scholarly journals The Center for Epidemiologic Studies Depression Scale is an adequate screening instrument for depression and anxiety disorder in adults with congential heart disease

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Ju Ryoung Moon ◽  
June Huh ◽  
Jinyoung Song ◽  
I-Seok Kang ◽  
Seung Woo Park ◽  
...  
Keyword(s):  
Heart Disease ◽  
Anxiety Disorder ◽  
Depression Scale ◽  
Screening Instrument ◽  
Epidemiologic Studies ◽  
Depression And Anxiety ◽  
Congential Heart Disease

scholarly journals Mental health crisis in healthcare providers in the COVID-19 pandemic: a cross-sectional facility-based survey

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e052184
Author(s):  
Chih-Wei Sung ◽  
Chi-Hsin Chen ◽  
Cheng-Yi Fan ◽  
Jia-How Chang ◽  
Chia Chun Hung ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Depressive Disorder ◽  
Acute Stress ◽  
Healthcare Providers ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Mental Health Crisis ◽  
Cross Sectional ◽  
Health Crisis ◽  
Levels Of Care

ObjectivesDuring a pandemic, healthcare providers experience increased mental and physical burden. Burnout can lead to treatment errors, patient mortality, increased suicidal ideation and substance abuse as well as medical malpractice suits among medical staff. This study aimed to investigate the occurrence of burnout, acute stress disorder, anxiety disorder and depressive disorder among healthcare providers at the third month of the COVID-19 pandemic.DesignA cross-sectional facility-based survey.SettingHospitals around the country with different levels of care.ParticipantsA total of 1795 respondents, including 360 men and 1435 women who participated in the survey.Primary outcome measuresBurnout was assessed using the Physician Work Life Study. A score of ≥3 implied burnout.ResultsOf the 1795 respondents, 723 (40.3%) reported burnout, and 669 (37.3%) cared for patients with COVID-19. Anxiety levels were mild in 185 (10.3%) respondents, moderate in 209 (11.6%) and severe in 1401 (78.1%). The mean Center for Epidemiologic Studies Depression Scale-10 score was 9.5±6.3, and 817 (45.5%) respondents were classified as having depression. Factors associated with burnout were working in acute and critical care (ACC) divisions (adjusted OR (aOR)=1.84, 95% CI 1.20 to 3.39, p=0.019), caring for patients with COVID-19 (aOR=3.90, 95% CI 1.14 to 13.37, p=0.031) and having depressive disorder (aOR=9.44, 95% CI 7.44 to 11.97, p<0.001).ConclusionsPhysicians and nurses are vulnerable to burnout during a pandemic, especially those working in ACC divisions. Anxiety disorder, depressive disorder and care of patients with COVID-19 may be factors that influence the occurrence of burnout among healthcare providers.

Are Trait Emotional Competencies and Heart Rate Variability Linked to Mental Health of Coronary Heart Disease Patients?

2020 ◽  
pp. 003329411989811
Author(s):  
Batselé Elise ◽  
Sophie Vanden Eynde ◽  
Nathalie Egée ◽  
Michel Lamotte ◽  
Philippe Van de Borne ◽  
...  
Keyword(s):  
Heart Rate ◽  
Coronary Heart Disease ◽  
Heart Rate Variability ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Depression Scale ◽  
Anxiety Symptoms ◽  
Depression Symptoms ◽  
Depression And Anxiety ◽  
Emotional Competencies

Purpose Depression and anxiety have been extensively associated with adverse outcomes in coronary heart disease patients. However, psychological and physiological processes underlying the persistence of these troubles in coronary heart disease patients attending cardiac rehabilitation are poorly investigated. Trait emotional competencies and heart rate variability could be some of these processes. Thus, the aim of this study was to assess the predictive value of trait emotional competencies and heart rate variability on depression and anxiety symptoms persistence in coronary heart disease patients. Methods Eighty-four patients who recently presented a myocardial infarction were evaluated at the beginning of cardiac rehabilitation. Forty-two patients continued their rehabilitation program and were then assessed three months later. They completed the Profile of Emotional Competence as well as the Hospital Anxiety and Depression Scale and underwent a 5-minute resting heart rate variability measure. Results Low trait emotional competencies score predicted depression symptoms persistence, but unexpectedly, high trait emotional competencies score was also associated with withdrawal from cardiac rehabilitation. Contrary to our expectations, heart rate variability did not predict depression or anxiety symptoms persistence and was not associated with trait emotional competencies. Conclusions This study is the first to report an association between trait emotional competencies and depression symptoms persistence in coronary heart disease patients. However, heart rate variability was not associated with either depression or anxiety supporting the idea of mixed literature and highlighting the need of future research.

scholarly journals Metastatic breast cancer patient perception of somatic tumor genomic testing

2019 ◽  
Author(s):  
Elizabeth J. Adams ◽  
Sarah Asad ◽  
Raquel E. Reinbolt ◽  
Katharine A. Collier ◽  
Mahmoud Abdel-Rasoul ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Metastatic Breast Cancer ◽  
Self Efficacy ◽  
Depression Scale ◽  
Metastatic Breast ◽  
Epidemiologic Studies ◽  
Genomic Testing ◽  
Depression And Anxiety ◽  
Demographic Groups ◽  
Wide Range

Abstract Purpose: To assess metastatic breast cancer (MBC) patient perceptions and comprehension of tumor genomic testing and to evaluate associations with psychological wellbeing. Methods: In a prospective, single institution, single-arm trial, patients with MBC underwent next-generation sequencing at study entry, with sequencing results released at progression. Patients who completed surveys before undergoing sequencing were included in the study (n=58). We administered four validated psychosocial measures: Center for Epidemiologic Studies Depression Scale, Beck Anxiety Inventory, Trust in Physician Scale, and Communication and Attitudinal Self-Efficacy scale for Cancer. Genetic comprehension was assessed using 7-question objective and 6-question subjective measures. Longitudinal data were assessed using paired Wilcoxon signed rank and McNemar’s test of agreement. Results: There were no significant differences between the beginning and end of study in depression, anxiety, physician trust, or self-efficacy (median time on study: 7.6 months). Depression and anxiety were positively associated with each other and both negatively associated with self-efficacy. Self-efficacy decreased from pre- to post-genomic testing (p=0.05). There was a wide range of objective genetics comprehension and comprehension was significantly lower in non-white patients (p=0.02) and patients with lower income (p=0.04). Patients expressed increased confidence in their ability to teach others about genetics at end of study. Conclusions: This is the only study, to our knowledge, to longitudinally evaluate multiple psychological metrics in MBC as patients undergo tumor genomic testing. Among patients with MBC, depression and anxiety metrics were negatively correlated with patient self-efficacy. Patients undergoing somatic genomic testing had limited genomic knowledge, which varied by demographic groups.

scholarly journals Psychological characteristics and associations between kidney transplant recipients and biologically related or unrelated living donors: a retrospective observational study

2020 ◽  
Author(s):  
Hyewon Park ◽  
Yujin Lee ◽  
Hee-Jung Jee ◽  
Heon-Jeong Lee ◽  
Jun Gyo Gwon ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Minnesota Multiphasic Personality Inventory ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Psychological Characteristics ◽  
Depression And Anxiety ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Positive Correlation ◽  
Personality Patterns

Abstract Background : Although recipients and donors in living kidney transplantation are exposed to psychological distress, including depression and anxiety during the pre-operative period, only a few studies have evaluated their psychological relationship. This study aimed at determining the psychological characteristics and correlation between transplant recipients and donors as well as at investigating it in relation to biologically related and unrelated donors. Methods : This retrospective study on living kidney transplantation at the Korea University Anam Hospital was conducted from April 2008 to June 2019. While participants’ personality patterns were assessed using the Minnesota Multiphasic Personality Inventory-2(MMPI-2), their mood states before transplantation were evaluated via both the State-Trait Anxiety Inventory (STAI) and The Center for Epidemiologic Studies Depression Scale (CES-D). Statistical analysis was performed using a paired t-test and Spearman’s correlation analyses. Results : The recipient group showed a significantly higher sub-score in hypochondriasis (t =-4.49, P=.0001), depression (t =-3.36, P=.0015), hysteria (t =-3.30, P=.0018), STAI-T (t =-2.14, P=0.0372), and CES-D (t =-3.93, P=.0003) than donor group. A comparison of the psychological association between the recipient and donor groups revealed a significant positive correlation in the STAI-S (r=.357, P=.009) and CES-D (r=.362, P=.008). When assessing the difference in correlation based on the biological relationship between the recipients and donors, there is a positive correlation in CES-D (r=.415, P=.0202) in biologically related donors and recipients. In biologically unrelated but emotionally related group, recipients’ STAI-S score and donors’ STAI-S (r=0.413, P=.163), STAI-T (r=.559, P=009) score is positively correlated, and recipients’ STAI-T score and donors’ STAI-S (r=.466, P=.033), STAI-T (r=.520, P=.016) score is also positively correlated. Besides, recipients’ CES-D and donors’ STAI-S (r=.529, P=.014) and STAI-T (r=.560, P=.008) score show a positive correlation. Conclusions : The study indicated that transplantation recipients suffered from a higher level of depression and anxiety compared to the donors before transplantation. The findings suggest that recipients are more depressive and anxious than donors, and psychological problems like depression and anxiety can be shared in living kidney transplantation donors and recipients, especially in biologically unrelated but emotionally related groups.

The relationship between fatigue and depression and anxiety symptoms among front-line clinical workers during the COVID-19 pandemic (Preprint)

2020 ◽  
Author(s):  
Xiaofei Li ◽  
Ye Li ◽  
Hong Liang ◽  
Nianshi Wang ◽  
Zhixin Fan ◽  
...  
Keyword(s):  
Online Survey ◽  
Depression Scale ◽  
Educational Background ◽  
Epidemiologic Studies ◽  
Mental Fatigue ◽  
Depression And Anxiety ◽  
Physical Fatigue ◽  
Front Line ◽  
Cross Sectional ◽  
Psychological Pressure

BACKGROUND The initial outbreak of the COVID-19 disease occurred in Wuhan, China around the Spring Festival in 2020. In the face of such a high-intensity catastrophic epidemic response, Chinese doctors and nurses faced huge psychological pressure including fear, anxiety, and depression. OBJECTIVE The purpose of our study is to test the association between front-line clinical workers' fatigue and depression and anxiety during the COVID-19 epidemic. METHODS The current study is a cross-sectional, online survey administered to 275 healthcare professionals in Wuhan from February 22, 2020 to February 29, 2020. All respondents completed a questionnaire via WeChat, which collected demographics and responses on the Self-Rating Anxiety Scale (SAS), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Fatigue Scale-14 (FS-14). RESULTS A total of 275 participants completed the survey, including 46 doctors (16.73%) and 229 nurses (83.27%). Depression was significantly positively associated with physical fatigue (OR 1.61, 95% CI 1.41-1.83), mental fatigue (OR 1.98, 95% CI 1.60-2.45), and the total score (OR 1.56, 95% CI 1.39-1.75) after adjusting for age, occupation, gender, educational background, marital status, having children, years working, job title, and supporting time in Wuhan. Significant positive associations were also observed between the symptoms of anxiety and physical fatigue (OR 1.64, 95% CI 1.44-1.87), mental fatigue (OR 2.11, 95% CI 1.71-2.60), and the total score (OR 1.58, 95% CI 1.42-1.71) in the adjusted model. Similar associations between fatigue, depression, and anxiety were found in the analyses stratified by gender and occupation. CONCLUSIONS The current study demonstrated that, among the front-line clinical workers in Wuhan, fatigue is significantly associated with depression and anxiety and mental fatigue contributes to a greater risk than physical fatigue on the mental health of clinical workers. Males and doctors were found to be more vulnerable to psychological problems such as depression and anxiety under fatigue, suggesting the need for targeted psychological interventions.

The Sensitivity and Specificity of the Center for Epidemiologic Studies Depression Scale in Screening for Post-Stroke Depression

1989 ◽  
Vol 18 (2) ◽  
pp. 169-181 ◽  
Author(s):  
Rajesh M. Parikh ◽  
Dianne T. Eden ◽  
Thomas R. Price ◽  
Robert G. Robinson
Keyword(s):  
Sensitivity And Specificity ◽  
Depression Scale ◽  
Screening Instrument ◽  
Epidemiologic Studies ◽  
Stroke Patients ◽  
Post Stroke ◽  
Standardized Interview ◽  
Post Stroke Depression ◽  
One Year

The present study examines the sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for post-stroke depression. Eighty stroke patients were evaluated by a research nurse over a two-year period using the CES-D and also by a trained psychiatrist using a standardized interview for affective, cognitive, physical and social functioning. CES-D scores correlated significantly with DSM-III diagnoses of depression in-hospital and at three months, six months, and one year follow-up but not at two years follow-up, reflecting the natural course of these depressions, as well as the predictive validity of the CES-D. Furthermore, at a cut-off point of 16, the CES-D was found to have a specificity of 90 percent, a sensitivity of 86 percent and a positive predictive value of 80 percent and thus may be a potentially useful screening instrument for post-stroke depression.

scholarly journals Depression and Anxiety in Women During Pregnancy in Slovenia / Depresija In Anksioznost Pri Ženskah Med Nosečnostjo V Sloveniji

2015 ◽  
Vol 54 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Nuša Podvornik ◽  
Vislava Globevnik Velikonja ◽  
Peter Praper
Keyword(s):  
Pregnant Women ◽  
Trait Anxiety ◽  
State Anxiety ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Health Complications ◽  
High Trait Anxiety

Abstract Objective. The aim of the study was to evaluate the prevalence of elevated depression and anxiety among pregnant women and to examine its correlation with medical complications and socio-demographic characteristics. Methods. The study is based on a cross-sectional design of a sample of 348 women in three trimesters of pregnancy who received routine obstetrical care at the University Medical Centre Ljubljana, Department of Obstetrics and Gynaecology. The responding women filled out a questionnaire on socio-demographic variables, the Centre for Epidemiologic Studies Depression Scale CES-D and the State Trait Anxiety Inventory STAI. Results. 21.7% of pregnant women were identified as suffering from elevated depression symptomatology, 15.7% reported high state anxiety and 12.5% had high trait anxiety. No significant differences in depression and anxiety across pregnancy trimesters were found. The women who have suffered from health complications during previous pregnancies showed higher state anxiety; those experiencing complications during their current pregnancy reported more intense symptoms of depression and of state and trait anxiety than women free of complications. Less educated, lower income and mothers of many children in the third pregnancy trimester reported more intensive symptoms of depression and trait anxiety. Conclusions. Elevated depression and anxiety are frequent among pregnant women. The results draw attention to the need for early detection and treatment of depression and anxiety during pregnancy

scholarly journals Pre-treatment Depression and Anxiety Disorder in Men with Cancer of the Prostate in South Western Nigeria

2021 ◽  
pp. 46-53
Author(s):  
Adegun Patrick Temi ◽  
Dada Mobolaji Usman ◽  
Idowu Ademola ◽  
Omonisi Abidemi Emmanuel ◽  
Oluwole Lateef Olutoyin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anxiety Disorder ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Life Questionnaire ◽  
Depression And Anxiety ◽  
Pre Treatment ◽  
Cancer Of The Prostate

Aim: The aim of the study is to determine the pre-treatment prevalence and associated factors of anxiety and depression in men with cancer of the prostate. Study Design: This is a prospective, cross-sectional study. Place and Duration:  The urology unit of Ekiti State University Teaching Hospital, Ado-Ekiti. Ekiti State, Nigeria. The study period was from 1st January 2018 to 31st December 2019. Methodology: A total of 46 consented male participants recently diagnosed with cancer of the prostate (CAP) were assessed for depression and anxiety disorders using the Hospital Anxiety and Depression Scale (HADS). Participants also completed a sociodemographic questionnaire, an 8-item International Prostate Symptoms Score (IPSS) and a quality of life questionnaire (BS). Results: Forty-three and half percent (43.5%) of the participants suffered depression; anxiety disorder occurred in 21.7% of the participants. Only 2.2% of the participants had anxiety disorder without depression, while 23.9% had depression without anxiety disorder. Significant level of poor quality of life (QoL) was found among participants with depression and anxiety disorder. Having one psychiatric morbidity was associated with having another. Age of participants and other sociodemographic parameters were not associated with psychiatric morbidity. Conclusion: There is a high prevalence of anxiety disorder and depression among patients with cancer of the prostate. Assessment of these disorders should be included in the management of patients with prostate cancer to enhance early detection and prompt treatment for better patients’ clinical outcome.

scholarly journals Differential item functioning of the CESDR-R and GAD-7 in African and white working adults

2019 ◽  
Vol 45 ◽  
Author(s):  
Carolina Henn ◽  
Brandon Morgan
Keyword(s):  
Differential Item Functioning ◽  
Survey Design ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Depression And Anxiety ◽  
Measurement Instruments ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Working Adults ◽  
Item Functioning

Orientation: Depression and anxiety can have undesirable consequences for employees and their employers. It is therefore important that employers pay attention to the existence and extent of depression and anxiety. However, measuring these constructs requires unbiased, reliable and valid instruments.Research purpose: To facilitate unbiased measurement of depression and anxiety, we investigated differential item functioning of the Centre for Epidemiologic Studies Depression Scale-Revised (CESD-R) and Generalised Anxiety Disorder Scale 7 (GAD-7) in a sample of non-clinical African and white working adults.Motivation for the study: Biased measurement instruments can lead to serious problems when comparing scores between groups, using raw score cut-offs, or creating norm scores. Practitioners are legally and ethically required to ensure that any instrument used is unbiased.Research approach/design and method: A cross-sectional survey design was used. The CESD-R and GAD-7 were administered to working adults. A final sample of 551 CESD-R responses and 529 GAD-7 responses were included in the analyses. Ordinal logistic regression was performed to investigate differential item functioning.Main findings: Both CESD-R and GAD-7 showed some evidence of differential item functioning although it was mostly small in magnitude. Item bias had some minor non-negligible impact on aggregated observed scores within specific ranges of the underlying traits.Practical/managerial implications: Both CESD-R and GAD-7 show promise as instruments that can be utilised to explore the experience of anxiety and depression in African and white employees.Contribution/value-add: This study is a promising first step towards the measurement fairness of the CESD-R and GAD-7 in the South African context.

Sign in / Sign up

Export Citation Format

Share Document