scholarly journals Szorongás, depresszió, egészségkontrollhit és az egészség-magatartással való kapcsolatuk ischaemiás szívbetegek körében

2015 ◽  
Vol 156 (20) ◽  
pp. 813-822 ◽  
Author(s):  
Beatrix Rafael ◽  
Barna Konkolÿ Thege ◽  
Péter Kovács ◽  
Piroska Balog
Keyword(s):  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Depressive Symptomatology ◽  
Control Level ◽  
Control Beliefs ◽  
Medical Attention ◽  
External Control ◽  
Anxiety And Depression ◽  
Control Belief ◽  
Cross Sectional

Introduction: Psychological and lifestyle factors affect the development and outcome of heart disease considerably. Aim: The aims of the authors were to examine health control, level of anxiety and depression and to analyse their relationship with health behaviour in patients with ischemic heart disease. Method: The present cross-sectional study involved 116 patients who took part in residential cardiac rehabilitation (56.9% men, mean age: 57.65±8.22 years). Results: 30.9% of the patients reported elevated anxiety and 21.9% increased depressive symptomatology. Social-external control belief was the strongest among respondents. Further, anxiety and depression were negatively associated with healthy diet and the frequency of exercise. Patients with stronger social-external control beliefs were more likely to seek medical attention if they suspected a disease. Conclusions: It is important to assess psychological risk factors linked to cardiovascular diseases in cardiac rehabilitation departments and to initiate psychological interventions if indicated. Orv. Hetil., 2015, 156(20), 813–822.

scholarly journals Relationship between malnutrition and the presence of symptoms of anxiety and depression in hospitalized cancer patients

2021 ◽  
Author(s):  
Francisco José Sánchez-Torralvo ◽  
Victoria Contreras-Bolívar ◽  
María Ruiz-Vico ◽  
José Abuín-Fernández ◽  
Inmaculada González-Almendros ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Nutritional Assessment ◽  
Depressive Symptomatology ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Average Score ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Depression Symptomatology

Abstract Background Anxiety and depression are a common issue in patients with cancer, yet understudied among hospitalized patients. The aim of this study was to estimate the prevalence of anxiety and depression symptomatology in cancer inpatients and its relationship with malnutrition. Methods Cross-sectional study in hospitalized cancer patients. A nutritional assessment was done using the Global Leadership Initiative on Malnutrition (GLIM) criteria to diagnose malnutrition. Data regarding anxiety and depression symptomatology was obtained with the Hospital Anxiety and Depression Scale (HADS). Results A total of 282 inpatients were assessed. GLIM criteria found 20% (66) of well-nourished and 80% (216) with malnutrition. HADS presented an average score of 8.3 ± 4.4 with respect to anxiety and an average score of 7.7 ± 4.6 with respect to depression. Up to 54% of the patients showed a possible presence of anxiety, and 45.3% of them showed a possible presence of depression. In malnourished patients, HADS score was non-significantly higher with respect to anxiety (8.5 ± 4.3 in malnourished vs 7.1 ± 4.6 in well-nourished; p = 0.06) and was significantly higher with respect to depression (8.2 ± 4.6 in malnourished vs 5.3 ± 4.0 in well-nourished; p < 0.001). After controlling for potential confounders, malnourished patients were 1.98 times more likely to present anxious symptomatology (95% CI 1.01–3.98; p = 0.049) and 6.29 times more likely to present depressive symptomatology (95% CI 1.73–20.47; p = 0.005). Conclusions The presence of anxiety and depression symptomatology in oncological inpatients is high. There is an association between malnutrition and presenting anxious and depressive symptomatology in hospitalized cancer patients.

The Advisory Brought to Practice Routine Screening on Depression (and Anxiety) in Coronary Heart Disease; Consequences and Implications

2011 ◽  
Vol 10 (4) ◽  
pp. 228-233 ◽  
Author(s):  
M.L.A. Luttik ◽  
T. Jaarsma ◽  
R. Sanderman ◽  
J. Fleer
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Depressive Symptoms ◽  
Stressful Life Events ◽  
Medical Center ◽  
Heart Association ◽  
Cross Sectional Study ◽  
Routine Screening ◽  
Anxiety And Depression ◽  
Cross Sectional

Introduction: Following the evidence, the American Heart Association recently published a Science Advisory with the recommendation that patients with Coronary Heart Disease (CHD) should be screened for depressive symptoms and depression. Also the Heart Failure Guidelines recommend routine screening for depressive symptoms. Screening for anxiety was not included in these recommendations, despite findings in literature suggesting that cardiac patients are at risk for high levels of anxiety. Objective: The aim of the current study is to obtain a realistic estimation of the consequences and implications of this advice for clinical practice. Method: Data on anxiety, and depression, need for help, demographics and disease related variables were collected in a cross-sectional study within a 2-month period (July–August 2008) at the cardiac outpatient clinic of the University Medical Center Groningen (The Netherlands). Patients: Data of 217 patients were analyzed, mean age was 58 years (±16) and 62% of the respondents were male. Results: Of 217 patients, 26% indicated to have depressive symptoms and 42% indicated elevated levels of anxiety. About 35–50% of these patients indicated a moderate to high need for help. The prevalence of anxiety and depression was mainly associated with demographic factors and the occurrence of stressful life events. Conclusion: Routine screening will put an increased demand on psychosocial diagnostics and treatment, therefore the availability of professionals should be guaranteed in advance.

scholarly journals 241: A holistic programme of cardiac rehabilitation is able to improve anxiety and depression in diabetic's men with coronary heart disease

2013 ◽  
Vol 5 (1) ◽  
pp. 81
Author(s):  
Philippe Blanc ◽  
Xavier Debussche ◽  
Céline Freyssin ◽  
Philippe Benaich ◽  
Clémentine Dufay ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Anxiety And Depression

scholarly journals Internet-based treatment of anxiety and depression in patients with ischemic heart disease attending cardiac rehabilitation: a feasibility study (eMindYourHeart)

2021 ◽  
Author(s):  
Charlotte Helmark ◽  
Robert Ahm ◽  
Christina M Andersen ◽  
Søren J Skovbakke ◽  
Robin Kok ◽  
...  
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Cardiac Rehabilitation ◽  
Quantitative Methods ◽  
Drop Out ◽  
Ischemic Heart ◽  
Anxiety And Depression ◽  
Phone Calls ◽  
Drop Out Rate ◽  
Ehealth Intervention

Abstract Introduction Anxiety and depression are prevalent in 20% of patients with ischemic heart disease (IHD), however, treatment of psychological conditions is not commonly integrated in cardiac rehabilitation. Internet-based psychological treatment holds the potential to bridge this gap. Purpose To examine the feasibility of an eHealth intervention targeting anxiety and depression in patients with IHD attending cardiac rehabilitation. Methods We used a mixed-methods design, including quantitative methods to examine drop-out and change in anxiety and depression scores, and qualitative methods (thematic analysis) to evaluate patients’ and nurses’ experiences with the intervention. The therapist-guided intervention consisted of 12 modules provided via a web-based platform. The primary outcome was drop-out, with a drop-out rate &lt;25% considered acceptable. Patients were considered as non-drop-out if they completed ≥5 modules. Results Out of 60 patients screened positive for anxiety and/or depression, 29 patients were included. The drop-out rate was 24% (7/29). Patients had a mean improvement in anxiety and depression scores of 5.5 and 4.6, respectively. On average, patients had 8.0 phone calls with their therapist and 19.7 written messages. The qualitative analysis of patients’ experiences identified four themes: treatment platform, intervention, communication with therapist, and personal experience. Patients were positive towards the intervention, although some found the assignments burdensome. From the nurses we identified three themes: intervention, inclusion procedure and collaboration with study team. The nurses were positive, however, due to limited time some struggled with the inclusion procedure. Conclusion Integrating an eHealth intervention in cardiac rehabilitation is feasible and the drop-out rate acceptable.

Frequency of depressive disorders in a representative sample of Nicosia, Cyprus

2017 ◽  
Vol 41 (S1) ◽  
pp. S536-S537
Author(s):  
I. Papapetrou ◽  
G. Charalambous ◽  
A. Sissouras ◽  
E. Jelastopulu
Keyword(s):  
Chronic Diseases ◽  
Depressive Disorders ◽  
Family Income ◽  
Cross Sectional Study ◽  
Medical Attention ◽  
Anxiety And Depression ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Negative Effect ◽  
Competing Interest

Introduction“Health Profile” of Nicosia was conducted in 2013–2014, within the framework of the program “Healthy Cities” in order to collect and analyse information on the state of health and health-related behaviors of the citizens of Nicosia in Cyprus.AimsTo estimate the frequency of self-reported depressive disorders and examine burdening as well as factors influencing it.MethodsBased on the 2011 census, a cross-sectional study was carried out on a representative random stratified sample, which was selected to be interviewed, including 477 men and 525 women, from the city area. Participants answered a questionnaire, which required among other items on self-perceived physical and mental health. Participants were also asked the following questions: “Do you have/had in the past depression or/and anxiety?” and “Have you received a medical diagnosis for this disorder?”ResultsApproximately 70% of the sample reported they had experienced anxiety and depression (37% moderate and 33% severe episodes). Diagnosed depression was reported by 4%. Severe depressive disorders were more frequently reported by women (41%, P < 0.001), older aged citizens (70.2%, P < 0.001) widowed/divorced (45.5%, P < 0.001), persons with lower family income (< 1000 €, 79.7%, P < 0.001) and among people with chronic diseases (45.3%, P < 0.001).ConclusionsThe self-reported prevalence of anxiety and depression in the citizens of Nicosia is very high – probably reflecting a negative effect of the economic crisis –, and contrariwise diagnosis of the disorder is rarely provided and consequently therapy rarely offered. Specific population groups, such as women, elderly citizens, patients with chronic diseases are more vulnerable to depressive disorders requiring specialized medical attention.Disclosure of interestThe authors have not supplied their declaration of competing interest.

StressLevel_5.16.2021

2021 ◽  
Author(s):  
Ali Rahimpour
Keyword(s):  
Cognitive Decline ◽  
Cognitive Abilities ◽  
Control Beliefs ◽  
External Control ◽  
Time Interval ◽  
Control Belief ◽  
Daily Stressors ◽  
Daily Stress ◽  
Domain Specific ◽  
And Control

The current study aims to probe the effect of cognitive abilities on the control of beliefs in midlife. Participants in this study (n=112) were interviewed and completed cognitive functioning tests at two-time waves (T1 and T2) with a 10-year time interval. Participants completed self-reported daily stressors for 12 successive weeks in the second-time wave. In this study, we examined if the cognitive decline was linked to general and domain-specific control beliefs. For this purpose, we measure and analyze longitudinal changes in cognitive abilities relates to control beliefs. We predicted that the association between cognitive decline and control belief would be increased by self-reported stress. We also utilized the expectation-maximization method to estimate missing data and applied multilevel modeling (MLM) to analyze statistical effects. Self-reported daily stressors were associated with significantly less control at work, finance, and health, and participants with more significant cognitive decline reported less external control belief. More cognitive decline was associated with a more significant decrease in averaged control belief over ten years when individuals reported more daily stressors. The current findings can inform interventions aimed to identify factors, such as daily stress, that contribute to daily abilities in the context of cognitive decline.

scholarly journals Improvement in Diabetic Control Belief in Relation to Locus of Control

2019 ◽  
Vol 13 (1) ◽  
pp. 123-128
Author(s):  
Yusran Haskas ◽  
Yusran Suryanto ◽  
Yusran Suarnianti
Keyword(s):  
Diabetes Mellitus ◽  
Locus Of Control ◽  
Demographic Data ◽  
Diabetic Control ◽  
Diabetes Control ◽  
Control Beliefs ◽  
Bivariate Analysis ◽  
Control Belief ◽  
Cross Sectional ◽  
Control Behavior

Background: Adherence to diabetes control is important to determine an individual’s ability to maintain treatment focus of Diabetes Mellitus . The Locus of Control thereby assesses the behavior of an individual to diabetes control. Objective: The aim of this study was to analyze the pathways of diabetes control beliefs based on the variable locus of control in the integration of locus of control theory and the theory of planning behavior on diabetes mellitus control behavior. Methods: This study was carried out as an explanatory research with a cross-sectional design. The sampling technique was consecutive. The sample size was determined using multivariate numerical analytic one-time predictive concept framework and 143 respondents at 8 locations were recruited by a random lottery method. Demographic data analysis of respondents was done using statistical software, namely IBM Statistics SPSS using a Chi-square statistical test. The proposed hypothesis was tested by the bivariate analysis of variance to assess the effect of causal variables. Results: The results of this study indicate that locus of control affects diabetic control beliefs (ρ = 0.05; α = 0.06; b = 0.16; b2 = 0.03; F = 3.91) in the diabetes mellitus control behavior. Conclusion: The findings of this study suggest a need to consistently provide positive information and support as a locus of control to guard a strong intention to control diabetes mellitus.

scholarly journals Awareness regarding cardiac rehabilitation among patients with coronary heart disease attending a cardiac care centre, Kathmandu valley

2019 ◽  
Vol 16 (1) ◽  
pp. 47-50
Author(s):  
Rosy Shrestha ◽  
Sajeeb Shrestha
Keyword(s):  
Quality Of Life ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiac Rehabilitation ◽  
Cardiac Care ◽  
Care Centre ◽  
Duration Of Treatment ◽  
Cross Sectional ◽  
Low Middle Income Countries

Introduction: Coronary heart disease (CHD) is gradually emerging as a leading cause of morbidity and mortality of many low middle income countries like Nepal. Cardiac rehabilitation awareness program has been proved to be effective for reducing the mortality as well as improving the quality of life among CHD patients. The aim of this study was to explore the awareness on cardiac rehabilitation (CR) in patients with CHD attending a cardiac care centre, Nepal. Method: A descriptive cross sectional study design was used to examine 100 CHD patients attending out-patient departments of Shahid Gangalal National Heart Centre (SGNHC), Kathmandu, Nepal. Purposive sampling technique was used for data collection by face to face interview technique with self developed tool. Data was analyzed with descriptive and inferential statistics. Results: Of all 100 respondents, 55.0% were male and the mean age was 53.23±14.22 years. The median score of awareness was 17 with interquartile range (IQR) 14.0-19.75 and majority (57.0%) of respondents were unaware about CR. The awareness regarding CR was found highest in awareness regarding CHD (75.0%) whereas lowest score was found in time and duration needed for exercise per week (14.0%). The significant influencing variables were age, education status, duration of treatment and participation in CR program for CHD patients. Conclusion: The awareness on CR program in CHD patients in Nepal is not optimal, especially among 54 and above age group, illiterate people, those receiving treatment equal & more than 1 year duration and the CHD patients who didn’t get chance to participate on awareness programs. Hence, it is strongly recommended that health professionals including nurses should organize and promote CR programs including counseling session to improve the awareness level and ultimately enhance quality of life of CHD patients. 

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