scholarly journals Anxiety in neurosurgical patients undergoing nonurgent surgery during the COVID-19 pandemic

2020 ◽  
Vol 49 (6) ◽  
pp. E19
Author(s):  
Francesco Doglietto ◽  
Marika Vezzoli ◽  
Antonio Biroli ◽  
Giorgio Saraceno ◽  
Luca Zanin ◽  
...  
Keyword(s):  
Trait Anxiety ◽  
State Anxiety ◽  
Importance Measure ◽  
Neurosurgical Procedures ◽  
Oncological Patients ◽  
Neurosurgical Patients ◽  
Safety Perception ◽  
Machine Learning Approach ◽  
Before And After ◽  
Relative Variable

OBJECTIVEThe COVID-19 pandemic has forced many countries into lockdown and has led to the postponement of nonurgent neurosurgical procedures. Although stress has been investigated during this pandemic, there are no reports on anxiety in neurosurgical patients undergoing nonurgent surgical procedures.METHODSNeurosurgical patients admitted to hospitals in eastern Lombardy for nonurgent surgery after the lockdown prospectively completed a pre- and postoperative structured questionnaire. Recorded data included demographics, pathology, time on surgical waiting list, anxiety related to COVID-19, primary pathology and surgery, safety perception during hospital admission before and after surgery, and surgical outcomes. Anxiety was measured with the State-Trait Anxiety Inventory. Descriptive statistics were computed on the different variables and data were stratified according to pathology (oncological vs nononcological). Three different models were used to investigate which variables had the greatest impact on anxiety, oncological patients, and safety perception, respectively. Because the variables (Xs) were of a different nature (qualitative and quantitative), mostly asymmetrical, and related to outcome (Y) by nonlinear relationships, a machine learning approach composed of three steps (1, random forest growing; 2, relative variable importance measure; and 3, partial dependence plots) was chosen.RESULTSOne hundred twenty-three patients from 10 different hospitals were included in the study. None of the patients developed COVID-19 after surgery. State and trait anxiety were reported by 30.3% and 18.9% of patients, respectively. Higher values of state anxiety were documented in oncological compared to nononcological patients (46.7% vs 25%; p = 0.055). Anxiety was strongly associated with worry about primary pathology, surgery, disease worsening, and with stress during waiting time, as expected. Worry about positivity to SARS-CoV-2, however, was the strongest factor associated with anxiety, even though none of the patients were infected. Neuro-oncological disease was associated with state anxiety and with worry about surgery and COVID-19. Increased bed distance and availability of hand sanitizer were associated with a feeling of safety.CONCLUSIONSThese data underline the importance of psychological support, especially for neuro-oncological patients, during a pandemic.

Note on the Validity of the Dutch State-Trait Anxiety Inventory with Surgical Patients

1986 ◽  
Vol 59 (3) ◽  
pp. 1333-1334
Author(s):  
Jacqueline M. J. Smorenburg ◽  
C. Kors Van Der Ent ◽  
Benno Bonke
Keyword(s):  
Trait Anxiety ◽  
State Anxiety ◽  
The State ◽  
Surgical Patients ◽  
State Trait Anxiety Inventory ◽  
Dutch Version ◽  
Before And After ◽  
State And Trait Anxiety

The present study assessed the test-retest scores of a Dutch version of the State-Trait Anxiety Inventory before and after surgery. The State and Trait-Anxiety scales of a Dutch version were administered to 159 surgical patients on the day before the operation and again three days later. After surgery, a significant decrease was found in State Anxiety and anxiety assessed by the two subscales within this scale, i.e., State Anxiety present and State Anxiety absent. Trait anxiety decreased only slightly.

scholarly journals Risk of deep venous thrombosis in elective neurosurgical procedures: a prospective, Doppler ultrasound–based study in children 12 years of age or younger

2017 ◽  
Vol 20 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Andrea G. Scherer ◽  
Ian K. White ◽  
Kashif A. Shaikh ◽  
Jodi L. Smith ◽  
Laurie L. Ackerman ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Doppler Ultrasound ◽  
Pediatric Patients ◽  
Ultrasound Examination ◽  
Neurosurgical Procedures ◽  
Clinical Trial Registration ◽  
Neurosurgical Patients ◽  
Before And After ◽  
Potential Risk Factors

OBJECTIVEThe risk of venous thromboembolism (VTE) from deep venous thrombosis (DVT) is significant in neurosurgical patients. VTE is considered a leading cause of preventable hospital deaths and preventing DVT is a closely monitored quality metric, often tied to accreditation, hospital ratings, and reimbursement. Adult protocols include prophylaxis with anticoagulant medications. Children’s hospitals may adopt adult protocols, although the incidence of DVT and the risk or efficacy of treatment is not well defined. The incidence of DVT in children is likely less than in adults, although there is very little prospectively collected information. Most consider the risk of DVT to be extremely low in children 12 years of age or younger. However, this consideration is based on tradition and retrospective reviews of trauma databases. In this study, the authors prospectively evaluated pediatric patients undergoing a variety of elective neurosurgical procedures and performed Doppler ultrasound studies before and after surgery.METHODSA total of 100 patients were prospectively enrolled in this study. All of the patients were between the ages of 1 month and 12 years and were undergoing elective neurosurgical procedures. The 91 patients who completed the protocol received a bilateral lower-extremity Doppler ultrasound examination within 48 hours prior to surgery. Patients did not receive either medical or mechanical DVT prophylaxis during or after surgery. The ultrasound examination was repeated within 72 hours after surgery. An independent, board-certified radiologist evaluated all sonograms. We prospectively collected data, including potential risk factors, details of surgery, and details of the clinical course. All patients were followed clinically for at least 1 year.RESULTSThere was no clinical or ultrasound evidence of DVT or VTE in any of the 91 patients. There was no clinical evidence of VTE in the 9 patients who did not complete the protocol.CONCLUSIONSIn this prospective study, no DVTs were found in 91 patients evaluated by ultrasound and 9 patients followed clinically. While the study is underpowered to give a definitive incidence, the data suggest that the risk of DVT and VTE is very low in children undergoing elective neurosurgical procedures. Prophylactic protocols designed for adults may not apply to pediatric patients.Clinical trial registration no.: NCT02037607 (clinicaltrials.gov)

ANXIETY AND COPING IN THE CONTEXT OF A SCHOOL EXAMINATION

1999 ◽  
Vol 27 (3) ◽  
pp. 319-330 ◽  
Author(s):  
Izabela Sorić
Keyword(s):  
High School Students ◽  
Trait Anxiety ◽  
State Anxiety ◽  
Social Evaluation ◽  
School Students ◽  
Coping Responses ◽  
The Social ◽  
Before And After ◽  
Before School ◽  
Additional Support

Cognitive appraisal and state anxiety of 137 high school students were examined immediately before school examination, immediately after the examination and immediately after the announcement of grades (one week later). Situational coping responses were assessed immediately after the examination. Social evaluation trait anxiety was measured two weeks before the examination in an unstressful (neutral) situation. The results show that the social evaluation trait anxiety predicts state anxiety both before and after the school examination and, in addition to this, an important role is played by the perception of threat and uncontrollability in this situation. The use of specific strategies of coping was also determined by both the personality and the perception of the examination situation, wherein the different strategies were determined by different sets of variables. Success in the examination was best predicted by the social evaluation trait anxiety, by problem focused coping and by coping through imagination-rumination (negative relation). In general, the results of the present study provide additional support for the interactional model of stress and anxiety.

scholarly journals Pilates and aerobic training improve levels of depression, anxiety and quality of life in overweight and obese individuals

2017 ◽  
Vol 75 (12) ◽  
pp. 850-857 ◽  
Author(s):  
Rodrigo Luiz Vancini ◽  
Angeles Bonal Rosell Rayes ◽  
Claudio Andre Barbosa de Lira ◽  
Karine Jacon Sarro ◽  
Marilia Santos Andrade
Keyword(s):  
Quality Of Life ◽  
Trait Anxiety ◽  
State Anxiety ◽  
Depression And Anxiety ◽  
Before And After ◽  
Pilates Method ◽  
State And Trait Anxiety ◽  
Anxiety Levels ◽  
Walking Group

ABSTRACT Objective: To compare the effects of Pilates and walking on quality of life, depression, and anxiety levels. Methods: Sixty-three overweight/obese participants were randomly divided into: control (n = 20), walking (n = 21), and Pilates (n = 22) groups. Pilates and walking groups attended eight weeks of 60-minute exercise sessions three times per week. Quality of life, depression, and state- and trait-anxiety levels were evaluated before and after eight weeks of training. Results: Scores of quality of life, depression, and trait-anxiety improved in the Pilates and walking groups. State-anxiety levels improved only in the walking group. Conclusion: Pilates and walking positively impact quality of life, depression and anxiety. The Pilates method could be used as an alternative to improve mood disorders in overweight/obese individuals.

Safety of mini-dose heparin administration for neurosurgical patients

1977 ◽  
Vol 47 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Hugh G. Barnett ◽  
John R. Clifford ◽  
Raeburn C. Llewellyn
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Pulmonary Embolus ◽  
Neurosurgical Procedures ◽  
Content Type ◽  
Dose Heparin ◽  
Heparin Administration ◽  
Neurosurgical Patients ◽  
Before And After ◽  
Fatal Pulmonary Embolus

✓ A course of small doses of heparin given subcutaneously before and after elective operations has been reported to reduce the incidence of deep venous thrombosis and pulmonary embolism in general surgical patients. To test the safety of mini-dose heparin for neurosurgical patients, mini-dose heparin was used for 150 adult patients undergoing elective neurosurgical procedures. No operative complications were thought to be related to heparin administration. Postoperatively, there were four wound seromas, two hematomas, and one non-fatal pulmonary embolus. Seven patients died postoperatively, of whom five had no evidence of pulmonary embolus. Although no conclusions were drawn as to the effectiveness of mini-dose heparin in preventing deep venous thrombosis or pulmonary emboli, it was believed that the method could be used safely and without fear of increased intracranial or intraspinal bleeding for neurosurgical patients.

RELAKSASI DZIKIR UNTUK MENURUNKAN DERAJAT KECEMASAN PADA IBU HAMIL TRIMESTER III

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Nita Rohayati
Keyword(s):  
Pregnant Women ◽  
Trait Anxiety ◽  
Psychological Health ◽  
State Anxiety ◽  
Health Condition ◽  
Anxiety Level ◽  
State Trait Anxiety Inventory ◽  
Third Trimester ◽  
Before And After ◽  
Quasi Experimental

Abstrak Kehamilan selain merupakan sumber kebahagiaan, juga merupakan sumber kecemasan seorang ibu. Padahal kecemasan yang berlebihan mempengaruhi kondisi kesehatan fisik dan psikis ibu serta bayi yang dikandung. Penelitian ini bertujuan untuk menurunkan derajat kecemasan ibu hamil trimester III. Metode penelitian mengggunakan pendekatan kuasi eksperimen dengan desain one group pretest-posttest design. Alat ukur yang digunakan dalam penelitian ini adalah Skala Kecemasan Spielberger state trait anxiety inventory (STAI) form state anxiety dan trait anxiety dalam bentuk kuesioner, yang diberikan dua kali kepada subjek yaitu sebelum dan sesudah intervensi relaksasi dengan dzikir. Hasil penelitian menunjukkan terdapat perubahan penurunan derajat kecemasan ibu hamil trimester III. Relaksasi dengan dzikir dapat digunakan sebagai salah satu cara untuk menurunkan derajat kecemasan ibu hamil trimester III. Kata Kunci : Kecemasan, Relaksasi dengan Dzikir, Ibu Hamil. Relaxation with Dhikr to Decrease Anxiety level of Pregnant Women in Third Trimester. Abstract Several research indicated that pregnancy is not only the source of pregnant women’s happiness, but also source of their anxiety. Whereas, excessive anxiety influence physical and psychological health condition for both the mother and the baby. This study aimed to determine the effect of Relaxation with Dzikir on level of anxiety of pregnant women in third trimester. The methodology used ini this study is quasi experimental research with one group pretest-posttest design. The questionnaire in this study used The Spielberger State Trait Anxiety Inventory (STAI) form state anxiety and trait anxiety, which is given two times, before and after the intervention relaxation with dhikr.The result of this study showed there is a gain of anxiety level of pregnant women in Third trimester. This study find out that the relaxation with Dzikir can reduce anxiety level of pregnant women in Third trimester. Keyword : Anxiety, Relaxation with Dhikr, Pregnant Women

State and trait anxiety and depression in patients with primary brain tumors before and after surgery: 1-year longitudinal study

2008 ◽  
Vol 108 (2) ◽  
pp. 281-286 ◽  
Author(s):  
Cristina D'Angelo ◽  
Antonio Mirijello ◽  
Lorenzo Leggio ◽  
Anna Ferrulli ◽  
Vincenzo Carotenuto ◽  
...  
Keyword(s):  
Brain Tumors ◽  
Trait Anxiety ◽  
State Anxiety ◽  
Affective Disorders ◽  
Depression Scale ◽  
The State ◽  
World Health ◽  
Brain Surgery ◽  
Before And After ◽  
State And Trait Anxiety

Object The aim in this study was to assess the state and trait types of anxiety as well as current depression before and after surgery in patients affected by brain tumors. The relationships between these affective disorders and the patient's sex, tumor histology, and laterality of the tumor were also evaluated. Methods A total of 72 patients affected by a primary brain tumor were enrolled in the study. Histological grades were assigned according to the World Health Organization classification. State and trait anxiety were assessed using the State and Trait Anxiety Inventory; current depression was assessed using the Zung Self-Rating Depression Scale. Cognitive impairment was assessed using the 10-item Short Portable Mental Status Questionnaire. Psychometric evaluation was assessed before surgery and at 1, 3, 6, and 12 months after surgery. Results Before brain surgery, 62.5% of patients showed state anxiety, 50% of patients showed trait anxiety, and 9.7% of patients showed current depression. During the follow-up period there was no significant variation in the percentage of patients with state anxiety (p = 0.416) and trait anxiety (p = 0.7), whereas a significant increase in the percentage of those with current depression was found (p < 0.0001), in particular at 1 month (p = 0.002) and 3 months (p = 0.039) after surgical treatment. The tumor's laterality and histology showed no correlation with psychometric variables, whereas a relationship between the presence of trait anxiety at the enrollment and current depression after surgery (p < 0.0001) was found. Conclusions Patients affected by brain tumors frequently experience affective disorders. After brain surgery, a depressive state can develop. The psychometric assessment could be useful in these patients for quick recognition of psychological disorders.

Effects of Creative and Noncreative Problem-Solving on Anxiety

1983 ◽  
Vol 56 (3) ◽  
pp. 835-844 ◽  
Author(s):  
H. P. R. Riedel ◽  
I. A. Taylor ◽  
W. T. Melnyk
Keyword(s):  
Problem Solving ◽  
Undergraduate Students ◽  
Trait Anxiety ◽  
State Anxiety ◽  
Creative Performance ◽  
Creative Problem Solving ◽  
Experimental Conditions ◽  
Before And After ◽  
Creative Problem ◽  
Problem Solving Task

This study has investigated whether the type of problem in creative performance increases anxiety more than the type of problem in noncreative performance. Subjects were 9 male and 48 female undergraduate students in psychology, selected from a voluntary pool and assigned (3 males, 16 females) nonsystematically to either a divergent creative problem-solving condition, a convergent noncreative problem-solving condition, or a control condition involving a neutral problem-solving condition. The Spielberger State-Trait Anxiety Inventory was administered to each group before and after the experimental conditions. It was hypothesized: (a) that divergent creative problem-solving would increase state anxiety significantly more than both the convergent noncreative problem-solving task and the neutral problem-solving task and (b) that trait anxiety would not be significantly affected by any of the conditions. Only the latter hypothesis was confirmed. Divergent creative problem-solving did not significantly increase state anxiety, perhaps because the employed subjects were students and may have felt more comfortable with divergent problems than the average population.

Resting metabolic rate is influenced by anxiety in college men

1996 ◽  
Vol 80 (2) ◽  
pp. 638-642 ◽  
Author(s):  
W. D. Schmidt ◽  
P. J. O'Connor ◽  
J. B. Cochrane ◽  
M. Cantwell
Keyword(s):  
Trait Anxiety ◽  
State Anxiety ◽  
Resting Metabolic Rate ◽  
State Trait Anxiety Inventory ◽  
Free Weight ◽  
Main Effect ◽  
Male College ◽  
Before And After ◽  
High Trait ◽  
Anxious Group

The effects of psychological parameters on resting metabolic rate (RMR) have been inadequately researched. The purpose of this study was to investigate relationships between anxiety and RMR. Seventy-nine male college students completed the trait portion (form Y-2) of the State-Trait Anxiety Inventory (C. D. Spielberger, R. L. Gorsuch, R. Lushene, P. R. Vagg, and G. A. Jacobs. Self-evaluation questionnaire (form Y). In: Manual for the State-Trait Anxiety Inventory. Palo Alto, CA, Consulting Psychologists Press, 1983) as a screening. Volunteers whose trait anxiety scores were = or = 1 SD above (52.7 +/- 2.7, n = 9) or below (26.5 +/- 3.0, n = 11) the male college student normal values (38 +/- 9) participated in the study. Fat-free weight was assessed using a seven-site skinfold equation (A. S. Jackson and M. L. Pollock. Phys. Sports Med. 13: 76-90, 1985). Resting metabolism was measured (Sensormedics metabolic cart model 2900) at two separate trials (1-2 wk apart) in the early morning after a 12-h fast and 36 h postexercise. An analysis of covariance with fat-free weight as the covariate revealed a significantly greater (P < 0.005) RMR in the high trait anxious group than in the low trait anxious group. State anxiety (form Y-1) assessments made before and after each RMR measurement revealed a significant main effect of group such that state anxiety was higher in the high trait anxious than in the low trait anxious group for both trials before and after RMR measurement. Moreover, a significant (P < 0.003) main effect for the time factor was found showing that state anxiety was reduced after the RMR procedure. The results of this study show that a statistically significant portion of the variance in RMR can be accounted for by individual differences in anxiety.

scholarly journals Provjera Endlerovih skala i modela anksioznosti

2018 ◽  
Vol 33 (10) ◽  
Author(s):  
Izabela Sorić ◽  
Vladimir Takšič ◽  
Ana Proroković
Keyword(s):  
Trait Anxiety ◽  
State Anxiety ◽  
Experimental Situation ◽  
Social Evaluation ◽  
Internal Reliability ◽  
Interactive Model ◽  
Specific Dimension ◽  
Before And After ◽  
Trait And State Anxiety ◽  
Threatening Situation

Endler’s original multidimensional scales of anxiety (EMAS) represent measurements of multidimensional trait anxiety and the perception of the situation on the basis of self-description. The scales were developed in accordance with the interactive model of anxiety which presupposes that multidimensional trait anxiety determines individual difference in relation to the intensity of the condition of anxiety in specific types of threatening situations. The situational dimensions of trait anxiety, estimated with the EMAS-T part of Endler’s scales, arc the following: the situation of social evaluation, the situation of physical danger, ambiguous situations and everyday situations. State anxiety, measured by the EMAS-S part of the scale, encompasses the autonomous-emotional dimension (A-E) and the dimension of cognitive worry (C-W). The scales were translated into Croatian and given to a group of 128 candidates before and after they took the entrance exam of the Department of English at the Faculty of Philosophy in Zadar (Summer, 1993). The results showed a satisfactory factorial structure and a high internal reliability of the scales both in the measurement of trait and state anxiety. A test of differential hypothesis of the interactive model of anxiety which perceives state anxiety as a function of the interaction between the specific dimension of trait anxiety and congruent threatening situation, showed an expected, significant connection between state anxiety and the dimension of social evaluation which was a congruent dimension of trait anxiety in this experimental situation. Other dimension of trait anxiety were not significantly connected with the state anxiety. What cannot be accommodated with Endler’s model are the significant correlations obtained between different (according to the model supposedly independent) dimension of trait anxiety.

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