Self-assessment Of Depression Research Articles

Effect of emotion management and nursing on patients with painless induced abortion after operation.

With an estimated 121 million abortions following unwanted pregnancies occurring worldwide each year, many countries are now committed to protecting women's reproductive rights. To analyze the impact of emotional management and care on anxiety and contraceptive knowledge mastery in painless induced abortion (IA) patients. This study was retrospective analysis of 84 patients with IA at our hospital. According to different nursing methods, the patients were divided into a control group and an observation group, with 42 cases in each group. Degree of pain, rate of postoperative uterine relaxation, surgical bleeding volume, and postoperative bleeding volume at 1 h between the two groups of patients; nursing satisfaction; and mastery of contraceptive knowledge were analyzed. After nursing, Self-Assessment Scale, Depression Self-Assessment Scale, and Hamilton Anxiety Scale scores were 39.18 ± 2.18, 30.27 ± 2.64, 6.69 ± 2.15, respectively, vs 45.63 ± 2.66, 38.61 ± 2.17, 13.45 ± 2.12, respectively, with the observation group being lower than the control group (P < 0.05). Comparing visual analog scales, the observation group was lower than the control group (4.55 ± 0.22 vs 3.23 ± 0.41; P < 0.05). The relaxation rate of the cervix after nursing, surgical bleeding volume, and 1-h postoperative bleeding volumes were 25 (59.5), 31.72 ± 2.23, and 22.41 ± 1.23, respectively, vs 36 (85.7), 42.39 ± 3.53, 28.51 ± 3.34, respectively, for the observation group compared to the control group. The observation group had a better nursing situation (P < 0.05), and higher nursing satisfaction and contraceptive knowledge mastery scores compared to the control group (P < 0.05). The application of emotional management in postoperative care of IA has an ideal effect.

Combined effects of psychological and life style factors on pain intensity and/or disability in patients with chronic low back pain: A cross-sectional study

IntroductionChronic Lower Back Pain (CLBP) is a frequently encountered health issue in primary care settings, leading to global disability and imposing a considerable economic burden.ObjectivesThis study aimed to: (1) compare socio-demographic, health, lifestyle (sleep, physical activity) and psychological factors (depression, anxiety) between people with and without CLBP; and (2) quantify the correlations between these psychological and lifestyle factors, and clinical outcomes (intensity of CLBP and CLBP-related disability) in people with CLBP after considering other confounders.MethodsA cross-sectional study was undertaken at the neurosurgery and orthopedic outpatient department of Heraklion University Hospital between 2019-2021. Two hundred fifty three volunteers with CLBP and 116 without CLBP provided sociodemographic information, daily habits, medical history, subjective sleep/ sleep complaints, low back pain intensity and disability using a10-point numeric Visual Analogue Scale pain rating scale and Quebec Back Pain Disability Scale, as well as questions assessing impact of pain on mobility, self-care, routine activities and psychological status, respectively. Participants also completed the Zung Self-Rating Scale (SDS) for self-assessment of depression and Self-rating anxiety scale (SAS). Associations among CLBP, demographics, psychosocial or sleep disorders parameters and clinical outcomes were analyzed using multivariate models.ResultsPeople with CLBP exhibited a substantially greater prevalence of depressive, insomnia and obstructive sleep apnea (OSA) symptoms than controls (p &lt; 0.05). CLBP diagnosis was independently correlated with female gender, older age, as well as worse physical and mental health outcomes measured by (i) higher level of sleep symptoms such as sleepiness, OSA and insomnia symptoms and (ii) higher prevalence of physician-diagnosed depression, and moderate to severe depressive symptoms. The level of functional disability for CBLP patients (based on Quebec score) was independently associated with age, physician diagnosed depression, lower educational status, moderate to severe depressive symptoms and OSA symptoms. The combination of moderate to severe depressive symptoms with OSA or insomnia symptoms was the most important predictive factor for functional disability for CBLP patients (OR 13.686, 95% CI 4.581-40.885; p&lt;0.001).ConclusionsDepressive symptoms and subjective sleep disorders appear to relate to greater CLBP-intensity and/or CLBP-related disability in people with CLBP. To achieve the desired outcomes when treating patients with chronic CLBP, it is essential to employ a holistic approach, involving assessment and management of their psychological comorbidities, and sleep issues, that may improve quality of life in these patients.Disclosure of InterestNone Declared

Pain after combat injury in male UK military personnel deployed to Afghanistan

BackgroundChronic pain after injury poses a serious health burden. As a result of advances in medical technology, ever more military personnel survive severe combat injuries, but long-term pain outcomes are unknown. We aimed to assess rates of pain in a representative sample of UK military personnel with and without combat injuries. MethodsWe used data from the ADVANCE cohort study (ISRCTN57285353). Individuals deployed as UK armed forces to Afghanistan were recruited to include those with physical combat injuries, and a frequency-matched uninjured comparison group. Participants completed self-reported questionnaires, including ‘overall’ pain intensity and self-assessment of post-traumatic stress disorder, anxiety, and depression. ResultsA total of 579 participants with combat injury, including 161 with amputations, and 565 uninjured participants were included in the analysis (median 8 yr since injury/deployment). Frequency of moderate or severe pain was 18% (n=202), and was higher in the injured group (n=140, 24%) compared with the uninjured group (n=62, 11%, relative risk: 1.1, 95% confidence interval [CI]: 1.0–1.2, P<0.001), and lower in the amputation injury subgroup (n=31, 19%) compared with the non-amputation injury subgroup (n=109, 26%, relative risk: 0.9, 95% CI: 0.9–1.0, P=0.034). Presence of at least moderate pain was associated with higher rates of post-traumatic stress (RR: 3.7, 95% CI: 2.7–5.0), anxiety (RR: 3.2, 95% CI: 2.4–4.3), and depression (RR: 3.4, 95% CI: 2.7–4.5) after accounting for injury. ConclusionCombat injury, but not amputation, was associated with a higher frequency of moderate to severe pain intensity in this cohort, and pain was associated with adverse mental health outcomes.

Effect of multidisciplinary cooperative continuous nursing and psychological nursing on multiple myeloma with aperipherally inserted central catheter.

Objective: This study was conducted to analyze the effectiveness of multidisciplinary cooperative continuous nursing combined with psychological nursing intervention in multiple myeloma (MM) patients undergoing peripherally inserted central catheter (PICC). Methods: The Numerical Pain Rating Scale (NPRS), Anxiety Self-Assessment Scale (SAS), Depression Self-Assessment Scale (SDS) and Revised Piper Fatigue Scale (PFS-R), Self-Care Ability Scale (ESCA), Quality of Life Core Questionnaire (QLQ-C30), incidence of unplanned extubation of PICC, total incidence of catheter-related complicationsand satisfaction with nursing were compared between the two groups of patients in a prospective study. Results: Patients in the observation group had reduced NPRS, SAS, SDSand PFS-R scores, total incidence of unplanned extubation of PICC and the total incidence of catheter-related complications, and a higher nursing satisfaction rate in comparison to those in the control group. Conclusion: Multidisciplinary cooperative continuous nursing combined with psychological nursing interventions can relieve pain in MM patients.

Effect of Makeup Use on Depressive Symptoms: An Open, Randomized and Controlled Trial.

Depression is one of the most disabling diseases globally, with a high disease burden that generates high direct and indirect costs. The incidence of depression is twofold higher in adult women than in men. Biological and psychosocial factors constitute the pathophysiological bases of the condition and due to the complexity of the condition, current understanding is that the "treatment strategy must be multimodal". The objective of this study was to measure the effect of introducing the frequent use of makeup on improving depressive symptoms in adult women of medium-low purchasing power METHODS: Participants with the targeted profile who did not frequently use makeup were selected and randomised to receive (test group) or not (control group) stimuli and makeup products intended for encouraging the frequent use of makeup. The Zung Depression Self-Assessment Scale was used to assess depressive symptoms, with additional assessments on self-image perception using the mirror test and salivary cortisol level. The results demonstrated a sustained reduction in depressive symptoms (8.3 percentage points reduction in the Average Zung Index; P < 0.05), with a significant improvement in self-image perception (25% increase in the average score obtained in the mirror test; P < 0.05) and a specific influence on salivary cortisol levels (55% reduction in salivary cortisol concentration; P < 0.05) after the first makeup application. The results show that encouraging the frequent use of makeup, a practice that can be achieved by most people and which is simple and inexpensive to implement, can contribute to effective and sustainable improvement in the well-being and mental health of a significant portion of the population.

Analysis of the Effect of Extended Rehabilitation Care at Home on the Psychological Condition and Adherence to Medical Compliance Behavior of Patients with Coronary Heart Disease Combined with Heart Failure

Objective: To analyze the effects of providing extended rehabilitation nursing services at home to patients with coronary heart disease (CHD) combined with heart failure (CHF) on psychological improvement and adherence to medical compliance behavior. Methods: 79 patients with CHD with CHF admitted to Sijia Town Central Health Hospital, Haimen District, Nantong City, Jiangsu Province, between June 2021 and June 2023 were selected and grouped according to the randomized numerical table method. The control group (39 cases) was provided with conventional nursing care and extended rehabilitation nursing care at home was provided to the observation group (40 cases). The psychological status, adherence to medical behaviors, cardiac function, and complications between both groups were compared. Results: The scores of anxieties and depression self-assessment scales (SAS, SDS) of patients in the observation group were lower than those of the control group (t = 2.954, 3.212; P &lt; 0.05); the compliance of patients in the observation group was higher than that of the control group (P &lt; 0.05). The levels of left ventricular ejection fraction, end-systolic and end-diastolic internal diameters (LVEF, LVESD, LVEDD) of patients in the observation group at 58.02 ± 5.34 %, 44.49 ± 5.16 mm, and 49.16 ± 5.76 mm respectively were better than those of the control group after nursing care (t = 3.205, 3.288, 2.633; P &lt; 0.05); the complication rate of the observation group was lower than that of the control group (P &lt; 0.05). Conclusion: Extended rehabilitation nursing at home exhibited a psychological regulation effect on CHD with CHF patients, improved their medical compliance, improved cardiac function, reduced the incidence of complications, and had significant application value.

The Application of Big Data Technology in the Educational Model of Psychological Parenting in Colleges and Universities in the Context of Social Media

Abstract In today’s rapid development of information technology, social media has become an indispensable part of the daily communication of students in colleges and universities. The issue of student mental health is increasingly receiving widespread attention from society. As an essential position for mental health education, how to effectively utilize big data technology for students’ psychological nurturing and enhance the pertinence and effectiveness of mental health education has become an important issue in education. In this article, by creating a four-level psychological parenting model built on a positive psychology perspective, we study extensive data mining, deep learning and other methods to analyze students’ social media usage data and identify students’ mental health status. For the 225 students in this article, the anxiety and depression self-assessment scale scores decreased significantly (P&lt;0.05) after the psychological parenting education intervention, indicating that big data technology enhances the effect of mental health education in colleges and universities. Association rule mining revealed a distinct connection between psychological problems, such as learning pressure and maladaptation, and students’ social media behavior patterns. The application of big data technology in this study helps colleges and universities identify and intervene in students’ mental health problems more accurately, promoting comprehensive development.

Anxiety, depression and quality of life in relation to SARS-CoV-2 antibodies in individuals living with diabetes during the second wave of COVID-19

AimsThe objective was to compare anxiety, depression, and quality of life (QoL) in individuals living with type 1 (T1D) and type 2 (T2D) diabetes with matched controls during the second wave of the COVID-19 pandemic. MethodsVia randomization, individuals living with diabetes T1D (n = 203) and T2D (n = 413), were identified during February-July 2021 through health-care registers. Population controls (n = 282) were matched for age, gender, and residential area. Questionnaires included self-assessment of anxiety, depression, QoL, and demographics in relation to SARS-CoV-2 exposure. Blood was collected through home-capillary sampling, and SARS-CoV-2 Nucleocapsid (NCP) and Spike antibodies (SC2_S1) were determined by multiplex Antibody Detection by Agglutination-PCR (ADAP) assays. ResultsYounger age and health issues were related to anxiety, depression, and QoL, with no differences between the study groups. Female gender was associated with anxiety, while obesity was associated with lower QoL. The SARS‑CoV‑2 NCP seroprevalence was higher in T1D (8.9 %) compared to T2D (3.9 %) and controls (4.0 %), while the SARS‑CoV‑2 SC2_S1 seroprevalence was higher for controls (25.5 %) compared to T1D (16.8 %) and T2D (14.0 %). ConclusionsA higher SARS‑CoV‑2 infection rate in T1D may be explained by younger age and higher employment rate, and the associated increased risk for viral exposure.

PSYCHOTHERAPEUTIC TOOLS IN DEALING WITH NEGATIVE PSYCHOEMOTIONAL STATES BY EXAMPLE OF ONLINE GAMES "TETRIS" AND "FARM"

Introduction: The war has exacerbated the negative psycho-emotional states of people living in Ukraine and abroad. Right now, there is an urgent need for quality mental health care. The search for new effective and at the same time simple methods of providing relevant psychological and psychotherapeutic assistance determines the relevance of this research.&#x0D; The aim: To investigate and prove the effectiveness of the dosed daily use of an online game as a psychotherapeutic tool in dealing with the negative psychoemotional states of people living abroad during the war in Ukraine.&#x0D; Materials and Methods: 500 people took part in the experimental research - Ukrainian immigrants in China, the USA, Portugal and Germany – 267 women and 233 men aged 18-35, who were randomly divided into control and experimental groups of 250 each. The research continued for 13 months. Methods: psychological counselling, psychoeducation, dosed daily using online games «Tetris» and «Farm» in the control and experimental groups, respectively. Diagnostic methods: Questionnaire for the detection of psychosomatic disorders, Depression Self-Assessment Scale and Anxiety Self-Assessment Scale.&#x0D; Results: In the primary diagnosis, the following results were obtained: high rates of psychosomatic disorders in 70,8% of the control and 66,7% of the experimental groups; depression in 63,3% of the control and 66,7% of the experimental groups; high rates of anxiety in 66,7% of the control and 70% of the experimental groups. After using the online games «Tetris» and «Farm» in the control and experimental groups, respectively, the following results were obtained: high rates of psychosomatic disorders decreased to 37,5% of people in the control group and 33,3% in the experimental group; 33,3% of people in the control group and 30% in the experimental group have depression; high rates of anxiety were found in 33,3% of people in the control group and 26,7% in the experimental group, which is half as much as the previous indicators.&#x0D; Conclusions: the results of the experimental research suggest that the dosed daily use of the online game «Farm» is an effective psychotherapeutic tool in dealing with negative psycho-emotional states, proven by the authors.

Associations between Combined Psychological and Lifestyle Factors with Pain Intensity and/or Disability in Patients with Chronic Low Back Pain: A Cross-Sectional Study.

Chronic low back pain (CLBP) is common in primary care, causing disability and economic burden globally. We aimed to compare socio-demographic, health, lifestyle, and psychological factors in people with and without CLBP and correlate them with clinical outcomes in people with CLBP. A total of 253 volunteers with and 116 without CLBP provided sociodemographic information, daily habits, medical history, subjective sleep complaints (Penn State Sleep Questionnaire), low back pain intensity, and disability (Quebec Back Pain Disability Scale), as well as the Zung Self-Rating Scale for self-assessment of depression and Self-Rating Anxiety Scale. CLBP diagnosis was linked with female gender and older age, as well as a higher level of sleep complaints such as sleepiness, OSA and insomnia symptoms, and a higher prevalence of moderate to severe depressive symptoms. The combination of moderate to severe depressive symptoms with obstructive sleep apnea or insomnia symptoms was the most important predictive factor for functional disability in CBLP patients (OR 13.686, 95% CI 4.581-40.885; p < 0.001). In conclusion, depressive symptoms and subjective sleep complaints appear to relate to greater CLBP intensity and/or CLBP-related disability in people with CLBP. A holistic approach is crucial for treating chronic CLBP patients, including psychological and sleep issue assessment and management, to improve their quality of life.

Взаимосвязь эмоционального состояния и привязанности к плоду у женщин, забеременевших с помощью ЭКО, с перинатальными исходами их детей

Children's development in the early years is significantly linked to further wellbeing. Among many factors involved in early development are mother’s attachment to the fetus and her emotional state during pregnancy. The current study prospectively explores mothers’ characteristics during the third trimester of pregnancy and their newborn children outcomes. The sample included 300 women with natural conception (NC) and 127 women with in-vitro fertilization (IVF), and their newborn children. For mothers, the following instruments were used: the Maternal Fetal Attachment Scale, the Clinical Scale for Self-assessment of Irritability, Depression and Anxiety. For newborns, the following parameters of newborn children outcomes were assessed: gestational period; the length and weight; the Apgar score in the first and fifth minutes after birth. All components of maternal attachment to the fetus were in the normal range for most women in both groups. All aspects of maternal attachment to the fetus were significantly greater in the IVF group. In both groups, more than 35% of women experienced depression and 43% of women experienced moderate/severe levels of anxiety. In the NC group, greater scores on giving of self and enjoying of watching tummy jiggle as the baby kicks inside were associated with less irritation in mothers. In the IVF group, the indicators of women’s attachment to their fetus were not associated with emotional states. Neither mothers’ attachment to their fetus nor their emotional states during pregnancy predicted newborn children outcomes. Children born from IVF had a statistically lower gestational period than in the NC group.

Effectiveness of an Internet-Based Self-Guided Program to Treat Depression in a Sample of Brazilian Users: Randomized Controlled Trial.

Depression is undertreated in Brazil. Deprexis is a self-guided internet-based program used to treat depressive symptoms based on empirically supported integrative and cognitive behavioral therapy. Evidence from a meta-analysis supports Deprexis' efficacy in German-speaking countries and the United States, but no study has been conducted using this program in countries with low literacy rates and large social disparities. Furthermore, few studies have investigated whether internet-based interventions ameliorate the psychological processes that might underlie depressive symptomatology, such as low perceived self-efficacy. The main objective of this study was to replicate in Brazil previously reported effects of Deprexis on depressive symptom reduction. Therefore, the main research question was whether Deprexis is effective in reducing depressive symptoms and the general psychological state in Brazilian users with moderate and severe depression in comparison with a control group that does not receive access to Deprexis. A secondary research question was whether the use of Deprexis affects perceptions of self-efficacy. We interviewed 312 participants recruited over the internet and randomized 189 participants with moderate to severe depression (according to the Patient Health Questionnaire-9 and a semistructured interview) to an intervention condition (treatment as usual plus immediate access to Deprexis for 90 days, n=94) or to a control condition (treatment as usual and delayed access to Deprexis, after 8 weeks, n=95). Participants from the immediate access group logged in at Deprexis an average of 14.81 (SD 12.16) times. The intention-to-treat analysis using a linear mixed model showed that participants who received Deprexis improved significantly more than participants assigned to the delayed access control group on the primary depression self-assessment measure (Patient Health Questionnaire-9; Cohen d=0.80; P<.001) and secondary outcomes, such as general psychological state measure (Clinical Outcome in Routine Evaluation-Outcome Measurement; Cohen d=0.82; P<.001) and the perceived self-efficacy measure (Cohen d=0.63; P<.001). The intention-to-treat analyses showed that 21% (20/94) of the participants achieved remission compared with 7% (7/95) in the control group (P<.001). The deterioration rates were lower in the immediate access control group. The dropout rate was high, but no differences in demographic and clinical variables were found. Participants reported a medium to high level of satisfaction with Deprexis. These results replicate previous findings by showing that Deprexis can facilitate symptomatic improvement over 3 months in depressed samples of Brazilian users. From a public health perspective, this is important information to expand the reach of internet-based interventions for those who really need them, especially in countries with less access to mental health care. This extends previous research by showing significant effects on perceived self-efficacy. Registro Brasileiro de Ensaios Clíncos (ReBec) RBR-6kk3bx UTN U1111-1212-8998; https://ensaiosclinicos.gov.br/rg/RBR-6kk3bx/. RR2-10.1590/1516-4446-2019-0582.

Analysis of factors associated with abnormal thyroid function among medical staff in radiotherapy departments.

To understand abnormal thyroid function and its associated factors among medical staff in radiotherapy departments. Data related to medical staff in radiotherapy departments who met the inclusion and exclusion criteria were analyzed from September to December 2022 in Shenyang, Liaoning Province, including basic personal and lifestyle habits, work information, and scores on the Depression Self-Assessment Scale, Perception Stress Scale, and the Generalized Anxiety Scale. Data analysis was performed using the χ2 test and binary logistic regression. Among 484 medical staff in the radiotherapy department, 147 (30.4%) had abnormal thyroid function. Binary logistic regression analysis showed that age, years of work, smoking, occupational exposure, smoking, late-night snacking habits, depression, and stress perception were factors associated with abnormal thyroid function among medical staff in radiotherapy departments; on the other hand, physical exercise was a protective factor. The positive rate of thyroid dysfunction among medical personnel in the radiology department is relatively high. It is necessary to strengthen health education and awareness among relevant practitioners and improve the coverage of occupational disease prevention and control education.

Anxiety and Health Concerns among Healthcare Personnel Working with COVID-19 Patients: A Self-Assessment Study.

BACKGROUND Anxiety disorders are currently among the most common psychiatric diagnoses. This study aimed to analyze self-assessment of anxiety disorders, depression, and quality of life among healthcare personnel working during the COVID-19 pandemic, with a focus on sociodemographic sources and psychological indicators. MATERIAL AND METHODS The study covered a group of 318 healthcare professionals from Poland. The study used a self-created questionnaire, Beck Depression Inventory, WHOQOL-BREF, Generalised Anxiety Disorder Questionnaire (GAD-7), and Leibowitz Social Anxiety Scale. RESULTS In the study group, 71.1% of the respondents had coronavirus infection, and only 3.5% were not vaccinated. Almost half (45.6%) of the respondents in this group made independent decisions about performing work (45.6%), and 93.4% were satisfied with their work. Less than half of respondents (46.5%) felt work-related anxiety during the pandemic, 54.7% of respondents reported symptoms of depression, and 57% had a good quality of life. Nearly half (47.2%) of the respondents rated their health as good, but 53.1% feared deterioration after performing the aforementioned work, while 87.1% constantly or periodically felt anxious about their work. CONCLUSIONS Although the respondents usually made their own decisions about working with coronavirus-infected patients, most of them experienced anxiety related to their work during the pandemic and were afraid of damaging their health and contracting COVID-19. In self-assessment using standardized questionnaires, most respondents did not show an increase in generalized or social anxiety, but to a greater or lesser extent were diagnosed with a depressive episode. The majority of respondents had a good quality of life: the highest aspect regarded physical functioning and the lowest regarded social functioning.

The severity of anxiety and depression in women in the postpartum period and mother-child interaction

The purpose of the study was to study the relationship of quantitative indicators of anxiety and depression in women in the postpartum period with the types of mother-child interaction. The main group consisted of 93 women in the postpartum period with a total score on the Beck Depression Self-Assessment Inventory (BDI) of 10 or higher. The comparison group consisted of 33 women with a total BDI score of 9 points or less. Double testing using the Spielberger Personal and Situational Anxiety Scale (STAI) was carried out on days 5-7 of admission and 1 week after the initial testing. The questionnaire of maternal selfassessment of interaction with the child (MSIR) and the method of objective assessment of maternal-child interaction (OMDV) from 7 to 15 days of stay were used. The results showed that in the absence of age differences and length of stay in the hospital, those examined, whose total BDI score was 10 or more, had significantly higher values of personal and situational anxiety during the initial and repeated examinations. The value of the HRMS score was also significantly higher in the main group, which indicates that mothers with high rates of depression tend to underestimate the level of their interaction with the child, are more selfcritical about the ability to understand the newborn and the skills of educational competence. The dynamics of personal and situational anxiety revealed a significant decrease in the main group and the comparison group, which indicates a reduction in the intensity of affective experiences. In the main group, the number of women with a formal type of mother-child interactions significantly prevailed, and in the comparison group - with a harmonious type. Thus, the experience of women in the postpartum period with BDI values of 10 and above of insufficient “maternal competence” is a consequence not only of a high level of self-criticism, but also of objective difficulties in interacting with the child, which indirectly confirms the positive role of pediatric patronage and psychosocial support in the treatment of postpartum affective disorders. experiences

The Influence of Physical Abuse on People's Suicidal Behavior: The Mediating Roles of Depression and Anxiety

This research examined the effect of physical abuse on people's suicidal behavior, and the mediating roles of depression and anxiety in this relationship. Participants were two hundred adults, including 38 males and 162 females. The Childhood Trauma Scale, the Suicidal Tendency Scale, the Depression Self-Assessment Scale, and the Anxiety Self-Assessment Scale (SAS) were used to measure physical abuse, suicidal behavior, depression, and anxiety. Findings revealed that physical abuse is positively related to suicide tendencies; Physical abuse is positively related to anxiety and depression; depression is positively related to suicidal tendencies. Depression but not anxiety plays a mediating role in the association of physical abuse and suicidal tendencies. The findings of the current study emphasize the role of depression in inducing suicidal behavior after physical abuse. It also suggested that the reduction of the suicide rate could be achieved by intervening in the target population, which would focus on those who had experienced childhood abuse. Reducing depression can also be an effective way to reduce suicidal behavior.

Group independent components underpin responses to items from a depression scale.

The aim of the present study is to investigate the brain circuits or networks that underpin diagnostically specific tasks by means of group independent component analysis for FMRI toolbox (GIFT). We hypothesised that there will be neural network patterns of activation and deactivation, which correspond to real-time performance on clinical self-evaluation scales. In total, 20 healthy controls (HC) and 22 patients with major depressive episode have been included. All subjects were scanned with functional magnetic resonance imaging (fMRI) with paradigm composed of diagnostic clinical self-assessment depression scale contrasted to neutral scale. The data were processed with group independent component analysis for functional MRI toolbox and statistical parametric mapping. The results have demonstrated that there exist positively or negatively modulated brain networks during processing of diagnostic specific task questions for depressive disorder. There have also been confirmed differences in the networks processing diagnostic versus off blocks between patients and controls in anterior cingulate cortex and middle frontal gyrus. Diagnostic conditions (depression scale) when contrasted to neutral conditions demonstrate differential activity of right superior frontal gyrus and right middle cingulate cortex in the comparison of patients with HC. Potential neuroimaging of state-dependent biomarkers has been directly linked with clinical assessment self-evaluation scale, administered as stimuli simultaneously with the fMRI acquisition. It may be regarded as further evidence in support of the convergent capacity of both methods to distinguish groups by means of incremental translational cross-validation.

Assessment of the Subjectively Perceived Cognitive Deficit in Hospitalized Elderly Patients with Depression and the Relationship of Perceived Deficit Questionnaire – PDQ-D5 with the Socio-demographic and Clinical Factors

The aim of the current study was to assess subjective cognitive dysfunction in elderly depressed patients and the impact of socio-demographic and clinical factors on its presentation.&#x0D; All patients aged ≥ 65 years, which were hospitalized in the Psychiatric Clinic of “Alexandrovska” University Hospital for a two-year period and met the ICD-10 criteria for depression, were included. They were evaluated by Hamilton Depression Rating Scale 24 items (HDRS24), its emotional-cognitive subscale (HDRScog) and its suicidal item (HDRSsuic), Geriatric Depression Scale 15 items (GDS15), its suicide subscale (GDSsuic), Perceived Deficit Questionnaire – Depression 5 items (PDQ-D5) and University of California, Los Angeles Loneliness Scale (UCLA-LS). The PDQ-D5, UCLA-LS and GDS15 were also applied to a control group of 50 healthy elderlies. The data were processed with the IBM SPSS Statistics 25.0.&#x0D; Out of 131 patients, 29 had late-onset depression (LOD), 80 had recurrent depressive disorder (RDD) and 22 had bipolar depression (BD). Patients with BD had more episodes than those with RDD, and higher PDQ-D5 and HDRScog scores than those with LOD and RDD. The severity of PDQ-D5 correlated significantly with the severity of depression, loneliness, suicidal and HDRScog scores. After applying multiple linear regression analysis (R2 = 0.489, p &lt;0.001) the UCLA-LS severity had the greatest impact on PDQ-D5, followed by HDRScog and depression severity, assessed by GDS15. The diagnosis of BD hadthe least impact.&#x0D; PDQ-D5 reflects the severity of the current late-life depression and correlates significantly with the loneliness, emotional-cognitive symptoms and self-assessment of depression.

Analysis of Depression and Working Memory Effectiveness of &amp;apos;Active Health Mini Program&amp;apos;

Parents of special children will encounter many difficulties and pressures in the process of raising special children, which will cause discomfort in mental health, such as depression. Depression is usually accompanied by cognitive decline, and its working memory will be damaged. The existing tools are cumbersome for the test of depression and working memory capacity. For general hospitals, rapid and convenient diagnosis of patients ' depression and working memory is of great practical significance for doctors to make treatment plans. Therefore, this experiment first tested the applicability of Zung self rating depression scale (SDS) in parents of special children, and simplified the SDS on this basis. Secondly, the effectiveness of depression and working memory tasks in active health mini-programs will be investigated. In this experiment, 125 parents were recruited. (1) The internal consistency coefficient of SDS was 0.83; (2) Split-half reliability, Spearman-Brown correction coefficient was 0.72; (3) Factor analysis, According to the Ksiser method, five factors were obtained by the criterion of eigenvalue ≥ 1, the characteristic roots were 5.38, 3.07, 1.72, 1.12 and 1.01, respectively, which explained 22.59%, 15.82%, 8.05%, 7.83% and 7.18% of the variation values, and the cumulative contribution rate was 61.47%, Four factors were obtained by reclassifying the factors with too few variables; (4) There was a significant positive correlation between the small program depression score and the SDS, r = 0.42, P < 0.001; (5) There was a significant positive correlation between small program working memory name and memory color, r = 0.25, P < 0.05; (6) There was a significant positive correlation between the correct number of small program memory items and the position 1 of Bcak corsi knock task (BCT), r = 0.49, P < 0.01; (7) There was a significant negative correlation between the correct number of small program memory items and the position 2 of BCT, r = -0.56, P < 0.01; (8) There was a significant positive correlation between the two memory positions of BCT, r = -0.81, P < 0.01. The results showed that although it did not fully reflect the patient's overall depression or working memory status, the self-assessment of depression and working memory in the small program can reflect the patient's depression and cognitive impairment. It is an effective and simple tool.

Quality of Life Change in Patients with Keratoconus. Literature Review

In recent years, ophthalmologists have paid great attention to keratoconus, as the disease is socially significant and affects the young working-age population. According to the literature and in clinical practice, it was found that patients with keratoconus have similar character traits, which are manifested to a greater or lesser extent in each patient. According to a number of authors, these patients have less adaptability, passive aggression, and paranoia. In addition, there is a tendency to disorganization of thinking, substance abuse and anxiety. The article considers clinical cases of Association of keratoconus with mental disorders and diseases such as schizophrenia, obsessive-compulsive disorder, Tourette’s syndrome. Examples of the occurrence of the disease after mechanical damage to the eyeball are given. This paper also describes changes in the quality of life of patients with this pathology, identified using different questionnaire options. The use of 18 different, most frequently used questionnaires to determine the impact of keratoconus on the patient’s quality of life is considered: specialized for keratoconus, General for eye pathology, and General medical for assessing mental functions. Using a specialized questionnaire for keratoconus, changes in the quality of life were evaluated in the following categories: visual acuity assessment, problems with near or far vision, restrictions on social interaction due to low vision, restriction of physical activity, dependence on others due to eye problems, deterioration of mental health associated with changes in the visual organ, driving problems, restrictions on visual fields, color perception and eye pain. General ophthalmological questionnaires were also used, in particular, to assess dry eye syndrome, visual impairment, contact lens use and their impact on quality of life, etc. In patients with keratoconus, other questionnaires were also used, for example, to assess the indicator of the state anxiety scale, selfassessment of depression. This article discusses the advantages and disadvantages of the questionnaires, their applicability directly to patients with keratoconus.