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Bipolar disorder, comorbid anxiety disorders, gynecomastia and dental pain: case analysis with literature review Bipolar disorder with comorbid anxiety disorders frequently requires rational polypharmacy, including use of serotonergic psychotropics. These may result in adverse effects, influencing adherence, complicating treatment and confounding diagnoses. Serotonergic non-adherence is associated with discontinuation syndromes. In this complex case with an on/off/on/off design, both dose
Impact of Personality Traits, Anxiety, Depression and Hopelessness Levels on Quality of Life in the Patients with Breast Cancer The aim of this study was to investigate the impacts of personality traits, anxiety, depression and hopelessness levels on quality of life in the patients with breast cancer.The study was performed on 90 patients diagnosed with breast cancer and 90 healthy women. Sociodemographic and Clinical Data Collection Form designed by us, Beck Hopelessness Scale (BHS), Beck (...) Anxiety Scale (BAS), Beck Depression Scale (BDS), Eysenck Personality Inventory (EPI) and Quality of Life Scale-Short Form (SF-36) were administered to patients and to control group.The patients with breast cancer were found to indicate higher levels of anxiety and depression, lower levels of quality of life, and higher scores of personality inventory subscales as compared to the healthy control group. In the patient group, it was identified that the quality of life subscale scores were found
A Review of Evidence Based Treatments for Transgender Youth Diagnosed with Social Anxiety Disorder In addition to the high prevalence of gender dysphoria among transgender youth, this population is at greater risk of suffering from additional mental health disorders, including social anxiety disorder, compared to their cisgender peers. Cognitive behavioral therapy (CBT) has been established as an effective form of treatment for social anxiety disorder. It is recommended that therapists modify (...) and adapt CBT when working with minority groups such as transgender youth to ensure that the treatment is efficacious and culturally sensitive. However, literature assessing the efficacy of CBT for transgender youth with mental health issues is scant. As a result, there is no empirical literature on effective treatment for transgender youth who meet criteria for social anxiety disorder alone or youth who meet criteria for social anxiety disorder and gender dysphoria. This literature review aims
Predictors of health anxiety during pregnancy The internet has become a quick, easy and accessible source for health-related information. Women are more likely to search for health information online and this likelihood increases further during pregnancy. Searching online for health-related information can have both positive and negative impacts upon levels of health anxiety during pregnancy. This research initially explored how health impacts heath anxiety during pregnancy. Secondly (...) , the sources of offline support that predict health anxiety and thirdly, how online health seeking behaviour predicts health anxiety.The sample consisted of 159 pregnant women who completed an online questionnaire to investigate significant predictors of health anxiety during pregnancy.Multiple regression analyses showed health anxiety increased during pregnancy when medical complications had been experienced in a previous pregnancy and if under medical treatment for a non-pregnancy related condition
Short-term lending: Payday loans as risk factors for anxiety, inflammation and poor health While research now consistently links consumer financial debt with adverse emotional health outcomes, specific forms of debt and their impact on measures of physical health are underexplored. This gap in knowledge is significant because different forms of loans and debt may have different experiential qualities. In this paper, we focus on a type of unsecured debt - short-term/payday loan borrowing (...) health, sexual health, and anxiety, after controlling for several socio-demographic covariates. We discuss these findings within the contexts of regulatory shortcomings, psychosocial stress, and racial and economic credit disparities. We suggest that within the broader context of financial debt and health, short-term loans should be considered a specific risk to population health.
Effectiveness of the mindfulness-acceptance-commitment-based approach on athletic performance and sports competition anxiety: a randomized clinical trial Improving sports performance and reducing anxiety is one of the most important goals of athletes. Recurrence of symptoms and treatment cessation are common problems with common interventions. Approaches based on mindfulness-acceptance-commitment (MAC) can be a response to these limitations.The main purpose of the present study was to determine (...) effectiveness of the mindfulness-acceptance-commitment-based approach to athletic performance enhancement and sports competition anxiety in students who have had athletic experience for 3 to 5 years.This randomized clinical trial was conducted at the Faculty of Educational Sciences of Iran University of Medical Sciences in Tehran, Iran, from May 1, 2017 to September 15, 2017. A total of 31 students were randomly assigned to experimental (n=15) and control groups (n=16). The experimental group received
Anterior cingulate cortex activity as a candidate biomarker for treatment selection in social anxiety disorder We aimed to identify biomarkers to guide the decision to add selective serotonin reuptake inhibitors (SSRI) to psychological treatment for social anxiety disorder (SAD). Forty-eight patients with SAD underwent functional magnetic resonance imaging and collection of clinical and demographic variables before treatment with cognitive-behavioural therapy, combined on a double-blind basis
Anxiety and depression in spasmodic dysphonia patients Experts used to believe that spasmodic dysphonia (SD) was a psychogenic disorder. Although SD is now established as a neurological disorder, the rates of co-morbid anxiety and depression range from 7.1% to 62%. Our objective was to study the prevalence and risk factors associated with these mood disorders in SD patients.Retrospective.SD patients who presented for botulinum toxin injections were recruited. Demographic data, Hospital Anxiety (...) and Depression Scale (HADS), Voice Handicap Index-10 (VHI-10), General Self-Efficacy scale (GSES), Disease Specific Self-Efficacy in Spasmodic Dysphonia scale (DSSE), and Consensus Auditory Perceptual Evaluation of Voice (CAPE-V) were collected.One hundred and forty two patients (age (59.2 ± 13.6) years, 25.4% male) had VHI-10 of 26.3 ± 6.9 (mean ± standard deviation), GSES 33.2 ± 5.8, CAPE-V 43.9 ± 20.9, HADS anxiety 6.7 ± 3.7, and HADS depression 3.6 ± 2.8. About 19 (13.4%) and 4 (2.8%) had symptoms
The relation between social identity and test anxiety in university students Social identification has been shown to be a protective resource for mental health. In this study, the relationships between social identification and emotional, as well as cognitive symptoms of test anxiety are investigated. Participants were university students diagnosed with test anxiety (N = 108). They completed questionnaires regarding a range of psychopathologic stress symptoms, and their social identification (...) with fellow students and with their study program. Results reveal negative relations between social identification and almost all investigated emotional and cognitive symptoms of test anxiety. Based on this study, interventions could be developed that strengthen the social identity of university students.
Evaluation of reliable improvement rates in depression and anxiety at the end of treatment in adolescents Literature has focused on effect sizes rather than individual-level improvement rates to determine how effectively services address burgeoning numbers of adolescents with anxiety and depression.AimsTo consider how many adolescents report reliable improvement in anxiety, depression and comorbid depression and anxiety by end of treatment.The primary outcome was reliable improvement (i.e (...) . change greater than likely the result of measurement error) in self-reported anxiety and depression for N = 4464 adolescents (mean age 14.5 years, s.d. = 1.9; 75% female; 61% White) seen in specialist mental health services in England.In total, 53% of those with anxiety, 44% with depression, and 35% with comorbid depression and anxiety showed reliable improvement.Improvement rates were higher than previously reported, but lower than generally used in advice to the public. There may be a need to set
The Effect of Foot Massage on Postoperative Pain and Anxiety Levels in Laparoscopic Cholecystectomy Surgery: A Randomized Controlled Experimental Study. This study determined the effect of foot massage on postoperative pain and anxiety levels in patients undergoing laparoscopic cholecystectomy surgery.A randomized controlled trial.This study was conducted in a general surgery clinic of a university hospital between May 2016 and March 2018. The research sample consisted of 167 patients (85 (...) in the experimental group and 82 in the control group) who met the research inclusion criteria.The pain intensity of patients in the experimental group was less than in the control group at 30, 60, 90, and 120 minutes after intervention (P < .05). A significant reduction was determined in the need for analgesics for the patients in the experimental group compared with the control group (P < .05). A significant positive relationship was found between pain intensity and state anxiety levels in patients
Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay. The purpose of this study was to compare effects of tablet-based interactive distraction (TBID; 1 minute preseparation) with oral midazolam (15 to 45 minutes of preseparation) on preoperative anxiety, emergence delirium, and postanesthesia length of stay in children, 4 to 12 years undergoing outpatient (...) surgery.Single-blinded prospective design with randomized assignment to TBID or oral midazolam group was conducted at a large pediatric hospital in southwestern United States.A total of 102 children and caregivers were enrolled. Outcome measures included anxiety scores at baseline, separation, and mask induction; postemergence delirium scores; caregiver ratings of child anxiety and satisfaction; and time from postanesthesia care unit arrival to discharge and posthospital behaviors.The TBID group demonstrated
Effectiveness of a Preoperative Preparation Program on Children's Emotional States and Parental Anxiety. The study was conducted to examine the effects of a preoperative preparation program on children and their parents in a pediatric surgery outpatient clinic.A quasiexperimental design was used.Seventy-three children and their primary caregivers were included in the study (intervention = 36, control = 37). Data collection tools included the Characteristics of Children and Caregivers Data Form (...) , the PedsQL Health Care Parental Satisfaction Scale, the State Anxiety Inventory, and the children's Koppitz Human Figure Drawing Test. Data were collected on the day before surgery and the day of surgery. The program comprised verbal and written information about the process that was given to families and children, and a medical play doll was used for therapeutic communication with children in the intervention group.The satisfaction level of parents in the intervention group was found to be significantly
Randomized Clinical Trial Comparison of the Effect of Verbal Education and Education Booklet on Preoperative Anxiety. Comparing the effect of verbal education and education booklet on preoperative anxiety.This study was a randomized clinical trial.Sixty patients were randomly allocated into three groups: control, booklet, and verbal education. The data were collected using Spielberger's State-Trait Anxiety Inventory before and after intervention. SPSS (version 20; IBM, Armonk, NY) with analysis (...) of variance and the dependent t test were used for analysis.After intervention, there was a significant difference between the mean scores of state anxiety scale among the intervention groups (booklet and verbal) with the control group (P < .05). The mean difference between the two intervention groups (booklet and verbal) was not significant (P > .05).According to the results, and given that nurses work under time pressure in Iran and other societies, it is concluded that well-designed education booklets
Persistence of anxiety symptoms after elective caesarean delivery In the UK, 11.8% of expectant mothers undergo an elective caesarean section (ELCS) representing 92 000 births per annum. It is not known to what extent this procedure has an impact on mental well-being in the longer term.To determine the prevalence and postpartum progression of anxiety and depression symptoms in women undergoing ELCS in Wales.Prevalence of depression and anxiety were determined in women at University Hospital (...) Wales (2015-16; n = 308) through completion of the Edinburgh Postnatal Depression Scale (EPDS; ≥13) and State-Trait Anxiety Inventory (STAI; ≥40) questionnaires 1 day prior to ELCS, and three postpartum time points for 1 year. Maternal characteristics were determined from questionnaires and, where possible, confirmed from National Health Service maternity records.Using these criteria the prevalence of reported depression symptoms was 14.3% (95% CI 10.9-18.3) 1 day prior to ELCS, 8.0% (95% CI 4.2
Metacognitive therapy versus cognitiveâ€“behavioural therapy in adults with generalised anxiety disorder Cognitive-behavioural therapy (CBT) is the treatment of choice for generalised anxiety disorder (GAD), yielding significant improvements in approximately 50% of patients. There is significant room for improvement in the outcomes of treatment, especially in recovery.We aimed to compare metacognitive therapy (MCT) with the gold standard treatment, CBT, in patients with GAD (clinicaltrials.gov
Self-esteem, study skills, self-concept, social support, psychological distress, and coping mechanism effects on test anxiety and academic performance The purpose of this article is to assess the association of test anxiety and academic performance with study skills, coping mechanism, self-concept, self-esteem, and psychological distress among university and high school students. A series of validated measures were administered to 284 Kosovar students, most of whom were in college (60.3 (...) %). Being in college and social support resulted as protective factors for test anxiety. Better study skills, self-concept, and psychological distress were indicative of higher test anxiety. Higher levels of self-esteem were associated with higher student success. Practical implications and research future directions have also been discussed.
Demographic and clinical predictors of response to internet-enabled cognitiveâ€“behavioural therapy for depression and anxiety Common mental health problems affect a quarter of the population. Online cognitive-behavioural therapy (CBT) is increasingly used, but the factors modulating response to this treatment modality remain unclear.This study aims to explore the demographic and clinical predictors of response to one-to-one CBT delivered via the internet.Real-world clinical outcomes data were (...) , demonstrating the value of technology-enabled treatment delivery not only in facilitating access to care, but in enabling accelerated data capture for clinical research purposes.A.C., S.B., V.T., K.I., S.F., A.R., A.H. and A.D.B. are employees or board members of the sponsor. S.R.C. consults for Cambridge Cognition and Shire. Keywords: Anxiety disorders; cognitive behavioural therapies; depressive disorders; individual psychotherapy.
The Elicitation of Relaxation and Interoceptive Awareness Using Floatation Therapy in Individuals With High Anxiety Sensitivity Floatation-REST (Reduced Environmental Stimulation Therapy), an intervention that attenuates exteroceptive sensory input to the nervous system, has recently been found to reduce state anxiety across a diverse clinical sample with high levels of anxiety sensitivity (AS). To further examine this anxiolytic effect, the present study investigated the affective (...) each session, and blood pressure was measured during each session.Relative to the comparison condition, Floatation-REST generated a significant anxiolytic effect characterized by reductions in state anxiety and muscle tension and increases in feelings of relaxation and serenity (p < .001 for all variables). Significant blood pressure reductions were evident throughout the float session and reached the lowest point during the diastole phase (average reduction >12 mm Hg). The float environment also