Mental Health in Patients With Adrenal Incidentalomas: Is There a Relation With Different Degrees of Cortisol Secretion?

Abstract Context Cushing’s syndrome frequently causes mental health impairment. Data in patients with adrenal incidentaloma (AI) are lacking. Objective We aimed to evaluate psychiatric and neurocognitive functions in AI patients, in relation to the presence of subclinical hypercortisolism (SH), and the effect of adrenalectomy on mental health. Design We enrolled 62 AI patients (64.8 ± 8.9 years) referred to our centers. Subclinical hypercortisolism was diagnosed when cortisol after 1mg-dexamethasone suppression test was >50 nmol/L, in the absence of signs of overt hypercortisolism, in 43 patients (SH+). Interventions The structured clinical interview for the Diagnostic and Statistical Manual of Mental Disorders-5, and 5 psychiatric scales were performed. The Brief Assessment of Cognition in Schizophrenia (Verbal and Working Memory, Token and Symbol Task, Verbal Fluency, Tower of London) was explored in 26 patients (≤65 years). Results The prevalence of psychiatric disorders was 27.4% (SH+ 30.2% vs SH- 21.1%, P = 0.45). SH+ showed a higher prevalence of middle insomnia (by the Hamilton Depression Rating Scale) compared with SH- (51% vs 22%, P = 0.039). Considering the Sheehan Disability Scale, SH+ showed a higher disability score (7 vs 3, P = 0.019), higher perceived stress (4.2 ± 1.9 vs 2.9 ± 1.9, P = 0.015), and lower perceived social support (75 vs 80, P = 0.036) than SH-. High perceived stress was independently associated with SH (odds ratio [OR] = 5.46, confidence interval 95% 1.4–21.8, P = 0.016). Interestingly, SH+ performed better in verbal fluency (49.5 ± 38.9 vs 38.9 ± 9.0, P = 0.012), symbol coding (54.1 ± 6.7 vs 42.3 ± 15.5, P = 0.013), and Tower of London (15.1 vs 10.9, P = 0.009) than SH-. In 8 operated SH+, no significant changes were found. Conclusions Subclinical hypercortisolism may influence patients’ mental health and cognitive performances, requiring an integrated treatment.

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Brief Report on the Outcomes of an Integrated Approach on Stress, Anxiety, and Persistent Pain for Veterans; Mindful Yoga and Auricular Acupuncture

Annals of Yoga and Physical Therapy ◽

10.26420/annyogaphysther.2021.1047 ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Brosmer J ◽

◽

Gibson J ◽

Keyword(s):

Mental Health ◽

Perceived Stress ◽

Integrated Treatment ◽

Persistent Pain ◽

Small Sample ◽

Mental Health Provider ◽

Auricular Acupuncture ◽

Acupuncture Points ◽

Post Intervention ◽

Sample Mean

Objective: The aim of this study was to pilot test an integrated treatment approach, including mindful yoga and auricular acupuncture, for Veterans with overlapping mental health disorders and persistent pain. Design: A single-arm, quasi-experimental study with a 12-week intervention period. Methods: Veterans were referred to the program through their established mental health provider, which was marketed as a trauma sensitive mindful yoga program with optional auricular acupuncture for Veterans currently undergoing mental health treatment. The program consisted of 12 weekly 90-minute group yoga sessions that included mindful breathing, mindful movement, and guided relaxation. Auricular acupuncture was also offered but not required prior to each yoga session, where five acupuncture points were targeted for relaxation and stress relief. Stress, pain, and anxiety were assessed pre and post intervention using the Perceived Stress Scale, the PEG scale, and the Generalized Anxiety Disorder-7 Scale. Results: Out of fifty-five Veterans entering the program with a mental health diagnosis, twenty-seven Veterans completed the 12-week Mindful Yoga program. For those that completed the program, the average attendance was 9.5 out of 12 sessions. Means scores show improvement in perceived stress, pain, and anxiety compared with baseline scores. Statistically significant improvements were noted in both perceived stress (P = 0.0007) and anxiety (P = 0.0093). Conclusions: This study suggests that combining mindful yoga with auricular acupuncture can reduce symptoms of stress, pain, and anxiety in Veterans that commit to the program. Although this was a small sample, mean scores showed statistically significant improvements in perceived stress and anxiety and modest improvements in pain, warranting further study.

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Relationship among fatigue, perceived stress, neurocognitive functions, and learning challenges in college students

PsycEXTRA Dataset ◽

10.1037/e524982008-001 ◽

2008 ◽

Author(s):

Laura Palmer ◽

Peter Economou ◽

Jodi Huntington ◽

Daniel Cruz ◽

Sharon Melisse McLennnon ◽

...

Keyword(s):

College Students ◽

Perceived Stress ◽

Neurocognitive Functions ◽

Learning Challenges

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Perceived stress and suicidal behaviors in college students: Conditional indirect effects of depressive symptoms and mental health stigma.

Stigma and Health ◽

10.1037/sah0000125 ◽

2019 ◽

Vol 4 (1) ◽

pp. 98-106 ◽

Cited By ~ 8

Author(s):

Jameson K. Hirsch ◽

Jessica Kelliher Rabon ◽

Esther E. Reynolds ◽

Alison L. Barton ◽

Edward C. Chang

Keyword(s):

Mental Health ◽

College Students ◽

Depressive Symptoms ◽

Perceived Stress ◽

Indirect Effects ◽

Mental Health Stigma ◽

Suicidal Behaviors ◽

Conditional Indirect Effects

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Psychosocial stress as an indicator for disease severity, impairments in mental health, medication and health care utilization in patients with Crohn's disease (CD) or ulcerative colitis (UC). Evaluation of a short scale of perceived stress in inflammatory bowel diseases (IBD)

Zeitschrift für Gastroenterologie ◽

10.1055/s-0032-1324131 ◽

2012 ◽

Vol 50 (08) ◽

Author(s):

J Hardt ◽

S Conrad ◽

B Bokemeyer ◽

H Raspe

Keyword(s):

Mental Health ◽

Ulcerative Colitis ◽

Health Care ◽

Health Care Utilization ◽

Perceived Stress ◽

Inflammatory Bowel Diseases ◽

Psychosocial Stress ◽

Care Utilization ◽

Bowel Diseases ◽

Inflammatory Bowel

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PHUBBING BEHAVIOR AND ROMANTIC RELATIONSHIP: MECHANISM OF MENTAL HEALTH AMONG MARRIED COUPLES

Foundation University Journal of Psychology ◽

10.33897/fujp.v4i1.70 ◽

2020 ◽

Vol 4 (1) ◽

pp. 103-137

Author(s):

Rabia Zonash Mir

Keyword(s):

Mental Health ◽

Romantic Relationship ◽

Rating Scale ◽

Short Form ◽

Married Couple ◽

Married Couples ◽

Mental Health Issue ◽

Health Issues ◽

Arranged Marriage ◽

Love Marriage

Does Phubbing Behavior and Romantic Relation leads to Mental Health issues among married couple? The present study intended to explore the effect of how phubbing behavior and romantic relationships are affecting mental health of married couples. For the study purpose a sample of 120 Married couples were taken between the age ranges 20-60 years of age. Partner Phubbing Rating Scale developed by Roberts and David (2015) was used to measure phubbing behavior among married couples. Romantic Partner Scale (RPS) developed by Zacchilli, Hendricks, and Hendricks, (2012) was applied to assess the romantic relationship between both partners and the third scale used was short form of Mental Health Continuum developed by Keyes (2005) in order to assess the mental health issue among married couples. Phubbing behavior positively predicted interactional activity and negatively predicts compromise, avoidance, separation, dominance and submission. Phubbing behavior negatively predicts mental health among married couples. Gender difference indicates that males are higher on romantic relationship as well as mental health as compared to females. As far as demographic variables are concerned, based on the findings of current research, it was concluded that there was no gender differences found in phubbing behavior, romantic relationship, and mental health of married couples. Phubbing behavior is significantly higher in love marriage couples in comparison with arranged marriage couples.

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An intervention for depressive symptoms using a commercial game in a mental health impatient setting. (Preprint)

10.2196/preprints.13890 ◽

2019 ◽

Author(s):

Pablo Rodrigo Guzman Cortez ◽

Matias Marzocchi ◽

Neus Freixa Fontanals ◽

Mercedes Balcells-Olivero

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Health Outcomes ◽

Serious Games ◽

Rating Scale ◽

Depressive Symptomatology ◽

Pilot Test ◽

Potential Health ◽

Depressive Episodes ◽

Hamilton Rating Scale

BACKGROUND Computerized mental health interventions have shown evidence of their potential benefit for mental health outcomes in young users. All of the studied interventions available in the review and scientific literature can be classified as "serious games". Serious games are computerized interventions designed from the start with the objective of improving specific desired health outcomes. Moreover, there are reports of users experiencing subjective benefits in mental health after playing specific commercial games. These were games not intentionally made with a therapeutic objective in the design process. An example is the videogame "Journey", first released for the Playstation 3 console in 2012 which won "Game of the Year" in the 2013 D.I.C.E awards. The creator of the game describes the game as a short, 2-3-hour narrative experience in which the player goes through the "Hero's Journey" following a classic 3-part structure. There were more than 100 testimonials from players describing how the game helped them cope with psychological or personal issues. Some of them explicitly described recovering from depressive episodes through playing the game. OBJECTIVE To conduct a pilot test of the efficacy of the videogame Journey in reducing depressive symptoms in an acute impatient setting METHODS Depressive symptomatology was measured before and after the intervention using the Hamilton Rating Scale for Depression (HRSD) The intervention was conducted in an isolated room using a Playstation 3 console with the videogame "Journey" developed by Thatgamecompany. No internet access was allowed. The game was played over the course of 4 30-45 min sessions in a two week period. RESULTS The initial score in the Hamilton Rating Scale for Depression (HRSD) was 30, indicating a very severe depression. After the intervention the HRSD score was 10, showing a mild depression. CONCLUSIONS The Videogame Journey, a commercial game first available for the Playstation 3 console in 2012, was not created as a serious game with potential health benefits. Our pilot test is the first case report of a commercial game showing a potential effect in reducing depressive symptoms, which is consistent with the previous informal reports of users online.

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Social support and mental health status of internal migrants in Beijing

Social Behavior and Personality An International Journal ◽

10.2224/sbp.8193 ◽

2020 ◽

Vol 48 (4) ◽

pp. 1-16

Author(s):

Ying Zhou ◽

Jianhua Wang

Keyword(s):

Mental Health ◽

Social Support ◽

Health Status ◽

Marital Status ◽

Rating Scale ◽

Mental Health Disorder ◽

Mental Health Status ◽

Self Report ◽

Monthly Income ◽

Internal Migrants

We investigated the mental health status of 320 internal migrants in Beijing according to gender, age, marital status, and monthly income, and examined the relationship between their mental health status and social support mechanisms. Participants completed the self-report Symptom Checklist-90-R and Social Support Rating Scale. Results showed that their mental health was significantly worse than the Chinese adult norm as assessed in 2017. Participants' social support varied according to age, marital status, and monthly income. Female participants younger than 30 years old with a monthly income lower than 3,000 yuan comprised the group with the most mental health disorder symptoms. They thus required greater personal attention to their health. The results suggested that social support can predict mental health among internal migrants. Directions for further research are discussed.

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Permanently Online—Always Stressed Out? The Effects of Permanent Connectedness on Stress Experiences

Human Communication Research ◽

10.1093/hcr/hqaa014 ◽

2020 ◽

Author(s):

Anna Freytag ◽

Katharina Knop-Huelss ◽

Adrian Meier ◽

Leonard Reinecke ◽

Dorothée Hefner ◽

...

Keyword(s):

Mental Health ◽

Perceived Stress ◽

Online Communication ◽

Three Dimensions ◽

Media Multitasking ◽

Negative Effects ◽

Media Usage ◽

Cognitive Orientation ◽

Usage Patterns ◽

Cognitive Salience

Abstract Concerns have been expressed that permanent online connectedness might negatively affect media user’s stress levels. Most research has focused on negative effects of specific media usage patterns, such as media multitasking or communication load. In contrast, users’ cognitive orientation toward online content and communication has rarely been investigated. Against this backdrop, we examined whether this cognitive orientation (i.e., online vigilance with its three dimensions salience, reactibility, monitoring) is related to perceived stress at different timescales (person, day, and situation level), while accounting for the effects of multitasking and communication load. Results across three studies showed that, in addition to multitasking (but not communication load), especially the cognitive salience of online communication is positively related to stress. Our findings are discussed regarding mental health implications and the origins of stress.

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Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18042093 ◽

2021 ◽

Vol 18 (4) ◽

pp. 2093

Author(s):

Tina Vilovic ◽

Josko Bozic ◽

Marino Vilovic ◽

Doris Rusic ◽

Sanja Zuzic Furlan ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Perceived Stress ◽

Depression Scale ◽

Family Physicians ◽

Knowledge Score ◽

Well Being ◽

Anxiety And Depression ◽

Event Scale ◽

The Impact

During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

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