scholarly journals Anxiety and Depressive Disorders and Quality of Life Assessment of Poles—A Study Covering Two Waves of the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Mateusz Babicki ◽  
Bogna Bogudzińska ◽  
Krzysztof Kowalski ◽  
Agnieszka Mastalerz-Migas

Background: More than a year after the first case of SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) viral pneumonia, the world is still engulfed by the pandemic, and we know that this condition has an enormous impact not only on individuals but also on the social order in virtually every aspect of daily life, deteriorating our mental health. This study aims to assess the prevalence of depressive and anxiety symptoms and the subjective assessment of the quality of life in the different stages of the COVID-19 (Coronavirus Disease 2019) pandemic based on a nationwide online survey.Materials and Methods: The study was conducted using an original questionnaire assessing the sociodemographic status and standardized psychometric tools: Beck Depression Inventory (BDI), Generalized Anxiety Disorder (GAD-7) and Manchester Short Assessment of Quality of Life (MANSA). The study was conducted in two stages corresponding to the first and second wave of the COVID-19 pandemic.Results: In total, 4,083 respondents participated in the survey. The first observation stage took place between 17 and 26 April 2020 and comprised 2,457 respondents; the repeated survey that took place between 1 and 30 December 2020 comprised 1,626 respondents. In both cases, women constituted the majority of respondents (82.5% in the first stage and 79.6% in the second stage). Statistically significantly higher levels of depression and anxiety were found in second stage, with mean scores of BDI and GAD-7. In the case of MANSA, participants in the different stages of the pandemic showed no significant differences in terms of mean scores. However, women were more susceptible to developing the depression and anxiety symptoms and it was obtained in both waves of the pandemicConclusions: As the Covid-19 pandemic progressed, there was higher level of depressive and anxiety symptoms among Poles.

2021 ◽  
Vol 12 ◽  
Author(s):  
Mateusz Babicki ◽  
Krzysztof Kowalski ◽  
Bogna Bogudzińska ◽  
Agnieszka Mastalerz-Migas

The COVID-19 pandemic has a significant impact on human life. This study aims to assess the prevalence of depressive and anxiety symptoms, and the assessment of the quality of life in different stages of the COVID-19 pandemic based on an online nationwide survey. The study was based on a voluntary, anonymous, and authors' own questionnaire. The first section assesses sociodemographic status. Then, standardized psychometric tools were used such as the Beck Depression Inventory (BDI), the Generalized Anxiety Disorder Assessment (GAD-7), and the Manchester Short Assessment of Quality of Life (MANSA). The study was conducted in three stages corresponding to the waves of the COVID-19 pandemic in Poland. The survey involved 5,790 respondents; 2,457, 1,626, and 1,707 for the first, second, and third pandemic wave, respectively. It was found that anxiety and depressive symptoms increased as the pandemic progressed. There was no significant effect on the subjective quality-of-life assessment. Moreover, there was a gradual decrease in anxiety about being infected with COVID-19 as well as reduced adherence to the Minister of Health's recommendations. As the COVID-19 pandemic progressed, depressive and anxiety symptoms increased among Poles. Women, singles, and people with prior psychiatric treatment are more likely to develop the aforementioned symptoms.


2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
T Demenko ◽  
G.A Chumakova

Abstract Background Mental disorders in patients with cardiovascular disease have a significant impact on the course, the prognosis of the underlying disease and quality of life (QOL). Objective We aimed to examine the prevalence of anxiety and depressive disorders and their impact on the quality of life in patients with atrial fibrillation (AF). Materials and methods In 52 with permanent AF and 50 with paroxysmal AF patients, we administered the depression scale Tsung, the scale of situational anxiety (SA) and personal anxiety (PA) Spielberger-Hanin; QOL was assessed the SF-36 quality of life assessment scale. Correlation analysis using Spearman's rank correlation coefficient. Results The prevalence symptoms mild depression situational or neurotic genesis was 21.1% (12 patients) in Group 1 and 12.0% (6 patients) in Group 2 (p>0.05). Subdepressive state was two percents of patients in Group 1 and Group 2. The incidence SA was 59.6% (31 patients) in Group 1 and 52.0% (26 patients) in Group 2. The incidence PA was 74.0% (37 patients) in Group 2 and 67.3% (35 patients) in Group 1. The average score the physical component of health (PCH) was 29,8±4,3 in Group 1, the mental component of health (MCH) – 49.5±7.4 points; p<0.05. In Group 2: PCH – 44.8±6.6 points, MCH – 26.6±7.5 points; p<0.05. Correlation analysis showed negative strong correlations between SA and MCH (r=−0.64, p=0.0005) and between PA and MCH (r=−0.69, p<0.0001), between SA and PCH (r=−0.71, p=0.0001), between depression and PCH (r=−0.69, p=0.023). Negative statistically significant correlation between depression and MCH (r=−0.69, p=0.54) and negative medium correlation between depression and PCH (r=−0.64, p=0.23). Conclusion These findings suggest that we did not identify patients with symptoms of a true depressive (that can cause pseudodementia and influenced to complete tests). 16.5% patients with AF had mild depression of situational or neurotic genesis. Depression may be a pathogenetic factor of AF or develop because of paroxysms AF – psychological stress. More than 50% patients in Group 1 and Group 2 had an increased anxiety score. SA is more common in patients with permanent AF, probably because older people difficult to adapt to a new situation. PA is more common in patient with paroxysmal AF, probably because disease is sudden and causes anxiety. The PCH of QOL is more impairment in patients with permanent AF, because complications (for example heart failure) impairment physical activity. However, PCH also reduced in patient with paroxysmal AF, because disease is sudden may occur during physical activity. The MCH of QOL is more impairment in patients with paroxysmal AF, because waiting attack effect on mental health and social functioning. An increased level of anxiety and depression negatively affected the mental and physical health of patients with AF. Funding Acknowledgement Type of funding source: None


Author(s):  
Natalia D. McIver ◽  
Barry Krakow ◽  
Jessica Krakow ◽  
Michael R. Nadorff ◽  
Victor A. Ulibarri ◽  
...  

Abstract Objective At-risk high school students, those considered to have a higher probability for academic failure or dropping out, were assessed for various sleep disorders. Effects were compared between students with and without the nightmare triad syndrome (NTS+), the sleep disorders’ cluster of frequent nightmares, insomnia disorder and suspected sleep-disordered breathing (SDB). Methods Data were gathered at a charter school for at-risk youth using: computer based surveys, physical airway exams, and mental health interviews by school social worker. Ninety-two students were enrolled, and 70 completed all study components. Results Students were teenaged [17.10 (1.50) years], male (52.2%) slightly overweight [BMI 25.50 (6.41)] Hispanics (87.0%); two-thirds (65 of 92) subjectively reported a sleep problem. Frequent nightmares (39.1%), insomnia (ISI ≥ 12, 41.3%), and SDB risk (79.3%) were common. Several presumptive sleep disorders (insomnia, SDB risk, parasomnia, or nightmares) were associated with worse sleep quality and lower quality of life. Nineteen students met criteria for NTS. Compared to NTS−, NTS+ showed significantly lower quality of life (p < 0.003, g = 0.84). Regression analyses revealed higher levels of depression and anxiety symptoms in NTS+ students. NTS was associated with reduced quality of life independent of anxiety symptoms. Conclusion Prevalence of presumptive sleep disorders was high with a tendency for clusters of sleep disorders in the same individual. Students with NTS+ showed worse outcomes and reduced quality of life, mediated partially by depression and anxiety. To examine relationships between sleep disorders and mental health in at-risk adolescents, research investigations must include both subjective and objective measurements of sleep.


2018 ◽  
Vol 10 (1) ◽  
pp. 38-44
Author(s):  
Mehmet Kabalcı ◽  
Ali Bolat ◽  
Turgut Kültür ◽  
Yıldırım Gültekin ◽  
Serap Yörübulut

2021 ◽  
Author(s):  
Judith Cornelius ◽  
Charlene Whitaker-Brown ◽  
Jaleesa Smoot ◽  
Sonia Hart ◽  
Zandria Lewis ◽  
...  

BACKGROUND African Americans have a higher rate of having heart failure (HF) with an earlier age of onset when compared to other racial/ethnic groups. Scientific literature suggests that by 2030 African Americans will have a 30% increased prevalence rate of HF coupled with depression and anxiety. In addition to depression, anxiety is a predictor of worsening functional capacity, decreased quality of life, and increased hospital readmissions. Currently, there is no consensus on the best way to treat HF patients with depression and anxiety. One promising type of treatment-cognitive behavior therapy (CBT) – has shown to significantly improve patients’ quality of life and treatment compliance but CBT has not been used with text messaging reminders to enhance the effect of reducing symptoms of depression and anxiety in minority heart failure patients. OBJECTIVE The purpose of this study is to: 1) Adapt/modify the COPE curriculum for delivery to HF patients using a text-messaging component to improve depression and anxiety symptoms; 2) Administer the adapted intervention to 10 patients to examine feasibility and acceptability of the approach and modify as needed; and 3) Examine trends in depression and anxiety symptoms post-intervention. We hypothesize that patients will show an improvement in depression scores and anxiety symptoms post-intervention. METHODS This study will comprise a mixed methods approach. We will use the 8-steps of the ADAPT-ITT model to adapt the intervention. The first step in this exploratory feasibility research involves assembling individuals of the targeted population (n= 10) to discuss questions on a specific topic. We will gather data in focus groups during both phases by creating an environment that encourages participants to discuss their beliefs, perceptions, and points of view on the COPE for young adults curriculum and its applicability to African-American HF patients with enhanced text messaging reminders (TXT COPE HF). In Phase 2, we will examine the feasibility and acceptability of the enhanced text messaging intervention; (TXT COPE HF) and its preliminary effects with 10 participants. The Beck Depression Inventory will assess depression and the State Trait Anxiety Inventory will assess their anxiety. Changes will be compared from baseline to endpoint using paired t-tests. An exit focus group (n=10) will be held to examine facilitators and barriers with the text messaging protocol. RESULTS The pilot feasibility study was funded in November 2019. Institutional review board approval was delayed due to COVID but was obtained April 2021. Recruitment will occur June to August 2021 and results are expected by December 2021. CONCLUSIONS The findings of this study will add to the body of literature on the treatment of patients with heart failure.


2020 ◽  
Vol 18 (5) ◽  
pp. 545-549
Author(s):  
M. M. Skugareuskaya ◽  
◽  
A. V. Shylava ◽  
A. V. Yaglouskaya ◽  
I. Yu. Bergel ◽  
...  

Objective. The effectiveness of structured physical activity in depressive disorders treatment depends on various factors. The aim of this paper is to evaluate the effect of exercise on anxiety, depression and quality of life and sleep in complex treatment of depressive disorders depending on the patient’s gender.Material and methods. A total of 187 patients with depression were examined and treated: 107 in the main group and 80 in the comparison group, among them 34 men (average age 38 ± 11.7 years) and 153 women (43.2 ± 13.2 years). The physical exercises program included cardio training as well as strength, endurance and flexibility exercises.Results and conclusions. Inclusion of structured physical activity in treatment allows reducing depression and anxiety symptoms in both men and women more effectively. In women the positive effect on emotional state and psychological component of quality of life was less pronounced, while quality of sleep (associated with breathing, snoring, temperature discomfort) improved to a greater extent.


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