Cognitive Behavioral Therapy for Functional Dysphonia: A Pilot Study

2007 ◽  
Vol 116 (10) ◽  
pp. 717-722 ◽  
Author(s):  
Paressa Daniilidou ◽  
Paul Carding ◽  
Janet Wilson ◽  
Michael Drinnan ◽  
Vincent Deary
Keyword(s):  
Psychological Distress ◽  
Behavioral Therapy ◽  
General Health Questionnaire ◽  
Depression Scale ◽  
Voice Therapy ◽  
Anxiety And Depression ◽  
Health Questionnaire ◽  
Hospital Anxiety ◽  
Language Therapist ◽  
Functional Dysphonia

Objectives: We sought to investigate whether a brief period of training in cognitive behavioral therapy (CBT) can improve the treatment of functional dysphonia by a speech and language therapist and ameliorate the psychological distress associated with this condition. Methods: In a consecutive cohort design, a speech and language therapist treated a small cohort (n = 15) of dysphonic patients with voice therapy alone. After a brief period of CBT training, she treated the next cohort of dysphonic patients (n = 13) with CBT-enhanced voice therapy. Pretreatment and posttreatment measures were taken of voice quality and voice-related quality of life. The General Health Questionnaire 28 and the Hospital Anxiety and Depression Scale were used to assess psychological distress and general well-being. Results: All voice measures improved significantly in both cohorts. Both groups improved significantly on the General Health Questionnaire 28, with the CBT group improving significantly more than the control group. Only the CBT group improved significantly on the Hospital Anxiety and Depression Scale (depression subscale). Conclusions: Despite limitations of size, design, and between-group baseline differences, the results support the hypothesis that the addition of CBT skills to existing voice therapy is both feasible and clinically effective in the treatment of functional dysphonia.

Comparison of the General Health Questionnaire and the Hospital Anxiety and Depression Scale

1990 ◽  
Vol 157 (6) ◽  
pp. 860-864 ◽  
Author(s):  
Glyn Lewis ◽  
Simon Wessely
Keyword(s):  
Factor Analysis ◽  
Psychiatric Disorder ◽  
General Health Questionnaire ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Health Questionnaire ◽  
Criterion Measure ◽  
Hospital Anxiety ◽  
Latent Construct ◽  
Specificity And Sensitivity

The specificity and sensitivity of the HAD, 12-item GHQ and CIS were calculated by comparing the scores of dermatological patients on these tests with a criterion measure of disorder. Since psychiatry, along with many other branches of medicine, does not have an error-free criterion, it was assumed that the criterion was an underlying latent construct which was measured by all of the tests and could be derived by factor analysis from the scores on them. No differences were found between the two questionnaires (HAD and GHQ) in their ability to detect cases of minor psychiatric disorder although they were somewhat less reliable than the CIS.

Psychological distress in patients undergoing urological surgery: A cross-sectional study

2021 ◽  
pp. 205141582110140
Author(s):  
Nuala Murray ◽  
Charles O’Connor ◽  
Rhona Dempsey ◽  
Sean Liew ◽  
Helen Richards ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Repeated Measures ◽  
Depression Scale ◽  
University Hospital ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Post Surgery ◽  
Oncological Patients

Purpose: The purpose of this study was to evaluate the psychological distress of urological and uro-oncological patients undergoing surgery. Methods: Patients who presented to Mercy University Hospital from October 2019–May 2020 were consecutively recruited. Demographic and clinical characteristics including age, gender, marital status, type of surgery (uro-oncology or general urology), endoscopy or open surgery were gathered. Mood was evaluated using the Hospital Anxiety and Depression Scale prior to admission, prior to discharge and 6 weeks post-surgery. Results: A total of 118 participants (79.7% male) completed the Hospital Anxiety and Depression Scale prior to admission, prior to discharge and at 6 weeks post-surgery. Forty patients (33.9%) underwent uro-oncology-related surgery. At pre-admission 39 patients (33%) fell into a possible-probable clinical category for anxiety and 15 (12.7%) for depression. Older patients had significantly lower anxiety levels than younger patients ( p⩽0.01). There were no differences between patients undergoing uro-oncology or more general urology surgery and levels of anxiety or depression. Repeated measures analysis of variance with age as a covariate indicated no significant differences in Hospital Anxiety and Depression Scale anxiety scores over time. There was a statistically significant reduction in Hospital Anxiety and Depression Scale depression scores over the three assessment time points ( p=0.004). Conclusion: Over one-third of patients were experiencing moderate to severe levels of psychological distress pre-surgery – higher than levels previously reported in uro-oncological patients. Surprisingly, there was no difference in anxiety and depression scores in uro-oncology and urology patients. Psychological distress in both uro-oncology and more general urology patients should be considered in the surgical setting. Level of evidence Moderate

Erkennungsgüte dreier deutschsprachiger Screeninginstrumente für Depression bei hospitalisierten Patienten mit koronarer Herzerkrankung

2017 ◽  
Vol 46 (01) ◽  
pp. 41-48 ◽  
Author(s):  
Mira Tschorn ◽  
Nina Rieckmann ◽  
Volker Arolt ◽  
Katja Beer ◽  
Wilhelm Haverkamp ◽  
...  
Keyword(s):  
Depression Scale ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Patient Health Questionnaire ◽  
Anxiety And Depression ◽  
Depressive Störungen ◽  
Health Questionnaire ◽  
Hospital Anxiety ◽  
Patient Health

Zusammenfassung Ziel Vergleich der Erkennungsgüte von drei Depressions-Screeninginstrumenten bei Patienten mit koronarer Herzerkrankung (KHK). Methodik 1019 KHK-Patienten erhielten den Patient Health Questionnaire (PHQ-9 und PHQ-2) und die Hospital Anxiety and Depression Scale (HADS-D) sowie ein klinisches Interview (Composite International Diagnostic Interview) als Referenzstandard. Ergebnisse Bezüglich der Erkennungsgüte waren PHQ-9 und HADS-D dem PHQ-2 überlegen. Optimale Cut-off-Werte waren 7 (PHQ-9 und HADS-D) und 2 (PHQ-2). Schlussfolgerung PHQ-9 und HADS-D haben eine vergleichbare Diskriminationsfähigkeit für depressive Störungen bei KHK-Patienten.

Anxiety and depression in head and neck out-patients

2010 ◽  
Vol 124 (7) ◽  
pp. 774-777 ◽  
Author(s):  
V Veer ◽  
S Kia ◽  
M Papesch
Keyword(s):  
Psychological Distress ◽  
Anxiety Disorder ◽  
Head And Neck ◽  
Mood Disorders ◽  
Outcome Measure ◽  
Depression Scale ◽  
Psychiatric Services ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Main Outcome Measure

AbstractObjectives:To investigate the prevalence of psychological distress in head and neck out-patients.Design:We used the Hospital Anxiety and Depression Scale to screen 106 patients for mood disorders in a London head and neck ENT out-patient clinic.Setting:Queen's Hospital, Romford, UK.Participants:One hundred and six patients attending a head and neck out-patient clinic.Main outcome measure:Hospital Anxiety and Depression Scale score.Results:Approximately 39 per cent of patients had a possible anxiety disorder (10 per cent were rated as severe), and 27 per cent had possible depression (10 per cent were rated as severe).Conclusion:We recommend that a member of the head and neck multidisciplinary team should be trained to identify and correctly refer psychologically distressed patients to appropriate existing psychiatric services.

Burnout–Depression Overlap: Exploratory Structural Equation Modeling Bifactor Analysis and Network Analysis

Assessment ◽  
2020 ◽  
pp. 107319112091109 ◽  
Author(s):  
Jay Verkuilen ◽  
Renzo Bianchi ◽  
Irvin Sam Schonfeld ◽  
Eric Laurent
Keyword(s):  
Structural Equation Modeling ◽  
Network Analysis ◽  
Structural Equation ◽  
Depression Scale ◽  
Equation Modeling ◽  
Anxiety And Depression ◽  
Health Questionnaire ◽  
Hospital Anxiety ◽  
Exploratory Structural Equation Modeling ◽  
Patient Health

Burnout has been viewed as a work-induced condition combining exhaustion, cynicism, and professional inefficacy. Using correlational analyses, an exploratory structural equation modeling bifactor analysis, structural regression analyses, and a network analysis, we examined the claim that burnout should not be mistaken for a depressive syndrome. The study involved 1,258 educational staff members. Burnout was assessed with the Maslach Burnout Inventory–General Survey and depression with the Patient Health Questionnaire–9 and the Hospital Anxiety and Depression Scale. Illegitimate work tasks and work–nonwork interferences were additionally measured. We notably found that (a) on average, exhaustion, cynicism, and professional inefficacy correlated less strongly with each other than with depression; (b) exhaustion―burnout’s core―was more strongly associated with depression than with either cynicism or professional inefficacy; (c) the Patient Health Questionnaire–9 did not correlate more strongly with the Hospital Anxiety and Depression Scale than with exhaustion; (d) exhaustion and depression loaded primarily on a general distress/dysphoria factor in the exploratory structural equation modeling bifactor analysis; (e) on average, burnout and depression were related to job stressors in a similar manner; (f) work–nonwork interferences were strongly linked to distress/dysphoria. Overall, burnout showed no syndromal unity and lacked discriminant validity. Clinicians should systematically assess depressive symptoms in individuals presenting with a complaint of “burnout.”

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