Mean Anxiety Scores Research Articles

THE EFFECTS OF VIRTUAL REALITY ON PAIN, ANXIETY, AND COMFORT DURING THE CHEST TUBE REMOVAL PROCEDURE: A RANDOMIZED CLINICAL TRIAL

PurposeThe purpose of the current study is to determine the effects of virtual reality on pain, anxiety, and comfort during chest tube removal. Materials and MethodsThe research was conducted in the Cardiovascular Surgery Department of Atatürk University Health Practice and Research Hospital between January 2023 and April 2024. The study was performed as a randomized controlled experimental trial with a pretest-posttest control group. Eighty-two patients (41 in the intervention group and 41 in the control group) were included in the research. Patients in the intervention group watched a video with virtual reality glasses during chest tube removal. The “Descriptive Information Form,” “Visual Analog Scale,” “Verbal Pain Scale,” “State Anxiety Inventory,” and “Comfort Scale” were used to collect data. Number, percentage, mean, standard deviation, chi-square, paired sample t-test, independent sample t-test, Mann-Whitney U test, Wilcoxon test, and linear regression analysis were used in data evaluation. Our study was recorded in the Clinical Trials database with protocol number “NCT06550323.” ResultsThe groups had similar descriptive characteristics (p>0.05). The pre-procedural mean pain, anxiety, and comfort scores were similar in the two groups (p>0.05). The post-procedural mean VAS and verbal pain scores, mean anxiety, and comfort scores of the intervention group were lower in comparison with the control group (p<0.05). ConclusionThe research findings showed that virtual reality significantly reduced pain and anxiety while increasing comfort levels during chest tube removal. Therefore, it is recommended that virtual reality be used during chest tube removal.

Anxiety and Depression among patients with chronic pain

Background: Chronic pain is a pervasive and debilitating state experienced by many individuals across the globe. It produces a wide range of physiological impact which are well documented in literature but the psychological impact which is also equally profound has not received much attention. This study aims to investigate severity of anxiety and depression in patients with chronic pain that contributes to the development of holistic and effective treatment approaches. Materials and Methods: A non-experimental descriptive cross-sectional design was adopted. Non probability purposive sampling was used to recruit a sample of 50 patients with chronic pain attending OPD services in a secondary hospital, Chittoor, Andhra Pradesh. Patients who aged between 20 and 70 years with a chronic pain for at least 3 months were included. Patients with malignant pain were excluded. Hospital Anxiety and Depression Scale (HADS) was used to capture data on anxiety and depression. Results: The mean anxiety score on HADS was 9.2 (SD-3.72) and depression score was 8.48 (SD-3.23). Nearly one third of participants (32%) reported abnormal level of anxiety and 26% had reported abnormal depression. There is no significant association found between level of anxiety and Sociodemographic variables such as age, gender, marital status, type of family, education and occupation. Level of depression showed a significant association with age (p=0.042). Conclusion: Patients with chronic pain experience varying degrees of anxiety and depression. Routine assessment of these attributes would help the healthcare team to plan patient-tailored interventions to manage pain and to prevent anxiety and depression.

Investigating the Impact of Test Anxiety and Self-Regulation on Foreign Language Learning: A Quantitative Correlational Approach

The present study investigated the self-regulated learning strategies adopted by EFL learners, their levels of cognitive test anxiety, and the potential correlations between self-regulated learning and cognitive test anxiety. The study also examined whether gender and level of language proficiency had a significant effect on self-regulated learning and cognitive test anxiety. A correlational survey design was employed to investigate EFL learners and cross-sectional data were collected through an online questionnaire. Data analysis of 269 undergraduate students revealed that gender consistently emerged as a significant variable. Notably, female students exhibited higher mean scores in both self-regulated learning and cognitive test anxiety. Furthermore, the results consistently found a correlation between self-regulated learning and cognitive test anxiety, with self-regulated learning effectively predicting cognitive test anxiety. Specifically, the predictive power of self-regulated learning for cognitive test anxiety was found to be statistically significant only within the group of students at A2 language level.

Epidemiological profile of patients consulting for smoking cessation in Tunisia from 2020 to 2023

Abstract Background Tobacco addiction poses a significant global health challenge, contributing to various diseases and premature mortality. The main objective of our work was to describe the epidemiological profile of smokers seeking assistance at the smoking cessation departement of the ‘Abderrahmane Mami’ hospital. Methods We conducted a retrospective study involving smokers who attended the smoking cessation department between January 2020 and December 2023. Data were collected from the consultants’ records. The descriptive study was conducted using IBM SPSS 25 software. Results The number of consultants was 440 during the years of the study. The study population was predominantly male (75.2%). The average age of the consultants was 45.41 ± 13.9 years [14-89 years]. The education level of the patients was predominantly university-level (42.4%), followed by secondary education (33.6%). Cardiovascular history was the most common (22.42%). More than half of the consultants (n = 279; 63.4%) had tried to quit smoking at least once. More than half of the smokers followed (57.9%) were highly dependent on nicotine (Fagestrom score ≥ 7). The mean score of the hospital anxiety and depression scale was 8.03 ± 5.398 for anxiety and 5.44 ± 5.185 for depression. Conclusions Our study provides informations about the epidemiological profile of individuals seeking tobacco cessation support during the study period. The findings underscore the diverse demographic and clinical characteristics of this population. Understanding these profiles can provide information for the development of effective anti-tobacco programs. Key messages • Tailored interventions are essential to meet the diverse needs of people seeking smoking cessation, optimizing the impact on public health. • Understanding cessation seeker profiles crucial for effective strategies.

Relationship of Resilience With Depression, Anxiety, and Stress Among Nursing and Midwifery Students in Qom, Iran, During the COVID-19 Pandemic

Background and Objectives: The COVID-19 pandemic affected physical and mental health of people, including college students. Several studies in Iran have reported high symptoms of depression, anxiety, and stress in college students during the pandemic; however, few studies have investigated their resilience during the pandemic. This study aims to determine the relationship of resilience with anxiety, depression, and stress of nursing and midwifery students in Qom, Iran during the COVID-19 pandemic. Methods: This is a descriptive-correlational study. Participants were 192 nursing and midwifery students of Qom University of Medical Sciences in 2021, who were selected using a simple random sampling method. The instruments included the Corona Disease Anxiety Scale, the Connor-Davidson resilience scale, and the 21-item depression, anxiety, stress scale (DASS-21). The data was analyzed using descriptive statistics and analytical tests of Pearson’s correlation test and regression analysis in SPSS software, version 22. Results: The mean score of anxiety, depression, stress, and total DASS-21 score was 14.6±4.4, 14.48±4.29, 15±4.32, and 32.46±9.88, respectively. The mean total resilience score was 53.5±16.5. There was a significant negative correlation between depression, anxiety, stress, and total DASS-21 score with resilience in students during the pandemic (P&lt;0.001). Conclusion: During the COVID-19 pandemic, nursing and midwifery students’ resilience had a significant relationship with their depression, anxiety, and stress. The lower resilience can increase the stress, depression, and anxiety of nursing and midwifery students.

The Relationship of Cyber Bullying and Victimization with Anxiety and Depression Risk in High School Students

In this research, it was intended to find out the frequency of cyber bullying and cyber victimization experienced by students who are attending different schools in a city center and to investigate the relationship between these situations and anxiety and risk of depression. The research population consisted of 460 students studying at Anatolian High School, Private High School, and Imam Hatip High School. This cross-sectional, analytical study included 9th, 10th, 11th and 12th grade voluntary students. Data collected via questionnaire consisted of three parts: socio-demographic information form, the cyber bullying scale (CBS) and the hospital anxiety and depression scale (HADS). The daily internet usage time of the participants were found to be 4.07±3.77 hours. Fifty-eight point seven percent (n=270) of the students were victims while 24.5% (n=112) of them were both bully and victims. The cyber victimization score of male students was found to be 24.1±9.6. The mean anxiety and depression scores of the students were 9.6 ± 4.3 and 7.2 ±3.9 respectively, and difference was significant between cyber victims and those who are neither bully nor victims (p&amp;lt;0.001). Anxiety and depression risk were positively correlated to cyber victimization score. The results of this study reveal that cyber bullying and victimization in young people are quite high. The relationship between cyber bullying, cyber victimization and anxiety and depression poses a significant threat for adolescents.

Measures of Well-Being in U.S. Animal Shelter Staff During 2023

Introduction: The demands of animal shelter work can take a toll on staff well-being. The years following the coronavirus pandemic have been especially demanding as shelters struggle to navigate a series of unprecedented challenges, including pandemic-related restrictions, the shortage of veterinary professionals, adoptions not keeping pace with increasing animal admissions (especially of dogs), the expiration of eviction moratoriums, and rising inflation. These factors create a context that is potentially deleterious to the well-being of shelter staff. Methods: We used an online survey to collect information from U.S. shelter staff (N = 243). Specifically, we used the Patient-Reported Outcomes Measurement Information System (PROMIS) and Professional Quality of Life (ProQOL) instruments to quantify various aspects of staff well-being. We also collected basic demographic information and details about participants’ experience in the animal welfare field. Results: PROMIS results reveal mean anger, anxiety, depression, and fatigue scores in the mild/moderate range, significantly higher than those of the general U.S. population. ProQOL results show that nearly half of shelter staff respondents (49.4%) recorded compassion satisfaction scores in the high range, with the remainder falling into the moderate (39.1%) or low (11.5%) range; 53.5% recorded burnout scores in the high range, with the remainder falling into the moderate (32.1%) or low (14.4%) range; and 90.9% recorded secondary traumatic stress scores in the high range, with the remainder falling into the moderate (8.2%) or low (0.8%) range. Conclusion: Although the shelter staff surveyed reported high levels of job satisfaction, their high burnout and secondary traumatic stress scores, and lower mental and physical health scores raise serious concerns about employee well-being and potential turnover following the coronavirus pandemic. If much of the trauma that comes with animal sheltering work cannot be avoided, policymakers should consider providing shelter staff with the resources necessary to mitigate its impact.

Assessing Anxiety and Satisfaction Levels among Dental Students during Online Learning amid the COVID-19 Pandemic: A Cross-Sectional Study

Introduction: The COVID-19 pandemic led to widespread adoption of online learning. In April 2020, the Higher Education Commission (HEC) of Pakistan released policy guidance on online readiness with three levels: basic, effective, and exemplary. However, concerns about the quality and readiness for online curriculum delivery in Pakistan persisted. This study assesses the anxiety and satisfaction levels of undergraduate dental students with online classes during the pandemic. Methods: An analytical cross-sectional study was conducted between June and July 2020. Data were collected via email from undergraduate dental students of a private dental college using convenience sampling, after three months of online teaching. Two tools were used: a student satisfaction questionnaire adapted from Bolliger and Halupa’s study, and a student anxiety questionnaire. Frequencies, percentages, means, and standard deviations were calculated for satisfaction and anxiety scores. Univariate and multiple linear regression analyses were performed to assess factors associated with student satisfaction. Results: Out of 300 eligible participants, 237 responded (79% response rate). Most participants (53.16% female, 59.07% hostellers) had no prior experience with online learning (85.65%). The mean anxiety score was 54.87 (SD=9.6), and the mean satisfaction score was 58.63 (SD=16.66). Male students showed less satisfaction than females, though not statistically significant. Second-year students had significantly higher satisfaction scores than third- and fourth-year students. Conclusion: Most students had no prior experience with online learning, resulting in increased anxiety and poor satisfaction with the modality during the COVID-19 pandemic.

Association between pre-procedural anxiety and vomiting in children who undergo procedural sedation and analgesia in the emergency department

IntroductionChildren presenting to the emergency department (ED) often require procedural sedation and analgesia (PSA) prior to procedures. Although ketamine is used widely for PSA safely, there is a risk of adverse effects. Among them, vomiting is significant as it occurs in about 10% of patients and can potentially endanger the airway. Because there is evidence that post-operative complications might be due to anxiety prior to the operation, this study aims to investigate the association between pre-procedural anxiety and vomiting in the ED.MethodsIn this cohort study, a convenient sample of children aged 2 to 14 years who were a candidate for PSA with ketamine in the ED were enrolled. Anxiety was evaluated using the short version of the modified Yale preoperative anxiety scale (mYAS). Vomiting was recorded during the period of hospitalization in the ED and 24 h after discharge by a phone call. Association between anxiety level and vomiting was analyzed using the independent samples t-test and multivariable logistic regression was used to control for covariates.Results102 children were enrolled and 93 were included in final analysis. The mean age of participants was 3.95 ± 1.79 years and 55.9% were male. According to the mYAS, the mean score of anxiety was 48.67 ± 21.78 in the waiting room and 59.10 ± 23.86 in the operating room. The mean score of anxiety was 58.3±25.3 and 51.0±20.7 in the vomiting and non-vomiting groups, respectively. At least one episode of vomiting was reported in 23 children of which, 19 took place in the hospital and 4 after discharge. No significant association was observed between pre-procedural anxiety and the occurrence of vomiting. On univariate regression model, the odds ratio of the association between mean anxiety and vomiting was 1.02 (CI 95%: 0.99–1.04) (P-value: 0.16). On the multivariable logistic regression model, after adjusting for all the covariates, the odds ratio was 1.03 (CI 95%: 1.0–1.05) (P-value: 0.05).ConclusionThe present study showed that anxiety before procedural sedation and analgesia with ketamine in children was not associated with the incidence of vomiting.

Demographics, Clinical Characteristics, and Well-Being of Veterans with TBI and Dementia and Their Caregivers.

This study provides a detailed examination of older Veterans with traumatic brain injury (TBI) and dementia and their caregivers, focusing on Veterans' demographic, clinical, functional, safety risk, and behavioral characteristics and caregivers' demographic, clinical, and care-related characteristics and well-being. Veterans' caregivers (N = 110) completed a telephone-based survey. Veterans averaged eight comorbid health conditions, with over 60% having chronic pain, hypertension, post-traumatic stress disorder, or depression. Caregivers reported helping with an average of three activities of daily living, with the highest percentages of Veterans needing assistance with grooming, dressing, and bathing. Almost all Veterans needed assistance with shopping, cooking, medication management, housework, laundry, driving, and finances. Veterans averaged two safety risks, the most common being access to dangerous objects, access to a gun, and not being able to respond to emergency situations. Although Veterans averaged 14 behavioral concerns, caregivers reported that their family needs relating to TBI were generally met or partly met, and they voiced confidence in their ability to respond to behaviors and control their upsetting thoughts. Caregivers' mean burden score was severe, while mean depression and anxiety scores were mild. Caregivers reported an average of 10.5 h per day providing care and 20.1 h per day on duty. The findings demonstrate the increased presence of impairments, safety risks, and behavioral issues in Veterans with comorbid TBI and dementia, as well as increased impacts on families' burdens and care provision requirements. Clinicians should be alert for and educate TBI patients and caregivers on the warning signs of post-TBI dementia and its associated functional, behavioral, and safety risk profile, as well as challenges related to caregiver well-being. Healthcare policymakers must consider the increased caregiver demands associated with comorbid TBI and dementia, as well as the need for expanded long-term support and services.

The Effect of Quantum Learning Model on Attitude, Anxiety, and Achievement of Middle School Students Towards Mathematics

We conducted this research to investigate the impact of the Quantum Learning Model (QLM) on the academic achievement, attitudes toward mathematics, and anxiety levels of seventh-grade middle school students. A total of fifty-six 7th-grade students participated in the research. The research used a quasi-experimental model with a pretest-posttest control group. The experimental group used QLM during the research process, while the control group used the current learning approach. We conducted the research for 28 lesson hours. We collected data using attitude, anxiety scale, and academic achievement tests. We applied tests to both groups before and after the experimental procedure. We used independent-samples-T-tests and paired-samples-T tests in the analyses. We also evaluated the journals of students and the researcher. Accordingly, QLM had a positive effect on middle school students' academic achievement in mathematics. The posttest mean scores of attitudes decreased significantly in the control group. The experimental group experienced a decrease in post-test mean scores of anxiety, which was not statistically significant, whereas the control group experienced a statistically significant increase in post-test scores. Students and teachers have expressed positive opinions about the use of note-taking and mind maps, which enhance the durability of learning, the establishment of a classroom environment and atmosphere conducive to QLM, and the implementation of celebration activities.

Relationship between sleep quality during pregnancy and postpartum anxiety: a prospective birth cohort study

The present study aimed to determine the relationship between sleep quality during pregnancy and postpartum anxiety.A total of 237 pregnant women participated in this birth cohort study, using the sequential sampling method. The data collection tools included a demographic information form, Pittsburgh Sleep Quality Inventory, and Spielberger State-Trait Anxiety Inventory. The PSQI was completed by the participants at 28 and 40 weeks of gestation, and the STAI was completed in two stages, that is, once in the third trimester and once at eight weeks postpartum.The mean global PSQI score of the participants was 8.11 (SD=5.41) in this study. Overall, 138 (58.2%) women had poor sleep quality. The mean score for overt anxiety was 36.58 (SD=9.37), and the mean score for latent anxiety was 37.56 (SD=9.44). There was a significant positive correlation between the total score of sleep quality during pregnancy and the scores of overt anxieties (r=0.314, P&lt;0.001) and latent anxiety (r=0.344, P&lt;0.001) after delivery.The results of the present study indicated a significant relationship between sleep quality during pregnancy and postpartum anxiety. Therefore, it is recommended to evaluate the quality of sleep of pregnant women and design appropriate interventions during pregnancy to reduce postpartum anxiety. Keywords: Sleep; pregnant woman; postpartum period.

Prenatal Telepsychological Intervention for Preventing Anxiety: A Study Protocol.

Background: Anxiety is one of the most frequent disorders during the perinatal stage that is associated with adverse health effects in women and their babies. In spite of this, preventive interventions during this stage are scarce. A long-distance intervention carried out during pregnancy can be an effective and accessible resource to help improve women's emotional state. The objective of this study is to present and assess the effectiveness of a telepsychology cognitive-behavioral preventive intervention during pregnancy to manage anxiety. Methods: A random clinical trial will be carried out among pregnant women in Spain. The psychological intervention will take place via videoconference in seven weekly sessions, lasting one hour each, with groups of 6-8 pregnant women. Study outcomes will be collected via online questionnaires at five points in time: pre-intervention (baseline: t0), post-intervention (baseline: t1), follow-up at 1 month (t2), follow-up at 3 months (t3) and follow-up at 6 months (t4). The control group will receive usual pregnancy care (attendance at pregnancy follow-up consultations and information and answers to frequently asked questions provided by the midwife). Our primary hypothesis is that the intervention will decrease the frequency of women who present anxious symptomatology during pregnancy. The second objective is to analyze the effectiveness of this intervention to prevent depressive symptomatology during pregnancy, as well as postpartum anxiety and depressive symptomatology. The primary outcome measure is the difference in the mean anxiety score between the intervention and control groups assessed by the Edinburgh Depression Scale-Anxiety Subscale (EDS-3A), the State-Trait Anxiety Inventory (STAI) and Generalized Anxiety Disorder Screener (GAD-7) at the end of the intervention and at 1, 3 and 6 months postpartum. Generalized anxiety disorder (GAD) will be evaluated with the SCID clinical interview at the same time points. The secondary outcome will be determined by using the EPDS at the same time points. Conclusions: The results will determine whether a cognitive behavioral therapy applied via videoconference is well accepted by pregnant women, and if it is effective in preventing anxiety and emotional symptoms during the perinatal stage. If this intervention is an effective and useful resource among pregnant women, it can be implemented as a tool in Spanish healthcare.

The Impact of Mindfulness-Based Counseling on the Mental Health of Women With a History of COVID-19 During Pregnancy: A Quasi-Experimental Study.

With the spread of COVID-19, certain population groups, including pregnant women, were more susceptible than others. This disease can lead to postpartum complications, including mental disorders, in mothers. Few studies have investigated the impact of mindfulness-based interventions on mental health, and the most effective counseling approach to promote mental health has not been identified. This study aimed to determine the impact of online mindfulness-based counseling on improving mental health among women with a history of COVID-19 during pregnancy in Iran. The present study was a quasi-experimental design conducted on 100 women with a history of coronavirus infection during pregnancy referred to the Mother's Clinic of Yahya Nejad and Ayatollah Rouhani Educational-Treatment Hospital, affiliated with Babol University of Medical Sciences, Iran, via convenience sampling. The women were randomly assigned to the intervention (mindfulness-based counseling) and control groups. The intervention group received eight 45-min weekly mindfulness-based counseling sessions over 8 weeks. Data were collected via a demographic information questionnaire and the Goldberg General Health Questionnaire before and after the intervention, which were completed by both groups. Independent t-tests and analysis of covariances (ANCOVAs) were used to compare the outcomes of the two groups. After controlling for confounding variables, the mean mental health scores before and after counseling were 29.42±4.49 and 19.80±3.88, respectively, in the intervention group and 26.26±2.29 and 25.92±2.15, respectively, in the control group. The mean mental health score in the intervention group was significantly lower than that in the control group (F=266.7, p<0.001). The mean scores for somatic symptoms (F=89.30, p<0.001), depression symptoms (F=142.71, p<0.001), anxiety and insomnia symptoms (F=120.56, p<0.001), and social dysfunction scores (F=127.77, p<0.001) were significantly different between the two groups after counseling. The findings indicated that online mindfulness-based counseling positively affects mental health and its domains during the postpartum period. However, further randomized clinical trials are needed before a definitive conclusion can be drawn. We were not allowed to register according to the law of our country.

Effects of Footbath on Pain, Anxiety, Sleep, and Comfort Levels in Patients With Postlaparoscopic Cholecystectomy: A Randomized Controlled Study.

The aim of the study is to determine the effect of of hot footbaths on the pain, anxiety, sleep, and comfort levels of patients who underwent laparoscopic cholecystectomy. The study is a randomized controlled designed. This study was conducted in surgery clinic of a university hospital between January 2022 and November 2022. The research was completed with 54 patients in the experimental group and 54 patients in the control group. The mean state anxiety score and VAS-Sleep score of the patients in the experimental group 120 minutes after the application was 31.07±4.70 and 612.62±82.37, respectively, which was statistically significantly lower than that of the patients in the control group ( P <0.05). On the other hand, at the 120th minutes after the application, the mean VAS-Comfort scores of the patients in the experimental group were statistically significantly higher than those of the patients in the control group ( P <0.05). A positive relationship was found between the mean VAS-Pain and VAS-Sleep scores of the patients in the experimental group, and a significant negative relationship was found between the mean VAS-Comfort and state anxiety scores. Foot bath is effective in reducing the pain and anxiety levels of patients undergoing laparoscopic cholecystectomy surgery.

Psychological Profile of Patients Presenting with Dermatological Complaints: A Cross-sectional Study

Objectives: The study evaluates the psychological profile in patients presenting to a dermatological clinic in Mumbai, India. Materials and Methods: We evaluated anxiety, depression, stress, anger, body image, and relationships in 63 outpatients presenting with dermatological complaints. We used linear regression models for multivariate analyses for coefficient and 95% confidence intervals (CIs). Results: The mean age (standard deviation [SD]) was 37.4 (14.9) years; 30 (51%) were female and 31 (49%) were male. The common diagnoses were papulosquamous conditions (24%), acne (18%), hair fall (15%), pigmentary conditions (11%), pruritus (10%), and infection (8%). The mean anxiety (SD) score was highest in pigmentary conditions (11.6 [13.9]), depression (15.0 [5.0]) and posttraumatic stress scores (16.3 [25.6]) in pigmentary conditions, social phobia scores in allergy (21.8 [17.0]), and anger scores in acne (25.4 [6.3]). The mean (SD) family scores were lowest in pruritus (8.0 4.2]), body image in infection (3.6 [0.9]), and self-image in pigmentation (6.0 [2.3]). The mean social phobia scores were higher in allergy compared with acne (12.2, 95% CI: 1.6, 22.8, P = 0.02). Body image scores were lower in pruritus (−7.7, 95% CI: −14.5, −0.9, P = 0.03). Conclusion: The psychological parameters differ in various dermatological conditions; hence, a complete profile analysis will be beneficial for designing interventions in these patients.

The effect of dignity therapy on anxiety and depression in patients with chronic obstructive pulmonary disease: A randomized clinical trial

BACKGROUND: Anxiety and depression can prolong the treatment process and impose financial burdens on the health system in chronic obstructive pulmonary disease. Dignity therapy is one of the methods of eliminating these symptoms. The present study was conducted to investigate the effect of dignity therapy on the severity of anxiety and depression in patients with chronic obstructive pulmonary disease. MATERIALS AND METHODS: This clinical trial was conducted on 62 patients with chronic obstructive pulmonary disease, referring to the comprehensive respiratory clinic of Khorshid Hospital (Isfahan, Iran) in 2021. The patients were randomly allocated to intervention and control groups. Each patient of the intervention group underwent dignity therapy for four 45–60-min sessions, whereas no intervention was performed in the control group. Data were collected using demographic information questionnaire and Hospital Anxiety and Depression Scale (HADS), before the intervention and one month after the completion of the intervention in two groups. Data were analyzed using SPSS version 18 (SPSS Inc., Chicago, IL, USA) as well as descriptive (mean, standard deviation, frequency, and percentage) and inferential (Chi-square, independent t-test, and paired t-test) statistics. RESULTS: The mean score of anxiety of the patients before the intervention was not significantly different between the two groups (P = 0.18); but one month after the intervention, it was significantly lower in the intervention group than in the control group (P = 0.05). Also, the score of depression was not significantly different between the two groups before (P = 0.68) and one month after the intervention (P &gt; 0.05). CONCLUSION: Dignity therapy could reduce anxiety in patients with chronic obstructive pulmonary disease; thus, it could be used as a nonpharmacological, cost-effective and probably without side effects method.

Analyzing the Interplay Between Competition State Anxiety, Motor Motivation, and Coping Styles Among Adolescent Track and Field Athletes

The relationship between competition state anxiety, motor motivation and coping styles of adolescent track and field athletes in China was investigated using interview and questionnaire research methods. The results showed that the mean scores of cognitive state anxiety and somatic state anxiety were lower in junior track and field athletes who had entered the echelon for a short period of time than in older athletes, and the opposite was true for state self-confidence; there were highly significant differences and significant differences in the identity regulation and introjection regulation dimensions of motor motivation; and there were significant differences in the focused problem-solving coping dimension of coping style. This paper proposes an algorithm for classifying athletic visual mirrors based on sequential model mining. This paper focuses on two issues – feature extraction and definition of semantic rules. In the feature extraction stage, the track and field video footage is automatically segmented into a series of identifiable sequences of athletic events, and then each type of behavioral event is identified using a mechanically learned algorithm. There were no significant differences between the three age groups in terms of race state anxiety, identity regulation and introjection regulation, and no significant differences in coping styles. There were no significant differences in the anxiety of competition status, motivation and coping styles among youth athletes of different sport levels. The results showed the effectiveness of the present algorithm for classifying track and field video cameras.

The relationship between spousal violence, maternal functioning, depression, and anxiety among Iranian postpartum mothers: a prospective study

BackgroundViolence against women is a critical public health issue that adversely affects physical and mental health, contributing to injuries, chronic conditions, and mental health disorders. This study addresses the gap in understanding the relationship between spousal violence with maternal functioning and mental health in postpartum mothers.MethodsThis Prospective study was conducted on 316 postpartum women who gave birth in Al-Zahra and Taleghani Educational Treatment Centers in Tabriz, Iran, from June 2023 to October 2023. Participants were selected using convenience sampling and followed up for 6–8 weeks. The data were collected using the Revised Conflict Tactics Scale (CTS2), the Edinburgh Postnatal Depression Scale (EPDS), the Postpartum Specific Anxiety Scale (PSAS), and the Barkin Index of Maternal Functioning (BIMF). A general linear model, adjusted for individual, social, and obstetric variables, was used to determine the relationship between domestic violence, maternal functioning, depression and anxiety.ResultsMost women (84%) experienced one or more types of intimate partner violence (IPV), including psychological, physical, or sexual abuse. About one-third (32.9%) reported psychological abuse, 21.2% physical violence, 49.4% sexual coercion, and 6.3% reported injuries. The adjusted general linear model showed that the mean depression score was lower in individuals without any experience of violence compared to those who had experienced any violence (β: -1.75; 95% CI: -3.40 to -0.10; p = 0.038). The mean depression score was significantly higher in homemakers compared to employed individuals (β = 3.53; 95% CI = 1.22 to 5.84, p = 0.003). The mean maternal functioning score was significantly higher in those who had not experienced mild physical violence compared to those who had (β = 2.94; 95% CI = 0.34 to 5.55, p = 0.027). The mean anxiety score was lower in individuals with high income (β: -3.38; 95% CI: -5.73 to -1.04; p = 0.005) and moderate income (β: -2.21; 95% CI: -4.35 to -0.07; p = 0.043) compared to those with low income.ConclusionThe findings reveal a high prevalence of violence, particularly sexual coercion, significantly affecting maternal functioning and mental health. Socioeconomic factors also play a crucial role in postpartum mental health. These results highlight the urgent need for enhanced prevention efforts and targeted interventions that consider the socio-economic context and specific forms of violence.

Symptom severity reported by older adults with cancer and its impact on survival prognostication

IntroductionSymptom burden is a crucial factor for survival prognostication, but older adults may report fewer and less severe symptoms than younger patients. We investigated the impact of age on symptom severity and its prognostic implications in the prognostic model for advanced cancer (PRO-MAC). Materials and MethodsEight hundred forty subjects with incurable cancer, who were reviewed by palliative medicine at a tertiary university hospital, were categorized into four groups based on age: < 65 (young), 65–74 (young-old), 75–84 (old-old), and ≥ 85 (oldest-old) for comparison. The study compared individual symptoms reported on the Edmonton Symptom Assessment System-revised (ESAS-r) and analyzed the significance of each prognostic variable in the PRO-MAC model using multivariate Cox proportional hazards regression analysis for all age categories. We generated the log-rank test for each age group to evaluate the effectiveness of PRO-MAC across age groups. RsultsThe older adults had significantly lower unadjusted mean scores in pain, tiredness, anxiety, wellbeing, and ESAS-r summative score compared to young adults. There was a higher proportion of older adults with no symptoms. The ESAS-r summative score remained a significant prognostic factor only in the young and young-old groups. More participants in the older age groups had dementia, which may impact reporting of symptom severity. Despite these findings, the PRO-MAC model remains applicable across all age groups as a multi-domain 90-day survival prognostication tool. DiscussionSymptom burden, including pain, tiredness, anxiety, wellbeing, as well as summative ESASr scores, are lower in older adults with cancer. This could affect the prognostication of survival using symptom burden. However, a multi-dimensional prognostic model like PRO-MAC remains effective for older adults with advanced cancer. Further research is needed to explore tools that can help older adults express the severity of their symptoms and incorporate this into survival prognostication.