scholarly journals Psychological Distress in Out-Patients Assessed for Chronic Pain Compared to Those with Rheumatoid Arthritis

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
D. Rice ◽  
S. Mehta ◽  
A. Shapiro ◽  
J. Pope ◽  
M. Harth ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Pain ◽  
Psychological Distress ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Analysis Of Covariance ◽  
Pain Clinic ◽  
Cross Sectional ◽  
Rheumatology Clinic ◽  
Two Samples

Background. Patients diagnosed with chronic pain (CP) and rheumatoid arthritis (RA) represent two samples with overlapping symptoms, such as experiencing significant pain.Objectives. To compare the level of psychological distress among patients diagnosed CP attending a specialist pain clinic with those attending a specialist RA clinic.Measures. A cross-sectional study was conducted at an academic specialist chronic pain and rheumatology clinic.Participants. 330 participants included a CP group (n=167) and a RA group (n=163) completed a booklet of questionnaires regarding demographic characteristics, duration, and severity of their pain. Psychological and personality variables were compared between the CP and RA participants using a Multivariate Analysis of Covariance (MANCOVA).Results. Level of psychological distress based on the subscales of the DASS (depression, anxiety, and stress), PASS (escape avoidance, cognitive anxiety, fear of pain, and physiological anxiety), and PCS (rumination, magnification, and helplessness) was significantly higher in the CP group compared to the RA group. Categorization of individuals based on DASS severity resulted in significant differences in rates of depression and anxiety symptoms between groups, with a greater number of CP participants displaying more severe depressive and anxiety symptoms.Discussion and Conclusions. This study found greater levels of psychological distress among CP individuals referred to an academic pain clinic when compared to RA patients referred to an academic rheumatology clinic.

scholarly journals Psychological Distress Related to COVID-19 Among Nepalese Professionals: An Online Cross-sectional Study

Med Phoenix ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 10-18
Author(s):  
Hussain Asraf ◽  
Sawant Sandesh ◽  
Jeetendra Mishra ◽  
Ramji Ram ◽  
Mahendra Pandey ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Law Enforcement ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Female Ratio ◽  
Care Workers ◽  
Male Female Ratio

Background: COVID-19 is a highly infectious disease caused by SARS-CoV2 virus. It's psychological distress would be a major obstacle towards social normalcy to pre-COVID era. There were lacks of studies to assess these distresses. The aim of this study was to study psychological distress related to COVID-19 among Nepalese professionals. Methods: This online cross-sectional survey was conducted from 12th-20th, June-2020. Questionnaires were based on Corona-virus Anxiety Scale (CAS) and Obsession with COVID-19 scale (OCS). Results: Among 244 participants, majority were in the age group of 20-45 years with male female ratio of 2.1:1. About one third were health workers, 46% were teachers and service holders and remaining were from other professions. Majority of participants had subclinical obsessive (83.2%) and sub-clinical anxiety symptoms (69.3%). Law enforcement professionals (30.0%) and journalists 18.2% had highest prevalence of problematic obsessive symptoms. Law enforcement professionals (40%) had highest prevalence of problematic anxiety symptoms followed by health care workers (28.4%). About 35% of participants opted for multiple positive methods to cope with their obsessive and anxiety symptoms. Participants with higher obsession score had higher anxiety symptoms (r=0.592, p=<0.001). Conclusion: Majority of participants only had sub-clinical obsession and anxiety related to COVID. But, health workers, law enforcement and journalism professionals were having problematic symptoms. Thus, efforts need to be concentrated towards formulation of policies for safe and productive environment for these professionals.

scholarly journals Assessment of psychological distress in university students: A Quantitative study

2019 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Evangelos C. Fradelos ◽  
Eirini Kapsiocha ◽  
Anna Neroliatsiou ◽  
Sofia Kastanidou ◽  
Konstantinos Tsaras ◽  
...  
Keyword(s):  
Psychological Distress ◽  
University Students ◽  
Psychological Health ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Student Life ◽  
Monthly Income ◽  
Hospital Anxiety ◽  
Cross Sectional ◽  
University Services

Introduction: Psychological health is the expression of harmonic expression ofhuman’s personality and is often disrupted by multiple factors. Especially duringacademic years human has to confront various stressful situations that endanger hisPsychological health.Purpose: This study aims to assess psychological distress in university students and toexamine possible factors that are associated with it.Material and Methods: A cross sectional study was conducted in which 206 universitystudents were participated. Data were collected by the Hospital Anxiety and DepressionScale, HADS and a sheet contain information regarding demographic, social andacademic background special design for the purpose of the study. Spss v. 21 was usedfor analyzing data and the signicant level was set in p≤0,05.Results: From the total of 206 students 76,2% were women (n=157) and 23,8% weremen with a mean age 30.1 ±7.15. Anxiety symptoms were negative associated withcohabitation and marital status (p=.019 and p=.001 respectively). While place ofresidence was also negative associated (p=.000).While monthly income and duration ofwere associated with the experience of anxiety symptoms. One the other handdepression was associated with sex (p=.004) place of residence and origins of students(p=.038 and p=.058 respectively). Finally the number of uncompleted courses andsexual preferences were associated with depression to (p=.009).Conclusions: Within the context of student life that is characterized by anxiety, crises ofinterpersonal relationships and uncertainty maintaining student’s mental health andwellbeing must be a top propriety among university services.

scholarly journals Psychological distress among Ethiopian migrant returnees who were in quarantine in the context of COVID-19: institution-based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kassahun Habtamu ◽  
Yekoyealem Desie ◽  
Mulat Asnake ◽  
Endirias Gina Lera ◽  
Temesgen Mequanint
Keyword(s):  
Psychological Distress ◽  
Depressive Symptoms ◽  
Negative Binomial ◽  
Addis Ababa ◽  
Negative Binomial Regression ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Sectional Study ◽  
Cross Sectional ◽  
Stress Symptoms

Abstract Background In association with the novel coronavirus (SARS-CoV-2) disease 2019 (COVID-19) pandemic, many numbers of Ethiopian migrants are returning to their home country, and they are required to stay in mandatory quarantine centers. This results in severe disruptions of life routines, social isolation, and loss of freedom. Studies on psychological distress among Ethiopian migrant returnees in the context of COVID-19 are scarce. This study aimed to investigate the prevalence of psychological distress and associated factors among migrant returnees who were in quarantine during the time of COVID-19. Methods A cross-sectional study was conducted with 405 migrant returnees recruited from quarantine centers in Addis Ababa. We developed a structured questionnaire to collect data on sociodemographic, migration related, quarantine related and COVID-19 related characteristics of participants. We used the 21 item Depression, Anxiety and Stress Scale to assess psychological distress. Univariate and multivariable negative binomial regression models were fitted to assess the association between exposure variables with depression, anxiety and stress separately. Results A little more than half of the participants (55%) had depressive symptoms; around half had anxiety symptoms (48.9%) and more than a third (35.6%) experienced symptoms of stress. We found significantly higher prevalence of anxiety (ARR = 0.59; 95% CI = 0.39, 0.91) and depressive symptoms (ARR = 0.56; 95% CI = 0.39, 0.81) among women than men. Fear of discrimination after the quarantine was significantly associated with depressive (ARR = 0.76; 95% CI = 0.63, 0.92) and anxiety symptoms (ARR = 0.77; 95% CI = 0.62, 0.97). Experiencing COVID-19 like symptoms is associated with depressive (ARR = 0.40; 95% CI = 0.25, 0.65), anxiety (ARR = 0.35; 95% CI = 0.20, 0.62) and stress symptoms (ARR = 0.43; 95% CI = 0.28, 0.66). Have no a plan of what to do after the quarantine (ARR = 1.30; 95% CI = 1.09, 1.54) was significantly associated with increasing stress scores. Conclusions We found a very high prevalence of depressive, anxiety and stress symptoms among Ethiopian migrant returnees who were in quarantine due to the COVID-19 pandemic. Screening, integration of mental health services with other socioeconomic and psychosocial services, and effective and efficient referral may be useful to address the burden of psychological distress in this group.

scholarly journals Commitment to activities and quality of life and associated factors in patients with chronic pain

2020 ◽  
Vol 10 (5) ◽  
pp. 171-175
Author(s):  
Sandro Max Castro S ◽  
Carla Hilário da Cunha Daltro ◽  
Martha Moreira Cavalcante Castro ◽  
Camila Cavalcante Castro ◽  
Raphael de Souza Borges ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Depressive Symptoms ◽  
Cross Sectional Study ◽  
Daily Activities ◽  
Pain Clinic ◽  
Cross Sectional ◽  
Emotional Aspects ◽  
Statistical Program

ackground Chronic pain leads to functional and social disability, emotionally impacting individuals. Objective: To describe the main impairments of activities of daily living, anxious and depressive symptoms and quality of life in patients with chronic pain. Methods: Cross-sectional study with patients at the Chronic Pain Clinic attended between June / 2016 and March / 2019. Clinical and socio-demographic variables were collected, using the Hospital scale for Anxiety and Depression, Visual Numerical Scale for Pain, SF-36 scale for Quality of Life, and data analysis using the SPSS statistical program. Results: The mean age was 50.0±10 years, being (89.6%) female. There was a predominance of people with a partner, with religion, complete high school education and unemployed. Degenerative disease was the most frequent diagnosis (68.9%); pain intensity ranged from moderate to severe, score 6-8 (7). Most used drugs were analgesics (93.3%) followed by antidepressants (70.7%). Physical activity as an adjuvant treatment (41.5%), and anesthetic blocks (39.6%). When investigating daily activities, the work showed total limitation followed by movement; and, partially, leisure and home activity. The quality of life was well below the median, with the physical and emotional aspects being worse. Related to the subjects' activities, sleep is the most compromised; followed by partial difficulties with appetite and sexual activity. Most show self-esteem moderately satisfied with the treatment, even with anxious and depressive symptoms. Conclusion: Pain has a very significant impact on quality of life; compromises and limits daily activities and reveals more presence of anxious and depressive symptoms in people suffering from chronic pain.

scholarly journals Relationship Between Perceptions of Treatment Goals and Psychological Distress in Patients With Advanced Cancer

2020 ◽  
Vol 18 (7) ◽  
pp. 849-855 ◽  
Author(s):  
Areej El-Jawahri ◽  
Deborah Forst ◽  
Alyssa Fenech ◽  
Keri O. Brenner ◽  
Amanda L. Jankowski ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Psychological Symptoms ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Treatment Goal ◽  
Treatment Goals ◽  
Incurable Cancer ◽  
Cross Sectional ◽  
Patients With Cancer

Background: Studies have shown gaps in prognostic understanding among patients with cancer. However, few studies have explored patients’ perceptions of their treatment goals versus how they perceive their oncologist’s goals, and the association of these views with their psychological distress. Methods: We conducted a cross-sectional study of 559 patients with incurable lung, gastrointestinal, breast, and brain cancers. The Prognosis and Treatment Perception Questionnaire was used to assess patients’ reports of their treatment goal and their oncologist’s treatment goal, and the Hospital Anxiety and Depression Scale was used to assess patients’ psychological symptoms. Results: We found that 61.7% of patients reported that both their treatment goal and their oncologist’s treatment goal were noncurative, whereas 19.3% reported that both their goal and their oncologist’s goal were to cure their cancer, 13.9% reported that their goal was to cure their cancer whereas their oncologist’s goal was noncurative, and 5% reported that their goal was noncurative whereas their oncologist’s goal was curative. Patients who reported both their goal and their oncologist’s goal as noncurative had higher levels of depression (B=0.99; P=.021) and anxiety symptoms (B=1.01; P=.015) compared with those who reported that both their goal and their oncologist’s goal was curative. Patients with discordant perceptions of their goal and their oncologist’s goal reported higher anxiety symptoms (B=1.47; P=.004) compared with those who reported that both their goal and their oncologist’s goal were curative. Conclusions: One-fifth of patients with incurable cancer reported that both their treatment goal and their oncologist’s goal were to cure their cancer. Patients who acknowledged the noncurative intent of their treatment and those who perceived that their treatment goal was discordant from that of their oncologist reported greater psychological distress.

scholarly journals Association between vitamin D and fatigue in patients with rheumatoid arthritis: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034935
Author(s):  
Lars Petter Jelsness-Jørgensen ◽  
Lars Grøvle ◽  
Anne Julsrud Haugen
Keyword(s):  
Rheumatoid Arthritis ◽  
Vitamin D ◽  
Psychological Distress ◽  
Disease Activity ◽  
Cross Sectional Study ◽  
Serum Concentrations ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hydroxyvitamin D ◽  
Liquid Chromatography Tandem Mass

ObjectivesIn rheumatoid arthritis (RA), fatigue is an important complaint with a significant impact on quality of life. Vitamin D has modulatory effects on cells of the immune system and may potentially affect RA disease activity and thereby RA-related fatigue. The purpose of this study was to explore associations between fatigue and vitamin D status in patients with RA.DesignHypothesis-generating cross-sectional study.SettingScheduled follow-up visits at a hospital-based general rheumatology clinic.ParticipantsPatients (n=169) with established RA.Primary outcome measures and anlysesFatigue, assessed by the Chalder fatigue questionnaire, and serum concentrations of 25-hydroxyvitamin D (25(OH)D), assessed by liquid chromatography–tandem mass spectrometry. Associations were analysed by correlation, and multivariate linear regression with adjustments for age, sex, body mass index, RA disease activity as measured by the Disease Activity Score 28-joint count C reactive protein (DAS28-CRP), psychological distress, pain and sleep. Fatigue was also compared across four groups based on the levels of serum 25(OH)D with cut points at 30, 50 and 75 nmol/L using one-way analysis of variance.ResultsTwo-thirds of the patients (116/169, 69%) were classified with low RA disease activity, that is, a DAS28-CRP score below 3.2. Their mean (SD) serum 25(OH)D concentration was 56.3 (21.2) nmol/L, with 77 (45.6%) having values below 50 nmol/L and 12 patients (7.1%) below 30 nmol/L. The correlation between fatigue and serum concentrations of 25(OH)D was weak and not statistically significant, r = −0.14 (95% CI: −0.29 to 0.03, p=0.08). In the multivariate model, fatigue was significantly associated with RA disease activity, psychological distress and pain, but not with serum 25(OH)D. Fatigue did not differ across groups with varying levels of serum 25(OH)D.ConclusionThis cross-sectional study found no evidence of association between vitamin D and fatigue in patients with RA.

scholarly journals A cross-sectional study of pain status and psychological distress among individuals living with chronic pain: the Chronic Pain & COVID-19 Pan-Canadian Study

2021 ◽  
Vol 41 (5) ◽  
Author(s):  
M. Gabrielle Pagé ◽  
Anaïs Lacasse ◽  
Lise Dassieu ◽  
Maria Hudspith ◽  
Gregg Moor ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Psychological Distress ◽  
Cross Sectional Study ◽  
Canadian Study ◽  
Treatment Access ◽  
Cross Sectional ◽  
Geographical Variations ◽  
Pain Status ◽  
Study Results ◽  
Pain Patients

Background The COVID-19 pandemic has had a disproportionate impact on vulnerable populations, including individuals with chronic pain. We examined associations between geographical variations in COVID-19 infection rates, stress and pain severity, and investigated factors associated with changes in pain status and psychological distress among individuals living with chronic pain during the pandemic. Methods This investigation is part of a larger initiative, the Chronic Pain & COVID-19 Pan-Canadian Study, which adopted a cross-sectional observational design. A total of 3159 individuals living with chronic pain completed a quantitative survey between 16 April and 31 May 2020. Results Two-thirds (68.1%) of participants were between 40 and 69 years old, and 83.5% were women. Two-thirds (68.9%) of individuals reported worsened pain since pandemic onset. Higher levels of perceived pandemic-related risks (adjusted odds ratio: 1.27; 95% confidence interval: 1.03–1.56) and stress (1.21; 1.05–1.41), changes in pharmacological (3.17; 2.49–4.05) and physical/psychological (2.04; 1.62–2.58) pain treatments and being employed at the beginning of the pandemic (1.42; 1.09–1.86) were associated with increased likelihood of reporting worsened pain. Job loss (34.9% of individuals were employed pre-pandemic) was associated with lower likelihood (0.67; 0.48–0.94) of reporting worsened pain. Almost half (43.2%) of individuals reported moderate/severe levels of psychological distress. Negative emotions toward the pandemic (2.14; 1.78–2.57) and overall stress (1.43; 1.36–1.50) were associated with moderate/severe psychological distress. Conclusion Study results identified psychosocial factors to consider in addition to biomedical factors in monitoring patients’ status and facilitating treatment access for chronic pain patients during a pandemic.

scholarly journals Health-Related Quality of Life and Psychological Features in Post-Stroke Patients with Chronic Pain: A Cross-Sectional Study in the Neuro-Rehabilitation Context of Care

2021 ◽  
Vol 18 (6) ◽  
pp. 3089
Author(s):  
Marialuisa Gandolfi ◽  
Valeria Donisi ◽  
Simone Battista ◽  
Alessandro Picelli ◽  
Nicola Valè ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Psychological Distress ◽  
Cross Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Post Stroke ◽  
Related Quality ◽  
Health Related ◽  
Psychological Features

This study aims at exploring disability, health-related quality of life (HrQoL), psychological distress, and psychological features in post-stroke patients with chronic pain. An observational cross-sectional study involving 50 post-stroke patients (25 with chronic pain and 25 without pain) was conducted. The primary outcome was the self-reported level of disability and HrQoL which were both assessed through the Stroke Impact Scale 3.0. Both psychological distress and specific psychological features (i.e., self-efficacy, coping strategies, psychological flexibility, perceived social support) were examined. Post-stroke patients with chronic pain reported statistically significant higher levels of disability and worse HrQoL, higher psychological distress and inflexibility, as well as a lower level of self-efficacy and problem-oriented coping strategies than patients without pain (p < 0.001). Finally, correlation analysis in the group of stroke survivors with pain showed that higher levels of disability were significantly related to higher psychological distress. This study confirms the negative influence of chronic pain on disability and HrQoL in post-stroke patients and presents preliminary insights on the association between chronic pain, disability, HrQoL, psychosocial distress, and the patient’s approach in dealing with personal difficulties and emotions. These findings carry further implications for multidisciplinary management of post-stroke patients with chronic pain.

Sign in / Sign up

Export Citation Format

Share Document