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Depression in Elderly Life: Psychological and Psychosocial Approaches 老年生活中的抑郁:心理学和社会心理方法
Pub Date : 2020-04-04 DOI: 10.23937/2643-4059/1710020
Tripathi Shilpi
Life depression at a later age due to its devastating effects is an important area of public health research. The elderly life depression linked with morbidity, deteriorating physical health, likelihood of suicide attempts and social cognitive functioning. All of which, in turn, are linked to increased life loss [1,2]. Depression tends to be less common in older adults than in earlier lifespan. All aspects of the older adult’s lifetime condition are risk, protective factors, health, etiology, and outcomes. The impact of depression on older people is entirely different from younger people. However Effective treatment of older adults with depression, it often occurs with other medical illnesses and disabilities and it doubles an elderly person’s risk of cardiac problems and increases their risk of death from this illness [3]. Many research studies shown that the presence of depression increases the chances of death and depression reduces an elderly person’s ability to recover. This paper will explore an overview of the psychological theories, factors related to risk, prevention and late life treatment of depression. The possible cause of late depression is an individual’s response with experiences during losses of loved ones and stressful life events [4]. Review ARTicle
晚年生活抑郁因其破坏性影响而成为公共卫生研究的一个重要领域。老年人生活抑郁与发病率、身体健康状况恶化、自杀企图的可能性和社会认知功能有关。所有这些反过来又与生命损失的增加有关[1,2]。抑郁症在老年人中比在生命早期更不常见。老年人一生状况的所有方面包括风险、保护因素、健康、病因和结果。抑郁症对老年人的影响与年轻人完全不同。尽管老年人抑郁症治疗有效,但它经常与其他医学疾病和残疾一起发生,它使老年人患心脏病的风险增加一倍,并增加他们死于这种疾病的风险[3]。许多研究表明,抑郁症的存在增加了死亡的机会,抑郁症降低了老年人恢复的能力。本文将对抑郁症的心理学理论、相关风险因素、预防和晚年治疗进行综述。晚期抑郁症的可能原因是个体对失去亲人和压力生活事件的反应[4]。评论文章
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引用次数: 1
Depression in Dialysis: A Poor Prognostic Factor and the Mechanism behind It 透析中的抑郁:一个不良预后因素及其机制
Pub Date : 2020-02-26 DOI: 10.23937/2643-4059/1710019
Talukder Umme Salma, Anayet Hossain Tameem Bin, M. Samjhana, Ahmed Fahmida, Ibrahim Muhammad Ayaaz, Habib Samira Humaira
Major Depressive Disorder (MDD) is one of the most common psychiatric illnesses. The effect of depression on one’s physical health is well-known, which can include anything from weight gain or loss to chronic illnesses such as heart disease, kidney or gastrointestinal problems. Provided the increasing prevalence of patients suffering from End Stage Renal Disease (ESRD) and receiving dialysis treatment, it is important to investigate how MDD affects the outcome of their treatment. The incidence of depression in dialysis patients ranges from 10% to 66% in various studies, with prevalence reaching as high as 100%. The purpose of this article is to find the prevalence and severity of major depressive disorder in dialysis patients as well as to describe the possible pathways MDD worsens the dialysis outcome. Our study population consisted of 51 End Stage Renal Disease (ESRD) patients sampled from the Department of Nephrology at BIRDEM General Hospital. Neurocognitive, physical symptoms, the severity of MDD and presence of comorbid conditions including diabetics and hypertension, were measured in our study. The ESRD patient sample consisted 47.7% moderately depressed patients, 34% severely depressed, 11.4% mild and 6.8% with minimal MDD patients. Analogous to Hypertension and Diabetic patients with depression, the number of Chronic Kidney Disease (CKD) patients with mostly moderate severe depression increased with the duration of the disease. The article explains a myriad of biologic, behavioral, genetic and social factors underlying the association of depression and adverse medical outcomes in patients with CKD and ESRD. Moreover, neuroimaging data is analyzed to further discuss the relationship between Depression and CKD. The implication of this study is to emphasize the importance of dialysis patients’ overall health and to serve as a building block for further research into depression in dialysis patients.
重度抑郁症(MDD)是最常见的精神疾病之一。抑郁症对身体健康的影响是众所周知的,包括从体重增加或减少到心脏病、肾脏或胃肠道问题等慢性疾病。鉴于终末期肾病(ESRD)患者接受透析治疗的患病率日益增加,研究重度抑郁症如何影响其治疗结果是很重要的。在各种研究中,透析患者抑郁的发生率从10%到66%不等,患病率高达100%。本文的目的是发现重度抑郁症在透析患者中的患病率和严重程度,并描述重度抑郁症恶化透析结果的可能途径。我们的研究人群包括51名终末期肾病(ESRD)患者,来自BIRDEM综合医院肾脏病科。在我们的研究中测量了神经认知、身体症状、重度抑郁症的严重程度以及包括糖尿病和高血压在内的合并症的存在。ESRD患者样本包括47.7%中度抑郁症患者,34%重度抑郁症患者,11.4%轻度抑郁症患者和6.8%轻度重度抑郁症患者。与高血压和糖尿病患者伴抑郁相似,慢性肾脏疾病(CKD)患者伴中度重度抑郁的数量随着病程的延长而增加。这篇文章解释了CKD和ESRD患者抑郁和不良医疗结果之间的联系背后的无数生物学、行为、遗传和社会因素。并结合神经影像学资料进行分析,进一步探讨抑郁症与CKD的关系。本研究的意义在于强调透析患者整体健康的重要性,并为进一步研究透析患者的抑郁奠定基础。
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引用次数: 1
The Role of Supplements in Treatment of Depression 补充剂在抑郁症治疗中的作用
Pub Date : 2020-01-01 DOI: 10.35248/2167-1044.20.9.353
S. Mansouripour, Dharmendra Kumar
Along with dietary intake, nutrition can also be obtained from nutrient supplements. They are widely used in the general population and their market is growing. It has been assumed adequate intake of them contributes to better overall mental health. This review explores studies regarding the role of different nutrients in treatment of depression. After searching among them we found Testosterone, Omega 3 fatty acid, Thyroid hormones, Modafinil, Folate, Vitamin B12, S-Adenosyl Methionine (SAMe), Magnesium, and Zinc as supplements which has some effect in combination with anti-depressant medications. They have advantages and also some disadvantages. In this review paper, we have taken a look at each of these agents individually and mentioned their current status in the treatment of depression.
除了膳食摄入,还可以从营养补充剂中获得营养。它们在普通人群中广泛使用,其市场正在增长。人们一直认为,摄入足够的维生素d有助于改善整体心理健康。本文综述了不同营养素在抑郁症治疗中的作用。经过搜索,我们发现睾酮、Omega - 3脂肪酸、甲状腺激素、莫达非尼、叶酸、维生素B12、s -腺苷蛋氨酸(SAMe)、镁和锌作为补充剂与抗抑郁药物联合使用有一定效果。它们有优点,也有缺点。在这篇综述文章中,我们分别介绍了这些药物,并提到了它们在治疗抑郁症中的现状。
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引用次数: 0
Depression, Anxiety and Stress among COPD Patients: A Comparative Cross Sectional Study COPD患者的抑郁、焦虑和压力:一项比较横断面研究
Pub Date : 2020-01-01 DOI: 10.35248/2167-1044.20.9.360
Yonas Akalu, Andualem Mossie, Samuel Tadesse
Background: Chronic Obstructive Pulmonary Disease (COPD) is associated with depression, anxiety and stress, which are the commonest disorders resulting in significant morbidity and mortality. There is paucity of information regarding the association between depression, anxiety, and stress and chronic obstructive pulmonary disease in the present setup. This comparative cross-sectional study was designed to determine the magnitude of Depression, Anxiety and Stress and associated factors among COPD patients. Methods: Sixty five COPD patients and equal number of age and sex matched healthy individuals were included in the study. The study was conducted at Jimma University Specialized Hospital JUSH), from March 01 to April 30/2016. Spirometric assessment was done to evaluate severity of COPD. Depression, anxiety and stress scale (DASS 21) was used for the assessment of severity of depression, anxiety and stress. Chi-square test, independent t-test, Fisher’s exact test, one way ANOVA and linear regression were carried out to determine the association between independent and outcome variables and variables with p<0.05 were considered as significant. Results: Statistically significant difference between COPD patient and healthy controls was recorded on the prevalence of depression, anxiety and stress (47.7%, 49.2 %, and 56.9% respectively, p< 0.001). Depression score was significantly associated with severity of COPD (p<0.01). Duration of hospital admission was a common positive predictor for depression, anxiety and stress scores (β =0.156, 0.144 and 0.123 respectively, p<0.001), while FEV1 was a negative predictor of depression (β =-4.209) and stress score (β =-3.003), p <0.001. Higher educational level was a negative predictor of depression (β=-7.100) and anxiety scores (β = -5.15, p<0.05). Income was a negative predictor of stress score (β = -0.002, p <0.05). Cigarette smoking was a positive predictor of both depression (β=13.39, p<0.01) and anxiety scores (β=6.75, p <0.05), while khat chewing was positive predictor of only depression score (β=5.28, p<0.05). Conclusion: The present study showed that the prevalence of depression, anxiety and stress among COPD patients were significantly high. Educational status, duration of admission, FEV1, current khat chewing and cigarette smoking were predictors of depression score. At the same time educational status, cigarette smoking, history and duration of admission were predictors of anxiety score. The severity of depression, anxiety and stress was correlated with the severity of COPD. Therefore, appropriate intervention should be given by the concerned body to treat DAS among COPD patients.
背景:慢性阻塞性肺疾病(COPD)与抑郁、焦虑和压力相关,这是导致显著发病率和死亡率的最常见疾病。目前缺乏关于抑郁、焦虑和压力与慢性阻塞性肺疾病之间关系的信息。本比较横断面研究旨在确定COPD患者抑郁、焦虑和压力的程度及其相关因素。方法:65例慢性阻塞性肺病患者和同等数量的年龄和性别匹配的健康个体纳入研究。研究于2016年3月1日至4月30日在吉马大学专科医院(JUSH)进行。肺量测定法评估COPD的严重程度。采用抑郁、焦虑和压力量表(DASS 21)评估抑郁、焦虑和压力的严重程度。采用卡方检验、独立t检验、Fisher精确检验、单因素方差分析和线性回归来确定自变量与结局变量之间的相关性,以p<0.05为显著。结果:COPD患者抑郁、焦虑、压力患病率与健康对照组比较,差异有统计学意义(分别为47.7%、49.2%、56.9%,p< 0.001)。抑郁评分与COPD严重程度有显著相关性(p<0.01)。住院时间是抑郁、焦虑和压力评分的常见正预测因子(β =0.156、0.144和0.123,p<0.001),而FEV1是抑郁(β =-4.209)和压力评分的负预测因子(β =-3.003), p<0.001。高学历是抑郁(β=-7.100)和焦虑评分(β= -5.15, p<0.05)的负向预测因子。收入是压力评分的负向预测因子(β = -0.002, p <0.05)。吸烟是抑郁评分(β=13.39, p<0.01)和焦虑评分(β=6.75, p<0.05)的正预测因子,而咀嚼阿拉伯茶是抑郁评分的正预测因子(β=5.28, p<0.05)。结论:慢性阻塞性肺病患者抑郁、焦虑和应激的患病率较高。教育程度、入院时间、FEV1、目前咀嚼阿拉伯茶和吸烟是抑郁评分的预测因子。同时,受教育程度、吸烟史、住院时间是焦虑评分的预测因子。抑郁、焦虑和压力的严重程度与COPD的严重程度相关。因此,在COPD患者中进行DAS的治疗,相关机构应给予适当的干预。
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引用次数: 0
Proportion of Depression and Associated Factors among Adult Type 1 Diabetic Patients attending at Debirebrihan and Dessie Referral Hospitals, Eastern part of Amara region, Ethiopia 2019 2019年埃塞俄比亚阿马拉地区东部Debirebrihan和Dessie转诊医院成年1型糖尿病患者抑郁及相关因素比例
Pub Date : 2020-01-01 DOI: 10.35248/2167-1044.20.9.378
Zewdu Baye, J. Ibrahim, Berhanu Boru
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引用次数: 0
Aircraft Pilots and Psychophysical health and Safety 飞机驾驶员与身心健康和安全
Pub Date : 2020-01-01 DOI: 10.35248/2167-1044.20.9.352
C. Pruneti
In the last ten years, there have been several accidents, some of them very serious due to airplane pilots showing psychological or psychopathological problems or obvious signs of distress. In this article, starting from the 24 March 2015 catastrophe, flight GWI18G operated by German wings with an airbus A320, carrying 150 people on board crashed into the foothills of the French Alps, offers various possibilities for evaluation and prevention. The proposals of the British Psychology Society for 2020 are also mentioned and the current possibilities of evaluation and verification are described, both psychological, medical and psychophysiological for an adequate prevention and cure.
在过去的十年里,发生了几起事故,其中一些事故非常严重,因为飞行员表现出心理或精神病理问题或明显的痛苦迹象。在这篇文章中,从2015年3月24日的灾难开始,由德国之翼运营的GWI18G航班与一架载有150人的空客A320坠毁在法国阿尔卑斯山的山麓,提供了各种评估和预防的可能性。还提到了英国心理学会2020年的建议,并描述了目前为充分预防和治疗而在心理、医学和心理生理学方面进行评估和核实的可能性。
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引用次数: 1
Mindfulness Meditation Mobile App Improves Depression and Anxiety in Adults with Sleep Disturbance: A Secondary Analysis of a Randomized Controlled Trial 正念冥想手机应用程序改善睡眠障碍成年人的抑郁和焦虑:一项随机对照试验的二次分析
Pub Date : 2020-01-01 DOI: 10.35248/2167-1044.20.9.374
J. Huberty, M. Puzia, Jeni Green, R. Vlisides-Henry, L. Larkey, Michaela Irwin, A. Vranceanu
Background: The purpose of the study was to present secondary data analyses of an 8-week randomized controlled trial to: 1) Determine the effects of a meditation app on depression and anxiety in adults with sleep disturbance and 2) Explore the potential mediating effect of fatigue and daytime sleepiness on the relationship between use of the app and depression and anxiety. Methods: Depression, anxiety, fatigue, and daytime sleepiness were assessed at baseline, mid-, and post-intervention in the intervention and waitlist control group. Repeated-measures ANCOVAs assessed intervention effects on depression and anxiety. Mediation models, using the PROCESS macro, were estimated using 5000 bootstrap samples. Per-protocol and intent-to-treat (ITT) analyses were conducted. Results: Intervention group participants (N=239) had more improvements in depression and anxiety as compared to the control group. Fatigue and daytime sleepiness fully mediated the association between study group and improvements in depression. Fatigue and daytime sleepiness partially meditated the association between study group and improvements in anxiety. Conclusions: A meditation app may improve depression and anxiety in adults with sleep disturbance with effects being driven by improvements in fatigue and daytime sleepiness. Future studies should consider targeting fatigue and daytime sleepiness to improve mental health in adults with sleep disturbance.
背景:本研究的目的是对一项为期8周的随机对照试验进行二次数据分析,目的是:1)确定冥想应用程序对睡眠障碍成人抑郁和焦虑的影响;2)探索疲劳和白天嗜睡在应用程序使用与抑郁和焦虑之间的潜在中介作用。方法:在干预组和候补对照组中,分别在基线、干预中期和干预后对抑郁、焦虑、疲劳和日间嗜睡进行评估。重复测量ANCOVAs评估干预对抑郁和焦虑的影响。使用PROCESS宏的中介模型使用5000个引导样本进行估计。进行了每个方案和意向治疗(ITT)分析。结果:与对照组相比,干预组参与者(N=239)在抑郁和焦虑方面有更多的改善。疲劳和白天嗜睡完全介导了研究组与抑郁症改善之间的关联。疲劳和白天嗜睡部分地反映了研究组与焦虑改善之间的联系。结论:一款冥想应用程序可能会改善患有睡眠障碍的成年人的抑郁和焦虑,其效果是通过改善疲劳和白天嗜睡来实现的。未来的研究应该考虑针对疲劳和白天嗜睡来改善睡眠障碍成人的心理健康。
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引用次数: 0
Cognitive Functions in Children of Persons with Schizophrenia 精神分裂症患者儿童的认知功能
Pub Date : 2020-01-01 DOI: 10.35248/2167-1044.20.9.357
Ravindran Os, N. Shanmugasundaram, Sathianathan Ramanathan, Akshaya Kannan
Background: Cognitive deficits are a central feature of schizophrenia and occur in high-risk relatives of the patients. Aim: We aimed to investigate whether children at-risk for schizophrenia also present neurocognitive deficits that are commonly observed in patients with schizophrenia. Settings and Design: In a cross-sectional study, we assessed neurocognitive functioning in 15 at–risk children of schizophrenia patients with an equal number of healthy controls. Materials and Methods: Offspring at-risk were compared with the control group on the measures of intelligence, verbal comprehension, perceptual reasoning, working memory, processing speed (assessed with Wechsler Intelligence Scale for Children – Fourth (India Edition), verbal working memory (Rey Auditory Verbal Learning Test) and executive function (Maze test). Results: Participants in the study group obtained significantly lesser scores, compared to those in the control group, on all neurocognitive measures including verbal comprehension, working memory, processing speed and verbal working memory except for perceptual reasoning and executive function. Conclusion: High-risk children had lower than average IQ and performed poorly on several neuropsychological measures in contrast to children in the control group.
背景:认知障碍是精神分裂症的主要特征,多发生于患者的高危亲属。目的:我们旨在调查精神分裂症风险儿童是否也存在精神分裂症患者中常见的神经认知缺陷。背景和设计:在一项横断面研究中,我们评估了15名精神分裂症患者高危儿童的神经认知功能,并与同等数量的健康对照。材料与方法:将高危子代与对照组在智力、言语理解、知觉推理、工作记忆、处理速度(韦氏儿童智力量表-第四版(印度版))、言语工作记忆(雷伊听觉言语学习测验)和执行功能(迷宫测验)等方面进行比较。结果:与对照组相比,研究组的参与者在所有神经认知测试中的得分都明显较低,包括语言理解、工作记忆、处理速度和语言工作记忆,但知觉推理和执行功能除外。结论:与对照组儿童相比,高危儿童的智商低于平均水平,在多项神经心理测试中表现较差。
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引用次数: 0
Editorial Highlights for Journal of Depression and Anxiety 《抑郁与焦虑杂志》社论要闻
Pub Date : 2020-01-01 DOI: 10.35248/2167-1044.20.9.358
Jolly Masih
Journal of Depression and Anxiety [2167-1044] is running successfully since 2011. It is our pleasure to announce that journal published Volume 8 with 4 quality regular issues and a special issue Life style changes and depression in the year 2019. Journal of Depression and Anxiety [JDA] during this year also brought out conference proceedings of 6th International Conference on Depression, Anxiety and Stress Management and World Depression Congress
《抑郁与焦虑杂志》[2167-1044]从2011年开始成功运作。我们很高兴地宣布,该杂志在2019年出版了第8卷,包括4期高质量的定期刊和一期特刊。《抑郁与焦虑》杂志在这一年还出版了第六届国际抑郁、焦虑和压力管理会议和世界抑郁大会的会议记录
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引用次数: 0
Depression in Adults with a Physical Disability; An Institution Based Cross Sectional Study 成人身体残疾患者的抑郁状况基于制度的横断面研究
Pub Date : 2020-01-01 DOI: 10.35248/2167-1044.20.9.365
Daniel Ayelegne Gebeyehu, Dessalegn Negaa, Zewdu Baye Tezera
Background: Depressions in person with physical disabilities are three times more common than in the general population. In Ethiopia, there are an estimated 15 million persons with disabilities. Despite the high burden of disability, very little is known about it; for this reason, the current study aimed at determining the magnitude of depression and its associated factors among adults with a physical disability. Methods: The study is a cross-sectional type conducted on individuals with a physical disability registered in Gondar physical disability’s rehabilitation and vocational center. All individuals with a physical disability attending the rehabilitation center were enrolled in the study. Face to face interview technique was used to evaluate the existence of depression and its determinants. In this study, the Beck Depression Inventory scale II was used to assess the status of depression. A multivariate logistic regression model was employed to see the strength, as well as the direction of the association between Depression and independent variables. Results: The study found that the frequency of depression was determined as 75.5%. Having a perceived internal stigma 5.03 (AOR=5.03 (95% CI: 2.30, 9.99), Poor social support (5.36 (AOR=5.36 (95% CI: 2.41, 10.8) and those who consume alcohol (2.77 (AOR=2.77 (1.24, 6.17) were associated likely to have depression. Conclusion: In this study, depression found to be a major health problem among adults with a physical disability. Early detection and regular screening for depression to give timely treatment as well as make the training fruitful, designing educational programs to build the community’s awareness to providing good social support and creating a sense of confidence and self-reliance in people with a physical disability would be helpful.
背景:身体残疾的人患抑郁症的几率是普通人群的三倍。在埃塞俄比亚,估计有1500万残疾人。尽管残疾负担沉重,但人们对此知之甚少;出于这个原因,目前的研究旨在确定患有身体残疾的成年人的抑郁程度及其相关因素。方法:采用横断面法,对在贡达尔肢体残疾康复与职业中心登记的肢体残疾患者进行研究。所有在康复中心有身体残疾的人都参加了这项研究。采用面对面访谈的方法来评估抑郁症的存在及其决定因素。本研究采用贝克抑郁量表II来评估抑郁状态。采用多变量logistic回归模型来观察抑郁与自变量之间的关联强度和方向。结果:研究发现抑郁症发生率为75.5%。有内在耻辱感5.03 (AOR=5.03 (95% CI: 2.30, 9.99),社会支持差(5.36 (AOR=5.36 (95% CI: 2.41, 10.8))和饮酒者(2.77 (AOR=2.77(1.24, 6.17))与患抑郁症的可能性相关。结论:在这项研究中,抑郁症被发现是身体残疾的成年人的一个主要健康问题。早期发现和定期筛查抑郁症,及时给予治疗,使培训富有成效,设计教育计划,建立社区意识,提供良好的社会支持,使身体残疾的人有信心和自力更生的感觉,这些都是有帮助的。
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引用次数: 1
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Journal of depression & anxiety
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