Frequency of emotional disturbances among hostelites and day scholars medical students

Author(s):  
Shireen Jawed ◽  
Benash Altaf ◽  
Rana Muhammad Tahir Salam ◽  
Farhat Ijaz

Abstract Objectives: This study was aimed to determine and compare the frequency of the emotional disturbances, anxiety and depression among the medical students on Hospital Anxiety Depression scale (HAD) score among the hostelites and day scholars. Methodology: This cross sectional study was conducted at private medical college in Faisalabad, Pakistan, from March 2019 to April 2019, comprising of 105 male and female students. Validated Hospital Anxiety depression scale (HAD-A and HAD-D) was used to collect data from 1st year and 2nd year MBBS students in order to evaluate anxiety and depression among them.  Data was analyzed on SPSS 21. Pearson’s Chi-square was applied to compare the percentages of anxious and depressed subjects among the studied group. Independent sample t-test was applied for comparison of mean HAD scores between hostelites and day scholars. P value ? 0.05 was taken as significant. Results: There were 105 students in the study with a mean age of 19.4± 0.68 years. Overall, 82.7% students had anxiety, and 52.1% suffered from depression. Average HAD –A and HAD- D scores were 11.2 ± 3.41 and 7.2 ± 3.37 respectively. Greater number of hostelites was suffering from emotional disturbances as compared to day scholars.  HAD –A scores was significantly higher in hostelites than day scholars with P value 0.003*(11.85 ± 3.42 Vs 10.92 ±2.56).  HAD- D scores were also higher in hostilities but difference was insignificant. (7.57± 3.42   Vs 6.85 ±1.58) Continuous...

2020 ◽  
Author(s):  
Miyabi Uda ◽  
Motomu Hashimoto ◽  
Ryuji Uozumi ◽  
Mie Torii ◽  
Takao Fujii ◽  
...  

Abstract Introduction / objectives Management of anxiety and depression in rheumatoid arthritis (RA) patients is vital. Previous studies investigating this topic are conflicting, and this topic still has not been thoroughly investigated. This study aimed to clarify the association of disease activity with anxiety and depression after controlling for physical disability, pain, and treatment. Method We conducted a cross-sectional study of RA patients from the Kyoto University Rheumatoid Arthritis Management Alliance cohort. For assessments, we used the Disease Activity Score (DAS28), Health Assessment Questionnaire Disability Index (HAQ-DI), and Hospital Anxiety Depression Scale. Depression and anxiety were defined by a Hospital Anxiety Depression Scale score ≥8. We then performed multivariable logistic regression analyses. Results Of 517 participants, 17.9% had anxiety, and 28.2% had depression. The multivariable logistic regression analyses showed patients with DAS28-based non-remission had low association with anxiety (odds ratio [OR] [95% confidence interval {CI}], 0.93 [0.48–1.78]: p = 0.82) but slight association with depression (OR [95% CI], 1.45 [0.81–2.61]: p = 0.22). However, severity of the patient’s global assessment (PtGA) on DAS28 was associated with anxiety (OR [95% CI], 1.15 [1.02–1.29]; p = 0.03) and depression (OR [95% CI], 1.21 [1.09–1.35]; p < 0.01). Additionally, HAQ-DI-based non-remission was associated with anxiety (OR [95% CI], 3.51 [1.85–6.64]; p < 0.01) and depression (OR [95% CI], 2.65 [1.56–4.50]; p < 0.01). Younger patients (OR [95% CI], 0.83 [0.68–1.01]; p = 0.07) and patients not treated with methotrexate (OR [95% CI], 0.67 [0.40–1.13]; p = 0.13) tended to suffer from anxiety. Patients using steroids had a closer association with depression than those not using them (OR [95% CI], 1.66 [1.03–2.67]; p = 0.04). Conclusions Assessment of disease activity, PtGA, and HAQ-DI are important for assessing anxiety and depression in RA patients. Attention should be paid to improving PtGA and physical function.


2018 ◽  
Vol 27 (4) ◽  
pp. 271-8
Author(s):  
Lucky A. Bawazier ◽  
Ignatius Stanley ◽  
Wicensius Sianipar ◽  
Suhardjono Suhardjono

Background: In Indonesia, chronic kidney disease (CKD) is primarily managed by hemodialysis (HD) because limited resources rule out the possibility of renal transplantation. HD patients are commonly accompanied by caregivers. However, most studies have neglected the health of caregivers, who play an important role in the survival of HD patients. This study aimed to determine the proportion of caregivers who suffer from anxiety and depression and the factors involved.Methods: This was a cross-sectional study involving 100 caregivers in the HD unit of Cipto Mangunkusumo Hospital, Jakarta. This study used the hospital anxiety depression scale (HADS) to determine the extent of anxiety and depression among caregivers. All caregivers were asked to fill out the questionnaire without assistance.Results: A total of 28% and 18% of caregivers were found to be anxious and depressed respectively. The caregiver’s relationship with the patient, whether the caregiver was being paid or unpaid, the total duration of care, and income were not associated with levels of anxiety and depression. However, the proportion of each 24-hour period spent on care was significantly associated with anxiety (p=0.037) and depression (p=0.015). The time spent on care every 24 hours was also a significant predictor of anxiety (p=<0.001) and depression (p=0.021).Conclusion: One-third of caregivers were found to be anxious and/or depressed. The time spent on care every 24 hours was a strong predictor of both anxiety and depression.


2020 ◽  
Vol 4 (3) ◽  
pp. 809-812
Author(s):  
Regan Shakya ◽  
Bandana Gautam

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disabling illness characterized by persistent airflow limitation affecting physical, psychological and social aspect of the individual. Amongst the associated co morbidities, depression and anxiety has been identified as common modifiable psychiatric comorbidities of COPD which impacts the patient’s quality of life.  Objectives: To establish the prevalence of depression and anxiety among the COPD patient and determine the association between them. Methodology: The cross sectional study was conducted at Dhulikhel Hospital. We used a convenient sampling method to recruit seventy three COPD participants admitted in the Medicine ward. We interviewed the participants to evaluate anxiety and depression using the Nepali version of Hospital Anxiety and Depression Scale questionnaire. We considered positive result of anxiety and depression when the Hospital Anxiety and Depression score was above eight.  Results: Depressive and Anxiety symptoms were observed in 30 % and 33% of the participants respectively. Similarly 20% of the participants had both the symptoms of depression and anxiety. The association between depression and anxiety was found to be highly significant (p<0.001). In the multivariate model the odds of depression and anxiety was nine percent increase with every one year increase in age after adjusting for gender and duration of illness. (adjusted OR: 1.07; CI 1.00- 1.17; p-value: 0.03). In an unadjusted model depression was significantly associated to every year increase in age (unadjusted OR: 1.07; CI: 1.00- 1.13; p-value: 0.03) Conclusion: Depression and anxiety is prevalent among COPD patient at Dhulikhel hospital with one fifth of the patient demonstrating both depression and anxiety symptoms.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Durand-Hill ◽  
D I Ike ◽  
A N Nijhawan ◽  
A B Shah ◽  
A Dawson ◽  
...  

Abstract Introduction During the COVID pandemic, the 2019-2020 cohort of final year students were invited to participate in Foundation interim Year 1 placements (FiY1). FiY1 aimed to ease transition to Foundation Year 1 doctor (FY1). We assessed the psychological impact of FiY1 on final year medical students. Method A cross-sectional survey was distributed to final year medical students in the UK between June 4th and July 4th, 2020. The survey contained the following domains: participant demographics, rationale for FiY1 participation, a checklist of the key safety principles for FiY1s, the Hospital Anxiety and Depression Scale and the Perceived Stress scale-4. Results 107 final years responded to the survey. 72.0% (n = 77) of final year students surveyed were working as FiY1s. Final year students participating in FiY1 postings had reduced rates of anxiety (29.9% vs 43.4%, P = 0.186), depression (5.2% vs 20.0%, P = 0.018) and lower perceived stress levels (5.0 vs 7.2, P &lt; 0.001). 19.5% (15/77) FiY1s reported working beyond their competency, 27.3% (22/77) felt unsupervised, but 94.8% (73/77) of FiY1s felt the post prepared them for FY1. Conclusions Students participating in FiY1 postings felt less stressed and depressed than those not participating in the scheme and the majority felt it was preparing them for FY1.


2020 ◽  
Vol 10 (3) ◽  
pp. 200-204
Author(s):  
Sana Akbar ◽  
Misbah Riaz ◽  
Lalarukh Munawar ◽  
Shazia Shakoor

Objective: The purpose of this study was to correlate the hypochondriacal concerns related to diseases with level of anxiety and depression symptoms among medical and engineering undergraduates. Study design and Setting: Cross sectional study was conducted among undergraduates of final year students of BUMDC (Bahria University Medical & Dental College) and engineering students from NUST- PNEC (NUST – Pakistan Navy Engineering College). Methodology: In this study; (99) final year medical students and (92) engineering students were recruited. In order to maintain consistency of age, students aging between 21–26 years were selected. Selected students were handed to fill the required ‘Self-administered Questionnaire’ comprising of demographic details, short health anxiety inventory, medical history and DASS (depression, anxiety and stress scale) which were completed on-site. Data was entered in SPSS version 21 and analyzed using Fisher’s exact test. P value < 0.05 was considered as statistically significant. Result: Out of 191 students in total from both the groups n=86 (45%) were females and n=105(55%) were males. There were 99 participants from MBBS and 92 from engineering. The participants’ ages ranged from 21-26 years with a mean= 23.95 (SD±2.29), both the cohorts belonged to approximately same age group. While assessing depression the responses were not very different for both the groups. When responses of depression scale were related to visits to psychiatrists or psychologist or psychotherapist a strong relationship was observed (p=0.012) in medical students cohort. Conclusion: The results of the study reflected comparable psychosocial strain at an elevated level among both student groups


PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0210111 ◽  
Author(s):  
Heidi Turon ◽  
Mariko Carey ◽  
Allison Boyes ◽  
Bree Hobden ◽  
Sophie Dilworth ◽  
...  

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Joy Osagiator Ariyo ◽  
Ebenezer Olutope Akinnawo ◽  
Bede Chinonye Akpunne ◽  
Daniel Oluwasanmi Kumuyi ◽  
Deborah Foluke Onisile

Background: Health care workers (HCWs) are the frontline of coping COVID-19 pandemic, which indicates the importance of improving their mental wellness to better cope with the situation. Objectives: The current study aimed to firstly assess the severity of anxiety and depression and perceived vulnerability to diseases, and secondly to investigate their association with the fear of COVID-19 among Nigerian HCWs. Methods: For this cross-sectional study, a purposefully selected sample of 413 HCWs from two tertiary healthcare institutions in Benin City, Edo State, South-South Nigeria, responded to the Fear of COVID-19 Scale, Hospital Anxiety and Depression Scale, and Perceived Vulnerability to Disease Scale. Data was collected between October 2020 and February 2021. Descriptive statistics were used to summarize socio-demographic variables, while inferential statistics (t-test for independent samples, one-way ANOVA, and linear regression) were used to test hypotheses. Results: A high prevalence of anxiety, depression, and perceived vulnerability to diseases (PVD) was observed. Perceived infectability (β = 0.244, P = 0.000), germ aversion (β = 0.166, P = 0.000), and composite PVD (β = 0.96, P = 0.000) were identified as independent and significant predictors of fear of COVID-19, accounting for 7.5; 3.3, and 9.9% variance in the severities of Fear of COVID-19, respectively. Anxiety and depression showed a significant joint prediction of Fear of COVID-19 severity, accounting for a 4.0% variance in the severity. Fear of COVID-19 was not found to be influenced by sex or job type differences among the HCWs. Conclusions: This study demonstrated a high incidence of anxiety, depression, and perceived vulnerability to COVID-19 among Nigerian HCWs. These reported symptoms of psychopathology are also strong independent and joint predictors of fear of COVID-19.


2017 ◽  
Vol 1 (2) ◽  
pp. 127
Author(s):  
Jihanni Mustika Mawardani ◽  
Haryani . ◽  
Probosuseno .

ABSTRAKLatar belakang: Kemoterapi menimbulkan efek samping fi siologis dan psikologis. Gejala psikologis yang dapatterjadi berupa kecemasan dan depresi. Masalah psikososial dapat diatasi dengan memfasilitasi peningkatankoping pasien melalui pemberian informasi dan peningkatan sistem dukungan. Program PRO–SELF yangdidesain untuk pasien kanker dewasa meliputi informasi, keterampilan, dan dukungan supaya penderitakanker dapat terlibat mandiri secara efektif dan konsisten dalam mengelola efek samping kemoterapi sehinggakeparahan gejala yang berhubungan dengan penyakitnya atau penanganan penyakitnya dapat diminimalkan.Tujuan: mengetahui pengaruh implementasi Program PRO-SELF terhadap kecemasan dan depresi padapasien kemoterapi. Metode: penelitian quasi eksperimen dengan pre-test-post-test one group design yangmelibatkan 40 responden selama 3 bulan dengan kriteria inklusi semua pasien kemoterapi, berusia kurangdari 65 tahun, nilai skala Eastern Cooperative Oncology Group (ECOG) 0–2. Data dikumpulkan pada bulanJuli–September 2013 di Ruang Penyakit Dalam IRNA 1 RSUP Dr. Sardjito. Kriteria eksklusinya pasien kankeryang memiliki riwayat gangguan psikiatri. Responden diberikan pre-test, kemudian diberikan intervensi olehpeneliti berupa pemberian program PRO-SELF yang terdiri atas pemberian informasi, keterampilan tentangkemoterapi dan pengurangan efek samping kemoterapi, serta pemberian dukungan melalui telepon saatpasien di rumah. Setelah intervensi, responden diberikan post-test dengan jarak waktu 3 minggu dari pretest. Pengukuran kecemasan dan depresi menggunakan kuesioner hospital anxiety depression scale (HADS).Analisis data dilakukan dengan analisis Wilcoxon Test dengan tingkat kepercayaan 95%. Hasil: Terdapatperbedaan bermakna tingkat kecemasan pada responden (p=0,001) dari pre-test ke post-test. Tingkat depresitidak bermakna dari pre-test ke post-test (p=0,258). Kesimpulan: Implementasi program PRO-SELF secaraefektif dapat mengurangi kecemasan pasien kemoterapi, tetapi tidak dapat secara efektif mengurangi depresi.Kata Kunci: kemoterapi, kecemasan, depresi, program PRO-SELF.ABSTRACTBackground: Chemotherapy causes physiological and psychological side effects. Psychological symptomsthat can occur are anxiety and depression. Psychosocial problems can be overcame by improved patient copingthrough the provision of information and improved support system. PRO-SELF program that was designedincrease self-care skills for adult patients undergoing cancer therapy includes information, skills, and support socancer patients can be engaged effectively and consistently independent in managing side effect chemotherapy,so the severity of symptoms due to disease or treatment disease can be minimized. Objectives: To identify theeffect of implementation PRO-SELF program to anxiety and depression in chemotherapy patients. Methods:This study used pre-experimental, one-group pre-test-post-test design involving 40 respondents for 3 month,inclusion criteria in this study are all chemotherapy patients, aged less than 65 years, screening patients withEastern Cooperative Oncology Group (ECOG 0–2) scale. Data were collected within July–September 2013 inInternal Injuries IRNA 1 Room RSUP Dr. Sardjito Yogyakarta. Exclusion criteria is cancer patients who havehistory of psychiatric disorder. Respondents were given a pre-test, then were given intervention by nursingstudent with provision of information, skills in reducing chemotherapy side effects, and provide support withtelephone when patients are at home. Respondent were given post-test after intervention 3 weeks after pretest. Measurement of anxiety and depression using hospital anxiety depression scale (HADS) questionnairesand analyzed with Wilcoxon test with 95% level of signifi cancy. Results: Decrease respondents anxiety frompre-test to post-test with signifi cancy 0.001, there is signifi cant difference. Depression respondents changedfrom pre-test to post-test with signifi cancy 0.258, that is non-signifi cant difference. Discussion: PRO-SELFprogram effectively reduce anxiety because information, skills, support can reduce anxiety. Conclusions:Implementation of the PRO-SELF program effectively reduce patient anxiety chemotherapy. Yet it can notreduce depression effectively.Keywords: chemotherapy, anxiety, depression, PRO-SELF program.


Author(s):  
Wajana Thaweerat ◽  
Wannarat Amornnimit Pongpirul ◽  
Wisit Prasithsirikul

AbstractAnxiety and depression in hospitalized COVID-19 patients in Thailand during the first wave of the pandemic were investigated. Thai version of Hospital Anxiety and Depression Scale (HADS) was chosen as an instrument for evaluation. Thirty-two voluntary participants completed the questionnaire. Three (9.4%) respondents had abnormal anxiety sub-scale scores while no respondents had abnormal depression sub-scale scores. There was no statistical demographic difference between the anxiety and non-anxiety groups.


2019 ◽  
Vol 09 (03) ◽  
pp. 183-187
Author(s):  
Kiran Fatima Mehboob Ali Bana ◽  
◽  
Zubair Ahmed Abbassi ◽  
Samina Saleem

Objective: To assess the anxiety and depression among the dentists of Karachi by using AKUADS. Study Design and Setting: It was a cross sectional study design conducted in Karachi. Methodology: The calculated sample size was 293.The data was collected over a period of 3 months with the help of validated Questionnaire of Aga Khan University Anxiety and Depression Scale (AKUADS). Informed consent was taken and rationale was explained to all the participants before commencement of this study. Results: Our study focused on sample of 234. The response rate was 79.8%. The anxiety and depression was prevalent in 67.9% of dentists from Karachi. Males and unmarried/single dentists were more depressed than females and married dentists. The 24-30 years of dentists having more than five years of professional experience and were working more than 40 hours per week were found to be more depressed n=82 (72.56%) than the dentists who worked less than forty hours per week; n=77 (63.6%) and calculated P value was 0.093. When analyzing the association between anxiety and depression and working sector; dentists who worked in private sector (n=81) 71.05% were found to be more depressed than the dentists worked in Public sector and the calculated P-value was 0.197. Conclusion: The study rendered substantial data about unexpectedly high prevalence of anxiety and depression among the sample of dentists from Karachi. It was inferred from the study that experience in professional field, age of dentists, more than 40 hours working per week and working in private sector have been associated with anxiety and depression among the dentists of Karachi.


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