Psychological Comorbidities and Their Relationship to Self-Reported Handicap in Samples of Dizzy Patients

2008 ◽  
Vol 19 (04) ◽  
pp. 337-347 ◽  
Author(s):  
Erin G. Piker ◽  
Gary P. Jacobson ◽  
Devin L. McCaslin ◽  
Sarah L. Grantham

Factors such as anxiety, depression, somatic awareness, autonomic symptoms, and differences in coping strategies are known to affect dizziness handicap. We studied these factors in 63 consecutive "dizzy" patients. This sample was subgrouped into normals and patients with benign paroxysmal positional vertigo, compensated and uncompensated unilateral peripheral vestibular system impairment, or abnormal vestibular evoked myogenic potential as a single significant diagnostic finding. Results showed that (1) anxiety and depression occur with greater frequency in dizzy patients than in the normal population; (2) the magnitude of anxiety, depression, somatization, and autonomic symptoms does not differ significantly in subgroups of patients; (3) women tended to report greater handicap and somatic/autonomic symptoms; and (4) Dizziness Handicap Inventory total scores were correlated with patients' complaints of somatic/autonomic symptoms, anxiety, depression, and coping strategies. These findings suggest that self-reported measures represent unique pieces of information important for the management of dizzy patients. Factores tales como la ansiedad, la depresión, la conciencia somática, los síntomas autonómicos y las diferencias en las estrategias de afrontamiento, se sabe que afectan el impedimento por mareo. Estudiamos estos factores en 63 pacientes “mareados” consecutivos. Esta muestra fue sub-agrupada en pacientes normales, con vértigo posicional paroxístico benigno, con trastornos periféricos unilaterales, compensados y descompensados, del sistema vestibular, o con potenciales miogénicos vestibulares evocados anormales, como único hallazgo diagnóstico significativo. Los resultados mostraron que (1) la ansiedad y la depresión ocurrían con mayor frecuencia en pacientes mareados que en la población normal; (2) la magnitud de la ansiedad, la depresión, la somatización y los síntomas autonómicos no difería significativamente entre los sub-grupos de pacientes; (3) las mujeres tendieron a reportar un impedimento mayor y mayores síntomas somáticos/autonómicos; y (4) los puntajes totales del Inventario de Impedimento por Mareo correlacionaron con los quejas de los pacientes de síntomas somáticos/autonómicos, ansiedad, depresión, y estrategias de afrontamiento. Estos hallazgos sugieren que las mediciones auto-reportadas representan piezas singulares de información importante para el manejo de los pacientes mareados.

Author(s):  
Margarida Gaspar de Matos ◽  
Aristides Ferreira ◽  
Gina Tomé ◽  
Ana Inês Borges ◽  
Dina Manso ◽  
...  

2013 ◽  
Vol 1 (1) ◽  
pp. 3-6
Author(s):  
Jincy Jose ◽  
Blessy Antony ◽  
Usha Ukande

Across the world, there are people who suffer from different types of cancers. These patients suffer problems of anxiety and depression as the commonest psychological problems. Therefore, an exploratory study was conducted to assess the anxiety, depression and coping strategies in diagnosed cancer patients in selected hospital of Indore. Samples of 50 patients both males and females were taken for the study using non-probability purposive sampling technique. Assessment of data was done using standardized tools i.e. Hamilton's anxiety scale, Beck's Depression inventory and a set of 5 open ended questionnaire for the patients. Statistical findings revealed that there was no association between the level of anxiety and the socio demographic variables. The findings of the study revealed that majority of the cancer patients suffer from symptoms of anxiety (23 out of 50 patients, 46%) and depression (19 out of 50 patients, 38%) in their daily life. To adapt to these stressful conditions patients can use a wide range of diversional methods or coping strategies. In the study, it was found that patients used different coping strategies like watching television, engaged in spiritual activities and spending time with friends being the commonest methods.


Author(s):  
Maria Jocelyn B. Natividad ◽  
Khalid A Aljohani ◽  
Helen M. Gamboa

Background: A year after the COVID-19 pandemic spread around the world, the pandemic is still affecting healthcare systems with an increasing number of infected healthcare workers. Such a unique situation may often result in emotional turmoil, anxiety, depression, and fear, which could lead to resignation and burnout. The study intended to assess the feelings of nurses toward the COVID-19 outbreak; ascertain the factors that cause stress; and determine their coping strategies and factors contributing to coping. Methods: A descriptive cross-sectional design was utilized to recruit 313 nurses working in the Ministry of Health (Saudi Arabia) hospitals that accommodate COVID-19 patients. The study instrument was adapted and modified from the ”MERS-CoV Staff Questionnaire” and the Brief COPE. Results: The results showed that female, married, those with a bachelor’s degree, and aged 25–34 years had higher significant coping strategies. On the other hand, Filipino nurses assigned in the Outpatient Department and COVID-19 Isolation Ward had more negative feelings and encountered several factors causing stress but were coping in a better way than others. Conclusion: Nurses’ commitment to their profession appears to be an intrinsic motivation to continue caring for COVID-19 patients despite the risk of infection. Comfort with religion, spiritual beliefs, and the presence of a support system were the coping strategies used by nurses to ameliorate the stress and negative feelings during the COVID-19 outbreak.


2021 ◽  
pp. 147-150
Author(s):  
Varsha S ◽  
Smitha Ruckmani

Background:The covid-19 pandemic has proved to be the most difficult period of everyone's life,as it brings with it the fear of infection, fatality, physical difficulties, lack of certainty around people's life, However it is considerably challenging for the health care workers, for their nature of work makes them more vulnerable to get infected than the normal population,It is common for the health care workers to experience anxiety in the face of current pandemic.thus the present study focuses on the anxiety levels and coping strategies among health care workers during pandemic .The objective of this study is to assess levels of anxiety,resilience and ways of coping among health care workers.A total of 40 samples shall be taken for the present study,The standardized tools to be used in the study are a) Covid-19 anxiety scale (Lee, S.A 2020) b) Brief Cope Inventory (Carver 1997) c) Brief Resilience scale (smith and colleagues 2008) The hypotheses of the current study states that 1)There is a significant level of anxiety among health care workers 2) There is a significant relationship between the levels of anxiety and coping strategy 3) There is a significant relationship between resilience and levels of anxiety, 4) There is a significant difference between gender and level of anxiety 5) There is a significant difference between gender and coping strategy. The present study shall be insightful in terms of understanding the prevalence of anxiety among health care workers,and the role of coping strategy plays in elevating or ameliorating anxiety,It can be helpful in planning the interventions for future studies.The present study shall be helpful in understanding the level of anxiety among health care workers and what kind of coping strategy are predominantly used by the health care workers, and how adaptive/ maladaptive coping strategy influence the levels of anxiety,thus it can be helpful in planning the appropriate interventions for the target population in the future studies.


Author(s):  
Nicoline Normann ◽  
Marie Louise Reinholdt-Dunne ◽  
Martin Stolpe Andersen ◽  
Barbara Hoff Esbjørn

Abstract Background: Research suggests that the metacognitive model is applicable to clinical child populations. However, few measures related to the model are available for younger age groups. A key concept of the model is the cognitive attentional syndrome (CAS), which encompasses the individual’s worry and rumination, maladaptive coping strategies, and metacognitive beliefs. While the CAS has been successfully measured in adults, this has not yet been attempted in children. Aims: The aim of this study was to adapt a measure of the CAS for use with children and investigate the measure’s associations with anxiety, worry, depression and metacognitions. Methods: Our study included 127 children with anxiety disorders aged 7–13 years. The adult measure of CAS was adapted for use with children and administered at pre- and post-treatment. We examined the correlations between variables and the ability of the CAS measure to explain variance in anxious symptomatology, as well as the measure’s sensitivity to treatment change. Results: The adapted measure, CAS-1C, displayed strong associations with overall anxiety, depression, worry and metacognitions. The CAS-1C explained an additional small amount of variance in anxiety and worry symptoms after accounting for metacognitions, which may be due to the measure also assessing thinking styles and coping strategies. Furthermore, the measure displayed sensitivity to treatment change. Conclusions: The child measure of the CAS is a brief tool for collecting information on metacognitive beliefs and strategies that maintain psychopathology according to the metacognitive model, and it can be used to monitor treatment changes in these components.


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