scholarly journals Psychological factors of successful kidney transplantations. The effects of anxiety and intrapsychic integration of the organ on recovery

2012 ◽  
Vol 153 (15) ◽  
pp. 592-597 ◽  
Author(s):  
Melinda Látos ◽  
Katalin Barabás ◽  
György Lázár ◽  
Ferenc Marofka ◽  
Edit Szederkényi ◽  
...  
Keyword(s):  
Healing Process ◽  
Depression Scale ◽  
Body Representations ◽  
Transplant Patients ◽  
Projective Drawing ◽  
Drawing Test ◽  
Remarkable Result ◽  
High Distress ◽  
Kidney Transplantations ◽  
Kidney Functions

Transplant patients’ attitudes and representations related to their illness, their body, and the healing process have a significant impact on their recovery. Aims: The study involved 51 patients from the Department of Surgery, University of Szeged, Hungary. The primary aim was to examine the possible connections between emotional and mood factors, illness and body representations, and the successful onset of renal functions after surgery. Methods: Patients were tested with a combination of 4 instruments: Spielberger’s anxiety scale and Beck depression scale, self and organ drawings, and a questionnaire designed by the authors. Results: Our data suggest that high distress correlates with kidney disfunction after transplantation. Patients with higher anxiety drew the kidney larger in their projective drawing test. It was a remarkable result that post-transplant blood test on Day 10 showed significantly lower creatinine and urea levels in those patients who had drawn the kidney smaller in their projective drawing test. This might indicate that the organ’s normal intrapsychic integration and the related kidney functions are disturbed. Conclusions: The results of this study provide useful information about the psychological background, which has received relatively little attention so far. It can also give important clues for further research on clinical health psychology in supporting the healing process. Orv. Hetil., 2012, 153, 592–597.

scholarly journals Psychological Differences of Patients and Relatives according to Post-Transplantation Anxiety

2008 ◽  
Vol 11 (1) ◽  
pp. 250-258 ◽  
Author(s):  
María Ángeles Pérez San Gregorio ◽  
Agustín Martín Rodríguez ◽  
José Pérez Bernal
Keyword(s):  
Quality Of Life ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Life Questionnaire ◽  
Post Transplantation ◽  
Transplant Patients ◽  
Psychological Differences ◽  
One Year

The aim of this investigation is to analyze the psychological differences of patients and their relatives according to the formers' post-transplantation anxiety. We used two groups of participants: transplant patients (n = 166) and close relatives (n = 166). Four questionnaires were applied: a Psychological Survey (to both groups), the Hospital Anxiety and Depression Scale, and the Quality of Life Questionnaire (to the transplant patients), and the Leeds Scales for the Self-Assessment of Anxiety and Depression (to the relatives). Participants were assessed twice: post-Intensive Care Unit (ICU; when patients were moved from the ICU to the Transplantation Unit) and post-hospital (one year after transplant). Results showed that high anxiety in patients just after organ transplant was related to an increase of anxiety and depression symptoms both in patients and relatives one year after transplant; it was also related to a decrease in the quality of life of these patients.

scholarly journals Association of Synthetic House-Tree-Person Drawing Test and Depression in Cancer Patients

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Guifang Yang ◽  
Liping Zhao ◽  
Lijuan Sheng
Keyword(s):  
Cancer Patients ◽  
Depression Scale ◽  
Population Based ◽  
Cross Sectional Study ◽  
General Information ◽  
Regression Equation ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Drawing Test ◽  
Test Retest Reliability

Background. Evidence regarding the relationship between synthetic house-tree-person (S-HTP) drawing test and depression in cancer patients is limited. The aim of this study was to explore the applicability and validity of S-HTP drawing test in cancer patients suffering from depression. Methods. As a population based cross-sectional study, 167 patients with cancer were enrolled in a hospital in China from December 2015 to December 2017. Self-edited general information questionnaire, self-rating depression scale (SDS), and the S-HTP drawing test were completed by all participants. Results. The average age of 167 selected participants was 52.92 ± 10.43 years old, and about 58.7% (98/167) of them were male. On SDS, depression rate was found in 34.1% (27/167) cancer patients. The logistic regression equation was established by using the depression drawing characteristics as the independent variables and the evaluation results from SDS as the dependent variable and 9 drawing characteristics employed in the regression equation (χ2 = 68.657, P < 0.001. Nagelkerke R2 = 0.466). Correlation analysis revealed a positive correlation between S-HTP drawing test and SDS for depression state of cancer patients (p < 0.01). Conclusions. There are interrater reliability and test-retest reliability between S-HTP drawing test and SDS. The S-HTP drawing test could help in screening depression in cancer patients.

Communicating the introduction of psychology services in the palliative care (PC) cancer setting: A randomized double blind trial.

2018 ◽  
Vol 36 (34_suppl) ◽  
pp. 129-129
Author(s):  
Sujin Ann-Yi ◽  
Kimberson Cochien Tanco ◽  
Cindy L. Carmack ◽  
Diane D. Liu ◽  
Swati Bansal ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Depression Scale ◽  
Empirical Support ◽  
Double Blind ◽  
Psychosocial Services ◽  
Significant Difference ◽  
Scale Scores ◽  
High Distress ◽  
Cancer Setting ◽  
Clinical Trial Information

129 Background: Despite high distress and empirical support for psychosocial services for cancer patients, the utilization of these services continue to be low. Our aims are to ascertain if the manner of introducing psychology services impact patients’ acceptance of services and identify factors associated with acceptance and barriers of psychology utilization. Methods: 100 PC cancer patients who have not received prior psychology services were randomized to observe two video vignettes: one showed a physician introducing a counselor and psychology services to the patient (PI); another showed a counselor entering and introducing psychology services alone (CI). Randomization was stratified using baseline Hospital Anxiety and Depression Scale scores. After viewing both videos, patients completed a survey regarding preference, attitudes, and barriers for psychology services. Patients were blinded regarding the purpose of the study and investigators were blinded to content and order of videos presented. Results: 64 patients reported a preference with 34 preferring PI (p=0.37) and 36 reporting no difference. Younger patients preferred PI (85.7%) versus CI (14.3%, p=0.03). Most reported being aware of available psychology services (N=63), and half (N=50) had been offered psychology services by their physician. Only 40 (40%) patients felt psychology services would be helpful for them, and 43 (43%) reported it would be beneficial for their family/caregivers. Those who found it helpful for themselves or family had higher anxiety than those who did not find it helpful (p=0.03 and p=.02 respectively). The most commonly endorsed barriers for psychology services were travel (N=25) and finances (N=21). Conclusions: We found no significant difference in preference of introduction of psychology services except in patients less than 40 years old who preferred PI. Patients with higher anxiety felt psychology services were helpful for self and family. Only 40% perceived psychology services as useful for self and family. More research is needed to investigate the most effective approach for introducing psychology services to increase perception of usefulness and utilization in cancer patients. Clinical trial information: NCT03035448.

scholarly journals Caregiving to Family Members with Dementia

2011 ◽  
Vol 9 (1) ◽  
pp. 86-98 ◽  
Author(s):  
Laurie Wermuth
Keyword(s):  
Family Caregivers ◽  
Depression Scale ◽  
Family Care ◽  
Epidemiologic Studies ◽  
Care Providers ◽  
Community Based ◽  
Elderly Individuals ◽  
Adult Services ◽  
High Distress ◽  
Field Notes

The emotional and physical stress experienced by family caregivers of individuals with dementia is well known (Vitaliano, Jianping, Young, Caswell, Scanlan, Echeverria, 2009). Pearlin and colleagues (1990) noted that caregiving is complex, involving a variety of resources and strategies. The purpose of this qualitative study was to better understand careproviders‟ situations in context, including the resources they had available, the meaning of their care, and the strategies they employed to cope. Sixteen family care providers of adults with dementia were recruited through an adult services agency in northern California. Participants were interviewed using open-ended questions and the Center for Epidemiologic Studies–Depression scale (CES-D; Radloff, 1977). Field notes and interview transcripts for participants were interpreted, and compared with CES-D scores. Eleven out of sixteen care providers had scores indicating risk for clinical depression. Two groups are described: those with low distress scores, and those with high distress scores, highlighting some of the patterns associated with each. A list of coping strategies is provided from respondents‟ interviews. Based on the findings, community-based supports are needed to care for the increasing numbers of elderly individuals in the coming decades.

scholarly journals Selected sociodemographic and clinic alpredictors of the clock drawing test performance in Polish community dwelling seniors

2020 ◽  
Vol 21 (4) ◽  
pp. 187-190
Author(s):  
Paula Chibowska ◽  
◽  
Katarzyna Nowicka-Sauer ◽  
Emilia J. Sitek ◽  
◽  
...  
Keyword(s):  
Regression Analysis ◽  
Depression Scale ◽  
Community Dwelling ◽  
Elderly Subjects ◽  
Short Version ◽  
Cognitive Screening ◽  
Clock Drawing Test ◽  
Clock Drawing ◽  
Drawing Test ◽  
Wu Method

Objectives: The clock drawing test (CDT) is a commonly used cognitive screening test. The purpose of this study was to investigate the effect of selected sociodemographic, clinical and lifestyle factors on the CDT performance in the Polish elderly population. Methods: CDT performance was assessed in 399 elderly subjects randomly selected out of all participants of a nationwide study on aging, PolSenior2, who met the inclusion criteria. CDT was scored using the Manos–Wu method. The short version of the Geriatric Depression Scale (15-item GDS) was used as a mood measuring tool. Results: Our study revealed a significant relationship between CDT performance and age. Multivariate regression analysis demonstrated also that interactions between reading newspapers and gender and between playing games and GDS score were independent predictors of an incorrect CDT. Of note, even though years of education were related to the CDT score (0–10) in the correlation analysis, education did not predict the global CDT score in the regression analysis. Conclusions: Advanced age was related to incorrect CDT performance. Engagement in some leisure activities may predict the CDT score, while global CDT performance, as assessed by the Manos–Wu method, is relatively unaffected by education.

scholarly journals Distinct Distress Symptom Trajectories Over 3 Years Are Associated With Baseline Illness Perceptions in Individuals With Coronary Heart Disease

2019 ◽  
Vol 54 (5) ◽  
pp. 374-379 ◽  
Author(s):  
Joseph Chilcot ◽  
Ester Lee ◽  
Andre Tylee ◽  
June Brown ◽  
John Weinman ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Illness Perceptions ◽  
Multinomial Logistic Regression ◽  
Depression Scale ◽  
Treatment Control ◽  
Long Term Conditions ◽  
Symptom Trajectories ◽  
High Distress ◽  
Perceived Consequences

Abstract Background Depression and anxiety symptoms (termed distress) are common among coronary heart disease (CHD) patients and associated with poor outcomes. Illness perceptions predict distinct outcome trajectories in other long-term conditions, yet it is not known how they relate to distress trajectories in CHD. Purpose This study aimed to examine whether baseline illness perceptions are associated with distress symptom trajectories among primary care CHD patients. Methods This is a secondary analysis of 803 CHD patients from the UPBEAT-UK study, who completed the Hospital Anxiety and Depression Scale every 6 months for 3 years. Baseline assessments included the Brief Illness Perception Questionnaire. Using latent class growth analysis, Palacios et al. (2018) identified five distinct distress symptom trajectories (“stable low,” “chronic high,” “improving,” “worsening,” and “fluctuating”) in this cohort. Adjusted multinomial logistic regression analyses were used to test the association between baseline illness perceptions and distress symptom trajectories. Results Compared with the stable low distress trajectory, stronger illness identity (odds ratio [OR] = 1.31, p &lt; .01), higher perceived consequences (OR = 1.47, p &lt; .01), illness-related emotion (OR = 1.66, p &lt; .01), and illness concerns (OR = 1.36, p &lt; .01) increased the odds of having chronic high distress. Stronger illness coherence (OR = 0.89, p &lt; .05) and personal (OR = 0.77, p &lt; .01) and treatment control (OR = 0.75, p &lt; .01) reduced the odds of chronic high distress. Worsening distress symptoms were associated with weaker perceptions of treatment control, higher perceived consequences, and greater illness-related concerns and emotions. Conclusions Illness perceptions of CHD are associated with distress symptom trajectories. Therapeutically modifying unhelpful illness perceptions in CHD patients who experience high levels of distress could potentially improve mental health outcomes.

scholarly journals SIDE EFFECTS OF CYCLOSPORINE COMPARED TO TACROLIMUS AMONG YEMENI KIDNEY TRANSPLANT PATIENTS WHO SHARE THE SAME ADJUVANT AGENTS: MYCOPHENOLATE MOFETIL AND PREDNISONE

2020 ◽  
Author(s):  
Ibtesam Abdullah Al-Akwa’a ◽  
Nagieb Waza'a Abu Asba ◽  
Khaled Abdl Karim Al-Moyed ◽  
Hassan Abdul Wahab Al-Shamahy ◽  
Ahmed M. Al-Haddad
Keyword(s):  
Mycophenolate Mofetil ◽  
Side Effects ◽  
Peer Review ◽  
Kidney Transplant ◽  
Lipid Profiles ◽  
Transplant Patients ◽  
Kidney Transplant Patients ◽  
Tract Infections ◽  
Glutamyl Transferase ◽  
Kidney Functions

Background: A renal allograft is the optimum therapeutic option for patients with end stage renal diseases. Nevertheless, rejection still represents a large challenge. So as to overcome this matter, treatment strategies comprise the combined use of anti-inflammatory  and immunosuppressive agents, although they are not free from complications . Interestingly, the major cause of morbidity and mortality after the first transplanted year are due to disorders unrelated directly to immunologic etiology or disease related to immunosuppressive drugs. Objectives: The purpose of this study is to determine the side effects in renal transplant Yemeni patients adherence to cyclosporine compared to tacrolimus sharing the same adjuvant agents which are mycophenolate mofetil "MMF" and prednisone. Subject and methods: This prospective study was carried on 100 kidney transplanted Yemeni patients divided into two groups: cyclosporine group (n=50) and tacrolimus group (n=50), each member of these groups was visited three times, blood samples were collected for biochemical functions including fasting blood sugar, liver enzymes, kidney functions, lipid profiles and white blood cells counts and results were obtained from the tests performed. Body weight and blood pressure had been examined; clinical complications were also recorded. Results: This study showed that serum total and direct bilirubine, gamma glutamyl transferase "GGT" and lipid profiles were elevated in cyclosporine group, whereas in tacrolimus group they were within normal range. The incidence of complicated events reported as follows: Hairtusim, gum hyperplasia, herpeszoster, CUSHING face and obesity were obviously present in cyclosporine group, while in tacrolimus group diabetes mellitus, hair loss and gastrointestinal tract infections were in existence. Conclusion: This study found that a tacrolimus-based treatment was significantly better than an immunosuppressive regimen based on cyclosporine due to the generally less side effects associated with tacrolimus, despite its effect on increasing diabetes among kidney transplant patients. Peer Review History: Received: 18 September 2020; Revised: 5 October; Accepted: 16 October, Available online: 15 November 2020 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 8.0/10 Reviewer(s) detail: Dr. A.A. Mgbahurike, University of Port Harcourt, Nigeria, [email protected] Dr. Mohamed Awad AbdAlaziz Mousnad, International University of Africa (IUA) and Sudan, [email protected] Maged Almezgagi, The Key Laboratory of high-altitude medical application of Qinghai Province, Qinghai Xining 810001, China. [email protected] Ali Awad Allah Ali Moh. Saeed, National University, Sudan, [email protected] Comments of reviewer(s): Similar Articles: LEVEL OF LEAD IN THE BLOOD AMONG FUEL STATION EMPLOYEES AND ITS RELATIONSHIP TO IMPAIRED LIVER AND KIDNEY FUNCTIONS IN DAMASCUS; SYRIA: OCCUPATIONAL EXPOSURE TO LEAD BACTERIAL CONTAMINATION OF DIALYSIS WATER AND DIALYSATE AT MUKALLA ARTIFICIAL KIDNEY CENTER IN MUKALLA CITY - HADHRAMAUT - YEMEN: RATE OF CONTAMINATION AND SENSITIVITY OF BACTERIAL ISOLATES TO ANTIBIOTICS

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