Average Anxiety Scores Research Articles

Chronic diseases among paramedics and their impact on mental health

IntroductionWorking in a care setting is characterised by an increased mental and physical load. During their professional life, personnel in this sector can develop essentially degenerative pathologies, which could influence their professional career as well as their psychological balance.ObjectivesWe aimed to evaluate the impact of chronic pathologies on the prevalence of anxiety and depression among this group.MethodsWe conducted a cross-sectional study in hospitals in Sfax using a self-administered questionnaire. This questionnaire evaluated socio-demographic, professional, and clinical characteristics as well as an evaluation of the degree of anxiety and depression by the HAD questionnaire.ResultsOur population consisted of 120 participants. The average age was 37 years, with a female predominance (a sex ratio of 0.69). The chronic pathologies found in the participants were mainly diabetes (18%), high blood pressure (4%), and rheumatic disease (6.7%). The average anxiety score was 8.18± 3.5 and that of depression was 9.02± 3.5. Certain depressive and anxious signs were found in 28.4% and 23.6% of participants, respectively. Although the average scores for anxiety and depression were higher in the subgroup of personnel with chronic pathologies (respectively, 9.8 versus 9.04 and 9.3 versus 8.46), these differences were not statistically significant (p > 0.05).ConclusionsPhysical and mental health are both important to ensure a balanced life. Having good control of somatic illness can improve mental health.Disclosure of InterestNone Declared

Study on the combination of innovative and entrepreneurial thinking training and psychological nursing intervention to alleviate college students’ employment anxiety

BackgroundEmployment anxiety is a kind of nervous and persistent negative emotion that college students have toward the future when they are about to graduate. It causes a series of cognitive, physiological, and behavioral changes, specifically manifested in the decline of sleep quality, anorexia, and pessimism. This psychological disease has a serious negative impact on the growth of college students. Psychological nursing is to conduct psychological counseling and intervention for patients, carry out mental health education, and help patients alleviate anxiety symptoms and emotions. Given the characteristics of employment anxiety in college students, on the one hand, innovative and entrepreneurial thinking training will provide employment ideas for patients; on the other hand, psychological nursing should be used to properly intervene the patients with employment anxiety, to promote the rehabilitation of the disease.Subjects and MethodsIn the experiment, students suffering from employment anxiety were randomly selected from a university by simple random sampling and were equally divided into the experimental group (50 cases) and the control group (50 cases). The control group only carried out innovative and entrepreneurial thinking training, while the experimental group also carried out psychological nursing intervention in addition to innovative and entrepreneurial thinking training. One month after the experiment, the two groups of patients were evaluated and scored with the Employment Anxiety Scale and were judged whether they were cured.ResultsOne month after treatment, the two groups of patients were evaluated with the College Students’ Employment Anxiety Scale, and the results are shown in Table 1.Table 1.Comparison of anxiety scale scores between the two groups after treatmentEmployment anxiety categoryControl groupExperimental grouptPPhysiological behavior of employment anxiety18.02415.9564.3550.0001Subjective feelings of employment anxiety12.32510.6373.5540.001Employment anxiety18.06816.3583.6010.0009From Table 1, the average score of employment anxiety of the control group is 1.71 points lower than that of the experimental group. The cure rate of the control group was 87.52%, while that of the experimental group was only 66.13%. The cure rate of the experimental group was higher than that of the control group. The difference between the two groups was statistically significant, with P < 0.05.ConclusionsCompared with the control group, the experimental group added psychological nursing intervention based on the routine treatment of college students’ employment anxiety. The results show that psychological nursing can effectively improve the employment anxiety of college students, and its therapeutic effect is significantly better than that of only carrying out innovative and entrepreneurial thinking training. Therefore, the use of innovative and entrepreneurial thinking training combined with psychological nursing intervention can improve the cure rate of college students’ employment anxiety.

Effect of Five Finger Hypnosis Anxiety Hypertension Clients at Puskesmas Neglasari, Tangerang City

Background: hypertension is a disorder of the blood vessels that has become a problem in both developed and developing countries, clients with hypertension can cause anxiety (anxiety). One of the interventions to reduce anxiety levels is the five finger hypnotic therapy technique. Purpose : determine the effect of five finger hypnosis on anxiety (anxiety) at Nelasari Health Center, Tangerang City, Banten. Methodology : uses a quasi-experimental design (pseudo-experiment) with a pre-test post-test equivalent control group design approach. Results : showed that there was a change (decrease) in the mean anxiety score between the intervention group, namely (7.19), when compared to the control group, namely (1.52). Based on the results of the Normality test, it was found that the change in anxiety scores in each group was not normally distributed (p = 0.000 or p <α), so the test used was the Mann-Whitney Non-Parametric Test and obtained a value of p = 0.000 (p <α) which means there is a difference statistically significant from the magnitude of the change (decrease) in the average anxiety score between the two groups, it can be interpreted that in the intervention treatment group the influence of five finger hypnosis was very dominant in reducing anxiety compared to the control group in the Neglasari Health Center area. Conclusion : Five-finger hypnosis has a significant effect on reducing anxiety in hypertensive clients. Suggestions, it is hoped that the five finger hypnotic therapeutic intervention will be an alternative intervention that can be applied in nursing services.

Associations of Social Distancing with Loneliness, Depression, and Anxiety during the Early COVID-19 Pandemic: A Survey of Older Adults in Daegu, South Korea

This study aimed to investigate the association of social distancing with loneliness, depression, and anxiety during the early coronavirus disease 2019 (COVID-19) pandemic for older adults in Daegu, South Korea. The study design was a descriptive study using convenience sampling. The participants were 176 elderly 65 or older enrolled in D university Lifelong Education Center, Senior College. Data were gathered using an online survey from August through October 2020. Data were analyzed using percentages, mean, standard deviations, and Pearson’s correlation analyses. The average mean scores of social distancing, loneliness, depression, and anxiety of the elderly were 2.72/4 points, 1.73/ 3 points, 0.30/1 point, and 0.32/1 point, respectively. Social distancing was showed significantly positive correlation with loneliness (r=.39, p<.001), depression (r=.30, p<.001), and anxiety (r=.13, p=.090). Since social distancing can increase the loneliness, depression, and anxiety of the Korean elderly, psychological measures to solve the mental health issues of the elderly are needed.

Reduction of anxiety symptoms among women within a collaborative care model and women's health settings.

The purpose of this study is to focus on changes in anxiety symptoms among women treated in women's health practices and under a collaborative care model. Research on collaborative care has largely focused on improving depressive and anxiety symptoms among adults in primary care settings. The applicability of collaborative care in other healthcare settings is underreported with limited research investigating if collaborative care has advantages in subpopulations treated in both traditional primary care settings and other healthcare settings, such as women's health practices. This study, completed through secondary data analysis of the electronic record of N = 219 women across three women's healthcare centers, evaluated if instituting a collaborative care model is associated with reduced anxiety symptoms and which factors (eg, primary diagnosis, duration of care, and use of psychotropic medications) are associated with anxiety outcomes. Anxiety symptoms were assessed using the Generalized Anxiety Disorder 7-item scale (GAD-7) at entry into and at termination from collaborative care services. Overall, there was a significant reduction in average anxiety scores from baseline to termination of collaborative care (t(218) = 12.41, P < 0.001). There was a main effect for the duration of time receiving collaborative care services on anxiety score reduction (β=-0.28, SE = 0.06, P < 0.001) with a significant reduction in anxiety symptoms at the 90-day mark (t(218) = 10.58, P < 0.001). Therefore, collaborative care can be useful in women's health practices in reducing anxiety symptoms over a 90-day time period.

Determining the COVID-19 Knowledge, Awareness and Anxiety Levels of Intern Dentists

Introduction: COVID-19 is a contagious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The nature of dentistry leads to close contact with patients and exposure to saliva, blood, and other bodily fluids during treatment processes and it is a field where high-frequency devices that can make it easier for virus contamination are used. This study aims to determine the knowledge and approaches of COVID-19 infection control of intern dentists who have begun face-to-face education and their COVID-19-related fear and anxiety levels. Methods: The study comprised 4th and 5th-year students who began face-to-face education at the Ankara University Faculty of Dentistry 2020/2021 spring semester. A questionnaire was used as the data collection tool for this study. The data were collected using a knowledge questionnaire and a COVID-19 fear and anxiety scale. Results: The average COVID-19 knowledge score of the students was 63.65±9.64, their coronavirus fear average score was 17.63±5.57, and their anxiety average score was found to be 2.37±3.32. A positive relationship was found between the anxiety scores and the COVID-19 fear scores. The results of this study show that the COVID-19 knowledge level and fear of dentistry students are moderate and that their COVID-19 anxiety level is low. Conclusion: It was found that the knowledge and fear of coronavirus levels of intern dentistry students were moderate and that their coronavirus anxiety level was low.

The structure of non-psychotic mental disorders, alexithymia and anxiety in patients with aseptic necrosis of the femoral head

Aseptic necrosis of the femoral head (ANFH) is a severe chronic poliaethiologic disease of the hip joint which is prevalent mainly in young people with a loss of professional and social skills. It is known that the non-psychotic mental disorders appearance in patients with ANFH can lead to the increasing disability, the decreasing in the quality of life, and difficulties in organizing the rehabilitation period. Current researches prove that the preoperative mental state assessment in patients can lead to the statistically significant decrease of the pain intensity in the postoperative period, an improvement in the quality of life related to health, a decrease in anxiety, depression and behavioural problems in the postoperative period. The aim of this research was to study the syndromic features of non-psychotic mental disorders, alexithymia and anxiety levels in patients with ANFH at the preoperative stage. The study involved 137 people aged 25 to 75 years, who were diagnosed with ANFH and identified non-psychotic mental disorders. Clinical-psychopathological and psychodiagnostic methods of examination were used (AUDIT test, Toronto alexithymia scale-20, Taylor manifest anxiety scale). The patients were divided into two groups depending on the ANFH duration. The results of the study revealed the main leading syndromes: asthenic-depressive – in 35.8%, depressive-hypochondriac – in 18.2%, anxious-phobic – in 16.1%, anxious-depressive - in 15.3% and astheno-apathetic – in 14.6% of cases. The average anxiety score was 26 (19; 37), which indicates the presence of a medium-high level of anxiety in the examined, while 52.5 percent of patients had high and very high levels of anxiety. A multivariate logistic regression analysis was performed and as a result, the duration of the disease (OR: 2.23; 95% [CI]: 1.11-4.47; p&lt;0.05), estimates of alexithymia (OR: 2.52; 95% [CI]: 1.00-6.36; p&lt;0.05) and female sex (OR: 2.16; 95% [CI]: 1.03-4.50; p&lt;0.05) were found to be independent risk factors associated with the level of anxiety in persons with ANFH at the preoperative stage.

Anxiety in the Classroom: Only Girls' Anxiety Is Related to Same-Sex Peers' Anxiety.

Many teens report experiencing anxiety in school, which can negatively impact their well-being. Considering that adolescents tend to adopt the same behaviors as their classmates with whom they spend, on average, 923 h every year, the current exploratory study (1) assessed whether an association exists between a student’s state anxiety score and his/her classmates’ average trait anxiety scores and (2) examined whether this association differed between boys and girls, as well as between elementary school and high school students. During two consecutive school years, 1044 Canadian students (59% girls) from six elementary schools (aged 10−12) and seven high schools (aged 15−17) completed the State-Trait Anxiety Inventory for Children. Multilevel analyses revealed a same-sex peer effect of classmates’ anxiety in girls only (β = 0.40, p < 0.001). This effect was similar for elementary and high school girls (β = 0.07, p = 0.27). Interestingly, no association was found for boys, same-sex peers (β = 0.11, p = 0.25), or opposite-sex peers (β = −0.01, p = 1.00). Our results suggest that factors related to sex may reinforce anxiety in school settings. Future studies should confirm these results and explore the mechanisms involved in this sex-specific difference.

Hubungan Adverse Childhood Experiences (ACEs) Dengan Kecemasan Pada Mahasiswa Program A S1 Keperawatan Universitas Andalas

&lt;p&gt;&lt;strong&gt;&lt;em&gt;Background&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;:&lt;/em&gt; &lt;em&gt;Students are one of the groups that are prone to experiencing anxiety psychological problems. Anxiety in students is caused by several factors, one of which is Adverse Childhood Experiences (ACEs). The purpose of this study was to measure the relationship between Adverse Childhood Experiences (ACEs) and anxiety in the Andalas University A S1 student program. &lt;strong&gt;Methods&lt;/strong&gt;: This research is a quantitative study with a correlational design using a cross sectional approach with a sample of 237 respondents who were selected using stratified random sampling according to the inclusion criteria that have been set. The instruments used in this study were Generalized Anxiety Disorder 7 (GAD-7) and Adverse Childhood Experiences International Questionnaire (ACE-IQ). &lt;strong&gt;Results&lt;/strong&gt;: In the univariate analysis, the mean score of ACEs in Andalas University Nursing A S1 students was 2.47 with the highest mean dominance, namely neglect and the average anxiety score for Andalas University Nursing A S1 students was 8.24. Bivariate analysis in this study used the Pearson Product Moment test. &lt;strong&gt;Conclusion&lt;/strong&gt;: The results showed that there was a significant relationship between Adverse Childhood Experiences (ACEs) and anxiety (p-value = 0.000) which had a positive or one-way correlation (r = 0.235) with a weak correlation strength. It is expected that educational institutions will conduct counseling programs and special interventions to prevent and overcome student problems.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt;&lt;br /&gt;&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Keywords: &lt;/strong&gt;&lt;em&gt;Adverse childhood experiences, ACEs, Anxiety, Students, Nursing&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt;&lt;br /&gt;&lt;/em&gt;&lt;/p&gt;

The Menance of Type 2 Diabetes to Anxiety and Depression Prevalence

Objectives: To estimate the prevalence of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) in a population aged over sixty years with type 2 diabetes and to study the impact of anxiety and depression on glycemic balance and disease outcome. Results: The prevalence of anxiety and depression in the 62 subjects included in the study was, respectively, 40.3% and 22.6%. We found a relationship between these disorders and complicated diabetes. The subjects having an imperfectly balanced diabetes had a higher average anxiety score than those having a good glycemic control (9.1 ± 4.2 versus 6.5 ± 3.1; P = 0.017). No relationship was found between diabetes balance and depression. Conclusion: Association between anxiety and depressive disorders and diabetes is frequent and worsens patients’ outcome, in terms of diabetes imbalance as well as in terms of diabetic complications. Our study shows that there is need for physicians to detect, confirm, and treat anxiety and depressive disorders in elderly diabetic patients

Successful completion of treadmill testing provides relief and reassurance for children with non-specific chest pain.

Non-specific chest pain is one of the leading causes of admissions in paediatric cardiology outpatient clinics, and its management usually consists of extensive reassurance of patients and their families. As we have often observed that successful completion of treadmill testing during diagnostic work-up provides relief and reassurance in these patients and their families, we planned this study to quantitatively assess anxiety levels and perception of illness among children with non-specific chest pain before and after treadmill testing. We studied 50 children (aged 11.8 ± 3.0 years, range 7-17 years; 24 females, 26 males) with a chief complaint of non-specific chest pain and negative history and echocardiography. They were asked to fill the Revised Children's Anxiety and Depression Scale before the treadmill testing and 1-10 days after successful completion of treadmill testing. Average total anxiety scores (36.38 ± 19.09 versus 33.36 ± 19.09, respectively) and average of total anxiety + depression scores (44.3 ± 24.92 versus 40.8 ± 26.97, respectively) of the children were found to be significantly lower after negative treadmill testing as compared to scores before testing (p < 0.05). Alterations in separation anxiety, panic, social phobia, obsession-compulsion scores were not statistically significant (p > 0.05). Children with non-specific chest pain feel relieved and reassured after successful completion of treadmill testing. To the best of our knowledge, our study is the first in the literature to show this relationship quantitatively.

The anxiety and depression status and related influencing factors in patients with type 2 diabetes: Why should we care

BackgroundIt's been found that in patients with type 2 diabetes mellitus (T2DM) may have higher level of negative moods, yet the anxiety and depression status and related influencing factors in patients with (T2DM) remain unclear. MethodsT2DM patients who treated in our hospital from June 1 to December 31, 2020 were selected, we used self-designed patient general information questionnaire, self-rating anxiety scale, and self-rating depression scale for investigation. Logistic regression analysis was conducted to analyze related influencing factors of anxiety and depression. ResultsA total of 216 patients with T2DM were included, the incidence of anxiety was 43.52%, the incidence of depression was 44.91%. The average anxiety score of T2DM patients was (48.39 ± 11.25) points, and the depression score of type 2 diabetes patients was (50.36 ± 11.44) points. There were statistically significant differences in the anxiety and depression scores of diabetic patients in the four variables of education level, diabetes complications, diabetes health education, and the glycosylated hemoglobin level (all P < 0.05). Multivariate stepwise regression analyses indicated that diabetes complications and regular health education on diabetes are the main influencing factors of anxiety in patients with T2DM (all P < 0.05). Diabetes complications and glycated hemoglobin level were the main influencing factors of depression in patients with T2DM (all P < 0.05). ConclusionsDiabetes patients have higher levels of anxiety and depression; their anxiety and depression are affected by many factors. Medical staff strengthen the knowledge and health education, control the level of glycosylated hemoglobin of patients to reduce the level of anxiety and depression of patients.

Factors Influencing Sleep Quality in Open-Heart Patients in the Postoperative Intensive Care Unit.

Open-heart patients often experience sleep problems postoperatively. This cross-sectional study is aimed to investigate open-heart patients' sleep quality and its influencing factors during intensive care. A consecutive sample of 117 eligible open-heart patients was recruited from an intensive care unit (ICU) of a general hospital. Data were collected using questionnaires. The respondents were 22-88 years, with a median age of 60.25 (13.51). Seventy-nine (67.5%) respondents were male. Most respondents reported a low-to-moderate postoperative pain level (average pain score = 2.02; range: 0-10). The average anxiety score was 4.68 (standard deviation [SD] = 4.2), and the average depression score was 6.91 (SD = 4.52; range: 0-21). The average sleep efficiency index was 70.4% (SD = 10.74%). Most (95.7%) respondents had a sleep efficiency index below 85%, indicating that most patients did not sleep well in the ICU. Linear regression analysis showed that the key predictors of the sleep quality of open-heart patients in the ICU were wound pain (β = -1.9) and noise disturbance (β = -1.86). These results provide information on sleep quality and the factors affecting postoperative patients in the ICU. These findings can be used as a reference for developing relevant interventions.

LEVELS OF SITUATIONAL AND PERSONAL ANXIETY IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN CONDITIONS OF COMORBIDITY

The purpose of the study. To assess the levels of situational and personal anxiety in patients with chronic obstructive pulmonary disease (COPD) in conditions of comorbidity with arterial hypertension (AH).&#x0D; Materials and methods. The study included 92 male patients with COPD. Of these, 63 patients with COPD in combination with hypertension. The diagnosis of COPD verified and the severity assessed in accordance with the GOLD criteria. The Spielberger-Hanin scale used to assess the level of situational and personal anxiety.&#x0D; Results. It s found that men with COPD in conditions of comorbidity with hypertension are characterized by statistically significantly higher values of the average score of both situational and personal anxiety on the Spielberger-Hanin scale. In this group of examined patients, patients with indicators of situational and personal anxiety corresponding to a high level and less often to a low level of anxiety were significantly more common. Among men with COPD of the IV st., persons with high levels of situational and personal anxiety were significantly more common.&#x0D; Conclusion. The results of the study demonstrated a high level of anxiety disorders in COPD patients, especially in people with comorbidity with hypertension and a positive relationship between the level of anxiety and the severity of the disease.

Professional Ballet Dancers’ Balance Ability and Psychological Traits and States: A Longitudinal Pilot Study

Introduction:Professional dancers are committed to dancing despite their injuries and mood changes. Therefore, dancers’ balance ability should be evaluated as an objective indicator of the quality of their dance/dancing ability.Objective:We aimed to examine the relationship between the balance ability of professional ballet dancers and their psychological traits and states by serotonin polymorphism, using pressure and center of gravity sensors.Methods:Five female professional dancers participated in this three-month longitudinal pilot study. The dancers’ stress status was assessed each month on three conditional days to gauge stress conditions. Before and after their standard warm-up exercises, the dancers’ center of gravity was assessed while standing and posing in ballet-specific positions, and psychological questionnaire surveys were conducted to assess the level of anxiety and objective stress. After all observations were completed, serotonin polymorphism was analyzed as one of the psychological traits.Results:All participants possessed the s/s-type (short type) serotonin transporter gene promoter polymorphism, indicating high sensitivity to stress. Their average trait anxiety score was 50.80±8.47. However, all participants were able to be calm, had no injuries, and maintained a stable center of gravity throughout the study period.Conclusion:Throughout the study, from ordinary practice to the time of the approaching ballet performance, the participants maintained stable balance ability regardless of their psychological traits and states of mind. It is unlikely that reactions to stress and psychological traits affected professional dancers’ physicality. Thus, continuous assessment of the balance between mental and physical aspects enhances performance management.

The Phenomenon Of Pregnant Women's Anxiety In Facing Labor

Background: The delivery process is a natural event of conception in the form of a baby and placenta from the uterus that can cause anxiety. If anxiety in pregnant women is not managed properly, it will have an impact on the physical and psychological health of the mother and baby.&#x0D; Methods: This study uses descriptive methods. The implementation of the research will take place in December 2021–May 2022 at PMB Lutfiana. A total of 40 maternity mothers during phase I was active were obtained through a total sampling technique. The data collection technique uses the STAI scale. Data analysis using descriptive analysis.&#x0D; Result: The age characteristics of respondents aged 20–35 years included as many as 34 respondents (85%). The majority of low-educated elementary-junior high school students amounted to 21 respondents (52.5 %). The majority of respondents did not work, a total of 27 respondents (67.5%), and the majority of multiparous respondents amounted to 31 respondents (77.5%). The majority of maternity mothers' anxiety during the active phase was severe anxiety level, with 28 respondents (70%). The average anxiety score was 46.43, with 95% of the CI being at a score of 43.01-49.84.&#x0D; Conclusion: The majority of anxiety levels in active phase maternity mothers are severe anxiety levels.

Effect of Benson’s Relaxation Technique on the Anxiety of Patients With COVID-19

Objective: The disease of Covid-19 has many physical and psychological effects. One of the psychological effects of this disease is anxiety, which can reduce the quality of life of patients. The aim of this study was to effect of Benson relaxation on the anxiety of patients with covid-19. Methods: This research was a semi-experimental study with a pre-test-post-test design with a control group, which was conducted on 64 patients with covid-19 admitted to Amiralmomenin Hospital in Arak in 1400. After obtaining written consent, the subjects were selected by convenience sampling and randomly assigned to the divided into two experimental groups (32 people) and control (32 people. After teaching the Benson relaxation technique, the patients in the experimental group performed relaxation exercises for 15 minutes twice a day for 2 consecutive days. In the control group, there was routine treatment without any intervention. The data gathering tool were demographic questionnaire and the Spielberger ‘s state anxiety questionnaire. The questionnaires were completed before and after the intervention. Data were analyzed by SPSS 21 with using the descriptive and analytic statistics (chi square test, t-test and independent t) was performed. Results: The results showed that before the intervention, there was no statistically significant difference between the average anxiety scores of the patients in the two experimental groups (55.21 ± 8.85) and control (54.75 ± 6.62) (P&gt;0.05), but between the average the scores of the experimental group (40.43 ± 9.97) and the control group (52.03 ± 6.35) after the implementation of Benson's relaxation showed a significant difference (P&lt;0.001). Conclusion: Benson relaxation technique has an effect on the anxiety of corona patients, the use of this method is recommended as a complementary method in reducing the anxiety of these patients.

The Relationship between Mobile Phone Anxiety and Sleep Quality Occupational Therapy in Adolescents and Its Internal Mechanism.

With the development of the Internet era, the application of smartphones in life is quite useful, and the penetration rate of smartphones will be further increased in the future, making teenagers increasingly dependent on mobile phones. Teenagers are under great academic pressure, and excessive reliance on mobile phones will inevitably affect the formation of normal values. Teenagers, as a special group, deserve our attention. Mobile phone dependence has become a social problem. In this paper, the Pittsburgh Sleep Quality Index was used to evaluate the sleep quality of adolescents, and the factors affecting the sleep quality of adolescents were explored from three dimensions of behaviour, physiology, and emotion based on the sleep quality model. In this study, structural equation modelling was used to test the multiple mediating effects and analyze the relationship between mobile phone anxiety and sleep quality. Through the analysis of the internal mechanism of the two, the results show that the average score of adolescents' anxiety about mobile phone use is 32.87, and the standard deviation is 10.67. The difference between mobile phone anxiety and sleep quality was statistically significant (P < 0.001); good sleep quality can alleviate the prediction effect of mobile phone anxiety on anxiety and provide reference for promoting the physical and mental health development of adolescents.

Relationship of stigmatization and social support with depression and anxiety among cognitively intact older adults

Aims and objectivesThis study aimed to assess depression and anxiety symptoms among older adult residents of long-term care facilities (LTCFs) in Jordan and to examine the relationships between stigmatization and social support with depression and anxiety. MethodsData was collected between December 2019 and March 2020 using a cross-sectional design. A total of 90 LTCF residents responded to measures of cognition, anxiety, depression, stigmatization, and social support. Descriptive statistics and multiple regression analyses were used in this study. ResultsThe average scores of depression and anxiety were high among the participants, with 81.1% of the participants found to be at risk of developing clinical depression. Stigmatization was positively correlated with depression and anxiety, whereas social support was negatively correlated with depression. Stigmatization was a significant predictor of both anxiety and depression scores (β = .19, p = .03; β = .32, p = .001, respectively). ConclusionsOlder adults residing in LTCFs in Jordan suffer from many psychological distress symptoms, which place them at risk of serious mental problems. Reducing stigmatization would improve the psychological well-being of LTCF residents. Relevance to clinical practiceCaregivers working at LTCFs should be aware that with the longer stay, older adult residents are expected to complain of psychological distress symptoms. Thus, frequent assessment of the residents is highly recommended. In addition, caregivers should provide the residents with appropriate social support to mitigate the negative impact of a lengthy stay.

Virtual Reality Reduces Fear and Anxiety During Pediatric Orthopaedic Cast Room Procedures: A Randomized Controlled Trial.

Virtual Reality (VR) has been used as a distraction tool in various medical settings to reduce pain and anxiety associated with procedures. This study evaluates the effectiveness of VR as a distraction tool for decreasing fear, anxiety, and pain in pediatric patients undergoing common outpatient orthopaedic procedures. A total of 210 patients were recruited from a single orthopaedic clinic between October 2017 and July 2019. Patients were randomized to the VR group or to the control group (standard of care). Outpatient procedures included cast and/or pin removals. Primary outcome measures were collected preprocedure and postprocedure using validated surveys, and included: fear (Children's Fear Scale), anxiety (Children's Anxiety Meter-State), and pain (Numerical Rating Scale). Patients and caregivers in the VR group completed a satisfaction survey at the end of their appointment. Fear, anxiety, and pain scores between the 2 groups were analyzed using multivariable linear regression models, and the satisfaction survey was analyzed using descriptive statistics. One hundred twenty nine patients were included in the final analysis, with 85 patients in the VR group and 44 patients in the control group. During the procedure, patients in the VR group reported significantly lower average fear scores ( P <0.001) and anxiety scores ( P =0.003) as compared with controls. There were no differences between the groups in fear and anxiety scores before and after the procedure, or pain scores before, during, or after the procedure. Overall, patients and caregivers in the VR group reported high satisfaction scores, with 97% of patients and 95% of caregivers recommending this intervention to others. VR technology was found to be an effective distraction tool to improve fear and anxiety during cast removal procedures. Findings build on a body of evidence that supports the use of distraction tools in clinics, specifically pediatric orthopaedics, to improve fear and anxiety. The distraction tools can be easily translated into current practices. Level I.