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

Patient anxiety is a common problem identified by nurses. However, the difficulty of assessing the level and significance of the anxiety is problematic. This paper discusses the issue of measuring patient anxiety, specifically in Coronary Care. As well as discussing physiological measures, three appropriate psychometric instruments are identified (the State-Trait Anxiety Inventory--STAI; the Hospital Anxiety and Depression Scale--HAD; a Linear Analogue Anxiety Scale--LAAS), along with a review of the relevant literature. Systematic anxiety measurement, and management of maladaptive anxiety would appear to be appropriate and meaningful nursing functions within the provision of holistic patient care in Coronary Care.
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PMID:Measuring patient anxiety in coronary care. Part 1. 139 55

An exploratory factor analysis of the HAD was carried out in 568 cancer patients. Two distinct, but correlated, factors emerged which corresponded to the questionnaire's anxiety and depression subscales. The factor structure proved stable when subsamples of the total sample were investigated. The internal consistency of the two subscales was also high. These results provide support for the use of the separate subscales of the HAD in studies of emotional disturbance in cancer patients.
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PMID:The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. 181 80

A series of 36 patients who had been hospitalized following closed head injury (CHI) were followed up 4.06 (SD 3.71) years after the injury. Measures were taken of degree of psychosexual dysfunction (Golombok Rust Inventory of Sexual Satisfaction-GRISS), general psychiatric morbidity (General Health Questionnaire-GHQ), and clinical anxiety and depression (Hospital Anxiety and Depression Scale-HAD). These measures were completed by patients and partners. Resulting data revealed that 50% of male patients with current sexual partners produced psychosexual profiles that fell within the dysfunctional range. For both male patients and their partners, the chief psychosexual complaint was infrequency. Of the patients studied, 61% were classified (using the GHQ) as having degrees of emotional distress that would fall within the range of psychiatric 'caseness', while 25% of patients achieved HAD criteria for clinical anxiety and 22% met HAD criteria for depression. Of the partners, 41% met GHQ criteria for psychiatric 'caseness', 18% being classified using the HAD as anxiety cases and 6% as depression cases. No effects of severity of injury were observed on any of the main outcome measures. Age and time since injury were related to measures of psychosexual dysfunction. These results are discussed in relation to the existing literature on psychosocial outcome in closed head injury, and recommendations for therapeutic intervention are made.
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PMID:Psychosexual and psychosocial sequelae of closed head injury. 193 79

Using the HAD scale, anxiety and depression were assessed in 18 mothers of mentally retarded psychotic children and a comparative group of 18 mothers of children with motor handicaps. Anxiety and depression scores were significantly higher among the mothers of the psychotic children, although no definite signs of depression were recorded.
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PMID:Anxiety and depression in mothers of children with psychotic disorders and mental retardation. 229 7

Twenty Asian psychiatric patients suffering from neurotic illness completed the Urdu version of the HAD Scale. The results were compared with the Clinical Interview Schedule. Somatic symptoms were significantly related to various measures of anxiety but not to those of depression. This finding contradicts the previously held view of linking somatic symptoms with the presentation of depression.
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PMID:The evaluation of psychiatric illness in Asian patients by the Hospital Anxiety Depression Scale. 229 14

One hundred and sixty two consecutive patients attending a clinic for inflammatory bowel disease (91 Crohn's, 71 ulcerative colitis) were assessed for the presence of anxiety and depression using a simple self-rating questionnaire (HAD scale) and a detailed evaluation (DSM-III). The overall prevalence of psychiatric illness (DSM-III) in ulcerative colitis and Crohn's disease was 34% and 33% respectively. There was no statistically significant association in ulcerative colitis patients between the presence of psychiatric illness and the present physical illness. Psychiatric illness was more common in the physically ill patients with Crohn's disease, compared with those who were well: 50% v 8% (p less than 0.01), using (HAD) criteria 66% v 37% (p less than 0.001). The presence of patients between the presence of psychiatric illness and the presence of physical illness. Psychiatric who were well: 50% v 8% (p less than 0.01) by DSM-III criteria, using (HAD) criteria 66% v 37% (p less than 0.001). The presence of psychiatric illness adversely affected physical recovery. Seventeen percent recovered when psychiatrically ill v 53% when psychiatrically well (p less than 0.025). The HAD scale was assessed as a screening method for psychiatric illness in this medical setting and had a sensitivity of 76% and a specificity of 79%.
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PMID:Psychiatric illness in patients with inflammatory bowel disease. 342 87

The Arabic version of the HAD scale was validated in a sample of 50 Saudi patients. The scale scores were assessed against the principal author's clinical evaluations. Spearman correlations of all items of the scale, except for one, were statistically significant. The non-significance of one item was probably related to the way it was translated into Arabic. The study furnished evidence that the Arabic version was a reliable instrument for detecting states of anxiety and depression in Saudi patients in a primary health care setting.
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PMID:Validity study of the Hospital Anxiety and Depression Scale among a group of Saudi patients. 344 14

There is substantial evidence of the importance of rehabilitation for patients recovering from acute myocardial infarction in reducing mortality, morbidity, and psychological distress. The aim of this study was to compare a recently established home-based coronary rehabilitation programme in a coronary care unit (CCU) with the provision of a selection of information leaflets commonly provided for patients after their myocardial infarction. A comparative study was carried out between two randomly allocated groups of patients receiving either the Heart Manual rehabilitation programme (n = 17) or general advice and information booklets (n = 17), with follow-up at 1, 3 and 6 weeks after discharge for both groups. Questionnaire measurements included anxiety and depression (HAD score), general practitioner (GP) visits, and patients' perception of their confidence of recovery and progress. The findings show that patients receiving the Heart Manual had significantly higher scores in their confidence of recovery and perception of their progress than the group receiving booklets. The Heart Manual group showed improved levels of anxiety with unchanged scores in depression, while patients receiving the booklets experienced increased depression with little change in their anxiety levels. These results help to provide guidance for health care professionals on a form of rehabilitation which is effective for patients and their families in hospital and within the community.
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PMID:Evaluation of a home-based rehabilitation programme for patients recovering from acute myocardial infarction. 771 93

This paper compares the State-Trait Anxiety Inventory (STAI), Hospital Anxiety and Depression Scale (HAD Scale) and a Linear Analogue Anxiety Scale (LAAS) for evaluating anxiety in patients with acute ischaemic heart disease. The instruments were examined for correlation, reliability and internal consistency. Strong associations were demonstrated at pre-test between the STAI and the other scales. Moderate coefficients between HAD-A and HAD-D/LAAS were also apparent. Lower correlations were found at post-test than at pre-test. At post-test, strong inter-correlations occurred for STAI/LAAS. The HAD Scale demonstrated high test-retest reliability, while the STAI and LAAS were moderate in their reliability in this sample. The adequate correlation between the instruments suggest that each is a valid and appropriate measure of anxiety in this clinical sample.
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PMID:Comparison of three instruments for measuring patient anxiety in a coronary care unit. 840 Jul 49

It is the aim of this article to provide an overview of difficulties in children with poor growth enrolled in an intensive community intervention trial for failure to thrive (FTT). Children were assessed for developmental delay (Bayley test), inadequate diet, iron deficiency, eating and other behavioural problems, and maternal anxiety and depression (HAD Scales). Sixty-three children aged 6 months to 2 1/2 years were studied. The majority of children were from families living in poverty with many from divorced, separated or single families. On developmental testing (Bayley Developmental Scales) 55% were delayed, 27% severely. Seventy-seven per cent had caloric intakes below the expected average requirement (EAR) with 19% reported at less than 50% of requirements. Iron intakes were similarly low and one-third had iron deficiency anaemia on testing. Sixty per cent of children were reported to have eating difficulties, principally in terms of responding negatively to food. Eating difficulties had commonly presented within the first weeks of life. Other behavioural and sleeping difficulties were also common. Children identified as failing to thrive in the community are likely to have associated developmental, dietary and behavioural problems which may not be immediately evident and to an extent which may require intensive multidisciplinary involvement.
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PMID:What do we know about children who fail to thrive? 881 27


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