scholarly journals Anxiety and Depression in Patients With Physical Diseases and Associated Factors: A Large-Scale Field Survey in General Hospitals in China

2021 ◽  
Vol 12 ◽  
Author(s):  
Wanlin Yang ◽  
Ling Xiao ◽  
Zhiyong Yuan ◽  
Huan Huang ◽  
Yilei Xiang ◽  
...  
Keyword(s):  
Large Scale ◽  
Rating Scales ◽  
Clinical Symptoms ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Related Factors ◽  
General Hospitals ◽  
Co Morbidity ◽  
Physical Diseases ◽  
Clinical Departments

Introduction: To investigate the characteristic of anxiety and depression among patients in general hospitals, and explore the degree of the clinical symptoms and correlated social economic factors.Methods: This is a cross-sectional survey of anxiety and depression in patients with physical diseases, who were suspected of depression and anxiety based on their clinical performance by their physicians and PHQ ≧ 8, from various clinical departments of 57 general hospitals in China. Data regarding demographic characteristics and clinical characteristics were collected. Social and psychological factors and the severity of anxiety or depression were collected through self-rating scales. Finally, we used multivariate logistic regression to identify the factors associated with anxiety and depression in patients with physical diseases.Results: A total of 2,105 (84.6%) valid and completed questionnaires were returned. The proportion of anxiety, depression, combined depression and anxiety, either anxiety or depression among the patients with physical diseases from all clinical departments was 63.3, 75.1, 57.1, and 81.2% respectively. Further regression analysis indicated that gender, monthly income, specific physical diseases, personality traits, social supports and life negative events were related factors of both anxiety and depression.Conclusions: Anxiety and depression were common in patients with physical diseases, with a high proportion of co-morbidity of anxiety and depression. Females, patients with cancer, poor social support and negative life events reported more severe anxiety and depression. The results may help to understand the present situation of anxiety and depression in general hospitals in china, and identify the patients with high risk of depression and anxiety.

scholarly journals QOLP-17. FACTORS ASSOCIATED WITH PSYCHOLOGICAL DISTRESS IN CAREGIVERS OF PATIENTS WITH MALIGNANT GLIOMAS

2019 ◽  
Vol 21 (Supplement_6) ◽  
pp. vi201-vi201
Author(s):  
Sophia Landay ◽  
Maya Anand ◽  
Nora Horick ◽  
Jamie Jacobs ◽  
Kit Quain ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Malignant Gliomas ◽  
Tumor Location ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Wild Type ◽  
Related Factors ◽  
Caregiver Depression ◽  
Factors Associated ◽  
Caregiver Anxiety

Abstract BACKGROUND Caregivers of patients with newly diagnosed malignant gliomas experience high rates of psychological distress. However, the factors associated with distress in this population have not been well described. We sought to evaluate patient-related, caregiver-related and tumor-related factors associated with depression and anxiety in this caregiver population. METHODS We conducted a prospective study in patients with newly diagnosed malignant gliomas and their caregivers, collecting self-report data within 6 weeks of diagnosis. Patients’ and caregivers’ depression and anxiety were assessed using the Hospital Anxiety and Depression Scale, with subscale scores >7 considered clinically significant. Information about the tumor location and molecular features was extracted from the medical record. We used univariate and multivariate linear models to evaluate the association between caregiver anxiety and depression at baseline and specific caregiver-, patient- and tumor-related factors. RESULTS We enrolled 61 patient-caregiver dyads in this study. 26.2% (16/61) of caregivers had significant depression symptoms, and 47.5% (29/61) had significant anxiety. In the multivariable analysis, factors associated with higher caregiver depression score included younger caregiver age (< 65 years old; B=4.24, p=0.0002), left-sided tumor location (B=1.98, p=0.030), IDH wild-type tumor status (B=3.44, p=0.0008) and patient anxiety (B=2.28, p=0.017). Factors associated with higher caregiver anxiety were younger caregiver age (B=2.47, p=0.089) and left-sided tumor location (B=4.23, p=0.001). CONCLUSIONS Younger caregiver age and caring for a patient with a tumor on the left side of the brain were associated with worse caregiver depression and anxiety. Higher caregiver depression was correlated with caregivers whose loved one had significant anxiety or had an IDH wild-type tumor. Understanding the factors associated with caregiver anxiety and depression may guide neuro-oncology clinicians in identifying caregivers who may be at an increased risk for psychological distress at the time of their loved one’s diagnosis, allowing for earlier initiation of support services for these caregivers.

scholarly journals Exploring the Association Between Electronic Wearable Device Use and Levels of Physical Activity Among Individuals With Depression and Anxiety: A Population Level Study

2021 ◽  
Vol 3 ◽  
Author(s):  
Henry Onyeaka ◽  
Joe Firth ◽  
Valentine Enemuo ◽  
Chioma Muoghalu ◽  
John Naslund ◽  
...  
Keyword(s):  
Physical Activity ◽  
United States ◽  
Large Scale ◽  
Population Level ◽  
The United States ◽  
Individual Characteristics ◽  
Activity Levels ◽  
Depression And Anxiety ◽  
Related Factors ◽  
Cross Sectional

Aim: The present study aimed to investigate the cross-sectional association between self-reported use of electronic wearable devices (EWDs) and the levels of physical activity among a representative sample of adults with depression and anxiety in the United States.Methods: For this cross-sectional study, data were pooled from the Health Information National Trends Survey 2019. A sample of 1,139 adults with self-reported depression and anxiety (60.9% women; mean age of 52.5 years) was analyzed. The levels of physical activity and prevalence of EWD utilization were self-reported. The chi-square tests were used to compare individual characteristics through the use of EWDs. Multivariable logistic regression was employed to investigate the association between EWDs and physical activity levels while adjusting for sociodemographic and health-related factors.Results: From the 1,139 adults with self-reported depression and anxiety, 261 (weighted percentage 28.1%) endorsed using EWD in the last year. After adjusting for covariates, the use of EWDs was only significantly associated with a higher odds of reporting intention to lose weight (OR 2.12; 95% CI 1.04, 4.35; p = 0.04). We found no association between the use of EWDs and meeting the national weekly recommendation for physical activity or resistance/strength exercise training.Conclusion: About three in 10 adults suffering from depression and anxiety in the United States reported using EWDs in the last year. The current study findings indicate that among people living with mental illness, EWD use is associated with higher odds of weight loss intent suggesting that EWDs may serve as an opening for the clinical interactions around physical health through identifying patients primed for behavior change. Further large-scale studies using randomized trial designs are needed to examine the causal relationships between EWDs and the physical activity of people with mental health conditions.

Multidimensional Health Locus of Control: A New Perspective on the Psychopathology of Anxiety and Depression?

1986 ◽  
Vol 58 (3) ◽  
pp. 903-914 ◽  
Author(s):  
David Quinn ◽  
Hugh Norris
Keyword(s):  
Locus Of Control ◽  
Rating Scales ◽  
Health Locus Of Control ◽  
Anxiety And Depression ◽  
Clinical Group ◽  
Depression And Anxiety ◽  
State Trait Anxiety Inventory ◽  
New Perspective ◽  
Multidimensional Health ◽  
Normal Controls

The primary purpose of the study was to assess the validity of the reported relationship between an ‘externalised’ locus of control and the psychopathology of anxiety and depression. 36 clinical out-patients primarily presenting as anxious, depressed or both and 46 normal controls were tested on the Multidimensional Health Locus of Control together with self-rating scales of anxiety and depression. With regard to the clinical group in particular, the hypothesised relationships between the ‘Chance’ and ‘Powerful Others’ dimensions of locus of control and the psychopathology of depression and anxiety did not emerge. In contrast, although the normal group showed no correlation of locus of control scores with depression, a positive and significant correlation was displayed with anxiety as measured by Spielberger's State-Trait Anxiety Inventory. Implications for current theoretical formulations for psychopathology, scale specificity, and the need to delineate client populations carefully were discussed.

scholarly journals DERMATOLOGICAL DISORDERS

2010 ◽  
Vol 17 (02) ◽  
pp. 334-349
Author(s):  
IMTIAZ AHMAD DOGAR ◽  
M. ARIF MAN ◽  
ASMA BAJWA ◽  
Aysha Bhatti ◽  
Shazia Naseem ◽  
...  
Keyword(s):  
Economic Status ◽  
Cross Sectional Study ◽  
Depression Score ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Dermatology Department ◽  
Dermatological Disease ◽  
Co Morbidity ◽  
Dsm Iv

Objectives: The study aimed to determine the prevalence and risk factors of Depression and Anxiety in indoor Patients of Dermatology Department. Types of study: cross sectional study. Place and Duration of study: The study was conducted at in door Department of Dermatology, D.H.Q Hospital Faisalabad from August 2006 to October 2006. Patients & Methods: A total of 77 diagnosed dermatological patients, (21males and 56 females) were selected by using non-probability convenient sampling. Hospital Anxiety andDepression Scale and DSM –IV-TR criteria for depression and anxiety were used to evaluate the patients. QOL-BREF was administered. Results were also correlated with patient’s demographics. Result: Out of 77 Patients who were enrolled in a study, 52 % of subjects reported psychiatric co-morbidity regarding anxiety and depression according to DSM-IV-TR, HADS, anxiety and depression score was 12.75 (±4.33)and 11.18 (±4.51) respectively. A strong co-relation of HADS anxiety and HADS depression was found with the DSM-IV- TR diagnosis respectively. The strong negative association was found with the education, monthly income and socio-economic status respectively. Conclusion: The study shows high Prevalence of Depression and Anxiety in Patients having dermatological disorder. The findings also highlight the importance of recognizing dermatological disease related psychiatric problems. Through training, dermatologists can identify psychiatry morbidity and play their role in early detection, management and referrals of complicated cases of these co- morbid conditions. In this way better quality of care can be assured.

Non-linear relationships in associations of depression and anxiety with alcohol use

2000 ◽  
Vol 30 (2) ◽  
pp. 421-432 ◽  
Author(s):  
B. RODGERS ◽  
A. E. KORTEN ◽  
A. F. JORM ◽  
P. A. JACOMB ◽  
H. CHRISTENSEN ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
General Population ◽  
Negative Affect ◽  
Anxiety Disorders ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Linear Relationships ◽  
Co Morbidity ◽  
Non Linear

Background. Many studies have demonstrated co-morbidity of alcohol abuse/dependence with mood and anxiety disorders but relatively little is known about anxiety and depression across the full continua of alcohol consumption and problems associated with drinking.Methods. Participants from a general population sample (N = 2725) aged 18–80 years completed the Alcohol Use Disorders Identification Test (AUDIT) and four measures of negative affect (two depression and two anxiety symptom scales) included in a self-completion questionnaire.Results. High consumption, AUDIT total score, and AUDIT problems score were associated with high negative affect scores in participants under 60 years old (ORs in the range 1·80–2·83). Graphical and statistical analyses using continuous measures of alcohol use/problems and negative affect identified non-linear relationships where abstainers and occasional drinkers, as well as heavy and problem drinkers, were at risk of high anxiety and depression levels. This pattern, however, was not found in those aged [ges ] 60 years. The U-shaped relationship was not an artefact of abstainers being typical of the general population in their distribution of negative affect.Conclusions. Studies of co-morbidity should acknowledge the possibility of non-linear associations and employ both continuous and discrete measures. Abstainers, as well as heavy drinkers, are at increased risk of symptoms of depression and anxiety disorders. Psychosocial factors may play a role in the U-shaped relationship between alcohol consumption and mortality.

scholarly journals Psychological Models of Depression and Anxiety: Counselor’s Perspectives

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Vijaya Lakshmi Chouhan ◽  
Preeti Sharma
Keyword(s):  
Life Events ◽  
Current Paper ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Major Focus ◽  
Psychological States ◽  
Co Morbidity ◽  
Psychological Models ◽  
Proper Diagnosis ◽  
Clinical Conditions

Negative psychological states like anxiety and depression have been the major focus of psychology over the last hundreds of years. People experience these negative psychological states as a part of their response to their threatening life events. These states sometimes help to cope with threatening situations. Humans are hard wired to response in these ways as they are adaptive subsequent to traumatic events. There are multiple psychological models which explain the occurrence of anxiety and depression in clinical depression. The understandings of the formulation of these models help in the management of these clinical conditions. Anxiety and depression often co-exist among patients. The understanding of co-morbidity of anxiety and depression is the key in proper diagnosis and management of these clinical states. The current paper will focus on the detail description of psychological models of anxiety and depression and the possible link between these two clinical conditions. The paper will also enumerate brief psychological strategies of how to deal with anxiety and depression.

scholarly journals ANXIETY AND DEPRESSION IN PATIENTS WITH TINNITUS

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S517-20
Author(s):  
Sikandar Ali Khan ◽  
Maqbool Raza ◽  
Shahid Farooq ◽  
Muhammad Tariq ◽  
Muzafar Chandio ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Military Hospital ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tinnitus Handicap Inventory ◽  
Co Morbidity ◽  
Severity Of Depression

Objective: To determine the presence and severity of depression and anxiety in patients with tinnitus. Study Design: Cross sectional study. Place and Duration of Study: This study was conducted at department of Psychiatry, Combined Military Hospital Multan in collaboration with ENT department, Combined Military Hospital Multan, from Sep 2019 to Mar 2020. Methodology: All diagnosed cases of tinnitus in ENT out-patient department Tinnitus Handicap inventory (THI) was applied to assess the severity of tinnitus. Diagnosis of depression and Anxiety was done based on diagnostic criteria of ICD10 of WHO and symptom severity was assessed using Beck Depressive Inventory (BDI) for depression and Beck Anxiety Inventory (BAI) for Anxiety. Results: A total of 88 participants were included in this study. Fifty-three (60.2%) were male, 35 (39.7%) were females. Twentythree (20.2%) ranged between 18-40 years of age, 65 (57.2%) participants ranged between 41-60 years of age. Seven (12.5%) participants scored less than 38 on tinnitus handicap inventory showing mild severity of tinnitus, 3 (5.3%) individuals scored moderate while 19 (33.9%) had severe level of tinnitus. Thirty-three (37%) participants had depression 55 (62%) out of total 88 participants had anxiety. Conclusion: Studies show presence of anxiety and depression in patients with tinnitus so it seems prudent to screen all patients of tinnitus for psychiatric co morbidity. A multidisciplinary approach is required for the treatment of patients with tinnitus so that physical as well as psychiatric/psychological management of these patients is provided well in time.

Depression and Anxiety in Psoriatic Disease: Prevalence and Associated Factors

2014 ◽  
Vol 41 (5) ◽  
pp. 887-896 ◽  
Author(s):  
Emily McDonough ◽  
Renise Ayearst ◽  
Lihi Eder ◽  
Vinod Chandran ◽  
Cheryl F. Rosen ◽  
...  
Keyword(s):  
Depression Scale ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Hospital Anxiety ◽  
Related Factors ◽  
Increased Risk ◽  
Prevalence Of Depression ◽  
Unit Increase ◽  
Fatigue Severity

Objective.(1) To determine the prevalence of depression and anxiety in patients with psoriatic arthritis (PsA) and to identify associated demographic and disease-related factors. (2) To determine whether there is a difference in the prevalence of depression and anxiety between patients with PsA and those with psoriasis without PsA (PsC).Methods.Consecutive patients attending PsA and dermatology clinics were assessed for depression and anxiety using the Hospital Anxiety and Depression Scale. Patients underwent a clinical assessment according to a standard protocol and completed questionnaires assessing their health and quality of life. T tests, ANOVA, and univariate and multivariate models were used to compare depression and anxiety prevalence between patient cohorts and to determine factors associated with depression and anxiety.Results.We assessed 306 patients with PsA and 135 with PsC. There were significantly more men in the PsA group (61.4% vs 48% with PsC) and they were more likely to be unemployed. The prevalence of both anxiety and depression was higher in patients with PsA (36.6% and 22.2%, respectively) compared to those with PsC (24.4% and 9.6%; p = 0.012, 0.002). Depression and/or anxiety were associated with unemployment, female sex, and higher actively inflamed joint count as well as disability, pain, and fatigue. In the multivariate reduced model, employment was protective for depression (OR 0.36) and a 1-unit increase on the fatigue severity scale was associated with an increased risk of depression (OR 1.5).Conclusion.The rate of depression and anxiety is significantly higher in patients with PsA than in those with PsC. Depression and anxiety are associated with disease-related factors.

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