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Supportive Care in Cancer : Official... Nov 2022Cancer patients were particularly vulnerable to the adverse impacts of the COVID-19 pandemic given their reliance on the healthcare system, and their weakened immune... (Review)
Review
PURPOSE
Cancer patients were particularly vulnerable to the adverse impacts of the COVID-19 pandemic given their reliance on the healthcare system, and their weakened immune systems. This systematic review examines the social, psychological, and economic impacts of COVID-19 on cancer patients.
METHODS
The systematic search, conducted in March 2021, captures the experience of COVID-19 Wave I, when the most severe restrictions were in place globally, from a patient perspective.
RESULTS
The search yielded 56 studies reporting on the economic, social, and psychological impacts of COVID-19. The economic burden associated with cancer for patients during the pandemic included direct and indirect costs with both objective (i.e. financial burden) and subjective elements (financial distress). The pandemic exasperated existing psychological strain and associated adverse outcomes including worry and fear (of COVID-19 and cancer prognosis); distress, anxiety, and depression; social isolation and loneliness. National and institutional public health guidelines to reduce COVID-19 transmission resulted in suspended cancer screening programmes, delayed diagnoses, postponed or deferred treatments, and altered treatment. These altered patients' decision making and health-seeking behaviours.
CONCLUSION
COVID-19 compounded the economic, social, and psychological impacts of cancer on patients owing to health system adjustments and reduction in economic activity. Identification of the impact of COVID-19 on cancer patients from a psychological, social, and economic perspective following the pandemic can inform the design of timely and appropriate interventions and supports, to deal with the backlog in cancer care and enhance recovery.
Topics: Humans; COVID-19; Pandemics; Anxiety; Loneliness; Social Isolation; Neoplasms
PubMed: 35690662
DOI: 10.1007/s00520-022-07178-0 -
The American Journal on Addictions May 2022Comorbid anxiety is common among buprenorphine patients and may lead to poorer outcomes. This study aimed to examine the prevalence and impact of anxiety severity,...
BACKGROUND AND OBJECTIVES
Comorbid anxiety is common among buprenorphine patients and may lead to poorer outcomes. This study aimed to examine the prevalence and impact of anxiety severity, measured by the State-Trait Anxiety Inventory (STAI) form Y-1 & Y2 scale, on treatment outcomes (retention and phase advancement) among outpatient buprenorphine-treated patients.
METHODS
A retrospective chart review of 94 patients admitted to an outpatient buprenorphine treatment program was conducted. Patients were dichotomized into high and low severity groups based upon an STAI State Anxiety (S-Anxiety) and STAI Trait Anxiety (T-Anxiety) score ≥60 and <60, respectively. Associations of anxiety severity on successful phase advancement and retention during the first 90 days of treatment were assessed.
RESULTS
Twenty-one of 94 (22%) participants reported high S-Anxiety and had a significantly greater likelihood of phase advancement (OR = 12.80, 95% CI = [1.19, 136.71]) than those with low S-Anxiety. No significant associations were found between either S-Anxiety or T-Anxiety and treatment retention. Current alcohol use and UDS negative test results for THC or amphetamines were each associated with phase advancement. THC negative UDS test results were associated with 90-day treatment retention.
DISCUSSION AND CONCLUSIONS
Contrary to prior reports, buprenorphine patients with higher state anxiety severity demonstrated similar retention and more rapid phase advancement than those with lower state anxiety severity.
SCIENTIFIC SIGNIFICANCE
To our knowledge, this is the first study to quantify current anxiety severity using the STAI scale and evaluate its impact on treatment outcomes among buprenorphine-treated patients.
Topics: Anxiety; Buprenorphine; Dronabinol; Humans; Outpatients; Retrospective Studies
PubMed: 35243715
DOI: 10.1111/ajad.13266 -
Arthritis Care & Research Oct 2020
Review
Topics: Anxiety; Humans; Rheumatic Diseases; Self Report; Surveys and Questionnaires
PubMed: 33091269
DOI: 10.1002/acr.24351 -
PeerJ 2023Previous studies showed small-to-moderate associations between students' performances in math and science and math anxiety and science anxiety, respectively....
Previous studies showed small-to-moderate associations between students' performances in math and science and math anxiety and science anxiety, respectively. Accordingly, the high prevalence of these two forms of topic anxiety represent severe obstructions to the worldwide demand calling for improving the quality of math and science achievements and, subsequently, increasing career success in science, technology, engineering, and math (STEM) domains. Therefore, this study examined math anxiety and science anxiety among female and male students who were enrolled in Sciences Arts tracks in Grades 11 and 12 in a Middle Eastern Arabic-speaking country (Qatar), and investigated how gender, math anxiety and science anxiety could predict this enrollment. Results showed that students in the Arts track experienced higher levels of math anxiety and science anxiety than those in the Sciences track, regardless of the students' gender. However, a binary logistic regression analysis showed that science learning anxiety, but not evaluation science anxiety nor math learning or evaluation anxieties, significantly predicts students' enrollment in Arts and Sciences tracks. Therefore, STEM career success is associated with good knowledge of STEM domains positive emotions towards math and science.
Topics: Humans; Male; Female; Anxiety; Anxiety Disorders; Schools; Students; Achievement
PubMed: 36643623
DOI: 10.7717/peerj.14510 -
Revista Colombiana de Psiquiatria... 2023The COVID-19 pandemic has represented an extraordinary challenge for health workers as they care for others while exposing themselves to contagion. Doctors, nurses,... (Observational Study)
Observational Study
INTRODUCTION
The COVID-19 pandemic has represented an extraordinary challenge for health workers as they care for others while exposing themselves to contagion. Doctors, nurses, therapists and other non-care staff in clinics and hospitals are asked to be prepared to work in particularly complex and stressful situations, which makes them vulnerable to mental health problems.
OBJECTIVE
To determine the prevalence and clinical characteristics of anxiety and depression symptoms in staff working at a health institution in Medellin, Colombia.
METHODS
Observational, descriptive and cross-sectional study, based on a survey designed for the investigation, which included two scales to screen depression and anxiety symptoms, as well as sociodemographic variables.
RESULTS
A total of 1,247 workers from the health institution were included. Of these, 14.6% reported symptoms of depression and 18.5% of clinically significant anxiety. A higher proportion of moderate to severe depression and anxiety symptoms was found in those working face to face.
CONCLUSIONS
Anxiety and depression symptoms are highly prevalent among staff at a health institution in Medellin, Colombia, during the COVID-19 pandemic. Given the vital role of the health sector in times of pandemic, the development of mental health programmes that address the problems of this population should be considered a priority.
Topics: Humans; COVID-19; Pandemics; Depression; Prevalence; Cross-Sectional Studies; Anxiety
PubMed: 37031018
DOI: 10.1016/j.rcpeng.2021.02.005 -
Journal of Clinical Psychology Oct 2019This paper explores the ways empirically supported treatments (ESTs) help patients, therapists, and institutional administrators contain anxiety regarding complex human...
OBJECTIVES
This paper explores the ways empirically supported treatments (ESTs) help patients, therapists, and institutional administrators contain anxiety regarding complex human problems.
METHOD
The authors synthesized relevant literature with their experience as clinicians and psychotherapy researchers.
RESULTS
ESTs may manage patient anxieties by framing their symptoms in clearly stated mechanisms and relying on a therapist who is an "expert" capable of healing them quickly. ESTs allow therapists to streamline treatment decisions and minimize intersubjective aspects of treatment which reduces the complexity of therapy. ESTs assist institutional administrators in the top-down dissemination of treatments and limit concerns about malpractice and insurance reimbursement by providing assurance that interventions have been vetted.
CONCLUSIONS
While recognizing the benefits of ESTs, relying on ESTs to manage anxieties may diminish the importance of patient factors and clinical judgment, the other critical aspects of evidence-based practice, and thus limit the potential of clinical practice to reduce human distress.
Topics: Adult; Anxiety; Anxiety Disorders; Evidence-Based Practice; Humans; Psychological Distress; Psychotherapy
PubMed: 31286516
DOI: 10.1002/jclp.22824 -
The Journal of Nervous and Mental... Aug 2022COVID-19 has affected individuals of all age groups, both physically and mentally. We aimed to determine anxiety and depression in children diagnosed with COVID-19....
COVID-19 has affected individuals of all age groups, both physically and mentally. We aimed to determine anxiety and depression in children diagnosed with COVID-19. Fifty children aged 8 to 18 years diagnosed with COVID-19 were included in the study. The children were evaluated the revised Child Anxiety and Depression Scale, STAI form TX-I (state anxiety inventory), and STAI form TX-II (trait anxiety inventory). Child Sleep Habits Questionnaire was applied for one of the parents according to three different periods. The periods were established as before the pandemic, during the illness-quarantine process, and after the quarantine. We observed the highest scores for depression-anxiety and the poorest sleep quality during the quarantine period. The scores for depression-anxiety were lower, and sleep quality scores were higher in the prepandemic period compared with after the quarantine period. Measures should be taken to protect mental health for children with COVID-19.
Topics: Anxiety; COVID-19; Child; Depression; Humans; SARS-CoV-2; Sleep Quality
PubMed: 35900778
DOI: 10.1097/NMD.0000000000001513 -
Psychological Reports Dec 2023Test anxiety is common and may lead to a range of negative outcomes, including poor exam performance. Therefore, it is important to explore psychological predictors of...
Test anxiety is common and may lead to a range of negative outcomes, including poor exam performance. Therefore, it is important to explore psychological predictors of test anxiety. In this paper, we examined whether intellectual humility can predict test anxiety. In Study 1, college students ( = 181) completed an intellectual humility measure with four subscales and two different measures of test anxiety. In Study 2 ( = 196), a community sample recruited from an online workforce completed the same measures. In both studies, we found that intellectual humility was negatively related to test anxiety, such that higher intellectual humility predicted lower test anxiety. Specifically, Study 1 demonstrated a negative correlation between intellectual humility and the Sarason Test Anxiety Scale; Study 2 confirmed this negative relationship with both the Sarason and Westside test anxiety scales. We also found that this relationship was largely driven by the intellectual humility subscale of Independence of Intellect and Ego. Additionally, these results were present even when controlling for key demographic factors. These findings highlight intellectual humility's role in predicting exam anxiety and offer a potential avenue for intellectual humility to be leveraged into interventions to decrease exam anxiety in the future.
Topics: Humans; Test Anxiety; Emotions; Anxiety; Psychological Tests; Cognition
PubMed: 35617130
DOI: 10.1177/00332941221103524 -
Journal of School Psychology Jun 2023This study sought to systematically review the full body of research on test anxiety in primary (elementary) school children aged 5-12 years. A comprehensive electronic... (Meta-Analysis)
Meta-Analysis
This study sought to systematically review the full body of research on test anxiety in primary (elementary) school children aged 5-12 years. A comprehensive electronic and manual literature search identified 76 studies (85 independent samples; N = 53,617 children) that satisfied inclusion criteria. Inverse-variance weighted random effects meta-analysis showed that test anxiety related negatively to academic achievement in Mathematics (r = 0.21) and Literacy (r = -0.20), academic self-concept (r = -0.41), and self-efficacy (r = -0.39), and related positively to general anxiety (r = 0.62), social anxiety (r = 0.57), and depression (r = 0.45). Test anxiety was higher among girls than boys (d = 0.21) and in Asian samples compared to European and North American samples. There was some evidence of publication bias and heterogeneity across meta-analyses. Random effects meta-regression models further showed that the association between test anxiety and mathematics achievement was stronger among older children compared to younger children, and that gender differences in test anxiety scores were more prevalent in North American samples compared to Asian samples. Intervention studies targeting anxiety reduction have been successful in reducing test anxiety and improving test anxiety-related outcomes. Overall, findings from this systematic review and meta-analysis provide evidence that test anxiety varies in magnitude across populations and relates to multiple educational and psychosocial outcomes. We recommend further experimental studies that target the reduction of test anxiety among primary school children.
Topics: Male; Female; Humans; Child; Adolescent; Test Anxiety; Educational Status; Schools; Achievement; Anxiety
PubMed: 37253582
DOI: 10.1016/j.jsp.2023.02.003 -
Pain Research & Management 2023Chronic pelvic inflammatory disease (CPID) is a clinically common gynecological disease. Patients experience chronic pelvic pain and often accompany with emotional...
BACKGROUND
Chronic pelvic inflammatory disease (CPID) is a clinically common gynecological disease. Patients experience chronic pelvic pain and often accompany with emotional dysfunction. However, the impact and correlation of anxiety and depression on pain sensitization is not completely known.
OBJECTIVE
To explore the differences and correlations among anxiety, depression, and pressure pain threshold (PPT) of acupoints in patients with CPID.
METHODS
One hundred and forty-seven patients with CPID were recruited. The Visual Analog Scale (VAS) and short-form McGill Pain Questionnaire (SF-MPQ) were used to assess pain. Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to evaluate the emotional state of patients. The PPT of acupoints was collected using an electronic Von Frey by two licensed acupuncturists.
RESULTS
The CPID patients were divided into anxiety-depression group (group A) or nonanxiety-depression group (group B), according to the SAS and SDS scores. Finally, there were 73 patients in group A and 74 patients in group B. Group A had significantly higher SAS, SDS, VAS, and SF-MPQ scores than group B ( < 0.05). In addition, significant differences were observed in the PPTs of ST28 (R), ST29 (R), SP10 (R), SP9 (R), SP9 (L), ST36 (R), and LR3 (L) between the two groups ( < 0.05). No considerable differences in PPTs at the other acupoints were observed between the two groups. SAS scores showed a positive correlation with PPTs of ST29 (R), SP10 (R), SP9 (L), ST36 (R), and LR3 (L). No remarkable correlation was observed between the SDS scores and PPTs.
CONCLUSION
Anxiety and depression can affect the PPT of some acupoints in CPID patients, which may provide a reference for acupoint selection for acupuncture treatment of CPID with emotional disorders. This trial is registered with ChiCTR2100052632.
Topics: Female; Humans; Depression; Pain Threshold; Acupuncture Points; Pelvic Inflammatory Disease; Anxiety; Chronic Pain
PubMed: 38033371
DOI: 10.1155/2023/3315090