scholarly journals The mental health of neurological doctors and nurses in Hunan Province, China, during the COVID-19 outbreak

Author(s):  
Changqing Chen ◽  
Xianjun Ning ◽  
Fang Yu ◽  
Qin Huang ◽  
Xi Li ◽  
...  

Abstract Background: The aim of this study was to investigate the prevalence of anxiety and depression in neurological doctors and nurses in Hunan Province, China, during the Coronavirus Disease 2019 (COVID-19) outbreak.Methods: A cross-sectional study was conducted among neurological doctors and nurses in Hunan Province. Symptoms of anxiety and depression were assessed by the Zung Self-Rating Anxiety scale (SAS) and Zung Self-Rating Depression Scale (SDS).Results: The average SAS standard scores of neurological physicians were 41.33 ± 8.98, higher than Chinese national norms. The prevalence of anxiety (defined as a total score ≥50 on the SAS) and depression (defined as a total score ≥53 on the SDS) in nurses (20.3%, 30.2%) was higher than in doctors (12.6%, 20.2%). Logistic regression analysis showed that attitude toward the risk of infection due to the shortage of protective equipment was independently associated with anxiety among neurological staff (OR = 2.004, 95% CI: 1.257 - 3.193).Conclusions: Symptoms of anxiety and depression were more prevalent among neurological nurses than doctors in Hunan Province. The shortage of protective equipment led to anxiety in the medical staff of neurology departments, which merits attention during the battle against COVID-19.

Author(s):  
Farhat Jan ◽  
Muhammad Azeem Qureshi ◽  
Dr. Malik Mureed Hussain

Psychological pressures leading towards instability of psychological states like anxiety, stress, fear and depression. The main objectives of present study were to explore the existence of anxiety, depression and fear among public. A cross-sectional study was conducted from 15th April to 4th May, 2020. Three research instruments including Fear of COVID-19 Scale (FCS), Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used. 530 valid questionnaires were received in response to online survey. The results showed that 518 (97.7%) of individuals have fear. The results indicated that those 403 (76.0%) respondents were non-anxious and 127 (46.0%) people were anxious. Depression and non-depression rate was 55.5% and 45.5% respectively. It was revealed that anxiety, depression and fear have significant positive correlation. It was also found that females faced more anxiety, fear and depression than males. Results indicated that following precaution against coronavirus reduces anxiety, depression and fear. Students were found to have higher mean scores on FCS, SAS and SDS as compare to working and unemployed individuals. Compared to students of intermediate, graduation and post-graduation, Undergraduates had higher mean scores which show more fear, anxiety and depression. Therefore, it is requirement due to outbreak of COVID-19 to facilitate psychological state of general public. Keywords: COVID-19, Anxiety, Depression, Fear, Correlation


2021 ◽  
Author(s):  
Linjun Shi ◽  
Xuexue Deng ◽  
Xiaoping Zhou ◽  
Wenjing Liu ◽  
Yueshan Gao ◽  
...  

Abstract Background: Depression and osteoporosis are two chronic diseases that affect many people and have a significant impact on incidence, mortality, and quality of life. An association between osteoporosis and depression has been described in the literature. However, few studies have reported the correlation between depression and physical activity in elderly patients with osteoporosis in China.Methods: This cross-sectional study was conducted from August 1, 2020, to January 29, 2021. Eligible participants were aged ≥60 years and identified as having osteoporosis. One hundred and seventy-three patients were recruited in the outpatient department of West China Hospital. A self-designed demographic data questionnaire, self-rating anxiety scale (SAS), self-rating depression scale (SDS), and physical activity scale in the elderly (PASE) were used to evaluate anxiety and depression status and physical activity of the participants. Multivariate linear regression was performed to evaluate the factors affecting physical activity. Spearman’s correlation coefficient was used to analyze the correlation among physical activity, anxiety, and depression in elderly patients with osteoporosis.Results: Of the 173 participants with osteoporosis, 114 (65.9%) were aged 60-75 years. The physical activity scores were 78.17±3.03.131 (75.72%) for participants with anxiety and 122 (70.52%) for participants with depression. Multiple linear regression showed that age, education, smoking, participation in social activity, activity of daily life, frailty phenotype, SAS, and SDS were independent risk factors for physical activity in elderly patients with osteoporosis. Physical activity was negatively correlated with anxiety and depression. This means that the higher the physical activity score was, the lower the incidence of anxiety and depression.Conclusions: We found that anxiety and depression were prevalent, and physical activity was negatively correlated with anxiety and depression in elderly patients with osteoporosis in China. Medical staff should focus on the factors that influence anxiety and depression among elderly patients with osteoporosis and reduce the incidence of anxiety and depression.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Anish Khalil ◽  
Muhammad Faheem ◽  
Ammad Fahim ◽  
Haran Innocent ◽  
Zainab Mansoor ◽  
...  

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.


PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0210111 ◽  
Author(s):  
Heidi Turon ◽  
Mariko Carey ◽  
Allison Boyes ◽  
Bree Hobden ◽  
Sophie Dilworth ◽  
...  

2021 ◽  
Author(s):  
Germain Manzekele Bin Kitoko ◽  
Bives Mutume. Vivalya ◽  
Martial Mumbere Vagheni ◽  
Thierry Matonda Ma Nzuzi ◽  
Sam Mampunza Lusambulu ◽  
...  

Abstract Background: Stroke exposes the patients and the caregivers to the development of burden in terms of health, economic and social costs. Few studies have focused on the relationship between the psychological burden and the level of disability in stroke survivors and caregiver dyads. Methods: This cross-sectional study aimed at determining the psychological burden of stroke in patients and caregivers in Kinshasa. 85 stroke survivors and caregivers dyads were screened using the Hospital Anxiety and Depression Scale, the Zarit Burden Inventory, and the Rankin’s modified Scale to determine respectively the depression, the anxiety in stroke survivors as well as the caregivers’ psychological burden. Results: Up to fifty percent of survivors of stroke had a severe disability, associated with a high risk of the occurrence of the psychological burden. Nearly eighty-five percent of caregivers showed a moderate psychological burden. The stroke survivors developed more depression than anxiety. Caregivers developed more likely anxiety and depression than stroke survivors. Conclusions: There is a positive relationship between the psychological burden in caregivers and the level of disability in stroke survivors far from the acute phase of the stroke. Healthcare providers working with the survivors of stroke should assess for anxiety and depression in caregivers.


Author(s):  
Wajana Thaweerat ◽  
Wannarat Amornnimit Pongpirul ◽  
Wisit Prasithsirikul

AbstractAnxiety and depression in hospitalized COVID-19 patients in Thailand during the first wave of the pandemic were investigated. Thai version of Hospital Anxiety and Depression Scale (HADS) was chosen as an instrument for evaluation. Thirty-two voluntary participants completed the questionnaire. Three (9.4%) respondents had abnormal anxiety sub-scale scores while no respondents had abnormal depression sub-scale scores. There was no statistical demographic difference between the anxiety and non-anxiety groups.


2021 ◽  
Author(s):  
Solfrid Romundstad ◽  
Torfinn Hynnekleiv

Abstract Background: The study aimed to examine whether there are associations between levels of depression symptoms and levels of the inflammation marker albuminuria. Materials and methods: The 8303 participants in this cross-sectional study were subjects from the second survey of the Trøndelag Health Study (HUNT, Norway). Depression symptoms were assessed by the Hospital Anxiety and Depression Scale (HADS). Logistic regression analysis was performed to estimate the odds ratio (OR) for moderately increased albuminuria (ACR > 3.0 mg/mmol) according to different HADS subgroups and -scores.Results: Unadjusted ORs for moderately increased albuminuria were significantly increased in those with HADS > 8 (OR 1.27, 95% CI 1.05-1.54, p=0.013) and HADS > 11 (OR 1.59, 95% CI 1.19-2.14, p=0.002). However, after adjusting for age and sex, only HADS > 11 was significantly associated with ACR > 3.0 mg/mmol (OR 1.46, 95% CI 1.08-1.98, p=0.014), and after multivariable adjustments for cardiovascular risk factors and comorbidity, there were no significant associations. Conclusion: The positive and significant association between moderately increased albuminuria and symptoms of depression found in unadjusted analyses weakened and disappeared after adjustments. Although individuals with depressive symptoms had albuminuria more often than individuals without such symptoms, albuminuria may reflect other comorbidity and inflammation conditions than depression.


2020 ◽  
Vol 4 (1) ◽  
pp. 2514183X2092595
Author(s):  
Heiko Pohl ◽  
Andreas R Gantenbein ◽  
Peter S Sandor ◽  
Jean Schoenen ◽  
Colette Andrée

Objective: The aim of this study is to evaluate how anxiety influences the burden of disease of cluster headache. Methods: Participants completed a modified version of the EUROLIGHT questionnaire. Anxiety was measured with the anxiety subscale of the Hospital Anxiety and Depression scale. An elevated level of anxiety was assumed when eight or more points were scored. Results: The data of 1089 participants were taken for analysis. The score of the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A) correlated weakly with the number of attacks in the last 30 days ( r = 0.17). A score of eight and above in the HADS-A was associated with hurting oneself during an attack (odds ratio (OR) = 2.63), worrying about future attacks (OR = 2.95) and reporting of both failed relationships (OR = 2.81) and career problems (OR = 2.65). The odds of feeling understood by family and friends as well as colleagues and employers were lower in anxious persons (OR = 0.35 and 0.40, respectively). Conclusions: Anxiety complicates dealing with cluster headache and strongly aggravates its burden. Instead of finding help in others, anxious persons feel misunderstood and withdraw; relationships fail and difficulties at work arise.


2020 ◽  
Author(s):  
Jiebing Chen ◽  
Qiaojian Zou ◽  
Cheng Jiang ◽  
Jiaming Huang ◽  
Xiaochen Liu ◽  
...  

Abstract Background: Perinatal anxiety and depression can severely damage both maternal and infant’s health and result in negative effects. In this study, we investigated the current state of anxiety and depression among pregnant women in Tibet and Guangzhou and identified its risk factors, which would provide guidance for clinical daily work.Methods: From September 2018 to May 2019, 169 pregnant women in Tibet and 199 of them in Guangzhou were selected. Zung's Self Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to assess the degree of anxiety and depression, respectively. All the data were collected by the questionnaire.Results: The SAS and SDS scores in Guangzhou were 42.4±8.5 and 48.0±9.5 respectively, while the same score became 46.6±8.0 and 54.7±8.9 in Tibet. Scores of pregnant women in Tibet were significantly higher than in Guangzhou (P < 0.05). Trimester, nationality, delivery times and educational experience were considered to be influence factors for anxiety and depression among pregnant women.Conclusions: Pregnant women living in plateaus areas of China have higher SAS and SDS scores than in plain areas, especially for those with a low level of educational experience. More attention should be paid in future work.


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