scholarly journals ANXIETY DISORDERS IN SOMATIC HOSPITAL PATIENTS "BEFORE" AND "AFTER"

2021 ◽  
Author(s):  
Т.М. Быкова
Keyword(s):  
Anxiety Disorders ◽  
Viral Pneumonia ◽  
Infectious Process ◽  
Before And After ◽  
Hospital Patients ◽  
Somatic Disorders ◽  
Somatic Diseases ◽  
Adaptive Abilities

В статье анализируются тревожные расстройства, возникающие на фоне вирусной пневмонии, вызванной коронавирусом SARS-CoV-19. Прослежены частота проявлений, формы нарушений, особенности тревоги во время инфекционного процесса у пациентов с тяжелыми соматическими заболеваниями. Отмечены изменения тревожных нарушений в процессе затягивания пандемии, свидетельствующие о снижении адаптационных способностей у людей с комбинированными соматическими нарушениями. The article analyzes anxiety disorders that occur against the background of viral pneumonia caused by the SARS-CoV-19 coronavirus. The frequency of manifestations, forms of disorders, features of anxiety during the infectious process in patients with severe somatic diseases were traced. Changes in anxiety disorders in the process of delaying the pandemic were noted, indicating a decrease in adaptive abilities in people with combined somatic disorders.

scholarly journals EVALUATION OF RATIONAL USE OF ANTIBIOTIC DRUGS IN SURGERY DEPARTMENT AT A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 145-149
Author(s):  
SREEJA NYAYAKAR ◽  
MANDARA MS ◽  
HEMALATHA M ◽  
LALLAWMAWMI ◽  
MOHAMMED SALAHUDDIN ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Antibiotic Use ◽  
Care Hospital ◽  
Rational Use ◽  
Post Surgery ◽  
Antibiotic Drugs ◽  
Before And After ◽  
Hospital Patients ◽  
Surgery Department

Objective: Antibiotics are the only drug where use in one patient can impact the effectiveness in another, so antibiotic misuse adversely impacts the patients and society. Improving antibiotic use improves patient outcomes and saves money. Antibiotic resistance has been identified as a major threat by the WHO due to the lack of development of new antibiotics and the increasing infections caused by multidrug resistance pathogens became untreatable. Methods: A prospective observational study was conducted for a period of 6 months. Data were collected from prescriptions and inpatient record files at the surgery department of the tertiary care hospital. Patients above age of 18 years of either gender whose prescription containing the antibiotics and patients who are willing to participate in the study were included in the study. Microsoft Excel was used for recording and analyzing the data of recruited subjects. Results: During our study period, we have collected 100 cases as per inclusion criteria, in total collected 100 cases, 52% are male and 48% are female. The mean age and standard deviation of the study population were found to be 46.61±16.12. The most commonly prescribed classification before and after the surgery is cephalosporin’s that is 57%. Results show that in pre-surgery, almost 93% of prescriptions have chosen the drugs as per ASHP guidelines, whereas in post-surgery, 95% of drugs have selected the drug as per ASHP guidelines. Conclusion: Our study has observed that some of the prescriptions are irrationally prescribed so the pharmacist has to take the responsibility to improve the awareness regarding rational prescribing of antibiotics. The national wide monitoring of antibiotics use, national schemes to obtain rational use of antibiotics, reassessing the prescriptions, education to practitioners, and surveys on antibiotics should be implemented.

scholarly journals The Impact of Psychological Interventions on the Quality of Life of Diabetes Mellitus Patient

2014 ◽  
Vol 21 (4) ◽  
pp. 301-311
Author(s):  
Dana Sonia Oieru ◽  
Amorin Remus Popa ◽  
Ionuţ Vlad
Keyword(s):  
Diabetes Mellitus ◽  
Psychological Intervention ◽  
Coping Styles ◽  
Diabetes Mellitus Patient ◽  
Psychological Interventions ◽  
Etiologic Agents ◽  
Before And After ◽  
Somatic Diseases ◽  
And Coping ◽  
The Impact

AbstractBackground and aims: The theory regarding the psychological factors as etiologic agents that trigger the somatic diseases has gained more and more ground in the past few years, successfully repeating that the human being is a bio-psycho-social entity. In order to render the psychological interventions more efficient in the management of the psychosomatic diseases, this research aims to detect and modify, even treat throught psychological interventions those configurations of the early maladaptive schemes and coping styles that stick form together in the so-called acquired vulnerability which makes the person liable to an inappropriate reaction against stress, and also to track the effects of these changes on somatic indicators of diabetes mellitus. Material and methods: Analysis of variance (ANOVA) and paired T-test were used for analysing subjects` responses at three psychological instruments, evolution of blood pressure, body mass index, drug units, hospitalisation days, medical leave days, depressive symptoms before and after 10-12 psychological interventions sessions. Results: Results draw the attention once again upon the multiple directions of intervention and especially of prevention in case of the psychosomatic disease, in particular diabetes mellitus. Conclusions: Psychological intervention in the early stages of diabetes is a major contributor to the management of this disease.

Somatic diseases and suicidal behaviour

2021 ◽  
pp. 321-332
Author(s):  
Elsebeth Stenager ◽  
Egon Stenager ◽  
Annette Erlangsen
Keyword(s):  
Mental Disorders ◽  
Suicidal Behaviour ◽  
Children And Youth ◽  
Medical Settings ◽  
Physical Conditions ◽  
Pain Syndromes ◽  
The Us ◽  
Somatic Disorders ◽  
Somatic Diseases ◽  
Different Parts

The association between somatic disorders and suicidal behaviour has been examined in many studies. Despite large variation in quality and study design, recent studies have improved our knowledge substantially, not only regarding the extent of risk but also factors influencing the risk. Most studies have been conducted in European countries, the US, Australia, Japan, and South Korea. A series of studies have examined suicide risk in relation to somatic disorders of older persons, while others addressed somatic disorders and attempted suicide in children and youth. Physical conditions may play an important role in medical settings, regardless of whether mental disorders are present or not, though especially when mental disorders are present. This chapter presents a review of present knowledge on suicide and suicidal behaviour in selected somatic disorders and pain syndromes, with a focus on studies from different parts of the world.

scholarly journals Influence of the Subtle Energetic Changes on the Treatment Response in Patients with Insomnia

2017 ◽  
Vol 9 (9) ◽  
pp. 90
Author(s):  
Edvard V. Kryzhanovskii ◽  
Alexander B. Yavorsky ◽  
Kwong C. Lim
Keyword(s):  
Sleep Disturbance ◽  
Treatment Response ◽  
Psychological Indicators ◽  
Eeg Data ◽  
Before And After ◽  
Psychophysiological Insomnia ◽  
Somatic Disorders ◽  
Insomnia Treatment

The article examines the questions of the treatment of insomnia in patients who do not have neurological, mental, and somatic disorders. A nonmedicamental method of sleep disturbance correction in persons with psychophysiological insomnia is considered. In particular, it is proposed to use AM-therapy as a method of insomnia treatment which implies that the patients sleep on the special activated mattresses. To assess the condition of patients before and after the treatment, clinical, psychophysiological and electroencephalographic (EEG) methods are used. The effectiveness of applying this type of insomnia therapy is provided by the improvement of the psychological indicators and EEG data.

Electroconvulsive Therapy: A Study of Attitudes and Attitude Change after Seeing an Educational Video

1993 ◽  
Vol 27 (4) ◽  
pp. 613-619 ◽  
Author(s):  
Malcolm Battersby ◽  
David Ben-Tovim ◽  
Joylene Eden
Keyword(s):  
Electroconvulsive Therapy ◽  
Attitude Change ◽  
Psychiatric Patients ◽  
Educational Video ◽  
Negative Attitudes ◽  
Before And After ◽  
Proven Efficacy ◽  
Hospital Patients ◽  
Veteran Hospital ◽  
The Media

Despite the proven efficacy of Electroconvulsive Therapy [ECT], negative attitudes occur in some patients towards its use. However, research into attitudes of patients and public towards ECT, and the influence of the media on these attitudes, is limited and often contradictory. The aims of this study were: to develop a self-administered questionnaire to assess attitudes; to assess the effect of an educational video on attitudes; and to assess the effect of the media on attitudes. The questionnaire was administered to psychiatric and non-psychiatric patients of a Veterans’ hospital and to a group of general hospital patients. A video was shown to a randomly assigned group of the Veteran hospital psychiatric patients. Their attitudes were assessed before and after the video. An overall positive attitude towards ECT was demonstrated in all three groups. Showing a video to the Veteran psychiatric patients produced an improvement in some attitudes, but no reduction in fear. For the psychiatric patients, the effect of the media was negative.

scholarly journals Serotonin tranporter methylation and response to cognitive behaviour therapy in children with anxiety disorders

2014 ◽  
Vol 4 (9) ◽  
pp. e444-e444 ◽  
Author(s):  
S Roberts ◽  
K J Lester ◽  
J L Hudson ◽  
R M Rapee ◽  
C Creswell ◽  
...  
Keyword(s):  
Dna Methylation ◽  
Anxiety Disorders ◽  
Cognitive Behaviour Therapy ◽  
Environmental Influences ◽  
Psychological Therapy ◽  
Behaviour Therapy ◽  
Effective Treatment Option ◽  
Cognitive Behaviour ◽  
Before And After ◽  
Beneficial Response

Abstract Anxiety disorders that are the most commonly occurring psychiatric disorders in childhood, are associated with a range of social and educational impairments and often continue into adulthood. Cognitive behaviour therapy (CBT) is an effective treatment option for the majority of cases, although up to 35–45% of children do not achieve remission. Recent research suggests that some genetic variants may be associated with a more beneficial response to psychological therapy. Epigenetic mechanisms such as DNA methylation work at the interface between genetic and environmental influences. Furthermore, epigenetic alterations at the serotonin transporter (SERT) promoter region have been associated with environmental influences such as stressful life experiences. In this study, we measured DNA methylation upstream of SERT in 116 children with an anxiety disorder, before and after receiving CBT. Change during treatment in percentage DNA methylation was significantly different in treatment responders vs nonresponders. This effect was driven by one CpG site in particular, at which responders increased in methylation, whereas nonresponders showed a decrease in DNA methylation. This is the first study to demonstrate differences in SERT methylation change in association with response to a purely psychological therapy. These findings confirm that biological changes occur alongside changes in symptomatology following a psychological therapy such as CBT.

scholarly journals The role of gender and anxiety in the association between somatic diseases and depression: findings from three combined epidemiological studies in primary care

2017 ◽  
Vol 28 (03) ◽  
pp. 321-332
Author(s):  
E. Asselmann ◽  
J. Venz ◽  
L. Pieper ◽  
H.-U. Wittchen ◽  
D. Pittrow ◽  
...  
Keyword(s):  
Primary Care ◽  
Cardiovascular Diseases ◽  
Anxiety Disorders ◽  
Arterial Hypertension ◽  
Neurological Diseases ◽  
Epidemiological Studies ◽  
Endocrine Diseases ◽  
Somatic Disease ◽  
Somatic Diseases

Aims.Although associations between various somatic diseases and depression are well established, findings concerning the role of gender and anxiety disorders for these associations remain fragmented and partly inconsistent. Combining data from three large-scaled epidemiological studies in primary care, we aim to investigate interactions of somatic diseases with gender and anxiety disorders in the association with depression.Methods.Self-reported depression according to the International Classification of Diseases, Tenth Edition (ICD-10) was assessed in n = 83 737 patients from three independent studies [DETECT (Diabetes Cardiovascular Risk Evaluation: Targets and Essential Data for Commitment of Treatment), Depression-2000 and Generalized Anxiety and Depression in Primary Care (GAD-P)] using the Depression Screening Questionnaire (DSQ). Diagnoses of depression, anxiety disorders and somatic diseases were obtained from treating physicians via standardised clinical appraisal forms.Results.In logistic regressions, adjusted for gender, age group and study, each somatic disease except for arterial hypertension and endocrine diseases was associated with self-reported depression (odds ratio, OR 1.3–2.6) and each somatic disease was associated with physician-diagnosed depression (OR 1.1–2.4). Most of these associations remained significant after additional adjustment for anxiety disorders and other somatic diseases. The associations with depression increased with a higher number of somatic diseases. Cardiovascular diseases (OR 0.8), diabetes mellitus (OR 0.8) and neurological diseases (OR 0.8) interacted with gender in the association with self-reported depression, while endocrine diseases (OR 0.8) interacted with gender in the association with physician-diagnosed depression. That is, the associations between respective somatic diseases and depression were less pronounced in females v. males. Moreover, cardiovascular diseases (OR 0.7), arterial hypertension (OR 0.8), gastrointestinal diseases (OR 0.7) and neurological diseases (OR 0.6) interacted with anxiety disorders in the association with self-reported depression, and each somatic disease interacted with anxiety disorders in the association with physician-diagnosed depression (OR 0.6–0.8). That is, the associations between respective somatic diseases and depression were less pronounced in patients with v. without anxiety disorders; arterial hypertension was negatively associated with self-reported depression only in patients with anxiety disorders, but not in patients without anxiety disorders.Conclusions.A range of somatic diseases as well as anxiety disorders are linked to depression – and especially patients with co-/multi-morbidity are affected. However, interactions with gender and anxiety disorders are noteworthy and of relevance to potentially improve recognition and treatment of depression by physicians. Somatic diseases are associated more strongly with depression in males v. females as well as in patients without v. with anxiety disorders, primarily because women and patients with anxiety disorders per se are characterised by considerably increased depression prevalence that only marginally changes in the presence of somatic comorbidity.

scholarly journals Peran Spiritual Emotional Freedom Technique dalam Penanganan Nosocomephobia

ESOTERIK ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. 282
Author(s):  
Rinova Cahyandari
Keyword(s):  
Data Collection ◽  
Adverse Effects ◽  
Anxiety Disorders ◽  
Hospital Anxiety ◽  
Risk Of Death ◽  
Before And After ◽  
Psychiatric Conditions

<p class="06IsiAbstrak">The Role of Spiritual Emotional Freedom Technique in Handling <em>Nosocomephobia</em>. This article aims to find out how the role of SEFT in dealing with psychiatric conditions, namely in cases of anxiety disorders, especially in hospital anxiety (<em>nosocomephobia</em>). <em>Nosocomephobia</em> can be defined as excessive fear associated with hospitals. Efforts to manage <em>nosocomephobia</em> become very important to do because in general patients with <em>nosocomepobia</em> will refuse to go to the hospital and as a result, adverse effects include the risk of death. The data collection in this article was obtained through the subject's statement regarding judgments related to anxiety that arises. Analysis of the data in this article is done by comparing the level of anxiety before and after therapy. The result showed a decrease in judgment related to the condition of perceived anxiety. The success of SEFT in reducing anxiety can be influenced by the existence of faith, solemnity, sincerity, resignation, and grateful to Allah Swt.</p>

scholarly journals Psychological peculiarities of mental patient with the comorbid somatic pathology

2021 ◽  
pp. 52-56
Author(s):  
Yevgen Oprya ◽  
Mykhailo Pustovoyt ◽  
Ellina Melnyk
Keyword(s):  
Diabetes Mellitus ◽  
Mental Disorder ◽  
Self Esteem ◽  
Need For Treatment ◽  
Somatic Illness ◽  
Schizophrenic Patients ◽  
Somatic Disorders ◽  
Somatic Diseases ◽  
Health Parameters

The paper presents the results of a comprehensive psychodiagnostic study of the psychological characteristics of psychotic patients with schizophrenia with somatic disorders. Based on the results of the study, the features of the representation of mental and somatic illness in the minds of schizophrenic patients with somatic disorders were identified. It has been proven that an important role in the pathogenesis of the formation of psychiatric comorbidity in schizophrenia is played by the categories of self-esteem, awareness, perception and attitude to mental and somatic illness. It was revealed that patients with schizophrenia with cardiovascular disease (CVD), with low assessments of all health parameters, assessed themselves as mentally sicker than physically, and patients with schizophrenia with diabetes mellitus type 2 (DM 2) and obesity, with low assessments of all health parameters, assessed themselves as physically sicker than mentally. In addition, patients with CVD and obesity were more aware of the need for treatment of mental illness, while patients with DM 2 were more aware that their environment would consider it necessary to treat a mental disorder. It was also found that patients with schizophrenia with somatic diseases have significantly higher indicators of the level of threat of mental disorder than patients without somatic burden. The results of the study of attitudes towards somatic illness revealed that patients with schizophrenia were characterized by a predominance of maladaptive forms of attitudes toward the disease: anxious, hypochondriac and melancholic (in schizophrenia with CVD), anosognosic and dysphoric (in schizophrenia with diabetes mellitus and obesity), as well as apathetic (in schizophrenia with obesity). It is advisable to use the obtained results as specific targets of psycho-education and psychotherapeutic work and to take into account when developing complex programs for the treatment of schizophrenic patients with comorbid somatic disorders.

scholarly journals The risk of offspring mood and anxiety disorders in the context of prenatal maternal somatic diseases: a systematic review and meta-analysis

2022 ◽  
Vol 31 ◽  
Author(s):  
Xiayu Gong ◽  
Zhixin Fan ◽  
Hanfang Xu ◽  
Hanzhang Wang ◽  
Ningxi Zeng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Anxiety Disorders ◽  
Mood Disorders ◽  
Maternal Obesity ◽  
Polycystic Ovary ◽  
Meta Analysis ◽  
Mood And Anxiety Disorders ◽  
Increased Risk ◽  
Somatic Diseases

Abstract Aims The importance of prenatal maternal somatic diseases for offspring mood and anxiety disorders may be overlooked or undervalued. We conducted the first systematic review and meta-analysis assessing the risk of offspring mood and anxiety disorders in the context of prenatal maternal somatic diseases. Methods We screened articles indexed in Embase (including Embase, MEDLINE, PubMed-not-MEDLINE), PsycARTICLES and PsycINFO databases up to August 2021. 21 studies were included. We examined the overall associations between prenatal maternal somatic diseases and offspring mood/anxiety disorders. Analyses were stratified according to maternal somatic diseases and follow-up duration. Results We observed an increased risk of mood and anxiety disorders in the context of prenatal maternal somatic diseases [relative risk (RR) = 1.26; 95% confidence interval (CI) 1.15–1.37, RR = 1.31; 95% CI 1.24–1.38]; maternal obesity(RR = 1.92; 95% CI 1.72–2.11), hypertensive disorders (RR = 1.49; 95% CI 1.11–1.86) and infertility (RR = 1.26, 95% CI 1.14–1.39) were risk factors for mood disorders; maternal polycystic ovary syndrome (RR = 1.61; 95% CI 1.42–1.80), severe obesity (RR = 1.56; 95% CI 1.44–1.68) and moderate obesity (RR = 1.36; 95% CI 1.28–1.44) were risk factors for anxiety disorders. Prenatal maternal somatic diseases increased the risk of mood disorders in childhood and adulthood (RR = 1.71; 95% CI 1.34–2.09/RR = 1.19; 95% CI 1.09–1.30), as well as the risk of anxiety disorders in adulthood (RR = 1.33; 95% CI 1.26–1.41). Conclusion The results indicate that prenatal maternal somatic diseases are associated with offspring mood and anxiety disorders, and that the associations may be long-lasting.

Sign in / Sign up

Export Citation Format

Share Document