Дисертації: "Anxiety-Depressive symptoms"

1

Jain, Anjali Tanya. "Factors Predicting Anxiety and Depressive Symptoms Among Adolescents in India." Miami University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=miami154134829484445.

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2

Colletti, Christina. "The Association of Parental Depressive Symptoms and Child Anxiety Symptoms: the Role of Specific Parenting Behaviors." ScholarWorks @ UVM, 2009. http://scholarworks.uvm.edu/graddis/51.

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A substantial literature indicates that children and adolescents living with a depressed caregiver are at increased risk for emotional and behavioral problems. Although parental depression has been shown to have non-specific associations across child problems, researchers have begun to examine whether specific risk factors, such as parental depression, are associated with specific child outcomes, such as child anxiety. Parenting behavior has been identified as one potential mechanism for the transmission of depression and other psychopathology from parent to child. The extant literature supports this mechanism, as the parenting behaviors of mothers with and without a history of depression have been found to differ in important ways. Moreover, two separate literatures suggest that the same parenting behaviors are associated with both parental depression and child anxiety. The current study was designed to extend past research in the areas of parental depression, parenting, and child anxiety by examining parenting behavior as an explanatory mechanism for the association of parental depressive symptoms and child anxiety symptoms. Using a sample of parents with a history of depression and their 9- to 15-year old children, the current study examined four specific parenting behaviors (i.e., hostility, intrusiveness, withdrawal, and warmth), observed in the context of a stressful parent-child interaction task, as mediators of the association between parental depressive symptoms and both parent and child reports of child anxiety symptoms. Limited support was found for the meditational role of specific parenting behaviors in the association of parental depressive symptoms and child anxiety symptoms. Linear mixed-model analyses revealed an inverse and likely spurious relation between parental depressive symptoms and parent report of child anxiety symptoms. A significant positive association also emerged between parental depressive symptoms and observed parental withdrawal. No support was found for the other relations of the proposed mediation model. Possible reasons for the lack of significant findings are discussed.

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3

Wright, Mark Lee. "Children’s strategies for coping : links with social anxiety and depressive symptoms." Thesis, University of Sussex, 2010. http://sro.sussex.ac.uk/id/eprint/6273/.

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Cognitive and behavioural theories of social anxiety and depression provide clear explanations for the links between these conditions and the strategies children use to cope with peer conflict situations. However, empirical research in the area has left several unresolved issues, warranting further investigation if we are to understand more fully the links between coping and emotional adjustment. This programme of research was designed to develop a comprehensive measure of children‟s coping, particularly in the context of peer stressors, and to examine the links between specific coping strategies and social anxiety and depression over time. In a series of seven studies, reported in four papers, a total of 833 primary and secondary school children completed measures of social anxiety, depression, coping, and a sociometric survey, as well as measures of goals and appraisals. In Paper 1, seven distinct coping strategies were revealed across several interpersonal situations that were related to children‟s feelings in distinct ways, and that meaningfully mapped onto differences between a mainstream school sample and a sample of pupils with emotional and behavioural difficulties. In Paper 2, six of the seven coping subscales identified in Paper 1 were confirmed and these specific ways of coping were differentially associated with social anxiety and depression. Generally, social anxiety and depression were longitudinally associated with distinctive profiles of coping strategies over a period of 9 months. In Paper 3, coping was found to have these differential associations with social anxiety and depression across a range of peer conflict situations, and there was also evidence of mediating effects of children‟s appraisals and goals. Finally, in Paper 4, coping was found to be predictive of changes in depression over one year, but associations between coping and emotional adjustment did not hold up over a two-year period. These findings are discussed in relation to the existing coping literature and theories of social anxiety and depression.

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4

Nichols-Lopez, Kristin A. "Anxiety Sensitivity’s Facets in Relation to Anxious and Depressive Symptoms in Youth." FIU Digital Commons, 2010. http://digitalcommons.fiu.edu/etd/268.

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Anxiety sensitivity is a multifaceted cognitive risk factor currently being examined in relation to anxiety and depression. The paucity of research on the relative contribution of the facets of anxiety sensitivity to anxiety and depression, coupled with variations in existing findings, indicate that the relations remain inadequately understood. In the present study, the relations between the facets of anxiety sensitivity, anxiety, and depression were examined in 730 Hispanic-Latino and European-American youth referred to an anxiety specialty clinic. Youth completed the Childhood Anxiety Sensitivity Index, the Revised Children’s Manifest Anxiety Scale, and the Children’s Depression Inventory. The factor structure of the Childhood Anxiety Sensitivity Index was examined using ordered-categorical confirmatory factor analytic techniques. Goodness-of-fit criteria indicated that a two-factor model fit the data best. The identified facets of anxiety sensitivity included Physical/Mental Concerns and Social Concerns. Support was also found for cross-ethnic equivalence of the two-factor model across Hispanic-Latino and European-American youth. Structural equation modeling was used to examine models involving anxiety sensitivity, anxiety, and depression. Results indicated that an overall measure of anxiety sensitivity was positively associated with both anxiety and depression, while the facets of anxiety sensitivity showed differential relations to anxiety and depression symptoms. Both facets of anxiety sensitivity were related to overall anxiety and its symptom dimensions, with the exception being that Social Concerns was not related to physiological anxiety symptoms. Physical/Mental Concerns were strongly associated with overall depression and with all depression symptom dimensions. Social Concerns was not significantly associated with depression or its symptom dimensions. These findings highlight that anxiety sensitivity’s relations to youth psychiatric symptoms are complex. Results suggest that focusing on anxiety sensitivity’s facets is important to fully understand its role in psychopathology. Clinicians may want to target all facets of anxiety sensitivity when treating anxious youth. However, in the context of depression, it might be sufficient for clinicians to target Physical/Mental Incapacitation Concerns.

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5

Hansen, Ryan W. "Social Media Correlates of Self-Reported Depressive Symptoms, Worry, and Social Anxiety." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1482421602020119.

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6

Sublette, Nina Katherine. "Predictors of depressive and anxiety symptoms among african american HIV-positive women." View the abstract Download the full-text PDF version, 2008. http://etd.utmem.edu/ABSTRACTS/2008-028-Sublette-index.html.

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Thesis (Ph.D.)--University of Tennessee Health Science Center, 2008.
Title from title page screen (viewed on July 30, 2008). Research advisor: Mona Newsome Wicks, Ph.D. Document formatted into pages (x, 157 p. : ill.). Vita. Abstract. Includes bibliographical references (p. 121-141).

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7

Le, Anh-Thuy. "ACCULTURATIVE STRESS AND DEPRESSIVE SYMPTOMS AND ANXIETY SYMPTOMS IN ASIAN AMERICAN EMERGING ADULTS: IDENTIFYING MODERATORS AND MEDIATORS." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6081.

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This study explored relations among acculturative stress (i.e., perceived discrimination, parent-child communication difficulties, incongruent parent-child values, and a general measure of acculturative stress), depressive symptoms, anxiety symptoms, family conflict, ethnic identity, and social support in a sample of 207 Asian American emerging adults (ages 18-25). Regressions showed that acculturative stress was positively associated with depressive symptoms and anxiety symptoms. Likewise, acculturative stress was positively related to family conflict, regardless of how the former was operationalized. Greater family conflict was also associated with greater depressive symptoms and anxiety symptoms. Mediation models found that, for each predictor of acculturative stress, family conflict significantly mediated the path to both depressive symptoms and anxiety symptoms. Thus, these were expanded into a series of moderated mediation models to determine whether these relations varied as a function of ethnic identity and social support. Ethnic identity affirmation moderated the relation between general acculturative stress and depressive symptoms, between general acculturative stress and anxiety symptoms, and between perceived discrimination and anxiety symptoms. Specifically, family conflict mediated these associations when participants reported moderate or high ethnic identity affirmation but not when they reported low levels. Limitations included: cross-sectional design, lack of parent-report on family conflict, use of an aggregated measure of social support, and generalizability concerns in terms of setting, nativity status, English fluency, and ethnic group. Nonetheless, results indicate that family dynamics are important when considering the impact of acculturative stress on mental health. Ethnic identity affirmation also moderated this relation. These findings have implications for intervention.

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8

Liu, Fan. "Academic stress and mental health among adolescents in Shenzhen, China." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/107980/1/Fan_Liu_Thesis.pdf.

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This thesis investigated the relationships between demographic variables, academic stress, depression and anxiety symptoms among adolescents in Shenzhen, China. Academic stress was consistently the strongest risk factor for depression and anxiety. Grade level, academic performance and gender were found to be the strongest variables predicting academic stress, depression and anxiety symptoms respectively. The moderating effects of gender, residency type and grade level were also indicated in the thesis. This study has future implications in helping Chinese teachers/school staff to identify adolescents who are at risk for academic stress, depression and anxiety.

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9

Holterman, Leigh Ann. "Peer Victimization and the Development of Anxiety and Depressive Symptoms: The Roles of Stress Physiology and Gender." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/460.

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The overall goal of the current study was to determine whether experiences of relational and physical victimization were related to anxiety and depressive symptoms in a sample of emerging adults. This study also investigated whether these associations were moderated by gender, as well as by sympathetic nervous system (SNS) and parasympathetic nervous system (PNS) reactivity to peer stress. Although work in this area has focused on children (e.g., Cullerton-Sen & Crick, 2005; Rudolph et al., 2009), it appears the presence and function of victimization changes with age, and the negative effects of victimization can last through early adulthood (e.g., Gros et al., 2010; Kumpulainen et al., 1999; Roth et al., 2002). Despite the potential for victimization to influence outcomes in emerging adults, research on these associations is lacking in this age group (Heilbron & Prinstein, 2008). A goal of the current study was to examine these processes in an older sample. Additionally, as individuals may react to peer victimization differently, factors that may help explain these differences were investigated. Specifically, evidence suggests that the interaction of the SNS and the PNS may serve as a moderator in the relationship between stressors and adjustment outcomes (Cummings et al., 2007; El-Sheikh et al., 2009; ObradoviÄ? et al., 2010). Further, research suggests that different patterns of interaction of the SNS and the PNS provide important information in the prediction of adjustment outcomes (El-Sheikh et al., 2009) and that both systems must be examined in order to more fully understand the relationship between physiological reactivity and adjustment outcomes (Beauchaine, 2001). Thus, in the current study, the interaction between two physiological measures, SNS reactivity to stress (as measured by skin conductance reactivity [SCL-R]) and PNS reactivity to stress (as measured by respiratory sinus arrhythmia [RSA-R]), was examined as a moderator of the association between peer victimization and adjustment outcomes. The moderating role of gender was also examined. Two hundred and forty-six emerging adults participated in the current study (74% female; Mage = 18.77) and were recruited from introductory psychology courses at a northeastern public university. Participants' SCL-R and RSA-R were assessed using a stress protocol during which they discussed an experience of relational victimization (e.g., being left out). Levels of relational and physical victimization, anxiety and depressive symptoms, and gender were gathered using self-report. Findings suggested that both physical and relational victimization were related to both anxiety and depressive symptoms. Additionally, females were more likely to experience relational victimization than males, while males were more likely to experience physical victimization than females. Relational victimization was related to depressive symptoms only in individuals demonstrating coactivation (i.e., blunted RSA withdrawal and increased SCL-R) and coinhibition (i.e., RSA withdrawal and blunted SCL-R) patterns of stress reactivity, although the interaction for this effect only approached conventional levels of statistical significance. These patterns may have emerged as a result of the breakdown of regulation in the physiological response to stress, with either the SNS or the PNS failing to perform adequately (El- Sheikh & Erath, 2011; El-Sheikh et al., 2009). These findings suggest that experiences of victimization are related to negative adjustment outcomes in emerging adults, as well as highlight potential areas that may serve as mechanisms for future interventions.

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10

Yilmaz, Adviye Esin. "Examination Of Metacognitive Factors In Relation To Anxiety And Depressive Symptoms: A Cross-cultural Study." Phd thesis, METU, 2007. http://etd.lib.metu.edu.tr/upload/3/12608932/index.pdf.

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The aim of this thesis was to examine the validity of the main concepts of metacognitive theory in a Turkish sample and set the stage for metacognitive research in Turkey from the clinical psychology perspective. In addition to this, research attention was focused on two important topics remained to be empirically validated in the metacognition literature: (1) the unique contributions of &ldquo
cognitive content&rdquo
versus &ldquo
metacognition&rdquo
to the prediction of anxiety and depression symptoms, and (2) the vulnerability function of metacognitions in the development of anxiety and depression symptoms. To achieve these generic aims of the study, a two-step research plan each of which has its own specific objectives was followed. Data for cross-sectional and prospective parts of the study were collected from Turkish and British non-clinical samples. In the cross-sectional part, mainly the independent contribution of metacognitions to pathological worry, obsessive-compulsive symptomatology, and anxiety and depressive symptoms above and beyond the contribution of cognitive content was evaluated. By doing so, also the relationship patterns between metacognitions and psychological symptomatology were revealed in the Turkish sample. Consistent with the recent burgeoning of research, the association between increased levels of metacognitions and increased levels of anxiety and depression was shown in the Turkish sample, as well. Moreover, metacognitive factors were found to be associated with the symptoms of anxiety and depression independently of the relevant cognitive content. In most analyses, metacognitions emerged as slightly stronger predictors of a given symptom dimension compared to the relevant cognitive content. In the prospective part, the causal role of metacognitions following stress in the development of anxiety and depression symptoms was examined. In the Turkish sample, higher levels of negative beliefs about worry predicted augmentation in anxiety and depression symptoms from Time 1 to Time 2. Besides, higher levels of lack of cognitive confidence interacted with higher levels of daily hassles to predict intensification of the anxiety scores. However, the British data did not support the causal role of metacognitions in the development of anxiety and depression symptoms. The statistical comparisons between Turkish and British samples indicated that the Turkish sample has a tendency to score significantly higher than the British sample on the metacognitive variables. Moreover, for all but one metacognitive factor, the interactions with cultural group (Turkish vs. British) were not significant in predicting psychopathology, indicating generalization of metacognitive theory to both the Turkish and British samples. Findings of this study were well in line with the metacognitive theory and discussed in the light of the relevant literature.

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11

Campbell, T. Leanne. "Understanding the association between self-concept, daily hassles, and depressive and anxiety symptoms among adolescents." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq26108.pdf.

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12

Fang, Yihong. "Evidence based practice for post stroke depressive symptoms and/or anxiety symptoms: issues and interventions in an acute rehabilitation setting in Singapore." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/23643.

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Background: Post-stroke depression (PSD) and post stroke anxiety (PSA) are associated with poor recovery, increased disability and they are often underdiagnosed and/or undermanaged. Study aim: This study explored the evidence base relating to PSD and/or PSA psychosocial management in acute and post-acute rehabilitation from the perspective of existing literature, practitioners’ beliefs, influence on function, and a psychosocial intervention for acute patients with PSD and/or PSA. Methods: A five-study series was conducted: a scoping review of published literature on psychosocial management of PSD/PSA focussed on the acute/post-acute period (within six months post stroke); an audit of published stroke clinical practice guidelines (CPGs) to identify those with PSD/PSA information and what practice recommendations were (within six months post stroke); a cross sectional cohort study using in-patient report on PSD and PSA symptoms and observational measures on patients’ activities of daily living function (ADL) within two weeks of stroke; a cross sectional self-report survey with health professionals regarding their awareness and their self-reported practice of mood assessment with stroke survivors; and an evaluation of an occupational therapist designed intervention program for PSD and/or PSA which was conducted over a six month period using an existing data set from a randomised controlled trial. The cohort study, survey and intervention study were all conducted at Changi Hospital Singapore. Results: The scoping review revealed 36 papers presenting evidence about psychosocial management of PSD and/or PSA including assessments and intervention strategies. Problem-solving, and educational intervention approaches had the most evidence, and the Hospital 3 Anxiety Depression Scale was the most frequently used mood measure. The audit of CPGs revealed all 10 included information about psychosocial aspects of PSD but only five included information about PSA. Assessment and intervention recommendations in CPGs were brief and not specific. The observational cohort study revealed 28.4% and 39.6 % of N=134 patients met criteria for PSD and PSA respectively. Of these, self-reported pre-stroke level of exercise and PSD were the factors that accounted for most variance in ADL function. The survey of 394 health professionals revealed a majority thought PSD/PSA were common and this was associated with participant characteristics of being older age or having more work experience increasing this perception. Doctors were least and Occupational Therapists (OTs) most likely to ask mood related questions of stroke patients. The evaluation of an occupational therapy intervention delivered in addition to standard care found participants had significantly more improvement in mood outcomes and a superior recovery rate compared to patients in standard care. Conclusion: PSD/PSA was common in the patient sample. PSD/PSA levels are associated with ADL function. CPGs provide little guidance on screening or psychosocial intervention strategies that can be used. There is emerging evidence on assessment and intervention for PSA/PSD, with more on PSD. The most commonly used assessment is the HADS, and a variety of psychosocial intervention approaches are used including problem solving and patient education. Although there is awareness of PSA/PSD by health professionals, most do not ask mood related questions in their practice. Occupational therapists are most likely to do so. Emerging evidence exists to inform recommendations for PSD/PSA psychosocial assessments and intervention approaches, but more work is needed to translate research knowledge into practice and to investigate effectiveness of psychosocial interventions for these patients.

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13

Hillman, Jennifer B. "The Association of Anxiety and Depressive Symptoms with Obesity Among Adolescent Females: Looking Beyond Body Mass Index." University of Cincinnati / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1211487188.

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14

Brozina, Karen. "Anxious and depressive symptoms in children : an examination of the common aetiology hypothesis of comorbid anxiety and depression." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=102481.

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Despite the fact that the moods, symptoms, and disorders associated with anxiety and depression frequently co-occur in youth, very little is known about the developmental pathways leading to comorbid anxiety and depression. The common aetiology hypothesis proposes that anxiety and depression share common risk, vulnerability, and causal factors which increase the likelihood that they will co-occur. Such common aetiological factors are expected to temporally precede the onset of symptoms and to be uniquely associated with symptoms of each disorder, independent of the strong association between anxiety and depression. Previous research has identified vulnerability factors in the development of both anxious symptoms (e.g., behavioural inhibition) and depressive symptoms (e.g., pessimistic inferential styles) in children. However very little research has examined whether these vulnerability factors are specific to either anxious or depressive symptoms, or whether they are common to both. The purpose of the research presented in this dissertation was to examine the common aetiology hypothesis of anxiety and depression in children by evaluating the specificity of two well-established theories. In addition, the applicability of a diathesis-stress model to the development of anxious and depressive symptoms in children was examined. The research described in Chapter 2 examined behavioural inhibition and found that behaviourally inhibited children who experienced high levels of stress demonstrated increases in anxious, but not depressive symptoms across a six-week period. The research described in Chapter 3 examined the hopelessness theory and found that in the presence of high levels of stress, pessimistic inferential styles about causes, consequences, and the self predicted increases in hopelessness depression symptoms in children with low levels of initial hopelessness depression symptoms. Moreover, children with pessimistic inferential styles about either consequences or the self demonstrated increases in anxious symptoms across the six-week period, even after controlling for changes in hopelessness depression symptoms. These findings have several implications. In line with the common aetiology hypothesis, pessimistic inferential styles about consequences and the self appear to be common vulnerability factors. In contrast, behavioural inhibition and pessimistic inferential style about causes appear to be specific vulnerability factors for anxious symptoms and hopelessness depression symptoms respectively. Finally, vulnerability factors for both anxious and depressive symptoms appear to be amenable to a diathesis-stress framework.

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15

Muyan, Mine, Edward C. Chang, Zunaira Jilani, Tina Yu, Jiachen Lin, and Jameson K. Hirsch. "Loneliness and Negative Affective Conditions in Adults: Is There Any Room for Hope in Predicting Anxiety and Depressive Symptoms?" Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/661.

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This study examined the role of hope in understanding the link between loneliness and negative affective conditions (viz., anxiety and depressive symptoms) in a sample of 318 adults. As expected, loneliness was found to be a significant predictor of both anxiety and depressive symptoms. Noteworthy, hope was found to significantly augment the prediction of depressive symptoms, even after accounting for loneliness. Furthermore, we found evidence for a significant Loneliness × Hope interaction effect in predicting anxiety. A plot of the interaction confirmed that the association between loneliness and anxiety was weaker among high, compared to low, hope adults. Some implications of the present findings are discussed.

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16

Rattican, Debra. "Symptom Clusters in Lung Cancer Patients." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/352.

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SYMPTOM CLUSTERS IN LUNG CANCER PATIENTS By Debra Rattican, PhD, RN A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2012 Major Director: Debra E. Lyon, PhD. Professor and Chair Family and Community Health Nursing The purpose of the study was to examine selected relationships among symptoms common to individuals with lung cancer. The specific aims were: 1) To examine the relationship between the symptoms of dyspnea and anxiety in patients with lung cancer. 2) To examine the relationships among the symptoms of dyspnea, anxiety, and symptom cluster components (depressive symptoms, fatigue, pain) in patients with lung cancer. 3) To examine the correlation between functional ability and quality of life in patients with lung cancer. 4) To explore the relationships among the symptoms of dyspnea, anxiety, and symptom cluster components (depressive symptoms, fatigue, pain) in patients with lung cancer and patients’ functional ability. 5) To explore the relationships among the symptoms of dyspnea, anxiety, and symptom cluster components (depressive symptoms, fatigue, pain) in patients with lung cancer and patients’ quality of life. Data were gathered through online survey and analyzed using descriptive, correlation, principal component analysis, exploratory factor analysis, and forward stepwise regression techniques. A strong positive correlation was found between dyspnea and anxiety (both anxiety in general and anxiety at the time the survey was completed. While results of this study cannot provide conclusive evidence of the existence of a symptom cluster composed of depressive symptoms, fatigue, and pain, the results are consistent with other studies in this area. Significant positive correlations among these three symptoms indicate that this is a possible symptom cluster experienced by lung cancer patients in general. This study provides preliminary data on how these symptoms are related and how they affect functional ability, or the ability to perform routine activities of daily living (ADLS) and instrumental activities of daily living (IADLS), and quality of life in patients with lung cancer. Further study is needed on to better understand the symptom experience of these individuals in order to develop robust interventions targeting effective symptom management.

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17

Van, Der Walt Sarel. "Outcome evaluation of an in-patient psychotherapy program: mindfulness, difficulty with emotion regulation, and mood and anxiety symptoms." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31324.

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This exploratory enquiry into the effectiveness of an in-patient psychotherapy program measured the changes in mood and anxiety symptoms, difficulty with emotion regulation, and dispositional mindfulness in a clinical population with diverse psychiatric morbidity. Participants were 53 adults (74.5% female, mean age = 35 years) who participated in a 4-week in-patient psychotherapy program offering a variety of interventions, including mindfulness skills training, and Dialectical Behaviour Therapy-psychosocial skills training. Program input data, demographic variables, psychiatric morbidity, and medication on discharge were tracked. There was an average improvement of 29.86 ± 20.56 on the Mood and Anxiety Symptoms Questionnaire-D30 and 12.43 ± 17.75 on the Difficulty with Emotion Regulation Scale-Short Form, indicating an improvement in mood and anxiety symptoms and emotion regulation post-intervention. There was an average improvement of 17.6 ± 23.66 on the Five Facets of Mindfulness Questionnaire, indicating an increase in dispositional mindfulness post-intervention.

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18

Do, Thi Hanh Trang. "Depression, anxiety and post traumatic stress disorder and their correlates among adults in central Vietnam." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/131606/1/Trang%20Thi%20Hanh_Do_Thesis.pdf.

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This thesis examines the prevalence of depression, anxiety and PTSD symptoms and their correlates among a random sample of adults in Central Vietnam. It also investigates the impact of trauma on mental health. The study contributes to knowledge about the burden of mental health problems and their determinants in Vietnam. It adds to the international evidence about lifetime trauma burden and its effect on mental health in Asian countries. The findings indicate a pressing need for changes to the health system in Vietnam to enhance prevention programs and access to mental health care for common mental disorders, especially trauma-sensitive services.

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19

Testa, Rylan Jay. "Motivation for Weight Loss Maintenance: Approach and Avoidance." Diss., Temple University Libraries, 2011. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/101058.

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Анотація:

Psychology
Ph.D.
Currently, two-thirds of adults and one-half of children and adolescents in the United States meet criteria for overweight or obese weight status (Wang & Beydoun, 2007). While weight loss often is desired among these individuals, few achieve sustained weight loss maintenance. A model of motivation, affect, and long-term weight loss maintenance is proposed, based on Carver's model of behavior change (2004b) and related research. This investigation evaluated the model's proposed associations between approach and avoidance motivation, depressive and anxious affect, and caloric consumption within the context of a dietary lapse condition in the laboratory. Findings did not support the hypotheses that avoidance motivation would be negatively related to calorie consumption or that approach motivation would be positively associated with calorie consumption. Conversely, higher avoidance motivation was found to predict higher caloric consumption. Finally, this relationship was not mediated by depressive or anxious affect. Instead, consumption of high calorie foods alone was shown to fully mediate this relationship. Recommendations for future research are presented in the context of these findings.
Temple University--Theses

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20

Ekeroth, Julia, and Malin Jehrlander. "Emotionsreglering som mediator i utvecklandet av emotionell ohälsa över tid hos adolescenter." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-33152.

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Depression- och ångestsymtom, som kan beskrivas som en del av emotionell ohälsa, är ett frekvent och växande problem inom den svenska ungdomspopulationen. Både en hög komorbiditet samt könsskillnader i ohälsa kan observeras. Samband mellan emotionsreglering och ohälsa har under senare år erhållit ett brett empiriskt stöd. Denna longitudinella studie syftade till att undersöka emotionsreglerings roll som mediator i utvecklandet av emotionell ohälsa över tid samt om det eventuella sambandet modereras av kön. Analyser visade att emotionsreglerings-strategierna kognitiv emotionsreglering och beteendemässigt undvikande medierade sambandet. Detta skiljde sig även åt mellan könen vad gäller kognitiv emotionsreglering. Utifrån studiens resultat dras slutsatsen att emotionsreglering kan utgöra en del av förklaringen av ökad emotionell ohälsa över tid hos ungdomar. Detta samband tycks även vara mer gällande för flickor.
Depressive and anxiety symptoms, which can be classified as types of emotional distress, anre common and growing issues among Swedish youth. Substantial comorbidity and gender differences concerning emotional distress have been observed. The relationship between emotion regulation and emotional distress have obtained convincing empirical support during the last couple of decades. This longitudinal study aimed to investigate the mediating role of emotion regulation in the development of emotional distress over time. The question of gender as a moderator of the relationship was also addressed. Analysis indicate that two emotion regulation strategies, cognitive emotion regulation and behavioral avoidance, do mediate the relationship. Gender differences were found in the cognitive strategy. The results of the study indicate that emotion regulation could be a part of the explanation for the increase of adolescent emotional distress over time. This relationship also seem to be more distinct for girls.

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21

Bergman, Elizabeth J. "Service utilization among bereaved spouses and family caregivers." [Tampa, Fla] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002502.

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22

Higgins, Jacob T. "ASSOCIATION OF SKELETAL MUSCLE AND PSYCHOLOGICAL RESPONSES TO IMMOBILITY AFTER MAJOR INJURY." UKnowledge, 2019. https://uknowledge.uky.edu/nursing_etds/41.

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The purpose of this dissertation was to explore the physical and psychological responses to the combination of major trauma (Injury Severity Score [ISS] > 15) and variable periods of immobility. Specific aims were to: 1) develop a conceptual model that illustrates physiological and psychological alterations that occur after injury and subsequent immobility, and their association with skeletal muscle responses and recovery; 2) evaluate daily measures of skeletal muscle strength (bicep and quadricep) using dynamometry and skeletal muscle (rectus femoris and biceps brachii) muscle thickness measured with ultrasound in patients after major trauma; and 3) assess the predictive ability of anxiety and depressive symptoms after traumatic injury on delayed ambulation (> 48 hours) following hospital admission. Specific Aim 1 was addressed by development of a conceptual model to describe the association between injury responses, immobility and skeletal muscle after trauma based on a comprehensive review of the state of the science. This model guided the research reported in Aims 2 and 3. The second specific aim was addressed with the conduct of an observational study in which we evaluated daily skeletal muscle strength with dynamometry and muscle thickness with ultrasound to evaluate the impact of trauma and immobility on skeletal muscle in patients after major trauma (n = 19). Participants with delayed ambulation after trauma (more than 48 hours immobility) demonstrated significantly less muscle strength compared with those who had early ambulation (bicep: delayed ambulation 12.9 ± 3.8, early ambulation 17.7 ± 4.7, p = 0.004; quadriceps: delayed ambulation 9.9 ± 3.1, early ambulation 17.1 ± 4.6, p = 0.001). Muscle thickness was unchanged over time in those with delayed ambulation; however, in those who ambulated early, muscle thickness significantly increased by 0.17 cm (p = 0.008) from baseline to day 5. The third specific aim was addressed with data collected during the same observational study of patients after trauma (n = 19). Participants provided measures of anxiety and depressive symptoms at baseline. Anxiety was not a predictor of delayed ambulation; however, depressive symptoms increased the likelihood of delayed ambulation by 67% (Odds Ratio [OR]: 1.67, 95% CI: 1.02 – 2.72, p = 0.041). Early ambulation was associated with significantly greater muscle strength and thickness as determined by dynamometry and muscle ultrasound, and depressive symptoms significantly increased the likelihood of delayed ambulation. Systematic evaluation of the association between trauma injury, immobility, skeletal muscle function and structure, and psychological state will provide an opportunity for the appropriate evaluation after injury and development of effective, tailored interventions to improve short- and long-term physiological and psychological recovery.

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23

Couto, Evelyn Regina. "Ma historia obstetrica e qualidade de vida durante a gestação." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311726.

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Orientador: Renato Passini Junior
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-11-27T12:24:46Z (GMT). No. of bitstreams: 1 Couto_EvelynRegina_D.pdf: 4555639 bytes, checksum: 07486cfe591a36481600d34a037a01b8 (MD5) Previous issue date: 2006
Doutorado
Ciencias Biomedicas
Doutor em Tocoginecologia

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24

French, Cynthia L. "Examining Change in Symptoms of Depression, Anxiety, and Stress in Adults after Treatment of Chronic Cough: A Dissertation." eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsn_diss/31.

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Background: Chronic cough is a common health problem with variable success rates to standardized treatment. Psychologic symptoms of depression, anxiety, and stress have been reported in association with chronic cough. The purpose of this study was to examine changes in the psychologic symptoms of depression, anxiety, and stress in adults with chronic cough 3 months after management using the ACCP cough treatment guidelines. Methods: This study used a descriptive longitudinal observation design. The major tenets associated with the Theory of Unpleasant Symptoms were examined. Intervention fidelity to the study components was measured. Results: A sample of 80 consecutive patients with chronic cough of greater than 8 weeks duration was recruited from one cough specialty clinic. Mean age of subjects was 58.54 years; 68.7% were female; 98.7% were white, and 97.5% were non-smokers. Mean cough duration was 85.99 months and mean cough severity was 6.11 (possible 0 –10; higher scores equal greater cough severity). Cough severity improved post treatment (n=65, M=2.32, (SE =.291), t (64) =7.98, p=.000); cough-specific quality-of-life also improved (n=65, M=9.17, (SE=1.30), t (64) =7.02, p=.000). Physiologic (urge-to-cough r=.360, ability to speak r=.469) and psychologic factors (depression r=.512, anxiety r=.507, stress r=.484) were significantly related to cough-specific quality-of-life and to cough severity (urge-to-cough r=.643, ability to speak r=.674 and depression r=.356, anxiety r=.419, stress r=.323) (all r, p=.01); social support and number of diagnoses were not related to either variable. Those experiencing greater financial strain had worse cough severity. Women, those experiencing financial strain, and those taking self-prescribed therapy had worse cough-specific quality-of-life. Intervention fidelity to the study plan was rated as high according to observation, participant receipt, and patient/physician concordance. Qualitative review identified potential areas of variability with intervention fidelity. Conclusions: By measuring the factors related to the major tenets of the Theory of Unpleasant Symptoms, this theory has helped to explain why those with chronic cough may have symptoms of depression, anxiety, and stress and why these symptoms improve as cough severity and cough-specific quality-of-life improve. Moreover, by measuring intervention fidelity, it may be possible to determine why cough guidelines may not be yielding consistently favorable results.

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25

Li, Yihan. "Patterns of symptoms in major depressive disorder and genetics of the disorder using low-pass sequencing data." Thesis, University of Oxford, 2013. http://ora.ox.ac.uk/objects/uuid:110887ce-fa6a-4a86-8063-d3de0d85d0d6.

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My thesis aims at identifying both genetic and environmental causes of major depressive disorder (MDD), using a large case-control study: 6,000 Chinese women with recurrent MDD and 6,000 controls. One of the major challenges for conducting genetic research on MDD is disease heterogeneity. The first question addressed is how different MDD is from highly comorbid anxiety disorders. I examine how anxiety disorders predict clinical features of depression and the degree of heterogeneity in their predictive pattern. The second question addressed is whether clinically defined MDD is a single disorder, or whether it consists of multiple subtypes. Results are then compared with and interpreted in the context of Western studies. Furthermore, latent class analysis and factor analysis results are also used in association analysis to explore more genetically homogeneous subtypes. Genetic data were derived using a novel strategy, low pass whole genome sequence analysis. Using genotypes imputed from the sequence data, I show that a cluster of single nucleotide polymorphisms (SNPs) is significantly associated with a binary disease phenotype including only cases with = 4 episodes of MDD, suggesting that recurrence might be an indication of genetic predisposition. The third issue examined is the contribution of rare variants to disease susceptibility. Again using sparse sequence data, I identified exonic sequence variants and performed gene-based analysis by comparing the number of variants between cases and controls in every gene. Furthermore I performed gene enrichment test by combining P values of SNP association tests at different minor allele frequency ranges. Overall, I did not find convincing evidence that rare variants aggregately contribute to disease susceptibility. However, the gene-based analysis resulted in an unexpected finding: cases have an excess of variants in all thirteen-protein coding mitochondrial genes, which was due to copy number differences in the mitochondrial genome. Both human phenotypic data as well as mice experimental data show that the increase in the mitochondrial copy number in cases is due to chronic stress.

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26

Lundin-Emanuelsson, Madeleine. "Mental health problems and delinquency : A longitudinal study with six-month follow-up about depressive and anxiety symptoms and delinquent behavior among Italian early adolescents." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-49368.

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Depressive and anxiety symptoms are common mental health problems globally. Antisocial behaviors can occur in early age and develop into delinquency. The aim of the study was to investigate longitudinally, with a six-month follow-up the association between mental health problems (i.e. depressive and anxiety symptoms) and delinquency among Italian early adolescents and if this association differs for boys and girls. A quantitative method was used with secondary data. The sample consisted of 155 Italian 12 years old adolescents. A longitudinal design with two occasions of measurement was used, which allows to follow individuals over time. The cross-sectional results showed that depressive symptoms were positively associated with delinquency in the total sample. However, no association was showed between anxiety symptoms and delinquency at the baseline. In addition, longitudinal results showed that medium/high delinquent behavior after six-month follow-up can partly be explained by depressive symptoms at baseline, but not by anxiety symptoms in the total sample. The longitudinal results also showed that increased levels of depressive symptoms and anxiety symptoms among boys increased the probability of having medium/high delinquent behavior, but not among girls. In conclusion, mental health problems can to some extent explain delinquency, especially among boys.

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27

Deaver, Darcie Marie. "Predictors of Quality of Life in Patients with Cutaneous T cell Lymphoma." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4883.

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Abstract Cutaneous T cell lymphoma (CTCL) is a rare, incurable, chronic disease accounting for approximately 3% of non-Hodgkin's lymphoma diagnoses every year. Patients with CTCL have skin lesions that can vary in severity putting patients at risk for developing symptoms that may impair their quality of life (QOL). The disease burden can lead to increased depressive symptoms, fatigue distress, and anxiety that the disease may be worsening. Seventy-five participants agreed to take part in an exploratory, prospective study to evaluate depressive symptoms, anxiety, fatigue distress, and spirituality as predictors of QOL in CTCL patients. Demographic variables including stage of disease, ethnicity, age, gender, marital status, level of education, and time since diagnosis, were also included in the analyses to assess for relationships. Bivariate correlations, t-tests, and regression analyses were conducted to assess for relationships among the predictor variables and QOL. The analyses revealed that the proposed model explained 64% of the variance, and depressive symptoms (t= -2.4, p= 0.020) and stage of disease (t= -3.0, p= 0.004) significantly predicted the QOL of CTCL patients. Evaluating for predictors that influence the QOL helps us to better understand the needs of the patients afflicted with CTCL. The importance of studying the QOL of the CTCL patients lies in the fact that nurses can assist in helping patients alleviate some of the symptoms they experience, thereby improving their QOL. Further study is warranted in developing interventions to assist in the preservation of QOL.

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Al, Shamsi Hilal Salim Said Sulaiman. "The contribute of diet on the relationship between symptoms of depression and anxiety, and Alzheimer’s disease." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2025. https://ro.ecu.edu.au/theses/2873.

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Diet has been shown to impact both depression and Alzheimer’s disease (AD), while depression itself is comorbid with AD and increases future risk of developing the disease. Therefore, further elucidating this intricate relationship and determining how diet influences AD, as well as symptoms of depression and anxiety, is of great importance, particularly for older adults. Following a critical narrative review (Chapter 2), the first aim of this thesis was to examine whether diet moderates the relationship between symptoms of depression and anxiety, and cognitive performance cross-sectionally (Chapter 3). This was explored across three dietary patterns: Mediterranean Diet (MeDi), Dietary Approaches to Stop Hypertension (DASH), and Western diet. The results showed that in males with low to moderate MeDi adherence, greater depressive symptoms were associated with poorer attention and processing performance. Similarly, in males with high Western diet adherence, greater anxiety symptoms were associated with poorer performance on a Preclinical Alzheimer's Cognitive Composite (PACC). The second and third aims of this thesis were to investigate dietary patterns as potential moderators of the relationship between symptoms of depression and anxiety, and AD-related neuroimaging and blood-based biomarkers (Chapter 4 and 5, respectively). The results of Chapter 4 revealed that among individuals with lower DASH diet adherence, greater depressive and anxiety symptoms were associated with higher brain amyloid-β (Aβ) load, a hallmark of AD pathogenesis. Notably, the anxiety association was observed both in the cohort as a whole and in Apolipoprotein E (APOE) ε4 allele carriers, a genetic risk factor for AD. Chapter 5 showed that in males with mean MeDi adherence, depressive symptoms were associated with higher plasma neurofilament light (NfL) levels, a blood-based biomarker of neurodegeneration. Additionally, in APOE ε4 non-carriers with below mean and mean MeDi adherence, depressive symptoms were associated with higher plasma NfL levels. The final aim of this thesis investigated dietary patterns as moderators of the relationship between depression and anxiety symptomology, and cognition, over time (Chapter 6). In males with mean or below mean MeDi adherence, increasing depressive symptoms were associated with faster cognitive decline, as measured by PACC. Furthermore, APOE ɛ4 carriers with mean MeDi adherence showed greater decline in language with increasing depressive symptoms. Below mean DASH adherence was associated with greater decline in PACC scores as anxiety symptoms increased, in APOE ɛ4 non-carriers. Moreover, in males, higher Western diet adherence was associated with greater cognitive decline as depressive symptoms increased. Collectively, the results presented in this thesis highlight dietary patterns as potential moderators of the relationship between symptoms of depression and anxiety, cognition, and AD biomarkers. The findings also highlight the need for considering dietary approaches to mental health and AD prevention that are tailored to the individual on the basis of APOE genotype and sex. Chapter 7 of this thesis discusses the implications of these findings in greater detail, as well as considering future research directions.

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Protas, Júlia Schneider. "Avaliação da qualidade de vida em pacientes adultos com neurofibromatose tipo 1." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/149459.

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Base teórica: A qualidade de vida é uma variável amplamente estudada nas ciências da saúde e tem se tornado, cada vez mais, um indicativo importante na avaliação dos estados e desfechos de saúde. As doenças crônicas se caracterizam por curso prolongado, por vezes acompanhando o portador por toda sua vida, o que pode influenciar a percepção que o indivíduo tem de si mesmo e de sua vida. A Neurofibromatose tipo 1 (NF1) é uma doença crônica, genética, que atinge cerca de 1:3500 nascimentos. Além de ser uma doença que acarreta uma maior predisposição ao desenvolvimento de tumores, a NF1 possui sintomas físicos de fácil identificação. Objetivo: O presente estudo visa estudar a qualidade de vida e algumas variáveis emocionais de pessoas com neurofibromatose tipo 1. Método: Trata-se de um estudo transversal. Foram avaliadas as variáveis de qualidade de vida genérica (WHOQOL-bref e SF-36), qualidade de vida específica para pessoas com problemas de pele (DLQI-bra), sintomas depressivos (BDI), sintomas de ansiedade(BAI), percepção de suporte familiar (IPSF) e estratégias de enfrentamento (Inventário de Estratégias de Coping de Folkman e Lazarus). Os participantes deste estudo também foram avaliados quanto à gravidade (Escala de Riccardi) e visibilidade dos sintomas da doença (Ablon). Resultados: Foram coletados dados de 71 pacientes adultos com NF1. Do total 60,0% da amostra foram pessoas do sexo feminino, a média de idade foi de ± 40,36 anos. Dos 52 pacientes avaliados pela escala de Riccardi, 11,3% apresentou gravidade leve, 40,4% gravidade moderada, 42% sintomas graves de gravidade e 6,5% sintomas muito graves da doença. Com relação a visibilidade dos sintomas medidos pela escala de Ablon, 36,5% apresentam visibilidade leve de sintomas, 30,8% visibilidade moderada e 32.7% visibilidade severa dos sintomas. Conclusão: Os resultados da avaliação de qualidade de vida de pessoas com NF1, ao serem comparados com os dados normativos para amostra, não apresentou diferença estatisticamente significativa. A análise dos sintomas depressivos indicou que grande parte dos entrevistados apresentam sintomas leves de depressão e os dados da escala BAI referente aos sintomas de ansiedade constatou que a média dos entrevistados apresentam sintomas graves de ansiedade, podendo sugerir que a ansiedade seja uma característica importante dessa população. As estratégias de enfrentamento mais utilizadas por esta população foram a reavaliação e o suporte social. Com relação aos resultados da percepção de suporte familiar, podemos perceber que os dados da amostra não apresentaram diferença significativa ao serem comparados com os dados normativos da escala.
Theoretical basis: Quality of life is an important studied variable in health sciences and has become an important indicator in assessing states and health outcome. Chronic diseases are characterized by a prolonged course, sometimes accompanying the carrier all his life, which can influence the perception that the individual has of himself and of his life. The neurofibromatosis type 1 (NF1) is a chronic and genetics condition that affects about 1: 3500 births. Besides being a disease that leads to a greater predisposition to develop tumors, NF1 has physical symptoms of easy identification. Objective: This project aims to study the quality of life and emotional variables of people with neurofibromatosis type 1. Method: This is an observational study. The overall quality of life variables were evaluated (WHOQOL-bref and SF-36), specific quality of life for people with skin problems (DLQI-bra), depressive symptoms (BDI), anxiety symptoms (BAI), perception of family supports (IPSF) and coping strategies (coping strategies Inventory of Folkman and Lazarus). The participants were also evaluated for the severity (Riccardi Scale) and visibility of disease symptoms (Ablon). Results: Were collected data from 71 adults patients with NF1. From all sample 60% were female. The mean age was ± 40.36 years . Of the 52 patients evaluated for Riccardi scale , 11.3 % had mild severity , 40.4 % moderate severity , 42% Severity of symptoms and 6.5 % symptoms very severe. The data of the visibility of the symptoms were measure by Ablon scale , 36.5 % have mild symptoms visibility , 30.8 % moderate and 32.7 % severe visibility of symptoms. Conclusion: The results of the quality of life of people with NF1, when compared with the normative data for sample, indicate no statistically significant difference. The analysis of depressive symptoms indicated that the majority of respondents have mild symptoms of depression and the BAI scale data related to symptoms of anxiety found that the average of respondents have severe anxiety symptoms and may suggest that anxiety can be an important feature of this population. Coping strategies most used by this population were the re-evaluation and social support. Regarding the results of the perception of family support, we can see that the sample data showed no significant difference when compared with the normative data range.

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30

Tran, Quynh Anh. "Factors associated with mental health of medical students in Vietnam: A national study." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/84851/1/Quynh%20Anh_Tran_Thesis.pdf.

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This project was the first national study of the health and wellbeing of medical students in Vietnam. Data from over 2,000 students from eight universities indicate that, while the majority are healthy, significant proportions have poor mental and/or physical health and other life adversities. For many students, heavy academic demands were not a major stressor; rather, difficulties within their family, interpersonal relations, dissatisfaction with career choice and housing and financial problems appear to cause the most strain. This study provides evidence that will be useful for the development of professional counseling services in Vietnamese universities.

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31

Eklund, Per-Olof. "Psykosociala problem vid hepatit C." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26624.

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Vissa sjukdomar för konsekvenser med sig utöver den somatiska bördan. Hepatit C är en av dessa. Detta virus påverkar den drabbades liv på ett sätt som står över den patologiska beskrivningen. Varje år anmäls 2000 fall av hepatit C i Sverige. Syftet med denna litteraturstudie var att få kunskap om omfattningen av psykosociala problem hos hepatit C-smittade. Litteraturstudien grundar sig på sju vetenskapliga artiklar. Forskningsprocessen inspirerades av Goodmans sju olika steg. Som teoretisk referensram har använts Carnevalis modell för ett funktionellt hälsotillstånd i dagligt liv. Resultatet presenteras genom fyra olika teman som identifierades under artikelgranskningen: (1) Stigmatisering av individer med hepatit C, (2) rädsla förknippad med hepatit C, (3) Depressiva symtom förknippade med hepatit C och (4) Bristande socialt stöd vid hepatit. Resultatet pekar på att hepatit C-smittade i stor omfattning upplever psykosociala problem. Detta medför att den smittades livssituation påverkas negativt och därmed minskar dennes möjlighet till att uppleva hälsa.
Certain diseases carry consequences beyond the somatic burden. Hepatitis C is one of them. This virus influences the infected beyond its pathological description. Every year 2000 cases of Hepatitis C are reported in Sweden. The aim of this study was to illuminate the extent and character of psychosocial problems in patients with the diagnosis hepatitis C. The study is based on seven scientific articles. The seven steps for a literature study presented by Goodman inspired the research process. As a theoretical frame of reference Carnevali´s model for a functional and healthy daily life has been used. The analysis resulted in four themes: (1) Stigmatization, (2) fear associated with hepatitis C, (3) depressive symptoms connected with the diagnosis and (4) lack of social support The results indicate that patients with the diagnosis hepatitis C experience psychosocial problems to a larger extent. This also means that these patients are negatively influenced leading to a decreased opportunity to experience health.

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32

Wittchen, Hans-Ulrich, Roselind Lieb, Hildegard Pfister, and Peter Schuster. "The waxing and waning of mental disorders: Evaluating the stability of syndromes of mental disorders in the population." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-109949.

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This article examines the stability of symptoms, syndromes, and diagnoses of specific anxiety and depressive disorders, as well as diagnostic shifts from one syndrome to another over time. Using retrospective and longitudinal prospective data from the baseline and first follow-up investigation (19.7 months later) of the Early Developmental Stages of Psychopathology Study (EDSP), we focus on establishing stability measures for early stages of mental disorders in a community sample of adolescents aged 14 to 17 years at baseline. The results are as follows: (1) Although only about 30% developed a full-blown DSM-IV disorder, psychopathological syndromes are widespread in adolescents: 15% of the population aged 14 to 17 at baseline were not affected by at least some clinically relevant symptoms of mental disorders either throughout their previous life or throughout the follow-up period. (2) The likelihood of staying free of symptoms and threshold disorders during follow-up was highest among subjects who were completely well at baseline. The probability of a positive outcome decreased as a function of severity of baseline diagnostic status. (3) There was a considerable degree of fluctuation not only in the diagnostic status and severity of specific disorders, but also in terms of complete remissions and shifts from one syndrome and disorder to another. (4) Anxiety disorders, overall, slightly differ with regard to the persistence and stability of the diagnostic status from depressive disorders. (5) However, there were remarkable differences between specific types of anxiety and depressive disorders. Consistent with other longitudinal epidemiological studies in the general population, this study finds that the syndromes and diagnoses of mental disorders have a strong tendency to wax and wane over time in this age group.

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33

Wittchen, Hans-Ulrich, Roselind Lieb, Hildegard Pfister, and Peter Schuster. "The waxing and waning of mental disorders: Evaluating the stability of syndromes of mental disorders in the population." Technische Universität Dresden, 2000. https://tud.qucosa.de/id/qucosa%3A26800.

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This article examines the stability of symptoms, syndromes, and diagnoses of specific anxiety and depressive disorders, as well as diagnostic shifts from one syndrome to another over time. Using retrospective and longitudinal prospective data from the baseline and first follow-up investigation (19.7 months later) of the Early Developmental Stages of Psychopathology Study (EDSP), we focus on establishing stability measures for early stages of mental disorders in a community sample of adolescents aged 14 to 17 years at baseline. The results are as follows: (1) Although only about 30% developed a full-blown DSM-IV disorder, psychopathological syndromes are widespread in adolescents: 15% of the population aged 14 to 17 at baseline were not affected by at least some clinically relevant symptoms of mental disorders either throughout their previous life or throughout the follow-up period. (2) The likelihood of staying free of symptoms and threshold disorders during follow-up was highest among subjects who were completely well at baseline. The probability of a positive outcome decreased as a function of severity of baseline diagnostic status. (3) There was a considerable degree of fluctuation not only in the diagnostic status and severity of specific disorders, but also in terms of complete remissions and shifts from one syndrome and disorder to another. (4) Anxiety disorders, overall, slightly differ with regard to the persistence and stability of the diagnostic status from depressive disorders. (5) However, there were remarkable differences between specific types of anxiety and depressive disorders. Consistent with other longitudinal epidemiological studies in the general population, this study finds that the syndromes and diagnoses of mental disorders have a strong tendency to wax and wane over time in this age group.

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34

Moulinet, Inès. "Vers une meilleure compréhension des facteurs psychoaffectifs (anxiété et dépression) dans le vieillissement normal et pathologique : liens avec la cognition et la neuroimagerie multimodale Sex-specificities in anxiety and depressive symptoms across the lifespan and their links with multimodal neuroimaging Relationships of depressive symptoms to brain markers of neurodegeneration and amyloid deposition across the Alzheimer’s continuum Cross-sectional and longitudinal characterization of SCD patients recruited from the community versus from a memory clinic: subjective cognitive decline, psychoaffective factors, cognitive performances, and atrophy progression over time." Thesis, Normandie, 2020. http://www.theses.fr/2020NORMC422.

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Les symptômes psychoaffectifs anxieux et dépressifs infra-cliniques sont fréquents chez les personnes âgées et sont associés à un risque accru de développer une démence et de progresser d’un stade prédémentiel à un stade démentiel. Cependant, ils pourraient également être des symptômes associés à une démence, et pourraient constituer une manifestation clinique de la pathologie sous-jacente. L’objectif de cette thèse était de contribuer à une meilleure compréhension des liens entre symptômes anxieux et dépressifs et les modifications cognitives et cérébrales structurales, fonctionnelles et moléculaires typiques de la maladie d’Alzheimer (MA), à la fois dans le vieillissement normal et au cours de cette pathologie. Nos résultats montrent que des symptômes anxieux élevés sont associés à un volume de substance grise plus bas chez les sujets âgés cognitivement sains, et ce uniquement chez les femmes. Cette même association est présente chez les sujets Subjective Cognitive Decline (SCD) recrutés dans la population générale, et montre une vulnérabilité accrue aux maladies neurodégénératives liées à l’âge, telles que les démences. Chez les SCD ayant consulté pour leur déclin cognitif subjectif, des symptômes dépressifs élevés sont associés à une charge amyloïde plus importante dans le cerveau, et donc à un risque accru de développer une MA, tandis que chez les sujets Mild Cognitive Impairment (MCI) et MA amyloïde positifs, ils sont liés à une meilleure cognition et conscience de ses propres troubles. Les symptômes psychoaffectifs semblent donc avoir un rôle évolutif au cours du passage du vieillissement normal au vieillissement pathologique, d’abord manifestation d’une vulnérabilité cérébrale, puis manifestation d’une pathologie sous-jacente et d’un risque de développement de MA, ils sont au contraire un marqueur de préservation chez les patients présentant un déclin cognitif (MCI et MA)
Subclinical psychoaffective symptoms of anxiety and depression are common in the elderly and are associated with an increased risk of developing dementia and progressing from a pre-dementia stage to a dementia stage. However, they could also be symptoms associated with dementia and could be a clinical manifestation of the underlying pathology. The aim of this thesis was to contribute towards a better understanding of the links between anxiety and depressive symptoms and Alzheimer's disease (AD) hallmarks, including cognitive, structural, functional and molecular modifications, both in normal aging and during the course of this pathology. Our results show that higher anxiety symptoms are associated with lower grey matter volume in cognitively healthy elderly subjects, but only in women. This same association is present in all Subjective Cognitive Decline (SCD) participants recruited from the general population, and shows an increased vulnerability to age-related neurodegenerative diseases such as dementia. In Subjective Cognitive Decline (SCD) subjects, high depressive symptoms are associated with greater amyloid load in the brain, and thus an increased risk of developing AD, while in amyloid-positive Mild Cognitive Impairment (MCI) and AD subjects, they are related to better cognition and awareness of their cognitive deficits. Psychoaffective symptoms thus seem to have an evolving role during the transition from normal aging to pathological aging; they first manifest a brain vulnerability, then an underlying pathology and a risk of developing AD, and then are a marker of preservation in patients with cognitive decline (MCI and AD)

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35

Backhouse, Ellen Victoria. "Early life risk factors for cerebrovascular disease and depressive symptoms in later life." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33184.

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Cerebrovascular disease (CVD) can result in cerebral small vessel disease (cSVD) and structural brain changes such as decreased cortical volume, brain atrophy and cerebral infarcts which are major causes of stroke and dementia. CVD is also associated with increased depression and depressive symptoms in later life. Midlife vascular disease and adult socioeconomic status (SES) are well established risk factors but less is known about the effect of factors from earlier in life on CVD and depressive symptoms in later life. A series of systematic reviews of current literature examining early life factors and stroke, cSVD and depression following stroke are presented at the beginning of this thesis. These reviews found that childhood IQ, education and childhood SES were associated with stroke and cSVD in later life. The reviews also found that education level was associated with depression following stroke. However few of the studies adjusted for vascular risk factors and adult SES. Therefore this thesis aimed to investigate associations between birth and childhood factors and cerebrovascular disease and depressive symptoms, after adjustment for vascular risk factors and adult SES, in four community dwelling cohorts: the Stratifying Resilience & Depression Longitudinally (STRADL) cohort (n=280, 45% male, mean age= 62.1 (SD=4.1) years), the Dutch Famine Birth cohort (n= 151, 44% male, mean age 67.6 (SD=0.9) years), the Lothian Birth Cohort 1936 (LBC 1936, n= 865, 50% male, mean age 72.7 (SD=0.7) years), and the Simpson cohort (n=130, 31% male, mean age 78.5, (SD=1.5) years). This Thesis first examined associations between (i) cSVD burden (ii) total and regional brain volumes and (iii) self-reported symptoms of depression and anxiety measured using the Hospital Anxiety and Depression Scale. All analyses were adjusted for age, sex, hypertension, smoking behaviour, adult SES and cognition. Neither cSVD nor brain volumes were associated with symptoms of anxiety. Higher white matter hyperintensity volumes, having one or more cerebral infarct and increased cerebral atrophy were associated with increased depressive symptoms independent of vascular risk factors and adult SES. Secondly, this thesis examined associations between birth and childhood factors and cSVD burden and total and regional brain volumes. Each cohort was analysed individually and then all available data meta-analysed. All analyses were adjusted for age, sex, hypertension, smoking behaviour, adult SES and other early life factors. Meta-analysis found that increasing birth weight was associated with decreased risk of lacunes across all cohorts. Placental weight, which was only available for the Simpson cohort, was associated with decreased risk total cSVD, WMH severity and volume and cerebral infarcts. In the LBC 1936 and Simpson cohort increasing childhood and premorbid IQ and more years of education were associated with fewer cortical infarcts. The association between premorbid and childhood IQ and infarcts was independent of education level. Across three cohorts low education level was associated with more microbleeds. These findings suggest that factors other than traditional vascular risk factors may contribute to cSVD and structural brain changes in later life. Thirdly, this thesis examined associations between birth and childhood factors and self-reported symptoms of depression and anxiety measured using the Hospital Anxiety and Depression Scale (HADS) and the Quick Inventory of Depressive Symptoms (QIDS-16). All analyses were adjusted for age, sex, hypertension, smoking behaviour, adult SES and cognition In the Dutch Famine Birth Cohort people born before the famine had lower scores of depression and anxiety on the HADS compared to those exposed to famine in early gestation and those conceived after the famine. In the LBC 1936 increasing ponderal index was associated with lower depressive symptoms, increasing childhood and premorbid IQ were associated with lower symptoms of anxiety and depression. Lower educational attainment and some indicators of childhood SES were associated with higher symptoms of depression and anxiety. Overall results suggest that early life factors, particularly childhood IQ, may contribute to structural brain changes and symptoms of depression and anxiety in later life, independent of vascular risk factors and other early life factors. Efforts to understand factors which may contribute to late life health, from the earliest stages of life, are important and may be used to inform changes in social policy. The effect sizes and potential impact of these findings suggest that larger sample sizes with more vascular disease and more depression are needed to robustly test these associations.

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36

Guez, Hava. "Psychopathologie et attachement dans la transition à la maternité." Electronic Thesis or Diss., Paris 8, 2022. http://www.theses.fr/2022PA080042.

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La santé mentale périnatale est un sujet de préoccupation sociétale majeure ; le suicide étant devenu la deuxième cause de mortalité maternelle après les maladies cardiovasculaires, soit 13,4% des morts maternelles durant la période périnatale. L’objectif cette thèse était d’étudier la psychopathologie des mères durant la transition vers la maternité en lien avec des variables contextuelles, relationnelles et des représentations d’attachement. Une première étude visait à étudier les trajectoires de dépression et d’anxiété durant la transition à la maternité. Notre échantillon était composé de 148 femmes canadiennes (âge moyen : 21,66). Elles ont répondu à un questionnaire d’informations socioéconomiques, à un inventaire de symptômes psychologiques (Symptom Check-List, SCL-90), à une mesure du stress psychologique (PSM), à une échelle d’ajustement dyadique (The Dyadic Adjustment Scale, DAS) et à un questionnaire de soutien social (SSQ). Dans une seconde étude, nous avons examiné les liens entre burn-out et symptomatologie anxiodépressive. Notre échantillon était composé de 70 femmes françaises (âge moyen : 31,19) qui ont répondu à l’échelle de dépression postnatale d’Edimbourg (EPSD), à un inventaire d’anxiété (STAI Trait/Etat) et à un questionnaire de burn-out parental (Parental Burnout Assessment, BPA). Dans une troisième étude, nous avons examiné les liens entre attachement, symptomatologie anxiodépressive et burn-out, trente-cinq femmes (âge moyen : 31,32) ont répondu à l’EPSD, la STAI Trait/Etat et au PBA. L’Attachment Multiple Model Interview a également été administré pour évaluer l'attachement à chacun des parents et au conjoint. Enfin, pour illustrer les résultats de notre dernière étude, nous avons utilisé le même échantillon avec une approche qualitative.Les résultats ont montré : (1) chez des mères à haut risque sur le plan social, l’existence de trois trajectoires distinctes de dépression et d’anxiété, l’une d’elles avec des niveaux élevés de symptômes qui continuent d’augmenter tout au long de la transition ; (2) que l’environnement familial et personnel de la mère peut être rattachées à un ensemble de facteurs (revenu familial, stress psychologique, satisfaction conjugale, perception du soutien social) qui prédisent les trajectoires de santé mentale tout au long la transition à la maternité ; (3) que des représentations d’attachement désorganisées à la mère sont liées à une symptomatologie composite : symptômes dépressifs et anxiété trait dans le post-partum ; (4) qu’une stratégie d’attachement d’inhibition au conjoint est associée au fait d’avoir un état anxieux dans le post-partum ; (5) que l’anxiété trait médiatise le lien entre représentations d’attachement et burn-out maternel durant le post-partum.Nos résultats soulignent l’importance :- de privilégier les études de trajectoires dans la transition à la maternité. Ces dernières permettent de considérer les différences interindividuelles de profils maternels dans le vécu de l’adaptation, témoignant de la nécessité d’accorder une vigilance particulière pour les mères à risque.- de prendre en compte le contexte personnel et familial dans lequel la grossesse se déroule pour anticiper les trajectoires de dépression et d’anxiété durant le transition à la maternité.- d’une évaluation prénatal permettant un dépistage précoce systématique- d’un dépistage systématique de l’anxiété lors de l’examen prénatal pour prévenir du burn-out.- d’apporter une attention particulière aux modèles et stratégies d’attachement dans le post-partum afin d’intervenir précocement par des psychothérapies efficaces
Perinatal mental health is a major societal concern; suicide has become the second cause of maternal mortality after cardiovascular disease, representing 13.4% of maternal deaths. The objective of this research was to study psychopathology among mothers during the transition to motherhood, in relation to contextual and relational variables as well as attachment representations.A first study was aimed at identifying trajectories of depression and anxiety during the transition to motherhood. Our sample consisted of 148 Canadian women (mean age: 21,66 years). They filled in a socio-demographic questionnaire, an inventory of psychological symptoms (Symptom Check-List, SCL-90), a measure of psychological stress (PSM), a dyadic adjustment scale (The Dyadic Adjustment Scale, DAS) and a social support questionnaire (SSQ). In a second study, we examined the links between burnout and anxious-depressive symptomatology. Our sample consisted of 70 French women (mean age: 31,19 years) who completed the Edinburgh Postnatal Depression Scale (EPSD), an Anxiety Inventory (STAI Trait/Etat), and the Parental Burnout Assessment (BPA). In a third study, we examined the links between attachment, anxious-depressive symptoms, and burnout. Thirty-five women (mean age: 31.32 years) filled in the EPSD, the STAI Trait/Etat and the PBA. The Attachment Multiple Model Interview was also administered to assess attachment to each parent and partner. Finally, to illustrate the results of our final study, we used the same sample with a qualitative approach.The results showed: (1) the existence of three distinct trajectories of depression and anxiety, one of them with a high level of symptoms that continued to increase during the transition to motherhood ; (2) that mothers’ family and personal environments can be linked to a set of correlated factors (family income, psychological stress, marital satisfaction, perception of social support) that predict mental health trajectories throughout the transition to motherhood ; (3) that disorganized attachment in the relationship with one’s own mother is linked to a composite measure of depressive and trait anxiety symptoms in the postpartum period ; (4) that deactivating attachment strategies with the partner are associated with having an anxious state in the postpartum period ; (5) that trait anxiety mediates the link between maternal attachment and parental burnout.Our results highlight the importance of:- prioritizing trajectory studies in the transition to motherhood. They make it possible to consider inter-individual differences in maternal profiles of adaptation, highlighting the need to pay particular attention to mothers at risk.- taking into account the personal and family context in which pregnancy takes place to anticipate the trajectories of depression and anxiety during the transition to motherhood.- a prenatal assessment allowing systematic early detection of mothers at risk.- systematic screening for anxiety during the prenatal examination to prevent burnout.- pay specific attention to attachment models and strategies in the postpartum period in order to intervene early through effective psychotherapies

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Mourad, Ghassan. "Improving care for patients with non-cardiac chest pain : Description of psychological distress and costs, and evaluation of an Internet-delivered intervention." Doctoral thesis, Linköpings universitet, Hälsa, Aktivitet, Vård (HAV), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122592.

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Introduction: More than half of all patients seeking care for chest pain do not have a cardiac cause for this pain. Despite recurrent episodes of chest pain, many patients are discharged without a clear explanation of the cause for their pain. A lack of explanation may result in a misinterpretation of the pain as being cardiac-related, causing worry and uncertainty, which in turn leads to substantial use of healthcare resources. Psychological distress has been associated with non-cardiac chest pain (NCCP), but there is limited research regarding the relationship between different psychological factors and their association with healthcare utilization. There is a need for interventions to support patients to manage their chest pain, decrease psychological distress, and reduce healthcare utilization and costs. Aim: The overall aim of this thesis was to improve care for patients with non-cardiac chest pain by describing related psychological distress, healthcare utilization and societal costs, and by evaluating an Internet-delivered cognitive behavioural intervention. Designs and methods: This thesis presents results from four quantitative studies. Studies I and II had a longitudinal descriptive and comparative design. The studies used the same initial cohort. Patients were consecutively approached within 2 weeks from the day of discharge from a general hospital in southeast Sweden. In study I, 267 patients participated (131 with NCCP, 66 with acute myocardial infarction (AMI), and 70 with angina pectoris (AP)). Out of these, 199 patients (99 with NCCP, 51 with AMI, 49 with AP) participated in study II. Participants were predominantly male (about 60 %) with a mean age of 67 years. Data was collected on depressive symptoms (Study I), healthcare utilization (Study I, II), and societal costs (Study II). Study III had a cross-sectional explorative and descriptive design. Data was collected consecutively on depressive symptoms, cardiac anxiety and fear of body sensations in 552 patients discharged with diagnoses of NCCP (51 % women, mean age 64 years) from four hospitals in southeast Sweden. Patients were approached within one month from the day of discharge. Study IV was a pilot randomized controlled study including nine men and six women with a median age of 66 years, who were randomly assigned to an intervention (n=7) or control group (n=8). The intervention consisted of a four-session guided Internet-delivered cognitive behavioural therapy (CBT) program containing psychoeducation, exposure to physical activity, and relaxation. The control group received usual care. Data was collected on chest pain frequency, cardiac anxiety, fear of body sensations, and depressive symptoms. Results: Depressive symptoms were prevalent in 20 % (Study IV) and 25 % (Study I, III) of the patients, and more than half of the patients still experienced depressive symptoms one year later (Study I). There were no significant differences in prevalence and severity of depressive symptoms between patients diagnosed with NCCP, AMI or AP. Living alone and younger age were independently related to more depressive symptoms (Study I). Cardiac anxiety was reported by 42 % of the patients in study III and 67 % of the patients in study IV. Fear of body sensations was reported by 62 % of the patients in study III and 93 % of the patients in study IV. On average, patients with NCCP had 54 contacts with primary care or the outpatient clinic per patient during the two-year study period. This was comparable to the number of contacts among patients with AMI (50 contacts) and AP (65). Patients with NCCP had on average 2.6 hospital admissions during the two years, compared to 3.6 for patients with AMI and 3.9 for patients with AP (Study II). Four out of ten patients reported seeking healthcare at least twice during the last year due to chest pain (Study III). On average, 14 % of patients with NCCP were on sick-leave annually, compared to 18 % for patient with AMI and 25 % for patient with AP. About 11-12 % in each group received a disability pension. The mean annual societal costs for patients with NCCP, AMI and AP were €10,068, €15,989 and €14,737 (Study II). Depressive symptoms (Study I, III), cardiac anxiety (Study III) and fear of body sensations (Study III) were related to healthcare utilization. Cardiac anxiety was the only variable independently associated with healthcare utilization (Study III). In the intervention study (Study IV), almost all patients in both the intervention and control groups improved with regard to chest pain frequency, cardiac anxiety, fear of body sensations, and depressive symptoms. There was no significant difference between the groups. The intervention was perceived as feasible and easy to manage, with comprehensible language, adequate and varied content, and manageable homework assignments. Conclusions: Patients with NCCP experienced recurrent and persistent chest pain and psychological distress in terms of depressive symptoms, cardiac anxiety and fear of body sensations. The prevalence and severity of depressive symptoms in patients with NCCP did not differ from patients with AMI and patients with AP. NCCP was significantly associated with healthcare utilization and patients had similar amount of primary care and outpatient clinic contacts as patients with AMI. The estimated cumulative annual national societal cost for patients with NCCP was more than double that of patients with AMI and patients with AP, due to a larger number of patients with NCCP. Depressive symptoms, cardiac anxiety and fear of body sensations were related to increased healthcare utilization, but cardiac anxiety was the only variable independently associated with healthcare utilization. These findings imply that screening and treatment of psychological distress should be considered for implementation in the care of patients with NCCP. By reducing cardiac anxiety, patients may be better prepared to handle chest pain. A short guided Internet-delivered CBT program seems to be feasible. In the pilot study, patients improved with regard to chest pain frequency, cardiac anxiety, fear of body sensations, and depressive symptoms, but this did not differ from the patients in the control group who received usual care. Larger studies with longer follow-up are needed to evaluate both the short and long- term effects of this intervention.

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Guittard, Cassandre. "Représentations parentales et symptomatologie anxiodépressive chez les parents de nouveau-nés prématurés : Impact d’un soin conjoint proprioceptif pendant l’hospitalisation en service de médecine néonatale." Electronic Thesis or Diss., Reims, 2024. http://www.theses.fr/2024REIML007.

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Les avancées en médecine néonatale ont permis d’accroître le nombre de bébés survivant à une naissance prématurée à des âges gestationnels de plus en plus précoces. Toutefois, la prématurité n’est pas sans conséquences pour le bébé et sa famille. Une prévalence plus élevée d’anxiété, de dépression post-natale et de stress post-traumatique est retrouvée chez les mères de bébés prématurés. Il a également été mis en évidence des représentations maternelles erronées concernant le bébé, la relation avec lui et leurs propres compétences parentales. Les recherches sur les pères ont émergé plus récemment et les données sont encore rares. Cette thèse a pour objectif d’étudier les niveaux de stress, d’anxiété, de dépression post-natale et de stress post-traumatique maternels et paternels en contexte de prématurité et d’évaluer l’effet d’un soin conjoint par stimulations proprioceptives, pratiqué par les parents sur leur bébé grand prématuré pendant l’hospitalisation en médecine néonatale, sur cette symptomatologie anxiodépressive parentale et sur les représentations maternelles. Nos résultats révèlent des niveaux anxiodépressifs significativement plus élevés chez les parents – mères et pères – d'enfants grands prématurés que chez les parents d'enfants modérément prématurés ou nés à terme, alors qu'aucune différence significative n'a été constatée entre ces deux derniers groupes. En revanche, les parents de bébés grands prématurés ayant pratiqué le soin conjoint proprioceptif durant l’hospitalisation en médecine néonatale présentaient des niveaux significativement plus faibles de symptomatologie anxiodépressive que ceux ayant pratiqué uniquement le soin peau à peau, avec des scores comparables à ceux des parents d’enfants modérément prématurés ou nés à terme. De plus, l’analyse thématique des discours des mères ayant participé au soin conjoint a révélé une bonne acceptabilité de ce soin ainsi qu’un effet bénéfique sur l’élaboration des représentations maternelles – que cela soit sur l’enfant, sur la relation dyadique ou sur leur propre rôle parental. Nos résultats suggèrent ainsi que le soin conjoint proprioceptif constitue une intervention préventive de la symptomatologie anxiodépressive parentale et offre un soutien à l’élaboration des représentations maternelles dans le contexte d’une naissance très prématurée
Advances in neonatal medicine have increased the number of babies surviving preterm birth at increasingly earlier gestational ages. However, prematurity is not without consequences for the baby and its family. A higher prevalence of anxiety, postnatal depression and post-traumatic stress is found in mothers of premature babies. Erroneous maternal representations concerning the baby, the relationship with him and their own parenting skills have also been highlighted. Research on fathers is more recent and data are still scarce. This thesis aims to study the levels of maternal and paternal stress, anxiety, postnatal depression and post-traumatic stress in the context of prematurity and to evaluate the effect of joint care through proprioceptive stimulation, practiced by parents on their very premature baby during hospitalization in the neonatal unit, on this parental anxiety-depressive symptomatology and on maternal representations. Our findings reveal significantly higher levels of anxiety-depressive symptoms in parents – mothers and fathers – of very premature infants than in parents of moderate preterm or term infants, while no significant difference was found between parents of moderate preterm and term infants. However, parents of very premature infants practicing proprioceptive stimulation on their extremely preterm babies had significantly lower levels of anxiety-depressive symptoms than those in the skin-to-skin group alone, and their scores were comparable to those of parents of moderately preterm and term infants. In addition, thematic analysis of the discourses of mothers who participated in joint care revealed good acceptability of this care as well as a beneficial effect on the maternal representations – whether on the child, on the dyadic relationship or on their own parental role. Our findings suggest that proprioceptive joint care constitutes a preventive intervention for parental anxiety-depressive symptomatology and offers support for the development of maternal representations in the context of a very premature birth

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Chang, Edward C., Tina Yu, Olivia D. Chang, and Jameson K. Hirsch. "Hope and Trauma: Examining a Diathesis-Stress Model in Predicting Depressive and Anxious Symptoms in College Students." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/858.

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The present study sought to examine a diathesis-stress model involving hope and trauma history as predictors of depressive and anxious symptoms in a sample of 575 college students. Results from regression analyses indicated that hope and trauma were important and unique predictors of both depressive and anxious symptoms in students. Moreover, we found support for a significant Hope×Trauma interaction in predicting both depressive and anxious symptoms. Some implications of the present findings are discussed.

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Mayer, Linda. "Analysis of depressive symptoms and cognitive impairment in residents using the interRAI-LTCF in a long-term care facility in the Cape metropole in South Africa." University of the Western Cape, 2018. http://hdl.handle.net/11394/6837.

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Magister Curationis - MCur
Worldwide concerns have been raised about the presence and association of depressive symptoms, cognitive impairment, and dementia in older adults (60 years and older), which are often unrecognised and untreated in long-term care facilities (LTCF’s). The progression of cognitive impairment to dementia reduces quality of life with negative consequences of physical, mental, and psychosocial health. In many LTCF’s internationally, the standardised interRAI system is used to capture depressive symptoms and cognitive impairment. However, there is a fragmentation of systems for making evidence-based decisions to plan and manage care for residents with depressive symptoms, cognitive impairment, and dementia. This study, being the first of its kind in South Africa, addressed this gap, by describing a profile of depressive symptoms and cognitive impairment in residents, and analysing their coexistence, using the interRAI-LTCF in a LTCF in the Cape Metropole in South Africa. A quantitative, descriptive, and analytical cross-sectional secondary data analysis was conducted using the records of all 173 resident’s medical records of residents with a last interRAI-LTCF assessment from 2014 and 2016. The objectives were to determine the levels of depressive symptoms and cognitive impairment, and to assess variously associated demographics and clinical variables between depressive symptoms and cognitive impairment of the interRAI-LTCF in residents in a LTCF. Secondary data were analysed, using the IBM Statistical Package for Social Sciences (SPSS) software, version 25, to test any statistically significant relationship between the extracted variables (Significance was set as p˂0.05). The prevalence of possible depression, using the Depression Rating Scale (DRS) of the interRAI-LTCF in the residents in this study was 36.4%, of whom 54.3% had a documented clinical diagnosis of depression. The prevalence of cognitive impairment was 39.3%, using the Cognitive Performance Scale (CPS), of whom 34.1% had a documented clinical diagnosis of cognitive impairment/dementia. There were more females than males with the possibility for depression and cognitive impairment, especially in those who were older than 80 years of age, those without partners, and who had ≤12 years of education. The DRS and the CPS were able to predict the possibility for depression and CI. There is a 55.9% risk of possible depression with CI present as compared to a 23.8% risk of possible depression when CI is not present. That means that people meeting criteria for CI on the CPS are 2.3 times more likely to meet the criteria for possible depression on the DRS. Similarly, there is a 60.3% risk of CI with possible depression present as compared to a 27.3% risk of CI when possible depression is not present. That means that people meeting criteria for possible depression on the DRS are 2.2 times more likely to meet the criteria for CI on the CPS. The logistic regression confirmed the coexistence between depressive symptoms and cognitive impairment.

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Hebert, Elizabeth A. "Depressive Symptoms in the Cognitive-Behavioural Treatment of Generalized Anxiety Disorder." Thesis, 2011. http://spectrum.library.concordia.ca/15149/1/Hebert_MA_F2011.pdf.

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Generalized anxiety disorder (GAD) is characterized by anxiety, excessive and uncontrollable worry, and somatic symptoms such as muscle tension and difficulty concentrating (DSM-IV-TR, American Psychiatric Association, 2000). GAD is linked to symptoms of depression both theoretically and empirically, but there is currently no consensus as to how co-occurring depressive symptoms affect GAD treatment outcome. Dugas and colleagues have developed an efficacious cognitive-behavioural treatment (CBT) based on a model of GAD that centres upon intolerance of uncertainty. This CBT program has demonstrated consistent reductions in GAD symptom severity by posttreatment (e.g., Dugas et al., 2010); however, not all individuals achieve full remission of GAD for reasons that are currently unclear. The first goal of this study was to determine the relationship between depressive symptoms and short- and long-term GAD treatment outcome. The second goal was to determine the relationship between depressive symptoms and GAD treatment engagement. The results indicated that depressive symptoms at pretreatment were largely unrelated to posttreatment severity of GAD, worry, and somatic anxiety or to treatment engagement. Posttreatment depressive symptoms were not related to the severity of overall GAD symptoms, worry, and somatic anxiety at 18-month follow-up. The theoretical and clinical implications of these findings are discussed.

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Tupper, Kiku. "Depressive symptoms, anxiety, and perceived competence as predictors of goal orientation." Thesis, 2008. http://hdl.handle.net/1828/928.

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Research has established that there are important psychological and educational consequences to the goal orientations that students adopt (Harackiewicz, Barron, Tauer, Carter, & Elliot, 2000). Therefore, it is important to understand the antecedents of such goal orientations, an area that has received little empirical work (Braten & Stromso, 2006; Pintrich & Schunk, 2002). Given this need, and the relevance of depression and anxiety to student learning and well being (Pekrun, Elliot, & Maier, 2006), this study provides important information by examining the relationship between these two domains. Multiple-regression analyses conducted on data collected from 196 post secondary students revealed performance avoid and mastery orientation were significantly predicted by measures of depressive symptoms and perceived academic competence. Different affect and goal patterns were found for males and females, with trait anxiety being a strong predictor of performance avoid orientation for females but not males. There were different affect and goal patterns for students in their first semester and second semester. Predictor variables accounted for significant variance for the spring semester cohort for mastery, performance approach, and performance avoid orientation, but only for mastery orientation with the fall semester cohort. Consilience for the goal orientation constructs, and the suitability of trait versus state anxiety measures are also discussed.

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43

Colletti, Christina J. M. "The association of parental depressive symptoms and child anxiety symptoms : the role of specific parenting behaviors /." 2010. http://library.uvm.edu/dspace/bitstream/123456789/215/1/Colletti%20Dissertation.pdf.

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44

Elmelid, Andrea. "Depressive symptoms, anxiety and academicmotivation in youth: Do schools and familiesmake a difference?" Thesis, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-234403.

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45

Kao, Yuyin, and 高玉音. "Anxiety, Depressive Symptoms, And Sleep Disturbance Of Family Decision Makers With Critical Patients." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/13634682702186566447.

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碩士
義守大學
管理學院管理碩士在職專班
100
Introduction: Advances intensive care usually provides critical patients to survive longer while they were at acute critical stage during their disease process. When patients at high risk of mortality in intensive care units, their family decision makers (FDMs) may experience burdens such as how to make a “right” decision of further treatments for their loving families, and thus FDMs may consequently cause into their psychological and physical health problems. Most FDMs have stress, anxiety, depressive symptoms and sleeping disorder due to the making decision process for their families with critical illness. Methods: The descriptive cross-sectional study design recruited 200 FDMs of critically ill patients in 13 intensive care units of a teaching medical center in Taiwan. A purposive sample of FDMs with being critical ill patients identified by physicians as having Acute Physiology and Chronic Health Evaluation II scores >15. Participants were face-to-face interviewed to complete a demographic sheet, State Anxiety Inventory, and the Center for Epidemiological Studies-Depression Scale. Data were analyzed by using SPSS 19.0 for hypothesis testing. Results: The prevalence of both anxiety and depressive symptoms were high, 66.5% of family decision makers having severe symptoms of anxiety, 33.5% having mild to moderate anxiety. Moreover, 85% participants have depressive symptoms. 87.5% family decision makers having sleeping disorder. Age of family decision makers is respectively positive related to their anxiety, depressive symptoms, and sleeping disorders (r = .251, p＜.01；r = .301, p＜.01；r = .366, p＜.01). Income was the significant predictor on anxiety and sleeping disorder of FDMs and respectively explained 26.2% and 30.7% of variances; education was the significant predictor on depressive symptoms of FDMs and explained 35.7% of variances. Discussion and Conclusions: High prevalence of family decision makers with critically ill patients experienced anxiety, depressive symptoms and sleeping disorders. Nurses and healthcare professionals can use the results on intervention to prevent anxiety and depressive symptoms of family decision makers with critical ill patients.

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Frost, Laurie Anne. "Postpartum distress in fathers predicting depressive symptoms, anxiety and anger at one month postpartum /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/36109305.html.

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Thesis (Ph. D.)--University of Wisconsin--Madison, 1996.
Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 52-64).

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CHEN, YU-JUNG, and 陳祐蓉. "The Relationship between Depressive and Anxiety Symptoms and Severity of Auditory Hallucinations in Schizophrenia Patients." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/68792171953017292606.

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Анотація:

碩士
輔仁大學
護理學系碩士班
97
The purpose of this research is to explore the relevance of schizophrenia patients’ depressive symptom, anxiety symptoms, and severity of auditory hallucinations. Convenience sampling was adopted at the day care and chronic ward of a medical center, two psychiatric hospitals, a regional teaching hospital. 209 people who fit into the criteria were accepted as research subjects. Research tool is structured questionnaire. The content includes 5 parts: demographic data, Beck Depressive Inventory II, Beck Anxiety Inventory, auditory hallucination assessment scale and clinical global impression evaluation. Data analysis adopts descriptive statistics, Pearson product-moment correlation, Mann-Whitney U test, Kruskal-Wallis test and Generalized linear model analysis. The research result shows: (1) The mean of subjects’ severity of auditory hallucinations is 68.97. The longer the illness is, the more times staying in the hospital, the higher the dosage of anti psychotic medication is, the more severe auditory hallucination is. (2) The mean of depressive symptoms is 12.53. The younger the age is, the lower the score of clinical global impression evaluation is, the shorter the years of illness are, the more times staying in the hospital, the more severe the depressive symptoms is. (3) The mean of anxiety is 10.72. The patients who have no spouse and are younger have more severe anxiety. In the relevance of anxiety symptoms, depressive symptoms, and severity of auditory hallucinations, research found: (1) The more severe the schizophrenia patients’ depressive symptoms is, the more severe auditory hallucination is. (2) The more severe anxiety is, the more severe auditory hallucination is. (3) The more severe depressive symptoms is, the more severe anxiety is. (4) Anxiety symptoms, depressive symptoms, age and years of illness are influence factors of schizophrenia patients’ severity of auditory hallucinations. This research can be future reference for schizophrenia patients’ clinical care.

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48

Chen, Shu-Nu, and 陳淑女. "The relationships among sleep disorders, anxiety, depressive symptoms, and quality of life of females with breast cancer." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/5348zj.

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碩士
義守大學
醫務管理學系
105
Background and purpose： Cancer has been among the top ten leading causes of death in the country since 1982, while breast cancer is the first in Taiwan for women, and one of the main causes of death. With the promotion of anti-cancer screening policy, the breast cancer cases are early discovered, early treatment, and five years of overall survival rate of up to 90%. The Breast cancer is a major stressful event for women, especially in the face of cancer diagnosis, which represents the impending challenge and impact of health and quality of life, and patients are in fear and depression in the face of surgical treatment, side effects of adjuvant therapy and uncertainty about the possibility of relapse. Therefore, in the treatment, the symptoms encountered, negative emotional reactions, and psychological pressure, all will lead to lower quality of life. The purpose of this study was to investigate the status of sleep disorder, anxiety and depression in women with breast cancer, and to explore the characteristics of individual and disease, sleep disorder, anxiety, depression and quality of life. Methods： The design of the research on the transverse and fault-taking of the patients with breast cancer in a regional teaching hospital in southern region, and convenient sampling the number was 145 patients, which collected data from patients in the clinic or hospitalized chemotherapy and back-clinic tracking. And studied tool was using structured questionnaires, including patient''s basic attribute questionnaire, Pittsburg Sleep Quality Scale, Hospital Anxiety and Depression Scale and SF-36 Health-realted quality of Life Scale, and so on. Data statistics was using the personal computer SPSS 18.0 Chinese version of the statistical software, to describe the basic attributes of statistical analysis of the object, the average and standard deviation of sleep quality, anxiety, depression and quality of life, and the predictive factors of the correlation degree and quality of life of each variable were discussed by the one-wayanalysis of variance（ANOVA）, independent-sample T test,Pearson correlation and multiple regression. Results: Sleep disorders were significantly positively correlated with anxiety and depression (r = .389, p <.001；r = .187, p = .027)；sleep disorders were negatively correlated with physical and psychological life quality (r = -.268 , p = .001；r = -.311, p <.001)；That is, severe sleep disorders, the degree of anxiety and depression more serious, the physiological and psychological quality of life worse. The depressive symptoms of breast cancer women with low level of educational and less family monthly income were higher. Sleep disorders are important predictors of anxiety, depression and quality of life. Secondly, education is a predictor of depression and physiological quality of life. The diagnosis period is also a predictor of physiological quality of life. This study found that women with breast cancer sleep disorders and anxiety, depression and quality of life are related, it is suggested that in the face of clinical, nursing staff can early detection of patients with sleep disorders, early prevention and provision of necessary medical care measures to improve the sleep problems of patients with breast cancer will reduce anxiety and depression and improve the quality of life of patients.

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49

Chia, Ai-Lan. "An investigation of cultural influence upon depressive symptomatology and its comorbid anxiety symptoms among Chinese Canadian university students." Thesis, 2008. http://hdl.handle.net/1828/2559.

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The first goal of the current study was to comprehensively assess depressive and anxiety symptomatology, and examine the resultant symptom structures among 206 Caucasian Canadian and 251 Chinese Canadian university student samples in relation to the tri¬partite conceptual model put forth by Clark and Watson (1991). The current study used 14 symptom measures assessing the affective (e.g., low positive affect), the cognitive (e.g., worry), and the somatic aspects (e.g., autonomic hyperarousal) of depressive and anxiety symptomatology. Items that were found to function differently across the current two samples via the techniques of item response theory were considered to be culturally biased and were subsequently removed from these 14 measures so that the true structural relations among measures of depressive and anxiety symptomatology could be illustrated. The current study identified differences in symptom structures between Chinese and Caucasian samples (e.g., worry and autonomic hyperarousal), as well as differences between these two samples' symptom structures and the structures of the original tripartite model (e.g.. lack of depression specific element). After the cross sample differences and similarities in symptom structures of anxiety and depressive symtomatology were identified, the second primary goal of the current study was to further investigate cultural influences on between-group similarities and differences in the resultant symptom structures of anxiety and depression. Symptom factor scores were found to relate only to specific but not generic indicators of an individual's cultural experiences (e.g., Negative Acculturating Experiences). Furthermore. among 201 items of the 14 symptom measures included in the current study, 52 items (about 26%) were found to be culturally biased, with about one half of them being more likely endorsed by the Chinese sample and about the other half more likely endorsed by the Caucasian sample. The phenomenon of cultural bias at an item level was common, because all scales used in the current study contained culturally biased items, and because bias responding tendency was found within both Chinese and Caucasian samples. Cultural contrast response tendency, a composite variable of all cultural biased items. was found to relate to some but not all aspects of cultural orientations (e.g.. Canadian External Orientation). It also showed a greater relation than symptom factors with cultural orientation measures. The third goal of the current study was to explore individuals' cultural and depressive experiences with a qualitative approach using a semi-structured interview, in order to discover new culturally relevant themes that may link individuals' cultural background with psychopathology. Three themes were identified among the interviews of Chinese Canadian university students. portraying the role of Chinese culture in understanding an individual's depression, illustrating the mechanism linking culture with psychopathology, and highlighting the significance of a qualitative research approach in understanding a Chinese individual's experiences. Clinical implications for assessing depression and anxiety symptomatology, especially for individuals with Chinese origin, were discussed.

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50

"Perceived Racial Discrimination and Psychological Distress Among Asian American Adolescents: Moderating Roles of Family Racial Socialization and Nativity Status." Doctoral diss., 2012. http://hdl.handle.net/2286/R.I.14707.

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abstract: This dissertation used the risk and resilience framework to examine the associations between perceived racial discrimination, family racial socialization, nativity status, and psychological distress. Regression analyses were conducted to test the links between perceived racial discrimination and psychological distress and the moderation on these associations by family racial socialization and nativity status. Results suggest, for U.S.-born adolescents, cultural socialization strengthened the relation between subtle racial discrimination and anxiety symptoms. In addition, promotion of mistrust buffered the relations of both subtle and blatant racial discrimination on depressive symptoms. For foreign-born adolescents, promotion of mistrust exacerbated the association between blatant racial discrimination and depressive symptoms. Overall, the findings revealed the detrimental effects of perceived racial discrimination on the mental health of Asian American adolescents, how some family racial socialization strategies strengthen or weaken the relation between perceived racial discrimination and psychological distress, and the different ways foreign-born and U.S-born adolescents may interpret racial discrimination and experience family racial socialization.
Dissertation/Thesis
Ph.D. Family and Human Development 2012

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