scholarly journals Repetitive negative thinking and interpretation bias in pregnancy

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Colette R. Hirsch ◽  
Frances Meeten ◽  
Calum Gordon ◽  
Jill M. Newby ◽  
Debra Bick ◽  
...  

Background Repetitive negative thinking (RNT; e.g., worry about the future, rumination about the past) and the tendency to interpret ambiguous information in negative ways (interpretation bias) are cognitive processes that play a maintaining role in anxiety and depression, and recent evidence has demonstrated that interpretation bias maintains RNT. In the context of perinatal mental health, RNT has received minimal research attention (despite the fact that it predicts later anxiety and depression), and interpretation bias remains unstudied (despite evidence that it maintains depression and anxiety which are common in this period). Method We investigated the relationship between RNT, interpretation bias and psychopathology (depression, anxiety) in a pregnant sample (n = 133). We also recruited an age-matched sample of non-pregnant women (n = 104), to examine whether interpretation bias associated with RNT emerges for ambiguous stimuli regardless of its current personal relevance (i.e., pregnancy or non-pregnancy-related). Results As predicted, for pregnant women, negative interpretation bias, RNT, depression and anxiety were all positively associated. Interpretation bias was evident to the same degree for material that was salient (pregnancy-related) and non-salient (general), and pregnant and non-pregnant women did not differ. RNT was associated with interpretation bias for all stimuli and across the full sample. Conclusion Our findings highlight the need to further investigate the impact of interpretation bias in pregnant women, and test the effectiveness of interventions which promote positive interpretations in reducing RNT in the perinatal period.

Author(s):  
Shishu Kesh Kumar ◽  
Das Ambika Bharti

Arsenic induced cancer is a major public health issue in Indo-Gangetic plains of Bihar, India where 22 out of 38 districts report arsenic contamination of groundwater. Its psychological aspect is under studied in contrast to the physiological and social. This baseline correlational survey research explores the relationship and role of proactive coping on depression, anxiety and stress among this population. Depression, anxiety and stress were assessed in 77 consenting arsenic induced cancer patients with depression, anxiety and stress scales. Proactive Coping was assessed with proactive coping inventory. Results demonstrated negative association and influence of proactive coping on stress, anxiety and depression. Avoidance coping associated positively with depression and reflective coping predicted for depression and anxiety. The findings advocate for more research attention on psychological aspects of arsenic induced cancer. Timely psychological interventions to build proactive coping are warranted to alleviate depression, anxiety and stress among this population.


Assessment ◽  
2017 ◽  
Vol 26 (2) ◽  
pp. 324-335 ◽  
Author(s):  
Peter M. McEvoy ◽  
Karen Salmon ◽  
Matthew P. Hyett ◽  
Paul E. Jose ◽  
Charlotte Gutenbrunner ◽  
...  

Repetitive negative thinking (RNT) is a transdiagnostic process associated with numerous emotional disorders. Most measures of RNT are disorder-specific, limiting utility in comorbid populations. Transdiagnostic measures of RNT have been developed in adults and are associated with anxiety and depression. However, a transdiagnostic measure is needed to assess RNT in adolescents as a potential vulnerability factor for emotional disorders. This study validates a transdiagnostic measure of RNT—Repetitive Thinking Questionnaire–10 (RTQ-10)—in adolescents ( N = 840, Mage = 15.7 years). Exploratory and confirmatory factor analyses supported a unidimensional structure. The RTQ-10 manifested good internal consistency and measurement invariance across genders and age. RNT was equally associated with anxiety and depression symptoms irrespective of gender or age. Convergent validity was demonstrated by correlations with disorder-specific measures of RNT. These findings support the RTQ-10 as a reliable and valid transdiagnostic measure of RNT in adolescents.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huiling Song ◽  
Mengjie Zhang ◽  
Yanjie Wang ◽  
Liying Yang ◽  
Yanyu Wang ◽  
...  

Abstract Background The grass-roots civil servants are the final implementers and executors of a series of government policies and the fundamental force for social stability and harmonious development. However, the mental health problems of grass-roots civil servants have not got full attention. This study aimed to assess the impact of resilience on anxiety and depression among grass-roots civil servants in China. Method From Oct to Dec 2019, 302 civil servants completed a series of questionnaires. The Civil Servants Stress Scale (CSSS) was used to assess the stress of civil servants. The Self-rating Depression Scale (SDS) and the Self-rating Anxiety Scale (SAS) were used to evaluate the depression and anxiety of participants, respectively. The resilience of civil servants evaluates by the Connor-Davidson Resilience Scale (CD-RSCI). We conducted the moderating and mediating analysis on the impact of resilience on depression and anxiety in grass-roots civil servants. Results There were significant differences in gender, education, position, relationship with coworkers, physical exercise, and monthly income for stress in grass-roots civil servants (P < 0.05). Resilience can negatively regulate the stress of grass-roots civil servants, and an effective mediator and moderator in the relationship between stress and anxiety and depression and the mediating effect ratios of 7.77 and 22.79%. Conclusion Resilience has moderating and mediating effects on the relationship between stress and depression, and anxiety. The negative effects of stress on depression and anxiety of grass-roots civil servants can be buffered by resilience as a dynamic moderator directly and indirectly. These findings contribute to society and government better understand the mental health status of grass-roots civil servants and provide references and guidance for the formulation of corresponding management and prevention measures.


2021 ◽  
Vol 15 (5) ◽  
pp. 1361-1368
Author(s):  
N. Dastyar ◽  
M. Ahmadi ◽  
N. Salari ◽  
A. Arbabisarjou

Background: Pregnancy can be affected by various psychological factors. These factors have adverse effects on the woman, her fetus. While COVID-19 is a new threatening subjects with less information yet. Therefore, This study conducted to determine the relationship between stress, anxiety and depression with birth indices in pregnant women admitted to the coronary care unit of hospitals in Kerman province in 2020. Methods: This is a descriptive analytical and across-sectional study carried out in Kerman, Iran in 2020. The research samples were 315 mothers affected with Covid-19 who have hospitalized in Covid-19 critical care wards in hospitals. The subjects entered in study by convenience method. The gathering tool was a questionnaire with two parts included demographic data and DASS-21 questioner. Collected data was analysed by SPSS version 18.0 .The Significance level considered 0.05. Results: The results showed that in terms of depression, 23.5% of subjects were in severe status, in terms of anxiety 47.6% were in very severe status and finally 29.2% were in severe stress. The results showed that the variables of stress, anxiety and depression were statistically inversely related to weight and height at birth (P< 0.05), but other indicators were not significantly related(P>0.05). Conclusions: Regard to the adverse effects of stress, depression and anxiety on neonatal outcomes in patients with Covid-19 critical care wards . It is recommended to be consider to such as mental health screening programs and strategies to reduce depression and anxiety in these mothers, To be considered by the health-treatment officials of the country. Key-words: Coronavirus-Stress-Anxiety-Depression-Pregnancy-Birth Index, DASS-21.


Author(s):  
Bahar Sariibrahim Astepe ◽  
Sukriye Bosgelmez

<p><strong>Objective:</strong> Threatened abortion is a stressful condition for a pregnant woman which may influence mental health. This study aims to investigate the relationship between threatened abortion, anxiety, and depression during pregnancy. </p><p><strong>Study Design:</strong> Study group consisted of 121 pregnant women &lt;20 weeks of gestation having vaginal bleeding; control group consisted of 129 pregnant women &lt;20 weeks of gestation not having vaginal bleeding in their pregnancy until that time. Hospital anxiety and depression scale was used to assess potential anxiety and depression. </p><p><strong>Results:</strong> Statistical analyses indicated that (i) vaginal bleeding group had significantly higher rates of moderate/ severe anxiety (28.1% vs. 14.7% p=0.010); (ii) there was no statistically significant difference between depression rates of the women according to the presence of vaginal bleeding (38.8% vs. 34.9% p=0.517); (iii) low education (OR=2.233; 95% CI: 1.177-4.236; p=0.014) was possible predictors of antenatal depression. Although in the univariate analyses age, gravidity, and parity were associated with anxiety, only nulliparity was found as possible predictors of anxiety (OR=2.589; 95% CI: 1.362-4.922, p=0.004). </p><p><strong>Conclusion:</strong> Pregnant women without obstetric complications had similar rates of depression and anxiety as in women with threatened abortion, although anxiety levels were higher in women with threatened abortion. </p>


2021 ◽  
pp. 1-5
Author(s):  
Yao Wu ◽  
Nickie Andescavage ◽  
Catherine Lopez ◽  
Jessica Lynn Quistorff ◽  
Mary T. Donofrio ◽  
...  

Abstract Objectives: Prenatal maternal stress is associated with adverse offspring outcomes, which may be mediated by maternal stress hormones. However, evidence supporting the association between maternal stress and cortisol levels in high-risk pregnancies is limited. This study aims to determine the relationship between self-reported maternal mental distress and maternal salivary cortisol levels in pregnancies complicated by foetal CHD compared with healthy pregnancies. Methods: We recruited women with pregnancies complicated by foetal CHD and healthy pregnancies. Maternal saliva was collected between 22 and 40 gestational weeks. Standardized questionnaires measuring stress, depression, and anxiety were completed by patients. Generalized estimating equation was used to evaluate associations between maternal mental distress scales and cortisol levels. Results: We studied 165 women (55 CHD, 110 controls) and collected 504 cortisol samples (160 CHD, 344 controls). Women carrying CHD foetuses had higher stress, anxiety, and depression scores compared to women carrying healthy foetuses. However, maternal cortisol levels did not significantly differ in CHD and controls. Cortisol levels were higher in women carrying foetuses with functionally single-ventricle versus two-ventricle CHD. In both CHD and controls, there was no significant association between maternal stress, depression or anxiety scores and cortisol levels. Conclusion: Our data suggest that self-reported maternal stress, anxiety, and depression are not associated with maternal salivary cortisol levels in CHD and healthy pregnancies. The impact of maternal mental distress on foetal health may be through other mediating pathways other than maternal cortisol concentrations.


2019 ◽  
Author(s):  
Yu-Hsuan Lin ◽  
Kuan-I Lin ◽  
Yuan-Chien Pan ◽  
Sheng-Hsuan Lin

BACKGROUND Phantom vibrations syndrome (PVS) and phantom ringing syndrome (PRS) are prevalent hallucinations during medical internship. Depression and anxiety are probably understudied risk factors of PVS and PRS. OBJECTIVE The aim of this study was to investigate the role of anxiety and depression on the relationship between working stress during medical internship and PVS and PRS. METHODS A prospective longitudinal study of 74 medical interns was carried out using repeated investigations of the severity of phantom vibrations and ringing, as well as accompanying symptoms of anxiety and depression as measured by Beck Anxiety Inventory and the Beck Depression Inventory before, at the 3rd, 6th, and 12th month during internship, and 2 weeks after internship. We conducted a causal mediation analysis to investigate the role of depression and anxiety in the mechanism of working stress during medical internship inducing PVS and PRS. RESULTS The results showed that depression explained 21.9% and 8.4% for stress-induced PRS and PVS, respectively. In addition, anxiety explained 15.0% and 7.8% for stress-induced PRS and PVS, respectively. CONCLUSIONS Our findings showed both depression and anxiety can explain a portion of stress-induced PVS and PRS during medical internship and might be more important in clinical practice and benefit to prevention of work-related burnout.


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