Family Dynamics and Grandparents' Anxiety and Depression in Intergenerational Rearing Families: A Correlational Study

Background: In China, intergenerational rearing is a ubiquitous phenomenon based on unique national conditions. This study aimed to explore family dynamics in intergenerational rearing families as well as their correlation with older household members' anxiety and depression.Methods: The elderly from intergenerational (n = 141) and non-intergenerational rearing families (n = 266) were investigated using the following scales: the general information questionnaire, Self-Rating Scale of Systemic Family Dynamics, Geriatric Depression Scale, and Self-Rating Anxiety Scale.Results: Scores from the four dimensions (family atmosphere, system logic, individuation, and the concept of disease) of the structure of family dynamics were computed. The comparison of these dimensions scores and the total scores of grandparents' anxiety and depression for the two groups were not statistically significant (p > 0.05). In Pearson's correlation analysis, no significant correlation between the family atmosphere dimension and the total score of the grandparents' depression and anxiety scales was observed. The system logic aspect was negatively correlated with depression and anxiety scale scores. The individual dimension was positively correlated with the anxiety scale scores. The disease concept dimension was positively correlated with depression and anxiety scale scores. Hence, the results were statistically significant.Conclusion: There were no significant differences in terms of family dynamics and risk of anxiety and depression among grandparents between the two family types. The system logic, individuation, and disease concept dimensions were correlated with their anxiety and depression.

Download Full-text

Prevalence and Influencing Factors of Anxiety and Depression Symptoms Amongst Surgical Nurses During COVID-19 Pandemic: A Large-Scale Cross-Sectional Study

10.21203/rs.3.rs-125116/v1 ◽

2020 ◽

Author(s):

Chun-Xia Ren ◽

De-Cun Zhou ◽

Yin-Guang Fan ◽

Bao-Zhu Li ◽

Wan-Fei Zhang ◽

...

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Influencing Factors ◽

Rating Scale ◽

Depression Scale ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Cross Sectional ◽

Self Rating ◽

Surgical Nurses

Abstract BackgroundThe outbreak of novel 2019 coronavirus disease (COVID-19) has imposed an enormous physical and psychological pressure on people across the world. This study focused on evaluating the prevalence and influencing factors of anxiety and depression symptoms in surgical nurses during the epidemic in China. MethodA cross-sectional, multicenter quantitative study was conducted in Anhui province (China) from March 3, 2020 to March 19, 2020, with a questionnaire package which consisted of general information questionnaire，Zung's self-rating anxiety scale (SAS), Zung's self-rating Depression Scale (SDS) and social support rating scale (SSRS). A total of 3600 surgical nurses participated in the survey by Wechat and QQ. Data were analysed using multiple linear regression models. ResultsA total of 3492 surgical nurses from 12tertiary hospitals and 12 secondary hospitals in one province of mainland China completed the survey. The prevalence rates of anxiety symptoms and depressive symptoms were 24.83% and 22.39%, respectively. The average level of anxiety and depression of surgical nurses were higher than that of the Chinese norm (P< 0.05).Levels of social support for surgical nurses were significantly negatively associated with the degree of anxiety (r = -0.630, P < 0.001) and depression (r = -0.578, P < 0.001). Fertility status (β = 1.469, P = 0.003), hospital (β = -0.611, P < 0.001), participation in care for COVID-19 patients (β = 2.229, P < 0.001), likelihood of being infected with COVID-19 (β = 1.146, P < 0.001), social support (β = -0.623, P < 0.001) were significantly influencing surgical nurses’ anxiety degree. Similarly, these characteristics were significantly associated with the odds of experiencing depression symptoms in surgical nurses. Divorce and widowed surgical nurses (β = -2.654, P < 0.001) were significantly more likely to experience depressive symptoms than single nurses. ConclusionIn this survey, we found that the surgical nurses had high anxiety and depression symptoms during the COVID-19 outbreak in China. The findings suggest that targeted psychological interventions to promote the mental health of surgical nurses with psychological problems need to be immediately implemented.

Download Full-text

Assessment of Anxiety and Depression in General and Psychiatric Nurses

Psychological Reports ◽

10.2466/pr0.1983.52.1.335 ◽

1983 ◽

Vol 52 (1) ◽

pp. 335-337 ◽

Cited By ~ 4

Author(s):

Diego De Leo ◽

Guido Magni ◽

Anna Vallerini ◽

Cesare Dal Palu

Keyword(s):

General Hospital ◽

Depression Scale ◽

Anxiety Scale ◽

Psychiatric Nurses ◽

Anxiety And Depression ◽

Occupational Activity ◽

Hospital Nurses ◽

Depression And Anxiety ◽

Self Assessment

The authors gave 56 psychiatric nurses and 69 general hospital nurses Taylor's self-assessment anxiety scale and Zung's depression scale. The psychiatric nurses' scores were significantly higher on both depression and anxiety. The authors hypothesize that this difference is a ‘reaction’ to their occupational activity.

Download Full-text

Depression and Anxiety Among Quarantined People, Community Workers, Medical Staff, and General Population in the Early Stage of COVID-19 Epidemic

Frontiers in Psychology ◽

10.3389/fpsyg.2021.638985 ◽

2021 ◽

Vol 12 ◽

Author(s):

Xiaoling Li ◽

Hegao Yu ◽

Weiqiang Yang ◽

Qihua Mo ◽

Zhanggui Yang ◽

...

Keyword(s):

Medical Staff ◽

General Public ◽

Early Stage ◽

Multiple Logistic Regression Analysis ◽

Depression Scale ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Self Rating

Background: We described the prevalence of anxiety and depression related to COVID-19 pandemic among different types of population and examined their potential risk factors.Methods: A cross-sectional survey was conducted to collect demographic characteristics, exposure histories, and many other concerns about COVID-19. The Zung's self-rating anxiety scale (SAS) and self-rating depression scale (SDS), followed by a four-step multiple logistic regression analysis was performed to identify factors associated with mental health outcomes.Results: Out of 3,303 participants, the quarantined people (40.9%), community workstation staffs-policemen-volunteers (CPV) (36.4%) and general public (30.7%) reported higher percentages of depression than the general medical staff (18.4%). Moreover, the quarantined people (19.1%) also showed higher prevalence of anxiety than the general public (9.1%) and the general medical staff (7.8%). The quarantined people had the highest risk of anxiety and depression, whereas the self-rated health was negatively associated with the risks of anxiety and depression. Younger age group (18 to 30 years) showed higher risks of anxiety (OR = 6.22, 95% CI = 2.89–13.38, p < 0.001) and depression (OR = 3.69, 95% CI = 2.40–5.69, p < 0.001). People who had exposure history or contact from Hubei province after December 1, 2019 (OR = 1.57, 95% CI = 1.07–2.30, p < 0.001), had family or friends engaged in front-line health care work (OR = 1.47, 95% CI = 1.02–2.14, p < 0.001), had confirmed case nearby (OR = 2.44, 95% CI = 1.43–4.18, p < 0.001) were all more likely to suffer from anxiety. Moreover, the negligence (OR = 1.85, 95% CI = 1.37–2.51, p < 0.001) or overindulgence (OR = 1.45, 95% CI = 1.03–2.04, p < 0.001) toward the epidemic information was associated with a higher risk of depression and anxiety.Conclusions: Our findings show that the CPV and quarantined people were most at-risk population. We have identified that the young people, people with exposure histories and negligence or overindulgence toward epidemic information are in grave need of attention.

Download Full-text

Psychiatric Assessment of Anxiety and Depression in Medical Patient

European Psychiatry ◽

10.1016/s0924-9338(09)70969-1 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

D. Telles-Correia ◽

A. Barbosa ◽

I. Mega

Keyword(s):

Learned Helplessness ◽

Rating Scale ◽

Depression Scale ◽

Medical Patient ◽

Theoretical Models ◽

Self Report ◽

Anxiety And Depression ◽

Medical Illness ◽

Hamilton Depression Scale ◽

Depression And Anxiety

Anxiety and depression are very common in patients with medical illness and can be associated to a reduction in quality of life and a poor clinical evolution.The actual concept of anxiety is based on many theoretical models as Goldstein's anxiety model, State/trate anxiety model, Lazarus' transactional stress model. The concept of depression is based on models such as Beck's Cognitive Model and Seligman's learned helplessness model of depression.The link between anxiety/depression and medical illness can be of two kinds: biological (immunological, neuroendocrine, inflammatory systems) and behavioural (coping strategies, adherence to medical advice and prescription, etc).A dimensional approach should be used to access anxiety and depression in medical once the thresholds of depression and anxiety that are associated with medical outcomes are not known.Both self report and rating scale/interview measurements have certain advantages as well as certain inherent disadvantages. Neither approach is universally better than other.Some of the most used instruments are Hamilton Anxiety Scale (HAM), Hamilton Depression Scale (HDS), Montgomery and Asberg Depression Rating Scale (MADRS), Hospital Anxiety and Depression Scale (HADS), Beck Depression Inventory (BDI), and State Trait Anxiety Inventory (STAI).The only scale validated exclusively to access depression and anxiety in medical population, and that can overcome the influence that medical disease has in depression and anxiety is HADS.

Download Full-text

Five-Animal Frolics Exercise Improves Anxiety and Depression Outcomes in Patients with Coronary Heart Disease: A Single-Blind Randomized Controlled Trial

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2020/6937158 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Jun Jiang ◽

Qingbao Chi ◽

Yuting Wang ◽

Xue Jin ◽

Shui Yu

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Short Form ◽

Depression Scale ◽

Serum Levels ◽

Anxiety Scale ◽

Anxiety And Depression ◽

Control Group ◽

Self Rating ◽

Sf 36

Introduction. The patients with coronary heart disease (CHD) always have emotional implications. As the branch of traditional Chinese medicine, Five-Animal Frolics Exercise (FAE) is a popular mind-body exercise in China and shown to improve emotional wellbeing. Aim. We aimed to explore the effects of FAE on the emotional disorders of CHD patients. Methods. CHD patients were assigned into an experiment group (EG, FAE) and a control group (CG, routine nursing care). We measured serum levels of miR-124 and miR-135 and scores of the Hamilton Depression/Anxiety scale (HAMD/HAMA), Self-Rating Anxiety Scale (SAS), the Self-Rating Depression Scale (SDS), Short Form 36 Health Survey Questionnaire (SF-36), and Pittsburgh Sleep Quality Index (PSQI). Results. After a 3-month FAE intervention, serum levels of miR-124 and miR-135 and the scores of HAMD/HAMA, SAS, SDS, and PSQI in the EG group were lower than those in the CG group, while SF-36 scores in the EG group were higher than those in the CG group (p<0.05). Serum levels of miR-124 and miR-135 had a strong relationship with SAS and SDS scores (p<0.05). Discussion/Implications for Practice. The study suggests that FAE intervention controls anxiety and depression outcomes and improves life quality in CHD patients by affecting serum levels of miR-124 and miR-135.

Download Full-text

Somatic symptoms and their association with anxiety and depression in Chinese patients with cardiac neurosis

Journal of International Medical Research ◽

10.1177/0300060519869711 ◽

2019 ◽

Vol 47 (10) ◽

pp. 4920-4928

Author(s):

Feng Zheng ◽

Yinglong Duan ◽

Jingle Li ◽

Lin Lai ◽

Zhuqing Zhong ◽

...

Keyword(s):

Rating Scale ◽

Psychological Symptoms ◽

Somatic Symptoms ◽

General Information ◽

Chinese Patients ◽

Anxiety And Depression ◽

Self Rating ◽

Multiple Stepwise Regression Analysis ◽

Patient Health ◽

Cardiac Neurosis

Objective We sought to investigate somatic symptoms detected by the Somatic Self-rating Scale and to evaluate whether they were associated with the psychological symptoms of anxiety and depression in patients with cardiac neurosis. Methods A total of 180 patients with cardiac neurosis at the Third Xiangya Hospital, Changsha, China, were surveyed from January 2017 to July 2018. Participants completed a general information questionnaire, the Somatic Self-rating Scale, the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder Scale-7. Results The mean (±standard deviation) somatic symptom score in patients with cardiac neurosis was 40.83 ± 7.12. The most severe symptoms were cardiovascular symptoms, fatigue and muscle soreness. A total of 90 patients (46.4%) had anxiety and 80 (50.0%) had depression. Multiple stepwise regression analysis showed that somatic symptoms in patients with cardiac neurosis were associated with both anxiety and depression. Conclusion Somatic symptoms in patients with cardiac neurosis were associated with both anxiety and depression. Therefore, it is important to provide effective emotional interventions to promote patient rehabilitation.

Download Full-text

State-of-the-art diagnostic and treatment modalities for anxiety and depression

Russian Medical Inquiry ◽

10.32364/2587-6821-2021-5-10-648-653 ◽

2021 ◽

Vol 5 (10) ◽

pp. 648-653

Author(s):

O.V. Kotova ◽

◽

A.A. Belyaev ◽

E.S. Akarachkova ◽

◽

...

Keyword(s):

Depressive Disorder ◽

Rating Scale ◽

State Of The Art ◽

Behavioral Therapy ◽

Depression Scale ◽

Treatment Modalities ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Keywords Anxiety ◽

Anxiety Depression

Depressive disorder, or depression, is one of the most common psychiatric diseases affecting millions worldwide. Anxiety disorders are also common. Most patients with anxiety refer to general practitioners with the signs of vegetative dysfunction. Anxiety per se occurs in 40% and is associated with depression (mixed anxiety-depressive disorder) IN 26%. Comorbidity of anxiety and depression is relatively high, and the extent of this comorbidity changes with aging. This paper reviews diagnostic and treatment modalities for anxiety and depression. Their diagnosis includes clinical examination and questionnaire. This paper describes Neuro Scanner, an application that includes four scales to diagnose anxiety and depression, i.e., the Veyn Scale, Spielberg Trait Anxiety scale, Hospital Anxiety and Depression Scale (HADS), and Montgomery–Asberg Depression Rating Scale (MADRS). To date, a large amount of data illustrating a significant genetic, neurobiological, and symptomatic similarity of depression and anxiety has been accumulated. This phenomenon accounts for the efficacy of the same drugs (e.g., antidepressants, anxiolytics, neuroleptics, etc.). KEYWORDS: anxiety, depression, comorbidity, anhedonia, diagnosis, Neuro Scanner, anti-depressants, anxiolytics, cognitive behavioral therapy. FOR CITATION: Kotova O.V., Belyaev A.A., Akarachkova E.S. State-of-the-art diagnostic and treatment modalities for anxiety and depression. Russian Medical Inquiry. 2021;5(10):648–653 (in Russ.). DOI: 10.32364/2587-6821-2021-5-10-648-653.

Download Full-text

Effect of Qigong on self-rating depression and anxiety scale scores of COPD patients

Medicine ◽

10.1097/md.0000000000015776 ◽

2019 ◽

Vol 98 (22) ◽

pp. e15776 ◽

Cited By ~ 5

Author(s):

Jian-jun Wu ◽

Ying-xue Zhang ◽

Wei-sha Du ◽

Liang-duo Jiang ◽

Rui-feng Jin ◽

...

Keyword(s):

Anxiety Scale ◽

Depression And Anxiety ◽

Self Rating ◽

Copd Patients ◽

Scale Scores

Download Full-text

P594 Increased levels of stress, anxiety and depression among patients with CD and UC

Journal of Crohn s and Colitis ◽

10.1093/ecco-jcc/jjz203.722 ◽

2020 ◽

Vol 14 (Supplement_1) ◽

pp. S495-S495

Author(s):

E Laoudi ◽

D Papalouka ◽

M Gkizis ◽

G Kokkotis ◽

N Perlepe ◽

...

Keyword(s):

General Population ◽

Disease Activity ◽

Activity Index ◽

Depression Scale ◽

Severe Depression ◽

Anxiety Scale ◽

Anxiety And Depression ◽

Measurement Scales ◽

Stress Scale ◽

Scale Scores

Abstract Background Patients with IBD often report stress and emotional discomfort (anxiety and depression), which lead to a compromise in quality of life. The aim of this study was to report the prevalence and severity of those parameters among patients with CD and UC and correlate them with disease activity, inflammatory biomarkers and demographic characteristics. Methods We analyzed data from 86 patients with CD (53 male) and 68 with UC (37 male) who attended our IBD department for routine follow-up. Participants completed the DASS 21 questionnaire (validated Greek version). DASS 21 consists of 21 questions which feed into separate measurement scales for stress, anxiety or depression. Disease activity was measured with the Harvey Bradshaw index (HBI) for CD and Simple Colitis Activity Index (SCAI) for UC. Results CD patients. Stress scale: based on validated cutoff values for the general population, 36% of patients had normal scores, 11% mild discount, 14% moderate, 17% severe, and 22% had an extremely severe discount. Anxiety scale: 44% normal, 18% mild, 8% moderate, 6% severe and 24% extremely severe discount compared with the general population. Depression scale: 60% had normal scores, whereas 4% mild, 9% moderate, 6% severe and 23% extremely severe discount. In CD patients, a positive correlation between stress, anxiety, depression and Harvey Bradshaw score were found [Spearman non-parametric correlation: p < 0,001) for all comparisons]. UC patients. Stress scale: 45% had normal scores, 6% mild, 15% moderate, 12% severe and 22% extremely severe discount. Anxiety scale: 5% normal, 12% mild, 15% moderate, 3% severe and 19% extremely severe. Depression scale: scores were normal 68%, mild in 33%, moderate in 12%, and extremely severe in 7% of patients. No correlation was found between DASS 21 and SCAI scores. When the CD and UC groups were compared, no significant differences were found for stress (p = 0,162) and anxiety (p = 0,194). In contrast, scores for depression were higher in CD patients (t-test p = 0,007). Female patients had higher scores for stress (p <0,01) and anxiety (p <0,01) in comparison to male patients with IBD. We did not observe significant correlations between DASS scores and Hb or CRP. Conclusion Our results show that a considerable percentage of patients with IBD present with deranged emotional status. We were able to recognise correlations between specific alterations and patient subpopulations. Those findings support the notion that patients with IBD may benefit from psychological interventions.

Download Full-text

The use of the hospital anxiety and depression scale in an outpatient alcohol treatment clinic

Irish Journal of Psychological Medicine ◽

10.1017/s079096670001452x ◽

1995 ◽

Vol 12 (3) ◽

pp. 101-102 ◽

Cited By ~ 1

Author(s):

Christopher A Vassilas ◽

Andrew Nicol ◽

Clare Short

Keyword(s):

Outpatient Treatment ◽

Rating Scale ◽

Depression Scale ◽

Alcohol Treatment ◽

Screening Instrument ◽

Anxiety Scale ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Treatment Clinic ◽

Treatment Centre

AbstractObjectives: To validate the hospital anxiety and depression scale (HAD) in an outpatient alcohol treatment centre.Methods: Forty three patients referred to an alcohol outpatient treatment centre completed the HAD which was validated against the external criteria of the Montgomery-Asberg Depression Rating Scale and the Clinical Anxiety Scale.Results: The HAD performed well operating at a cut-off of 7/8 for the depression scale and for the anxiety scale of the HAD the optimal cut-off value was 10/11.Conclusion: The HAD is acceptable to patients and its use in alcohol treatment clinics is recommended as a screening instrument for anxiety and depression which can easily be administered by non-psychiatrists.

Download Full-text