Abstract P543: Association Of Tanning Bed Use With Depression In A Preventive Medicine Cohort: The Cooper Center Longitudinal Study

Importance: The use of tanning beds continues despite evidence of increased skin cancer risk among users. In the US, the prevalence of indoor tanning ranges from 35% of adults to 59% of college students. Objective: To investigate the association between depressive symptoms and tanning bed use. Design: Cross-sectional study. Setting: A preventive medicine clinic in Dallas, Texas. Participants: Between September 2013 and June 2019, a total of 11,823 generally healthy men and women presented for preventive medical examinations. Exposure: Self-reported tanning bed use. Main Outcome and Measures: Depressive symptoms as indicated by a score of greater than or equal to 10 on the Center for Epidemiologic Studies Depression (CES-D) Scale. Results: Fifteen percent of participants had used a tanning bed prior to their examination. For men, tanning bed use was associated with an increased risk of depressive symptoms (OR: 1.86; 95% CI:1.41-2.44). For women, the association between the use of tanning beds and depressive symptoms was significant in an unadjusted model, but was no longer significant after adjustment for confounders (OR: 1.26; 95% CI:0.99-1.61). However, the odds ratio was still in the direction of increased risk. Women with a personal history of depression were more likely to tan frequently and have higher CES-D scores than women with no personal history of depression ( p = .003). Conclusions and Relevance: In a generally healthy population, depressive symptoms were associated with the use of a tanning bed. This association was more evident in those with a history of depression, although remained true for those without a history of depression. As recurrent tanning bed use is known to contribute to the diagnosis of melanoma, it is critical to help patients identify other options to treat depression as well as to educate them on the risks of routine tanning bed use.

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Evaluating depression and suicidality in tetrabenazine users with Huntington disease

Neurology ◽

10.1212/wnl.0000000000005817 ◽

2018 ◽

Vol 91 (3) ◽

pp. e202-e207 ◽

Cited By ~ 9

Author(s):

Jordan L. Schultz ◽

Annie Killoran ◽

Peg C. Nopoulos ◽

Chloe C. Chabal ◽

David J. Moser ◽

...

Keyword(s):

Suicidal Ideation ◽

Huntington Disease ◽

Cross Sectional Study ◽

Cag Repeat ◽

Cross Sectional ◽

Increased Risk ◽

History Of ◽

Antidepressant Use ◽

History Of Depression ◽

Total Functional Capacity

ObjectiveTo determine whether tetrabenazine (TBZ) use is associated with an increased incidence of depression and/or suicidal ideation.MethodsIn this retrospective cross-sectional study of the Enroll-HD database, we used multiple logistic regression analyses to determine whether TBZ use is associated with an increased incidence of depression and/or suicidal ideation. For both dependent variables (depression and suicidality), separate analyses were conducted on (1) all participants, (2) only participants with a history of depression, and (3) only participants with no history of depression. Adjustments were made for CAG repeat length, total motor score, total functional capacity, Symbol Digit Modalities Test score, sex, disease duration, history of depression (when applicable), antipsychotic use, and antidepressant use.ResultsCompared to participants who were not using TBZ (n = 3,548), TBZ users (n = 543) did not have an increased risk of depression (odds ratio [OR] = 0.78, p = 0.064). Participants taking TBZ actually had a relatively lower risk of suicidality (OR = 0.61, p = 0.043). Among only participants with a history of depression, those using TBZ had a lower incidence of depression (OR = 0.71, p = 0.016) and suicidal ideation (OR = 0.57, p = 0.028) compared to those not using TBZ. Finally, among only participants with no history of depression, TBZ use was not associated with a higher incidence of depression (OR = 1.59, p = 0.18) or suicidality (OR = 1.43, p = 0.66) compared to those who were not using TBZ.ConclusionsTBZ use was not associated with an increased incidence of depression or suicidality. These findings suggest that TBZ may be safe to use in patients with Huntington disease who have a history of depression.

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Prevalence, detection and associations of depression in Australian dialysis patients

Australasian Psychiatry ◽

10.1177/1039856219859281 ◽

2019 ◽

Vol 27 (5) ◽

pp. 444-449 ◽

Cited By ~ 1

Author(s):

Elaine Kwan ◽

Brian Draper ◽

Samuel B Harvey ◽

Zoltan H Endre ◽

Mark A Brown

Keyword(s):

Depressive Symptoms ◽

Depression Scale ◽

Linguistically Diverse ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Dialysis Patients ◽

Cross Sectional ◽

History Of ◽

Poor Outcomes ◽

History Of Depression

Objective:Depression in dialysis patients is often undetected despite associations with poor outcomes. The aim was to determine the prevalence and associations of depressive symptoms and physician recognition of depression within a typical Australian dialysis population.Method:A cross-sectional study examined haemodialysis and peritoneal dialysis patients of two hospitals in Sydney. Participants were screened for depression using the Hospital Anxiety and Depression Scale (HADS).Results:One hundred and ten patients completed the HADS. Subjects had a mean age of 63.7 years, 37% from a culturally and linguistically diverse background, and median dialysis duration of 2 years. Forty-one per cent of participants had significant depressive symptoms, of whom 42% had been diagnosed with depression by their clinicians. After adjustment for sociodemographic factors, having >10 medications prescribed, >3 hospitalisations in the last 12 months, and a history of depression were associated with depression.Conclusion:Depressive symptoms are prevalent in Australian dialysis patients. Robust evidence is needed on the effectiveness of treatments for depression in changing outcomes in chronic kidney disease.

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Do nonmelanoma skin cancer survivors use tanning beds more often than the general public?

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.15_suppl.e20017 ◽

2013 ◽

Vol 31 (15_suppl) ◽

pp. e20017-e20017

Author(s):

Lauren Wiznia ◽

Leah M Ferrucci ◽

Susan T Mayne ◽

Anees B. Chagpar

Keyword(s):

Skin Cancer ◽

General Population ◽

Univariate Analysis ◽

Sociodemographic Factors ◽

Population Based ◽

Nonmelanoma Skin Cancer ◽

Tanning Beds ◽

Increased Risk ◽

Tanning Bed ◽

History Of

e20017 Background: Tanning bed use increases the incidence of nonmelanoma skin cancer (NMSC), however utilization of indoor tanning after diagnosis in this population is not well-studied. We sought to determine if tanning bed use among NMSC survivors differed from the general population. Methods: The National Health Interview Survey is an annual population-based survey that is representative of the civilian US population. We utilized the 2010 cancer supplement to evaluate self-reported tanning bed use in the previous 12 months in self-reported NMSC survivors compared to individuals without a history of skin cancer. Results: In 2010, 24,941 people were surveyed, 1.85% of whom had a self-reported history of NMSC. On univariate analysis, NMSC survivors were significantly less likely to use tanning beds in the previous 12 months (2.16 vs. 5.61%, p < 0.001). On multivariate analysis, however, NMSC survivors were equally likely to use tanning beds as those who had never had skin cancer (see Table). Conclusions: When controlling for other sociodemographic factors, NMSC survivors were no less likely to use tanning beds than the general population. These findings suggest a need to better educate NMSC survivors about the increased risk of future skin cancers with ongoing tanning bed use. [Table: see text]

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Self-Reported Depressive Symptoms in Association with Medication Exposures among Medical Inpatients: A Cross-Sectional Study

The Canadian Journal of Psychiatry ◽

10.1177/070674379504000508 ◽

1995 ◽

Vol 40 (5) ◽

pp. 264-269 ◽

Cited By ~ 7

Author(s):

B. Patten Scott ◽

V.A. Williams Jeanne ◽

J. Love Edgar

Keyword(s):

Depressive Symptoms ◽

Enzyme Inhibitors ◽

Angiotensin Converting Enzyme Inhibitors ◽

Cross Sectional Study ◽

Channel Blockers ◽

Converting Enzyme Inhibitors ◽

Cross Sectional ◽

Medical Inpatients ◽

History Of ◽

History Of Depression

Objective To evaluate associations between exposure to three classes of medications (angiotensin converting enzyme inhibitors, calcium channel blockers, and corticosteroids) and self-reported depressive symptoms. Method The study utilised a cross-sectional study design in a sample of medical inpatients. Results Associations between self-reported depressive symptoms and exposure to angiotensin converting enzyme inhibitors or calcium channel blockers were not observed. However, an association between self-reported depressive symptoms and corticosteroid exposure was identified. The association was strongest in subjects reporting apast history of depression or a family history of depression. The strength of the corticosteroid-depressive symptom association was comparable with that of associations observed for age, poverty and psychosocial stress. Conclusions Depressive symptoms among medical inpatients have a biopsychosocial etiology. Corticosteroid exposure may be a biological risk factor for depressive symptoms in this population.

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Cognition, Depressive Symptoms and Vascular Factors among Southwest Tribal Elders

Ethnicity & Disease ◽

10.18865/ed.26.2.235 ◽

2016 ◽

Vol 26 (2) ◽

pp. 235 ◽

Cited By ~ 1

Author(s):

Francine Gachupin ◽

Michael D. Romero ◽

Willa J. Ortega ◽

Rita Jojola-Dorame ◽

Hugh Hendrie ◽

...

Keyword(s):

Depressive Symptoms ◽

Geriatric Depression Scale ◽

Memory Loss ◽

Depression Scale ◽

Vascular Risk ◽

Tribal Community ◽

Cross Sectional ◽

Pilot Studies ◽

Physical Measurements ◽

History Of

Objectives: Few data exist on cognitive and depressive symptoms and vascular factors in American Indian (AI) elders. Since vascular risk factors increase risk for cognitive impairments, depression and dementia, and since AI elders are at high vascular risk, it is timely to assess the interplay of these factors in comprehensive studies of aging in this population. To begin, pilot studies must be conducted to show these types of data can be collected successfully.Design: A cross-sectional pilot study, the Southwest Heart Mind Study (SHMS). Setting: Tribal community in the Southwest United States. Participants: AI elders, aged ≥55 years.Main Outcome Measures: Cross-cultural demographic, social network and risk factor surveys; tests of cognition, depression and anxiety; physical measurements; blood biochemistries; and APOE genotyping.Results: SHMS elders were comparable to other rural elder populations on cognitive and depressive symptom scores. The average CogScore was 28.8 (out of 32), the average Geriatric Depression Scale (GDS) was 6.7 (of 30), and the average Hamilton Anxiety Scale was 1.2 (of 4). 32% possessed at least one APOEe4 allele. High vascular risk was evident: 76% were overweight or obese; 54% self-reported history of hypertension; 24% heart trouble; 32% type 2 diabetes; 35% depression; and 24% a family history of serious memory loss. More than 70% reported prescription medication use. 54% cared for someone besides self.Conclusions: A better understanding of the burden of vascular risk in relation to cognition and depression among Southwest Tribes is needed. Ethn Dis. 2016;26(2):235- 244; doi:10.18865/ed.26.2.235

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Serum Levels of FGF21, β-Klotho, and BDNF in Stable Coronary Artery Disease Patients With Depressive Symptoms: A Cross-Sectional Single-Center Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.587492 ◽

2021 ◽

Vol 11 ◽

Author(s):

Yeshun Wu ◽

Zijun Chen ◽

Jiahao Duan ◽

Kai Huang ◽

Bin Zhu ◽

...

Keyword(s):

Coronary Artery Disease ◽

Depressive Symptoms ◽

Coronary Artery ◽

Stable Coronary Artery Disease ◽

Depression Scale ◽

Serum Levels ◽

Fibroblast Growth Factor 21 ◽

Healthy Population ◽

Cross Sectional ◽

Artery Disease

Background: The incidence of depressive symptoms (DS) in patients with stable coronary artery disease (SCAD) is significantly higher than those in healthy population, and that DS are independent risk factors for cardiovascular events. Previous studies have reported that fibroblast growth factor 21 (FGF21), β-klotho, mature brain-derived neurotrophic factor (mBDNF), and BDNF precursor (proBDNF) play important roles in the pathogenesis and treatment of coronary heart disease and depression. With this in mind, the present study aimed to clarify the relationship between FGF21, β-klotho, mBDNF, and proBDNF and SCAD with comorbid depression, in addition to also exploring the underlying mechanisms of these disease processes.Methods: A total of 116 patients with SCAD and 45 healthy controls were recruited. Patients with SCAD were further divided into two subgroups based on the Zung Self-Rating Depression Scale (SDS), which were characterized as those with no DS (NDS) and those with DS. Baseline data were collected, and serum levels of FGF21, β-klotho, mBDNF, and proBDNF were determined.Results: In SCAD patients, Gensini scores—denoting the degree of coronary arteriostenosis—were significantly greater in the DS group than in the NDS group. There was also a positive correlation between the Gensini scores and the SDS scores. Patients in the SCAD group demonstrated a lower serum FGF21. Serum β-klotho, mBDNF, and mBDNF/proBDNF were also significantly lower in the DS group than in the NDS group. Furthermore, β-klotho and mBDNF were negatively correlated with the SDS scores. Additionally, SCAD patients were divided into lower- and higher-level groups using hierarchical cluster analysis, with the results highlighting that patients in the lower mBDNF group had a higher incidence of DS.Conclusions: The depression score was positively correlated with the severity of coronary artery stenosis, and serum FGF21, β-klotho, mBDNF, and proBDNF were closely related to the development of DS in patients with SCAD. These observations suggest FGF21, β-klotho, mBDNF, and proBDNF as potential diagnostic and/or therapeutic targets for SCAD with co-morbid depression.

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THE EVENT OF BREAST ENGORGEMENT ON MOTHERS WHO ARE UNDERGOING AND NOT UNDERGOING THE MATERNITY BLUES

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) ◽

10.29082/ijnms/2021/vol5/iss1/307 ◽

2021 ◽

Vol 5 (1) ◽

pp. 49-54

Author(s):

Nunuk Nur Hayati ◽

Partina -

Keyword(s):

English Language ◽

Research Output ◽

Inclusion Criteria ◽

Psychological Disturbance ◽

Cross Sectional ◽

Natural Processes ◽

History Of ◽

Mother's Milk ◽

Mother’S Milk ◽

History Of Depression

Pregnancy and giving a birth are natural processes experienced by productive ages women; in this case the mothers will undergo several changes, either physically or psychologically. After giving a birth, some adjustments are required by mothers. Some of them are able to adjust themselves and some of them are not. Events, Reviews those Unable to adjust Themselves undergo a psychological disturbance the so-called "Maternity Blues". The mother's milk clogging is one of the problems during the period of parturition. This matter can not be neglected, because the best food for the babies is the Mother's Milk. This is a cross-sectional research. The researcher performed a research on mothers having postpartum on the 2nd day till the 10th day, the for the undergoing and non-undergoing the Maternity Blues. The samples consist of 36 mothers of having postpartum with the inclusion criteria, among others: the mother with postpartum on the 2nd till the 10th day, understanding the English language, having the history of depression, having the Apgar Score of more than 7, the baby is full term (having enough month in its mother's womb). Instruments used in this research are the Maternity Blues Scale, functioning to detect Whether a mother Suffering from Maternity Blues or not, and the other instrument to know the existence of the Mother's Milk clogging is the Six-Point engorgement Sale. The Data are analysed by using the Man Witney Test. Based on the hypothetical testing, it is Obtained that the value of p = 0.930 bigger than 0:05. Thus, it is concluded that H a is rejected, meaning that there is no difference in the events of the Mother's Milk on mothers undergoing clogging and non-undergoing the Maternity Blues. The research output indicates that there is no difference in the events of the Mother's Milk on mothers undergoing clogging and non-undergoing the Maternity Blues, in the which both of them similarly experience the Mother's Milk clogging.

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Role of Psychosocial Factors In Vicarious Traumatization: A Comparative Study

Journal of Gandhara Medical and Dental Science ◽

10.37762/jgmds.9-1.172 ◽

2022 ◽

Vol 9 (1) ◽

pp. 53-57

Author(s):

Nazia Mustafa ◽

Hina Iqbal

Keyword(s):

Psychosocial Factors ◽

Health Care Professionals ◽

Healthcare Professionals ◽

Vicarious Traumatization ◽

Cross Sectional Study ◽

Personal History ◽

Vulnerable Group ◽

Cross Sectional ◽

History Of

OBJECTIVES: The present study aimed at investigating the role of psychosocial factors such as, gender, marital status, profession, and personal history of trauma in vicarious traumatization (VT). METHODOLOGY: Cross sectional study was conducted at various hospitals in Rawalpindi and Islamabad over the period of 6 months from January 2018 to June 2018. A sample of 170 healthcare professionals (doctors=39, psychiatrists=27, psychologists=36, nurses=30 and others=38) (men=67, women=103) was taken from various hospitals in Rawalpindi and Islamabad. Data were collected by using the Secondary Traumatic Stress Scale. RESULTS: Results revealed significant differences have been found among various groups of healthcare professionals (doctors, psychiatrist, psychologists, nurses and others) in whom psychiatrists are the most vulnerable group for vicarious traumatization and psychologists are the least vulnerable group. Moreover, healthcare professionals who are married and have personal history of trauma are more vulnerable for vicarious traumatization as compared to those who are unmarried and without personal history of trauma. No significant gender differences have been found among health care professionals on vicarious traumatization. CONCLUSION: The findings of present research have emphasized that vicarious traumatization must be addressed and identified in a health setting.

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OVARIAN MALIGNANCY

The Professional Medical Journal ◽

10.29309/tpmj/2018.25.02.449 ◽

2018 ◽

Vol 25 (02) ◽

pp. 237-241

Author(s):

Shabana Rafiq ◽

Razia Bibi ◽

Samina Ashraf

Keyword(s):

Cross Sectional Study ◽

Reproductive Age ◽

Ovarian Malignancy ◽

Ovarian Mass ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Increased Risk ◽

History Of ◽

Study Setting

Objectives: To determine the frequency of ovarian malignancy in women ofreproductive age presenting with ovarian mass and to determine frequency of factors leadingto ovarian malignancy. Study Design: Cross sectional study. Setting: Department of Obstetrics& Gynaecology, Lady Wallington Hospital, Lahore. Period with Dates: From 05.11.11 to26.06.12. Results: The result of our study reveals majority of the patients between 21-30 yearsi.e. 45.88%(n=39), common age was 24.21+3.76 years, 43.53%(n=37) were nulliparous (inmajority), while frequency of ovarian malignancy in women of reproductive age presenting withovarian mass was recorded in 14.11%(n=12) while frequency of factors leading to ovarianmalignancy was 91.67%(n=11) patients were nulliparous while family history of ovarianmalignancy was in 8.33%(n=1) patients. Conclusions: The frequency of ovarian malignancy ishigher among reproductive age females with increased risk of nulliparity.

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History of Depression and Increased Risk of Sternal Wound Infection After Cardiothoracic Surgery: A Novel and Potentially Modifiable Risk Factor

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz083 ◽

2019 ◽

Vol 6 (3) ◽

Author(s):

Deborah A Theodore ◽

Renee D Goodwin ◽

Yuan (Vivian) Zhang ◽

Nancy Schneider ◽

Rachel J Gordon

Keyword(s):

Risk Factors ◽

Wound Infection ◽

Medical Center ◽

Academic Medical Center ◽

Cardiothoracic Surgery ◽

Sternal Wound Infection ◽

Composite Variable ◽

Increased Risk ◽

History Of ◽

History Of Depression

Abstract Background Sternal wound infection (SWI) is a leading cause of postoperative disease and death; the risk factors for SWI remain incompletely understood. The goal of the current study was to investigate the relationship between a preoperative history of depression and the risk of SWI after cardiothoracic surgery. Methods Among patients undergoing cardiothoracic surgery in a major academic medical center between 2007 and 2012, those in whom SWI developed (n = 129) were matched, by date of surgery, with those in whom it did not (n = 258). Multivariable logistic regression was used to examine the strength of relationships between risk factors and development of infection. History of depression was defined as a composite variable to increase the sensitivity of detection. Results History of depression as defined by our composite variable was associated with increased risk of SWI (adjusted odds ratio, 2.4; 95% confidence interval, 1.2–4.7; P = .01). Staphylococcus aureus was the most common organism isolated. Conclusions History of depression was associated with increased risk of SWI. Future prospective studies are warranted to further investigate this relationship. Depression is highly treatable, and increased efforts to identify and treat depression preoperatively may be a critical step toward preventing infection-related disease and death.

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