It is known that there is a relationship between hearing loss, which is an important cause of disability, psychological symptoms, and low quality of life. The aim of this study is to evaluate the ...anxiety, depression levels, and quality of life analysis of adults with postlingual hearing loss and who have undergone cochlear implants and to compare them with the data of subjects who have never had a hearing loss.
The prospective controlled clinical study included 53 subjects who had cochlear implants and 52 healthy controls in terms of hearing. Hospital Anxiety and Depression Scale and Short Form 36 were filled by all subjects to investigate their depression, anxiety, and quality of life levels.
The mean age of subjects was 42.88 ± 18.04, and 44% (23) were women. There was no significant difference between the study and control groups in terms of Hospital Anxiety and Depression Scale scores. Short Form 36 physical role (P = .018) and SF-36 general health (P = .014) in quality of life assessment sub-scores were statistically significantly higher in the study group than in the control group. When the correlation between the time elapsed after surgery and Hospital Anxiety and Depression Scale scores and Short Form 36 scores was evaluated, no significance was observed.
The fact that the patients evaluated after cochlear implant surgery had similar depression and anxiety levels and quality of life as the controls, and even physical role and being significantly better in general health compared to the controls reveal the importance of regaining the hearing ability.
•Physicians may be psycologically affected in the battle against the Covid19 pandemics•The mental wellbeing of healthcare workers need to be taken into consideration•Women, young and less experienced ...people are in the high-risk group•The excessive workload and inadequate logistic support may increase the perception of risk
To investigate anxiety, stress, and depression levels of physicians during the Covid-19 outbreak and explored associated factors in both clinical and general site.
An online survey is conducted to asses psychological responses of healthcare workers and related factors during Covid-19 outbreak. It is consisted of three subsections covering the following areas: 1) sociodemographic data 2) information on individuals` working condition 3) Depression Anxiety and Stress Scale-21 (DAS-21).
Of all 442 participants, 286 (64.7%) had symptoms of depression, 224 (51.6%) anxiety, and 182 (41.2%) stress. Being female, young, and single, having less work experience, working in frontline were associated with higher scores, whereas having a child was associated with lower scores in each subscale. Factors found to be associated with higher DAS-21 total scores in frontline workers were as follows: increased weekly working hours, increased number of Covid-19 patients cared for, lower level of support from peers and supervisors, lower logistic support, and lower feelings of competence during Covid-19 related tasks.
Our findings highlight the factors which need to be taken into consideration to protect the mental wellbeing of doctors while fighting with a disaster that has major impacts on society worldwide.
Our study investigated factors associated with parental stress in the parents of children with ADHD. A total of 186 parents of children, with and without ADHD, were included. Acceptance and Action ...Questionnaire-II (AAQ-II), Parental Stress Index-Short Form (PSI-SF), Satisfaction with Life Scale (SWLS) were applied to both groups. Conners Parent Rating Scale-Revised Short Form (CPRS-RS) was given only to the case group. Analyses revealed AAQ-II and CPRS-Oppositional subscales were independent factors associated with PSI-SF (p < 0.001). The psychological flexibility of the parents and the level of oppositional symptoms were among the factors associated with parental stress; however, further research is required.
Prior studies have reported that separation anxiety disorder (SEPAD) can continue into or may begin in adulthood. Association of SEPAD with other psychiatric disorders has been frequently examined, ...and high rates of comorbidities have been found. The aim of this study was to investigate the prevalence and clinical correlation of SEPAD in adult patients undergoing treatment for major depressive disorder (MDD). The study sample was comprised of 100 outpatients. Participants underwent a DSM-5-based comprehensive assessment. Purposefully-designed semi-structured sociodemographic information and illness history forms were filled out by the researchers, and diagnoses of SEPAD were made using the Structured Clinical Interview for Separation Anxiety Symptoms, Separation Anxiety Symptom Inventory and Adult Separation Anxiety Survey. The frequency of SEPAD was 41% in patients with MDD, three-quarters of whom were adult onset. The use of new-generation antidepressants, adjunctive medications and comorbidity of other anxiety disorders were higher in patients with SEPAD (p < 0.05). SEPAD was highly prevalent, with a majority of cases starting in adulthood among patients with MDD, while SEPAD comorbidity was associated with high levels of anxiety and an increased likelihood of suboptimal response to usual depression treatment. Further studies are required to define the relevance and pathological basis for the comorbidity of SEPAD in people with MDD.
•Separation anxiety disorder (SEPAD) was diagnosed in 41% of depressive patients with majority starting in adulthood.•No specific correlates were identified in SEPAD comorbidity other than anxiety suggesting a common pathomechanism.•Clinicians should consider SEPAD in depressive patients with anxiety.
Background:
Post-traumatic embitterment disorder (PTED) is characterized by embitterment reaction to stressful life events, which are seen as unjust and as a violation of basic beliefs. On 28 ...February 1997, a so-called post-modern coup took place in Turkey, declaring a ban on hijab which had a significant impact on women’s lives by eliminating them from public sphere if they were to wear hijab.
Aim:
The aim of this study was to assess the frequency of PTED symptoms among woman victims of the coup after two decades, and to investigate its correlations. Embitterment reaction was also examined in woman victims of 1999 earthquakes of Turkey, and the findings were compared.
Method:
We used PTED, Beck Anxiety Inventory, Beck Depression Inventory and Brief Resilience Scale, and a purpose-designed socio-demographic form.
Results:
Out of eligible 101 hijab ban victims responded, substantial proportion of them (48%) were suffering from chronic embitterment as well as experiencing symptoms of anxiety (37.6%) and depression (26.8%) of moderate-to-severe intensity. There was no difference in the levels of anxiety, depression and resilience between the victims of the coup and earthquake (N = 20), but hijab ban victims were significantly more likely to present with PTED symptoms (p < .05). Women who had family support were more resilient with less likelihood of PTED (p < .05).
Conclusion:
This study provides some important insights into psychopathology of PTED as well as suggesting that it is more likely to manifest in people whose suffering is brought upon by fellow human beings.
Patients hospitalised in the ICU due to COVID-19 require significantly more nursing time including monitoring and titration, mobilisation and hygiene activities (Bruyneel et al., 2021). ...ICU nurses ...have had to provide humanistic care for COVID-19 patients who are deprived of seeing their family members. ...nursing workload in the ICU increased significantly during this period (Lucchini et al., 2020; Reper et al., 2020). Strategies Suggestions Improving working conditions of ICU staff - Increasing the number of staff - Ensuring optimal nurse-patient ratios - Regulation of weekly working hours - Making necessary arrangements to facilitate the use of leaves and holidays Ensuring the safety of healthcare workers in terms of COVID-19 transmission - Supply of adequate and appropriate personal protective equipment - Adequate supply of liquid soap and hand sanitizer - Rapid completion of COVID-19 vaccinations of healthcare workers Ensuring regular training - Efficient sharing of up-to-date and clear protocols Mental health interventions - Arrangement of online group / staff meetings to alleviate sense of isolation and to provide a channel for ventilation of emotions - Screening and early identification of mental health problems among staff by a psychiatry liaison team - Easy access to mental health services - Encouragement to seek help from mental health professionals Table 1 Strategies to protect mental health of ICU staff amidst the COVID-19 pandemic.
In this study, we aimed to evaluate the relationship between the repetitive thinking styles and anxiety and depression in patients with inflammatory bowel disease (IBD). One hundred IBD outpatients ...(39 active and 61 remission) attending the gastroenterology clinic and 100 healthy controls were included.The rumination and worry scores of IBD patients, particularly in their active period, were significantly higher than controls. Additionally, the correlation of rumination and worry with anxiety and depression was statistically significant. Our results suggest that psychological interventions targeting repetitive thinking would alleviate depression and anxiety as well as GI symptoms in people with IBD which should be confirmed by further studies.
Although irritability is a widely used term, it has no universal definition. Irritability is an emotional process that can be defined by a tendency to negative emotional states. No Turkish scale has ...been developed or adapted to measure irritability in adults. Consequently, this paper aims to conduct a validity and reliability study of the Turkish version of the Brief Irritability Test (BITe) with 5 items, which was developed by Holtzman et al. in 2015 to measure irritability rapidly and appropriately.
The Turkish BITe's internal consistency and validity analysis were studied on 136 volunteering undergraduate and postgraduate students. Cronbach's alpha value was calculated for internal consistency. Concurrent, convergent, discriminant validity analyses, and confirmatory factor analysis (CFA) were conducted to calculate structural validity. Moreover, the scale was applied to 24 people 2 weeks later to determine the temporal reliability of the Turkish BITe.
When the fit indices of the scale related to the CFA were examined, it was observed that it had a good fit (
= 7.517,
/df = 1.503,
= 5; RMSEA = 0.061; CFI = 0.992, GFI = 0.977, NFI = 0.976; TLI = 0.984, IFI = 0.992). In the reliability analysis, the Cronbach's alpha value was 0.86, and the correlation coefficient between test-retest scores was 0.74 (
< .001).
This study reveals that the Turkish form of the BITe shows sufficient psychometric properties in the non-clinical population.
ObjectiveAlthough irritability is a widely used term, it has no universal definition. Irritability is an emotional process that can be defined by a tendency to negative emotional states. No Turkish ...scale has been developed or adapted to measure irritability in adults. Consequently, this paper aims to conduct a validity and reliability study of the Turkish version of the Brief Irritability Test (BITe) with 5 items, which was developed by Holtzman et al. in 2015 to measure irritability rapidly and appropriately. MethodsThe Turkish BITe's internal consistency and validity analysis were studied on 136 volunteering undergraduate and postgraduate students. Cronbach's alpha value was calculated for internal consistency. Concurrent, convergent, discriminant validity analyses, and confirmatory factor analysis (CFA) were conducted to calculate structural validity. Moreover, the scale was applied to 24 people 2 weeks later to determine the temporal reliability of the Turkish BITe. ResultsWhen the fit indices of the scale related to the CFA were examined, it was observed that it had a good fit (χ 2 = 7.517, χ 2/df = 1.503, df = 5; RMSEA = 0.061; CFI = 0.992, GFI = 0.977, NFI = 0.976; TLI = 0.984, IFI = 0.992). In the reliability analysis, the Cronbach's alpha value was 0.86, and the correlation coefficient between test-retest scores was 0.74 (P < .001). ConclusionThis study reveals that the Turkish form of the BITe shows sufficient psychometric properties in the non-clinical population.
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