scholarly journals Examining the Relationship between Depression, Anxiety and Stress in Kidney Cancer Patients

2021 ◽  
Vol 9 (1) ◽  
pp. 19-26
Author(s):  
Türev Demirtaş ◽  
Zekeriya Temircan

Cancer of the kidney is one of the 10 most common cancers found globally. Overall, it is the fourth most common cancer in men and the eighth most common cancer in women. Many kidney cancer patients experience psychologic problems and reactions. The present study examined relationship between anxiety, depression, and perceived stress symptoms in kidney cancer patients. Cross-sectional data were obtained from the patients diagnosed with kidney cancer. All participants completed sociodemographic form, Hospital Anxiety and Depression form, and Per-ceived Stress Scale. Statistical analysis was exercised using the Student’s t-test, Chi-squared test (χ2), Fischer’s exact test, ANOVA, Mann–Whitney U test, and Kruskal–Wallis one-way variance analysis. A total of 250 patients participated in the study. The mean age was 57.4 years (SD 6.4, range = 25–76 years). The majority of patients were males (73%) and married (218). Anxiety symptoms were determined in 91.2% patients, depression symptoms in 87.2% patients, and perceived stress symptoms in 93.6% patients. The mean scores of Hospital Depression and Anxiety Scale (HADS)-Anxiety, HADS-Depression, and HADS-Perceived Stress were significantly different between age (P < 0.05), gender (P < 0.05), and income groups (P < 0.001). Kidney cancer patients showed poorer psychologic health. The overall levels of anxiety, depression, and perceived stress symptoms were higher among the studied kidney cancer patients. Findings of the current study could improve both psychologic well-being of patients and health-related quality of life.

2021 ◽  
Vol 12 ◽  
Author(s):  
Christina Andersson ◽  
Cecilia U. D. Stenfors ◽  
Peter Lilliengren ◽  
Stefan Einhorn ◽  
Walter Osika

ObjectiveBenevolence is an emerging concept in motivation theory and research as well as in on pro-social behavior, which has stimulated increasing interest in studying factors that impair or facilitate benevolence and effects thereof. This exploratory study examines the associations between benevolence, stress, mental health, self-compassion, and satisfaction with life in two workplace samples.MethodsIn the first study n = 522 (38% = female, median age = 42) participants answered questionnaires regarding self-reported stress symptoms (i.e., emotional exhaustion), depressive symptoms and benevolence. In the second study n = 49 (female = 96%) participants answered questionnaires regarding perceived stress, self-compassion, anxiety, depression symptoms, and benevolence.ResultsIn study 1, measures of emotional exhaustion (r = −0.295) and depression (r = −0.190) were significantly negatively correlated with benevolence. In study 2, benevolence was significantly negatively correlated with stress (r = −0.392) and depression (r = −0.310), whereas self-compassion (0.401) was significantly positively correlated with benevolence. While correlations were in expected directions, benevolence was not significantly associated with Satisfaction with Life (r = 0.148) or anxiety (r = −0.199) in study 2.ConclusionSelf-assessed benevolence is associated with levels of perceived stress, exhaustion, depression, and self-compassion. Future studies are warranted on how benevolence is related to stress and mental ill health such as depression and anxiety, and if benevolence can be trained in order to decrease stress and mental ill health such as depression and anxiety in workplace settings.


2021 ◽  
Vol 21 (suppl 2) ◽  
pp. 413-419
Author(s):  
Leopoldo Nelson Fernandes Barbosa ◽  
Monica Cristina Batista de Melo ◽  
Maria do Carmo Vieira da Cunha ◽  
Eliane Nóbrega Albuquerque ◽  
Juliana Monteiro Costa ◽  
...  

Abstract Objectives: to analyze the frequency of anxiety, stress and depression in Brazilians during the COVID-19 pandemic period. Methods: cross-sectional study conducted with Brazilians during the COVID-19 pandemic. Data collection was performed via an online electronic form containing self-reported sociodemographic and mental health variables using the Depression, Anxiety and Stress Scale (DASS-21) using the snow-ball sampling technique. For the whole study, a significance level of 0.05 was considered, except for the application of the stepwise method, which considered a level of 0.2. Results: 1,775 people responded the survey, mostly women (78.07%), white (58.13%), single (45.78%), currently working (63.74%). 32.03% received psychotherapy or some type of emotional support before the pandemic, 19.03% had some psychiatric diagnosis and 8.49% started some support after the beginning of the pandemic. The mean scores investigated by the DASS-21 scale were 5.53869 for depression, 4.467334 for anxiety and 8.221202 for stress. Conclusions: during the COVID-19 pandemic, sociodemographic and mental health characteristics were mapped and in Brazilians and the symptoms of anxiety, depression and stress were identified mainly in women, single people, who did not currently work and already had some previous mental health symptom.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gijs Hesselink ◽  
Lise Straten ◽  
Lars Gallée ◽  
Anne Brants ◽  
Joris Holkenborg ◽  
...  

Abstract Background The coronavirus disease 2019 (COVID-19) outbreak has been associated with stress and challenges for healthcare professionals, especially for those working in the front-line of treating COVID-19 patients. This study aimed to: 1) assess changes in well-being and perceived stress symptoms of Dutch emergency department (ED) staff in the course of the first COVID-19 wave, and 2) assess and explore stressors experienced by ED staff since the COVID-19 outbreak. Methods We conducted a cross-sectional study. An online questionnaire was administered during June–July 2020 to physicians, nurses and non-clinical staff of four EDs in the Netherlands. Well-being and stress symptoms (i.e., cognitive, emotional and physical) were scored for the periods pre, during and after the first COVID-19 wave using the World Health Organization Well-Being Index (WHO-5) and a 10-point Likert scale. Stressors were assessed and explored by rating experiences with specific situations (i.e., frequency and intensity of distress) and in free-text narratives. Quantitative data were analyzed with descriptive statistics and generalized estimating equations (GEE). Narratives were analyzed thematically. Results In total, 192 questionnaires were returned (39% response). Compared to pre-COVID-19, the mean WHO-5 index score (range: 0–100) decreased significantly with 14.1 points (p < 0.001) during the peak of the first wave and 3.7 points (< 0.001) after the first wave. Mean self-perceived stress symptom levels almost doubled during the peak of the first wave (≤0.005). Half of the respondents reported experiencing more moral distress in the ED since the COVID-19 outbreak. High levels of distress were primarily found in situations where the staff was unable to provide or facilitate necessary emotional support to a patient or family. Analysis of 51 free-texts revealed witnessing suffering, high work pressure, fear of contamination, inability to provide comfort and support, rapidly changing protocols regarding COVID-19 care and personal protection, and shortage of protection equipment as important stressors. Conclusions The first COVID-19 wave took its toll on ED staff. Actions to limit drop-out and illness among staff resulting from psychological distress are vital to secure acute care for (non-)COVID-19 patients during future infection waves.


2021 ◽  
Author(s):  
Giulia Bassi ◽  
Claudio Giuliano ◽  
Alessio Perinelli ◽  
Stefano Forti ◽  
Silvia Gabrielli ◽  
...  

BACKGROUND Adults with Diabetes Mellitus (DM) present difficulties in maintaining healthy behaviors, in which motivation represents a core component, since it allows them to adhere to clinical recommendations. Virtual Coaches (VCs) have recently become more relevant in supporting and treating common barriers associated with adherence among adults with DM, especially concerning medical and physical aspects. However, few VCs are aimed at supporting adults with DM from a psychosocial perspective. OBJECTIVE This proof-of-concept study aimed to evaluate—at pre-, post-intervention and follow-up—the preliminary efficacy of a VC intervention in motivating adults with DM to reduce depression, anxiety, perceived stress symptoms, diabetes-emotional distress, and improve their well-being, by encouraging them to adopt psychosocial healthy coping strategies. In addition, users’ experience and engagement with a VC were assessed. METHODS A total of 13 Italian adults with DM (18-51 years) were recruited using snowball sampling via social media and a standardized psychosocial tools battery was applied at pre-, post-intervention, and follow-up. Participation in the study implied having access to a VC called Motibot, which stands for Motivational bot, within the Telegram application, based on Natural Language Understanding (NLU). Its intent is to motivate the user to adopt and cultivate healthy coping strategies based on the American Association of Diabetes Educators’ (AADE) guidelines as well as on Mindfulness-Based Cognitive Therapy. Motibot interacts with users in compliance with the Transtheoretical Model of Change, in order to deliver the most appropriate psychoeducational intervention tailored to the user's motivation to change. The interaction covered 12 sessions—each one lasting 10-20 minutes—during which the user could dialogue with the VC by inputting text or tapping an option on their smartphone screen. RESULTS Over the 12 sessions there were no significant changes at pre-, post-intervention, and follow-up concerning the psychosocial factors. However, most users showed a downward trend over the three time periods in depression and anxiety symptoms—except for perceived stress symptoms, which remained moderate for the whole intervention—thereby presenting good psychological well-being and no diabetes-emotional distress. Moreover, users felt motivated, involved, encouraged, emotionally understood, and stimulated by Motibot during the interaction. Indeed, the analyses of interviews through a text mining approach confirmed that Motibot is capable of supporting and motivating adults with DM to adopt healthy coping strategies and reduce anxiety, depression, and perceived stress symptoms. Users also reported having a positive and interesting experience with Motibot, particularly regarding the mindfulness audio tracks and the encouragement for self-reflection on their own emotions. CONCLUSIONS A VC developed using NLU was well-accepted by users, particularly due to the presence of a mindfulness pathway, which motivated them to adopt healthy coping skills. Cultivating healthy coping strategies allows adults to reduce anxiety and depression symptoms as well as diabetes-related emotional distress, and to improve their well-being.


Author(s):  
Xiaoyan Liu ◽  
Pei Hwa Goh ◽  
Wei Xu ◽  
Jingjing Zhang

The present study aims to investigate how dispositional mindfulness affects the mental well-being of cancer patients through the way they perceive stress. A total of 182 moderate and advanced gastrointestinal cancer patients volunteered to complete the Mindful Attention Awareness Scale (MAAS), the Chinese Perceived Stress Scale (CPSS), and the General Health Questionnaire (GHQ). Results showed that perceived stress significantly mediated the relationship between dispositional mindfulness and all dimensions of the mental well-being as captured by the GHQ (i.e. anxiety/depression, social dysfunction, and loss of confidence), and perceived stress was positively correlated with all the dimensions of mental well-being. Results of the Structural Equation Model showed that the model fit the data very well (χ2/df = 1.72,RMSEA = 0.063 (95% CI = 0.014 ~ 0.103), CFI = 0.984, TLI = 0.970, SRMR=0.041). Further analyses showed that dispositional mindfulness predicted all the dimensions of psychological well-being. Specifically, higher levels of dispositional mindfulness predicted reduced subjective perceptions of stress, which in turn predicted lower levels of anxiety/depression, social impairment, and loss of confidence. This study indicated a possible mechanism of intervention focused on improving mindfulness capability. Future work is encouraged to investigate the long-term influence of dispositional mindfulness on perceived stress and psychological well-being in cancer patients with other types of cancer.


Author(s):  
Karuna Sandra Thomas ◽  
Chitra Venkateswaran ◽  
Ashwin Varghese Alexander

Background: Common childhood psychiatric problems like attention deficit hyperkinetic disorder (ADHD), Pervasive developmental disorder (PDD) and learning disability (LD) often co-exists with each other and form a constellation of behavioural manifestations that require extra attention from the caregivers. Having a differentially-abled child is challenging and most parents have to learn to restructure their lives around that of the child. There is a difference in the attitudes of both the parents as far as parenting a disabled child is concerned. Mothers often shoulder the primary caregiving role however the psychological costs borne by women go unrecognized. The study aims to assess the care giver burden (BOC) and perceived stress (PS) and quality of life (QOL) in mothers of children with ADHD, PDD and LD.Methods: It was a cross-sectional study with 336 child mother pairs. The mothers were asked to rate their burden and stress symptoms on the perceived stress scale and Burden of care scale. The mothers were also asked to rate their quality of life on the quality of life scale.Results: The mean PS score was highest in the PDD group. The mean BOC was lowest in the LD group. The QOL score was highest in the LD group.  There is statistically significant difference in the PS, BOC and QOL scores among the three groups.Conclusions: There is a hidden lacuna of psychological stress in mothers of children with common psychiatric problems. The study also establishes that these mothers have poorer quality of life. It is necessary to address these psychological issues of the mother at every visit and equip them with coping strategies so that they can look after both themselves and their special needs child.


Trauma Care ◽  
2022 ◽  
Vol 2 (1) ◽  
pp. 11-22
Author(s):  
Chidi Chima ◽  
Reham Shalaby ◽  
Mobolaji A. Lawal ◽  
Wesley Vuong ◽  
Marianne Hrabok ◽  
...  

Background: This cross-sectional study explored variation of the prevalence of perceived stress, depression and anxiety among different self-identified gender identity groups in the Canadian population during the early stages of the COVID-19 pandemic. Methods: Anxiety, depression, and stress were assessed using the Generalized Anxiety Disorder 7-item (GAD-7) scale, Patient Health Questionnaire-9 (PHQ-9), and Perceived Stress Scale (PSS) respectively. Data were analyzed using one-way analysis of variance. Results: There were 8267 respondents to the online survey; 982 (12.0%) were male-identified, 7120 (86.9%) female-identified, and 92 (1.1%) identified as a diverse gender group. Prevalence rates for clinically meaningful anxiety (333 (41.7%), 2882 (47.6%), 47 (61.0%)), depression (330 (40.2%), 2736 (44.3%), 46 (59.7%)), and stress (702 (79.6%), 5711 (86.4%), 74 (90.2%)) were highest among respondents who self-identified as “other gender” followed by female-identified and then male-identified, respectively. There were statistically significant differences between gender groups for mean scores on GAD-7 (F (2, 6929) = 18.02, p = 0.00), PHQ-9 (F (2191.4) = 11.17, p < 0.001), and PSS (F (2204.6) = 21.13, p < 0.001). Conclusions: Gender identity differences exist in terms of the prevalence and severity of anxiety, depressive, and stress symptoms during the COVID-19 pandemic. This finding highlights the importance of incorporating self-identified gender identity in medical research, clinical practice, and policy.


Author(s):  
Ved Prakash Sharma ◽  
Ravi Shankar

Background: Cancer disease is a dangerous illness that causes about12% of deaths throughout the world. Increasing to 54% of all deaths by the year 2025. Recent international data show that there were 10 million new cases, 6 million deaths, and 22 million people living with cancer in 2000. In addition to physiological problems, the patient faces at large too many inherent problems by the family and society. Methods: A Hospital-based cross-sectional study was carried out among the people aged 18 to 70 years from the selected study area. The sample size was determined based on a prior study of the mean score of these three psychological variables anxiety, depression, stress. data was collected by using hospital anxiety depression scale and presumptive stressful life event scale.Results: In our study, The percentage of mean depression and stress level before 1 year were higher (11.49±2.76) (64.12±85.28) in CKD patients than cancer patients (10.86±2.51) (39.57±56.60), and the difference was found to be statistically significant (t=2.119, p=0.035) (Z=2.327, p=0.020) but the mean percentage of anxiety (7.43±3.21) and stress during past 1 year (317.46±87.95) were higher in cancer patients than CKD patients (5.63±2.82) (266.01±87.26). Conclusions: Based on our findings we may conclude that cancer patients have inclined to various psychological problems particularly depression, anxiety, and stress as compared to CKD. The depression and stress level before 1 year in CKD patients were more than that of cancer patients but anxiety and stress level during past 1 year was found more in cancer patients than that of CKD patients. Cancer thoroughly breaks the patients psychologically as well as biologically. 


2021 ◽  
pp. 105477382110032
Author(s):  
Nurul Huda ◽  
Yun-Yen ◽  
Hellena Deli ◽  
Malissa Kay Shaw ◽  
Tsai-Wei Huang ◽  
...  

The purpose of this study was to test the mediating effects of coping on relationships of psychological distress and stress with anxiety, depression, and quality of life. A cross-sectional and correlational research study was used to recruit a sample of 440 patients with advanced cancer in Indonesia. A bootstrap resampling procedure was used to test the significance of the total and specific indirect effects of coping. Data analysis showed that problem-focused coping (PFC) mediated relationships of psychological distress and stress on depression, anxiety and functional well-being. PFC also mediated the relationship between stress and social well-being. Emotional-focused coping (EFC) mediated the relationship of stress with physical and emotional well-being. EFC also mediated the relationships between psychological distress and physical well-being. Thus, proper assessments and interventions should be tailored and implemented for patients in order to facilitate their use of coping strategies when needed in stressful situations.


Author(s):  
Vanajakshamma Velam ◽  
Vyshnavi Kancherla ◽  
Latheef Kasala ◽  
Anusha Kancherla ◽  
Mounica Reddy Pillaram

Abstract Background This study was an attempt to assess and compare the gender-wise lifestyle patterns and well-being status among the employees of a tertiary care teaching hospital. Material and Methods This is a cross-sectional, questionnaire-based study conducted at a tertiary care hospital between May and August 2019. A total of 777 employees belonging to both genders (male and female) and working at different professional levels were assessed. All the enrolled employees were subjected to a comprehensive study tool consisting of various dimensions of their health, which included physical, mental, social, spiritual and intellectual health dimensions. Results Among the participants, 327 (42.1%) were male and 450 (57.9%) were female. There was no significant difference in the mean age of male (37.91 ± 7.52) and female (36.85 ± 8.16) employees (p = 0.07). A significantly higher proportion of diabetes and hypertension were seen in male employees (9.8% and 14.4%, respectively) than in female (5.6% and 6.2% respectively). The overall well-being was better in male employees than in females and was statistically significant (p < 0.0001). We found that male employees had statistically significant better well-being in terms of physical, mental and social health whereas female employees had intellectual health. Conclusion The overall well-being in healthcare staff was good at our tertiary care hospital, and the outstanding/good well-being rate was higher in male employees than in female employees. Female employees experienced risks with regard to their physical health.


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