scholarly journals Ψυχολογικά και σωματικά συμπτώματα, συμβολική λειτουργία και ρύθμιση του συναισθήματος σε ασθενείς με σκλήρυνση κατά πλάκας

2020 ◽  
Author(s):  
Αντώνιος Πούλιος
Keyword(s):  
Multiple Sclerosis ◽  
Perceived Stress ◽  
Depression Scale ◽  
Expanded Disability Status Scale ◽  
Hospital Anxiety ◽  
Stress Scale ◽  
Hospital Anxiety Depression Scale ◽  
Disability Status ◽  
Inkblot Test ◽  
Anxiety Depression

Η σκλήρυνση κατά πλάκας (ΣΚΠ) είναι η συχνότερη αιτία μη τραυματικής νευρολογικής αναπηρίας με επιπτώσεις στο σύνολο της ζωής των πασχόντων. Ο ψυχολογικός παράγων, με προεξάρχοντα το συναίσθημα, το στρες και την ψυχοπαθολογία, θεωρείται ιδιαίτερα σημαντικός στην πρόγνωση και την ποιότητα ζωής των πασχόντων. Η ΣΚΠ και άλλες χρόνιες σωματικές παθήσεις έχουν αποτελέσει αντικείμενο ενδιαφέροντοςτης ψυχανάλυσης καίτοι με μικρή εμπειρική τεκμηρίωση. Σκοπός της έρευνας ήταν να διερευνήσει από ψυχαναλυτική σκοπιά την επίδραση της συμβολικής λειτουργίας και της αλεξιθυμίας στην κλινική εικόνα και την πορεία των ασθενών με ΣΚΠ. Δεκαέξι πάσχουσες/ντες απο ΣΚΠ εξετάστηκαν με τα Rorschach Inkblot Test, Toronto Alexithymia Scale, Hospital Anxiety-Depression Scale και Expanded Disability Status Scale. Στη συνέχεια κράτησαν ημερολόγιο απαντώντας το δις εβδομαδιαίως για 3 μήνες. Το ημερολόγιο αποτελείτο από τις Multiple Sclerosis Impact Diary, Perceived Stress Scale και Positive Affect-Negative Affect Scale. Είναι η πρώτη φορά που η μεθοδολογία παρούσας έρευνας χρησιμοποιήθηκε για τη μελέτη της ΣΚΠ και συγκεκριμένα για τις υπό μελέτη μεταβλητές. Οι αναλύσεις έγιναν με Πολυεπίπεδη Ιεραρχική Γραμμική Μοντελοποίηση. (1) Η αλεξιθυμία και η ψυχοπαθολογία προέβλεψαν τα συμπώματα κινητικότητας και κόπωσης της ΣΚΠ, της επίπτωσής τους στη ζωή των ασθενών και την ποιότητας ζωής τους. Υψηλότερα επίπεδα αλεξιθυμίας και πιο σοβαρή ψυχοπαθολογία συνδέθηκαν με περισσότερα συμπτώματα κινητικότητας και κόπωσης, μεγαλύτερη επίπτωση των συμπτωμάτων αυτών στη ζωή των ασθενών και χειρότερη ποιότητα ζωής. (2) Η φαντασιακή δραστηριότητα προέβλεψε τα συμπτώματα των ασθενών όπου ελλιπης ή υπερβολική φαντασιακή δραστηριότητα προέβλεψε περισσότερα συμπτώματα κινητικότητας και κόπωσης. (3) Το αρνητικό συναίσθημα και το αντιλαμβανόμενο στρες συσχετίστηκαν με τα συμπτώματα κόπωσης και κινητικότητας της ΣΚΠ, την επίπτωση της κόπωσης στη ζωή των ασθενών και την ποιότητα ζωής με κυκλικής φύσης συσχέτιση. Η επίπτωση των συμπτωμάτων κινητικότητας προέκυψε να ακολουθεί χρονικά αλλαγές του θετικού συναισθήματος, το οποίο προβλέφθηκε από τα ίδια τα συμπτώματα κινητικότητας. (4) Τα προβλήματα στη συμβολική λειτουργία και η αλεξιθυμία προέκυψαν να επαυξάνουν την επίδραση του αρνητικού συναισθήματος και του στρες στη δραστηριότητα της πάθησης αλλά πλευρές της χρηστικής ή και νορμοπαθούς σκέψης και καταστολής της φαντασίωσης να μειώνουν την επίπτωσή της στη ζωή των ασθενών. Συνοψίζοντας τα ιδιαίτερα πρωτότυπα ευρήματα, επιβεβαιώνεται ότι η δυσλειτουργική συμβολική λειτουργία, το αντιλαμβανόμενο στρες και το αρνητικό συναίσθημα επιβαρύνουν τους ασθενείς ψυχολογικά αλλά και σωματικά, ενώ το θετικό συναίσθημα δρα προστατευτικά ως προς την ψυχολογική και σωματική ευρρωστία των ασθενών. Μολαταύτα, οι πλευρές της συμβολικής λειτουργίας που αφορούν στην καταστολή ή την αποφυγή της συναισθηματικής και φαντασιακής ζωής προέκυψαν να προστατεύουν την καθημερινότητα των ασθενών μειώνοντας τη συνειδητή επίπτωση του αρνητικού συνασθήματος και του στρες. Ταυτόχρονα μειώνουν όμως και την ευεγερτική επίδραση του θετικού συναισθήματος. Η αποτυχία της συμβολοποίησης φαίνεται ότι επιβαρύνει άμεσα τους ασθενείς ως προς τη δραστηριότητα της πάθησης. Εντούτοις, πιθανώς λειτουργεί ως άμυνα έναντι του στρες και του συναισθήματος, τα οποία καίτοι έχουν ιδιαίτερα σημαντική επίδραση στην ΣΚΠ θα πρέπει να διερευνώνται λαμβάνοντας υπόψιν την αλληλλεπίδρασή τους με άλλους παράγοντες.

scholarly journals 841 The psychological impact of Foundation Interim Year 1 Placements on Final Year UK Medical Students Transitioning to Foundation Year One During the COVID Era

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Durand-Hill ◽  
D I Ike ◽  
A N Nijhawan ◽  
A B Shah ◽  
A Dawson ◽  
...  
Keyword(s):  
Medical Students ◽  
Perceived Stress ◽  
Psychological Impact ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stress Scale ◽  
The Uk

Abstract Introduction During the COVID pandemic, the 2019-2020 cohort of final year students were invited to participate in Foundation interim Year 1 placements (FiY1). FiY1 aimed to ease transition to Foundation Year 1 doctor (FY1). We assessed the psychological impact of FiY1 on final year medical students. Method A cross-sectional survey was distributed to final year medical students in the UK between June 4th and July 4th, 2020. The survey contained the following domains: participant demographics, rationale for FiY1 participation, a checklist of the key safety principles for FiY1s, the Hospital Anxiety and Depression Scale and the Perceived Stress scale-4. Results 107 final years responded to the survey. 72.0% (n = 77) of final year students surveyed were working as FiY1s. Final year students participating in FiY1 postings had reduced rates of anxiety (29.9% vs 43.4%, P = 0.186), depression (5.2% vs 20.0%, P = 0.018) and lower perceived stress levels (5.0 vs 7.2, P < 0.001). 19.5% (15/77) FiY1s reported working beyond their competency, 27.3% (22/77) felt unsupervised, but 94.8% (73/77) of FiY1s felt the post prepared them for FY1. Conclusions Students participating in FiY1 postings felt less stressed and depressed than those not participating in the scheme and the majority felt it was preparing them for FY1.

scholarly journals Association Between Hospital Anxiety Depression Scale and Autonomic Recovery Following Exercise

2019 ◽  
Vol 27 (2) ◽  
pp. 295-304
Author(s):  
Milana D. R. Santana ◽  
David M. Garner ◽  
Yasmim M. de Moraes ◽  
Luana B. Mangueira ◽  
Guilherme C. Alcantara ◽  
...  
Keyword(s):  
Depression Scale ◽  
Hospital Anxiety ◽  
Hospital Anxiety Depression Scale ◽  
Anxiety Depression

scholarly journals PENGARUH IMPLEMENTASI PROGRAM PRO-SELF TERHADAP KECEMASAN DAN DEPRESI PASIEN KEMOTERAPI

2017 ◽  
Vol 1 (2) ◽  
pp. 127
Author(s):  
Jihanni Mustika Mawardani ◽  
Haryani . ◽  
Probosuseno .
Keyword(s):  
Depression Scale ◽  
Wilcoxon Test ◽  
Anxiety And Depression ◽  
Oncology Group ◽  
Hospital Anxiety ◽  
Hospital Anxiety Depression Scale ◽  
Post Test ◽  
Information Skills ◽  
Chemotherapy Patients ◽  
Anxiety Depression

ABSTRAKLatar belakang: Kemoterapi menimbulkan efek samping fi siologis dan psikologis. Gejala psikologis yang dapatterjadi berupa kecemasan dan depresi. Masalah psikososial dapat diatasi dengan memfasilitasi peningkatankoping pasien melalui pemberian informasi dan peningkatan sistem dukungan. Program PRO–SELF yangdidesain untuk pasien kanker dewasa meliputi informasi, keterampilan, dan dukungan supaya penderitakanker dapat terlibat mandiri secara efektif dan konsisten dalam mengelola efek samping kemoterapi sehinggakeparahan gejala yang berhubungan dengan penyakitnya atau penanganan penyakitnya dapat diminimalkan.Tujuan: mengetahui pengaruh implementasi Program PRO-SELF terhadap kecemasan dan depresi padapasien kemoterapi. Metode: penelitian quasi eksperimen dengan pre-test-post-test one group design yangmelibatkan 40 responden selama 3 bulan dengan kriteria inklusi semua pasien kemoterapi, berusia kurangdari 65 tahun, nilai skala Eastern Cooperative Oncology Group (ECOG) 0–2. Data dikumpulkan pada bulanJuli–September 2013 di Ruang Penyakit Dalam IRNA 1 RSUP Dr. Sardjito. Kriteria eksklusinya pasien kankeryang memiliki riwayat gangguan psikiatri. Responden diberikan pre-test, kemudian diberikan intervensi olehpeneliti berupa pemberian program PRO-SELF yang terdiri atas pemberian informasi, keterampilan tentangkemoterapi dan pengurangan efek samping kemoterapi, serta pemberian dukungan melalui telepon saatpasien di rumah. Setelah intervensi, responden diberikan post-test dengan jarak waktu 3 minggu dari pretest. Pengukuran kecemasan dan depresi menggunakan kuesioner hospital anxiety depression scale (HADS).Analisis data dilakukan dengan analisis Wilcoxon Test dengan tingkat kepercayaan 95%. Hasil: Terdapatperbedaan bermakna tingkat kecemasan pada responden (p=0,001) dari pre-test ke post-test. Tingkat depresitidak bermakna dari pre-test ke post-test (p=0,258). Kesimpulan: Implementasi program PRO-SELF secaraefektif dapat mengurangi kecemasan pasien kemoterapi, tetapi tidak dapat secara efektif mengurangi depresi.Kata Kunci: kemoterapi, kecemasan, depresi, program PRO-SELF.ABSTRACTBackground: Chemotherapy causes physiological and psychological side effects. Psychological symptomsthat can occur are anxiety and depression. Psychosocial problems can be overcame by improved patient copingthrough the provision of information and improved support system. PRO-SELF program that was designedincrease self-care skills for adult patients undergoing cancer therapy includes information, skills, and support socancer patients can be engaged effectively and consistently independent in managing side effect chemotherapy,so the severity of symptoms due to disease or treatment disease can be minimized. Objectives: To identify theeffect of implementation PRO-SELF program to anxiety and depression in chemotherapy patients. Methods:This study used pre-experimental, one-group pre-test-post-test design involving 40 respondents for 3 month,inclusion criteria in this study are all chemotherapy patients, aged less than 65 years, screening patients withEastern Cooperative Oncology Group (ECOG 0–2) scale. Data were collected within July–September 2013 inInternal Injuries IRNA 1 Room RSUP Dr. Sardjito Yogyakarta. Exclusion criteria is cancer patients who havehistory of psychiatric disorder. Respondents were given a pre-test, then were given intervention by nursingstudent with provision of information, skills in reducing chemotherapy side effects, and provide support withtelephone when patients are at home. Respondent were given post-test after intervention 3 weeks after pretest. Measurement of anxiety and depression using hospital anxiety depression scale (HADS) questionnairesand analyzed with Wilcoxon test with 95% level of signifi cancy. Results: Decrease respondents anxiety frompre-test to post-test with signifi cancy 0.001, there is signifi cant difference. Depression respondents changedfrom pre-test to post-test with signifi cancy 0.258, that is non-signifi cant difference. Discussion: PRO-SELFprogram effectively reduce anxiety because information, skills, support can reduce anxiety. Conclusions:Implementation of the PRO-SELF program effectively reduce patient anxiety chemotherapy. Yet it can notreduce depression effectively.Keywords: chemotherapy, anxiety, depression, PRO-SELF program.

scholarly journals Structure and invariance of the Hospital Anxiety Depression Scale (HADS) in adolescents

2021 ◽  
Author(s):  
Andre Faro ◽  
Ludgleydson Fernandes de Araújo ◽  
Silvana Carneiro Maciel ◽  
Tiago Jessé Souza de Lima ◽  
Luana Elayne Cunha de Souza
Keyword(s):  
Clinical Sample ◽  
Depression Scale ◽  
Factorial Structure ◽  
Hospital Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Gender Invariance ◽  
Hospital Anxiety Depression Scale ◽  
And Gender ◽  
Anxiety Depression

The main objective of this study was to test the factorial structure and gender invariance of the Hospital Anxiety Depression Scale (HADS) in a non-clinical sample of 657 adolescents (Mage = 16.3 years; SD = 1.19). The research design was an instrumental investigation, based on a cross-sectional survey with a sample of adolescents in Brazil. The results presented satisfactory evidence of the validity of the factorial structure and gender invariance for the sample. The composite reliability was also satisfactory, and no problems were detected related to common method bias. The mean of the items explained variance was .31 (31 %), with a Cronbach’s Alpha at .84 for the total scale, .81 and .69 for the anxiety and depression subscales, respectively. In the discussion, we analyzed questions related to the average variance extracted of the scale, which was lower than expected. Thus, we conclude that the current findings provide validity evidence to the application of the HADS with Brazilian adolescents for clinical or research purposes.  

Frequency and characteristics of drowsiness, somnolence, or daytime sleepiness in patients with advanced cancer

2018 ◽  
Vol 17 (04) ◽  
pp. 459-463 ◽  
Author(s):  
Sriram Yennurajalingam ◽  
Srikanth Reddy Barla ◽  
Joseph Arthur ◽  
Gary B. Chisholm ◽  
Eduardo Bruera
Keyword(s):  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Depression Scale ◽  
Well Being ◽  
Severity Index ◽  
Hospital Anxiety ◽  
Hospital Anxiety Depression Scale ◽  
Clinically Significant ◽  
Anxiety Depression ◽  
Insomnia Severity

AbstractIntroductionCancer-related drowsiness (CRD) is a distressing symptom in advanced cancer patients (ACP). The aim of this study was to determine the frequency and factors associated with severity of CRD. We also evaluated the screening performance of Edmonton Symptom Assessment Scale-drowsiness (ESAS-D) item against the Epworth Sedation Scale (ESS).MethodWe prospectively assessed 180 consecutive ACP at a tertiary cancer hospital. Patients were surveyed using ESAS, ESS, Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Hospital Anxiety Depression Scale.ResultNinety of 150 evaluable patients had clinically significant CRD (ESS); median (interquartile ratio): ESS. 11 (7–14); ESAS-D. 5 (2–6); Pittsburgh Sleep Quality Index. 8 (5–11); Insomnia Severity Index. 13 (5–19); Stop Bang Scoring 3 (2–4), and Hospital Anxiety Depression Scale-D 6 (3–10). ESAS-D was associated with ESAS (r, p) sleep (0.38, <0.0001); pain (0.3, <0.0001); fatigue (0.51, <0.0001); depression (0.39, <0.0001); anxiety (0.44, <0.0001); shortness of breath (0.32, <0.0001); anorexia (0.36, <0.0001), feeling of well-being [(0.41, <0.0001), ESS (0.24, 0.001), and opioid daily dose (0.19, 0.01). Multivariate-analysis showed ESAS-D was associated with fatigue (odds ratio [OR] = 9.08, p < 0.0001), anxiety (3.0, p = 0.009); feeling of well-being (OR = 2.27, p = 0.04), and insomnia (OR = 2.35; p = 0.036). Insomnia (OR = 2.35; p = 0.036) cutoff score ≥3 (of 10) resulted in a sensitivity of 81% and 32% and specificity of 70% and 44% in the training and validation samples, respectively.Significance of resultsClinically significant CRD is frequent and seen in 50% of ACP. CRD was associated with severity of insomnia, fatigue, anxiety, and worse feeling of well-being. An ESAS-D score of ≥3 is likely to identify most of the ACP with significant CRD.

Spiritual wellbeing and its relationship with perceived stress, anxiety and depression in Iranian cardiac patients

2020 ◽  
Vol 15 (7) ◽  
pp. 1-8
Author(s):  
Mojtaba Senmar ◽  
Elham Hasannia1 ◽  
Mohaddeseh Aliakbari ◽  
Fateme Safari Alamoti ◽  
Maryam Gholamhoseini ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Depression Scale ◽  
Cardiac Patients ◽  
Holistic Care ◽  
Anxiety And Depression ◽  
Spiritual Wellbeing ◽  
Hospital Anxiety ◽  
Stress Scale ◽  
Coronary Syndrome ◽  
The Mean

Aim This study was conducted to examine spiritual wellbeing and its relationship with perceived stress, anxiety and depression among cardiac patients. Methods The present descriptive study was conducted on 120 patients with cardiac diseases. The Perceived Stress Scale, Hospital Anxiety and Depression Scale, and Paloutzian and Ellison Spiritual Wellbeing Questionnaire were used for data collection. Results Of 120 patients, 79 were diagnosed with acute coronary syndrome, 30 were diagnosed with heart failure, and the rest were diagnosed with cardiac arrhythmia (mostly atrial fibrillation). The mean scores for depression, anxiety and stress in the studied patients were 10.1, 9.9, and 19.5, respectively. The mean score of the total spiritual wellbeing was 86.2. Results showed an inverse and significant relationship between spiritual wellbeing with perceived stress (R2=−0.535, P=0.001), anxiety (R2=−0.389, P<0.001), and depression (R2=−0.388, P<0.001). Conclusions Improving cardiac patients’ spiritual wellbeing should be recognised as an essential part of holistic care and an effective strategy in reducing depression, anxiety and stress among cardiac patients.

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