Psychological Disorders In Patients Research Articles

Management of psychological disorders in patients with thalassemia

Management of psychological disorders in patients with thalassemia

The Importance of Social Support in the Occurrence of Mental Disorders in Patients Suffering from Psoriasis Vulgaris

Psoriasis represents a global issue affecting approximately 1% of the Caucasian population, contributing not only to aesthetic concerns but also to stigmatization, social isolation, and an overall decline in quality of life. The chronic inflammatory state in the patient's body predisposes them to a higher susceptibility to anxiety and depressive disorders. Novel treatment methods, particularly monoclonal antibodies, may serve as a bridge between physical and psychological benefits. The research addresses the issues of psychological disorders in patients with common psoriasis and explores the impact of various dimensions of social support on the course of the disease. Topics covered include the etiopathogenesis of psoriasis, the connection between this dermatosis and an increased frequency of psychological disorders, as well as the bidirectional relationship between both disease entities. Four studies, encompassing clinical, demographic, and psychosocial variables, underwent analysis. Each study description includes statistical analysis, operationalization of variables, and a section dedicated to drawing conclusions. In the discussion section, a strong correlation between social support and the psychological state of dermatological patients is demonstrated. An integrated approach to the therapeutic process and the benefits of a holistic approach to issues related to chronic inflammatory diseases are also discussed. The theory of bidirectional relations between psoriasis and depression opens new possibilities for clinicians and psychologists. The work emphasizes that utilizing proven stress coping strategies based on various dimensions of social support can be a significant protective factor against psychological disorders associated with psoriasis. These actions have the potential to impact not only the psychological well-being of the patient but also to reduce the severity of skin symptoms. In light of this hypothesis, the study emphasizes the implementation of effective coping strategies in challenging situations, contributing to the improvement of the quality of life for patients with common psoriasis.

Incidence and Influencing Factors of Anxiety and Depression in Individuals with Acute Ischemic Stroke: A Retrospective Study.

Acute ischemic stroke (AIS) is the most common type of stroke in clinical practice, and individuals with stroke are more prone to psychological disorders than healthy individuals. This study aims to explore the incidence of anxiety and depression and related influencing factors in individuals with AIS. In brief, 680 individuals with AIS admitted to Chun'an County First People's Hospital from January 2021 to January 2023 were selected as the research subjects, and their clinical data were retrospectively analyzed. All patients were evaluated with the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) to observe the occurrence of anxiety and depression, and single-factor and multi-factor logistic regression were used to analyze the influencing factors of anxiety and depression. Among the 680 individuals with AIS, there were 63 cases of mild anxiety (9.26%), 25 cases of moderate anxiety (3.68%), and 8 cases of severe anxiety (1.18%), with a total of 96 cases (14.12%) with anxiety symptoms. Additionally, there were 74 cases of mild depression (10.88%), 28 cases of moderate depression (4.12%), and 10 cases of severe depression (1.47%), with a total of 112 cases with depression (16.47%). The results of univariate analysis showed that there was a weak correlation between age, body mass index, disease duration, marital status, and the development of anxiety and depression in individuals with AIS (p > 0.05). Educational level, underlying diseases, family income, and place of residence were found to influence the development of anxiety and depression in individuals with AIS (p < 0.05). The results of multivariate logistic regression analysis showed that educational level (no higher education), underlying diseases (with), family income (<50,000 yuan/year, the average exchange rate of RMB to USD was 6.7261), and place of residence (rural area) were influencing factors for the development of anxiety and depression in individuals with AIS (p < 0.05). Depression and anxiety are common psychological disorders in patients with AIS. The level of education (no higher education), underlying diseases (with), family income (<50,000 yuan/year), and place of residence (rural area) were risk factors that may lead to anxiety and depression in individuals with AIS. For those with risk factors for anxiety and depression, reasonable intervention should be continually provided to guide early disease prediction and treatment of anxiety and depression in individuals with AIS.

Application of intelligent nursing system based on big data in maintenance hemodialysis patients

Maintenance hemodialysis (MHD) is one of the most important renal replacement therapies for patients with end-stage renal disease. However, long-term and frequent treatment not only damages the physiological functions of patients but also leads to serious economic burdens and mental stress. This can easily cause a series of psychological disorders in patients, resulting in severe rejection and fear of MHD. To reduce patient resistance and improve the quality of life of MHD, this article built an intelligent nursing system based on big data and then used the constructed intelligent nursing system to research MHD. Through experiments, it has been found that compared to self-efficacy intervention, intelligent nursing systems can control the concurrent rate of MHD patients below 14 %, and self-efficacy intervention methods can control the concurrent rate of MHD patients above 13 %. Moreover, using intelligent nursing systems can improve the ability of MHD patients to self-care. At the same time, before the use of intelligent nursing systems, the nursing satisfaction of MHD patients also varied greatly, with the overall satisfaction rate after use being 70 % higher than before. Using intelligent nursing systems can improve the satisfaction of MHD patients with nursing outcomes.

Microbial and metabolomic profiles of type 1 diabetes with depression: A case-control study.

Depression is the most common psychological disorder in patients with type 1 diabetes (T1D). However, the characteristics of microbiota and metabolites in these patients remain unclear. This study aimed to investigate microbial and metabolomic profiles and identify novel biomarkers for T1D with depression. A case-control study was conducted in a total of 37 T1D patients with depression (TD+), 35 T1D patients without depression (TD-), and 29 healthy controls (HCs). 16S rRNA gene sequencing and liquid chromatography-mass spectrometry (LC-MS) metabolomics analysis were conducted to investigate the characteristics of microbiota and metabolites. The association between altered microbiota and metabolites was explored by Spearman's rank correlation and visualized by a heatmap. The microbial signatures to discriminate TD+ from TD- were identified by a random forest (RF) classifying model. In microbiota, 15 genera enriched in TD- and 2 genera enriched in TD+, and in metabolites, 14 differential metabolites (11 upregulated and 3 downregulated) in TD+ versus TD- were identified. Additionally, 5 genera (including Phascolarctobacterium, Butyricimonas, and Alistipes from altered microbiota) demonstrated good diagnostic power (area under the curve [AUC] = 0.73; 95% CI, 0.58-0.87). In the correlation analysis, Butyricimonas was negatively correlated with glutaric acid (r = -0.28, p = 0.015) and malondialdehyde (r = -0.30, p = 0.012). Both Phascolarctobacterium (r = 0.27, p = 0.022) and Alistipes (r = 0.31, p = 0.009) were positively correlated with allopregnanolone. T1D patients with depression were characterized by unique profiles of gut microbiota and serum metabolites. Phascolarctobacterium, Butyricimonas, and Alistipes could predict the risk of T1D with depression. These findings provide further evidence that the microbiota-gut-brain axis is involved in T1D with depression.

Identifying patients in need of psychological treatment with language representation models

AbstractEarly diagnosis of psychological disorders is very important for patients to regain their health. Research shows that many patients do not realize that they have a psychological disorder or apply to different departments for treatment. The detection of hidden psychological disorders in patients will both increase the quality of life of patients and reduce the traffic of patients who apply to the wrong department. This study aimed to determine whether patients who consult a physician for any reason need psychological treatment. For this purpose, the relationships, and similarities between the sentences of previous psychiatric patients and the sentences of newly arrived patients were analyzed. Domain-based trained ELECTRA language model was used to detect sentence similarities semantically. In the study, the dialogues of patients with physicians in 92 different specialties were analyzed using the MedDialog dataset, which consists of online physician applications, and the DAIC-WOZ dataset. As a result of the experiments, 90.49% success was achieved for the MedDialog dataset and 89.36% for the DAIC-WOZ dataset. With the proposed model, patients in need of psychological treatment were identified and the medical departments where psychological problems were revealed the most were determined. These divisions are Neurology, Sexology, Cardiology, and Plastic Surgery, respectively. With the findings obtained, complications caused by psychological problems and types of diseases that are precursors to psychological disorders were determined. To the best of our knowledge, this article is the first study that aims to analyze all psychological illness instead of focusing on any of the psychological problems (depression, OCD, schizophrenia, etc.) and validated by electronic health records.

Evaluation of Psychological Disorders in patients with Oral Lichen Planus; a Case Control Study.

Background and objective; Interest in the idea that immunological pathways may be involved in the etiology of subset of psychotic disorders has grown over the past few decades. The goal of this study was to investigate the psychiatric issues in individuals with oral lichen planus. Method; This is a case control study which has been done at Oral &amp; Maxillofacial medicine department in Khanzad Teaching Center and Erbil Dermatology Center between January 1st and August 1st, 2022. The Depression Anxiety Stress Scale -21 questionnaires were used to assess the psychological condition of patients with oral lichen planus. The sample consists of 100 participants, 50 of whom have oral lichen planus and 50 of healthy controls. Results: There were considerable differences between the two groups, according to the oral lichen planus the values for stress (50%), anxiety (22%), and depression (34%), whereas the values in the control group were [stress (20%), anxiety (0.0%), and depression (20%)]. Among the cases, (90.0%) had only oral lesions and (76.0%) of which had symptoms. Anxiety, and stress had statistical significance relation (0.002, 0.001) respectively in patients with symptomatic lesions (erosive and atrophic type) that produce pain and discomfort. Conclusion: The autoimmune diseases including the oral lichen planus has correlation with psychological factors, this research has shown the unfavorable impact of these oral lesions on the patient's psyche.

Salivary and serum biomarkers to evaluate psychological disorders in burning mouth syndrome: A systematic review and meta-analysis.

Burning mouth syndrome is a chronic pain syndrome mainly characterized by an intensive burning sensation of tongue. Previous studies have suggested that saliva/serum biomarkers in burning mouth syndrome might be associated with psychological disorders. The aim of systematic review was to observe whether the biomarkers in serum/saliva could be an alternative method to evaluate the psychological disorders in patients with burning mouth syndrome. The PubMed, Embase, and Cochrane Library databases were searched for papers published up to March 15, 2023. Risk of bias was measured by using the Newcastle-Ottawa Scale. RevMan was used for meta-analysis. A total of 467 articles were screened, which of 12 studies were included. These studies collected 43 different biomarkers in saliva and 35 in serum. Of these biomarkers, only three (cortisol, α-amylase, and IL-6) were analyzed in two or more studies. Only salivary cortisol levels were significantly higher in the patient group compared to the controls (Mean Difference = 1.39; 95% CI [0.80-1.97]; p < 0.001). Moreover, cortisol might be relevant to psychological scores, especially anxiety. Different papers have investigated salivary and serum biomarkers in burning mouth syndrome patients with controversial results. This meta-analysis showed that cortisol levels in saliva may be a potential biomarker to assess the psychological disorders in burning mouth syndrome patients.

Depression and Quality of Life in Chronical False Patients With Hemodialises in DR. Soekardjo Hospital in Tasikmalaya City

As chronic kidney failure increases, patients undergoing hemodialysis experience disturbance of sleep quality and anxiety. Patients who have been diagnosed with GGK are required to undertake medical intervention only to undergo hemodialysis therapy or known as bloodwashing therapy. Nevertheless, hemodialysis also poses a number of physical, psychological, social, and spiritual problems that will affect the quality of life of the patient. Stress, and depression are the most common psychological disorders in patients undergoing hemodialysis. The aim of this research is to find out the relationship between depression and quality of life in patients with hemodialysis at RSUD Dr. Soekardjo City of Tasikmalaya. Research Methods. The research method in this study is to include the type of descriptive research with univariate analysis and bivariate with cross sectional, the population is patients undergoing hemodialysis with a total sampling of 87 respondents. As a result of the study, there was a significant relationship between depression and the standard of quality of life of GGK patients undergoing hemodialysis obtained a p value of 0.012 (p &lt; 0.05).

Patients With Hemangioblastoma: Mood Disorders and Sleep Quality.

Sleep has confirmed physical, psychological, and behavioral benefits, and disruptions can result in disturbances in these states. Moreover, it can be linked bidirectionally with susceptibility to and the subsequent status of brain tumors. The current study examined mood disorders and sleep quality before and after surgery for hemangioblastoma brain tumors. Thirty-two patients diagnosed with hemangioblastoma brain tumors between 2017 and 2023 underwent surgical treatment. The Karnofsky Performance Status and ECOG performance status scales, the Brunel Mood Scale, the Morningness-Eveningness Questionnaire, and the Mini-Sleep Questionnaire were employed to assess the patients. The findings indicate that after surgery, sleep quality and mood disorders, including tension, vigor, and depression, did not exhibit significant differences in these patients (p>0.05). However, tension, vigor, depression, and sleep quality did have a significant impact on their functional status post-surgery (p<0.05). Depression is the significant mood factor in patients with brain tumors that impact their functional status. In this context, it is recommended that psychological therapies be considered for them, alongside conducting more comprehensive and in-depth studies on psychological disorders in patients with brain tumors.

Expert System To Determine Psychological Disorders In Chronic Kidney Failure (CKD) Patients Undergoing Hemodialysis Therapy Using Certainty Factor Method

Chronic Kidney Failure (CKD) is damage to the kidneys both in structure and/or function that lasts for 3 months or more. Hemodialysis is a prolonged therapy that can significantly impact the physical and psychological well-being of patients with chronic kidney disease. This therapy has a big effect on sufferers. The psychological impact that appears can affect the success of therapy so it is important to recognize these symptoms and provide appropriate treatment to overcome them. Based on research at Delia General Hospital, patients who will undergo Hemodialysis therapy must come to the hospital to receive comprehensive therapy by a doctor. Long patient queues when undergoing therapy can make patients tired and remember the patient's condition in order to get information and therapy. Handling of these problems can be overcome by building a system that can determine psychological disorders in patients. Expert systems are computer-based systems that use knowledge, facts and reasoning techniques in solving problems that usually can only be solved by an expert in a particular field. Certainty Factor (CF) is a method capable of defining the degree of certainty of a rule or fact in describing an expert's belief in the problem at hand. With an expert system, it can help identify and determine early on psychological disorders in patients. From the results of trials conducted by expert systems to determine psychological disorders in patients with kidney failure using the Certainty Factor method, the highest value is depression with a percentage of 94.59%.&#x0D;

The Degree of Anxiety and Depression in Patients With Cardiovascular Diseases as Assessed Using a Mobile App: Cross-Sectional Study.

Depression and anxiety are common comorbidities in cardiovascular clinic outpatients. Timely identification and intervention of these mental and psychological disorders can contribute to correct diagnosis, better prognosis, less medical expenses, and improved quality of life. The convenience of online doctor-patient communication platforms has increasingly attracted patients to online consultations. However, online health care and offline health care are very different. Research on how to identify psychological disorders in patients who engage in an online cardiology consultation is lacking. This study aimed to explore the feasibility of using a self-rating scale to assess mental illness among patients who consult with a cardiologist online and to compare the differences in anxiety and depression between online and offline patients. From June 2022 to July 2022, we conducted follow-up visits with 10,173 patients on the Haodf platform. We conducted detailed consultations with 286 patients who visited the same cardiologist in the outpatient department. We used the self-rated Generalized Anxiety Disorder (GAD-7) and Patient Health Questionnaire (PHQ-9) scales to assess anxiety and depression, respectively. We analyzed the influencing factors related to the degree of coordination of online patients. We also compared the prevalence of anxiety or depression between online and offline patients and analyzed the factors related to anxiety or depression. Of the 10,173 online consultation patients, only 186 (1.8%) responded effectively. The response rate of the offline consultation patients was 96.5% (276/286). Frequent online communication and watching live video broadcasts were significantly related to effective responses from online patients (P<.001). The prevalence of anxiety (70/160, 43.7% vs 69/266, 25.8%; P<.001) or depression (78/160, 48.7% vs 74/266, 27.7%; P<.001) in online consultation patients was significantly higher than that in offline patients. In bivariate analyses, the factors related to anxiety included female sex, unemployment, no confirmed cardiovascular disease, and the online consultation mode, while smokers and those who underwent COVID-19 quarantine were less likely to present with anxiety. The factors related to depression included female sex, divorced or separated individuals, and the online consultation mode. COVID-19 quarantine was related with a lower likelihood of depression. BMI was negatively correlated with depression. In multiple ordered logistic regression analysis, women were more likely than men to present with anxiety (odds ratio [OR] 2.181, 95% CI 1.365-3.486; P=.001). Women (OR 1.664, 95% CI 1.082-2.559; P=.02) and online patients (OR 2.631, 95% CI 1.305-5.304; P=.007) were more likely to have depression. Online patients had more anxiety or depression than offline patients. Anxiety was more prevalent in women, the unemployed, and those without confirmed cardiovascular disease. Women and divorced or separated individuals were more prone to depression. Increasing the frequency of doctor-patient communication and participating in video interactions can help improve patient cooperation.

Engineered hydrogels for peripheral nerve repair.

Peripheral nerve injury (PNI) is a complex disease that often appears in young adults. It is characterized by a high incidence, limited treatment options, and poor clinical outcomes. This disease not only causes dysfunction and psychological disorders in patients but also brings a heavy burden to the society. Currently, autologous nerve grafting is the gold standard in clinical treatment, but complications, such as the limited source of donor tissue and scar tissue formation, often further limit the therapeutic effect. Recently, a growing number of studies have used tissue-engineered materials to create a natural microenvironment similar to the nervous system and thus promote the regeneration of neural tissue and the recovery of impaired neural function with promising results. Hydrogels are often used as materials for the culture and differentiation of neurogenic cells due to their unique physical and chemical properties. Hydrogels can provide three-dimensional hydration networks that can be integrated into a variety of sizes and shapes to suit the morphology of neural tissues. In this review, we discuss the recent advances of engineered hydrogels for peripheral nerve repair and analyze the role of several different therapeutic strategies of hydrogels in PNI through the application characteristics of hydrogels in nerve tissue engineering (NTE). Furthermore, the prospects and challenges of the application of hydrogels in the treatment of PNI are also discussed.

Mental stress affects the occurrence and development of psoriasis through neuroendocrine-immune regulation: a narrative review

Psoriasis is a systemic immune-mediated inflammatory disease that presents at any age and is characterized by excessive proliferation and abnormal differentiation of keratinocytes as well as infiltration of multiple inflammatory cells. It has been gradually attracting more attention because of not only the increased risk of cardiovascular, metabolic, and autoimmune-related diseases but also the accompanying depression, anxiety, self-affirmation impairments, dementia, sleep disorders, and other mental disorders that place a substantial psychosocial burden on society and individuals. Mental and psychological disorders are involved in the occurrence, development, outcome, recurrence, and treatment of psoriasis through the neuroendocrine-immune signaling network. This review summarizes the pathogenesis of psychological and psychological disorders in patients with psoriasis with the aim of deepening clinicians’ awareness of the mental and psychiatric comorbidities in patients with psoriasis.

A szív- és érrendszeri betegségek és a pszichoszociális tényezők kapcsolata, valamint a beavatkozás lehetőségei

Coronary artery disease is a highly prevalent heart disease and the leading cause of morbidity and mortality in developed countries. During the last decades, numerous studies have focused on the comprehension of the relationship between coronary heart disease and different psychosocial factors. Coronary artery bypass graft surgery is a common treatment for coronary artery disease and is usually associated with improved clinical outcomes. Symptoms of anxiety and unipolar depression are common psychological disorders in patients awaiting coronary artery bypass graft surgery. Several prospective cohort studies have been carried out on the factors affecting the short- and long-term outcome of coronary artery bypass graft surgery. Scientific literature reports that not only clinical features, e.g., cardial state, comorbidity or intraoperative factors influence the outcome of cardiac surgery. In a comprehension of psychosocial factors over traditional risk factors (hypertension, LDL cholesterol level, diabetes mellitus, smoking, obesity and physical inactivity) on morbidity and mortality rates, the previously mentioned ones proved to be determinant. Gathering patients' psychological status before undergoing heart surgery and providing psychological interventions if they are indicated would be beneficial. A better understanding of whether and when psychological interventions affect specific outcomes may help design even more powerful interventions and make better predictions of which patients will benefit from which psychological intervention. Psychological assessment and intervention thus merit integration into routine surgical care. Orv Hetil. 2023; 164(11): 411-419.

Depression in patients with Parkinson’s disease. Preliminary results of the cohort study

Depression is one of the most common psychological disorders in patients with Parkinson’s disease (PD). The diagnosis of depression in PD is difficult because many of the physical symptoms associated with depression (e.g., change in sleep) may be due to the disease itself, and sometimes depressive symptoms can be confused with symptoms such as bradykinesia, apathy, or cognitive decline. In this study we assessed depressive symptoms in 102 patients with BP, and the presence of depression was detected in 55% of patients, being more common in patients with higher disease severity.

Prevalence of depression and anxiety, and their relationship to social support among patients and family caregivers of rare bone diseases

BackgroundRare bone diseases (RBDs) are a set of inherited rare diseases that can cause disability and have a devastating impact on families affected, which may lead to a particular high prevalence of psychological disorders in patients and caregivers. Social support plays a role in the well-being of families with rare disease patients, but its effect on psychology of RBD families remains unclear. The purpose of the current cross-sectional quantitative study was to investigate the frequency of depression and anxiety, and their relationship with social support among RBD patients and family caregivers.ResultsA total of 196 participants responded to the questionnaire, including 72 patients and 124 caregivers. Depression was detected among 33.8% of patients and 57% of caregivers, and anxiety disorder was presented in 28.6% of patients and 50% of caregivers. Higher depression scores and anxiety scores were found in both patients and caregivers with an education level of ≤ middle school and monthly income of ≤ ￥2000 (all P < 0.05). The mean (SD) scores of Social Support Rating Scales in patients and caregivers were 37.06 (8.05) and 38.31 (5.76), respectively. After adjusting for gender, age, monthly income, education, employment and marital status, the reverse associations between depression scores, anxiety scores and social support were found merely in caregivers (depression & social support: β = − 0. 46, P < 0.001, anxiety & social support: β = − 0. 44, P < 0.001), specifically for subjective support (depression & subjective support: β = − 0.94, P < 0.001, anxiety & subjective support: β = − 0.87, P < 0.001).ConclusionsThe study identified a high prevalence of depression and anxiety among RBD patients and caregivers, and pointed out the significance of social support in alleviating psychological distress. In order to provide RBD families with comprehensive assistance, the government should actively develop programs aimed at psychological aid, policy advocacy and tangible support.

Cognitive-behavioral therapy on psychological stress and quality of life in subjects with pulmonary tuberculosis: a community-based cluster randomized controlled trial

BackgroundAnxiety and depression are two common psychological disorders in patients with pulmonary tuberculosis. We aimed to explore the effects of cognitive-behavioral therapy (CBT) on psychological stress and quality of life in patients with pulmonary tuberculosis.MethodsFrom September 2018 to November 2018, 20 communities (461 participants in total) were randomly assigned in an intervention or control group following a two-level cluster random design. The intervention group underwent CBT for 2 months, whereas the control group received routine follow-up. Anxiety, depression, and quality of life were assessed using the Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder questionnaire (GAD-7), and 36-Item Short-Form Health Survey (SF-36) scales, respectively. Comparisons between the two groups were conducted using independent samples t-tests, and differences between the two groups before and after treatment were analyzed using paired samples t-tests.ResultsThere were a total of 454 participants in the final analysis. After 2 months of CBT intervention, the CBT group had a GAD-7 score that was 1.72 lower than the control group (1.47–1.99, p < 0.001), a PHQ-9 score of the CBT group that was 2.05 lower than that of the control group (1.74–2.37, p < 0.001). The CBT group had a total SF-36 score that was 10.7 lower than that of the control group (95% CI: 7.9–13.5, p < 0.001). In patients with different degrees of anxiety and depression, only those in the intervention group who had mild and moderate anxiety and depression symptoms showed a significant reduction in anxiety and depression scores following the intervention.ConclusionsCBT can relieve anxiety, and depression symptoms and increase the quality of life in subjects with pulmonary tuberculosis.Trials registrationChiCTR-TRC-12001958 Date of Registration: 22/02/2012.

Safety and efficacy of acupuncture for anxiety and depression in patients with heart failure: A protocol for systematic review and meta-analysis.

In recent years, with the increase of patients with coronary heart disease, the number of patients with heart failure (HF) has also gradually increased. Coronary heart disease is one of the most common causes of HF. Anxiety and depression are frequent psychological disorders in patients with HF. Studies have shown that anxiety and depression can affect the quality of life of patients with HF, and can increase hospitalization and mortality. Conventional pharmacotherapy and psychotherapy have certain limitations. Acupuncture has therapeutic effects on heart disease, anxiety and depression, and has been widely used to relieve symptoms in patients with HF. This protocol aims to evaluate the safety and efficacy of acupuncture for anxiety and depression in patients with HF. We will search the following databases: PubMed, Web of Science, Springer Cochrane Library, EMBASE, MEDLINE, WHO international clinical trials registry platform, China National Knowledge Infrastructure database, Wan Fang database, Chinese scientific journal database and Chinese Biomedical Literature Database. The databases will be searched from initiate to October 1, 2022. Two reviewers will screen and document eligible studies based on inclusion and exclusion criteria. Two reviewers will independently perform data analysis and bias risk assessment. Review Manager version 5.4 software will be used for meta-analysis. This study will explore the efficacy and safety of acupuncture for anxiety and depression in patients with HF. The results of this study will provide high-quality evidence for evaluating the safety and efficacy of acupuncture for anxiety and depression in patients with HF.

Psychological Disorders in Patients with Chronic Postoperative Inguinal Pain

INTRODUCTION: Chronic postoperative inguinal pain (CPIP), a complication of inguinal hernia repair, may negatively affect mental health. The rate of psychological disorders in patients with CPIP is unknown. METHODS: A retrospective chart review was performed of all patients seen at the multidisciplinary chronic groin pain clinic at the Cleveland Clinic Foundation Center for Abdominal Core Health. This clinic is unique in that all patients are evaluated by a surgeon, a sonographer, and radiologist, and a behavioral psychologist. Patient psychological history and treatment, Depression Anxiety and Stress Scale (DASS) scores, pain catastrophizing, and trauma or abuse history were captured. RESULTS: From January 2018 to January 2022, 61 patients were evaluated and included in the study. Psychological treatment had been provided to 37 (61%) patients (present: 16 [27%], past: 21 [35%]). The most common psychological disorders represented were depression (n = 13, 22%), anxiety (n = 10, 17%), and post-traumatic stress disorder (n = 5, 8%). DASS scores indicated that 20 (33%) patients were experiencing symptoms of depression and 16 (27%) patients were experiencing symptoms of anxiety. Of the 40 patients assessed for pain catastrophizing, 28 (70%) reported rumination, 9 (23%) reported magnification, and 23 (58%) reported feelings of helplessness. A history of emotional or physical abuse or trauma was reported by 11 (18%) and 8 (13%) patients, respectively. CONCLUSION: A multidisciplinary groin pain clinic has revealed that patients with CPIP often have complex psychosocial issues, including mental illness, pain catastrophizing, and abuse history. A comprehensive multispecialty evaluation is critical for optimizing patient assessment and preoperative evaluation.