School Bullying Victimization and Emotional Problems in Relation to Sexual Orientation Among High School Students in China：A Cross-Sectional Study

Abstract Background：School bullying has become a global concern for the public as well as a fierce battlefield for educational psychologists. And sexual minority youth (SMY) may experience minority stress, a chronic form of stress engendered by negative social experiences such as stigmatization, that is known to impact adversely mental health and well-being. Under the specific cultural background of China, few scholars associate sexual orientation with campus bullying, as well as depression and anxiety symptoms. But in fact, China's sexual minority adolescences face no less difficulties than any sexual minority in the world.Methods：From April to July 2018, a cross-sectional survey was conducted among senior high school students in Hunan Province, China. A total of 3934 subjects were investigated by multi-stage cluster random sampling. Traditional bullying victimization was surveyed via the suffering subscale of Chinese version of Olweus Bully/Victim Questionnaire (OBVQ). Cyber school bullying was surveyed via a question. The Chinese version of the 9-item Patient Health Questionnaire (PHQ-9) and the Chinese version of the 7-item Generalized Anxiety Disorder Scale (GAD-7) were used to screen depression and anxiety symptoms of participants. Logistic regression model was used to analyze the relationship between sexual orientation and types of bullying victimization , depression and anxiety symptoms.Results：Bisexuality accounted for the highest proportion of victims of traditional bullying only and cyber bullying only, at 10.2% and 4.8%, respectively. Homosexuality accounts for the highest proportion of combined bullying, at 18.2%. Homosexuality(OR: 5.833; 95% CI: 3.045 to 11.176), bisexuality(OR: 2.831; 95% CI: 1.354 to 5.923)and uncertainty of sexual orientation(OR: 2.206; 95% CI: 1.435 to 3.392) were significantly associated with combined bullying. The bisexual group has the highest rate of depression(40.1%) and anxiety(38.1%) symptoms. Compared to heterosexual group, bisexual group has the highest risk of depression(OR: 2.349; 95% CI: 1.664 to 3.316) and anxiety(OR: 3.049; 95% CI: 2.150 to 4.324) symptoms.Conclusions: Homosexuals are at the greatest risk of becoming victims of double bullying(traditional bullying and cyberbullying)and bisexuals are at the greatest risk of depression and anxiety symptoms.

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Ayahuasca use and reported effects on depression and anxiety symptoms: An international cross-sectional study of 11,912 consumers

Journal of Affective Disorders Reports ◽

10.1016/j.jadr.2021.100098 ◽

2021 ◽

Vol 4 ◽

pp. 100098

Author(s):

Jerome Sarris ◽

Daniel Perkins ◽

Lachlan Cribb ◽

Violeta Schubert ◽

Emerita Opaleye ◽

...

Keyword(s):

Cross Sectional Study ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional

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Association between self-care agency and depression and anxiety in patients with diabetic retinopathy

BMC Ophthalmology ◽

10.1186/s12886-021-01883-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Bo Zhang ◽

Qin Wang ◽

Xuancan Zhang ◽

Li Jiang ◽

Lezhi Li ◽

...

Keyword(s):

Diabetic Retinopathy ◽

Rural Areas ◽

Self Care ◽

Depression Scale ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Clinical Factors ◽

Cross Sectional ◽

History Of ◽

Care Agency

Abstract Background This study aimed at investigating: 1) the relationship between self-care agency and depression and anxiety; 2) the sociodemographic and clinical factors associated with depression and anxiety in patients with diabetic retinopathy (DR) in China. Methods A cross-sectional study was conducted. One-hundred and five patients with DR were recruited. Self-care agency was assessed by the exercise of self-care agency (ESCA) scale. Depression and anxiety were assessed by the hospital anxiety and depression scale (HADS-D and HADS-A). Pearson or Spearman correlations were performed to assess the association between self-care agency and depression and anxiety. Stepwise multivariate linear regression analyses were conducted to assess the contribution of the sociodemographic and clinical factors to depression and anxiety. Results Thirty-six (34.3%) and 43 (41.1%) patients exhibited depressive and anxiety symptoms, respectively. Only 24 (22.9%) patients showed a high self-care agency. The ESCA total and subscale scores were negatively correlated depressive symptoms (P < 0.05). Self-care skills were negatively correlated with anxiety symptoms (P < 0.05). ESCA total score, rural residence, history of hypertension and visual acuity were associated with depression; self-care skills and diastolic blood pressure were associated with anxiety. Conclusions Self-care agency negatively correlates with depression and anxiety in patients with DR. Special attention should be paid to patients living in rural areas and/or those having a history of hypertension when assessing depression and anxiety in patients with DR. Future studies are needed to clarify the causal relationship between self-care agency and depression and anxiety.

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Depression and Anxiety among University Students: a Comparison Between COVID-19 Pandemic Panic Period and Post-Panic Period in Bangladesh

10.21203/rs.3.rs-702997/v1 ◽

2021 ◽

Author(s):

Gowranga Kumar Paul ◽

Meshbahur Rahman ◽

Shayla Naznin ◽

Mashfiqul Haq Chowdhury ◽

Md Jamal Uddin

Keyword(s):

University Students ◽

Anxiety Symptoms ◽

Health Concern ◽

Depression Symptoms ◽

Depression And Anxiety ◽

Cross Sectional ◽

Logistic Regression Models ◽

Time Period ◽

The Difference ◽

The University

Abstract Background: The current COVID-19 pandemic is the biggest public health concern. It harmed everyone, both physically and mentally. Because of panic situations in COVID-19 pandemic, students all over the world, including those in Bangladesh, are suffering from depression and anxiety. Considering this, we aimed to assess psycho-emotional changes of the university students through investigating their level of depression and anxiety effects during panic and post-panic period of COVID-19 pandemic in Bangladesh.Methods: Cross-sectional online surveys were conducted among university students in Bangladesh from April to July 2020 (panic period, n=170) and then from August to November 2020 (post-panic period, n=170). The PHQ-9 and GAD-7 questionnaires were used to assess respondents' depression and anxiety levels, respectively. We used continuous scores to assess the severity of depression and anxiety symptoms. We also computed binary depression and anxiety scores. Multivariable logistic regression models were used to analyze the data. Results: The proportion of depression symptoms was 49.4% during the panic period and 52.4% after the panic period. Anxiety symptoms were experienced by 38.2% of students during the panic period, and this percentage was nearly identical in the post-panic interval. Depression levels increased in the post-panic period and urban students have significantly (P< 0.05) higher levels of depression and anxiety than their counterparts. Female students also exhibited significantly more anxious symptoms (p=0.002) than male. Depression symptoms significantly vary by family types, students place of residence whereas students age, gender, education, family head's occupation, time period and family economic condition found no significant association with the depression.Conclusions: Students during the post-panic period have a higher prevalence of depression and anxiety symptoms than during the panic period. Although the difference was small, it was still concerning for university students in Bangladesh because it interfered with their academic life.

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Pain Acceptance and Its Associated Factors among Cancer Patients in Mainland China: A Cross-Sectional Study

Pain Research and Management ◽

10.1155/2019/9458683 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Xianghua Xu ◽

Meijun Ou ◽

Chanjuan Xie ◽

Qinqin Cheng ◽

Yongyi Chen

Keyword(s):

Chronic Pain ◽

Cancer Pain ◽

Cancer Patients ◽

Mainland China ◽

Hunan Province ◽

Depression And Anxiety ◽

Cross Sectional ◽

Pain Acceptance ◽

Cancer Hospital ◽

Pain Duration

Background. Pain acceptance is associated with disability, pain interference, depression, and anxiety. Few studies have been conducted on the acceptance of cancer pain and its correlates. Objectives. The aim of this study was to examine the level and correlates of pain acceptance in cancer patients from mainland China. Setting and Participants. The study comprised 156 cancer patients in a tertiary cancer hospital in Hunan Province of China. Design. The study is based on a cross-sectional survey design. Subjects and Methods. The 8-item Chronic Pain Acceptance Questionnaire (CPAQ-8) was completed by 156 cancer patients with chronic pain from a tertiary cancer hospital. Demographics, pain, and negative mood assessed by the Hospital Anxiety and Depression Scale (HADS) were explored in relation to the CPAQ-8 scores using descriptive univariate analysis. Results. For the 156 patients, the mean CPAQ-8 score was 25.99 (SD = 8.56; range: 9 to 44). The scores were associated with age, gender, marital status, pain duration, number of pain sites, and duration of taking analgesics. The total scores on the CPAQ-8 and its two subscales (activity engagement and pain willingness) were negatively correlated with the HADS scores. Conclusions. The findings suggest that the prevalence of pain acceptance is relatively low for Chinese cancer patients. The cancer pain acceptance is affected by age, gender, pain duration, number of pain sites, and duration of taking analgesics. The acceptance of cancer pain is negatively correlated with depression and anxiety. Therefore, patients with risk factors for low pain acceptance should receive more attention in Chinese medical settings.

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Associations of depression and anxiety symptoms with sexual behaviour in women and heterosexual men attending sexual health clinics: a cross-sectional study

Sexually Transmitted Infections ◽

10.1136/sextrans-2018-053689 ◽

2019 ◽

Vol 95 (4) ◽

pp. 254-261 ◽

Cited By ~ 1

Author(s):

Rachel Margaret Coyle ◽

Fiona C Lampe ◽

Ada Rose Miltz ◽

Janey Sewell ◽

Jane Anderson ◽

...

Keyword(s):

Sexual Health ◽

Sexual Risk ◽

Anxiety Symptoms ◽

Heterosexual Men ◽

Depression Symptoms ◽

Sexual Risk Behaviour ◽

Depression And Anxiety ◽

Cross Sectional ◽

Study Region ◽

Condomless Sex

ObjectiveTo assess the association of symptoms of depression and anxiety with sexual risk behaviour and history, among women and heterosexual men attending genitourinary medicine (GUM) clinics.MethodsAttitudes to and Understanding of Risk of Acquisition of HIV (AURAH) was a cross-sectional, self-administered questionnaire study recruited from 20 GUM clinics in England, 2013–2014. This analysis included women and heterosexual men. The prevalence of depression and anxiety symptoms was assessed. Modified Poisson regression was used to produce adjusted prevalence ratios (aPR) for the association of t demographic, socioeconomic and lifestyle factors with depression and anxiety, adjusted for gender, age, ethnicity, education level and study region. Among individuals reporting sex in the past 3 months, associations of depression and anxiety with sexual risk behaviour and history were assessed separately by gender, adjusted for age, ethnicity, study region, education and relationship status.ResultsQuestionnaires were completed by 676 women and 470 heterosexual men. Depression symptoms were reported by 100 (14.8%) women and 33 men (7.0%). Anxiety symptoms were reported by 79 women (11.7%) and 21 men (4.5%). Among women reporting recent sex, those with depression symptoms were more likely to report condomless sex with a non-regular partner, aPR 1.38 (1.07–1.77) and recent condomless sex with two or more partners, 1.80 (1.25–2.59). Women with anxiety symptoms more likely to report recent condomless sex with two or more partners, 1.68 (1.13–2.50), low self-efficacy for condom use, 1.54 (1.02–2.31) and STI diagnosis in the last year 1.51 (1.04–2.20). Among heterosexual men reporting recent sex, depression and anxiety symptoms were associated with low self-efficacy with condom use, 2.32 (1.29–4.19) for depression and 2.23 (1.26–3.94) for anxiety, but not with measures of condomless sex.DiscussionThe associations between psychological symptoms and sexual risk behaviours highlight the importance of holistic assessment of need by both general and sexual health clinicians. We highlight the challenge in delivering holistic care associated with fragmentation of sexual health services.

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Depression and anxiety symptoms post-stroke/TIA: prevalence and associations in cross-sectional data from a regional stroke registry

BMC Neurology ◽

10.1186/s12883-014-0198-8 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 47

Author(s):

Niall M Broomfield ◽

Terence J Quinn ◽

Azmil H Abdul-Rahim ◽

Matthew R Walters ◽

Jonathan J Evans

Keyword(s):

Anxiety Symptoms ◽

Depression And Anxiety ◽

Cross Sectional ◽

Stroke Registry ◽

Post Stroke

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Sexual orientation identity and tobacco and hazardous alcohol use: findings from a cross-sectional English population survey

BMJ Open ◽

10.1136/bmjopen-2016-015058 ◽

2017 ◽

Vol 7 (10) ◽

pp. e015058 ◽

Cited By ~ 10

Author(s):

Lion Shahab ◽

Jamie Brown ◽

Gareth Hagger-Johnson ◽

Susan Michie ◽

Joanna Semlyen ◽

...

Keyword(s):

Sexual Orientation ◽

Alcohol Use ◽

Tobacco Use ◽

Sexual Minority ◽

Omnibus Test ◽

Hazardous Alcohol Use ◽

Cross Sectional ◽

Sexual Minority Men ◽

Hazardous Alcohol ◽

And Bisexual

ObjectivesTo assess the association between tobacco and hazardous alcohol use and sexual orientation and whether such an association could be explained by other sociodemographic characteristics.DesignCross-sectional household survey conducted in 2014–2016.SettingEngland, UK.ParticipantsRepresentative English population sample (pooled n=43 866).Main outcomesSexual orientation identity (lesbian/gay, bisexual, heterosexual, prefer-not-to-say); current tobacco and hazardous alcohol use (defined as Alcohol Use Disorders Identification Test Score ≥8). All outcomes were self-reported.ResultsDue to interactions between sexual orientation and gender for substance use, analyses were stratified by gender. Tobacco use prevalence was significantly higher among lesbian/gay (women: 24.9%, 95% CI 19.2% to 32.6%; men: 25.9%, 95% CI 21.3% to 31.0%) and bisexual participants (women: 32.4%, 95% CI 25.9% to 39.6%; men: 30.7%, 95% CI 23.7% to 30.7%) and significantly lower for prefer-not-to-say participants in women (15.5%, 95% CI 13.5% to 17.8%) but not men (22.7%, 95% CI 20.3% to 25.3%) compared with heterosexual participants (women: 17.5%, 95% CI 17.0% to 18.0%; men: 20.4%, 95% CI 19.9% to 21.0%; p<0.001 for omnibus test). Similarly, hazardous alcohol use was significantly more prevalent for lesbian/gay (women: 19.0%, 95% CI 14.0% to 25.3%; men: 30.0%, 25.2%–35.3%) and bisexual participants (women: 24.4%, 95% CI 18.7% to 31.3%; men: 24.3%, 95% CI 17.9% to 32.1%) and lower for prefer-not-to-say participants (women: 4.1%, 95% CI 3.0% to 5.4%; men: 13.7%; 95% CI 11.8% to 16.0%) compared with heterosexuals (women: 8.3%, 95% CI 7.9% to 8.7%; men: 18.4%, 95% CI 17.9% to 18.9%; p<0.001 for omnibus test). However, after adjusting for sociodemographic confounders, tobacco use was similar across all sexual orientation groups among both women and men. By contrast, sexual orientation differences in hazardous alcohol use remained even after adjustment among women but not for bisexual and gay men.ConclusionsIn England, higher rates of tobacco use among sexual minority men and women appear to be attributable to other sociodemographic factors. Higher rates of hazardous alcohol use among sexual minority men may also be attributable to these factors, whereas this is not the case for sexual minority women.

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Religious Coping, Religiosity, Depression and Anxiety among Medical Students in a Multi-Religious Setting

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16020259 ◽

2019 ◽

Vol 16 (2) ◽

pp. 259 ◽

Cited By ~ 8

Author(s):

Benedict Francis ◽

Jesjeet Gill ◽

Ng Yit Han ◽

Chiara Petrus ◽

Fatin Azhar ◽

...

Keyword(s):

Depressive Symptoms ◽

Medical Students ◽

Religious Coping ◽

Depression Scale ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Cross Sectional ◽

Negative Religious Coping ◽

Cross Sectional Design ◽

Socio Demographic Factors

Medical students are vulnerable to depression and anxiety due to the nature of their academic life. This study aimed to determine the prevalence of depressive and anxiety symptoms among medical students and the association between religious coping, religiosity and socio-demographic factors with anxiety and depressive symptoms. A cross sectional design was used for this study. Scales used were the Malay version of the Duke Religious Index (DUREL-M), the Malay version of the Brief Religious Coping Scale (Brief RCOPE) and the Malay version Hospital and Anxiety Depression Scale (HADS-M). 622 students participated in this study. They scored moderately on the organized (mean: 3.51) and non-organized religious (mean: 3.85) subscales of the DUREL, but had high intrinsic religiosity (mean: 12.18). The prevalence of anxiety and depressive symptoms were 4.7% and 17.4% respectively, which is lower than local as well as international data. Islam, negative religious coping and the presence of depressive symptoms were significantly associated with anxiety symptoms. Only the presence of anxiety symptoms was significantly associated with depressive symptoms. Negative religious coping, rather than positive religious coping, has significant association with depressive and anxiety symptoms. Redirecting focus towards negative religious coping is imperative to boost mental health outcomes among medical students.

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