.1%), followed by the 70-80 years age group (24, 14.9%). Nearly 59.6% of subjects had no depression, 19.9% suffered from mild depression, 8.1%-moderately depressed, whereas 12.4%-severely depressed. The mean age of subjects was 65.6 (±5.9) years. Chi-square test was used to study the association of various factors with geriatric depression and age group, and socio-economic status showed a statistically significant association.Conclusions: This study points towards the sensitization of healthcare workers and other subsidiary health personnel at the grassroots level to detect geriatric depression in nascent stages. Many longitudinal follow-up studies are needed to address various aspects of depression.

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Stigma, Social Support, Illicit Drug Use, and Other Predictors of Anxiety and Depression Among HIV/AIDS Patients in Pakistan: A Cross-Sectional Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.745545 ◽

2021 ◽

Vol 9 ◽

Author(s):

Ali Ahmed ◽

Muhammad Saqlain ◽

Malik Muhammad Umair ◽

Furqan Khurshid Hashmi ◽

Hamid Saeed ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Illicit Drugs ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

People Living With Hiv ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

Hiv Aids

Introduction: Anxiety and depression in people living with HIV/AIDS (PLWHA) can lead to non-adherence to antiretroviral therapy (ART), morbidity, and mortality. Therefore, assessing the stigma, social support, and other determinants of anxiety and depression in PLWHA are important for developing further interventions.Methods: An institution-based cross-sectional study was conducted in 505 PLWHA, approached through systematic sampling, who paid routine visits to the ART center, Pakistan Institute of Medical Sciences (PIMS), Islamabad. Data was collected by pretested validated hospital anxiety and depression scale (HADS). Version 26 of the SPSS was used to apply Logistic regression analysis to identify determinants, and the 95% confidence interval (CI) adjusted odds ratio (AOR) was calculated to assess the magnitude of the relationships.Results: In PLWHA, the prevalence of co-morbid depression and anxiety was 80%. Separately, 89.9% had depression, and 80.3% had anxiety. Use of illicit drugs [AOR = 1.87, 95% CI (1.01, 3.27)], low social support [AOR = 1.21, 95% CI (1.02, 2.25)], being male [AOR = 2.21, 95% CI (1.11, 5.49)], and HIV related stigma [AOR = 2.48, 95% CI (1.25, 6.02)] were significant predictors of depression. Having detectable viral load [AOR = 3.04, 95% CI (1.04, 8.86)], young age [AOR = 5.31, 95% CI (1.19, 29.39)], no formal education [AOR = 21.78, 95% CI (4.03, 117.62)], low [AOR = 1.70, 95% CI (1.12, 6.93)] or moderate [AOR = 2.20, 95% CI (1.79, 6.09)] social support, illicit drugs addiction [AOR = 1.17, 95% CI (1.03, 2.55)], and HIV stigma [AOR = 54.3, 95% CI (21.20, 139.32)] had a remarkable association with anxiety.Conclusions: Given the high prevalence of anxiety and depression among PLWHA, the Pakistan Ministry of Health should focus more on monitoring mental health, expanding mental health services, and developing interventions based on identified factors to treat depression and anxiety among PLWHA.

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Psychological Distress during COVID-19 Curfews and Social Distancing in Saudi Arabia: A Cross-Sectional Study

10.21203/rs.3.rs-40296/v1 ◽

2020 ◽

Author(s):

Badrah S Alghamdi ◽

Yasser AlAtawi ◽

Fahad S. AlShehri ◽

Haythum O. Tayeb ◽

Hanin Abo Abo Taleb ◽

...

Keyword(s):

Mental Health ◽

Saudi Arabia ◽

Psychological Distress ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Sectional Study ◽

Normal Range ◽

Cross Sectional ◽

The Mean ◽

Stress Score

Abstract Background Coronavirus disease 2019 (COVID-19) has spread to over 150 countries worldwide. Since the first case of COVID-19 was confirmed in Saudi Arabia, cases have continued to escalate exponentially. The COVID-19 outbreak has had a negative effect on mental health and well-being. The study aim was to investigate the effects of the strict national regulations associated with the COVID-19 pandemic on the population’s mental health. Methods This was a cross-sectional study of a convenience sample of Saudi residents. Participants completed an online questionnaire after 1 month of a nationwide 24-hour curfew. We measured psychological distress using the Depression, Anxiety and Stress Scale-21 (DASS-21). We ran binary logistic regression analyses to detect variables that significantly predicted DASS-21 scores. Results The sample comprised 2252 Saudi residents. The DASS-21 score means and standard deviations for depression and anxiety for the whole sample (10.73 ± 10.29 and 6.98 ± 8.30, respectively) were in the range of mild depression and anxiety. In contrast, the mean DASS-21 stress score was within the normal range (11.97 ± 10.80). The mean stress score for healthcare workers was within normal range (13.70 ± 10.68), but was significantly higher than the mean score for the public (11.56 ± 10.89; P = .0006). Several variables (e.g. age, gender and history of contact with confirmed COVID-19 cases) were significantly associated with higher DASS-21 scores. Conclusions The COVID-19 pandemic has created a psychological burden. Therefore, there is an urgent need to implement emergency psychological interventions to reduce the negative psychosocial effects of the pandemic on public mental health.

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Association for combined exposure to job strain, shift work on mental health among Chinese railway workers: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-037544 ◽

2020 ◽

Vol 10 (10) ◽

pp. e037544

Author(s):

Yu Jiang ◽

Chuancheng Wu ◽

Tianqi Hu ◽

Meilong Chen ◽

Wei Liu ◽

...

Keyword(s):

Mental Health ◽

Shift Work ◽

Job Strain ◽

Cross Sectional Study ◽

Poor Mental Health ◽

Sectional Study ◽

Cross Sectional ◽

Low Level ◽

Railway Workers ◽

Night Shifts

ObjectivesThe aim of this study was to assess the effects of coexposure to job strain and shift work on mental health in railway workers.DesignCross-sectional study.SettingOne Railway Bureau Group in China.ParticipantsA total of 1270 front-line railway workers.Outcome measuresThe Symptom Checklist-90-Revised questionnaire was used to measure general mental health. Job strain variables were derived from the Job Content Questionnaire. Based on the records of the work schedule 3 months prior to the survey, the following three shift types were identified: fixed day, fixed night and rotating night shifts. Risks associated with mental health were assessed by carrying out logistic regression analysis which was adjusted for age, job tenure, smoking and exercise. Additionally, a crossover analysis was employed for the combined effects.ResultsHigh levels of job strain were linked to a higher risk of poor mental health (OR=1.53, 95% CI: 1.10 to 2.11). After adjusting for confounding factors, night shifts and rotating night shifts were significant risk factors for mental health (OR=2.21, 95% CI: 1.60 to 3.07; OR=2.36, 95% CI: 1.73 to 3.22). Compared with participants who experienced a low level of job strain and day shifts, those with a high level of job strain and who worked rotating shifts were at the highest risk of poor mental health (OR=4.68, 95% CI: 2.91 to 8.04), whereas the influence of a low level of job strain and rotating night shifts was not statistically significant.ConclusionJob strain and night shifts among workers were associated, both independently and in combination, with an increased risk of poor mental health. Our data suggest that job strain contributes to the risk of poor mental health by means of a combined effect with shift work.

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Prevalence and Factors Associated with Depression and Anxiety of Hospitalized Patients with COVID-19 in St. Peter Specialized Hospital Treatment Centers

10.26420/austinpsychiatry.2021.1009 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Dereseh BA ◽

◽

Abraha M ◽

Haile K ◽

Fanta T ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Hospital Treatment ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Specialized Hospital

Background: Since December 2019, an outbreak of corona virus disease 2019(COVID-19), caused by the Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) has widely and rapidly spread in China and around the world. Since 31 December 2019 and as of 30 April 2020, more than 25,000,000 cases of COVID-19 and 800,000 deaths have been reported. The grim epidemic has caused increasing public panic and mental health stress. Mental health is becoming an issue that cannot be ignored, while trying to control the outbreak. Cross sectional study was conducted to assess magnitude and factors associated depression among patients with COVID-19 in St. Peter Specialized Hospital Treatment Centers Addis Ababa, Ethiopia. Methods: Institutional based cross-sectional study was conducted among 422 Patients with COVID-19 admitted at St. Peter Specialized Hospital COVID-19 treatment center. The Anxiety and Depression was assessed through face to face interviews by trained psychiatry nurses using 14-items Hospital Anxiety and Depression Scale (HADS).Correlates for depression & anxiety were assessed using a structured questionnaire and Oslo social support scale. Result: A total of 373 participants were volunteer to be included in the study which makes the response rate88.4%. The mean age of the respondents was 37.46 (±SD=16.09) years. This study revealed that the Magnitude of Depression 36.5 % (136) and Anxiety 21.2 % (79) among COVID-19 patients. By using Multivariate (Anxiety) Logistic Regression, Patients who were Male (AOR 5.01, 95%CI (2.11, 11.87)), Housewife (AOR 11.43, 95%CI ( 2.67, 48.90)), Selfemployed (AOR 2.45,, 95%CI (1.07, 5.60)), having Diagnosed Chronic illness (AOR 2.56, 95%CI (1.19, 5.53)), having COVID-19 Symptoms for below 7 days and for 8-14 days ((AOR 3.21, 95%CI (1.21, 8.58)) & AOR 3.70, 95%CI (1.55, 8.84)) respectively) and those who had Poor/low Social Support (AOR 3.42, 95%CI (1.21, 9.63)) had Statistically Significant Association with Anxiety. By using Multivariate (Depression) Logistic Regression, Patients who were 41 and above years of old (AOR 3.95, 95% CI (1.80, 8.69)), had Monthly Income of less than 1000 birr (AOR 2.99, 95%CI (1.11, 8.05)), Having COVID-19 Symptoms for 8-14 days (AOR 2.63, 95% CI (1.34, 5.17)) and who had Poor Social Support (AOR 3.13, 95% CI (1.34, 7.30)) were Statistically Significant Associated with Depression. Conclusion: In the current study area the magnitude of depression and anxiety was high. Factors like sex, Job, having Diagnosed Chronic illness, Duration of COVID-19 symptom and social support with anxiety and factors such as age, income, duration of COVID-19 symptom and social support had statistically significant associated with depression.

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A cross-sectional study for the impact of coping strategies on mental health disorders among psychiatric nurses

Health Psychology Research ◽

10.4081/hpr.2018.7466 ◽

2018 ◽

Vol 6 (1) ◽

Cited By ~ 3

Author(s):

Konstantinos Tsaras ◽

Aristides Daglas ◽

Dimitroula Mitsi ◽

Ioanna V. Papathanasiou ◽

Foteini Tzavella ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Problem Solving ◽

Coping Strategies ◽

Cross Sectional Study ◽

Psychiatric Nurses ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

Mental Health Nurses

Several studies report that psychiatric nursing is a highly stressful occupation. The ways that nurses use in order to deal with stressful situations have a serious effect on their psychological mood and their health status. The purpose of this study was to investigate the coping strategies in predicting of depression and anxiety among mental health nurses working in public psychiatric hospitals. A descriptive, cross-sectional study was conducted in Athens, Greece from April to May 2017. A questionnaire consisting of the socio-demographic and work-related characteristics, the Patient Health Questionnaire-2, the Generalized Anxiety Disorder-2, and the 38-items Ways of Coping Questionnaire - Greek version, was completed by a total of 110 mental health nurses. Univariate and multivariate analyses were performed using the logistic regression model. Coping strategies focused on the problem (positive re-evaluation, positive approach, problem solving, and seeking social support) were the most commonly used by the mental health nurses. Strategies focused on emotion (prayer/daydream, prayer, avoidance/escape, resignation, and denial) were positively associated with depression and anxiety outcomes. Also, the coping skills of problem solving (Adjusted Odds Ratio, AOR=0.402), and seeking social support (AOR=3.719) were significant predictors only for elevated anxiety symptoms. The results from the study demonstrated the importance of coping behaviours in mental health problems of psychiatric nurses.

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“Mental health status of the general population, healthcare professionals, and university students during 2019 coronavirus disease outbreak in Jordan: a cross-sectional study”

10.1101/2020.04.09.20056374 ◽

2020 ◽

Author(s):

Abdallah Y Naser ◽

Eman Zmaily Dahmash ◽

Rabaa Al-Rousan ◽

Hassan Alwafi ◽

Hamzeh Mohammad Alrawashdeh ◽

...

Keyword(s):

Mental Health ◽

General Population ◽

University Students ◽

Healthcare Professionals ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

History Of ◽

Study Participants

ABSTRACTBackgroundThe emergence of COVID-19 global pandemic coupled with high transmission rate and mortality has created an unprecedented state of emergency worldwide. This global situation may have a negative impact on the psychological well-being of individuals which in turn impacts individuals’ performance.MethodsA cross-sectional study using an online survey was conducted in Jordan between 22nd and 28th of March 2020 to explore the mental health status (depression and anxiety) of the general population, healthcare professionals, and university students during the COVID-19 outbreak. The Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess depression and anxiety among the study participants. Logistic regression analysis was used to identify predictors of depression and anxiety.ResultsThe prevalence of depression and anxiety among the entire study participants was 23.8% and 13.1%, respectively. Anxiety was most prevalent across university students 21.5%, followed by healthcare professionals 11.3%, and general population 8.8%. Females among healthcare professionals and university students, divorced healthcare professionals, pulmonologists, and university students with history of chronic disease were at higher risk of developing depression. Females, divorced participants among the general population, and university students with history of chronic disease and those with high income (≥1500 JD) were at higher risk of developing anxiety.ConclusionsDuring outbreaks, individuals are put under extreme stressful condition resulting in higher risk of developing anxiety and depression particularly for students and healthcare professionals. Policymakers and mental healthcare providers are advised to provide further mental support to these vulnerable groups during this pandemic.

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