Pub Date : 2024-11-26DOI: 10.1016/j.jadr.2024.100855
Simon Ladwig , Matthias Volz , Julia Haupt , Anya Pedersen , Katja Werheid
Background
Health-related quality of life (HRQOL), depressive symptoms, disability, and social support show complex interdependences after stroke, which cannot be sufficiently depicted by commonly used uni- or bivariate analyses. Applying a network analysis, we aim to disentangle these multivariate relationships and deduce meaningful starting points for interventions.
Methods
Stroke survivors (N = 202) were recruited from two inpatient rehabilitation clinics. Participants self-reported mental and physical HRQOL, depressive symptoms, disability, and social support. We computed a partial correlation network and included these five variables as separate nodes. We estimated edge weights, node centrality (expected influence), node predictability, and clusters. Bootstrap methods were applied to assess network stability.
Results
Depressive symptoms and mental HRQOL were the most central and interconnected nodes in the network. Depressive symptoms built its own cluster. Social support showed a high association with depressive symptoms. Disability had no significant associations with other nodes in the network. Physical HRQOL was significantly connected only to its mental equivalent.
Limitations
The cross-sectional design limits the findings to the setting of inpatient rehabilitation few weeks after stroke and allows no longitudinal inferences. The relatively small sample size and varying metrics of applied measures are counterbalanced by a high stability of estimations.
Conclusions
Depression and social support show stronger associations with HRQOL than physical aspects during stroke inpatient rehabilitation. This underscores the significance of mental aspects shortly after stroke. Development and implementation of early interventions targeting depressive symptoms and social support may sustainably mitigate the burden on HRQOL after stroke.
{"title":"Disentangling the relationships of health-related quality of life, depressive symptoms, disability and social support after stroke: A network analysis","authors":"Simon Ladwig , Matthias Volz , Julia Haupt , Anya Pedersen , Katja Werheid","doi":"10.1016/j.jadr.2024.100855","DOIUrl":"10.1016/j.jadr.2024.100855","url":null,"abstract":"<div><h3>Background</h3><div>Health-related quality of life (HRQOL), depressive symptoms, disability, and social support show complex interdependences after stroke, which cannot be sufficiently depicted by commonly used uni- or bivariate analyses. Applying a network analysis, we aim to disentangle these multivariate relationships and deduce meaningful starting points for interventions.</div></div><div><h3>Methods</h3><div>Stroke survivors (<em>N</em> = 202) were recruited from two inpatient rehabilitation clinics. Participants self-reported mental and physical HRQOL, depressive symptoms, disability, and social support. We computed a partial correlation network and included these five variables as separate nodes. We estimated edge weights, node centrality (expected influence), node predictability, and clusters. Bootstrap methods were applied to assess network stability.</div></div><div><h3>Results</h3><div>Depressive symptoms and mental HRQOL were the most central and interconnected nodes in the network. Depressive symptoms built its own cluster. Social support showed a high association with depressive symptoms. Disability had no significant associations with other nodes in the network. Physical HRQOL was significantly connected only to its mental equivalent.</div></div><div><h3>Limitations</h3><div>The cross-sectional design limits the findings to the setting of inpatient rehabilitation few weeks after stroke and allows no longitudinal inferences. The relatively small sample size and varying metrics of applied measures are counterbalanced by a high stability of estimations.</div></div><div><h3>Conclusions</h3><div>Depression and social support show stronger associations with HRQOL than physical aspects during stroke inpatient rehabilitation. This underscores the significance of mental aspects shortly after stroke. Development and implementation of early interventions targeting depressive symptoms and social support may sustainably mitigate the burden on HRQOL after stroke.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"19 ","pages":"Article 100855"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-26DOI: 10.1016/j.jadr.2024.100854
Bonnie L Quigley , Nathan Wellington , Megan Dutton , Ana P Bouças , Grace Forsyth , Cyrana C Gallay , Maryam Hajishafiee , Jim Lagopoulos , Adem T Can , Daniel F Hermens
Background
Post-traumatic stress disorder (PTSD) is characterised by pervasive and persistent symptoms that negatively impact quality-of-life. A relationship between brain-derived neurotrophic factor (BDNF) and PTSD symptom severity has been investigated with mixed results. This study aimed to systematically investigate BDNF and PTSD symptom severity in a PTSD cohort (n = 43).
Methods
BDNF levels were determined from both serum and plasma using two BDNF assays (targeting general BDNF and mature BDNF specifically). BDNF levels were compared to PTSD symptom severity scores determined by clinical interview using the Clinician-Administered PTSD Scale (CAPS-5) for DSM-5 and the self-rated Posttraumatic Stress Disorder checklist (PCL-5) for DSM-5.
Results
Only mature BDNF levels from serum revealed a significant negative correlation to both CAPS-5 and PCL-5 scores. Additionally, when the study cohort was defined by the CAPS-5 criteria for PTSD, the BDNF to symptom severity correlation was stronger than when the cohort was defined by the PCL-5 criteria.
Limitations
This study acknowledges that limited numbers of PTSD participants with complex co-morbidities and multiple test comparisons requires caution in overinterpretation of results.
Conclusions
Overall, this study found that decreasing levels of mature BDNF from serum was associated with increasing symptom severity and that the type of sample, the specificity of the BDNF assay and the PTSD evaluation method all impacted whether a relationship between BDNF and PTSD symptom severity could be detected.
{"title":"Mature brain-derived neurotrophic factor (BDNF) levels in serum correlate with symptom severity in post-traumatic stress disorder (PTSD)","authors":"Bonnie L Quigley , Nathan Wellington , Megan Dutton , Ana P Bouças , Grace Forsyth , Cyrana C Gallay , Maryam Hajishafiee , Jim Lagopoulos , Adem T Can , Daniel F Hermens","doi":"10.1016/j.jadr.2024.100854","DOIUrl":"10.1016/j.jadr.2024.100854","url":null,"abstract":"<div><h3>Background</h3><div>Post-traumatic stress disorder (PTSD) is characterised by pervasive and persistent symptoms that negatively impact quality-of-life. A relationship between brain-derived neurotrophic factor (BDNF) and PTSD symptom severity has been investigated with mixed results. This study aimed to systematically investigate BDNF and PTSD symptom severity in a PTSD cohort (<em>n</em> = 43).</div></div><div><h3>Methods</h3><div>BDNF levels were determined from both serum and plasma using two BDNF assays (targeting general BDNF and mature BDNF specifically). BDNF levels were compared to PTSD symptom severity scores determined by clinical interview using the Clinician-Administered PTSD Scale (CAPS-5) for DSM-5 and the self-rated Posttraumatic Stress Disorder checklist (PCL-5) for DSM-5.</div></div><div><h3>Results</h3><div>Only mature BDNF levels from serum revealed a significant negative correlation to both CAPS-5 and PCL-5 scores. Additionally, when the study cohort was defined by the CAPS-5 criteria for PTSD, the BDNF to symptom severity correlation was stronger than when the cohort was defined by the PCL-5 criteria.</div></div><div><h3>Limitations</h3><div>This study acknowledges that limited numbers of PTSD participants with complex co-morbidities and multiple test comparisons requires caution in overinterpretation of results.</div></div><div><h3>Conclusions</h3><div>Overall, this study found that decreasing levels of mature BDNF from serum was associated with increasing symptom severity and that the type of sample, the specificity of the BDNF assay and the PTSD evaluation method all impacted whether a relationship between BDNF and PTSD symptom severity could be detected.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"19 ","pages":"Article 100854"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-26DOI: 10.1016/j.jadr.2024.100856
Kate Zona , Hsiang Huang , Margaret Spottswood
Background
Posttraumatic stress disorder (PTSD) is associated with comorbid psychiatric and medical conditions and high rates of medical service utilization. Given that PTSD is highly prevalent in the primary care setting, group therapy delivered within this setting has the potential to treat large numbers of patients. To date, few studies have examined the feasibility or effectiveness of group therapy for PTSD within primary care.
Methods
A pilot study of a PTSD group therapy intervention based on the Trauma Information Group model was conducted in a Federally Qualified Health Center (FQHC). Across 9 cohorts, 32 individuals with PTSD completed 8–10 group therapy sessions. Self-reported PTSD severity was assessed using the PTSD Checklist for DSM-5 (PCL-5) at baseline and post-treatment.
Results
Fifty percent of participants had a PTSD treatment response (PCL-5 score reduction ≥10) following group therapy and paired t-tests demonstrated a statistically significant reduction in PCL-5 scores from pre- to post-treatment. Patient demographic characteristics and psychiatric comorbities were not associated with treatment response.
Limitations
The small sample size, demographic characteristics, and FQHC setting potentially limit the generalizability of these findings. Treatment dropout rates and associated factors also were not examined.
Conclusions
The Trauma Information Group treatment for PTSD was feasible to implement within a low resourced primary care setting and led to improvement in PTSD symptoms in this pilot study. These findings suggest that offering group therapy for PTSD within primary care could improve access to effective treatment and warrant future research to examine feasibility and effectiveness in this setting.
{"title":"Implementing group therapy for posttraumatic stress disorder within a primary care setting: A pilot study","authors":"Kate Zona , Hsiang Huang , Margaret Spottswood","doi":"10.1016/j.jadr.2024.100856","DOIUrl":"10.1016/j.jadr.2024.100856","url":null,"abstract":"<div><h3>Background</h3><div>Posttraumatic stress disorder (PTSD) is associated with comorbid psychiatric and medical conditions and high rates of medical service utilization. Given that PTSD is highly prevalent in the primary care setting, group therapy delivered within this setting has the potential to treat large numbers of patients. To date, few studies have examined the feasibility or effectiveness of group therapy for PTSD within primary care.</div></div><div><h3>Methods</h3><div>A pilot study of a PTSD group therapy intervention based on the Trauma Information Group model was conducted in a Federally Qualified Health Center (FQHC). Across 9 cohorts, 32 individuals with PTSD completed 8–10 group therapy sessions. Self-reported PTSD severity was assessed using the PTSD Checklist for DSM-5 (PCL-5) at baseline and post-treatment.</div></div><div><h3>Results</h3><div>Fifty percent of participants had a PTSD treatment response (PCL-5 score reduction ≥10) following group therapy and paired <em>t</em>-tests demonstrated a statistically significant reduction in PCL-5 scores from pre- to post-treatment. Patient demographic characteristics and psychiatric comorbities were not associated with treatment response.</div></div><div><h3>Limitations</h3><div>The small sample size, demographic characteristics, and FQHC setting potentially limit the generalizability of these findings. Treatment dropout rates and associated factors also were not examined.</div></div><div><h3>Conclusions</h3><div>The Trauma Information Group treatment for PTSD was feasible to implement within a low resourced primary care setting and led to improvement in PTSD symptoms in this pilot study. These findings suggest that offering group therapy for PTSD within primary care could improve access to effective treatment and warrant future research to examine feasibility and effectiveness in this setting.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"19 ","pages":"Article 100856"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Addressing perinatal psychological distress in Sierra Leone faces challenges due to the lack of culturally appropriate assessment tools, despite recent WHO recommendations for screening during the pre- and postpartum periods. While high-income countries use tools like the Edinburgh Postnatal Depression Scale or Patient Health Questionnaire-9 (PHQ-9), their cross-cultural validity and efficacy in developing countries are uncertain. The aim of this study was to address this gap by developing a functional assessment tool, culturally appropriate screening tool for perinatal psychological distress, and validate it with the PHQ-9.
Method
Following scale development guidelines, the study encompassed three phases: Item Development, Scale Development, and Scale Evaluation. Data from free listing interviews (n = 96), FGDs (n = 24), and cognitive interviews (n = 8) informed the development of the Sierra Leone Perinatal Psychological Distress Scale (SLPPDS) and a Function scale. Item reduction via exploratory factor analysis (n = 120) and validation (n = 140) were conducted in subsequent phases.
Result
Two screening instruments were developed: the 10-item SLPPDS and a 5-item Function scale assessing perinatal women's ability to perform daily tasks. Sensitivity/specificity values for the SLPPDS and PHQ-9 were 80.0/85.7 and 73.8/76.2 respectively. Internal consistency reliability was 0.88 for the SLPPDS and 0.81 for the PHQ-9. Confirmatory factor analysis supported a one-factor model with 54.9 % variance explained. ROC/cut-off points for SLPPDS and PHQ-9 were 0.90/0.81 and 8.0/7.0 respectively.
Conclusion
The PHQ-9 shows validity and reliability as a screening instrument, but the SLPPDS emerges as a potentially more salient alternative for assessing perinatal psychological distress in Sierra Leone. This implies the SLPDDS is particularly relevant, meaningful, and applicable to the specific cultural or community context it was designed for. It suggests that the tool effectively addresses the unique needs, perspectives, and experiences of the perinatal women, making it more likely to resonate with users and stakeholders. This relevance may enhance the tool's acceptance, usability, and overall impact in identifying and addressing perinatal mental health issues in Sierra Leone. These instruments could enable effective evaluation of perinatal mental health initiatives by government agencies, locals, and international NGOs.
{"title":"Developing and validating the Sierra Leone perinatal psychological distress scale through an emic-etic approach","authors":"Abdulai Jawo Bah , Haja Ramatulai Wurie , Mohamed Samai , Rebecca Horn , Alastair Ager","doi":"10.1016/j.jadr.2024.100852","DOIUrl":"10.1016/j.jadr.2024.100852","url":null,"abstract":"<div><h3>Background</h3><div>Addressing perinatal psychological distress in Sierra Leone faces challenges due to the lack of culturally appropriate assessment tools, despite recent WHO recommendations for screening during the pre- and postpartum periods. While high-income countries use tools like the Edinburgh Postnatal Depression Scale or Patient Health Questionnaire-9 (PHQ-9), their cross-cultural validity and efficacy in developing countries are uncertain. The aim of this study was to address this gap by developing a functional assessment tool, culturally appropriate screening tool for perinatal psychological distress, and validate it with the PHQ-9.</div></div><div><h3>Method</h3><div>Following scale development guidelines, the study encompassed three phases: Item Development, Scale Development, and Scale Evaluation. Data from free listing interviews (<em>n</em> = 96), FGDs (<em>n</em> = 24), and cognitive interviews (<em>n</em> = 8) informed the development of the Sierra Leone Perinatal Psychological Distress Scale (SLPPDS) and a Function scale. Item reduction via exploratory factor analysis (<em>n</em> = 120) and validation (<em>n</em> = 140) were conducted in subsequent phases.</div></div><div><h3>Result</h3><div>Two screening instruments were developed: the 10-item SLPPDS and a 5-item Function scale assessing perinatal women's ability to perform daily tasks. Sensitivity/specificity values for the SLPPDS and PHQ-9 were 80.0/85.7 and 73.8/76.2 respectively. Internal consistency reliability was 0.88 for the SLPPDS and 0.81 for the PHQ-9. Confirmatory factor analysis supported a one-factor model with 54.9 % variance explained. ROC/cut-off points for SLPPDS and PHQ-9 were 0.90/0.81 and 8.0/7.0 respectively.</div></div><div><h3>Conclusion</h3><div>The PHQ-9 shows validity and reliability as a screening instrument, but the SLPPDS emerges as a potentially more salient alternative for assessing perinatal psychological distress in Sierra Leone. This implies the SLPDDS is particularly relevant, meaningful, and applicable to the specific cultural or community context it was designed for. It suggests that the tool effectively addresses the unique needs, perspectives, and experiences of the perinatal women, making it more likely to resonate with users and stakeholders. This relevance may enhance the tool's acceptance, usability, and overall impact in identifying and addressing perinatal mental health issues in Sierra Leone. These instruments could enable effective evaluation of perinatal mental health initiatives by government agencies, locals, and international NGOs.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"19 ","pages":"Article 100852"},"PeriodicalIF":0.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-14DOI: 10.1016/j.jadr.2024.100851
Pankhuri Aggarwal , Vaishali V. Raval
Background
Due to high population density, more individuals with depressive symptoms reside in Low and Middle-Income Countries, though there exists limited published literature on factors that elevate risk in this population. Focusing on India, the most populous country in the world, the present study examined cross-sectional and longitudinal associations between poor relations with parents and other family members (e.g., siblings, grandparents) and depressive symptoms among urban, educated, young adults. Additionally, given the salience of familial interdependence, we examined the moderating effects of inclusion of others in one's definition of self in this association.
Methods
A total of 548 young adults (Mage = 21.4 years, 67% women) completed online questionnaires at two time points separated by six months.
Results
Poor relations with fathers and other family members were associated with greater depressive symptoms cross-sectionally, above and beyond the effects of other relations. Poor quality of interpersonal relations with parents and other family members was not associated with depressive symptoms longitudinally (after six months). There were significant main effects of poor relations (with mothers, fathers, others) cross-sectionally, over and above the effects of inclusion of others in one's sense of self though we did not find any moderating or main effects of inclusion of others in one's sense of self.
Conclusion
Quality of interpersonal relations may be a correlate but not a predictor of depressive symptoms for urban, educated, young adults in India.
Limitations
The findings may not hold true for groups other than urban, educated, young adults in India.
{"title":"Examining concurrent and longitudinal associations between quality of interpersonal relations and depressive symptoms among young adults in India","authors":"Pankhuri Aggarwal , Vaishali V. Raval","doi":"10.1016/j.jadr.2024.100851","DOIUrl":"10.1016/j.jadr.2024.100851","url":null,"abstract":"<div><h3>Background</h3><div>Due to high population density, more individuals with depressive symptoms reside in Low and Middle-Income Countries, though there exists limited published literature on factors that elevate risk in this population. Focusing on India, the most populous country in the world, the present study examined cross-sectional and longitudinal associations between poor relations with parents and other family members (e.g., siblings, grandparents) and depressive symptoms among urban, educated, young adults. Additionally, given the salience of familial interdependence, we examined the moderating effects of inclusion of others in one's definition of self in this association.</div></div><div><h3>Methods</h3><div>A total of 548 young adults (<em>M</em><sub>age</sub> = 21.4 years, 67% women) completed online questionnaires at two time points separated by six months.</div></div><div><h3>Results</h3><div>Poor relations with fathers and other family members were associated with greater depressive symptoms cross-sectionally, above and beyond the effects of other relations. Poor quality of interpersonal relations with parents and other family members was not associated with depressive symptoms longitudinally (after six months). There were significant main effects of poor relations (with mothers, fathers, others) cross-sectionally, over and above the effects of inclusion of others in one's sense of self though we did not find any moderating or main effects of inclusion of others in one's sense of self.</div></div><div><h3>Conclusion</h3><div>Quality of interpersonal relations may be a correlate but not a predictor of depressive symptoms for urban, educated, young adults in India.</div></div><div><h3>Limitations</h3><div>The findings may not hold true for groups other than urban, educated, young adults in India.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"19 ","pages":"Article 100851"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-05DOI: 10.1016/j.jadr.2024.100849
Taylor P Roberts , Emma E Nowakowski , Thomas N Troyan , Sarah J Kroh , Anne M Wanaselja , Priya R Gopalan , Patricia L Dalby , Ryan C Romeo , Grace Lim
Introduction
Emergency deliveries increase maternal risk for postpartum depression (PPD) and post-traumatic stress disorder (PTSD). One in three women describe their birth experience as traumatic, but patient-centered support needs are unclear. We conducted a qualitative study of women with traumatic birth to identify patient-centered priorities to optimize mental health support.
Methods
Semi-structured interviews were conducted with women who experienced an emergency during birth, and who self-identified as experiencing traumatic birth. The Stanford Acute Stress Reaction Questionnaire and PTSD Checklist were completed. Interviews included open-ended questions about birth events that improved or worsened their delivery experience, perceptions of mental, physical, and emotional support provided by staff, and patient perspectives about psychological and social support referrals after emergent deliveries.
Results
A majority of participants met positive screening criteria for PTSD at the time of interviews. Birth experiences were affected by prenatal expectations, as well as the style and quality of clinical staff communication during and after delivery. There were four key themes central to their experiences and perceptions: (1) Emotional Impact and Intensity, (2) Factors Influencing Birth Experience, (3) Perceived Lack of Emotional Support, and (4) Desire for Post-Birth Follow-Up and Support. Participants almost unanimously desired to be offered psychosocial services after birth trauma.
Conclusion
There are significant gaps in emotional support and communication for patients experiencing traumatic births. Offering structured, in-hospital mental health referrals may address immediate psychological needs, aid in trauma recovery, and potentially mitigate long-term mental health consequences. These findings advocate for a more holistic approach to postpartum care that prioritizes both physical and emotional well-being.
{"title":"Improving psychological and social support needs after traumatic birth: A qualitative study","authors":"Taylor P Roberts , Emma E Nowakowski , Thomas N Troyan , Sarah J Kroh , Anne M Wanaselja , Priya R Gopalan , Patricia L Dalby , Ryan C Romeo , Grace Lim","doi":"10.1016/j.jadr.2024.100849","DOIUrl":"10.1016/j.jadr.2024.100849","url":null,"abstract":"<div><h3>Introduction</h3><div>Emergency deliveries increase maternal risk for postpartum depression (PPD) and post-traumatic stress disorder (PTSD). One in three women describe their birth experience as traumatic, but patient-centered support needs are unclear. We conducted a qualitative study of women with traumatic birth to identify patient-centered priorities to optimize mental health support.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with women who experienced an emergency during birth, and who self-identified as experiencing traumatic birth. The Stanford Acute Stress Reaction Questionnaire and PTSD Checklist were completed. Interviews included open-ended questions about birth events that improved or worsened their delivery experience, perceptions of mental, physical, and emotional support provided by staff, and patient perspectives about psychological and social support referrals after emergent deliveries.</div></div><div><h3>Results</h3><div>A majority of participants met positive screening criteria for PTSD at the time of interviews. Birth experiences were affected by prenatal expectations, as well as the style and quality of clinical staff communication during and after delivery. There were four key themes central to their experiences and perceptions: (1) Emotional Impact and Intensity, (2) Factors Influencing Birth Experience, (3) Perceived Lack of Emotional Support, and (4) Desire for Post-Birth Follow-Up and Support. Participants almost unanimously desired to be offered psychosocial services after birth trauma.</div></div><div><h3>Conclusion</h3><div>There are significant gaps in emotional support and communication for patients experiencing traumatic births. Offering structured, in-hospital mental health referrals may address immediate psychological needs, aid in trauma recovery, and potentially mitigate long-term mental health consequences. These findings advocate for a more holistic approach to postpartum care that prioritizes both physical and emotional well-being.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"19 ","pages":"Article 100849"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-18DOI: 10.1016/j.jadr.2024.100848
Nathan Van den Bergh , Igor Marchetti , Kristof Hoorelbeke , Alvaro Sanchez-Lopez , Rudi De Raedt , Ernst H.W. Koster
Background
Important individual differences exist in how people respond to major stressors. Despite the key roles attributed to emotion regulation and cognitive control in resilience and vulnerability to stress, relatively few studies have directly investigated these relationships upon confrontation with major stressors, such as unemployment.
Methods
The current preregistered study set out to prospectively test mediational hypotheses, in which baseline cognitive control (assessed by performance on a cognitive task) and self-reported effortful control predict emotion regulation (follow-up 1), in turn predicting internalizing symptomatology or resilience (follow-up 2). Data of 84 people confronted with unemployment were analyzed using path models: one based on primary outcome measures (repetitive negative thinking and symptoms of depression, anxiety and stress) and one based on secondary questionnaire outcome measures (positive thinking style and resilience).
Results
The results show that effortful control and cognitive control are relevant distal factors to consider when investigating emotional symptoms in the unemployed.
Limitations
This study has sample modest in size, so it's important to interpret the results cautiously.
Conclusion
The current study shows how cognitive factors and emotion regulation can contribute to emotional distress and resilience when facing unemployment.
{"title":"Psychological effects of unemployment: A prospective study on cognitive control, emotion regulation, and distress","authors":"Nathan Van den Bergh , Igor Marchetti , Kristof Hoorelbeke , Alvaro Sanchez-Lopez , Rudi De Raedt , Ernst H.W. Koster","doi":"10.1016/j.jadr.2024.100848","DOIUrl":"10.1016/j.jadr.2024.100848","url":null,"abstract":"<div><h3>Background</h3><div>Important individual differences exist in how people respond to major stressors. Despite the key roles attributed to emotion regulation and cognitive control in resilience and vulnerability to stress, relatively few studies have directly investigated these relationships upon confrontation with major stressors, such as unemployment.</div></div><div><h3>Methods</h3><div>The current preregistered study set out to prospectively test mediational hypotheses, in which baseline cognitive control (assessed by performance on a cognitive task) and self-reported effortful control predict emotion regulation (follow-up 1), in turn predicting internalizing symptomatology or resilience (follow-up 2). Data of 84 people confronted with unemployment were analyzed using path models: one based on primary outcome measures (repetitive negative thinking and symptoms of depression, anxiety and stress) and one based on secondary questionnaire outcome measures (positive thinking style and resilience).</div></div><div><h3>Results</h3><div>The results show that effortful control and cognitive control are relevant distal factors to consider when investigating emotional symptoms in the unemployed.</div></div><div><h3>Limitations</h3><div>This study has sample modest in size, so it's important to interpret the results cautiously.</div></div><div><h3>Conclusion</h3><div>The current study shows how cognitive factors and emotion regulation can contribute to emotional distress and resilience when facing unemployment.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"18 ","pages":"Article 100848"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Recently, anxiety and depression disorders have spread among different societies and have had unpleasant effects on people involved with the disease and societies, so the treatment of these disorders should be prioritized. In recent years, the use of various psychotherapy methods, such as acceptance and commitment-based therapies (ACT), mindfulness-based cognitive therapy (MBCT), and compassion-based therapy (CFT) for the treatment of many disorders related to mental illness have been noticed. Therefore, the purpose of this study is to compare the effectiveness of compassion-based therapy, acceptance and commitment-based therapy, and mindfulness-based cognitive therapy on anxiety and depression disorders.
Methods
In this study, the electronic databases PubMed, Scopus, Web of Science, Embase, ScienceDirect and Google Scholar search engines were systematically searched for studies that show the effectiveness of compassion-based interventions, acceptance and commitment-based therapy, and mind-based cognitive therapy. Reports of awareness up to May 2023 were searched. Random effects model was used to perform the analysis. Data analysis based on the mean and standard deviation of anxiety disorders or depression before and after the intervention separately and Also, the difference between the mean before and after the intervention was done, the heterogeneity of the studies was investigated using the I2 test and the publication bias was investigated using Egger's test.
Results
After the search, 3433 studies were obtained from 6 research repositories, which left 1969 studies after removing duplicate studies. After the primary and secondary review, 1876 other studies were excluded from the study, and finally 93 studies remained and the information obtained from them was used in this study. On this basis, it was proved that all three interventions, MBCT, ACT and CFT, are effective in reducing the symptoms of depression and anxiety disorders, but the greatest effect on reducing the symptoms of depression and anxiety disorders was observed in ACT.
Conclusion
Considering the positive effect of ACT, MBCT and CFT in reducing the symptoms of anxiety disorders and depression, therapists can use these treatment methods as less expensive and uncomplicated treatment methods to improve the condition of patients with such disorders. order to reduce treatment costs for communities and people involved with this category of disorders.
{"title":"Comparison of the effectiveness of treatments based on compassion, acceptance and commitment, and mindfulness on anxiety disorders and depression: A systematic review and meta-analysis","authors":"Nader Salari , Pegah Heidarian , Roya Hassani , Fateme Babajani , Amir Abdolmaleki , Masoud Mohammadi","doi":"10.1016/j.jadr.2024.100847","DOIUrl":"10.1016/j.jadr.2024.100847","url":null,"abstract":"<div><h3>Background</h3><div>Recently, anxiety and depression disorders have spread among different societies and have had unpleasant effects on people involved with the disease and societies, so the treatment of these disorders should be prioritized. In recent years, the use of various psychotherapy methods, such as acceptance and commitment-based therapies (ACT), mindfulness-based cognitive therapy (MBCT), and compassion-based therapy (CFT) for the treatment of many disorders related to mental illness have been noticed. Therefore, the purpose of this study is to compare the effectiveness of compassion-based therapy, acceptance and commitment-based therapy, and mindfulness-based cognitive therapy on anxiety and depression disorders.</div></div><div><h3>Methods</h3><div>In this study, the electronic databases PubMed, Scopus, Web of Science, Embase, ScienceDirect and Google Scholar search engines were systematically searched for studies that show the effectiveness of compassion-based interventions, acceptance and commitment-based therapy, and mind-based cognitive therapy. Reports of awareness up to May 2023 were searched. Random effects model was used to perform the analysis. Data analysis based on the mean and standard deviation of anxiety disorders or depression before and after the intervention separately and Also, the difference between the mean before and after the intervention was done, the heterogeneity of the studies was investigated using the I<sup>2</sup> test and the publication bias was investigated using Egger's test.</div></div><div><h3>Results</h3><div>After the search, 3433 studies were obtained from 6 research repositories, which left 1969 studies after removing duplicate studies. After the primary and secondary review, 1876 other studies were excluded from the study, and finally 93 studies remained and the information obtained from them was used in this study. On this basis, it was proved that all three interventions, MBCT, ACT and CFT, are effective in reducing the symptoms of depression and anxiety disorders, but the greatest effect on reducing the symptoms of depression and anxiety disorders was observed in ACT.</div></div><div><h3>Conclusion</h3><div>Considering the positive effect of ACT, MBCT and CFT in reducing the symptoms of anxiety disorders and depression, therapists can use these treatment methods as less expensive and uncomplicated treatment methods to improve the condition of patients with such disorders. order to reduce treatment costs for communities and people involved with this category of disorders.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"18 ","pages":"Article 100847"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-26DOI: 10.1016/j.jadr.2024.100845
Carmela Mento , Clara Lombardo , Chiara La Barbiera , Simone Minossi , Maria Catena Silvestri , Abed Hadipour Lakmehsari , Fiammetta Iannuzzo , Giovanni Genovese , Maria Rosaria Anna Muscatello , Toshio Kawai
Objective
This study investigates the psychological factors influencing somatic symptoms following the end of a romantic relationship. We hypothesize that affective temperaments may predict attachment styles and depressive rumination components in individuals who have experienced abandonment. Furthermore, we postulate that gender differences exist in the variables under investigation.
Methods
The administered tests included: Temperament Evaluation of Memphis, Pisa, Paris and San Diego Questionnaire (TEMPS-A), Attachment Style Questionnaire (ASQ) and Ruminative Response Scale (RRS). The differences between the groups were assessed using Student's t-test for independent samples. In addition, regression analysis, in which the RRS (Brooding, Reflection and Depression) and ASQ (Confidence, Discomfort with Closeness, Need for Approval, Preoccupation with Relationships, and Relationships as Secondary) variables were considered dependent variables and all the TEMPS-A factors were included in the equation.
Results
Subjects at the end of a love affair presented the following psychosomatic symptoms: difficulty breathing, chest pain, feeling faint, sweating, dizziness, fatigue, palpitations, air hunger, difficulty sleeping, and swollen legs and ankles. The Anxious and Hyperthymic temperaments were negative predictors of the ruminative depressive dimension, and of “Confidence” and “Discomfort with Closeness” in the ASQ. The Cyclothymic and Anxious temperaments were predictors of “Discomfort with Closeness”, “Need for Approval”, “Preoccupation with Relationships”, and “Relationships as Secondary”.
Conclusion
Affective temperaments play a crucial role in determining how an individual deals abandonment in a romantic relationship, significantly influencing attachment styles and the tendency towards depressive rumination.
{"title":"Affective temperament, attachment style and life events related to abandonment in an Italian sample with somatic symptoms","authors":"Carmela Mento , Clara Lombardo , Chiara La Barbiera , Simone Minossi , Maria Catena Silvestri , Abed Hadipour Lakmehsari , Fiammetta Iannuzzo , Giovanni Genovese , Maria Rosaria Anna Muscatello , Toshio Kawai","doi":"10.1016/j.jadr.2024.100845","DOIUrl":"10.1016/j.jadr.2024.100845","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigates the psychological factors influencing somatic symptoms following the end of a romantic relationship. We hypothesize that affective temperaments may predict attachment styles and depressive rumination components in individuals who have experienced abandonment. Furthermore, we postulate that gender differences exist in the variables under investigation.</div></div><div><h3>Methods</h3><div>The administered tests included: Temperament Evaluation of Memphis, Pisa, Paris and San Diego Questionnaire (TEMPS-A), Attachment Style Questionnaire (ASQ) and Ruminative Response Scale (RRS). The differences between the groups were assessed using Student's <em>t</em>-test for independent samples. In addition, regression analysis, in which the RRS (Brooding, Reflection and Depression) and ASQ (Confidence, Discomfort with Closeness, Need for Approval, Preoccupation with Relationships, and Relationships as Secondary) variables were considered dependent variables and all the TEMPS-A factors were included in the equation.</div></div><div><h3>Results</h3><div>Subjects at the end of a love affair presented the following psychosomatic symptoms: difficulty breathing, chest pain, feeling faint, sweating, dizziness, fatigue, palpitations, air hunger, difficulty sleeping, and swollen legs and ankles. The Anxious and Hyperthymic temperaments were negative predictors of the ruminative depressive dimension, and of “Confidence” and “Discomfort with Closeness” in the ASQ. The Cyclothymic and Anxious temperaments were predictors of “Discomfort with Closeness”, “Need for Approval”, “Preoccupation with Relationships”, and “Relationships as Secondary”.</div></div><div><h3>Conclusion</h3><div>Affective temperaments play a crucial role in determining how an individual deals abandonment in a romantic relationship, significantly influencing attachment styles and the tendency towards depressive rumination.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"18 ","pages":"Article 100845"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
One of the most important challenges during pregnancy and postpartum is physical and emotional changes, including obsessive compulsive disorder. The aim of the current study is to investigate the global prevalence of obsessive-compulsive disorder during pregnancy and postpartum through a systematic review and meta-analysis.
Methods
In this research, a systematic search was conducted in several electronic databases, including PubMed, Scopus, Web of Science, Embase, ScienceDirect, and Google Scholar search engine. The search was conducted until March 2023 to find studies on the prevalence of obsessive-compulsive disorder during pregnancy and after giving birth. The Random Effects Model was used to perform the analysis and the heterogeneity of the studies was evaluated using the I2 index. Also, Comprehensive Meta-Analysis Software version 2.0 was used for data analysis.
Results
In a review of 21 studies with a volume of 2Fairbrother et al., 2016581 people, the prevalence of obsessive-compulsive disorder during pregnancy was reported as 9.1 (95 %CI: 5.2–15.6). Also, in a review of 12 studies with a volume of 7649 people, the prevalence of obsessive-compulsive disorder in postpartum period was reported as 6.2 (95 % CI: 4–9.5).
Conclusion
Based on the findings of the meta-analysis, it was revealed that in the context of pregnancy and postpartum, the prevalence of obsessive-compulsive disorder is a significant concern. Hence, more attention and support of clinicians who care for women in this period is essential. By proactively reducing the complications of OCD in both women and their infants, society can work toward ensuring positive health outcomes for all.
{"title":"Global prevalence of obsessive-compulsive disorder in pregnancy and postpartum: A systematic review and meta-analysis","authors":"Nader Salari , Sina Sharifi , Masoud Hassanabadi , Fateme Babajani , Habibolah Khazaie , Masoud Mohammadi","doi":"10.1016/j.jadr.2024.100846","DOIUrl":"10.1016/j.jadr.2024.100846","url":null,"abstract":"<div><h3>Background</h3><div>One of the most important challenges during pregnancy and postpartum is physical and emotional changes, including obsessive compulsive disorder. The aim of the current study is to investigate the global prevalence of obsessive-compulsive disorder during pregnancy and postpartum through a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>In this research, a systematic search was conducted in several electronic databases, including PubMed, Scopus, Web of Science, Embase, ScienceDirect, and Google Scholar search engine. The search was conducted until March 2023 to find studies on the prevalence of obsessive-compulsive disorder during pregnancy and after giving birth. The Random Effects Model was used to perform the analysis and the heterogeneity of the studies was evaluated using the I<sup>2</sup> index. Also, Comprehensive Meta-Analysis Software version 2.0 was used for data analysis.</div></div><div><h3>Results</h3><div>In a review of 21 studies with a volume of 2<span><span>Fairbrother et al., 2016</span></span>581 people, the prevalence of obsessive-compulsive disorder during pregnancy was reported as 9.1 (95 %CI: 5.2–15.6). Also, in a review of 12 studies with a volume of 7649 people, the prevalence of obsessive-compulsive disorder in postpartum period was reported as 6.2 (95 % CI: 4–9.5).</div></div><div><h3>Conclusion</h3><div>Based on the findings of the meta-analysis, it was revealed that in the context of pregnancy and postpartum, the prevalence of obsessive-compulsive disorder is a significant concern. Hence, more attention and support of clinicians who care for women in this period is essential. By proactively reducing the complications of OCD in both women and their infants, society can work toward ensuring positive health outcomes for all.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"18 ","pages":"Article 100846"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}