Trait Anxiety Inventory Research Articles

Evaluation of phubbing online social support and trait anxiety in nurses.

This study investigated the relationship between phubbing, online social support, trait anxiety, and some demographic factors among nurses. Phubbing, or socializing through online smartphone applications, has become increasingly prevalent in healthcare environments, potentially threatening real-life interactions. We aimed to explore the use of smartphones among nurses, both professionally and socially, and to determine if increased usage was leading to interaction problems. This cross-sectional study was conducted using a digital survey completed by 384 nurses between May and November 2021. The survey included an individual descriptive form, the generic scale of phubbing, the online social support scale, and the trait anxiety inventory. Mann-Whitney U, Kruskal-Wallis H, t test, Pearson, and the Spearman rank correlation coefficient were used for analysis. A backward selection method regression analysis was performed to determine the variables affecting the phubbing score. The "STROBE checklist" for cross-sectional studies was utilized in order to report the findings of the study. The participants had a moderate level of trait anxiety. The study found that marital status, having WhatsApp groups with teammates, and being warned about phone use from teammates were significantly related to phubbing. A moderate positive correlation was found between the phubbing score and the online social support score. Additionally, a weak positive correlation was found between the general phubbing and trait anxiety scores. Perceived online social support significantly influenced the phubbing behavior of nurses and trait anxiety played a mediating role in this relationship. Nurses frequently use smartphones for professional purposes, but this study found that excessive phone use can be detrimental to their social interactions. Moreover, phubbing could also be problematic for patients. Therefore, healthcare professionals need to be aware of the potential consequences of smartphone usage and the importance of limiting excessive use during patient care.

Relationship Between Anxiety, Coping Strategies, and Perfectionism in Entry-level Doctor of Physical Therapy Students

Introduction. Doctor of Physical Therapy (DPT) students must meet high standards throughout their lives and careers, which can cause stress and anxiety, with potentially devastating impacts. This quantitative study examined whether and to what extent perfectionism, demographic characteristics, and coping strategies relate to state (situation-related) and trait (personality-related) anxiety in DPT students. Review of Literature. Existing literature demonstrates high anxiety levels in DPT students; also, maladaptive perfectionism is associated with higher levels of stress. The predictive relationship between coping, perfectionism, and anxiety in DPT students has not been assessed. Subjects. Convenience sample of DPT students in their first through third years across 8 different DPT programs (n = 206). Methods. This paper was a cross-sectional, nonexperimental, multisite project. A hierarchical linear regression assessed the relationship between variables (demographics, coping, perfectionism, state anxiety, and trait anxiety). Results. Approximately 81.5% of the sample reported being not a perfectionist, 7.0% maladaptive perfectionists, and 11.5% adaptive perfectionists. Students using adaptive coping comprised 72.3% of the sample, whereas 28.0% used primarily maladaptive coping mechanisms. State Trait Anxiety Inventory scores were higher for this sample of DPT students when compared with published studies in the normal population. Significant predictor variables for state anxiety were sex, type of coping strategies used, and class year in the DPT program. For trait anxiety, sex, coping strategy type, maladaptive perfectionism, and class year were significant. Discussion and Conclusion. There is a predictive relationship between sex, type of coping strategies used, and year within the DPT program for both state and trait anxiety in DPT students. Presence of maladaptive perfectionism was an additional predictive variable for trait anxiety. This knowledge can help educational institutions better identify at-risk students for anxiety and tailor programs to better meet the individual needs of our students.

A Randomized, Controlled, Preliminary Study to Assess the Efficacy of Logic-Based Therapy in Reducing Anxiety and/or Depression in Family Caregivers

This paper analyzes the findings of a preliminary, controlled efficacy study conducted by the National Philosophical Counseling Association of a prominent modality of philosophical counseling, Logic-Based Therapy (LBT). In this study, the latter modality was compared to a mindfulness activity. The study included 20 caretakers randomly divided into experimental and control groups. The hypothesis investigated was that a one-hour LBT session is more effective in reducing the level of (state or trait) anxiety and/or depression in family caregivers than a one-hour mindfulness session. Utilizing data compiled from study participants’ responses to the State Trait Anxiety Inventory and Beck Depression Inventory-II (BDI-2), two-way mixed ANOVA tests on three variables (state anxiety, trait anxiety, and depression (BDI-2) scores) were performed as well as paired analyses yielding the preliminary conclusion (pending a more extensive study) that LBT shows promise as an effective intervention for reducing state anxiety as compared to the control condition, the mindfulness activity.

Thematic Analysis to Measure Social Anxiety among Students

The occurrence of social anxiety among students in higher education has become a growing concern, necessitating a comprehensive understanding of effective assessment methods. To address this, a study was conducted utilizing thematic analysis to explain prevailing trends in the measurement of social anxiety. By analyzing ten scholarly articles sourced from the Web of Sciences (WOS) database, the research sought to identify common patterns and themes in the approaches employed to assess social anxiety. The findings of the thematic analysis highlighted several prevalent tools frequently utilized in assessing social anxiety, including the Liebowitz Social Anxiety Scale, the State–Trait Anxiety Inventory, the Social Interaction Anxiety Scale, the Social Anxiety Scale, the Social and Emotional Competencies Evaluation Questionnaire, and the Social Anxiety Scale. These established measurements signify essential resources for researchers and practitioners aiming to comprehensively evaluate social anxiety in university students. This comprehensive review of existing literature not only contributes to a deeper understanding of the methodologies employed in studying social anxiety but also emphasizes the importance of employing a variety of measurement techniques in future research endeavors. By incorporating these findings, scholars and mental health professionals can devise more tailored interventions and support mechanisms to address the growing concerns surrounding social anxiety within higher education settings.

Analysis on the Relationships of Smartphone Addiction, Learning Engagement, Depression, and Anxiety: Evidence from China.

With the popularization of the Internet and smartphones, smartphone addiction among college students is becoming increasingly common, causing the problems of their learning engagement, anxiety, and depression. The study aimed to analyze the relationships of smartphone addiction, learning engagement, anxiety and depression among Chinese college students. Based on the Self-Determination Theory, in January 2023, 780 college students from 6 universities in Heilongjiang Province in China were selected as examples for the study. Internet Addiction Test, Utrecht Work Engagement Scale-Student, Chinese version of Beck Depression Inventory-II, and Spielberger Trait Anxiety Inventory were employed to measure smartphone use, learning engagement, depression, and anxiety among college students. Pearson correlation and multiple logistic regressions were also used. Smartphone use was negatively correlated with learning engagement (r = -0.097, P < 0.001), whereas it was positively correlated with depression (r = 0.184) and anxiety (r = 0.18, P < 0.001). Significant differences were observed in learning engagement and depression and anxiety symptoms in different degrees of smartphone use. Taking severe smartphone addiction as a comparison standard, depression and anxiety symptoms had a significant influence on different levels of smartphone use, whereas learning engagement did not have a significant influence on different smartphone use levels. The intervention and prevention of college students' smartphone addiction can improve their learning engagement, relieve their anxiety and depression, and enhance their mental health level.

Internet-based cognitive-behavioral therapy is effective in reducing depressive symptomatology in type 1 diabetes: results of a randomized controlled trial.

Depression in people with diabetes is associated with poorer health outcomes. Although web programs integrating cognitive-behavioral therapy with diabetes education have shown good results, no similar approach has been implemented in Spain. This aim of this study was to administer an Internet-based cognitive-behavioral therapy program (CBT) for the treatment of mild-moderate depressive symptomatology in individuals with type 1 diabetes (WEB_TDDI1 study) and evaluate the efficacy of this program. A pre-post randomized controlled study was conducted. The sample comprised 65 people with type 1 diabetes and mild-moderate depressive symptoms: 35 treatment group (TG) and 30 control group (CG). The following effects of the nine-session program were analyzed: depression (Beck Depression Inventory Fast Screen, BDI-FS), metabolic variables (glycosilated hemoglobin, HbA1c), and other psychological variables including anxiety (State Trait Anxiety Inventory, STAI), fear of hypoglycemia (Fear of Hypoglycemia Questionnaire, FH-15), distress (Diabetes Distress Questionnaire (DDS), quality of life (Diabetes Quality of Life Questionnaire, DQOL),and treatment adherence (Diabetes Self-Care Inventory-Revised questionnaire, SCI-R). At the end of the treatment program, only 28 people were evaluated (TG=8; CG=20). However, a significant reduction was found in both groups in BDI-FS and STAI-T scores, which was significantly greater in the TG. Significant improvements were also found in the TG in DQOL, FH-15, DDS and SCI-R scores. The percentage change in these variables was also statistically significant in the TG versus the CG. However, no significant results were found in HbA1c. The Internet-based cognitive-behavioral therapy program for the treatment of mild-moderate depressive symptomatology in people with type 1 diabetes (WEB_TDDI1 study) is effective in reducing depressive symptomatology in the sample that completed the study. Positive results are also produced in other variables associated with depression in this population such as diabetes-related distress, trait anxiety, fear of hypoglycemia, quality of life, and adherence to diabetes treatment. Although new studies would be necessary to support the results of this platform, the results obtained are positive and support the use of this platform as an appropriate treatment for this population. ClinicalTrials.gov; identifier NCT03473704.

Utility of early, short psychological care for women who experience early miscarriage: protocol for the randomized, controlled MisTher trial

Background Around one in ten women will have a miscarriage in their lifetime. Miscarriage is often considered a trivial event by caregivers, but it is associated with a high burden of psychological morbidity, especially during the first 6 months. There is no validated psychological management strategy for women who have had a miscarriage. The MisTher study aims to evaluate the utility of early, short psychological care for women who have had early miscarriage, in terms of anxiety, depression and post-traumatic stress disorder.MethodsThis is a prospective, multicenter, randomized, controlled, superiority study. In total, 932 women who have experienced early miscarriage (spontaneous interruption of pregnancy prior to 14 weeks of gestation) will be randomly assigned to either the intervention or the control group. The intervention consists of 4 teleconsultations of 45 min with a psychologist. All women, regardless of their allocated group, will be encouraged to seek an early consultation with a general practitioner or midwife. The primary endpoint will be anxiety at 3 months after randomization evaluated using State Trait Anxiety Inventory. The secondary endpoints will be anxiety at 6 months evaluated using State Trait Anxiety Inventory, depression at 3 and 6 months evaluated with the Beck Depression Inventory, and post-traumatic stress disorder at 3 and 6 months, evaluated using the Posttraumatic stress disorder Checklist Scale.DiscussionThis project will validate the importance of early psychological management, based on primary care and accessible to most women, via teleconsultation, in reducing the frequency of psychological disorders after early miscarriage. Our results should provide a basis for new recommendations for the management of women who have experienced miscarriage, notably by recommending the involvement of trained psychologists in the management pathway for these women.Trial registrationThe trial is registered with ClinicalTrials.gov: NCT05653414. December 15th, 2022.

Effects of on-table extubation on resource utilization and maternal anxiety in children undergoing congenital heart surgery in a low-resource environment.

To study the applicability of on-table extubation (OTE) protocol following congenital cardiac surgery in a low-resource setting and its impact on the length of intensive care unit (ICU) stay, hospital stay, hospitalization cost, parental anxiety, and nurse anxiety. In this prospective, nonrandomized, observational single-center study, we included all children above 1 year of age undergoing congenital cardiac surgery. We evaluated them for the feasibility of OTE using a prespecified protocol following separation from cardiopulmonary bypass. The data were prospectively collected on 60 children more than 1 year of age, belonging to the Risk Adjustment for Congenital Heart Surgery 1, 2, 3, and 4 groups and divided into two groups: those who underwent successful OTE and those who were ventilated for any duration postoperatively (30 children in each group). Duration of hospital stay, ICU stay, and total hospital cost were collected. Anxiety levels of the primary caregiver (nurse) in the ICU and the mother were assessed immediately after the arrival of the child in the ICU using the State Trait Anxiety Inventory (STAI). Children who were extubated immediately following congenital cardiac surgery had significantly shorter ICU stay (median 20 [19, 22] h vs. 22 [20, 43] h [P < 0.05]). Patients extubated on table had a significant reduction in hospital cost {median Rs. 161,000 (138,330; 211,900), approximately USD 1970 (P < 0.05)} when compared to children who were ventilated postoperatively {median Rs. 201,422 (151,211; 211,900) , approximately USD 2464}. The anxiety level in mothers was significantly less when their child was extubated in the operating room (STAI 36.5 ± 5.4 vs. 47.4 ± 7.4, P < 0.001). However, for the same subset of patients, anxiety level was significantly higher in the ICU nurse (STAI 46.0 ± 5.6 vs. 37.8 ± 4.1, P < 0.05). OTE following congenital cardiac surgery is associated with a shorter duration of ICU stay and hospital stay. It also reduces the total hospital cost and the anxiety level in mothers of children undergoing congenital heart surgery. However, the primary bedside caregiver during the child's ICU stay had increased anxiety managing patients with OTE.

59 The Impact of Anxiety on Memory Performance in Older Adults with Depression

Objective:Late life depression (LLD) refers to a diagnosis of major depressive disorder in people older than 60, and has been linked to significant cognitive impairment and increased risk of Alzheimer's disease. Although anxiety and depression are highly comorbid, the impact of anxiety on cognition in LLD is far less researched. This is important given that over 20% of middle aged and older adults endorse clinically significant chronic worry. Generalized anxiety disorder in older adults with major depression is associated with poorer cognition and worse treatment outcomes compared with those without anxiety. Therefore, the purpose of the study is to examine the role of anxiety on memory in LLD. We hypothesized that presence of anxiety among older depressed adults would be associated with worse cognitive performance over time.Participants and Methods:Participants included 124 individuals (69.4% female, 90.3% Caucasian) aged 60 or above (M = 71.5, SD = 7.4) who met criteria for major depression, single episode or recurrent. They completed the State Trait Anxiety Inventory, Montgomery Asberg Depression Rating Scale, and a measure of verbal episodic memory (WMS-IV Logical Memory) as part of a larger neuropsychological battery. Data were collected from baseline to three years as part of a larger NIMH-supported longitudinal study. Two-level linear mixed-effect models were fitted to predict memory. State and trait anxiety were used as time-varying predictors. The between-person (level 2) and within-person (level 1) effects of anxiety on memory were assessed controlling for the time trend, age, education, gender, race, and change in depression over time.Results:Plot trajectories across variables revealed a negative correlation such that as anxiety decreased, memory improved over time. Hierarchical linear mixed-effect models revealed that average state anxiety was a marginally significant between-person (level2) predictor for memory [B=-0.041, t(128)=-1.8, p=0.083]. Individuals with greater average state anxiety were more likely to experience memory decline compared to those with lower average state anxiety. In addition, the within-person effect (level 1) of state anxiety was significant [B=-0.096, t(253)=-2.7, p=0.007]. As an individual's anxiety increased over time, their memory declined. Trait anxiety showed a significant within-person effect on memory [B=-0.087, t(254)=-2.0, p=0.048], but a non-significant between-person effect [B=-0.005, t(124)=-0.06, p=0.95].Conclusions:Anxiety appears to increase the risk of memory decline in older adults with major depression, a cohort who are already at risk of cognitive decline. Changes in anxiety increased risk of memory decline even when accounting for changes in depression over time. Although the causal link between anxiety and cognitive impairment remains unclear, it is possible that anxiety and worry may compete for cognitive resources necessary for demanding tasks and situations, detracting from abilities, such as attention and working memory. Older adults with depression may also have difficulty coping adaptively with anxiety, which may negatively affect cognition. Finally, presence of anxiety may represent a form of mild behavioral impairment, a prodrome of cognitive decline leading to dementia. Overall, the present study highlights the negative impact of anxiety on memory performance, indicating that treatment interventions targeting anxiety in older adults are essential to help prevent cognitive decline.

Psychological changes among women with recurrent pregnancy loss during the COVID-19 period in northeastern China: a cross-sectional study

BackgroundIt aimed to investigate the prevalence of anxiety and depression in recurrent pregnancy loss (RPL) women and the related factors in Northeastern China during the Coronavirus disease 2019 (COVID-19) pandemic.MethodsFrom March to June 2021, we conducted an electronic questionnaire survey of 267 RPL women who attended the recurrent pregnancy loss clinic at Shengjing Hospital of China Medical University. The State–Trait Anxiety Inventory (STAI), Beck Depression Inventory-II (BDI-II), Perceived Stress Scale (PSS), and Medical Outcomes Study Social Support Survey (MOS-SSS-C) were used to screen for anxiety, depression, stress, and social support. Logistic regression was used to explore the related factors of anxiety and depression.ResultsRPL women had severe psychological problems during the pandemic: 56.6% showed state anxiety or trait anxiety, 26.6% showed high levels of stress, and 13.1% showed depression. Economic pressure caused by COVID-19, and high stress were common related factors for anxiety and depression. The interval since last miscarriage &amp;lt;6 months, worse mood changes due to COVID-19, and concerns about COVID-19 were associated with anxiety. A history of pregnancy loss &amp;gt;14 weeks was associated with depression. While adequate social support and actively seeking health help were protective factors for trait anxiety. And identifying the etiology was a protective factor for depression.ConclusionThe study revealed the prevalence of anxiety, depression, and the associated factors in RPL women during COVID-19. More attention should be paid to the psychology of RPL women and adequate social support should be provided.

Numerical cognitive reflection, but not verbal cognitive reflection, moderates the association between trait anxiety and affective decision‐making

AbstractAffective decision‐making is a decision process with significant and strong emotional consequences marked by meaningful rewards and losses. Previous studies found inconsistent results regarding whether trait anxiety hinders affective decision‐making. Also, previous studies also proved that people with lower cognitive reflection were less likely to exhibit better performance in decision‐making when compared with higher cognition reflection individuals. Using the risk‐as‐feeling hypothesis, which explicitly postulates an interaction between cognitive and affective processes in people's decision‐making, we explore whether cognitive reflection moderates the relationship between trait anxiety and affective decision‐making. Participants (N = 261) completed the standardized version of the Iowa Gambling Task, which is widely used to assess affective decision‐making, Trait Anxiety Inventory, numerical cognitive reflection test (numerical CRT), and verbal cognitive reflection test (CRT‐V). The results showed that cognitive reflection measured by the numerical CRT rather than the CRT‐V moderated the relationship between trait anxiety and affective decision‐making. Specifically, individuals with lower cognitive reflection exhibited a negative association between trait anxiety and affective decision‐making, whereas individuals with higher cognitive reflection did not exhibit a relationship between trait anxiety and cognitive reflection. The present study helps to explain how cognitive reflection and trait anxiety interact in affective decision‐making and provides guidance targeting individuals with higher trait anxiety to improve their numerical cognitive reflection ability and better address their affective decision‐making.

A - 150 Emotional Awareness in Individuals with Traumatic Brain Injury.

To examine emotional awareness in individuals with traumatic brain injury (TBI) utilizing the Levels of Emotional Awareness Scale (LEAS). Thirty-nine individuals with moderate-severe TBI received the Levels of Emotional Awareness Scale (LEAS) consisting of 10 scenarios. Each scenario contains two components: a self-component, where participants are required to describe how they would feel, and another component, where they describe how the other person in the scenario would feel. Individuals also received Empathy Scale (ES) and Empathy Quotient (EQ) to evaluate empathy as well as measures of quality of life (Quality of Life After Brain Injury QOLIBRI), satisfaction with life (SWL), and mood (Beck Depression Inventory-II BDI-II; State Trait Anxiety Inventory- STAI). Individuals with TBI had a mean age of 46.08 (12.67), education of 14.28 (1.90) years and were on the average 113.25 (104.63) months since injury. Results indicate that the LEAS is associated with empathy on both the ES r(39) =0.34, p = 0.034 and EQ r(39) =0.37, p = 0.019. The LEAS was not associated with QOLIBRI r(39) =0.09, p = 0.572, SWL r(39) = -0.18, p = 0.286, BDI-II r(39) =0.12, p = 0.453 or STAI r(39) =0.05, p = 0.758. Our data suggests individuals with TBI emotional awareness is associated with empathy, specifically lower emotional awareness is associated with lower empathy. Emotional awareness is not associated with quality of life, satisfaction with life or mood. Understanding the relationship between these two constructs may aide in where to target interventions to improve social outcomes for individuals with TBI.

Effect of music therapy intervention on anxiety and pain during percutaneous renal biopsy: a randomized controlled trial.

Percutaneous renal biopsy (PRB) may subject patients to emotional distress and pain before and during the biopsy. The aim of this study was to evaluate the effects of complementary/non-pharmacological interventions such as music therapy (MT) on anxiety, pain and satisfaction in renal patients undergoing PRB. A prospective, single-centre, single-blind, randomized controlled two-arm trial was conducted. Patients ≥18years of age, hospitalized at the Nephrology, Dialysis and Transplantation Unit (Bari, Italy) and scheduled for PRB were screened. Participants were assigned to standard treatment (CG) or to the music therapy (MT) intervention group. Participants in the MT group received standard care and an MT intervention by a certified music therapist qualified in guided imagery and music. The CG patients received the standard of care. MT and CG patients were subjected to identical measurements (pre/post) of the parameters in the State Trait Anxiety Inventory Y1 (STAI-Y1), visual analogue scale for pain (VAS-P) and satisfaction (VAS-S) and heart rate variability. A statistically significant difference in the anxiety scores after PRB between MT and CG patients (STAI-Y1 35.4±6.2 versus 42.9±9.0) was observed. MT also had strong and significant effects on VAS-P compared with CG (5.0±1.4 versus 6.3±1.3, respectively; P<.001) and VAS-S (7.8±1.0 versus 6.0±0.9, respectively; P<.001). Decreased activity of the sympathetic nervous system and increased activity of the parasympathetic nervous system was observed after PRB in the MT group. Our study supports the use of MT to mitigate the psychological anxiety, pain and sympathetic activation associated with PRB.

Trait anxiety mediates the association between hippocampal–insula functional connectivity and anxiety symptom severity in adults with and without generalized anxiety disorder

BackgroundTrait anxiety is a vulnerability factor for the development of generalized anxiety disorder (GAD). The hippocampus has been implicated in trait anxiety in normal and GAD populations. However, the exact neural mechanism of hippocampal functional connectivity (FC) and its association with clinical symptoms and trait anxiety in GAD patients remains unknown. MethodsWe recruited 68 participants (37 drug-naïve non-comorbidity GAD patients and 31 matched healthy controls (HC)), assessed their trait and state anxiety, scanned them with structural and resting-state functional magnetic resonance imaging (fMRI), and compared their hippocampal FC and volumes. We explored the relationships between hippocampal FC, clinical symptoms, and trait anxiety using partial correlation analyses; we also investigated the mediating effects of trait anxiety on the association between hippocampal FC and GAD symptom severity. ResultsThe GAD group showed increased right hippocampal FC with left insula, which was positively correlated with the Self-Rating Anxiety Scale (SAS), State Anxiety Inventory (SAI), and Trait Anxiety Inventory (TAI). Trait anxiety mediated the relationship between hippocampal FC and anxiety levels. We found no significant difference in hippocampal volumes between GAD and HC. LimitationsThe sample size was moderate. The exclusion of comorbidity may reduce the generalizability of our results in normal clinical settings. ConclusionsThe GAD patients showed no structural change but had functional alterations in the hippocampus. More importantly, future psychotherapy for this disorder should consider that trait anxiety might play a crucial role in the altered hippocampal FC in GAD.

Relationship between COMT Gene Polymorphism, Anxiety, and Pain Perception during Labour.

The COMT gene polymorphism is associated with neurological and psychiatric disorders and pain perception. The present study investigates the existence of anxiety and pain perception in relation to the COMT (catechol-O-methyltransferase) gene polymorphism in labouring women (during "natural" childbirth) with or without inhaled analgesia. A total of 181 women who chose vaginal birth were enrolled in this study. To present the difference in pain perception, the parturients were divided into one group (n = 90) that chose labour analgesia with inhaled nitrous oxide (50% nitrous oxide and 50% oxygen) and one group (n = 91) without analgesia. The blood samples were taken during the pregnancy as a part of routine pregnancy controls in the hospital. The COMT gene polymorphism was detected with the PCR technique. The pain perception of parturients was self-evaluated two times according to the VAS (Visual Analogue Scale), and anxiety as a personality trait was determined with the STAI-T (State Trait Anxiety Inventory). Pain perception as well as anxiety were compared according to COMT genotypes. In the 181 pregnant women, there were 40 women (22%) of wild homozygotes (GG) of COMT, 95 women (53%) of mutant heterozygotes (GA), and 46 women (25%) of mutant homozygotes (AA). A negative association of pain perception with the GA (mutant heterozygote) polymorphism of the COMT gene versus the wild-type (GG polymorphism) was observed. The GA polymorphism of the COMT gene was associated with 0.46 units lower pain perception compared to the wild type (GG). The anxiety trait score in group AA was lower than in groups GA and GG. The difference reached statistical significance only when comparing AA versus GA (p > 0.042). Analgesic efficacy of nitrous oxide was noticed in 22% of labouring women who reported moderate pain (VAS score 4-7). The COMT gene polymorphism was associated with pain perception and anxiety among parturients. The COMT gene polymorphism GA was associated with negative pain perception among labouring women. Nitrous oxide showed statistical significance in anxiolytic efficacy during labour in women with mild anxiety as a personality trait. Anxiolytic efficacy of nitrous oxide has shown better efficacy in parturients with the COMT gene polymorphism AA.

EFFECTIVENESS OF AUTOGENIC TRAINING ON REDUCING ANXIETY DISORDERS: A COMPREHENSIVE REVIEW AND META-ANALYSIS

&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; Autogenic training (AT) is a relaxation technique that has garnered attention for its potential to reduce anxiety and improve psychological well-being. &lt;strong&gt;Objectives&lt;/strong&gt;: This study aims to synthesize the findings from a diverse range of studies investigating the relationship between autogenic training and anxiety disorder across different populations and settings. &lt;strong&gt;Methods:&lt;/strong&gt; A comprehensive review of 162 studies, including randomised controlled trials (RCTs), non-randomized controlled trials (N-RCTs), surveys, and meta-analysis, was conducted out of these 29 studies were selected which is directly related to the objectives of the studies. Participants in the studies had conditions such as cancer patients, bulimia nervosa, stroke survivors, coronary angioplasty, nursing students, healthy volunteers, athletes, and so on. Anxiety levels were measured before and after the AT intervention using a variety of anxiety assessment scales, including the State Trait Anxiety Inventory (STAI) and the Hospital Anxiety and Depression Scale (HADS). The formats, duration, and delivery of the interventions varied, with some studies utilising guided sessions by professionals and other self-administered practises. &lt;strong&gt;Results:&lt;/strong&gt; The combined findings of these studies revealed consistent trends in the beneficial effects of autogenic training on anxiety reduction. AT was found to be effective in reducing anxiety symptoms across a wide range of populations and settings. Following AT interventions, participants reported reduced anxiety, improved mood states, and improved coping mechanisms. AT was found to be superior to no treatment or a comparable intervention in a number of cases. &lt;strong&gt;Conclusion:&lt;/strong&gt; The body of evidence supports autogenic training as a non-pharmacological approach to reducing anxiety and improving psychological well-being. Despite differences in methodology and participant profiles, the studies show that AT has a positive impact on a wide range of populations. The findings merit further investigation and highlight AT's potential contribution to anxiety management strategies.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/soc/0071/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Preliminary data that psychological treatment and baseline anxiety are associated with a decrease in postprandial fullness and early satiation for individuals with bulimia nervosa and related other specified feeding or eating disorder.

Gastrointestinal symptoms, particularly postprandial fullness, are frequently reported in eating disorders. Limited data exist evaluating how these symptoms change in response to outpatient psychological treatment. The current study sought to describe the course of postprandial fullness and early satiation across psychological treatment for adults with bulimia nervosa and related other specified feeding or eating disorders and to test if anxiety moderates treatment response. Secondary data analysis was conducted on questionnaire data provided by 30 individuals (80% white, M(SD)age = 31.43(13.44) years; 90% female) throughout treatment and six-month follow-up in a pilot trial comparing mindfulness and acceptance-based treatment with cognitive-behavioral therapy for bulimia nervosa. Participants completed items from the Rome IV Diagnostic Questionnaire for Adult Functional Gastrointestinal Disorders and the State Trait Anxiety Inventory. Postprandial fullness and early satiation both significantly decreased over time (ds = 1.23-1.54; p's < .001). Baseline trait anxiety moderated this outcome, such that greater decreases were observed for those with higher baseline anxiety (p = .02). Results extend prior work in inpatient samples by providing preliminary data that postprandial fullness and early satiation decrease with outpatient psychological treatment for bulimia nervosa. Baseline anxiety moderated this effect for postprandial fullness. Future work should replicate findings in a larger sample and test anxiety as a mechanism underlying postprandial fullness in eating disorders. The current study found that common gastrointestinal symptoms (postprandial fullness and early satiation) decrease over the course of outpatient psychotherapy for adults with full and subthreshold bulimia nervosa. Postprandial fullness decreased more across time for those high in anxiety.

Use of default option nudge and individual differences in everyday life decisions.

People often make inefficient decisions for themselves and the community (e.g. they underuse medical screenings or vaccines and they do not vote) also because of their individual characteristics, such as their level of avoidance or anxiety. In recent years, governments have successfully applied strategies, called "nudges", to help people maximizing their decisions in several fields; however, the role of individual characteristics has been poorly explored. The present study investigated whether one kind of nudge, the default option (automatic enrolment in a specific plan), can modulate the influence of such individual differences, promoting favourable decisions in different field, such as the medical and civic ones. One hundred and eighty-three participants completed the Trait Anxiety Inventory, the General Decision-Making Styles Inventory and scenarios about health and civic decisions. Participants have hypothetically been enrolled by default or not enrolled in specific plans and had to decide whether adhere or not to the plan proposed. Result showed that the default option drives anxious and avoidant individuals, who usually refuse to make a choice due to their overestimation of negative events' occurrence, to undergo medical screenings and vaccine and to vote more. Nudge confirmed its effectiveness in favouring better decisions among people according to their individual differences.

An Examination of Subjective and Objective Measures of Stress in Tactical Populations: A Scoping Review.

Persons working in tactical occupations are often exposed to high-stress situations. If this stress is to be measured, an understanding of the stress outcomes used in these occupations is needed. The aim of this review was to capture and critically appraise research investigating subjective and objective outcome measures of physiological stress in tactical occupations. Several literature databases (PubMed, EMBASE, EBsco) were searched using key search words and terms. Studies meeting inclusion criteria were critically evaluated and scored by two authors using the Joanne Briggs Institute (JBI) critical appraisal tool. Of 17,171 articles, 42 studies were retained. The Cohen's Kappa agreement between authors was 0.829 with a mean JBI Score of included studies of 8.1/9 ± 0.37 points. Multiple subjective and objective measures were assessed during a variety of high-stress tasks and environments across different occupations, including police officers, emergency service personnel, firefighters, and soldiers in the military. Common objective outcomes measures were heart rate, cortisol, and body temperature, and subjective measures were ratings of perceived exertion, and the Self Trait Anxiety Inventory. Often used in combination (i.e., subjective and objective), these outcome measures can be used to monitor stressors faced by tactical personnel undergoing on-the-job training.

Effect of Foot Reflexology on Anxiety Levels among Patients to Receive Cardiac İmplantable Electronic Devices: A Randomised Controlled Study

The aim of this study was to determine the effect of foot reflexology, a complementary and supportive method on anxiety in patients scheduled to receive cardiac implantable electronic devices. This randomised controlled study was conducted between April 2022 and October 2022 at the cardiology clinic of a university health research and application centre in Turkey. The study was conducted with 64 patients—32 in the experimental and 32 in the control group. Data were collected using a patient information form and the Spielberger State-Trait Anxiety Inventory (STAI). A significance level of p &lt; 0.05 was accepted. The results showed that the mean scores of the State Anxiety Inventory were significantly higher in the experimental group than in the control group, and the mean scores of the Trait Anxiety Inventory were significantly lower in the experimental group than in the control group (both p &lt; 0.001). These findings indicate that the intervention in the experimental group led to a significant decrease in anxiety levels. This study demonstrated that foot reflexology significantly affected anxiety in patients planning for cardiac implantable electronic devices. The participants in the experimental group had significantly higher state anxiety levels than those in the control group after the intervention, but their trait anxiety levels were significantly lower than those in the control group after the reflexology application.