Academic literature on the topic 'Prevention of Anxiety and Depression Program'
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Journal articles on the topic "Prevention of Anxiety and Depression Program"
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Schmitt, Julia C., Rosa M. Valiente, Julia García-Escalera, Sandra Arnáez, Victoria Espinosa, Bonifacio Sandín, and Paloma Chorot. "Prevention of Depression and Anxiety in Subclinical Adolescents: Effects of a Transdiagnostic Internet-Delivered CBT Program." International Journal of Environmental Research and Public Health 19, no. 9 (April 28, 2022): 5365. http://dx.doi.org/10.3390/ijerph19095365.
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Anxiety and depressive symptoms are common problems in adolescence that could be addressed by means of preventive interventions. Even though transdiagnostic cognitive behavior therapy (T-CBT) is potentially an ideal strategy to deal with anxiety and depression, it has rarely been used for preventive purposes. In addition, so far, no study has used internet-delivered T-CBT to prevent anxiety and depression in adolescents. This study aimed to examine the utility of AMTE, an internet-delivered T-CBT program, for the indicated prevention of anxiety and depression in adolescents. AMTE was applied to 30 adolescents (56.7% females, age range = 12–18 years, Mage = 14.00, SDage = 1.89) who showed subclinical symptoms of anxiety and/or depression. Participants were assessed at pre- and post-treatment and follow-up (3 months). We found that after the program, the symptoms of self-reported anxiety and depression, clinician-rated symptom severity, and self-reported and parent-reported severity of the main problems had significantly improved. In addition, there were significant improvements in anxiety sensitivity and emotional avoidance. Finally, we found high feasibility and acceptability of the program. AMTE is feasible and potentially effective for the indicated prevention of anxiety and depression as well as of clinical transdiagnostic factors, in adolescents.
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Hannan, Anthony P., Ronald M. Rapee, and Jennifer L. Hudson. "The Prevention of Depression in Children: A Pilot Study." Behaviour Change 17, no. 2 (June 1, 2000): 78–83. http://dx.doi.org/10.1375/bech.17.2.78.
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AbstractTwenty, fifth- and sixth-grade students who reported mild depressive symptomatology were placed into a brief intervention program. The program was conducted over eight, weekly, 90-minute sessions and aimed to teach students depression management strategies and positive coping skills. Significant reductions in symptoms of depression, anxiety and externalising behaviour were found and maintained for six months. The results lend support to the effectiveness of this brief program for early intervention in depression. The potential for the program to prevent the later development of clinical depression and related problems is discussed.
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Krijnen-de Bruin, Esther, Jasmijn A. Geerlings, Anna DT Muntingh, Willemijn D. Scholten, Otto R. Maarsingh, Annemieke van Straten, Neeltje M. Batelaan, and Berno van Meijel. "Evaluation of a Blended Relapse Prevention Program for Anxiety and Depression in General Practice: Qualitative Study." JMIR Formative Research 5, no. 2 (February 16, 2021): e23200. http://dx.doi.org/10.2196/23200.
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Background Existing studies have yet to investigate the perspectives of patients and professionals concerning relapse prevention programs for patients with remitted anxiety or depressive disorders in primary care. User opinions should be considered when optimizing the use and implementation of interventions. Objective This study aimed to evaluate the GET READY relapse prevention programs for patients with remitted anxiety or depressive disorders in general practice. Methods Semistructured interviews (N=26) and focus group interviews (N=2) with patients and mental health professionals (MHPs) in the Netherlands were performed. Patients with remitted anxiety or depressive disorders and their MHPs who participated in the GET READY study were interviewed individually. Findings from the interviews were tested in focus group interviews with patients and MHPs. Data were analyzed using thematic analysis. Results Participants were positive about the program because it created awareness of relapse risks. Lack of motivation, lack of recognizability, lack of support from the MHP, and symptom severity (too low or too high) appeared to be limiting factors in the use of the program. MHPs play a crucial role in motivating and supporting patients in relapse prevention. The perspectives of patients and MHPs were largely in accordance, although they had different perspectives concerning responsibilities for taking initiative. Conclusions The implementation of the GET READY program was challenging. Guidance from MHPs should be offered for relapse prevention programs based on eHealth. Both MHPs and patients should align their expectations concerning responsibilities in advance to ensure optimal usage. Usage of blended relapse prevention programs may be further enhanced by diagnosis-specific programs and easily accessible support from MHPs. International Registered Report Identifier (IRRID) RR2-10.1186/s12888-019-2034-6
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Johnson, Leslie C. M., Allissa Desloge, Thirunavukkarasu Sathish, Emily D. Williams, Pilvikki Absetz, Tilahun Haregu, Jeroen De Man, Kavumpurathu Raman Thankappan, and Brian Oldenburg. "The relationship between common mental disorders and incident diabetes among participants in the Kerala Diabetes Prevention Program (K-DPP)." PLOS ONE 16, no. 7 (July 23, 2021): e0255217. http://dx.doi.org/10.1371/journal.pone.0255217.
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This study aims to describe the prevalence of depression and anxiety among a population sample of people at high risk for type 2 diabetes in Kerala, India, and examine the relationship between depressive symptoms, anxiety, and incident Type 2 Diabetes Mellitus (T2DM) over a two-year period. We used data from the Kerala Diabetes Prevention Program, a cluster-randomized controlled trial for diabetes prevention among 1007 high-risk individuals. The prevalence of depression and anxiety were estimated using the 9-item Patient Health Questionnaire and the Generalized Anxiety Disorder 7-item scale, respectively. We calculated proportions for depression and anxiety and performed generalized estimating equations (GEE) to examine the relationship between baseline mental health status and incident T2DM. The prevalence of depression and anxiety at baseline were 7.5% and 5.5%, respectively. Compared with those reporting none/low symptoms, the odds ratio for incident diabetes was 1.07 (95% CI 0.54–2.12) for participants with moderate to severe depression and 0.73 (95% CI 0.23–2.28) for participants with moderate to severe anxiety, after adjusting for potential confounders. Our findings suggest that the prevalence of depression and anxiety were higher than those previously reported in the general population in India. However, among this sample of community-based adults at high risk of developing T2DM, the presence of moderate to severe depression and/or anxiety symptoms was not significantly associated with the risk of developing T2DM. Trial registration: Australia and New Zealand Clinical Trials Registry ACTRN12611000262909. Registered 10 March 2011.
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Dozois, David J. A., Pamela M. Seeds, and Kerry A. Collins. "Transdiagnostic Approaches to the Prevention of Depression and Anxiety." Journal of Cognitive Psychotherapy 23, no. 1 (February 2009): 44–59. http://dx.doi.org/10.1891/0889-8391.23.1.44.
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This article describes the rationale for a transdiagnostic approach to the prevention of depression and anxiety. Preventive interventions have typically been developed in isolation and have often focused on depression or anxiety as independent constructs. Yet these disorders frequently co-occur and share a number of risk and vulnerability factors. We review 4 modifiable risk factors and suggest preventive strategies: (1) negative cognitive content and processes; (2) parental psychopathology and parenting; (3) stress and coping; and (4) behavioral inhibition and avoidance. Though many of these strategies have been applied in existing preventive programs, some risk factors that may be important to emphasize in preventive interventions are not targeted routinely. Moreover, by adopting a transdiagnostic approach to prevention (understanding and targeting modifiable vulnerability factors that cut across these disorders), the efficacy, generalizability, and cost-effectiveness of preventive interventions may be enhanced.
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Adermann, Jenny, and Marilyn Campbell. "Anxiety Prevention in Indigenous Youth." Journal of Student Wellbeing 1, no. 2 (February 4, 2008): 34. http://dx.doi.org/10.21913/jsw.v1i2.175.
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Anxiety is the most prevalent psychopathology in young people, with up to 18% suffering from one or more anxiety disorders. Early prevention is important, as many signs of anxiety are often evident in childhood and adolescence. Anxiety disorders have negative consequences for academic, social and individual outcomes, and have been shown to be a precursor to depression, suicide and substance abuse. It is important to focus on a general population health approach of embedding anxiety prevention programs in the school curriculum as well as providing targeted intervention for indicated and at risk groups. Although there are some excellent evidence-based anxiety and depression prevention programs for children and adolescents, there has been little research into the prevention of anxiety in minority populations such as Indigenous young people. While it is easy to hypothesise that Australian Indigenous youth may suffer high levels of anxiety, data to support this are scant. Issues of appropriate research methodology; differing constructs of mental health; variable stressors and protective factors; and difficulties with culturally appropriate assessments and interventions complicate studies. Prevention and early intervention anxiety programs need to be culturally sensitive and adapted for Indigenous youth. This paper argues for more research to be conducted on the specific prevention needs in this seemingly vulnerable population.
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Gallegos, Julia, Alejandra Rodríguez, Graciela Gómez, Marisol Rabelo, and Mónica Fernanda Gutiérrez. "The FRIENDS for Life Program for Mexican Girls Living in an Orphanage: A Pilot Study." Behaviour Change 29, no. 1 (March 2012): 1–14. http://dx.doi.org/10.1017/bec.2012.8.
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Anxiety and depression are common problems experienced by children and adolescents that, without an effective intervention, can lead to a series of negative consequences. The aim of this study was to evaluate the effectiveness the Spanish version of the FRIENDS for Life program (Barrett, 2008a, 2008b), a social and emotional skills program that uses cognitive-behavioural techniques for the prevention and early intervention of anxiety and depression. The program was implemented at the selective level of prevention with girls living at an orphanage in Mexico. Participants received the program for 10 consecutive weeks, and pretest and post-test measures were administered. Measures evaluated participants’ anxiety and depressive symptoms and risk status, proactive coping skills, levels of self-concept, self-esteem, and optimism. Social validity was also assessed. Results showed positive changes particularly in optimism and self-concept. Particular items and subscales of the measures also reported statistically significant changes, such as a decrease in worry, physiological symptoms of anxiety, and negative mood, and an increase in self-esteem at home and with peers. Participants evaluated the program as enjoyable and useful. Implications of the findings and further research are discussed.
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Barrett, Paula M., and Kristine M. Pahl. "School-Based Intervention: Examining a Universal Approach to Anxiety Management." Australian Journal of Guidance and Counselling 16, no. 1 (July 1, 2006): 55–75. http://dx.doi.org/10.1375/ajgc.16.1.55.
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AbstractAnxiety disorders are among the most common mental health problems affecting children and adolescents. Current estimates indicate that 1 in 5 children or 4 to 6 students within a classroom of 30 children are at risk for developing an anxiety disorder (Boyd, Kostanski, Gullone, Ollendick, & Shek, 2000). Of these children, many will not receive clinical intervention. The school environment is the optimal setting to address this issue and to minimise the risk and prevent the development of anxiety disorders. This article examines the importance of early intervention and prevention within the school setting through an examination of the risk and protective factors of anxiety and the comparability of three approaches to prevention in schools — selective, indicated, and universal approaches. All three prevention approaches are discussed along with the advantages and disadvantages of each. The applicability of the universal approach to prevention is discussed in relation to the FRIENDS for Life (FRIENDS) program (Barrett, 2004, 2005) and its implementation within schools. The FRIENDS program is an evidence-based, cognitive–behavioural anxiety program for children and youth. It is the only evidence-based program endorsed by the World Health Organization as an effective program for the prevention and treatment of anxiety and depression in children and youth.
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Zwaanswijk, Marieke, and Mia P. Kösters. "Children's and Parents’ Evaluations of ‘FRIENDS for Life’, an Indicated School-Based Prevention Program for Children With Symptoms of Anxiety and Depression." Behaviour Change 32, no. 4 (September 18, 2015): 243–54. http://dx.doi.org/10.1017/bec.2015.13.
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There is evidence that the school-based program FRIENDS for Life is effective in preventing childhood anxiety and depression. Effectiveness is, however, not the only prerequisite for successful implementation. Participants’ evaluation of a prevention program may provide suggestions about how to fine-tune it to fit the needs of the target population. This study investigated children's and parents’ evaluations of the Dutch version of FRIENDS for Life. Forty-four participants of FRIENDS for Life (9–13 years) participated in online focus groups and 38 parents were interviewed in 2011–2012. Questions concerned the general opinion about the program, its perceived effectiveness and group atmosphere, and suggestions for program improvement. Most children (95.5%) and parents (65.8%) evaluated the program positively, and the majority (61.4% and 76.3%) thought that it had been useful in changing the child's behaviour. Children and parents expressed complementary views about the behaviours the child had learned. Some children (38.6%) expressed negative opinions about the program. Parents’ attendance at parent meetings was low (31.6–36.8%). Considered together with the growing evidence of the effectiveness of FRIENDS for Life, we concluded that it can be successfully implemented as an indicated prevention program in primary schools for children who show symptoms of anxiety or depression. Efforts could be made to increase parents’ involvement in the program.
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Dozeman, Els, Harm W. J. van Marwijk, Digna J. F. van Schaik, Filip Smit, Max L. Stek, Henriëtte E. van der Horst, Ernst T. Bohlmeijer, and Aartjan T. F. Beekman. "Contradictory effects for prevention of depression and anxiety in residents in homes for the elderly: a pragmatic randomized controlled trial." International Psychogeriatrics 24, no. 8 (March 22, 2012): 1242–51. http://dx.doi.org/10.1017/s1041610212000178.
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ABSTRACTBackground: The aim of this study was to evaluate the effectiveness of a stepped-care program to prevent the onset of depression and anxiety disorders in elderly people living in residential homes.Methods: A pragmatic randomized controlled trial was conducted to compare the intervention with usual care in 14 residential homes in the Netherlands. A total of 185 residents with a minimum score of 8 on the Centre for Epidemiologic Studies Depression Scale, who did not meet the diagnostic criteria for a depressive or anxiety disorder, and were not suffering from severe cognitive impairment, were recruited between April 2007 and December 2008. They were randomized to a stepped-care program (N = 93) or to usual care (N = 92). The stepped-care participants sequentially underwent watchful waiting, a self-help intervention, life review, and a consultation with the general practitioner. The primary outcome measure was the incidence of a major depressive disorder (MDD) or anxiety disorder during a period of one year according to the Mini International Neuropsychiatric Interview.Results: The intervention was not effective in reducing the incidence of the combined outcome of depression and anxiety (incidence rate ratio (IRR) = 0.50; 95% confidence interval (CI) = 0.23–1.12). However, the intervention was superior to usual care in reducing the risk of MDD incidence (IRR = 0.26; 95% CI = 0.12–0.80) contrary to anxiety incidence (IRR = 1.32; 95% CI = 0.48–3.62).Conclusions: These results suggest that the stepped-care program is effective in reducing the incidence of depression, but is not effective in preventing the onset of anxiety disorders in elderly people living in residential homes.
Dissertations / Theses on the topic "Prevention of Anxiety and Depression Program"
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Åhlén, Johan. "Universal prevention of anxiety and depression in school children." Doctoral thesis, Uppsala universitet, Institutionen för psykologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-333033.
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Anxiety and depression are common in children and adolescents, and involve individual suffering, risk of future psychiatric problems, and high costs to society. However, only a limited number of children experiencing debilitating anxiety and depression are identified and receive professional help. One approach that could possibly reduce the prevalence of these conditions is universal school-based prevention aimed at reducing the impact of risk factors and strengthening protective factors involved in the development of anxiety and depression. The current thesis aimed to contribute to the literature on universal prevention of anxiety and depression in children. Study I involved a meta-analysis of earlier randomized, and cluster-randomized trials of universal prevention of anxiety and depression. Overall, the meta-analysis showed small but significant effects of universal preventive interventions, meaning that lower levels of anxiety and depression were evident after intervention completion and partially evident at follow-up assessments. No variables were found to significantly enhance the effects, however, there was a tendency for larger effects to be associated with mental health professionals delivering the interventions. In Study II, a widely adopted prevention program called Friends for Life was evaluated in a large school-based cluster-randomized effectiveness trial. The results showed no evidence of an intervention effect for the whole sample. However, children with elevated depressive symptoms at baseline and children with teachers who highly participated in supervision, seemed to benefit from the intervention in the short term. Study III involved a 3-year follow-up of Study II and an examination of the effects of sample attrition. The results showed no long-term effects for the whole sample and no maintenance of the short-term subgroup effects observed in Study II. Finally, to increase our understanding of the development of anxiety in children and to assist future improvements of universal prevention, Study IV evaluated different trajectories of overall anxiety together with related patterns of disorder-specific symptoms in a school-based sample over 39 months. Evidence favored a model of three different developmental trajectories across age. One trajectory was characterized by increasing levels of overall anxiety, but fluctuating disorder-specific symptoms arguably related to the normal challenges of children’s developmental level, which warrants an increased focus on age-relevant challenges in universal prevention. The four studies provide further understanding of the overall effectiveness of universal prevention of anxiety and depression in children, the short- and long-term effects of universal prevention in a Swedish context, and ideas for further development of preventive interventions.
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Grigorie, Maria Simona. "Anxiety and depression among participants in an early ovarian cancer diagnosis program." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121587.
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Background: Despite its low incidence, ovarian cancer is associated with very poor prognosis and this is common knowledge in the general population. There is limited knowledge about the levels of anxiety and depression in women who undergo diagnostic testing for suspected ovarian cancer. The setting of this study was the DOvE (Diagnosing Ovarian cancer Early) project, an ongoing study providing cancer antigen (CA125) testing and trans-vaginal ultrasound (TVUS) at dedicated diagnostic centres in Montreal for women with symptoms that have been found to be associated with ovarian cancer. Objectives: Our aim was to examine whether taking part in this program had an impact on depression and anxiety from baseline; in particular, we wanted to assess whether a false positive test had a persistent effect, defined as lasting 4 months or more, after women had been informed that the test was negative. Methods: 706 symptomatic women, 50 years or older, who took part in DOvE between July 2010 and September 2012, completed psychological questionnaires, the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory-II (BDI-II) at two key points in the diagnostic process: at the clinic immediately before evaluation, and at follow-up (FU) visit, 4 months later. Results: While anxiety rates and scores were similar at initial assessment and follow-up visit, we saw a decrease in depression rates and scores over time (p<.001). There were no significant differences on demographic variables and anxiety/depression scores between the patients testing positive in the absence of disease (false positives) and those with negative results correctly diagnosed (true negatives). Women who had true negative results (77%) had a significantly lower score for depression at FU than at the beginning of the program (p<.001). Conclusions: Overall, taking part in DOvE did not appear to negatively affect women's medium term anxiety and depression scores. Moreover, participants appeared to benefit from the reassurance provided by negative result, which is of relevance in the context of a low incidence disease with a reputation for poor outcome.Mise en Contexte: Malgré sa faible incidence, le cancer de l'ovaire est associé avec de très mauvais pronostique et c'est de notoriété publique dans la population générale. Les connaissances sont limitées sur les niveaux d'anxiété et de dépression chez les femmes qui subissent des tests de diagnostic pour la suspicion du cancer de l'ovaire. Cette étude a été menée dans le cadre de l'essai clinique DOvE (Diagnostic du cancer de l'ovaire précoce), un projet en cours fournissant le test de l'antigène du cancer (CA125) et l'échographie trans-vaginale (ÉTV) dans les centres de diagnostics spécialisés à Montréal, pour les femmes présentant des symptômes qui ont été considérés associée à un cancer de l'ovaire. Objectifs: Notre objectif était d'examiner si la participation à ce programme a eu un impact sur la dépression et l'anxiété initiale ; nous avons voulu évaluer en particulier si un test faussement positif a eu un effet persistant, définie comme une durée de 4 mois ou plus, après que les femmes ont été informées que le test a été négatif. Méthodes: 706 femmes symptomatiques, ayant 50 ans ou plus, qui ont participé à DOvE entre juillet 2010 et septembre 2012 ont été invitées à remplir des questionnaires psychologiques, le Beck Anxiety Inventory (BAI), le Beck Depression Inventory-II (BDI-II) en deux points clés dans le processus de diagnostic: à la clinique, immédiatement avant l'évaluation et à la visite de suivi, 4 mois plus tard. Résultats: Bien que les taux d'anxiété et les scores étaient similaires lors de l'évaluation initiale et la visite de suivi, nous avons vu une diminution du taux et du niveau de dépression dans le temps (p <.001). Il n'y avait pas de différence significative sur les variables démographiques et les scores d'anxiété / dépression entre les patientes testées positives dans l'absence de la maladie (faux positifs) et celles avec des résultats négatifs correctement diagnostiqués (vrais négatifs). Les femmes qui avaient de vrais résultats négatifs (77%) avaient un score significativement plus faible de la dépression au suivi qu'au début du programme (p <.001).Conclusions: Globalement, faire partie du DOvE ne semble pas affecter négativement au moyen terme les scores d'anxiété et de dépression des femmes. En outre, les participants ont semblé bénéficier de l'assurance fournie par un résultat négatif, ce qui donne de la pertinence dans le contexte d'une maladie de faible incidence avec une réputation de mauvais résultats.
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Bacchus, Natashia Soraiya. "Teacher Implementation of a School Based Anxiety Prevention Program in British Columbia." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5303.
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The Friends for Life program is an evidence-based practice being used in schools to assist children to learn skills to manage anxiety. The Friends for Life program has been used by school districts in British Columbia, Canada, for over 10 years, yet there is little research on how the program is being implemented in schools by teachers. This qualitative case study investigated the implementation practice of the Friends for Life program by teachers in Grades 4 and 5. Semi-structured interviews were conducted with 8 teachers from a smaller school district in British Columbia, Canada. The results yielded themes, which described critical factors that helped or hindered teachers in implementing the program with fidelity. A key finding of the study demonstrated teachers were running the program weekly, as per program guidelines. A key factor that was identified as helping teachers to implement the program with fidelity was support of school counselors, district staff, and the building administrator. The implications for social change include providing school administrators with information, which can help them to support teachers to implement the Friends for Life program with fidelity. As a result of these findings the Friends for Life program may consider updating the training materials and program implementation protocols in order to ensure teachers are implementing the program with fidelity and therefore, children are learning the skills they need to manage their anxieties and worries.
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Johnson, Norman Chris. "A Follow-Up Study of a Primary Prevention Program Targeting Childhood Depression." DigitalCommons@USU, 2000. https://digitalcommons.usu.edu/etd/5576.
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Children have not historically been the subject of research focusing on internalizing disorders (i.e., childhood depression), even though childhood depression continues to be viewed as one of the most prevalent affective problem within this population. Over the past two decades, a small portion of that literature describes prevention efforts in public schools. There has been a growing body of literature centered on childhood depression. However, there are only three studies that report on longitudinal findings that have taken a primary prevention approach.
The present study was a follow-up investigation to delineate the effects of a school-based primary prevention program. The original study utilized a social/ interpersonal and cognitive-behavioral model incorporated into the health education curriculum of the school.
The results of the study suggest that the students continued to report normal to low levels of depressive symptoms at one-year follow-up . The results also suggest that students maintained the social skills gained during the intervention at the one-year followup. In addition, reports of depressive symptomatology slightly declined from posttest to one-year follow-up.
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Pucci, Nicole Christine. "The Girls Link Program: An Examination of the Efficacy of a Brief Prevention Program for Behaviorally Inhibited Female Adolescents." Case Western Reserve University School of Graduate Studies / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1410467175.
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Cheng, Ka-lai, and 鄭嘉麗. "Evidence-based guideline for antenatal interpersonal psychotherapy education program." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193048.
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Background
Postnatal depression (PND) has become a world-wide public health problem. Maternal Child Health Centers (MCHCs) provide maternal and child healthcare with community-based Comprehensive Child Development Services (CCDS) aimed for early identification for provision of appropriate referral for intervention. There were 13.8% suspected PND cases in 2011(Department of Health PND Report, 2011). Antenatal Interpersonal Psychotherapy (IPT) has found efficacious for high depression risk (HDR) pregnant women. Evidence-based practice (EBP) antenatal IPT guideline best suited for MCHCs implementation.
Purpose
This dissertation intends to develop an effective EBP antenatal IPT guideline for HDR pregnant women, and to offer plans for implementation and evaluation.
Methods
Six electronic databases searched for updated relevant studies. Randomized controlled trails (RCTs) with antenatal IPT intervention for HDR pregnant women targeted. Evidence data related to EBP guideline development were extracted for critical appraisal. Program implementation potentials assessed for transferability, feasibility and cost-benefit ratio. Guideline with level of evidence and recommendation grading developed. Communication plan for different stakeholders and potential users were developed. Pilot test planned for process evaluation. Impact evaluation, outcome evaluation and economic evaluation planned to verify empirical evidences to initial changes in MCHCs.
Results
Eight RCTs studies, which compare group receiving antenatal IPT intervention with routine antenatal education group, were reviewed. Target population was HDR pregnant women. Antenatal IPT intervention found effective for HDR pregnant women with PND. The studies suggest antenatal IPT intervention give0.89 reductions in EPDS, improved psychological well-being, 0.77 reductions in GHQ and improved role competence2.43 increases in PSOC-E.
After critical appraisal of reviewed studies, antenatal IPT guideline developed. Pregnant women should be screened between 20 to 32 gestation weeks. Those with EPDS≥13 scores should enrolled into two 2-hour antenatal IPT program educated by trained nurse educators in class size ≤10. Those refusing to join the program receive routine education. Three-point measurements of EPDS, GHQ and PSOC-E at baseline, postnatal 6 to 8 weeks and 3 to 6 months of both groups are conducted. Postnatal EPDS ≥13 participants referred for psychiatric services upon their consent.
Program will propose implementation in MCHCs. Steering Committee is established and communicates with various stakeholders. Pilot test implement in one MCHC and reviewed for clinical applicability, feasibility and to obtain process evaluation for quality improvement.
Program should have quasi-experimental non- equivalent pretest-posttest control group and analyze data with ‘two-sample t-test’, ‘paired t-tests’ and ‘chi-square test’. Target achievement should be:
i. Primary outcomes: EPDS score reduced to0.89, GHQ reduced to0.77 and PSOC-E score increased to2.43;
ii. Secondary outcomes: Reduction of PND incidence and PND management caseloads by 20%.
Participants’ gestation ages, program attendance and satisfactory rates recorded. Economic evaluation indicates for every $1invested, the return is $8.45, program is a sound investment suggested.
Conclusions
Eight RCT studies provide evidence that antenatal IPT program is effective for HDR pregnant women in reducing PND, and in promoting higher maternal role efficacy level and psychological well-being. Implementation of this EBP program guideline can potentially help PND prevention and ease antenatal depression management of HDR pregnant women in MCHCs.published_or_final_version
Nursing Studies
Master
Master of Nursing
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Webster, Hayley Monique, and n/a. "An Ecological Approach to the Prevention of Anxiety Disorders during Childhood." Griffith University. School of Applied Psychology, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20030807.105928.
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Research shows that anxiety disorders are common and problematic in children. Treatment studies demonstrate that cognitive-behavioural interventions for children can successfully minimise these problems. Further, when implemented as early intervention or prevention programs, these interventions can prevent the onset of anxiety problems in 7 to 14 year olds and reduce existing levels of anxiety. This type of preventive approach has enormous potential for improving community mental health in a low cost model of service delivery. Yet, to develop this as a viable service model, these programs need to be evaluated under 'real world' conditions as opposed to specialist university clinical teams. In this research, the long-term effectiveness of an ecological model of the prevention of anxiety disorders for children was conducted. In the first study, teachers (N = 17) were trained intensively in the principles of anxiety and the FRIENDS anxiety prevention program (Barrett, Lowry-Webster & Holmes, 1999). Measures were taken of the PROXIMAL effects of training on the knowledge and self-efficacy of participating teachers at two points in time. Compared to teachers in a control group (N= 17) and a group comprised of psychologists regarded as experts in the FRIENDS anxiety program (N= 22), trained teachers demonstrated significant increases in the levels of knowledge and self-efficacy at time two. These increases approached levels exhibited by experts in terms of knowledge, and were not significantly different from experts in their levels of self-efficacy to implement the FRIENDS program following training. This study also explored the quality or fidelity of program implementation by these trained teachers (INTERMEDIATE EFFECTS). Results demonstrated that trained teachers implemented the program with high levels of integrity in accordance with the FRIENDS intervention manual. The second study sought to investigate the outcomes for participating children in terms of actually preventing and reducing existing levels of anxiety. Also of interest was the impact this intervention had on levels of depression. Participants were 594 children aged 10-13 years from 7 schools in Brisbane Australia. Children, and parents reported on children's social, emotional and behavioural characteristics at three-assessment points over 12 months. Results were examined universally (for all children) and for children who scored above the clinical cut-off for anxiety at pre-test. Results revealed that children in the FRIENDS intervention group reported fewer anxiety symptoms regardless of their risk status at posttest. In terms of reported levels of depression, only the high anxiety group who completed the FRIENDS intervention evidenced significant improvements at posttest. The results indicated that intervention gains were maintained over a period of 12 months, as measured by self-reports and diagnostic interviews. Moreover, evidence of a prevention effect was also demonstrated, with a significantly greater percentage of children in the control group progressed to "at risk" or "remained at risk" compared to children in the intervention group. Additionally, 85% of children in the intervention group who were scoring above the clinical cut-off for anxiety and depression were diagnosis free in the intervention condition at 12-month follow-up, compared to only 31.2% of children in the control group. Implications of these findings are examined, alongside limitations of the study and directions for future research.
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Lock, Sally, and n/a. "A Developmental Approach to the Prevention of Anxiety Disorders During Childhood." Griffith University. School of Applied Psychology, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040615.140812.
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The studies presented in this thesis sought to investigate a number of developmental factors that influence the efficacy of preventive intervention for child anxiety disorders. Preventive intervention has emerged as a vital step forward in clinical research following data indicating anxiety disorders are among the most common forms of psychopathology in youngsters (Kashani & Orvaschel, 1990; Mattison, 1992). Several risk and protective factors associated with childhood anxiety disorders have been identified, along with effective treatment protocols (Kendall, 1994; Howard & Kendall, 1996; Barrett, 1998, 1999; Silverman et al., 1999a, 1999b), as prerequisites to the development of preventive programs for child anxiety problems (Spence, 2001). The first objective of this research was to add to the literature on risk and protective factors by investigating the role of peer interaction in the development of child anxiety problems. Study one examined developmental differences in the influence of peer interaction on children's anxiety-related cognition and behaviour. One hundred and sixty two children enrolled in grade 6 (n = 96) aged between 9 and 10 years, and grade 9 (n = 66) aged between 14 and 16 years participated in the study. Participants were stratified into either an at risk group or to a healthy group, based on their anxiety scores on the Spence Child Anxiety Scale (SCAS; Spence, 1997), and further allocated to a peer group comprising of 3 'healthy' (non-anxious) and 3 'at risk' (high anxious) children. Prior to and following a peer discussion, participants completed a standardised self-report measure of threat interpretation and response plans to two ambiguous vignettes (Barrett, Rapee, Dadds, & Ryan, 1996; Dadds, Barrett, Rapee, & Ryan, 1996). Results showed all participants evidenced changes in threat interpretation and response plans following the discussion with peers (p < .001). Overall, findings highlight the potential importance of peer interaction in the development of anxiety-related cognition and behaviour. The findings of study one have important implications for the future development of school-based intervention programs; specifically those conducted in the classroom. Study two sought to advance the current research on preventive intervention for child anxiety by establishing the age at which youngsters benefit the most from the FRIENDS program as a classroom-based universal intervention. Study two presents the results of a longitudinal study evaluating the effects of a universal school-based intervention for child anxiety at two developmental stages. The study involved a cohort of 733 children enrolled in grade 6 (n = 336, 45.6%) aged between 9 and 10 years, and grade 9 (n = 401, 54.4%) aged between 14 and 16 years, Participants were allocated to either a school-based cognitive behavioural intervention or to a monitoring group. Participants completed standardised measures of anxiety, depression and coping style. Participants identified as 'at risk' of an anxiety disorder were assessed for a clinical diagnosis with a structured diagnostic interview. Results indicated the universal intervention effective in significantly reducing anxiety (p < .001), depression (p < .001) and behaviour avoidance in children at post- intervention and 12-month follow-up intervals. Grade 6 children reported significantly higher anxiety at pre-intervention and greater reductions in anxiety at post intervention compared with the grade 9 (p < .001), although both primary and secondary school participants showed equal reductions in anxiety at 12-month follow up. Overall, findings suggest universal intervention potentially successful in reducing symptoms of anxiety and increasing coping skills in children. Primary school children reported the greatest changes in anxiety symptoms, suggesting earlier preventive intervention potentially more advantageous than later intervention. Developmental differences in anxiety, depression and coping strategies are discussed in addition to the implications and limitations of this study and directions for future research.
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Barbaro, Parma. "Preventing depressive symptomatology in children aged eight to eleven years : Application of the positive thinking program." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2004. https://ro.ecu.edu.au/theses/775.
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Recent research has demonstrated that exposure to prevention programs can decrease the incidence of depressive symptomatology in children. Universal prevention programs for children younger than 10 years of age are scarce. The current study examined the effectiveness of an eight week cognitive-behavioural prevention program in decreasing depressive symptoms and anxiety and, promoting a more optimistic explanatory style in children aged 8 to 11 years. Effectiveness of the program for children with initially low or high scores based on the pre-intervention median score of the Children's Depression Inventory (CDI; Kovacs, 1992) scores was also examined. Children were matched on grade and initial CDI score. Forty four children were allocated to the experimental group and participated in the program and 47 children were allocated to the wait-list control group. Comparisons of the experimental and control groups CDI, Revised Children's Manifest Anxiety Scale (Reynolds & Richmond, 2000) and Children's Attributional Style Questionnaire (Seligman et al., 1984) scores at post intervention and the six months follow-up found no significant differences. Additionally no significant differences were found between the initially high and low symptomatic children across time. It was concluded that the current program had little effect in preventing depressive symptoms in children when applied at an universal level. Future research on the Positive Thinking program will clarify the effectiveness of the current program in decreasing depressive symptoms in children.
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Bhaskara, Lavanya. "Effects of a six-week interdisciplinary program on depression, anxiety and pain in patients with fibromyalgia." Access to abstract only; dissertation is embargoed until after 12/19/2006, 2005. http://www4.utsouthwestern.edu/library/ETD/etdDetails.cfm?etdID=117.
Full textBooks on the topic "Prevention of Anxiety and Depression Program"
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Women & anxiety: A step-by-step program for managing anxiety and depression. New York: Hatherleigh Press, 1998.
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Ludgate, John W. Cognitive-behavioral therapy and relapse prevention for depression and anxiety. Sarasota, Fla: Professional Resource Press, 2009.
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Dozois, David J. A., and Keith S. Dobson, eds. The prevention of anxiety and depression: Theory, research, and practice. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-000.
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Self-coaching: The powerful program to beat anxiety and depression. 2nd ed. Hoboken, N.J: John Wiley & Sons, 2007.
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Anxiety and depression in children and adolescents: Assessment, intervention, and prevention. New York: Springer, 2012.
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Rubin, Jordan. The great physician's RX for depression and anxiety. Nashville, Tenn: Thomas Nelson, 2007.
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A quiet strong voice: My journey through depression, anxiety and attempted Suicide. United States]: CreateSpace, 2012.
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Prevention of anxiety and depression in vulnerable groups: A review of the theoretical, epidemiological, and applied research literature. London: Gaskell, 1995.
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Maximizing psychotherapeutic gains and preventing relapse in emotionally distressed clients. Sarasota, Fla: Professional Resource Press, 1995.
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Amen, Daniel G. Change your brain, change your life: The breakthrough program for conquering anxiety, depression, obsessiveness, anger, and impulsiveness. New York: Three Rivers Press, 2000.
Find full textBook chapters on the topic "Prevention of Anxiety and Depression Program"
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Essau, Cecilia A. "Primary prevention of depression." In The prevention of anxiety and depression: Theory, research, and practice., 185–204. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-008.
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Huberty, Thomas J. "Building Resilience Through Prevention." In Anxiety and Depression in Children and Adolescents, 345–68. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-3110-7_13.
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Hudson, Jennifer L., Ellen Flannery-Schroeder, and Philip C. Kendall. "Primary prevention of anxiety disorders." In The prevention of anxiety and depression: Theory, research, and practice., 101–30. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-005.
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Story, Tyler J., Bonnie G. Zucker, and Michelle G. Craske. "Secondary prevention of anxiety disorders." In The prevention of anxiety and depression: Theory, research, and practice., 131–60. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-006.
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Dozois, David J. A., and Keith S. Dobson. "The prevention of anxiety and depression: Introduction." In The prevention of anxiety and depression: Theory, research, and practice., 1–6. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-001.
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Nazareth, Irwin, and Tony Kendrick. "Prevention and Early Intervention in Depression and Anxiety Disorders." In Early Intervention in Psychiatry, 185–200. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118557174.ch16.
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Dozois, David J. A., and Henny A. Westra. "The nature of anxiety and depression: Implications for prevention." In The prevention of anxiety and depression: Theory, research, and practice., 9–41. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-002.
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Dobson, Keith S., and David J. A. Dozois. "The prevention of anxiety and depression: Promises and prospects." In The prevention of anxiety and depression: Theory, research, and practice., 283–95. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-012.
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Dugas, Michel J., Adam S. Radomsky, and Pascale Brillon. "Tertiary intervention for anxiety and prevention of relapse." In The prevention of anxiety and depression: Theory, research, and practice., 161–84. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-007.
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Clark, David A. "Design considerations in prevention research." In The prevention of anxiety and depression: Theory, research, and practice., 73–98. Washington: American Psychological Association, 2004. http://dx.doi.org/10.1037/10722-004.
Full textConference papers on the topic "Prevention of Anxiety and Depression Program"
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Guerra, Federica, Jessica Ranieri, Claudio Ferri, and Dina Di Giacomo. "EMOTIONAL IMPACT IN FRONTLINE AND SECONDLINE HEALTHCARE PROFESSIONALS: COVID-19 AND II WAVE." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact028.
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"Introduction. The rapid spread of coronavirus disease 2019 (COVID-19) has created unprecedent global challenges for health systems. National Healthcare Systems Hospitals adopted protective measures and medical equipment resources, exposing healthcare workers at risk for stress syndromes, subclinical mental health symptoms, and long-term occupational burnout. Health workers have had to deal with the most severe clinical cases in intensive care specialized operative division. Since the first months of the epidemic spread, some studies have established shown that nurses have shown symptoms of severe anxiety associated with peritraumatic dissociative experiences. Most of the studies examined the emotional impact of COVID 19 on health professionals but did not focus on different consider professionals roles and hospital departments workload. Objective. The aim of our study was to analyze the emotional characteristics of health workers during the II wave of coronavirus (November-December 2020), comparing the frontline (COVID 19) and second line (chronic diseases) hospital divisions and analyzing the differences between the health roles. Methods. We conduct a pilot study among health-workers. A sample of 28 healthcare workers (aged 23-62 years) were recruited from frontline and secondline hospital departments (L’Aquila, IT). The administered psychological battery was composed of n. 4 self-reports evaluating emotional variables (depression, anxiety, and stress) (DASS-21), personality traits (BFI-10), burnout risk (MBI), and perceived stress (PSS). Results. The results highlighted significant differences: older health workers were found to be more vulnerable than those who younger health workers; another interesting point was that healthcare workers serving in frontline wards showed symptoms of depersonalization. No significant difference for the type of role held. Conclusions. A prevention program should be activated to preserve frontline and older workers mental health. Earlier support could mitigate the effect of the pandemic experience, reducing the risk for emotional health workers' fragility."
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Garcia, Ana Carolina Pereira, Alice Campos Meneses, Ana Karolinne Cruz Cavalcante, Caroline Rodrigues de Morais, Gabriel Dias Henz, Gabriela Rodrigues Pessôa, and Liana Lisboa Fernandez. "Cognitive impairment associated with COVID-19: a literature review." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.683.
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Background: SARS-CoV-2 is capable of causing neurological symptoms of the CNS in addition to respiratory and gastrointestinal symptoms. Early knowledge of the possible cognitive functions compromised by the infection will allow the health system to anticipate and create measures to minimize irreversible damage. Objectives: to analyze the cognitive impairment associated with COVID-19, taking into account its pathophysiological mechanisms and their short and long-term consequences. Methods: Narrative review of 62 articles, based on an active search on the PubMed, Google Scholar, Jama and American Academy of Neurology research platforms. Results: Cognitive impairment can be present both during and after infection. The main risk factors for cognitive impairments in the short term are: other neurological symptoms (headache, anosmia, dysgeusia); diarrhea and oxygen therapy. The main cognitive functions affected were memory, attention, executive functions (mental flexibility) and language (semantic and phonetic fluency) associated with anxiety and depression. The factors that contribute to long-term cognitive decline are: previous cognitive weakness (comorbidities); the inflammatory process of COVID-19 with pulmonary (hypoxia), vascular (ischemia), neurological (neuronal damage) and hospitalization (sedation, isolation, delirium). The hippocampus appears to be particularly vulnerable to coronavirus infections. Conclusion: Short-term and long-term cognitive impairment associated with COVID-19 may be related to the increased likelihood of cognitive impairment, as well as the acceleration of neurodegenerative diseases, such as Alzheimer’s disease. Follow-up with neuropsychological assessments of these patients and epidemiological studies are necessary to analyze this impact and to create prevention and treatment programs.
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Hendricks, Sharief, Nur Amino, Ruan Schlebusch, JP Van Wyk, Stephen Mellalieu, and Vincent Gouttebarge. "274 Risk factors associated with anxiety and depression in professional cricketers." In IOC World Conference on Prevention of Injury & Illness in Sport 2021. BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine, 2021. http://dx.doi.org/10.1136/bjsports-2021-ioc.253.
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Pinheiro, Maria do Rosário. "A Parental Program for the Prevention of Depression in Adolescents." In 3th International Conference on Cognitive - Social, and Behavioural Sciences. Cognitive-crcs, 2015. http://dx.doi.org/10.15405/epsbs.2015.07.9.
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Pinheiro, Maria do Rosário. "A Parental Program for the Prevention of Depression in Adolescents." In 3rd International Conference on Cognitive - Social, and Behavioural Sciences. Cognitive-crcs, 2015. http://dx.doi.org/10.15405/epsbs.2015.08.9.
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KASIANOVA, Alexandra, and Myroslava FILONENKO. "PSYCHOLOGICAL WELL-BEING OF STUDENTS IN EDUCATIONAL CONDITIONS." In Happiness And Contemporary Society : Conference Proceedings Volume. SPOLOM, 2021. http://dx.doi.org/10.31108/7.2021.24.
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The article presents a study of screening the psychological wellbeing of students and the need to develop effective methods of psychological prevention and correction of negative mental states. The analysis of qualitative and quantitative parameters of mood, level of anxiety and depression of students is carried out. The influence of mood on the level of anxiety and depression of the studied students was studied. KEY WORDS: mental health, students, well-being, anxiety, depression, stress.
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Yohannes, Abebaw, Sheila Dryden, and Nicola Hanania. "The responsiveness of the depression, anxiety and stress-21 items scale to pulmonary rehabilitation program." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa4446.
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Dunaief, Rebecca, Adrian Bravo, Elefteherios Hetelekides, Victoria Chentsova, Cody Raeder, and James Henson. "Changes in Mental Health as a Predictor of Marijuana Coping Motives and Consequences: Examining the Impact of COVID-19 on College Students." In 2022 Annual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2022. http://dx.doi.org/10.26828/cannabis.2022.02.000.12.
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Background: The spread of COVID-19 has increased anxiety and depression (Khan et al., 2020), especially among college students (Wang et al., 2020). Several theoretical models focus on the impact of poor mental health on marijuana outcomes, largely via coping motives (Cooper et al., 2016). College students may be turning to marijuana to cope with the mental health problems that COVID-19 has exacerbated. The present study compared students who reported increases in anxiety and depression since COVID-19 stay-at-home orders to those who reported no change in anxiety and depression on marijuana coping motives, use frequency, and negative consequences. Specifically, we examined whether self-reported changes (i.e., group that indicated increases) in poor mental health during COVID-19 were associated with problematic marijuana use via higher marijuana coping motives. Method: Students were recruited to participate in an online study examining the effects of COVID-19 on mental health and substance use between Fall 2020 - Spring 2021. Given aims of the present study, our analytic sample was limited to 300 students that reported past-month marijuana use and completed measures of changes in mental health due to COVID-19 (single item each for depression and anxiety), measure of general depression/anxiety, and measures of marijuana use, motives, and negative consequences. Among our analytic sample, a majority of participants identified as being White (61.0%), female (71.3%), college freshman (46.8%), and reported a mean age of 20.36 (Median = 19.00; SD = 3.78) years. To test study aims, we conducted two mediation models (changes in depression [Model 1] or anxiety [Model 2] due to COVID-19→marijuana coping motives→ marijuana consequences) using the PROCESS Macro (Hayes, 2013) in SPSS. Results: Within our analytic sample, we found that 58% of students reported increases in depression since COVID-19 stay-at-home orders, with the remainder (42%) reporting no change. For anxiety, trends were similar, with 63.6% indicating increases in anxiety due to COVID-19, with the remainder (36.4%) reporting no change. Within both of our mediational models, we found support for coping motives mediating the effects of changes in mental health on marijuana problems (depression model: indirect effect = 0.65, 95% CIs = 0.29, 1.08; anxiety model: indirect effect = 0.57, 95% CIs = 0.22, 0.98). Specifically, we found that students reporting an increase in anxiety/depression (compared to those that indicated their mental health remained the same) reported more marijuana problems via higher marijuana use coping motives. It is important to note that we found these effects even when controlling for past month marijuana use frequency and past 2-week depression/anxiety levels (assessed via DASS-21). Conclusions: We found that in young adults, increases in levels of anxiety and depression due to COVID-19 were associated with higher problematic marijuana use through higher motivation to use marijuana to cope. Future prevention/interventions efforts targeting problematic marijuana use may benefit from considering changes to mental health before or during major events like COVID-19.
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Khaled, Salma Mawfek, Iman Amro, Lina Bader, Tarek Bellaj, Yousri Marzouki, Youssef Hasan, Ibrahim Mohamed AA Al-Kaabi, Peter Woodruff, Majid A. Alabdulla, and Peter Haddad. "Depression-anxiety in Adult Population of Qatar during the First Year of COVID-19." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2021. http://dx.doi.org/10.29117/quarfe.2021.0177.
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There is limited data from Arabic-speaking countries on risk factors for depression and anxiety during the COVID-19 pandemic. Country-specific data is necessary given differences in culture, demographics, and COVID-19 infection and mortality rates. This study intended to identify the factors associated with symptoms of depression-anxiety in the adult population of Qatar during the first year of the COVID-19 pandemic. We conducted a cross-sectional online survey in Qatar between July and December 2020 after Qatar’s first COVID-19 wave and before the beginning of the second wave. Depression-anxiety was defined as a cut-off of 20 or higher on the PHQ-ADS scale. Of 1138 participants, 71.05% were female, 69.0% Arabs, and 70.0% Non-Qataris. 77 % were < 40 years (the median age in Qatar is 32 years). In a fully-adjusted model, six variables were significantly associated with PHQ-ADS; Arab ethnicity (OR=1.67, p=0.026), never married (OR=1.69, p < 0.015), prior psychiatric history (OR=1.80, p=0.009), Social Media induced worries (OR=1.72, p=0.003), history of COVID-19 (OR=1.76, p=0.039), loneliness (OR=1.91, p < 0.001), and lower levels of religiosity (OR=0.96, p=0.039). The potential risk factors identified may assist with anxiety and depression prevention in future COVID-19 waves, similar national events and assist with early intervention to treat sufferers.
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Fitriyani, Ayu Laela, Setyo Sri Rahardjo, and Bhisma Murti. "Effect on Neuropsychiatric Disorders of Organophosphate Pesticides Exposure among Rice Farmers in Sukoharjo, Central Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.48.
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ABSTRACT Background: Chronic exposure to organophosphate pesticides can increase the risk of neuropsychiatric disorders, including depression and anxiety. Unsafe behavior from farmers will endanger the health of farmers, especially in the form of neuropsychiatric disorders (depression and anxiety). This study aimed to analyze the effects of pesticide exposure and psychosocial determinants on depression and anxiety. Subjects and Method: A retrospective cohort study was conducted in Sukoharjo, Central Java. The study population was rice farmers. A sample of 200 rice farmers who use organophospate pesticide was selected by fixed exposure sampling. The dependent variable was neuropsychiatry (anxiety and depression). The independent variables were exposure to organophospate pesticide, had family history of depression, loss and grief, post trauma, work stress, and the use of personal protective equipment (PPE). The data were collected by questionnaire and analyzed by a multiple linear regression. Results: The risk of depression increased with high exposure to organophospate pesticide (b= 0.15; 95% CI= 0.05 to 0.26; p= 0.005), had family history of depression (b= 5.10; 95% CI= 2.60 to 7.60; p<0.001), loss and grief (b= 2.94; 95% CI= 0.76 to 5.11; p= 0.008), post trauma (b= 2.57; 95% CI= 0.24 to 4.89; p= 0.031), and work stress (b= 0.16; 95% CI= 0.05 to 0.27; p= 0.005). The risk of depression decreased with the use of PPE (b= -0.69; 95% CI= -1.32 to -0.076; p= 0.028). The risk of anxiety increased with high exposure to organophospate pesticide (b= 0.13; 95% CI= 0.02 to 0.24; p= 0.025), post trauma (b= 5.96; 95% CI= 3.48 to 8.44; p<0.001), loss and grief (b= 3.39; 95% CI= 1.07 to 5.71; p<0.001), had family history of depression (b= 2.95; 95% CI= 0.29 to 5.62; p= 0.004), and work stress (b= 0.19; 95% CI= 0.07 to 0.30; p=0.002). The risk of anxiety decreased with the use of PPE (b= -0.09; 95% CI= -1.57 to -0.024; p=0.008). Conclusion: The risk of depression increases with high exposure to organophospate pesticide, family history of depression, loss and grief, post trauma, and work stress. The risk of depression decreases with the use of PPE. The risk of anxiety increases with high exposure to organophospate pesticide, post trauma, loss and grief, had family history of depression, and work stress. The risk of anxiety decreases with the use of PPE. Keywords: Neuropsychiatry disorder, depression, anxiety Correspondence: Ayu Laela Fitriyani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ayulf030395@gmail.com. Mobile: +625796333986. DOI: https://doi.org/10.26911/the7thicph.01.48
Reports on the topic "Prevention of Anxiety and Depression Program"
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Conte, Ianina. Prevention of major depression in at-risk adolescents: a pilot randomised trial of a screen-and-intervene program. National Institute for Health Research, May 2021. http://dx.doi.org/10.3310/nihropenres.1115146.1.
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KHUDALOVA, M., V. FILONENKO, and E. KUDZOEVA. PSYCHOSOMATICS IN CONNECTION WITH THE AFFECTIVE DISORDERS OF PERSONALITY. Science and Innovation Center Publishing House, 2021. http://dx.doi.org/10.12731/2658-4034-2021-12-4-2-365-374.
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In recent years, we can notice a significant increase in psychosomatic disorders among borderline mental pathology, which are reasonably considered “the pathology of modern civilization”. The purpose of this study is to identify the relationship between psychosomatic disorders and the affective disorders of the personality. The study used the following methods: a diagnostic conversation and analysis of medical documents with the results of clinical examination, a scale for psychological express diagnostics of semi-structured depressive disorders (based on MMPI), a self-assessment scale by Ch.D. Spielberger - Yu.L. Hanin, Toronto Alexithymia Scale (TAS). Statistical methods of processing the empirical research results in the SPSS 22.0 program: descriptive statistics, correlation analysis (p-Spearman’s rank correlation). As a result of the study we can assert that psychosomatic disorders in respondents in the form of functional pathology of various organs and systems are connected with affective disorders in the form of moderate or severe depression of a neurotic level of various origins, alexithymia and high personal anxiety.
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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.
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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.