scholarly journals The relation between marriage characteristics and depression and anxiety symptoms in married women aged 15-49 years15-49 yaş evli kadınlarda depresyon ve anksiyete belirtileri ile evlilik özelliklerinin ilişkisi

2016 ◽  
Vol 13 (1) ◽  
Author(s):  
Şule Ergöl ◽  
Ayşe Kuzu

Depression, anxiety, and high rates of comorbidity are related to interconnected and co-occurrent risk factors such as gender based roles, stressors and negative life experiences and events. The goal of this study is to determine the relation between the observation frequency of anxiety and depression symptoms and marriage characteristics, and depression and anxiety indicators in married women between ages 15-49. The sample group of this descriptive study consists of 203 married women between ages 15-49, residing in Zonguldak province in an area nearby public health clinic nearby, who consented to taking part in this study. Among the women, 29.1% displayed varying symptoms of depression, 38.4% displayed anxiety symptoms. In terms of the education level of women (respectively p<.001; p<.001), the spouse’s education level (p<.001; p<.001), the spouse’s alcohol consumption habits (p<.001; p=.003) and monthly income (p<.001; p<.001), a significant difference was observed in Beck Depression Scale and Beck Anxiety Scale points (p=.005). Additionally, the depression points of women who smoke were significantly higher than others. In terms of the approval of marriage by family, a significant difference was observed in women’s depression (p=.014) and anxiety (p=.026) points. Among the women participated in study, those with a legal marriage were observed to have higher depression (p=.007) and anxiety (p<.001) points. The depression (p<.001) and anxiety (p<.001) points who expressed that their spouses did never understood them were observed to be significantly higher than other. Symptoms of depression and anxiety can be widely observed in married women between ages 15-49. Among the women those with the following conditions, depression and anxiety symptoms can be observed with higher frequency; low education levels for themselves and their spouses, low income household, with legal marriage, married without knowing their spouses at all beforehand, those with marriages not approved by their families and who believe their spouses don’t understand them. Additionally, high frequency of depression symptoms can be observed in women who smoke, or whose spouses consume alcohol daily or once in a week. As the age and number of children increases, the level of anxiety also tends to increase in women. ÖzetDepresyon, anksiyete ve yüksek komorbidite hızı toplumsal cinsiyete dayalı roller, stresörler, olumsuz yaşam deneyimleri ve sonuçları gibi birbirine bağlı ve birlikte gerçekleşen risk faktörleri ile ilişkilidir. Çalışmanın amacı 15-49 yaş evli kadınlarda depresyon ve anksiyete belirtileri görülme sıklığı ve evlilik özellikleri ile depresyon ve anksiyete belirtileri arasındaki ilişkiyi belirlemektir. Tanımlayıcı olarak yapılan çalışmanın örneklemini Zonguldak ilinde bir sağlık ocağı bölgesinde yaşayan, araştırmaya katılmayı kabul eden 15-49 yaş grubundaki 203 evli kadın oluşturdu. Kadınların %29.1’inde farklı düzeylerde depresyon belirtileri, %38.4’ünde anksiyete belirtileri bulundu. Kadınların eğitim durumları (sırasıyla p<.001; p<.001), eşlerinin eğitim durumları (p<.001; p<.001), eşin alkol kullanma durumu (p<.001; p=.003) ve aylık geliri (p<.001; p<.001)’ne göre hem Beck Depresyon Ölçek, hem de Beck Anksiyete Ölçek puanları arasında anlamlı fark bulundu. Ayrıca sigara içen kadınların depresyon puanları diğerlerinden anlamlı derecede yüksekti (p=.005). Evliliğin ailelerce onaylanma durumuna göre kadınların depresyon (p=.014) ve anksiyete (p=.026) puanları arasında diğer kadınlara göre anlamlı fark bulundu. Çalışmaya katılan yalnızca resmi nikâhı olan kadınların depresyon (p=.007) ve anksiyete (p<.001) puanları daha yüksek bulundu. Eşlerinin kendisini hiç anlamadığını ifade eden kadınların depresyon(p<.001) ve anksiyete (p<.001) puanlarının diğerlerinden anlamlı şekilde yüksek olduğu saptandı. 15-49 yaş evli kadınlarda depresyon ve anksiyete belirtileri yaygın olarak görülmektedir.  Kendisinin ve eşinin eğitim düzeyi düşük olan, az gelirli, sadece resmi nikâhla evlenmiş, eşlerini hiç tanımadan evlenen, evlilikleri ailelerce onaylanmamış ve eşinin kendisini anlamadığını düşünen kadınlarda hem anksiyete hem de depresyon belirtileri yüksek oranda görülmektedir. Ayrıca sigara içen kadınlarla, eşleri her gün ya da haftada bir alkol alan kadınlarda yüksek oranlarda depresyon belirtileri görülmektedir. Kadınların yaşı ve çocuk sayısı arttıkça anksiyetesi de artmaktadır.

2016 ◽  
Vol 29 (3) ◽  
pp. 697-710 ◽  
Author(s):  
Evin Aktar ◽  
Cristina Colonnesi ◽  
Wieke de Vente ◽  
Mirjana Majdandžić ◽  
Susan M. Bögels

AbstractThe present study investigated the associations of mothers' and fathers' lifetime depression and anxiety symptoms, and of infants' negative temperament with parents' and infants' gaze, facial expressions of emotion, and synchrony. We observed infants' (age between 3.5 and 5.5 months, N = 101) and parents' gaze and facial expressions during 4-min naturalistic face-to-face interactions. Parents' lifetime symptoms of depression and anxiety were assessed with clinical interviews, and infants' negative temperament was measured with standardized observations. Parents with more depressive symptoms and their infants expressed less positive and more neutral affect. Parents' lifetime anxiety symptoms were not significantly related to parents' expressions of affect, while they were linked to longer durations of gaze to parent, and to more positive and negative affect in infants. Parents' lifetime depression or anxiety was not related to synchrony. Infants' temperament did not predict infants' or parents' interactive behavior. The study reveals that more depression symptoms in parents are linked to more neutral affect from parents and from infants during face-to-face interactions, while parents' anxiety symptoms are related to more attention to parent and less neutral affect from infants (but not from parents).


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joseba Wulff ◽  
Agneta Malmgren Fänge ◽  
Connie Lethin ◽  
Carlos Chiatti

Abstract Background Around 50 million people worldwide are diagnosed with dementia and this number is due to triple by 2050. The majority of persons with dementia receive care and support from their family, friends or neighbours, who are generally known as informal caregivers. These might experience symptoms of depression and anxiety as a consequence of caregiving activities. Due to the different welfare system across European countries, this study aimed to investigate factors associated with self-reported depression and anxiety among informal dementia caregivers both in Sweden and Italy, to ultimately improve their health and well-being. Methods This comparative cross-sectional study used baseline data from the Italian UP-TECH (n = 317) and the Swedish TECH@HOME (n = 89) studies. Main outcome variables were the severity of self-reported anxiety and depression symptoms, as measured by the Hospital Anxiety and Depression Scale (HADS). HADS scores were investigated using descriptive and bivariate statistics to compare means and standard deviations. Linear regressions were used to test for associations between potential factors and self-reported symptoms of depression and anxiety. Results Italian informal caregivers reported more severe symptoms of depression and anxiety than Swedish caregivers. In Italy, a higher number of hours of caregiving was associated with anxiety symptoms (β = − 1.205; p = 0.029), being 40–54 years-old with depression symptoms (β = − 1.739; p = 0.003), and being female with symptoms of both depression (β = − 1.793; p < 0.001) and anxiety (β = 1.474; p = 0.005). In Sweden, a higher number of hours of caregiving and being < 39 years-old were associated with depression symptoms (β = 0.286; p < 0.000; β = 3.945; p = 0.014) and a higher number of hours of caregiving, the lack of additional informal caregivers and dementia severity were associated with anxiety symptoms (β = 0.164; p = 0.010; β = − 1.133; p = 0.033; β = − 1.181; p = 0.031). Conclusion Multiple factors are associated with self-reported symptoms of depression and anxiety among informal caregivers in Sweden and Italy. Factors found in this study partly differ between the two countries, suggesting the important role of cultural and social factors affecting the experience of caregiving. A deeper knowledge of these factors may increase the knowledge on potential protective and risk factors, provide information to policymakers and ultimately improve the psychological well-being of informal caregivers to people with dementia across Europe.


2001 ◽  
Vol 15 (1) ◽  
pp. 17-31 ◽  
Author(s):  
David M. Fresco ◽  
William S. Sampson ◽  
Linda W. Craighead ◽  
Ashton N. Koons

Beck (1983) hypothesized that excessive interpersonal (sociotropy) and achievement (autonomy) concerns represent vulnerabilities to depression when congruent negative life events occur and that these personality constructs relate differentially to specific depressive symptoms. Recent research suggests that sociotropy relates to both depression and anxiety symptoms while autonomy may be specifically related to depression symptoms. This study employed a longitudinal, prospective design with a sample of 78 undergraduates to test aspects of Beck’s (1983) hypotheses. Sociotropy correlated with anxiety symptoms while autonomy correlated with depression symptoms. Additionally, sociotropy moderated the relationship of life stress to depression symptoms for both negative interpersonal and achievement stress while autonomy moderated the relationship of life stress to depression symptoms for negative interpersonal events only. Finally, sociotropy and autonomy also moderated the relationship between life stress and anxiety symptoms in a pattern that was different from the pattern with depression symptoms. Findings from the present study add to a growing body of empirical evidence that sociotropy and autonomy relate to depression and introduce evidence indicating how these constructs may relate to anxiety.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Nadja Kehler Curth ◽  
Ursula Ødum Brinck-Claussen ◽  
Carsten Hjorthøj ◽  
Annette Sofie Davidsen ◽  
John Hagel Mikkelsen ◽  
...  

Abstract Background Meta-analyses suggest that collaborative care (CC) improves symptoms of depression and anxiety. In CC, a care manager collaborates with a general practitioner (GP) to provide evidence-based care. Most CC research is from the US, focusing on depression. As research results may not transfer to other settings, we developed and tested a Danish CC-model (the Collabri-model) for depression, panic disorder, generalized anxiety disorder, and social anxiety disorder in general practice. Methods Four cluster-randomized superiority trials evaluated the effects of CC. The overall aim was to explore if CC significantly improved depression and anxiety symptoms compared to treatment-as-usual at 6-months’ follow-up. The Collabri-model was founded on a multi-professional collaboration between a team of mental-health specialists (psychiatrists and care managers) and GPs. In collaboration with GPs, care managers provided treatment according to a structured plan, including regular reassessments and follow-up. Treatment modalities (cognitive behavioral therapy, psychoeducation, and medication) were offered based on stepped care algorithms. Face-to-face meetings between GPs and care managers took place regularly, and a psychiatrist provided supervision. The control group received treatment-as-usual. Primary outcomes were symptoms of depression (BDI-II) and anxiety (BAI) at 6-months’ follow-up. The incremental cost-effectiveness ratio (ICER) was estimated based on 6-months’ follow-up. Results Despite various attempts to improve inclusion rates, the necessary number of participants was not recruited. Seven hundred thirty-one participants were included: 325 in the depression trial and 406 in the anxiety trials. The Collabri-model was implemented, demonstrating good fidelity to core model elements. In favor of CC, we found a statistically significant difference between depression scores at 6-months’ follow-up in the depression trial. The difference was not significant at 15-months’ follow-up. The anxiety trials were pooled for data analysis due to inadequate sample sizes. At 6- and 15-months’ follow-up, there was a difference in anxiety symptoms favoring CC. These differences were not statistically significant. The ICER was 58,280 Euro per QALY. Conclusions At 6 months, a significant difference between groups was found in the depression trial, but not in the pooled anxiety trial. However, these results should be cautiously interpreted as there is a risk of selection bias and lacking statistical power. Trial registration ClinicalTrials.gov, ID: NCT02678624 and NCT02678845. Retrospectively registered on 7 February 2016.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 659
Author(s):  
Marouane Nassim ◽  
Haley Park ◽  
Elena Dikaios ◽  
Angela Potes ◽  
Sasha Elbaz ◽  
...  

Background: Between 20–50% of patients undergoing maintenance dialysis for end-stage kidney disease experience symptoms of depression and/or anxiety, associated with increased mortality, greater health care utilization, and decreased quality of life. It is unknown whether mindfulness-based interventions can improve depression and anxiety symptoms in patients receiving this treatment. Methods: We conducted an 8-week multicenter randomized controlled trial comparing a brief mindfulness intervention (BMI) vs. an active control (Health Enhancement Program [HEP]) in 55 patients receiving dialysis with symptoms of depression and/or anxiety. The primary outcome was change in Patient Health Questionnaire-9 (PHQ-9) depression scores, with a primary analysis in participants with baseline PHQ-9 ≥ 10, and a secondary analysis including all participants. The secondary outcome was change in Generalized Anxiety Disorder-7 (GAD-7) anxiety scores with corresponding primary and secondary analyses. Results: Both BMI and HEP reduced depressive symptoms, with no difference between trial arms (PHQ-9 change = −7.0 vs. −6.1, p = 0.62). BMI was more effective than HEP in reducing anxiety (GAD-7 change = −8.7 vs. −1.4, p = 0.01). Secondary analyses revealed no differences between arms. Conclusions: For patients undergoing dialysis, both BMI and HEP may be helpful interventions for depression symptoms, and BMI may be superior to HEP for anxiety symptoms. Mindfulness-based and other psychosocial interventions may be further evaluated in those undergoing dialysis as treatment options for symptoms of depression and anxiety.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Brianna K. Rosgen ◽  
Karla D. Krewulak ◽  
Judy E. Davidson ◽  
E. Wesley Ely ◽  
Henry T. Stelfox ◽  
...  

Abstract Background Witnessing delirium can be distressing for family caregivers (i.e., relatives or friends) of critically ill patients. This study aimed to evaluate associations between caregiver-detected delirium in critically ill patients and depression and anxiety symptoms in their family caregivers. Methods Consecutive adult patient-caregiver dyads were enrolled from a 28-bed medical-surgical intensive care unit. Patient delirium was screened for daily by family caregivers using the Sour Seven instrument. Family caregivers completed the Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7) instruments daily to assess their own depression and anxiety symptoms. Response feature analysis was used to handle repeated measures. Descriptive statistics and regression analyses were completed. Results One hundred forty-seven patient-caregiver dyads were enrolled. Clinically significant symptoms of depression and anxiety occurred in 27% and 35% of family caregivers, respectively. Caregiver-detected delirium occurred in 65% of patients, and was not associated with clinically significant caregiver depression (Odds Ratio [OR] 1.4, 95% Confidence Interval [95%CI] 0.6–3.1) or anxiety (OR 1.2, 95%CI 0.6–2.6) symptoms. When stratified by Sour Seven scores, scores 1–3 and 4–9 were associated with increased symptoms of anxiety (OR 3.1, 95%CI 1.3–7.0) and depression (OR 2.6, 95%CI 1.1–6.1) in family caregivers. Caregiver-detected delirium score was associated with severity of family caregiver anxiety symptoms (coefficient 0.2, 95%CI 0.1–0.4), but not depression symptoms (coefficient 0.2, 95%CI -0.0–0.3). Conclusions Caregiver-detected patient delirium was associated with increased depression and anxiety symptoms in family caregivers of critically ill patients. Further randomized research is required to confirm these associations.


2018 ◽  
Vol 53 (8) ◽  
pp. 471-477 ◽  
Author(s):  
Astrid Junge ◽  
Birgit Prinz

BackgroundInformation on the prevalence of mental health problems of elite athletes is inconclusive, most probably due to methodological limitations, such as low response rates, heterogeneous samples.AimsTo evaluate the prevalence and risk factors of depression and anxiety symptoms in high-level female football players.MethodsFemale football players of 10 German first league (Bundesliga) and 7 lower league teams were asked to answer a questionnaire on players’ characteristics, the Center of Epidemiologic Studies Depression Scale (CES-D) and the Generalised Anxiety Disorder (GAD-7) scale.ResultsA total of 290 players (184 first and 106 lower league players) took part in the study. The CES-D score indicated mild to moderate symptoms of depression in 48 (16.6%) and severe symptoms in 41 (14.1%) players. The GAD-7 score indicated an at least moderate generalised anxiety disorder in 24 (8.3%) players. The prevalence of depression symptoms and generalised anxiety disorders was similar to the female general population of similar age. However, significantly more second league players reported symptoms of depression than first league players, and thus the prevalence of depression symptoms in second league players was higher than in the general population. Only a third of the 45 (15.7%) players who stated that they currently wanted or needed psychotherapeutic support received it.ConclusionThe prevalence of depression and generalised anxiety symptoms in elite football players is influenced by personal and sport-specific variables. It is important to raise awareness of athletes’ mental health problems in coaches and team physicians, to reduce stigma and to provide low-threshold treatment.


2020 ◽  
Author(s):  
Anita Lungu ◽  
Janie Jihee Jun ◽  
Okhtay Azarmanesh ◽  
Yan Leykin ◽  
Connie E-Jean Chen

BACKGROUND The past few decades saw considerable advances in research and dissemination of evidence-based psychotherapies, yet available treatment resources are not able to meet the high need for care for individuals suffering from depression or anxiety. Blended care psychotherapy, which combines the strengths of therapist-led and internet interventions, can narrow this gap and be clinically effective and efficient, but has rarely been evaluated outside of controlled research settings. OBJECTIVE This study evaluated the effectiveness of a blended care intervention (video-based cognitive behavior therapy and internet intervention) under real-world conditions. METHODS This is a pragmatic retrospective cohort analysis of 385 participants with clinical range depression and/or anxiety symptoms at baseline, measured using Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), who enrolled in blended care psychotherapy treatment. Participants resided in the United States and had access to the blended care intervention as a mental health benefit offered through their employers. Levels of depression and anxiety were tracked throughout treatment. Hierarchical linear modeling was used to examine the change in symptoms over time. The effects of age, gender, and providers on participants’ symptom change trajectories were also evaluated. Paired sample t-tests were also conducted, and rates of positive clinical change and clinically significant improvement were calculated. RESULTS The average depression and anxiety symptoms at 6 weeks after the start of treatment were 5.94 and 6.57, respectively. There were significant linear effects of time on both symptoms of depression and anxiety (β=–.49, <i>P</i>&lt;.001 and β=–.64, <i>P</i>&lt;.001). The quadratic effect was also significant for both symptoms of depression and anxiety (β=.04, P&lt;.001 for both), suggesting a decelerated decrease in symptoms over time. Approximately 73% (n=283) of all 385 participants demonstrated reliable improvement, and 83% (n=319) recovered on either the PHQ-9 or GAD-7 measures. Large effect sizes were observed on both symptoms of depression (Cohen d=1.08) and of anxiety (d=1.33). CONCLUSIONS Video blended care cognitive behavioral therapy interventions can be effective and efficient in treating symptoms of depression and anxiety in real-world conditions. Future research should investigate the differential and interactive contribution of the therapist-led and digital components of care to patient outcomes to optimize care.


2021 ◽  
Author(s):  
Gowranga Kumar Paul ◽  
Meshbahur Rahman ◽  
Shayla Naznin ◽  
Mashfiqul Haq Chowdhury ◽  
Md Jamal Uddin

Abstract Background: The current COVID-19 pandemic is the biggest public health concern. It harmed everyone, both physically and mentally. Because of panic situations in COVID-19 pandemic, students all over the world, including those in Bangladesh, are suffering from depression and anxiety. Considering this, we aimed to assess psycho-emotional changes of the university students through investigating their level of depression and anxiety effects during panic and post-panic period of COVID-19 pandemic in Bangladesh.Methods: Cross-sectional online surveys were conducted among university students in Bangladesh from April to July 2020 (panic period, n=170) and then from August to November 2020 (post-panic period, n=170). The PHQ-9 and GAD-7 questionnaires were used to assess respondents' depression and anxiety levels, respectively. We used continuous scores to assess the severity of depression and anxiety symptoms. We also computed binary depression and anxiety scores. Multivariable logistic regression models were used to analyze the data. Results: The proportion of depression symptoms was 49.4% during the panic period and 52.4% after the panic period. Anxiety symptoms were experienced by 38.2% of students during the panic period, and this percentage was nearly identical in the post-panic interval. Depression levels increased in the post-panic period and urban students have significantly (P< 0.05) higher levels of depression and anxiety than their counterparts. Female students also exhibited significantly more anxious symptoms (p=0.002) than male. Depression symptoms significantly vary by family types, students place of residence whereas students age, gender, education, family head's occupation, time period and family economic condition found no significant association with the depression.Conclusions: Students during the post-panic period have a higher prevalence of depression and anxiety symptoms than during the panic period. Although the difference was small, it was still concerning for university students in Bangladesh because it interfered with their academic life.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S45-S45
Author(s):  
Courtney J Bolstad ◽  
Anisha L Thomas ◽  
Michael R Nadorff

Abstract Symptoms of insomnia are associated with symptoms of depression and anxiety in older adults, yet less is known about the impact of specific forms of insomnia (i.e. onset, maintenance, and terminal insomnia). We explored how insomnia type predicted symptoms of anxiety and depression in older adults (n = 133; mean age 69, range 65-89). We hypothesized that onset and maintenance insomnia would have stronger relations to depression and anxiety than terminal insomnia. Regression analyses indicated that onset insomnia was the only significant predictor of anxiety symptoms, and maintenance was the only significant predictor of depressive symptoms. Thus, our findings suggest that despite overlap between depression and anxiety, insomnia may have different mechanisms of affecting each disorder. Implications for the treatment of anxiety and depressive symptoms by addressing insomnia problems will be discussed.


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