scholarly journals Anxiety and Depression in Patients Who Undergo a Cerebrovascular Procedure

2020 ◽  
Author(s):  
Lauren Lombardo ◽  
Richard Shaw ◽  
Kathleen Sayles ◽  
Dorothea Altschul
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
Global Mental Health ◽  
Anxiety And Depression ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
Significant Difference ◽  
History Of

Abstract Background: Observe the relationship of anxiety and depression on quality of life outcomes after open and endovascular cerebrovascular procedures. Methods: We retrospectively analyzed 349 patients who underwent a procedure for aneurysm, arteriovenous malformation, intraparenchymal hemorrhage, carotid stenosis, acute stroke, and conventional catheter angiogram over three years at a community hospital. We correlated pre-procedural anxiety and depression with Global Physical Health, Global Mental Health, and Modified Rankin Scale scores. We performed univariate and multivariate linear and logistic regression analyses adjusting for past medical history and sociodemographic factors. Results: Anxiety or depression occurred in eighteen percent of patients. Patients with anxiety or depression were more likely to be female (81% vs 60.8%; p=0.002) and younger (54 vs. 59 years old; p=0.025). The groups did not differ in type or urgency of procedure, smoking or history of diabetes, or cardiovascular disease. Patients with anxiety or depression reported lower mental health scores at 30 days (45.1 vs 48.2; p=0.002) post-procedure. In multivariate analyses, anxious or depressed patients had worse mental health scores at 30 days (t=-2.893; p=0.008) than those who did not have a history of anxiety or depression. There was no difference between groups in length of stay, mortality, physical health t-scores, functionality scores, or six month quality of life outcomes. Conclusions: Patients undergoing cerebrovascular procedures who self-reported anxiety or depression showed a significant difference in mental health outcomes at 30 days, but six month mental health and other medical and functional outcomes measures were similar to patients without these diagnoses.

scholarly journals Anxiety and Depression in Patients Who Undergo a Cerebrovascular Procedure

2020 ◽  
Author(s):  
Lauren Lombardo ◽  
Richard Shaw ◽  
Kathleen Sayles ◽  
Dorothea Altschul
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
Global Mental Health ◽  
Anxiety And Depression ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
Significant Difference ◽  
History Of

Abstract Background: Observe the relationship of anxiety and depression on quality of life outcomes after open and endovascular cerebrovascular procedures. Methods: We retrospectively analyzed 349 patients who underwent a procedure for aneurysm, arteriovenous malformation, intraparenchymal hemorrhage, carotid stenosis, acute stroke, and conventional catheter angiogram over three years at a community hospital. We correlated pre-procedural anxiety and depression with Global Physical Health, Global Mental Health, and Modified Rankin Scale scores. We performed univariate and multivariate linear and logistic regression analyses adjusting for past medical history and sociodemographic factors. Results: Anxiety or depression occurred in eighteen percent of patients. Patients with anxiety or depression were more likely to be female (81% vs 60.8%; p=0.002) and younger (54 vs. 59 years old; p=0.025). The groups did not differ in type or urgency of procedure, smoking or history of diabetes, or cardiovascular disease. Patients with anxiety or depression reported lower mental health scores at 30 days (45.1 vs 48.2; p=0.002) post-procedure. In multivariate analyses, anxious or depressed patients had worse mental health scores at 30 days (t=-2.893; p=0.008) than those who did not have a history of anxiety or depression. There was no difference between groups in length of stay, mortality, physical health t-scores, functionality scores, or six month quality of life outcomes. Conclusions: Patients undergoing cerebrovascular procedures who self-reported anxiety or depression showed a significant difference in mental health outcomes at 30 days, but six month mental health and other medical and functional outcomes measures were similar to patients without these diagnoses.

scholarly journals Anxiety and Depression in Patients Who Undergo a Cerebrovascular Procedure

2020 ◽  
Author(s):  
Lauren Lombardo ◽  
Richard Shaw ◽  
Kathleen Sayles ◽  
Dorothea Altschul
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
Global Mental Health ◽  
Anxiety And Depression ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
Significant Difference ◽  
History Of

Abstract Background: Observe the relationship of anxiety and depression on quality of life outcomes after open and endovascular cerebrovascular procedures. Methods: We retrospectively analyzed 349 patients who underwent a procedure for aneurysm, arteriovenous malformation, intraparenchymal hemorrhage, carotid stenosis, acute stroke, and conventional catheter angiogram over three years at a community hospital. We correlated pre-procedural anxiety and depression with Global Physical Health, Global Mental Health, and Modified Rankin Scale scores. We performed univariate and multivariate linear and logistic regression analyses adjusting for past medical history and sociodemographic factors. Results: Anxiety or depression occurred in eighteen percent of patients. Patients with anxiety or depression were more likely to be female (81% vs 60.8%; p=0.002) and younger (54 vs. 59 years old; p=0.025). The groups did not differ in type or urgency of procedure, smoking or history of diabetes, or cardiovascular disease. Patients with anxiety or depression reported lower mental health scores at 30 days (45.1 vs 48.2; p=0.002) post-procedure. In multivariate analyses, anxious or depressed patients had worse mental health scores at 30 days (t=-2.893; p=0.008) than those who did not have a history of anxiety or depression. There was no difference between groups in length of stay, mortality, physical health t-scores, functionality scores, or six month quality of life outcomes. Conclusions: Patients undergoing cerebrovascular procedures who self-reported anxiety or depression showed a significant difference in mental health outcomes at 30 days, but six month mental health and other medical and functional outcomes measures were similar to patients without these diagnoses.

scholarly journals Resilience support to enhance positive health outcomes for police officers in five Anglosphere nations: a scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e038895
Author(s):  
Audrey Steenbeek ◽  
Chris Giacomantonio ◽  
Arlene Brooks ◽  
Camilla Holmvall ◽  
Ziwa Yu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Outcomes ◽  
Scoping Review ◽  
Police Officers ◽  
Grey Literature ◽  
Life Outcomes ◽  
Global Business ◽  
Quality Of Life Outcomes

IntroductionLaw enforcement involves exposure to threatening situations and traumatic events that place police officers at risk for negative physical and mental health outcomes. Resilience support, among other elements of training, may help mitigate these risks, yet little is known about which aspects of resilience support help officers achieve better health and quality of life outcomes.Methods and analysisThis review will consider all literature that examines the links between resilience support, physical/mental health and quality of life outcomes for police officers in five Anglosphere nations: Canada, the USA, Australia, New Zealand and the UK. This review will include all literature (including those that show null or negative links) involving any public policing agency that has a formal rank structure and includes a localized, uniformed emergency response function. Resilience support may include, but is not limited to: tools, policies, models, frameworks, programmes and organizational features that seek to promote positive, physical/mental health and quality of life outcomes at three levels of resilience: (1) readiness and preparedness, (2) response and adaptation, (3) recovery and adjustment. Peer reviewed and grey literature examining resilience support since 2000 that focuses on police officers are eligible for inclusion. Databases/sources to be searched will include: PsycINFO, Academic Search Premier, CINAHL, Public Affair Index, Campbell Collaboration, ProQuest Dissertations and Theses Global, Business Source Complete, Scopus and Google. Retrieval of full-text, English-language studies (and other literature), data extraction, data synthesis and data mapping will be performed independently by two reviewers, following Joanna Briggs Institute methodology.Ethics and disseminationEthics approval is not required for this scoping review, and the literature search will start in November 2020 or upon acceptance of this protocol. The findings of the scoping review will be available [April 2021] and will be published in a peer reviewed journal.

scholarly journals Factors predicting trial engagement, treatment satisfaction, and health-related quality of life during the iTreAD project: Secondary analysis of an online treatment and social networking trial for binge drinking and depression in young adults. (Preprint)

2020 ◽  
Author(s):  
Samineh Sanatkar ◽  
Milena Heinsch ◽  
Peter Andrew Baldwin ◽  
Mark Rubin ◽  
Frances Kay-Lambkin
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Young Adults ◽  
Alcohol Use ◽  
Treatment Satisfaction ◽  
Health Interventions ◽  
Life Outcomes ◽  
Affective Factors ◽  
Quality Of Life Outcomes

BACKGROUND Mental health and alcohol use problems are among the most common causes of disease burden in young Australians and lead to significant lifetime burden. Yet comorbidity remains significantly underdetected and undertreated in health settings. Digital mental health tools designed to identify at-risk individuals, encourage help-seeking or deliver treatment for comorbidity, have the potential to address this existing service gap. However, despite a strong body of evidence that digital mental health programs provide an effective treatment option for a range of mental health and alcohol use problems in young adults, research shows that uptake rates can be low. It is, thus, important to understand the factors that influence treatment satisfaction and quality of life outcomes for young adults who access eMental health interventions for comorbidity. OBJECTIVE This study sought to understand the factors that influence treatment satisfaction and quality of life outcomes for young adults who access eMental health interventions for comorbid alcohol and mood disorders. The aim was to determine the importance of personality (i.e., Big Five personality traits and intervention attitudes) and affective factors (i.e., depression, anxiety, and stress levels) in predicting intervention trial engagement at sign-up, satisfaction with the online tool, and quality of life at the conclusion of the iTreAD trial (internet Treatment for Alcohol and Depression). METHODS Australian adults (N = 411) aged between 18 and 30 years who screened positive for depression and alcohol use problems signed up to the iTreAD project between August 2014 and October 2015. During registration, participants provided information about their personality, current affective state, treatment expectations and basic demographic information. Subsequent follow-up surveys were used to gauge ongoing trial engagement. The last follow-up questionnaire, completed at 64 weeks, assessed participants’ satisfaction with the online treatment and quality of life experiences. RESULTS Multiple linear regression analyses were employed to detect the relative influence of predictor variables on trial engagement, treatment satisfaction, and quality of life outcomes. Analyses revealed that the overall predictive effects of personality and affective factors were 20% or lower. Conscientiousness, neuroticism, and state-based anxiety constituted unique predictors of engagement with the iTreAD study, and state-based depression uniquely predicted variance in quality of life reports at the time of study completion. None of the selected predictors explained variances in treatment satisfaction. CONCLUSIONS Findings suggest that traditional predictors of engagement observed in face-to-face research may not be easily transferable to digital health interventions, particularly those aimed at comorbid mental health concerns and alcohol misuse among young adults. More research is needed to identify what determines engagement in this cohort in order to optimally design and execute digital intervention studies with multiple treatment aims. CLINICALTRIAL ACTRN12614000310662 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s12889-015-2365-2

Disparities in quality-of-life outcomes in immigrant cancer patients.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e16507-e16507
Author(s):  
David Goldstein ◽  
Ming Sze ◽  
Melanie Bell ◽  
Madeleine King ◽  
Michael Jefford ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Unmet Need ◽  
Depression Scale ◽  
High Rate ◽  
Anxiety And Depression ◽  
Cancer Type ◽  
Life Outcomes ◽  
Quality Of Life Outcomes

e16507 Background: Immigration is increasing world-wide. We explored disparities in quality of life outcomes for immigrant (IM) versus Anglo-Australian (AA) cancer patients having anti-cancer treatment. Methods: In a cross-sectional design, cancer patients were recruited through outpatient Oncology clinics in New South Wales, Victoria, and the Northern Territory in Australia. IM participants, their parents and grand parents were born in a country where Chinese, Greek, or Arabic is spoken and spoke one of those languages. AAs were born in Australia and spoke English. All were diagnosed with cancer < 1 year previously. Questionnaires (completed in preferred language) included the Hospital Anxiety and Depression Scale (anxiety/depression), FACT-G (quality of life) and the Supportive Care Needs Survey (unmet needs). Adjusted regression models comparing AA and IM groups included age, gender, socio-economic status, education, marital status, religion, time since diagnosis, and cancer type (colorectal, breast, lung, other). Results: There were 910 participants (response rate 57%). IM were similar to AA, except that IM were more likely to be married (76 vs 67 %, p = 0.01) and in the low and the highly educated groups (p < 0.0001). In adjusted analyses, IMs had clinically significant higher anxiety, greater unmet information and physical needs and lower quality of life than AAs (see table). The possible ranges are 0-21 for anxiety and depression, and 0-100 otherwise. Conclusions: In this hospital-based study with a high rate of advanced disease, immigrants with cancer experienced poorer quality of life outcomes, even after adjusting for socio-economic, demographic, and disease variables. Interventions are required to improve their experience of cancer care. Results highlight areas of unmet need that might be better addressed by the health system (particularly with regards to provision of information and meeting support and physical needs). [Table: see text]

scholarly journals Natural History, Multimodal Management, and Quality of Life Outcomes of Trigeminal Schwannomas

2018 ◽  
Vol 79 (06) ◽  
pp. 586-592 ◽  
Author(s):  
Vincent Ye ◽  
Ryojo Akagami ◽  
Serge Makarenko
Keyword(s):  
Quality Of Life ◽  
Radiation Therapy ◽  
Natural History ◽  
Surgical Resection ◽  
Clinical Presentation ◽  
Treatment Goals ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
History Of

Background Trigeminal schwannomas are the second most common among intracranial schwannomas. These can arise from anywhere between the root and the distal extracranial branches of the trigeminal nerve. Clinical presentation depends on location and size, including but not limited to facial hypesthesia or pain, headaches, dizziness, ataxia, and diplopia. Literature is strikingly scant discussing the natural history of these lesions, while the treatment goals are heavily dependent on tumor presentation. Management decisions must be individualized to each tumor and each patient, while attempting to maximize the quality of life. We present the natural history of these lesions as well as their management by surgical resection or radiation therapy, and report long-term quality of life outcomes. Methods Between 2001 and 2015, 24 patients (66.7% female) with trigeminal schwannomas were diagnosed and managed at Vancouver General Hospital. We analyzed the clinical presentation, surgical results, resection rates, patient quality of life, and complications. To complete the evaluation, we prospectively collected 36-Item Short Form Health Survey (SF-36) quality of life assessments for comparison. Results We identified 12 patients treated with a craniotomy and surgical resection, 4 were treated with radiation therapy, while 8 patients were followed by observation. Mean age of study cohort was 49.2 years (range, 23–79 years), and most patients presented with facial hypesthesia (54.2%) and headaches (37.5%), while 37.5% were incidental findings. There were no major differences in patient demographics between the three groups. Patients offered surgery had larger lesions (mean diameter, 3.4 ± 1.1 cm) when compared with those that were irradiated or observed, and were more likely to have extracranial extension. Overall patient quality of life improved following treatment (ΔSF-36 + 12.9) at 3.9 years. Conclusions The treatment goals of trigeminal schwannomas focus on improvement in neurologic symptoms, relief of mass effect, and preservation of cranial nerve function. We demonstrate that smaller lesions found incidentally with minimal symptoms can be followed safely with serial imaging, with 1 of 9 (11.1%) progressing to require treatment over the course of 7.1 years. Management of trigeminal schwannomas should be individualized with an involvement of a multidisciplinary skull base team.

scholarly journals Quality of Life in Patients With Age-Related Macular Degeneration

Medicina ◽  
2012 ◽  
Vol 48 (2) ◽  
pp. 15 ◽  
Author(s):  
Lina Šiaudvytytė ◽  
Dovilė Mitkutė ◽  
Jūratė Balčiūnienė
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Macular Degeneration ◽  
Depression Scale ◽  
Age Related Macular Degeneration ◽  
Anxiety And Depression ◽  
Age Related ◽  
Significant Difference ◽  
And Control

The aim of this study was to evaluate the quality of life in persons affected by agerelated macular degeneration. Material and Methods. The study was performed in the Clinic of Ophthalmology, Hospital of Lithuanian University of Health Sciences. A total of 140 patients completed the Visual Functioning Questionnaire and the Hospital Anxiety and Depression Scale (HADS) during this prospective study. The patients were divided into two groups: patients with age-related macular degeneration (70 patients) and control patients (70 patients). Results. There was a significant difference in the quality of life between groups (P<0.0001). Analyzing patients with age-related macular degeneration within the group (patients with monocular or binocular disorders), significant differences in near vision (P=0.003), far vision (P=0.04), color vision (P=0.01), and social functioning (P=0.02) were observed. Mental health (r=0.326, P=0.02), dependency (r=0.340, P=0.02), and role difficulties (r=0.355, P=0.01) were found to be significantly associated with general vision in the age-related macular degeneration group. Conclusions. Age-related macular degeneration appeared to have a great impact on the quality of life. General vision impairment caused by age-related macular degeneration affects patient’s mental health, dependency, and role difficulties.

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