Ophthalmologists perceived usefulness of Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD-7) for evaluating the mental health of patients with chronic eye diseases

2021 ◽  
pp. 112067212110446
Author(s):  
Samar Swaillam ◽  
Stefania Fortini ◽  
Anwar Ahmed ◽  
Silvio P Mariotti ◽  
Sami Shahwan ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Screening Tool ◽  
Perceived Usefulness ◽  
Generalized Anxiety ◽  
Age Group ◽  
Median Score ◽  
Health Questionnaire ◽  
Patient Health

Purpose: To evaluate the awareness of ophthalmologists about assessing the mental health of patients and usefulness of the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD-7) survey. Methods: This web-based survey was performed in 2020 at an eye hospital in Saudi Arabia. Participants included ophthalmologists and physicians. Participants were queried on the need to assess mental health of patients, usefulness of the screening tool, and barriers to assessment. Their responses were graded on a Likert scale and Rasch analysis was performed. Results: Of the 100 participants, 72 were aware of assessing mental health of eye patients and 82 expressed about limited skills for such assessment. The median score for perceived usefulness of the PHQ-9 as screening tool to suspect depression was −1.0 (inter quartile range, −1.0: 0.0) [Mean Rasch score = −0.735]. The median score of perceived usefulness for the GAD-7 as screening tool to suspect anxiety was −1.0 (inter quartile range, −1.0: 0.0) [Mean Rasch score = −0.695]. The PHQ-9 related score was significantly correlated to “30–39 years” age group (Kruskal Wallis p = 0.04) and non-Saudi professionals (Mann Whitney p = 0.005). The GAD-7 related score was significantly correlated to non-Saudi professionals (Mann Whitney p = 0.04). The mental health related score was significantly and negatively correlated to the “40–59 years” age group (Kruskal Wallis p = 0.04). Conclusions: Although awareness of mental health assessment was high, eyecare professionals felt with inadequate training for performing the screening. PHQ-9 seems to be more acceptable to screen for depression than GAD-7 for screening anxiety.

Correlation of the Standardized Cosmesis and Health Nasal Outcomes Survey With Psychiatric Screening Tools

2020 ◽  
Vol 40 (12) ◽  
pp. 1373-1380 ◽  
Author(s):  
Emily A Spataro ◽  
Cherian K Kandathil ◽  
Mikhail Saltychev ◽  
Cristen E Olds ◽  
Sam P Most
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Convergent Validity ◽  
Screening Tools ◽  
Patient Health Questionnaire ◽  
Generalized Anxiety ◽  
Health Questionnaire ◽  
Patient Health ◽  
Psychiatric Screening

Abstract Background Identifying mental health disorders, including body dysmorphic disorder (BDD), is important prior to rhinoplasty surgery; however, these disorders are underdiagnosed, and screening tools are underutilized in clinical settings. Objectives The authors sought to evaluate the correlation of a rhinoplasty outcomes tool (Standardized Cosmesis and Health Nasal Outcomes Survey [SCHNOS]) with psychiatric screening tools. Methods Patients presenting for rhinoplasty consultation were prospectively enrolled and administered mental health instruments to assess depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), and BDD (BDD Questionnaire-Aesthetic Surgery [BDDQ-AS]) as well as the SCHNOS rhinoplasty outcomes scale. Convergent validity of SCHNOS scores with these mental health instruments was assessed as well as calculation of an optimal SCHNOS-C score to screen for BDD. Results A total 76 patients were enrolled in the study. The average SCHNOS-O score (standard deviation) was 46.1 (34.0) and the average SCHNOS-C score was 61.1 (27.0). Five (7%) patients screened positive for depression, and 24 (32%) patients screened positive for mild, 5 (7%) for moderate, and 4 (5%) for severe anxiety. Twenty-four (32%) patients screened positive for BDD by BDDQ-AS scores. SCHNOS-O and SCHNOS-C did not correlate with Patient Health Questionnaire-9 or Generalized Anxiety Disorder-7 scores; SCHNOS-C did correlate with BDDQ-AS. A score of 73 or greater on SCHNOS-C maximized the sensitivity and specificity of also screening positive for BDD with BDDQ-AS. This score correlated with a sensitivity of 62.5%, specificity of 80.8%, and number needed to diagnose of 2.3, meaning for every 2 patients with a score of ≥73 on SCHNOS-C, 1 will have a positive BDDQ-AS score. Conclusions SCHNOS-C correlates with BDDQ-AS and may help screen rhinoplasty patients at higher risk for BDD. Level of Evidence: 2

scholarly journals Mental Health Impacts for International Students During the COVID-19 Pandemic in China

2020 ◽  
Author(s):  
Xiaoping Wang ◽  
Khamlesh Hujjaree ◽  
Fanglan Wang
Keyword(s):  
Mental Health ◽  
International Students ◽  
Standard Deviation ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Mean Value ◽  
Patient Health Questionnaire ◽  
Generalized Anxiety ◽  
Health Questionnaire ◽  
Patient Health

Abstract The outbreak of Coronavirus disease 2019 (COVID-19), has led to the quarantine of many residents in their homes worldwide. Some of these people might develop mental health problems, and many solutions have been put in place to address the mental health issues of patients and health professionals affected by the disease. However, not much attention has been given to international students studying in China. The present study aims to conduct an online survey to investigate the mental health status of international students from Changsha city, China.Materials and Methods: A WeChat-based survey program comprised of questions on demographic information gender, grade year, duration and status of quarantine, duration of sleep, worries about graduation, being able to go to school and presence or absence of a sense of security; as well as questions from the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) scale and State-Trait Anxiety Inventory(STAI).Results: The prevalence of depression was 59.4% and the prevalence of anxiety was 37.8%. The STAI-Y1 STATE scores had a mean value (mean) of 41.42, standard deviation (S.D) of 10.89 and STAI-Y2 TRAIT scores had a mean value (mean) of 41.85, standard deviation (S.D) of 11.13. The risk factors of anxiety or depression were Sleep duration, worrying about graduation in varying degrees, School time, and feeling secure in varying degrees. Higher the Patient Health Questionnaire-9 score and higher Generalized Anxiety Disorder-7 score and higher STAI-Y1 STATE scores were associated with higher STAI-Y2 TRAIT scores.Conclusion: The present study implies that the university needs to consider planning for acute and long-term psychological help services for international students.

scholarly journals USO PROBLEMÁTICO Y ADICTIVO DE INTERNET Y RIESGO DE ANSIEDAD Y DEPRESIÓN EN ADOLESCENTES

2021 ◽  
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Internet Use ◽  
Patient Health Questionnaire ◽  
Generalized Anxiety ◽  
Health Questionnaire ◽  
Redes Sociales ◽  
Patient Health ◽  
On Line

El presente trabajo estudia la comorbilidad entre los usos problemático y adictivo de internet y los trastornos de ansiedad y depresión explorando la posible relación entre ambos fenómenos y las variables influyentes en la mayor o menor intensidad de dicha relación En el contexto de un programa de Cribado e Intervención Breve Digital dirigido a la prevención del uso problemático de internet (PiensaTIC) un total de 1.239 alumnos de enseñanzas secundarias ( 54% mujeres y 46% varones) de diez centros educativos de la provincia de Málaga cumplimentaron de forma on-line las escalas CIUS (Compulsive Internet Use Scale) para evaluar el uso problemático genérico de internet y el cuestionario YDQ (Young's Diagnostic Questionnaire) para evaluar el uso adictivo especifico de internet referido al uso de redes sociales y videojuegos. Asimismo contestaron las escalas GAD-2 (Generalized Anxiety Disorder-2) y PHQ-2 (Patient Health Questionnaire-2) diseñadas para realizar un cribado del riesgo de trastorno de ansiedad generalizada y de depresión. El uso compulsivo genérico de internet se asoció significativamente a un mayor riesgo de ansiedad y depresión siendo esta relación más evidente entre las alumnas que entre los alumnos. El uso intensivo de redes sociales (20 h semanales o más) está asociado a un mayor riesgo de ansiedad y depresión especialmente si cumple los criterios marcados por el YDQ como uso adictivo, no encontrándose diferencias de género en esta relación. No se encontró relación entre el uso adictivo de video juegos y el riesgo de ansiedad o depresión. Estos resultados sugieren la necesidad de evaluar de forma más exhaustiva la relación entre distintos trastornos psicopatológicos y los usos compulsivos y adictivos de internet como trastornos comórbidos que puedan cumplir los criterios de un trastorno de patología dual.

scholarly journals Impact of Changed Use of Greenspace during COVID-19 Pandemic on Depression and Anxiety

2021 ◽  
Vol 18 (11) ◽  
pp. 5842
Author(s):  
Seulkee Heo ◽  
Miraj U. Desai ◽  
Sarah R. Lowe ◽  
Michelle L. Bell
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Low Income ◽  
Online Survey ◽  
Psychological Symptoms ◽  
Poor Mental Health ◽  
Generalized Anxiety ◽  
Patient Health ◽  
Financial Issues

The COVID-19 pandemic has had devastating consequences for health, social, and economic domains, but what has received far less focus is the effect on people’s relationship to vital ecological supports, including access to greenspace. We assessed patterns of greenspace use in relation to individual and environmental factors and their relationship with experiencing psychological symptoms under the pandemic. We conducted an online survey recruiting participants from social media for adults in Korea for September–December 2020. The survey collected data on demographics, patterns of using greenspace during the pandemic, and major depression (MD) and generalized anxiety disorder (GAD) symptoms. The Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 2-item (GAD-2) were applied to identify probable cases of MD and GAD. A logistic regression model assessed the association decreased visits to greenspace after the outbreak compared to 2019 and probable MD and GAD. Among the 322 survey participants, prevalence of probable MD and GAD were 19.3% and 14.9%, respectively. High rates of probable MD (23.3%) and GAD (19.4%) were found among persons currently having job-related and financial issues. Of the total participants, 64.9% reported decreased visits to greenspace after the COVID-19 outbreak. Persons with decreased visits to greenspace had 2.06 higher odds (95% CI: 0.91, 4.67, significant at p < 0.10) of probable MD at the time of the survey than persons whose visits to greenspace increased or did not change. Decreased visits to greenspace were not significantly associated with GAD (OR = 1.45, 95% CI: 0.63, 3.34). Findings suggest that barriers to greenspace use could deprive people of mental health benefits and affect mental health during pandemic; an alternative explanation is that those experiencing poor mental health may be less likely to visit greenspaces during pandemic. This implies the need of adequate interventions on greenspace uses under an outbreak especially focusing on how low-income populations may be more adversely affected by a pandemic and its policy responses.

scholarly journals A Brief Online and Offline (Paper-and-Pencil) Screening Tool for Generalized Anxiety Disorder: The Final Phase in the Development and Validation of the Mental Health Screening Tool for Anxiety Disorders (MHS: A)

2021 ◽  
Vol 12 ◽  
Author(s):  
Shin-Hyang Kim ◽  
Kiho Park ◽  
Seowon Yoon ◽  
Younyoung Choi ◽  
Seung-Hwan Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Generalized Anxiety Disorder ◽  
Internal Consistency ◽  
Screening Tool ◽  
Health Screening ◽  
Mental Health Screening ◽  
Generalized Anxiety ◽  
Paper And Pencil

Generalized anxiety disorder (GAD) can cause significant socioeconomic burden and daily life dysfunction; hence, therapeutic intervention through early detection is important. This study was the final stage of a 3-year anxiety screening tool development project that evaluated the psychometric properties and diagnostic screening utility of the Mental Health Screening Tool for Anxiety Disorders (MHS: A), which measures GAD. A total of 527 Koreans completed online and offline (i.e., paper-and pencil) versions of the MHS: A, Beck Anxiety Inventory (BAI), Generalized Anxiety Disorder-7 (GAD-7), and Penn State Worry Questionnaire (PSWQ). The participants had an average age of 38.6 years and included 340 (64.5%) females. Participants were also administered the Mini-International Neuropsychiatric Interview (MINI). Internal consistency, convergent/criterion validity, item characteristics, and test information were assessed based on the item response theory (IRT), and a factor analysis and cut-off score analyses were conducted. The MHS: A had good internal consistency and good convergent validity with other anxiety scales. The two versions (online/offline) of the MHS: A were nearly identical (r = 0.908). It had a one-factor structure and showed better diagnostic accuracy (online/offline: sensitivity = 0.98/0.90, specificity = 0.80/0.83) for GAD detection than the GAD-7 and BAI. The IRT analysis indicated that the MHS: A was most informative as a screening tool for GAD. The MHS: A can serve as a clinically useful screening tool for GAD in Korea. Furthermore, it can be administered both online and offline and can be flexibly used as a brief mental health screener, especially with the current rise in telehealth.

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