Anxiety and Depression in School-going children with Epilepsy

Background: This study was designed to find the prevalence of anxiety and depression in school-going children with epilepsy.Methods:All the patients with epilepsy presenting during the study period underwent detailed clinical and EEG evaluation. Hospital Anxiety and Depression score (HADS) was used to screen for anxiety and depression.Results:We identified 190 patients with epilepsy during the study period. Out of these 30 (15.8%) were diagnosed as having treatment resistance epilepsy. Anxiety was diagnosed in 114 (60%) and depression in 62 (32.6%). Patients with drug resistant epilepsy were found to have statistically significant markers in the form of higher scores for depression and anxiety, and lower IQ scores. Frequency of GTCS (Generaized Tonic Clonic Seizures) showed inverse correlation with IQ scores and direct correlation to the anxiety/depression scores.Conclusion:We conclude that anxiety and depression in school-going children with epilepsy is common and that it has a correlation with treatment resistance.

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Impact of Anxiety and Depression on Quality of Life among Patients Undergoing Hemodialysis: A Scoping Review

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v2i3.134 ◽

2020 ◽

Vol 2 (3) ◽

pp. 14

Author(s):

Fatima I. AlNashri ◽

Hayfa H. Almutary ◽

Elham A. Al Nagshabandi

Keyword(s):

Quality Of Life ◽

Scoping Review ◽

Short Form ◽

Hemodialysis Patients ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Life Threatening ◽

Anxiety Depression ◽

The Impact

Context: Chronic kidney disease (CKD) is a life-threatening problem of global concern. Living with CKD is associated with many psychological problems, including depression and anxiety, which can directly or indirectly affect the quality of life. Only one review in the existing literature has assessed these associations among CKD patients using different dialysis modalities. However, the experience of these symptoms could be higher among patients on hemodialysis therapy. In this purview, there is a need to narrow the previous work to be more focused on hemodialysis patients. Aim: This scoping review aims to determine the gaps in the knowledge about the impact of anxiety and depression concerning QOL among people undergoing hemodialysis. Methods: The studies selected were those examined the relationships between depression or/and anxiety with quality of life in adult patients on hemodialysis. The CINAHL, MEDLINE, and Pub Med databases were searched for literature published between January 2012 and December 2019. The quality of the included studies was also apprised. Eleven studies met the inclusion criteria. Results: Six studies examined the impact of depression and anxiety on the quality of life. Five studies identified from the review have examined the relationships between depression and quality of life. It was established that the prevalence of anxiety and depression was high among hemodialysis patients, and the same was associated with low quality of life. Conclusion: The literature review highlights the negative associations between anxiety, depression, and quality of life among hemodialysis patients. It is, therefore, essential to screen hemodialysis patients frequently for anxiety and depression using a short-form questionnaire. This screening would allow for providing early interventions, and the potential deterioration of quality of life could be prevented. Further longitudinal studies are needed to assess these relationships. Additionally, further research is needed to determine effective interventional programs to improve the overall quality of life.

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Assessment and Management of Depression and Anxiety in Children and Adolescents with Epilepsy

Behavioural Neurology ◽

10.1155/2019/2571368 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

David Plevin ◽

Nicholas Smith

Keyword(s):

Children And Adolescents ◽

Clinical Management ◽

Narrative Review ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Antiepileptic Medication ◽

Significant Burden ◽

Patients With Epilepsy ◽

Paediatric Epilepsy

Anxiety and depression in children and adolescents with epilepsy are common comorbidities which place a significant burden on patients and families and complicate the clinical management of epilepsy. This paper presents a narrative review on the aetiology, phenomenology, assessment, and management of depression and anxiety among paediatric patients with epilepsy. The recognition of affective comorbidity in paediatric epilepsy is limited at present, and the contributory role of antiepileptic medication towards such comorbidity must be considered by clinicians.

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The Correlation of the Tinnitus Handicap Inventory with Depression and Anxiety in Veterans with Tinnitus

International Journal of Otolaryngology ◽

10.1155/2015/689375 ◽

2015 ◽

Vol 2015 ◽

pp. 1-8 ◽

Cited By ~ 10

Author(s):

Jinwei Hu ◽

Jane Xu ◽

Matthew Streelman ◽

Helen Xu ◽

O’neil Guthrie

Keyword(s):

Anxiety And Depression ◽

Depression And Anxiety ◽

Multidisciplinary Intervention ◽

Tinnitus Handicap Inventory ◽

Hearing Status ◽

Male Veterans ◽

Positive Correlations ◽

Anxiety Depression ◽

The Relationship ◽

Severe Tinnitus

Objective. The mechanisms of tinnitus are known to alter neuronal circuits in the brainstem and cortex, which are common to several comorbid conditions. This study examines the relationship between tinnitus and anxiety/depression.Subjects and Methods. Ninety-one male veterans with subjective tinnitus were enrolled in a Veterans Affairs Tinnitus Clinic. The Tinnitus Handicap Inventory (THI) was used to assess tinnitus severity. ICD-9 codes for anxiety/depression were used to determine their prevalence. Pure tone averages (PTA) were used to assess hearing status.Results. Descriptive analyses revealed that 79.1% of the 91 tinnitus sufferers had a diagnosis of anxiety, 59.3% had depression, and 58.2% suffered from both anxiety/depression. Patients with anxiety had elevated total THI scores as compared to patients without anxiety (p<0.05). Patients with anxiety or depression had significantly increased Functional and Emotional THI scores, but not Catastrophic THI score. Significant positive correlations were illustrated between the degree of tinnitus and anxiety/depression (p<0.05). There were no differences in PTA among groups.Conclusions. A majority of patients with tinnitus exhibited anxiety and depression. These patients suffered more severe tinnitus than did patients without anxiety and depression. The data support the need for multidisciplinary intervention of veterans with tinnitus.

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Effect of COVID-19 Pandemic on Anxiety Depression And Intention To Go To Hospital in Chronic Patients

10.21203/rs.3.rs-42753/v1 ◽

2020 ◽

Author(s):

Yasemin Kaya ◽

Sedat Bostan ◽

Ahmet Kaya ◽

Ömer Karaman ◽

Ahmet Karataş ◽

...

Keyword(s):

Data Collection ◽

Correlation Analysis ◽

Inverse Correlation ◽

Anxiety And Depression ◽

Data Collection Tool ◽

Chronic Patients ◽

Anxiety Depression

Abstract Objective: The aim of this study was to investigate the effects of COVID-19 pandemic on anxiety depression and intention to go to hospital in chronic patients.Methods: The Bostan Intention to Go to Hospital Scale developed by one researcher (SB) as the data collection tool and the Beck Anxiety-Depression Inventories were used.Results: 56.8% of the patients stated that they would go to the hospital in case of emergency and 28.3% expressed that they did not want to go to the hospital even in this case. 50% of the patients said that they did not want to go to the hospital under any circumstances during the pandemic process. As a result of the correlation analysis, there were inverse correlation between the anxiety-depression levels and encountering COVID patient and having a relative with COVID (p=0.001). Inverse correlation was found between intention to go to hospital and encountering COVID patient (p=0.001).Conclusion: It was revealed that chronic patients did not have any intentions to go to hospital during the COVID-19 pandemia and only half of people were willing to go to hospital in case of emergency. Anxiety and depression levels were found to increase when COVID patient was encountered or a relative had COVID.

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Psychological impact of COVID-19 pandemic on mental health of general population of Pakistan

Journal of Islamabad Medical & Dental College ◽

10.35787/jimdc.v9i4.592 ◽

2020 ◽

Vol 9 (4) ◽

pp. 256-261

Author(s):

Muhammad Afzal ◽

Dr. Hameed Mumtaz Durrani ◽

Dr. Muhammad Imran Sohail

Keyword(s):

Mental Health ◽

General Population ◽

Psychological Impact ◽

Depression Score ◽

Vulnerable Groups ◽

Anxiety And Depression ◽

P Value ◽

Depression And Anxiety ◽

Comorbid Disease ◽

The Mean

Objective: To ascertain the psychological impact of COVID-19 pandemic on mental health of general population of Pakistan. Study design: Descriptive Cross-Sectional Study. Place and Duration of study: The participants in the study were selected from community population of Islamabad in a period of two months from 15th May to 15 July 2020. Patients and Methods: A total of 278 participants were selected for this study. All the participants were given structured questionnaire consisting on demographic information HADS scoring system to calculate depression and anxiety. HADS consists of 14 questions, each of which is scored 0–3. The possible scores for depression and anxiety ranged 0-21. Higher scores indicate increased severity of anxiety or depression. A cut off value of 8 or more was used to identify the anxiety and depression. Results: The mean age was 33.42 ± 9.67 years and 148 (53.2%) were males. Among these participants 238 (85.6%) were resident of urban area, and 167 (60.1%) were married. Most of the participants were graduate 102 (36.7%). Thirty-six (12.9%) participants had a known patient of Covid-19 in their family or friends. Most of the participants 196 (70.5%) had no any comorbid disease. The mean anxiety score was noted to be 6.47 ± 5.51 and mean depression score was 6.65 ± 4.17. History of any comorbid disease showed a highly significant (p-value < 0.01) association with anxiety and depression score. Conclusion: To minimize the effect of Covid-19 pandemic on mental health of general population attention should be given to vulnerable groups like males, middle age adults, less educated and unemployed persons especially the people with chronic comorbid disease. Keywords: Covid-19, Mental health, General population, Anxiety, Depression

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Psychiatric Disorders in an Arctic Community

The Canadian Journal of Psychiatry ◽

10.1177/070674370004500404 ◽

2000 ◽

Vol 45 (4) ◽

pp. 357-362 ◽

Cited By ~ 17

Author(s):

Jack Haggarty ◽

Zack Cernovsky ◽

Patricia Kermeen ◽

Harold Merskey

Keyword(s):

Alcohol Abuse ◽

Psychiatric Disorders ◽

Depression Scale ◽

Self Report ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Hospital Anxiety ◽

Cross Sectional ◽

The Past ◽

Anxiety Depression

Objective: To determine the rates of depression, anxiety, and alcohol abuse, using modern nosology, in a random sample of residents aged 14 to 85 years living in an Arctic community. Method: A cross-sectional 2-step survey of randomly selected households was undertaken, using a self-report questionnaire to screen for anxiety, depression, and alcohol abuse. The survey included the Hospital Anxiety and Depression Scale (HADS) and Ewing and Roose's 4-question alcohol screening instrument (the CAGE questionnaire). Cut-off scores for the HADS and CAGE were found by comparing HADS and CAGE scores with scores on the Structured Clinical Interview for the DSM-III-R (SCID) in a stratified subs ample. Results: Estimated rates of depression and anxiety were 26.5% and 19.0% respectively within the past week, and estimated rates of lifetime alcohol abuse were 30.5%. Conclusions: The estimated prevalence of psychiatric disorders in this Arctic community is higher than that indicated in previous findings on Native mental health.

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The impact of coping on self-esteem and mental status of patients with COPD

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.628 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s500-s500

Author(s):

I. Papava ◽

A.C. Bredicean ◽

L. Dehelean ◽

R. Romosan ◽

A.M. Romosan ◽

...

Keyword(s):

Mental Status ◽

Coping Styles ◽

Depression Scale ◽

Self Esteem ◽

Depression Score ◽

Anxiety And Depression ◽

Chronic Obstructive ◽

Depression And Anxiety ◽

Psychological Dimension ◽

The Impact

IntroductionCOPD (chronic obstructive pulmonary disease) is a chronic illness associated with psychological distress. Self-esteem and the associated comorbidities, like depression and anxiety, can influence its evolution.ObjectivesTo analyze how predominant coping styles associated with different levels of self-esteem and mental status in patients with COPD.AimsTo demonstrate that different types of coping-styles have an impact on self-esteem, depression and anxiety.MethodsTo a lot consisting of 28 subjects with COPD, was applied the COPE scale to assess the style of coping, to rate anxiety and depression The Hospital Anxiety and Depression Scale (HADS) and for self-esteem the Rosenberg Self-Esteem Scale. According to their higher coping sub-scale score, they were classified to one dominant coping type as follows: patients with problem-focused coping type (n = 9), emotion-focused coping (n = 10), social support-focused coping (n = 6), respectively avoiding coping type (n = 3).ResultsPatients with dominant problem-focused coping had the most elevated self-esteem compared to patients with social-focused coping (22.0 vs. 16.2; P = 0.039), the depression score was the highest in patients with dominant avoidance-type coping and the lowest in patients with dominant problem-focused coping (11.0 vs. 5.6; P = 0.042) respectively anxiety, was the highest in patients with dominant social-focused coping and the lowest in patients with dominant emotion-focused coping (11.6 vs. 5.0; P = 0.006).ConclusionsIn patients with COPD, problem-focused and emotion-focused copings are adaptive, while avoidance and emotion-focused copings are maladaptive on self-esteem and mental status. Such as, the coping represents a psychological dimension with an impact on the evolution of the disease, and the patients with COPD should be assessed and addressed multidisciplinary.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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AB0897-HPR EVALUATION OF ANXIETY AND DEPRESSION IN PATIENTS WITH KNEE OSTEOARTHRITIS USING THE HAD “HOSPITAL ANXIETY AND DEPRESSION SCALE”

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.3835 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1472.1-1472

Author(s):

M. Brahem ◽

S. Abdellatif ◽

H. Hachfi ◽

A. Ben Salem ◽

R. Sarraj ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Depressive Symptomatology ◽

Depression Scale ◽

Womac Score ◽

Depression Score ◽

Anxiety Score ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Significant Disability ◽

The Mean

Background:Knee osteoarthritis is considered to be one of the most common causes of functional impairment, which affects the quality of life of patients leading to severe mood disorders. Our goal is to evaluate the frequency of depression and anxiety in patients with knee osteoarthritis.Objectives:Evaluate the frequency of depression and anxiety in patients with knee osteoarthritis.Methods:This is a cross-sectional study over a period of 7 months from February to August 2016, including consecutively patients who consulted in the Rheumatology department at Mahdia university hospital for knee osteoarthritis. We evaluated for each patient a validated version of HAD “Hospital Anxiety and Depression scale”. This score includes 14 items each one rated from 0 to 3 and two components including depression and anxiety.Results:We included in our study 66 patients (56 women and 10 men) with an average age of 60.3 years [40-90 years]. Knee osteoarthritis was bilateral in 56.1% of cases. The examination found limited mobility of the knee in 45.5% and flessum in 13.8% of cases. Standard radiography showed stage 1 knee osteoarthritis in 4.5%, stage 2 in 31.8%, stage 3 in 56.1% and stage 4 in 7.6% of cases. All our patients were treated with analgesics, NSAIDs in 95.5%, local corticosteroid infiltrations in 43.9% and hyaluronic acid in 7.6% of cases.The mean visual analog scale(VAS)was 5.84 ±1.7 out of 10 [2-9]. The mean overall WOMAC index was 47.15±15.6 [12-82]. The average Lequesne index was 16.8±13.1, moderate disability was found in 3% of cases, significant disability in 6.1% of cases, very significant disability in 18.2% of cases and extreme disability in 72.7% of cases. The mean depression score was 9.3±2.6 [4-16], with 24.6% of the patients had no depressive symptomatology (score ≤7), 40% had doubtful depressive symptomatology (score between 8 and 10) and 35.4% of them had certain depressive symptomatology (score ≥11).The mean anxiety score was 8.88 ± 4 [0-19], 33.3% of patients had no anxiety symptoms (score ≤ 7), 34.8% had doubtful anxiety (score between 8 and 10) and 31.8% had certain anxiety (score ≥11). The statistical study found a significant correlation between the depression score and WOMAC score, but we did not find an association with age, sex, radiological stage, mobility limitation and VAS. Regarding anxiety, there was a correlation with age, WOMAC score and female gender. On the other hand, there was no correlation with VAS, Lequesne score, radiological stage and limitation of mobility.Conclusion:Although knee osteoarthritis appears to be a benign pathology, its impact can be severe, including depression and anxiety, which are mainly influenced by the degree of functional disability. Hence psychological care is sometimes necessary in these chronic degenerative diseases.Disclosure of Interests:None declared

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State-of-the-art diagnostic and treatment modalities for anxiety and depression

Russian Medical Inquiry ◽

10.32364/2587-6821-2021-5-10-648-653 ◽

2021 ◽

Vol 5 (10) ◽

pp. 648-653

Author(s):

O.V. Kotova ◽

◽

A.A. Belyaev ◽

E.S. Akarachkova ◽

◽

...

Keyword(s):

Depressive Disorder ◽

Rating Scale ◽

State Of The Art ◽

Behavioral Therapy ◽

Depression Scale ◽

Treatment Modalities ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Keywords Anxiety ◽

Anxiety Depression

Depressive disorder, or depression, is one of the most common psychiatric diseases affecting millions worldwide. Anxiety disorders are also common. Most patients with anxiety refer to general practitioners with the signs of vegetative dysfunction. Anxiety per se occurs in 40% and is associated with depression (mixed anxiety-depressive disorder) IN 26%. Comorbidity of anxiety and depression is relatively high, and the extent of this comorbidity changes with aging. This paper reviews diagnostic and treatment modalities for anxiety and depression. Their diagnosis includes clinical examination and questionnaire. This paper describes Neuro Scanner, an application that includes four scales to diagnose anxiety and depression, i.e., the Veyn Scale, Spielberg Trait Anxiety scale, Hospital Anxiety and Depression Scale (HADS), and Montgomery–Asberg Depression Rating Scale (MADRS). To date, a large amount of data illustrating a significant genetic, neurobiological, and symptomatic similarity of depression and anxiety has been accumulated. This phenomenon accounts for the efficacy of the same drugs (e.g., antidepressants, anxiolytics, neuroleptics, etc.). KEYWORDS: anxiety, depression, comorbidity, anhedonia, diagnosis, Neuro Scanner, anti-depressants, anxiolytics, cognitive behavioral therapy. FOR CITATION: Kotova O.V., Belyaev A.A., Akarachkova E.S. State-of-the-art diagnostic and treatment modalities for anxiety and depression. Russian Medical Inquiry. 2021;5(10):648–653 (in Russ.). DOI: 10.32364/2587-6821-2021-5-10-648-653.

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DERMATOLOGICAL DISORDERS

The Professional Medical Journal ◽

10.29309/tpmj/2010.17.02.2447 ◽

2010 ◽

Vol 17 (02) ◽

pp. 334-349

Author(s):

IMTIAZ AHMAD DOGAR ◽

M. ARIF MAN ◽

ASMA BAJWA ◽

Aysha Bhatti ◽

Shazia Naseem ◽

...

Keyword(s):

Economic Status ◽

Cross Sectional Study ◽

Depression Score ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Cross Sectional ◽

Dermatology Department ◽

Dermatological Disease ◽

Co Morbidity ◽

Dsm Iv

Objectives: The study aimed to determine the prevalence and risk factors of Depression and Anxiety in indoor Patients of Dermatology Department. Types of study: cross sectional study. Place and Duration of study: The study was conducted at in door Department of Dermatology, D.H.Q Hospital Faisalabad from August 2006 to October 2006. Patients & Methods: A total of 77 diagnosed dermatological patients, (21males and 56 females) were selected by using non-probability convenient sampling. Hospital Anxiety andDepression Scale and DSM –IV-TR criteria for depression and anxiety were used to evaluate the patients. QOL-BREF was administered. Results were also correlated with patient’s demographics. Result: Out of 77 Patients who were enrolled in a study, 52 % of subjects reported psychiatric co-morbidity regarding anxiety and depression according to DSM-IV-TR, HADS, anxiety and depression score was 12.75 (±4.33)and 11.18 (±4.51) respectively. A strong co-relation of HADS anxiety and HADS depression was found with the DSM-IV- TR diagnosis respectively. The strong negative association was found with the education, monthly income and socio-economic status respectively. Conclusion: The study shows high Prevalence of Depression and Anxiety in Patients having dermatological disorder. The findings also highlight the importance of recognizing dermatological disease related psychiatric problems. Through training, dermatologists can identify psychiatry morbidity and play their role in early detection, management and referrals of complicated cases of these co- morbid conditions. In this way better quality of care can be assured.

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