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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

According to Functional Systems Theory suggested by P.K.Anokhin, the authors assessed physiologic parameters of workers at the workplace in accordance with results of occupational activity portions. Correlation between pulse and breathing rates appeared to be an objective criterion of emotional stress and fatigue. The specific experiments on animals and observations of workers in real industrial conditions revealed depression of correlation coefficient "Pulse Rate-Breathing Rate" in emotional stress. That coefficient appeared to be significantly lower in beginners and poorly trained subjects if compared to qualified professionals and well trained workers.
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PMID:[Evaluation of stress at the workplace: systemic approach]. 908 56

Genital herpes causes considerable psychological and psychosexual morbidity. The most common emotional responses are depression, anguish, anger, diminution in self-esteem and hostility towards the person believed to be the source of the infection. These emotional problems appear to be worse in women than in men. The psychological morbidity in patients with first episode genital herpes is statistically significantly greater than that occurring in non-herpes patients attending sexually transmitted disease clinics. It was previously believed that stressful life events could precipitate recurrences. However, recent studies suggest that ongoing recurrences cause the emotional stress rather than vice versa. There is some evidence that premorbid personality may effect recurrence rates, but an equally plausible explanation is that frequent recurrences adversely affect personality. Long-term aciclovir suppression significantly reduces the psychological morbidity associated with recurrent genital herpes, over at least the period of treatment. Cognitive coping strategies and social support from a partner appear to assist with adjustment. Improving a patient's problem-solving skills, and long-term aciclovir therapy should form an integral part of the long-term management of recurrent genital herpes.
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PMID:Psychological and psychosexual implications of herpes simplex virus infections. 916 20

The scientific approach to preoperative stress includes the identification of stressors and the measurement of stress responses. The stress responses include physiological (sympathetic nervous system, hypothalamic--hypophyseal and adrenocortical system), psychological (anxiety, depression etc.) and behavioural ones. The choice of variables to be measured should allow answers for our questions, i.e., they must be adequate and economic, without or only minimal disturbance of the preoperative situation. The value of physiological and biochemical parameters is often overestimated. Their assessment is indicated in special scientific settings. For simple questions such as premedication studies, the measurement of blood pressure and heart rate is sufficient. Anxiety should be self-estimated by the patient, using visual analogue scales, questionnaires or adjective check lists. Depression and other emotional stress responses can be assessed if necessary. For physicians and nurses, an observation of the patient's behavioural stress responses is a useful criterion for assessing patient stress. One important stress-reducing approach is prevention: identification and avoidance of stressors. This includes organisation and a high degree of self-control by the medical personnel. Premedication with benzodiazepines is the most successful pharmacological approach.
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PMID:[Preoperative stress. Research approach and methods of treatment]. 944 73

The 10-14 week ultrasound scan has been introduced to routine prenatal care for early diagnosis of major defects and screening for chromosomal abnormalities. In about 3% of such scans, the diagnosis of missed abortion is made. Despite evidence of substantial emotional stress associated with early pregnancy loss, follow-up care is not routinely provided. The present study investigated the availability and effectiveness of such follow-up care in 204 women (median age, 36 years) from London, England, who received a diagnosis of missed abortion or anembryonic pregnancy at 10-14 weeks of gestation in 1995-96. At the time of the survey, 19-400 days after the ultrasound, clinically elevated anxiety and depression were observed in 45% and 15% of women, respectively. The mean grief score was 2.52, which exceeded that reported in another study of persons who suffered the death of a close relative (2.23). 187 women (92%) expressed the belief a follow-up appointment after diagnosis would have been desirable; 73 (36%) thought they would have benefited from emotional counseling. However, a follow-up appointment was offered to only 61 women (30%). Even among women offered a follow-up visit, 22 (42%) indicated they were not provided an opportunity to discuss their feelings about the miscarriage. Women who attended the follow-up but felt they were not given an opportunity to express feelings had significantly higher mean anxiety and depression scores than women who did not have follow-up care or those who attended the follow-up and discussed their feelings. Overall, these findings indicate that miscarriage and the evacuation of retained products of conception are traumatic experiences that are too often dismissed as routine by medical staff.
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PMID:Psychological outcomes following missed abortions and provision of follow-up care. 954 39

There is uncertainty about the etiology of transient global amnesia and none of the pathogenetic hypotheses proposed so far, i.e. transient ischemia, epileptic discharge and spreading depression of cortical electrical activity, is completely satisfactory. Using water suppressed proton magnetic resonance spectroscopy we studied one patient during a typical episode of transient global amnesia and 2 weeks thereafter in order to investigate the metabolic changes in the hippocampal region. In both hippocampi, spectra of N-acetyl-aspartate, creatine-phosphocreatine, compounds containing choline and lactate failed to show changes consistent with cerebral ischemia, both in the acute phase and in the follow-up. Spreading depression in response to emotional stress seems a likely explanation in this patient, who suffered from migraine in the past.
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PMID:Proton magnetic resonance spectroscopy during transient global amnesia. 955 91

Health care workers (n = 342) completed items examining their emotional experiences working with HIV-positive patients. Factor analysis produced two subscales: Personal Satisfaction and Emotional Stress. A subset of these care workers (n = 251) claimed increased stress and depression after 6 months. In a second study, 91 volunteer AIDS caregivers ("buddies") completed the inventory and the Attitude Toward AIDS Scale. Satisfaction subscores were related to frequent contact and Stress subscores were related to length of illness of persons with AIDS. Satisfaction subscores were related negatively to prejudice towards PWA, social discrimination against PWA, and positively to pro-attitudes toward PWA. Stress subscores were related to social discrimination and punishment for PWA.
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PMID:Experiencing satisfaction and stress as an AIDS care provider. The AIDS caregiver scale. 1012 70

A descriptive design with repeated measures was used to describe patterns of fatigue, emotional stress, and left ventricular (LV) function among 22 patients with myocardial infarction (MI) from day 5 postadmission to day 21 postadmission for the MI. The severity of fatigue in patients with MI during the subacute period ranged from 32 to 44 on the 100-mm Visual Analogue Scale for Fatigue. Severity of fatigue and depression remained the same; however, LV function improved (p < .01) and patients experienced more energy (p < .01) and less anxiety (p < .01) in the third week following MI. Researchers observed five different fatigue patterns: decreasing fatigue, increasing fatigue, unchanged low fatigue, unchanged-high fatigue, and a curvilinear fatigue pattern. The finding of five different fatigue patterns after an MI suggests that all patients with MI should not be treated as a uniform group assumed to have decreasing fatigue with the passage of time.
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PMID:Fatigue, mood, and hemodynamic patterns after myocardial infarction. 1084 1

There is a high prevalence of mental disorders in the community population of older adults, especially in medical treatment facilities. Therefore, clinicians who treat geriatric patients cannot neglect the psychiatric vulnerability of the elderly population. The fragility of psychological functioning of the elderly is caused not only by psychological contributors, such as various kinds of experiences of loss, but also by biological factors such as decreases in neurotransmitters and in the number of neurons. Another point geriatric clinicians should pay attention to is the powerful mind-body connection in the elderly. Recent psychoneuroimmunological research demonstrates that depression or other types of emotional stress damages the immune system, which can induce some physical diseases. This is especially true for the elderly, who have weakened cell-mediated immune function and are more susceptible to influence by the damaged immune function caused by such psychiatric dysfunction. Also, depression in the elderly can often lead to malnutrition or dehydration, which can induce various kinds of physical illness. On the other hand, physical illness in the elderly can induce depression, because of the psychological vulnerability of the elderly. Due to the strong mind-body connection in the elderly, the availability of psychiatric care is essential. When providing psychiatric care for the elderly, the clinician should attend to all symptoms, not minimizing the importance of biological treatment, while also trying to support the elderly patients psychologically through acceptance of their need for interdependency and respect for their narcissism.
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PMID:[Problems and strategies in the treatment of mental disorders in elderly patients with physical illness]. 1119 61

In the study reported, the authors examined risk factors for repeated hospital admissions for asthma in a rural/suburban setting. Charts of patients who were hospitalized two or more times with the diagnosis of asthma between June 1991 and January 1998 were reviewed. A questionnaire was completed for each admission for 65 patients. The results demonstrated an equal male-to-female ratio, with a mean age of 27 years. Hispanics represented 12% of the patients although they accounted for only 2.5% of the general population in the area under study. The mean number of hospital admissions was 3.2. A history of depression existed in 25% of the patients. Noncompliance was admitted in 38%. Twenty-five percent were active tobacco smokers. Acknowledged triggers of asthma included viral infections (74%), exercise (50%), weather conditions (43%), dust (38%), cats (36%), sinusitis (32%), pollen (32%), gastroesophageal reflux disease (31%), dogs (30%), smoke (28%), and emotional stress (15%). Medications at time of admission included albuterol (98%), salmeterol xinafoate (26%), theophylline (38%), ipratropium bromide (55%), nedocromil sodium (20%), cromolyn sodium (35%), prednisone (49%), and inhaled corticosteroids (69%). Ninety-five percent had access to a primary care physician. Fifty-seven percent had a pulmonary and 11% had an allergy consult. These data suggest that patients in rural/suburban areas with repeated hospitalizations for asthma have a high probability of noncompliance, depression, and allergenic triggers. Gastroesophageal reflux was a common recognized trigger. Inhaled steroids were underused, whereas ipratropium and theophylline were overused. Bilingual education on asthma and triggers and social support are necessary even in rural healthcare settings without a large minority population.
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PMID:A retrospective study of risk factors for repeated admissions for asthma in a rural/suburban university hospital. 1140 60

The enterosorbent noolit (representing a mineral matrix base with immobilized lithium and silicon compounds) significantly affects the psychoemotional state of mice with depression model induced by prolonged social emotional stress. Noolit administration produces a pronounced anxiolytic and antidepressant effect and reduced the level of behavioral deficiency in the test animals.
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PMID:[Effect of the enteric sorbent noolit on the psychoemotional status in mice]. 1154 98


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