Archives of Depression and Anxiety

Journal Information
EISSN: 24555460
Total articles ≅ 72

Latest articles in this journal

Bourin Michel
Archives of Depression and Anxiety, Volume 9, pp 001-004;

Bipolar disorder is a chronic illness, defined by a succession of depressive and/or manic periods separated by free intervals. Its evolution with aging is marked by a high suicide mortality rate. Bipolar disorders raise the question of their evolution when the age of the subject, in particular with regard to their frequency, their clinical characteristics, their prognosis and their management. The evolution of bipolar disorder with aging poses several difficulties in clinical practice due to its underestimated frequency and its misleading presentation and in particular by the presence of sometimes significant cognitive alterations leading sometimes to dementia.
Kizilhan Jan
Archives of Depression and Anxiety, Volume 8, pp 027-033;

The increasing size of displaced populations seeking protection in third countries, should be considered in public health and especially in Psychotherapy in that countries. Refugees from the Middle East, usually from collective cultures, require special skills and modifications in the treatment setting. The cultural formulation (CF) of illness and suffering, as described in the recent version of medical standard manuals, is part of this challenge. Besides bridging cultures, the specific nature of trauma, especially highly complex issues such as a genocidal environment, - in our case example - the both transgenerational and the immediate persecution experienced by the Yazidi ethnic and religious minority - the therapist must also consider aspects of distress caused by displacement and exile. The article discusses the needed adaptations in the therapeutic setting, using the case of a Yezidi woman surviving ISIS violence abduction. Within the framework of our treatment, she received cognitive behavioral therapy with individual and group therapies (multimodal interventions) over a period of 10 weeks. Besides establishing stability, safety and orientation and strengthening her self-consciousness, her traumatic experiences were considered from an individual, collective, socio - cultural and political point of view. Both the causes and maintaining conditions of the symptoms as well as the symptoms themselves are being worked on. The sensitive confrontation with the trauma was particularly helpful for the patient. In addition, she learned to participate actively in everyday life and in new social contacts again during therapy. She was able to overcome the passive - avoidant lifestyle since the traumatic event in a somewhat stable manner, although she will still need time to develop a stable perspective in the long term. She was offered the prospect of renewed follow-up treatment if necessary.
Sabherwal Puja, Kalra Namita, Tyagi Rishi, Khatri Amit, Srivastava Shruti
Archives of Depression and Anxiety, Volume 8, pp 019-026;

Dental anxiety is associated with the thought or idea of seeing the dentist and undergoing dental procedures. Anxiety-associated problems in the dental setting include avoidance of appointments, inability to provide successful dental care, and delay in optimal recovery. Anxiolysis is important to the level of being mandatory for suitable administration of dental care. Since times immemorial, dentists have struggled to manage anxiety successfully by employing changing concepts and strategies over time. Pharmacological modalities to allay anxiety-like sedation and general anesthesia are popular yet associated with an added cost per patient, side effects, expensive armamentarium, documentation, and patient monitoring. Non-pharmacological modalities for anxiety management have been employed over time but have limited nature of success. The use of hypnosis as a therapeutic modality for healing and resolving anxiety is known for over five thousand years and has been a part of many cultures over time. Progressive Muscle Relaxation, which was documented first in 1908 is based on the principle of releasing neuromuscular tension in the body which creates a state of emotional equilibrium. In the present paper, an in-depth review of the techniques i.e. Hypnosis and Progressive Muscle Relaxation is provided from the perspective of a dental clinician from historical evolution to practical recommendations. Both Hypnosis and Progressive Muscle Relaxation hold promise to be adjunct tools in the modern dentist’s armamentarium to manage anxiety.
Bourin Michel
Archives of Depression and Anxiety, Volume 8, pp 012-018;

Hysteria still exists, even if this stigmatizing term has been abandoned in favor of more descriptive terms (dissociative disorders, conversion disorders, functional disorders), and represents a frequent and disabling pathology. Even if in some situations, the establishment of a definitive diagnosis remains difficult, more and more clinical and paraclinical signs are developing to help in the diagnosis and the error rate is low. Thus, the clinician must currently make a positive diagnosis of conversion and no longer, as unfortunately often in the past, confine himself to evoking by default such a possibility in the face of an atypical picture accompanied by an extensive negative paraclinical assessment. The most probable etiology concerns triggering factors of a psychiatric nature (traumatic episode or psychic stress, vulnerability with a field of abuse in childhood, comorbidity of anxio-depressive disorders), which can, in turn, lead to changes in brain function, the exact neurobiological correlate of which remains to be determined, even if many leads have recently been suggested by brain imaging. The care of these patients requires an in-depth and specialized examination, if possible, with the help of a neurologist, then psychiatric care, combined with somatic follow-up. In the future, a better understanding of the etiological mechanisms will make it possible to develop more specific treatments.
Dar Javid Ahmad, Amber Shagufa
Archives of Depression and Anxiety, Volume 8, pp 005-012;

Objective: It is a systematic review on the COVID-19 and its post complication by using pulmonary rehabilitation as an intervention. This review paper aims at collecting, focusing, and presenting the current evidence and information on pulmonary rehabilitation to patients with COVID-19 and also its effect upon the HRQoL, ADL and mental health. Design: It is a systematic review, where 3756 studies were searched on the web of science, Scopus, PubMed, PEDro, and google scholar. published from 18th Jan 2020-19th Sep 2020. We searched the reference lists of selected studies, registries, international clinical trials, and respiratory conference abstracts to look for qualifying studies. Selection criteria; Randomised controlled trial, case reports, cohort and cross-sectional studies in which pulmonary rehabilitation as an intervention in COVID-19 patients and its effect on the HRQoL, ADL and mental anxiety depression health were included. Result: Eleven, out of 3765 studies were included, consisting of 4 RCTs, 4, cross-sectional, 2 case reports, and one cohort the studies evaluated effects of PR on HQoL, ADL, mental health, anxiety, and depression. In COVID-19 patients. The 11 studies included evaluated HQoL, ADL and mental health. among these Four studies reported using SF-36, IE (impact of the event) scale, and VAS. Three studies evaluated ADL through the FIM scale and Barthel index. Five studies evaluated mental health, depression, and anxiety using SDS (Self-Rating Depression Scale), SAS (Self-Rating Anxiety Scale), STAI (State-Trait Anxiety Scale), PHQ-9 (physical health questionnaire), MHLS(Mental Health Lifestyle Scale) and HADS(hospital anxiety and depression scale). Conclusion: The studies included in this systematic review showed that PR is an effective treatment option for patients with COVID-19, its post complications, and the effects upon HQoL, ADL, mental health, depression, and anxiety. There is a future need for more studies of a high methodological quality addressing PR effects on COVID-19 patients. Trial registration number: PROSPERO CRD42020209619.
Shabbir Umer, Tanveer Wassam, Warraich Rameeza, Iftikhar Saad, Afzal M Umer, Azan M
Archives of Depression and Anxiety, Volume 8, pp 001-004;

Objective: The objective of this study was to determine the prevalence, incidence, and related variables of anxiety and depressive disorders among physical therapy students in Faisalabad's private institutes. Material and methodology: This is a cross-sectional study including medical students from the University of Faisalabad's Department of Physical Therapy. Using convenient sampling, 98 subjects were enrolled in the study after the ethics committee approved it. Questions about socio-demographic characteristics like gender, age, and parental education were included in the data collection tool. Descriptive results are represented in the form of Mean ± S.D. Chi-square test was applied for comparison of anxiety and depression with other variables. Checked significance at p-value 0.05. Results: Out of 98 participants, 63(64%) were male and 35(36%) were female. Out of 98 participants, 31(31.36%) were in age group pf 18-22 years, 39(39.79%) were in age group of 23-26 years and 28(27.57%) were in age group of 27-30 year. Average of age was 25.22 ± 2.19 years. Semester wise students included in the study out of 98 26.53% belonged to 2nd semester. 32.65% belonged to 4th semester and 40.85% belonged to 6th semester. After checking the association between variables and anxiety and depression significant difference were found between all variables with p-values less than 0.05. Conclusion: The study discovered high discomfort among physical therapy students. Furthermore, no significant gender variations in the incidence of anxiety and depression were found. Anxiety and depression have a significant societal and individual cost, including failure in clinical and written exams, medical dropouts, professionalism and personality development.
S Verhülsdonk, K Dietrich, Ak Folkerts, J Christl, B Höft, T Supprian, E Kalbe
Archives of Depression and Anxiety pp 040-049;

Aim: Against the background of the rising number of elderly people being incarcerated and the rare data on this special subgroup, the aim of our study was to collect first empirical data on the affective state of elderly prisoners in North Rhine Westphalia, Germany. Methods: Data were collected in nine German prisons. We included elderly prisoners from pretrial prevention, penal sentences, open enforcement, preventive detention and from special detention units for elderly inmates. For the evaluation of the affective state, we used the Patient Health Questionnaire (PHQ-9). Sociodemographic and crime-related characteristics were documented. Findings: In total, n=116 prisoners (91.4% male) were included. The age ranged from 53 to 91 years (65.6±6.3 years). In our sample, 48% reported at least mild depressive symptoms, which is a significantly higher prevalence of depressive symptomatology than in the general population aged 60 years and older. Differences were found with regard to the type of detention, as prisoners in open enforcement showed significantly less symptoms compared to those in pretrial prevention and preventive detention. The participants reported in general more somatic symptoms as sleep disturbances and fatigue compared to mood items as feelings of sadness. Originality: It is the first study assessing the affective state of older prisoners in Germany. The high rate of depressive symptoms in our sample is in line with findings from international studies underlining the need for adequate diagnostics and therapy. In addition, in a previous study depression was indirectly linked with a greater risk of re-incarceration, fortifying the need for successful treatment of depression in prison both for the individuum and for society.
de Azevedo Maria Joana Nunes
Archives of Depression and Anxiety pp 038-039;

Between 2017 and 2019 I went through the experience of depression and consequently I developed anxiety. In the beginning, in the months of November and December 2017, I found myself in a deep despair, not knowing how to identify what was happening. As an intervention, I went through consultations with the psychologist, where I had conversations, writing and positive affirmations. After these consultations I improved and got out of my depressed state. Awareness in the consultations with the psychologist made me realize how far I was from who I am and from this contact with a professional I was able to gain clarity about my condition and learned techniques to maintain my self-care constant.
Naqi Sana, Faizan Kainat, Chandio Fayaz, Ali Aadil Ameer, Waqas Shoaib, Bhatti Suhani, Bachani Aiman
Archives of Depression and Anxiety pp 034-037;

Objective: To Compare the Level of Mental Stress among Exercising and Non-Exercising under graduate Physiotherapy Students of LUMHS, Jamshoro. Methodology: A cross sectional survey was conducted from October to December 2019, and the data was collected from the undergraduates students of Institute of Physiotherapy & Rehabilitation Sciences, Liaquat University of Medical and Health Science Jamshoro, Pakistan. The Perceived Stress Scale (PSS) was used among 194 undergraduate physiotherapy students. Apart from the demographics (age, gender, education & locality) the PSS questionnaire consist of 10 questions. The Statistical Package for Social Sciences (SPSS) version 22 was used to interpret the data. Result: The majority (n=101, 51.7%) were from the age group of 18 to 21 years and (n=127, 65.1%) were female. Mostly (n=49, 25.1%) were the students of 1st year Doctor of Physical Therapy and (n=116, 59.4%) of the students were the residents of urban area. Among the non-exercising group of students majority (n=66,68%) were suffering from low level of mental stress, (n=33,34%) were suffering from moderate level of mental stress and (n=24,24.7%) were suffering from severe level of mental stress followed by the exercise group, in which (n=40,41.2%) were suffering from low level of mental stress, (n=21,21.6%) were suffering from moderate level of mental stress and (n=10,10.%) were suffering from severe level of mental stress. Conclusion: The study finalized that the exercising group of students had lower level of mental stress as compare to the non-exercising group of students. However both groups have the individuals with mental stress but the exercising students group had low number of those individuals.
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