scholarly journals Fear of COVID-19 Among Elderly Patients with a Chronic Physical or Mental Disease

2021 ◽  
Author(s):  
Vasiliki Holeva ◽  
Vasiliki Aliki Nikopoulou ◽  
Eleni Parlapani ◽  
Konstantinos Karkaletsis ◽  
Styliani Kokkoni ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Mental Disease ◽  
Psychiatric Patients ◽  
Health Impact ◽  
Generalized Anxiety ◽  
Physical Disease ◽  
Chronic Disease Patients ◽  
Patient Health ◽  
Public Emergency ◽  
Demographic Subgroup

Abstract Older age renders individuals vulnerable during public emergency crises. Considering that older adults are a highly heterogeneous and continuously growing demographic subgroup, this study aimed to assess the mental health impact of COVID-19 on two groups of older patients: a group of chronic physical disease and a group of chronic mental disease. A total of 102 patients completed the Fear of COVID-19 Scale, the Generalized Anxiety Disorder scale, the Brief Patient Health Questionnaire (PHQ-9) and several questions regarding demographic characteristics. Suicidality was assessed by the 9th item of the PHQ-9.According to the results, older chronic disease patients showed higher levels of fear, whereas anxiety and depressive symptoms were present mainly in the group of older psychiatric patients. Suicidality was reported from a subtotal of 25.4% that was composed of 7.8% chronic disease patients and 17.6% psychiatric patients. Chronic physical disease and higher anxiety predicted more severe COVID-19-related fear.

scholarly journals Adaptation and Validation of a Chinese Version of Patient Health Engagement Scale for Patients with Chronic Disease

2017 ◽  
Vol 8 ◽  
Author(s):  
Yaying Zhang ◽  
Guendalina Graffigna ◽  
Andrea Bonanomi ◽  
Kai-chow Choi ◽  
Serena Barello ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Chinese Version ◽  
Patient Health ◽  
Engagement Scale

scholarly journals Negative Emotions in Migraineurs Dreams: The Increased Prevalence of Oneiric Fear and Anguish, Unrelated to Mood Disorders

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
F. De Angeli ◽  
C. Lovati ◽  
L. Giani ◽  
C. Mariotti D'Alessandro ◽  
E. Raimondi ◽  
...  
Keyword(s):  
Motor Skills ◽  
De Novo ◽  
Tension Type Headache ◽  
Anxiety And Depression ◽  
Generalized Anxiety ◽  
Migraine Pain ◽  
Patient Health ◽  
Type Headache ◽  
The Brain ◽  
Negative Connotation

Background. Migraineurs brain has shown some functional peculiarities that reflect not only in phonophobia, and photophobia, but also in mood and sleep. Dreaming is a universal mental state characterized by hallucinatory features in which imagery, emotion, motor skills, and memory are created de novo. We evaluated dream contents and associated emotions in migraineurs.Materials and Methods. 412 subjects: 219 controls; and 148 migraineurs (66 with aura, MA; 82 without aura, MO), and 45 tension type headache patients (TTH). A semistructured retrospective self-reported questionnaire was used to evaluate dreams. The Generalized Anxiety Disorder Questionnaire (GAD-7), and the Patient Health Questionnaire (PHQ-9) were administered to evaluate anxiety and depression.Results. Migraineurs showed increased levels of anxiety (P=0.0002for MA versus controls,P=0.004for MO versus controls). Fear and anguish during dreaming were more frequently reported by migraine patients compared to controls, independently by anxiety and depression scores.Discussion. The brain of migraineurs seems to dream with some peculiar features, all with a negative connotation, as fear and anguish. It may be due to the recorded negative sensations induced by recurrent migraine pain, but it may just reflect a peculiar attitude of the mesolimbic structures of migraineurs brain, activated in both dreaming and migraine attacks.

scholarly journals COVID-19 & OBESITY: BEYOND BMI

2020 ◽  
Vol 26 (8) ◽  
pp. 923-925
Author(s):  
Karl Z. Nadolsky ◽  
Daniel L. Hurley ◽  
W. Timothy Garvey
Keyword(s):  
Insulin Resistance ◽  
Chronic Disease ◽  
Patient Characteristics ◽  
Morbidity And Mortality ◽  
International Crisis ◽  
Obstructive Sleep ◽  
Patient Health ◽  
Poor Outcomes ◽  
Novel Coronavirus ◽  
End Stage

The pandemic of novel coronavirus disease 2019 (COVID-19) has triggered an international crisis resulting in excess morbidity and mortality with adverse societal, economic, and geopolitical consequences. Like other disease states, there are patient characteristics that impact clinical risk and determine the spectrum of severity. Obesity, or adiposity-based chronic disease, has emerged as an important risk factor for morbidity and mortality due to COVID-19. It is imperative to further stratify risk in patients with obesity to determine optimal mitigation and perhaps therapeutic preparedness strategies. We suspect that insulin resistance is an important pathophysiologic cause of poor outcomes in patients with obesity and COVID-19 independent of body mass index. This explains the association of type 2 diabetes mellitus (T2DM), hypertension (HTN), and cardiovascular disease with poor outcomes since insulin resistance is the main driver of both dysglycemia-based chronic disease and cardiometabolic-based chronic disease towards end-stage disease manifestations. Staging the severity of adiposity-related disease in a “complication-centric” manner (HTN, dyslipidemia, metabolic syndrome, T2DM, obstructive sleep apnea, etc.) among different ethnic groups in patients with COVID-19 should help predict the adverse risk of adiposity on patient health in a pragmatic and actionable manner during this pandemic.

scholarly journals Diagnosing Asthma Expert System with Case Base Reasoning Methods

2020 ◽  
Vol 2 (2) ◽  
pp. 187-190
Author(s):  
Margaritha M. Kune ◽  
Erwin Panggabean
Keyword(s):  
Chronic Disease ◽  
Expert System ◽  
Data Collection ◽  
The Elderly ◽  
Simple Application ◽  
Analysis And Design ◽  
Know How ◽  
Patient Health ◽  
Case Base Reasoning

Asthma is a disease that is Often found in society, especially in the elderly. Asthma is a long-term chronic disease, if left to be fatal and can cause death. Limited access and costs, to patient health information, it is difficult, to know how much influence the disease. So to find out it needs to be built a simple application that can help and Facilitate the community. The purpose of this application is to identify asama disease in older people with 15 symptoms. For the development of expert systems, Several stages are needed items, namely: Analysis and Design of the data collection. This expert system application complies with asthma used by experts and users.

Psychometric Validation of a Combined Assessment for Anxiety and Depression in Primary Care in Mozambique (CAD-MZ)

Assessment ◽  
2021 ◽  
pp. 107319112110322
Author(s):  
Jennifer M. Belus ◽  
Alberto Muanido ◽  
Vasco F. J. Cumbe ◽  
Maria Nelia Manaca ◽  
Bradley H. Wagenaar
Keyword(s):  
Primary Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Psychometric Validation ◽  
Mental Health Provider ◽  
Generalized Anxiety ◽  
Primary Care Visit ◽  
Health Providers ◽  
Operating Characteristics ◽  
Patient Health

This study sought to validate a combined assessment for major depression and generalized anxiety, administered by health providers in a primary care setting in Mozambique. Patients attending a primary care visit ( N = 502) were enrolled in the study and completed the Patient Health Questionniare–9, the Generalized Anxiety Disorder–7, and six items identified in a global systematic qualitative review of depression that were not captured in existing measures (e.g., social isolation, “thinking too much,” and “heart problems”). A separate trained mental health provider conducted the Mini International Neuropsychiatric Interview 5.0, adapted for Mozambique, to establish clinical diagnoses. Item response theory, factor analysis, and receiver operating characteristics were all used to identify the best screening items. Eight items were identified for the final screener: four items from the Patient Health Questionniare–9, two from the Generalized Anxiety Disorder–7, and two from the global depression literature. A cut-score of 7 was found to consistently increase the diagnostic likelihood of having a particular disorder. Overall, findings indicate good clinical utility of the screener in primary care in Mozambique.

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