The Effects of Relaxation Exercises on Anxiety Levels in Psychiatric Inpatients

This study investigated determinants of state-anxiety responses to an ego-threatening event for 79 psychiatric inpatients. Specifically, state-anxiety levels were assessed in high and low trait-anxious internal and external patients immediately prior to the presentation of individualized psychological test feedback. Analysis of variance demonstrated that high trait-anxious patients reported higher levels of state anxiety than low trait-anxious patients. Further, external patients reported significantly higher levels of state anxiety than internal patients. Multiple regression indicated that locus of control and trait anxiety each uniquely contributed to the distribution of state-anxiety scores. Findings were discussed in terms of established correlates of locus of control orientation and in relation to social learning theory and the state-trait anxiety distinction.

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Nuchal translucency screening and anxiety levels in pregnancy and puerperium

Yearbook of Obstetrics Gynecology and Women s Health ◽

10.1016/s1090-798x(08)70044-4 ◽

2007 ◽

Vol 2007 ◽

pp. 57-58

Author(s):

L.P. Shulman

Keyword(s):

Nuchal Translucency ◽

Anxiety Levels ◽

In Pregnancy

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Substance Abuse in Older Psychiatric Inpatients

SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice ◽

10.1024/0939-5911/a000476 ◽

2017 ◽

Vol 63 (2) ◽

pp. 115-121 ◽

Cited By ~ 1

Author(s):

Tilman Wetterling ◽

Klaus Junghanns

Keyword(s):

Substance Abuse ◽

Substance Abusers ◽

Psychiatric Inpatient ◽

Psychiatric Inpatients ◽

Severe Withdrawal ◽

Psychiatric Inpatient Treatment ◽

Clinical Diagnoses ◽

Multiple Substance ◽

Icd 10 ◽

Substance Abuse Disorders

Abstract. Aim: This study investigates the characteristics of older patients with substance abuse disorders admitted to a psychiatric department serving about 250.000 inhabitants. Methods: The clinical diagnoses were made according to ICD-10. The data of the patients with substance abuse were compared to a matched sample of psychiatric inpatients without substance abuse as well as to a group of former substance abusers with long-term abstinence. Results: 19.3 % of the 941 patients aged > 65 years showed current substance abuse, 9.4 % consumed alcohol, 7.9 % took benzodiazepines or z-drugs (zolpidem and zopiclone), and 7.0 % smoked tobacco. Multiple substance abuse was rather common (30.8 %). About 85 % of the substance abusers had psychiatric comorbidity, and about 30 % showed severe withdrawal symptoms. As with the rest of the patients, somatic multimorbidity was present in about 70 % of the substance abusers. Remarkable was the lower rate of dementia in current substance abusers. Conclusion: These results underscore that substance abuse is still a challenge in the psychiatric inpatient treatment of older people.

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Feasibility of an Exercise Program for Older Depressive Inpatients

GeroPsych ◽

10.1024/1662-9647/a000134 ◽

2015 ◽

Vol 28 (4) ◽

pp. 163-171 ◽

Cited By ~ 3

Author(s):

Andreas Heissel ◽

Anou Vesterling ◽

Stephanie A. White ◽

Gunnar Kallies ◽

Diana Behr ◽

...

Keyword(s):

Major Depressive Disorder ◽

Pilot Trial ◽

Exercise Program ◽

Exercise Group ◽

Neurocognitive Functioning ◽

Control Group ◽

Active Control Group ◽

Major Depressive ◽

Older Inpatients ◽

Relaxation Exercises

Abstract. Twelve older inpatients (M age = 66.8) with Major Depressive Disorder (MDD) participated in this controlled pilot trial either in a physical exercise group (PEG; n = 6; aerobic, strength, and coordination exercises) or an active control group (ACG; n = 6; relaxation exercises) twice a week for four weeks. While depressive symptoms decreased in both groups, reduction of symptoms was significantly larger in the PEG. However, the PEG had higher BDI scores compared to the ACG at pretest. Neurocognitive functioning and brain-derived neurotrophic factor (BDNF) concentration did not change significantly. A four-week exercise program may be a feasible adjunct therapy in older MDD patients but the efficacy of the program needs to be proven with larger samples.

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Presence and Persistence of Sleep-Related Symptoms and Suicidal Ideation in Psychiatric Inpatients

Crisis ◽

10.1027/0227-5910/a000279 ◽

2014 ◽

Vol 35 (6) ◽

pp. 398-405 ◽

Cited By ~ 17

Author(s):

Michael R. Nadorff ◽

Thomas E. Ellis ◽

Jon G. Allen ◽

E. Samuel Winer ◽

Steve Herrera

Keyword(s):

Risk Factor ◽

Suicidal Ideation ◽

Inpatient Treatment ◽

Improve Method ◽

Sleep Problems ◽

Psychiatric Inpatients ◽

Poor Sleep ◽

Treatment Termination ◽

Suicidal Patients ◽

The Relationship

Background: Although sleep is an important risk factor for suicidal behavior, research has yet to examine the association between sleep problems and suicidality across the course of inpatient treatment. This study examined the relationship among sleep-related symptoms and suicidal ideation across inpatient treatment. Aims: To examine whether poor sleep at admission longitudinally predicts less improvement in suicidal ideation over the course of treatment. Further, to examine whether suicidal ideation is reduced in patients whose sleep does not improve. Method: The study utilized the Beck Depression Inventory (BDI)-II, which contains items measuring depressive symptoms, sleep-related symptoms, and suicidal ideation. The study sample consisted of 1,529 adult psychiatric inpatients. Patients were assessed at admission, biweekly, and at treatment termination. Results: Admission fatigue, loss of energy, and change in sleep pattern were associated with higher levels of suicidal ideation at admission and discharge. Fatigue at admission predicted suicidal ideation at termination independent of admission depression and suicidal ideation. Individuals whose sleep did not improve over the course of treatment had significantly higher suicidal ideation scores at termination relative to those whose sleep symptoms improved, after controlling for sleep, depression, and suicidal ideation scores at admission. Conclusion: These findings suggest that persistence of sleep-related symptoms warrants clinical attention in the treatment of suicidal patients.

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Emotion-Oriented Coping Style Predicts Self-Harm in Response to Acute Psychiatric Hospitalization

Crisis ◽

10.1027/0227-5910/a000713 ◽

2020 ◽

pp. 1-7

Author(s):

Jacqueline M. Frei ◽

Vladimir Sazhin ◽

Melissa Fick ◽

Keong Yap

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Psychiatric Hospitalization ◽

Coping Styles ◽

Psychiatric Inpatients ◽

Borderline Personality ◽

Self Report ◽

Therapeutic Interventions ◽

Coping Behaviors ◽

Self Harm

Abstract. Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.

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Psychometric Parameters of the Spanish Version of the Kuwait University Anxiety Scale (S-KUAS)1

European Journal of Psychological Assessment ◽

10.1027/1015-5759.20.4.349 ◽

2004 ◽

Vol 20 (4) ◽

pp. 349-357 ◽

Cited By ~ 28

Author(s):

Ahmed M. Abdel-Khalek ◽

Joaquin Tomás-Sabádo ◽

Juana Gómez-Benito

Keyword(s):

Reliability And Validity ◽

Anxiety Scale ◽

Spanish Version ◽

Good Reliability ◽

Kuwait University ◽

Males And Females ◽

Anxiety Levels ◽

Arabic And English ◽

Cross Language ◽

Language Equivalence

Summary: To construct a Spanish version of the Kuwait University Anxiety Scale (S-KUAS), the Arabic and English versions of the KUAS have been separately translated into Spanish. To check the comparability in terms of meaning, the two Spanish preliminary translations were thoroughly scrutinized vis-à-vis both the Arabic and English forms by several experts. Bilingual subjects served to explore the cross-language equivalence of the English and Spanish versions of the KUAS. The correlation between the total scores on both versions was .93, and the t value was .30 (n.s.), denoting good similarity. The Alphas and 4-week test-retest reliabilities were greater than .84, while the criterion-related validity was .70 against scores on the trait subscale of the STAI. These findings denote good reliability and validity of the S-KUAS. Factor analysis yielded three high-loaded factors of Behavioral/Subjective, Cognitive/Affective, and Somatic Anxiety, equivalent to the original Arabic version. Female (n = 210) undergraduates attained significantly higher mean scores than their male (n = 102) counterparts. For the combined group of males and females, the correlation between the total score on the S-KUAS and age was -.17 (p < .01). By and large, the findings of the present study provide evidence of the utility of the S-KUAS in assessing trait anxiety levels in the Spanish undergraduate context.

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