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Despite that the prevalence of depression has been thoroughly analyzed in multiple sclerosis (MS) patients and affects approximately 15%–20% of the MS population, attention paid to social activities concomitant with anxiety is still too sporadic. The aim of this study was to find the prevalence of anxiety and social activities aggraded/aggravated with anxiety in the MS population in Lithuania and to analyze how it correlates with socio-demographic factors, clinical outcomes of MS and depression. Three hundred twelve MS patients took part in this study; anxiety prevalence was pointed in 20.2%. Only 23.4% of the study population was socially active. Our study shows a significant level of anxiety and low level of social activity in people with MS. Anxiety in MS patients was strongly related with younger age, shorter MS duration, prevalence of depression and lower level of social activity. A higher level of social activity was significantly related with older urban MS patients who indicated family status as living together and longer MS duration.
EN
Study aim: To determine the role of gender and experience level as factors differentiating state anxiety before and after a parachute jump, and to ascertain relationships between state anxiety and temperament features. Material and methods: The research involved 143 parachutists (98 men and 45 women) aged from 17 to 49 years old, including 73 beginners and 70 advanced parachutists. The following questionnaires were applied: the Formal Characteristics of Behavior-Temperament Inventory by Zawadzki and Strelau, the Sensation Seeking Scale by Zuckerman, and the State-Trait Anxiety Inventory of Spielberger et al. Results: There was a significant decrease in state anxiety level after a parachute jump (before M = 32.66; after M = 28.57; p < 0.001). Its level is significantly higher in beginners than in experienced skydivers (p < 0.001). The level of experience is also a negative predictor of state anxiety level before the jump and its decrease after the jump. Conclusion: As experience grows, the positive adaptation to stress caused by parachute jump appears, which results with lowering the state anxiety level.
EN
The massive use of social media, especially Facebook, has an impact on student’s neurocognitive performance and mental health in Morocco. The purpose of this study is to show the impact of the Facebook addiction, especially with Smartphone on school performance and mental health. On the methodological part a questionnaire was used beside the Bergan Facebook Addiction Scale Test (BFAS) which has been validated in the Arab version with Cronbach's Alpha (α = 0.788), and the Nomophobia Questionnaire (NMP-Q) Arabic version, with a general anxiety test, which are distributed to 541 participants in the middle and the high schools of Kenitra city 55.1% of girls and 44.9% of boys have a mean age of 15.238 years, SD = ± 0.06. The results obtained confirmed by a negative correlation in relationship with the first semester general score and Facebook addiction by the BFAS test, and a significant relationship between the increase in Facebook addiction in parallel with the state of anxiety (P <.001) and Nomophobia (P <.000). We have been able to pick up the negative impact of the social media exposure on the performance and mental health of adolescent students. in order to have a solution from this plague in the future.
EN
Background: It is well known that advancing age is accompanied by many negative feelings due to the feeling of loneliness and psychological emptiness, which leads to the individual feeling that society does not need him due to his weak physical abilities and thus this, will negatively affect healthy aging. Objective: The study aimed to investigate the effect of the leisure activities on the psychological stress among the elderly during Coronavirus (COVID-19) Outbreak. Design: To achieve this, we used the quasi-experimental approach on a sample consisting of 54, with the average age of (65.4±2.3) years. Divided into two groups 27 as a control group and 27 as the experimental group and this sample was purposively selected. Because of the home quarantine and to reduce face-to-face interaction, we used a questionnaire to measure the psychological stress level by using the Google form. The study tool consisted of 7 paragraphs associated with depression and 6 paragraphs associated with anxiety, finally 6 paragraphs associated with aggression. Before applying the experiment, the psychological stress was measured among the study sample, and then the leisure activities program was sent to the experimental group by the WhatsApp application. The researchers used means, standard deviations, paired and independent sample t-test by using SPSS version 24 with a confidence level of 95% (p<0.05). Results: The results of the study have shown that the level of the psychological stress among both groups came with a high average in the pre-measurement, as well as the anxiety domain that were the most affected in a positive way through leisure activities practicing. Additionally, there were statistically significant differences between the pre and post measurement among experiment group and favor of the post measurement. Conclusion: the leisure activities practicing among the elderly have contributed positively to reducing the level of psychological stress represented by depression, anxiety.
EN
In addition to its known classical roles, the renin angiotensin system (RAS) has more subtle functions which include the regulation of emotional responses. Previous studies regarding the anxiety related behavior of RAS have showed controversial results. There is also evidence that oxidative stress accompanies angiotensin II infusion, but the role of AT1/AT2 specific receptors is not clear. The aim of this study was to evaluate the effects of central angiotensin II receptor blockers on anxiety state and oxidative stress. Behavioral testing included elevated plus maze, while oxidative stress status was measured though the extent of a lipid peroxidation product (malondialdehyde-MDA) and the specific activity of some defense antioxidant enzymes (superoxide dismutase-SOD and glutathione peroxidase-GPx). The rats treated with angiotensin II spent significantly less time in the open-arms of elevated-plus-maze, while the administration of losartan resulted in a significant increase of this time. We observed a significant increase of MDA concentration in the angiotensin II group and a decrease of MDA levels in both losartan and PD-123177 groups. In addition, a significant correlation was seen between the time spent in the open arms and oxidative stress markers. These findings could lead to important therapeutic aspects regarding the use of angiotensin II receptor blockers in anxiety-related disorders.
EN
Post-communist Bulgaria has experienced the full impact of a socioeconomic disaster. Under prolonged and powerful stress the human body may exhaust its adaptive potential and a variety of pathophysiological symptoms may occur. The cardiovascular system is most vulnerable to stress. The aim of this study is to analyze the role of psychological factors correlating with Acute Myocardial Infarction (AMI) during the transition period in post-communist Bulgaria. A case-control epidemiological study was performed. 306 cases of acute myocardial infarction (AMI) and 210 controls were studied. Analysis of patients’ records was made and a direct face-to-face interview was carried out. The study covers a 15-year transition period lasting from 1989 until 2005. The interview questions are based on W. Zung’s standardized self-evaluation tests of anxiety and depression (Self Rating Depression Scale - SDS, 1965, SAS-Self Rating Anxiety Scale, 1976) and on a test of aggression, as a part of the Minnesota Multiphase personality inventory, adapted from A.A. Krilov and F. Korozi’s FPI test. Average levels of anxiety and depression appear to be higher among patients suffering from coronary heart diseases than in control group members. Levels of aggression do not show a direct correlation with coronary heart disease. Both groups demonstrate symptoms of psychological disturbances caused, most probably, by the socio-economic instability of the transition period. In conclusion, certain socioeconomic factors significantly increase the level of anxiety and depression in the respondents. The AMI patients are considerably more anxious and depressed than the controls. The results provide evidence that high levels of anxiety and depression may correlate to and be interpreted as a potential risk factor for coronary heart disease.
EN
INTRODUCTION: Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China in December 2019. It was declared a global pandemic by WHO. There are 77.8 million reported cases of and 1.7 million deaths due to COVID-19 in the world at the time of writing this article. The main symptoms of COVID‐19 are fever, cough, fatigue, dyspnea, sore throat, headache and gastrointestinal disturbances. It has caused increased psychological impact to the society, particularly in healthcare personnel (HCPs). We aimed to assess the incidence of depression, anxiety and insomnia in healthcare personnel after the onset of COVID-19 Pandemic. MATERIAL AND METHODS: This was a survey-based study. A questionnaire was shared through emails and social media. The study instruments used were PHQ9 for depression, GAD7 for anxiety and Insomnia Severity Index for Insomnia. Data was collected from April 2020 to October 2020. RESULTS: The data was analyzed using IBM SPSS software version 26.0. The sample size was 312. A total of 26 (39.25%) respondents were single, 169 (52.64%) were male, 158 (49.2%) were between 20 and 29 years of age, 151 (47.04%) of respondents were doctors and 22 (6.8%) were nurses. Psychological impact was significantly more in paramedics and nurses. Severe psychological impact was seen in 24 (7.34%) of healthcare personnel. The study showed severe depression mostly in paramedics and surgical sub specialties while mild and moderate depression was more commonly reported by anesthesiologists, dentists and pathologists. The study also showed that people who had previous histories of depression, reported an increase in the severity of their symptoms as compared to those with no previous histories. CONCLUSIONS:COVID-19 pandemic has created fear and uncertainty. The health care workers and other front line workers who are at a greater risk of exposure and contraction of COVID-19 are subject to extensive physical and psychological trauma. The purpose of this study is to highlight the intensity and incidence of depression, anxiety and insomnia in health care personnel and to emphasize the need to support the mental health of these front line workers.
PL
WSTĘP: Zakażenie koronawirusem (COVID-19) zostało po raz pierwszy zgłoszone w Wuhan w Chinach w grudniu 2019 r. WHO ogłosiła globalną pandemię. Istnieje 77,8 miliona zgłoszonych przypadków i 1,7 miliona zgonów z powodu COVID-19 na świecie w momencie pisania tego artykułu. Główne objawy COVID-19 to gorączka, kaszel, zmęczenie, duszność, ból gardła, bóle głowy i zaburzenia żołądkowo-jelitowe. Spowodowało to zwiększony wpływ psychologiczny na społeczeństwo, szczególnie wśród personelu medycznego. Celem autorów była ocena częstości występowania depresji, lęku i bezsenności wśród personelu medycznego po wybuchu pandemii COVID-19. MATERIAŁ I METODY: Badanie przeprowadzono metodą ankietowania. Kwestionariusz został udostępniony za pośrednictwem wiadomości e-mail i portali społecznościowych. Zastosowanymi instrumentami badawczymi były PHQ9 dla depresji, GAD7 dla lęku i indeks nasilenia bezsenności dla bezsenności. Dane zbierano od kwietnia 2020 r. do października 2020 r. WYNIKI: Dane przeanalizowano za pomocą oprogramowania IBM SPSS w wersji 26.0. Wielkość próby wynosiła 312. Łącznie 26 (39,25%) respondentów było stanu wolnego, 169 (52,64%) mężczyzn, 158 (49,2%) było w wieku od 20 do 29 lat, 151 (47,04%) badanych było lekarzami, a 22 (6,8%) pielęgniarkami. Wpływ psychologiczny był znacznie większy u ratowników medycznych i pielęgniarek. Poważny wpływ psychologiczny wystąpił u 24 (7,34%) pracowników medycznych. Badanie wykazało ciężką depresję, głównie wśród ratowników medycznych i specjalistów chirurgii, podczas gdy łagodną i umiarkowaną depresję wykazano u anestezjologów, dentystów i patologów. Badanie wykazało również, że osoby, które miały w przeszłości wywiad depresyjny wykazują wzrost nasilenia objawów w porównaniu z osobami bez obciążeń depresyjnych. WNIOSKI: Pandemia COVID-19 wywołała strach i niepewność. Pracownicy służby zdrowia będący na pierwszej linii, którzy są bardziej narażeni na zakażenie COVID-19, doznają intensywniejszych urazów w sferze psychofizycznej. Celem badania było podkreślenie intensywności i częstości występowania depresji, lęku i bezsenności wśród personelu medycznego oraz podkreślenie potrzeby wspierania zdrowia psychicznego pracowników z pierwszej linii.
PL
Założenia: Izolowane zerwanie więzadła krzyżowego przedniego kolana ACL jest trzecim co do częstości urazem więzadłowym stawu kolanowego. Postępowanie obejmuje rekonstrukcję i rehabilitację pooperacyjną. Wyniki leczenia ocenia się m.in. na podstawie testów ortopedycznych, badań siły mięśniowej i pomiarów obwodów, porównywanych do nogi przeciwnej. Stan kliniczny operowanego więzadła nie zawsze jest zbieżny z odczuciami pacjenta co do własnego zdrowia. Wpływ na samoocenę zdrowia przez pacjenta i przebieg rehabilitacji ma między innymi nasilenie lęku. Cel: Ocena wpływu predyspozycji do reagowania lękiem na skuteczność rehabilitacji, ocenianej w oparciu o pomiary siły mięśni, po operacyjnym leczeniu przerwanego więzadła krzyżowego przedniego kolana. Materiał i metoda: Badano 201 pacjentów z rozpoznanym zerwaniem więzadła krzyżowego przedniego kolana (113 kobiet i 88 mężczyzn). Wszyscy pacjenci zostali poddani rekonstrukcji więzadła krzyżowego przedniego oraz sześciomiesięcznemu leczeniu rehabilitacyjnemu. Do oceny nasilenia lęku jako cechy badanego przed zabiegiem operacyjnym zastosowano Kwestionariusz STAI, a do dwukrotnego badania siły mięśni (tydzień przed i po 6 miesiącach od operacji) zastosowano dynamometr.Wyniki: Badani wykazujący małe nasilenie lęku-cechy (poniżej 3,5 stena) istotnie częściej niż badani wykazujący duże nasilenie lęku-cechy (powyżej 7,5 stena) uzyskiwali po rehabilitacji zwiększenie siły mięśni przywodzicieli stawu biodrowego i prostowników stawu kolanowego, oraz poprawę w teście leg press operowanej kończyny dolnej.Wnioski: Zwiększona predyspozycja do reagowania lękiem może być przyczyną gorszych wyników rehabilitacji pacjentów po operacyjnej rekonstrukcji więzadła krzyżowego przedniego. W przypadku pacjentów o nasilonym lęku, rehabilitowanych po operacyjnej rekonstrukcji więzadła krzyżowego przedniego, należy rozważyć zastosowanie indywidualnego programu rehabilitacji, uwzględniającego psychoterapię.
EN
Background: The rupture of the anterior cruciate ligament (ACL) constitutes the third most frequent ligament injury of the knee joint. The approach involves its reconstruction and post-operational rehabilitation. The results of treatment are evaluated on the basis of, among other things, orthopaedic tests, tests of muscle strength and circumference measurements when compared to the other leg. The clinical state of the ligament is not always in accordance with the patient’s perceptions as to their state of health. An influence on the self evaluation of health on the part of the patient is brought about by, among other things, an intensification in fear and anxiety.Objective: An evaluation of the influence of a predisposition for an anxiety reaction on the effectiveness of rehabilitation, evaluated in relation to the measurement of muscle strength, following operational treatment of the injured ACL.Materials and Methods: 201 patients (113 women and 88 men) were tested who had a diagnosed of the ACL injury. All the patients were subjected to a reconstruction of the ACL as well as a period of six months of rehabilitation treatment. The STAI questionnaire was used in the evaluation of the trait-anxiety prior to the operational procedure, while twice a dynamometer was used in the testing of muscle strength (a week before and six months after the operation).Results: Those patients displaying a small intensification in trait-anxiety (lower than 3.5) significantly more often than those patients displaying a large intensification in trait-anxiety (over 7.5) gained increased muscle strength following rehabilitation of the hip joint adductor and the extensors of the knee joint, as well as an improvement in the leg press test of the lower limb operated on. Conclusions: An increased predisposition for an anxiety reaction may be the reason for poorer rehabilitation results in patients following an operational reconstruction of the ACL. It may be necessary in the case of patients undergoing rehabilitation after an operational reconstruction of the ACL and who display an intensive anxiety of the said to consider the application of an individual programme of rehabilitation, one incorporating elements of psychotherapy.
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