Cause Of Anxiety Research Articles

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

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.

Intimate Partner Violence during pregnancy: Impact on women and children: A Review

Background: Intimate partner violence (IPV) is one of the major causes of anxiety, depression, and post-traumatic stress disorder and can have a negative impact on the mother during pregnancy. This review aims to understand the health consequences of IPV on maternal mental health so that effective interventions and policies can be developed and implemented to provide support to victims, promote gender equality, and prevent adverse maternal outcomes. Methods: A systematic search was conducted as per the PRISMA guidelines. Computer database researches were conducted using the following databases: Google Scholar, Psych INFO, Medline, Scopus, Web of Science, and PubMed. The literature was screened by titles and abstracts and by applying keyword search. The following keywords were searched: women, violence, domestic violence, intimate partner violence, IPV, pregnancy, antenatal, conception, maternal health, child health, mental health, and maternal mental health. The literature search was done from 2014 to 2024. Results: IPV not only poses adverse effects on the well-being of the victim but also disrupts the stability of the environment of the home. It impacts the health, nurturing care, and overall development of the child. Children born to mothers exposed to violence during pregnancy may have lower birth weights and experience higher rates of mortality, preterm births, and lower Apgar scores. The negative effects of IPV on child health also extend beyond the child's cognitive development, impacting the academic performance of their peers. Conclusion: A vast majority of the incidents involving IPV go unreported due to fear, shame, stigma, or lack of awareness. This can affect the accuracy of the actual data of prevalence. In addition, societal norms, gender stereotypes, and male dominance may add to the effects of IPV, making it difficult for the victims to seek help.

Towards Fish Welfare in the Presence of Robots: Zebrafish Case

Zebrafish (Danio rerio) have emerged as a valuable animal model for neurobehavioral research, particularly in the study of anxiety-related states. This article explores the use of conceptual models to investigate stress, fear, and anxiety in zebrafish induced by bio-inspired mini-robotic fish with different components and designs. The objective is to optimize robotic biomimicry and its impact on fish welfare. Previous studies have focused on externally controlled fish models, whereas this study introduces prototypes of freely actuated swimming robots to examine interactions between a bio-inspired robot and individual zebrafish. By means of analysis of behavioral responses, certain robotic components have been identified as potential causes of anxiety in fish, which have provided insights that may be applicable to other species and future aquacultural robot designs.

Anxiety in the emergency medical practice – its psychiatric and somatic origin, comorbidities, behavior and treatment

Anxiety conditions and disorders are common in the general population, and patients suffering from them often seek the services of emergency departments. Anxiety is a psychopathological symptom that accompanies not only psychiatric conditions, but a wide range of somatic diseases, and a combination of both. The biochemical and pathophysiological mechanisms of psychosomatic interrelationship and comorbidity are complex and multi-layered. Thus, diagnosing the root cause of anxiety is a clinical challenge. Early, and on time, recognition of an anxiety disorder helps to avoid unnecessary investigations, ensures correct treatment and saves hospital resources. Careful use of medications, psychoeducation and referral to a specialist improves patient outcome with this potentially debilitating disease. In this article, the authors aim to present in a synthesized form the main epidemiological data on the prevalence of anxiety symptoms and disorders, anatomical localization and biochemical mechanisms and relationships in the pathogenesis of anxiety symptoms, as well as to derive the main guidelines for recognizing and differentiating clinicopathological constellations in somatic conditions in emergency medical practice. Materials and methods. Existing published studies from an international database, related to the subject of the article, have been thoroughly studied. Results. Anxiety symptoms, in particular panic attacks and disorders, are widespread in primary care and occupy a significant part of the work process, especially at times of peak loads, natural disasters and situations of mass traumatism. Conclusions. Timely training and good preparation for recognition and adequate assessment of anxiety conditions in primary and emergency medical care significantly shorten the therapeutic route of patients. They receive competent help on time, and the cost of their treatment is significantly reduced. Discussion. Modern medical science, including psychiatric, offers advanced drug and non-drug methods for the treatment and prevention of anxiety conditions and disorders.

Effect of Distraction Therapy in Reducing Children's Anxiety During Circumcision

Circumcision or circumcision is a surgical procedure that involves removing all or part of the foreskin of the penis with the aim of keeping the vital area clean so that it is not easily infected. By 2020, 85% of boys will be circumcised, equating to around 8.7 million boys annually. The circumcision rate will increase along with population growth in Indonesia. Most children who undergo circumcision will encounter obstacles such as fear, crying, refusing to enter the room and having to ask their parents to accompany them when they want to enter the room. This shows that there are fundamental problems in children who will be circumcised. Anxiety is one of the things a child will face before being circumcised. Anxiety can cause prolonged trauma, causing children to experience stressor crises. The cause of anxiety is pain and fear during the circumcision process. Often parents and medical personnel think this is trivial, but in fact if left unchecked it will have a serious impact on the child's mental condition. Distraction therapy is an example of therapy that can help reduce a child's anxiety about circumcision. Children who are circumcised will naturally feel afraid and anxious, so play therapy is carried out to reduce these feelings of anxiety. This therapy involves diverting attention to the child who will be circumcised. The goal is to change the child's orientation and thinking, which was initially focused on circumcision, towards the proposed therapy. This will create a feeling of security and comfort, thereby helping the circumcision process run smoothly.

Fear of Cancer and State Anxiety Among Women Undergoing Hysterectomy

Background Fear of cancer may develop after surgery in women who underwent surgery for suspected malignancy in preoperative examinations. It is important from a psychosocial point of view that the fear of cancer and the factors affecting anxiety are determined and necessary interventions are made. Objectives The aim of this study was to determine the level of state anxiety, fear of cancer, and influencing factors in women who had hysterectomies with a risk of cancer in the waiting period for the pathology result. Methods The research data were collected from 109 women who underwent hysterectomy while waiting for the pathology result on the third or fourth postoperative day. Patients completed the Personal Information Form, State-Trait Anxiety Inventory-I, and Cancer Worry Scale. Results Women who underwent hysterectomy with the risk of gynecological cancer had high levels of state anxiety and cancer fear after hysterectomy; type of hysterectomy significantly affected cancer fear (P = .022), and social support (P = .015), type of hysterectomy (P = .024), and family history of cancer (P = .022) significantly affected state anxiety. Conclusion The management of these women’s concerns can be improved if healthcare professionals know more about the factors affecting their state anxiety and fear. Implications for Practice Health professionals witness patients’ most private experiences and play a key role in providing care and support. This study may be foundational in the planning and implementation of nursing interventions to manage causes of anxiety and fear during this waiting period.

Anxiety level of Iranian patients with psychiatric disorders and related factors: A cross-sectional study

Patients at psychiatric facilities may experience anxiety for a variety of reasons. Long-term anxiety that is not treated can lead to chronic problems like headaches, insomnia, depression, muscle tension, suicidal thoughts, and chronic pain. The purpose of this study is to investigate the relationship between anxiety levels and anxiety-inducing factors in patients hospitalized in psychiatric wards. Using SPSS software version 26, an independent t-test and Pearson's correlation coefficient were used to analyze the data. The traditional "Kessler's anxiety" questionnaire and the "researcher-made" questionnaire, as well as the random sampling methodology, are the foundations of this study. A significant association exists between patients’ anxiety and the lack of personal freedoms following hospitalization and the marital status of the nurses (P<0.05). The findings of this study indicate that some of the elements under investigation contribute to patients' anxiety while others have no bearing on it. To fully understand the causes of anxiety in patients being treated in psychiatric hospitals, more research is required.

СОСТОЯНИЕ ЗДОРОВЬЯ МЕДИЦИНСКИХ СЕСТЁР В ОРЕНБУРГСКОЙ ОБЛАСТИ

Middle-level medical personnel have the most unfavorable health indicators, their incidence is higher than that of doctors and workers in other sectors of the national economy. In this regard, the issues of strengthening and preserving the health of this contingent are becoming especially relevant. The purpose of the study is to study the morbidity of nurses according to medical examinations. To investigate the level of anxiety and depression among them. Materials and methods. A sample study of the "Medical records of a patient receiving outpatient medical care" of nurses working in medical organizations of the Orenburg region who underwent a medical examination in 2022 was conducted. The nurses were also surveyed using the questionnaire "Hospital scale of anxiety and depression". The material was developed on a personal computer using Statistica 10.0 and MS Excel programs. The results obtained. The incidence of nurses was 147.8%. The leading classes of diseases are diseases of the eye and its accessory apparatus, diseases of the circulatory system, diseases of the genitourinary system, diseases of the musculoskeletal system and connective tissue, mental disorders and behavioral disorders. The association of morbidity with age, length of service, and qualification category has been established. More than a third of the nurses experienced a state of anxiety. The presence of significant symptoms of depression was determined in 11.7 ± 2.4%. The causes of anxiety and depression in nurses were more personal than organizational in nature. An average positive relationship has been determined between the increase in symptoms of anxiety and depression with an increase in morbidity. In their presence, the risk of disease for related classes of diseases increases by 2.6 – 6.6 times in the presence of anxiety, and by 4 – 9 times in the presence of depression. In general, the incidence of all classes of diseases among nurses due to anxiety was 10.8%, which is 7.3% of the total incidence, and the incidence due to depression was 3%, which is 2% of the total incidence. Conclusion. An evidence-based approach based on a comprehensive assessment is needed to make informed decisions on improving the health of nurses. The present study revealed a fairly high incidence of nurses, as well as a high level of anxiety and depression. Although no cases of occupational disease have been identified, a link has been found between morbidity and age, experience, and qualifications. About half of the nurses need follow-up dynamic monitoring, more than half need further follow-up and treatment in a polyclinic.

An Investigation into Presentation Apprehension among Non-English Major Students at a University in Hanoi

The study was carried out at Dai Nam University to measure the levels of presentation apprehension among non-English major students. The participants were 137 students of different disciplines. The study employs quantitative research design to obtain the answers for research questions. The first finding of the study shows that levels of presentation apprehension among non-English major students at Dai Nam University was M=3.06 which was at the medium level. In terms of variation of presentation apprehension by years of study, the findings reveal that there were significant differences. Year 1 (M = 3.82, SD = 0.25) was significantly larger than for Year 2 (M = 3.01, SD = 0.41), p < .001. For the main effect of year of study, the mean of presentation apprehension for Year 1 (M = 3.82, SD = 0.25) was significantly larger than for Year 3 (M = 2.29, SD = 0.39), p < .001. For the main effect of years of study, the mean of presentation apprehension for Year 2 (M = 3.01, SD = 0.41) was significantly larger than for Year 3 (M = 2.29, SD = 0.39), p < .001. The second finding of the study revealed that among the factors that lead to presentation apprehension, fear of being judged or criticized (Ft5), and lack of self-confidence (Ft6) were the main causes of anxiety M=3.05 and M=3.04 respectively. The finding also indicated that the factors of presentation apprehension varied by years of study.

Efficacy of ShotBlocker device versus vapocoolant spray for spinal needle pain relief during spinal anaesthesia in elective caesarean section - A randomised controlled trial.

Apprehension of pain due to a spinal needle is often a cause of anxiety and refusal. ShotBlocker provides non-painful physical stimulation, inhibiting pain perception. The vapocoolant spray contains ethyl chloride vapours, rapidly raising the skin temperature and hampering the transmission of noxious stimuli. The present study compared the effectiveness of the ShotBlocker device and the vapocoolant spray in reducing spinal needle-associated pain in primigravida women undergoing elective lower-segment caesarean section (LSCS). We enroled 144 primigravida women undergoing elective LSCS and were randomised to Group SB (the ShotBlocker device was firmly pressed over the skin, and the spinal needle was inserted through its slit), Group V (the vapocoolant spray was applied at the puncture site before spinal needle insertion), and Group C (received local infiltration before spinal anaesthesia (SA)). The groups were compared for needle-associated pain and patient satisfaction using a 10-point visual analogue scale (VAS) and a 3-point Likert scale. The mean (standard deviation) [95% confidence interval (CI)] VAS scores of Group SB 3.85 (0.74) [3.64, 4.07] and Group V 3.04 (0.74) [2.83, 3.26] were significantly lower than that of Group C 5.19 (0.92) [3.28, 3.62]). On the Likert scale, the maximum number of patients in the vapocoolant group (64.6%) responded satisfactorily, while in the control group, the majority (62.5%) of participants responded dissatisfied (P < 0.001). Both the ShotBlocker and vapocoolant spray reduce needle puncture-associated pain before SA in primigravida patients undergoing elective LSCS. However, the vapocoolant spray is more beneficial in reducing spinal needle-associated pain than the ShotBlocker device.

Anxiety symptoms and coping strategies among high school students in Vietnam after COVID-19 pandemic: a mixed-method evaluation.

The objective of the current study was to examine the rate of high school students at risk of anxiety disorder during the COVID-19 pandemic in Vietnam, as well as the coping strategies utilized within this demographic. An evaluation was conducted through the utilization of mixed methods, consisting of a combination of a cross-sectional study and in-depth interviews. In this study, a sample of 3,910 students from 13 high schools in Hanoi, Vietnam were selected for participation. The measurement of symptoms of anxiety disorder was conducted through the application of the seven-item General Anxiety Disorder (GAD-7) scale. To comprehend the underlying causes of anxiety and the various coping mechanisms employed, in-depth interviews were conducted. The findings indicate a prevalence rate of anxiety disorder symptoms among students at 40.6% The prevalence rates of mild, moderate, and severe anxiety symptoms were found to be 23.9%, 10.9%, and 5.8%, respectively. In-depth interviews uncovered multiple sources of anxiety experienced by high school students, namely their academic performance, social interactions, prejudicial attitudes from their social circle, and familial expectations. Numerous coping strategies were then documented. The current investigation ascertained that there exists a moderate level of anxiety amongst high school students in Hanoi, Vietnam during the COVID-19 outbreak. Furthermore, this study configured potential indicators to identify vulnerable individuals and further suggests the development of targeted interventions.

A Randomized Controlled Trial Comparing the Effect of Tracheostomy Training using Mannequin-Based Simulation and Smartphone Application on Self-Efficacy and Anxiety of Caregivers.

Inefficient education is a cause of anxiety and low self-efficacy among caregivers, especially for those caring for patients with tracheostomy. This randomized controlled trial aimed to compare the outcomes of tracheostomy care education by mannequin-based simulation and smartphone application. The participants were 126 primary caregivers of tracheostomy patients being discharged home from hospitals affiliated with Tehran University of Medical Sciences. The control group received routine care. Caregiver self-efficacy was assessed using the Caregiver Inventory and the Hamilton Anxiety Rating Scale prior to the education and 1 month after. There were significant differences among the three groups regarding the mean scores of self-efficacy and anxiety. There was a significant increase in self-efficacy (P ≤ .0001) and a significant decrease in anxiety (P ≤ .0001) scores after the intervention. The intergroup comparison showed a significant difference between the intervention groups and the control group in terms of changes in the anxiety and self-efficacy scores of caregivers (P < .001).

An observational study to evaluate weight gain of exclusively breastfed infants who feed only while sleeping

Background: We encountered infants in our outpatient department (OPD) who have been breastfeeding normally till 3–6 months of age and stopped feeding while awake without any obvious reason, and continued feeding during sleep. This causes much anxiety and concern to the mother and demands intervention. Objectives: The aim of the study was to compare the weight gain of infants who breastfeed only during sleep, with babies who feed normally. Materials and Methods: An observational study has been carried out in pediatric OPD, at Government Medical College Kannur. Totally 30 breastfeeding mothers were interviewed and data were entered in a proforma. Weight gain was taken from the growth chart beginning from birth to 6 months. Results: Among the 30 breastfeeding mothers interviewed, 12 of them had infants who started feeding only during sleep from around 3 to 4 months of age. On the assessment of growth and development among these infants, it was noted that they were comparable with the infants on exclusive breastfeeding without the problem. No failure to thrive or delayed development was noted in the study group as compared to normal. Conclusion: Growth and development was normally attained in infants who breastfeed only while sleeping. As this matter hasn’t been studied anywhere so far and is a cause for anxiety in mothers, it demands further research and study.