scholarly journals Estudio comparativo de niveles de ansiedad generados por el COVID- 19 en pacientes con diagnóstico previo de reacción al estrés

Ciencia Unemi ◽  
2021 ◽  
Vol 14 (37) ◽  
pp. 39-48
Author(s):  
Vinicio Ramírez Enríquez ◽  
Isabel Ramos Noboa

El objetivo de la presente investigación es establecer la diferencia entre los niveles de ansiedad antes y después de la pandemia COVID- 19, en una muestra de 30 pacientes con diagnóstico previo de reacciones de estrés (CIE 10: F43.0, F43.8). Para este estudio, se empleó una metodología de diseño no experimental y de alcance descriptivo- comparativo, de corte longitudinal. La evaluación se realizó a través del empleo de la Escala de Ansiedad de Hamilton (Hamilton Anxiety Scale- HAS). La edad de los examinados tenía una media (Ẋ) de 28,27 años, con una distribución de género mayoritariamente femenino (60%). Entre los resultados se encontró que, en un 60% de los casos, los niveles de ansiedad encontrados en el postest son mayores que los hallados en el pretest y que dichas diferencias son estadísticamente significativas, (p<.05). Se concluye que dicho incremento es mayor en personas jóvenes y jóvenes adultos, de género femenino, con una instrucción primaria o secundaria y de condiciones socioeconómicas bajas; paralelamente, la condición de estar casado funcionó como un factor protector ante la ansiedad

1991 ◽  
Vol 6 (3) ◽  
pp. 119-125 ◽  
Author(s):  
D Loldrup ◽  
M Langemark ◽  
HJ Hansen ◽  
M Kastrup ◽  
K Jeppesen ◽  
...  

SummaryIn patients with chronic idiopathic pain disorders we have analysed the construct validity of the Melancholia Scale as compared to the results with the scale in primary depression. The patients (n= 253) were treated in a placebo controlled trial with either clomipramine or mianserin independently of the Melancholia score. The construct validity of the Melancholia Scale was further analysed by the testing of the intensity model of depression versus anxiety using the Beck Depression Inventory, the Hamilton Anxiety Scale, the Spielberger State-Trait Anxiety Scale, and the Melancholia Scale. The construct validity in terms of scale homogeneity was analysed by Loevinger coefficients which can be considered as a latent structure evaluation. The Melancholia Scale showed acceptable homogeneity, while the Hamilton Anxiety Scale lacked sufficient homogeneity. In total, 33% of the patients had a score of 10 or more on the Melancholia Scale (corresponding to 13 or more on the Hamilton Depression Scale). The predictive validity of the Melancholia Scale was evaluated using active treatment versus placebo response after 6 weeks of therapy. It was shown that in patients with a Melancholia Scale score of 10 or more (corresponding to “less than major depression”) 72% had full recovery when treated with clomipramine, while 36% of the placebo treated patients obtained a full recovery (P≤0.05). The patients treated with mianserin obtained a full recovery in 52%. The group of patients with a Melancholia Scale score of 10 or more scored higher also on the anxiety scales indicating that the relation between depression and anxiety is a matter of severity. The depressed patients had significantly lower imipramine binding sites than the non-depressed patients.


1979 ◽  
Vol 7 (5) ◽  
pp. 404-410 ◽  
Author(s):  
H P Schjønsby ◽  
A E Gordon ◽  
D Koeppen

Efficacy and safety of the 1,5 benzodiazepine, clobazam, in comparison to the 1,4 benzodiazepine, diazepam, were controlled in sixty psychiatric out-patients over a period of three months. In the course of this long treatment period data were obtained confirming findings of shorter-lasting studies. Global assessment of the therapeutic efficacy and the total scores of the Hamilton Anxiety Scale revealed no significant difference between the compounds. Both groups showed a significant (p < 0.01) improvement in the total scores of the Hamilton Anxiety Scale after two weeks of treatment. Scores of the individual items indicated distinct spectra of action: Clobazam was more effective in diminishing anxious mood, whereas diazepam was better able to influence muscular symptoms of anxiety. The relevance of the findings for a more individualized therapy is pointed out.


1979 ◽  
Vol 134 (1) ◽  
pp. 111-113 ◽  
Author(s):  
Evaristo Gomez ◽  
Adib R. Mikhail

SummaryThe use of cerebral electrotherapy (CET) in methadone detoxification was studied in 28 patients. Fourteen patients received active CET; the other 14 acted as controls and received either simulated CET or only methadone detoxification therapy. One patient dropped out of the study. The Taylor Manifest Anxiety Scale and the Hamilton Anxiety Scale were administered before and after the study period. Nine of the patients receiving active CET were drug-free by the end of 8 to 10 days, and all experienced a marked reduction of their symptoms; the control group did not show significant changes. CET was clearly beneficial in the treatment of patients undergoing methadone withdrawal.


1983 ◽  
Vol 5 (2) ◽  
pp. 163-170 ◽  
Author(s):  
A. Gjerris ◽  
P. Bech ◽  
S. Bøjholm ◽  
T.G. Bolwig ◽  
P. Kramp ◽  
...  

1977 ◽  
Vol 131 (3) ◽  
pp. 306-309 ◽  
Author(s):  
G. N. Bianchi ◽  
D. M. Fergusson

SummaryThis paper develops a structural equation model to assess the effects of mental state on EPI scores. This model is applied to results obtained from a clinical population. The findings show that: (a) the E scale is not influenced by mental state as measured by the Hamilton Anxiety Scale (HAS); (b) the N scale is influenced by HAS. An attempt to revise the N scale to produce an un-contaminated score is discussed.


2011 ◽  
Vol 26 (S2) ◽  
pp. 146-146
Author(s):  
R. Danciulescu Miulescu ◽  
M.E. Calarasu ◽  
R.I. Rosca ◽  
S. Danoiu

Background and aimsGraves’ disease is an autoimmune disease characterized by goitre with hyperthyroidism, Graves ophthalmopathy and pretibial myxedema The patients with Graves’ disease frequent develop a psychiatric manifestations such as mood and anxiety disorders and, cognitive dysfunction. The aims of the study is to estimate the prevalence of anxiety in patients with Graves’ disease.Materials and methods66 patients with Graves’ disease (46 women and 20 men) were recruited to this study. The subjects were between 32 and 61 years. The Hamilton Anxiety Scale (HAM-A) is a used interview scale that measures the severity of a patient’s anxiety, based on 14 items, including anxious mood, tension, fears, insomnia, somatic complaints and behaviour at the interview. The HAM-A was completed prior and after the treatment. Results were compared with measurements of HAM-A in 24 subjects without Graves’ disease.ResultsMild anxiety was present in 24 patients with Graves’ disease (36.66%-16 women and 8 men) moderate anxiety in 13 patients (19.69% - 7 women and 6 men) and severe anxiety in 3 patients (4.54%- 2 women and 1 men) prior to treatment of hyperthyroidism. After treatment of hyperthyroidism 12 patients presented mild anxiety, 6 moderate anxiety and 3 severe anxiety. The prevalence of mild anxiety was present in 2 subjects(8.33%-2 women) without Graves’ disease.ConclusionA significant proportion of patients with Graves’ disease shows an altered mental state after treatment of hyperthyroidism. When psychiatric disorders persists after restoration of euthyroidism specific treatment for the psychiatric symptoms may be needed.


e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Harfika Boky

Kecemasan merupakan suatu keadaan yang normal dari manusia untuk menghadapi situasi tertentu, tetapi juga dapat berubah menjadi gangguan mental jika berlebihan dan tidak sebanding dengan situasi. Dalam bidang kedokteran gigi gejala kecemasan sering ditemukan pada pasien tindakan pencabutan gigi. Hal ini membuat peneliti tertarik untuk mengetahui "Gambaran tingkat kecemasan pasien terhadap tindakan pencabutan gigi di puskesmas Bahu Kecamatan Malalayang Kota Manado".Penelitian ini menggunakan metode penelitian crossectional studi dengan pengambilan data secara total sampling. Data penelitian dikumpulkan dengan mewawancarai responden dimana lembar skoring terdiri atas 2 bagian. Bagian pertama digunakan untuk mengidentifikasi data demografi.Bagian kedua digunakan untuk pengukuran tingkat kecemasan menggunakan skala HAM-A (Hamilton Anxiety Scale).Hasil penelitian menunjukan tingkat kecemasan pasien pencabutan gigi di puskesmas Bahu Kecamatan Malalayang Kota Manado berdasarkan penilaian Hamilton Anxiety Rating Scale yaitu sebanyak 27 orang (43,6%) dari total 62 subjek dinyatakan menderita kecemasan baik ringan maupun sedang. Pasien dengan jenis kelamin perempuan lebih banyak yang cemas dibandingkan dengan pasien dengan jenis kelamin laki-laki. Pasien usia 18-40 tahun lebih merasakan cemas dibandingkan kelompok usia yang lebih tua. Diharapkan operator lebih memperhatikan kecemasan pasien dan mengetahui bagaimana penangannya.Kata kunci : kecemasan, tindakan pencabutan gigiABSTRACTAnxiety is a normal condition of the human beeing to deal with certain situation, but it also can turn into mentally disorder, if excessive and not comparable. In dental, symptoms anxiety often found in teeth extraction patient. Anxiety experienced should have seriously attention because influence the performance of dentist. So researcher interested to know about "Description of the patient's level anxiety to teeth extraction at Puskesmas Bahu Kecamatan Malalayang Kota Manado".The reaserch use s a type of descriptive research, data is collected by interviewing the respondent where there are two sheets. The first sheet is used to identify the demographic data., the second part is used for the measurement of the level of anxiety HAM-A (Hamilton Anxiety Scale)Result show the leve of anxiety teeth extraction in Puskesmas Bahu Kecamatan Malalayang kota Manado based on assesment Hamilton anxiety rating scale is 27 patients (43,6%) from 62 total subject expressed suffer or moderate anxiety. Patient with gender women more anxious than men. Patient with ages 18-40 years are more anxious than older age groups. Sugest to spend more attention to anxiety patient and knowing the handling.Key word : Anxiety, teeth extraction


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