scholarly journals Translation, reliability, and structural validity of the Hospital Anxiety and Depression Scale (HADS) in the general population of Mongolia

2021 ◽  
Vol 4 (3Suppl) ◽  
pp. 30-39
Author(s):  
Enkhnaran Tumurbaatar ◽  
Tetsuya Hiramoto ◽  
Gantsetseg Tumur-Ochir ◽  
Oyunsuren Jargalsaikhan ◽  
Ryenchindorj Erkhembayar ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Mental Distress ◽  
Mental Health Problems ◽  
Intraclass Correlation ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Measurement Tool ◽  
Clinical Practices ◽  
Hospital Anxiety

Various psychological, biological, and social factors make people vulnerable to mental health problems. These precursory factors as mental distress, are not sufficient alone for diagnosing a mental disorder but are recognised as risks to mental health. There has been no screening tool available in Mongolia that is adequately validated for mental health screening and neuropsychiatric functions of the brain. Therefore, we aimed to translate and validate the hospital anxiety and depression scale (HADS) to identify potential mental distress in healthy people. The HADS is reliable, valid, and practical for identifying the most common psychological disturbances. This nationwide comparative observational study for the validity of a self-reported measure was conducted between June and December 2020. One thousand ninety-four participants were randomly selected, aged 13-75, mean age was 37.7±13.7 years old, 60.9% were females, 63.9% were married. HADS total score was 13.0±5.7, HADS anxiety (HADS-A) score was 6.8±3.6, and HADS depression (HADS-D) score was 6.0±3.1 for the original two-factor model. The external reliability was good in the whole scale, and both subscales using the Intraclass Correlation Coefficient (0.872, 0.837, and 0.801 for the HADS-T, HADS-A, and HADS-D, respectively). Cronbach's alpha value was 0.776, 0.756, and 0.582, respectively, for the HADS-T, HADS-A, and HADS-D, indicating an acceptable internal consistency for the entire scale but marginal reliability for the HADS-D subscale. The reliability of both the two-factor and three-factor structures of the HADS was confirmed using confirmatory factor analysis with a satisfactory model fit on a separate sample. In conclusion, the Mongolian version of the HADS can be considered a valid and reliable measurement tool for various scientific and clinical practices in the general population.

Anxiety Depression and Burden among the Caregivers of Persons with Neurological Illness

2018 ◽  
Vol 9 (2) ◽  
pp. 63
Author(s):  
Anil Kumar Roy ◽  
Nilesh Maruti Gujar ◽  
Arif Ali ◽  
Utpal Borah
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Depression Scale ◽  
Sampling Technique ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Care Burden ◽  
Neurological Illness ◽  
Rehabilitation Sciences ◽  
Anxiety Depression

Background: Studies have shown that caregivers of the persons with the neurological illness have high levels of psychological distress, depression and caregiver’s burden. The aim of the study was to find out anxiety, depression and caregiver’s burden among the caregivers of persons with neurological illness (PWNI). Method: Thirty caregivers of PWNI attending the Centre of Rehabilitation Sciences, LGB Regional Institute of Mental Health, Tezpur, Assam were selected using purposive sampling technique for the present study. Socio-demographic and clinical data sheet, Zarit Burden Interview Scale and The Hospital Anxiety and Depression Scale were used. Results: The results shown that in Hospital Anxiety and Depression Scale, 26.6% of the caregivers' scores were in the abnormal range in the domain of depression. While in the domain of anxiety, 16.6% scored in the abnormal range. In Zarit Burden of Scale, 13.3% of the caregivers were having little or no burden, 26.6% of the caregivers were having mild to moderate level of burden, 20% were having moderate to severe burden and 30% were having a severe burden of care. Care burden has significant positive correlation with depression (r= .124, p≤ 0.01 and anxiety (r= .124, p≤ 0.05). Conclusion: Caregivers of PWNI have been found to be at higher risk of mental health problems and care burden. The importance of addressing the burden of caregivers involved in the care of PWNI need to be taken into consideration while providing treatment and rehabilitation of PWNI.     Keywords: Anxiety, depression, burden, neurological illness

scholarly journals Psychological Effects of Foldable Capsular Vitreous Body Implantation in Patients with Impending Eye Atrophy

2021 ◽  
Author(s):  
Zheyi Shao ◽  
Chao Huang ◽  
Ying Zhang ◽  
Shanshan Li ◽  
Donglin Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Interpersonal Communication ◽  
Ocular Trauma ◽  
Depression Scale ◽  
Vitreous Body ◽  
Interpersonal Sensitivity ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Before And After ◽  
Baseline Demographic

Abstract Purpose: To investigate whether the FCVB could help improve the mental health of patients with impending eye atrophy. Methods: Fifty-five patients who underwent FCVB implantation from 2017 to 2019 were screened to take part in this retrospective study. The researchers used independent third parties to distribute questionnaires, including the Hospital Anxiety and Depression Scale and the interpersonal sensitivity part of the Symptom Checklist 90 (SCL-90) scale to score the patients' depression, anxiety, and interpersonal sensitivity before and after surgery. Finally, 52 responses were collected.Results: After FCVB implantation, patients had significantly better mental health and less depression, anxiety, and interpersonal sensitivity levels. Before FCVB implantation, 44.23% of patients with ocular trauma and retinal detachment were depressed, 48.08% were anxious, and 19.23% were sensitive to interpersonal communication. After FCVB implantation, 17.31% were depressed, 15.38% were anxious, and 9.62% were sensitive to interpersonal communication. However, baseline demographic and clinical data, such as age, gender, occupation, finance, pre-FCVB-implantation vision, number of surgeries before FCVB implantation, postoperative period length, and surgical satisfaction, had no significant effects on psychological scores of mental health before and after surgery (P> 0.05). Conclusion: Mental health (depression, anxiety, and interpersonal sensitivity) significantly improved in patients after FCVB implantation.

scholarly journals The Strengths and Difficulties Questionnaire Predicts Concurrent Mental Health Difficulties in a Transdiagnostic Sample of Struggling Learners

2020 ◽  
Vol 11 ◽  
Author(s):  
Annie Bryant ◽  
Jacalyn Guy ◽  
Joni Holmes ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Depression Scale ◽  
Health Problems ◽  
Strengths And Difficulties Questionnaire ◽  
Anxiety And Depression ◽  
Developmental Problems ◽  
Increased Risk ◽  
Mental Health Difficulties ◽  
Strengths And Difficulties

Children and adolescents with developmental problems are at increased risk of experiencing mental health problems. The Strengths and Difficulties Questionnaire (SDQ) is widely used as a screener for detecting mental health difficulties in these populations, but its use thus far has been restricted to groups of children with diagnosed disorders (e.g., ADHD). Transdiagnostic approaches, which focus on symptoms and soften or remove the boundaries between traditional categorical disorders, are increasingly adopted in research and practice. The aim of this study was to assess the potential of the SDQ to detect concurrent mental health problems in a transdiagnostic sample of children. The sample were referred by health and educational professionals for difficulties related to learning (N = 389). Some had one diagnosis, others had multiple, but many had no diagnoses. Parent-rated SDQ scores were significantly positively correlated with parent ratings of mental health difficulties on the Revised Child Anxiety and Depression Scale (RCADS). Ratings on the SDQ Emotion subscale significantly predicted the likelihood of having concurrent clinical anxiety and depression scores. Ratings on the Hyperactivity subscale predicted concurrent anxiety levels. These findings suggest the SDQ could be a valuable screening tool for identifying existing mental health difficulties in children recognized as struggling, as it can be in typically developing children and those with specific diagnoses.

scholarly journals Adapting a Revised Child Anxiety and Depression Scale for rural India: a pilot, amenable to scale up.

2016 ◽  
Author(s):  
Kasturi Haldar
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Child Anxiety ◽  
Scale Up ◽  
Depression Scale ◽  
Population Level ◽  
National Language ◽  
Self Report ◽  
Anxiety And Depression ◽  
Field Workers

*Abstract. *Education is an important cornerstone of economic developmentin India. Mental health critically impacts education but its comprehensiveassessment at a population level, especially in children in rural areaspresents significant challenges. Mental health problems areunder-recognized in the community and the clinic. Assessment by clinicalpractitioners requires specialized expertise which (for both logistical andcost reasons) are not amenable to scale-up. Diversity in languages,cultures and variation in levels of literacy further compounds the problem.Consequently, despite universal recognition that mental health isimportant, tools to measure its overall prevalence at scale are limited.Here we report adaptation of a robust, internationally validated, mentalhealth assessment scale, the Revised Child Anxiety and Depression Scale(RCADS) into Hindi, the national language, spoken by the largest number ofIndians. First RCADS in Urdu1 was translated to Hindi (since spoken Urdu isclose to Hindi). In addition, iterative steps of field adaptation andtraining enabled conversion from self-report to a questionnaire-survey(qaRCADS-H) to facilitate inclusion of illiterate respondents and improvethe overall accuracy and acceptance of the tool. Pratham EducationalFoundation-ASER Center field workers administered qaRCADS-H as a homeinterview/survey in a largely agrarian village where in 2011 the Censusreported 35% illiteracy2. Over a period of three weeks, fourcollege-educated field workers with prior survey experience, targeted 115households with children of which 110 agreed, resulting in participation of130 children 10-17 years of age. Our findings are discussed in context ofscaling and sensitization needed to effectively assess mental healthprevalence in a vulnerable group in large regions of India.

scholarly journals Prevalence of Mental Disorders and Impact on Quality of Life in Patients With Pulmonary Arterial Hypertension

2021 ◽  
Vol 12 ◽  
Author(s):  
Karen M. Olsson ◽  
Tanja Meltendorf ◽  
Jan Fuge ◽  
Jan C. Kamp ◽  
Da-Hee Park ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Disorders ◽  
Panic Disorder ◽  
Depression Scale ◽  
Adjustment Disorder ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Pulmonary Arterial

Objective: Mental health may affect the quality of life (QoL) in patients with pulmonary arterial hypertension (PAH). However, mental disorders have not been systematically assessed in these patients. We examined the prevalence of mental disorders using structured interviews and determined their impact on QoL in patients with PAH.Methods: This study included 217 patients with PAH from two German referral centers. Psychiatric disorders were assessed using the structured clinical interview for DSM-V. QoL was assessed using the WHO Quality of Life questionnaire (short form). The diagnostic value of the Hospital Anxiety and Depression Scale was evaluated by receiver operating characteristic curve analysis.Results: More than one third of the patients had psychological disorders with current or past adjustment disorder (38.2%), current major depressive disorder (23.0%), and panic disorder (15.2%) being the most prevalent mental illnesses. About half of the patients with a history of adjustment disorder developed at least one other mental illness. The presence of mental disorders had a profound impact on QoL. The Hospital Anxiety and Depression Scale ruled out panic disorder and depression disorder with negative predictive values of almost 90%.Conclusion: Mental disorders, in particular adjustment disorder, major depression, and panic disorder, are common in patients with PAH and contribute to impaired QoL in these patients. The Hospital Anxiety and Depression Scale may be used as a screening tool for the most common mental health disorders. Future studies need to address interventional strategies targeting mental disorders in patients with PAH.

scholarly journals Are dietary patterns differently associated with differentiated levels of mental health problems? Results from a large cross-sectional study among Iranian manufacturing employees

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e020083 ◽  
Author(s):  
Zahra Heidari ◽  
Awat Feizi ◽  
Hamidreza Roohafza ◽  
Katayoun Rabiei ◽  
Nizal Sarrafzadegan
Keyword(s):  
Mental Health ◽  
Dietary Patterns ◽  
Mental Health Problems ◽  
Workplace Health Promotion ◽  
Depression Scale ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Manufacturing Companies ◽  
Cross Sectional ◽  
The Impact

ObjectivesThe present study aimed to classify participants based on mental health problems profile and to evaluate its relationship with dietary patterns among Iranian manufacturing employees.DesignObservational study with a cross-sectional design.SettingThis study was conducted in Esfahan Steel Company, one of the biggest Iranian industrial manufacturing companies.ParticipantsComplete data on 2942 manufacturing employees, with a mean (SD) age of 36.68 (7.31) years, were analysed.Outcome measuresHospital Anxiety and Depression Scale(HADA) and General Health Questionnaire (GHQ-12) were used to evaluate anxiety and depression and psychological distress, respectively.ResultsThree major dietary patterns, namely ‘western’, ‘healthy’ and ‘traditional’, were extracted using factor analysis. A two-class, one-factor structure was identified from study participants in terms of mental health problems profile based on the factor mixture model. Two identified classes were labelled as ‘low mental health problems’ (2683 manufacturing employees, 91.2%) and ‘high mental health problems’ (259 individuals, 8.8%). After adjusting for the impact of potential confounders, manufacturing employees in the highest tertile of healthy dietary pattern had lower odds of being in the high mental health problems profile class (OR=0.67, 95% CI 0.49 to 0.92). In contrast, greater adherence to Western and traditional dietary patterns was associated with increased odds of being in the high mental health problems class (OR=1.66, 95% CI: 1.18 to 2.35 and OR=1.52, 95% CI :1.10 to 2.11, respectively).ConclusionsOur study provided informative pathways on the association of dietary patterns and mental health among manufacturing employees. The findings can be used by workplace health promotion policymakers in improving mental health in such study population. Interventional and prospective studies that investigate the effects of change in dietary patterns on the mental health of manufacturing employees are suggested.

scholarly journals Mental health of people with multiple sclerosis during the COVID-19 outbreak: A prospective cohort and cross-sectional case–control study of the UK MS Register

2021 ◽  
pp. 135245852110204
Author(s):  
Afagh Garjani ◽  
Rachael Hunter ◽  
Graham R Law ◽  
Rodden M Middleton ◽  
Katherine A Tuite-Dalton ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
General Population ◽  
Depression Scale ◽  
Case Control ◽  
Anxiety And Depression ◽  
Multidisciplinary Teams ◽  
Cross Sectional ◽  
The Uk ◽  
Prospective Longitudinal

Background: People with MS (pwMS) have had higher rates of anxiety and depression than the general population before the COVID-19 pandemic, placing them at higher risk of experiencing poor psychological wellbeing during the pandemic. Objective: To assess mental health and its social/lifestyle determinants in pwMS during the first wave of the outbreak in the United Kingdom. Methods: This is a community-based, prospective longitudinal cohort and cross-sectional case–control online questionnaire study. It includes 2010 pwMS from the UK MS Register and 380 people without MS. Results: The Hospital Anxiety and Depression Scale scores of pwMS for anxiety and depression during the outbreak did not change from the previous year. PwMS were more likely to have anxiety (using General Anxiety Disorder-7) and/or depression (using Patient Health Questionnaire-9) than controls during the outbreak (OR: 2.14, 95% CI: 1.58–2.91). PwMS felt lonelier (OR: 1.37, 95% CI: 1.04–1.80) reported worse social support (OR: 1.90, 95% CI: 1.18–3.07) and reported worsened exercise habits (OR: 1.65, 95% CI: 1.18–2.32) during the outbreak than controls. Conclusion: Early in the pandemic, pwMS remained at higher risk of experiencing anxiety and depression than the general population. It is important that multidisciplinary teams improve their support for the wellbeing of pwMS, who are vulnerable to the negative effects of the pandemic on their lifestyle and social support.

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