Predictors and Prevalence of Postconcussion Depression Symptoms in Collegiate Athletes

Context: Depression is common after concussion and is associated with functional outcome and quality of life after injury. However, few baseline predictors of postconcussion depressive symptoms (PCDS) have been found. Objective: To describe the prevalence of depressive symptoms in a collegiate athlete sample at baseline and postconcussion, compare these levels of symptoms and change in symptoms with those of a control group with no reported concussions in the past year, and examine the baseline predictors for PCDS. Design: Case-control study. Setting: Undergraduate institution. Patients or Other Participants: Participants were 84 collegiate athletes (65 men, 19 women) with concussion and 42 individuals (23 men, 21 women) with no history of recent concussion who served as controls. Main Outcome Measure(s): The Beck Depression Inventory–Fast Screen was administered to the concussion group at baseline and postconcussion and to the control group at 2 time points. Results: Seventeen athletes (20%) showed a reliable increase in depression, and more athletes reported clinically important depression postconcussion than at baseline. Only 2 participants (5%) in the control group showed a reliable increase in depression. Concussed athletes were more likely to show a reliable increase in depression symptoms than control participants (χ21 = 5.2, P = .02). We also found several predictors of PCDS in the athletes, including baseline depression symptoms (r = 0.37, P < .001), baseline postconcussion symptoms (r = 0.25, P = .03), estimated premorbid intelligence (full-scale IQ; r = −0.29, P = .009), and age of first participation in organized sport (r = 0.34, P = .002). For the control group, predictors of depression symptoms at time 2 were number of previous head injuries (r = 0.31, P = .05) and baseline depression symptoms (r = 0.80, P < .001). Conclusions: A large proportion of athletes showed a reliable increase in depression after concussion, and we identified several baseline predictors. Given that depression affects quality of life and recovery from concussion, more research is necessary to better understand why certain athletes show an increase in PCDS and how these can be better predicted and prevented.

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Quality of Life: Psychological Symptoms—Effects of a 2-Month Healthy Diet and Nutraceutical Intervention; A Randomized, Open-Label Intervention Trial (RISTOMED)

Nutrients ◽

10.3390/nu12030800 ◽

2020 ◽

Vol 12 (3) ◽

pp. 800

Author(s):

Isabelle Bourdel-Marchasson ◽

Rita Ostan ◽

Sophie C Regueme ◽

Alessandro Pinto ◽

Florence Pryen ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Dietary Intervention ◽

Psychological Symptoms ◽

Healthy Diet ◽

Control Group ◽

Depression Symptoms ◽

Open Label ◽

Inflammatory Parameters

Depression symptoms and lower health-related quality of life (HRQoL) are associated with inflammation. This multicenter dietary intervention was shown to reduce inflammation in older people. This was the main outcome. Here, we describe the effects on HRQoL, anxiety, and depressive symptoms according to inflammation status. Overall, 125 healthy older subjects (65–80 year) were recruited (Italy, France, and Germany) and randomized into four arms (A, Healthy diet (HD); B, HD plus De Simone Formulation probiotic blend; C, HD plus AISA d-Limonene; D, HD plus Argan oil). The HD was weight maintaining, rich in antioxidant vitamins, polyphenols, polyunsaturated fatty acids (n6: n3 ratio = 3:1), and fiber. Data on inflammatory parameters, mental (MCS) and physical (PCS) component summaries of HRQoL (SF−36), anxiety symptoms (STAI state), and depressive symptoms (CES-D) were collected before and after 56 days of intervention. Body fat mass proportion (BFM) was considered a co-variable. A decrease of CES-D score was seen in the four arms (A: −40.0%, p = 0.001; B: −32.5%, p = 0.023; C: −42.8%, p = 0.004; and D: −33.3%, p = 0.21). Within the subgroups of subjects with medium/high inflammation a similar decrease in CES-D score occurred in all groups (A: −44.8%, p = 0.021; B, −46.7%, p = 0.024; C, −52.2%, p = 0.039; D, −43.8%, p = 0.037). The effect of interventions on CES-D was not related to baseline inflammation. MCS-HRQoL improved in A and C. There was no change in anxiety or PCS-HRQoL. In this trial with no control group, a decrease in depressive symptoms in healthy older volunteers was observed after a 2-month healthy diet intervention, independently of inflammation but with possible limitations due to participation.

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Perception of quality of life and social adjustment of patients with recurrent depression

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0610369s ◽

2006 ◽

Vol 134 (9-10) ◽

pp. 369-374 ◽

Cited By ~ 1

Author(s):

Zana Stankovic ◽

Gordana Nikolic-Balkoski ◽

Ljubica Leposavic ◽

Ljiljana Popovic

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Social Adjustment ◽

Healthy Subjects ◽

Inverse Correlation ◽

Control Group ◽

Recurrent Depression ◽

Patients With Diabetes ◽

Perception Of Quality

Introduction: Depression is the most commonly present psychiatric entity in clinical practice, accompanied by significant impairment of both social and professional functioning. In addition, depression frequently develops as complication of other psychiatric disorders and various somatic diseases. Objective: To investigate subjective perception of quality of life and social adjustment, severity of depressive symptoms as well as level of correlation of severity of depressive symptoms and quality of life and social adjustment of patients with recurrent depression in comparison to the group of patients with diabetes and healthy subjects. Method: The study included 45 subjects of both sexes, ranging from 18 to 60 years of age, divided in three groups of 15 subjects each. The experimental group comprised the patients diagnosed with recurrent depression in remission (DSM-IV), one control group was consisted of patients diagnosed with Type 2 Diabetes mellitus and another one comprised healthy subjects. The instruments of assessment were: The Beck Depression Inventory- BDI, The Social Adaptation Self -evaluation scale - SASS, The Psychological General Well-Being Scale - WBQ. Results: Significant difference of both BDI and WBQ scales was found between the experimental and the control group of healthy subjects (ANOVA, Mann Whitney; p?0.01), as well as between two control groups (p?0.02). The level of inverse correlation of mean score values of BDI and SASS scales was significant in the control group of patients with diabetes while such levels of BDI and WBQ scales (Spearman correlation coefficient, p<0.01) were found in all groups of our study. Conclusion: In the group of patients with recurrent depression, significant decline of quality of life and significantly higher severity of depressive symptoms were present in comparison to the group of healthy subjects as well as significant level of inverse correlation of severity of depressive symptoms and quality of life.

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QUALITY OF LIFE AND DEPRESSION IN WAR-RELATED THE ENDURING PERSONALITY CHANGE AFTER CATASTROPHIC EXPERIENCE (F62.0)

Psymedica ◽

10.7251/psy1002016s ◽

2010 ◽

Vol 1 (1-2) ◽

Author(s):

Milan Stojaković ◽

S. Medenlica ◽

Bogdan Stojakovic

Keyword(s):

Quality Of Life ◽

Personality Change ◽

Control Group ◽

Depression Symptoms ◽

Adult Men ◽

Symptoms Of Depression ◽

Icd 10 ◽

And Control

GOALS: The authors' objective is to analyze Quality of Life (QoL) and depression in the Enduring personality change after catastrophic expirience (F62.0)SUBJECTS AND METHODS: In study we include 120 adult men, 60 subjects with diagnosis F62.0. according to ICD-10 (experimental group) and 60 adult men veterans without the diagnosis of F62.0 (control group). The subjects were assessed with the standardized psychometric instruments.RESULTS: In subjects with Enduring personality change (F62.0) assessment of QoL shows differences in some segments that are important for further monitoring and analysis. The results of the depression in experimental and control group show statistically significance on level (p< 0.05) for baseline visit and follow-up visit.CONCLUSIONS: The statistical relationship between level of combat exposure and war-related F62.0. depression symptoms and QoL, suggests that it may take time for the consequences of traumatic exposure to become apparent. Moreover, degree of exposure may be important in predicting the eventual development of symptoms and precipitation of F62.0. Continued follow-up will address the evolution of PTSD symptoms in war related PTSD. The results indicate the importance of further monitoring and analysis symptoms of depression in F62.0 and QoL.

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Abstract 12349: Rehabilitation Reduces Depression After Cardiac Arrest

Circulation ◽

10.1161/circ.144.suppl_2.12349 ◽

2021 ◽

Vol 144 (Suppl_2) ◽

Author(s):

Katharyn L Flickinger ◽

Melissa Repine ◽

Kara Deliman ◽

Elizabeth R Skidmore ◽

Jon Rittenberger ◽

...

Keyword(s):

Quality Of Life ◽

Cardiac Arrest ◽

Depressive Symptoms ◽

Chart Review ◽

Control Group ◽

Optimal Timing ◽

Health Questionnaire ◽

Future Studies ◽

Patient Health

Introduction: Over 70,000 Americans are discharged from the hospital after surviving cardiac arrest (CA) each year. CA survivors experience depressive symptoms that adversely affect quality of life. Exercise, facilitated through cardiac rehabilitation (CR), improves mood after traumatic brain injury. CR is inconsistently offered to CA survivors but may improve recovery. Aims: Determine if: 1) CA survivors receiving CR have less severe depressive symptoms than CA survivors who do not receive CR, and 2) CA survivors receiving CR have less severe depressive symptoms after CR than before. Methods: Chart review including CA survivors between 2016-2019 who received CR or were enrolled in the control arm of a randomized trial in which depression was assessed prospectively. Demographic and cardiac arrest characteristics were recorded for all patients. The Patient Health Questionnaire (PHQ-9) used to quantify depressive symptoms in CR participants at the beginning and end of 12-36 sessions of CR. PHQ-9 was also assessed 6 months after hospital discharge in control subjects. We compared PHQ-9 within and between groups using t-tests. Results: We included 25 patients (15 male), with mean age 54 (SD 17) years, 16 of whom CR and 9 of whom were enrolled in the trial’s control arm. In patients who received CR, PHQ-9 score decreased from a mean of 5 (SD 5) before CR to mean of 1 (SD 1) after CR [difference -4 (95% CI -4 to -1; p=0.01)]. Among patients who received CR, mean PHQ-9 after CR was lower than that of controls 6 months after discharge [control group mean 6 (SD 5); difference -5 (95% CI -9 to -2; p=0.001)]. Conclusions: CR may improve depressive symptoms in CA survivors. Future studies should investigate other benefits, dose-response and optimal timing of CR.

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Managing depressive symptoms in people with mild cognitive impairment and mild dementia with a multicomponent psychotherapy intervention: a randomized controlled trial

International Psychogeriatrics ◽

10.1017/s1041610220000216 ◽

2020 ◽

pp. 1-15 ◽

Cited By ~ 1

Author(s):

Johanne B. Tonga ◽

Jūratė Šaltytė Benth ◽

Espen A. Arnevik ◽

Katja Werheid ◽

Maria S. Korsnes ◽

...

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Cognitive Rehabilitation ◽

Controlled Trial ◽

Control Group ◽

Reminiscence Therapy ◽

Randomized Controlled

Abstract Objective: To evaluate the feasibility and effectiveness of the CORDIAL program, a psychosocial intervention consisting of cognitive behavioral therapy (CBT), cognitive rehabilitation, and reminiscence to manage depressive symptoms for people with mild cognitive impairment (MCI) or dementia. Design: We conducted a randomized controlled trial, based on a two-group (intervention and control), pre-/post-intervention design. Setting: Participants were recruited from five different old age psychiatry and memory clinics at outpatients’ hospitals. Participants: Hundred and ninety-eight people with MCI or early-stage dementia were included. Intervention: The intervention group (n = 100) received 11 individual weekly sessions of the CORDIAL program. This intervention includes elements from CBT, cognitive rehabilitation, and reminiscence therapy. The control group (n = 98) received treatment-as-usual. Measurements: We assessed Montgomery–Åsberg Depression Rating Scale (MADRS) (main outcome), Neuropsychiatric Inventory Questionnaire, and Quality of Life in Alzheimer’s disease (secondary outcomes) over the course of 4 months and at a 10-month follow-up visit. Results: A linear mixed model demonstrated that the depressive symptoms assessed by MADRS were significantly more reduced in the intervention groups as compared to the control group (p < 0.001). The effect persisted for 6 months after the intervention. No significant differences between groups were found in neuropsychiatric symptoms or quality of life. Conclusion: Our multicomponent intervention, which comprised 11 individual sessions of CBT, cognitive rehabilitation, and reminiscence therapy, reduced depressive symptoms in people with MCI and dementia.

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Analysis of life quality and prevalence of cognitive impairment, anxiety, and depressive symptoms in older adults

Estudos de Psicologia (Campinas) ◽

10.1590/1982-02752017000200007 ◽

2017 ◽

Vol 34 (2) ◽

pp. 261-268 ◽

Cited By ~ 3

Author(s):

Michele Marinho da SILVEIRA ◽

Mirna Wetters PORTUGUEZ

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Cognitive Performance ◽

Depression Scale ◽

World Health ◽

Depression Symptoms ◽

World Health Organization Quality

Abstract The development of anxiety, depressive symptoms, and a decrease in cognitive performance can affect older adults’ quality of life. The objective of this cross-sectional study was to analyze quality of life and determine the prevalence of cognitive impairment, anxiety, and depression symptoms in senior center participants. A total of 120 older adults living in the city of Passo Fundo, RS, Brazil, participated in this study. The convenience sampling technique was used. All participants answered questions relative to socio-demographic variables, quality of life (World Health Organization Quality of Life-Bref), cognitive performance (Addenbrooke’ Cognitive Examination), and emotional state (Geriatric Depression Scale and Beck Anxiety Inventory). The prevalence of anxiety, depressive symptoms, and cognitive impairment were low indicating satisfactory quality of life of the older adults investigated.

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Assessment of religious coping in patients with COPD

Jornal Brasileiro de Pneumologia ◽

10.1590/1806-3713/e20180150 ◽

2020 ◽

Vol 46 (1) ◽

Author(s):

Francisco Alessandro Braga do Nascimento ◽

Guilherme Pinheiro Ferreira da Silva ◽

Geisyani Francisca Gomes Prudente ◽

Rafael Mesquita ◽

Eanes Delgado Barros Pereira

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Religious Coping ◽

Control Group ◽

Inverse Association ◽

Healthy Individuals ◽

Cross Sectional ◽

The Mean ◽

Minute Walk

ABSTRACT Objective: To compare religious coping (RC) in patients with COPD and healthy individuals, as well as to determine whether RC is associated with demographic characteristics, quality of life, depression, and disease severity in the patients with COPD. Methods: This was a cross-sectional study conducted between 2014 and 2016, involving outpatients with moderate to severe COPD seen at one of two hospitals in Fortaleza, Brazil, as well as gender- and age-matched healthy controls. The Brief RCOPE scale assessed RC in all of the participants. We also evaluated the COPD group patients regarding symptoms, quality of life, and depression, as well as submitting them to spirometry and a six-minute walk test. Results: A total of 100 patients were evaluated. The mean age was 67.3 ± 6.8 years, and 54% were men. In the COPD group, the mean positive RC score was significantly higher than was the mean negative RC score (27.17 ± 1.60 vs. 8.21 ± 2.12; p = 0.001). The mean positive RC score was significantly higher in women than in men (27.5 ± 1.1 vs. 26.8 ± 2.8; p = 0.02). Negative RC scores were significantly higher in the COPD group than in the control group (p = 0.01). Negative RC showed an inverse association with six-minute walk distance (6MWD; r = −0.3; p < 0.05) and a direct association with depressive symptoms (r = 0.2; p < 0.03). Positive RC correlated with none of the variables studied. Multiple regression analysis showed that negative RC was associated with 6MWD (coefficient = −0.009; 95% CI: −0.01 to −0.003). 6MWD explained the variance in negative RC in a linear fashion. Conclusions: Patients with COPD employ negative RC more often than do healthy individuals. Exercise capacity and depressive symptoms are associated with negative RC.

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Depressive Symptoms and Quality of Life in a Sample of Italian Women with a Diagnosis of Fibromyalgia: The Role of Attachment Styles

Depression Research and Treatment ◽

10.1155/2021/5529032 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Cristina Sechi ◽

Loredana Lucarelli ◽

Laura Vismara

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Attachment Styles ◽

World Health ◽

Depression Symptoms ◽

Life Questionnaire ◽

World Health Organization Quality ◽

Italian Women ◽

The Impact

Background. Women with fibromyalgia (FM) commonly suffer from depression, pervasive fatigue, and pain. The attachment style has been hypothesized to be an important factor for understanding the experience of these symptoms. Therefore, the present cross-sectional study is aimed at investigating the effect of attachment styles in women with a diagnosis of FM on depressive symptoms and quality of life. Method. Participants were 453 Italian women with a physician’s diagnosis of FM with a mean age of 47 years ( SD = 10.9 ). To assess attachment styles, quality of life, and depressive symptoms, women responded, respectively, to the Relationship Questionnaire, the World Health Organization Quality of Life Questionnaire, and the Beck Depression Inventory II. Results. Our results showed that the incidence of depressive symptoms was elevated, with 59% of women reporting moderate to severe symptoms. Also, the statistical analyses showed that both preoccupied and avoidant/dismissing attachments were related with depression symptoms and low perception of QoL. Conclusions. Our study demonstrates that, when evaluating the impact of FM on the QoL of women, it is important to consider the complexity of the variables that are at play. Insecure attachment styles and depressive symptoms seem to increase the likelihood of the psycho-social-somatic malaise in FM women.

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Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study (Preprint)

10.2196/preprints.18946 ◽

2020 ◽

Author(s):

Chao Cheng ◽

Rainbow Tin Hung Ho ◽

Yan Guo ◽

Mengting Zhu ◽

Weixiong Yang ◽

...

Keyword(s):

Quality Of Life ◽

Esophageal Cancer ◽

Depressive Symptoms ◽

Physical Fitness ◽

Mobile Health ◽

Control Group ◽

Intervention Model ◽

Comprehensive Intervention

BACKGROUND Patients with esophageal cancer often experience clinically relevant deterioration of quality of life (QOL) after esophagectomy owing to malnutrition, lack of physical exercise, and psychological symptoms. OBJECTIVE This study aimed to evaluate the feasibility, safety, and efficacy of a comprehensive intervention model using a mobile health system (CIMmH) in patients with esophageal cancer after esophagectomy. METHODS Twenty patients with esophageal cancer undergoing the modified McKeown surgical procedure were invited to join the CIMmH program with both online and offline components for 12 weeks. The participants were assessed before surgery and again at 1 and 3 months after esophagectomy. QOL, depressive symptoms, anxiety, stress, nutrition, and physical fitness were measured. RESULTS Of the 20 patients, 16 (80%) completed the program. One month after esophagectomy, patients showed significant deterioration in overall QOL (P=.02), eating (P=.005), reflux (P=.04), and trouble with talking (P<.001). At the 3-month follow-up, except for pain (P=.02), difficulty with eating (P=.03), dry mouth (P=.04), and trouble with talking (P=.003), all other QOL dimensions returned to the preoperative level. There were significant reductions in weight (P<.001) and BMI (P=.02) throughout the study, and no significant changes were observed for physical fitness measured by change in the 6-minute walk distance between baseline and the 1-month follow-up (P=.22) or between baseline and the 3-month follow-up (P=.52). Depressive symptoms significantly increased 1 month after surgery (P<.001), while other psychological measures did not show relevant changes. Although there were declines in many measures 1 month after surgery, these were much improved at the 3-month follow-up, and the recovery was more profound and faster than with traditional rehabilitation programs. CONCLUSIONS The CIMmH was feasible and safe and demonstrated encouraging efficacy testing with a control group for enhancing recovery after surgery among patients with esophageal cancer in China. CLINICALTRIAL Chinese Clinical Trial Registry (ChiCTR-IPR-1800019900); http://www.chictr.org.cn/showprojen.aspx?proj=32811.

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Development and Feasibility of a Mobile Health–Supported Comprehensive Intervention Model (CIMmH) for Improving the Quality of Life of Patients With Esophageal Cancer After Esophagectomy: Prospective, Single-Arm, Nonrandomized Pilot Study

Journal of Medical Internet Research ◽

10.2196/18946 ◽

2020 ◽

Vol 22 (8) ◽

pp. e18946

Author(s):

Chao Cheng ◽

Rainbow Tin Hung Ho ◽

Yan Guo ◽

Mengting Zhu ◽

Weixiong Yang ◽

...

Keyword(s):

Quality Of Life ◽

Esophageal Cancer ◽

Depressive Symptoms ◽

Physical Fitness ◽

Mobile Health ◽

Control Group ◽

Intervention Model ◽

Comprehensive Intervention

Background Patients with esophageal cancer often experience clinically relevant deterioration of quality of life (QOL) after esophagectomy owing to malnutrition, lack of physical exercise, and psychological symptoms. Objective This study aimed to evaluate the feasibility, safety, and efficacy of a comprehensive intervention model using a mobile health system (CIMmH) in patients with esophageal cancer after esophagectomy. Methods Twenty patients with esophageal cancer undergoing the modified McKeown surgical procedure were invited to join the CIMmH program with both online and offline components for 12 weeks. The participants were assessed before surgery and again at 1 and 3 months after esophagectomy. QOL, depressive symptoms, anxiety, stress, nutrition, and physical fitness were measured. Results Of the 20 patients, 16 (80%) completed the program. One month after esophagectomy, patients showed significant deterioration in overall QOL (P=.02), eating (P=.005), reflux (P=.04), and trouble with talking (P<.001). At the 3-month follow-up, except for pain (P=.02), difficulty with eating (P=.03), dry mouth (P=.04), and trouble with talking (P=.003), all other QOL dimensions returned to the preoperative level. There were significant reductions in weight (P<.001) and BMI (P=.02) throughout the study, and no significant changes were observed for physical fitness measured by change in the 6-minute walk distance between baseline and the 1-month follow-up (P=.22) or between baseline and the 3-month follow-up (P=.52). Depressive symptoms significantly increased 1 month after surgery (P<.001), while other psychological measures did not show relevant changes. Although there were declines in many measures 1 month after surgery, these were much improved at the 3-month follow-up, and the recovery was more profound and faster than with traditional rehabilitation programs. Conclusions The CIMmH was feasible and safe and demonstrated encouraging efficacy testing with a control group for enhancing recovery after surgery among patients with esophageal cancer in China. Trial Registration Chinese Clinical Trial Registry (ChiCTR-IPR-1800019900); http://www.chictr.org.cn/showprojen.aspx?proj=32811.

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