scholarly journals Anxiety-depressive disorders of patients with external genital endometriosis

2017 ◽  
Vol 98 (6) ◽  
pp. 910-912
Author(s):  
E V Igenbaeva ◽  
T V Uzlova ◽  
E L Kurenkov

Aim. To study the prevalence of anxiety and depression in patients with external genital endometriosis and other gynecologic pathology. Methods. The study involved 152 women. The main group consisted of 100 patients with external genital endometriosis diagnosed by laparoscopy and histologically confirmed. The comparison group included 52 women with other gynecologic pathology (infertility, hysteromyoma, ovarian benign tumours). Exclusion criteria were oncology, acute gynecologic and somatic pathology. To determine the prevalence of anxiety and depression in the groups, the hospital anxiety and depression scale was used. Results. In the group pf females with endometriosis 33 (33%) patients had anxiety and 9 (9%) patients - depression. In the comparison group (N2=52), anxiety disorder was revealed in 18 (34.6%) women, and depression - in three patients (5.8%; p >0.05). To study the features of anxiety and depression in patients with different clinical presentation of endometriosis, females with asymptomatic disease (n1=26), infertility (n2=29) and pain syndrome (n3=43) were compared. Analysis of the results demonstrated that significantly more frequently anxiety and depression developed in patients with pain syndrome. The number of women suffering from anxiety in group n3 was 22 (51.2%), in group n2 - 6 (20.7%) and in group n1 - 2 (7.8%). The number of women with depression in group n3 was 8 (18.6%), in group n2 - 1 (3.4%) and in group n1 there were no women with depression. Conclusion. The conducted study showed no significant differences in the prevalence of anxiety and depression among patients with external genital endometriosis and other gynecologic pathology; anxiety and depression develop more frequently in the presence of pain syndrome.

1994 ◽  
Vol 165 (5) ◽  
pp. 669-672 ◽  
Author(s):  
O. A. Abiodun

BackgroundThe utility of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depressive disorders in non-psychiatric units (medical & surgical wards; gynaecology & antenatal clinics of a teaching hospital) and a community sample in Nigeria was investigated.MethodA two-stage screening procedure was employed. This involved the use of GHQ–12/GHQ–30 and HADS against the criteria of a standardised (PSE schedule) psychiatric interview, with psychiatric diagnosis assigned in accordance with ICD–9 criteria.ResultsSensitivity for the anxiety sub-scale ranged from 85.0% in the medical and surgical wards to 92.9% in the ante-natal clinic, while sensitivity for the depression sub-scale ranged from 89.5% in the community sample to 92.1% in the gynaecology clinic. Specificity for the anxiety sub-scale ranged from 86.5% in the gynaecology clinic to 90.6% in the community sample, while specificity for the depression sub-scale ranged from 86.6% in the medical and surgical wards to 91.1 % in the ante-natal clinic and community sample. Misclassification rates ranged from 9.9% in the community sample to 13.2% in the medical and surgical wards. Relative Operating Characteristic (ROC) analyses showed the HADS and the GHQ–12 to be quite similar in ability to discriminate between cases (anxiety and depression) and non-cases.ConclusionsThe HADS is valid for use as a screening instrument in non-psychiatric units and although initially developed for use in hospital settings, it could be usefully employed in community settings of developing countries to screen for mental morbidity.


2021 ◽  
Author(s):  
Iris Huijben ◽  
Lieke WA Hermans ◽  
Allessandro C Rossi ◽  
Sebastiaan Overeem ◽  
Merel M van Gilst ◽  
...  

<div>We used a dataset of nocturnal PSG recordings, collected as part of the Healthbed study, which main aim was development of technologies for sleep analyses. The dataset includes one clinical video-PSG recording for each subject, made according to the AASM recommendations in Sleep Medicine Center Kempenhaeghe Heeze, the Netherlands. The study included 96 (60 females) healthy subjects, with an age between 18 and 64. The exclusion criteria were: 1) any diagnosed sleep disorder, 2) a Pittsburgh Sleep Quality Index >= 6, or Insomnia Severity Index > 7, 3) indication of depression or anxiety disorder measured with the Hospital Anxiety and Depression Scale (score > 8), 4) pregnancy, shift work, use of any medication except for birth control medicine, and 5) presence of clinically relevant neurological or psychiatric disorders or other somatic disorders that could influence sleep.</div>


2021 ◽  
Author(s):  
Iris Huijben ◽  
Lieke WA Hermans ◽  
Allessandro C Rossi ◽  
Sebastiaan Overeem ◽  
Merel M van Gilst ◽  
...  

<div>We used a dataset of nocturnal PSG recordings, collected as part of the Healthbed study, which main aim was development of technologies for sleep analyses. The dataset includes one clinical video-PSG recording for each subject, made according to the AASM recommendations in Sleep Medicine Center Kempenhaeghe Heeze, the Netherlands. The study included 96 (60 females) healthy subjects, with an age between 18 and 64. The exclusion criteria were: 1) any diagnosed sleep disorder, 2) a Pittsburgh Sleep Quality Index >= 6, or Insomnia Severity Index > 7, 3) indication of depression or anxiety disorder measured with the Hospital Anxiety and Depression Scale (score > 8), 4) pregnancy, shift work, use of any medication except for birth control medicine, and 5) presence of clinically relevant neurological or psychiatric disorders or other somatic disorders that could influence sleep.</div>


Author(s):  
Ezeme M. Sunday ◽  
Paul C. Okoli ◽  
Vincent O. Dinwoke

Background: Anxiety and depressive disorders are somewhat masked by features of pregnancy; hence many women are ignorant of them and are untreated.Aim: To determine the level of awareness and treatment of anxiety and depression in pregnancy.Setting: The study was carried out at the antenatal clinic of Enugu State University Teaching Hospital, Enugu, Nigeria.Method: This was a cross-sectional and descriptive study of 200 pregnant women in consecutive attendance of the antenatal clinic using the Hospital Anxiety and Depression Scale (HADS) and a sociodemographic questionnaire.Results: Of the participants, 23.5% had anxiety and/or depression, 7.5% of them were aware of their condition and only 0.5% of all the participants or 6.7% of those who were aware of their problem received treatment.Conclusion: Anxiety and depression are prevalent among pregnant women. Because of overlap of symptoms of anxiety and depression with those of pregnancy, the awareness is very low; hence many of them suffer immensely without treatment.


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Emna Chaabouni ◽  
Hela Jbali ◽  
Mami Ikram ◽  
Chermiti Mohamed ◽  
El Kateb Hanene ◽  
...  

Abstract Background and Aims Dialysis impacts the patients' quality of life drastically, increasing the risk of mortality. Depression and anxiety are commonly reported among dialysis patients. But little is known about their prevalence. The aim of this study is to examine the prevalence of anxiety and depression and associated factors among patients receiving hemodialysis Method A cross-sectional study was carried out among 94 hemodialysis patients treated at four hemodialysis center in a mediterranean country during a period of two months . The patients were interviewed while undergoing their dialysis session using the Hospital Anxiety and Depression Scale (HAD). The score of HAD was correlated with demographic and clinical variables. Results Based on Hospital Anxiety and Depression Scale, 49 patients (52%) had symptoms of depression, 41 patients (43%) had mild symptoms of anxiety, whereas moderate or severe symptoms of anxiety were present in 30 patients (32%). In univariate analysis, HAD score for symptoms of depression correlated significantly with age (p=0,012) and past medical history of hypertension (p=0,024). Anxiety correlated significantly with female gender (p=0,039), smoking (p=0,017) and coffee addiction (p=0,024). Conclusion These results underline the important prevalence of anxiety and depression in hemodialysis patients . Strategic options are necessary to improve the diagnosis of anxiety and depressive disorders, potentially enhancing quality of life and medical outcome in hemodialysis patients.


2019 ◽  
pp. 7-9
Author(s):  
Nasyrova Zarina Akbarovna ◽  
Tashkenbaeva Eleonora Negmatovna

195 patients (102 men and 93 women) aged from 35 to 75 years (mean age 62.57 ± 0.75 years) suffering from unstable forms of IHD were examined on the basis of the SB RSCEMA in the emergency and cardiac resuscitation departments. All patients were tested using the Hospital Anxiety and Depression Scale. Based on the psychopathological examination data, all patients were divided into 2 groups. The first group included 109 patients with unstable angina with clinically significant affective disorders, which amounted to 55.89%. The second − the comparison group - 86 (44.1%) patients with unstable angina without affective disorders. Studies have shown that when comparing inflammatory markers − cytokines in patients with unstable angina, the pro-inflammatory cytokines IL-1 and TNFα are increased in individuals with comorbid pathology, depending on the presence or absence of affective disorders of the anxiety-depressive spectrum.


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 ◽  
...  

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