Depression Scale Assessment Research Articles

Interpersonal symptoms in adolescence depression across Asian and European regions: a network approach

BackgroundMajor Depressive Disorder (MDD) poses a significant global health challenge, with symptom presentation potentially varying between adolescents and adults. Adolescence is a critical period marked by heightened vulnerability to interpersonal stresses, yet the impact of these stresses on the structure of depressive symptoms is not well understood. Recognizing the cultural nuances in how depression manifests among adolescents is crucial. To this end, this paper employs a network analysis approach, utilizing a comprehensive symptom checklist from the Multidimensional Depression Assessment Scale (MDAS). Our study investigates the role of interpersonal symptoms within the broader cluster of emotional, cognitive, and somatic symptoms and explores variations in adolescent groups in four Asian and European regions.MethodsWe recruited a diverse sample of 6,348 adolescents aged 12 to 18 from Hong Kong, Taiwan, the UK, China, and the Netherlands using the Qualtrics platform. Employing the Gaussian Graphical Model, we established a network model of depressive symptoms as measured by the MDAS, segregating the sample into Asian and European regions to examine the interconnections between them. The study focused on identifying central symptom nodes and comparing the network structures between the two groups.ResultsThe analysis identified feeling worthless, low energy, being a burden to others, and low mood as central symptoms of depression. Notably, there were significant differences in the connections between depressive symptoms among Asian (Hong Kong, China and Taiwan) and European (UK and the Netherlands) adolescents, highlighting cultural variations in how interpersonal symptoms interact with emotional, cognitive, and somatic symptoms.ConclusionThis study is pioneering in applying network analysis to include interpersonal symptoms in examining depression among a diverse adolescent population. It demonstrates that interpersonal symptoms are integral to the central features of depressive symptoms. Furthermore, our findings suggest that, compared to their UK and Dutch peers, interpersonal symptoms in Asian adolescents are uniquely connected to other symptom clusters, reflecting distinct cultural patterns. Limitations: The study engaged a broad community sample; however, future research could benefit from including a larger sample size to allow for a more detailed analysis of a greater number of symptom nodes.

The effects of a symptom management program on symptom experience and physical function in Thai adults with chronic obstructive pulmonary disease: A single-blind randomized controlled trial study.

Adults with Chronic Obstructive Pulmonary Disease (COPD) experience a range of unpleasant symptoms, including fatigue, dyspnea, sleep disturbances, anxiety, and depression, that are interrelated and impact one another. Developing a program to handle simultaneous symptoms poses challenges but offers advantages for adults with COPD in efficiently managing symptoms. This study aimed to determine the effects of a symptom management program on symptom experience and physical function in Thai adults with COPD. A randomized controlled trial (RCT) with a Repeated Measures design was performed. One hundred and two participants were allocated randomly to either the control group (n = 51) or the experimental group (n = 51). The experimental group received eight weeks of the symptom management program and usual care, while the control care group received only usual care. Data were collected from January 2023 to August 2023 at baseline, 4th weeks, and 8th weeks using the demographic data, the modified Medical Research Council (mMRC), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Assessment of Fatigue (MAF), the Hospital Anxiety and Depression Assessment Scale (HADS), the COPD Assessment Test (CAT), and 6-Minute Walk Distance (6-MWD). The hypotheses were analyzed using Repeated Measures Multivariate Analysis of Variance (MANOVA). The symptom management program significantly impacted the experimental group's symptom experience and physical function at Weeks 4 and 8 (F = 5.257, p <0.001). There were significantly improved mean scores for the mMRC, MAF, 6MWD, and CAT (p <0.001, p <0.05). No statistically significant differences were observed in the PSQI, HADS-Anxiety, and HADS-Depression over time. Implementing a symptom management program can help patients with COPD efficiently manage their symptoms. In clinical settings, nurses should integrate this program into routine nursing care to enhance the quality of life for patients suffering from COPD. The program can help patients preserve physical functionality while reducing dependence on family and society. Thai Clinical Trials Registry (TCTR20230111006).

Значение клинико-динамических параметров пациентов с сочетанной зависимостью от психоактивных веществ на этапе медицинской реабилитации

According to official statistics, the number of patients with combined addiction of psychoactive substances increases annually. At the same time, the effectiveness of therapy for such disorders remains at a low level. Aim. To study the clinical characteristics of patients with combined addiction of psychoactive substances in dynamics to improve the effectiveness of rehabilitation. Material and methods. 204 patients with combined addiction of psychoactive substances, men and women aged 18 to 50 years, who underwent inpatient treatment at the Moscow Scientific and Practical Center of Narcology, were examined. The patients were divided into 4 groups addiction on the combinations of psychoactive substances. Methods: clinical-psychopathological, anamnestic, psychometric (Visual-analog scale of pathological drug addiction, Montgomery–Asberg depression assessment scale, Beck depression severity self-assessment scale), statistical. The patients were examined on the 8–10th day and the 20–30th day of therapy. Further, the patients were followed by catamnestic observation for 12 months. Their mental status, quality and duration of remissions were assessed. Results. In patients with combined addiction of cannabinoids and psychostimulants and alcohol and psychostimulants, a lower percentage of hereditary burden, less pronounced antisocial personality traits, and a lower intensity of pathological attraction to psychoactive substance, especially behavioral and affective components, were revealed compared with patients with combined addiction of opioids and psychostimulants and addiction of several psychoactive substances. Patients with combined addiction of opioids and psychostimulants and several psychoactive substances at once had shorter remissions. Conclusion. Among patients with combined addiction of psychoactive substances, associations were found between the premorbid characteristics of patients, clinical features and quality, and duration of remissions. This will create a personalized approach to the rehabilitation of such patients and increase the effectiveness of therapy.

The Efficacy and Safety of Complementary and Alternative Medicine for Depression: An Umbrella Review.

Depression is a major public health problem. Many complementary and alternative medicine (CAM) interventions have been suggested as potential treatments. We comprehensively searched for relevant systematic reviews and meta-analyses in the PubMed, EMBASE, Web of Science, and Cochrane Library databases. We assessed effectiveness based on efficiency and changes in Depression Assessment Scale scores and safety based on adverse events. This umbrella review included twenty-two eligible articles. Yueju antidepressant and Electro-acupuncture (EA) improved depression symptoms better than antidepressants. In addition, omega-3 fatty acids (n-3PUFAs), exercise, manual acupuncture (MA), Hypericum mono-preparations, relaxation, and Vitamin D showed better efficacy than placebo and control. GPD as adjunctive therapies have higher efficacy rates than antidepressant, and MA and Yueju antidepressants have a better safety profile than antidepressants. Our study demonstrated that 10 CAMs can effectively improve the condition of patients with clinical depression.

Mental health prevalence in Brazil: Understanding anxiety and depression in southern Capixaba region.

e23295 Background: The rising significance of mental health issues and psychological distress among cancer patients has prompted an in-depth investigation. In the brazilian context, this crucial aspect remains largely unexplored, with limited available data and insufficient investment in understanding the psychosocial dimensions of cancer care. This study aims to generate brazilian-specific data to facilitate the development and implementation of targeted psychosocial interventions within cancer care. Methods: From August 1, 2023, to December 31, 2023, a random selection of 263 patients at a brazilian cancer center underwent assessment for signs and symptoms of anxiety and depression using the Anxiety and Depression Assessment Scale – HAD. This validated screening scale, comprising 14 Likert-type questions, features two subscales with seven items each to track anxiety and depression symptoms. Severity scores for each subscale range from zero to 21, with higher scores indicating increased anxiety and depression levels. In this study, interviewers assessed the severity of symptoms, employing scales ranging from 0 to 21. Three score levels were identified: mild (0-7), moderate (8-11), and high (12-21). Inclusion criteria encompassed age over 18, residency in the southern region of the State of Espírito Santo, a cancer diagnosis, and active treatment. Exclusion criteria included non-residency in th southern region of th state, lack of cancer diagnosis, and oncohematological treatments. Of the 263 eligible participants, 21 were excluded for not meeting inclusion criteria, and 16 declined to participate, resulting in a final sample of 226 patients. Results: The sample comprised 160 women, with 64.90% diagnosed with breast cancer and 35.10% with other neoplasms. Among the 66 men, 41% had prostate cancer and 59% had other neoplasms. Anxiety levels in women were mild (28%), moderate (24%), and high (48%), while in men, levels were mild (39%), moderate (21%), and high (53%). Depression levels in women were mild (42%), moderate (19%), and high (39%). Notably, six suicide attempts occurred among women before cancer diagnosis, and one occurred after diagnosis. Among men, depression levels were mild (47%), moderate (22%), and high (31%). With no history of attempts of suicide in the men population. Conclusions: The study's robust dataset provides compelling and valid information, unveiling a substantial prevalence of mental disorders within the analyzed populations. It emphatically underscores the critical need for tailored supportive care in addressing the unique psychosocial challenges faced by this demographic. Furthermore, the findings advocate for the urgent implementation of targeted psychosocial support interventions to enhance the overall well-being of individuals navigating the complex terrain of cancer and its associated mental health implications.

Gender differences in prevalence and clinical correlates of anxiety in first-episode and drug-naïve patients with major depressive disorder comorbid with metabolic syndrome

BackgroundAlthough gender differences in major depressive disorder (MDD) have been widely reported, there has not been much focus on gender differences in comorbidity. In patients with MDD and comorbid metabolic syndrome (Mets), the goal of this study was to investigate potential gender differences in the prevalence and clinical correlates of concomitant anxiety.MethodsSeven hundred and ninety-four first-episode and drug-naïve patients (FEDN) patients with MDD and comorbid Mets were recruited. For each patient, sociodemographic data, thyroid function indicators, and Mets parameters were acquired. Each participant completed the 14-item Hamilton Assessment Scale for Anxiety (HAMA) and the 17-item Hamilton Assessment Scale for Depression (HAMD).ResultsThere were no gender differences in the prevalence of anxiety in patients with MDD and comorbid Mets. Female patients with MDD had a shorter duration of illness. Correlation analysis showed that HAMD score, TSH, TgAb, and TPOAb were associated with anxiety prevalence in female patients, whereas anxiety onset in male patients was only associated with TSH, TgAb, and TPOAb levels. In addition, multiple logistic regression analysis showed that TSH and TgAb predicted anxiety in male patients, whereas HAMD score and age of onset significantly predicted anxiety in female patients.LimitationsCross-sectional design and no control for anxiety-related factors.ConclusionsOur study showed no gender differences in the prevalence of anxiety in patients with MDD and comorbid Mets. HAMD score was associated with anxiety in female patients, whereas TSH, TgAb, and TPOAb were associated with anxiety in male patients.

Modern doctors' view on the problem of diagnostics and treatment of asthenic syndrome in different regions of the Russian Federation

Introduction: The problem of asthenic disorders is determined by their high prevalence, the lack of diagnostic criteria and recommendations for therapy, and the absence of unified principles of coding in ICD-10. The aim of the study was to evaluate the current practice of neurologists and physicians of the Russian Federation (RF) in the diagnosis and pharmacotherapy of asthenic syndrome (AS). Materials and Methods: An anonymous author-developed questionnaire survey of physicians on the issues of diagnostics and treatment of asthenia was conducted on the Google forms platform. Results: Total 238 specialists from 23 regions of the RF, 62.5% of neurologists and 37.5% of physicians, took part in the survey. Women suffer from AS more often than men. AS is most frequently verified at the age of 40-60 (65.5%) and under 40 (39.6%). Doctors use the codes G90.8 – other disorders of the autonomic nervous system – and I67.8 – other specified cerebral vascular lesions. The main causes of AS are affective disorders in 67.2% of patients and infectious diseases in 70% of patients. Almost 67% of doctors use anxiety and depression assessment scale, and only 13% of respondents use MFI-20 scale. The choice of therapy depended on the psychopathologic syndrome in 73.9% of cases. Most doctors favored nootropic drugs, metabolic action drugs, and B vitamins. Conclusion: The current medical practice of diagnosing and treating AS was studied and informative data were obtained with regard to understanding the clinical-typological structure and nosological affiliation of AS. The results demonstrate the expediency of developing a unified algorithm for the management of patients with various manifestations of AS.

Da li socijalno-demografski faktori značajno utiču na lečenje depresije?

Introduction: Depression is a common illness worldwide. Several studies have confirmed a tight relation between certain socio-demographic factors and the risk of undergoing depression. Aim: This study aims to find out which socio-demographic factors indicate a more unfavorable treatment outcome following depression assessment scales. Material and methods: The research is a longitudinal study, retrospective in design which consists of two phases. Upon entrance, socio-demographic data (sex, age, marital status, occupation, and education level) and Hamilton Depression Rating Scale (HDRS or HAMD) scores of 30 participants were recorded. After a four-week treatment, HAMD scores were again recorded and compared with those obtained in the initial phase. Results: Patients with female gender, old age, employment, and low educational level as sociodemographic factors experienced weak changes in the HAMD scores. On the other hand, patients who were male, young aged, unemployed, and had higher education studies scored lower HAMD scores after treatment and, successfully obtained strong changes in the HAMD scores. Results for marital status were inconclusive. The level of statistical significance was set at p &lt; 0.001. Conclusion: Female gender, aging, lower education and employment are factors that may have attributed to poor treatment improvement and hence should be taken into consideration by general practitioners. Likewise, marital status proved to be a statistically significant factor. However, no inclination towards a specific category was noticed.

Incidence and Factors Associated with Hyperglycemia in Patients with First Hospitalization for Major Depression Disorder: A Large Cross-Sectional Sample.

Major depressive disorder (MDD) is a mood disorder characterized by persistent spontaneous depression and has a high rate of disability and mortality. There is a complex relationship between MDD and disorders of glucose metabolism, and our study aimed to investigate the prevalence and risk factors for hyperglycemia in patients with MDD who were hospitalized for the first times. A total of 981 first-time inpatients with MDD were recruited, socio-demographic information, anthropometric data, and biochemical parameters were collected for each participant. The 17-item Hamilton Assessment Scale for Depression (HAMD-17), the 14-item Hamilton Anxiety Scale (HAMA-14), the Positive Syndrome Scale (PSS), and Clinical General Impressions Inventory-Severity of Illness (CGI-SI) scores were used to assess patients' clinical symptoms. The prevalence of hyperglycemia was 9.28% among patients with MDD who were hospitalized for the first time. Compared to the non-hyperglycemic subgroup, patients in the hyperglycemic subgroup were found to have more extensive and significant demographic and clinical characteristics, higher levels of metabolism-related parameters, and more severe psychological and psycho-pathological symptoms. Age, thyroid stimulating hormone (TSH), triglycerides (TG) were risk factors for hyperglycemia in MDD patients, while course of disease was a protective factor. The study findings suggest that the prevalence of hyperglycemia is not high in patients with MDD who are hospitalized for the first time. The risk variables for predicting hyperglycemia include age, TSH and TG. The above three factors and course of disease have good combined diagnostic ability for hyperglycemia.

Depression and fatigue among Egyptian health care workers: cross-sectional survey

AimIn recent years, the mental health requirements of healthcare professionals have drawn attention as a significant public health issue and a danger to the provision of high-quality care. Healthcare workers are subjected to multiple stressors at work, which may negatively affect their physical, mental, and emotional health. This study aims to assess the prevalence of depression and fatigue among Egyptian healthcare workers (HCWs) and to assess factors associated with depression and fatigue.Subject and methodsThis cross-sectional survey used Google Form to build online questionnaires, including sociodemographic data, a 10-question fatigue assessment scale, and a depression assessment scale (PHQ-9 questionnaire). The study was conducted post-COVID-19 from November 28, 2022, to January 28, 2023.ResultsThe study involved 1511 Egyptian HCWs with a mean age of 37.4±7.7 years (range 26-71 years); 73% were female. Physicians constituted 77.8% of the participants. Mild depression was found in 26.1% of the participants, 26.8% reported moderate, and 43.1% had severe depressive symptoms. Fatigue symptoms were encountered in 88.7%. The independent factors affecting depression were female gender, single, living in a rural area, having a chronic disease, working > 8 h/day, being a public hospital worker, and studying for postgraduate degrees. Age of 35 years or younger, female gender, and studying for postgraduates were found to independently affect fatigue.ConclusionDepression and fatigue are highly prevalent among Egyptian healthcare workers. Many factors related to the prevalence of depression and fatigue need to be considered to enhance the mental well-being of HCWs.

Testing for intersectional measurement invariance with the alignment method: Evaluation of the 8-item patient health questionnaire.

To demonstrate the use of the alignment method to evaluate whether surveys function similarly (i.e., have evidence of measurement invariance) across culturally diverse intersectional groups. Intersectionality theory recognizes the interconnected nature of social categories such as race, gender, ethnicity, and socioeconomic status. A total of 30,215 American adult's responses to the eight-item Patient Health Questionnaire depression assessment scale (PHQ-8) from the 2019 National Health Interview Survey (NHIS). Using the alignment method, we examined the measurement invariance (equivalence) of the PHQ-8 depression assessment scale across 16 intersectional subgroups defined at the intersection of age (under 52, 52 and older), gender (male, female), race (Black, non-Black), and education (no bachelor's degree, bachelor's degree). Overall, 24% of the factor loadings and 5% of the item intercepts showed evidence of differential functioning across one or more of the intersectional groups. These levels fall beneath the benchmark of 25% suggested for determining measurement invariance with the alignment method. The results of the alignment study suggest that the PHQ-8 functions similarly across the intersectional groups examined, despite some evidence of different factor loadings and item intercepts in some groups (i.e., noninvariance). By examining measurement invariance through an intersectional lens, researchers can investigate how a person's multiple identities and social positions possibly contribute to their response behavior on an assessment scale.

Analysis of the performance of assessment scales with multi-criteria decision-making techniques

The correct transmission of the information flow between the patient and the doctor by the assessment scales plays an important role in the correct determination of the treatment approach to be applied. In this study, depression assessment scales were evaluated using a hybrid Multi-Criteria Decision-Making (MCDM) model. In the first part of the study, the criteria that should be in the assessment scale were determined by a questionnaire study applied to doctors. In the second part, criteria weights were calculated with the Analytical Hierarchy Process (AHP), and the assessment scales were evaluated from various aspects with the Weighted Aggregated Sum Product Assessment method (WASPAS). The results show that the most important criteria in a scale are the ability to predict the diagnosis, the follow-up of the recovery process, the understanding of the questions, the ease of evaluation, and the ease of individual use. In addition, it has been observed that psychiatrists attach more importance to the follow-up of the recovery process and the ease of evaluation on a scale. When the findings are examined with sensitivity analysis, it shows that the Beck depression scale is the most appropriate scale in terms of the determined criteria.

Effects of CPAP and Mandibular Advancement Devices on depressive symptoms in patients with obstructive sleep apnea: a meta-analysis of randomized controlled trials.

Studies show that patients with obstructive sleep apnea (OSA) are more likely than the general population to have psychological disorders such as depression. However, it is less clear how OSA treatment affects this association. This meta-analysis aimed to assess whether or not continuous positive airway pressure (CPAP) and mandibular advancement devices (MADs) reduce depression symptoms in patients with OSA. We searched Pubmed, Embase, Web of Science, and Cochrane Library from creating the databases until November 2022. Our analysis included RCTs that examined CPAP and MAD treatment effectiveness for depression in patients with OSA. We identified 17 CPAP studies comprising 1,931 patients for inclusion in the meta-analysis. The results of the meta-analysis using a fixed effects model found that CPAP improved depressed mood in patients with OSA relative to controls (SMD = 0.27;95% CI:0.18,0.36), with small heterogeneity among trials (I2 = 8.1% < 50%, P = 0.359). We performed subgroup analyses on three factors: the length of trial follow-up, patient adherence data, and depression assessment scales. The meta-analysis also identified six MAD studies involving 315 patients. According to this analysis, there was no heterogeneity between studies (I2 = 0%, P = 0.748). MADs did not significantly improve depression symptoms compared to controls, indicating a combined effect of SMD = 0.07 (95% CI: - 0.15,0.29), P > 0.05. The present findings confirm that CPAP may improve depressive symptoms inpatients with OSA. However, the review results suggest that MADs have no significant effect on depressive symptoms in patients with OSA, a finding that is different from the results of previous meta-analyses.

Analysis of the Efficacy of High-frequency Repetitive Transcranial Magnetic Stimulation Therapy Combined with General Acupuncture in the Treatment of Postpartum Depression

Objective: To analyze the effect of postpartum depression treated with high-frequency repetitive transcranial magnetic stimulation combined with general acupuncture. Methods: Screening 45 patients with postpartum depression diagnosed in our hospital during the period from August 2019 to August 2022 as study subjects, according to the treatment plan chosen by the patients, we included 22 patients who received conventional conservative medication into the control group, and then 23 patients who received high-frequency repetitive cranial magnetic stimulation combined with general acupuncture into the observation group, followed by the Postpartum Depression Assessment Scale ( EPDS) to assess the extent of the condition of the patients in both groups before and after treatment, and finally to observe the symptom performance of the patients in both groups before and after treatment, as so as to evaluate the efficacy. Results: After the treatment, the EPDS scores of patients in both groups were significantly reduced, but the EPDS scores of patients in the observation group were significantly lower than those in the control group (P&lt;0.05); the clinical symptoms of patients in the observation group improved significantly after the treatment, and the overall treatment effect was better than that of the control group (P&lt;0.05). Conclusion: High-frequency repetitive transcranial magnetic stimulation therapy combined with general acupuncture, this treatment has a better therapeutic effect on postpartum depression, with strong clinical application value, and it has the significance of promoting reference.

Clinical correlates and metabolic indicators of elevated fasting glucose in overweight/obese Chinese Han patients with first-episode and drug-naive major depressive disorder.

Overweight/obese major depressive disorder (MDD) patients have a high probability of developing glucose metabolism disorders; however, the results are inconsistent due to the confounding variables involved in the studies. The purpose of this study was to explore the prevalence and risk factors for elevated fasting glucose in Chinese Han patients with overweight/obese first-episode and drug naïve (FEDN) MDD. The study used a cross-sectional design and recruited 1718 FEDN MDD patients between the ages of 18 and 60 years. Socio-demographic information, anthropometric data, and biochemical parameters were collected. The 17-item Hamilton Assessment Scale for Depression (HAMD), the 14-item Hamilton Anxiety Scale (HAMA), and the Positive and Negative Syndrome Scale (PANSS) positive subscale were used to assess symptoms of all patients. MDD patients with elevated fasting glucose had higher TSH, TPOAb, TC, TG, LDL-C, systolic and diastolic blood pressure levels than those with normal fasting glucose. Logistic regression analysis showed that age, TSH, TgAb, TPOA, and TG were related factors for elevated fasting glucose, while TSH and combination all these five parameters had the potential to differentiate between patients with elevated fasting glucose and those with normal fasting glucose. Multifactorial regression analysis showed that TSH, TG, and LDL-C were independently associated with elevated fasting glucose. Our findings suggest a high prevalence of elevated fasting glucose in overweight/obese FEDN MDD patients. Several clinically relevant factors and metabolic parameters are associated with elevated fasting glucose in overweight/obese FEDN MDD patients. Due to the cross-sectional design, no causal relationship could be derived.

DISTRESS TOLERANCE, MENTAL HEALTH PROBLEMS AND MARITAL SATISFACTION AMONG MARRIED COUPLES

Distress tolerance is known an ability to deal with unpleasant circumstances and maintain better mental health and congenial interpersonal relations. To explore the role of distress tolerance among married couples, current study focusses to investigate the relationship between distress tolerance, mental health problems and marital satisfaction among married couples. It was hypothesized that 1) Distress tolerance is likely to have a relationship with mental health problems among married couples. 2) Distress tolerance is likely to have relationship with marital satisfaction among married couples. 3) Mental health problems are likely to have a relationship with marital satisfaction among married couples. 4) Distress tolerance is likely to predict mental health problems and marital satisfaction among married couples. A convenient sample of 300 married couples (150 males, 150 females) was taken from different areas of Sialkot. A self-developed demographic sheet was administered along with Distress Tolerance Scale (Simons &amp; Gaher, 2005), Depression, Anxiety, Stress Scale (DASS-21 by Lovibond, &amp; Lovibond, 1995) and Relationship Assessment Scale (RAS by Hendrick, S.S, 1988). For data analysis, descriptive analysis, Pearson Product Moment Correlation Coefficient, and regression model was used. Results showed positive significant relationship between distress tolerance and mental health problems (r=.549**, **p&lt;0.01), negative significant relationship between distress tolerance and marital satisfaction (r= -.437**, **p&lt;0.01) and significant negative relationship was found between mental health problems and marital satisfaction among married couples (r= -.565**, p&lt;.0.01). Further, regression analysis revealed that DT has potential to predict and bring 29% change in MHP, and 18% change in MS. It is also noted that B’s of MHP is positive which means that 1-unit change in DT brings 0.54-unit change in MHP. Further, B’s of MS is negative which shows that as DT increases by 1-unit then MS decreases by -0.43 times. Findings of the current study have implications for future avenues. Keywords: Distress Tolerance, Depression, Anxiety, Stress, Marital Satisfaction.

Professional Tennis Players and their subsceptibility for Obsessive-Compulsive and Depressive Symptoms

Introduction A moderate sport activity is considered beneficial for both physical and mental health. On the contrary, different studies have shown that professional players may be more vulnerable to suffer from psychological and/or psychiatric disorders. Objectives Given the limited information available, the present study aimed to investigate the possible presence of depressive and obsessive-compulsive symptoms or disorders in a group of professional tennis players. Methods Twenty-five current or former professional tennis players (18 men and 7 women; mean age ± SD: 42.32 ± 13.45 years), were recruited within the Italian Tennis Federation during an international competition and during a master meeting of coaches. They were compared with a control group, recruited from university students, doctors and nurses. All of them underwent a psychiatric interview with a structured scale and a psychopathological assessment carried out with the Mini-International Neuropsychiatric Interview (MINI), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and the Self Assessment Scale for Depression (SAD). Results The Y-BOCS total and subscale scores were significantly higher in both current and past athletes than controls. Current athletes showed higher scores at Y-BOCS total, subscales and some items. The majority of the current athletes also showed superstitions and magical thinking. Conclusions The present study demonstrated that professional tennis players show a relevant increase of obsessive-compulsive symptoms and supertistions than controls. Interestingly, current athletes resulted more severe than past ones. Taken together, our findings support the notion that agonistic sport activities of high level require intensive training and compliance to strict daily routines that might represent a sort of vulnerability toward the onset of full-blown obsessive-compulsive disorder (as well as other disorders) in more fragile individuals. Not suprisingly, sport psychological support experts are increasingly needed. Disclosure of Interest None Declared

Assessment of Cancer Patients' Mental Health during the Coronavirus Pandemic in Serbia.

This study aimed to determine the impact of the COVID-19 pandemic on the mental health of cancer patients in Serbia. Data were collected between April-May 2021 using an online questionnaire, which estimated depression, anxiety, and stress in a sample of 221 cancer patients. The Depression, Anxiety, and Stress Assessment Scale (DASS-21) was used to assess the cancer patients' affective status. The T test of independent samples and the one-way analysis of variance (ANOVA), as well as multiple linear regression analysis, have been used as well. The results showed that moderate to extremely severe depression, anxiety, and stress symptoms were present in 33.9%, 21.2%, and 26.7% of patients, respectively. Older patients and those who assessed their socioeconomic and health status as better were less anxious, depressed, and stressed. The study shows that the patients who have stated that medical help has been available significantly differ from those patients who have not had available medical help, meaning that they have shown lower scores on the scales of depression and stress. When it comes to the availability of medical help during the pandemic, statistically significant differences among patients on the scale of anxiety have not been proven. It has been determined that statistically important differences exist between patients who have needed psychological help and those who have not needed it when it comes to the results on all of the three subscales. The patients who have expressed the need for psychological help have higher levels of depression, anxiety, and stress. The patients who have not had available psychological help have higher levels of depression, anxiety, and stress when compared to the patients who have had available psychological help.

Práticas educativas parentais, saúde emocional e variáveis sociodemográficas maternas: famílias nucleares e não nucleares

Abstract Objective We compared parental educational practices and emotional health of 62 mothers of students from nuclear (G1) and non-nuclear families (G2). Method We used an inventory of parenting practices and scales for assessment of anxiety, stress and depression. Results G1 showed significantly higher means for Moral Behavior. Positive correlations between negative parenting educational practices and clinical indicators for maternal emotional health were perceived in both groups and more significantly for G2. Younger mothers in G1 indicated more signs of state anxiety and for G2 the lower socioeconomic level indicated more signs of stress and trait anxiety and less depression. Conclusion The data can contribute to the planning of interventions.

Mental Symptoms in Individuals with COVID-19 Examining its Impact on Psychological Resilience, Shaking of Core Beliefs and Post-Traumatic Growth

OBJECTIVE: The coronavirus, which has affected the whole world, has brought along many psychosocial problems in individuals. In our study, it was aimed to examine the relationship between mental symptoms in people who have had COVID-19 infection with post-traumatic growth level, shaking of their basic beliefs and psychological resilience. METHODS: Individuals between the ages of 18-65 who had COVID-19 infection in the last 3 months, recovered from hospitalization and outpatient treatment and had no problems in their cognitive capacity were included in the study. All participants were evaluated with Sociodemographic Data Form and COVID-19 Assessment Form, Beck Depression Assessment Scale (BECK-D), Beck Anxiety Assessment Scale (BECK-A), Psychological Resilience Scale for Adults, Post-Traumatic Growth Inventory and Core Belief Inventory. RESULTS: Of the 200 participants, 132 (66.00%) were female and 68 (34.00%) were male. While the mean age is 36.80±10.00, the mean education year is 15.10±2.20. 25.50% of those who have Covid are anxiety; 36.50% of them were diagnosed with depression. The resilience scale and sub-dimensions scores of those with anxiety and depression were statistically significantly lower than those without anxiety and depression (p&lt;0.05). There was no significant difference between the groups in terms of post-traumatic growth inventory (p&gt;0.05). In terms of basic belief inventory scores; The scale score of the participants with anxiety and depression was statistically significantly higher than those without anxiety and depression (p=0.009; p=0.002, respectively). CONCLUSION: A significant relationship was found between the psychological resilience and changes in basic beliefs of individuals with COVID-19, and their depression and anxiety levels.