Abstract P163: Psychological Distress in Cardiac Rehabilitation Participants

2011 ◽  
Vol 4 (suppl_2) ◽  
Author(s):  
Theresa Gracik ◽  
Sangeetha Krishnan ◽  
Elizabeth Jackson ◽  
Melvyn Rubenfire
Keyword(s):  
Cardiac Rehabilitation ◽  
Adult Population ◽  
Severity Index ◽  
Clinical Indication ◽  
Global Severity Index ◽  
High Prevalence ◽  
Prevalence Of Depression ◽  
Symptom Check List ◽  
Clinical Profiles ◽  
Coronary Events

Background: Psychological(psych) disorders are risk factors for coronary events and each may affect behavior and compliance. We sought to characterize the psych and clinical profiles of CAD patients (pts) entering cardiac rehabilitation (C. Rehab). Methods: The psych profiles of 440 CAD pts were assessed on entry to C. Rehab using the Symptom Check List-90. The questionnaire screened for levels of depression, anxiety, hostility, and a global severity index (GSI). The mean SCL-90 T-score for each parameter in the adult population is 50+10. Results: Of the 440 pts, 28.4% were female, 75.7% married and 89% Caucasian; 25.5% were hypertensive, 20.5% diabetic and 47% had a BMI>30. Mean age was 61.5+10.7. Clinical indication for C. Rehab was 56.4% PCI/CABG, 8.4% Stable Angina (SA) and 35.2% ACS. There was a high prevalence of depression, anxiety, and overall psych distress as measured by the GSI (see table). There was no difference in SCL-90 scores by gender, age, education, BMI or diabetes. Unmarried pts were significantly more anxious compared to married pts (p=0.0341). SA pts had significantly higher prevalence of anxiety (p=0.0182) and hostility (p=0.0096) compared to PCI/CABG and ACS. There was a strong correlation between the four measures of psych distress. Conclusions: Psych distress is common at entry to C. Rehab and can't be identified with clinical characteristics with the exception of indication for C. Rehab and marital status. Consideration should be given to routine psych profiling at entry to C. Rehab.

scholarly journals Undergraduate students’ norms for the Chinese version of the symptom check-List-90-R (SCL-90-R)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yulan Yu ◽  
Chonghua Wan ◽  
Xudong Zhao ◽  
E. Scott Huebner ◽  
Jianfeng Tan ◽  
...  
Keyword(s):  
Mental Health ◽  
Undergraduate Students ◽  
Severity Index ◽  
Chinese Version ◽  
Check List ◽  
Global Severity Index ◽  
Paranoid Ideation ◽  
Widespread Application ◽  
Symptom Check List ◽  
The Mean

Abstract Background Despite widespread application of the Symptom Check-List-90-R (SCL-90-R) for Chinese undergraduate students, there are no appropriate norms for them. The aim of this study is to provide norms for the Chinese version of the tool for undergraduate students using a large and representative sample. Methods Four thousand eight hundred sixty students completed the scale of SCL-90. The mean scores obtained in the present study were compared with mean scores from previous normative samples. Results The mean scores for nine subscales of the SCL-90-R ranged from (1.36 ± 0.46) ~ (1.77 ± 0.63) and the mean (standard deviation) Global Severity Index (GSI) was 1.50 (0.49). Relative to previous normative studies, the findings suggested that Chinese undergraduate students’ self-reported mental health symptoms decreased in interpersonal sensitivity, depression, hostility, and paranoid ideation subscales. Conclusion It is necessary to revise the norms of the Chinese version of the SCL-90-R for undergraduate students.

Comparison of the Milwaukee Neurotic Trait Screening Scale with the Symptom Check List

1987 ◽  
Vol 64 (3) ◽  
pp. 855-859
Author(s):  
L. D. Young ◽  
A. F. Le Cann ◽  
J. J. Barboriak ◽  
A. J. Anderson ◽  
M. D. Goldstein
Keyword(s):  
Severity Index ◽  
Small Sample ◽  
Positive Symptom ◽  
Check List ◽  
Global Severity Index ◽  
Symptom Check List ◽  
Screening Scale

Responses from 45 volunteers to the Milwaukee Neurotic Trait Scale (NT) and to the Hopkins Symptom Check List (SCL-90R) were compared. The NT scale was significantly correlated with the subscales of the SCL-90R. Second, agreement for high, middle, and low scores was found between the NT Scale and the SCL-90R Global Severity Index and Positive Symptom Total. These limited findings, based on a small sample of students, are promising and warrant replication with different and larger groups of adults.

scholarly journals Psychosomatic symptoms in patients suffering from morphea

2021 ◽  
Vol 18 (4) ◽  
pp. 55-60
Author(s):  
L. А. Pаroshуna
Keyword(s):  
Severity Index ◽  
Symptom Distress ◽  
Positive Symptom ◽  
Control Group ◽  
Positive Symptoms ◽  
Check List ◽  
Global Severity Index ◽  
Psychosomatic Symptoms ◽  
Symptom Check List ◽  
Compulsive Disorders

Objective. To study the features of psychosomatic pathology in patients with morphea.Materials and methods. We used the Symptom Check List-90 Revised (SCL-90-R) to assess patterns of phychological signs in 95 patients suffering from morphea. The control group included 30 respondents without the skin pathology.Results. The patients with morphea revealed higher values in the Global Severity Index (GSI), Positive Symptom Distress Index (PSDI), Positive Symptoms Total (PST). The group of the patients with morphea showed higher distress levels according to the somatization, obsessive and compulsive disorders, depression, anxiety scales.Conclusion. Patients with morphea have a wider range of psychosomatic symptoms. The prevalent characteristics of psychosomatic changes are somatization, obsessive and compulsive disorders, depression, anxiety.  

scholarly journals 241 Remotely Delivered Yoga Nidra for Insomnia and Anxiety during COVID-19

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A96-A96
Author(s):  
Erica Sharpe ◽  
Matthew Butler ◽  
Doug Hanes ◽  
Ryan Bradley
Keyword(s):  
Adult Population ◽  
Sleep Onset ◽  
Severity Index ◽  
Index Score ◽  
Average Score ◽  
Sleep Onset Latency ◽  
Post Intervention ◽  
Natural Medicine ◽  
National University ◽  
Yoga Nidra

Abstract Introduction Insomnia and related anxiety affect 30 - 50% of the US adult population. These conditions often coexist, and contribute to increased mortality from depression, heart disease, and stroke. The current COVID-19 pandemic has heightened anxiety and sleeplessness, and 53% of US adults report the pandemic has affected their mental health. There is a need for research into therapies for anxiety and insomnia that can be delivered remotely for increased accessibility to reach more individuals in need. Methods To contribute to this need, we examined the effects of remotely delivered Yoga Nidra (translated to mean “yogic sleep”), a guided meditation practice, on anxiety and sleep. The practice was delivered in real-time before bed, or asynchronously via an online REDCap-based platform, once per week for 16-weeks from April to July (during the early months of the COVID-19 pandemic). Results Seventy-four individuals joined the study, of whom 71% reported subthreshold insomnia (Insomnia Severity Index score of 14 ± 4), and 74% reported anxiety (Generalized Anxiety Disorder Index score of 10 ± 5). Seventy-one (96%) participants accessed the asynchronous recordings. Remote delivery of this practice proved very feasible, with no adverse events reported, and although we provided no monetary compensation, 50% of our sample still completed a post-intervention survey. Further, 52% of n=25 respondents who completed both pre- and post-intervention sleep surveys reported decreased sleep onset latency (SOL) the following day, with a mean decrease of 10 minutes (95% CI = −19.0, −0.5) for all respondents, and strongest change (−34 min; p=.017) measured for those who reported SOL between 30-120 min at baseline. Overall state anxiety was decreased by 41% for n=32 respondents who completed pre-post State Trait Anxiety Index (STAI) surveys surrounding a single practice (average score of 47 ± 11 before practice vs. 27 ± 8 after practice, p<.0001). Conclusion Remotely delivered Yoga Nidra is feasible to deliver, and demonstrates potential benefits for anxiety and insomnia, warranting additional research. Support (if any) This work was supported by the R90 BRIDG grant at the Helfgott Research Institute at the National University of Natural Medicine.

scholarly journals National Economic Burden Associated with Management of Periodontitis in Malaysia

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Tuti Ningseh Mohd Dom ◽  
Rasidah Ayob ◽  
Khairiyah Abd Muttalib ◽  
Syed Mohamed Aljunid
Keyword(s):  
Societal Perspective ◽  
Economic Burden ◽  
Census Data ◽  
Adult Population ◽  
National Level ◽  
Indirect Costs ◽  
Treatment Costs ◽  
High Prevalence ◽  
National Economic ◽  
The Cost

Objectives. The aim of this study is to estimate the economic burden associated with the management of periodontitis in Malaysia from the societal perspective.Methods. We estimated the economic burden of periodontitis by combining the disease prevalence with its treatment costs. We estimated treatment costs (with 2012 value of Malaysian Ringgit) using the cost-of-illness approach and included both direct and indirect costs. We used the National Oral Health Survey for Adults (2010) data to estimate the prevalence of periodontitis and 2010 national census data to estimate the adult population at risk for periodontitis.Results. The economic burden of managing all cases of periodontitis at the national level from the societal perspective was approximately MYR 32.5 billion, accounting for 3.83% of the 2012 Gross Domestic Product of the country. It would cost the nation MYR 18.3 billion to treat patients with moderate periodontitis and MYR 13.7 billion to treat patients with severe periodontitis.Conclusion. The economic burden of periodontitis in Malaysia is substantial and comparable with that of other chronic diseases in the country. This is attributable to its high prevalence and high cost of treatment. Judicious application of promotive, preventive, and curative approaches to periodontitis management is decidedly warranted.

scholarly journals Depression and Suicidality in Gay Men: Implications for Health Care Providers

2017 ◽  
Vol 11 (4) ◽  
pp. 910-919 ◽  
Author(s):  
Carrie Lee ◽  
John L. Oliffe ◽  
Mary T. Kelly ◽  
Olivier Ferlatte
Keyword(s):  
Health Care ◽  
Gay Men ◽  
Health Care Providers ◽  
Help Seeking ◽  
Adult Population ◽  
Well Being ◽  
Sexual Practices ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Prevalence Of Depression

Gay men are a subgroup vulnerable to depression and suicidality. The prevalence of depression among gay men is three times higher than the general adult population. Because depression is a known risk factor for suicide, gay men are also at high risk for suicidality. Despite the high prevalence of depression and suicidality, health researchers and health care providers have tended to focus on sexual health issues, most often human immunodeficiency virus in gay men. Related to this, gay men’s health has often been defined by sexual practices, and poorly understood are the intersections of gay men’s physical and mental health with social determinants of health including ethnicity, locale, education level, and socioeconomic status. In the current article summated is literature addressing risk factors for depression and suicidality among gay men including family acceptance of their sexual identities, social cohesion and belonging, internalized stigma, and victimization. Barriers to gay men’s help seeking are also discussed in detailing how health care providers might advance the well-being of this underserved subgroup by effectively addressing depression and suicidality.

Abstract 164: Home-Based Cardiac Rehabilitation Improves Access for Rural Veterans

2016 ◽  
Vol 9 (suppl_2) ◽  
Author(s):  
David W Schopfer ◽  
Mary A Whooley
Keyword(s):  
Cardiac Rehabilitation ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Clinical Indication ◽  
Code System ◽  
Rural And Urban ◽  
Home Based ◽  
Zip Code

Objective: Referral to cardiac rehabilitation (CR) is one of nine performance measures for patients with ischemic heart disease (IHD), but fewer than 10% of eligible Veterans participate. Home-based CR programs may improve participation in CR, particularly for rural Veterans who do not live near traditional facility-based programs. We sought to compare referral to, participation in, and completion of CR in rural and urban Veterans. Methods: We established The Healthy Heart Program, a home-based CR program, to increase participation in CR programs and provide an alternative to facility-based CR programs for Veterans with IHD. Between August 2013 and May 2015, 574 patients were referred to CR during hospitalization for myocardial infarction, coronary revascularization, valve surgery, angina, or as an outpatient with heart failure. We used the Rural-Urban Commuting Areas (zip code) system to categorize urban and rural Veterans. We then compared the proportions of urban vs. rural Veterans who were referred to, enrolled in, and completed home-based CR. Results: Overall, 52% (94/181) of rural and 51% (202/393) of urban Veterans agreed to enroll in CR. Rural Veterans were more likely to be married (50% vs. 41%, p=0.02) and have undergone coronary artery bypass surgery (30% vs. 20%, p=0.03). Among 296 patients who agreed to enroll, 82% chose home-based and 18% chose facility-based CR (p<0.001). Rural Veterans were more likely than urban Veterans to choose home-based CR (95% vs. 76%; p<0.001). Among 243 patients who enrolled in home-based CR, rural Veterans were more likely to complete at least 9 weeks of home-based CR (67% vs. 53%; p=0.031) and less likely to withdraw (33% vs. 47%, p=0.031). After adjustment for demographics and clinical indication, rural Veterans had 49% greater odds of enrolling in (odds ratio 1.49, 95% confidence interval 1.03, 2.14; p=0.034) and 80% greater odds of completing home-based CR (OR 1.80, 95% CI 1.20, 2.71; p=0.004). Conclusion: The majority of Veterans who were interested in CR chose a home-based over a facility-based program. Rural Veterans were more likely to choose home-based CR and to complete CR. Home-based CR is an effective way of engaging patients who may otherwise decline to participate in CR, especially for rural Veterans.

scholarly journals Prevalence of Depression Symptoms in Diabetes Mellitus

2018 ◽  
Vol 6 (2) ◽  
pp. 340-343 ◽  
Author(s):  
Salih Eker
Keyword(s):  
Diabetes Mellitus ◽  
Depressive Disorder ◽  
Depression Symptoms ◽  
Strong Indicator ◽  
Number Of Patients ◽  
High Prevalence ◽  
Prevalence Of Depression ◽  
The World

BACKGROUND: Diabetes mellitus (DM) is one of the most prevalent diseases all over the world. Prevalence of DM in Turkey is 13.7%. Depression is another condition which has a high prevalence. All over the world, an estimated 300 million people of all ages suffer from depression. The relevance between depression and DM is a well - known condition.AIM: We aimed in this study to find out the prevalence of depression symptoms for DM in an attempt to better manage the disease.METHODS: We preferred the Beck Depression Index (BDI) to evaluate the depression symptoms.RESULTS: The number of patients introduced the study were 171 (101 (59.1%) female). As a results of BDI 67 (39.2%) patients evaluated as normal [29 (28.7%) female], 54 (31.6%) had poor symptoms [35 (34.7%) female], 46 (26.9%) had moderate symptoms [34 (33.7%) female] and lastly only 4(2.3%) had strong symptoms 3 (3.0%) female]. So 50 (29.2%) of patients had median plus strong symptoms. There were statistically significant association between HbA1c stages and depression (P = 0.018).CONCLUSION: Being a patient with DM is a strong indicator that the patient may have a depressive disorder. So the physician who takes care patients with DM should be alert about depression, and the simplest way to accomplish is BDI.

scholarly journals Study on depression among elderly people in an urban slum of Raichur

2019 ◽  
Vol 6 (5) ◽  
pp. 2116 ◽  
Author(s):  
Vandana Ganganapalli ◽  
Sujatha N. ◽  
Bhaskar Kurre
Keyword(s):  
Elderly People ◽  
Nuclear Family ◽  
Adult Population ◽  
Elderly Person ◽  
Depression Scale ◽  
The Elderly ◽  
Short Version ◽  
Ageing Population ◽  
Cross Sectional ◽  
Prevalence Of Depression

Background: Globally, more than 300 million people of all ages suffer from depression. With an ageing population, depression among the elderly is likely to increase in the coming years, with higher prevalence among the elderly people than that in the general adult population. This study was intended to know the prevalence of depression and factors associated with depression among elderly people.Methods: A cross-sectional study was conducted in the urban field practice area of Navodaya Medical College, Raichur. A pre-designed and pre-tested questionnaire was used to interview the elderly person, after taking verbal consent. Depression was assessed using geriatric depression scale (short version). The study duration was from 1st September 2018 – 31st December, 2018 with 360 sample size.Results: Out of 360 elderly people, the prevalence of depression was found to be 31.4 %. The prevalence of depression was more in females 31.9% (63 out of 197). Significant association of depression was noted with age, socio-economic status, marital status, type of family, education and occupation with p<0.05.Conclusions: Around 1/3rd of the study participants were found to be suffering from depression. Depression was significantly associated with age, illiteracy, nuclear family, dependent on family members. Family support to the elderly population may prevent depression.

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