scholarly journals Association between Anxiety, Depressive Symptoms and Quality of Life in Patients Undergoing Diagnostic Flexible Video Bronchoscopy

Author(s):  
Beata Brajer-Luftmann ◽  
Marcin Mardas ◽  
Marta Stelmach-Mardas ◽  
Dorota Lojko ◽  
Halina Batura-Gabryel ◽  
...  

Bronchoscopy is one of the basic invasive procedures in pulmonology accompanied by patients’ anxiety. This study aimed to find an association between predictors of state anxiety/depression and patient’s quality of life (QOL) with pulmonary symptoms undergoing diagnostic flexible video bronchoscopy (FVB). A total of 125 adult patients before FVB were included in a prospective observational study. The quality of life (QOL) was assessed by WHOQOL-BREF questionnaire, the depression possibility by the Beck’s Depression Inventory-II (BDI-II), and the anxiety level by Spielberger’s State-Trait Anxiety Inventory (STAI-S; STAI-T). Results show that the older patients and patients with more comorbidities showed a significantly higher anxiety level. The previous FVB under deep sedation significantly reduced state anxiety. A significantly positive association was found between the STAI score and total BDI-II score. More severe symptoms of anxiety were especially related to lower QOL (physical health, psychological and environmental domains) in patients. Statistically higher trait anxiety in lower social QOL domain scores was observed. Our findings show that high state and trait anxiety were associated with higher depression scores and lower quality of life in the elderly. It seems that the elderly and patients at risk of depression development require more attention in the clinical setting to minimize the anxiety accompanying the bronchoscopy.

2019 ◽  
Vol 21 (Supplement_3) ◽  
pp. iii70-iii71
Author(s):  
D Maillet ◽  
P Narme ◽  
V Menard ◽  
M Larrieu ◽  
K Sahel ◽  
...  

Abstract BACKGROUND Quality of life (QoL) is an important area of clinical neuro-oncology, especially in glioblastoma patients. Although previous studies showed an association between QoL and anxiety, few studies have focused on the anxiety level throughout the disease progression (Bunevicius et al., 2017; Kilbride et al., 2007). Underestimating anxiety may have several consequences: a low treatment compliance, exacerbation of somatic symptoms or side effects of treatment, difficulties with understanding medical information and lower cooperation with the medical staff (Spencer, 2010). In the present study, we aimed assessing the current state of anxiety in a prospective cohort of patients treated for glioblastoma. We also investigated potential correlations with other clinical and psychological variables to better understand determinants of anxiety in this population. MATERIAL AND METHODS At the beginning of their cycle of temozolomide cure and after radio-chemotherapy, 30 patients with glioblastoma were included. Inclusion criteria were: Karnofsky index (IK) ≥ 70% and absence of cognitive disorder that could interfere with the completion of questionnaires. The characteristics of patients were as follows: mean age of 56.6 years ± 12.5 (70% were more than 50 years old); 20% were women; 50% had a university degree and IK of 87% ± 5. Anxiety level was assessed using the State-Trait Anxiety Inventory. This scale consists of 40 items on a self-report basis measuring how patients feel right now (“state”) and how they generally feel (“trait”). We also assessed (i) QoL using the Cancer Quality of Life Questionnaire 30 and the Brain Cancer Module-20; (ii) the presence of depressive symptoms using the Hospital Anxiety and Depression Scale; (iii) the self-esteem using the Rosenberg self-esteem scale and (iv) memory complains using the Prospective and Retrospective Memory Questionnaire. RESULTS The preliminary results showed that - at baseline - 21% of our sample reported high levels of anxiety. Correlation analyses showed that state anxiety was correlated with trait anxiety (rho=0.799, p< .001), QoL (rho=0.678, p< .001), level of self-esteem (rho=-0.514, p=0.004) and memory complains (rho=0.618, p< .001). Any correlation was found with age, education level, lesional lateralization or depressive symptoms. Women had higher state anxiety scores than men (t(27)=-2.4, p=0.02). CONCLUSION These preliminary results suggest that higher current state of anxiety is associated with lower QoL and lower self-esteem, regardless the presence of depressive symptoms, age, education level or lesional lateralization. Anxiety level at the follow-up (4 and 6 months after the baseline) and determinants of its progression will also be presented and might help health professionals to understand patients’ experience and better meet their needs.


2018 ◽  
pp. 1-9
Author(s):  
Jin You ◽  
Qian Lu ◽  
Michael J. Zvolensky ◽  
Zhiqiang Meng ◽  
Kay Garcia ◽  
...  

Purpose Literature has documented the prevalence of anxiety and its adverse effect on quality of life among patients with breast cancer from Western countries, yet cross-cultural examinations with non-Western patients are rare. This cross-cultural study investigated differences in anxiety and its association with quality of life between US and Chinese patients with breast cancer. Methods Patients with breast cancer from the United States and China completed measures for anxiety (Spielberger State-Trait Anxiety Inventory) and quality of life (Functional Assessment of Cancer Therapy-Breast). Results After controlling for demographic and medical characteristics, Chinese patients reported higher levels of trait and state anxiety than US patients. Although there was an association between anxiety and quality of life in both groups of patients, the association between state anxiety and quality of life was stronger among Chinese patients than among US patients, with the association between trait anxiety and quality of life the same between the two cultural samples. Conclusion These findings suggest that anxiety and its association with quality of life among patients with breast cancer varies depending on cultural context, which reveals greater anxiety and poorer quality of life among Chinese patients compared with US patients. This suggests greater unmet psychosocial needs among Chinese patients and highlights the need to build comprehensive cancer care systems for a better quality of life in Chinese populations.


Author(s):  
Kathrine Jáuregui Renaud ◽  
Davis Cooper-Bribiesca ◽  
Elizabet Martínez-Pichardo ◽  
José A. Miguel Puga ◽  
Dulce M. Rascón-Martínez ◽  
...  

The COVID-19 pandemic has provoked generalized uncertainty around the world, with health workers experiencing anxiety, depression, burnout, insomnia, and stress. Although the effects of the pandemic on mental health may change as it evolves, the majority of reports have been web-based, cross-sectional studies. We performed a study assessing acute stress in frontline health workers during two consecutive epidemic waves. After screening for trait anxiety/depression and dissociative experiences, we evaluated changes in acute stress, considering resilience, state anxiety, burnout, depersonalization/derealization symptoms, and quality of sleep as cofactors. During the first epidemic wave (April 2020), health workers reported acute stress related to COVID-19, which was related to state anxiety. After the first epidemic wave, acute stress decreased, with no increase during the second epidemic wave (December 2020), and further decreased when vaccination started. During the follow-up (April 2020 to February 2021), the acute stress score was related to bad quality of sleep. However, acute stress, state anxiety, and burnout were all related to trait anxiety/depression, while the resilience score was invariant through time. Overall, the results emphasize the relevance of mental health screening before, during, and after an epidemic wave of infections, in order to enable coping during successive sanitary crises.


2017 ◽  
Vol 75 (12) ◽  
pp. 850-857 ◽  
Author(s):  
Rodrigo Luiz Vancini ◽  
Angeles Bonal Rosell Rayes ◽  
Claudio Andre Barbosa de Lira ◽  
Karine Jacon Sarro ◽  
Marilia Santos Andrade

ABSTRACT Objective: To compare the effects of Pilates and walking on quality of life, depression, and anxiety levels. Methods: Sixty-three overweight/obese participants were randomly divided into: control (n = 20), walking (n = 21), and Pilates (n = 22) groups. Pilates and walking groups attended eight weeks of 60-minute exercise sessions three times per week. Quality of life, depression, and state- and trait-anxiety levels were evaluated before and after eight weeks of training. Results: Scores of quality of life, depression, and trait-anxiety improved in the Pilates and walking groups. State-anxiety levels improved only in the walking group. Conclusion: Pilates and walking positively impact quality of life, depression and anxiety. The Pilates method could be used as an alternative to improve mood disorders in overweight/obese individuals.


Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Nihan Potas ◽  
Nilüfer Koçtürk ◽  
Sükrü Anıl Toygar

BACKGROUND: Nurses experience loneliness, anxiety, fear, fatigue, sleep disorders, and other physical and mental health problems due to their close contact with patients in cases of epidemic diseases. Among nurses in Turkey, we want to explore how anxiety, psychological health, and social isolation affect nurses’ quality of life. OBJECTIVES: This study aimed to investigate the effects of the COVID-19 pandemic on the quality of life (COVID-19 EQLS), State-Trait Anxiety Inventory (STAI-1 and STAI-2), psychological health, and social isolation among nurses. It also aimed to identify whether the influence of trait anxiety, psychological health, and social isolation are stronger than the direct influence of state anxiety on nurses’ quality of life during the pandemic. METHODS: A cross-sectional study design and STROBE guidelines were implemented. In this study, 638 nurses in Turkey were included using simple random sampling. The participants completed the STAI-1 and STAI-2 and COVID-19 EQLS online-form. The parallel-serial mediation model was used to examine the relationships between the determined variables. RESULTS: Psychological health, psychological effects of social isolation, and trait anxiety fully mediated the relationship between state anxiety and quality of life of nurses. The total indirect effect of the confidence interval of bootstrapping was statistically different from zero. CONCLUSIONS: Trait anxiety, psychological health, and social isolation were the main factors with statistically significant indirect effects on the quality of life of Turkish nurses in this study.


Author(s):  
Glaucia Pegorari Micillo ◽  
Nair Nunes Garcia ◽  
Angelica Castilho Alonso ◽  
José Maria Montiel ◽  
Marta Ferreira Bastos

Background: The social, technological and scientific advances mainly linked to the health area were important for increasing the longevity of the world population, which highlights the need for studies and public policies aimed at the prevention and treatment of chronic diseases associated with aging. The search for complementary therapeutic techniques and practices to improve the quality of life of the elderly has increased in order to decrease the complications of the aging process such as chronic pain, fatigue, changes in sleep quality, stress/anxiety, depression and the risk of polypharmacy. Objective: Discuss the importance of touch in the elderly and the implications of using this therapeutic technique in improving the quality of life of the elderly. Methods:  Through bibliographic review, it was selected studies on touch and its implications on the physical, emotional and sentimental aspects of the elderly's life. There are several methodologies that use touch as a trigger for benefits to the body, such as: therapeutic touch, reiki and relaxation massage. However, massage has been strongly considered in the scientific literature, especially as it is a non-invasive and non-medicated technique, based on slips, friction, compression and stretches with different intensities and in certain regions of the body that promote improvement of physical aspects, such as: increased blood flow, with consequent increase in oxygenation and the arrival of nutrients to the tissues. Conclusion: It is possible to suggest that the beneficial influence of massage on physical, emotional and sentimental aspects may provide an improvement in the quality of life of the elderly.  


2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 186-186 ◽  
Author(s):  
Colleen Ann Cuthbert ◽  
Kathryn King-Shier ◽  
Joseph D. Ruether ◽  
Dianne Tapp ◽  
S. Nicole Culos-Reed

186 Background: Family caregivers (FCs) have negative impacts to their physical and emotional health, and poorer quality of life (QoL) compared to non-caregivers. Most research on FCs has included heterogeneous samples, therefore little is known about specific groups such as older (age 60+) FCs. Older persons are at increased risk for health problems, may have co-morbidities, and be socially isolated. Understanding factors related to QoL may lead to interventions targeted to older FCs. The purpose of this study was to examine factors associated with QoL in older FCs to cancer patients. Methods: The data for this study are from a larger survey of FCs aged 60+, recruited from a hospital-based cancer facility. FCs were included if their care recipient had breast, prostate or colorectal cancer. QoL was measured using the MOSF-36. Analyses using descriptive statistics and Pearson’s correlations were conducted. Results: n = 168 participants consented, with n = 129 surveys returned. The majority of participants were female (60.5 %), 70 yrs old (sd 7.4), had at least a college diploma (65.2 %), were spouses of the patient 92.2%, and retired (60.5%). Mean caregiving hours per week was 24.2 (sd 26.3). Mean time as a caregiver was 31 months (45.9). The majority of patients were on treatment (75.2%) and were 71.3 yrs old (sd 7.5). The Physical Component Summary (PCS) of the MOSF-36 was significantly correlated with gender r = -.24, social support r = .25, sleep quality r = -.47, depression r = -.51, state anxiety r = -.40, and trait anxiety r = -.45 (all p’s < .01). There were significant correlations between the Mental Component Summary (MCS) and social support r = .40, sleep quality r = -.40, depression r = -.77, gender r = -.25, state anxiety r = -.72, and trait anxiety r = -.71 (all p’s < .01). The MCS was correlated with caregiving hours, r = -.197 (p < .05), however, not with patient treatment status. The PCS was not correlated with caregiving hours or patient treatment status. Conclusions: Consistent with previous FC research across different diseases, QoL was associated with gender, caregiving hours per week, social support, sleep quality, depression, and anxiety. Interventions for older FCs of cancer patients could be targeted to specific factors of overall QoL.


2014 ◽  
Vol 23 (3) ◽  
pp. 648-655 ◽  
Author(s):  
Érika de Cássia Lopes Chaves ◽  
Caroline Freire Paulino ◽  
Valéria Helena Salgado Souza ◽  
Ana Cláudia Mesquita ◽  
Flávia Santana Carvalho ◽  
...  

Quality of life and depression are relevant to the health of the elderly. Studies indicate a positive association between religiosity and health. This study investigated quality of life, depressive symptoms and their relationship with religiosity in the elderly. The study included 287 older people from a unit of the Family Health Strategy. Data were collected by means of the instruments: John Flanagan's Quality of Life Scale, the short Geriatric Depression Scale and the Duke University Religion Index. The elderly showed high levels of religiosity, which, according to Pearson's product-moment correlation coefficient, was positively associated with quality of life (p<0.004), but not related to depressive symptoms. Results indicated a high degree of satisfaction among the elderly subjects with their quality of life, whereas 83% showed mild depression. In conclusion, religiosity is related to improvement in quality of life in the elderly.


Author(s):  
Mi-Jung Eum ◽  
Min-Jung Choi

This study aimed to investigate the association between exposure to alcohol’s harm to others (AHTO) and health-related quality of life HRQoL using a nationally representative sample. Data from 2016–2018 of 17,346 South Korean individuals aged ≥19 years were obtained from the Korea National Health and Nutrition Examination Survey. HRQoL was evaluated using the European Quality of Life–5 Dimensions (EQ-5D) index. A significant positive association was found between exposure to AHTO and lower EQ-5D scores (p = 0.022). In the final model of multiple regression analysis, participants’ HRQoL decreased by 0.932 points when exposed to AHTO (R2 = 36.5%, p < 0.001). In addition, the exposure to AHTO group had significantly higher odds ratios (OR) for pain/discomfort (OR: 1.42, 95% CI: 1.15–1.75) and anxiety/depression (OR: 1.55, 95% CI: 1.68–2.80) compared to the non-AHTO group. Further studies are required for intervention when exposed to reduce the pain/discomfort and anxiety/depression in AHTO victims as well as to reduce the incidence of AHTO.


2015 ◽  
Vol 72 (11) ◽  
pp. 968-974 ◽  
Author(s):  
Jadranka Urosevic ◽  
Gordana Odovic ◽  
Dragan Rapaic ◽  
Mladen Davidovic ◽  
Sanja Trgovcevic ◽  
...  

Background/Aim. The number of elderly people in the world is growing, in Serbia as well. Serbia is already among the top ten countries with the oldest population, it is the fact. Aging influences the quality of life in different ways. The aim of this study was to assess the health-related quality of life of the elderly in urban and rural areas in Serbia. Methods. The study included 100 elderly people aged 65 years and above in urban and rural areas in Serbia. The next questionnaires were used: a sociodemographic questionnaire and a Serbian version of standardized European Euro-QoL questionnaire (EQ-5D-3L), as a basic index for the assessment and description of the quality of life. Results. In the structure of the respondents, according to the achieved social contacts (p = 0.012), the life of those with family members (p = 0.009), and health status (p = 0.000), in relation to the place of residence there was a statistically significant difference. There was a significant difference (p = 0.040), predominantly poor score for anxiety/depression within the rural population. The average value of quality of life in urban and rural areas was not statistically significant (p = 0.720). For those living in rural areas there was a statistically significant positive correlation between anxiety/depression and age, wealth status, marital status, living with family members and achieving social contacts, while a negative correlation was observed between anxiety/depression and education. Conclusion. On the basis of the data of our study, we can say that the presence of anxiety/depression among older people is greater in rural than in urban areas. The results of this study show that the perception of anxiety/depression among older in rural areas is bigger with the age and poverty increasing, the loss of a spouse, life without family members, lack of achievement of social contacts and lower education.


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