Association between depression, anxiety, and insomnia with musculoskeletal pain source: a multi-center study

Abstract Background Musculoskeletal pain syndrome (MPS) is one of the modern diseases. Musculoskeletal pain (MP) may develop at any age and impact physical and mental health. This study aimed to evaluate the association between anxiety, depression, and insomnia with musculoskeletal pain source. This cross-sectional study was conducted on 450 patients with musculoskeletal pain. Goldberg depression (GB), Beck Anxiety Inventory (BAI), and Morin Insomnia Severity Index (ISI) questionnaires were used to collect data. Participants have divided into two groups: individuals with unknown musculoskeletal pain sources and individuals with known musculoskeletal pain sources. Anxiety, depression, and insomnia scores were compared between the two groups. For statistical analysis of data mean (SD), frequency (%), Chi-square, Mann-Whitney test, and Logistic regression models were used. All analysis was performed using SPSS 26. Results In this study, 39.4% of the participants were in severe depression, 31.1% in severe anxiety, 34.7% in the no clinically significant, and 32.9% in the sub-threshold insomnia group. There was a significant difference between the severity of anxiety and insomnia in the two groups with the known and unknown pain sources (p < 0.05). However, the score of depression (OR = 1.00, 95% CI 0.99–1.01), anxiety (OR = 1.00, 95% CI 0.99–1.02), and insomnia (OR = 1.01, 95% CI 0.98–1.03) was not related to the pain source. Conclusion There was a statistically significant relationship between anxiety and insomnia severity with musculoskeletal pain source. According to the high prevalence of depression, anxiety, and depression in both groups with known and unknown musculoskeletal pain sources, the cooperation of orthopedists, rheumatologists, and physical therapists with psychiatrist can be useful in improving the condition of patients.

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High prevalence of low dairy calcium intake and association with insomnia, anxiety, depression and musculoskeletal pain in university students from Jordan

Public Health Nutrition ◽

10.1017/s1368980020002888 ◽

2020 ◽

pp. 1-9

Author(s):

Mohammad J Alkhatatbeh ◽

Hala N Khwaileh ◽

Khalid K Abdul-Razzak

Keyword(s):

University Students ◽

Musculoskeletal Pain ◽

Severity Index ◽

Cross Sectional Study ◽

Depression Score ◽

Anxiety And Depression ◽

Cross Sectional ◽

High Prevalence ◽

Anxiety Depression ◽

Insomnia Severity

Abstract Objective: To assess dairy Ca intake and investigate its relationship with insomnia and other common co-morbidities including anxiety, depression and musculoskeletal pain (MSP) among university students. Design: Cross-sectional study. Setting: University, Irbid, Jordan. Participants: Male and female individuals (n 1000), aged 20·87 ± 2·69 years. Results: Low dairy Ca intake (<1000 mg/d) was reported by 96·5 % of participants, and moderate to severe insomnia reported by 15·6 % of participants. Abnormal anxiety and depression scores were reported by 26·2 and 18·0 % of participants, respectively. MSP was reported by 42·9 % of participants. Participants with moderate to severe insomnia had lower dairy Ca, higher anxiety and depression scores and higher measures of MSP compared to participants with no insomnia (P-values < 0·05). Dairy Ca was weakly inversely correlated with Insomnia Severity Index (ISI) score, depression score and measures of MSP (P-values < 0·05). Regression analysis indicated that insomnia was predicted by low dairy Ca, anxiety, depression, MSP and smoking (P-values < 0·05). Both anxiety and depression were predicted by increased ISI score (P-values < 0·05), while depression alone was predicted by low dairy Ca (P-value < 0·01). MSP was predicted by increased ISI and anxiety scores (P-values < 0·05). Conclusions: Low dairy Ca was highly prevalent and associated with insomnia and depression among university students. Individuals should be advised to increase dietary Ca intake to achieve the recommended daily amount. Further research is required to investigate a potential causal relationship between low Ca and both insomnia and its related co-morbidities.

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Effects of nomophobia on anxiety, stress and depression among Saudi medical students in Jeddah, Saudi Arabia

Journal of the Pakistan Medical Association ◽

10.47391/jpma.983 ◽

2020 ◽

pp. 1-11

Author(s):

Nusrat Bano ◽

Muhammad Anwar Khan ◽

Uzma Asif ◽

Jennifer de Beer ◽

Hawazen Rawass ◽

...

Keyword(s):

Saudi Arabia ◽

Medical Students ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significant Difference ◽

High Prevalence ◽

Prevalence Of Depression ◽

Anxiety Depression ◽

Severe Anxiety ◽

Different Levels

Abstract Objective: To assess the prevalence of depression, anxiety and stress in medical students, and to analyse effects of demographics and nomophobia on depression, anxiety and stress. Method: The descriptive cross-sectional study was conducted at the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia, from April 1 to May 23, 2019, and comprised male and female medical students aged 19-25 years. Data was collected using a demographic information form, the 21-item depression, anxiety and stress scale and the 20-item nomophobia questionnaire. Data was analysed using SPSS 20. Results: Of the 230 students, 108(47%) were boys and 122 (53%) were girls. The overall mean age was 21.93+1.80 years. Anxiety, depression and stress was reported in 168 (74.6%), 158 (70.2%) and 127 (55.9%) of the students. Extremely severe anxiety, depression and stress were self-reported by 92 (40.9%), 38 (16.8%) and 16 (7.04%) students. There was a significant difference in the distribution of subjects within different levels of anxiety across gender (p<0.05). Higher anxiety and stress scores were observed in 78 (33.9%) students with severe nomophobia. Differences in the levels of anxiety and stress with regards to type of residence and nomophobia levels were significant (p<0.05). Conclusion: There was high prevalence of depression, anxiety and stress associated with gender, nomophobia levels and residence type. Key Words: Depression, Anxiety, Stress, Medical, Nomophobia.

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A descriptive study of the admitted patients for injuries in a large teaching hospital in 2016

Journal of Surgery and Trauma ◽

10.32592/jsurgery.2021.9.4.103 ◽

2021 ◽

pp. 151-157

Keyword(s):

Teaching Hospital ◽

Severity Index ◽

Cross Sectional Study ◽

Injury Incidence ◽

Anatomic Site ◽

Related Factors ◽

Cross Sectional ◽

Large Teaching Hospital ◽

Significant Difference ◽

June July

Introduction: Injuries are the causes of irreparable damages and costs in urban and rural settings. Preventive procedures are effective if correct related information is gathered and provided. Therefore, this study aimed to investigate the injury patterns and related factors in a large teaching hospital. Methods: The current cross-sectional study was conducted at Edalatian Emergency Center, Mashhad, Iran, in 2016. All study subjects were extracted from the Hospital Information System (HIS).The demographic characteristics and injuries-related factors of 6,350 patients were extracted from the HIS. The extracted variables were emergency severity index (ESI), type of referral, referral reason, insurance organizations, age, anatomic site of injuries, and month of referral. The data were analyzed in SPSS software (version 21) using the descriptive statistics method (frequency and percentage). Results: The majority of the study population was composed of males (%76.4). In total, 98.3% of the patients were classified into the semi-urgent and non-urgent levels, and 75.6% of the cases were affected in the right upper extremity. The most common age group was between 10-20 (69.4%) years, and the majority of the cases were admitted in June, July, and August. Conclusion: The current study determined the pattern and most important reasons for injuries' referral to an emergency department. Accordingly, the injuries were more frequent in the young people and active human force in our community. Furthermore, there was a significant difference among the frequencies of injury incidence in the summer holidays. It seems necessary to develop preventive procedures for injuries.

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Prevalence of Sleep Disturbances During COVID-19 Pandemic in a Nepalese Population: A Cross-Sectional Study

Journal of Sleep Medicine ◽

10.13078/jsm.210012 ◽

2021 ◽

Vol 18 (3) ◽

pp. 145-153

Author(s):

Avinash Chandra ◽

Pooja Prakash ◽

Nabina Sharma ◽

Ayush Chandra

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Severity Index ◽

Cross Sectional Study ◽

Descriptive Statistics ◽

Sectional Study ◽

Cross Sectional ◽

Before And After ◽

The Mean ◽

Insomnia Severity

Objectives: The coronavirus disease (COVID-19) pandemic and news of daily increasing cases inside Nepal and worldwide is adding to the fear that leads to anger, anxiety, frustration, and stress, emotions that directly affect sleep quality. This study aimed to assess sleep disturbances during the COVID-19 pandemic in a Nepalese population.Methods: This cross-sectional study recruited 206 Nepali residents who completed anonymous self-administered questionnaires. The Insomnia Severity Index (ISI) questionnaire was used to measure sleep disturbances before and after the COVID-19 pandemic. The gathered data were analyzed using descriptive statistics and inferential statistics using SPSS version 20 statistical software.Results: There was a significant variation in sleep disturbances among Nepalese residents before versus after the COVID-19 pandemic (p<0.001). The prevalence of clinical moderate insomnia has increased tremendously in Nepalese individuals. Before the pandemic’s onset, only 3.9% of the participants had moderate to severe levels of clinical insomnia; after its onset, this value increased to 17.5%. The mean ISI scores were 6.35±4.65 and 8.01±6.01 before and after the pandemic’s onset, respectively.Conclusions: Our study findings suggest that people are suffering tremendously with sleep disturbances and calls for further research and active measures to help increase sleep quality during the COVID-19 pandemic.

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The Impact of Infertility on Various Aspects of Women's Lives in Comparison With Tubal Ligation Control: A Cross-sectional Study

10.21203/rs.3.rs-38747/v1 ◽

2020 ◽

Author(s):

Mahnaz Ashrafi ◽

Shahideh Jahanian Sadatmahalleh ◽

Negin Mirzaei ◽

Jahangiri ◽

Samaneh Youseflu

Keyword(s):

Body Image ◽

Self Esteem ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Cross Sectional ◽

Infertile Women ◽

Significant Difference ◽

Women's Lives ◽

Anxiety Depression

Abstract Background The aim of this study is to assess anxiety, depression, body image, self-esteem, sexual function (SF), and quality of life (QoL) in infertile women in Iran and to compare the results with fertile women (used a condom) and those with tubal ligation (TL) (as control groups). Methods This cross-sectional study was carried out on infertile women, women who had undergone TL (control 1), and women who had used a condom (control 2) (200 women in each group). They were selected from the Royan Institute in Tehran (Iran) and a number of health care centers in Tehran (Iran) from May 2017 to February 2019. The subjects were asked to fill out the Short Form Health Survey (SF-12), Female Sexual Function Index (FSFI), Hospital Anxiety and Depression Scale (HADS), Body Image Concern Inventory (BICI), and Rosenberg’ Self-Esteem Scale (RSES). One-way ANOVA was used to find the statistical differences between the three groups. Results All mean values FSFI were found to be lower in the TL women and the differences between the three groups were statistically significant in all domains. Women with TL had more female sexual dysfunction (FSD) (22.43 ± 5.30 vs 24.79 ± 4.74 vs 28.03 ± 3.29, P˂0.001). There was a significant difference between the three groups in SF-12 scores (76.59 ± 13.14 vs 68.49 ± 14.47 vs 78.87 ± 12.62, P˂0.001). Also, there was a significant difference between the three groups in anxiety, depression, and total scores HADS (P˂0.001). Infertile women had lower body image (P˂0.05) and self-esteem was lower in the TL group (P˂0.05). Conclusions Our findings reveal the adverse effects of TL on the anxiety and depression, sexual life, body image, and QoL of women. It is recommended that the awareness and knowledge of health-care professionals regarding the side-effects of TL in the above-mentioned aspects of women’s lives should be increased and discussed with patients.

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The Prevalence of Depression, Anxiety, and Stress Among Medical Residents: A Cross-Sectional Study in Iran

ACTA MEDICA IRANICA ◽

10.18502/acta.v58i9.4767 ◽

2020 ◽

Author(s):

Pourya Farhangi ◽

Farahnaz Khajehnasiri

Keyword(s):

Severe Depression ◽

Cross Sectional Study ◽

Sectional Study ◽

Medical Sciences ◽

Working Pressure ◽

Cross Sectional ◽

Study Results ◽

Prevalence Of Depression ◽

Socioeconomic Considerations ◽

Anxiety Depression

Medicine is a stressful job. It is shown in several studies that decreased clinical function, disturbance in decision making, and the doctor-patient relationship, anxiety, depression, alcohol and substance abuse, and suicide are associated with stress. So, it is important to investigate the prevalence of depression, anxiety, and stress among medical staff. This is a cross-sectional study on the Tehran University of Medical Sciences residents, and 152 residents were surveyed by the DASS-21 questionnaire, which measures the depression, anxiety, and stress level. One hundred fifty-two residents (24.5% male, 75.5% female) with a mean age of 29.6 (SD=2.96) were surveyed. According to this study results, 23% of residents had severe to extremely severe depression, 24.9% had severe to extremely severe anxiety, and 33.8% had severe to extremely severe stress. Prevalence of depression, anxiety, and stress among Tehran University of Medical Sciences residents are higher than some other countries and universities, and it could be due to more working pressure in our educational hospitals. However, similar studies in different countries have not similar results, especially about the associated factors; so, more studies should be done, especially with the interventional and socioeconomic considerations, to address these issues.

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Index of severity of musculoskeletal symptoms in keyboardists

Fisioterapia em Movimento ◽

10.1590/1980-5918.032.ao47 ◽

2019 ◽

Vol 32 ◽

Author(s):

Carlene Silva Santos ◽

Manoel Gomes de Araújo Neto ◽

Ana Lourdes Avelar Nascimento ◽

Glícia Lorainne Moreira Silva ◽

Adriana Sousa Rêgo ◽

...

Keyword(s):

Lumbar Spine ◽

Musculoskeletal Pain ◽

Previous History ◽

Severity Index ◽

Cross Sectional Study ◽

Musculoskeletal Symptoms ◽

Cross Sectional ◽

Significance Level ◽

Exact Test ◽

The Difference

Abstract Introduction: Musicians may present musculoskeletal pain, weakness, numbness, and tingling due to repetitive exercises. Objective: To evaluate the severity index of musculoskeletal symptoms (MS) in keyboard players. Method: A cross-sectional study including volunteers of both sexes, aged between 18 and 40 years, who performed professionally for at least 2 years, played the keyboard for at least 3 hours a week, and did not present previous history of trauma or rheumatic, neurological, and systemic diseases. The MS and its severity index were evaluated using the Nordic Musculoskeletal Questionnaire and the intensity was assessed on a scale of 4. The difference between the prevalence of musculoskeletal pain according to the anatomical region was analyzed using Fisher’s exact test. For all analyses, a significance level of 5% was adopted. This research was conducted after the ethics committee approval (No. 2,627,609). Results: Thirty-nine volunteers with discomfort were evaluated. Pain in the thoracic and lumbar spine in the last 12 months was most common (n = 27, 69.24%; p < 0.031), and in the last seven days, lumbar spine pain occurred in 12 (30.76%; p < 0.001). A severity index of 2 was the most frequent (n = 21, 54%). Conclusion: Keyboardists present with MS mainly in the vertebral column, and the severity of the symptoms is significant, suggesting the importance of prevention and treatment of MS before their onset.

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Neck Posture Clusters and Their Association With Biopsychosocial Factors and Neck Pain in Australian Adolescents

Physical Therapy ◽

10.2522/ptj.20150660 ◽

2016 ◽

Vol 96 (10) ◽

pp. 1576-1587 ◽

Cited By ~ 20

Author(s):

Karen V. Richards ◽

Darren J. Beales ◽

Anne J. Smith ◽

Peter B. O'Sullivan ◽

Leon M. Straker

Keyword(s):

Neck Pain ◽

Severe Depression ◽

Cross Sectional Study ◽

Cross Sectional ◽

Forward Head Posture ◽

Cluster Membership ◽

Bony Landmarks ◽

Conflicting Evidence ◽

Significant Difference ◽

Angular Measurements

Abstract Background There is conflicting evidence on the association between sagittal neck posture and neck pain. Objective The purposes of this study were: (1) to determine the existence of clusters of neck posture in a cohort of 17-year-olds and (2) to establish whether identified subgroups were associated with biopsychosocial factors and neck pain. Design This was a cross-sectional study. Methods The adolescents (N=1,108) underwent 2-dimensional photographic postural assessment in a sitting position. One distance and 4 angular measurements of the head, neck, and thorax were calculated from photo-reflective markers placed on bony landmarks. Subgroups of sagittal sitting neck posture were determined by cluster analysis. Height and weight were measured, and lifestyle and psychological factors, neck pain, and headache were assessed by questionnaire. The associations among posture subgroups, neck pain, and other factors were evaluated using logistic regression. Results Four distinct clusters of sitting neck posture were identified: upright, intermediate, slumped thorax/forward head, and erect thorax/forward head. Significant associations between cluster and sex, weight, and height were found. Participants classified as having slumped thorax/forward head posture were at higher odds of mild, moderate, or severe depression. Participants classified as having upright posture exercised more frequently. There was no significant difference in the odds of neck pain or headache across the clusters. Limitations The results are specific to 17-year-olds and may not be applicable to adults. Conclusion Meaningful sagittal sitting neck posture clusters were identified in 17-year-olds who demonstrated some differences with biopsychosocial profiling. The finding of no association between cluster membership and neck pain and headaches challenges widely held beliefs about the role of posture in adolescent neck pain.

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Comparison of various aspects of women’s lives between infertile and women with and without tubal ligation: a comparative cross-sectional study

10.21203/rs.3.rs-38747/v2 ◽

2021 ◽

Author(s):

Mahnaz Ashrafi ◽

Shahideh Jahanian Sadatmahalleh ◽

Negin Mirzaei ◽

Jahangiri ◽

Samaneh Youseflu ◽

...

Keyword(s):

Body Image ◽

Self Esteem ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Cross Sectional ◽

Infertile Women ◽

Significant Difference ◽

Women's Lives ◽

Anxiety Depression

Abstract Background: The aim of this study is to compare anxiety, depression, body image, self-esteem, sexual function (SF), and quality of life (QoL) between infertile women and women with or without tubal ligation (TL).Methods: This cross-sectional study was conducted on 600 women, distributed equally as infertile women, women with or without TL, who met the inclusion criteria. They were selected from the Royan Institute in Tehran (Iran) and a number of health care centers in Tehran (Iran) from May 2017 to February 2019. The subjects were asked to fill out the Short Form Health Survey (SF-12), Female Sexual Function Index (FSFI), Hospital Anxiety and Depression Scale (HADS), Body Image Concern Inventory (BICI), and Rosenberg’ Self-Esteem Scale (RSES). One-way ANOVA was used to find the statistical differences between the three groups.Results: Mean scores of all FSFI domains were found to be lower in the TL women and the differences between the three groups were statistically significant in all domains. Women with TL had more female sexual dysfunction (FSD) (22.43±5.30 vs 24.79±4.74 vs 28.03±3.29, P˂0.001). There was a significant difference between the three groups in SF-12 scores (76.59±13.14 vs 68.49±14.47 vs 78.87±12.62, P˂0.001). Also, there was a significant difference between the three groups in anxiety, depression, and total scores HADS (P˂0.001). Infertile women had lower body image (P˂0.05) and self-esteem was lower in the TL group (P˂0.05).Conclusions: Our findings reveal the adverse effects of TL on the anxiety and depression, sexual life, body image, and QoL of women. It is recommended that the awareness and knowledge of health-care professionals regarding the side-effects of TL in the above-mentioned aspects of women’s lives should be increased and discussed with patients.

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Anxiety and Depression among new entrants in a Medical College

Indian Journal of Community Health ◽

10.47203/ijch.2020.v32i01.012 ◽

2020 ◽

Vol 32 (1) ◽

pp. 57-61

Author(s):

Vikrant Prabhakar ◽

Amrit Virk ◽

Parmal Saini

Keyword(s):

Depression Scale ◽

Severe Depression ◽

Well Being ◽

Cross Sectional Study ◽

North India ◽

Anxiety And Depression ◽

Cross Sectional ◽

Medical College ◽

High Prevalence ◽

Anxiety Depression

Background: Depression is commonly reported by university students due to change in environment, academic demands, developing new relations and more financial freedom. If that professional course happens to be medical education, the transition is even more drastic. Studies have also shown that Quality of Life (QOL) is negatively affected by the presence of anxiety and depression. Aim: Present study aims to find the prevalence of anxiety, depression and stress among students who have recently joined medical college. Materials & Method: This cross-sectional study was undertaken at Private medical college in north India. Depression, Anxiety and Stress Scale (DASS) was used for the data collection. MBBS students who have joined the institution in August 2019 were included in the study. Statistical Analysis Used: Data was entered in excel and analysed using Statistical Package for Social Science (SPSS) Version 21. Result: We found that almost half of the students who participated in the study had scores above 10 (meaning thereby depressed) on the depression scale, with 23.5% of respondents showing moderate or severe depression. Two-third students experienced anxiety, with 20% students having severe to very severe anxiety. Stress levels amongst the students were also high, with 47% of the students reporting stress. 3.4% students experienced severe or very severe stress. Conclusion: Medical students have high prevalence of stress, anxiety and depression. It is recommended that medical colleges should implement appropriate and timely measures to address students’ well-being and offer comprehensive intervention and preventive programs to help students cope with this transition phase.

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