scholarly journals Comprehensive approach to therapy of adaptation disorders associated with computer addiction

2019 ◽  
Vol 25 (3) ◽  
pp. 155-159
Author(s):  
Yu. A. Starodubtseva
Keyword(s):  
Computer Games ◽  
Rating Scale ◽  
Anxiety And Depression ◽  
Control Group ◽  
Emotional Status ◽  
Educational Work ◽  
Comprehensive Program ◽  
Therapy Program ◽  
Computer Addiction ◽  
Anxiolytic Drugs

Background. In modern conditions there is a quick increase in non-chemical addictions, primarily computer addiction. Unfortunately, patients with non-chemical addictions do not fall into the field of view of doctors at the early stages of the development of the disease. They seek specialized help when addiction becomes a chronic process; due to disability, and delinquent behavior, which contributes to a violation of social functioning and quality of life of the patient and his family. Objective – to develop and evaluate the effectiveness of a comprehensive program for the treatment of adaptation disorders associated with computer addiction, based on the study of clinical, psychopathological and pathopsychological patterns of their formation. Materials and methods. The study involved 117 patients with signs of computer addiction according to the results of AUDIT-like tests and with adaptation disorders. The main group consisted of 66 patients who took part in the complex therapy program using the methods of pharmacotherapy, psychotherapy and psycho-education; control group – 51 patients who received standard regulated therapy in a medical institution. We used such study methods: clinical-anamnestic; clinical-psychopathological, using AUDIT-like tests for a comprehensive assessment of addictive status, psychodiagnostic using a hospital scale of anxiety and depression, Hamilton anxiety rating scale, Hamilton depression rating scale, the questionnaire of neuro-psychic tension according to T. A. Niemchyn; statistical. Results. The clinical picture of computer addiction noted: compulsive surfing in a computer network (45.8±1.6% of the examined), computer games (22.3±1.2%), virtual communication (5.8±0.4%), gambling on-line (14.1±1.1%), passion for porn sites (1.2±0.1%). All examined patients received pharmacotherapy – antidepressants (SSRI) and anxiolytic drugs. and anxiolytic drugs. The psychotherapeutic complex included the use of rational psychotherapy, personality-oriented psychotherapy, existential psychotherapy, art therapy (painting technique). Psycho-educational work included the use of information modules, motivational trainings, the formation of communicative skills, problem-oriented discussions and teaching coping skills. Psychotherapeutic and psycho-educational work was aimed at determining the patient’s resource in overcoming computer addiction and its occurrence. Due to effects of the developed comprehensive program for the treatment of adaptation disorders associated with computer addiction, positive dynamics of the emotional status of patients were achieved, reduction of manifestations of anxiety and depression by HADS, reduction of manifestations of severe depressive and anxious episodes according to the Hamilton scales as well as reduce neuropsychic stress on a scale of T. A. Niemchyn were indicated. Conclusions. A comprehensive system for the treatment of adaptation disorders associated with computer addiction should include a combination of pharmacotherapy, psychotherapy and psycho-education. Positive dynamics of the emotional status of patients, the predominance of subclinical manifestations or the absence of anxiety and depression on the HADS scale; mild depressive and anxious episodes or their absence according to the HAM-D and HAM-A scales; reduction of neuropsychic stress on a scale of T. A. Niemchyn as well as stability of the therapeutic effect during a two-year follow-up study indicates the effectiveness of the developed comprehensive therapy program.

scholarly journals Clinical-pathopsychological and psychodiagnostic specifics of comorbid adaptation disorders in people with computer addiction

2019 ◽  
Vol 85 (4) ◽  
pp. 101-106
Author(s):  
Yu. Starodubtseva
Keyword(s):  
Family Relationships ◽  
Clinical Manifestations ◽  
Anxiety And Depression ◽  
Control Group ◽  
Way Of Life ◽  
Computer Addiction ◽  
Comprehensive Survey ◽  
Personal Anxiety ◽  
Tunnel Syndrome ◽  
High Level

The clinical-psychopathological and psychodiagnostic features of adaptation disorders combined with computer addiction were studied. A comprehensive survey of 97 people with adaptation disorders and clinically pronounced computer addiction (main group) and 62 patients with adaptation disorders without signs of addictive behavior (control group) were carried out. It was established that the clinical picture of adaptation disorders with comorbid computer addiction was characterized by depressive, anxiety, obsessive, asthenic, dysphoric, and somatic-vegetative syndrome complexes, 35.8 % of patients had carpal tunnel syndrome. Clinical manifestations of anxiety and depression on the Hospital scale, severe depressive and anxiety episodes on the Hamilton scale, high levels of situational and personal anxiety on the Spielberger–Hanin scale, excessive mental stress on the Nemchin scale are typical for people with adaptation disorders and computer addiction. It was shown that the key role in the pathopsychological mechanisms of comorbid adaptation disorders with computer addiction belongs to the de-actualization of basic personality needs, instability of the level of requirements, the dominance of game motives, the use of coping strategies aimed at distraction and emotion, application of a strategy of behavior in the form of avoidance and adaptation in a conflict situation, high level of social frustration in the areas of their own way of life, family relationships, relationships at work and the content of their work.

scholarly journals FEATURES OF ADDICTIVE PERSONALITY

2019 ◽  
pp. 55-60
Author(s):  
Eduard Krainikov ◽  
Eugeniy Prokopovich ◽  
Аlona Balanyuk
Keyword(s):  
Computer Games ◽  
Clinical Manifestations ◽  
Assessment Tools ◽  
Anxiety And Depression ◽  
Economic Damage ◽  
P Value ◽  
The Troubles ◽  
Computer Addiction ◽  
Addictive Personality ◽  
Depressive Personality

We surveyed 50 people between the ages of 18 and 25, most of respondents are college students. We used the following assessment tools: SMOL (abbreviated adaptation of MMPI), Heim's test for coping strategies, Mendelevich's methodic, Michigan Alcohol Test (MAST), Urgent Dependence Questionnaire in Shibko's adaptation. Respondents show some signs of predisposition, or even a clear presence of addictive behavior. Choosing a way to escape from reality was a cultural phenomenon, that is, the choice of an addictive agent is more dictated by advertising, public opinion, and art products. This data confirms the close direct relationship between alcohol dependence (according to MAST) and psychopathy — a correlation coefficient of 0.27. According to the regression analysis, the data of this scale strongly depend on the indicators of the hysteria scale (P-value = 0.01). This indicates that expressing alcohol and the consequences of such abuse can make a person protesting, uncomfortable, and seeking to exaggerate their problems and attract attention. The results of the study confirmed the literature data about self-centered, depressive, and anxious fetures of addictive personality. We can assume that the higher the emotional lability, anxiety and depressive personality, the greater the likelihood of addiction to computer games. It is worth noting that this dependency is different from the other vivid virtual world, which gives the person the opportunity to hide in him from the troubles. For people with adaptation disorders and computer addiction, clinical manifestations of anxiety and depression, severe depressive and anxiety episodes are common; high levels of situational and personal anxiety, excessive nervous and mental stress. That is, we can conclude that both computer addiction and gaming addiction are strongly linked to anxiety and depression. We assume that these dependencies are very closely related and that it is difficult to draw a clear boundary. In addition to health problems, psychoactive substance use, and addiction to procedural addiction, it causes significant social and economic damage to individuals and society as a whole.

scholarly journals Role of Music Therapy in Reducing the Symptoms of Depression and Anxiety

2020 ◽  
pp. 7-12
Keyword(s):  
Music Therapy ◽  
Premenstrual Syndrome ◽  
Psychological Symptoms ◽  
Anxiety And Depression ◽  
Control Group ◽  
Statistical Population ◽  
Therapy Program ◽  
And Control ◽  
Experimental Group

Background: A variety of psychological factors can manipulate the severity of premenstrual syndrome. Objectives: This study aimed to investigate the role of music therapy in reducing anxiety and depression in premenstrual syndrome. Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest method with a control group. The statistical population of this study included 30 women with the premenstrual syndrome who were referred to Rah-e-Bartar Clinic, Tehran, Iran, in the first six months of 2019. They were then selected voluntarily and assigned randomly in two groups of experimental and control (15 cases per group). Subsequently, the participants were requested to complete Beckchr('39')s Anxiety Test and Beckchr('39')s Depression Test before and after the intervention. A researcher-made music-therapy program was used as the therapeutic intervention. The experimental group was then asked to participate in 12 sessions of music therapy each lasted for 45 min (two sessions per week). At the end of the intervention, the experimental group re-completed the tests at the posttest phase, and the data were analyzed using one-way analysis of variance. Results: According to the results, after comparing the experimental and control groups at the posttest, the anxiety (Sig=0.06; F=0.12) and depression (Sig=0.09, F=0.10) scores were obtained greater than 0.05. Conclusion: It can be concluded that music therapy was effective in reducing the psychological symptoms of premenstrual syndrome, two of the most important of which are anxiety and depression.

Benefits of EEG-Neurofeedback on the Modulation of Impulsivity in a Sample of Cocaine and Heroin Long-Term Abstinent Inmates: A Pilot Study

2020 ◽  
Vol 64 (12) ◽  
pp. 1275-1298
Author(s):  
M. Corominas-Roso ◽  
I. Ibern ◽  
M. Capdevila ◽  
R. Ramon ◽  
C. Roncero ◽  
...  
Keyword(s):  
Pilot Study ◽  
Clinical Improvement ◽  
Rating Scale ◽  
Treated Group ◽  
Small Sample ◽  
Anxiety And Depression ◽  
Control Group ◽  
Potential Range ◽  
Significant Clinical Improvement

The aim of this pilot study was to assess whether neurofeedback (NFB) can be useful in the treatment of impulsive behavior in long-term abstinent cocaine and heroin addicts. A single-blind sham-controlled NFB protocol was carried out to assess the effects of NFB on impulsivity in 20 (10 + 10) cocaine and heroin long-term abstinent addicts ( Diagnostic and Statistical Manual of Mental Disorders [4th ed., text rev.; DSM-IV-TR]). Psychotic and neurologic diseases were excluded. Participants underwent 40 NFB sessions based on the very slow cortical potential range. Inhibitory deficits were specifically addressed through right and left prefrontal training. Clinical improvement was measured with Likert-type scales, the Hamilton Depression Rating Scale, and the State–Trait Anxiety Inventory, and impulsivity was assessed using the Barratt Impulsiveness Scale and the Continuous Performance Test. Although the results are preliminary due to the small sample size, the NFB-treated group showed a significant clinical improvement, including symptoms of anxiety and depression, with two differentiated time periods. No significant clinical improvement was found in the control group. A significant decrease in the post- versus pre-treatment measures of global impulsivity, nonplanning impulsivity, and error commission measures was found in the NFB-treated group; effect size ( dKorr) in the pre–post control design was moderate. No significant change was found in the control group. Despite the limitations of this study, the results suggest that NFB is better than placebo in improving impulsivity and clinical symptoms of anxiety and depression in long-term abstinent cocaine- and heroin-dependent individuals.

scholarly journals Effects of Art Therapy Program on Anxiety and Depression among 6-12-Year-Old Burned Children

2020 ◽  
Vol 8 (B) ◽  
pp. 126-132
Author(s):  
Hossein Rezazadeh ◽  
Razieh Froutan ◽  
Ali Ahmad Abadi ◽  
Seyed Reza Mazloum ◽  
Kaveh Moghaddam
Keyword(s):  
Art Therapy ◽  
Anxiety And Depression ◽  
Control Group ◽  
Control Groups ◽  
Therapy Program ◽  
Physical Injuries ◽  
Psychological Injuries ◽  
Post Test ◽  
And Control ◽  
Therapy Sessions

INTRODUCTION: There are various ways to relieve physical injuries, but less attention has been dedicated to the treatment of psychological injuries in burned children. AIM: The present study was conducted to investigate the effects of art therapy using painting and music on reducing anxiety and depression in burned children. MATERIALS AND METHODS: This study was a three-group randomized clinical trial with a pre-test-post-test design that was performed on 60 children aged 6–12 years. The patients were admitted to the Burn Center of Imam Reza Hospital, Mashhad, Iran, within 2018 were selected using convenience sampling method and randomly divided into three groups, namely, two intervention (subjected to art and music) and one control group. Ten 45-min-long art therapy sessions were conducted every day. Anxiety was measured with parent-version of the Spence Children’s Anxiety Scale, and depression was measured using Maria Kovacs Children’s Depression Inventory Questionnaire. The control group only benefited from the routine services of the center. RESULTS: Before the intervention, the total mean scores of anxiety in the burned children in the painting, music, and control groups were measured at 90.4 ± 5.4, 84.8 ± 6.8, and 77.4 ± 13.8, respectively. However, the total mean scores of anxiety after the intervention in the burned children in the painting, music, and control groups were estimated at 53.3 ± 4.4, 45.9 ± 8.4, and 72.4 ± 12.9, respectively (p < 0.001). Furthermore, the mean of depression total score before the intervention was measured at 38.7 ± 3.4, 32.8 ± 5.4, and 28.9 ± 5.4, for painting, music, and control groups, respectively (p < 0.001). Moreover, the total mean score of depression after the intervention in the painting, music, and control groups was obtained as 29.9 ± 4.0, 19.3 ± 3.8, and 25.2 ± 4.9, respectively (p < 0.001). CONCLUSION: Art therapy using painting and music led to the reduction of anxiety and depression in children with burns; therefore, it is recommended to use the technique for this population.

scholarly journals ANXIETY, DEPRESSION AND PERSONALITY TYPES IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE: COMPARISONS WITH PEPTIC ULCER AND THE GENERAL POPULATION

2019 ◽  
Author(s):  
Petra ◽  
Emil Babić ◽  
Milenko Bevanda ◽  
Maja Karin ◽  
Mile Volarić ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Peptic Ulcer ◽  
Bowel Disease ◽  
Rating Scale ◽  
Anxiety And Depression ◽  
Control Group ◽  
Ulcer Group ◽  
Inflammatory Bowel ◽  
Anxiety Depression ◽  
Group D

Aim: To explore corellation of anxiety, depression ant type of personality in inflammatory bowel disease (IBD) and compare with peptic ulcer (PU).Subjects and methods: In this study, prevalence of anxiety, depression and type of personality was investigated in 362 cases divided into three groups: 112 of IBD patients, 122 of peptic ulcer patients and 128 of control group who didn't have any gastrointestinal or psychic complaints. IBD and peptic ulcer diagnosis were established by standard diagnostic procedures (anamnesis, clinical manifestations, laboratory, endoscopy and biopsy in IBD and upper endoscopy in peptic ulcer). Anxiety and depression wereestablished by Hamilton anxiety rating scale (HAM-A) and Hamilton rating test for depression (HAM-D). Type of A/B personality was established by Bortner scale and D type of personality by Denollet scale (DS14).Results: Anxiety was found in 47 (41.9%) and depression in 44 (38.3%) of a total of 112 IBD cases. In group with peptic ulcer anxiety was found in 40 (32.8%) and depression aalso in 40 (32.8%) of total 122 cases. In control group anxiety was diagnosed in 21 (16.4%) and depression in 20 (15.6%) of total 128 cases. Anxiety and depresson were significantly higher in both groups than in control group but anxiety and depression were significantly higher in IBD group than peptic ulcer group. D type of personality was statistically significant in peptic ulcer group.Conclusion: Anxiety and depression in IBD and peptic ulcer cases have a greater prevalence compared to the normal population and surprisingly are higher in IBD than peptic ulcer group. D type of personality is associated with peptic ulcer.

scholarly journals Anxiety disorders in dialysis patients

2007 ◽  
Vol 60 (9-10) ◽  
pp. 484-488 ◽  
Author(s):  
Milan Novakovic
Keyword(s):  
Rating Scale ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Chronic Hemodialysis ◽  
Anxiety And Depression ◽  
Balkan Endemic Nephropathy ◽  
Control Group ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
Psychic Disorders

Introduction. Anxiety, as a primary symptom, includes all conditions of indefinite fear and psychic disorders dominated by fear. All dialysis patients suffer from anxiety as an independent phenomenon, or as part of another disease. Material and Methods. This study included 753 patients on chronic hemodialysis in Bosnia and Herzegovina (B&H) in the period 1999-2004. The patients were divided into two groups: the first group included 348 patients with Balkan Endemic Nephropathy (BEN), and the control group included 405 patients with other diagnoses causing renal insufficiency (N18). The study was designed as a comparative cross sectional study, and patients were tested using questionnaires assessing anxiety, depression and general mental health status. Statistical analysis was done using standard descriptive and analytical methods. Results. Socio-demographic data showed highly significant differences between BEN and N18 in relation to place of residence (urban/rural) (c2 = 23.970) p<0.01; in the incidence of renal comorbidity (c2 = 23.970) p<0.01; familial renal comorbidity (c2 = 23.970) p<0.01; and migrations (c2 = 4.874) p<0.01. Beck Anxiety Inventory Scores were highly significantly different between the two groups p<0.001, in regard to the incidence and variables. Hamilton Depression Rating Scale demonstrated a group significance p<0.001, and variables pointed to somatization, general anxiety and depression. This was confirmed by mini-mental state examination pointing to generalmental weakness. Conclusion. Anxiety appeared in all tested dialysis patients. It may be independent, somatized as part of another mental disorder or reinforced by a cognitive damage. Structured anxiety and depression result in pre-suicidal risk. .

scholarly journals Effects of a randomized, culturally adapted, lifestyle intervention on mental health among Middle-Eastern immigrants

2019 ◽  
Vol 29 (5) ◽  
pp. 888-894 ◽  
Author(s):  
Faiza Siddiqui ◽  
Ulf Lindblad ◽  
Peter M Nilsson ◽  
Louise Bennet
Keyword(s):  
Mental Health ◽  
Lifestyle Intervention ◽  
Rating Scale ◽  
Middle Eastern ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Control Group ◽  
Culturally Adapted ◽  
Increased Risk ◽  
Middle Eastern Immigrants

Abstract Background Middle-Eastern immigrants in Sweden are at increased risk for type 2 diabetes (T2D) and poor mental health. Physical activity not only prevents/delays onset of T2D but also shows favorable effects on mental health. However, the effects of a culturally adapted lifestyle intervention on mental health among Middle-Eastern immigrants have not been explored before. We aimed to study the effects of a randomized controlled, culturally adapted lifestyle intervention on anxiety and depression levels in diabetes-prone Iraqi immigrants. Methods Participants (n = 96) were randomized to intervention group, IG (n = 50) or control group, CG (n = 46). The IG received seven group sessions addressing lifestyle change and the CG received treatment as usual. Montgomery–Åsberg Depression Rating Scale (MADRS-S) and Hospital Anxiety and Depression Scale (HADS) assessed mental health at start, mid (2 months) and end of the study (4 months). Proportional odds ratio (OR) model was used to study the effect of the intervention. Results The odds of scoring lower on MADRS-S and HADS depression scale at visit 3 vs. baseline were higher in the IG compared to the CG (MADRS-S OR 5.9, 95% CI: 1.6–22.5; HADS OR 4.4, 95% CI: 0.9–20.3). The findings persisted after adjustment for age, sex, body mass index, time since migration, sedentary lifestyle and language spoken at home. Group differences were non-significant at visit 2 vs. baseline. Conclusion A culturally adapted lifestyle intervention addressing T2D prevention in Middle-Eastern immigrants has favorable effects on mental health. The effect was more pronounced at the 4 months than at 2 months follow-up, indicating beneficial effect of longer study duration. Trial registration www.clinicaltrials.gov NCT01420198.

Controlled Study of Distress in Parents of Children with Epilepsy

2020 ◽  
Author(s):  
Mostafa Abdelnaem ◽  
Maha Ali Hassan ◽  
Mohamed Helmy Abdel Hafeez
Keyword(s):  
Parental Education ◽  
Rating Scale ◽  
The Other ◽  
University Hospital ◽  
Controlled Study ◽  
Anxiety And Depression ◽  
Control Group ◽  
Other Hand ◽  
Significant Difference ◽  
Epileptic Children

Abstract BackgroundChildhood epilepsy can have a significant impact on family functioning with high rates of patent anxiety and depression being reported.ObjectivesTo demonstrate the frequency of depression, anxiety and distress among the parents of epileptic children.Patients and MethodsA cross sectional study design was carried out on 100 children and their parents attending the outpatient clinics in Minia University Hospital, arranged in two groups, Group (A) consisted of 50 epileptic children and their caregivers. On the other hand, Group (B) consisted of 50 age- and sex matched controls. Comprehensive Assessment was carried out. A well-prepared sheet had been used for the evaluation of subjects of the study. Twenty-one item Depression Anxiety Stress Scale (DASS-21), Hamilton Anxiety Scale (HAM - A) and Hamilton Rating Scale for Depression (HRSD) were used for interviewing the parents of the epileptic children to screen for depression, anxiety, stress in those parents. This process preceded by full explanation of all the previous tools.There was statistically significant difference between the parents of the epileptic group and the control group regarding DASS score, and HAM-A score. There was no statistically significance between the 2 groups regarding the HRSD. The parents group of generalized fits shows to have a higher score of DASS (9.5±4.7), HDRS (5.1±3.3). In contrast to the focal fits group. On the other hand, the parents of group of generalized fits shows to have lower score of HAM-A (6.7±4) in contrast to the focal fits group but not statistically significant.Compliant group shows to have higher score of HAM-A, HDRS score in contrast to non-compliant group. These correlations were not statistically significant.ConclusionsParents of the epileptic children had more anxiety, depression and stress than the control. Lower parental education was associated with more distress and anxiety.Ploy-therapy increased parent anxiety and depression. Compliance on treatment decreased parent distress but increased parent anxiety and depression.

scholarly journals Assessment of Anxiety and Depressive Symptoms in the Early Post-stroke Period

Folia Medica ◽  
2020 ◽  
Vol 62 (4) ◽  
pp. 695-702
Author(s):  
Valentin Todorov ◽  
Maria Dimitrova ◽  
Viktoria Todorova ◽  
Eleonora Mihaylova
Keyword(s):  
Depressive Symptoms ◽  
Rating Scale ◽  
Depression Scale ◽  
Early Period ◽  
The Other ◽  
Medium Effect ◽  
Anxiety And Depression ◽  
Psychiatric Evaluation ◽  
Control Group ◽  
Post Stroke

Introduction: There is some evidence suggesting an association between cerebrovascular diseases and the development of depression on the one hand, and between depression and post-stroke recovery on the other. Post-stroke depression can occur in the early post-stroke period or in the later stages of recovery (over 9 months after the incident). Aim: To find a connection between stroke and the development of anxiety and depression in the early period after the development of neurological deficit and to evaluate several scales for their potential usefulness in the screening of post-stroke patients for early signs of depression and anxiety. Materials and methods: We conducted a study on the presence of depression in 117 patients, divided into 2 groups: 73 of these patients were admitted due to ischemic stroke, while the other 44 were controls matching the patients in age, sex and education status. The inclusion and exclusion criteria were defined clearly. We included patients that consented to undergo psychiatric evaluation be-tween 24 hours and 7 days after the onset of neurological symptoms. Both groups were assessed by the Montgomery-Asberg Depression Rating Scale (MADRS), Hamilton Anxiety Rating Scale (HAM-A), Hospital Anxiety and Depression Scale &ndash; Depression Subscale and Combined Scale (HADS-D, HADS-T). Results: On evaluation with HADS-D we noted the largest difference between the two groups with a very high statistical significance and a medium effect size (7.92&plusmn;4.44 points vs. 4.86&plusmn;4.27 points for the control group, p<0.001, r= -0.417). Anxiety and depressive symp-toms were found also with MADRS and HAM-A. Conclusions: Anxiety and depressive symptoms were found in the early post-stroke period. MADRS, HADS-D, and HAM-A are suf-ficiently specific and sensitive in the evaluation of post-stroke anxiety and depression.

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