scholarly journals The Relationship between Depression and Anxiety Symptoms and Activity of Daily Living in Landmine Explosion Adolescent Survivors

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Mehdi Masoumi ◽  
Mohammadreza Soroush ◽  
Ehsan Modirian ◽  
Batool Mousavi ◽  
Mohammad Ali Hemmati ◽  
...  

Introduction: Physical disability, especially in childhood and adolescence can cause major psychological problems such as depression and anxiety. Burden of landmine in western border cities of Iran caused many disabled survivors through the years after Iran-Iraq war. Aims: To investigate the potential association of disability of activities of daily living and symptoms of depression and anxiety in adolescents’ affected of post war landmine in Iran. Methods: This study employed two questionnaires for 35 adolescents’ survivors of mine explosions; the prevalence of anxiety and depressive symptoms was examined using the Hopkins Symptom Checklist-25 (HSCL-25) and the ability to perform activities of daily living (ADL) was measured by the Barthel index questionnaire. In addition, the association between anxiety and depression with demographic characteristics and activities of daily living was estimated. Results: Maximum independency was in activities of feeding, bowels, bathing and grooming while highest dependency was in activities of mobility, stairs and dressing. All of the cases have shown depression and the prevalence of anxiety was 31 (88.6%). An analysis of the data reveals significant association between activities of daily living included dressing, feeding, grooming and bathing with depression and anxiety (p<0.05). Although eye injured cases had the most complete independency (50%) in ADL but a significant direct relation was observed between eye impairment and depression (p=0.050). Conclusion: Overall, the study suggested that adolescents with physical disability due to landmine explosion may be suffering from depression and anxiety.

2020 ◽  
Vol 35 ◽  
pp. 153331752096087
Author(s):  
Kalpana P. Padala ◽  
Christopher M. Parkes ◽  
Prasad R. Padala

We present a case report to showcase that behavioral, cognitive, and functional decline may be associated with COVID-19 stay-home guidance among older adults with pre-existent cognitive impairment. In a functionally independent and physically active older adult with Mild Cognitive Impairment, there was worsening in depression and anxiety symptoms associated with the restrictions of COVID-19. Functional decline was also noted as assessed by Instrumental Activities of Daily Living. We discuss solutions to mitigate the effects of COVID-19 restrictions in this vulnerable population.


Retos ◽  
2016 ◽  
pp. 222-225
Author(s):  
Gabriela Orozco Calderón ◽  
Melissa Alexandra Anaya Chávez ◽  
Jesús Santiago Vite ◽  
María del Rosario García Viedma

El  tener actividad física se ha asociado con un funcionamiento cognitivo exitoso durante la etapa adulta o vejez.  Una actividad física deportiva es el Tai Chi, que es un arte marcial suave, con efectos benéficos sobre la salud física, psicológica y cognitiva. El objetivo del presente es caracterizar una muestra de mujeres mayores de 60 años practicantes de Tai Chi Chuan Yuan de la Ciudad de México y compararlas con mujeres sedentarias. Ambos grupos fueron evaluados con la prueba neuropsicológica COGNISTAT,   con las escalas de depresión y ansiedad de Beck y con la escala de actividades de la vida diaria para el adulto mayor INACVIDIAM. Los resultados obtenidos mostraron que el grupo de mujeres practicantes de Tai Chi tuvieron puntajes significativamente más altos que las mujeres sedentarias en las subpruebas de memoria, atención y construcción. Y una tendencia a tener mayor frecuencia y satisfacción al realizar actividades de la vida diaria, con niveles nulos y mínimos de depresión y ansiedad respectivamente. Se concluye que el conocer cuáles son las funciones cognitivas que pueden beneficiarse con la práctica de Tai Chi puede servir para promover este arte marcial suave como una terapia alternativa a la intervención neuropsicológica en pacientes con deterioro cognitivo propio del envejecimiento normal o patológico.Abstract. Having physical activity it has been associated with successful cognitive functioning in adulthood or old age. A sports physical activity is Tai Chi, a soft martial art that has come forth benefits effects on physical, psychological and cognitive health. The aim of this study is to characterize a sample of women over 60 practitioners of Tai Chi Chuan Yuan form Mexico City and compared with sedentary women. Both groups were evaluated with neuropsychological test COGNISTAT, with scales of depression and anxiety Beck and the activities of daily life for the elderly INACVIDIAM. The results showed that the group of women practicing Tai Chi had significantly higher than sedentary in subtests memory, care and construction women's scores. And a tendency to have more frequent and satisfaction to perform activities of daily living, with zero and low depression and anxiety levels respectively. It is concluded that knowing what cognitive functions that can benefit from Tai Chi practice can serve to promote this soft martial art as an alternative therapy to neuropsychological intervention in patients with cognitive impairment due to normal or pathological aging.


Author(s):  
Roshan U. Raut ◽  
Sushama S. Thakre ◽  
Subhash B. Thakre

Background: Disability reflects the difficulties that the disabled person experiences during physical movement as well as interaction with the society. This restrictions act as barrier for executing daily living activities which results into poor health outcome and increased dependency. The objective is to study impact of physical disability on activities of daily living (ADL) of physically disabled person.Methods: A present cross-sectional study was undertaken at Indira Gandhi government medical college, Nagpur. Physically disabled persons aged more than 18 years of age attending outpatient department for disability were included in this study. This study was carried out from 1st May to 31st September 2018. In all total 83 subjects were enrolled in this study. For assessment of activity of daily living Barthel index was used. Descriptive statistics (frequencies and percentage) were obtained and data was analysed by using Microsoft Excel and Epi-Info version 7.2.Results: In all 83 rural subjects were considered for final analysis. Out of 83 subjects 49 (59.04%) were male and 34 (40.96%) were female. Mean±SD age in years was 40.5±12.9. Majority of study participants were belonging to class IV and V category of socio-economic status. Activities such as transfer, mobility, and stair climbing showed greater impact of physical disability. It was found that 18.1% respondents required major help for transfer as an ADL.Conclusions: It is clear from the present study that the activity of daily living is impacted due to disability. In every activity domain it was found that majority were independent. 


2020 ◽  
Vol 11 (4) ◽  
pp. 16-24
Author(s):  
Hamid Mehmood ◽  
Abdul Rauf ◽  
Muhammad Yaqoob ◽  
Saleem Rana

ABSTRACT BACKGROUND & OBJECTIVE: World Health Organization (WHO) considers that Activities of Daily Living (ADL) is the most important indicator to measure physical and cognitive functions in senior citizens. It is important to know the prevalence of physical disability to find out the needs of senior citizens regarding physical, mental and emotional health. This study has provided us the prevalence rate of physical disability among the senior citizen in the five major cities of Punjab, Pakistan. METHODOLOGY: This descriptive study was conducted over a period of  six months June (06, 2019 to December 05, 2019). The sample was randomly selected. The respondent were senior citizen (Male/Female) having an age of above 60 years. Data were collected from the Index cases. Questionnaire and assessment scales were used as study scale and total sample size was 3675. RESULTS: The results of study showed that the activities of daily living (ADL) and instrumental activities of daily living (IADL) are related to age, sex, education, social and psychological factors. The facilities of education, job, entertainment, social activities vary from city to city. In all cities a p =0.05 was used. In addition, an Eo= 4.5 was set and the reliability to be used was 95%. CONCLUSION: It has been concluded that the physical disability in the senior citizens is increasing due to aging population.


Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 67
Author(s):  
Emilija Dubljanin Raspopovic ◽  
Ljiljana Marković Denić ◽  
Sanja Tomanović Vujadinović ◽  
Marko Kadija ◽  
Una Nedeljković ◽  
...  

The aim of this study was to determine the outcome for patients who sustain a second hip fracture compared with those who sustain a first fracture, and to define the optimal measure to evaluate functional outcome after second hip fracture. Methods: 343 patients with acute hip fractures who presented during a 12 month period were included in the study. Patients with a first (318 patients, 78.10 +/− 7.53 years) and second (25 patients, 78.96 +/− 6.02) hip fracture were compared regarding all baseline variables. Regression analysis was also performed to assess the independent relationship between the presence of a second hip fracture and observed outcome variables at discharge (physical disability, complications, length of stay, and mortality) and one-year after surgery (physical disability and mortality). Results: Disability when performing instrumentalized activities of daily living (IADL) at one-year follow-up is independently related to the presence of a second hip fracture. There were no other statistically significant relationships between the presence of a second hip fracture and other observed outcome variables. Conclusions: Patients with a second hip fracture showed worse functional outcome at one-year follow-up when measured with the IADL scale. No increased short-nor long-term mortality rates were found in patients with a secondary hip fracture. IADL is a good tool to assess disability after a second hip fracture and could be thus a more reliable outcome measure when investigating differences in functional recovery in patients with a second hip fracture compared to conventionally used ADL scales.


2000 ◽  
Vol 5 (4) ◽  
pp. 243-248 ◽  
Author(s):  
Peter Rothbart ◽  
Katherine Fiedler ◽  
George D Gale ◽  
David Nussbaum ◽  
Nelson Hendlerb

OBJECTIVE: To ascertain whether repeated (palliative) nerve blocks over a long period of time provide benefit to patients with chronic intractable headache and neck ache.SUBJECTS AND METHODS: One hundred patients who were receiving repeated nerve blocks as part of their pain management regimen completed a structured interview questionnaire. The patients had all been investigated and received a diagnosis of cervicogenic headache. Changes in pain rating, depression rating, anxiety rating, activities of daily living and quality of life were measured.RESULTS: After each nerve block session, the subjects reported significant improvement in their levels of pain, depression and anxiety. They also reported improvements in their quality of life and in their ability to participate in activities of daily living.CONCLUSIONS: Repeated (palliative) nerve blocks appear to be a useful modality in the armamentarium of pain control techniques for patients with chronic intractable headache and neck ache of cervical origin.


1997 ◽  
Vol 60 (8) ◽  
pp. 359-364 ◽  
Author(s):  
Helen Wolf

A preliminary study was carried out to evaluate the appropriateness of activities of dally living (ADL) scales as outcome measures for a community-based multidiscipilnary service to physically disabled young people. A literature search was undertaken which raised several questions and concerns. To find out how other teams addressed these issues, telephone interviews were conducted with occupational therapists working in similar NHS teams. They were asked about the nature of their services, their use of ADL and ADL scales and whether these were administered as outcome measures.


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