Chronic Pain and Associated Factors Related to Depression among Older Patients in Hanoi, Vietnam

The interaction of chronic pain and depression among older people has been studied for many years. This study aimed to investigate the frequency of chronic pain and depression among older patients and correlated factors. A cross-sectional study was conducted in 921 older patients at the National Geriatric Hospital from November 2019 to March 2020. We used the Charlson Comorbidity Index (CCI) to assess the comorbid condition, a numerical rating scale (NRS) to examine pain severity, and Geriatric Depression Scale—15 items (GDS-15) to measure depression among participants. A chi-square test and Tobit regression were used to analyze the relationships. A total of 921 older patients participated in the study. The proportion of depression accounted for 55.8%. The mean Charlson score and number of diseases were 1.2 and 4.7, respectively. A positive correlation was found between comorbidity and chronic pain and depression. Moreover, socio-demographic variables such as occupation, education, and income were associated with pain and depressive symptoms. This study highlights the issue of mental health in older people with chronic pain. The results indicate the necessity of frequent depression screening, pain management, and social activity programs for older people to enhance their health.

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Biopsychosocial factors and global perceived effect scale on the subject with chronic pain: an analytic cross-sectional study

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2018.16.647 ◽

2020 ◽

pp. 1-5

Author(s):

Graziella Cristina Roque ◽

Tiago Tsunoda del Antonio ◽

Fabrício José Jassi ◽

Thais Cristina Chaves

Keyword(s):

Chronic Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

Pain Catastrophizing ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Fear Avoidance Beliefs ◽

The Subject

Background: Chronic pain is an emotional and sensorial experience that triggers functional incapacity guided especially by the biopsychosocial changes, that lead to its aggravation directly affecting the recovery of the patient. Objective: To verify the presence of biopsychosocial factors in the subject with chronic pain on the physiotherapeutic care undergone in a clinical physiotherapy school. Method: A cross-sectional study, conducted in the physiotherapy clinic of the Health Sciences Center of the Universidade Estadual do Norte do Paraná, in which were evaluated 26 subjects with chronic pain through the Pain Numerical Rating Scale; Hospital Anxiety and Depression Scale; Pain Catastrophizing Scale; Fear Avoidance Beliefs Questionnaire; and Global Perceived Effect Scale. The statistical analysis had significance value of P≤0.05. Results: Even with reduction of pain intensity with P=0.04, the values do not indicate clinically relevant difference. The global perceived effect scale does not indicate a significant improvement of the subjects; however this is justified because the treatment does not address biopsychosocial aspects, being a technical approach. Conclusion: The treatment of chronic pain associated with a biopsychosocial approach would be the most indicated in clinical practice.

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Negative effect of anger on chronic pain intensity is modified by multiple mood states other than anger: A large population-based cross-sectional study in Japan

Modern Rheumatology ◽

10.1093/mr/roab035 ◽

2021 ◽

Author(s):

Keiko Yamada ◽

Tomoko Fujii ◽

Yasuhiko Kubota ◽

Kenta Wakaizumi ◽

Hiroyuki Oka ◽

...

Keyword(s):

Chronic Pain ◽

Pain Intensity ◽

Rating Scale ◽

Numerical Rating Scale ◽

Short Form ◽

Large Population ◽

Population Based ◽

Cross Sectional Study ◽

Mood States ◽

Cross Sectional

ABSTRACT Objectives To investigate whether mood states other than anger can modify the association between anger and pain intensity in individuals with chronic pain. Methods We analysed 22,059 participants with chronic pain, including 214 participants with rheumatoid arthritis (RA), who completed a questionnaire. The Profile of Mood States short form (POMS-SF) was used to assess six dimensions of mood states (anger-hostility, tension-anxiety, depression-dejection, confusion, fatigue, and vigour). A numerical rating scale (NRS) assessed pain intensity. We examined the association between anger-hostility and the NRS and the relationship between POMS-SF components. Moderation analyses were used to investigate whether the five mood states other than anger-hostility modified the effect of anger-hostility on the NRS. Results Anger-hostility contributed to pain intensity. Although increased mood states other than vigour were associated with increased pain intensity, these increased mood states appeared to suppress the effect of anger-hostility on pain intensity. Increased vigour was associated with decreased pain intensity and increased the effect of anger-hostility on pain intensity. Conclusions Mood states other than anger may influence the association between anger and pain intensity in individuals with chronic pain. It is important to focus on complicated mood states and anger in individuals with chronic pain, including RA.

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The 27-Item Coping Strategies Questionnaire — Revised: Confirmatory Factor Analysis, Reliability and Validity in Italian-Speaking Subjects with Chronic Pain

Pain Research and Management ◽

10.1155/2014/956828 ◽

2014 ◽

Vol 19 (3) ◽

pp. 153-158 ◽

Cited By ~ 8

Author(s):

Marco Monticone ◽

Simona Ferrante ◽

Ines Giorgi ◽

Caterina Galandra ◽

Barbara Rocca ◽

...

Keyword(s):

Chronic Pain ◽

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Rating Scale ◽

Numerical Rating Scale ◽

Intraclass Correlation ◽

Depression Scale ◽

Correlation Coefficients ◽

Epidemiological Studies ◽

Confirmatory Factor

BACKGROUND: Increasing attention is being devoted to cognitive-behavioural measures to improve interventions for chronic pain.OBJECTIVE: To develop an Italian version of the Coping Strategies Questionnaire – Revised (CSQ-R), and to validate it in a study involving 345 Italian subjects with chronic pain.METHODS: The questionnaire was developed following international recommendations. The psychometric analyses included confirmatory factor analysis; reliability, assessed by internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficients); and construct validity, assessed by calculating the correlations between the subscales of the CSQ-R and measures of pain (numerical rating scale), disability (Sickness Impact Profile – Roland Scale), depression (Center for Epidemiological Studies – Depression Scale) and coping (Chronic Pain Coping Inventory) (Pearson’s correlation).RESULTS: Confirmatory factor analysis revealed that the CSQ-R model had an acceptable data-model fit (comparative fit index and normed fit index ≤0.90, root mean square error of approximation ≥0.08). Cronbach’s alpha was satisfactory (CSQ-R 0.914 to 0.961), and the intraclass correlation coefficients were good/excellent (CSQ-R 0.850 to 0.918). As expected, the correlations with the numerical rating scale, Sickness Impact Profile – Roland Scale, Center for Epidemiological Studies – Depression Scale and Chronic Pain Coping Inventory highlighted the adaptive and maladaptive properties of most of the CSQ-R subscales.CONCLUSION: The CSQ-R was successfully translated into Italian. The translation proved to have good factorial structure, and its psychometric properties are similar to those of the original and other adapted versions. Its use is recommended for clinical and research purposes in Italy and abroad.

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A Comparison of Pain between Parkinson’s Disease and Multiple System Atrophy: A Clinical Cross-Sectional Survey

Pain Research and Management ◽

10.1155/2019/3150306 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

He-Yang You ◽

Lei Wu ◽

Hai-Ting Yang ◽

Chen Yang ◽

Xiao-Ling Ding

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Multiple System Atrophy ◽

Rating Scale ◽

Depression Scale ◽

Healthy Controls ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Disease Rating ◽

Vas Scores

Background. Pain is frequent in Parkinson’s disease (PD) and Parkinson-plus syndrome. This study aimed to assess the prevalence, characteristics, therapy (especially the effect of dopaminergic therapy), and associated symptoms of pain in Parkinson's disease and multiple system atrophy (MSA) patients. Methods. Seventy-one PD patients, sixty-five MSA patients, and forty age-matched healthy controls were enrolled and evaluated by using the German pain questionnaire and visual analogue scale (VAS). In addition, the influence of pain in PD patients on anxiety, depression, and the quality of life was assessed with the Hospital Anxiety and Depression Scale (HADS) and Parkinson’s Disease Questionnaire (PDQ-39). Results. Compared to that of the healthy controls, the PD and MSA patients had a significantly higher presence of pain (P<0.01, P<0.01). PD patients had a higher presence of pain than MSA patients (P=0.007). No difference in VAS scores was observed between the PD and MSA patients (P=0.148). A total of 21 PD patients (42.85%) with pain and 13 MSA patients (43.33%) with pain received treatment. A total of 13 PD patients with pain and 6 MSA patients with pain had an improved pain intensity after using dopaminergic medication. The differences in the disease duration, Hoehn and Yahr stages, and scores on the Unified Parkinson’s Disease Rating Scale motor score, HAD-D, HAD-A, and PDQ-39 were significant between the PD patients with and without pain. Conclusion. PD and MSA patients are prone to pain with insufficient treatment. Pain interventions should be provided as soon as possible to improve the patient’s life.

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Correlation Between Level of Depression and Risk of Suicide in Elderly at Purwodadi, Grobogan

Diponegoro International Medical Journal ◽

10.14710/dimj.v1i2.9585 ◽

2020 ◽

Vol 1 (2) ◽

pp. 27-31

Author(s):

Rilla Fiftina Hadi ◽

Titis Hadiati ◽

Natalia Dewi Wardani

Keyword(s):

Rating Scale ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Severe Depression ◽

The Elderly ◽

Low Risk ◽

Cross Sectional ◽

Severity Rating ◽

Central Java ◽

Cross Sectional Design

Abstract Background: According to WHO, the elderly people have physical and mental challenges, including depression. The incidence of depression lead to suicide on elderly is about 12.7%. In Grobogan Regency, Purwodadi, Central Java, there has been an increase of depression in the last 5 years. Purwodadi Subdistrict depends on the number of orders with the highest number of traffic cases and the elderly.Objective: To determine the correlation between depression level and the risk of suicide.Methods: This research is a quantitative study with cross sectional design in which all respondents were observed and variables were measured at one time. Samples were taken from elderly outpatient of primary health care and Posyandu lansia at Purwodadi, who met the inclusion and exclusion criterias. Research samples were selected based on nonprobability sampling method through purposive sampling. This research used the Indonesian version of the GDS (Geriatric Depression Scale) and CSSRS (Columbia Suicide Severity Rating Scale) questionnaire.Results: The prevalence of elderly depression is 63.3%, and a significant correlation was found between severe depression and low risk of suicide (p <0.05)Conclusion: significant correlation was found between severe depression and low risk of suicide

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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.

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Hubungan Antara Tingkat Kecemasan Emosional Ibu Post Partum Dengan Kejadian Post Partum Blues Di Kelurahan Sukorame Wilayah Kerja Puskesmas Sukorame Kediri Tahun 2018

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v7i1.39 ◽

2020 ◽

Vol 7 (1) ◽

Author(s):

Halimatus Saidah

Keyword(s):

Rating Scale ◽

Post Partum ◽

Depression Scale ◽

Anxiety Level ◽

Cross Sectional ◽

Purposive Sampling ◽

Work Area ◽

Hamilton Anxiety Rating Scale ◽

Relationship Of ◽

The Relationship

ABSTRAKHubungan tingkat kecemasan emosional ibu Post Partum dengan kejadian Post Partum Blues sangat penting diketahui karena pada fase ini terjadi perubahan secara fisiologis maupun secara psikologis yang dapat mempengaruhi kelabilan emosional ibu setelah melahirkan. Tujuan dari penelitian ini untuk mengetahui hubungan tingkat kecemasan emosional ibu Post Partum dengan kejadian Post Partum Blues yang ada dikelurahan sukorame wilayah kerja puskesmas sukorame.Desain yang digunakan pada penelitian ini menggunakan analitik korelasional dengan pendekatan Cross Sectional. Sampel penelitian menggunakan teknik Purposive Sampling, diperoleh jumlah sampel 24 orang responden dengan kriteria responden yaitu ibu Post Partum hari ke 7- minggu ke 2, nifas normal. Pengumpulan data menggunakan lembar ceklist skala Hamilton Anxiety Rating Scale dan kuesioner Edinburgh Post Natal Depression Scale. Analisa data menggunkan uji Sperman Rank. Tingkat kecemasan emosional ibu post partum sebagian kecil (25,0%) yaitu 6 responden. dan kejadian Post Partum Blues sebagian besar (62,5%) yaitu 15 responden. Hasil analisa data dengan menggunakan uji Spearmen Rank didapatkan hasil p-value 0,000 taraf signifikan (α = 0,05) dengan demikian ada hubungan antara tingkat kecemasan emosional ibu post partum dengan kejadian Post Partum Blues di Kelurahan Sukorame wilayah Kerja Puskesmas Sukorame. Dan nilai koefisien (r) sebesar 0,859 kekuatan korelasi dalam kategori sangat kuat dengan arah positif.Dari hasil penelitian ini dapat disimpulkan adanya hubungan antara tingkat kecemasan emosional ibu post partum dengan kejadian Post Partum Blues di kelurahan Sukorame wilayah kerja Puskesmas Sukorame. Kata Kunci: Tingkat Kecemasan, Post Partum, dan Kejadian Post Partum Blues ABSTRACT The relationship between the level of emotional anxiety of the mother of post partum with Post Partum Blues occurrence is very important because in this phase there is a change physiologically and psychologically wich can affect the emotional stability of mother after giving birth. The purpose of this study to determine the relationship of emotional anxiety level of post partum mother with Post Partum Blues incident that exist in sukorame’s Village its work area of puskesmas Sukorame. Design used correlational analytics with cross sectional approach. The sample research using purposive sampling technique, obtained the number of samples 24 respondents with the criteria of respondents is post partum mother day 7 to week 2, its good puerperium. Data’s collection using hamilton anxiety rating scale and Edinburgh Postnatal Depression Scale. Data’s processing is interpreted according to the classification of each measuring instrument. The result of the research showed that the relationship of emotional anxiety level of post partum mother with Post Partum Blues incidence was the amount of the anxiety level 12,5%, 25% heavy anxiety , medium anxiety 16,6% and mild anxiety 20,9% with Post Partum Blues event. While those without anxiety were 0% for Post Partum Blues event. From the result of this study it can be concluded that almost all postpartum mothers with anxiety that there is in the field of Sukorame work area puskesmas Sukorame experience Post Partum Blues . As for recommendation of this research is holding counseling about how to handle Post Partum Blues .Key Word : Anxiety level, Post Partum, Post Partum Blues Event

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HUBUNGAN KONSUMSI ASAM LEMAK OMEGA-3, AKTIVITAS FISIK DAN PERSEN LEMAK TUBUH DENGAN TINGKAT DISMENORE PADA REMAJA

Journal of Nutrition College ◽

10.14710/jnc.v6i4.18249 ◽

2017 ◽

Vol 6 (4) ◽

pp. 268

Author(s):

Famimah Famimah ◽

Ani Margawati ◽

Deny Yudi Fitranti

Keyword(s):

Physical Activity ◽

Fatty Acids ◽

Body Fat ◽

Rating Scale ◽

Numerical Rating Scale ◽

Percent Body Fat ◽

Omega 3 Fatty Acids ◽

Omega 3 ◽

Cross Sectional

Background: Dysmenorrhea or menstrual pain was a gynecological complaint due to an imbalance of progesterone in the blood resulting in pain. A woman with dysmenorrhea should consume food rich in omega-3 fatty acids such as fish oil, fish (salmon, tuna, mackerel, herring), soybeans and fruits. Low fish consumption was related with severity of dysmenorrhea. In addition, physical activity and percent body fat were also associated with severity of dysmenorrhea.Objective : To determine the correlation between consumption of omega-3 fatty acids, physical activity and percent body fat to the classification of dysmenorrhea in adolescents.Methods : Cross sectional study of 90 adolescentsselected by purposive sampling. This research was conducted in SMA N 15 and SMA N 9 Semarang. Menstrual history was measured by direct interviews and level of dysmenorrhea was measured using Numerical Rating Scale Questionnaire. Omega-3 fatty acids were measured using Food Frequency Questionnaire (FFQ) and analyzed using a nutritional software program. Physical activity was measured using A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Percent body fat was measured using Bioelectrical Impedance Analysis (BIA). Data were analyzed by Independent T test/Mann Whitney. Result : There were significant correlation in omega-3 fatty acid (p= 0,015), and percent body fat (p= 0,026). While in physical activity there was no significant correlation (p= 0,394).Conclusion : Consumption of omega-3 fatty acids and percent body fat were associated with the classification of dysmenorrhea.

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Effects of Chronic Comorbidities on the Health-Related Quality of Life among Older Patients after Falls in Vietnamese Hospitals

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16193623 ◽

2019 ◽

Vol 16 (19) ◽

pp. 3623 ◽

Cited By ~ 8

Author(s):

Hai Minh Vu ◽

Long Hoang Nguyen ◽

Tung Hoang Tran ◽

Kiet Tuan Huy Pham ◽

Hai Thanh Phan ◽

...

Keyword(s):

Quality Of Life ◽

Older Patients ◽

Health Related Quality ◽

Tobit Regression ◽

Cross Sectional ◽

Fall Injuries ◽

Spine Diseases ◽

Related Quality ◽

Health Related

Although comorbidities are prevalent in older people experiencing falls, there is a lack of studies examining their influence on health-related quality of life (HRQOL) in this population. This study examines the prevalence of comorbidities and associations between comorbidities and HRQOL in older patients after falls in Vietnamese hospitals. A cross-sectional design was employed among 405 older patients admitted to seven hospitals due to fall injuries in Thai Binh province, Vietnam. The EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) was used to measure HRQOL. Socio-demographic characteristics were collected using a structured questionnaire, while comorbidities and other clinical characteristics were examined by physicians and extracted from medical records. Multivariate Tobit regression was used to determine the associations between comorbidities and HRQOL. Among 405 patients, 75.6% had comorbidities, of which hypertension and osteoarthritis were the most common. Lumbar spine/cervical spine diseases (Coefficient (Coef.) = −0.10; 95%CI = −0.18; 0.03) and stroke (Coef. = −0.36; 95%CI = −0.61; −0.10) were found to be associated with a significantly decreased EQ-5D index. Participants with three comorbidities had EQ-5D indexes 0.20 points lower (Coef. = −0.20; 95%CI = −0.31; −0.09) in comparison with those without comorbidities. This study underlined a significantly high proportion of comorbidities in older patients hospitalized due to fall injuries in Vietnam. In addition, the existence of comorbidities was associated with deteriorating HRQOL. Frequent monitoring and screening comorbidities are critical to determining which individuals are most in need of HRQOL enhancement.

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The Effect of the Treatment at a Pain Clinic on the Patients’ Assessment of Their Pain Intensity and the Incidence of Mental Disorders in the form of Anxiety, Depression, and Aggression

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16040586 ◽

2019 ◽

Vol 16 (4) ◽

pp. 586

Author(s):

Dariusz Kosson ◽

Marcin Kołacz ◽

Robert Gałązkowski ◽

Patryk Rzońca ◽

Barbara Lisowska

Keyword(s):

Mental Disorders ◽

Pain Intensity ◽

Rating Scale ◽

Numerical Rating Scale ◽

Depression Scale ◽

Emotional Disturbances ◽

Pain Clinic ◽

Pain Clinics ◽

Pain Symptoms ◽

Anxiety Depression

The aim of the study was to analyze the effect of the treatment given to patients in a pain clinic on their assessment of pain intensity and the incidence of emotional disturbances in the form of anxiety, depression, and aggression. The study was conducted from January 2014 to April 2018 among patients under the care of two Warsaw pain clinics. The study tools were the Hospital Anxiety and Depression Scale—Modified Version (HADS-M) and the Numerical Rating Scale (NRS). The project enrolled 325 patients, with women comprising 60.62% of patients, and the age bracked of 65–79 years comprising 39.38% of patient. The major reasons for attending the pain clinic were osteoarticular pain (44.92%) and neuropathic pain (42.77%). The therapy applied lowered the patients’ pain intensity (4.98 vs. 3.83), anxiety (8.71 vs. 8.12), aggression (3.30 vs. 3.08), and the overall HADS-M score (18.93 vs. 17.90), which shows that the treatment of both the pain symptoms and the associated emotional disturbances in the form of anxiety and aggression was effective. Sex is a factor affecting pain intensity. The level of mental disorders was influenced by the sex and age of the patients and how long they had been treated in the pain clinics.

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