Depression Anxiety Stress Scale Research Articles

The Effect of Stress on the Occurance of Dysmenorrhea

Adolescence is a period of “storm and stress”, a time when emotional tension increases due to physical and glandular changes that make adolescents very sensitive and prone to stress. Stress management is also one of the efforts to overcome dysmenorrhea because stress factors can reduce a person's pain resistance. This study aims to determine the effect of stress on the incidence of dysmenorrhea. This study was an observational analytic study using a cross-sectional approach. The study population was seventh and eighth grade students of Junior High School Ngariboyo, totaling 179 female students. Sampling using the Slovin sample size formula, samples were taken using simple random sampling technique with a minimum sample size of 124 female students. The independent variable was stress, while the dependent variable was dysmenorrhea. Data were collected using the Depression Anxiety Stress Scale (DASS-42) questionnaire, and the Numerical Rating Scale (NRS). Data were processed and analyzed using Ordinal Regression test. The results showed that there were 49 female students who had moderate stress and 53 female students who experienced moderate dysmenorrhea pain. The results of the Ordinal Regression test showed the effect of stress on the occurance of dysmenorrhea p-value = 0.017. Based on the description above, it can be concluded that there is a significant influence between stress and the incidence of dysmenorrhea in seventh and eighth grade students of Junior High School Ngariboyo. It is expected that female students can increase their knowledge in managing themselves early on in stress management towards the occurance of dysmenorrhea.

Assessing the relationship between lifestyle factors and mental health outcomes among Afghan university students

BackgroundLifestyle factors such as physical activity, diet, and sleep can impact university students' mental health. This study examined the associations between lifestyle and mental health among students at Herat University in Afghanistan. MethodsA cross-sectional study was conducted among 677 students selected through stratified random sampling. Participants completed a questionnaire on socio-demographics, physical health, dietary habits, and the Depression Anxiety Stress Scale (DASS-42). Chi-square tests and logistic regression analyzed the relationships between lifestyle factors and DASS-42 scores. ResultsPoor perceived health and irregular breakfast consumption were associated with higher odds of depression and anxiety. Low vegetable intake also increases the odds of depression and anxiety. Studying non-medical fields and irregular sleep patterns were linked to higher stress levels. ConclusionComprehensive health promotion and targeted interventions addressing dietary habits, sleep, and discipline-specific needs may improve the mental well-being of university students. A multidimensional approach is required to foster a healthy campus environment.

Beyond the screen: Examining the associations between cyberbullying, social media addiction, and mental health outcomes among medical students: A cross-sectional study.

Cyberbullying and excessive social media use are emerging issues among medical students, with potential implications for mental health. This study aimed to investigate the prevalence of cyberbullying, social media addiction, and their associated mental health conditions, as well as to explore the associated factors among medical students. A cross-sectional study was conducted among 418 medical students in Gujarat using a self-administered questionnaire. Cyberbullying was assessed using the Revised Cyberbullying Inventory (RCI-R), social media addiction was measured using the Bergen Social Media Addiction Scale (BSMAS), and mental health issues were evaluated using the Depression Anxiety Stress Scale (DASS-21). Descriptive statistics and binary logistic regression analyses were performed. A P value of <0.05 was considered significant. The prevalence of cyberbullying, social media addiction, depression, anxiety, and stress among participants was 27.5% (95% CI: 23.4%-31.9%), 32.1% (95% CI: 27.8%-36.7%), 37.6% (95% CI: 33.1%-42.2%), 41.9% (95% CI: 37.3%-46.6%), and 46.2% (95% CI: 41.6%-50.9%), respectively. Factors associated with increased risk of being a cyber victim included older age, female gender, later years of study, increased daily mobile and social media usage, social media as the preferred mobile usage, and social media addiction. Factors associated with being a cyberbully were similar, except for the male gender. Both cyber victimization and social media addiction were significantly associated with higher odds of depression [aOR-2.5 (1.6-3.9) and 2.1 (1.4-3.2)], anxiety [aOR-2.2 (1.4-3.4) and 1.9 (1.3-2.8)] and stress [aOR-2.8 (1.8-4.3) and 2.4 (1.6-3.6)]. Cyberbullying, social media addiction, and mental health issues are prevalent among medical students. Targeted interventions addressing excessive social media use, promoting responsible online behaviour, and supporting mental well-being are crucial for this population. Further research is needed to establish causal relationships and develop effective prevention and support strategies.

Generational Immigration Status Modifies the Association Between Psychosocial Distress and Substance Use Among Alternative High School Students

PurposeAlternative high schools (AHS) are designed to provide individualized education, more flexible scheduling, and smaller class sizes for students referred out of traditional high school. AHS students report higher levels of substance use (SU) and face disproportionately higher levels of trauma and toxic stress than their traditional high school peers. We sought to examine whether generational immigration (GenIm) status modifies the association of mental health and SU among AHS students using a longitudinal study of 1,060 Southern California AHS students. MethodsSubscales from the 21-item Depression Anxiety Stress Scale were administered. Effect modification was examined by GenIm status defined as first generation (born outside of the United States), second generation (born in the United States with a parent born outside the United States), or third generation (born in the United States with US-born parent(s)). Main outcomes included the number of times different substances were used in the past year over a 3-year period. ResultsMultilevel, negative binomial, covariate-adjusted latent growth curve models generated incidence rate ratios (IRRs) and 95% confidence intervals (CIs) of the time-varying association between depression, anxiety, or stress and the use of cigarettes, e-cigarettes, cigars, alcohol, or marijuana. Multiple-group models examined effect modification by GenIm status. DiscussionThe link between mental health and SU was stronger among first- and second-generation students than third-generation students. For example, a one-unit increase in stress relative to the average stress of students from the same school was associated with an increase in the rate of e-cigarette use among first-generation (IRR = 2.03, 95% CI = 1.07–3.85), second-generation (IRR = 2.25, 95% CI = 1.86–2.72), and third-generation (IRR = 1.68, 95% CI = 1.31–2.16) students. Effective strategies tailored to subgroups of AHS students are needed to counter disparities between traditional and alternative school systems that may contribute to long-term trajectories of SU.

Bedtime Procrastination, Sleep Disturbance, Fatigue and Mental Health in Female University Students: Mediation Analysis

This research aimed to explore the association between bedtime procrastination, sleep disturbance, fatigue, and mental health problems among female university students. The researchers employed a correlational methodology. A sample consisting of 182 female university students 59% (108 undergraduate) and 41% (74 postgraduate students) with age ranging from 18 to 26 years old (M=21.98, SD=2.17) from public and private universities through convenient sampling were asked to complete demographic Performa, Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI), Bed Time Procrastination Scale (BTPS), and Depression Anxiety Stress Scale-21 (DASS-21). Correlation analysis depicted a significant positive association among bedtime procrastination, sleep disturbance, fatigue, and mental health problems. Regression analysis revealed that bedtime procrastination, sleep disturbance, and fatigue were significant predictors of mental health problems. The findings of the Mediation analysis indicated that sleep disturbance and fatigue fully mediate the relationship between bedtime procrastination and mental health problems (? = .07, SE = .13, p &lt; .227, R2 = .70). These results can help university students who struggle with sleep deprivation, chronic exhaustion, and mental health problems. Students' lives would be better if they were more aware of the links between staying up too late, sleep disruption, and mental health issues.

The Role of Emotional Regulation as a Mediator of Self-Compassion and Stress in Students Completing Final Assignments

Final semester students must complete their education on time with a variety of academic assignments. Apart from that, the personal problems they experience are also increasingly complex, making final-semester students vulnerable to depression. This research aims to determine the relationship between self-compassion and stress mediated by emotional regulation in students who complete their final assignments. The design used in this research was quantitative, with three variables. Data were collected using the Self-Compassion Scale with a Cronbach Alpha reliability of 0.872, the Emotion Regulation Questionnaire (ERQ) with a Cronbach Alpha reliability of 0.790, and the stress subscale of the Depression Anxiety Stress Scale (DASS-42) with a Cronbach Alpha reliability of 0.951. The subjects of this research were final-year students who were pursuing higher education in the Special Region of Yogyakarta. Data analysis used a mediation analysis model by testing the relationship between stress (dependent variable) and self-compassion (independent variable) and emotional regulation, cognitive reappraisal facets, and expressive suppression facets (mediator variables) using mediation analysis techniques via JASP. The results showed that the cognitive reappraisal facet of emotional regulation mediated the relationship between self-compassion and stress in students. The emotional regulation facet of expressive suppression did not mediate the relationship between self-compassion and stress in students. In addition, there was a direct negative relationship between self-compassion and stress. Students who complete their final assignment must make efforts to increase self-compassion in order to survive stressful situations.

Silent struggles: Mapping the terrain of sleep, anxiety, and depression in the Era of pandemic for individuals with multiple sclerosis- a cross-sectional study

BackgroundThe pandemic's preventive measures adversely impacted physical and psychological well-being, leading to increased sleep issues and mental health problems. This study examines sleep health and mental well-being among individuals with multiple sclerosis (MS) during this period. It explores potential correlations between sleep problems and mental health in this population. MethodsA cross-sectional design utilized an anonymous SurveyMonkey survey distributed to three MS centers, collecting responses from 24 individuals with MS (21 females, 3 males). Sleep data were assessed using the Functional Outcome of Sleep Questionnaire (FSOQ)-10, and mental health status was assessed using the Depression Anxiety Stress Scale (DASS)-21. FOSQ scores ≥17.9 indicated normal sleep, while the DASS-21 comprised stress, anxiety, and depression subscales, each with 7 questions rated on a 0–3 scale, with higher scores indicating greater mental health issues. ResultsOf 24 participants, 18 MS individuals reported functional sleep issues during the pandemic. Analysis revealed significantly lower productivity, vigilance, and social outcomes in the sleep problems group (p < .01). Additionally, this group had elevated stress (p = .004) and depression scores (p = .002). Negative correlations were observed between sleep scores and both stress (ρ = -0.485, p = .016) and depression (ρ = -0.562, p = .004). Conclusions75 % of MS individuals experienced functional sleep disturbances during the pandemic, with 25 % affected by stress, 16.6 % by anxiety, and 37 % by depression. Sleep issues are correlated with increased stress and depression levels. Recognizing the impact on rehabilitative outcomes, specialists must consider sleep behavior and mental health when designing therapies for individuals with MS.

Psychometric properties of the arabic translation of the Physical Appearance Comparison Scale-Revised (PACS-R) in adults

BackgroundPhysical comparison may be a factor in body dissatisfaction and related issues, like eating disorders and depression. The Physical Appearance Comparison Scale-Revised (PACS-R) is a scale developed to assess the frequency of physical comparison. Because there is no validated scale for body comparison in Arabic, this study aims to address this gap by validating the PACS-R in the Arabic language.MethodsThe PACS-R was translated to Arabic following a conventional forward-backward translation procedure, and was administered to a sample of 359 Lebanese adults along with The Depression Anxiety Stress Scale, and the Rosenberg self-esteem scale (RSES) for convergent validity. The factor structure was studied by confirmatory factor analysis (CFA), and composite reliability was assessed using McDonald’s omega and Cronbach’s alpha.ResultsResults suggested a one-factor structure of the Arabic PACS-R, with good internal consistency (McDonald’s ω = 0.97 / Cronbach α = 0.97). Measurement invariance was established across sex groups, with no significant difference being reported between males and females in terms of PACS-R scores (15.42 ± 10.64 vs. 13.16 ± 11.88; t(357) = 1.84; p = .066). Finally, adequate convergent validity was tested and found to be adequate, with PACS-R scores found to be correlated negatively with self-esteem and positively with psychological distress.ConclusionThe present findings preliminarily establish the Arabic PACS-R as an effective instrument for researchers and practitioners aiming to explore the physical comparison among Arabic-speaking populations, thus contributing to research and clinical work in the Arabic community.

Perspectives regarding COVID-19 vaccination among unvaccinated persons with mental illness.

The risk of COVID-19 infection and related health consequences is higher among persons with mental illnesses (PMI). Vaccines have had an impact in reducing the morbidity and mortality in patients with COVID-19 infection. Understanding the reasons for vaccine hesitancy in PMI is crucial for promoting vaccine acceptance in this population, but it remains an under-researched topic. This cross-sectional study assessed perspectives among unvaccinated PMI regarding COVID-19 vaccination in a tertiary care teaching hospital. Factors associated with vaccine hesitancy in this population were explored. One-hundred consecutive PMI attending the psychiatric outpatient clinic who had not taken the COVID-19 vaccination were recruited after obtaining informed consent. A semi-structured questionnaire was used to elicit knowledge, attitudes, and practices regarding COVID-19 vaccination. The Oxford vaccine hesitancy scale was used to assess vaccine hesitancy; the Brief Psychiatric Rating Scale and Depression Anxiety Stress Scale-21 were administered to assess current psychopathology. A majority of the participants (62%) were unwilling for the vaccination, the most common reasons being the perception that they were not at risk of infection, and worry about the possible side effects of the vaccination. Factors associated with low vaccine hesitancy were higher levels of education, greater perception of the risk of contracting the disease, belief that vaccination was effective, and easy accessibility to the vaccine. Improving awareness, providing accurate information, and ensuring better accessibility to vaccines are necessary to improve vaccine coverage among PMI. Mental health professionals need to assume an active role in providing education and clarifying misconceptions among our vulnerable patient population to help mitigate vaccine hesitancy.

A Platform for Emotional Evaluation and Psychological Support: Development and Usability Evaluation using SUMI

Mental illness has been ranked as one of the diseases with the highest number of cases globally. Generally, an individual can only be diagnosed with mental illness by undergoing proper medical procedures by the experts. On the other hand, due to the presence of different beliefs in various cultures and ethnicities, an individual is also claimed to have mental illness by the assumptions made based on the symptoms that the individual is having. This is additionally contributed by feelings of reluctance and being reserved, where the individual would subsequently resort not to go for a proper medical assessment. Therefore, to overcome this problem, this present project was developed as a real-time platform for users with mental health conditions to freely share their problems. Specifically, a rule-based algorithm of Depression Anxiety Stress Scales (DASS) was implemented in the Emotional Evaluation and Psychological Support (PEEPS). Furthermore, a real-time platform for PEEPS was developed and the effectiveness of the whole system was evaluated by using the Software Usability Measurement Inventory (SUMI). The development of the project would benefit the users to evaluate their own level of depression, stress and anxiety through the DASS test and get necessary counselling through the chat feature. According to the results collected, it was shown that the users were satisfied with the PEEPS application. This application is certainly relevant for governmental and non-governmental institutions that are interested in supporting and improving mental health-related issues. Future studies may consider modifying the machine learning technique to anticipate mental health issues as well as adding a few other elements to the application, such as personalized feedback or patient recommendations.

THE EFFECT OF NATURAL MUSIC ON REDUCING STRESS LEVELS IN COLLEGE STUDENTS

College students are a transition period from adolescence to early adulthood. At that time, students had to be clever in adapting to their environment. College students who fail to adapt can experience anxiety, lack of self-expression and face obstacles and obstacles in the academic field. The aim of this research is to see whether or not there is an effect of natural music therapy on reducing stress levels in students. This research is a type of experimental research to observe the effects of changes before and after treatment. The sampling technique used was the purposive sampling method. The criteria for this research were 2022 psychology college students at the Padang campus who were/had experienced stress. The total sample consisted of 10 colege students. The measuring instrument in this study used the Depression Anxiety Stress Scale (DASS) 21. The data was processed using the SPSS version 26.0 for Windows application using non-parameter statistical tests using the Wilcoxon test to test the difference between the DASS 21 scores before being given treatment and after being given treatment. Based on the results, the Asymp Sig (2 Tailed) (0.015) &lt; (0.05) results show that there is a significant difference between college students' stress levels before being treated and after being treated.

Psychological distress and sleep quality among Sri Lankan medical students during an economic crisis.

This study examined the evidence of the prevalence of psychological distress and poor sleep among medical students and its associations during an economic crisis. This was a cross-sectional study using an online questionnaire. It included the Depression Anxiety Stress Scales and Pittsburgh Sleep Quality Index (PSQI). This study included medical undergraduates from a large metropolitan university in Sri Lanka. We assessed the prevalence of psychological distress, sleep quality, and factors associated with psychological distress. To evaluate the associations, we used logistic regression. The majority (69.2%) had some form of distress (depression, anxiety or stress), while 23% had distress in all three. Anxiety was the most prevalent (50.7%). Poor sleep quality was reported in 41%. The highest contribution to global PSQI was from sleep latency, duration, and daytime dysfunction subscales. In bivariate analysis, sleep quality was directly related to depression (t245.65 = -6.75, p<0.001)., anxiety (t313.45 = -6.45, p <0.001), and stress (t94.22 = -5.14, p <0.001). In multinomial logistic regression models, sleep quality was independently associated with depression, anxiety and stress. In addition, frequent contact with friends was inversely associated with depression and anxiety. Also, social media use was inversely linked to depression, anxiety and stress. Clinical-year students had lower depression and anxiety than non-clinical students. Engaging in mindfulness activities was inversely associated with depression. However, models explained only a moderate amount of variance (Nagelkerke R-squared values were 0.21, 0.18, and 0.13 for depression, anxiety and stress, respectively). Poor sleep quality and psychological distress are high among the undergraduates. The findings emphasize the importance of addressing sleep quality and psychological wellbeing in medical undergraduates. Further research with larger and more diverse samples is needed for a more comprehensive understanding of the factors associated with psychological distress among undergraduates.

Demand for mental health support services among health professionals in Vietnam: Lesson from COVID-19 Pandemic.

This study aimed to measure the preferences for mental health support among health professionals, their willingness to support the mental health of colleagues and associated factors. A descriptive cross-sectional study was performed from August to October 2022 within five hospitals located in Hanoi, Vietnam. A total of 244 health professionals participated in the study. Data on socio-economic status, health and COVID-19-related characteristics, Depression Anxiety Stress Scale (DASS-21); and preferences for mental health support services were collected by using a structured self-reported questionnaire. Multivariate logistic regression models were utilized to identify associated factors with the demand for mental support services. 13.9%, 17.1% and 8.6% reported having at least mild depression, anxiety and stress, respectively. There 13.9% did not seek any mental health support during the COVID-19 pandemic. The most common support included talking with friends (52.9%), family (50.8%), colleagues (47.6%) and using social networks/Internet (43.5%). There 31.1% had been aware of mental health services, but only 18.0% used this service at least once. Regarding preferences, 47.3% had a demand for mental support services, and the most preferred service was providing coping skills (25.9%), followed by skills to support others against mental problems (22.2%). Major sources of support included psychiatrists (34.4%), colleagues (29.1%) and family (27.9%). The main preferred channels for support included telephone/mobile phone (35.7%) and Internet (20.9%). Only 12.3% were willing to provide mental support for colleagues during the pandemic. Age, education, perceived mental health status, ever seeking any mental service, and DASS-21 depression score were associated with demand for mental support services. This study found a lack of awareness of mental health services for health professionals, as well as moderate levels of demand for this service in this population. Raising awareness and developing tailored mental health support services are important to enhancing the mental well-being of health professionals in Vietnam to prepare for the next pandemic.

Validation of a generic job satisfaction scale among libyan arabs: Exploring its association with mental health outcomes

BackgroundThe purpose of this research was to test psychometric proprieties of Macdonald & MacIntyre's Generic Job Satisfaction Scale (GJSS) between Arab workers. MethodThe study involved 171 participants (average age = 39.2 years; standard deviation = 9.76) from Libyan Territory, with 45 % being male. Using a cross-sectional design, the study employed the translated GJSS Questionnaire, the Conditions for Workplace Effectiveness Questionnaire-II (CWEQ-II), and the Depression Anxiety Stress Scale 8-items (DASS-8). ResultsConfirmatory Factor Analysis confirmed a one-dimensional structure with a satisfactory fit. The scale showed positive correlations, indicating adequate convergent validity with CWEQ-II dimensions such as Opportunity, Support, Resources, Formal Power (Job activity), and Structural Empowerment, as well as negative correlations suggestive of discriminant validity with the DASS-8 dimensions. Reliability indices, α = 0.87 and ω = 0.88, suggest satisfactory internal consistency and composite reliability of the instrument. Notably, women exhibited higher scores in the Job Satisfaction scale, Opportunity, Support, Formal Power (Job activity scale), and Structural Empowerment dimensions of the Workplace Effectiveness scale. Conclusionthe adapted scale GJSS exhibits reliability and validity, rendering it suitable for use among Arab populations.

Factor structure and measurement invariance of the Depression anxiety stress scale (DASS-21) in Chinese left-behind and non-left-behind children: an exploratory structural equation modeling approach

BackgroundComprehensive data has shown that adolescents often suffer from depression, anxiety, and low self-esteem, and are in a particularly fragile stage of psychological, physiological, and social development. Left-behind children in particular tend to have significantly higher, state anxiety and depression compared to non-left-behind children. The Depression, Anxiety, and Stress Scale (DASS-21) is an effective tool for evaluating depression, anxiety, and stress, and is used to measure levels of depression, anxiety, and stress in groups from a variety of backgrounds. The purpose of this study was to determine the effectiveness, reliability, and measurement invariance of the DASS-21 in Chinese left-behind children.MethodThe test and re-test method was used (N = 676), and the exploratory structural equation model (Mplus v.8.3) used to verify basic measurement models. For measurement invariance, the configural, weak, strong, and strict models were tested. The reliability of the DASS-21 was also tested using the collected data.ResultsAnalysis results showed that the DASS-21 had a stable three-factor structure in the sample of left-behind children in China. The measurement invariance test showed that gender and time not only had strong invariance, but also strict invariance. The results of cross left and non-left invariance indicated a lack of strict invariance. Finally, the McDonald’s omega coefficient of the DASS-21 total scale was 0.864, and the internal consistency of each subscale was also good.ConclusionsThe DASS-21 is shown to be an effective and reliable tool for measuring depression, anxiety and stress in Chinese left-behind children.

Longitudinal associations of depression, anxiety, and stress among healthcare workers assisting patients with end-stage cancer during the COVID-19 pandemic: the moderator role of emotional exhaustion

BackgroundThis study aimed to analyze the moderating role of emotional exhaustion in the relationships between longitudinal associations of depression, anxiety, and stress among healthcare workers assisting end-of-life cancer patients during the COVID-19 pandemic.MethodsA longitudinal study involving a final sample of 122 healthcare workers (61.5% females, mean age = 39.09 ± 11.04 years) was conducted. These participants completed the Maslach Burnout Inventory (MBI) and the Depression Anxiety Stress Scales-21 (DASS-21). Results: Results of correlation analysis showed that emotional exhaustion was correlated with both T1 and T2 measures of depression, anxiety, and stress. Results of the moderation analysis indicated that emotional exhaustion moderated the relationships between consecutive measures of depression and anxiety. Each of the moderation models explained about half of the variance for depression and anxiety. When considering stress, results did not show a moderating role for emotional exhaustion.ConclusionsOverall, the results of this study highlight that emotional exhaustion moderated depression and anxiety over time. Psychological interventions to promote psychological mental health among healthcare workers assisting patients with end-stage cancer should carefully consider these findings.

Sleep, Mood, and Nutrition Patterns of Postmenopausal Women Diagnosed with Major Depressive Disorder by Menopause Periods.

Menopausal women experience changes in ovarian activity and fluctuating hormone levels. The aim of this study was to detect ongoing sleep and nutritional problems in postmenopausal women. This study was conducted with 62 postmenopausal women who had been diagnosed with major depressive disorder, were aged 42-64, were not dieting for at least 1 month, and had been using antidepressants for at least 6 months. The Pittsburgh Sleep Quality Index and Depression Anxiety Stress Scale-42 were used. Anthropometric measurements were taken and body composition analysis was performed. The prevalence of obesity and overweight were 12.9% and 71%, respectively. Hot flashes, night sweats, and mood swing were more common in those who had been through menopause for <5 years. Also, the PSQI, Depression, and Stress scores of those women were higher. Women who had been menopausal for ≥5 years had a higher BMI, waist/hip ratio, and fat mass and better sleep quality and lower daytime dysfunction according to the PSQI. Energy and fat intake were higher, while protein, vitamin C, and calcium intakes were lower in women who had been menopausal for ≥5 years. It is crucial for healthcare professionals to review approaches for early and late menopausal periods and to individualize treatment options, especially in patients whose symptoms persist.

Effect of care bundles based on importance degree analysis on postoperative comorbid state, coping style and disease management ability of patients with coronary heart disease.

Coronary heart disease (CHD) is a significant global health concern, particularly among the elderly. While care bundles present a comprehensive strategy for clinical disorders, their application in CHD rehabilitation remains understudied. This research addresses this gap by investigating the effectiveness of care bundles in CHD patients. By analyzing important performance degrees, we aim to contribute valuable insights to bridge existing knowledge deficiencies. Our study strives to establish a theoretical foundation for the broader implementation of care bundles, potentially improving the quality of care and patient outcomes in CHD rehabilitation. This is a retrospective study. 360 patients with CHD who were admitted to our hospital from January 2019 to October 2022 were enrolled in this retrospective study and divided into the observation group (n = 180) and control group (n = 180) according to the different care that they received. All cases were given routine nursing after CHD operation, and the observation group was given care bundles on the basis of the analysis of important performance degrees. The perioperative indexes, self-management ability score, depression, anxiety, stress scale (DASS), coping styles, medical compliance and the incidence of complications were compared between the 2 groups. Aftercare, the time of hospitalization and getting out-of-bed in the observation group was notably shorter (P < .05). Aftercare, the scores of self-management ability and related dimensions in the observation group were notably higher (P < .05). After care, the score of depression (P < .001), anxiety (P = .003) and stress (P = .017) of the observation group were notably lower. Aftercare, the observation group face score was significantly higher than the control group (P = .005), while the observation group avoidance score (P = .028) and yield score (P < .001) were significantly lower than the control group scores. Aftercare, the compliance behavior of patients in the observation group was notably better (P = .013). Aftercare, the incidence of complications in the observation group was notably lower (P = .039). Care bundles based on the degree of importance analysis can play a positive role in postoperative comorbid state, coping styles and self-management ability of patients with CHD, which can improve the rehabilitation effects on patients.

Tongdu Tiaoshen acupuncture for subjective tinnitus:a randomized controlled trial

To observe the clinical effect of Tongdu Tiaoshen acupuncture (acupuncture for promoting the circulation of the governor vessel and regulating the spirit) for subjective tinnitus, and explore its potential mechanism. A total of 92 patients with subjective tinnitus were randomly divided into an acupuncture group (46 cases, 5 cases dropped out) and a medication group (46 cases, 2 cases dropped out). The acupuncture group received Tongdu Tiaoshen acupuncture at Shuigou (GV 26), Yintang (GV 24+), Shenting (GV 24), Baihui (GV 20), Fengfu (GV 16), Dazhui (GV 14) and Zhongzhu (TE 3), Tinghui (GB 2), Yifeng (TE 17) on the affected side, 30 min each time, once every other day, 3 times a week. The medication group was orally administered ginkgo biloba leaves tablets (40 mg each time) and mecobalamin tablets (0.5 mg each time), 3 times a day. Both groups were treated for 4 weeks. The scores of tinnitus severity, tinnitus loudness visual analogue scale (VAS) and depression anxiety stress scale-21(DASS-21) before and after treatment were observed in the two groups, serum level of brain-derived neurotrophic factor (BDNF) before and after treatment in the two groups was detected, and the clinical effect was evaluated in the two groups. After treatment，the scores of tinnitus severity, tinnitus loudness VAS and DASS-21 were decreased compared with those before treatment in the two groups (P<0.01), and the scores in the acupuncture group were lower than those in the medication group (P<0.05). After treatment, the serum level of BDNF was decreased compared with that before treatment in the two groups (P<0.01), and the serum level of BDNF in the acupuncture group was lower than that in the medication group (P<0.05). The total effective rate of the acupuncture group was 82.9% (34/41), which was higher than 70.5% (31/44) in the medication group (P<0.05). Tongdu Tiaoshen acupuncture could improve the severity of tinnitus, tinnitus loudness and negative emotion in patients with subjective tinnitus. Its mechanism may be related to the regulation of serum level of BDNF and thus affect auditory central plasticity.

The relationship between self-compassion, coping style, sleep quality, and depression among college students.

The prevalence of sleep quality problems and depression in the college student population has attracted widespread attention. However, the factors influencing this are still unclear. The objective of this study was to investigate the associations between self-compassion (S-C), sleep quality (SQ), and depression (DEP) among college students and examine the mediating effects of coping style (CS) between the variables. A total of 1,038 Chinese university students were recruited for the study. The study used the Self-Compassion Scale (SCS), Simplified Coping Style Questionnaire (SCSQ), Depression Anxiety Stress Scale 21 (DASS-21), and Pittsburgh Sleep Quality Index (PSQI) to conduct the survey. The self-compassion and coping style showed significant negative correlations with sleep quality and depression. Coping style partially mediated the relationship between self-compassion and sleep quality. The coping style also fully mediated the relationship between self-compassion and depression. This study reveals the associations between self-compassion and sleep quality and depression, and the mediating role of coping style among college students. This study provides valuable insights for improving sleep quality and alleviating depression problems among college students. It emphasizes the importance of self-compassion and positive coping style.