Causal Attributions in Parents of Babies with a Cleft Lip and/or Palate and Their Association with Psychological Well-Being

2009 ◽  
Vol 46 (4) ◽  
pp. 425-434 ◽  
Author(s):  
Jonathan Nelson ◽  
Catherine O'Leary ◽  
John Weinman
Keyword(s):  
Perceived Stress ◽  
Attribution Theory ◽  
Cleft Lip ◽  
Causal Attributions ◽  
Causal Attribution ◽  
Depression Scale ◽  
Well Being ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Self Blame

Objective: This study aimed to assess causal attributions of parents of babies with a cleft lip and/or palate. Evidence from causal attribution theory and attribution studies in other medical conditions led to the hypothesis that parents who make internal attributions (self-blame) will have poorer psychological well-being. Design: A cross-sectional survey. Setting: Postal questionnaires were sent to parents of children under the care of the South Thames Cleft Service at Guy's Hospital. Participants: Participants were recruited if they had a baby between 12 and 24 months old with a cleft lip and/or palate. Of 204 parents, 42 responded. Main Outcome Measures: A semistructured questionnaire about causal beliefs was completed alongside validated questionnaires measuring anxiety, depression (Hospital Anxiety and Depression Scale), and perceived stress (Perceived Stress Scale). Results: Causal attributions were grouped according to type (environmental, chance, self-blame, and no belief) and loci (external or internal). The most common attribution made was to external factors (54.4%), followed by no causal attribution (38.1%). Parents making an internal (self-blaming) attribution (16.7%) had significantly (p < .05) higher scores on the Hospital Anxiety and Depression Scale anxiety measure (r  =  .32) and Perceived Stress Scale (r  =  .33), but not on the Hospital Anxiety and Depression Scale depression measure (p  =  .283). Conclusions: The high number of parents making an external attribution can be explained by causal attribution theory. However, the percentage of parents making no causal attribution was higher than seen in previous research. Surprisingly, no parents blamed others. The main hypothesis was tentatively accepted because there were significantly higher anxiety and stress scores in parents who self-blamed; although, depression scores were not significantly higher.

scholarly journals Psychological well-being and illness perceptions in patients with hypopituitarism

Pituitary ◽  
2021 ◽  
Author(s):  
Tessa N. A. Slagboom ◽  
Jan Berend Deijen ◽  
Christa C. Van Bunderen ◽  
Hans A. Knoop ◽  
Madeleine L. Drent
Keyword(s):  
Social Adjustment ◽  
Causal Attributions ◽  
Illness Perceptions ◽  
Causal Attribution ◽  
Depression Scale ◽  
Well Being ◽  
Mood States ◽  
Psychological Well Being ◽  
Language Version ◽  
Sleeping Problems

Abstract Objective The primary aim of the current study was to objectify a spectrum of persisting subjective psychological complaints in patients with hypopituitarism, at least six months after normalizing of the hormonal disturbances. Also, gender differences on these outcomes were investigated. The secondary aim was to identify illness perceptions and causal attributions within this patient group. Methods A total of 42 adult participants (60% females) with treated hypopituitarism once filled out a number of psychological questionnaires. The Profile of Mood States (POMS) and the Hospital Anxiety and Depression Scale (HADS) assessed mood and the Symptom Checklist-90 (SCL-90) and the Work and Social Adjustment Scale (WSAS) assessed well-being. Illness perceptions were identified using the Illness Perceptions Questionnaire-Brief Dutch Language Version (IPQ-B DLV) and causal attributions by using the Causal Attribution List (CAL). Patient outcomes were compared to reference values of healthy norm groups. Results Participants scored significantly worse on the POMS depression, anger, fatigue and tension subscales, the SCL-90 psychoneuroticism, depression, inadequacy of thinking and acting and sleeping problems subscales and all subscales of the WSAS when compared to reference data. Women also scored worse on depression (HADS) and somatic symptoms (SCL-90). Compared to other illnesses, patients with hypopituitarism have more negative and realistic illness perceptions on consequences, timeline, identity and emotions. Participants attributed their complaints more to physical causes than psychological causes. Conclusion Despite normalization of hormonal disturbances, patients with hypopituitarism in general can still experience problems during daily living, such as negative mood states and a decreased psychological well-being.

scholarly journals Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

2021 ◽  
Vol 18 (4) ◽  
pp. 2093
Author(s):  
Tina Vilovic ◽  
Josko Bozic ◽  
Marino Vilovic ◽  
Doris Rusic ◽  
Sanja Zuzic Furlan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perceived Stress ◽  
Depression Scale ◽  
Family Physicians ◽  
Knowledge Score ◽  
Well Being ◽  
Anxiety And Depression ◽  
Event Scale ◽  
The Impact

During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

scholarly journals 841 The psychological impact of Foundation Interim Year 1 Placements on Final Year UK Medical Students Transitioning to Foundation Year One During the COVID Era

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Durand-Hill ◽  
D I Ike ◽  
A N Nijhawan ◽  
A B Shah ◽  
A Dawson ◽  
...  
Keyword(s):  
Medical Students ◽  
Perceived Stress ◽  
Psychological Impact ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stress Scale ◽  
The Uk

Abstract Introduction During the COVID pandemic, the 2019-2020 cohort of final year students were invited to participate in Foundation interim Year 1 placements (FiY1). FiY1 aimed to ease transition to Foundation Year 1 doctor (FY1). We assessed the psychological impact of FiY1 on final year medical students. Method A cross-sectional survey was distributed to final year medical students in the UK between June 4th and July 4th, 2020. The survey contained the following domains: participant demographics, rationale for FiY1 participation, a checklist of the key safety principles for FiY1s, the Hospital Anxiety and Depression Scale and the Perceived Stress scale-4. Results 107 final years responded to the survey. 72.0% (n = 77) of final year students surveyed were working as FiY1s. Final year students participating in FiY1 postings had reduced rates of anxiety (29.9% vs 43.4%, P = 0.186), depression (5.2% vs 20.0%, P = 0.018) and lower perceived stress levels (5.0 vs 7.2, P &lt; 0.001). 19.5% (15/77) FiY1s reported working beyond their competency, 27.3% (22/77) felt unsupervised, but 94.8% (73/77) of FiY1s felt the post prepared them for FY1. Conclusions Students participating in FiY1 postings felt less stressed and depressed than those not participating in the scheme and the majority felt it was preparing them for FY1.

scholarly journals Patients With Voice Prosthesis Rehabilitation During the COVID-19 Pandemic: Analyzing the Effectiveness of Remote Triage and Management

2020 ◽  
pp. 019459982094804 ◽  
Author(s):  
Ylenia Longobardi ◽  
Jacopo Galli ◽  
Lucia D’Alatri ◽  
Vezio Savoia ◽  
Giorgia Mari ◽  
...  
Keyword(s):  
Outpatient Visit ◽  
Depression Scale ◽  
Well Being ◽  
Voice Prosthesis ◽  
Anxiety And Depression ◽  
Time Interval ◽  
Hospital Anxiety ◽  
Scale Total Score ◽  
The University ◽  
Nose And Throat

Objective To describe a remote approach used with patients with voice prosthesis after laryngectomy during the COVID-19 pandemic and the resulting clinical outcomes in terms of voice prosthesis complications management, oncological monitoring, and psychophysical well-being. Study Design Prospective cohort study. Setting Otolaryngology Clinic of the University Polyclinic A. Gemelli, IRCCS Foundation. Subjects and Methods All patients with voice prosthesis who underwent laryngectomy followed by our institute were offered enrollment. Patients who agreed to participate were interviewed to inquire about the nature of the need and to plan a video call with the appropriate clinician. Before and 1 week after the clinician’s call, patients were tested with the Hospital Anxiety and Depression Scale. Degrees of satisfaction were investigated with a visual analog scale. A comparison between those who accepted and refused telematic support was carried out to identify factors that influence patient interest in teleservice. Results Video call service allowed us to reach 37 (50.68%) of 73 patients. In 23 (62.16%) of 37 cases, the video call was sufficient to manage the problem. In the remaining 14 cases (37.83%), an outpatient visit was necessary. Participants who refused telematic support had a significantly shorter time interval from the last ear, nose, and throat visit than patients who accepted (57.95 vs 96.14 days, P = .03). Video-called patients showed significantly decreased levels of anxiety and depression (mean Hospital Anxiety and Depression Scale total score pre– vs post–video call: 13.97 vs. 10.23, P < .0001) and reported high levels of satisfaction about the service. Conclusion Remote approach may be a viable support in the management of patients with voice prosthesis rehabilitation.

scholarly journals 0320 Psychological Correlates of Morningness/Eveningness in Latinx Pre-Adolescents

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A121-A122
Author(s):  
S T Nguyen-Rodriguez ◽  
O M Buxton
Keyword(s):  
Depressive Symptoms ◽  
Perceived Stress ◽  
Psychological Health ◽  
Depression Scale ◽  
Well Being ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Anxiety And Depression ◽  
Average Score ◽  
Depression Symptoms

Abstract Introduction Chronotype refers to a preference for morning hours (morningness) vs. evening hours (eveningness) when individuals tend to feel their best (e.g., higher energy levels). People may be classified at either end of this spectrum or along a continuum between these preferences. Among adolescents, eveningness is positively related to depression and anxiety, whereas morningness is negatively related to depression. However, less is known about the relationship of chronotype and psychological health in pre-teens and Latinx youth. The present study explored associations of morningness/eveningness with anxiety symptoms, depressive symptoms, and perceived stress among Latinx pre-adolescents in Southern California. Methods A purposive sample of 100 Latinx children, ages 10-12 years old, completed self-report surveys in their homes or a preferred location chosen by the parent. Measures included the Morningness/Eveningness Scale for Children (higher scores indicate morning preference), Revised Child Anxiety and Depression Scale and the Perceived Stress Scale (higher scores indicate higher anxiety, depression and stress, respectively). Associations were tested with Pearson correlations. Results The sample was 47% male with a mean±SD age of 10.9±0.8 years. Average score for morningness/eveningness was M=30.2±4.4 (range: 18-41), for anxiety symptoms was M=0.7±0.7 (range: 0-2.8), for depression symptoms was M=0.5±0.4 (range: 0-1.9) and for perceived stress was M=15.2±5.8 (range: 2-30). Greater morningness/eveningness scores, indicating more morningness, were associated with lower scores for anxiety symptoms (r=-.41, p&lt;.001), depressive symptoms (r=-.36, p&lt;.001) and perceived stress (r=-.33, p=.001). Conclusion As has been found for adolescents, higher morningness in Latinx pre-teens was related to less frequent anxiety and depression symptoms, as well as lower perceived stress. Youth experience a circadian phase delay during adolescence, shifting their preference toward eveningness, which may exacerbate stressors and negative mental health. Therefore, interventions to promote psychological well-being in pre-adolescents may help prevent worse psychological outcomes in Latinx children as they transition to adolescence. Support This work was supported by the National Institute of General Medical Sciences of the National Institutes of Health under Award Numbers UL1GM118979, TL4GM118980, and RL5GM118978.

Spiritual wellbeing and its relationship with perceived stress, anxiety and depression in Iranian cardiac patients

2020 ◽  
Vol 15 (7) ◽  
pp. 1-8
Author(s):  
Mojtaba Senmar ◽  
Elham Hasannia1 ◽  
Mohaddeseh Aliakbari ◽  
Fateme Safari Alamoti ◽  
Maryam Gholamhoseini ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Depression Scale ◽  
Cardiac Patients ◽  
Holistic Care ◽  
Anxiety And Depression ◽  
Spiritual Wellbeing ◽  
Hospital Anxiety ◽  
Stress Scale ◽  
Coronary Syndrome ◽  
The Mean

Aim This study was conducted to examine spiritual wellbeing and its relationship with perceived stress, anxiety and depression among cardiac patients. Methods The present descriptive study was conducted on 120 patients with cardiac diseases. The Perceived Stress Scale, Hospital Anxiety and Depression Scale, and Paloutzian and Ellison Spiritual Wellbeing Questionnaire were used for data collection. Results Of 120 patients, 79 were diagnosed with acute coronary syndrome, 30 were diagnosed with heart failure, and the rest were diagnosed with cardiac arrhythmia (mostly atrial fibrillation). The mean scores for depression, anxiety and stress in the studied patients were 10.1, 9.9, and 19.5, respectively. The mean score of the total spiritual wellbeing was 86.2. Results showed an inverse and significant relationship between spiritual wellbeing with perceived stress (R2=−0.535, P=0.001), anxiety (R2=−0.389, P<0.001), and depression (R2=−0.388, P<0.001). Conclusions Improving cardiac patients’ spiritual wellbeing should be recognised as an essential part of holistic care and an effective strategy in reducing depression, anxiety and stress among cardiac patients.

Social Support at University Scale, a Brief Index

2007 ◽  
Vol 100 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Brian M. Hughes
Keyword(s):  
Social Support ◽  
College Students ◽  
Perceived Stress ◽  
Short Form ◽  
Depression Scale ◽  
Internal Consistency Reliability ◽  
Anxiety And Depression ◽  
University Staff ◽  
Hospital Anxiety ◽  
The Social

A brief, 3-item index of social support among college students, the Social Support at University Scale, is introduced. Its psychometric properties are examined in a sample of 90 college students (51 women, 39 men) and compared with those of an equivalent scale distributed among 100 university staff (67 women, 33 men). The Short-Form Social Support Questionnaire, the Perceived Stress Scale, and the Hospital Anxiety and Depression Scale were also administered to each participant. The data suggest that the Social Support at University Scale possesses internal consistency reliability suitable for research (α= .68), external validity as indicated by comparisons between the student and staff samples, concurrent validity as indicated by correlations with measures of generic social support, and criterion validity as indicated by associations with known correlates of social support, namely, perceived stress, anxiety, and depression.

scholarly journals Predictors of Emotional Distress and Wellbeing 2–5 Years After Stroke

ISRN Stroke ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
H. Bergersen ◽  
A.-K. Schanke ◽  
K. S. Sunnerhagen
Keyword(s):  
Emotional Distress ◽  
General Health Questionnaire ◽  
Depression Scale ◽  
Well Being ◽  
Anxiety And Depression ◽  
Independent Mobility ◽  
Hospital Anxiety ◽  
Gender Education ◽  
Comprehensive Rehabilitation

Objectives. To identify predictors of emotional distress and psychological wellbeing in stroke survivors 2–5 years after discharge from comprehensive rehabilitation. Material and Methods. The Hospital Anxiety and Depression Scale (HADS), the General Health Questionnaire (GHQ-30), and questions regarding life situations were mailed to former patients. Multiple regression analyses were performed. Results. The responses from 68 participants (37% women), of an average age of 58 years old, were used. Emotional distress (HADS > 10) was identified in 41%. Well-being (GHQ-30 < 6) was identified in 46%. Not surprisingly, there was a strongly negative association between well-being (GHQ-30 < 6) and emotional distress (HADS > 10) at follow up. Dependency in toileting during rehabilitation predicted emotional distress 2–5 years later. Finally, well-being at followup was predicted by age > 65 years, independent mobility, perceiving proxies as supportive, and being in employment. Conclusions. Dependence in the activities of daily living 3–6 months after-injury predicted emotional distress 2–5 years after-stroke. Being over 65 years, having an occupation, proxy support and being less dependent all predicted well-being. Emotional distress and well-being were clearly negatively associated. Gender, education, marital status, and type of stroke were not associated with the outcome measures.

scholarly journals Does Coaching in the 3rd Year of Medical School Affect Stress, Anxiety and Depression?

2021 ◽  
Author(s):  
Elizabeth F Ross ◽  
Timothy D Faw ◽  
Kyle Covington
Keyword(s):  
Medical Students ◽  
Perceived Stress ◽  
Undergraduate Education ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Cognitive Responses ◽  
Self Awareness ◽  
Hospital Anxiety ◽  
Stress Scale ◽  
Positive Support

Abstract Background: Medical students experience significant stress and anxiety during undergraduate education. Coaching is a possible way of supporting these students throughout this challenging time. To assess the benefits of coaching for medical students, a pilot study providing coaching was performed. This pilot assessed how coaching affected the mental health of medical students and how coaching was received by them. Methods: Twelve third-year medical students were each given eight 30-60 minute coaching sessions. Each participant took the Hospital Anxiety and Depression Scale (HADS) and the Perceived Stress Scale (PSS) pre-, mid-and post-coaching. After coaching, there were three open-ended questions to measure the reactions to coaching and a scale to determine the likelihood of accessing coaching in the future. Results: There was a significant effect of coaching on perceived stress(p=.023); a trend toward significant effect of coaching on anxiety(p=.057); and no effect of coaching on depression. Qualitative analysis indicated Affective responses (gaining perspective and self-awareness); Cognitive responses (goal setting and working through solving problems); and Skills responses (developing reflection abilities and critical thinking). Attributes of coaching included perceiving coaching as a positive, individualized and supportive experience that students were highly likely to access again. Conclusions: Coaching holds promise as an intervention offered to medical students to reduce stress and anxiety, and provide positive support for students, preparing them for their professional futures.

Gender differences in the well-being of patients diagnosed with Chlamydia trachomatis: a cross-sectional study

2018 ◽  
Vol 94 (6) ◽  
pp. 401-405 ◽  
Author(s):  
Nirina Andersson ◽  
Helena Carré ◽  
Urban Janlert ◽  
Jens Boman ◽  
Elisabet Nylander
Keyword(s):  
Gender Differences ◽  
Chlamydia Trachomatis ◽  
Preventive Measures ◽  
Depression Scale ◽  
Well Being ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Cross Sectional ◽  
Disorder Identification

ObjectivesWe aimed to investigate how an infection with Chlamydia trachomatis (CT) influenced patients’ well-being and whether there were differences due to gender, age or relationship status, in an effort to strengthen preventive measures and provide better healthcare for patients with CT.MethodsPatients diagnosed with CT in the county of Västerbotten, Sweden, were asked to fill out a questionnaire about their feelings, thoughts and actions after CT diagnosis. The patients were also asked to fill in the validated questionnaires Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test. Between February 2015 and January 2017, 128 patients (74 women and 54 men) were included in the study.ResultsAfter being diagnosed with CT, men were generally less worried than women (P<0.001). Women worried more about not being able to have children (P<0.001) and about having other STIs (P=0.001) than men did. Men felt less angry (P=0.001), less bad (P<0.001), less dirty (P<0.001) and less embarrassed (P=0.011) than women did. Nineteen per cent of men and 48% of women reported symptoms of anxiety. The majority of both men (60%) and women (72%) had a risk consumption of alcohol.ConclusionWomen and men reacted differently when diagnosed with CT. Women worried more about complications and more often blamed themselves for being infected. Being aware of these gender differences may be important when planning preventive measures and during counselling of CT-infected patients. Persons working with patients with CT must also be aware of the high frequency of harmful alcohol consumption among their patients.

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