scholarly journals Anxiety and Depression in Cardiac Inherited Disease: Prevalence and Association With Clinical and Psychosocial Factors

2019 ◽  
Vol 1 (4) ◽  
Author(s):  
Claire E. O'Donovan ◽  
Jonathan R. Skinner ◽  
Elizabeth Broadbent
Keyword(s):  
Social Support ◽  
Psychosocial Factors ◽  
Disease Severity ◽  
Illness Perceptions ◽  
Physical Symptoms ◽  
Disease Type ◽  
Psychological Support ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Time Since Diagnosis

The small number of published studies indicate increased rates of anxiety and depression among patients with cardiac inherited diseases (CID). This study aimed to assess the prevalence of anxiety and depression in a New Zealand CID cohort and seek any associations with clinical and psychosocial factors. Patients on a national CID register were sent a survey; 202 of 563 contactable patients participated (36% response rate). Ages ranged from 16 to 83 years (median 53). Most had Long QT Syndrome (43%) or Hypertrophic Cardiomyopathy (34%). Questionnaires collected demographic and psychological variables, including anxiety (GAD-7), depression (PHQ-9), illness perceptions, perceived risk and social support. The registry supplied clinical and genetic characteristics. 80 participants (42%) reported features of anxiety and/or depression. 24 (13%) reached clinical levels of depression, a greater proportion than that found in the general population. Poorer perceived social support was associated with worse anxiety (p < .001) and depression (p < .001) scores. Reporting more physical symptoms (p = .001) (commonly not caused by the CID) was associated with poorer depression scores and greater perceived consequences of the CID was associated with greater anxiety scores (p < .05). Neither anxiety nor depression were associated with time since diagnosis, disease severity or type of disease. Forty percent of the CID population live with some degree of psychopathology but this did not correlate with disease severity, type of disease nor time since diagnosis. Correlating factors which may be modifiable include illness perceptions, various physical symptoms and social support. Rates of clinical levels of anxiety and depression in this CID sample were 10% and 13% respectively. Anxiety and depression were not associated with disease type, severity or time since diagnosis. Perceived lack of support, consequences, and symptoms were associated with depression and anxiety. High rates of anxiety and depression in CID’s indicate the need for access to psychological support. Rates of clinical levels of anxiety and depression in this CID sample were 10% and 13% respectively. Anxiety and depression were not associated with disease type, severity or time since diagnosis. Perceived lack of support, consequences, and symptoms were associated with depression and anxiety. High rates of anxiety and depression in CID’s indicate the need for access to psychological support.

scholarly journals Psychosocial Factors of Antenatal Anxiety and Depression in Pakistan: Is Social Support a Mediator?

PLoS ONE ◽  
2015 ◽  
Vol 10 (1) ◽  
pp. e0116510 ◽  
Author(s):  
Ahmed Waqas ◽  
Nahal Raza ◽  
Haneen Wajid Lodhi ◽  
Zerwah Muhammad ◽  
Mehak Jamal ◽  
...  
Keyword(s):  
Social Support ◽  
Psychosocial Factors ◽  
Anxiety And Depression ◽  
Antenatal Anxiety

scholarly journals Coping, Depression, Anxiety, Self-Efficacy and Social Support: Impact on Adjustment to Chronic Pain

2009 ◽  
Vol 2 (3) ◽  
pp. 8-17
Author(s):  
Maria Alexandra Ferreira Valente ◽  
José Luís Pais Ribeiro ◽  
Mark P. Jensen
Keyword(s):  
Social Support ◽  
Chronic Pain ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Psychosocial Interventions ◽  
Relative Importance ◽  
Causal Relationships ◽  
Depression And Anxiety ◽  
Psychosocial Variables ◽  
Coping Responses

Pain is a multidimensional, unique, and private experience. Contemporary biopsychosocial models of chronic pain hypothesize a key role for psychosocial factors as contributing to the experience of and adjustment to chronic pain. The psychosocial factors that have been most often examined as they relate to chronic pain include coping responses, attributions (such as self-efficacy), mood (including depression and anxiety), and social support. Knowledge concerning the relative importance of each of these factors to adjustment is necessary for understanding and developing effective psychosocial interventions. This article reviews the literature concerning the associations between psychosocial factors and adjustment to chronic pain, with a focus on coping, attributions, mood, and social support. Overall, the findings of this research are consistent with biopsychosocial models of chronic pain, and support continued research to help identify the causal relationships among key psychosocial variables and adjustment.

scholarly journals Stigma, Social Support, Illicit Drug Use, and Other Predictors of Anxiety and Depression Among HIV/AIDS Patients in Pakistan: A Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Ali Ahmed ◽  
Muhammad Saqlain ◽  
Malik Muhammad Umair ◽  
Furqan Khurshid Hashmi ◽  
Hamid Saeed ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Illicit Drugs ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
People Living With Hiv ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Aids

Introduction: Anxiety and depression in people living with HIV/AIDS (PLWHA) can lead to non-adherence to antiretroviral therapy (ART), morbidity, and mortality. Therefore, assessing the stigma, social support, and other determinants of anxiety and depression in PLWHA are important for developing further interventions.Methods: An institution-based cross-sectional study was conducted in 505 PLWHA, approached through systematic sampling, who paid routine visits to the ART center, Pakistan Institute of Medical Sciences (PIMS), Islamabad. Data was collected by pretested validated hospital anxiety and depression scale (HADS). Version 26 of the SPSS was used to apply Logistic regression analysis to identify determinants, and the 95% confidence interval (CI) adjusted odds ratio (AOR) was calculated to assess the magnitude of the relationships.Results: In PLWHA, the prevalence of co-morbid depression and anxiety was 80%. Separately, 89.9% had depression, and 80.3% had anxiety. Use of illicit drugs [AOR = 1.87, 95% CI (1.01, 3.27)], low social support [AOR = 1.21, 95% CI (1.02, 2.25)], being male [AOR = 2.21, 95% CI (1.11, 5.49)], and HIV related stigma [AOR = 2.48, 95% CI (1.25, 6.02)] were significant predictors of depression. Having detectable viral load [AOR = 3.04, 95% CI (1.04, 8.86)], young age [AOR = 5.31, 95% CI (1.19, 29.39)], no formal education [AOR = 21.78, 95% CI (4.03, 117.62)], low [AOR = 1.70, 95% CI (1.12, 6.93)] or moderate [AOR = 2.20, 95% CI (1.79, 6.09)] social support, illicit drugs addiction [AOR = 1.17, 95% CI (1.03, 2.55)], and HIV stigma [AOR = 54.3, 95% CI (21.20, 139.32)] had a remarkable association with anxiety.Conclusions: Given the high prevalence of anxiety and depression among PLWHA, the Pakistan Ministry of Health should focus more on monitoring mental health, expanding mental health services, and developing interventions based on identified factors to treat depression and anxiety among PLWHA.

scholarly journals Effect of Psychological–Behavioral Intervention on the Depression and Anxiety of COVID-19 Patients

2020 ◽  
Vol 11 ◽  
Author(s):  
Xiangyu Kong ◽  
Fanyang Kong ◽  
Kailian Zheng ◽  
Min Tang ◽  
Yi Chen ◽  
...  
Keyword(s):  
Social Support ◽  
Behavioral Intervention ◽  
Clinical Care ◽  
Intervention Group ◽  
Anxiety And Depression ◽  
Control Group ◽  
Depression Symptoms ◽  
Cutoff Score ◽  
Depression And Anxiety ◽  
Breathing Exercises

The COVID-19 epidemic has caused increasing public panic and mental health stress. In this study, we explore the prevalence and factors linked to anxiety and depression in hospitalized patients with COVID-19. A total of 144 patients diagnosed with COVID-19 underwent depression and anxiety assessment by using the Hospital Anxiety and Depression Scale (HADS). Social support level was also evaluated by the Perceived Social Support Scale (PSSS) at admission. Results showed that gender, age, oxygen saturation, and social support were associated with anxiety for COVID-19 patients. In addition, age, family infection with SARS-CoV-2, and social support were the risk factors associated with depression. Moreover, we designed a psychological–behavioral intervention (PBI) program that included psychological support and breathing exercises, and explored its effects on patients with COVID-19. Of the 144 participants, 26 patients with both anxiety and depression symptoms (cutoff score of ≥8 on HADS-A and HADS-D) were randomly assigned to the intervention group and the control group at a 1:1 ratio. After 10-day treatment, the HADS scores of depression and anxiety were significantly reduced in the intervention group, and PSSS scores were also significantly improved. However, no significant differences in HADS and PSSS scores between pre- and post-treatment were found in the control group. Our findings indicate that mental concern and appropriate intervention are essential parts of clinical care for COVID-19 patients.

Prevalence and Factors Associated with Depression and Anxiety of Hospitalized Patients with COVID-19 in St. Peter Specialized Hospital Treatment Centers

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Dereseh BA ◽  
◽  
Abraha M ◽  
Haile K ◽  
Fanta T ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Hospital Treatment ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Specialized Hospital

Background: Since December 2019, an outbreak of corona virus disease 2019(COVID-19), caused by the Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) has widely and rapidly spread in China and around the world. Since 31 December 2019 and as of 30 April 2020, more than 25,000,000 cases of COVID-19 and 800,000 deaths have been reported. The grim epidemic has caused increasing public panic and mental health stress. Mental health is becoming an issue that cannot be ignored, while trying to control the outbreak. Cross sectional study was conducted to assess magnitude and factors associated depression among patients with COVID-19 in St. Peter Specialized Hospital Treatment Centers Addis Ababa, Ethiopia. Methods: Institutional based cross-sectional study was conducted among 422 Patients with COVID-19 admitted at St. Peter Specialized Hospital COVID-19 treatment center. The Anxiety and Depression was assessed through face to face interviews by trained psychiatry nurses using 14-items Hospital Anxiety and Depression Scale (HADS).Correlates for depression & anxiety were assessed using a structured questionnaire and Oslo social support scale. Result: A total of 373 participants were volunteer to be included in the study which makes the response rate88.4%. The mean age of the respondents was 37.46 (±SD=16.09) years. This study revealed that the Magnitude of Depression 36.5 % (136) and Anxiety 21.2 % (79) among COVID-19 patients. By using Multivariate (Anxiety) Logistic Regression, Patients who were Male (AOR 5.01, 95%CI (2.11, 11.87)), Housewife (AOR 11.43, 95%CI ( 2.67, 48.90)), Selfemployed (AOR 2.45,, 95%CI (1.07, 5.60)), having Diagnosed Chronic illness (AOR 2.56, 95%CI (1.19, 5.53)), having COVID-19 Symptoms for below 7 days and for 8-14 days ((AOR 3.21, 95%CI (1.21, 8.58)) & AOR 3.70, 95%CI (1.55, 8.84)) respectively) and those who had Poor/low Social Support (AOR 3.42, 95%CI (1.21, 9.63)) had Statistically Significant Association with Anxiety. By using Multivariate (Depression) Logistic Regression, Patients who were 41 and above years of old (AOR 3.95, 95% CI (1.80, 8.69)), had Monthly Income of less than 1000 birr (AOR 2.99, 95%CI (1.11, 8.05)), Having COVID-19 Symptoms for 8-14 days (AOR 2.63, 95% CI (1.34, 5.17)) and who had Poor Social Support (AOR 3.13, 95% CI (1.34, 7.30)) were Statistically Significant Associated with Depression. Conclusion: In the current study area the magnitude of depression and anxiety was high. Factors like sex, Job, having Diagnosed Chronic illness, Duration of COVID-19 symptom and social support with anxiety and factors such as age, income, duration of COVID-19 symptom and social support had statistically significant associated with depression.

Functional status in patients with medically unexplained physical symptoms: Coping styles and their relationship with depression and anxiety

2016 ◽  
Vol 22 (13) ◽  
pp. 1743-1754 ◽  
Author(s):  
Gabriela A Sempértegui ◽  
Annemiek Karreman ◽  
Gerbrand CM van Hout ◽  
Marrie HJ Bekker
Keyword(s):  
Functional Status ◽  
Coping Styles ◽  
Physical Symptoms ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Regression Analyses ◽  
Medically Unexplained Physical Symptoms ◽  
Health Related ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

This study examined how coping styles are related to functional status in patients with medically unexplained physical symptoms and to what extent depression and anxiety account for this relationship. In 90 Dutch adult patients presenting medically unexplained physical symptoms, coping styles, health-related functional status, anxiety, and depression were measured. Multiple regression analyses and mediation analysis showed that coping styles were directly and indirectly related to functional status. In this relationship, depression and anxiety played an important role. The findings highlight the relevance of addressing coping styles, depression, and anxiety when targeting the functional status of patients with medically unexplained physical symptoms in clinical practice.

scholarly journals An investigation of the association between religious coping, fatigue, anxiety and depressive symptoms during the COVID-19 pandemic in Morocco: a web-based cross-sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Btissame Zarrouq ◽  
Nivine Abbas ◽  
Jaouad El Hilaly ◽  
Achraf El Asri ◽  
Samira Abbouyi ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Religious Coping ◽  
Psychosocial Factors ◽  
Female Gender ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Negative Religious Coping

Abstract Background The Coronavirus Disease 2019 (COVID-19) pandemic has triggered fear and distress among the public, thus potentiating the incidence rate of anxiety and depression. This study aims to investigate the psychological effect of quarantine on persons living in Morocco when the first COVID-19 cases were identified. The associations between anxiety, depression symptoms, and their predictors (sociodemographics, fatigue, and religious coping) were examined. Methods A web-based cross-sectional survey, with a total of 1435 participants (≥18 years) recruited anonymously, was conducted during the COVID-19 pandemic (from 3 to 30 April 2020). A structured questionnaire was used to assess psychosocial factors, COVID-19 epidemic-related factors, and religious coping. Religious coping, fatigue, and depression, and anxiety were measured by Brief Religious Coping Scale (Brief RCOPE), Chalder Fatigue Scale (CFS), and Hospital Anxiety and Depression Scale (HADS), respectively. A generalized linear model (logistic regression) was used to determine the predictive factors of depression and anxiety. Results The prevalence of anxiety and depression was 43.0% (n = 621) and 53.0% (n = 766), respectively. Both were associated with female gender, household income decline, tracking COVID-19 news, and fear to contract COVID-19 (aOR = 1.36 to 2.85). Additionally, 32.0% (n = 453) and 26.0% (n = 372) reported severe physical fatigue, and mental fatigue, respectively. Both latter factors were significantly and positively associated with depression as well as with anxiety. Depressive and anxious patients used more negative religious coping, while positive religious coping was slightly associated with depression. Conclusion In this online survey of the general population in Morocco, anxiety and depressive symptoms are prevalent during the COVID-19 pandemic. Pandemic and psychosocial factors, such as female gender, income decline, infection fears, massive COVID-19 news exposure, negative religious coping, and fatigue were associated with increased risk of depression and anxiety symptoms. Psychosocial and financial support should be provided to the quarantined population.

scholarly journals Role of Psychosocial Factors on Communicative Participation among Survivors of Head and Neck Cancer

2018 ◽  
Vol 159 (2) ◽  
pp. 266-273 ◽  
Author(s):  
Tanya Eadie ◽  
Lauren Faust ◽  
Susan Bolt ◽  
Mara Kapsner-Smith ◽  
Rebecca Hunting Pompon ◽  
...  
Keyword(s):  
Social Support ◽  
Head And Neck Cancer ◽  
Cognitive Function ◽  
Head And Neck ◽  
Psychosocial Factors ◽  
Neck Cancer ◽  
Perceived Social Support ◽  
Adult Survivors ◽  
Communicative Participation ◽  
Time Since Diagnosis

Objective The purpose of this study was to examine the unique contribution of psychosocial factors, including perceived social support, depression, and resilience to communicative participation, among adult survivors of head and neck cancer (HNC). Study Design Cross-sectional. Setting University-based laboratory and speech clinic. Subjects and Methods Adult survivors of HNC who were at least 2 years posttreatment for HNC completed patient-reported outcome measures, including those related to communicative participation and psychosocial function. Multiple linear regression analysis was conducted to predict communicative participation. Self-rated speech severity, cognitive function, laryngectomy status, and time since diagnosis were entered first as a block of variables (block 1), and psychosocial factors were entered second (block 2). Results Eighty-eight adults who were on average 12.2 years post–HNC diagnosis participated. The final regression model predicted 58.2% of the variance in communicative participation (full model R2 = 0.58, P < .001). Self-rated speech severity, cognitive function, laryngectomy status, and time since diagnosis together significantly predicted 46.1% of the variance in block 1. Perceived social support, depression, resilience, and interactions significantly and uniquely predicted 12.1% of the additional variance in block 2. Conclusion For clinicians, psychosocial factors such as perceived depression warrant consideration when counseling patients with HNC about communication outcomes and when designing future studies related to rehabilitation.

scholarly journals Prevalence and influencing factors of chronic post-traumatic stress disorder in patients with myocardial infarction, transient ischemic attack (TIA) and stroke – an exploratory, descriptive study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aurora Dollenberg ◽  
Sebastian Moeller ◽  
Caroline Lücke ◽  
Ruihao Wang ◽  
Alexandra P. Lam ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coping Strategies ◽  
Disease Severity ◽  
Transient Ischemic Attack ◽  
Descriptive Study ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Disease Prognosis ◽  
Cerebrovascular Events ◽  
Ischemic Attack

Abstract Background Cardio- and cerebrovascular events such as myocardial infarction (MI), stroke and transient ischemic attack (TIA) are leading causes of death and disability and have also been associated with poor mental outcomes. In addition, cardio- and cerebrovascular events may pose the risk of experiencing a sudden traumatic occurrence of symptoms during ictus and thus contribute to high rates of PTSD as well as high rates of subsequent depression and anxiety. Moreover, MI, TIA and stroke survivors with PTSD, depressive and anxiety symptoms may have poorer health-related quality of life (HRQoL) and poorer disease prognosis than patients who do not develop psychiatric symptoms after ictus. However, data on the prevalence of PTSD, anxiety and depression, as well as the HRQoL, coping strategies and potential risk factors for development of PTSD in these patients, are rare. Methods In an exploratory, descriptive study we interviewed 112 patients (54 MI, 18 TIA, 40 stroke; mean age: 69.5 years, 55.4% males) from three general physician practices and used psychometric self-assessment tools to determine the occurrence of PTSD and psychosomatic comorbidity, anxiety and depression and to assess HRQoL and coping strategies. We evaluated disease severity and compared the patient groups to each other. Moreover, we assessed psychological outcome differences between patients with or without PTSD after ictus. Results The prevalence of PTSD after MI, TIA and stroke was 23.2%. The patients who developed PTSD had higher rates of depression, anxiety and maladaptive coping as well as reduced HRQoL. Adaptive coping was positively related to better mental HRQoL and negatively related to anxiety and depression. Disease severity of MI, TIA and stroke was not related to PTSD, depression, anxiety or physical HRQoL. Conclusions Experiencing MI, TIA or stroke means confronting a life-threatening event for those affected and, therefore, these can be regarded as traumatic events. Cerebral and cardiovascular events increase the risk of developing chronic PTSD with subsequent increased depression and anxiety and reduced HRQoL. These findings emphasize the need for early screening and diagnosis of PTSD in somatically ill patients, which should be followed by specialized treatment, as PTSD hampers overall (somatic) disease prognosis. Trial registration German Clinical Trials Register, DRKS00021730, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021730, registered 05/19/2020 - Retrospectively registered.

Psychosomatic Findings in Musician Patients at a Department of Hand Surgery

2001 ◽  
Vol 16 (4) ◽  
pp. 144-151
Author(s):  
Claudia Spahn ◽  
Nikolaus Ell ◽  
Karin Seidenglanz
Keyword(s):  
Psychosocial Factors ◽  
Somatoform Disorders ◽  
Low Frequency ◽  
Somatic Symptoms ◽  
Decisive Role ◽  
Hand Surgery ◽  
Physical Symptoms ◽  
Somatoform Disorder ◽  
Minor Role ◽  
Depression And Anxiety

In the present study, the degree and frequency of symptoms of depression and anxiety as well as signs of somatoform disorders were ascertained in former musician patients of a department of hand surgery by means of standardized psychometric instruments. It was also the goal of the study to find out to what extent musicians seeking somatically oriented therapy ascribe significance to psychosocial factors regarding the etiology and the course of their ailments, and to what extent they feel psychologically stressed by their somatic symptoms. Sixty-nine musicians were evaluated. The results of the study showed a low frequency of significant ratings for depression and anxiety compared with clinical and nonclinical populations of nonmusicians, whereas there was a clear tendency toward somatization in the sample investigated. A fourth of the musicians had ratings compatible with those of psychosomatic patients, and can be classified as an at-risk group for a somatoform disorder. Three fourths of the musicians evinced a somatically oriented subjective ailment model. This means that, from their point of view, psychosocial factors play but a minor role in the etiology and the course of somatic symptoms. Three fourths of the musicians, however, stated in retrospective evaluation that they had felt psychologically stressed by their physical symptoms. All in all, the results suggest that psychosomatic aspects play a decisive role in somatic problems of musicians, and that it would seem particularly important for hand surgeons to take note of psychosocial aspects in the etiology and the course of their symptoms.

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