Anxiety In People Research Articles

LEVELS OF SITUATIONAL AND PERSONAL ANXIETY IN OLDER AGE GROUPS

The prevalence of anxiety disorders in older age groups is becoming a significant burden on public health. Compared with other age groups, elderly people suffering from mental illness, especially with anxiety disorders, often remain without proper diagnosis and treatment. Underestimation of anxiety disorder and its insufficient therapy can create difficulties in correcting general medical problems and be a factor in the progression of somatic disease. Purpose. To study age-related characteristics of levels of situational and personal anxiety in people of older age groups. Materials and methods. The present study involved patients with arterial hypertension aged 45 to 90 years. A total of 535 patients were examined of which 266 people. we made up an elderly group and 103 people – a group of senile age. Using the State-Trait Anxiety Inventory (STAI) questionnaire designed for self-assessment of various levels of anxiety, the severity of personal and situational anxiety was assessed. Results. The frequency of situational and personal anxiety varied in the range from 3.25% to 40.4% and was slightly lower in people of older age groups. Among men of older age groups, the frequency of increased and pronounced levels of personal anxiety was statistically significantly higher in comparison with women of the same age group. Both among women and among older men pronounced levels of situational anxiety were more common in comparison with persons of younger age groups. Conclusion. In people of older age groups, the severity of levels of personal and situational anxiety depended on the age and gender of the subjects.

Predictors of primary care psychological therapy outcomes for depression and anxiety in people living with dementia: evidence from national healthcare records in England.

Psychological therapies can be effective in reducing symptoms of depression and anxiety in people living with dementia (PLWD). However, factors associated with better therapy outcomes in PLWD are currently unknown. To investigate whether dementia-specific and non-dementia-specific factors are associated with therapy outcomes in PLWD. National linked healthcare records were used to identify 1522 PLWD who attended psychological therapy services across England. Associations between various factors and therapy outcomes were explored. People with frontotemporal dementia were more likely to experience reliable deterioration in depression/anxiety symptoms compared with people with vascular dementia (odds ratio 2.98, 95% CI 1.08-8.22; P = 0.03) or Alzheimer's disease (odds ratio 2.95, 95% CI 1.15-7.55; P = 0.03). Greater depression severity (reliable recovery: odds ratio 0.95, 95% CI 0.92-0.98, P < 0.001; reliable deterioration: odds ratio 1.73, 95% CI 1.04-2.90, P = 0.04), lower work and social functioning (recovery: odds ratio 0.98, 95% CI 0.96-0.99, P = 0.002), psychotropic medication use (recovery: odds ratio 0.67, 95% CI 0.51-0.90, P = 0.01), being of working age (recovery: odds ratio 2.03, 95% CI 1.10-3.73, P = 0.02) and fewer therapy sessions (recovery: odds ratio 1.12, 95% CI 1.09-1.16, P < 0.001) were associated with worse therapy outcomes in PLWD. Dementia type was generally not associated with outcomes, whereas clinical factors were consistent with those identified for the general population. Additional support and adaptations may be required to improve therapy outcomes in PLWD, particularly in those who are younger and have more severe depression.

Feasibility and Acceptability of a Videoconferencing CBT Intervention for Anxiety in People with Parkinson’s Disease

ABSTRACT Objectives In people with Parkinson’s disease (PwPD), non-motor symptoms such as anxiety are common and have negative impacts on their quality of life. There are currently few interventions that address anxiety in PwPD, and access to diagnosis and treatment is often limited for those living in rural areas. The aim of this study was to evaluate the feasibility and acceptability of a telehealth videoconferencing CBT intervention for anxiety in PwPD. Methods A pre- and post-test feasibility study (N = 10) was conducted and evaluated utilizing the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Results Lack of access to the internet and videoconferencing technology were identified as barriers to participation. Physical health issues also impacted recruitment and retention. Non-completers were significantly older and less likely to have a carer involved in the intervention. Clinician adoption of the intervention was low while participant acceptability of videoconferencing technology varied and required carer support. Conclusions Providing access to technology and support to overcome technological issues, as well as telehealth training for clinicians, are recommended in future studies to improve recruitment, retention, and implementation. Clinical implications Identification of barriers and facilitators provides future studies with the knowledge to tailorize their program to better suit PwPD.

The Level of Public Anxiety Regarding the Covid-19 Vaccine

The Covid-19 virus is a new Corona virus that can cause disease in animals and humans. Covid-19 began to spread in Wuhan and developed into a pandemic. This disease causes various symptoms and can even cause death. One of the efforts being made by the government currently to control the spread of Covid-19 is by vaccinating its citizens. The aim of this research was to determine the level of public anxiety about the Covid-19 vaccine. The research method was carried out quantitatively with a descriptive analysis design. The survey was carried out by distributing the Depression Anxity Stress Scale (DASS 42) questionnaire to people who were vaccinated against Covid-19 at the Muhammadiyah University of Tasikmalaya. The results of the research showed that the level of public anxiety was mostly mild, namely 95 respondents (90.48%) while the level of anxiety was moderate, namely 10 respondents (9.52%). The conclusion in this study is that people's anxiety levels are in the mild to moderate range.

The mobile spatialization of agriculture in Hong Kong

This paper examines the multi-actor making of the ruralscape in Hong Kong. I critically adopt the theoretical framework of Ingold's concepts of walking to understand how different “wayfarers”, including but not limited to farmers, residents, land activists, agriculture learners, researchers, journalists, leisure practitioners and government officials, walk to make a multi-sensorial landscape. This paper encapsulates the observation outcomes of multiple times of walking by different individuals and groups recorded during my ethnographic fieldwork between 2008 and 2021. I shed light on the local practices and perspectives of hang cyun (walking in villages) and hang tin (walking in fields) to illustrate my observations. By analyzing the wayfarers' walking experiences and embodied movements, I consider the ruralscape as a vibrant space where people configure its meanings and materialize their lifestyle. The wayfarers' embodied experiences reflect the continuity and changes of a rural Hong Kong. Their making of ruralscape helps alleviate people's anxiety and enhance people's hope concerning the current Hong Kong society that faces food safety issues, environmental degradation, social class disparity and spoon-feeding education. I consider that being an agent who exercises his/her subjectivity during the walking in the ruralscape, a wayfarer makes the ruralscape meaningful in various aspects. My explanation contributes to the theoretical discussion of embodied movement and space making particular to the construction of a politicized nature telling us stories of (in)equality, (in)justice, and hope (lessness).

Validation of the health belief model scale for generalized anxiety in Mexican adult of general population

According to the literature review, there are theoretical models that explain the presence of anxiety in people. These explanations agree that beliefs regarding control and the perception of vulnerability to worry seem to play an important role in the onset and maintenance of generalized anxiety disorder (GAD). Perceiving oneself capable of modifying these concerns facilitates change and taking action in the face of worrying situations in everyday life. The Health Belief Model (HBM) has been one of the most widely used conceptual frameworks to explain the change and maintenance of behaviors related to different health situations and to develop scales that allow identifying beliefs related to the problem in question, however , there are no scales based on this model for generalized anxiety, so the purpose of this research was the construction and validation of a scale with these characteristics. The construction of the items was carried out based on the dimensions that make up the HBM and subsequently validation by judges was carried out. Scales of anxiety, depression, life satisfaction, and self-efficacy were applied to establish the convergent and discriminant validity of the scale. Finally, an Exploratory Factor Analysis was carried out, from which 24 Likert-type scale items were obtained that were grouped into 5 dimensions, explaining 58.6% of the total variance and with a total Cronbach's alpha of .803.&#x0D;

Prevalence and determinant factors of depression and anxiety in people with chronic kidney disease: a Moroccan cross-sectional study.

the chronic kidney disease (CKD), is associated with various psychiatric conditions and poorer quality of life. The main objective of this study is to estimate the prevalence of depression and anxiety among CKD patients and to assess their determinant factors. this is a cross-sectional study in a Moroccan university hospital. Patients aged ≥18 years and followed for more than one year for a stage 3 to 5 CKD, not under renal replacement therapy (RRT) were included. The data were collected using a questionnaire and the hospital anxiety and depression scale (HADS). The association between depression and anxiety sub-scores and the estimated glomerular filtration rate (eGFR) was assessed using simple and multiple linear regression. eighty-three patients (mean age 61.7 ± 14.1 years, and 61.4% were women), were included. Regarding the stages of CKD, 10.7% were in stage 3, 52.2% in stage 4, and 25% in stage 5 of CKD. The median of the depression sub-score was 5.00 (IQR (2.00; 10.0)). The median of the depression sub-score was 5.00 (IQR (2.00; 10.09)), and the median of the anxiety sub-score was 6.00 (IQR (4.00; 9.00)). It also shows that 22.0% of patients had depression (stage 4 = 23.8%, stage 5 = 36.8%) and 22.2% had anxiety (stage 4 = 26.2%, stage 5 = 33.3%). Both depression and anxiety scores were significantly associated with the eGFR before (p<0.001, p= 0.001 respectively) and after adjustment (p=0.001, p=0.002 respectively). according to this study depression and anxiety are strongly related to eGFR.

Psychological interventions for decreasing anxiety in people with multiple sclerosis (MS): A systematic review

Objective. Multiple sclerosis (MS) has unpleasant psychological consequences including anxiety and besides it has been accompanied with physical harms. According to this, the current study was conducted with the purpose of reviewing psychological interventions for decreasing anxiety in people with multiple sclerosis (MS). Materials and methods. This study was conducted by using a systematic review in researches published from January 2012 to November 2022. Indexing databases as PubMed and Scopus, Google Scholar were examined. For searching articles, the words as multiple sclerosis, psychological interventions, psychotherapy, anxiety, psychology, clinical trials and randomized clinical trial were examined. Eventually, 16 articles were analyzed. Results. The results demonstrated that cognitive behavioral therapy (CBT), mindfulness, acceptance and commitment therapy (ACT) have considered as the most practical therapeutic methods in treating anxiety in patients affected by MS. Moreover, the results showed that dialectical behavior therapy (DBT), Mindfulness-integrated cognitive behavior therapy, Logotherapy and internet-based cognitive behavioral therapy (ICBT) and self-management have had an influential role in decreasing the anxiety of these patients. Conclusion. According to this, it can be concluded that cognitive behavioral therapy (CBT), mindfulness, acceptance and commitment therapy (ACT) have been placed in the first line of treatment for the treating anxiety in patients affected by MS. Therefore, it is suggested to implement these interventions owning to improve the psychological health of these patients.

EFFECTIVENESS OF BEHAVIORAL COGNITIVE THERAPY ON ANXIETY IN PATIENTS WITH DIABETES MELLITUS

Diabetes mellitus is a chronic disease characterized by high blood glucose levels and disturbances in the metabolism of carbohydrates, fats, and proteins due to insufficient insulin hormone. Anxiety in DM sufferers affects fluctuations in blood glucose which causes unstable blood sugar levels, even though diet, physical exercise, and drug use have been attempted appropriately. DM sufferers have three times the risk of anxiety compared to the general population, diabetes complications can make daily life activities more difficult to carry out, resulting in prolonged sadness. Anxiety in Diabetes Mellitus sufferers affects blood glucose fluctuations which cause unstable blood sugar levels, even though diet, physical exercise and appropriate use of medication have been made. Cognitive behavioral group counseling emphasizes how emotional and behavioral problems can be overcome effectively through cognitive restructuring and shows how irrational beliefs interfere and how they can change inaccurate thoughts with a variety of methods. The purpose of this study was to determine the effectiveness of cognitive behavioral therapy for anxiety in people with diabetes mellitus. Methods To electronic data based Pubmed and Google Scholar with keywords in English and Indonesian, which are published nationally and internationally. This literature study uses The Joanna Briggs Institute guideline is used for assess quality and the Prisma checklist to guide this review. from the search for articles found results that have identified as many as 279 articles with the number of results entered as many as 5 articles. This literature study shows that Cognitive Behavior Therapy for anxiety in patients with diabetes mellitus is effective in reducing anxiety in patients with diabetes mellitus.&#x0D; &#x0D; Keywords: Cognitive Behavior Therapy, Anxiety, Diabetes Mellitus

Analisis Impostor Syndrome dalam Aspek Religiositas terhadap Waqf Behavior Mahasiswa IPB dengan Pendekatan Ebbinghaus Forgetting Curve

In the context of productive waqf development in Indonesia, especially at Bogor Agricultural University (IPB), this research is rooted in the high potential of waqf followed by the tendency of students to contribute. With the Indonesian Waqf Board (BWI) as the main mover and IPB as an educational institution that acts as a nazir, increasing waqf literacy has had an impact on people's anxiety about post-life in the world, motivating them to actively waqf. Furthermore, this study links the phenomenon of Impostor Syndrome with the Ebbinghaus Forgetting Curve, highlighting the psychological and cognitive role in the retention of waqf-related information. This research uses a mixed method, namely quantitative derived from the results of CIPS and STAI tests of respondents to identify impostor syndrome and power function decline to find the new ebbinghaus forgetting curve. The qualitative method carried out is derived from interviews with key persons. Through a focus on IPB students, this study aims to understand how Impostor Syndrome feelings can affect aspects of religiosity and student waqf contributions, with the hope that the results can form emotionally stable, sincere, and balanced waqf behavior in achieving life balance.

Clinical effectiveness of treatments for the management of anxiety in community dwelling people living with dementia: a systematic review and meta‐analysis

AbstractBackgroundPeople living with dementia commonly experience distress or behavioural and psychological symptoms, such as anxiety, which are associated with worse outcomes in this population. Symptoms of anxiety can be challenging to manage, as there is limited evidence supporting the prescription of psychotropic medications and it is unclear if conventional psychological treatments, such as cognitive behavioural therapy, are effective. The aim of this systematic review and meta‐analysis was therefore to investigate the effectiveness of pharmacological and non‐pharmacological treatments for the management of anxiety in community dwelling people living with dementia.MethodA systematic review and meta‐analysis was conducted of randomised controlled trials until January 2022, searching EMBASE, CINAHL, MEDLINE and PsycInfo. This is currently being updated to Jan 2023. Standardised mean differences were estimated at follow‐up between treatments and pooled across studies using random‐effects models. The Cochrane risk‐of‐bias tool for randomized trials assessed risk of bias and meta‐analysis was performed if three or more studies of a treatment group were available.ResultTwenty‐seven studies (comprising 2517 participants) were included. We categorised these as pharmacological interventions (n = 8), non‐pharmacological group interventions (n = 8) and non‐pharmacological individual interventions (n = 11). Pharmacological interventions with evidence of potential effectiveness included olanzapine, loxapine, citalopram, buspirone and risperidone; and those with no evidence of effectiveness were thioridazine and haloperidol. Meta‐analyses was not performed due to study heterogeneity.Some non‐pharmacological treatments were found to be effective in reducing anxiety in people living with dementia, compared to usual care or active controls. For interventions aimed at individuals the pooled standardised mean difference was ‐0.41 (CI: ‐0.71, ‐0.11) and for those aimed at groups it was ‐0.44 (CI: ‐0.79, ‐0.09). When examining different type of intervention, results suggest music therapy and muscular approaches (e,g, relaxing massage) were effective in reducing anxiety symptoms, while cognitive approaches and sensory stimulation were not. We will present additional findings from updated searches.ConclusionResults suggest non‐pharmacological interventions can be effective in reducing anxiety in community‐dwelling people living with dementia. This supports the development and use of more group‐based non‐pharmacological interventions to help reduce anxiety among people living with dementia in the community and their carers.

Predictors of primary care psychological therapy outcomes for treatment of depression and anxiety in people living with dementia: evidence from national healthcare records in England

AbstractBackgroundPrimary care psychological therapy services can be effective in reducing symptoms of depression and anxiety in people living with dementia (PLWD) and are recommended in national guidelines (e.g., NICE, UK). However, it is currently unknown which factors are associated with better psychological therapy outcomes in PLWD.MethodNational linked healthcare records (IAPT, HES, MHSD, HES‐ONS mortality data) were used to identify 1,522 PLWD who attended psychological therapy services across England. Associations between various factors (dementia‐specific and non‐dementia specific) and therapy outcomes on widely used anxiety (GAD7) and depression (PHQ9) measures (reliable improvement, recovery, deterioration, dropout) were explored.ResultPeople with FTD were more likely to experience a deterioration in depression or anxiety symptoms compared to people with vascular dementia (OR = 2.98, 95%CI[1.08,8.22], p = .03) and people with Alzheimer’s disease (OR = 2.95, 95%CI[1.15,7.55], p = .03). Age at dementia diagnosis did not predict any therapy outcomes after controlling for sociodemographic and clinical factors. Greater depression severity (recovery: OR = .95, 95%CI[.92,.98], p&lt;.001; deterioration: OR = 1.73, 95%CI[1.04,2.90], p = .04), lower anxiety severity (improvement: OR = 1.06, 95%CI[1.03,1.09], p&lt;.001; deterioration: OR = .89, 95%CI[.84,.94], p&lt;.001; dropout: OR = 1.06, 95%CI[1.02,1.11], p = .01), lower work and social functioning (improvement: OR = .98, 95%CI[.96,.99], p = .002; recovery: OR = .98, 95%CI[.96.99], p = .002; dropout: OR = 1.03, 95%CI[1.01,1.05], p = .01), psychotropic medication use (improvement: OR = .62, 95%CI[.46,.84], p = .002; recovery: OR = .67, 95%CI[.51,.90], p = .01; deterioration: OR = 1.73, 95%CI[1.04,2.90], p = .04), being working age (improvement: OR = 2.11, 95%ci[1.10, 4.04], p = .02; recovery: OR = 2.03, 95%CI[1.10,3.73], p = .02), and fewer therapy sessions (improvement: OR = 1.10, 95%CI[1.06,1.14], p&lt;.001; recovery: OR = 1.12, 95%CI[1.09,1.16], p&lt;.001) were all associated with worse psychological therapy outcomes in PLWD.ConclusionPredictors of psychological therapy outcomes in PLWD were largely in line with those identified for a general population above and beyond dementia‐specific factors. Additional support and adaptations, such as more therapy sessions and regular clinical reviews, may be required to improve therapy outcomes in PLWD, particularly in those who are younger and have more severe depression.

Дослідження тривожних станів у українців в умовах війни після перегляду новин у ЗМІ

The article presents the results of a study of anxiety states among Ukrainians during war after watching news in the media. Particular attention is paid to the study of assessing the level of situational (reactive) anxiety using the Spielberg-Khanin method. An analysis of theoretical studies and publications is presented that the revision of news in the media has a significant impact on the occurrence of anxiety in people. The rationale for the criteria for human anxiety states is given. The types of anxiety disorder whose symptoms include anxiety and causeless fear are substantiated. Three groups of respondents were identified that are qualitatively different from the general group of respondents in terms of the level of situational anxiety and have a significantly lower chance of developing anxiety disorders and phobias, despite age, gender, and revision of a negative media product. It is noted that the realization of creative potential is one of the preventions of the occurrence of excessive anxiety, fears and phobias. A number of preventive measures are presented aimed at reducing both the level of situational anxiety and the progress of various anxiety states in general.

Стан тривожності у військових із різною стресостійкістю

This article analyzes the state of anxiety in military personnel with different levels of stress resistance. It was found that in servicemen with good stress resistance, a week after returning from the battlefield, a low form of situational and personal anxiety prevailed, and with medium stress resistance, high anxiety prevailed. 3 months after returning from combat, among servicemen with good stress resistance, the number of persons with low situational anxiety increased by 12%, and personal anxiety – by 4%, while high anxiety dominated with average stress resistance. High and medium positive correlations were established in persons with good and medium stress resistance and anxiety in the military. The purpose of the work is to assess the state of anxiety in military personnel with different levels of stress resistance. Materials and methods. We tested 637 servicemen who returned from the combat zone. We determined stress resistance using the test method «Stresses and stress resistance», according to which the examinees were asked to answer twenty-three questions, each of which was offered four options for answers. Anxiety (personal and situational) was examined using the Spielberger-Hanin anxiety scale (State-Trait Anxiety Inventory – STAI). The methodology consisted of 40 statements (20 to determine the level of situational anxiety and 20 – personal). The statistical processing of the obtained results was carried out by the methods of variational analysis using the licensed statistical software package «Analyst Soft Stat Plus 6» (license number 11895400) and the «Microsoft Excel» software. Results and discussion. Based on the obtained results, we can talk about the positive and reliable dynamics of reducing the level of anxiety in people with different stress resistance, however, people with good stress resistance experienced a faster and better recovery than military personnel with average stress resistance. This article analyzes the state of anxiety in military personnel with different levels of stress resistance. It was found that in servicemen with good stress resistance, a week after returning from the battlefield, a low form of situational and personal anxiety prevailed, and with medium stress resistance, high anxiety prevailed. 3 months after returning from combat, among servicemen with good stress resistance, the number of persons with low situational anxiety increased by 12%, and personal anxiety – by 4%, while high anxiety dominated with average stress resistance. High and medium positive correlations were established in persons with good and medium stress resistance and anxiety in the military.

From home practice to virtual reality: The subjective experience of mindfulness-based therapy of people with concomitant social anxiety and psychotic disorder

AimsThis paper aims at exploring the subjective experience, particularly in terms of acceptability and feasibility, of a mindfulness-based intervention for people with a psychotic disorder and social anxiety. Mindfulness interventions benefit from empirical support for decreasing anxiety in people with psychotic disorders, yet the effects on specific anxiety disorders, namely social anxiety, have scarcely been studied. MethodsThree different studies were conducted in order to determine the feasibility and acceptability of the mindfulness intervention and of the use of homework and VR exposure for people with psychotic disorder and social anxiety: two single case studies (one with virtual reality) and a pilot study (n = 6). ResultsThe intervention proposed was generally well-accepted and appreciated by the participants, but the meditation homework stood out as rather difficult for some participants. The virtual reality addition appeared to have a positive impact on the therapy, being also well-accepted and appreciated by the participant, but also considered stressfull. ConclusionsThis paper shows that the mindfulness-based intervention presented is feasible, appreciated by the participants and has potential to be useful and therapeutic in the context of social anxiety in people with a psychotic disorder, even though efficacy cannot be established in these exploratory studies. The added value of encouraging at-home practice and of using VR exposure to the treatment merits further investigation. Future studies are needed to determine the efficacy of the treatment, especially with the virtual reality exposure and homework encouragements.

Diversity of Binge-Eating Disorder Symptoms Is Associated with Anxiety about Getting Fat Rather Than Body Image: A Clinical Study of Women in Poland.

Anxiety about gaining weight is strongly related to body image. Evidence indicates that body dissatisfaction is a strong predictor of eating disorder development. Although not included in DSM-V diagnostic criteria, body image dissatisfaction, and concern are clearly relevant also for individuals with binge-eating disorder (BED). Weight gain anxiety is associated with psychopathological behaviors, but existing research in this area is primarily focused on bulimia nervosa and anorexia nervosa. The goal of this present study was to investigate body image and body mass anxiety in people with BED. Women diagnosed with BED (n = 105) aged 18 to 66 were surveyed using the questionnaire developed by the authors evaluating the presence of BED symptoms based on DSM-V criteria, and two other instruments: the Body Esteem Scale (BES), and the Body Mass Anxiety Scale (BMAS-20). Statistical analyses were conducted to examine the correlations of BED with body image and body mass anxiety (Pearson's r), to test differences between groups with greater and lesser BED symptom diversity (Student's t-test or the Mann-Whitney U test), and to assess differences among mild-, moderate- and severe-BED groups (ANOVA with a post-hoc test). A medium positive relationship was found between anxiety about getting fat (AGF) and the diversity of BED, measured as the number of BED symptoms. A larger number of BED symptoms was shown to be associated with a higher level of AGF. However, no significant differences in AGF levels were observed among BED-severity groups, specified with the frequency of binge eating episodes. No correlations were found between BED and body image. There were also no significant differences in body image between groups with a larger and a smaller number of BED symptoms. The only significant difference in body image observed among BED-severity groups was the level of weight concern. People with mild BED displayed a higher level of weight concern than those with severe BED. Women who binge eat experience high levels of AGF. In the present study, AGF was primarily associated with the number of BED symptoms and not the rate of recurrence of binge-eating episodes. The frequency of BED episodes, however, was linked with weight concern. On the other hand, the hypothesized relationship between disturbed body image and BED was not confirmed. The findings indicate that anxiety about getting fat should be viewed as one of the psychological costs incurred by women experiencing BED symptoms, and it should be mentioned in the next DSM version.

P102 Sleep Quality, Depression, and Anxiety in People with Spinal Cord Injury and Traumatic Brain Injury Undergoing Inpatient Rehabilitation.

Abstract Introduction Poor sleep, depression, and anxiety are prevalent secondary complications of spinal cord injury (SCI) and traumatic brain injury (TBI), and may interfere with recovery. This observational, exploratory study aimed to describe subjective and objective sleep quality, and levels of depression and anxiety in people with SCI and TBI undergoing inpatient rehabilitation; and to explore associations between sleep quality, depression, and anxiety. Methods Twenty-four patients admitted to two neurorehabilitation facilities following SCI (n =18) or TBI (n = 6) completed the Pittsburgh Sleep Quality Index, the Depression, Anxiety, and Stress Scale-21, and one week of actigraphy monitoring. Results Most participants reported poor subjective sleep quality (83%). Average depression and anxiety scores were within normal levels. Higher anxiety scores correlated with lower subjective sleep quality, longer sleep onset latency, and lower subjective total sleep time. Discussion The findings suggest that targeting anxiety may improve sleep quality in inpatients with SCI or TBI, and vice-versa. Longitudinal and interventional studies are required to understand whether these relationships are reciprocal, and whether therapies targeting both sleep and mental health during inpatient rehabilitation can improve patient outcomes.

P030 Understanding the relationships between sleep quality, and depression and anxiety in neurotrauma: A scoping review.

Abstract Introduction Sleep problems, depression, and anxiety are highly prevalent following a spinal cord injury (SCI) and traumatic brain injury (TBI) and may worsen functional outcomes and quality of life. This scoping review examined the existing literature to understand the relationships between sleep quality, depression, and anxiety in people with SCI and TBI, and to identify gaps in the literature. Methods A systematic search of seven databases was conducted. The findings of 30 eligible studies reporting associations between sleep quality and depression and/or anxiety following SCI or TBI were synthesised. Results The included studies were mostly cross-sectional and employed a range of subjective and objective measures of sleep quality. Poor subjective sleep quality and insomnia tended to be significantly associated with increased levels of depression and/or anxiety, but no such associations were reported when sleep quality was measured objectively. Two longitudinal studies observed worsening depressive symptoms over time were related to insomnia and persistent sleep complaints. Two interventional studies found that treating sleep problems improved symptoms of depression and anxiety. Discussion The findings of this review suggest that sleep and psychopathology are related in people with neurotraumatic injuries. This has important therapeutic implications, as individuals may benefit from therapy targeting both sleep and psychological issues. More longitudinal and interventional studies are warranted to further understand the direction and strength of the relationships, and how they impact patient outcomes.

The Effect of Personality Factors on Social Appearance Anxiety and Life Satisfaction

The purpose of this research is to investigate the association between social appearance anxiety levels and the influence of different personality traits on life happiness. The study's sample consists of 488 university students registered in the Faculty of Sports Sciences at Bingol University, 221 (45.3%) of whom are female and 267 (54.7%) of whom are male. The Five Factor Personality Scale, Social Appearance Anxiety Scale, and Life Satisfaction Scale were used to gather data. The data was rigorously analyzed using the SPSS 26 program, as well as numerous statistical approaches and data analysis tools. The research findings indicate that the sub-dimensions of extraversion (β = -.111), agreeableness (β = -.159), self-control (β = .114), neuroticism (β = -.098), and openness to experience (β = -.324) appear to predict social appearance anxiety. Furthermore, the sub-dimensions of personality characteristics, extraversion (β = .149) and neuroticism (β = -.129), predict life satisfaction considerably. As a consequence, these findings show that personality characteristics have a major impact on people's social appearance, anxiety levels, and life happiness. Notably, subpersonality traits like extraversion and neuroticism play a decisive role in these effects.

The Effects of Mindfulness on Glycemic Control in People with Diabetes: An Overview of Systematic Reviews and Meta-Analyses.

Background: Previous research has demonstrated the effectiveness of mindfulness interventions in improving glycemic control. By enhancing attention control, emotion regulation, and self-awareness, mindfulness shows promise in managing the lifestyle factors associated with cardiovascular disease risk. However, the impact of mindfulness on glycemic control in people with diabetes remains unclear. This overview aims to summarize the current evidence of the impact of mindfulness interventions on glycemic control in people with diabetes and propose suggestions for future research. Methods: The author searched electronic databases (PubMed/MEDLINE, Embase, and Cochrane Library) to identify relevant systematic reviews and meta-analyses. The current evidence regarding the effects of mindfulness on glycemic control in people with diabetes was summarized. Results: This review evaluated a total of five systematic reviews and meta-analyses of randomized controlled trials (RCTs). Mindfulness interventions show potential for improving glycemic control as measured by hemoglobin A1c (HbA1c) levels, as well as reducing stress, depression, and anxiety in people with diabetes. Four out of five systematic reviews and meta-analyses reported a significant reduction in HbA1c levels by approximately 0.3%. However, the available studies lacked adequate description of key characteristics of study subjects, such as body mass index, medication, and disease conditions, which are essential for assessing the impact of mindfulness on glycemic control. Moreover, there was significant heterogeneity in the intervention methods employed across the included RCTs. Conclusions: Mindfulness interventions are effective in improving glycemic control in people with type 2 diabetes. However, the overall quality of the reviewed studies raises uncertainty regarding the effectiveness of mindfulness as a treatment for people with diabetes. Further research is necessary to elucidate the biological effects of mindfulness on physiological, neurological, and endocrinological functions in humans.