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121. Prevalence of anxiety, depression and post-traumatic stress disorder in the Kashmir Valley Full Text available with Trip Pro

Prevalence of anxiety, depression and post-traumatic stress disorder in the Kashmir Valley Following the partition of India in 1947, the Kashmir Valley has been subject to continual political insecurity and ongoing conflict, the region remains highly militarised. We conducted a representative cross-sectional population-based survey of adults to estimate the prevalence and predictors of anxiety, depression and post-traumatic stress disorder (PTSD) in the 10 districts of the Kashmir (...) regression analysis was conducted to identify risk factors for developing symptoms of psychological distress.The estimated prevalence of mental distress in adults in the Kashmir Valley was 45% (95% CI 42.6 to 47.0). We identified 41% (95% CI 39.2 to 43.4) of adults with probable depression, 26% (95% CI 23.8 to 27.5) with probable anxiety and 19% (95% CI 17.5 to 21.2) with probable PTSD. The three disorders were associated with the following characteristics: being female, over 55 years of age, having had

2017 BMJ global health

122. Anxiety and depression in patients with gastroesophageal reflux disorder Full Text available with Trip Pro

Anxiety and depression in patients with gastroesophageal reflux disorder Evidence shows an influence relationship between described symptoms of gastroesophageal reflux disorder (GERD) and emotional state.To determine the relationship between anxiety and depression with GERD in patients referred to the endoscopy unit of Bouali-Sina Hospital in Qazvin.This case-control study was conducted in the endoscopy unit of Bouali-Sina Hospital in Qazvin, Iran, from April 2014 through May 2015. Two hundred (...) individuals (100 patients with GERD and 100 healthy individuals as a control group) were enrolled into the current study. All subjects completed the hospital anxiety and depression questionnaire. GERD was diagnosed based on the Los Angeles classification system. Demographic and socioeconomic characteristics in addition to clinical history of subjects were collected and analyzed using proper statistical methods (independent-samples t-test and AVOVA) and using SPSS version 22.Among the recruited patients

2017 Electronic physician

123. Depression, anxiety and quality of life in stroke survivors and their family caregivers: A pilot study using an actor/partner interdependence model Full Text available with Trip Pro

Depression, anxiety and quality of life in stroke survivors and their family caregivers: A pilot study using an actor/partner interdependence model Depression and anxiety are common in stroke survivors as well as their family caregivers. However, it is not known whether each person's emotional distress contributes to their partner's quality of life (QOL).This study aimed to examine the effect of depression and anxiety on QOL in stroke survivor-caregiver dyads using dyadic analysis technique (...) - the Actor-Partner Interdependence Model (APIM).This was a cross-sectional pilot study with a total of 30 participating dyads (30 stroke survivors and 30 family caregivers) from Hospital Rehabilitasi Cheras, Kuala Lumpur, Malaysia. This pilot study was conducted over a period of 3 months, between December 2014 and February 2015. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale (HADS). QOL was assessed using the Short Form-12 Health Survey (SF-12). All analyses were

2017 Electronic physician

124. Environmental radiation level, radiation anxiety, and psychological distress of non-evacuee residents in Fukushima five years after the Great East Japan Earthquake: Multilevel analyses Full Text available with Trip Pro

Environmental radiation level, radiation anxiety, and psychological distress of non-evacuee residents in Fukushima five years after the Great East Japan Earthquake: Multilevel analyses The present study aimed to clarify the associations among radiation exposure or psychological exposure to the Fukushima nuclear power plant accident (i.e., fear/anxiety immediately after the accident), current radiation anxiety, and psychological distress among non-evacuee community residents in Fukushima five (...) . In the questionnaire, immediate fear/anxiety after the accident, current radiation anxiety, and psychological distress were measured using a single-item question, a 7-item scale, and K6, respectively. Multilevel linear or logistic regression models were applied to analyze the determinants of radiation anxiety and psychological distress. The findings showed that environmental radiation levels at the time of the survey were more strongly associated with radiation anxiety than radiation levels immediately after

2017 SSM - population health

125. Distinct responses to predictable and unpredictable threat in anxiety pathologies: effect of panic attack Full Text available with Trip Pro

Distinct responses to predictable and unpredictable threat in anxiety pathologies: effect of panic attack Delineating specific clinical phenotypes of anxiety disorders is a crucial step toward better classification and understanding of these conditions. The present study sought to identify differential aversive responses to predictable and unpredictable threat of shock in healthy comparisons and in non-medicated anxiety patients with and without a history of panic attacks (PAs).143 adults (72 (...) healthy controls; 71 patients with generalized anxiety disorder (GAD) or/and social anxiety disorder (SAD), 24 with and 47 without PAs) were exposed to three conditions: 1) predictable shocks signaled by a cue, 2) unpredictable shocks, and 3) no shock. Startle magnitude was used to assess aversive responses.Across disorders, a PA history was specifically associated with hypersensitivity to unpredictable threat. By disorder, SAD was associated with hypersensitivity to predictable threat, whereas GAD

2017 Biological psychiatry. Cognitive neuroscience and neuroimaging

126. Error-Specific Cognitive Control Alterations in Generalized Anxiety Disorder Full Text available with Trip Pro

Error-Specific Cognitive Control Alterations in Generalized Anxiety Disorder Trait anxiety is reliably associated with enhanced neural responses following errors: meta analyses have described how the electrophysiological response to errors known as the Error-Related Negativity (ERN) is increased in anxious individuals, particularly in relation to worry. The ERN has been related to a broader class of control signals, particularly via a common theta band denominator, but it is unknown whether (...) worry relates to these alternative medial frontal metrics. Moreover, it is unclear if increased ERN in anxiety relates to altered cognitive control.In this report we examine EEG activities in Generalized Anxiety Disorder (GAD, N=39) and control (CTL: N=52) participants during an executive control task. We leveraged a previously defined theta-band network to examine if an altered control signal in GAD underlies a differential implementation of cognitive control.GAD and CTL groups were reliably

2017 Biological psychiatry. Cognitive neuroscience and neuroimaging

127. Anxiety- and Health-Related Quality of Life Among Patients With Breast Cancer: A Cross-Cultural Comparison of China and the United States Full Text available with Trip Pro

Anxiety- and Health-Related Quality of Life Among Patients With Breast Cancer: A Cross-Cultural Comparison of China and the United States Literature has documented the prevalence of anxiety and its adverse effect on quality of life among patients with breast cancer from Western countries, yet cross-cultural examinations with non-Western patients are rare. This cross-cultural study investigated differences in anxiety and its association with quality of life between US and Chinese patients (...) with breast cancer.Patients with breast cancer from the United States and China completed measures for anxiety (Spielberger State-Trait Anxiety Inventory) and quality of life (Functional Assessment of Cancer Therapy-Breast).After controlling for demographic and medical characteristics, Chinese patients reported higher levels of trait and state anxiety than US patients. Although there was an association between anxiety and quality of life in both groups of patients, the association between state anxiety

2017 Journal of global oncology

128. Qualitatively Comparing the Support Needs of People with Cancer Based on Their History of Anxiety/Depression Full Text available with Trip Pro

Qualitatively Comparing the Support Needs of People with Cancer Based on Their History of Anxiety/Depression Research rarely considers the origin or history of a cancer patient's anxiety and/or depression, instead assuming that these illnesses are related to the cancer experience. The aim of this study was to compare differences in the support needs of people who have experienced anxiety/depression as part of the cancer experience and people who have not, as well as between people who have (...) experienced episodic anxiety/depression and people who have experienced long-term anxiety/depression.Twenty-one semi-structured interviews were conducted with people with a current or previous diagnosis of cancer, and a current or previous experience with anxiety and/or depression. Participants were split into four groups based on their history with cancer and anxiety/depression, and an inductive thematic analysis was conducted to identify themes across groups.Two superordinate themes (with three and two

2017 Oncology and therapy

129. Vigilance, the Amygdala, and Anxiety in Youths with a History of Institutional Care Full Text available with Trip Pro

Vigilance, the Amygdala, and Anxiety in Youths with a History of Institutional Care Early adversity is commonly associated with alterations of amygdala circuitry and increased anxiety. While many theoretical and clinical accounts of early adversity suggest that it increases vigilance to threatening stimuli, the present study tested whether heightened anxiety and amygdala reactivity associated with early adversity enhanced goal-directed attention for threatening stimuli. Showing this association (...) (fearful face) or positive target (happy face) in an array of neutral distractor stimuli (neutral faces).Across both groups, individual differences in vigilant behavior were positively associated with amygdala responses for negative versus positive stimuli. However, a moderation analysis revealed that the degree to which amygdala responses were greater for negative versus positive stimuli was associated with greater anxiety symptomology for PI youth, but not comparison youth.Together, these findings

2017 Biological psychiatry. Cognitive neuroscience and neuroimaging

130. Negative valence in Autism Spectrum Disorder: the relationship between amygdala activity, selective attention, and co-occurring anxiety Full Text available with Trip Pro

Negative valence in Autism Spectrum Disorder: the relationship between amygdala activity, selective attention, and co-occurring anxiety A critical agenda of the National Institutes of Health Research Domain Criteria (RDoC) initiative is establishing whether domains within the RDoC matrix are truly transdiagnostic. Rates of anxiety disorders are elevated in autism spectrum disorder (ASD), but it is unclear whether the same mechanisms contribute to anxiety in individuals with and without ASD (...) . As changes in selective attention are a hallmark of anxiety disorders in non-ASD samples, the identification of these changes in ASD would support the transdiagnostic nature of anxiety.This functional magnetic resonance imaging study focused on the negative valence domain from RDoC (manifest as anxiety symptoms) in youth with ASD (n = 38) and typically developing control participants (n = 25). The task required selective attention toward and away from social information (faces) with negative and neutral

2017 Biological psychiatry. Cognitive neuroscience and neuroimaging

131. Prevalence of depression and anxiety and their association with body mass index among high school students in Qazvin, Iran, 2013–2014 Full Text available with Trip Pro

Prevalence of depression and anxiety and their association with body mass index among high school students in Qazvin, Iran, 2013–2014 Evidence shows that mental disorders among adolescents are associated with suicide, drug abuse, acute infectious diseases and low educational performances.To determine the prevalence of depression and anxiety and their associations with body mass index (BMI) among high school students in Qazvin, Iran in 2013-2014.A descriptive and analytical cross-sectional (...) study using cluster-sampling method recruited 1,040 students among high schools in Qazvin, Iran from March 2013 to April 2014. Data were collected using questionnaires including demographic, Beck depression inventory and Beck anxiety inventory, and were analyzed with SPSS-19 by descriptive analyses, t-test, Chi-square and Pearson correlation.The prevalence of depression and anxiety was 31.8% and 14.9%, respectively and these amounts were significantly higher in girls than in boys (p<0.05

2017 Electronic physician

134. Engagement and outcomes for a computerised cognitive-behavioural therapy intervention for anxiety and depression in African Americans. Full Text available with Trip Pro

Engagement and outcomes for a computerised cognitive-behavioural therapy intervention for anxiety and depression in African Americans. Computerised cognitive-behavioural therapy (CCBT) helps improve mental health outcomes in White populations. However, no studies have examined whether CCBT is acceptable and beneficial for African Americans.We studied differences in CCBT use and self-reported change in depression and anxiety symptoms among 91 African Americans and 499 White primary care patients (...) aged 18-75, enrolled in a randomised clinical trial of collaborative care embedded with an online treatment for depression and anxiety.Patients with moderate levels of mood and/or anxiety symptoms (PHQ-9 or GAD-7≥10) were randomised to receive either care-manager-guided access to the proven-effective Beating the Blues® CCBT programme or usual care from their primary care doctor.Compared with White participants, African Americans were less likely to start the CCBT programme (P=0.01), and those who

2017 BJPsych open Controlled trial quality: uncertain

135. The Effect of Utilizing Organizational Culture Improvement Model of Patient Education on Coronary Artery Bypass Graft Patients' Anxiety and Satisfaction: Theory Testing. Full Text available with Trip Pro

The Effect of Utilizing Organizational Culture Improvement Model of Patient Education on Coronary Artery Bypass Graft Patients' Anxiety and Satisfaction: Theory Testing. Due to the increasing prevalence of arteriosclerosis and the mortality caused by this disease, Coronary Artery Bypass Graft (CABG) has become one of the most common surgical procedures. Utilization of patient education is approved as an effective solution for increasing patient survival and outcomes of treatment. However (...) , failure to consider different aspects of patient education has turned this goal into an unattainable one. The objective of this research was to determine the effect of utilizing the organizational culture improvement model of patient education on CABG patients' anxiety and satisfaction.The present study is a randomized controlled trial. This study was conducted on eighty CABG patients. The patients were selected from the CCU and Post-CCU wards of a hospital affiliated with Iran University of Medical

2017 Electronic physician Controlled trial quality: uncertain

136. Effect of Fluoxetine Administration on Clinical and Echocardiographic Findings in Patients with Mitral Valve Prolapse and Generalized Anxiety Disorder: Randomized Clinical Trial. Full Text available with Trip Pro

Effect of Fluoxetine Administration on Clinical and Echocardiographic Findings in Patients with Mitral Valve Prolapse and Generalized Anxiety Disorder: Randomized Clinical Trial. Mitral valve prolapse (MVP) is accompanied by mental disorders including anxiety, which has similar presentations as MVP. It is hypothesised that treatment of anxiety might reduce the symptoms of MVP.The aim of this study was to assess the clinical and echocardiographic effects of fluoxetine administration in patients (...) with MVP and anxiety.This randomized clinical trial was conducted on patients with documented MVP and generalised anxiety disorder (GAD) who were referred to Mashhad University of Medical Sciences cardiology clinics, Mashhad, Iran in 2015. Subjects were randomly assigned to intervention group who received propranolol and fluoxetine (both at 10 mg/day) and control group who received 10 mg/day propranolol. Assessments included echocardiography and GAD-7 questionnaire and rating of chest pain, that were

2017 Electronic physician Controlled trial quality: uncertain

137. Clinical Practice Guidelines on Anxiety Disorders

Clinical Practice Guidelines on Anxiety Disorders CLINICAL PRACTICE GUIDELINES Anxiety Disorders MOH Clinical Practice Guidelines 1/2015 Anxiety Disorders CLINICAL PRACTICE GUIDELINES Anxiety Disorders MOH Clinical Practice Guidelines 1/2015 Published by Ministry of Health, Singapore 16 College Road, College of Medicine Building Singapore 169854 Printed by Oxford Graphic Printers Pte Ltd Copyright 2015 by Ministry of Health, Singapore ISBN 978-981-07-1411-6 Available on the MOH website: http (...) . These guidelines should neither be construed as including all proper methods of care, nor exclude other acceptable methods of care. Each physician is ultimately responsible for the management of his/her unique patient, in the light of the clinical data presented by the patient and the diagnostic and treatment options available. c Contents Page Executive summary of recommendations 1 1 Introduction 12 2 Clinical evaluation and overview 16 3 Management of Panic Disorder 32 4 Management of Generalised Anxiety

2015 Ministry of Health, Singapore

138. Internet based or computerised CBT for depression and anxiety

Internet based or computerised CBT for depression and anxiety RACGP - Internet based or computerised CBT (iCBT or CCBT): depression and anxiety Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors (...) Releases 2017 Media Releases 2016 Media Releases 2015 Media Releases 2014 Media Releases 2013 Media Releases 2012 Media Releases Search Internet based or computerised CBT (iCBT or CCBT): depression and anxiety Internet based or computerised CBT (iCBT or CCBT): depression and anxiety Introduction About 85% of patients with depression have significant anxiety. Intervention Internet-based or computerised cognitive behavioural therapy (iCBT or CCBT) programs. Cognitive behavioural therapy (CBT) is the main

2013 Handbook of Non-Drug interventions (HANDI)

139. Neuro-Linguistic Programming for the Treatment of Adults with Post-Traumatic Stress Disorder, General Anxiety Disorder, or Depression

Neuro-Linguistic Programming for the Treatment of Adults with Post-Traumatic Stress Disorder, General Anxiety Disorder, or Depression TITLE: Neuro-Linguistic Programming for the Treatment of Adults with Post-Traumatic Stress Disorder, General Anxiety Disorder, or Depression: A Review of Clinical Effectiveness and Guidelines DATE: 3 November 2014 CONTEXT AND POLICY ISSUES Post-traumatic stress disorder (PTSD), general anxiety disorder (GAD), and major depression disorder (MDD) are common (...) and behavior in order to alter psychological responses. The creators of NLP have claimed that there is a connection between the neurological processes (neuro), language (linguistic) and behavioral patterns learned through experience (programming), and as such, it can be used in business, education, and medicine for conditions such as phobias, anxiety and depression. 6-10 NLP is a multi-dimensional process usually comprised of steps such as building rapport between physician and patient, information

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

140. Drug therapy for symptoms associated with anxiety in adult palliative care patients. (Abstract)

Drug therapy for symptoms associated with anxiety in adult palliative care patients. This is an update of the review published on 'Drug therapy for anxiety in adult palliative care patients' in Issue 1, 2004 of The Cochrane Library. Anxiety is common in palliative care patients. It can be a natural response to impending death, but it may represent a clinically significant issue in its own right. It may also result from pain, or other untreated or poorly managed symptoms. When anxiety is severe (...) or distressing drug therapy may be considered in addition to supportive care.This review aimed to identify and evaluate randomised controlled trials examining the effectiveness of drug therapy for symptoms of anxiety in adult palliative care patients.We searched the following sources: CENTRAL (The Cochrane Library 2012, Issue 2), MEDLINE (1966 to 2012), EMBASE (1980 to 2012), CINAHL (1982 to 2012), PsycLit (1974 to 2000) and PsycInfo (1990 to 2012) for literature pertaining to this topic published in any

2012 Cochrane