scholarly journals Psychopathological evaluation and use of the Hospital Anxiety and Depression Scale in a sample of Brazilian patients with post-stroke depression

2016 ◽  
Vol 43 (6) ◽  
pp. 147-150 ◽  
Author(s):  
Vinicius S. P. Pedroso ◽  
Érica L. M. Vieira ◽  
André R. Brunoni ◽  
Edward C. Lauterbach ◽  
Antônio L. Teixeira
2004 ◽  
Vol 8 (5) ◽  
pp. 397-399 ◽  
Author(s):  
W. K. Tang ◽  
G. S. Ungvari ◽  
H. F. K. Chiu ◽  
K. H. Sze ◽  
A. Chan Shiu Yu ◽  
...  

2017 ◽  
Vol 3 (2) ◽  
pp. 139
Author(s):  
Sri Hartati Pratiwi ◽  
Eka Afrima Sari ◽  
Taty Hernawaty

ABSTRAK            Pasien paska stroke dapat mengalami berbagai gejala sisa sehingga dibutuhkan perawatan dalam jangka waktu yang lama. Kondisi tersebut dapat menjadi penghambat dan sumber stress bagi pasien paska stroke. Stres dan depresi dapat menjadi penghambat dan memperberat kondisi pasien. Banyak faktor yang mempengaruhi kecemasan dan depresi pasien sehingga dapat berbeda-beda di berbagai tempat. Oleh karena itu, penelitian ini dilakukan untuk mengidentifikasi kecemasan dan depresi di Rumah Sakit Hasan Sadikin Bandung sehingga dapat dijadikan bahan dasar dalam memberikan asuhan keperawatan yang sesuai dengan kondisi pasien. Penelitian ini merupakan penelitian deskriptif terhadap pasien paska stroke yang kontrol ke poliklinik saraf RS. Hasan Sadikin Bandung. Teknik sample yang digunakan adalah konsekutive sampling dengan jumlah sampel sebanyak 50 orang. Instrumen yang digunakan dalam penelitian ini adalah Hospital Anxiety Depression Scale (HADS). HADS memiliki kelebihan yaitu dapat mengukur kecemasan dan depresi dalam waktu yang sama. Data yang terkumpul akan dianalisa dengan distribusi frekuensi. Hasil penelitian ini memperlihatkan bahwa 74% pasien paska stroke berada dalam kondisi kecemasan normal, 24% mengalami kecemasan ringan, 2% kecemasan sedang dan tidak ada yang mengalami kecemasan berat. Responden berada pada kondisi depresi ringan 8%, 92 % berada dalam kategori normal dan tidak ada satupun yang mengalami depresi sedang maupun berat. Hasil penelitian ini dapat dipengaruhi oleh karakteristik sebagian besar responden yang berusia pada tahapan dewasa madya, memiliki status menikah, dan tidak memiliki penyakit penyerta apapun. Kecemasan dan depresi sebagian besar pasien paska stroke berada dalam kondisi normal namun ada beberapa yang mengalami kecemasan dan depresi. Tenaga kesehatan khususnya perawat diharapkan dapat mengkaji dan memberikan intervensi terhadap kecemasan dan depresi sedini mungkin dengan memberikan konseling sebagai program tambahan dalam rehabilitasi. Keywords: Kecemasan, depresi, stroke  ABSTRACT Post-stroke patients may experience a variety of residual symptoms that require long-term treatment. These conditions can be a source of stress for patients post-stroke. Stress and depression can be aggravate the condition of the patient. There is many factors can affect anxiety and depression in patients so they can differ in different places. Therefore, this study was conducted to assess anxiety and depression in  post-stroke patients at Hasan Sadikin Hospital so that it can be used as a basic data of nursing intervention and implementation to match the conditions that exist there. This research was a descriptive study of post-stroke patients who control at the neurological polyclinic of Hasan Sadikin Hospital Bandung. The sample technique used consecutive sampling with a sample size of 50 people. The instrument used in this study was Hospital Anxiety Depression Scale (HADS). HADS is an instrument for assessing anxiety and depression at the same time in patients at the hospital. The collected data were analyzed by using frequency distribution. The results of this study showed that 74% of post-stroke patients were in normal anxiety states, 24% had borderline abnormal, 2% abnormal. There were 8% of respondens who had borderline abnormal,  92% were in the normal category and none of them had abnormal. The results of this study can be influenced by the characteristics of most respondents who are at middle age mature, married and do not have comorbidities so that his anxiety is low and his coping skills are good. Most of post-stroke patients had normal level of anxiety and depression, only some who experienced mild and severe level of anxiety and depression. Health workers, especially nurses are expected to early assess and provide intervention to anxiety and depression as early as possible by providing counseling as an additional program in rehabilitation.


2009 ◽  
Vol 57 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Lena Schirmer ◽  
Anja Mehnert ◽  
Angela Scherwath ◽  
Barbara Schleimer ◽  
Frank Schulz-Kindermann ◽  
...  

Die in mehreren Studien gefundenen kognitiven Störungen bei Tumorpatienten nach Chemotherapie werden zumeist mit der Zytostatikaneurotoxizität assoziiert. In der vorliegenden Arbeit wird der Zusammenhang von Angst, Depression und Posttraumatischer Belastungsstörung mit der kognitiven Leistungsfähigkeit bei Frauen mit Mammakarzinom untersucht. Insgesamt wurden 76 Brustkrebspatientinnen fünf Jahre nach Abschluss der onkologischen Behandlung mit neuropsychologischen Testverfahren sowie mit der Hospital Anxiety and Depression Scale – Deutsche Version (HADS-D) und der Posttraumatic Stress Disorder Checklist – Civilian Version (PCL-C) untersucht: 23 nach Standard- und 24 nach Hochdosistherapie sowie 29 nach Brustoperation und Strahlentherapie als Vergleichsgruppe. Signifikante Zusammenhänge sind vor allem zwischen kognitiven Funktionen und Intrusionssymptomen einer Posttraumatischen Belastungsstörung (PTBS) festzustellen. Bei Patientinnen nach Standardtherapie weisen Intrusionen der PTBS einen moderaten Zusammenhang mit der globalen kognitiven Beeinträchtigung auf. Die Ergebnisse der Studie deuten auf multidimensionale Einfluss- und moderierende Faktoren bei der Entwicklung kognitiver Defizite bei Brustkrebspatientinnen nach onkologischer Therapie hin.


Diagnostica ◽  
2003 ◽  
Vol 49 (1) ◽  
pp. 34-42 ◽  
Author(s):  
Andreas Hinz ◽  
Winfried Rief ◽  
Elmar Brähler

Zusammenfassung. Der Whiteley-Index ist ein Instrument zur Erfassung von Hypochondrie. Für diesen Fragebogen wurde eine Normierungs- und Validierungsstudie anhand einer bevölkerungsrepräsentativen Stichprobe (n = 1996) durchgeführt. Hypochondrie zeigt eine etwa lineare Altersabhängigkeit (r = .24). Frauen haben in allen Altersstufen höhere Hypochondrie-Ausprägungen als Männer. Für verschiedene Alters- und Geschlechtsgruppen werden Normwerte bereit gestellt. Die in der Literatur beschriebene dreidimensionale Struktur des Whiteley-Index (Krankheitsängste, somatische Beschwerden und Krankheitsüberzeugung) konnte mit gewissen Einschränkungen bestätigt werden. Validierungsuntersuchungen mit anderen Instrumenten (Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, Gießener Beschwerdebogen, Screening für Somatoforme Störungen und Nottingham Health Profile) zeigten, dass eine auf sieben Items reduzierte Kurzskala der Gesamtskala mit 14 Items ebenbürtig ist. Für differenzierte Analysen wird jedoch die Originalskala empfohlen. Durch die angegebenen Normwerte ist es künftig besser möglich, Patientengruppen verschiedener Alters- und Geschlechtsverteilungen untereinander oder auch mit Stichproben der Normalbevölkerung zu vergleichen.


2020 ◽  
Author(s):  
Anne Vinggaard Christensen ◽  
Jane K. Dixon ◽  
Knud Juel ◽  
Ola Ekholm ◽  
Trine Bernholdt Rasmussen ◽  
...  

2018 ◽  
Vol 9 (2) ◽  
pp. 63
Author(s):  
Anil Kumar Roy ◽  
Nilesh Maruti Gujar ◽  
Arif Ali ◽  
Utpal Borah

Background: Studies have shown that caregivers of the persons with the neurological illness have high levels of psychological distress, depression and caregiver’s burden. The aim of the study was to find out anxiety, depression and caregiver’s burden among the caregivers of persons with neurological illness (PWNI). Method: Thirty caregivers of PWNI attending the Centre of Rehabilitation Sciences, LGB Regional Institute of Mental Health, Tezpur, Assam were selected using purposive sampling technique for the present study. Socio-demographic and clinical data sheet, Zarit Burden Interview Scale and The Hospital Anxiety and Depression Scale were used. Results: The results shown that in Hospital Anxiety and Depression Scale, 26.6% of the caregivers' scores were in the abnormal range in the domain of depression. While in the domain of anxiety, 16.6% scored in the abnormal range. In Zarit Burden of Scale, 13.3% of the caregivers were having little or no burden, 26.6% of the caregivers were having mild to moderate level of burden, 20% were having moderate to severe burden and 30% were having a severe burden of care. Care burden has significant positive correlation with depression (r= .124, p≤ 0.01 and anxiety (r= .124, p≤ 0.05). Conclusion: Caregivers of PWNI have been found to be at higher risk of mental health problems and care burden. The importance of addressing the burden of caregivers involved in the care of PWNI need to be taken into consideration while providing treatment and rehabilitation of PWNI.     Keywords: Anxiety, depression, burden, neurological illness


Author(s):  
Gurumayum Sonachand Sharma ◽  
Anupam Gupta ◽  
Meeka Khanna ◽  
Naveen Bangarpet Prakash

Abstract Objective The aim of the study is to observe the effect of post-stroke depression on functional outcomes during inpatient rehabilitation. Patients and Methods The design involved is prospective observational study. The location involved is Neurological Rehabilitation unit in a tertiary care university hospital. The study period ranges from October 2019 to April 2020. The participants involved are the patients with first ever stroke, male and female with age ≥18 years and duration less than 1 year. All participants were assessed at admission and after 14 sessions of inpatient rehabilitation by depression subscale of Hospital Anxiety and Depression Scale (HADS-D) and Hamilton Depression Rating Scale (HDRS). The stroke outcomes measures used were: Barthel Index (BI), Scandinavian Stroke Scale (SSS), and Modified Rankin Scale (MRS). Results There are a total of 30 participants (18 males) with median stroke duration of 90 days. The median age of the patients was 58 years. Sixteen patients had ischemic and 14 had hemorrhagic stroke. Out of these, 57% (n = 17) had symptoms of depression (HADS-D >7). Participants in both groups (with and without depression) showed improvement in all the functional outcome measures (BI, SSS, MRS) at the time of discharge as compared with admission scores. The changes in the outcome measures were statistically significant within groups (p < 0.05) but not significant between the groups (p > 0.05). Conclusion The post-stroke depression is common among stroke survivors of less than 1 year duration. There was no significant difference in the functional outcomes between stroke patients with depression and those without depression with inpatient rehabilitation program.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Magnus Johansson ◽  
Markus Jansson-Fröjmark ◽  
Annika Norell-Clarke ◽  
Steven J. Linton

Abstract Background The aim of this investigation was to examine the longitudinal association between change in insomnia status and the development of anxiety and depression in the general population. Methods A survey was mailed to 5000 randomly selected individuals (aged 18–70 years) in two Swedish counties. After 6 months, a follow-up survey was sent to those (n = 2333) who answered the first questionnaire. The follow-up survey was completed by 1887 individuals (80.9%). The survey consisted of questions indexing insomnia symptomatology, socio-demographic parameters, and the Hospital Anxiety and Depression Scale. Change in insomnia status was assessed by determining insomnia at the two time-points and then calculating a change index reflecting incidence (from non-insomnia to insomnia), remission (from insomnia to non-insomnia), or status quo (no change). Multivariate binary logistic regression analyses were used to examine the aim. Results Incident insomnia was significantly associated with an increased risk for the development of new cases of both anxiety (OR = 0.32, p < .05) and depression (OR = 0.43, p < .05) 6 months later. Incident insomnia emerged also as significantly associated with an elevated risk for the persistence of depression (OR = 0.30, p < .05), but not for anxiety. Conclusions This study extends previous research in that incidence in insomnia was shown to independently increase the risk for the development of anxiety and depression as well as for the maintenance of depression. The findings imply that insomnia may be viewed as a dynamic risk factor for anxiety and depression, which might have implications for preventative work.


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