Cause Of Anxiety Research Articles

P0770 Assessing the level of anxiety among patients attending an IBD surveillance

Abstract Background The aim of the project was to assess the level of anxiety among patients attending an IBD surveillance colonoscopy as well as their views on the bowel preparation, their understanding of the purpose of the procedure and their perceived risk of colorectal cancer. We hypothesised that there is a link between the anxious state and the perceived risk of colon cancer. Methods Questionnaires were conducted immediately pre-endoscopy. Anxiety was assessed quantitatively using the State Trait Anxiety Inventory (STAI)(1) as well as through qualitative feedback. Tolerance of bowel preparation was also assessed through a combination of qualitative and quantitative assessment, including a visual analogue scale (VAS 0=worst to 100=best). Perceived risk of colorectal cancer in the next ten years was assessed using a visual analogue scale (VAS 0 to 100% risk). Results A total of 42 patients participated. 38% of respondents reported feeling anxious about their colonoscopy however the mean STAI score for the cohort was relatively low (STAI score 34 SD=11.6) being comparable to normal working adults (mean STAI=35)(1). 45% reported anxiety regarding bowel preparation and 33% felt they tolerated it poorly (VAS ≤50). 100% of respondents reported that the purpose of surveillance had been explained to them, however only 10% of respondents mentioned the word "cancer" when asked to clarify their understanding of this. The range of cancer risk perception over the next ten years was 0% to 70% risk, and the median was 0.9% (SD=24). There was no correlation between STAI scores and perceived cancer risk (Pearson correlation coefficient (r) = 0.43). Conclusion IBD patients attending surveillance colonoscopy have low levels of anxiety and lower than those attending colorectal cancer screening (mean STAI=45)(2). There is a wide range of perceived colorectal cancer risk and our results suggest there is an opportunity for patient education on the purpose of surveillance and estimates of their risk of colorectal cancer. There is no correlation between anxiety and perceived cancer risk in our cohort. Bowel preparation is a common cause of anxiety and a third of patients tolerate it poorly. Approaches to address this would have a significant benefit on patient experience in IBD surveillance endoscopy. References (1)Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press (2)Shaikh AA, Hussain SM, Rahn S, Desilets DJ. Effect of an educational pamphlet on colon cancer screening: a randomized, prospective trial. Eur J Gastroenterol Hepatol. 2010 Apr;22(4):444-9. doi: 10.1097/MEG.0b013e328333fca6. PMID: 19940781.

Eco-anxiety, climate change and the ‘bottom billion’: a plea for better understanding

Climate change poses enormous, rapidly increasing risks to human well-being that remain poorly appreciated. The growing understanding of this threat has generated a phenomenon often called ‘eco-anxiety’. Eco-anxiety (and its...

PROGRESSIVE MUSCLE RELAXATION THERAPY TO RELIEVE DENTAL ANXIETY

Background: Dental anxiety is complex phenomenon which is associated with the thought of visiting the dentist for therapeutic or care. It may be either physical, mental or social anxiety. The most common causes of anxiety in dental patients is fear of injections, fear of choking or gagging and fear of blood. It can be shown as fear, anxiety, phobia, stress, shivering, sweating, crying during or before dental treatment. Sympathetic nervous system is activated during dental anxiety and there is provoke of fight or flight response. This causes changes in various physiological activities such as reduction in pain threshold, increase in treatment complications, post- treatment pain, late healing. Identifying anxiety in dental patient is the first and foremost step in determining the type of treatment and schedule of appointments. Progressive muscle relaxation is one such technique a where muscles and body are allowed to relax after they are tensed. Materials and methods: PubMed, Scopus, Web of Science, Google scholar was searched using pre-specified search strategy. Narrative and systematic reviews are included for the data synthesis. Results: Extensive literature search was carried out using pre-defined search strategy was carried out. A total of 73 titles were screened rigorously by two independent evaluators and after duplicate exclusion, removal of irrelevant titles, 34 articles were included for full text. This review aims at detailing progressive muscle relaxation technique, a non-pharmacological, economical approach to relieve dental anxiety.

Contributing Factors to the Rise in Adolescent Anxiety and Associated Mental Health Disorders: A Narrative Review of Current Literature

ABSTRACTBackgroundThe prevalence of anxiety among adolescents has seen a notable increase in recent years, becoming a significant public health concern. In fact, anxiety is substantially more prevalent in Generation Z (individuals born between 1997 and 2012) than in any of the past three generations. We aimed to examine what factors contribute to the increased prevalence in teen anxiety and identify points of intervention.MethodsThis study employed a narrative review method. We performed a literature search of the PubMed, ScienceDirect, and Medline databases and identified original research and review articles discussing increased anxiety and other mental health disorders in Generation Z.ResultsWe provide a comprehensive overview of the factors contributing to the increased rates of adolescent anxiety, including academic pressures, social media influence, family dynamics, and broader societal stressors.ConclusionsIn this narrative review, we examine the multifaceted nature of adolescent anxiety, identifying contributing factors. Additionally, we discuss potential clinical, educational, and community‐based interventions to prevent and treat adolescent anxiety. By understanding and addressing the underlying causes of anxiety, it is possible to mitigate its impact and promote healthier developmental trajectories for young individuals.

Study on the Causes and Effects of Appearance Anxiety among Women in East Asia

The continuous exchange and integration of Eastern and Western cultures has caused East Asian women to have the problem of appearance anxiety. In recent years, with the development of information technology, this phenomenon has become more and more serious. This paper focuses on this phenomenon and analyzes the influence of social, cultural, and personal factors on appearance anxiety in East Asian women. Appearance anxiety is mainly manifested in appearance, figure, psychology, etc. This paper argues that cultural exchange is one of the causes of anxiety among women. The spread of culture expands the definition of beauty, but at the same time, it also reinforces women's cultural preference for appearance. In addition, the development of pop culture has caused women to pursue the ultimate beauty, which creates anxiety. Finally, the development of the Internet has led to the proliferation of relevant information, deepening the influence of East Asian women on this idea. Based on this, this paper argues that it is necessary to fully understand women's psychology and concepts to better serve them. Therefore, it is necessary to pay attention to practical research and give full play to the positive role of online platforms.

Causes and Effects of Second Language Classroom Anxiety among College Students

Anxiety as a negative influence on the effectiveness of foreign language learning has been confirmed by research. As one of the current mandatory courses for college students in China, foreign language has become an indispensable learning tool and relevant pathway in multiple disciplines. However, a growing body of research suggests that the original foreign language teaching model of most universities is not effective in alleviating their students' foreign language anxiety in the classroom. Based on this, The purpose of this paper is to examine the specific causes of anxiety in the foreign language classroom and its impact on student learning outcomes. In foreign language classroom anxiety. This study will go through the methods of literature review and case study to focus on understanding, exploring, and summarizing the factors that have been influencing second language classroom anxiety. It has been found that the main causes of anxiety in the foreign language classroom include students' foreign language anxiety, the way the teacher gives feedback, and the stress of the classroom environment. Anxiety not only affects students' performance in the classroom but also hinders their process of learning the language, leading to unsatisfactory learning outcomes. In order to effectively alleviate students' anxiety in the second foreign language classroom, future research should also continue to focus on students' anxiety experiences in different cultural contexts to promote further optimization of foreign language education.

Beyond the Screen: The Lived Experiences of College Seminarians Facing Speaking Anxiety in Online English Classes

This study investigated the speaking anxiety experienced by college seminarians in online English classes. The research aimed to describe the causes, effects, and coping strategies related to this anxiety. Using a hermeneutic phenomenological approach, data were collected through observations, in-depth interviews, and peer debriefing with nine purposively sampled participants. The analysis identified key themes such as fear of judgment, lack of confidence, and negative teaching styles as primary causes of anxiety. Manifestations included increased use of fillers, stuttering, and avoidance behaviors. Participants employed coping mechanisms like positive self-talk, regular practice, and prayer. The study concludes that supportive teaching practices significantly reduce speaking anxiety. Practically, the findings suggest that educators should create positive, interactive learning environments to alleviate anxiety and enhance language acquisition. Future research should explore speaking anxiety in diverse educational contexts and develop targeted interventions to mitigate this issue further.

Examining the Attitudes and Anxiety of Teachers and Administrators Towards Artificial Intelligence: Relational Browsing

<p dir="ltr"><span>The widespread use of artificial intelligence (AI) has been growing in various fields. While concerns about the use of basic computer technology still continue today, anxiety about a new technological revolution, artificial intelligence, has also surrounded the education sector. The cause of anxiety can be derived from knowledge, skills, and attitudes towards the use of technologies. In this study, the attitudes and anxiety levels of administrators and teachers in primary and secondary schools towards artificial intelligence and the relationship between anxiety and attitude scores were investigated. A total of 130 participants, consisting of administrators and teachers, participated in this study. In this context, survey models are one of the quantitative research methods. Artificial intelligence attitude and anxiety scales were used in accordance with the data collection method. When the research results are corrected, there is a negative relationship between the attitude variable towards artificial intelligence and the anxiety variable; as the attitude increases, the anxiety level decreases. It is seen that administrators and teachers experience significant anxiety.</span></p><div><span><br /></span></div>

Depression and Anxiety Among Arab Individuals in the United States: A Meta-analysis.

Emerging research suggests that the increasing population of Arab immigrants and refugees living in the United States (U.S.) has a greater risk for depression and anxiety than other groups. The purpose of this meta-analysis was to estimate the prevalence of depression and anxiety for Arabs in the U.S., to examine the moderating effects of key demographic variables (gender, immigration status, ethnicity) and study characteristics (research design and quality) on the prevalence of anxiety and depression, and to evaluate the direct effects of additional demographic and study characteristics on prevalence rates. Using guidelines from the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P), we searched PubMed, Embase, CINHAL, ProQuest, and the Web of Science databases for articles published between January 2000 and March 2023. Two reviewers each individually extracted the articles' data and evaluated the reported study's methodological quality using a well-established checklist. Statistical analyses consisted of random effects models to estimate the pooled prevalence of depression and anxiety across all studies, separate random effects models for distinct demographic (e.g., immigration status) and methodologic (e.g., study quality) subgroups that might have unique prevalence rates, and a meta-regression to identify additional variables (e.g., age of individuals) that might influence prevalence rates. Our review included 17 studies with a total sample population size of 22, 558 participants. Results indicated that the estimated prevalence of depression overall was 48% (CI 34, 63%) and 58% (CI 33, 83%) for the prevalence of anxiety. Our subgroup analyses uncovered notable variations in prevalence rates based on gender composition, immigration status, ethnicity, and research quality while results of the meta-regressions demonstrated effects of publication year and age of the Arab individual on the estimated prevalence of depression and anxiety. The high prevalence rates for depression and anxiety identified through this meta-analysis are very concerning and underscore the urgent need to address mental health concerns in Arab communities. Results of subgroup and meta-regression analyses suggest that refugees, individuals from specific countries of origin, and younger Arabic persons may need particular attention by clinicians in screening for and treating their depression and anxiety. Our results also signify the need for further high-quality studies to more rigorously assess prevalence of these mental health problems, since we found evidence of potential publication bias and approximately one third of the studies in the review had less optimal methodological quality based on our evaluation. Ultimately, in-depth research regarding the causes of anxiety or depression among Arab individuals will be essential to the development of culturally competent interventions that may reduce their very high prevalence rates.

The Status and Expectations of the Relatives of Surgery Patients in the Waiting Area of Guilan Academic Hospitals

Background: The situation of the relatives of surgery patients in waiting areas is an important issue, which has not been investigated in Guilan province, so this study was planned. Methods: This cross-sectional descriptive study was conducted in Guilan academic hospitals (Razi-Poorsina-Heshmat-Alzahra–Amir al Momenin) from Feb 2022 to Dec 2022. Relatives of patients who underwent elective surgeries enrolled the survey. A questionnaire containing two parts of demographic data and 12 items assessing relative’s conditions in waiting area was filled out via a direct interview. Results: 318 relatives enrolled the survey. 93.2% of patients’ relatives were first-degree relatives.76.7% had information about the surgery. 41.5% were informed of their patient’s status in operating room. Fear of not emergence from anesthesia 109(34.3%) and death 105(33.0%) were the main causes of anxiety which was reported as 8.23±28.2 from 10 and only 6(1.9%) had financial concern. 86.8% of the responders declared that being informed from their patient’s condition in operating room, was the most effective approach to reduce their anxiety. A positive and highly significant association was observed between the level of education and receiving explanation from surgeon, anesthesiologist and being informed from patients’ status in waiting area (p=0.001). Conclusion: It was found that relatives of surgery patients suffered from high degrees of anxiety mainly due to fear of death and not emergence from anesthesia. They stated that being informed from their patient’s conditions was the most powerful factor in reducing their anxiety.

To what extent does having diabetes influence individuals suffering from anxiety and depression?

The aim of the project is to find out to what extent diabetes affects individuals and leads to anxiety and depression, to identify the causes of diabetes and mental illnesses, and to explain how diabetes and other factors contribute to anxiety and depression as well as finding out whether diabetes is a significant cause of anxiety and depression. It will also assess and investigate the impact of diabetes on the incidence of anxiety and depression. The project is mainly focused on secondary data analysis and comparison as well as case studies. Overall, the main factors which will lead to mental disorders such as anxiety and depression are genetic factors and environmental factors, but diabetes and the use of psychoactive drugs can also increase the risk of developing mental disorders to some extent.

Traumatic penile amputation managed at Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria: a case series

BackgroundTraumatic penile amputation is a rare surgical emergency and a cause of anxiety and psychological distress to patients, spouses, or parents, especially when it occurs in children. Several mechanisms are involved in penile amputation and the management options also vary. We report two cases of penile amputation that our institution handled in the past year to draw attention to the risks associated with firearm confrontations and grinding machines as causes of genital injuries. In a similar vein, we look over the literature for management options.Case presentationIn the first case, a grinding machine resulted in an isolated total penile amputation of a 6-year-old boy. In contrast, the second patient was a 25-year-old man who had bilateral testicular injuries and near-total penile amputation as a result of gunshot injury as part of polytrauma. Both patients had a history of profuse bleeding from the penile stump associated with severe pain. Both patients were resuscitated and subsequently underwent emergency wound debridement and stump refashioning/meatoplasty. The first patient had a satisfactory outcome and was discharged home on follow-up visits while the second patient died from overwhelming sepsis with pulmonary embolism as a differential.ConclusionPenile injuries may increase in tandem with civilian firearm-related incidents. Similarly, grinding machines are an important cause of penile injuries. In emergencies, wound debridement followed by stump refashioning is an appropriate treatment option.

Care Experience, Mental Health and Social Media: Implications for Practice from Conversations with Professionals and Care Leavers

There is increasing need to strike a balance between minimizing online risks and encouraging independence and freedom of interaction amongst the young adult population, particularly those with preexisting vulnerabilities. This paper presents the findings from a study exploring how professionals working with care leavers understand social media and perceive their role in recognizing and responding to the online needs of this group. Qualitative data was collected during focus groups, arts-based workshops, and interviews with 17 professionals. Thirteen young adults with experience of leaving the care system in Scotland also provided insights into the impact of social media on their mental health and personal relationships. These multiple voices highlight that professionals could improve their understanding of social media platforms by moving away from risk management and harm minimization to adopt more individualized ways of enhancing online relationships. These views are reiterated by care leavers who perceive social media interactions as both a source of support and a cause of anxiety during complex transitions. Drawing upon the health and social work literature suggests that professionals should work in partnership with care leavers to establish training that acknowledges lived experiences and prioritizes resilience and social capital in the development of positive online interactions.

Cerebral Palsy & Anxiety: A Systematic Review

Abstract Date Presented 03/23/24 Little is known about the direct causes of anxiety in individuals with cerebral palsy (CP) and what factors contribute to the development of anxiety, aside from pain. This systematic review will address the connection between anxiety and CP. Primary Author and Speaker: Shannon Schoellig Additional Authors and Speakers: David Call, Brandee Deibel, Miranda Mercer, Ashley Ziminski

Medical Students Vulnerability on Anxiety: Its Frequency and Associated Factors

Abstract. Medical students are vulnerable populations at risk of mental health problems, particularly anxiety. Specifically during COVID-19, prevalence of anxiety among medical students increased rapidly and several factors affected its causes. This study aimed to find out the frequency of anxiety among medical students by using the TMAS questionnaire and factors that significantly contribute to anxiety levels. This cross-sectional study used simple random sampling of undergraduate medical students. The correlation between TMAS scores and several variables was analyzed with Spearman and Kruskall-Wallis correlation test and also multiple linear regressions. Among 275 respondents, the average age is 18.81 (SD 1.18), dominated by females (62.2%), in their first year (84.4%), non-scholarship (96.7%), lived in boarding houses (57.8%), and academic problem as the dominant cause of anxiety (46.5%). Later, 40.7% were anxious, then age and the year of study were found to be negatively correlated to their anxiety. A survey regarding the preferred form of anxiety therapy by medical students showed that 27.4% of respondents chose relaxation. These results are expected to help the development of future anxiety therapy based on the specific needs of medical students.Keywords: medical students, anxiety, demographic factors, TMAS, mental health

Assessment of Anxiety Levels in Patients Scheduled to Undergo Magnetic Resonance Imaging

Abstract Introduction: Magnetic resonance imaging (MRI) has been known to induce elevated levels of anxiety in patients due to multiple factors such as fear of closed spaces when they are scanned in a confined tube for a long duration and loud noise during scans. This study aims to objectively assess anxiety levels in patients scheduled to undergo MRI, using a psychometric scale known as Hospital Anxiety and Depression Scale (HADS). Methods: The study was conducted involving 2413 patients who presented to the MRI Centre of a tertiary care hospital for 1 year. All patients scheduled to undergo MRI were explained the objective of the study and those willing to participate were given a self-administered set of questionnaires of Hospital Anxiety and Depression Score – Anxiety subset. Out of 2413 eligible patients, 2027 completed the questionnaires and were included in the study. Results: The prevalence of anxiety among the prescan sample group was detected to be 52.5% and in the postscan group 66.5%. There was a greater proportion of females detected with anxiety at 60.3%. The most common age group involved was in the range of 41–50 years (37.7%). The fear of confinement in closed spaces and apprehension of high noise levels was detected to be the most common cause of anxiety at 44%. Conclusion: Anxiety among patients scheduled to undergo MRI scans is a major issue that though known has not been given due importance in terms of actions instituted by the hospitals to assess the anxiety and stress levels of these patients. Physicians and hospital administration must make dedicated efforts to put in place psychological support measures to generate the best results out of the scheduled MRI exams, both in terms of clinical outcomes in the form of good quality scans to enable definitive diagnosis, and in financial terms to make the best use of time, workforce and commercial resources available and avoid loss in form of cost increments due to delay/cancellation of scans owing to patient anxiety.

Predictors of preoperative anxiety in pediatric surgical patients in Ghana: A bi‐center study

AbstractAnticipation of surgical procedures has been noted to be a major cause of anxiety, particularly in children and their parents. Preoperative anxiety in children is associated with complications before, during, and after surgery. There is therefore the need to identify predictors of preoperative anxiety in children, for early identification and development of interventions. This study aimed at determining predictors of preoperative anxiety in children. A total of 70 children with their parents, scheduled for general pediatric surgery in two teaching hospitals in Ghana, were recruited using a convenience sampling technique. Parental anxiety, perception of quality of healthcare, and preoperative anxiety in children were measured using the State Section of the State Trait Anxiety Inventory, the Pediatric Quality of Life—Healthcare Satisfaction Module, and the modified Yale Preoperative Anxiety Scale, respectively. Previous surgical experience, age and type of surgery were obtained by demographic questionnaire and hospital records. Majority of children who participated in the study were between ages 2 and 7 years (82.9%). 84.3% of parents in the study were females. Parental anxiety (β = 0.953, pp = 0.000) and perceived quality of healthcare (β = −0.257, p = 0.031) predicted preoperative anxiety in children. Older children scheduled for major surgery were more anxious in the preoperative period than younger children scheduled for major surgery (F = 6.75, p = 0.012). Comprehensive anxiety‐alleviation protocols for pediatric surgery should involve parents as well as improving perceptions of quality of healthcare.

Relationship Between Pastoral Care and The Anxiety Level of Preoperative Patients at Santa Elisabeth Hospital Medan

Background: Anxiety is restlessness and helplessness, especially when illness occurs after surgery, and supports pastoral care to help patients be comfortable and at ease. The aim of study was to determine the relationship between pastoral care and anxiety levels in preoperative patients at Hospital Santa Elisabeth Medan. Methods: The Methods of research is a quantitative and cross-sectional study. The population of this study was all preoperative subjects. The sample size was 71 people. The research instrument is the APAIS questionnaire (Amsterdam Preoperative Anxiety and Information Scale). The Amsterdam Preoperative Information and Anxiety Scale (APAIS) is one of the designs designed to assess the causes of anxiety before the operation, a tool was created to warn workers to assess the individual's risk. Results: The results showed that most of the recipients of pastoral care were in the good category (90.1%) and the majority in the emergency category (49.3%). Data analysis used Spearman's rank test for univariate and bivariate variables. Conclusion Spearman's level statistical test (rho) showed a value of r = (0.520) and the strength of the relationship resulted in a significant p-value = 0.000(p <0.05). Conclusions: The conclusion of this study is expressed that there's a relationship between peaceful bolster and uneasiness levels of patients some time recently surgery at Santa Elisabeth Clinic Medan and great peaceful care can diminish anxiety levels in patients who will experience surgery.

A Study of English Language Learning Anxiety and Teaching Strategies: The Context of Saudi Arabia

This study aims to explore learning anxiety related to the English language and review specific coping strategies to develop and propose certain teaching strategies for the students in the preparatory year at the English Language Institute (ELI) studying at the University of Jeddah, Saudi Arabia. This study also looks into the most dominating causes of Anxiety encountered by students and perceived by experienced English instructors in Saudi Arabia. The research questions are: What are the factors affecting the level of Anxiety among the target learners, and how can teachers cope with them to a great extent? An interview schedule was utilized for teachers to address the research questions. In addition, Self-rating questionnaires adapted and modified from the Foreign Language Classroom Anxiety Scale (FLCAS), which Horwitz and Cope (1986) developed, were used as the instruments of the study. Based on the mixed method of analysis, it is revealed that a lot of students faced considerable levels of English language learning anxiety, corresponding to the fear of negative feedback/response and evaluation by many stakeholders. Appropriate coping strategies can accordingly be suggested to make teaching fruitful.

Assessment of Anxiety and Hemodynamic Changes Pre and Post-Oral Implant Surgery

Dental anxiety is the fifth most common cause of anxiety. Patient anxiety is observed in situations involving anesthetic injections, use of rotary instruments. Local anesthetics are used in conjunction with vasoconstrictors, to prolong their action at the applied site and prevent dissemination to the bloodstream and the presence of multisystemic adverse reactions.. Method: Clinical, observational, analytical research longitudinal cohort with minimal risk. It shows 40 patients with voluntary participation, over 18 years of age, healthy use of articaine 4% with epinephrine 1:100,000. Pre-anesthesia: assessment of the degree of anxiety using the Modified Corah Dental Anxiety Scale. Blood pressure and heart rate in three stages: pre-anesthesia, 10 minutes post-anesthesia and at the end of the surgical procedure using a digital blood pressure monitor (SCANMED)® and the percentage of oxygen saturation with oximeter (OMRON).® Results: Mean age 56.7 ± 13.1 years, women 26 (65%), men 14 (35%); no pre-existing diseases (60%),. Surgical time (2 hours and 15 minutes). The most commonly used type of surgery is of medium complejidad.In the three times evaluated by the Cochrane Q test, there was a significant difference in the values of systolic pressure (P=0.001), diastolic pressure (P=0.037), Heart rate variations (P=0.660). and moderate anxiety 16 (40%) were present using the Modified Corah Dental Anxiety Scale.Conclusion: Older adults with dental implant surgery presented mild or moderate anxiety, without significant changes in blood pressure and oxygen saturation, 10 minutes after the administration of local anesthesia and at the end of the surgical procedure.