Changes In Psychological Symptoms Research Articles

Longitudinal change in symptoms of depression, anxiety and post-traumatic stress disorder during the COVID-19 pandemic among Mexican college students.

Longitudinal studies suggest the psychological difficulties precipitated by the COVID-19 pandemic have gradually declined, but our understanding of the factors that predict change in mental health is limited. We evaluated the mental health of Mexican college students during the early stage of the pandemic and 4 months later, as well as predictors of change in students' mental health. Participants were 648 students (71% women, Mage = 21.46) from a private University in Northern Mexico who completed online surveys from May 2020 to September 2020. Students' self-reported levels of mental health symptoms (depression, anxiety and post-traumatic stress disorder) significantly decreased from May to September. Poor physical health, more COVID-related worry and higher initial levels of peer social support predicted less change in psychological symptoms. On the other hand, more hours of sleep per night and a pre-existing mental health diagnosis predicted steeper decreases in symptoms. Findings suggest reductions in mental health difficulties that are consistent with theoretical frameworks of resilience among Mexican college students. In addition, results underscore the interplay between physical, psychological and social functioning, and the need for continued monitoring of mental health and intervention efforts that address physical health, sleep and pandemic-related worry in University settings.

Effects of cognitive behavioral techniques for gambling on recovery defined by gambling, psychological functioning, and quality of life: A systematic review and meta-analysis.

Individuals who experience gambling harms report that sustained recovery involves changing both gambling behaviors and psychological symptoms, as well as building a meaningful life. However, there is limited understanding about the effect of cognitive behavioral (CB) techniques on psychological symptoms and quality of life. The purpose of the present study was to examine the effect of CB techniques for gambling-related harms on broader recovery outcomes such as psychological symptoms and quality of life. A systematic article search was conducted to identify randomized controlled trials of CB techniques with nonactive and minimal treatment control groups that assessed psychological symptoms or quality of life as outcomes. Random-effects meta-analysis was used to examine the effect of CB techniques relative to nonactive and minimal treatment control groups. A total of nine studies representing 658 participants were included. Eight studies reported outcomes on depression and anxiety, three on substance use, and six on quality of life. CB techniques significantly reduced anxiety (g = -0.44) and depression (g = -0.35) at posttreatment, but not substance use. CB techniques also significantly increased quality of life at posttreatment (g = 0.40). There was a large amount of heterogeneity suggesting the magnitude of effects could vary significantly in future randomized trials. Future studies should examine the longitudinal associations between gambling harms, psychological symptoms, and quality of life and to assess whether changes in gambling harms throughout treatment precede or are a consequence of changes in psychological symptoms and quality of life. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Comparability of MMPI-3 scores from remote and in-person administrations and the impact of the COVID-19 pandemic on MMPI-3 scores.

The COVID-19 pandemic onset necessitated remote administration of psychological instruments, including the Minnesota Multiphasic Personality Inventory-3 (MMPI-3). Although previous evidence has demonstrated that MMPI scale scores are robust across administration modalities, the specific effects of remote administration on the psychometric properties of MMPI-3 scale scores must be investigated. Distinguishing psychometric differences due to administration modality from substantive changes in psychological symptoms due to the COVID-19 pandemic is also important. Thus, goals of the present study include evaluating the psychometric comparability of MMPI-3 scores derived from in-person and remote administration modalities and examining substantive scale scores changes associated with the COVID-19 pandemic. Using a large sample of college students (n = 2,503), rates of protocol invalidity, mean scale scores, reliability, and criterion validity were compared across participants completing the MMPI-3 in-person (both prior to and after the onset of COVID-19) and via remote administration. Results demonstrate comparably low rates of protocol invalidity, negligible differences in reliability, and similar patterns of criterion validity for MMPI-3 scale scores across administration modalities. Results also indicate that mean MMPI-3 scale scores pre- and post-COVID-19 onset substantially differ on select scales, but that scores on remote and in-person protocols administered post-COVID-19 have negligible differences. Remote MMPI-3 scale scores also demonstrated expected patterns of correlations with external criteria, supporting the validity of remote scores. Overall, the present study demonstrates that MMPI-3 protocols administered remotely and in-person are extremely psychometrically similar, although scores have generally increased post-COVID-19 onset for reasons independent of administration modality. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Associations between dyslexia and children's mental health: Findings from a follow-up study in China

Dyslexia is a common learning difficulty that can lead to adverse health outcomes and socioeconomic difficulties. Evidence from longitudinal studies on the association between dyslexia and psychological symptoms in children is limited. Moreover, the psychological trends of children with dyslexia are unclear. In this study, we enrolled 2,056 students in Grades 2 to 5, including 61 dyslexic children, who participated in three mental health surveys and dyslexia screening. All the children were surveyed for symptoms of stress, anxiety and depression. We used generalized estimating equation models to estimate changes in psychological symptoms of children with dyslexia over time and the association between dyslexia and psychological symptoms. The results showed that dyslexia was associated with stress and depressive symptoms in children in both crude (β = 3.27, 95% confidence interval [CI] [1.89∼4.65], β=1.20, 95%CI: [0.45∼1.94], respectively) and adjusted models (β = 3.32, 95%CI: [1.87∼4.77], β=1.31, 95%CI: [0.52∼2.10], respectively). In addition, we found no significant differences in the emotional status of dyslexic children in either survey. Dyslexic children are at risk for mental health issues, and persistent emotional symptoms. Therefore, interventions regarding not only reading ability but also psychological conditions should be pursued.

Psychological symptoms and correlates of Chinese healthcare professionals in the intensive care unit before and after the COVID-19 outbreak: A comparison of two cross-sectional studies

BackgroundThe outbreak of COVID-19 disarranged lives across mainland China. No study has examined changes in psychological symptoms of healthcare professionals in the intensive care unit (ICU) before and after the outbreak of COVID-19. The aim of this study was to estimate changes in psychological symptoms of ICU healthcare professionals before and after the COVID-19 outbreak, and to analyze factors related to psychological symptoms. MethodsTwo waves' administrations were implemented between December 13 and December 14, 2018, and between April 5 and April 7, 2020, respectively. The symptom checklist-90 (SCL-90) were used to evaluate psychological symptoms. Multiple logistical regression was used to reveal the risk of psychological symptoms. ResultsA total of 3902 and 3908 ICU healthcare professionals took part in the first and second surveys. The mean total score of the SCL-90 was 179.27 (70.02) at wave 1 and 147.75 (58.40) at wave 2, respectively. The proportion of psychological symptoms was 55.6 % (95%CI = 54.0–57.1) at wave 1. But rates of psychological symptoms decreased to 36.6 % (95%CI = 35.1–38.2) at wave 2. ICU healthcare professionals with western economic belt and 6–10 years of work were more likely to develop psychological symptoms, while ICU healthcare professionals with the later survey and doctoral degree were less likely to develop psychological symptoms. ConclusionAlthough COVID-19 period benefited psychological symptoms of ICU healthcare professionals, psychological symptoms still had a related high prevalence. Regular screening and appropriate interventions should still be implemented to decrease the risk for psychological symptoms among Chinese ICU healthcare professionals.

Sistemik İzotretinoin Tedavisinin Depresyon ve Diğer Psikolojik Belirtiler Üzerine Etkisi: Bir Vaka Kontrol Çalışması

Objective: Isotretinoin is highly preferred in the treatment of severe and resistant acne, but there are still disagreements about whether it has psychogenic side effects. In this study; we aim to investigate the changes in psychological symptoms before and after the treatment in a group of patients treated with isotretinoin. Material and Methods: A total of 110 patients who had moderate or severe acne, and decided to start isotretinoin treatment, were included. Acne Quality of Life Scale, Beck Depression Inventory (BDI), Beck Suicidal Ideation Scale, and Symptom Check List (SCL-90-R) Psychological Symptom Screening tests were performed and compared before starting treatment and at the 6th month of treatment. Results: In our study, in both the pre-treatment and post-treatment groups, the rate of patients at risk for depression was significantly higher in the group that had severe acne (p<0.05). The scores of psychiatric tests with moderate acne were found to be significantly lower than those with severe acne in all parameters (p<0.05). We have found that somatization, depression, phobic thoughts, and general symptom index scores were significantly higher in women before and after the treatment (p<0.05). Acne treatment was associated with improved quality of life and BDI scores in both male and female patients (p=0.001). SCL-90-R somatization, obsession, depression, sensitivity, anger, and general symptom index scores decreased significantly after the treatment. Conclusion: Our study objectively demonstrated that isotretinoin treatment does not cause depression and psychological symptoms, and even improves depression and psychological symptoms caused by acne and improves the quality of life.

One-year Cohort Follow-up on the Diagnosis and Posttraumatic Symptoms in Child Sexual Assault Victims in Korea.

The victims and their families of child sexual abuse (CSA) may confront persistent psychological sequela. We aimed to investigate the psychological symptoms, diagnosis, and family functions in children and adolescents with CSA. We assessed the symptom scales at 6-month intervals, and conducted diagnostic re-assessments at 1-year intervals. Trauma Symptom Checklist for Children (TSCC), Trauma Symptom Checklist for Young Children (TSCYC), Family Adaptability and Cohesion Evaluation Scales IV (FACES-IV), and Family Communication Scale (FCS) scores were reported by children or parents. We found in parent-reported TSCYC, that posttraumatic stress symptoms domain scores significantly decreased with time progression. The scores decreased more in the evidence-based treatment group over time in anxiety and posttraumatic stress symptom domains of TSCC. In FACES-IV and FCS scores, indices of family function have been gradually increasing both after 6 months and after 1 year compared to the initial evaluation. Further, about 64% of the children diagnosed with psychiatric diseases, including posttraumatic stress disorder (PTSD) at the initial assessment maintained the same diagnosis at follow-up. We observed changes in psychological symptoms and family functioning in sexually abused children with time progression during 1 year. It is postulated that PTSD may be a persistent major mental illness in the victims of CSA.

The changes in psychological symptoms of COVID-19 patients after "re-positive".

BackgroundPrevious studies have showed that individuals infected with COVID-19 were more likely to report psychological symptoms. However, little is known about the changes from testing positive to negative to positive again.MethodsThis survey was conducted through the questionnaires including the 7-item Generalized Anxiety Disorder (GAD-7), the 9-item Patient Health Questionnaire (PHQ-9), as well as the Self-Rating Scale of Sleep (SRSS) to explore the psychological status of COVID-19 and re-positive cases.″re-positive″ is defined as a positive RT-PCR test at any time during the recovery period after testing negative.ResultsA total of 94 COVID-19 patients presented the prevalence rates of anxiety, depression, insomnia, and any of the three psychological symptoms being 26.6, 8.6, 12.8, and 31.9%, respectively. Among these, 32 cases were re-tested positive during the recovery period, with the prevalence rates of anxiety, depression, insomnia, and any of the three psychological symptoms being 21.9, 18.7, 31.2, and 37.5%, respectively. The psychological status after re-positive showed a significant decrease in anxiety (P = 0.023), an increase in depression, and a significant rise in insomnia (P = 0.035). For those with no psychological symptoms during initial-positive, after re-positive, 5.88% reported anxiety, 5.88% reported depression, and 11.76% reported insomnia. For those who experienced only anxiety symptoms during initial-positive, after re-positive, 33.3% reported depression, and 33.3% reported insomnia.ConclusionsOur findings encompassed the urgent concern for anxiety in initial-positive COVID-19 patients, depression in re-positive COVID-19 patients, and insomnia in both initial and re-positive patients, hence enabling targeted interventions for appeasing the psychological burden of COVID-19 patients.

Quality of life and psychological aspects in children with overactive bladder treated with parasacral transcutaneous electrical nerve stimulation - A prospective multicenter study

To assess the impact of parasacral transcutaneous electrical nerve stimulation (parasacral TENS) on quality of life (QoL) and psychological aspects in children treated for overactive bladder (OAB). This international, multicenter, prospective cohort study involved individuals of 6-16 years of age under TENS treatment for OAB. The study was conducted between June 2016 and December 2019 in four participating centers: two in Australia, one in Germany and one in Brazil. Patients with anatomical and/or neurological abnormalities of the urinary tract were excluded. Questionnaires were applied before and after parasacral TENS treatment: the Dysfunctional Voiding Symptom Score (DVSS), used in Brazil, or the International Consultation on Incontinence Questionnaire - Pediatric Lower Urinary Tract Symptoms (ICIQ-CLUTS), used in Germany and Australia, to analyze urinary symptoms; the Strengths and Difficulties Questionnaire (SDQ) to assess emotional and behavioral aspects; and the Pediatric Incontinence Questionnaire (PinQ) for bladder-specific Qol. Fifty-three patients (28 girls and 25 boys) with a mean age of 8.64±2.63 years were included. Median DVSS was 11 (range 6-13.5) and 3 (range 0-7), (p<0.001), and median ICIQ-CLUTS was 12 (range 9-14) and 9 (range 5.7-12), (p<0.001), before and after treatment, respectively. Median PinQ score decreased from 47.8 (range 38.9-59.7) to 39 (range 29-53.15) following treatment (p=0.04). Median total SDQ score before and after treatment was 17 (range 13.5-21) and 15 (range 12-21), respectively (p=0.939). Parasacral TENS was associated with a significant improvement in urinary symptoms and QoL; however, there was no change in psychological symptoms, as measured using the SDQ.

Menstrual Cycle-Driven and Day-to-Day Changes in Sexual Desire

ABSTRACT Introduction Although research has attempted to quantify the effects of the menstrual cycle on sexual desire, we lack a clear understanding of how the menstrual cycle, and the many physical and psychological changes of the menstrual cycle, are related to changes in sexual desire. For example, whereas evolutionary theories predict that women should converge on increased sexual interest around ovulation, methodologically strong tests of this idea are lacking, and there is reason to hypothesize that there are significant individual differences in these associations. Objective This study has three main objectives. First, to quantify the contributions of (a) mean-level differences across individuals, (b) average effects of the menstrual cycle, and (c) individual differences in the effects of the menstrual cycle, to sexual desire. Second, to test for the influence of day-to-day changes in physical and psychological symptoms on day-to-day changes in sexual desire, independent of the menstrual cycle. Third, to test for associations between cyclical changes in physical and psychological symptoms attributable to the menstrual cycle and cyclical changes in sexual desire attributable to the menstrual cycle. Methods A sample of n = 213 university-aged women with regular menstrual cycles, who were not using hormonal birth control, completed daily questionnaires for two full menstrual cycles (M = 58 daily reports per participant). Measurement included changes in sexual desire (increase and decrease), as well as physical (headaches, back and joint pain, cramps, breast changes) and psychological changes (anxiety, depression, happiness, mood swings, low energy) that are commonly associated with the menstrual cycle. Multilevel modeling with random intercepts and slopes, as well as linear regression of cosine coefficients of all physical and psychological symptom scores, were used to test these hypotheses. Results Relative to the three objectives described above, results showed that: mean-level differences across participants accounted for 21.5% of the overall variance in changes in sexual desire; the average/fixed effects of the menstrual cycle accounted for 1.6% of the variance; and random effects of the menstrual cycle (e.g., individual differences in menstrual cycle effects) accounted for 7.8% of the variance. Only day-to-day changes in psychological symptoms, but not day-to-day changes in physical symptoms, were associated with day-to-day changes in sexual desire (independent of the menstrual cycle). Finally, only menstrual cycle-related cyclical changes in depression were associated with menstrual cycle-related changes in sexual desire. Conclusions Results from the present study demonstrate that average effects of the menstrual cycle play a very small role in influencing changes in sexual desire (see left panel of Figure 1). Most variance in changes in sexual desire, instead, is explained by individual differences in mean levels, and in individual differences in the effects of the menstrual cycle (see right panel in Figure 1). Thus, women differ significantly in their average levels of desire and how the menstrual cycle influences changes in their desire. Moreover, only psychological symptoms, and not physical symptoms, are associated with changes in sexual desire. Of the psychological symptoms, happiness is the most strongly associated with changes in sexual desire. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: ApexNeuro

College student mental health: Understanding changes in psychological symptoms in the context of the COVID-19 pandemic in the United States.

The COVID-19 pandemic has altered the way higher education is structured and delivered, presenting challenges for college students that have the potential to negatively impact mental health. The current study aimed to identify potential changes in college student psychological symptoms since the onset of the pandemic. The study used analyses of covariance to examine differences in perceived stress, depression, anxiety, and obsessive-compulsive symptoms between a sample of university students collected in Fall 2016 and a sample of students from the same university collected in Spring 2020 and Fall 2020 after the onset of the pandemic. Findings indicated that college students from the 2020 sample reported significantly higher levels of stress, depressive symptoms, and anxiety symptoms than the 2016 sample. For stress and anxiety, there was a significant interaction between cohort (2016 vs. 2020 sample) and year in school (first year vs. advanced) indicating that the pandemic may have had a more prominent negative mental health impact on advanced students in comparison to first year students. There were no significant differences between samples on obsessive-compulsive symptoms. The current sample was somewhat homogenous demographically, consisting of primarily first-year students, thus limiting generalizability. Self-report measures were used. College students may be struggling with increased stress, depressive symptoms, and anxiety symptoms during the pandemic. The current study provides important information to guide the development and implementation of prevention and intervention efforts to support college student mental health in the context of the pandemic.

Adopting a Companion Dog Helps Veterans with Posttraumatic Stress Disorder in a Pilot Randomized Trial

Abstract Despite significant treatment advances, many military veterans continue to suffer from posttraumatic stress disorder (PTSD) and associated symptoms, suggesting a need for new interventions. This pilot trial examined the change in psychological symptoms of 19 veterans in treatment for PTSD who were randomized either to adopt a dog immediately from a Humane Society shelter (n = 9) or to a three-month waitlist followed by dog adoption (n = 10). The dogs were companion dogs, not service animals. The investigators analyzed quantitative assessments using mixed regression models with repeated measures. All veterans also participated in periodic semi-structured interviews. The study results showed companion dog adoption to be a feasible adjunctive intervention that helped improve PTSD and depressive symptoms for most participants. These findings suggest that this is a promising approach that is worthy of further study.

Overtraining Syndrome Symptoms and Diagnosis in Athletes: Where Is the Research? A Systematic Review.

To understand overtraining syndrome (OTS), it is important to detail the physiological and psychological changes that occur in athletes. To systematically establish and detail the physiological and psychological changes that occur as a result of OTS in athletes. Databases were searched for studies that were (1)original investigations; (2)English, full-text articles; (3)published in peer-reviewed journals; (4)investigations into adult humansand provided (5)objective evidence that detailed changes in performance from prior to the onset of OTS diagnosis and that performance was suppressed for more than 4 weeks and (6)objective evidence of psychological symptoms. Zero studies provided objective evidence of detailed changes in performance from prior to the onset of OTS diagnosis and demonstrated suppressed performance for more than 4 weeks accompanied by changes in psychological symptoms. All studies failed to provide evidence of changes in performance and mood from "healthy" to an overtrained state with evidence of prolonged suppression of performance. While OTS may be observed in the field, little data is available describing how physiological and psychological symptoms manifest. This stems from vague terminology, difficulties in monitoring for prolonged periods of time, and the need for prospective testing. Real-world settings may facilitate the collection of such data, but the ideal testing battery that can easily be conducted on a regular basis does not yet exist. Consequently, it must be concluded that an evidence base of sufficient scientific quality for understanding OTS in athletes is lacking.

Examining factors associated with postintervention recidivism in DUI repeat offenders after alcohol treatment: One-year follow-up study

Taiwan has deemed driving under the influence of alcohol (DUI) to be criminal, and offenders are subjected to fines and jail penalties without being offered alcohol-related treatment, although alcohol use problems are prevalent in this population. We followed the recidivism records of DUI repeat offenders for one year after they had received a newly established legal-medical joint intervention program for alcohol treatment and examined factors related to postintervention recidivism. In this study, 231 DUI repeat offenders with alcohol use problems screened out by the Alcohol Use Disorder Identification Test were referred from the prosecutors' office to one psychiatric hospital for SBIRT-based alcohol treatment. We divided the participants into two groups based on the official recidivism records within the year following the end of treatment. The study used a Cox proportional hazards model to examine the hazard ratio of the baseline clinical characteristics and intervention duration for post-treatment recidivism. The study used generalized estimation equation models to examine changes in psychological symptoms and drinking behaviors over time. We found that participants who recidivated in the next year after intervention did not differ from those without recidivism records in all measurements except for the length of duration they stayed in treatment. Survival analysis determined that participants who had received the intervention for >4 months showed significantly lower rates of one-year postintervention recidivism rates The study participants showed improved psychological symptoms and drinking behaviors during the follow-up period. In conclusion, adequate duration of alcohol treatment is a significant factor associated with a lower risk of postintervention recidivism. The results provide some insight into the design of a collaborative program between legal and medical systems to reduce DUI recidivism and improve mental health of DUI repeat offenders.

From psychological to physical health: Exploring temporal precedence throughout emotion regulation therapy

ObjectiveGeneralized anxiety disorder (GAD) is characterized, in part, by physical symptoms such as muscle tension and gastrointestinal (GI) distress. To date, little research has examined how changes in psychological symptoms associated with GAD may impact physical symptoms. This study investigated if reductions in worry, anxiety, and depression precede changes in muscle tension and GI distress throughout psychotherapy. MethodsParticipants with GAD (N = 85) completed 20 weeks of emotion regulation therapy (ERT) in addition to assessments pre, mid, and post treatment. They completed a physical symptom questionnaire, evaluating muscle tension and GI distress. Participants also completed psychological symptoms questionnaires, including the State Trait Anxiety Inventory (STAI-7), Penn State Worry Questionnaire (PSWQ), and Beck Depression Inventory (BDI-II). Control participants (N = 44) completed these measures at baseline. ResultsParticipants with GAD had significantly greater muscle tension (p < .001) and GI distress (p < .001) compared to control participants without GAD. Reductions in worry, depression, and trait anxiety did not precede changes in muscle tension (range of effect size (r): .05–.12). Reductions in both depression (p = 0.04) and trait anxiety (p < 0.01) preceded reductions in GI distress. Reductions in worry did not precede reductions in GI distress (p = 0.25). ConclusionThese data provide preliminary evidence for the temporal effect of reductions in psychological symptoms on reductions in GI distress in GAD, highlighting the potential of psychotherapy to improve physical outcomes.

Psychological Resilience as a Risk Factor for Posttraumatic Growth: The Case of COVID-19 Pandemic

Amaç:Bu çalışmanın amacı koronavirüs salgını sonrasında ortaya çıkan psikolojik semptomlardaki değişimin psikolojik sağlamlık ve travma sonrası büyüme açısından incelenmesidir. Ayrıca bireylerin koronavirüs öncesi psikolojik semptomları ile sonrasındaki psikolojik semptomları arasındaki ilişkide psikolojik sağlamlığın aracı rolünün belirlenmesi hedeflenmiştir. Yöntem:18-66 (31.93±11.57) yaş aralığındaki 553’ü (%76.7) kadın ve 168’i (%23.3) erkek olmak üzere toplam 721 kişilik toplum örnekleminden oluşan katılımcılarapsikolojik semptom, psikolojik sağlamlık vetravma sonrası büyüme ölçekleri online olarak uygulanmıştır. Bulgular:Koronavirüs öncesi ve sonrası semptom puanlarındaki değişim yönüne göre oluşturulmuş gruplar arasındaki farklar incelendiğinde,psikolojik sağlamlık puanının değişim olmayan grup lehine,travma sonrası büyüme puanının iseolumlu değişim gösteren grup lehine diğer değişim gruplarındananlamlı düzeyde yüksek oldukları saptanmıştır. Koronavirüs öncesi ve sonrası semptom puan ortalamaları arasındaki ilişkide psikolojik sağlamlığın %5.7 ila %13 gibi değişen oranlardasemptom düzeylerini azaltıcı bir yönde aracılık etkisinin olduğu saptanmıştır. Sonuç:Bu çalışmada koronavirüs sürecinin toplamda bireylerin psikolojik semptomları üzerinde olumsuz bir etkisinin olduğu görülmekle birlikte bazı bireylerin psikolojik semptom puanlarında değişimin olmadığı, bazı bireylerde ise semptom puanlarının düştüğü gözlenmiştir. Bu farklılığı oluşturan değişkenler olarak PS ile TSB’nin travmatik deneyimlerde iki ayrı yapı olarak değerlendirilebileceğigörülmüştür.Bulgular koronavirüs salgını örneğinde PS’nin psikolojik semptomlarda bozulmayakarşı koruyucu bir faktör olduğunudiğer yandan ise TSB’nin oluşumunu engelleyen bir risk faktörü olarak değerlendirilebileceğini akla getirmektedir.

A-085 Sports Anxiety Scale − 2: More Sensitive to College Athlete Anxiety

Abstract Objective Concussed student-athletes’ responses on two self-report questionnaires were recorded at two points within the semester in order to evaluate distinguishing changes in psychological symptoms. Methods A sample of (n = 21) collegiate athletes participated in a pre-post study. Student-athletes were recruited from various sports at a private University through the General Psychology course. The participants (age range 18–22, M = 19.38, SD) included 10 females, 11 males.. A pre-post study, mixed-methods experimental design was employed as part of a larger physiological study. The pre-measures included an informed consent, demographic questionnaire, self-report measures (Generalized Anxiety Scale-7 (GAD-7) and the Sports Anxiety Scale-2 (SAS-2)), and 5-time rating scale of performance. All responses were gathered in the neurocognitive lab of the graduate department.. The post-session occurred 5–6 weeks after the initial session, again gathering data on GAD-7 and SAS. Results A within-subject analysis of the data revealed a main effect for time with a moderate effect size (p = .026) in the decrease of SAS-2 total scores. This significant decrease in SAS-2 total scores occurred across groups and across genders in the post-intervention measures. For the GAD-7 measure, there were no significant changes. Conclusion The significant findings for the SAS-2 total scores suggest it is a more sensitive measure of anxiety for healthy college athletes who have a concussion history than the GAD-7. Because of the limited number of participants, further research is necessary to confirm the applicability of the SAS-2.

Brief EcoMeditation Associated With Psychological Improvements: A Preliminary Study.

BackgroundA growing body of clinical research attests to the psychological and physiological benefits of meditation. EcoMeditation is a non-pharmacological therapeutic approach used to promote health and well-being, comprising four evidence-based techniques: The Quick Coherence Technique for regulating heart rate variability (HRV), Emotional Freedom Techniques (EFT), mindfulness, and neurofeedback.ObjectivesThis study investigated changes in psychological symptoms of anxiety, depression, posttraumatic stress disorder (PTSD), pain, and happiness following a one-day EcoMeditation training workshop delivered in a large-group format and at 3-months post-intervention.MethodsA convenience sample of 208 participants (137 women, 71 men) aged between 21 and 87 years (M = 55.4 years; SD = 12.8 years) attended a one-day EcoMeditation training workshop. Participants completed a pen-and-paper survey pre-workshop and post-workshop, and an online survey three months following the EcoMeditation intervention.ResultsPost-workshop results revealed significant reductions in anxiety (−23.4%, p < .001), depression (−15.8%, p = .011), PTSD (−11.8%, p < .001), and pain (−18.5%, p < .001), while happiness scores increased significantly (+8.9%, p < .001). At 3-month follow-up, one-way repeated-measures ANOVA (N = 65) found significant decreases in anxiety between pre-test and post-test, and pain between pre-intervention and 3-month follow-up. Differences in depression and PTSD scores were not significant over time. Happiness scores significantly increased from pre-test to 3-month follow-up. However, post-hoc analyses suggested that the final sample size was inadequate to detect significant differences between time points.ConclusionFindings provide preliminary support for EcoMeditation as a brief group-based stress reduction intervention with benefits for improved psychological functioning.

Maternal depression, anxiety, stress, and maternal-infant attachment in the neonatal intensive care unit

ABSTRACT Objective The objectives of this study were to identify maternal psychological responses to infants’ neonatal intensive care unit (NICU) admission, understand the relationship between psychological symptoms and maternal-infant attachment, and evaluate change in psychological symptoms over time. Background Accumulating evidence suggests that infants’ admission to a NICU may adversely impact maternal psychiatric functioning. NICU mothers typically experience high levels of depressive, anxiety, and stress symptoms. Methods Mothers (N = 127) recruited from their infants’ NICU bedside at three hospitals in the Philadelphia area completed self-report measures of depression, anxiety, stress, and maternal-infant attachment during the NICU admission and then 2–4 months later. A series of bivariate correlations, paired samples t-tests, and linear regression analyses were used to evaluate the primary study aims. Results NICU mothers reported elevated rates of depressive, anxiety, and stress symptoms. Maternal-infant attachment was negatively associated with anxiety and stress symptoms. Both depressive and anxiety symptoms were higher during NICU admission compared to 2–4 months later, and depressive symptoms during NICU admission predicted depressive symptoms 2–4 months later. Conclusions This study demonstrates that NICU admission may heighten maternal risk for psychiatric symptoms, and maternal-infant attachment in the NICU may be an important correlate of maternal anxiety and stress symptoms.

Effects of surgical repair of obstetric fistula on severity of depression and anxiety in Ethiopia

BackgroundThe surgical repair of fistula can address the physical symptoms, but may not end the psychological challenges that women with fistula face. There are a few studies that focus on women with this condition in Ethiopia. Hence, the aim of this study was to determine the effects of surgical repair of obstetric fistula on the severity of depression and anxiety in women with obstetric fistula in Ethiopia.MethodThe study employed a longitudinal study design to investigate the changes in 219 women with obstetric fistula admitted to six fistula management hospitals in Ethiopia. The data were collected on admission of the patients for obstetric fistula surgical repair and at the end of six-month post repair. A structured questionnaire was used to obtain socio-demographic information and medical history of the respondents. Depression and anxiety symptoms were measured using the Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder (GAD-7) scales. The data was entered using Epi-Data software and then exported to SPSS for further analysis. The Mann-Whitney-U test, the Kruskal-Wallis test and Paired t-test were performed to measure the change in psychological symptoms after surgical repair.ResultThough 219 respondents were interviewed pre-obstetric fistula surgical repair, only 200 completed their follow up. On admission, the prevalence of depression and anxiety symptoms were 91 and 79% respectively. After surgical repair, the prevalence rate was 27 and 26%. The differences in the prevalence of screen-positive women were statistically significant (P < 0.001).ConclusionThe study concluded that the severity of depression and anxiety symptoms decrease post-obstetric fistula surgical repair. However, a woman with continued leaking after surgery seems to have higher psychological distress than those who are fully cured. Clinicians should manage women with obstetric fistula through targeted and integrated mental health interventions to address their mental health needs.