Psychometric Properties of the Generalized Anxiety Disorder Scale-7 Item (GAD-7) in a Large Sample of Chinese Adolescents

Anxiety symptoms are common among adolescents. A well-validated and easy-to-use tool is indispensable to measure and detect anxiety for timely interventions. The Generalized Anxiety Disorder Scale-7 item (GAD-7) is a self-report scale used to measure the severity of anxiety and has been validated in adult populations, but psychometric properties of the GAD-7 remained rarely tested in adolescents. The study aimed to investigate the reliability and validity of the GAD-7 in Chinese adolescents. Sex- and age-specific analyses were conducted in a large sample of adolescents (n = 67,281, aged 10–17 years). Our results showed that the GAD-7 scores were higher in female and older adolescents. The GAD-7 presented good internal consistency and a unidimensional structure across sex- and age-specific groups. The GAD-7 scores were significantly correlated with the scores of the Patient Health Questionnaire-9 item (PHQ-9, a self-reported scale to measure depression symptoms) in all subgroups, indicating acceptable criterion validity. In conclusion, the GAD-7 is a scale with good psychometrics and can serve as a tool for anxiety screening in Chinese adolescents at the populational level.

Assessment of Anxiety in Cognitive-Behavior Therapy in Young University Students with Autism Spectrum Disorders: A Review

The university provides academic support to disabled students, however, few institutions provide academic, extra-academic or preventive support to students with Autism Spectrum Disorders High-Functioning (ASD-HF). Among the most commonly requested needs is support for coping with anxiety arising from academic and social activity itself. When planning an intervention program, it is necessary to screen those who have problems and are likely to benefit from such a program. In this article we propose a systematic search for measures of anxiety for young people and adults with ASD-HF. Of a total of 683 documents, only 7 met the selection criteria. Of these, a total of 35 tools were detected, of which only 11 mediated anxiety. Screening should be carried out for all students, so that we can detect the “risk” of anxiety disturbance in all cases and, in particular, in students with ASD-HF. However, the instruments eligible for assessing intervention outcomes should be agreed upon in order to be able to compare results from different trials.

Depression and anxiety screening improves cardiovascular risk prediction in population-based sample of 4,750 russian individuals

Introduction Cardiovascular diseases (CVD) are the most serious public health problem, remaining the leading cause of death in the adult population. A great number of CVD risk scales are successfully used in clinics, yet they are tuned to work the best for patients of older age and often are population specific. Methods We used the data from a longitudinal epidemiologic study of 4,750 individuals aged 25–64 years from European part of Russia recruited in 2012–2013 to predict the 10-year risk of cardiovascular events in Russian population and evaluate performance for common clinical risk scales. The cohort was divided into two groups: “cases” – individuals with a cardiovascular event registered during the follow up period (2013–2019) as a study group (N=106) and “controls” – individuals with no cardiovascular events registered during follow up as a control group (N=4,644). All individuals with previous history of CVD (ischemic heart disease, stroke or heart attack) prior to 2012 were assigned high risk in all scales. The case and control groups were split by age: below and above 40 to reflect the properties of cardiovascular risk scales to work best for age over 40. We assessed CVD risk scores using Framingham 2008 [1], ASCVD 2013, both were calculated with mean parameters values calculated from our cohort and from the original study [2], SCORE 2003, 2017 and 2019 [3] and MOSP - the recalibrated for Russian population scale of the SCORE 2017 [4] Results For patients over 40 years old, cardiovascular risk scales showed similar performance, with ASCVD normalized to the original study's mean parameter values returning the best prediction scores. Expectedly, for the younger group of patients, cardiac risk scales do not have notable predictive power. Further, we thought to identify additional factors discriminating young individuals at higher risk of CVD. We downsampled the control cohort to include only samples with age, weight, height, LDL, total cholesterol and systolic blood pressure matching those in a case cohort (<40 years of age). 186 phenotypic features were tested and 4 out of top 10 (p<0.05) associated features included questions related to depression, anxiety or current stress level from HADS scale, though not significant after multiple hypothesis correction, this suggests that younger individuals with high scores in depression/anxiety screenings might be at higher risk of CVD. Depression/anxiety features were added to cardiovascular risk scales as binary predictor components to improve prediction quality (Table 1). Conclusions We identified depression and anxiety screening questionnaires as a valuable predictor for cardiovascular events in the younger population improving the quality of predictions of traditional clinical scales. FUNDunding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Ministry of Science and Higher Education of the Russian Federation Table 1. ROC analysis

Perbedaan Kecemasan Ibu Hamil Trimester III Sebelum dan Sesudah Pemberian Murottal Al-Qur’an Surah Ar-Rahman di Wilayah Kerja Puskesmas Kaliabang Tengah Kota Bekasi

Kecemasan pada ibu hamil mencapai 373.000.000 di Indonesia dan 107.000.000 (28,7%), kecemasan pada ibu hamil terjadi saat mendekati persalinan. Dampak kecemasan dapat menyebabkan depresi setelah melahirkan, berpengaruh pada kesehatan, kesejahteraan, dan perkembangan bayi. Terapi murottal Al-Qur’an dapat menghasilkan endorphin alami, menurunkan hormon stress, dan merileksasikan sehingga dapat menurunkan kecemasan. Tujuan penelitian ini adalah untuk mengetahui perbedaan kecemasan ibu hamil trimester III dengan pemberian murottal Al-Qur’an Surah Ar- Rahman di Wilayah Kerja Puskesmas Kaliabang Tengah Kota Bekasi. Desain penelitian Quasy Experimental pendekatan One Group Pretest-Posttest. Populasi seluruh ibu hamil trimester III yang berada di Wilayah Kerja Puskesmas Kaliabang Tengah Kota Bekasi berjumlah 68 ibu hamil dan sampel berjumlah 18 ibu hamil, dengan teknik purposive sampling. Pengumpulan data dilakukan dengan pengisian kuesioner PASS (Perinatal Anxiety Screening Scale). Analisa data menggunakan uji wilcoxon. Hasil penelitian ini yaitu ada perbedaan kecemasan ibu hamil trimester III sebelum dan sesudah pemberian murottal Al-Qur’an Surah Ar-Rahman (p<0,001). Terapi murottal Al-Qur’an dapat dijadikan sebagai salah satu alternatif untuk menurunkan kecemasan pada ibu hamil khususnya pada umat muslim. Hasil analisis univariat yaitu kecemasan ibu hamil trimester III sebelum pemberian murottal Al-Qur’an dengan rata-rata cemas ringan dan kecemasan ibu hamil trimester III sesudah pemberian murottal Al-Qur’an dengan rata-rata tidak cemas. Kecemasan ibu hamil trimester III sebelum pemberian murottal Al-Qur’an memiliki rata-rata kecemasan ringan sebanyak 6 responden (3,33%) dan sesudah pemberian murottal Al-Qur’an memiliki rata-rata tidak cemas sebanyak 14 responden (77,8%). Hasil analisis bivariat yaitu ada perbedaan kecemasan ibu hamil trimester III sebelum dan sesudah pemberian murottal Al-Qur’an Surah Ar-Rahman (p<0,001). Setelah diberikan terapi murottal terjadi penurunan kecemasan sebanyak 8 point. Bagi petugas kesehatan maupun ibu hamil muslim dapat menerapkan terapi murottal Al-Qur’an Surah Ar-Rahman dalam kehidupan sehari-hari untuk penanganan kecemasan pada ibu hamil. ABSTRAK Anxiety in pregnant women reaches 373.000,000 in Indonesia and 107.000,000 (28.7%), anxiety in pregnant women occurs when approaching delivery. The impact of anxiety can lead to depression after childbirth, affecting the health, well-being, and development of the baby. Murottal Al-Qur'an therapy can produce natural endorphins, reduce stress hormones, and relax so that it can reduce anxiety. The purpose of this study was to determine the difference in the anxiety of third trimester pregnant women with the provision of murottal Al-Qur'an Surah Ar-Rahman in the Work Area of ​​the Central Kaliabang Health Center, Bekasi City. Quasy Experimental research design with One Group Pretest-Posttest approach. The population of all third trimester pregnant women who are in the Work Area of ​​the Central Kaliabang Health Center Bekasi City is 68 pregnant women and a sample of 18 pregnant women, using purposive sampling technique. Data was collected by filling out the PASS (Perinatal Anxiety Screening Scale) questionnaire. Data analysis using Wilcoxon test. The results of this study were that there were differences in the anxiety of pregnant women in the third trimester before and after giving murottal Al-Qur'an Surah Ar-Rahman (p <0.001). Al-Qur'an murottal therapy can be used as an alternative to reduce anxiety in pregnant women, especially Muslims. The results of the univariate analysis are the anxiety of pregnant women in the third trimester before giving murottal Al-Qur'an with an average of mild anxiety and the anxiety of pregnant women in the third trimester after giving murottal Al-Qur'an with an average of not being anxious. The anxiety of pregnant women in the third trimester before giving murottal Al-Qur'an had an average of mild anxiety as many as 6 respondents (3.33%) and after giving murottal Al-Qur'an had an average of 14 respondents (77.8). %). The results of the bivariate analysis showed that there were differences in the anxiety of pregnant women in the third trimester before and after giving murottal Al-Qur'an Surah Ar-Rahman (p<0.001). After being given murottal therapy there was a decrease in anxiety as much as 8 points. For health workers and Muslim pregnant women can apply murottal Al-Qur'an Surah Ar-Rahman therapy in daily life for handling anxiety in pregnant women.

Do Maternal Stress and Depressive Symptoms in Perinatal Period Predict the Lactation Mastitis Occurrence? A Retrospective Longitudinal Study in Greek Women

Background: The aim of this study is to investigate whether symptoms of anxiety and depression disorders in women during the perinatal period predict the occurrence of lactation mastitis. Methods: This is a retrospective longitudinal study of 622 Greek women who were monitored from pregnancy until the first year postpartum (during the period January 2015–May 2018). The Edinburgh Postnatal Depression Scale (EPDS) and the Perinatal Anxiety Screening Scale (PASS) were administered at four time points: (a) 24th–28th gestation week, (b) 34th–38th gestation week, (c) 6 weeks postpartum, and (d) 12 months postpartum. Multivariate binary logistic regression analyses were performed. Results: Results showed that (a) increased EPDS (p < 0.02) and PASS (p < 0.05) scores during the last period before birth, (b) increased EPDS score at 6 weeks postpartum (p < 0.02), (c) PMS symptoms (p < 0.03), (d) traumatic life events during the last year (p < 0.03), and (e) the existence of a history of psychotherapy (before pregnancy) (p = 0.050) appear to be the psycho-emotional factors that can predict the possible occurrence of lactation mastitis in a breastfeeding mother. Conclusions: The association between women’s poor mental health and the occurrence of a physical health problem, such as lactation mastitis, is recognized. This study highlights the important role of early and timely detection of perinatal mental health disorders.

Anxiety Screening in Polytrauma Patients by Use of Single-Item Reporting With the Neurobehavioral Symptom Inventory: How Brief Is Too Brief?

Purpose/Objective: This study examined the clinical utility of a single item for anxiety from the Neurobehavioral Symptom Inventory (NSI) in determining the need for mental health referral for veterans with traumatic brain injury (TBI). Research Method/Design: Three hundred eighty veterans referred for TBI evaluation were administered the NSI and a common anxiety screening measure (Beck Anxiety Inventory; BAI). Receiver Operating Characteristic (ROC) curve analyses were conducted to determine ideal BAI total cutoff scores for a single item of the NSI pertaining to anxiety (i.e., “anxious or tense”). Results Using multiclass ROC curve analyses, NSI scores of 3 and 4 for the sample were comparable to scores of 11 and 22 on the BAI, respectively. Post hoc ROC curve analyses were then conducted on the sample after removal of potentially invalid NSI protocols (i.e., Validity-10 scores greater than 22), and NSI scores 3 and 4 corresponded with scores of 11 and 20, respectively. Conclusion/Implications A minimum score of 3 (severe) on the NSI item was deemed sufficient to indicate the need for further mental health referral without warranting additional screening for anxiety. Further analyses also revealed that removal of positive Validity-10 protocols did not significantly change ROC curve findings, suggesting that the particular NSI item for anxiety can still be used for clinical purposes despite an otherwise invalid protocol. Implications for treatment and recommendations pertaining to when additional screening might be required are discussed.

Overview of Nurse Anxiety Screening Dealing with the Covid-19 Pandemic

BackgroundThe increasing number of Covid-19 patients every day has caused anxiety in all circles of society, including nurses. Even though these prevention efforts have been carried out strictly, the potential for exposure to this virus is still quite high, even causing clusters in several buildings at Hasan Sadikin Hospital (RSHS) Indonesia. DestinationKnowing An overview of nurses' anxiety screening in the face of the Covid-19 pandemic and an overview nurse characteristics at RSHS by gender, age, education level. MethodologyThe research design is descriptive. The number of research samples is 301 people. The sampling technique is Probability Sampling: Cluster Random Sampling. The research time is March 2021 using the Coronavirus Anxiety Scale (CAS). ResultOf the total respondents 301 people there are 14 (4.65) people experiencing dysfunctional anxiety, women i.e. 13 (4.32) people, aged 26 - < 46 years old that is 9 (2.99) people and D3 is 8 (2.66) people. ConclusionThe picture of nurses' anxiety at RSHS is very low because the pandemic has been running for 1 (one) year, the researcher recommends doing research by comparing the anxiety of nurses at the beginning of the pandemic with the current pandemic.