OBJECTIVE: This study examined associations between physical activity (PA) and neuropsychiatric symptoms (NPS) in older adults free of dementia. METHODS: This cross-sectional study included 3,222 individuals ≥70 years of age (1,655 men; mean±SD age=79.2±5.6; cognitively unimpaired, N=2,723; mild cognitive impairment, N=499) from the population-based Mayo Clinic Study of Aging. PA (taken as a presumed predictor) in midlife (i.e., when participants were 50-65 years of age) and late life (i.e., the year prior to assessment) was assessed with a self-reported, validated questionnaire; PA intensity and frequency were used to calculate composite scores. NPS (taken as presumed outcomes) were assessed with the Neuropsychiatric Inventory Questionnaire, Beck Depression Inventory (BDI-II), and Beck Anxiety Inventory (BAI). Regression analyses included midlife and late-life PA in each model, which were adjusted for age, sex, education, apolipoprotein E ɛ4 status, and medical comorbidity. RESULTS: Higher late-life PA was associated with lower odds of having apathy (OR=0.89, 95% CI=0.84-0.93), appetite changes (OR=0.92, 95% CI=0.87-0.98), nighttime disturbances (OR=0.95, 95% CI=0.91-0.99), depression (OR=0.94, 95% CI=0.90-0.97), irritability (OR=0.93, 95% CI=0.89-0.97), clinical depression (OR=0.92, 95% CI=0.88-0.97), and clinical anxiety (OR=0.90, 95% CI=0.86-0.94), as well as lower BDI-II (β estimate=-0.042, 95% CI=-0.051 to -0.033) and BAI (β estimate=-0.030, 95% CI=-0.040 to -0.021) scores. Higher midlife PA was associated only with higher BDI-II scores (β estimate=0.011, 95% CI=0.004 to 0.019). Sex modified the associations between PA and NPS. CONCLUSIONS: Late-life PA was associated with a lower likelihood of clinical depression or anxiety and subclinical NPS. These findings need to be confirmed in a cohort study.
- MeSH
- cvičení MeSH
- deprese * psychologie MeSH
- kognitivní dysfunkce * diagnóza MeSH
- kohortové studie MeSH
- lidé MeSH
- neuropsychologické testy MeSH
- průřezové studie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- stárnutí MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: We aimed to screen Ukrainian war refugees (UWR) in Czechia for depression and anxiety, and to assess their recognition of personal mental health problems and related help-seeking. METHODS: We conducted a cross-sectional study on a sample of UWR in Czechia. We used PHQ-8 and GAD-7 to screen for depression and anxiety, SELF-I to assess the recognition of respondents' own mental health problems, and a set of questions regarding mental health-related help-seeking. FINDINGS: Our sample consisted of 1,347 UWR. More than 41 % of respondents screened positively for moderate or severe depression and more than 23 % for moderate or severe anxiety. Self-recognition of mental health as well as help-seeking was very low among those who screened positively for moderate or severe depression or anxiety. INTERPRETATION: Even those UWR who report severe symptoms do not identify themselves as potentially having mental health issues and are not seeking help.
- MeSH
- deprese epidemiologie psychologie MeSH
- duševní zdraví * MeSH
- lidé MeSH
- průřezové studie MeSH
- uprchlíci * psychologie MeSH
- úzkost epidemiologie psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
Psychotické zážitky a symptómy sa môžu vyskytovať pri rôznych psychických poruchách. Výskyt a charakter psychotických zážitkov u ľudí s už identifikovanou poruchou, najmä mimo rámec jadrových psychotických porúch, je však doposiaľ málo preskúmaný. Cieľom práce je porovnať frekvenciu psychotických zážitkov, distres, ktorý sa s nimi spája, a analyzovať ich vzťah s mierou úzkosti a depresie. Výskumný súbor tvorilo 323 participantov so psychickými poruchami. Zber dát prebiehal formou online dotazníka. Psychotické zážitky boli merané škálou Prodromal Questionnaire PQ-16. Okrem toho bola vyhodnocovaná aj miera depresie a úzkosti škálami PHQ-9 a GAD-7. Najvyššiu mieru psychotických zážitkov sme zistili u respondentov, ktorí uvádzali diagnózu bipolárnej afektívnej poruchy a schizofrénie. Participanti so schizofréniou vyjadrili významne vyššiu mieru prežívaného distresu spojeného so psychotickými zážitkami v porovnaní s inými klinickými skupinami. Najnižšie hodnoty frekvencie a distresu psychotických zážitkov vykazovala skupina ľudí s úzkostnými poruchami. Podľa očakávania pacienti so schizofréniou udávali viac vizuálnych a sluchových halucinácií ako ostatné skupiny. Výsledky tak preukázali, že psychóze podobné zážitky majú transdiagnostickú povahu, no pri jednotlivých poruchách sa líšia výskytom typov, ale aj mierou distresu, ktorý spôsobujú.
Psychotic experiences and symptoms can occur in a variety of psychiatric disorders. The occurrence and nature of psychotic experiences in people with an already identified disorder, particularly outside the context of core psychotic disorders, is, however, as yet understudied. The aim of this study is to compare the frequency of psychotic experiences, and the distress associated with them, and to analyze their relationship with measures of anxiety and depression. The research population consisted of 323 participants with mental disorders. Data collection took the form of an online questionnaire. Psychotic experiences were surveyed using Prodromal Questionnaire PQ-16. In addition, measures of depression and anxiety were assessed with the PHQ-9 and GAD-7 scales. The highest rates of psychotic experiences were found in respondents who reported a diagnosis of bipolar affective disorder and schizophrenia. Participants with schizophrenia expressed significantly higher rates of distress associated with psychotic experiences compared to other clinical groups. The group showing the lowest levels of frequency and distress of psychotic experiences was of people with anxiety disorders. As expected, patients with schizophrenia reported more visual and auditory hallucinations than the other groups. Thus, the results demonstrated that psychosis-like experiences are transdiagnostic in nature, but vary across disorders both in the types and in the degree of distress they cause.
- MeSH
- deprese diagnóza prevence a kontrola psychologie MeSH
- duševní poruchy diagnóza klasifikace psychologie MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- psychický distres MeSH
- psychotické poruchy * diagnóza prevence a kontrola psychologie MeSH
- úzkostné poruchy diagnóza prevence a kontrola psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- metaanalýza MeSH
- práce podpořená grantem MeSH
Objective Negative effects (NEs) in group treatments remain an under-researched area. This study aimed to explore the prevalence of various types of NEs in a multicomponent group-based treatment and to determine their predictors. Method: A total of 330 patients participating in a multicomponent group-based treatment were recruited across seven clinical sites. At the end of treatment, the Negative Effects Questionnaire (NEQ) was used to measure NEs. Item-level descriptive analysis was conducted to explore the prevalence of various types of NEs, and structural equation modeling was used to determine predictors of these NEs. Results: The most frequently reported type of NEs was the worsening of symptoms, and the single most frequently reported item was the resurfacing of unpleasant memories. Predictors of NEs included the overall distress level, alexithymia, attachment avoidance, low working alliance, problem actuation, and worse outcomes; psychological mindedness was a protective factor. Conclusion: Patients who experience higher levels of distress at the beginning of treatment, who perceive the group working alliance as problematic, and who experience high in-session emotional arousal related to their problem seem to be especially prone to reporting NEs. Furthermore, the findings do not support the assumption that NEs are a prerequisite for therapeutic change.Trial registration: ISRCTN.org identifier: ISRCTN13532466.
- MeSH
- deprese * psychologie MeSH
- lidé MeSH
- prevalence MeSH
- průzkumy a dotazníky MeSH
- psychický stres * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- MeSH
- bronchiální astma etiologie MeSH
- deprese diagnóza psychologie terapie MeSH
- lidé MeSH
- mladiství MeSH
- orchiektomie MeSH
- spánková paralýza * diagnóza terapie MeSH
- teratom chirurgie diagnóza MeSH
- testikulární nádory * chirurgie diagnóza komplikace MeSH
- výsledek terapie MeSH
- znalecký posudek * MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
OBJECTIVES: The aim of this cross-sectional study was to determine the life satisfaction of older people living in a home environment and to find out what predictors influence it. METHODS: The research involved 1,121 older people 60 years and above from the Moravian-Silesian region who live in a home environment. The short form of the Life Satisfaction Index for the Thirds Age (LSITA-SF12) was used to assess life satisfaction. The Geriatric depression scale (GDS-15), the Geriatric Anxiety Inventory Scale (GAI), The Sense of Coherence Scale (SOC-13), and the Rosenberg Self-Esteem Scale (RSES) were used to evaluate related factors. In addition, age, gender, marital status, education, social support, and subjective health assessment were evaluated. RESULTS: The overall life satisfaction score was found to be 36.34 (s = 8.66). The satisfaction of older people was classified into four grades: high satisfaction (15.2%), moderate satisfaction (60.8%), moderate dissatisfaction (23.4%), and high dissatisfaction (0.6%). The predictors of the longevity of the lives of older people were confirmed, both health factors (subjective health assessment, anxiety, and depression [Model 1: R = 0.642; R2 = 0.412; p<0.000]) and psychosocial factors (quality of life, self-esteem, sense of coherence, age, and social support [Model 2: R = 0.716; R2 = 0.513; p<0.000]). CONCLUSION: In implementing policy measures, these areas should be emphasized. The availability of educational and psychosocial activities (e.g. reminiscence therapy, music therapy, group cognitive behavioural therapy, cognitive rehabilitation) within the community care of the older people and university of third age is appropriate to increase the life satisfaction of the older people. An initial depression screening is also required as part of preventive medical examinations to ensure early diagnosis and treatment of depression.
- MeSH
- deprese psychologie MeSH
- emoce * MeSH
- kvalita života * psychologie MeSH
- lidé MeSH
- osobní uspokojení MeSH
- průřezové studie MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
BACKGROUND: We aimed to disentangle within-person and between-person effects in the temporal relationship between depressive symptoms and cognitive function. METHODS: We performed a prospective population-based cohort study on participants of the Survey of Health, Ageing and Retirement in Europe. Cognitive function was assessed by tests on verbal fluency, immediate recall and delayed recall. Depressive symptoms were measured with EURO-D scale. To determine the temporal order of the association between cognitive function and depressive symptoms, we employed the fully saturated cross-lagged panel model (between-person effects), and random intercept cross-lagged panel model (within-person effects). RESULTS: In 59,311 participants (mean age 65, ranging 46-100), between-person effects showed a bi-directional relationship that could be seen in three stages: First, the effect of cognitive function on depressive symptoms was initially slightly stronger than vice versa. Second, the effect of depressive symptoms on cognitive function became stronger during the follow-up. Third, all effects were small and no direction dominated. Within-person effects, however, revealed a dominant effect from depressive symptoms on cognitive function. Some effects from cognitive function on depressive symptoms were apparent only in older adults, in particular men. All effects were small and strongest for individuals aged 65 years and above. LIMITATIONS: The sample is healthier than general population and thus not fully representative. A comprehensive cognitive battery was not available. CONCLUSIONS: Long-term relationship between depressive symptoms and cognitive function is bi-directional. However, to achieve improvement in an individual in the short-term, the focus should be on decreasing depressive symptoms to improve cognitive function.
PURPOSE: To synthesize the body of knowledge on the factors influencing the quality of life (QoL) after ischemic stroke (IS) in young adults. METHODS: Guidelines regarding the scoping review methodology developed by the Joanna Briggs Institute, and the PRISMA-ScR checklist for a scoping review was used in this paper. A total of 1197 studies were identified through a bibliographic search in Web of Science, MEDLINE, PsycInfo, ScienceDirect, Scopus, and ProQuest Science Database. Articles published between the years 2000-2021 were included. RESULTS: A total of nine papers were finally selected to respond to the research question. Three studies were prospective longitudinal studies compared QoL between young stroke and age-matched controls from the general population. Across all the analysed studies, 14 variables potentially associated with QoL were identified. QoL in young patients is mainly affected by clinical outcomes after IS (scored by the modified Rankin scale and the Barthel index-favourable initial functional status and higher independence in ADL leads to higher QoL) and psychological factors (post-stroke fatigue and depression-higher levels of fatigue and depression lead to lower QoL). The reviewed studies emphasized the importance of functional outcomes, post-stroke depression, fatigue and anxiety and early return to work. CONCLUSION: Further longitudinal studies are needed to identify the trajectory of post-stroke psychosocial symptoms over time and other potential predictors of unfavourable long-term QoL, thus specific young stroke rehabilitation and stroke self-management support programmes should be developed (address physical, psychological factors which influence the psychosocial adaptation post-stroke and the perception of the QoL).
- MeSH
- cévní mozková příhoda * psychologie MeSH
- deprese psychologie MeSH
- ischemická cévní mozková příhoda * MeSH
- kvalita života psychologie MeSH
- lidé MeSH
- mladý dospělý MeSH
- prospektivní studie MeSH
- únava komplikace MeSH
- Check Tag
- lidé MeSH
- mladý dospělý MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- systematický přehled MeSH
Cíl: Cílem této studie je prozkoumat vliv sociodemografických a klinických dat na míru deprese a úzkosti u pacientek s karcinomem podstupujících radioterapii. Materiál a metody: Do této studie bylo zahrnuto 111 pacientek s karcinomem prsu léčených na oddělení radiační onkologie nemocnice Kayseri City Education and Research Hospital. Studie byla plánována prospektivně jako studie založená na průzkumu. Byl získán souhlas etické komise. Po získání potřebného souhlasu s dobrovolnou účastí ve studii byly s pacientkami vedeny individuální („face-to-face“) rozhovory. Průzkum zahrnoval škálu Hospital Anxiety and Depression Scale (HADS) a také demografické a klinické informace. U shromážděných dat byla provedena statistická analýza. Výsledky: Podle výsledků analýzy rozptylu opakovaných měření byl zjištěn statisticky významný průměrný rozdíl mezi hodnotami na škále deprese zjištěnými po 3 a 6 měsících a hodnotami získanými v první den radioterapie (p < 0,001). V případě úzkosti byly zjištěny statisticky významné průměrné rozdíly u proměnných jako je věk a rodinný stav a v případě deprese u proměnných jako je věk, dosažené vzdělání, rodinný stav, zaměstnání, výskyt rakoviny v rodinné anamnéze, menopauza, operace, chemoterapie a hormonální terapie. Když byla zkoumána změna ve výskytu (škála deprese > 10) nebo absenci (škála deprese < 10) deprese ve třech různých časech radioterapie (první den, 3 měsíce a 6 měsíců), mezi hodnotami na škále deprese u pacientek léčených radioterapií zjištěných první den radioterapie a 3 a 6 měsíců po radioterapii byl zjištěn statisticky významný rozdíl (p < 0,05). Závěr: Podle výsledků naší studie bylo psychické zdraví žen s karcinomem prsu ovlivněno během radioterapie i po ní. U pacientek, u kterých se během léčby karcinomu prsu vyskytne úzkost nebo deprese, by tedy mělo být zváženo začlenění psychiatrického poradenství do léčby.
Purpose: The aim of this study is to investigate the effects of sociodemographic and clinical data on depression and anxiety levels in patients who undergoing radiotherapy for breast cancer. Materials and methods: A total of 111 patients with breast cancer treated in the Radiation Oncology Department of Kayseri City Education and Research Hospital were included in this study. The study was planned prospectively as a survey research based study. Ethics committee approval was obtained. After obtaining the necessary consent for voluntary participation, patients were interviewed face-to-face. The research survey included the Hospital Anxiety and Depression Scale (HADS), as well as demographic and clinical information. Statistical analysis was performed with the collected data. Results: According to the results of repeated measures analysis of variance, the mean difference between the 3-month and 6-month measurements of the depression scale values on the first day of radiotherapy was statistically significant (P < 0.001). Mean differences were statistically notable for age and marital status variables in anxiety and for age, education level, marital status, employment status, family history of cancer, menopause, surgery, chemotherapy and hormone therapy variables in depression. When the change in the presence (> 10 depression scale) or absence (< 10 depression scale) of depression at three different times of radiotherapy (first day, 3 and 6 months) was examined, a statistically notable difference was found between the depression scale values of patients receiving radiotherapy on the first day, 3 months after radiotherapy and 6 months after radiotherapy (P < 0.05). Conclusion: According to the results of our study, the psychological health of women with breast cancer was affected during and after radiotherapy. As a response, psychiatric counseling should be considered as a part of the treatment for depression and anxiety that occur during and after treatment in breast cancer patients.
- MeSH
- analýza dat MeSH
- demografie statistika a číselné údaje MeSH
- deprese * etiologie psychologie MeSH
- lidé MeSH
- nádory prsu * psychologie terapie MeSH
- prospektivní studie MeSH
- průzkumy a dotazníky MeSH
- psychiatrické posuzovací škály statistika a číselné údaje MeSH
- radioterapie psychologie MeSH
- úzkost etiologie psychologie MeSH
- Check Tag
- lidé MeSH
Úvod: Příznaky chronického srdečního selhání mohou ovlivnit emocionální i fyzickou pohodu pacientů. Cíl: Cílem této průřezové studie bylo zjistit prevalenci deprese u hospitalizovaných pacientů s chronickým srdečním selháním a její vazby na vybrané aspekty. Metodika: Deprese byla hodnocena pomocí dotazníku Patient Health Questionnaire-9, dále byly získány údaje o funkční nezávislosti, třídách NYHA, vnímání nemoci, kvalitě života a sociální podpoře. Data byla analyzována pomocí deskriptivní statistiky, Kruskal-Wallisova testu a Spearmanova korelačního koeficientu na 5% hladině významnosti. Výsledky: Soubor tvořilo 173 pacientů s průměrným věkem 71,51 let (min. 50; max. 92), z toho bylo 56,07 % mužů. Deprese byla identifikována u 47,40 % subjektů; průměrné skóre deprese bylo 5,65 (SD = 4,61). Deprese se častěji vyskytovala u pacientů hodnocených dle NYHA jako NYHA III a IV (p = 0,0018) a u pacientů s klesající nezávislostí (p = 0,0002). Korelační analýza pomocí Spearmanova korelačního koeficientu naznačila, že rostoucí prevalence deprese byla spojena s nižší kvalitou života (rSp = 0,5470; p < 0,05), vnímáním nemoci (rSp = 0,537; p < 0,05) a sociální podporou (rSp = -0,2439; p < 0,05). Závěr: Deprese může být ovlivněna mnoha aspekty. Aby bylo možné depresi účinně zvládat, je nutné tyto aspekty znát. U hospitalizovaných pacientů s chronickým srdečním selháním by jednou z možností mohla být komplexní intervence týmu paliativní péče.
Background: The symptoms of chronic heart failure affect patients' emotional and physical well-being. Objectives: The aim of this cross-sectional study was to determine the prevalence of depression in hospitalized patients with chronic heart failure and its links to selected aspects. Methods: Depression was assessed with the Patient Health Questionnaire-9, data were obtained on functional independence, NYHA classes, illness perception, quality of life, and social support. Data were analyzed using descriptive statistics, the Kruskal-Wallis test, and Spearman's correlation coefficient at a 5% level of significance. Results: The sample comprised 173 patients with a mean age of 71.51 years (min. 50; max. 92), of whom 56.07% were males. Depression was identified in 47.40% of subjects; the mean score was 5.65 (SD = 4.61). Depression was more frequent in NYHA classes III and IV (p = 0.0018), as well as in patients with decreasing independence (p = 0.0002). Correlation analysis using Spearman's coefficient suggested that an increasing prevalence of depression was associated with lower quality of life (rSp = 0.5470; p < 0.05), illness perception (rSp = 0.537; p < 0.05), and social support (rSp = -0.2439; p < 0.05). Conclusions: Depression may be influenced by numerous aspects. To effectively manage depression, these aspects must be known. In hospital patients, one option could be a comprehensive intervention by a palliative team.
