scholarly journals Prevalence and course of anxiety and depression among patients selected for bariatric surgery

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S25-S25
Author(s):  
Jonathan Gibb ◽  
Chris Rogers ◽  
Eleanor Gidman ◽  
Graziella Mazza ◽  
Jane Blazeby ◽  
...  

AimsTo determine the prevalence of anxiety and depression amongst participants with severe or complex obesity randomised and selected for bariatric surgery in a large multi-centre trial.To describe the change in prevalence of anxiety and depression amongst participants who had undergone bariatric surgery, within 6 months of randomisation and at 12 months post-randomisation.MethodThe By-Band-Sleeve (BBS) study is a multi-site randomised controlled trial evaluating the surgical management of severe or complex obesity and is the largest trial of its kind. Participants completed the Hospital Anxiety and Depression Scale (HADS) on study enrolment (pre-randomisation) and at 12 months post-randomisation. In this sub-study, we describe provisional data concerning the baseline prevalence of anxiety and depression along with change in median HADS symptom score amongst those who actually underwent bariatric surgery.Result758 participants met the criteria for study inclusion with 716 (94.46%) and 712 (93.93%) individuals fully completing questionnaires for HADS-A and HADS-D. At pre-randomisation, the prevalence of possible (HADS A/D = 8-10) and probable (HADS A/D >11) anxiety or depression was 46.19% (n 330/716) and 48.17% (n 48.17%) respectively. Paired and complete HADS-A and HADS-D questionnaires were available for 70.25% (n 503/716) and 69.94% (n 498/712) participants. There was a highly statistically significant decrease in median HADS-A and HADS-D scores at 12 months post-randomisation (Wilcoxon signed-rank test p < 0.001). This was coupled with a statistically significant reduction in the proportion of cases with possible and probable anxiety (–9.54%, p < 0.001) and also depression (–22.21%, p < 0.001) at 12 months post-randomisation.ConclusionOur results characterise the high rate of psychological comorbidity amongst patients with severe or complex obesity selected for bariatric surgery. Whilst bariatric surgery remains the most clinically effective treatment for severe obesity, its effects on long-term post-operative mental health outcomes are less clear. These findings contribute to the growing body of evidence calling for increased pre/post-operative mental health surveillance and integrated care for this cohort of patients.

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18515-18515
Author(s):  
F. Torrente ◽  
D. Gercovich ◽  
H. Hirsch ◽  
P. Margiolakis ◽  
E. Gil Deza ◽  
...  

18515 Background: Psychological distress is a widespread phenomenon in cancer patients (pts.) Notwithstanding, its recognition and the threshold criteria for referral to a specialized unit are still problematic in clinical practice. Correspondingly, the aim of this study was to explore how much psychological distress (PD) is expected by the oncologists, how much distress is actually present in these pts., and finally how many of them are detected as having significant problems and referred to the mental health unit (MHU). Methods: Three sources of data were compared for the purpose of this study. Firstly, a survey to the practicing oncologists (n =18) was carried out in order to establish the rate of PD expected by them. Secondly, a consecutive sample of 259 pts. was evaluated in the waiting room with the Hospital Anxiety and Depression Scale (HADS) for establishing an estimation of the actual rate of PD in this population. Finally, 115 pts. from the MHU were studied for determining the rate and the accuracy of the referral made by the oncologists. Results: Sixty one percent of the surveyed oncologists considered that 75% or more of their pts would need psychological assistance. The waiting room sample evaluated with the HADS showed that 74.9% of patients surpassed the cutoff score (11 points) for either anxiety or depression, or both. Despite this, less than 5% of the total population of the clinic was referred to the MHU. From this sample, 38.3% of the pts. scored below the cutoff line. The proportion of pts. who exceeded the cutoff score for depression was significantly higher in the MHU sample. Conclusions: Most of the oncologists expect a high rate of PD in their patients, and even overestimate it. Actual rates of anxiety and depression were also high. On the contrary, the rate of referral to specialized mental health treatment was extremely low and the pts. referred were not necessarily highly disturbed. Depression is probably better recognized than anxiety by oncologists. In conclusion, both quantitative and qualitative problems were detected in the referral to the MHU, regardless the awareness of the oncologists about PD. No significant financial relationships to disclose.


2021 ◽  
Vol 6 (2) ◽  
pp. 89-97
Author(s):  
Rabiyatul Adawiah ◽  
Yurida Olviani ◽  
Sukarlan Sukarlan

Pasien yang akan mengalami tindakan Phacoemulsifikasisering mengalami kecemasan karena kurangnya informasi yang diberikan. Pemberian infromasi ini diperoleh dari edukasi yang dilakukan oleh perawat sebelum tindakan phacoemulsifikasidilakukan. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi pre-phacoemulsifikasiterhadap kecemasan pasien katarak di Rumah Sakit Islam Banjarmasin. Penelitian ini menggunakan desain pre-eksperimen dengan menggunakan rancangan one group pretest posttest design. Populasi adalah semua pasien pre-operasi phacoemulsifikasidi Poliklinik Mata pada tanggal 21 November sampai dengan 21 Desember 2020 dengan tekhnik accidental sampling berjumlah 20 orang. Analisis data menggunakan wilcoxon signed rank test. Hasil Penelitian menunjukkan penurunan kecemasan dari kecemasan sedang menjadi kecemasan ringan sebelum ke sesudah diberikan edukasi dengan nilai ρ = 0,000. Penelitian ini menyarankan agar perawat sebaiknya melakukan edukasi pre-phacoemulsifikasikepada pasien katarak menggunakan SOP yang telah dientukan oleh rumah sakit.  Kata Kunci: Edukasi,Katarak, Kecemasan Daftar Rujukan Anggreny, L.O (2018) Hubungan Sumber Akses Informasi Terhadap Tingkat Kecemasan Pada Klien Pre Operasi Katarak di Rumah Sakit Mata Smec Balikpapan. Jurnal Nerspedia. Volume 2. Nomor 1. Edisi April 2019 Bruce, J (2015). Lecture Notes Oftalmologi. Alih bahasa: dr. Asri Dwi Rachmawati. Jakarta: Erlangga Evans, D. C (2013). Alleviating Anxiety and Preventing Panic Attacks in the Surgical Patient.” AORN Journal Volume 97. Nomor 3. Edisi 2013 Hawari, D (2015). Manajemen Stres Cemas Dan Depresi Hypnosis. Jakarta: Fakultas Kedokteran Universitas Indonesia. Mansjoer, A. (2014). Kapita Selekta Kedokteran. Edisi 4. Jakarta: Media Aesculapius McEwen & Wills, (2011). Dasar Teori Keperawatan. Jakarta: EGC Ping, G (2012). A Preoperative Education Intervention to Reduce Anxiety and Improve Recovery Among Chinese Cardiac Patients: A Randomised Controlled Trial. Thesis, University of Nottingham Pirhonen, Silvennoinen, and Sillence, (2014). Patient Education as an Information System, Healthcare Tool and Interaction. Information System Education Journal, Volume 25 Nomor 4. Edisi 2014 Potter & Perry, (2014). Buku Ajar Fundamental Keperawatan: Konsep, Proses, dan Prektik. Edisi 4. Volume 2. Alih Bahasa: Renata Komalasari, dkk. Jakarta: EGC Riskesdas (2013). Laporan Riset Kesehatan Dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI.   Riskesdas (2018). Laporan Riset Kesehatan Dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI. Smeltzer, S. (2012). Keperawatan Medikal Bedah. Jakarta: EGC Stuart, G, W (2012). Buku Saku Keperawatan Jiwa. Edisi 5. Jakarta: Buku Kedokteran EGC. Tauqir, (2012) Knowledge of patients’ visual experience during cataract surgery: a survey of eye doctors in Karachi, Pakistan. BMC Ophthalmology. Volume 12. Nomor 55. Edisi 2012 Wahyuningtyas, S. P. (2016). “Hubungan Tingkat Pengetahuan Tindakan Phacoemulsifikasi Dengan Kecemasan Pada Pasien Katarak Di Rumah Sakit Mata Solo‟. skripsi thesis, Universitas Muhammadiyah Surakarta World Health Organization, (2018). Prevention of Blindness Program, Infodatin Pusat Data dan Informasi Kementerian Kesehatan RI, 1-7. Hyperlink "http://www.depkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-hipertensi.pdf. Diakses pada tanggal 01 April 2021.


2021 ◽  
Vol 37 (5) ◽  
Author(s):  
Nadia Saeed ◽  
Nismat Javed

Objective: The objective of the study was to assess the impacts of the COVID-19 pandemic on the mental health and lifestyle of our medical students. Methods: This observational study was conducted on medical students of Shifa College of Medicine, Islamabad from June to August 2020. The GAD-7 and PHQ-9 questionnaires were used for anxiety and depression assessment. Different aspects of changes in lifestyle were evaluated and students were inquired about their views regarding the COVID-19 pandemic. The chi-square test was applied to assess the associations between levels of anxiety and depression with student’s responses to the concerns and lifestyle changes. The binomial logistic analysis was used to highlight important predictors of anxiety and depression. The Wilcoxon signed-rank test was used to compare the time spent on various activities before and during the pandemic. Results: There were 234 participants in the study. The depression and anxiety were detected in 151 (64.5%) and 146 (66.7%) students. The college closure led to a significant increase in sleeping time, sedentary time, and time on gadgets (Z=-4.67, Z=-7.23, Z= -6.72, respectively) on the Wilcoxon signed-rank test. The binomial regression analysis identified study years be the significant predictors for the development of depression and anxiety (p<0.05). Conclusions: Our study emphasizes prioritizing both the physical and mental health of medical students is vital to avoid complications related to the pandemic. doi: https://doi.org/10.12669/pjms.37.5.4177 How to cite this:Saeed N, Javed N. Lessons from the COVID-19 pandemic: perspectives of medical students. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.4177 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e036523
Author(s):  
Jon L Quach ◽  
Ben Deery ◽  
Margaret Kern ◽  
Janet Clinton ◽  
Lisa Gold ◽  
...  

IntroductionThe first years of school are critical in establishing a foundation for positive long-term academic, social and well-being outcomes. Mindfulness-based interventions may help students transition well into school, but few robust studies have been conducted in this age group. We aim to determine whether compared with controls, children who receive a mindfulness intervention within the first years of primary school have better: (1) immediate attention/short-term memory at 18 months post-randomisation (primary outcome); (2) inhibition, working memory and cognitive flexibility at 18 months post-randomisation; (3) socio-emotional well-being, emotion-regulation and mental health-related behaviours at 6 and 18 months post-randomisation; (4) sustained changes in teacher practice and classroom interactions at 18 months post-randomisation. Furthermore, we aim to determine whether the implementation predicts the efficacy of the intervention, and the cost effectiveness relative to outcomes.Methods and analysisThis cluster randomised controlled trial will be conducted in 22 primary schools in disadvantaged areas of Melbourne, Australia. 826 students in the first year of primary school will be recruited to detect between groups differences of Cohen’s d=0.25 at the 18-month follow-up. Parent, teacher and child-assessment measures of child attention, emotion-regulation, executive functioning, socio-emotional well-being, mental health-related behaviour and learning, parent mental well-being, teacher well-being will be collected 6 and 18 months post-randomisation. Implementation factors will be measured throughout the study. Intention-to-treat analyses, accounting for clustering within schools and classes, will adopt a two-level random effects linear regression model to examine outcomes for the intervention versus control students. Unadjusted and analyses adjusted for baseline scores, baseline age, gender and family socioeconomic status will be conducted.Ethics and disseminationEthics approval has been received by the Human Research Ethics Committee at the University of Melbourne. Findings will be reported in peer-review publications, national and international conference presentations and research snapshots directly provided to participating schools and families.Pre-Results Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12619000326190).


2020 ◽  
Author(s):  
Prerna Karulkar

Cancer patients receiving treatment for their recurrent disease often report the presence of anxiety and depression. In the study, I intended to find out the presence of anxiety and depression in such patients and to identify the effect of supportive therapy in reducing anxiety and depression. Fourteen cancer patients at different stages, undergoing treatment post-surgery, radiotherapy, chemotherapy were selected for therapy sessions. Pre and post therapy evaluation of anxiety and depression were determined by Hospital Anxiety and Depression Scale. The Distress Thermometer was used to measure distress before the therapy sessions. Statistical analysis was done by Wilcoxon signed rank test, using Minitab V.19.2.0 and online test calculator. The results indicated that before the therapy mean scores (± standard deviation) of anxieties were 11.92 (±1.63) and depression 19.78 (±1.76) which showed the presence of anxiety and depression in cancer patients and after psychotherapy, there was a significant reduction in anxiety (P &lt; 0.001), depression (P &lt; 0.001). Wilcoxon signed Ranked Test was employed and for anxiety Significant difference was found in the medians (12,8.5). The value of W was 0 which is less than critical value at N=14 (p&lt; .05) is 21. Hence, the result was significant at p &lt; .05. For depression, Significant difference was found in the medians (10,7.5). The value of W was 0 which is less than critical value at N=14 (p&lt; .05) is 21. Hence, the result was significant at p &lt; .05. Supportive therapy helps to reduce the levels of anxiety and depression. Therefore, psychotherapeutic interventions should be encouraged along with chemotherapy, radiotherapy to promote positive mental health and to obtain full benefit of pharmacological treatment.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peng Lu ◽  
Lei Yang ◽  
Chongjian Wang ◽  
Guoxin Xia ◽  
Hao Xiang ◽  
...  

AbstractThe purpose of this study was to examine the changes in severity of anxiety and depression symptoms, stress and sleeping quality after three months of mass quarantine for COVID-19 among undergraduate fresh students compared to their pre-COVID-19 measures. We used participants from the Chinese Undergraduate Cohort (CUC), a national prospective longitudinal study to examine the changes in anxiety and depression symptoms severity, stress and sleep quality after being under mass quarantine for three months. Wilcoxon matched pair signed-rank test was used to compare the lifestyle indicators. Severity of anxiety, depression symptoms, stress and sleep quality were compared with Wilcoxon signed-rank test. We used generalized estimating equation (GEE) to further quantify the change in mental health indicators and sleep quality after the COVID-19 mass quarantine compared to baseline. This study found that there was no deterioration in mental health status among Chinese new undergraduate students in 2020 after COVID-19 mass quarantine compared with the baseline measures in 2019. There was an improvement in sleep quality and anxiety symptoms. After adjusting for age, sex, exercise habit, time spent on mobile gadgets, and time spent outdoors, year 2020 was significantly associated with severity of depression symptoms in males (OR:1.52. 95%CI:1.05–2.20, p-value = 0.027). Year 2020 was significantly associated with the improvement of sleeping quality in total (OR:0.45, 95%CI:0.38–0.52, p < 0.001) and in all the subgroups. This longitudinal study found no deterioration in mental health status among Chinese new undergraduate students after three months of mass quarantine for COVID-19.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e053971
Author(s):  
Katrin Hulme ◽  
Joanna L Hudson ◽  
Federica Picariello ◽  
Natasha Seaton ◽  
Sam Norton ◽  
...  

IntroductionApproximately 30% of people with long-term physical health conditions (LTCs) experience mental health problems, with negative consequences and costs for individuals and healthcare services. Access to psychological treatment is scarce and, when available, often focuses on treating primary mental health problems rather than illness-related anxiety/depression. The aim of this study is to evaluate the clinical efficacy of a newly developed, therapist-supported, digital cognitive-behavioural treatment (COMPASS) for reducing LTC-related psychological distress (anxiety/depression), compared with standard charity support (SCS).Methods and analysisA two-arm, parallel-group randomised controlled trial (1:1 ratio) with nested qualitative study will be conducted. Two-hundred adults with LTC-related anxiety and depression will be recruited through national LTC charities. They will be randomly allocated to receive COMPASS or SCS only. An independent administrator will use Qualtrics randomiser for treatment allocation, to ensure allocation concealment. Participants will access treatment from home over 10 weeks. The COMPASS group will have access to the digital programme and six therapist contacts: one welcome message and five fortnightly phone calls. Data will be collected online at baseline, 6 weeks and 12 weeks post-randomisation for primary outcome (Patient Health Questionnaire Anxiety and Depression Scale) and secondary outcomes (anxiety, depression, daily functioning, COVID-19-related distress, illness-related distress, quality of life, knowledge and confidence for illness self-management, symptom severity and improvement). Analyses will be conducted following the intention-to-treat principle by a data analyst blinded to treatment allocation. A purposively sampled group of COMPASS participants and therapists will be interviewed. Interviews will be thematically analysed.Ethics and disseminationThe study is approved by King’s College London’s Psychiatry, Nursing and Midwifery Research Ethics Subcommittee (reference: LRS-19/20–20347). All participants will provide informed consent to take part if eligible. Findings will be published in peer-reviewed journals and presented at conferences.Trial registration numberNCT04535778.


Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Joseph Rojo ◽  
Clifton W CALLAWAY ◽  
Ankur A Doshi

Introduction: There is a lack of data about specific interventions or resources that might reduce anxiety and depression in OHCA survivors. One possible factor contributing to anxiety or depression might be worry by the survivor or their family members about performing CPR or responding to a future cardiac arrest. Hypothesis: We hypothesize that there is an association of confidence about performing CPR with anxiety and depression during recovery after cardiac arrest. Methods: We enrolled subjects who were discharged home from the hospital after cardiac arrest and provided them with self-paced CPR training kits. Subjects reported Generalized Anxiety Disorder 7-item scale (GAD7), Hospital Anxiety and Depression Scale (HADS-A), and CPR knowledge and comfort scores before discharge and at 6 months. Subjects reported use of the training kit. We tested for associations between variables using chi-square and compared follow up scores using Wilcoxon signed-rank test. Results: We enrolled 95 subjects (65 male, majority in the age range of 56-65), all of whom completed the initial surveys. 19 patients met criteria for anxiety via GAD7 (=>10), 23 via HADS-A (=>8). Of subjects who were not comfortable performing CPR, 16/60 (27%) met GAD7 criteria compared to 3/32 (9%) who were comfortable (p=0.03).Of those not comfortable performing CPR 20/60 (33%) met HADS-A criteria compared to 3/35 (9%) who were comfortable (p=0.007).. At 6 months post discharge, 25 subjects completed follow up surveys (16 male, majority in the 56-65 age range). 12/25 (48%) used the CPR training kit; 6 met criteria for anxiety via GAD7, 9 via HADS-A. Of subjects who used the CPR kits, 1/12 (8%) met GAD7 criteria compared to those who did not use the CPR kits 5/13 (38%). Of those who used the CPR kits 3/12 (25%) met HADS-A criteria compared to those who did not use the kits 6/13 (46%), these findings however were not statistically significant (p=0.07,0.27) Additionally, those who used the CPR training kits relative to those who did not use kits had a decrease in GAD7 scores (-1.83 vs +1.84) at 6 months. Conclusion: Anxiety scores were associated with confidence about performing CPR before being discharged and using the CPR kits was associated with an improvement in anxiety scores.


2018 ◽  
Vol 9 (2) ◽  
pp. 63
Author(s):  
Anil Kumar Roy ◽  
Nilesh Maruti Gujar ◽  
Arif Ali ◽  
Utpal Borah

Background: Studies have shown that caregivers of the persons with the neurological illness have high levels of psychological distress, depression and caregiver’s burden. The aim of the study was to find out anxiety, depression and caregiver’s burden among the caregivers of persons with neurological illness (PWNI). Method: Thirty caregivers of PWNI attending the Centre of Rehabilitation Sciences, LGB Regional Institute of Mental Health, Tezpur, Assam were selected using purposive sampling technique for the present study. Socio-demographic and clinical data sheet, Zarit Burden Interview Scale and The Hospital Anxiety and Depression Scale were used. Results: The results shown that in Hospital Anxiety and Depression Scale, 26.6% of the caregivers' scores were in the abnormal range in the domain of depression. While in the domain of anxiety, 16.6% scored in the abnormal range. In Zarit Burden of Scale, 13.3% of the caregivers were having little or no burden, 26.6% of the caregivers were having mild to moderate level of burden, 20% were having moderate to severe burden and 30% were having a severe burden of care. Care burden has significant positive correlation with depression (r= .124, p≤ 0.01 and anxiety (r= .124, p≤ 0.05). Conclusion: Caregivers of PWNI have been found to be at higher risk of mental health problems and care burden. The importance of addressing the burden of caregivers involved in the care of PWNI need to be taken into consideration while providing treatment and rehabilitation of PWNI.     Keywords: Anxiety, depression, burden, neurological illness


Sign in / Sign up

Export Citation Format

Share Document