Depression and Anxiety among patients suffering from mild to moderate Covid-19 Disease

2021 ◽  
Vol 15 (12) ◽  
pp. 3322-3324
Author(s):  
Syed Asim Ali Shah ◽  
Usama Bin Zubair ◽  
Muhammad Nadeem ◽  
Muhammad Faheem Qasim ◽  
Syed Azhar Ali ◽  
...  

Aim: To look for the presence of depression and anxiety among patients suffering from mild to moderate COVID-19 disease. Methodology: This cross sectional study was conducted at Department of Medicine, Pakistan Ordinance Factory (POF) Hospital Wah Cantt from 1st April 2020 to 30th September 2020. Patients presenting to Pakistan Ordinance Factory (POF) Hospital Wah Cantt with relevant symptoms and tested positive on polymerase chain reaction for COVID-19 were included in the study. Hospital anxiety and depression scale (HADS) was administered to look for the presence and severity of anxiety and depression among the study participants. Results: Total 101 patients were included in the study, 76.2% were male while 23.8% were female. Mean age of the patients was 53.50 ±13.281years.Out of 101 patients, 33.7% did not show any sign of anxiety and 42.6% showed borderline anxiety while 23.8% had confirmed anxiety. Depression was not found in 72.3%, borderline depressive symptoms were present in 25.7%, while 2% had confirmed depression. Conclusion: Depression and anxiety were common findings among patients admitted in hospital with COVID 19. Anxiety was more common than depression in these patients. Borderline anxiety and depression were found in most of the patients which may need formal psychiatric consultation for exact diagnosis. Keywords: Anxiety; covid-19; depression, Pakistan

2021 ◽  
Vol 24 (4) ◽  
pp. 428-433
Author(s):  
Saima Dastgeer ◽  
Abubakr Ali Saad ◽  
Shabbih Fatima ◽  
Imran Javaid ◽  
Khalil-ur- Rehman ◽  
...  

Objective:  This study aimed to assess the incidence of anxiety and depression among AMI patients during COVID-19 pandemic in Pakistan. Material & Method:  This cross-sectional study was conducted from February 27 to June 2, 2020, at the Cardiology ward of Dera Ghazi Khan Teaching Hospital.  Total 611 patients selected through convenience sampling. The patients were requested to respond to Hospital Anxiety and Depression Scale (HADS) and demographic information. An independent samples t test was applied for comparisons. Results:  Patients’ age was ranging from 41 to 79 years, with a mean age of 52.35 ± 5.12. There was a high frequency of anxiety (51.72%) and depression (34.86%) among AMI patients. A significant difference was observed in the level of anxiety (p = 0.001) and depression (p = 0.000) among male and female patients. Conclusion:  The present study findings affirmed that increased level of anxiety and depression are prevalent in AMI patients. Additionally, both anxiety and depressive symptoms were more common in female patients. Keywords:  COVID-19, Anxiety, Depression, Acute Myocardial Infarction (AMI).


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Anish Khalil ◽  
Muhammad Faheem ◽  
Ammad Fahim ◽  
Haran Innocent ◽  
Zainab Mansoor ◽  
...  

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.


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.


Author(s):  
Nazila Shahmansouri ◽  
Mehrdad Salehi ◽  
Ali Reza Bakhshandeh ◽  
Roya Sattarzadeh Badkoubeh ◽  
Masoumeh Lotfi-Tokaldani ◽  
...  

Background: Heart transplantation is a major procedure which imposes high emotional stress on patients. Illness perception (IP) is a psychological issue which affects psychological adjustment after transplantation. This study aimed to investigate the association between IP and emotional status in Iranian post-heart transplantation patients. Methods: The present cross-sectional study, conducted between 2018 and 2019 in Imam Khomeini Hospital, Tehran, Iran, recruited 121 post-heart transplantation patients. IP was measured using the Brief Illness Perception Questionnaire (B-IPQ), and emotional status was measured using the Hospital Anxiety and Depression Scale. The association between IP and depression/anxiety was assessed. Results: Men comprised 80.2% of the study population. The mean age of the participants was 43.9±12.95 years. Definite caseness for depression and anxiety was reported in 11.6% and 18.2% of the participants, respectively. The median score of IP was 55. The association between anxiety and IP in total IP and the 3 dimensions of IP was statically significant (P=0.015, P=0.018, P=0.002, and P=0.023 for the cognition, emotion, and understanding dimensions and the total IPQ, respectively). Additionally, the association between depression and IP was significant (P=0.001, P=0.029, and P=0.002 for the cognition and emotion dimensions and the total IPQ, correspondingly, except for the understanding dimension). Furthermore, lower levels of anxiety in the patients showed a greater impact on IP than did depression. Conclusion: There was a significant association between IP and depression and anxiety in our study population. Therefore, the diagnosis and management of anxiety and depression in heart transplantation patients may improve IP. The cross-sectional design of the present study precluded an investigation of the causality between IP and emotional status.


2021 ◽  
Author(s):  
Saffanah Alsaeed ◽  
Nuha Alkhawajah ◽  
Salman Aljarallah ◽  
Rola Alarieh ◽  
Amani Abushaheen

Abstract Background. Multiple sclerosis (MS) is an inflammatory chronic disease that is characterized by an increased prevalence of adverse mental health outcomes in patients with MS (pwMS). The main aim of this study is to investigate the factors of depression and anxiety in pwMS in the Kingdom of Saudi Arabia (KSA). Materials and Methods. This is a cross-sectional study conducted in KSA during the period from March to June 2020. Participants were recruited from the Neuroimmunology clinics in King Fahad Medical City (KFMC) and King Saud University medical city (KSUMC)in Riyadh City, KSA. The Hospital Anxiety and Depression Scale (HADS) was used to measure depression and anxiety. Fatigue Severity Scale (FSS) was used to measure fatigue in pwMS. A simple random sampling technique was utilized to select participants and the data were analyzed using SPSS v.24.0. Results. A total of 529 participants participated in this study with a response rate of 53.1%. The prevalences of anxiety and depression were 35.3% and 19.7%, respectively. The findings also revealed that depression was more likely to be significantly affected by being male, low education, unemployment, physical inactivity, and fatigue but the anxiety was significantly affected by region, unemployment, short duration since last MS relapse, physical inactivity, and fatigue. Conclusion. Anxiety and depression are not uncommon in pwMS. Given their impact on the lives of affected patients, early detection and management of these symptoms and their associated factors are crucial.


2000 ◽  
Vol 45 (4) ◽  
pp. 357-362 ◽  
Author(s):  
Jack Haggarty ◽  
Zack Cernovsky ◽  
Patricia Kermeen ◽  
Harold Merskey

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.


2020 ◽  
Author(s):  
siming jia ◽  
Xiaoying Shi ◽  
Guanglian Liu ◽  
Li Wang ◽  
Xiaoran Zhang ◽  
...  

Abstract Background:: The aim of this cross-sectional study to assess the proportions of anxiety and depression in patients with CuTS, and to explore the associated demographic and clinical features.Methods: From May 2011 to January 2017, 246 patients diagnosed with CuTS were recruited. The Hospital Anxiety and Depression Scale was used to assess the proportions of depression and anxiety. Patient demographic and clinical data were collected. Univariate analysis and multivariate regression were carried out to identify the variables that were independently associated with anxiety and depression. Results: The proportions of depression and anxiety were 17.8% (n=44) and 14.2% (n=35), respectively. Five patients had both possible/probable anxiety and depression. Logistic regression analysis revealed that diabetes mellitus was independently associated with depression; and the modified McGowan grade was independently associated with anxiety. Conclusions: In patients with CuTS, the proportions of depression and anxiety were 18% and 14%, respectively. Early screening for anxiety and depression is beneficial for patients with CuTS.


2021 ◽  
Vol 5 (10) ◽  
pp. 648-653
Author(s):  
O.V. Kotova ◽  
◽  
A.A. Belyaev ◽  
E.S. Akarachkova ◽  
◽  
...  

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.


2020 ◽  
Vol 32 (1) ◽  
pp. 57-61
Author(s):  
Vikrant Prabhakar ◽  
Amrit Virk ◽  
Parmal Saini

Background: Depression is commonly reported by university students due to change in environment, academic demands, developing new relations and more financial freedom. If that professional course happens to be medical education, the transition is even more drastic. Studies have also shown that Quality of Life (QOL) is negatively affected by the presence of anxiety and depression. Aim: Present study aims to find the prevalence of anxiety, depression and stress among students who have recently joined medical college. Materials & Method: This cross-sectional study was undertaken at Private medical college in north India. Depression, Anxiety and Stress Scale (DASS) was used for the data collection. MBBS students who have joined the institution in August 2019 were included in the study. Statistical Analysis Used: Data was entered in excel and analysed using Statistical Package for Social Science (SPSS) Version 21. Result: We found that almost half of the students who participated in the study had scores above 10 (meaning thereby depressed) on the depression scale, with 23.5% of respondents showing moderate or severe depression. Two-third students experienced anxiety, with 20% students having severe to very severe anxiety. Stress levels amongst the students were also high, with 47% of the students reporting stress. 3.4% students experienced severe or very severe stress. Conclusion: Medical students have high prevalence of stress, anxiety and depression. It is recommended that medical colleges should implement appropriate and timely measures to address students’ well-being and offer comprehensive intervention and preventive programs to help students cope with this transition phase.


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.


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