Higher Self-Esteem Associated With Less Symptoms of Anxiety and Depression Among Young Adults After the Loss of a Parent to Cancer—A Longitudinal Study

2021 ◽  
pp. 082585972110445
Author(s):  
Tina Lundberg ◽  
Kristofer Årestedt ◽  
Ulla Forinder ◽  
Mariann Olsson ◽  
Carl Johan Fürst ◽  
...  

Objective: The purpose of the study was to examine associations between self-esteem and symptoms of anxiety and depression among young adults who lost a parent to cancer. Methods: Older adolescents and young adults, aged 16 to 28 years, who had lost their parent to cancer and had accepted an invitation to join a support group, completed a questionnaire 5 to 8 months after the loss and a similar questionnaire about 10 months later (follow-up). Of a total of 77 young adults who participated in the study, 56 completed both questionnaires. Self-esteem was measured with the Rosenberg Self-Esteem Scale. Symptoms of anxiety and depression were measured with the Hospital Anxiety and Depression Scale. Univariate and multiple linear regression models were used to analyze the associations. Result: Self-esteem was significantly associated with symptoms of anxiety and depression at baseline and at follow-up. Conclusion: This study reveals that self-esteem is a valuable explanatory variable, and that it is associated with both symptoms of anxiety and depression in bereavement. This new knowledge could be used to guide future support to parentally bereaved young adults.

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Magnus Johansson ◽  
Markus Jansson-Fröjmark ◽  
Annika Norell-Clarke ◽  
Steven J. Linton

Abstract Background The aim of this investigation was to examine the longitudinal association between change in insomnia status and the development of anxiety and depression in the general population. Methods A survey was mailed to 5000 randomly selected individuals (aged 18–70 years) in two Swedish counties. After 6 months, a follow-up survey was sent to those (n = 2333) who answered the first questionnaire. The follow-up survey was completed by 1887 individuals (80.9%). The survey consisted of questions indexing insomnia symptomatology, socio-demographic parameters, and the Hospital Anxiety and Depression Scale. Change in insomnia status was assessed by determining insomnia at the two time-points and then calculating a change index reflecting incidence (from non-insomnia to insomnia), remission (from insomnia to non-insomnia), or status quo (no change). Multivariate binary logistic regression analyses were used to examine the aim. Results Incident insomnia was significantly associated with an increased risk for the development of new cases of both anxiety (OR = 0.32, p < .05) and depression (OR = 0.43, p < .05) 6 months later. Incident insomnia emerged also as significantly associated with an elevated risk for the persistence of depression (OR = 0.30, p < .05), but not for anxiety. Conclusions This study extends previous research in that incidence in insomnia was shown to independently increase the risk for the development of anxiety and depression as well as for the maintenance of depression. The findings imply that insomnia may be viewed as a dynamic risk factor for anxiety and depression, which might have implications for preventative work.


ISRN Stroke ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
H. Bergersen ◽  
A.-K. Schanke ◽  
K. S. Sunnerhagen

Objectives. To identify predictors of emotional distress and psychological wellbeing in stroke survivors 2–5 years after discharge from comprehensive rehabilitation. Material and Methods. The Hospital Anxiety and Depression Scale (HADS), the General Health Questionnaire (GHQ-30), and questions regarding life situations were mailed to former patients. Multiple regression analyses were performed. Results. The responses from 68 participants (37% women), of an average age of 58 years old, were used. Emotional distress (HADS > 10) was identified in 41%. Well-being (GHQ-30 < 6) was identified in 46%. Not surprisingly, there was a strongly negative association between well-being (GHQ-30 < 6) and emotional distress (HADS > 10) at follow up. Dependency in toileting during rehabilitation predicted emotional distress 2–5 years later. Finally, well-being at followup was predicted by age > 65 years, independent mobility, perceiving proxies as supportive, and being in employment. Conclusions. Dependence in the activities of daily living 3–6 months after-injury predicted emotional distress 2–5 years after-stroke. Being over 65 years, having an occupation, proxy support and being less dependent all predicted well-being. Emotional distress and well-being were clearly negatively associated. Gender, education, marital status, and type of stroke were not associated with the outcome measures.


Retos ◽  
2020 ◽  
pp. 1024-1028
Author(s):  
Miguel Ángel Araque-Martínez ◽  
Pedro Jesús Ruiz-Montero ◽  
Eva María Artés-Rodríguez

  El envejecimiento es un proceso natural asociado a un deterioro fisiológico y donde las emociones se ven también afectadas por el mismo. El ejercicio físico ha demostrado ser una herramienta útil en personas adultas mayores para ayudar a combatir los cambios asociados al proceso de envejecimiento. El presente trabajo analiza los efectos de un programa de ejercicio físico multicomponente sobre la condición física, autoestima, ansiedad y depresión de personas adultas mayores (n=70) de la provincia de Almería, y donde se han llevado a cabo tareas diseñadas basadas en la teoría de las Inteligencias Múltiples y en el manual Inteligencia XXI con el objetivo de desarrollar aspectos físicos, cognitivos y/o emocionales. Se trata de una investigación con un diseño cuantitativo en la que se comparan las medidas pre-test y post-test de un grupo experimental. La duración del programa de intervención fue de ocho meses. Los instrumentos empleados para la evaluación fueron el Senior Fitness Test (SFT) para la condición física, el test de Rosenberg para la autoestima y el Hospital Anxiety and Depression Scale (HAD) para la ansiedad y depresión. Los resultados reflejan mejoras significativas en la agilidad o equilibrio dinámico, autoestima, ansiedad y depresión (p<.05), así como en la capacidad cardiorrespiratoria (p<.01). En conclusión, este trabajo indica que un programa de ejercicio físico multicomponente mejora parámetros de la condición física, así como la autoestima, ansiedad y depresión de personas adultas mayores de la provincia de Almería.  Abstract. Ageing is a natural process associated to physiological deterioration. Moreover, the feelings are also affected by ageing process. Physical exercise has showed to be an useful tool to fight against changes of ageing process. Both Multiple Intelligence Theory and Intelligence XXI manual were used to develop physical, cognitive and emotional factors. The present study analyzes the effects of a multicomponent physical exercise program on fitness, self-esteem, anxiety and depression on older adults (n=70) from Almería province. This investigation follows a quantitative design where the measurements from an experimental group are compared before (pre-test) and after (post-test). The length of the intervention’ program was eight months. Physical fitness, self-esteem, anxiety and depression were evaluated by Senior Fitness Test (SFT), Rosenberg’s Self-Esteem Scale and The Hospital Anxiety and Depression Scale (HAD), respectively. Results reflect significant improvements on agility or dynamic balance, self-esteem, anxiety and depression (p<.05), as well as on cardiorespiratory capacity (p<.01). In conclusion, this study indicates that a multicomponent physical exercise program improves some fitness parameters, self-esteem, anxiety and depression in older adults from Almeria province.


Author(s):  
Isabela Gonzales Carvalho ◽  
Eduarda dos Santos Bertolli ◽  
Luciana Paiva ◽  
Lidia Aparecida Rossi ◽  
Rosana Aparecida Spadoti Dantas ◽  
...  

ABSTRACT Objectives: to analyze the relationship between anxiety and depression symptoms, resilience and self-esteem with sociodemographic and clinical characteristics; correlate resilience and self-esteem with age and duration of the disease; check associations between anxiety and depression with measures of resilience and self-esteem among individuals with cardiovascular diseases. Method: correlational study conducted in a large university hospital in the interior of the state of São Paulo, Brazil. The population was composed of adult inpatients with cardiovascular diseases. A non-probabilistic consecutive sample was composed of 120 patients. Variables of interest were assessed using the Hospital Anxiety and Depression Scale, Resilience Scale, and Rosenberg Self-Esteem Scale. Results: anxiety and depression symptoms were present in 32.5% and 17.5% of the patients, respectively, and were associated with the female sex (p = 0.002; p = 0.022). Manifestations of depression were associated with the presence of comorbidities (p = 0.020). More resilient patients did not present depression symptoms (p < 0.001) and anxious women were more resilient (p = 0.042). The highest scores regarding self-esteem were present in patients with anxiety and depression. Men presented higher resilience and lower self-esteem compared to women. Conclusion: patients with anxiety and depression were less resilient but presented higher self-esteem.


2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Britt-Marie Stålnacke ◽  
Britt-Inger Saveman ◽  
Maud Stenberg

Aim. To assess the clinical course of disability, cognitive, and emotional impairments in patients with severe TBI (s-TBI) from 3 months to up to 7 years post trauma.Methods. A prospective cohort study of s-TBI in northern Sweden was conducted. Patients aged 18-65 years with acute Glasgow Coma Scale 3-8 were assessed with the Glasgow Outcome Scale Extended (GOSE), the Hospital Anxiety and Depression Scale (HADS), and the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS) at 3 months, 1 year, and 7 years after the injury.Results. The scores on both GOSE and BNIS improved significantly from 3 months (GOSE mean:4.4±2.3, BNIS mean:31.5±7.0) to 1 year (GOSE mean:5.5±2.7,p=0.003, BNIS mean:33.2±6.3,p=0.04), but no significant improvement was found from 1 year to 7 years (GOSE mean:4.7±2.8,p=0.13, BNIS mean:33.5±3.9,p=0.424) after the injury. The BNIS subscale “speech/language” at 1 year was significantly associated with favourable outcomes on the GOSE at 7 years (OR=2.115, CI: 1.004-4.456,p=0.049).Conclusions. These findings indicate that disability and cognition seem to improve over time after s-TBI and appear to be relatively stable from 1 year to 7 years. Since cognitive function on some of the BNIS subscales was associated with outcome on the GOSE, these results indicate that both screening and follow-up of cognitive function could be of importance for the rehabilitation of persons with s-TBI.


2019 ◽  
pp. 135910531986309 ◽  
Author(s):  
Federica Facchin ◽  
Laura Buggio ◽  
Dhouha Dridi ◽  
Paolo Vercellini

In this study, we examined whether beliefs regarding motherhood, female identity, and infertility affected the psychological health of 127 childless endometriosis patients. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale, while self-esteem was assessed using the Rosenberg Self-Esteem Scale. A set of six Likert-type items (1 = “Not at all”; 5 = “To a very great extent”) was developed to explore women’s beliefs. Women who were more likely to believe that childless and infertile women were less appreciated by others reported poorer psychological health. Patients’ beliefs should be explored during psychological counseling. Dysfunctional beliefs about female identity, especially as regards others’ perceptions, should be restructured to improve patients’ psychological health.


2020 ◽  
Author(s):  
Won Bae ◽  
Jaeyoung Cho ◽  
Jinwoo Lee ◽  
Young Sik Park ◽  
Chang-Hoon Lee ◽  
...  

Abstract Background and objective: Few studies have investigated the differences in the incidence of anxiety and depression among the interstitial lung diseases (ILDs). We evaluated the differences in the incidence of anxiety and depression between idiopathic pulmonary fibrosis (IPF) and non-IPF ILD, and the changes after a 1-year follow-up period. Methods The study participants were patients included in a prospective ILD cohort of Seoul National University Hospital between March 2013 and August 2018. Clinical variables were recorded at baseline and at 1 year. The Hospital Anxiety and Depression Scale was used to assess patient anxiety and depression at baseline and at 1-year follow-up. Results A total of 224 patients in the cohort participated in the study (154 [68.8%] with IPF and 70 [31.2%] with non-IPF ILD). Among them, 111 patients completed a follow-up Hospital Anxiety and Depression Scale questionnaire 1 year later (77 in the IPF group, 34 in the non-IPF group). In the IPF group, 20.8% and 27.3% of patients suffered from anxiety and 29.9% and 31.2% suffered from depression at baseline and 1-year follow-up, respectively. In the non-IPF group, 14.3% and 23.5% of patients suffered from anxiety and 24.3% and 17.6% suffered from depression at baseline and 1-year follow-up, respectively. Total score on the St. George’s Respiratory Questionnaire at baseline was associated with depression both at baseline (odds ratio 1.05; 95% confidence interval 1.02–1.08) and at 1-year follow-up (odds ratio 1.03; 95% confidence interval 1.00-1.05), even after adjusting other factors. The interaction of prevalence change of anxiety and depression at baseline and 1-year follow-up between the IPF group and the non-IPF ILD group were not statistically significant (p-value 0.878 for anxiety and 0.376 for depression, respectively). Conclusion The prevalence of anxiety and depression at baseline and at 1-year follow-up were not significantly different between patients with IPF and non-IPF ILD. St. George’s Respiratory Questionnaire total score at baseline was associated with depression at baseline and at 1-year follow-up.


2021 ◽  
Vol 12 ◽  
Author(s):  
David O'Regan ◽  
Alexander Nesbitt ◽  
Nazanin Biabani ◽  
Panagis Drakatos ◽  
Hugh Selsick ◽  
...  

Background: Following the success of Cognitive Behavioral Therapy (CBT) for insomnia, there has been a growing recognition that similar treatment approaches might be equally beneficial for other major sleep disorders, including non-rapid eye movement (NREM) parasomnias. We have developed a novel, group-based, CBT-program for NREM parasomnias (CBT-NREMP), with the primary aim of reducing NREM parasomnia severity with relatively few treatment sessions.Methods: We investigated the effectiveness of CBT-NREMP in 46 retrospectively-identified patients, who completed five outpatient therapy sessions. The outcomes pre- and post- CBT-NREMP treatment on clinical measures of insomnia (Insomnia Severity Index), NREM parasomnias (Paris Arousal Disorders Severity Scale) and anxiety and depression (Hospital Anxiety and Depression Scale), were retrospectively collected and analyzed. In order to investigate the temporal stability of CBT-NREMP, we also assessed a subgroup of 8 patients during the 3 to 6 months follow-up period.Results: CBT-NREMP led to a reduction in clinical measures of NREM parasomnia, insomnia, and anxiety and depression severities [pre- vs. post-CBT-NREMP scores: P (Insomnia Severity Index) = 0.000054; P (Paris Arousal Disorders Severity Scale) = 0.00032; P (Hospital Anxiety and Depression Scale) = 0.037]. Improvements in clinical measures of NREM parasomnia and insomnia severities were similarly recorded for a subgroup of eight patients at follow-up, demonstrating that patients continued to improve post CBT-NREMP.Conclusion: Our findings suggest that group CBT-NREMP intervention is a safe, effective and promising treatment for NREM parasomnia, especially when precipitating and perpetuating factors are behaviorally and psychologically driven. Future randomized controlled trials are now required to robustly confirm these findings.


2012 ◽  
Vol 5 (2) ◽  
pp. 39-45
Author(s):  
Ruth Asuero Fernández ◽  
María Luisa Avargues Navarro ◽  
Beatriz Martín Monzón ◽  
Mercedes Borda Mas

El objetivo del presente estudio fue investigar las diferencias de edad, estado nutricional (Índice de Masa Corporal o IMC), ansiedad, depresión e insatisfacción corporal en pacientes con trastornos de la conducta alimentaria (TCA.), con una autoestima baja, media y alta. Además, intentamos distinguir las discrepancias entre el estado nutricional real y el estado nutricional deseado. Se evaluaron un total de 146 mujeres con TCA (Anorexia nerviosa y Bulimia nerviosa según el DSM-IV-TR). Los cuestionarios utilizados fueron el Body Shape Questionnaire (BSQ), el Hospital Anxiety and Depression Scale (HADS) y la Rosenberg Self-Esteem Scale (RSES). Los resultados reflejan diferencias significativas entre los tres subtipos de pacientes de baja, media y alta autoestima en cuanto a la ansiedad, depresión, insatisfacción corporal, IMC deseado y la relación dentro de IMC real y el IMC deseado. Estos hallazgos indican que las mujeres de baja autoestima presentan altos niveles en insatisfacción corporal, ansiedad y depresión en comparación con los otros grupos. Además, los pacientes con TCA con baja autoestima mostraban un mayor IMC deseado. Sugerimos que se incluyan técnicas de autoestima en la prevención y el tratamiento relacionados con programas de TCA para disminuir los síntomas de ansiedad y depresión.


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