scholarly journals Assessment of Anxiety, Depression and Sleep Disorder Among Cardiology Physicians During COVID-19 Pandemic

2020 ◽  
Author(s):  
ozlem arican ozluk ◽  
Berkay Ekici ◽  
mehdi zoghi ◽  
elif ilkay yüce ◽  
caglar ozmen ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Severity Index ◽  
Burnout Syndrome ◽  
Considerable Proportion ◽  
Depression Symptoms ◽  
Generalized Anxiety ◽  
Event Scale ◽  
Insomnia Severity Index ◽  
Insomnia Severity

Abstract Background: In this study, the anxiety levels and sleep qualities of cardiologists who continue to treat cardiac emergency patients in addition to their epidemic duties during the period when the COVID 19 pandemic was the most intense and the unknown was the most in our country. Methods: This cross-sectional study included 347 cardiologists throughout Turkey from April 17 to 20, 2020. The research was conducted by means of a confidential on-line survey. The research used the Turkish versions of the 7-item Generalized Anxiety Disorder Scale, 7-item Insomnia Severity Index and 9 –item Patient Health Questionnaire.Results : Of the total number of respondents, n= 193 (55.6 %) were aged 31 to 40 years and n= 84 ( 24.2%) were women. 79% of the participants were working in tertiary care centers where cardiac patients and covid patients were admitted and treated more. A considerable proportion of participants reported symptoms of anxiety (54.2 %), insomnia (44.1%), and depression (%71.1). Women cardiologist reported more severe degrees of all measurements of anxiety symptoms and depression symptoms than male cardiologists. Mean Generalized Anxiety Disorder scale scores among women vs male : 6.6 ± 3.5 vs 5.0 ± 4.3 ; p = 0.005 ; mean Insomnia Severity Index scores among women vs male doctors: 7.3±4.3 vs 6.9±4.6; P > 0.05; mean Impact of Event Scale–Revised scores among women vs male cardiologists : 8.0 ± 3.9 vs 6.8± 4.7; p = 0.02. Conclusions: In this survey, during this outbreak most of the cardiologists were found to be mentally challenged while continuing their profession. Especially the anxiety and depression symptoms of female doctor are higher than their male counterparts. The anxiety and stress disorder created by this pandemic may have serious consequences in the future, especially for physicians in intensive branches such as cardiology, who have to serve large patient groups in like low and middle-income countries. It should not be ignored that female doctors working in these branches are more sensitive to burnout syndrome.

scholarly journals Dampak Psikologis Pandemi Covid-19 pada Tenaga Kesehatan: A Studi Cross-Sectional di Kota Pontianak

2020 ◽  
Vol 15 (2) ◽  
pp. 13
Author(s):  
Aziz Yogo Hanggoro ◽  
Linda Suwarni ◽  
Selviana Selviana ◽  
Mawardi Mawardi
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Severity Index ◽  
Generalized Anxiety ◽  
Cross Sectional ◽  
Insomnia Severity Index ◽  
Patient Health ◽  
Insomnia Severity

Latar Belakang: Tenaga kesehatan bekerja sebagai garda terdepan dalam penanganan pasien di tengah Pandemi Covid-19 dengan tekanan yang tinggi, sehingga berdampak pada peningkatan masalah psikologis. Kota Pontianak termasuk daerah dengan transmisi Covid-19 lokal dan  jumlah kasus positif Covid-19 tertinggi di Provinsi Kalimantan Barat. Tujuan: Untuk mengetahui dampak psikologis Pandemi Covid-19 pada tenaga kesehatan  di Kota Pontianak. Metode: Studi Cross-Sectional dilakukan pada 29 Juni – 4 Juli 2020 di tengah Pandemi Covid-19. Masalah psikologis diukur dengan menggunakan the Generalized Anxiety Disorder Scale, Patient Health Quationnaire-9, dan Insomnia Severity Index. Uji Pearson digunakan untuk mengetahui korelasi antara masalah psikologis. Hasil: Prevalensi gejala kecemasan, depresi, dan insomnia pada tenaga kesehatan selama pandemic Covid-19 di Kota Pontianak adalah 57,6%; 52,1%; dan 47,9%. Tenaga kesehatan yang bekerja menangani pasien positif Covid-19 cenderung lebih tinggi mengalami kecemasasan, depresi, dan insomnia dibandingkan dengan yang tidak. Persepsi tenaga kesehatan yang merasa berisiko terpapar Covid-19 signifikan berhubungan dengan masalah psikologis seperti gangguan kecemasan, depresi, dan insomnia. Kesimpulan: Pandemi Covid-19 berdampak pada meningkatnya masalah psikologis (gangguan kecemasan, depresi, dan insomnia) pada tenaga kesehatan.

scholarly journals The Role of Ethnicity in Expression, Prevalence, and Severity of Generalized Anxiety Disorder and their Overlap with Depressive Symptoms: Epidemiological Evidence from a Rapidly Developing Middle Eastern Country

2021 ◽  
Author(s):  
Salma M. Khaled ◽  
Monica Zolezzi
Keyword(s):  
Depressive Symptoms ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Middle Eastern ◽  
Depression Symptoms ◽  
Generalized Anxiety ◽  
Middle Eastern Country ◽  
Eastern Country ◽  
Symptom Profile ◽  
The Impact

Abstract IntroductionQatar is a small but high-income Middle Eastern country with a large influx of migrants each year. However, the impact of changing population structure and urbanization on prevalence of generalized anxiety symptoms remains unexplored to date. Materials & MethodsA total of 2,640 participants interviewed by phone using the Generalized Anxiety Disorder (GAD-7) and the Patient Health Questionnaire (PHQ-2). Bivariate and multinomial logistic regression analyses were conducted to explore the associations of ethnicity (Arab versus Non-Arab) with severity and symptom profile of GAD and overlap with depressive symptoms. ResultsThe point prevalence of mild, moderate, and severe symptoms were 13.4% (95% CI: 11.9 – 15.0), 2.7% (95% CI: 2.0 – 3.5), and 0.9% (95% CI: 0.6– 1.4), respectively. Arab ethnicity was associated with mild GAD (OR=1.78, p=0.009) and moderate-to-severe GAD (OR=2.36, p=0.044). Relative to non-migrants, migrant types were not significantly associated with mild or with moderate-to- severe GAD. Interactions between depressive symptoms and ethnicity were evident and statistically significant for the association with mild GAD versus no GAD (OR=0.34, p=0.003). ConclusionsEthnicity moderated the association of depression symptoms and GAD severity, with potential implications for early screening and community intervention.

scholarly journals Stress and anxiety among physicians during the COVID-19 outbreak in the Iraqi Kurdistan Region: An online survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253903
Author(s):  
Banaz A. Saeed ◽  
Nazar P. Shabila ◽  
Aram Jalal Aziz
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Perceived Stress ◽  
Online Survey ◽  
High Stress ◽  
Considerable Proportion ◽  
Generalized Anxiety ◽  
Kurdistan Region ◽  
Iraqi Kurdistan ◽  
Severe Anxiety

Background During infectious disease outbreaks, healthcare workers are at high risk of infection, infecting others, and psychological distress. This study aimed to determine the prevalence of stress and anxiety in physicians during the COVID-19 outbreak in the Iraqi Kurdistan Region and assess their associated factors. Methods This cross-sectional study was carried out in Erbil, Iraqi Kurdistan Region, from March 28 to April 15, 2020. An online self-administered survey questionnaire was used to collect data from physicians working in specialized COVID-19 centers and other healthcare facilities. The level of stress was measured based on the 10-items Perceived Stress Scale. The level of anxiety was measured based on the 7-item Generalized Anxiety Disorder scale. Results A total of 370 participants responded to the perceived stress component of the survey, of whom 57 (15.4%) had low perceived stress, 249 (67.3%) had moderate stress, and 64 (17.3%) had high stress. Being female was significantly associated with having moderate/high stress (adjusted odds ratio (AOR) = 2.40 (95% CI 1.31–4.39)). A total of 201 participants responded to the generalized anxiety disorder component of the survey, of whom 19 (9.5%) had no anxiety, 57 (28.4%) had mild anxiety, 79 (39.3%) had moderate anxiety, and 46 (22.9%) had severe anxiety. Working in COVID-19 centers (AOR = 2.23 (95% CI 1.02–4.86)) and being general practitioners (AOR = 4.16 (95% CI 1.14–15.14)) were significantly associated with having moderate/severe anxiety. Conclusion A considerable proportion of physicians experience stress and anxiety during the COVID-19 outbreak in Iraqi Kurdistan region. Generalists and those in special COVID-19 units report the greatest anxiety. There a need to establish mechanisms to reduce the risks of stress and anxiety among physicians. Mental health coping interventions through counseling should be based on COVID-19 protocol guidelines. Interventions should also emphasize physicians’ ability to work safely and efficiently in providing care to the patients.

scholarly journals Generalized Anxiety Disorder and Hypoglycemia Symptoms Improved with Diet Modification

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Monique Aucoin ◽  
Sukriti Bhardwaj
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Glycemic Index ◽  
Causal Link ◽  
Anxiety Symptoms ◽  
Mental Illnesses ◽  
Depression Symptoms ◽  
Generalized Anxiety ◽  
Dietary Glycemic Index ◽  
Refined Carbohydrates

Observational evidence suggests that a relationship may exist between high glycemic index diets and the development of anxiety and depression symptoms; however, as no interventional studies assessing this relationship in a psychiatric population have been completed, the possibility of a causal link is unclear. AB is a 15-year-old female who presented with concerns of generalized anxiety disorder and hypoglycemia symptoms. Her diet consisted primarily of refined carbohydrates. The addition of protein, fat, and fiber to her diet resulted in a substantial decrease in anxiety symptoms as well as a decrease in the frequency and severity of hypoglycemia symptoms. A brief return to her previous diet caused a return of her anxiety symptoms, followed by improvement when she restarted the prescribed diet. This case strengthens the hypothesis that dietary glycemic index may play a role in the pathogenesis or progression of mental illnesses such as generalized anxiety disorder and subsequently that dietary modification as a therapeutic intervention in the treatment of mental illness warrants further study.

scholarly journals Psychometric Properties of the Generalized Anxiety Disorder Scale-7 Item (GAD-7) in a Large Sample of Chinese Adolescents

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1709
Author(s):  
Jiangang Sun ◽  
Kaixin Liang ◽  
Xinli Chi ◽  
Sitong Chen
Keyword(s):  
Anxiety Disorder ◽  
Psychometric Properties ◽  
Generalized Anxiety Disorder ◽  
Reliability And Validity ◽  
Chinese Adolescents ◽  
Self Report ◽  
Depression Symptoms ◽  
Generalized Anxiety ◽  
Large Sample ◽  
Anxiety Screening

Anxiety symptoms are common among adolescents. A well-validated and easy-to-use tool is indispensable to measure and detect anxiety for timely interventions. The Generalized Anxiety Disorder Scale-7 item (GAD-7) is a self-report scale used to measure the severity of anxiety and has been validated in adult populations, but psychometric properties of the GAD-7 remained rarely tested in adolescents. The study aimed to investigate the reliability and validity of the GAD-7 in Chinese adolescents. Sex- and age-specific analyses were conducted in a large sample of adolescents (n = 67,281, aged 10–17 years). Our results showed that the GAD-7 scores were higher in female and older adolescents. The GAD-7 presented good internal consistency and a unidimensional structure across sex- and age-specific groups. The GAD-7 scores were significantly correlated with the scores of the Patient Health Questionnaire-9 item (PHQ-9, a self-reported scale to measure depression symptoms) in all subgroups, indicating acceptable criterion validity. In conclusion, the GAD-7 is a scale with good psychometrics and can serve as a tool for anxiety screening in Chinese adolescents at the populational level.

scholarly journals Generalized Anxiety Disorder, Depressive Symptoms, and Sleep Problem During COVID-19 Outbreak in Ethiopia Among Police Officers: A Cross-Sectional Survey

2021 ◽  
Vol 12 ◽  
Author(s):  
Mekonnen Tsehay ◽  
Moges Necho ◽  
Habtam Gelaye ◽  
Abeba Beyene ◽  
Mengesha Birkie
Keyword(s):  
Social Support ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Police Officers ◽  
Psychological Health ◽  
Assessment Tools ◽  
Depression Symptoms ◽  
Generalized Anxiety ◽  
Cross Sectional ◽  
General Anxiety

Background: Coronavirus disease 2019 (COVID-19) is an outbreak that caused serious threats to people worldwide. Police officers are one of those frontline fighters during pandemic. Our study is the first to examine psychological health response among police officers in Ethiopia during the COVID-19 outbreak.Methods: A cross-sectional study design with a self-administered questionnaire was conducted among police officers from Dessie town from June 20 to July 10, 2020. A total of 385 questionnaires were completed correctly accounting for 91% of the total. The data were collected by using demographic information and psychological health assessment tools. The Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder 7-item scale (GAD-7), Insomnia Severity Index (ISI), and Brief Resilient Coping Scale questionnaire were used to assess depression, anxiety, sleep, and coping status of participants.Results: The rate of depression was found to be 28.9%. Of these, 19.7% had mild, 7.3% had moderate, 1.6 had moderate–severe, and 0.3% had severe depression symptoms. The rate of general anxiety symptoms was found to be 30.2%. Of these, 22.1% of the police officers had mild, 2.6% had moderate, and 5.5% had severe anxiety. Moreover, 13.8% of police officers had subthreshold insomnia and 2.1% had clinical (moderate–severe) insomnia. Participants who are men, married, highly resilient, and have high social support were associated with lower depression, anxiety, and insomnia scores than those of women, being single or widowed/divorced, low resilient coping score, and low social support, respectively.Conclusion: A psychological health problem was found to be higher among police officers in Dessie town. Younger age, sex, marital status, having chronic diseases, coping, and social support with depression, general anxiety, and insomnia were found to be significantly associated with psychological health problems. There is a need for mental health services, support, and care of police officers during the pandemic.

Patients' Perspectives About the Acceptability and Effectiveness of Audiologist-Delivered Cognitive Behavioral Therapy for Tinnitus and/or Hyperacusis Rehabilitation

2019 ◽  
Vol 28 (4) ◽  
pp. 973-985 ◽  
Author(s):  
Hashir Aazh ◽  
Christina Bryant ◽  
Brian C. J. Moore
Keyword(s):  
Anxiety Disorder ◽  
Analogue Scale ◽  
Behavioral Therapy ◽  
Severity Index ◽  
Generalized Anxiety ◽  
Survey Questionnaire ◽  
Health Questionnaire ◽  
Median Response ◽  
Patient Health ◽  
Insomnia Severity

Objective The aim of this study was to evaluate the views of patients who completed audiologist-delivered cognitive behavioral therapy (CBT) about (a) the effectiveness of the treatment, (b) the acceptability of receiving CBT from audiologists, and (c) the most effective treatment components. Design This was a service evaluation survey with a cross-sectional design. Study Sample The study population comprised 40 consecutive adult patients who received a full course of audiologist-delivered CBT for tinnitus and/or hyperacusis management at a Tinnitus and Hyperacusis Therapy Specialist Clinic in the United Kingdom over a 1-year period. Thirty-one of 40 patients who attended their final session as planned completed the survey questionnaire. Data Collection and Analysis As a part of their routine care, all patients completed a wide range of questionnaires before and after receiving audiologist-delivered CBT. These comprised Tinnitus Handicap Inventory ( Newman, Sandridge, & Bolek, 2008 ); Hyperacusis Questionnaire ( Khalfa et al., 2002 ); Insomnia Severity Index ( Bastien, Vallieres, & Morin, 2001 ); Visual Analogue Scale ( Maxwell, 1978 ) for tinnitus loudness, tinnitus annoyance, and effect of tinnitus on life; Generalized Anxiety Disorder ( Spitzer, Kroenke, Williams, & Lowe, 2006 ) questionnaire; and Patient Health Questionnaire ( Kroenke, Spitzer, & Williams, 2001 ). In addition, patients were asked to complete the survey questionnaire at their final session to provide feedback with regard to their therapy. Results The majority of patients reported that it was very acceptable to them to receive CBT focused on tinnitus and hyperacusis from a specialist audiologist; the median response was 10/10. The majority of patients felt that the CBT was very effective (median response 8/10) and that they were able to manage their tinnitus and/or hyperacusis well (median response 9/10). The effect sizes of treatment based on pre- and postintervention comparison of scores for the Tinnitus Handicap Inventory, Visual Analogue Scale of tinnitus annoyance and effect on life, Hyperacusis Questionnaire, Insomnia Severity Index, Generalized Anxiety Disorder, and Patient Health Questionnaire were large. Conclusions Audiologist-delivered CBT is acceptable to patients and is effective in the management of tinnitus and/or hyperacusis from the patients' perspectives.

scholarly journals 1116 Interactions Among Interoceptive Sensitivity And Insomnia Symptoms In Individuals With Generalized Anxiety Disorder

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A424-A425
Author(s):  
C Daffre ◽  
K I Oliver ◽  
B Valli ◽  
I Kleckner ◽  
E F Pace-Schott
Keyword(s):  
Anxiety Disorder ◽  
Sleep Quality ◽  
Generalized Anxiety Disorder ◽  
Objective Measure ◽  
Severity Index ◽  
Anxiety Scale ◽  
Generalized Anxiety ◽  
Sensitivity Index ◽  
Somatic Anxiety ◽  
Interoceptive Sensitivity

Abstract Introduction Abnormal interoception is believed to contribute to anxiety disorders as well as possibly to Insomnia Disorder. We therefore hypothesized that interoceptive sensitivity in persons with Generalized Anxiety Disorder (GAD) would vary with sleep quality and would differ between GAD patients with and without insomnia. Methods 29 subjects (86% female) who reported GAD-7 scores ≥ 10 underwent psychiatric and sleep-disorders interviews and met DSM-5 criteria for GAD. Participants were assigned into an insomnia group if the Insomnia Severity Index (ISI) score exceeded 12 (N=18) or a non-insomnia group if ISI score < 11 (N=11). Participants completed approximately 2 weeks of actigraphy and sleep diaries (mean=14.09 days; SD=4.85) as well as online surveys of sleep quality including the Pittsburg Sleep Quality Index (PSQI) and interoceptive sensitivity including the Multidimensional Assessment of Interoceptive Awareness, the somatic anxiety scale of the State-Trait Inventory for Cognitive and Somatic Anxiety-Trait (STICSA-T) and the Anxiety Sensitivity Index. In addition, 28 participants underwent the Schandry heartbeat-counting task, an objective measure of interoceptive sensitivity. Results GAD-7 scores did not differ between insomnia and non-insomnia groups (t(18.36)=0.074, p = 0.941). However, insomniacs reported significantly higher scores on the somatic anxiety scale of the STICSA than non-insomniacs (t(17.71)=2.094, p=0.051). STICSA-T somatic anxiety scores positively correlated with greater PSQI scores (R=0.588; p=0.002) and trended negatively with actigraphy sleep-efficiency (R = -0.384; p=0.085). Non-insomniacs outperformed insomniacs in the Schandry task (t(25.9)=2.21, p=0.036). Higher Schandry scores were positively correlated with greater total sleep time (R=0.515; p=0.014) and lower ISI scores (R= -0.387; p=0.042). Conclusion Results suggest that GAD patients with insomnia have lesser objective interoceptive sensitivity and more subjective somatic anxiety than those without insomnia. Greater somatic anxiety predicted poorer subjective and objective sleep quality. Hence interoceptive sensitivity may vary with sleep disturbance in GAD. Support R21MH115279

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