scholarly journals Microsurgical vasovasostomy: An option for men with post vasectomy psychological distress

2021 ◽  
Vol 8 (4) ◽  
pp. 5
Author(s):  
Saad Elzanaty
Keyword(s):  
Psychological Distress ◽  
Birth Control ◽  
Psychological Problems ◽  
Vasectomy Reversal ◽  
Straightforward Approach

Vasectomy is a practical and straightforward approach to birth control. This paper presented a 31-year-old patient who desired to restore his fertility five years after being vasectomized. He met several obstacles. He developed severe psychological distress with symptoms of stress, anxiety, and aggression. He underwent microsurgical vasovasostomy, and vassal patency was confirmed by return of spermatozoa in semen samples 6 and 10 weeks after surgery, and symptoms of psychological distress disappeared. Preoperative vasectomy counseling should include information about vasectomy reversal. At the most, vasectomy reversal can be considered in selected men with psychological problems due to vasectomy. Microsurgical training should be offered to more urological surgeons, especially those who are interested in andrology.

Psychological Distress and Cognitive Impairment in Neurological In-Patients: Its Prevalence and its Recognition by Residents

1995 ◽  
Vol 25 (2) ◽  
pp. 203-213 ◽  
Author(s):  
Stefan I. Zlot
Keyword(s):  
Cognitive Impairment ◽  
Psychological Distress ◽  
Pilot Study ◽  
Patient Care ◽  
Social Factors ◽  
Psychological Problems ◽  
Psychiatric Diagnoses ◽  
Psychological Disturbances ◽  
Work Up ◽  
Neurological Unit

Objective: This pilot study investigated the prevalence of psychological distress and cognitive impairment in neurological in-patients by means of three widely accepted questionnaires. We examined residents' recognition of corresponding disturbances. Method: We interviewed fifty-five consecutively admitted in-patients of a neurological unit with the MMSE, GHQ-28 and BDI. We asked the neurological residents whether they found cognitive impairment or psychological disturbances in their patients and to indicate the extent of those abnormalities. Results: Fifteen percent of patients showed cognitive impairment, but as many as one-third showed psychological problems warranting further work-up. Recognition of such by residents as well as specification of psychiatric diagnoses and important psychosocial factors in the final reports was poor. Conclusion: Psychological problems are common in neurologic in-patients. They are insufficiently recognized by residents and usually not taken into consideration in patient-care. We suggest the improvement of neurologic training to include appropriate interview techniques, providing the integration of biological, psychological and social factors in diagnosis and therapy.

scholarly journals A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations

2020 ◽  
Vol 33 (2) ◽  
pp. e100213 ◽  
Author(s):  
Jianyin Qiu ◽  
Bin Shen ◽  
Min Zhao ◽  
Zhen Wang ◽  
Bin Xie ◽  
...  
Keyword(s):  
Psychological Distress ◽  
General Population ◽  
Panic Disorder ◽  
Large Scale ◽  
Nationwide Survey ◽  
Psychological Problems ◽  
Anxiety And Depression ◽  
Policy Recommendations ◽  
Chinese People ◽  
Large Scale Survey

The Coronavirus Disease 2019 (COVID-19) epidemic emerged in Wuhan, China, spread nationwide and then onto half a dozen other countries between December 2019 and early 2020. The implementation of unprecedented strict quarantine measures in China has kept a large number of people in isolation and affected many aspects of people’s lives. It has also triggered a wide variety of psychological problems, such as panic disorder, anxiety and depression. This study is the first nationwide large-scale survey of psychological distress in the general population of China during the COVID-19 epidemic.

scholarly journals Impact of School Social Support and Bullying Victimization on Psychological Distress among California Adolescents

2016 ◽  
Vol 14 (2) ◽  
pp. 56-67 ◽  
Author(s):  
Xiaoyan Zhang ◽  
Chaelin Karen Ra ◽  
Donglan Zhang ◽  
Yunting Zhang ◽  
Kara E. MacLeod
Keyword(s):  
Social Support ◽  
High School Students ◽  
Psychological Distress ◽  
Psychological Problems ◽  
California Health Interview Survey ◽  
Psychological Consequences ◽  
School Students ◽  
Interview Survey ◽  
Victims Of Bullying ◽  
School Social Support

Background and Purpose: National reports showed that over 20% of high school students were victims of bullying, which could potentially lead to psychological problems. School social support may be protective against mental distress linked with victimization. This study examined the main and moderating effects of social support from adults in schools on non-specific serious psychological distress (SPD) related to victimization among California adolescents. Methods: Utilizing the 2011-2012 California Health Interview Survey (CHIS), we analyzed a representative sample of 2,799 adolescents aged 12-17 years old. Logistic regression analyses were conducted modeling the odds of SPD in relation to school social support and victimization. Results: Adolescents who were victimized were twice as likely to have SPD compared to non-victims. Higher level of social support from adults in schools was protective against SPD, but did not buffer the effect of bullying exposure. Discussion: Findings from the present study suggested that adult support from schools can help with students’ psychological problems but does not appear to prevent the psychological consequences of victimization. Additional intervention is needed, above and beyond social support, to prevent victimization and its psychological consequences.

scholarly journals Factors Affecting Psychological Distress among People Living with HIV/AIDS at Selected Hospitals of North Shewa Zone, Amhara Region, Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Elyas Admasu Basha ◽  
Behailu Tariku Derseh ◽  
Yohannes Gebre Egziabher Haile ◽  
Gedion Tafere
Keyword(s):  
Psychological Distress ◽  
Chronically Ill ◽  
Psychological Problems ◽  
Cd4 Count ◽  
Binary Logistic Regression Analysis ◽  
People Living With Hiv ◽  
Amhara Region ◽  
Increased Risk ◽  
Living With Hiv ◽  
Hiv Aids

Background. The new advances for the treatment of HIV infection using Highly Active Antiretroviral Therapy (HAART) have dramatically improved disease prognosis. However, they are living longer with a chronic condition that increases the risk for psychiatric and psychosocial problems. Various studies have linked HIV/AIDS with a number of psychological problems, depression being the most common. Moreover, studies have found that chronically ill people are at increased risk of psychological problems. Thus, this study aimed at assessing the level of psychological distress and its associated factors among people living with HIV/AIDS in selected Hospitals of North Sowa Zone of Amhara region, Ethiopia, 2017. Method. Institution based cross-sectional study design with systematic random sampling method was used. Data was collected by structured interviewer-based Amharic version questionnaire. A total of 422 people living with HIV/AIDS were involved in the study from 1 to 30 May 2017. Data analysis was done with the help of a computer program (SPSS version 16.0). Binary logistic regression analysis was used for bivariate and multivariate analysis. The strength of the association was presented by odds ratio with a 95% confidence interval. Result. The prevalence of psychological distress was 7.8% (95% CI: 5.25%, 10.39%). Being female (AOR = 3.02; 95% CI: 1.16, 7.82), illiterates (AOR = 3.91; 95% CI: 1.31, 6.45), participants who currently use alcohol (AOR = 2.70; 95% CI: 1.23, 5.88), respondents whose CD4 count is less than 500 cells/μl (AOR = 2.28; 95% CI: 1.02, 5.11), and participants who are considered stigmatized (AOR = 2.41; 95% CI: 1.11, 5.22) were positively associated with psychological distress. Conclusion. The prevalence of psychological distress was low as compared to other studies conducted in Ethiopia. This may affect the quality of life of people living with HIV/AIDS and their families. Being female, illiteracy, alcohol use, and having lower CD4 count and perceived stigma increased the odds of psychological distress. Thus, concerned stakeholders should collaborate on the integration of HIV/AIDs treatment and mental health services.

scholarly journals Association of Stressful Life Events with Psychological Problems: A Large-Scale Community-Based Study Using Grouped Outcomes Latent Factor Regression with Latent Predictors

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Akbar Hassanzadeh ◽  
Zahra Heidari ◽  
Awat Feizi ◽  
Ammar Hassanzadeh Keshteli ◽  
Hamidreza Roohafza ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Life Events ◽  
Large Scale ◽  
Stressful Life Events ◽  
Psychological Problems ◽  
Stressful Life ◽  
Community Based ◽  
Latent Factor ◽  
Profile Score ◽  
Factor Regression

Objective. The current study is aimed at investigating the association between stressful life events and psychological problems in a large sample of Iranian adults. Method. In a cross-sectional large-scale community-based study, 4763 Iranian adults, living in Isfahan, Iran, were investigated. Grouped outcomes latent factor regression on latent predictors was used for modeling the association of psychological problems (depression, anxiety, and psychological distress), measured by Hospital Anxiety and Depression Scale (HADS) and General Health Questionnaire (GHQ-12), as the grouped outcomes, and stressful life events, measured by a self-administered stressful life events (SLEs) questionnaire, as the latent predictors. Results. The results showed that the personal stressors domain has significant positive association with psychological distress (β=0.19), anxiety (β=0.25), depression (β=0.15), and their collective profile score (β=0.20), with greater associations in females (β=0.28) than in males (β=0.13) (all P<0.001). In addition, in the adjusted models, the regression coefficients for the association of social stressors domain and psychological problems profile score were 0.37, 0.35, and 0.46 in total sample, males, and females, respectively (P<0.001). Conclusion. Results of our study indicated that different stressors, particularly those socioeconomic related, have an effective impact on psychological problems. It is important to consider the social and cultural background of a population for managing the stressors as an effective approach for preventing and reducing the destructive burden of psychological problems.

scholarly journals The correspondence between persistent self-reported post-traumatic problems and general practitioners' reports after a major disaster

2006 ◽  
Vol 37 (2) ◽  
pp. 193-202 ◽  
Author(s):  
ANNELIEKE N. DROGENDIJK ◽  
ANJA J. E. DIRKZWAGER ◽  
LINDA GRIEVINK ◽  
PETER G. VAN DER VELDEN ◽  
FRANS G. H. MARCELISSEN ◽  
...  
Keyword(s):  
Psychological Distress ◽  
General Practitioners ◽  
Sleep Disturbances ◽  
Psychological Symptoms ◽  
Psychological Problems ◽  
Post Traumatic Stress ◽  
Major Disaster ◽  
General Psychological Distress ◽  
Post Traumatic ◽  
Post Disaster

Background. Little is known about the correspondence between persistent self-reported disaster-related psychological problems and these problems reported by general practitioners (GPs). The aim of this study is to analyse this correspondence and to identify the factors associated with GPs' detection of persistent psychological problems.Method. This study was conducted in a sample of 879 adult disaster-affected victims, taken from two longitudinal sources: the Enschede Firework Disaster Study and the GP-Monitor Study. Participants filled out a questionnaire 2–3 weeks and 18 months post-disaster and these data were combined with data from a GP-monitor collected up to 18 months post-disaster. The correspondence between persistent self-reported and GP-reported psychological problems was analysed with cross-tabulations. Logistic regression analyses were performed to identify variables which predicted GPs' detection of psychological problems.Results. The correspondence rate among victims who visited their GP 18 months post-disaster was 60·4% for persistent intrusions and avoidance reactions, 72·6% for persistent general psychological distress and less than 20% for persistent depression and anxiety symptoms or sleep disturbances. Characteristics that predict GPs' identification of post-traumatic reactions or psychological distress were the level of self-reported post-traumatic symptoms/mental health, the number of contacts the victims had with their GP and the level of the victims' disaster-related experiences.Conclusions. In general, there is a considerable correspondence between GP-reported and persistent self-reported incidences of post-traumatic stress and general psychological distress in disaster-affected victims. However, the correspondence declines in the case of more specific psychological symptoms.

Do patients with and without a regular primary care physician have their psychological distress looked after differently?

2018 ◽  
Vol 41 (2) ◽  
pp. 399-404 ◽  
Author(s):  
Kai Sing Sun ◽  
Tai Pong Lam ◽  
Kwok Fai Lam ◽  
Tak Lam Lo ◽  
David Vai Kiong Chao ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Psychological Distress ◽  
Mental Health Care ◽  
Continuity Of Care ◽  
Primary Care Physicians ◽  
Care Delivery ◽  
Care Physician ◽  
Psychological Problems

Abstract Background While qualitative studies suggested that continuity of care by primary care physicians (PCPs) facilitated consultations for psychological problems, there was limited quantitative evidence. This survey compared management of psychological distress between patients with and without a regular PCP. Methods A questionnaire survey was conducted with 1626 adult primary care attenders from 13 private and 6 public clinics in Hong Kong. Management of psychological distress between respondents with a regular PCP and those without were compared. Effects of demographic factors were adjusted for by multivariable logistic regression. Results Among the 1626 respondents, 650 (40.0%) reported that they had ever experienced psychological distress. Of the 650 respondents experienced distress, 307 (47.2%) had a regular PCP. A significantly higher proportion of patients with a regular PCP than those without reported: (i) their PCPs sometimes/often asked about psychological problems [37.7 versus 20.1%, adjusted OR = 2.241]; (ii) they sometimes/often mentioned their psychological problems to PCPs [45.2 versus 24.9%, adjusted OR = 2.503]; and (iii) their distress had been treated by PCPs [22.1 versus 13.4%, adjusted OR = 1.702]. Conclusion Patients with a regular PCP have around double odds of receiving mental health care. Continuity of care by PCPs should be emphasized in mental health care delivery.

scholarly journals Psychological Indicators and Perceptions of Adolescents in Residential Care

2016 ◽  
Vol 26 (63) ◽  
pp. 81-89 ◽  
Author(s):  
Amanda Oliveira Fernandes ◽  
Nancy Ramacciotti de Oliveira-Monteiro
Keyword(s):  
Psychological Distress ◽  
Qualitative Analysis ◽  
Residential Care ◽  
Externalizing Problems ◽  
Family Of Origin ◽  
Care Service ◽  
Psychological Problems ◽  
Positive Development ◽  
Psychological Indicators ◽  
The Family

Abstract The institutionalization of adolescents has been mentioned in the literature with positive and negative aspects. This study investigated 61 adolescents in residential care aiming to evaluate psychological problems and perceptions related to the care, using interviews and the YSR. Data was evaluated using quantitative and qualitative analysis, using gender, age and length of institutionalization as variables. Results indicated clinical scores for psychological problems, except for externalizing problems, in younger girls recently taken into care and older boys institutionalized for longer periods. The perceptions about the care were negative or indifferent; elements of positivity were expressed by adolescents institutionalized for longer periods. Instability in the permanence in the care service and the reasons for having been taken into care were manifested with psychological distress. There were few contacts with the family of origin; the adolescents mentioned the importance of their families and the desire to leave the institution. Members of the institutional teams were indicated as sources of care and protection. This study reflects the challenges for the positive development of this population.

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