Psychosocial Predictors of Psychopathology in Epilepsy

1990 ◽  
Vol 156 (1) ◽  
pp. 98-105 ◽  
Author(s):  
Bruce P. Hermann ◽  
Steven Whitman ◽  
Allen R. Wyler ◽  
Michael T. Anton ◽  
Roger Vanderzwagg

The 30-item version of the GHQ was administered to 102 adults with epilepsy, and four sets of variables (neurological, psychosocial, medication, demographic) were used to predict psychiatric distress. Psychopathology was found to be associated with increased perceived stigma, elevated number of stressful life events during the past year, poor adjustment to epilepsy, financial stress, vocational problems, external locus of control, and an earlier onset of epilepsy. Multiple regression procedures reduced this list to three independent predictors of psychopathology: an increased number of stressful life events in the past year, poor adjustment to epilepsy, and financial stress.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Vilhjalmsson

Abstract Background Previous research into the psychological consequences of abortion has presented misleading results, as some studies suggest negative consequences and others do not. The current study focuses on the relationship between having or not having an abortion and psychological distress in the form of depression, anxiety and anger. Methods The study uses data from 792 female participants in a random national health survey of Icelandic adults, age 18-75. The survey was conducted in the Spring of 2015. Respondents were given the option of answering an anomymous study questionnaire via mail or online (response rate 58%). The questionnaire asked respondents about psychiatric and physical conditions requiring medical attention in the past 12 months, stressful life-events in the past 12 months, and ongoing life-strains. Female respondents were asked whether or not they had had an induced abortion in the past 12 months. Psychological distress during the past week was assessed with the depression, anxiety, and anger subscales of the SCL-90 checklist. Results Women who had had an abortion (2% of female respondents) reported higher levels of anxiety, depression, and anger than other women. The differences were statistically significant when controlling for age, education, family income, previous psychiatric and physical conditions, and previous stressful life-events and life-strains. Conclusions The study indicates that women who have had an abortion are worse off psychologically than other women, and the difference is only partially accounted for by previous mental and physical health, or previous stressful circumstances. Health services for women considering abortion should be carefully considered, psychological distress assessed, and ways explored to ameliorate the distress they may experience following the abortion. Key messages Abortion is related to higher levels of anxiety, depression and anger in Icelandic women. Health services for women considering abortion should be carefully considered and psychological distress assessed.


2020 ◽  
Vol 11 ◽  
Author(s):  
Jutta Lindert ◽  
Lewina O. Lee ◽  
Marc G. Weisskopf ◽  
Martin McKee ◽  
Susanne Sehner ◽  
...  

Objectives: Stressful life events, especially relationship events, are frequent in adult life. We investigated the impact of a variety of stressful life events on symptoms of depression, anxiety, and hostility.Methods: We analyzed data from a large prospective cohort study of men (n = 1,437) in the Boston area (assessed in 1985, 1988, and 1991). Main outcomes were measures of depression, anxiety and hostility symptoms. We used the Elders Life Stress Inventory (ELSI) to measure stressful life events in the past 12 months and examine their association with symptoms of depression, anxiety and hostility. First, we analyzed the association of stressful life events with symptom changes; second, we categorized stressful life events into finance/work, health, relationships, loss, living situations events; and third, we estimated the specific association between relationship events and depression, anxiety and hostility symptoms using multilevel models.Results: The most frequent stressful life events were health, relationship, and financial events. Depression, anxiety, and hostility symptoms were relatively stable among men who did not experience these life events. However, those who reported life events in the past 12 months had a greater increase in symptoms of depression (+0.05; 95% CI: 0.01 to 0.10) and of hostility (+0.05; 95% CI: 0.01 to 0.09) than those who did not. Additionally, we found a significant decrease in hostility (−0.05; 95% CI: −0.08 to −0.01) in those experiencing no life events.Conclusion: Relationship events were more important than any other type of events, and were significantly associated with increased depression and hostility in aging men. Although the effects were small, the results point to a need to understand better the impact of relationships on psychopathology in the aging population.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 1575-1575 ◽  
Author(s):  
Syed Hasan Raza Jafri ◽  
Faisal Ali ◽  
Arash Mollaeian ◽  
Syed Mojiz Hasan ◽  
Rahat Hussain ◽  
...  

1575 Background: Lung cancer is the leading cause of cancer-related mortality linked with smoking, though only 6-18% of heavy smokers die of lung cancer. We hypothesized that major stressful life events are a risk factor for developing lung cancer. Methods: In our matched case-control study, cases (CA) were lung cancer patients diagnosed within past 12 months. Controls (CO) were patients without a prior history of malignancy. CA and CO were matched for age, gender and smoking status. Smokers had at least 10 packs/years history of smoking. Data was collected using standardized research questionnaire on 11 major stressful life events using Holmes and Rahe stress scale. The primary endpoint was odds of having a major stressful life event. A sample of 360 patients (120 CA and 240 CO), was needed to achieve 80% power to detect an odds ratio (OR) of 2.00 using Chi-Square test with a P = 0.05 significance. The study was IRB approved at each institution. Results: Between May 2015 and December 2016, 324 patients were enrolled (23 were excluded due to prior cancer history or incomplete information). 301 (CA = 102; CO = 199) were included in the final analysis. The two groups were well matched in median age (CA = 64.4 years; CO = 63.9years), gender (CA-Male = 48%; CO-Male = 49.2%) and smoking status (ever smoker, CA = 86%; CO = 85%). There was no difference in lifetime stressful life event between CA and CO (95% vs 93.9% P = 0.68%). However, CA were significantly more likely to have had a major stressful life event within the past 5 years than controls (CA = 77.4% vs CO = 65.8%, P = 0.03, (OR = 1.78). Serious life-threatening illness of an immediate family member (P = 0.04) and retirement (P = 0.07) within the past 5 years were noticeably more common among CA. Holmes-Rahe stress score in the last 5 years was higher in men (86.3 vs 63.3, P = 0.07) and those > 65 years old (82.4 vs 57.2,P = 0.04) as compared with CO and in those with squamous histology than with adenocarcinoma (115.6 vs 63.4, P = 0.005). Conclusions: Patients with lung cancer (CA) were significantly more likely to have had a major stressful life event within the past 5 years than the matched controls (CO), especially in older men with squamous histology. Major stressful life events should be considered a risk factor for developing lung cancer.


2018 ◽  
Vol 17 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Durga Prasad Pahari ◽  
Radhika Upadhyay ◽  
Chandra Kala Sharma

Introduction: Depression is a major co-morbidity associated with diabetes. This study aims to assess the prevalence and determine factors associated with depression among diabetic patients visiting a diabetes center in Lalitpur, Nepal.Methods: This is a cross-sectional study of diabetic patients visiting a diabetes center in Kathmandu, Nepal. 203 diabetic patients were recruited in a period of two months. A validated and reliable Beck Depression Inventory Scale was used to identify and classify depression. Diabetes status was self-reported. Prevalence of depression, socio-demographic and diabetes related characteristics were calculated using frequency and percentages. Association was analyzed using chi-squared test. Statistical significance was determined at p<0.05. Bivariate logistic regression was performed to identify unadjusted odds ratio with 95% CI. Then, multivariate logistic regression model was designed for those variables significant at bivariate level to calculate adjusted odds ratio with 95% CI.Results: The prevalence of depression among diabetic patients was 34% (Mild - 17.7%, Moderate - 13.8% and Severe - 2.5%). Diabetic patients with secondary or above educational level were less than half likely to be affected by depression compared to patients with no formal school education [AOR:0.42]. Similarly, diabetic patients on insulin therapy were twice likely to be affected by depression compared to patients on oral hypoglycemic agents [AOR: 2.08] and patients having other comorbidity along with diabetes were also twice likely to be affected by depression [AOR:2.18]. Patients with stressful life events in the past were twelve times more likely to have depression compared to patients with no such events in the past [AOR: 12.33].Conclusion: More than one third of the diabetic patients have some degree of depression. Factors such as no schooling, being on insulin therapy, having other comorbid conditions along with diabetes and stressful life events in the past among diabetic patients kept them at higher risk of depression. These factors should be focused in program for prevention and control of depression among diabetic patients in Nepal.


1988 ◽  
Vol 10 (2) ◽  
pp. 167-173 ◽  
Author(s):  
Gretchen Kerr ◽  
Harold Minden

This study reports data regarding gymnastic injuries. Examined were the number, severity, and location of injuries, events associated with injury occurrence, relationship in time between occurrence and competition, and the perceptions of causes. In addition, this study investigated the relationships between the psychological factors of trait anxiety, locus of control, self-concept and stressful life events, and the occurrence of athletic injuries. The subjects were 41 elite female gymnasts and five national level coaches. There was a high rate of injury (83 %), primarily to the ankle region, with most injuries occurring during the floor exercise. The timing of injuries was related to the approach of competition. The data indicated that stressful life events were significantly related to both the number and severity of injuries. Significant relationships were not found between trait anxiety, locus of control, self-concept, and the injury measures.


1981 ◽  
Vol 11 (3) ◽  
pp. 116-117 ◽  
Author(s):  
G.A. Tyson

Crandall and Lehman (1977) suggest that an accummulation of life stresses causes a person to change his/her perceived locus of control. The present study argues that the converse is more likely, i.e., locus of control influences one's perception of life events. The SRRS and l-E scales were administered to 191 subjects. Locus of control did not correlate with normally computed SRRS scores, but it did correlate with SRRS scores when these were based on the subjects' own rating of degree of stressfulness. These results appear to support the hypothesis.


2004 ◽  
Vol 95 (3_suppl) ◽  
pp. 1248-1252 ◽  
Author(s):  
Jayanti Basu ◽  
Saugata Basu ◽  
Somnath Bhattacharyya

This study explored the role of 12 ego functions in relation to Stressful Life Events and three indices of psychopathology, namely, Psychoticism, Anxiety, and Depression among 60 Bengali adult patients suffering from Paranoid Schizophrenia. Adapted versions of Bellak's Ego Function Assessment–M, Eysenck's Personality Questionnaire, Beck Depression Inventory, and the State-Trait Anxiety Inventory were administered to them. Stepwise multiple regression analyses indicated that Object Relation was associated with all three indices. Scores on Reality Testing correlated with those on Psychoticism, Stressful Life Events and scores on Thought Process with Anxiety, and Stressful Life Events, Sense of Reality, and scores on Defensive Functions with Depression. Hierarchical multiple regression analyses indicated that Object Relation also moderated between stressful life events and anxiety.


2021 ◽  
Author(s):  
Jessica Cavalli ◽  
Anita Cservenka

Objective. Marijuana is the most widely used illicit substance in the United States and in 2018 alone, an estimated 40.3 million adults reported using marijuana in the past year. This is concerning since growing research suggests that marijuana use is associated with adverse health and life outcomes, such as mental health issues, and cognitive impairment. Thus, determining factors that influence marijuana use-related problems is critical for understanding how to effectively implement prevention, intervention, and treatment efforts. Because research has proposed that emotion dysregulation is a transdiagnostic risk factor for substance use and addiction, the investigation of emotion regulation capabilities in marijuana users is warranted. Furthermore, since prior studies suggest that stress may lead to greater marijuana use-related problems, additional research into how emotion dysregulation may affect these relationships is needed. Thus, the current study examines how emotion dysregulation moderates the association between stress and problematic marijuana use in adults through an online survey. Methods. 852 adults reporting any lifetime marijuana use completed an online survey through Qualtrics. Participants completed a brief demographic questionnaire and were asked to report their past 30-day use of marijuana, alcohol, nicotine, and illicit substances. To assess past month problematic marijuana use, participants completed the Marijuana Problem Scale (MPS). To assess emotion dysregulation, participants completed the Difficulties in Emotion Regulation Scale (DERS). Participants completed the Perceived Stress Scale (PSS) and the Holmes-Rahe Life Stress Inventory (H-RLSI) to assess past month perceived stress and past year stressful life events, respectively. We investigated the association between scores on the DERS, PSS, and H-RLSI with scores on the MPS. Additionally, we conducted hierarchical multiple linear regression models to test whether emotion dysregulation, stress, and their interaction predicted problematic marijuana use. Results. Scores on the DERS (r = .53, p < .001), PSS (r = .13, p < .001), and H-RLSI (r = .32, p < .001) were significantly correlated with scores on the MPS. Additionally, emotion dysregulation (B = .32, p < .001), stressful life events (B = .21, p < .001), and their interaction (B = .07, p = .003) were significant predictors of problematic marijuana use. Finally, emotion dysregulation (B = .44, p < .001), perceived stress (B = -.18, p < .001), and their interaction (B = -.06, p = .04) were significant predictors of problematic marijuana use. Conclusion. These findings indicate that when examined separately, greater emotion dysregulation, experiencing more stressful life events in the past year, and experiencing more perceived stress in the past month were associated with greater problematic marijuana use in the past month. However, when examining the moderating role of emotion dysregulation, more stressful life events and less perceived stress predicted greater problematic marijuana use, and these associations were stronger at higher levels of emotion dysregulation. Overall, these results suggest that emotion dysregulation and greater stress may be risk factors for developing problematic marijuana use, and could be possible targets for prevention, intervention, and treatment efforts.


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