Mean Anxiety Scores Research Articles

Effects of ketamine on the severity of depression and anxiety following postoperative mechanical ventilation: a single-blind randomized clinical trial in Iran.

In this study, we compare the effects of ketamine and the combination of midazolam and morphine on the severity of depression and anxiety in mechanically ventilated patients after discharge from the intensive care unit (ICU). This randomized single-blind clinical trial included 50 patients who were candidates for craniotomy and postoperative mechanical ventilation in the ICU of 5 Azar Teaching Hospital in Gorgan City, North Iran, from 2021 to 2022. Patients were allocated to two groups by quadruple block randomization. In group A, 0.5 mg/kg of ketamine was infused over 15 minutes after craniotomy and then continued at a dose of 5 µ/kg/min during mechanical ventilation. In group B, midazolam was infused at a dose of 2-3 mg/hr and morphine at a dose of 3-5 mg/hr. After patients were discharged from the ICU, if their Glasgow Coma Scale scores were ≥14, Beck's anxiety and depression inventories were completed by a psychologist within 2 weeks, 2 months, and 6 months after discharge. The mean scores of depression at 2 months (P=0.01) and 6 months (P=0.03) after discharge were significantly lower in the ketamine group than in the midazolam and morphine group. The mean anxiety scores were significantly lower in the ketamine group 2 weeks (P=0.006) and 6 months (P=0.002) after discharge. Ketamine is an effective drug for preventing and treating anxiety and depression over the long term in patients discharged from the ICU. However, further larger volume studies are required to validate these results.

Patterns of adverse childhood experiences and mental health symptoms among young adults

It is well known that adverse childhood experiences (ACEs) are linked with mental health problems. Identifying different patterns of exposure to adverse childhood experiences can provide information regarding what types of adversity may place individuals at most risk for poor mental health. The aims of our study were to identify underlying patterns of 10 types of ACEs in a sample of young adults (i.e., 18–21 years) and to examine relations between the ACEs classes and mental health symptoms (i.e., somatization, depression, anxiety, overall psychological stress). We found that a three-class model fit the data best: low ACEs, high emotional abuse only, and high multiple ACEs. We found significant differences across classes for all mental health symptoms. The high multiple ACEs class had significantly higher mean somatization, anxiety, and overall psychological stress scores than both the high emotional abuse only and low ACEs classes, and the high emotional abuse only class had higher mean anxiety and overall psychological stress scores in comparison to the low ACEs class. In contrast, our results suggest that the low ACEs and high emotional abuse only classes had higher mean levels of depression symptoms than the high multiple ACEs class. Our findings highlight the importance of examining the unique effects of different patterns of exposure to ACEs on mental health to inform prevention and intervention efforts that mitigate the harmful effects of ACEs on mental health.

Anxiety and depression among couples undergoing treatment for infertility with assisted reproductive techniques at an Indian centre.

Background Infertility and its treatment are frequently associated with psychological distress. We assessed the prevalence of anxiety and depression in couples undergoing treatment for infertility with assisted reproductive techniques (ARTs). Methods We included 160 married couples undergoing treatment for infertility at an ART centre. The prevalence of anxiety and depression was assessed using the hospital anxiety and depression scale. Results The prevalence of anxiety and depression was 46.2% and 40.9%, respectively. Women had higher mean (SD) anxiety (10.76 [2.69]) and depression (9.86 [2.06]) scores; however, this gender difference was statistically significant only with respect to anxiety (p=0.02). The mean anxiety scores were highest among both genders when the cause of infertility was attributed to both partners and during the first year and 10 years after treatment. Men in the age groups of 20-24 years and 40-44 years and those with no prior treatment had a statistically significant association with the highest anxiety scores. The mean depression scores showed a statistically significant decline in both genders with increasing age. Among men, the mean depression scoreswere significantly higher in those with no prior treatment, male cause of infertility and during the first year and after 10 years of treatment. Conclusion The prevalence of anxiety and depression among infertile couples undergoing treatment with ART was almost twice as high as that in the general population. The mean anxiety scores were significantly associated with duration of treatment and gender-based attribution in both genders; however, age and prior treatment were associated with only men. The mean scores of depression were significantly associated with age in both genders, while duration of treatment, gender-based attribution and prior treatment were significantly associated only with men.

Patient Burden of Nonsegmental Vitiligo: A US Real-World Survey of Dermatologists and Their Patients.

Vitiligo is a chronic autoimmune disease characterized by destruction of melanocytes, leading to skin depigmentation. Vitiligo can have a high quality-of-life burden and profound impact on psychosocial well-being. The objectives of this study were to describe the self-reported patient burden among patients with nonsegmental vitiligo with≤10% affected body surface area, summarize the physician-reported psychosocial and psychological impact of vitiligo on patient lives, and describe disease characteristics and treatment history, goals, and satisfaction. Data were drawn from the Adelphi Vitiligo Disease Specific Programme™, a real-world, cross-sectional survey with retrospective data collection of physicians and patients with vitiligo, collected in the United States between October 2021 and April 2022. Separate surveys for dermatologists and patients contained questions on clinical and demographic characteristics of patients with vitiligo and burden of vitiligo. Treatment history, goals, and satisfaction were assessed together with the impact of vitiligo on quality of life. Sixty-one dermatologists provided data for 326 patients with≤10% affected body surface area (adults, n=221; adolescents, n=105); 90 of those patientsalso responded to the survey. The most common treatments were topical corticosteroids, topical calcineurin inhibitors, and narrow-band ultraviolet-B phototherapy, with the main treatment goal being repigmentation. Physician-reported treatment satisfaction was 56%; 25% of patients reported frustration with treatment options. Physicians reported impact of vitiligo on everyday life in 46% of patients. Patients reported 12.7% overall work impairment; mean scores for Hospital Anxiety and Depression Scale anxiety and depression domains were 3.5 and 2.2, respectively, and mean Vitiligo-specific Quality of Life index score was 26.9. Patients with facial involvement experienced higher burden than those without. A high patient burden was reported by dermatologists and their patients with vitiligo who had≤10% affected body surface area, including psychosocial and psychological consequences. Thesefindings highlight an unmet need in the treatment of vitiligo.

Assessment of Preoperative Anxiety Utilizing Amsterdam Preoperative Anxiety and Information Scale in Patients Undergoing Intracranial Tumor Surgery: An Exploratory Study

Abstract Background Preoperative anxiety in neurosurgical patients is high due to life-threatening illness and uncertainty of the surgical outcome. This study assessed preoperative anxiety and its influencing factors in patients undergoing intracranial tumor surgeries utilizing the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Methods One-hundred twenty patients, 18 to 65 years of age, of either sex, American Society of Anesthesiologists (ASA) grades I/II posted for elective craniotomy and tumor excision, were selected for the study. Various components of the APAIS were explained, and the level of anxiety and need for information were noted. The level of anxiety and depression by HADS (Hospital Anxiety and Depression Scale) score was also evaluated. Results The mean age was 38.00 ± 12.15 years. About 57.5% of the patients were male. Eighteen (15%) patients had an educational qualification of class 10, 60(50%) of 10 + 2, 36 (30%) were graduates, and 6 (5%) had a postgraduate qualification.The mean APAIS for total anxiety was 11.10 ± 1.79; the score for need for information was 6.28 ± 1.61. Mean total anxiety scores were higher in female patients (11.96 vs. 10.46, p < 0.001). Higher anxiety was observed in ASA status I patients (11.33 vs. 10.539 ASA I vs. II, p = 0.020). Significantly higher anxiety was observed in patients educated till class 10 (p = 0.012). A significantly higher need for information was observed in postgraduates (p = 0.012). Eighty (66.7%) patients had clinical anxiety, and 35 (29.2%) had clinical depression on the HADS score. Conclusion Neurosurgical patients have higher anxiety due to intracranial pathology, site of surgery, and unpredictability of outcome. Demographic and clinical variables do affect anxiety levels.

An Intervention to Improve Mental and Physical Health of Undergraduate Nursing Students.

Nursing students experience poorer mental and physical health relative to students in other health-related disciplines and young adults of similar age outside post-secondary school. Compromised mental and physical health has numerous negative impacts on nursing students and can result in burnout and development of chronic diseases. To determine whether an asynchronous online yoga intervention would improve mental and physical health of students. An asynchronous online 6-week yoga intervention was carried out between January and December 2021, using a pre/post design. Participants' symptoms of depression, anxiety, stress, and self-compassion were assessed using the Depression, Anxiety, and Stress Scale and Self-Compassion Scale and core endurance was assessed using the Mackenzie Core Endurance Test prior to commencement and at the conclusion of the program. Of 114 participants, 68 completed the online program and pre and post measures showed that the mean depression, anxiety, stress, self-compassion and core endurance scores improved significantly (p<0.001) between baseline and study completion. A six-week virtual yoga program significantly improved mental and physical health of undergraduate nursing students. Targeted modifications to the yoga program might enhance participant retention.

Prevalence of Stress, anxiety, depression in Students of Sanandaj in the epidemic of Covid-19 virus in 2022

Introduction: The emergence of Covid-19 has many psychological effects on teenagers, one of which is depression, anxiety and stress, and it has brought physical and psychological effects. Aim: The purpose of this study is to investigate the prevalence of anxiety and depression in students of Sanandaj city during the epidemic of the Covid-19 virus in 1401. Method: This study was conducted in a cross-sectional descriptive analytical way. The studied population included all middle school students of Sanandaj city in 1401 with a sample size of 270 people and an age range of 13-15 years. DASS-21 questionnaire was used to collect data. The data was analyzed using SPSS-24 software. Results: The results of the study showed that the average scores of depression, anxiety and stress were 14.68 ± 3.39, 14.56 ± 2.99 and 14.74 ± 2.989, respectively. There is a significant relationship between the mean score of depression, anxiety and stress with sleep time, duration of daily activity and body mass index (P&lt;0.05). Also, there is a statistically significant relationship between gender, history of covid-19 in the student and their family, having daily activities and economic status with the average score of depression, anxiety, stress (P&gt;0.05). Conclusion: The outbreak of the Covid-19 pandemic causes anxiety, depression and stress in students. This phenomenon is intensified when children are confined at home and do not have outdoor activities. As the spread of covid-19 increases, the level of anxiety, stress and depression also increases. Therefore, increasing public awareness of this disease and providing positive psychological programs can reduce anxiety in society

Effect of Humor on Pain and Anxiety in Patients With Rheumatoid Arthritis: A Prospective, Randomized Controlled Study.

Humor can contribute to nursing practices for relieving pain and anxiety in patients with rheumatoid arthritis (RA) during intravenous (IV) biologic treatment. This study used a prospective, randomized controlled study design to investigate the effect of humor on pain and state anxiety in patients with RA receiving IV infusion therapy. Two sample groups were formed: the intervention group (watching a comedy movie) (n = 18) and the control group (usual care) (n = 18). Both groups received IV biologic therapy. A significant difference was found between the groups' pain mean scores, but the effect size was small (P < .001, η² = 0.032). The mean visual analog scale scores decreased in both groups after the treatment; however, it decreased more in the intervention group (P < .001, Md = 2.44) than in the control group (P = .017, Md = 0.83). No significant difference was found between the groups' mean state anxiety scores, and the effect size was irrelevant (P > .05, η² = 0.001). There was a significant decrease in the anxiety levels of both groups (P < .001). During IV biologic infusion therapy, watching comedy movies is recommended as a nursing care intervention for reducing pain in patients with RA in cooperation with other health professionals.

The benefit of saffron on reducing anxiety symptoms among nursing students

Background: Nursing students have higher levels of anxiety than students of others majors. Common stressors perceived are rigorous courses, a mandatory curriculum requires students facing frequent transitions from classroom to intensive lab and hospital also frequent enforcement of exams. Dealing with those situations, students attempt to deal and cope through the negative mode of action such as consuming alcohol, marijuana, smoking, and drug abuse. It is essential to manage those problems through effective interventionObjective: This study aims to understand the potential effects of saffron to treat anxiety among college students.Methods: We conducted an un-blinded experimental study. 78 nursing students perceiving anxiety, divided into two groups, the saffron group (n 42) and control groups (n 36). Treatment protocol was saffron group received saffron as brewed drinks, while control group drinks regular tea. The treatment duration is two weeks. Outcome assessed with DASS 21 Checklist, at baseline, and after 2 weeks therapy.Results:. Saffron had a more significant impact on the anxiety level among the intervention group. The mean anxiety scores decreased from 13,8 to 9,2 for the saffron group (p 0,0001).Conclusion: Our findings suggest that saffron is effective to reduce anxiety level among nursing students

The midterm psychological effect of cast removal procedures in children.

This study aimed to compare the course of anxiety change in children who used headphones during cast removal with controls in midterm follow-up. Sixty-six patients who underwent forearm fracture treatment with closed reduction and long arm casting between June 2021 and March 2023 were retrospectively reviewed. Patients were divided into two groups based on the use of headphones (n=27; 21 males, 6 females; mean age: 8.0±1.8 years; range, 6 to 12 years) or not (n=39; 27 males, 12 females; mean age: 8.9±1.8 years; range, 6 to 12 years) during cast removal with an oscillating saw. Primary outcome measures included preprocedure, postprocedure, and six-month anxiety assessments with the State-Trait Anxiety Inventory. There was an acute increase in the mean state anxiety scores after the procedure, which returned to below baseline at the six-month follow-up in the headphone (31.4±8.3, 33.3±8.7, and 25.1±4.1, respectively) and control groups (34.9±11.1, 37.4±9.5, and 27.3±5.3, respectively). The mean trait anxiety scores before the procedure, after the procedure, and at six months remained similar in the headphone (33.6±3.0, 34.6±3.2, and 32.4±2.8; p>0.05) and control groups (34.1±2.7, 33.7±3.0, and 33.7±3.0, p>0.05). This study suggests that the acute anxiety during cast removal did not create anxiety sequelae in the sixth month regardless of headphone use.

Longitudinal changes in depression and anxiety during the COVID-19 pandemic and the impact of COVID-related factors.

This study is an investigation of five specific COVID-related stressors and their longitudinal impact on adult depression and anxiety. A total of 592 adults comprised the initial sample at Time 1 in April/May 2020. Follow-ups were conducted about a month later, again in March 2021 and then in March 2022. Applied linear mixed effect models showed a significant decrease in mean depression scores and anxiety scores from Time 1 to both Times 3 and 4. Neither change over time in anxiety or depression were found to be related to COVID diagnosis, COVID hospitalization, or COVID death. Self-quarantine was related to changes over time in both depression and anxiety, and household quarantine was related to changes over time in depression. While the fallout of the pandemic continues, it is important to understand how these factors may be affecting mental health to better understand where intervention is necessary.

Perceived Social Stigma, Family Support and Mental Health Issues in Individuals Living with HIV/AIDS

Background: In Pakistan, the HIV/AIDS epidemic is compounded by significant socio-economic challenges and a pervasive stigma that undermines effective treatment and prevention strategies. The psychological impacts of HIV/AIDS, such as anxiety, depression, and stress, further complicate disease management, affecting patients' willingness to adhere to treatment and disclose their status. Objective: This study aimed to assess the prevalence of mental health issues among individuals living with HIV/AIDS in Pakistan and explore the relationships between perceived social stigma, family support, and mental health outcomes. Methods: A cross-sectional study was conducted involving 150 diagnosed HIV/AIDS patients from Nankana Sahib and Faisalabad districts. Participants were selected using purposive sampling. Data were collected through validated Urdu versions of the Depression Anxiety Stress Scales (DASS), a discrimination scale, and a family support scale. Statistical analysis was performed using SPSS version 25, focusing on descriptive statistics, correlation coefficients, and linear regression models. Results: The results indicated that the mean scores for depression, anxiety, and stress were significantly high at 66.6980 ± 17.56598. A strong positive correlation was observed between perceived discrimination (DISC) and DASS scores (r = 0.890, p &lt; 0.01), while perceived family support (PFS) was negatively correlated with DISC scores (r = -0.166, p = 0.043). Regression analysis showed that increased family support significantly mitigated mental health issues, reducing the mean stress, anxiety, and depression scores among participants. Conclusion: The study highlights the critical role of family support in reducing mental health issues among HIV/AIDS patients in Pakistan. Enhancing family involvement and reducing social stigma could improve treatment adherence and overall health outcomes.

Effectiveness of aromatherapy with lavender compared to progressive muscle relaxation on anxiety and vital signs in patients under spinal anesthesia: A randomized clinical trial

ABSTRACT Objective: This study aimed to determine the effectiveness of aromatherapy with lavender essential oil compared to progressive muscle relaxation (PMR) on anxiety and vital signs of patients under spinal anesthesia. Materials and Methods: This clinical trial was conducted on 120 spinal anesthesia candidates who were randomly assigned into three groups of 40 including control, PMR (Jacobsen group), and aromatherapy. The state-trait anxiety inventory was completed on surgery day and 15 min after the end of the intervention by the samples of all three groups, and at the same time as completing the questionnaire, vital signs were also measured and recorded. Results: The mean score of anxiety after intervention was lower than that before the intervention in the aromatherapy group (P &lt; 0.001). The mean score of anxiety in the aromatherapy group was significantly lower than that in the Jacobsen group (P &lt; 0.001). Moreover, data analysis showed a significant decrease in the mean arterial blood pressure scores of the PMR (P = 008) and aromatherapy (P &lt; 0.001) groups and a statistically significant increase in the mean heart rate scores in the control group (P = 0.002). Conclusion: The use of aromatherapy with lavender is more effective than PMR therapy in reducing the anxiety level of patients undergoing spinal anesthesia. Due to the high level of anxiety and its serious effects on the patient’s hemodynamics, aromatherapy with lavender can be used as an easy and cheap method to reduce anxiety in operation rooms.

Anxiety in patients with ankylosing spondylitis in southern-Tunisia: Level and associated factors

IntroductionAnkylosing spondylitis (AS) is the second most common rheumatic disease after rheumatoid arthritis. The significant functional impact of this chronic disease can affect patients’ mental health.ObjectivesThe aim of this study was to determine the prevalence of anxiety in subjects with AS in Southern-Tunisia and to identify its associated factors.MethodsIt was a retrospective study conducted in 2021 over a period of 5 years on patients with AS consulting the rheumatology department at the Hedi Chaker University Hospital in SFAX, Southern-Tunisia. The “Anxiety and Depression scale” was used to screen for anxiety. A score ≥11 defined confirmed anxiety symptoms.ResultsOf the 62 patients, 35 were male (56.5%), giving a male to female ratio of 1.3. Twenty-seven patients (43.5%) were aged between 35 and 50 years. The level of education was primary in 19 cases (30.6%) and university in 15 cases (24.2%). A family history of chronic disease was present in 32 cases (51.6%). Severe fatigue was noted among 27 patients (43.5%). Quality of life was poor in 39 patients (62.9%). The mean anxiety score was 11.35±4.6. Thirty-four subjects (54.8%) had confirmed anxiety symptoms and 19 (30.5%) had borderline symptoms. Confirmed anxiety was significantly associated with the educational level (p=0.03) (illiterate: 87.5%, primary: 68.4%, secondary: 35% and university: 46.7%). Similarly, having a family history of chronic disease (OR=3.3; p=0.02), suffering from severe fatigue (OR=36, p&lt;0.01), having associated depression (HAD score≥11) (OR=19.5; p&lt;0.001) and having poor quality of life [Ankylosing spondylitis quality of life questionnaire (Asqol) Score ≥13] (OR=15.8; p&lt;0.001) were statistically associated with higher prevalence of confirmed anxiety symptoms.ConclusionsIt was found that patients treated for AS frequently suffer from psychological co-morbidities, particularly anxiety, which can lead to a further deterioration in their quality of life and even their withdrawal from active life. Thus, anxiety should not be ignored when treating these patients.Disclosure of InterestNone Declared

A comparative analysis of stress, anxiety, and social well-being of working mothers and stay-at-home mothers during the covid pandemic.

The role of mental health is crucial in maintaining the dynamism and productivity of any given society. In contemporary times, a significant proportion of the workforce is comprised of women and mothers. Working in healthcare facilities, where exposure to pathogenic agents is an everyday nuisance, can have detrimental effects on mothers' stress and anxiety levels. Furthermore, such exposure can also endanger the health of both the family and society. Conversely, the employment of mothers could positively impact their social well-being. The primary objective of this study is to assess and compare the stress, anxiety, and social well-being scores of mothers employed in healthcare facilities and stay-at-home mothers during the COVID pandemic. This study is a cross-sectional analysis of 246 mothers, equally divided into two groups: Mothers who work in health centers and stay-at-home mothers (123 individuals in each group). The study was conducted from 2021 to 2022, a multistage sampling method was utilized and two questionnaires were administered: The DASS 21 (21 questions) and the social well-being questionnaire (48 questions). The data were analyzed using SPSS 18, and descriptive and analytical tests (Independent Samples T-Test, Mann-Whitney) were employed. The mean age was 35.7 ± 7.1 for working mothers and 34.3 ± 6.3 for stay-at-home mothers. The average stress score for employed mothers was 5.72 ± 4.7, and for stay-at-home mothers, it was 7.16 ± 4.3, which indicates a statistically significant difference in stress levels between the two groups (P = 0.04). However, the two groups had no significant difference in the mean anxiety score (P = 0.08). The mean score for social well-being was 165.5 ± 18.4 for working mothers and 162.17 ± 21.2 for stay-at-home mothers. This difference was not statistically significant (P = 0.18). Except for the social acceptance dimension (P = 0.003), no statistically significant differences were observed in the social well-being dimension between the two groups. The social acceptance of working mothers appears to be greater than that of stay-at-home mothers. Higher social acceptance suggests that they hold a more positive outlook on people and are at ease in social situations, which may have helped to alleviate their stress and anxiety.

Impact of a daily supportive text message program (text4hope) on the stress, anxiety, and depression levels of elderly (60 years and above) subscribers during the COVID-19 pandemic in Alberta.

IntroductionOne of the biggest global crises in our generation is the COVID-19 pandemic. It has had a severe and far-reaching negative impact on our health systems, economies, and societies. Older adults were particularly at higher risk of severe illness, isolation from social distancing measures, and concerns about their health.ObjectivesThe objective of this study is to evaluate the impact of the daily supportive text message program (Text4Hope) on the levels of stress, anxiety, and depression experienced by elderly subscribers during the COVID-19 pandemic in Alberta six weeks after enrollment.MethodsAn online survey link was used to gather demographic and clinical information on several self-report scales, such as the Perceived Stress Scale (PSS) ≥ 14 and Generalized Anxiety Disorder 7-item (GAD-7). Scale ≥ 10, and Patient Health Questionnaire-9 (PHQ-9) ≥ 10. Descriptive and inferential statistics were run using SPSS version 25.Results172 subscribers out of 1136 completed baseline and six weeks using an online questionnaire, giving a response rate of 15.1%. There were significant reductions in mean scores on the PSS-10 and GAD-7 scales at six weeks compared to baseline (P&gt;.05), but not on the PHQ-9 scale. There were also significant reductions in the prevalence of moderate or high stress (68.6% vs 60.5%, p=0.036) and likely GAD (14.9% vs 22.7%, p=0.029) from baseline to six weeks, with the highest reduction in stress (8.1%). A change (27.6% to 25.2%) in the prevalence of likely MDD from baseline to six weeks was insignificant. (P&gt;.05)ConclusionsThis study’s findings show a decrease in the prevalence rates and the mean scores for stress and anxiety on standardized scales, indicating an improvement from baseline to six weeks. This outcome has potential implications for planning an intervention to meet the mental health needs of the elderly in similar situations like the pandemicDisclosure of InterestNone Declared

An Observational Study of the Progression of Patients’ Mental Health Symptoms Six Weeks Following Discharge From the Hospital

IntroductionTransitioning from mental health inpatient care to community care is often a vulnerable time in the treatment process where additional risks and anxiety may arise.ObjectivesThe objective of this paper was to evaluate the progression of mental health symptoms in patients six weeks after their discharge from the hospital as the first phase of an ongoing innovative supportive program. In this study, factors that may contribute to the presence or absence of anxiety and depression symptoms, and the quality of life following a return to the community were examined. The results of this study provide evidence and baseline data for future phases of the project.MethodsAn observational design was used in this study. We collected sociodemographic and clinical data using REDCap at discharge and six weeks later. Anxiety, depression, and well-being symptoms were assessed using the Generalized Anxiety Disorder (GAD-7) questionnaire, the Patient Health Questionnaire-9 (PHQ-9), and the World Health Organization-Five Well-Being Index (WHO-5) respectively. Descriptive, Chi-square, independent T-test, and multivariate regression analyses were conducted.ResultsThe survey was completed by 88 participants out of 144 (61.1% response rate). A statistically non-significant reduction in anxiety and depression symptoms was found six weeks after returning to the community based on the Chi-squared/Fisher exact test and independent t-test. As well, the mean anxiety and depression scores showed a non-significant marginal reduction after discharge compared to baseline. In the period following discharge, a non-significant increase in participants experiencing low well-being symptoms was observed, as well as a decline in the mean well-being scores. Based on logistic regression models, only baseline symptoms were significant predictors of symptoms six weeks after inpatient discharge.Image:Image 2:Image 3:ConclusionsIn the short term following hospital discharge, no significant changes were observed in mental health conditions. A collaboration between researchers and policymakers is essential for the implementation and maintenance of effective interventions to support and maintain the mental health of patients following discharge.Disclosure of InterestNone Declared

Assessing the relationships between emotion regulation, depression, anxiety, and stress symptoms in a Tunisian University Setting

IntroductionDifficulties in emotion regulation are known to be associated with various mental health problems, particularly depression, and anxiety.ObjectivesThis study aimed to explore the relationship between emotion regulation, depression, anxiety, and stress symptoms in a Tunisian university setting.MethodsA cross-sectional, descriptive, and analytical study was conducted among Tunisian students from August to September 2023. Data were collected through an anonymous online questionnaire, assessing sociodemographic characteristics, the Arabic version of the difficulties in emotion regulation scale short form (DRES-SF), and the depression, anxiety, and stress scale (DASS-21).Results A sample of 307 university students were enrolled. The sex ratio (M/F) was 0.28. In the assessment of emotional regulation difficulties, participants reported a mean total score of 42.47 ± 12.68. The mean score of stress was 18.2 ± 11.36, reflecting a mild severity. Participants with higher stress levels have more difficulties in emotional regulation (r=0.658, p=0.00). Participants with depressive symptoms showed a higher DRES-SF total score (r= 0.629, p=0.00). Participants had a mean anxiety score of 15.6 ± 10.57, reflecting a severe severity. A significant correlation between total DRES-SF score and anxiety (r=0.606, p=0.00).ConclusionsOur study concluded significant positive correlations between depressive symptoms, anxiety, and stress symptoms with emotion regulation difficulties.Disclosure of InterestNone Declared

Assessment of preoperative anxiety and negative automatic thoughts in patients waiting for corneal transplantation

Introduction and aim. In patients waiting for organ transplantation, increased waiting time can increase anxiety by creating negative automatic thoughts. The aim of this study is to examine the relationship between corneal transplant recipients’ negative automatic thoughts and anxiety before organ transplantation. Material and methods. The population of this correlational descriptive study consisted of 108 patients waiting for cornea transplantation in the Eye Bank unit of a hospital in the south east region of Türkiye. The data were obtained from the patients presented to the ophthalmology clinic for transplantation between September and December 2022. A patient information form, the Negative Automatic Thoughts Scale, and the Trait Anxiety Scale were used to collect the data. Percentage distribution, arithmetic mean, logistic regression and correlation analysis were used in the data analysis. Results. It was determined that the mean score of the negative automatic thoughts of the transplant patients participating in the study was 100.69±47.83, and the trait anxiety mean score was 53.06±6.07. There was a positive relationship between neg ative automatic thoughts and trait anxiety at a moderate level, which was statistically significant (p&lt;0.05, r=0.53). Conclusion. It was determined in the study that the patients’ negative automatic thoughts and trait anxiety were high, and their anxiety increased as the negative automatic thoughts increased.

The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: a randomized controlled trial

BackgroundDepression is one of the most common mental disorders that leads to anxiety, sleep disturbances, and suicidal thoughts. Due to the high cost of treatment and the reluctance of many patients to seek medical help, major depressive disorder (MDD) is becoming more prevalent. Therefore, alternative methods like smartphone applications can help prevent and improve depression symptoms. The present study aimed to determine the effect of the newly developed Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with MDD.MethodsThis randomized controlled trial with a pretest-posttest design was conducted on Iranian patients with MDD in 2022. Sixty-four patients were recruited using convenience sampling and randomly assigned to two control and intervention groups. The intervention was conducted using the Yara smartphone application for three months. Data were collected using the Spielberger State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Beck Scale for Suicidal Ideation (BSSI). Data were first entered into IBM SPSS Statistics for Windows, version 22 (IBM Corp., Armonk, N.Y., USA) and then analyzed using descriptive and analytical statistics.ResultsThere was no statistically significant difference in the mean score of anxiety and sleep quality between the intervention and control groups before the intervention (p ≥ .05). However, this difference in the mean score of anxiety and sleep quality was statistically significant in the two groups after the intervention (p < .05). The results showed no statistically significant difference in the mean score of suicidal thoughts between the two groups before and after the intervention (p ≥ .05). The use of the Yara smartphone application had a significant positive effect on anxiety and sleep quality in depressed patients (p < .001). At the same time, it had no significant effect on suicidal thoughts (p ≥ .05).ConclusionConsidering the positive effect of using the Yara smartphone application on reducing anxiety and improving sleep quality in depressed patients, this application can help alleviate the problems of depressed patients alongside existing treatment methods. Thus, this application is recommended for this group of patients in psychiatric clinics and departments. The Yara application's effectiveness was not approved on suicidal thoughts in this study so that further investigation would be necessary.Trial RegistrationIranian Registry of Clinical Trial approval code (IRCT# IRCT20131112015390N7).