scholarly journals Avaliação da autopercepção da necessidade de apoio psicológico e prevalência de sintomas de ansiedade e depressão nos estudantes do curso de graduação em odontologia da universidade metropolitana de Santos – SP / Evaluation of self-perception of the need for psychological support and prevalence of symptoms of anxiety and depression in dentistry students of the metropolitan university of Santos - SP

2021 ◽  
Vol 7 (10) ◽  
pp. 99049-99072
Author(s):  
Nathalia Rodrigues De Souza ◽  
Bruno Gil Dell ’Antonia ◽  
Elaine Marcílio Santos ◽  
Gustavo Duarte Mendes ◽  
Renata Garcia de Siqueira Viegas ◽  
...  
Keyword(s):  
Psychological Support ◽  
Anxiety And Depression ◽  
Self Perception ◽  
Metropolitan University

scholarly journals POS1472-HPR CLINICIANS’ PERSPECTIVES ON PSYCHOLOGICAL DISTRESS AND MEETING PATIENTS’ SUPPORT NEEDS IN RHEUMATOLOGY CARE SETTINGS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1021.2-1021
Author(s):  
C. Silverthorne ◽  
J. Daniels ◽  
M. Thompson ◽  
J. Robson ◽  
M. Ndosi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Psychological Distress ◽  
Social Issues ◽  
Well Being ◽  
Psychological Support ◽  
Anxiety And Depression ◽  
Support Needs ◽  
Inflammatory Rheumatic Diseases ◽  
Main Theme ◽  
Musculoskeletal Care

Background:People with inflammatory rheumatic diseases (IRDs) face challenges that include fluctuations in pain, fatigue and flares of disease activity, complex medical regimens, and decisions about when to seek clinical help with symptoms [1,2]. Evidence suggests levels of anxiety and depression are higher in people with IRDs compared to the general population [3]. Rheumatology teams report that psychologically distressed patients can have additional support needs and require more time. Patients’ concerns include health-related anxiety and difficulty accepting the diagnosis. This group can have poor outcomes and poor adherence to treatments. However, little is currently known about optimal ways to meet these patients’ support needs.Objectives:To understand rheumatology clinicians’ perspectives on psychological distress in care settings with the long-term aim to develop a proposed model/pathway of support.Methods:Telephone interviews were conducted with members of UK rheumatology teams who have clinical experience with patients experiencing distress. The semi-structured interviews explored both ‘what happens now’ (current clinical practice) and ‘what should happen’ (acceptable models of future psychological support provision). The semi-structured format provided flexibility to probe more deeply and develop new lines of enquiry based on participants’ responses.Results:Fourteen interviews were conducted with rheumatology clinicians including 2 consultants, 4 nurses, 1 physiotherapist, 4 occupational therapists, 2 clinical psychologists and 1 podiatrist. Inductive thematic analysis was used to analyse the data. Two main themes represent the data (Table 1).Table 1.Main ThemeSub-themes1. ‘No one shoe fits all’ – the many manifestations of distress in patients.‘I pick up on distress as increased emotion…tearfulness and sadness I suppose, but also frustration, anger...A lot of helplessness comments’1. ‘Distress can be quite emotive and quite obvious, but then it can also hide away’2. ‘They’re [patients] trying to manage their own conditions, but they’re also trying to manage life’2. ‘If Rheumatology could be interwoven with psychological principles’ – the need to attend to the psychological impact of IRDs, alongside the physical impact.‘The physical and mental health side of things are so closely linked because one affects the other…after a while they [patients] don’t really know what’s affecting what’1. ‘Prioritising physical health…sometimes the stress gets not thought about’2. ‘Make best use of everyone in the team to work with patients who are struggling’3. ‘For the psychological side of things we don’t measure anything about that at all’Conclusion:Distress can be obvious or hidden and cause issues for both patient and clinician. It can lead to poor engagement with care provision. Clinicians differ in their perceptions of distress and in their thresholds for dealing with distress and have described the inconsistency of support offered for distressed patients. They described the powerful link between physical and mental distress, the vicious cycle that can develop, and the benefits of incorporating a psychological approach to treatment. This study suggests psychological support should be embedded within the team as it is felt there is a need for speciality understanding and for patients’ emotional wellbeing to consistently be given equal priority to their physical wellbeing.References:[1]Gettings L. Psychological well-being in rheumatoid arthritis: a review of the literature. Musculoskeletal care 2010;8(2):99-106. doi: 10.1002/msc.171 [published Online First: 2010/03/17][2]Homer D. Addressing psychological and social issues of rheumatoid arthritis within the consultation: a case report. Musculoskeletal care 2005;3(1):54-9. doi: 10.1002/msc.26 [published Online First: 2006/10/17][3]Isik A, Koca SS, Ozturk A, et al. Anxiety and depression in patients with rheumatoid arthritis. Clinical rheumatology 2007;26(6):872-8. doi: 10.1007/s10067-006-0407-y [published Online First: 2006/08/31]Disclosure of Interests:None declared

scholarly journals Mental Health Screening of Healthcare Professionals Who Are Candidates for Psychological Assistance during the COVID-19 Pandemic

2021 ◽  
Vol 18 (21) ◽  
pp. 11167
Author(s):  
Bernat-Carles Serdà ◽  
Maria Aymerich ◽  
Josefina Patiño-Masó ◽  
Mònica Cunill
Keyword(s):  
Emotional Regulation ◽  
Healthcare Professionals ◽  
Psychological Support ◽  
Anxiety And Depression ◽  
Professional Activity ◽  
Presenting Symptoms ◽  
Regulation Mechanisms ◽  
Psychological Assistance ◽  
The Impact ◽  
To Receive

Healthcare professionals (HCPs) are among those most affected by the COVID-19 health emergency, with many presenting symptoms of anxiety and depression. Research shows that one of the factors involved in mitigating the impact of stressful situations is the use of cognitive emotional regulation mechanisms. The aims of this study were (a) to describe the functional and dysfunctional cognitive emotional regulation mechanisms (FRMs and DRMs) by gender, (b) to screen the main group of healthcare professionals who are candidates to receive psychological assistance based on FRMs and DRMs, and (c) to determine the HCP profile of candidates for psychological assistance. A cross-sectional descriptive study was conducted. Data were obtained from an adhoc questionnaire—the Cognitive Emotional Regulation Questionnaire (CERQ-18), the Generalized Anxiety Disorder scale (GAD-7), and the nine-item Patient Health Questionnaire (PHQ-9). The representative sample comprised 1452 HCPs. The results revealed significant differences between men and women in the use of DRMs. Women showed a higher use of catastrophizing (≤0.001) and rumination (0.008). The screening procedure detected that 7.5% (109 cases) of the HCPs were candidates to receive psychological support. According to the results of this study, age group (30–39 years old), professional activity (being a nurse or nursing assistant), and having psychological symptoms of anxiety and depression are variables that independently increase the probability of requiring psychological assistance. The gender variable was not found to be an independent factor when it comes to receiving psychological support. In conclusion, it is necessary to consider the influence of cognitive emotional regulation strategies employed by HCPs in the screening of candidates for psychological assistance and design effective interventions to reverse the emotional distress caused by COVID-19.

scholarly journals Psychological assistance to patients after laryngectomy

2020 ◽  
Vol 10 (1) ◽  
pp. 101-106
Author(s):  
G. A. Tkachenko ◽  
S. O. Podvyaznikov ◽  
A. M. Mudunov ◽  
Е. V. Gusakova
Keyword(s):  
Laryngeal Cancer ◽  
Depression Scale ◽  
Psychological Support ◽  
Anxiety And Depression ◽  
Check List ◽  
Hospital Anxiety ◽  
Symptom Check List ◽  
Group 2 ◽  
Psychological Assistance ◽  
Group 1

The study objective is to assess the effectiveness of psychological support to patients with laryngeal cancer after laryngectomy. Materials and methods.This study included 36 male patients aged between 45 and 62 years with morphologically verified stage II–IV (Т3–4N0–2М0) laryngeal cancer treated in the Department of Head and Neck Tumors, N. N. Blokhin National Medical Research Center of Oncology in 2011–2016. Patients were randomized into two groups. Group 1 included 14 patients who received antitumor therapy alone. Group 2 comprised 22 patients who additionally received psychological support. Patients’ mental state was assessed before treatment and 6 months after its completion using the Hospital Anxiety and Depression Scale and Symptom Check List-90 Revised. Two patients from Group 1 and 1 patient from Group 2 were excluded from the study at the first stage. Results. We found that patients in both groups had severe psychopathological symptoms (including depression, interpersonal sensitivity, and severe distress) six month after treatment completion (according to the Symptom Check List-90 Revised). Patients who received psychological support demonstrated higher level of depression than healthy controls, but it was still significantly lower than that in patients who received no psychological assistance. Similar results were obtained by the Hospital Anxiety and Depression Scale: patients who received psychological support had significantly lower level of depression than patients who had no psychological support (8.3 ± 0.9 vs 10.2 ± 0.6 points respectively). Conclusion. Patients with laryngeal cancer who received psychological assistance (including cognitive behavioral psychotherapy) demonstrated significantly lower level of depression 6 months after treatment completion compared to those who received no psychological support.

scholarly journals The role of psychological support in cardiac surgery: initial experience

2011 ◽  
Vol 1 (4) ◽  
pp. 100
Author(s):  
Fabrizio Sansone ◽  
Erika Bellini ◽  
Sabrina Ghersi ◽  
Edoardo Zingarelli ◽  
Roberto Flocco ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Emotional State ◽  
Postoperative Outcome ◽  
Psychological Evaluation ◽  
Psychological Support ◽  
Anxiety And Depression ◽  
Positive Effects ◽  
Rehabilitation Period ◽  
Emotional Condition

The scientific literature has pointed out several predictors of negative outcome after surgery such as pain and depression, negatively affecting the postoperative outcome in cardiac surgery. From January 2009 until June 2010, 15 patients scheduled for cardiac surgery were enrolled. The patients were assessed by psychological evaluation either in the hospital stay either in the rehabilitation period with the aim of identifying their emotional condition (sentiments about the onset of the disease, support received from family and friends) even by means of preformed tests for anxiety and depression (tests of Stay and Back). Thus, in our preliminary experience, the psychological evaluation failed to detect the occurrence of postoperative complications. Conversely, the psychological evaluation is very effective in detecting a poor emotional state and the psychological support decreases the degree of anxiety and depression with positive effects on postoperative outcome. In conclusion, a standardize test for anxiety and depression should be used for patients at hospital admission to detect who may benefits by psychological support.

scholarly journals Anxiety and Depression in Cardiac Inherited Disease: Prevalence and Association With Clinical and Psychosocial Factors

2019 ◽  
Vol 1 (4) ◽  
Author(s):  
Claire E. O'Donovan ◽  
Jonathan R. Skinner ◽  
Elizabeth Broadbent
Keyword(s):  
Social Support ◽  
Psychosocial Factors ◽  
Disease Severity ◽  
Illness Perceptions ◽  
Physical Symptoms ◽  
Disease Type ◽  
Psychological Support ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Time Since Diagnosis

The small number of published studies indicate increased rates of anxiety and depression among patients with cardiac inherited diseases (CID). This study aimed to assess the prevalence of anxiety and depression in a New Zealand CID cohort and seek any associations with clinical and psychosocial factors. Patients on a national CID register were sent a survey; 202 of 563 contactable patients participated (36% response rate). Ages ranged from 16 to 83 years (median 53). Most had Long QT Syndrome (43%) or Hypertrophic Cardiomyopathy (34%). Questionnaires collected demographic and psychological variables, including anxiety (GAD-7), depression (PHQ-9), illness perceptions, perceived risk and social support. The registry supplied clinical and genetic characteristics. 80 participants (42%) reported features of anxiety and/or depression. 24 (13%) reached clinical levels of depression, a greater proportion than that found in the general population. Poorer perceived social support was associated with worse anxiety (p < .001) and depression (p < .001) scores. Reporting more physical symptoms (p = .001) (commonly not caused by the CID) was associated with poorer depression scores and greater perceived consequences of the CID was associated with greater anxiety scores (p < .05). Neither anxiety nor depression were associated with time since diagnosis, disease severity or type of disease. Forty percent of the CID population live with some degree of psychopathology but this did not correlate with disease severity, type of disease nor time since diagnosis. Correlating factors which may be modifiable include illness perceptions, various physical symptoms and social support. Rates of clinical levels of anxiety and depression in this CID sample were 10% and 13% respectively. Anxiety and depression were not associated with disease type, severity or time since diagnosis. Perceived lack of support, consequences, and symptoms were associated with depression and anxiety. High rates of anxiety and depression in CID’s indicate the need for access to psychological support. Rates of clinical levels of anxiety and depression in this CID sample were 10% and 13% respectively. Anxiety and depression were not associated with disease type, severity or time since diagnosis. Perceived lack of support, consequences, and symptoms were associated with depression and anxiety. High rates of anxiety and depression in CID’s indicate the need for access to psychological support.

scholarly journals The assessment of students anxiety and depression symptoms, sense of coherence and suicidal risk

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Žulpaitė ◽  
E Žilinskas ◽  
K Puteikis ◽  
M Jakubauskienė
Keyword(s):  
Health Status ◽  
Sense Of Coherence ◽  
Suicide Risk ◽  
Subjective Health ◽  
Anxiety Symptoms ◽  
Psychological Support ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Suicidal Risk ◽  
Subjective Health Status

Abstract Background The study measures and compares the rates of anxiety, depression, sense of coherence, subjective health status, suicidal risk among students from 12 universities of Lithuania. Methods Six-hundred-fifty-eight students from different academic fields completed a questionnaire that consisted of 23 questions and included Hospital Anxiety and Depression(HAD), Sence of Coherence(SOC-3) scales, suicide risk and subjective health status assessments. The data was analised by Microsoft Excel, R commander and IBM SPSS programmes. Results Males had higher depression(p = 0,025), but lower anxiety prevalence(p < 0,001) than females. The total score of depression symptoms subscale (5,min=0,max=19) indicated no risk of depression, although a mild anxiety level was found (the total score is 10,min=0,max=21). Students scored 3 points out of 6 in SOC-3 and evaluated their health for 2 points out of 5. Weak suicide risk was found in 43,2%(n = 284) of all respondents, moderate - 12%(n = 79) and high - 3,2%(n = 21). Students from the field of arts had the highest depression rate(7), whereas those from social sciences had the lowest rate(3)(p < 0,001). Students who live alone during years of study evaluated their health the worst(p = 0,004), had higher risk of depression(p = 0,038), more often felt sadness and apathy during the last 12 months(p = 0,045). Conclusions The respondents have mild anxiety symptoms, low sence of coherence, their subjective health status is good. More than half of students had suicidal thoughts. Male gender, academical field of arts, living alone during studies potentially increase the risk of depression, whereas female gender is related with higher anxiety symptoms. This study motivates the universities of Lithuania to strengthen the psychological support for students. Key messages The survey unveiled the need for higher education institutes to put more effort on reducing students‘ anxiety levels and it also highlighted the problem of suicide ideation among students. This study motivates the main universities of Lithuania to strengthen the psychological support for students.

Perceptions of Stuttering of Different Age Groups

2019 ◽  
Vol 4 (6) ◽  
pp. 1311-1315
Author(s):  
Sergey M. Kondrashov ◽  
John A. Tetnowski
Keyword(s):  
Age Groups ◽  
School Age Children ◽  
Clinical Implications ◽  
School Age ◽  
Fourth Edition ◽  
Self Perception ◽  
Behavioral Measures ◽  
Self Rating ◽  
Comparison Results ◽  
Subject Pool

Purpose The purpose of this study was to assess the perceptions of stuttering of school-age children who stutter and those of adults who stutter through the use of the same tools that could be commonly used by clinicians. Method Twenty-three participants across various ages and stuttering severity were administered both the Stuttering Severity Instrument–Fourth Edition (SSI-4; Riley, 2009 ) and the Wright & Ayre Stuttering Self-Rating Profile ( Wright & Ayre, 2000 ). Comparisons were made between severity of behavioral measures of stuttering made by the SSI-4 and by age (child/adult). Results Significant differences were obtained for the age comparison but not for the severity comparison. Results are explained in terms of the correlation between severity equivalents of the SSI-4 and the Wright & Ayre Stuttering Self-Rating Profile scores, with clinical implications justifying multi-aspect assessment. Conclusions Clinical implications indicate that self-perception and impact of stuttering must not be assumed and should be evaluated for individual participants. Research implications include further study with a larger subject pool and various levels of stuttering severity.

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

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