Physical Anxiety Symptoms Research Articles

Anxious Thoughts and Well-Being in University Students with Anxiety in the Two Years After the COVID-19 Pandemic: The Mediational Relationship of Physical Symptoms and Sadness Rumination

Objective: This study examines the relationship between anxious thoughts and well-being, with physical symptoms and sadness rumination as mediators, in young people who suffer from anxiety in the first two years after the COVID-19 pandemic. Methods: A community sample of 198 participants, 94 males and 104 females, aged between 19 and 35 years, all of them experiencing an anxiety disorder in their past, answered an online survey during the years 2022–2023. The instruments were the Rumination of Sadness and Anger Questionnaire, The Burns Inventory, and Ryff’s Psychological Well-being Scale. The data analysis used hierarchical regression. Results: The results show that the conditional indirect effects of anxious thoughts on well-being are statistically significant (β = −0.29, SE = 0.08, p < 0.001) for high physical symptoms of anxiety (β = 0.25, SE = 0.11, p < 0.001) and for high sadness rumination (β = −0.82, SE = 0.04, p < 0.001). Physical symptoms of anxiety (β = 0.25, SE = 0.11, p < 0.001) and sadness rumination (β = 0.05, SE = 0.07, p < 0.001) have a partial serially mediating effect on the relationship between anxious thoughts and well-being (β = −0.74, SE = 0.02, p < 0.001).

Predictive effect of lipopolysaccharide-stimulated inflammatory cytokines on symptoms of generalized anxiety disorder.

Generalized anxiety disorder (GAD) is a relatively common mental disorder. Recently, inflammation, an important factor for the development of depression, has attracted increasing attention. Several studies have shown that inflammatory cytokines can affect the pathophysiological processes of several nervous system diseases. We hypothesized that there is a correlation between the levels of lipopolysaccharide (LPS)-stimulated inflammatory cytokines and the clinical symptoms of GAD. To investigate the predictive effect of LPS-stimulated inflammatory cytokines on symptoms of GAD. This was a cross-sectional study in which 89 patients with GAD diagnosed at The First Hospital of Hebei Medical University from January 2022 to December 2022 and 70 individuals without anxiety and depression (controls) during the same period were included. Fasting venous blood was collected from all the subjects in heparin tubes, and another 3 ml of blood was supplemented with LPS (10 ng/ml). The plasma levels of 12 cytokines [Interleukin (IL)-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, tumor necrosis factor (TNF)-α, interferon (IFN)-γ, IL-17A, IL-12p70, and IFN-α] were detected. Post-LPS stimulation, the levels of IL-1β, IL-6, IL-8, IL-10, and TNF-α in both the control and GAD groups were significantly elevated above those in the nonstimulated groups, with IL-6 and IL-8 showing marked increases. Increases in IL-8 and TNF-α were statistically significant in the GAD group (P < 0.05). IL-1β, IL-6, IL-8, IL-10, and TNF-α were found to be significantly correlated with Hamilton Anxiety Rating Scale (HAMA) scores (P < 0.05). A negative correlation was observed between IL-10 levels and HAMA scores. Further analysis revealed that TNF-α was associated with mental anxiety, whereas IL-1β, IL-8, and IL-10 were associated with physical anxiety symptoms, with IL-10 showing a negative correlation with physical anxiety. IL-6 was associated with both mental and physical aspects of anxiety. The physical symptoms of GAD are related to inflammatory factors. IL-1β, IL-8, IL-10, and TNF-a can be used as predictors of physical or mental anxiety in patients with GAD.

Analyzing Online Conversations on Reddit: A Study of Stress and Anxiety Through Topic Modeling and Sentiment Analysis.

This study analyses the topic of stress and anxiety in 3,765 Reddit posts to determine key themes and emotional undertones using natural language processing (NLP) techniques. Five major category topics are identified from the posts using the latent Dirichlet allocation (LDA) algorithm. The topics identified are general discontent and lack of direction; panic and anxiety attacks; physical symptoms of anxiety, stress, and mental health concerns; and seeking help for anxiety. Sentiment analysis with the help of TextBlob showed a neutral score, for the most part: an average polarity score of 0.009 and a subjectivity score of 0.494. Several kinds of visualizations, including word clouds, bar charts, and pie charts, have been used to show the distribution and importance of these topics. These findings underscore the important role played by online communities in extending their support to those in distress because of mental health problems. This information is very important to mental health professionals and researchers. This study shows the effectiveness of using a combination of topic modeling and sentiment analysis to identify problems related to mental health discussed on social media. These results direct the possibilities for future research in using advanced NLP techniques and expanding to larger datasets.

Effects of Mindfulness and Life-Skills Training on Emotion Regulation and Anxiety Symptoms in Chinese Migrant Children: A Randomized Controlled Trial

PurposeChina’s rapid urbanization has been associated with increased mental health challenges, especially in rural-to-urban migrant children. This study evaluates the effects of mindfulness and life-skills (LS) training on emotional regulation and anxiety symptoms from a randomized controlled trial aimed at improving the mental health of Chinese migrant children. MethodsTwo intervention arms—mindfulness training (MT) and MT plus LS mentorship (MT + LS)—were compared to a waitlist control group of 368 migrant children aged 9–17 years. Volunteers were trained to deliver interventions to 285 migrant children in small groups of 15 for eight weeks weekly. Social integration varied: migrant children mixed with local children at public schools were considered highly integrated, those in migrant-only classrooms at public schools had intermediate levels of integration, and children in private migrant schools had low integration. Emotion regulation and anxiety symptoms were assessed preintervention, postintervention, and three months postintervention. ResultsPostintervention and compared to the control group, children with high social integration in the MT arm showed increased cognitive reappraisal ability (p < .05) but higher physical anxiety (p < .01). Children with high social integration in the MT + LS arm had lower anxiety symptoms of harm avoidance (p < .01) and physical anxiety (p < .05). Children with low social integration in the MT + LS arm showed lower cognitive reappraisal (p < .01) and poorer overall emotion regulation abilities (p < .01). Three months later, children with intermediate integration in the MT + LS arm had lower separation anxiety (p < .05) and harm avoidance anxiety (p < .05). No other groups showed significant improvements in emotion regulation or reducing in anxiety symptoms three months postintervention. DiscussionMindfulness and LS training may benefit Chinese migrant children who have higher levels of social integration but increase anxiety in those with lower social integration. Future research should consider the sociocultural context in which a treatment is implemented.

Tjelesna aktivnost i simptomi depresije i anksioznosti kod djece i adolescenata

More and more children and adolescents have been facing mental health problems, especially depression and anxiety symptoms. Physical activity is any bodily movement produced by skeletal muscles that requires energy expenditure, and it affects mental health at multiple levels and through different mechanisms. The aim of this paper is to provide an overview of the relationship between physical activity and symptoms of depression and anxiety, with an emphasis on children and adolescents. An analysis of the available literature has been conducted and the results have shown that there is evidence that physical activity has a positive effect on overall mental health, especially on symptoms of depression. However, much research is still needed to prove exact mechanisms and directions of this relationship.

Involvement of propranolol in suicides: cross-sectional study using coroner-reported data.

Propranolol is a beta-blocker medication indicated mostly for heart rhythm conditions and for physical symptoms of anxiety. Prescriptions for propranolol in the UK have increased since 2008. Recently, there have been concerns about the involvement of propranolol in intentional poisonings, but such deaths are not routinely reported. Therefore, use of coroner-reported and toxicology data enables unique investigation into the scale of involvement of propranolol in suicide. To describe the extent to which propranolol is involved in suicides, including patterns over time and characteristics of people whose suicide involved propranolol compared with other suicides. Data were derived from the National Programme on Substance Use Mortality (NPSUM). All suicides and deaths of undetermined intent between 2010 and 2021 in England, Wales and Northern Ireland were extracted, and a subset was identified where propranolol was involved in death. There were 4473 suicides of which 297 (6.6%) involved propranolol, with the proportion involving propranolol nearly quadrupling during the study period (3.4% v. 12.3%). Compared with all other suicides, a greater proportion of propranolol suicides were in women (56.6% v. 37.1%) and in people with diagnoses of depression (39.1% v. 27.1%) and anxiety (22.2% v. 8.6%). When suicide involved propranolol, an antidepressant was detected at post-mortem in 81.8% of deaths, most commonly a selective serotonin reuptake inhibitor (SSRIs) (51.5%), and most often citalopram (24.6%). A small number, but increasing proportion, of suicides reported to the NPSUM involve propranolol. Vigilance to the combined toxicity profile of medicines used alongside propranolol may be pertinent.

Exercise as medicine! Physical activity mitigated the impact of the COVID-19 pandemic on depressive symptoms in adults with depression

We investigated the longitudinal association between physical activity (PA) and symptoms of depression and anxiety in people with depression during the COVID-19 pandemic. We used data from baseline (June 2020) to wave 3 (June 2021) of the PAMPA Cohort, an ambispective cohort with adults in south Brazil. The Hospital Anxiety and Depression Scale assessed depressive and anxiety symptoms in all waves. Participants reported frequency (minutes), type (aerobic, strength, combined), and place (out of home, at home) of physical activity at baseline. Generalized linear models were used to investigate the interaction between time and PA, adjusting for possible confounding variables. Subjective memory decline was assessed using multivariate Cox proportional hazard regression models to obtain adjusted hazard ratio (HR) and respective 95% confidence interval (CI). Participants (n = 424) with self-reported clinically diagnosed depression were included. We observed a non-linear increase trajectory of depression during the first year of the COVID-19 pandemic. PA was associated with a slower trajectory of depressive (slope: −1.89; 95%CI: −3.34, −0.43 points) but not anxiety (slope: −1.33; 95%CI: −2.93, 0.25 points) symptoms during the COVID-19 pandemic. Participants who continued physically active from pre-pandemic in wave 1 showed a lower risk of subjective memory decline during follow-up than those who persisted inactive in the same period (HR: 0.52; 95%CI: 0.30, 0.89). PA attenuated the impact of the COVID-19 pandemic on depressive symptoms in adults living with depression in south Brazil. Regularity of physical activity was associated with fewer depression and anxiety symptoms and a lower risk of subjective memory decline.

Relationships Between Anxiety, Attention, and Reading Performance in Children.

Many studies link anxiety in children with reading difficulties, but some facets of anxiety have been found to be positively associated with reading achievement. Attentional Control Theory offers a potential explanation for these seemingly contradictory findings, positing that anxiety can both interfere in attentional processes and enhance effort and use of compensatory processing strategies. The current study examines the relationships between anxiety, attentional control, and reading performance (word reading/decoding and passage comprehension) in a racially-diverse sample of 251s-grade students, 152 of whom had not met reading benchmarks using screening measures. Results showed that harm avoidance was positively associated with reading performance and physical symptoms of anxiety were negatively associated with reading performance. These links were attenuated when including attentional control in the model, suggesting mediation and lending support to Attentional Control Theory. Further research is needed to confirm causal mediation effects between anxiety, attentional control, and reading performance.

Perspectives of teachers on the signs and causes of mathematics anxiety

Math anxiety is a common challenge that affects students in different age groups, hinders their achievements in math, and leads to avoidance of math related activities. This article aims to contribute to a better understanding of the signs of math anxiety in students and the factors which contribute to math anxiety. The research instrument was an online questionnaire specially designed for this study. The questions related to the main aspects presented in this paper were closed questions, most of them measured on a 4-level Likert scale. The participants were 160 mathematics teachers, most of them active teachers with special qualifications and more than 5 years of experience in teaching mathematics. The participants were teaching on different grade levels, covering grades from 1 to 12. Participants self-reported a high familiarity with math anxiety, teachers with special qualification for teaching mathematics, those with more than 5 years of experience, and teachers teaching in grades 7-12 perceived a higher level of familiarity, but the differences were not statistically significant. Teachers reported that there are students with math anxiety in their classes, teachers with qualification reported more students with anxiety, teachers with more experience observed less students with anxiety, these differences being not significant. Teachers teaching grades 7-12 observed a significantly higher number of students with math anxiety than those teaching in grades 1-6. Also, teachers observed physical symptoms of math anxiety, those teaching grades 7-12 in a significantly higher number of students than those teaching in grades 1-6. As regarding other symptoms, increased stress or frustration while doing math and negative self-talk about math ability are the most frequently observed. Teachers consider that the main causes of students’ math anxiety are related to the parents, their math anxiety and their attitude to their child’smath ability could increase anxiety.

The Impact of Physical Activity and Lifestyle on Mental Health: A Network Analysis.

This study aimed to investigate the association between physical activity (PA), lifestyle, and symptoms of depression, anxiety, and stress. A cross-sectional study was carried out using an online questionnaire. PA (International Physical Activity Questionnaire), lifestyle (Short Multidimensional Inventory Lifestyle Evaluation), and mental health (Depression, Anxiety, and Stress Scale-21) were assessed. Mean scores were compared between groups of physically active and inactive participants, controlling for gender, education, and income. Furthermore, associations were made between the variables, and individual network analyses were carried out for each mental health domain. The sample consisted of 353 individuals (age = 33.8 [12.2], 59.2% women). In network analyses, PA was indirectly related to depression and stress through the relationship with other lifestyle domains such as diet and nutrition or through stress management and social support. The same path was observed for anxiety; however, a direct partial correlation was also observed between PA and anxiety, suggesting that PA seems to intervene more directly in this aspect of mental health. It is concluded that PA is indirectly (via stress management, diet and nutrition, and social support) associated with depression and stress and has direct and indirect associations (via stress management and social support) with anxiety.

Attentional Control Accounts for the Association Between Anxiety Sensitivity and Sleep Efficiency in Clinic-Referred Youth.

Youth with anxiety disorders report difficulty falling asleep and returning to sleep after sleep onset (i.e., poor sleep efficiency). Anxiety sensitivity, the excessive attention to physical symptoms of anxiety and their threatening interpretations, has been linked to poor sleep efficiency. We tested a conceptual model wherein attentional control, attentional focusing and attentional shifting would account for the relationship between anxiety sensitivity and poor sleep efficiency. 255 youths (6-17years old, 78% Hispanic/Latino) who presented to a university-based research clinic completed measures on anxiety sensitivity, sleep, and attentional control. Poorer sleep efficiency was significantly correlated with higher anxiety sensitivity and lower attentional control, attentional focusing, and attentional shifting. Higher anxiety sensitivity was significantly correlated with lower attentional control and attentional focusing. Attentional control and attentional focusing, not attentional shifting, accounted for the relationship between anxiety sensitivity and poor sleep efficiency. These findings identify attentional control and attentional focusing as variables that may explain the association between anxiety sensitivity and sleep efficiency in youth.

Coronaphobia flips the emotional world upside down: Unhealthy variables positively predict the fading affect bias at high physical symptoms of coronavirus anxiety

AbstractThe fading affect bias (FAB) refers to the faster fading of unpleasant affect than pleasant affect. The present study investigated various healthy and unhealthy variables as predictors of the FAB across physical symptoms of coronavirus anxiety (PSCA) as well as across events involving and not involving COVID‐19. The data were collected in the heart of the pandemic from April 18, 2020 to January 23, 2021. As expected, social distancing, grit, positive positive and negative affect schedule (PANAS), and rehearsals positively predicted the FAB, whereas negative PANAS, depression, generalized anxiety, and stress negatively predicted the FAB. These results supported the mobilization‐minimization hypothesis, self‐enhancement theories, and the broaden and build theory. Interestingly, PSCA moderated the relations of several variables, such that grit, hypochondria, neuroticism, average daily hours thinking and talking about COVID‐19, negative PANAS, and anxiety predicted the FAB in the expected ways at low PSCA, but all the variables, except negative PANAS and anxiety, positively predicted the FAB at high PSCA. The negative relations between FAB and both negative PANAS and anxiety diminished from low to medium PSCA, and those negative relations remained small at high PSCA. Rehearsal ratings did not mediate the 3‐way interactions. These results emphasize the dramatic effect on emotion regulation, as measured by the FAB, produced by the COVID‐19 pandemic.

Patients' anxiety and its causes in the pre-operative period

Anxiety is usually caused by even minor surgery. The necessity of the procedure, the high pre-operative emotional arousal, the post-operative pain, the difficult and lengthy recovery process, the hospital environment, the diagnostic and preparatory tests, the attending and nursing staff-these are all factors that can influence the pre-operative anxiety a patient feels.&#x0D; The aim of this study is to analyse the anxiety and its causes in the preoperative period.&#x0D; Methods. A quantitative study was conducted.&#x0D; Results and conclusions the sample was random. 110 respondents participated in the study. The respondents often felt anxiety in the preoperative period, which was caused by intrusive thoughts about the surgery, the length of the postoperative period and the pain of the disease. In contrast, factors such as possible drug allergy, lack of information and negative postoperative outcomes were seen as minor contributors to anxiety. It was observed that the respondents were less likely to experience physical symptoms of anxiety. In contrast, psychological symptoms were more frequent in the preoperative period. Although the vast majority of respondents stated that they did not need psychological support, the study showed that some respondents tended to communicate actively with both relatives and nurses.

The effects of cannabidiol on worry and anxiety among high trait worriers: a double-blind, randomized placebo controlled trial.

Evidence suggests cannabidiol (CBD) displays broad therapeutic potential in the context of anxiety; however, no study has examined the effects of CBD on worry, a defining, cognitive feature of anxiety. Additionally, no study has examined the effects of an acute, single dose of CBD compared to repeated CBD administration. Within a sample of 63 individuals with elevated trait worry, the current study aimed to assess the effects of an empirically-derived high dose of CBD (i.e., 300mg) compared to a commercially-derived dose of CBD (i.e., 50mg) versus placebo on worry severity and anxiety symptoms after an acute dose and after a 2-week administration period. Results indicated no effect of acute CBD dosing on worry severity or anxiety symptoms. Repeated CBD administration similarly did not impact worry severity; however, 300mg of CBD reduced anxiety symptoms across the 2-week administration period compared to placebo. Taken together, these findings suggest 300mg of oral CBD does not attenuate cognitive symptoms of anxiety (i.e., worry), following both acute and repeated administration. Some evidence for repeated administration of 300mg on physical symptoms of anxiety was obtained. Findings from the current study suggest CBD's modest anxiolytic effects may be specific to the physical aspects of anxious arousal.

Effects of cognitive-behavioral therapy on core aspects of anxiety in anxious youth with autism

BackgroundAnxiety disorders (ADs) are common in youth with autism and cognitive-behavioral therapy (CBT) may be less efficacious than among anxious youth without autism. Yet, little is known about which aspects of anxiety are targeted less effectively by CBT in youth with autism. MethodWe pooled youth with autism and ADs randomized to CBT or a control condition from five randomized controlled trials (RCTs; CBT, n = 197, Mage = 10.30 [2.05], age range: 7–16; control conditions, n = 83; Mage = 10.57 [2.30], age range: 7–16) and examined whether CBT outperformed control conditions across core aspects of anxiety and whether more pronounced autism traits predicted outcomes. CBT response in youth with autism was also compared to CBT response among anxious youth without autism (n = 129; Mage = 11.16 [2.80], age range: 7–17). ResultsCBT for youth with autism yielded significantly better effects than control conditions for frequency of symptoms, intensity of anxiety, avoidance, family interference, and social interference but not for physical symptoms of anxiety. Youth with more pronounced autism traits had poorer outcomes for frequency of symptoms, family interference, and social interference. Compared to anxious youth without autism, youth with autism had poorer outcomes for physical symptoms and family interference. ConclusionsCBT is efficacious across core aspects of anxiety for youth with autism, but outcomes for anxiety-related interference, particularly for those with more pronounced autism traits, may be poorer than among youth without autism. More work is needed to better understand how anxiety impacts the everyday lives of anxious youth with autism and which interventions and support are needed.

Investigating COVID-19's Impact on Mental Health: Trend and Thematic Analysis of Reddit Users' Discourse.

The COVID-19 pandemic has resulted in heightened levels of depression, anxiety, and other mental health issues due to sudden changes in daily life, such as economic stress, social isolation, and educational irregularity. Accurately assessing emotional and behavioral changes in response to the pandemic can be challenging, but it is essential to understand the evolving emotions, themes, and discussions surrounding the impact of COVID-19 on mental health. This study aims to understand the evolving emotions and themes associated with the impact of COVID-19 on mental health support groups (eg, r/Depression and r/Anxiety) on Reddit (Reddit Inc) during the initial phase and after the peak of the pandemic using natural language processing techniques and statistical methods. This study used data from the r/Depression and r/Anxiety Reddit communities, which consisted of posts contributed by 351,409 distinct users over a period spanning from 2019 to 2022. Topic modeling and Word2Vec embedding models were used to identify key terms associated with the targeted themes within the data set. A range of trend and thematic analysis techniques, including time-to-event analysis, heat map analysis, factor analysis, regression analysis, and k-means clustering analysis, were used to analyze the data. The time-to-event analysis revealed that the first 28 days following a major event could be considered a critical window for mental health concerns to become more prominent. The theme trend analysis revealed key themes such as economic stress, social stress, suicide, and substance use, with varying trends and impacts in each community. The factor analysis highlighted pandemic-related stress, economic concerns, and social factors as primary themes during the analyzed period. Regression analysis showed that economic stress consistently demonstrated the strongest association with the suicide theme, whereas the substance theme had a notable association in both data sets. Finally, the k-means clustering analysis showed that in r/Depression, the number of posts related to the "depression, anxiety, and medication" cluster decreased after 2020, whereas the "social relationships and friendship" cluster showed a steady decrease. In r/Anxiety, the "general anxiety and feelings of unease" cluster peaked in April 2020 and remained high, whereas the "physical symptoms of anxiety" cluster showed a slight increase. This study sheds light on the impact of COVID-19 on mental health and the related themes discussed in 2 web-based communities during the pandemic. The results offer valuable insights for developing targeted interventions and policies to support individuals and communities in similar crises.

Association between changes in physical activity and comorbid symptoms of anxiety and depression in college students

To describe the prevalence of physical activity and comorbid symptoms of anxiety and depression in college students, and to explore the correlation strength between changes in physical activity and comorbid symptoms of anxiety and depression, so as to provide a reference for promoting college students&apos; mental health. From April to May 2019, 1179 freshmen majoring in public health, nursing, chemistry and physical education were randomly sampled from one university in Hefei City, Anhui Province, and Shangrao City, Jiangxi Province, respectively. A baseline questionnaire survey was conducted. A follow-up survey was conducted in May 2021, and a total of 1046 subjects were included, including 647 female and 399 male. The International Physical Activity Questionnaire-Short Form was used to evaluate the physical activity level of college students, and the Patient Health Questionnaire and Generalized Anxiety Disorder Scale were used to evaluate the anxiety and depression symptoms of college students during follow-up. Determining the coexistence of anxiety and depression symptoms in college students as anxiety-depression comorbid symptoms. In the follow-up survey, the detection rate of anxiety and depression comorbid symptoms of college students was 16.9%(n=177), and the detection rates of sufficient, decreased, increased, and insufficient physical activity changes were 72.5%(n=758), 13.8%(n=144), 9.2%(n=96), and 4.6%(n=48), respectively. The result of multiple Logistic regression model showed that, after controlling for confounding factors, compared with those with sustained high level of physical activity, i. e. , adequate physical activity, increased physical activity(OR=1.89, 95%CI 1.10-3.25), decreased physical activity(OR =2.80, 95% CI 1.72-4.57), and insufficient physical activity(OR = 3.66, 95% CI 1.85-7.23) increased the risk of anxiety-depression comorbidity symptoms of college students(P&lt;0.05). However, there was no significant increase in the risk of anxiety or depressive symptoms in those who increased, decreased, or insufficient physical activity compared with those who were sufficient physical activity(P&gt;0.05). The level of physical activity and its changes are related to mental health of college students. The continuous low level of physical activity is associated with the increased risk of comorbidity of anxiety and depression in college students.

Prevalence and associated factors of depression, anxiety, and stress among academic medicine faculty in Kazakhstan: a Cross-sectional Study.

Psychological distress refers to a set of painful mental and physical symptoms of anxiety and depression, which often coexist and coincide with common somatic complaints and chronic conditions. In Kazakhstan, mental disorders are the second leading cause of years lived with disability. Currently, medical education in Kazakhstan is undergoing comprehensive reform, which creates an additional burden on faculty, fostering mental health concerns. A quantitative observational cross-sectional study was conducted in 6 large medical universities in Kazakhstan. Data were obtained from 715 faculty academics by using an online self-reported DASS-21. Statistical analysis was performed using the SPSS version 20.0. Bivariate and multivariate logistic regression analyses were applied to evaluate the relationship between predictor and outcome variables. The total prevalence of depression, anxiety, and stress was 40.6%, 41.3%, and 53.0%, respectively. Younger age (p = 0.002), female gender (p = 0.001), being single (p = 0.044) or in a relationship (p = 0.001), having chronic diseases (p < 0.001), holding Master (p = 0.036) or PhD degree (p = 0.040), employment status (p = 0.034), and being involved in additional activities (p = 0.049) were significantly associated with different dimensions of distress. Nearly half of the study population reported symptoms of depression, anxiety, and stress. Due to the higher prevalence of psychological distress amongst academic medicine faculty, determined risk factors must be taken into consideration in developing policies for mental issues prevention.

Co-occurring Stress Trajectories and the Longitudinal Coupling of Internalizing Symptoms in Parent-Adolescent Dyads.

Stress is one candidate mechanism posited to contribute to the intergenerational risk of psychopathology. However, the ways in which parent and child stress are related across adolescence, and the role that co-occurring parent and child stress may exert regarding bidirectional risk for internalizing symptoms, are not well understood. Using repeated measures data spanning 3-years, this study investigated (1) the extent to which trajectories of parent and child stress are related during adolescence, and (2) whether co-occurring parent and child stress trajectories mediate prospective, bidirectional associations between parent depression symptoms and child internalizing symptoms (depression, physical and social anxiety). Participants included 618 parent-adolescent dyads (age 8-16; 57% girls; 89% mothers). Parent depressive symptoms and child symptoms of depression, social anxiety, and physical anxiety were assessed via self-report questionnaire at baseline and 36 months later. Parent and child stress were assessed via self-report questionnaire every three months between 3- and 33-months (11 total assessments). Latent growth curve model (LGCM) analysis found that parent and child stress trajectories were positively related across development. Prospective LGCM mediation analysis showed that higher youth stress at 3-months partially mediated prospective relations between parental depressive symptoms at baseline and youth depressive, as well as physical and social anxiety symptoms at 36-months. Parent and child stress reinforce each other across adolescence and may lead to increased risk for psychopathology. Increases in child stress represent an important factor conferring transdiagnostic risk for internalizing among children of depressed parents.

Relationship between Knowledge and Anxiety about Covid-19 among Nurses in Iran: A Cross-sectional Study

The level of knowledge people have about Covid-19 can affect their anxiety and worry about this disease. The present study was conducted to assess the relationship between knowledge and anxiety about Covid-19 in nurses at Guilan University of Medical Sciences, north of Iran. This cross-sectional study was conducted on 270 nurses working in selected hospitals of Guilan University of Medical Sciences in northern Iran using a questionnaire that included demographic characteristics, knowledge (21 questions), and anxiety about Covid-19 (18 questions with two components of physical and mental). The data were analysed in SPSS ver. 21 using descriptive and analytical statistics. The mean score of knowledge of subjects about Covid-19 was 18.65±1.5 (range: 0–21); the mean score of physical symptoms of anxiety was 3.31±4.77 (range: 0–27); and the mean score of mental symptoms was 10.77±5.61 (range: 0–27). The mean of general anxiety about Covid-19 was 14.08±9.54 (range: 0–54) and most participants had sufficient knowledge and mild anxiety about Covid-19. In the present study, there was no significant relationship between the level of knowledge and the level of anxiety about Covid-19. It was found in the present study that nurses were well aware of Covid-19 and mildly anxious about it, but there were mental anxiety symptoms present. It is more critical than ever to engage nurses in educational and practical programmes provided by disparate institutions, primarily educational departments of hospitals, in different domains of mental health.