scholarly journals DEPRESSION AND ANXIETY IN PARENTS OF CHILDREN WHO ARE CANDIDATES FOR LIVER TRANSPLANTATION

2016 ◽  
Vol 53 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Yasin SAHIN ◽  
Osman VIRIT ◽  
Bahadir DEMIR
Keyword(s):  
Liver Transplantation ◽  
Anxiety Disorders ◽  
Psychosocial Factors ◽  
Rating Scale ◽  
Routine Care ◽  
Psychiatric Disease ◽  
Depression And Anxiety ◽  
Primary Stress ◽  
Significant Difference ◽  
Prevalence Of Depression

ABSTRACT Background The primary stress factor for families in the pre-transplant period is reported as the waiting time for suitable organs, leading to anxiety, despair, and distress. Objective We investigated the psychosocial factors, anxiety and depression, in the parents of children who are candidates for liver transplantation. Methods Thirty-five pediatric liver transplantation candidates and their 38 parents, from February to August 2014, were included. Participants were evaluated using the Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), and Clinical Global Impression Scale (CGI). Results We found that a significant number of parents (n=25, 65.7%) were diagnosed with clinical psychiatric disease: 18.4% (n=7) with depression and 47.3% (n=18) with anxiety disorders. There was a significant difference in the examination scores of parents between genders (P <0.05). There was also a significant difference in CGI and HAM-D scores of parents relative to the history and presence of liver disease (P<0.05). Conclusion The rate of these disorders was high in relation to the prevalence of depression and anxiety disorders in the community reported in the literature. Therefore, it is necessary to evaluate psychosocial factors of parents of all transplant candidate children as a part of routine care so that the high-risk to family members and to enable early intervention.

scholarly journals Prevalence of anxiety and depression among domestic and foreign medical students in Poland

2020 ◽  
Author(s):  
Aneta Anna Jaroszewska ◽  
Szymon Tyras ◽  
Martyna Dziewit ◽  
Joanna Jaroszewska ◽  
Katarzyna Podhorodecka
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Anxiety Disorders ◽  
Study Groups ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Student Group ◽  
Significant Difference ◽  
Prevalence Of Depression ◽  
Depression Disorders

Introduction: Depression and anxiety disorders are much more common among medical students than in the general population. Due to additional risk factors, foreign students may be particularly vulnerable. Despite this, there is still an insufficient number of studies analyzing the prevalence of mental disorders among foreign medical students, especially in Poland. Aim: The aim of the study was to assess and compare the prevalence of anxiety and depression disorders between domestic and foreign medical students in Poland. Material and methods: An anonymous internet survey containing questions about socio-demography and the Hospital Anxiety and Depression Scale questionnaire was distributed among students. Based on the field of study and country of origin, participants were divided into 3 groups – Polish medical student group (PMG, n = 214); foreign medical student group (FMG, n = 59) and control group, which were Polish students of other faculties (CG, n = 476). The study groups were compared using the χ2 test. Results and discussion: The prevalence of depression disorders was 30%, 31% and 28% (PMG, FMG and CG, respectively). No statistically significant difference was observed between the study groups (P = 0.77). The prevalence of anxiety disorders was 57%, 90% and 59% (PMG, FMG and CG, respectively). Anxiety disorders were more common among FMG as compared to PMG and CG (P < 0.01 in both cases). Conclusions: The prevalence of depression and anxiety among medical students in Poland is high. Foreign medical students appear to be particularly vulnerable to anxiety disorders.

scholarly journals Depressive and Anxiety Disorders in Systemic Lupus Erythematosus Patients without Major Neuropsychiatric Manifestations

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Ru Bai ◽  
Shuang Liu ◽  
Yueyin Zhao ◽  
Yuqi Cheng ◽  
Shu Li ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Anxiety Disorders ◽  
Disease Activity ◽  
Emotional Disorders ◽  
Lupus Erythematosus ◽  
Rating Scale ◽  
Depression And Anxiety ◽  
Systemic Lupus ◽  
Prevalence Of Depression ◽  
Neuropsychiatric Manifestations

Depressive and anxiety disorders are frequently observed in patients with Systemic Lupus Erythematosus (SLE). However, the underlying mechanisms are still unknown. We conducted this survey to understand the prevalence of depression and anxiety in SLE patients without major neuropsychiatric manifestations (non-NPSLE) and to explore the relationship between emotional disorders, symptoms, autoantibodies, disease activity, and treatments in SLE. 176 SLE patients were included, and SLE disease activity index (SLEDAI), Hamilton Depression Rating Scale (HAMD), and Hamilton Anxiety Rating Scale (HAMA) were recorded to evaluate their disease activity and emotional status. We found that depressive and anxiety disorders were common among SLE patients: 121 (68.8%) patients were in depression status while 14 (8.0%) patients could be diagnosed with depression. Accordingly, 101 (57.4%) were in anxiety status and 21 (11.9%) could be diagnosed with anxiety. Depression was associated with disease activity, and anxiety was associated with anti-P0 antibody, while both of them were associated with proteinuria. HAMA and HAMD scores were in strong positive correlation and they were independent risk factors of each other. We concluded that the high prevalence of depression and anxiety and the association between depression and SLE disease activity might reveal the covert damage of central nervous system in SLE. The role of anti-P0 antibody in SLE patients with emotional disorders warrants more researches.

Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies

2010 ◽  
Vol 40 (12) ◽  
pp. 1943-1957 ◽  
Author(s):  
P. Cuijpers ◽  
T. Donker ◽  
A. van Straten ◽  
J. Li ◽  
G. Andersson
Keyword(s):  
Anxiety Disorders ◽  
Meta Analysis ◽  
Routine Care ◽  
Drop Out ◽  
Depression And Anxiety ◽  
Face To Face ◽  
Self Help ◽  
Significant Difference ◽  
Post Test ◽  
The Difference

BackgroundAlthough guided self-help for depression and anxiety disorders has been examined in many studies, it is not clear whether it is equally effective as face-to-face treatments.MethodWe conducted a meta-analysis of randomized controlled trials in which the effects of guided self-help on depression and anxiety were compared directly with face-to-face psychotherapies for depression and anxiety disorders. A systematic search in bibliographical databases (PubMed, PsycINFO, EMBASE, Cochrane) resulted in 21 studies with 810 participants.ResultsThe overall effect size indicating the difference between guided self-help and face-to-face psychotherapy at post-test was d=−0.02, in favour of guided self-help. At follow-up (up to 1 year) no significant difference was found either. No significant difference was found between the drop-out rates in the two treatments formats.ConclusionsIt seems safe to conclude that guided self-help and face-to-face treatments can have comparable effects. It is time to start thinking about implementation in routine care.

Depression and Anxiety in Patients with Chronic Renal Failure Undergoing Hemodialysis

2021 ◽  
Author(s):  
Elham Shahraki ◽  
Mansoor Shakiba ◽  
Seyedeh Yasaman Ghasemi-Aliabadi
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Depression And Anxiety ◽  
Mild Depression ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
High Level

Background: Chronic renal failure is a disabling condition with multiple complication such as depression and anxiety; they are common in hemodialysis patients and have negatively effect on quality of life. In this study we investigate the prevalence of depression and anxiety in Zahedan hemodialysis patients. Methods: A total 200 patients undergoing regular hemodialysis for more than six months included in this descriptive cross-sectional study. After consent The Hamilton Rating Scale for Depression and anxiety (HAM-D7) in a version translated into and adapted to Persian, were used. Results: The patients median age was (43.06 ± 16.11) years and 38.5% was male. Mild depression was observed in (15) 7.5%, moderate in (81) 40.5% and sever depression in (104) 52% of patients. In this study 19.5% (39) of patients has moderate anxiety and 80.5% (161) patients with sever anxiety. A significant correlation was found between duration of dialysis, older age and depression. But there wasn’t any relationship between age and duration of dialysis with anxiety. Anxiety and depression found without any significant differences in both males and females. Conclusion: We found high level of depression an anxiety in Zahedan hemodialysis patients.

scholarly journals Effects of Singing Songs about Preoperative Care for Tonsillectomy on the Anxiety of Children Undergoing Tonsillectomy

2019 ◽  
pp. 17-20
Author(s):  
Mohebbi Kharrati ◽  
Sadat Hoseini Akram Sadat ◽  
Pour Abouli Batol ◽  
Kazemnejad
Keyword(s):  
Rating Scale ◽  
Scientific Evidence ◽  
Intervention Group ◽  
Routine Care ◽  
Preoperative Care ◽  
Operative Procedures ◽  
Chi Square ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Children’S Anxiety

Introduction: Surgery creates anxiety for children, whose control and reduction are among the objectives of nursing care. Nurses have always sought scientific evidence for the use of innovative techniques appropriate for the level of understanding, recognition, and need of children, such as the use of poetry to reduce children's anxiety. Therefore, the present study aimed to investigate the effects singing songs about preoperative care for tonsillectomy on the anxiety of children undergoing tonsillectomy. Method: This quasi-experimental non-random study recruited 76 children aged 7-12 years old presenting to the hospital for tonsillectomy were selected with a convenience sampling method. In addition to the routine care, some songs were sung to children in the intervention group about pre- and post-operative procedures before, on the day of, and after the surgery. Hamilton Anxiety Rating Scale (HAM-A) was filled out before and after the surgery and on the day of discharge in the intervention and control groups in order to measure children's anxiety. Data were analyzed in SPSS software using Chi-square, Mann-Whitney, and Fisher’s exact tests. Results: The results showed that the mean and standard deviation of anxiety in both groups (control=19.57 ± 3.65; intervention=19.78 ± 4.87) were not significantly different before the intervention (P=0.48), while a significant difference (P<0.001) was observed on the day of surgery between the two groups (control=34.28 ± 5.68; intervention=26.97 ± 4.6). Conclusion: Nurses can sing songs about pre- and post-operative procedures as an easy, inexpensive way appropriate for children’s level of development to reduce their anxiety. Furthermore, the family’s engagement in pre-operative training in an innovative manner can be a step forward in the development of family-based care.

scholarly journals Sleep Impairment at the Time of First Diagnosis in Patients with Seronegative Elderly-Onset Rheumatoid Arthritis and in Patients with Polymyalgia Rheumatica    

2019 ◽  
Author(s):  
Ciro Manzo ◽  
Alberto Castagna
Keyword(s):  
Rheumatoid Arthritis ◽  
Differential Diagnosis ◽  
Polymyalgia Rheumatica ◽  
Rating Scale ◽  
Depression And Anxiety ◽  
Sleep Impairment ◽  
Significant Difference ◽  
Elderly Onset ◽  
Total Point ◽  
Elderly Onset Rheumatoid Arthritis

Background: Differential diagnosis between polymyalgia rheumatica (PMR) and seronegative elderly-onset rheumatoid arthritis (SEORA) is not easy, to the point that in the past they were considered the same entity. In these patients, sleep disorders have been scarcely assessed, and considered as expression of mood disorders such as depression and anxiety. Methods: In 38 Caucasian elderly patients (median age: 73.9 &plusmn; 8.06 years) consecutively referred to two outpatient clinics from January to May 2018 with diagnosis of PMR and SEORA, sleep impairment was assessed using the Medical Outcomes Study-Sleep scale (MOS-SS). Depression and anxiety were assessed using the Neuropsychiatric Inventory (NPI) score, with point 0 for absent and point 3 for severe. Comorbidities were assessed using the Cumulative Illness Rating Scale (CIRS).&nbsp; Patients taking medications used to treat sleep disturbance or that could favor sleep disturbances were excluded.&nbsp; The study was approved by the local ethics committee and carried out in accordance with the Helsinki Declaration, revised 2013. Every patient signed an informed consent form at the time of the first visit. Results: MOS-SS total point in PMR patients was significantly higher than in SEORA patients (47.60 &plusmn; 8.4 vs 28.26 &plusmn; 12.4; P = 0.000). After six-month therapy with prednisone (12.5&ndash;15 mg/day, followed after 4 weeks by gradual tapering), MOS-SS total point improved in the two groups of patients, with no significant difference (17.0 &plusmn; 6.2 vs 17.8 &plusmn; 4.2; P = 0.644). No correlation was found between MOS-SS and comorbidities, and between MOS-SS, anxiety or depression. Conclusions: Our data suggest that the assessment of sleep impairment could be very useful in the differential diagnosis between PMR and SEORA. Up today, the reasons why patients with PMR have&mdash;at the time of diagnosis&mdash;a sleep impairment higher than SEORA are speculative. Further ad hoc complementary studies in multicenter cohorts are needed.

Assessment of cognitive functions and psychiatric symptoms in hepatitis C patients receiving pegylated interferon alpha and ribavirin: A prospective cohort study

2019 ◽  
Vol 54 (6) ◽  
pp. 424-440
Author(s):  
Shehab H Hassaan ◽  
Alaa M Darwish ◽  
Hossam Khalifa ◽  
Haidi Karam Alla Ramadan ◽  
Sahar M Hassany ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Cognitive Performance ◽  
Interferon Alpha ◽  
Verbal Memory ◽  
Rating Scale ◽  
Quantitative Polymerase Chain Reaction ◽  
Depression And Anxiety ◽  
Adult Intelligence Scale ◽  
Significant Difference

Objective This study aimed to prospectively evaluate cognitive functioning in hepatitis C virus patients before, during, and after interferon alpha and to assess the psychiatric side effects of interferon alpha such as depression and anxiety. Methods A total of 100 chronic hepatitis C virus patients eligible for interferon therapy from the hepatitis outpatient clinic of Assiut University Hospital were included. A full medical and psychiatric assessment was done using the Hamilton Depression Rating Scale (HAM-D) and Hamilton Anxiety Rating Scale (HAM-A). Cognitive assessment was done using The Mini-Mental State Examination (MMSE), Memory Assessment Scales (MAS), and Wechsler Adult Intelligence Scale (WAIS). Medical, cognitive, and psychiatric assessments were conducted at the start of the study and after starting the treatment at two, four, and six months. Results There was a significant increase in the mean scores of HAM-D (t = 7.739, p < 0.001; t = 5.707, p < 0.001; t = 5.115, p < 0.001) and HAM-A (t = 6.237, p < 0.001; t = 4.154, p < 0.001; t = 3.955, p < 0.001) scales at the two, four, and six month follow-ups, respectively, in comparison to the baseline measurements. As regards to the MAS, repeated assessments after two, four, and six months showed no statistically significant difference from the baseline apart from deterioration in the verbal memory performance after six months in comparison to the baseline (t = −2.605, p = 0.011). As regards to MMSE, the verbal intelligence quotient (IQ), performance IQ, and total IQ, there was a significant improvement in the patients’ cognitive performance, in comparison to the baseline, after two months (t = 2.144, p = 0.035), four months (t = 2.868, p = 0.002), and six months (t = 3.505, p = 0.001), respectively. There was also a significant negative correlation between HAM-D mean scores and the MAS verbal mean scores of the patients (r = −.219, p = 0.039). Conclusion There were increases in symptoms of depression and anxiety during interferon alpha and ribavirin treatment, which do not correlate with the patients’ cognitive performance. There was a significant improvement in cognitive performance except in verbal memory with the progress of interferon alpha treatment. Years of education, socioeconomic status, and lower quantitative polymerase chain reaction are predictors for better cognitive performance.

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