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Journal of Medicine and Life 2021In this study, we aimed to find a correlation between anxiety related to dental procedures and migraines. A cross-sectional study was performed on 171 patients who... (Randomized Controlled Trial)
Randomized Controlled Trial
In this study, we aimed to find a correlation between anxiety related to dental procedures and migraines. A cross-sectional study was performed on 171 patients who attended specific dental clinics. The patients were randomly categorized into a migraine group (83) and a control group. To determine the anxiety level, all the patients filled out a validated questionnaire (the Arabic version of the Modified Dental Anxiety Scale). All responses ranged from "not anxious" (scoring 1) to "extremely anxious" (scoring 5). Based on the patient responses, the total score was recorded and compared statistically between the two groups. The sound of drilling was one of the most vital factors causing anxiety and headaches in migraine patients. Comparing the presence or absence of headache and usage of analgesics between the two groups, migraine patients complained to have headaches during or after dental treatment more frequently than controls and used analgesics more than non-migraine controls. Migraine patients visiting dental clinics feel more anxious about the working environment and need certain modifications before, during, and after dental procedures.
Topics: Anxiety; Anxiety Disorders; Cross-Sectional Studies; Dental Anxiety; Headache; Humans; Migraine Disorders
PubMed: 34621373
DOI: 10.25122/jml-2021-0004 -
Current Opinion in Psychiatry Nov 2015Adolescence is a period of dynamic change in both sleep and emotional systems, with related increases in problems controlling emotion and behavior. Youth with anxiety... (Review)
Review
PURPOSE OF REVIEW
Adolescence is a period of dynamic change in both sleep and emotional systems, with related increases in problems controlling emotion and behavior. Youth with anxiety enter adolescence with pre-existing vulnerabilities in systems of sleep and emotion that may place them at heightened risk. This review summarizes recent research on sleep and anxiety during the transition to adolescence, and highlights emerging themes.
RECENT FINDINGS
Prospective studies support that sleep predicts anxiety symptoms in early adolescence. Notably, robust evidence for subjective sleep problems in anxious youth is not well corroborated by objective assessments. Longitudinal designs and methodology that carefully examine dimensions of anxiety and sleep may clarify inconsistencies. Preliminary evidence suggests that late childhood to early adolescence may be a sensitive period for escalating problems with sleep and anxiety. Recent advances in the neuroscience of sleep can further refine integrative mechanistic models of developmental psychopathology - the role of sleep in emotional learning and memory is provided as an example.
SUMMARY
Sleep problems are common and prospectively predict escalating anxiety symptoms. Precision is needed regarding the nature of sleep disruption, and how and when sleep affects various aspects of developmental trajectories. This precision, along with advances in the neuroscience of sleep, may lead to developmentally informed translational interventions.
Topics: Adolescent; Adolescent Development; Anxiety; Anxiety Disorders; Child; Child Development; Emotions; Female; Humans; Male; Psychopathology; Risk Factors; Sleep; Sleep Wake Disorders
PubMed: 26382163
DOI: 10.1097/YCO.0000000000000204 -
Dialogues in Clinical Neuroscience Jun 2017Cultural factors have influenced the presentation, diagnoses, and treatment of anxiety disorders in India for several centuries. This review covers the antecedents,... (Review)
Review
Cultural factors have influenced the presentation, diagnoses, and treatment of anxiety disorders in India for several centuries. This review covers the antecedents, prevalence, phenomenology, and treatment modalities of anxiety disorders in the Indian cultural context. It covers the history of the depiction of anxiety in India and the concept of culture in the classification of anxiety disorders, and examines the cultural factors influencing anxiety disorders in India. We review the prevalence and phenomenology of various disorders, such as generalized anxiety disorder, panic disorder, social anxiety, and phobic disorder, as well as culture-specific syndromes such as dhat and koro in India. Finally, the review examines the wide range of therapeutic modalities practiced in India, such as faith healing, psychotherapy, ayurveda, psychopharmacology, Unani medicine, homeopathy, yoga, meditation, and mindfulness. We conclude by emphasizing the significance of cultural factors in making relevant diagnoses and offering effective and holistic treatments to individuals with anxiety disorders.
Topics: Anxiety; Anxiety Disorders; Cultural Characteristics; Humans; India; Male; Panic Disorder; Prevalence
PubMed: 28867936
DOI: 10.31887/DCNS.2017.19.2/rparikh -
Maturitas Dec 2022The menopausal transition is often accompanied by psycho-vegetative symptoms, including stress and anxiety symptoms. Identifying stress and anxiety and intervening early... (Review)
Review
The menopausal transition is often accompanied by psycho-vegetative symptoms, including stress and anxiety symptoms. Identifying stress and anxiety and intervening early can have an enormous public health impact. Health care practitioners like obstetrician-gynecologists or family doctors play a critical role in the diagnosis, prevention and treatment of stress and anxiety symptoms or disorders, as they often represent women's primary medical contact during the menopausal transition. However, they frequently do not feel confident in identifying and treating mental health problems. The aim of this review was to summarize current (since 2010) knowledge from randomized controlled trials, systematic reviews, and meta-analyses on diagnostics and treatment options, and to provide clinical decision-making algorithms. The recent literature suggests pharmacological, (cognitive) behavioral, and complementary treatments. The choice about which one to use should be discussed with the patient.
Topics: Female; Humans; Menopause; Anxiety; Anxiety Disorders; Emotions
PubMed: 35964446
DOI: 10.1016/j.maturitas.2022.07.015 -
La Tunisie Medicale Oct 2023Oncologists are often confronted with patients at the end of their lives who are suffering. This can lead to anxiety and depressive disorders (ADD), affecting the...
INTRODUCTION
Oncologists are often confronted with patients at the end of their lives who are suffering. This can lead to anxiety and depressive disorders (ADD), affecting the quality of the doctors's quality of life.
AIM
To compare the level of ADD among doctors practicing at Salah Azaiez Institute (SAI) in Tunis with doctors who do not treat cancer patients, while identifying any factors associated with these disorders.
METHODS
We conducted a comparative and analytical study of 141 physicians:53 oncologists practicing at the Salah Institut Azaiez and 91 at other hospital structures (Charles Nicolle's Hospital and Rabta's Hospital), matched by age and gender for a period of 2 months, started from 02 May to 30 June 2022.
RESULTS
Our research showed that SAI's doctors were significantly more exposed to anxiety disorders (p= 0.016) compared with other doctors (47.2% vs. 37.5%), without being more exposed to depressive disorders. SAI's doctors reported more associated stress factors, notably exposure to body image-distorting tumors (p<0.001), exposure to the suffering of loved ones (p=0.006), lack of human resources (p=0.017), perceived unsuitability of premises (p=0.001) and overwork (p=0.013). These doctors consumed more alcohol (p=0.04). In addition, 58.5% of SAI's doctors felt that their profession significantly affected their quality of life, compared to 45% of doctors in other hospitals (p=0.04).
CONCLUSIONS
All the doctors questioned, "all specialties combined", showed varying rates of anxiety and depressive disorders. However, anxiety disorders were significantly higher among SAI's doctors, for whom stress factors had a greater impact.
Topics: Humans; Quality of Life; Cross-Sectional Studies; Physicians; Anxiety; Depressive Disorder; Neoplasms
PubMed: 38465757
DOI: No ID Found -
Scientific Reports Jun 2022Psychotherapy is an effective treatment for many common mental health problems, but the mechanisms of action and processes of change are unclear, perhaps driven by the...
Psychotherapy is an effective treatment for many common mental health problems, but the mechanisms of action and processes of change are unclear, perhaps driven by the focus on a single diagnosis which does not reflect the heterogeneous symptom experiences of many patients. The objective of this study was to better understand therapeutic change, by illustrating how symptoms evolve and interact during psychotherapy. Data from 113,608 patients from psychological therapy services who completed depression and anxiety symptom measures across three to six therapy sessions were analysed. A panel graphical vector-autoregression model was estimated in a model development sample (N = 68,165) and generalizability was tested in a confirmatory model, fitted to a separate (hold-out) sample of patients (N = 45,443). The model displayed an excellent fit and replicated in the confirmatory holdout sample. First, we found that nearly all symptoms were statistically related to each other (i.e. dense connectivity), indicating that no one symptom or association drives change. Second, the structure of symptom interrelations which emerged did not change across sessions. These findings provide a dynamic view of the process of symptom change during psychotherapy and give rise to several causal hypotheses relating to structure, mechanism, and process.
Topics: Anxiety; Anxiety Disorders; Humans; Psychotherapy; Treatment Outcome
PubMed: 35760940
DOI: 10.1038/s41598-022-14901-8 -
International Journal of Environmental... Dec 2022Surgical procedure is a critical event that causes anxiety for patients. One of the possible intervention strategies to reduce anxiety in the preoperative period is... (Review)
Review
BACKGROUND
Surgical procedure is a critical event that causes anxiety for patients. One of the possible intervention strategies to reduce anxiety in the preoperative period is psychoeducation.
METHODS
A scoping review was conducted according to the JBI methodology and PRISMA-ScR to map knowledge about psychoeducation programs to reduce preoperative anxiety in adults. The data were extracted by the researchers, according to the objective of the study. Finally, the data synthesis was presented in narrative format and tables.
RESULTS
four studies were included in the review with different characteristics of psychoeducation programs. The approach of these programs consisted of teaching about anxiety, instruction and training in anxiety control techniques. The contents referred to included the surgical process and intervention techniques to reduce anxiety. Program sessions lasted from 45 to 150 min, with a frequency of 1 to 6. The assessment instrument used was the State-Trait Anxiety Inventory. The dynamisers were nurses, psychotherapists and clinical psychologists.
CONCLUSIONS
Psychoeducation programs can be useful and effective in reducing anxiety. More studies are needed to confirm these results.
Topics: Humans; Adult; Anxiety; Anxiety Disorders
PubMed: 36612649
DOI: 10.3390/ijerph20010327 -
Journal of Pain and Symptom Management Sep 2020Anxiety in patients with cancer is highly prevalent; yet it remains underestimated and inadequately assessed. Little is known about predictors for anxiety in...
CONTEXT
Anxiety in patients with cancer is highly prevalent; yet it remains underestimated and inadequately assessed. Little is known about predictors for anxiety in hospitalized patients with cancer. Insight in predictors should improve recognition and enable a targeted approach.
OBJECTIVES
To determine the prevalence of anxiety and predictors for anxiety in hospitalized patients with cancer at different stages of disease.
METHODS
A cross-sectional analysis of patients with cancer admitted to the Utrecht University Medical Center in 2015-2018 was conducted. The Utrecht Symptom Diary, an adapted Dutch version of the Edmonton Symptom Assessment System, was used to assess symptom burden on a numeric rating scale (0 = no symptom and 10 = worst possible symptom). Scores ≥4 were considered clinically relevant. All patients completed the Utrecht Symptom Diary as part of routine care. The first questionnaire after admission was selected. Using multivariable linear regression, the predictive value of potential predictors on anxiety was analyzed.
RESULTS
In total, 2144 patients were included, of which 22% reported clinically relevant anxiety. The prevalence of anxiety was highest (36%) in patients receiving symptom-directed palliation only. In the total group, female gender, younger age, depressed mood, sleeping problems, dyspnea, and cancer of the head and neck were predictive of anxiety. Throughout all stages of disease, depressed mood was consistently the strongest predictor.
CONCLUSION
We found a high prevalence of anxiety in hospitalized patients with cancer. It is recommended to explore anxiety in hospitalized patients with cancer, in particular when they experience depressed mood. Structural use of a symptom diary during hospitalization facilitates the recognition of anxiety and concurrent symptoms.
Topics: Anxiety; Anxiety Disorders; Cross-Sectional Studies; Female; Humans; Neoplasms; Palliative Care
PubMed: 32305577
DOI: 10.1016/j.jpainsymman.2020.04.005 -
Psychopathology 2023Individuals with schizotypy can experience a number of cognitive biases that may increase their risk in developing schizophrenia-spectrum psychopathology. However,...
INTRODUCTION
Individuals with schizotypy can experience a number of cognitive biases that may increase their risk in developing schizophrenia-spectrum psychopathology. However, cognitive biases are also present in mood and anxiety disorders, and it is currently unclear which biases are specific to schizotypy and which may be a result of comorbid depression and/or anxiety.
METHODS
462 participants completed measures of depression, anxiety, cognitive biases, cognitive schemas, and schizotypy. Correlation analyses were conducted to examine the relationship between these constructs. Three hierarchical regression analyses were conducted to examine if schizotypy, depression, and anxiety explained a statistically significant amount of variance in cognitive biases after controlling for depression and anxiety, schizotypy and anxiety, and schizotypy and depression, respectively. Moderated regression analyses were also conducted to investigate the moderating role of biological sex and ethnicity in the association between cognitive biases and schizotypy.
RESULTS
Self-referential processing, belief inflexibility, and attention for threat were associated with schizotypy. The belief inflexibility bias and social cognition problems were specifically associated with schizotypy after controlling for depression and anxiety and were not directly associated with either depression or anxiety. These associations were not moderated by biological sex or ethnicity.
CONCLUSION
The belief inflexibility bias may be an important cognitive bias underlying schizotypal personality, and further research will be important to determine whether this bias is also associated with an increased likelihood of transitioning to psychosis.
Topics: Humans; Schizotypal Personality Disorder; Psychotic Disorders; Anxiety; Schizophrenia; Cognition
PubMed: 37094551
DOI: 10.1159/000529742 -
International Maritime Health 2022Marine fishermen experience high levels of environmental and relationship stress and anxiety. The current study explored the role of stress in the relationship between...
BACKGROUND
Marine fishermen experience high levels of environmental and relationship stress and anxiety. The current study explored the role of stress in the relationship between neuroticism and anxiety symptoms among marine fishermen.
MATERIALS AND METHODS
Participants (fishermen from Tanmen in Qionghai city, Hainan Province) completed three questionnaires: the NEO-Five-Factor Inventory-Neuroticism Subscale (NEO-FFI-N); the Mental Stressor Investigation Questionnaire (MSIQ); and the Mood and Anxiety Symptoms Questionnaire-30-item-Anxious Arousal Subscale (MASQ-D30-AA) within 1 week before embarking on a fishing trip and then again within 1 week after their return to port. The data were subjected to correlational analyses and structural equation modelling.
RESULTS
Positive correlations were found between NEO-FF-N (neuroticism) score, MSIQ score (total stress), MSIQ work-relationship score, ship environmental stress score, and MASQ score (anxiety symptoms). Regression analyses showed environmental stress had a significant moderating effect on the relationship between neuroticism and anxiety symptoms, and further analysis showed a mediating effect of work-relationship stress on the relationship between neuroticism and anxiety symptoms.
CONCLUSIONS
Marine fishermen with high environmental stress had greater anxiety symptoms than those with low environmental stress. Neuroticism in marine fishermen further affects anxiety symptoms by affecting the level of work-relationship stress.
Topics: Humans; Neuroticism; Anxiety; Anxiety Disorders; Surveys and Questionnaires; Occupational Stress; Depression
PubMed: 36583408
DOI: 10.5603/IMH.2022.0035