scholarly journals Spanish Adaptation of the Overall Anxiety and Depression Severity and Impairment Scales in University Students

Author(s):  
Jorge Osma ◽  
Víctor Martínez-Loredo ◽  
Amanda Díaz-García ◽  
Alba Quilez-Orden ◽  
Óscar Peris-Baquero

The lifetime prevalence of emotional disorders in Spain is 4.1% for anxiety and 5.2% for depression, increasing among university students. Considering the scarcity of screenings with adequate psychometric properties, this study aims to explore the validity evidence of the Overall Anxiety/Depression Severity and Impairment Scales (OASIS and ODSIS). A total of 382 university students from the general population were assessed on anxiety and depressive symptoms, as well as quality of life. The one-dimensional structure of both the OASIS and ODSIS explained 87.53% and 90.60% of variance, with excellent internal consistency (α = 0.94 and 0.95, respectively) and optimal cut-offs of 4 and 5, respectively. Both scales show a significant moderate association with other measures of anxiety, depression and quality of life. The OASIS and ODSIS have shown good reliability and sound validity evidence that recommend their use for the assessment and early detection of anxiety and depressive symptoms, and associated quality of life impairment in Spanish youth.

Introduction: Given the pandemic circumstances, fear may emerge due to uncertainty, the possibility of being infected by SARS-Cov 2 or infecting others. It may also be associated with psychopathological symptoms and impact quality of life resulting from the COVID-19 pandemic. Objective: The current study aimed to examine the factor structure and psychometric properties of the Fear of Contracting COVID-19 Scale (FCCS) in Portuguese adolescents and analyze the relationship between fear of contracting COVID-19 and depression, anxiety, and stress symptoms, and with the quality of life of this age group. Method: The sample comprised 269 adolescents (137 boys and 132 girls), aged between 11 and 16 years old, attending the 3rd cycle of basic education. Participants completed a sociodemographic questionnaire, the FCCS, the Depression, Anxiety and Stress Scales (DASS-21), and the KIDSCREEN-10, as a measure of the quality of life in adolescents. Results: The FCCS revealed, as in its original version for adults, a one-dimensional structure, with good adjustment indicators and good reliability. The fear of contracting COVID-19 was associated with anxiety, depression, and stress symptoms, but it did not show a relationship with the adolescents’ quality of life. Gender differences showed that the girls present higher levels of fear of contracting COVID-19, more anxiety, depression, and stress symptoms, and a worse perception of their quality of life. Conclusions: The Fear of Contracting COVID-19 Scale showed to be suitable for use with adolescents. The fear of contracting COVID-19, although associated with psychopathological symptoms of anxiety, depression, and stress, does not seem to be related to the quality of life of adolescents.


2020 ◽  
Author(s):  
Joel Figueroa-Quiñones ◽  
Miguel Ipanaqué-Zapata ◽  
Daniel Machay-Pak ◽  
Juan Rodríguez-Ruiz

AbstractObjectivesCharacterize the quality of life and depressive symptoms of university students in Peru during the COVID-19 pandemic and to determine the associated factors.MethodsMulti-centre study in 1634 university students recruited by convenience sampling. Quality of life (QoL) was assessed with the European Quality of Life-5 Dimensions at three levels (EQ-5D-3L) and depressive symptoms with the Patient Health Questionarie-9 (PHQ-9). To evaluate factors associated with QoL and depressive symptoms, linear and adjusted regressions were used, with robust variance reporting coefficients (β).ResultsThe percentage of participants most affected by QoL dimension was: anxiety/depression (47.2%) and pain/discomfort (35.6%). Regarding the Visual Analog Scale (EQ-VAS) of QoL, the score was 76.0 + 25.6. Those who had family economic decline during quarantine (β=-3.4, IC95%=-6.5 to −0.3) or family with chronic diseases (β=-3.7, IC95%=-6.1 to −1.4) presented significantly lower scores in their QoL. Regarding depressive symptomatology, the university students reported a moderate to severe level (28.9%). A higher risk of depressive symptoms was found in residents of Ayacucho (β=0.8, IC95%=0.1 to 1.5), those who were released from quarantine (β=0.7, IC95%=0.2 to 1.2) and those who had a family member with chronic disease (β=1.5, IC95%=1.0 to 2.1).ConclusionsAlmost half and one third of participants reported anxiety/depression, and pain/discomfort in their QoL respectively. Nearly a third presented moderate and severe depressive symptoms. The deterioration of QoL was worse in those who had a decrease in income and a family member with chronic illness. The presence of depressive symptoms was found in students in Ayacucho, those who left home during quarantine and those who had a family member with chronic diseases.


2015 ◽  
Vol 11 (1) ◽  
pp. 130-139 ◽  
Author(s):  
Jihyung Hong ◽  
Diego Novick ◽  
William Montgomery ◽  
Jaume Aguado ◽  
Héctor Dueñas ◽  
...  

Objective: To examine whether painful physical symptoms (PPS) can be considered within the spectrum of depressive symptoms. Methods: Data for this post-hoc analysis were taken from a 6-month observational study mostly conducted in East Asia, Mexico, and the Middle East of 1,549 depressed patients without sexual dysfunction at baseline. Both explanatory and confirmatory factor analyses (EFA and CFA) were performed on the combined items of the 16-item Quick Inventory of Depressive Symptomatology Self-Report and the Somatic Symptom Inventory (seven pain-related items only). An additional second-order CFA was also conducted to examine an association between retained factors and the overall “depressive symptoms” factor. In addition, Spearman’s correlation was used to assess levels of correlation between retained factors and depression severity as well as quality of life. Results: Both EFA and CFA suggested and validated a four-factor solution, which included a pain factor. The other three factors identified were a mood/cognitive factor, a sleep disturbance factor, and an appetite/weight disturbance factor. All four factors were significantly associated with the overall factor of depression. They were also highly correlated to depression severity and quality of life (p<0.001 for all). The levels of correlations with the pain factor were generally greater than those with the appetite/weight factor and similar to those with the sleep factor. Conclusion: It may be reasonable to consider PPS within a broad spectrum of depressive symptoms. At least, they should be routinely assessed in patients with depression. Further research is warranted to validate these preliminary findings.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wen Lin Teh ◽  
Jianlin Liu ◽  
Pratika Satghare ◽  
Ellaisha Samari ◽  
Yee Ming Mok ◽  
...  

Abstract Background Few studies have examined clinically relevant mechanisms that underlie the association between two important indices of recovery— depression severity and health-related quality of life (HRQOL) in psychiatric outpatients. This study aimed to explicate the roles of pain interference and pain severity as mediating and moderating mechanisms in the relationship between depressive symptoms and HRQOL. Methods Data from 290 outpatients diagnosed with schizophrenia (n = 102), depressive (n = 98), and anxiety (n = 90) disorders were examined. Participants completed a set of questionnaires that queried their sociodemographic statuses, current pain severity and interference levels, depression severity levels, and HRQOL. Subsequently, mediation and moderation analyses were conducted. Results Analyses revealed that pain interference fully mediated the relationship between depressive symptoms and physical (34% of the total effect) but not mental HRQOL. At high pain levels (+ 1 SD from mean), depressive symptoms may interfere with physical quality of life through pain interference, but this was not present at low pain levels (− 1 SD from mean). Conclusions Prolonged pain symptoms could negatively influence psychiatric recovery beyond the physical aspect of HRQOL. These results thus imply a need to detect and manage severe physical pain complaints at the acute stage in psychiatric outpatients.


2011 ◽  
Vol 20 (3) ◽  
pp. 257-262 ◽  
Author(s):  
M. Damnjanovic ◽  
A. Lakic ◽  
D. Stevanovic ◽  
A. Jovanovic

Aims.This study was conducted in order to evaluate the effects of mental health and quality of life (QOL) in children and adolescents living in residential and foster care.Methods.Two hundred and sixteen children and adolescents, aged 8–18 years, from residential and foster care participated. QOL was assessed using the Pediatric Quality-of-Life Inventory (PedsQL), levels of anxiety and depressive symptoms using the screen for child anxiety-related emotional disorders (SCARED) questionnaire and the short mood and feeling questionnaire (SMFQ), and general mental health through use of the strengths and difficulties questionnaire (SDQ).Results.The children and adolescents from residential care had significantly low QOL and more frequently had mental health problems. A stepwise linear regression was performed to test the associations between the SCARED, SMFQ and SDQ scores, and PedsQL (QOL). Anxiety, depressive symptoms and general mental difficulties account for significant variations in QOL (p < 0.001).Conclusions.Mental health problems have significant negative effects on the QOL of children and adolescents living in residential and foster care.


Author(s):  
Jorge Osma ◽  
Víctor Martínez-Loredo ◽  
Alba Quilez-Orden ◽  
Óscar Peris-Baquero ◽  
Carlos Suso-Ribera

The current diagnostic systems for mental health disorders are categorical, which, it has been argued, poorly reflect the reality of mental health problems. This is especially relevant in emotional disorders (EDs), especially due to the existing comorbidity between supposedly different disorders. To address this, Brown and Barlow developed a hybrid dimensional−categorical approach to EDs that can be evaluated with the Multidimensional Emotional Disorder Inventory (MEDI), a transdiagnostic self-report questionnaire. This study aims to adapt and explore the sources of validity evidence of the MEDI in a non-clinical sample of Spanish university students (n = 455). Two confirmatory analyses were performed: one with a four-dimensional structure obtained with an exploratory analysis and another with the original nine-dimensional structure of the MEDI. The latter obtained a better fit. The descriptive data, including percentiles, T-scores, and sex differences in total scores are also provided, together with sources of validity evidence. These revealed significant moderate interrelations between factors and with related measures (e.g., personality, depression, and anxiety). This study adapted the MEDI for use in Spanish, provides further support about its factor structure, and offers novel data about its validity sources. The MEDI makes the evaluation of dimensional and transdiagnostic models easier, which might be fundamental in present and future research and clinical practice.


Author(s):  
Matthew Franklin ◽  
Angel Enrique ◽  
Jorge Palacios ◽  
Derek Richards

Abstract Purpose Generic health measures have been questioned for quantifying mental-health-related outcomes. In patients with anxiety and/or depression, our aim is to assess the psychometric properties of the preference-based EQ-5D-5L (generic health) and ReQoL-UI (recovery-focussed quality of life) for economic evaluation against the PHQ-9 (depression) and GAD-7 (anxiety). EQ-5D-5L anxiety/depression item and ReQoL-10 are also assessed. Methods A 2:1 (intervention: control) randomised controlled trial collected measures at baseline and 8 weeks post baseline; in the intervention arm, data were also collected 3, 6, 9, and 12-months post baseline. EQ-5D-5L preference-based scores were obtained from the value set for England (VSE) and ‘cross-walked’ EQ-5D-3L United Kingdom (UK) value set scores. ReQoL-UI preference-based scores were obtained from its UK value set as applied to seven ReQoL-10 items. EQ-5D-5L and ReQoL measures’ construct validity and responsiveness were assessed compared against PHQ-9 and GAD-7 scores and group cut-offs. Results 361 people were randomised to intervention (241) or control (120). ReQoL-UI/-10 had better construct validity with depression severity than the EQ-5D-5L (VSE/cross-walk scores), which had relatively better construct validity with anxiety severity than the ReQoL-UI/-10. Across all intervention-arm time-points relative to baseline, responsiveness was generally better for EQ-5D-5L (VSE in particular) than ReQoL-UI, but worse than ReQoL-10. Conclusion There is insufficient evidence to recommend the ReQoL-UI over EQ-5D-5L for economic evaluations to capture anxiety severity. However, there may be rationale for recommending the ReQoL-UI over the EQ-5D-5L to capture depression severity given its better construct validity, albeit poorer responsiveness, and if recovery-focussed quality of life relative to condition-specific symptomology is the construct of interest.


2021 ◽  
Vol 12 ◽  
Author(s):  
Hai-Mei Li ◽  
Yan-Min Xu ◽  
Bao-Liang Zhong

Background: Childhood left-behind experience (LBE) has a long-term detrimental effect on the mental health of Chinese University students, but it remains unclear whether childhood LBE negatively impacts the quality of life (QOL) of University students and whether the LBE–QOL association differs between students of rural origin and students of urban origin. This study examined the LBE–QOL relationship and the interactive effect between LBE and place of origin on QOL among Chinese University freshmen.Methods: By using a two-stage random cluster sampling approach, a total of 5,033 freshmen were recruited from two comprehensive universities. The students completed an online, self-administered questionnaire that included sociodemographic variables, a 2-week physical morbidity assessment, and assessments of depressive symptoms, academic stress, and QOL. The Chinese six-item QOL scale was used to assess QOL. Multiple linear regression was used to test the independent LBE–QOL association and the interaction between LBE and place of origin.Results: Students with childhood LBE had significantly lower QOL scores than those without LBE (60.1 ± 13.1 vs. 64.3 ± 11.7, p &lt; 0.001). After adjusting for the potential confounding effects of other sociodemographic variables, 2-week physical morbidity, depressive symptoms, and academic stress, childhood LBE was significantly associated with a lower QOL score (β: −3.022, p &lt; 0.001) and the LBE–place of origin interaction was still significantly associated with the QOL score (β: −2.413, p &lt; 0.001). Overall, compared to non-LBE, LBE was associated with a QOL score decrease of 5.93 among freshmen of urban origin and of 3.01 among freshmen of rural origin.Conclusion: In Chinese University freshmen, childhood LBE is independently associated with poor QOL, and the LBE–QOL association is greater among freshmen from urban backgrounds than among freshmen from rural backgrounds.


2021 ◽  
Vol 4 (2) ◽  
pp. 71-130
Author(s):  
Ali Shoeib ◽  

The study aimed at investigating the relationship between quality of life and both general anxiety, emotional sensitivity and depression among university students. It also aimed at investigating the relative contribution of emotional sensitivity, general anxiety and depression in forecasting quality of life of university students. The study aimed also at identifying the differences in the quality of life according to levels of general anxiety, depression and emotional sensitivity. It also aimed at identifying the differences between males and females in the variables: quality of life, general anxiety, depression and emotional sensitivity. The study also identified the degree of prevalence of these variables among university students. The study used a sample of (1013) males and females studying at the College of Education. It also modified into Arabic the study tools: general anxiety, depression, emotional sensitivity and quality of life and ensured its consistency and validity. The results showed that the most predictive factors for quality of life are: general anxiety by 35.6%, depression by 31.1% and emotional sensitivity by 19%.


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