scholarly journals Teens Using Screens for Help: Impact of Suicidal Ideation, Anxiety, and Depression Levels on Youth Preferences for Telemental Health Resources (Preprint)

2018 ◽  
Author(s):  
Tammy Toscos ◽  
Amanda Coupe ◽  
Mindy Flanagan ◽  
Michelle Drouin ◽  
Maria Carpenter ◽  
...  
Keyword(s):  
Real Life ◽  
The United States ◽  
Health Concern ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Telemental Health ◽  
Text Line ◽  
The Past ◽  
Self Help ◽  
Online Counselor

BACKGROUND High rates of mental illness, stress, and suicidality among teens constitute a major public health concern in the United States. However, treatment rates remain low, partially because of barriers that could be mitigated with tech-based telemental health (TMH) resources, separate from or in addition to traditional care. OBJECTIVE This study aimed to analyze TMH resource usage by high school students to establish current user characteristics and provide a framework for future development. METHODS A total of 2789 students were surveyed regarding demographics, recent anxiety and depression symptoms, suicidality, and stress; people with whom they could openly and honestly discuss stress or problems, and prior TMH use. Logistic regression models and a general linear model were used to test relationships between variables. RESULTS Overall, 30.58% (853/2789) and 22.91% (639/2789) of students reported moderate to severe anxiety and depression symptoms, respectively, in the past 2 weeks; 16.24% (414/2550) had seriously considered suicide in the past year, consistent with national averages. Meanwhile, 16.03% (447/2789) of students had previously used at least 1 of 4 types of TMH resources (ie, self-help, anonymous chat, online counselor, or crisis text line). Teens reporting depression symptoms, higher stress, or suicidality were less likely to talk to a parent about stress or problems and more likely to tell no one. Suicidality was related to the use of all 4 types of TMH resources. Depression symptoms were related to the use of anonymous chat and crisis text line, and those with higher stress were more likely to have used an online counselor. Those reporting anxiety symptoms were less likely to have no one to talk to and more likely to have used a self-help resource. CONCLUSIONS Youth struggling with mental health symptoms, some of whom lack real-life confidants, are using existing TMH support, with resource preferences related to symptoms. Future research should consider these preferences and assist in the creation of specialized, evidence-based TMH resources.

scholarly journals Teens Using Screens for Help: Impact of Suicidal Ideation, Anxiety, and Depression Levels on Youth Preferences for Telemental Health Resources

10.2196/13230 ◽  
2019 ◽  
Vol 6 (6) ◽  
pp. e13230 ◽  
Author(s):  
Tammy Toscos ◽  
Amanda Coupe ◽  
Mindy Flanagan ◽  
Michelle Drouin ◽  
Maria Carpenter ◽  
...  
Keyword(s):  
Real Life ◽  
The United States ◽  
Health Concern ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Telemental Health ◽  
Text Line ◽  
The Past ◽  
Self Help ◽  
Online Counselor

Background High rates of mental illness, stress, and suicidality among teens constitute a major public health concern in the United States. However, treatment rates remain low, partially because of barriers that could be mitigated with tech-based telemental health (TMH) resources, separate from or in addition to traditional care. Objective This study aimed to analyze TMH resource usage by high school students to establish current user characteristics and provide a framework for future development. Methods A total of 2789 students were surveyed regarding demographics, recent anxiety and depression symptoms, suicidality, and stress; people with whom they could openly and honestly discuss stress or problems, and prior TMH use. Logistic regression models and a general linear model were used to test relationships between variables. Results Overall, 30.58% (853/2789) and 22.91% (639/2789) of students reported moderate to severe anxiety and depression symptoms, respectively, in the past 2 weeks; 16.24% (414/2550) had seriously considered suicide in the past year, consistent with national averages. Meanwhile, 16.03% (447/2789) of students had previously used at least 1 of 4 types of TMH resources (ie, self-help, anonymous chat, online counselor, or crisis text line). Teens reporting depression symptoms, higher stress, or suicidality were less likely to talk to a parent about stress or problems and more likely to tell no one. Suicidality was related to the use of all 4 types of TMH resources. Depression symptoms were related to the use of anonymous chat and crisis text line, and those with higher stress were more likely to have used an online counselor. Those reporting anxiety symptoms were less likely to have no one to talk to and more likely to have used a self-help resource. Conclusions Youth struggling with mental health symptoms, some of whom lack real-life confidants, are using existing TMH support, with resource preferences related to symptoms. Future research should consider these preferences and assist in the creation of specialized, evidence-based TMH resources.

scholarly journals The multifaceted impact of anxiety and depression on patients with rheumatoid arthritis

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Steve Peterson ◽  
James Piercy ◽  
Stuart Blackburn ◽  
Emma Sullivan ◽  
Chetan S. Karyekar ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Multinomial Logistic Regression ◽  
The United States ◽  
Anxiety And Depression ◽  
Relative Risk Ratio ◽  
Depression Symptoms ◽  
Patient Anxiety ◽  
Patient Reported ◽  
The Usa ◽  
The Impact

Abstract Background The prevalence of mood disturbances such as anxiety and depression is greater in rheumatoid arthritis (RA) patients than in the general population. Given this association, the primary aim of this study was to assess the incremental impact of anxiety or depression on patients with RA from the United States of America (USA) and Europe, independent of the impact of the underlying RA disease. Methods Rheumatologists (n = 408) from the USA and 5 European countries completed patient record forms for a predetermined number of RA patients who consulted consecutively during the study period; these patients completed patient-reported questionnaires. Descriptive statistics and multivariate regression were used to investigate the relationship between anxiety and depression with treatment and economic outcomes in RA patients. Results Of 1015 physician and patient pairs who completed all relevant questionnaire sections, 390 (38.4%) patients self-reported anxiety or depression, while 180 (17.7%) patients were reported to have anxiety or depression by their physicians. Controlling for age, gender, body mass index and clinical factors (flaring and severity), multiple regression analyses suggested that patients with anxiety or depression more often experienced treatment dissatisfaction (odds ratio [OR] 2.28; P < .001), had greater impairment in work (coefficient [β] = 11.82; P = .001) and usual activity (β = 14.73; P < .001), greater disability (β = .35; P < .001), and more often reported unemployment (OR 1.74; P = .001). Multinomial logistic regression revealed discordance between physician and patient satisfaction with treatment. For patients reporting anxiety or depression, physicians were more often satisfied with achievement of current disease control than patients (relative risk ratio 2.19; P = .002). Conclusion Concomitant anxiety or depression was associated with a significant incremental impact on the health-related quality of life and economic aspects of life of patients with RA. In light of observed differences between physician recognition of patient anxiety and/or depression versus patient reporting of anxiety and/or depression symptoms, further research is warranted to develop optimal screening and management of depression and anxiety in patients with RA.

scholarly journals A Randomized Controlled Trial of the Effectiveness of Brief-CBT for Patients with Symptoms of Posttraumatic Stress Following a Motor Vehicle Crash

2012 ◽  
Vol 42 (1) ◽  
pp. 31-47 ◽  
Author(s):  
Kitty K. Wu ◽  
Frendi W. Li ◽  
Valda W. Cho
Keyword(s):  
Posttraumatic Stress ◽  
Motor Vehicle ◽  
Psychological Symptoms ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Preventive Strategy ◽  
Ptsd Symptoms ◽  
Event Scale ◽  
Self Help

Background: Motor vehicle crashes (MVCs) are leading contributors to the global burden of disease. Patients attending accident and emergency (A&E) after an MVC may develop symptoms of posttraumatic stress disorder (PTSD). There is evidence that brief cognitive behavioural therapy (B-CBT) can be effective in treating PTSD; however, there are few studies of the use of B-CBT to treat PTSD in MVC survivors. Aims: This study examined the effects of B-CBT and a self-help program on the severity of psychological symptoms in MVC survivors at risk of developing PTSD. Method: Sixty participants who attended A&E after a MVC were screened for PTSD symptoms and randomized to a 4-weekly session B-CBT or a 4-week self-help program (SHP) booklet treatment conditions. Psychological assessments were completed at baseline (1-month post-MVC) and posttreatment (3- and 6-month follow-ups) by utilizing Impact of Event Scale-Revised (IES-R) and Hospital Anxiety and Depression Scale (HADS). Results: There were significant improvements in the measures of anxiety, depression, and PTSD symptoms over time. Participants treated with B-CBT showed greater reductions in anxiety at 3-month and 6-month follow-ups, and in depression at 6-month follow-up. A comparison of effect size favoured B-CBT for the reduction of anxiety and depression symptoms measured by HADS. A high level of pretreatment anxiety and depression were predictive of negative outcome at 6-month follow-up in the SHP condition. There was no differential effect on PTSD symptoms measured by IES-R. Conclusions: This trial supports the efficacy of providing B-CBT as a preventive strategy to improve psychological symptoms after an MVC.

Prioritizing Local Sport Activities: Determining Organizational Commitment to an Innovative Swimming Program

2016 ◽  
Vol 5 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Brennan K. Berg ◽  
Michael Hutchinson ◽  
Carol C. Irwin
Keyword(s):  
Decision Making ◽  
Organizational Behavior ◽  
Sport Management ◽  
Real Life ◽  
The United States ◽  
Health Concern ◽  
Public And Private ◽  
Parks And Recreation ◽  
Sport Activities

This case study illustrates the complexity of decision making in public organizations, specifically highlighting the public health concern of drowning disparities in the United States. Using escalation of commitment theory, students must consider various factors in evaluating the overextended commitments of a local government in a complicated sociopolitical environment and with vital public needs that must be addressed through a local parks and recreation department. Facing a reduction in allocated resources, the department director, Claire Meeks, is tasked with determining which programs will receive higher priority despite the varied feedback from the management staff. To ensure students are provided a realistic scenario, this case offers a combination of fictional and real-life events from Splash Mid-South, an innovative swimming program in Memphis, Tennessee. Students must critically evaluate not only the merits of the swimming program, but the other sport, recreation, and parks programs that also merit an equitable share of the limited resources. Therefore, students are placed in a decision-making role that is common to managers of both public and private organizations. This case study is appropriate for both undergraduate and graduate sport management courses, with specific application to strategic management, organizational behavior, and recreation or leisure topics.

scholarly journals Emotional health concerns of oncology physicians in the United States: fallout during the COVID-19 pandemic

2020 ◽  
Author(s):  
Lauren Thomaier ◽  
Deanna Teoh ◽  
Patricia Jewett ◽  
Heather Beckwith ◽  
Helen Parsons ◽  
...  
Keyword(s):  
United States ◽  
Cancer Care ◽  
Emotional Health ◽  
Well Being ◽  
The United States ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated

AbstractIntroductionCancer care is significantly impacted by the Coronavirus Disease 2019 (COVID-19) pandemic. Our objective was to evaluate the effect of the pandemic on the emotional well-being of oncology providers across the United States and explore factors associated with anxiety and depression symptoms.Methods and MaterialsA cross-sectional survey was administered to United States cancer-care physicians recruited over a two-week period (3/27/2020 – 4/10/2020) using snowball-convenience sampling through social media. Symptoms of anxiety and depression were measured using the Patient Health Questionnaire (PHQ-4).ResultsOf 486 participants, 374 (77.0%) completed the PHQ-4: mean age 45.7±9.6 years; 63.2% female; all oncologic specialties were represented. The rates of anxiety and depression symptoms were 62.0% and 23.5%, respectively. Demographic factors associated with anxiety included female sex, younger age, and less time in clinical practice. Perception of inadequate PPE (68.6% vs. 57.4%, p=0.03) and practicing in a state with more COVID-19 cases (65.8% vs. 51.1%, p=0.01) were associated with anxiety symptoms. Factors significantly associated with both anxiety and depression included: degree to which COVID-19 has interfered with the ability to provide treatment to cancer patients and concern that patients will not receive the level of care needed for non-COVID-19 illness (all p-values <0.01).ConclusionThe prevalence of anxiety and depression symptoms among oncology physicians in the United States during the COVID-19 pandemic is high. Our findings highlight factors associated with and sources of psychological distress to be addressed to protect the well-being of oncology physicians.

Pregnant and Parenting Adolescents

2016 ◽  
Author(s):  
Cynthia Franklin ◽  
Melissa Reeder
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Parents ◽  
The United States ◽  
Health Concern ◽  
Factors Associated ◽  
The Past ◽  
Current State ◽  
Important Concern ◽  
Industrialized Nations ◽  
Adolescent Pregnancies

Adolescent parenthood continues to be a public health concern despite the fact that the numbers of adolescent births have been declining over the past decade. The United States ranks number one in adolescent pregnancies out of all the industrialized nations. While reducing the number of adolescent pregnancies is important, supporting those who do become young parents is equally vital and an important concern for social workers. This chapter covers the demographics of adolescent parents as well as the risk and protective factors associated with adolescent pregnancy and parenthood. In addition, it reviews the current state of program development and the need for additional research and evaluation.

Anxiety and Depression Symptoms and Every-Night Sleep Medication Use in Older Adults

2019 ◽  
Vol 34 (7) ◽  
pp. 449-455
Author(s):  
Jonathan H. Watanabe ◽  
Diane L. Chau
Keyword(s):  
Older Adults ◽  
Outcome Measure ◽  
Medication Use ◽  
The United States ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Control Analysis ◽  
Night Sleep ◽  
Sleep Medication ◽  
Case Control Analysis

OBJECTIVE: To quantify relationship between anxiety and depression symptoms with every-night sleep medication use in the United States. DESIGN: A case-control analysis to measure association between subjects with anxiety and depression symptoms and sleep medication use. SETTING AND PATIENTS: Older adults (N = 7,590) from the National Health and Aging Trends Study. MAIN OUTCOME MEASURE: Sleep medication use every night. RESULTS: Presence of the four anxiety and depression symptoms was associated with nightly sleep medication use. Those who reported "felt down, depressed, or hopeless" almost every day had an odds ratio (OR) of 3.50 (95% confidence interval [CI] 2.28-5.37) compared with those who did not. Those who reported "little interest or pleasure in doing things" almost every day had an OR of 1.86 (95% CI 1.32-2.61) compared with those with symptoms less often. Those who reported "felt nervous, anxious, or on edge" more than half the days had an OR of 3.43 (95% CI 2.68-4.37) compared with those who experienced the symptom less frequently. Those who reported "unable to stop or control worrying" more than half the days had an OR of 2.91 (95% CI 2.25-3.77) compared with those who did not. CONCLUSION: Older adults with anxiety and depression are more likely to use sleep medications every night. Efforts must be undertaken to reduce anxiety and depression to mitigate excess consumption of sedatives.

Examining the Synergistic Effects of Two Transdiagnostic Vulnerability Factors in Relation to Anxiety and Depressive Symptoms and Disorders Among Latinos in a Community Health Care Setting

2017 ◽  
Vol 42 (5) ◽  
pp. 661-683
Author(s):  
Daniel J. Paulus ◽  
Brooke Y. Kauffman ◽  
Lorra Garey ◽  
Charles Jardin ◽  
Kara Manning ◽  
...  
Keyword(s):  
Health Care ◽  
Synergistic Effects ◽  
First Language ◽  
The United States ◽  
Interactive Effects ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Care Clinic ◽  
Dichotomous Outcome ◽  
Mindful Attention

Latinos are one of the fastest growing racial/ethnic population in the United States yet they experience a substantial amount of mental health disparities, such as anxiety and depression, compared with non-Hispanic Whites. The current study examined the interactive effects of rumination and mindful attention on anxiety and depression symptoms among economically disadvantaged Latinos. Participants consisted of 391 Latinos (86.7% female; Mage = 38.8 years [ SD = 11.4]; 95.3% first language Spanish) who attended a community-based primary health care clinic. Results provided support for an interaction effect of rumination with mindful attention in relation to depressive, suicidal, social anxiety, and anxious arousal symptoms as well as number of mood and anxiety disorders. The pattern of findings was consistent across each of these continuous dependent measures such that the highest levels of each affective variable were found for those with a combination of higher rumination and lower mindful attention. Unexpectedly, there was no interaction in relation to the dichotomous outcome of presence of any mood/anxiety diagnosis.

scholarly journals Anxiety and Depression Symptoms and Suicidal Ideation in Japan Rugby Top League Players

2021 ◽  
Vol 18 (3) ◽  
pp. 1205
Author(s):  
Yasutaka Ojio ◽  
Asami Matsunaga ◽  
Kensuke Hatakeyama ◽  
Shin Kawamura ◽  
Masanori Horiguchi ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Mental Health Problems ◽  
Elite Athletes ◽  
Japanese Version ◽  
The United States ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Epidemiological Surveys

Clinical and research interest is growing in mental health support for elite athletes, based on findings from epidemiological surveys conducted in Australia, the United States, and European countries. However, little is known about the mental health status of elite athletes in Asia, including Japan. In the current study, we examine the prevalence of mental health problems and suicidal ideation and its risk factors in Japan Rugby Top League players. We analyze anonymous web-based self-reported data from 251 currently competing Japan Rugby Top League male players. During the off-season from December 2019 to January 2020, data on anxiety and depression symptoms were collected using the Japanese version of the 6-item Kessler-6. Suicidal ideation was assessed using the Baron Depression Screener for Athletes. Among the players, 81 players (32.3%) had experienced symptoms of mild anxiety and depression during the previous 30 days, while 12 (4.8%) and 13 (5.2%) had suffered from moderate and severe symptoms, respectively. Nineteen athletes (7.6%) reported that they had experienced suicidal ideation during the previous 2 weeks. Players with mental health problems experienced more events in competitions and daily life, including reduced subjective performance, missing opportunities to play during the last season, changes in health condition, and thinking about a career after retirement, compared with players without such problems. Mental health issues in Japan Rugby Top League players, as elite athletes, may be common, and research and practice development is expected in the near future.

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