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Purpose The primary aim of this pilot study was to examine the feasibility of codelivering a mental health intervention with an evidence-based type 2 diabetes (T2DM) boot camp care management program. The preliminary impact of participation on symptom scores for depression and anxiety and A1C was also examined. Methods This was a 12-week, non-randomized pilot intervention conducted with a convenience sample of adults with uncontrolled T2DM and moderate depression and/or anxiety at an urban teaching hospital. Co-management intervention delivery was via in-person and telehealth visits. Participants were assessed at baseline and 90 days. Results Participants (n = 18) were African American, majority female (83%), and age 50.7 ± 13.4 years. Significant improvements in mental health outcomes were demonstrated, as measured by a reduction in Patient Health Questionnaire − 9 scores of 2.4 ± 2.9 ( P = .01) and in Generalized Anxiety Disorder − 7 scores of 2.3 ± 1.9 ( P = .001). The pre-post intervention mean A1C improved by 3.4 ± 2.1 units from 12% ± 1.4% to 8.5% ± 1.7% ( P < .001). Conclusion The data generated in this pilot support the feasibility of delivering a diabetes and mental health co-management intervention using a combination of in-person and telemedicine visits to engage adults with T2DM and coexisting moderate depression and/or anxiety. Further research is warranted.

Perubahan fisik dan psikis yang dialami ibu hamil terutama perubahan hormonal menimbulkan gejala mual dan muntah di awal kehamilan. Mual dan muntah yang berlebihan pada awal kehamilan dan berlangsung terus menerus selama kehamilan akan menyebabkan komplikasi fisik dan psikologis. Adanya masalah psikologis pada ibu hamil dapat menyebabkan mual dan muntah yang kemudian memburuk. Masalah emosional juga berkaitan dengan kejadian mual dan muntah yang semakin parah. Metode: Penulis melakukan pencarian ekstensif oleh jurnal ilmiah melalui database terpercaya dan sering digunakan, yaitu PubMed, Springer, dan Science Direct. Kata kunci yang digunakan adalah "hiperemesis" DAN "psikologis" dengan filter publikasi jurnal, 4 tahun terakhir, uji klinis acak, tinjauan sistematis, meta-analisis, subjek penelitian manusia. Kesimpulan: asuhan yang menitikberatkan pada ibu dengan menerapkan prinsip holistic care , dimana pasien tidak hanya mendapatkan asuhan kebidanan secara fisik dan biologis tetapi meliputi psikologis, sosial, spiritual dan budaya dengan melibatkan suami dalam asuhan kebidanan terbukti dapat mempercepat pemulihan fisik dan psikologis penderita hiperemesis. Kata kunci: hiperemesis, psikologis, kecemasan.

Objective This study was to determine the effect of prenatal yoga on the anxiety level of third trimesters pregnant women in the Singgani Health Center before and after being given yoga pregnancy. Method The method in this study is a type of pre-experimental research that uses the one group pre-test – post-test approach. The samples in this study were 48 subjects using a purposive sampling technique. Prenatal yoga was given to third trimesters pregnancy gestational weeks 30–37 age; the level of anxiety of pregnant women was measured by Interviews using questionnaires. Analysis in the study used the Wilcoxon test. Results Before the intervention of yoga, pregnancy has severe anxiety that is equal to 58.3%, mothers who are not anxious 2.1%, mild anxiety levels 2.1%, mothers who have moderate anxiety levels of 37.5%. After pregnancy yoga, most mothers had a mild anxiety level of 54.1%, mothers who did not have the anxiety of 16.7%, and mothers who had moderate and severe anxiety levels of 14.6% each. Wilcoxon test showed significant statistics. Conclusion This study indicated that prenatal yoga could influence the anxiety level of pregnant women.

Purpose: Thermal imaging is a technology that is able to capture images quickly and provide results with high resolution so that it is able to provide accurate results about the temperature picture. The purpose of this study was to examine if there were differences in anxiety conditions at facial temperatures measured using thermal imaging.Methodology:Eighty-one participants were taking the pre-clinical exams was chosen as the inclusion criteria and were divided into four categories of anxiety range (not anxious, mild anxiety, moderate anxiety, and severe anxiety) based on their score measured that using the General Anxiety Disorder (GAD-7) as the instrument. The participants were measured their face temperature using thermal imaging on the upper forehead (frontal) and left-right forehead (temporal). Data was analyzed to show the characteristic of anxiety level on the frontal and temporal temperature. There were difference anxiety conditions (no anxious, mildly anxious, moderate anxious and severe anxious) to thermal imaging face temperatures in the frontal and temporal.Main findings: The results showed that more increased the temporal and frontal of face temperature, more severe the anxiety. There is a significant negative relationship betweenface temperature and anxiety level (p

Antecedentes: Las personas que sienten miedo y ansiedad muestran peores condiciones de salud bucal, postergando las citas odontológicas hasta tal punto de evitarlas. Objetivo: Determinar los factores asociados al miedo y la ansiedad en pacientes atendidos en las clínicas de la Facultad de Odontología de la Universidad Cooperativa de Colombia. Materiales y métodos: Se realizó un estudio cuantitativo tipo descriptivo transversal con 198 pacientes atendidos en las clínicas de la facultad de Odontología. Se aplicaron las encuestas: Dental Fear Survey (DFS), Escala de Ansiedad Dental de Corah Modificada (MDAS) y una tercera encuesta para identificar: características sociodemográficas y elementos, situaciones y sensaciones asociados a miedo a la ansiedad durante la consulta. Resultados: El 92,4% de los participantes presentaron algún grado de miedo y el 48,7% ansiedad en la consulta odontológica. La presencia del miedo y ansiedad se encontró asociada a experiencias previas en la consulta odontológica (Vp

Aim: The aim of the study was to determine the acceptability and feasibility of an intervention to support women with mild to moderate anxiety in pregnancy.Design: The intervention development and feasibility testing followed the MRC guidelines for complex interventions. A feasibility study was conducted between April - May 2016.Methods: Qualitative and quantitative data were collected to assess the acceptability and feasibility of the intervention. The intervention was delivered in three components: pre-group individual meeting with the midwife; group sessions; guided self-help resources. The intervention was facilitated by midwives and co-facilitated by midwifery support workersResults: Eight women with self-reported symptoms of mild to moderate anxiety participated in the study. Women reported an improvement in anxiety symptoms and felt they had benefitted from participation. Accessing social support from other women in similar circumstances had helped women to feel less isolated and facilitated open and honest discussions. Women valued the involvement of the midwife facilitator to support their wellbeing and provide specific advice about their pregnancies.Conclusions: The intervention design appeared to be acceptable and beneficial for this group of women. This study highlights the potential for midwives to facilitate supportive interventions to enhance the current provision of emotional support for women with anxiety symptoms in pregnancy and address the current gap in services. The intervention is potentially feasible for introduction into current clinical practice with minimal additional resources.

Aims To compare the prevalence of psychological symptoms (depression, anxiety, and stress) in women with urinary incontinence (UI), according to the presence or absence of myofascial dysfunction (MD) in the pelvic floor muscles (PFMs). Methods Cross-sectional study, with women with UI who are 18 years old and over. The diagnosis of MD was defined by the pain of any intensity during the palpation of PFM. All participants answered the International Consultation on Incontinence Questionnaire-Short Form and the International Consultation on Incontinence Questionnaire Overactive Bladder for urinary symptoms and the Depression Anxiety and Stress Scale-Short Form-21 to check for the presence and degrees of depression, anxiety, and stress. Results Two hundred-thirty-four women with a mean age of 52.5 (±9.2) years were included. Almost half (51.7%) of women had MD. Women with MD showed higher mild and moderate anxiety scores (p = .005) and higher mild, moderate, and severe stress scores (p = .027) than women without MD. Depression scores were not associated with MD; however, women with and without MD reported severe or extremely severe depression, anxiety, and stress. Conclusions The risk for depression, anxiety, and stress is high among women with UI regardless of the presence of MD. However, women with MD had higher scores for anxiety and stress than women with UI without MD.

Colles fracture is 15% of the whole fracture incidents in adults, and joint stiffness is the most common complication. Anxiety is one of a variety of factors strongly associated with an increased risk of disability and pain intensity in patients with musculoskeletal disorders. This study aims to identify the relationship between anxiety and the level of joint stiffness in Colles fracture patients. This research is an observational analytic study with a cross-sectional design . Data collection was carried out in the physiotherapy of PKU Muhammadiyah Gamping Hospital from March to October 2018 by interview using a questionnaire. Data were analyzed using the Spearman correlation test . The result of the study with 13 respondents showed 9 people (69.2%) did not experience anxiety, one person (7.7%) experienced mild anxiety, one person (7.7%) was in moderate anxiety, and two others were in severe anxiety (15.4%). Meanwhile, in terms of the level of joint stiffness, three people (23.1%) were in mild stiffness, three people (23.1%) were in moderate stiffness, six people (46.2%) were in severe stiffness, and one person (7.7%) was in highly severe stiffness. Statistical test of the relationship between anxiety and the level of joint stiffness in patients with Colles fracture showed no significant correlation (p=0.808). It can be concluded that there was no relationship between anxiety and the level of joint stiffness in fracture patients.

Background: Pregnancy is a valuable thing, but also one of the great stresses for a woman both physically and mentally. Pregnant women with high anxiety will increase the risk of hypertension, difficulty sleeping and stroke, seizures and even death in the mother and fetus. In Puskesmas Ponorogo district the number of pregnant women as much as 5903 mothers, while in health centers Jetis the number of pregnant women as many as 200 mothers. Interview results, 21 out of 27 mothers said were very anxious during her pregnancy. The purpose of this study was to analyze the factors of social support for anxiety in pregnant women. Subjects and Methods: The type of research is analytical with cross-sectional approach. The location of research at Jetis health center Ponorogo regency. Research conducted on September 1 to October 15, 2016. Sample of 30 pregnant women using proportional random sampling technique. Dependent variable is anxiety, while independent variable is social support. Data collection techniques using questionnaires. Data analysis using Spearman's Rho using SPSS 18.0 for windows computer program. Results: The results showed that from 40 respondents, almost half were 13 (32.5%) multiparous had mild anxiety and nearly half were 13 (32.5%) primipara experienced moderate anxiety. of the 40 respondents, nearly half (12%) of 3 trimester pregnant women had moderate anxiety and a small proportion of 9 (22.5%) of 2 trimester pregnant women had mild anxiety. The result of calculation using spearman's rho statistic test obtained p = 0,006

Students in their college years confront many obstacles. One of the main problems they face is how to deal with anxiety especially study anxiety, which in turn affect their adjustment to college (Vitasari, Wahab, Othman, Herawan and Sinnadurai, 2010). Hence, the present study was done to nd the differences in Test anxiety and Educational adjustment of the Engineering students and arts students and to nd the relationship between them. Using purposive sampling, 70 students [35 arts and 35 engineering] were selected. Test Anxiety Scale and Educational Adjustment sub-scale of the Adjustment inventory for college students by Sinha and Singh were the tools used. It was found that None of the students had Excellent Education Adjustment. 50% of the sample had Unsatisfactory Educational Adjustment and 11% of the sample had very unsatisfactory adjustment. The mean differences in Educational adjustment (t= 0.248) and Test Anxiety (t= 0.635) of the Engineering and Arts students was not statistically signicant. Very High Anxiety was present in 7% of the samples and 13% had High Anxiety. Moderate Anxiety was found in 40% and low Anxiety in 4% of the sample. The correlation between Educational Adjustment and Test Anxiety (r=-0.04489) indicated a weak and non-signicant negative correlation.

Sporadic cases of Middle East respiratory syndrome caused by a novel corona virus (MERS-CoV) were first detected in Saudi Arabia in June 2012. The number of cases was highest during April and May 2014. To assess determinants of psychobehavioural responses among the general population in Jeddah, western Saudi Arabia, a cross-sectional survey was conducted at the end of June 2014. Data included sociodemographic characteristics, level of anxiety, protective measures and social avoidance responses. A total of 358 participants completed the questionnaire; 58.4% were female, and the age range was 18-72 years. None of the participants was diagnosed with MERS-CoV. More than half (57.7%) recorded a moderate anxiety score using a visual analogue scale. Anxiety level was significantly associated with increased perception of susceptibility to infection and social avoidance behaviours related to travel and being in public places.الاستجابة النفسية السلوكية لفروس كورونا الجديد المسبب لمتلازمة الرق الأوسط التنفسية (2014) لدى البالغن في مجمعن للتسوق في جدة، غرب المملكة العربية السعودية.نسرين سعيد النجار، لجين مدحت عطار، فيصل مصطفى فرحات، عبد الحكيم عقاب الثقفي.تم اكتشاف متلازمة الرق الأوسط التنفسية التي يسببها فروس كورونا أولاً في المملكة العربية السعودية في يونيو/حزيران 2012 .ولقد بلغ عدد الحالات أعى مستوى له خال شهر أبريل/نيسان 2014. ولتقييم محدِّدات الاستجابة النفسية والسلوكية بن عامة السكان في جدة، الواقعة غرب المملكة العربية السعودية، تم تنفيذ مسح مقطعي في نهاية شهر يونيو/حزيران 2014. وتضمنت المعطيات الخصائص الاجتماعية والسكانية، ومستوى القلق، والتدابر المتخذة للوقاية، والاستجابة بالتجنب الاجتماعي. ولقد استكمل الاستبيان 358 مشاركاً في الدراسة، وكان %58.4 منهم من النساء، وكانت الأعار تراوح بن 18 و 72 عاماً. ولم يسبق لأحد من المشاركين أن شخص لديه الإصابة بفروس كورونا الجديد المسبب لمتلازمة الرق الأوسط التنفسية. ولقد سجل أكثر من نصف المشاركين (% 57.7) درجة معتدلة من القلق باستخدام مقياس القياس البري المضاهئ. وقد ترافق مستوى القلق مع زيادة ذات أهمية لإدراك قابلية التعرض للعدوى ولسلوكيات اجتماعية للتجنب تتعلق بالسفر وبالحضور في الأماكن العامة.Réactions psycho-comportementales à l’infection par le coronavirus du syndrome respiratoire du Moyen- Orient (MERS-CoV) de 2014 chez des adultes interrogés dans deux centres commerciaux de Djeddah, dans l’ouest de l’Arabie saoudite.Des cas sporadiques d’infection par le coronavirus du syndrome respiratoire du Moyen-Orient (MERS-CoV) ont été détectés pour la première fois en Arabie saoudite en juin 2012. Le nombre de cas le plus élevé a été observé en avril et mai 2014. Afin de mesurer les déterminants des réactions psycho-comportementales de la population générale de Djeddah, dans la partie occidentale de l’Arabie saoudite, une étude transversale a été conduite fin juin 2014. Les données incluaient les caractéristiques socio-démographiques, le niveau d’anxiété, les mesures de protection et la mise en place de mesures d’éviction sociale. Un total de 358 participants ont rempli le questionnaire, dont 58,4 % de femmes, les âges étant compris entre 18 et 72 ans. Le MERS-CoV n’a été diagnostiqué chez aucun patient. Plus de la moitié (57,7 %) a rapporté un score d’anxiété modéré en se basant sur une échelle visuelle analogue. Le niveau d’anxiété était associé de façon significative à une perception augmentée de sensibilité à l’infection et au phénomène d’éviction sociale lié à la possibilité de voyager ou de se rendre dans les lieux publics.

With exposure emerging as a key ingredient in anxiety treatment for childhood anxiety disorders (CADs), expansion of exposure techniques is a promising avenue for improving treatment efficacy. The present study examined use of imaginal exposure (IE), a technique understudied in the treatment of CADs. Specifically, the study tested whether two forms of exposure to worries (verbal IE and virtual reality exposure therapy, VRET) would be effective and acceptable forms of exposure with youth. Twenty youth with fears of academic failure completed both types of worry exposure, presented in randomized order. Regardless of order of presentation, both verbal IE and VRET elicited moderate anxiety that decreased to mild over the span of the exposures. Both were found to be acceptable by youth and neither was associated with negative side effects. Youth found VRET to be slightly more interesting and novel, but noted that verbal IE was more realistic and individualized. The present study supports the use of standalone worry exposure as an effective and acceptable treatment for general worries in youth and suggests VRET could be more effective with improved realism.

Objetivo: evaluar la asociación entre ansiedad, sobrepeso y obesidad en derechohabientes mayores de edad adscritos a una unidad de medicina familiar. Métodos: se llevó a cabo un estudio transversal analítico en la Unidad de Medicina Familiar (umf) no. 77 del Instituto Mexicano del Seguro Social (imss), Estado de México, de marzo a octubre de 2019; se incluyó a derechohabientes de 18 a 65 años, de ambos sexos, que presentaran sobrepeso u obesidad. Para determinar el grado de ansiedad se utilizó el Cuestionario de Ansiedad Estado-Rasgo (stai) y se determinó el índice de masa corporal (imc). Se realizó análisis descriptivo con medidas de tendencia central y se utilizó la prueba de χ2 para analizar la asociación de variables. Resultados: se incluyeron 282 pacientes, 32 de ellos presentaron sobrepeso, 117, obesidad grado I, 100, obesidad grado ii y 33, obesidad grado iii. Al evaluar el grado de ansiedad, 37 pacientes manifestaron no presentar esta entidad, 109, presentaron ansiedad leve, 88, ansiedad moderada y 48, ansiedad severa. Se determinó una asociación estadísticamente significativa (pConclusión: la mayoría de los pacientes analizados presentó algún grado de ansiedad; existe una asociación estadísticamente significativa entre ansiedad, sobrepeso y obesidad; es necesario realizar un diagnóstico y tratamiento oportuno para evitar complicaciones futuras asociadas a las variables de estudio.

Objective:The research about follow-up patterns of women attending high-risk breast-cancer clinics is sparse. This study sought to profile daughters of breast-cancer patients who are likely to return versus those unlikely to return for follow-up care in a high-risk clinic.Method:Our investigation included 131 patients attending the UCLA Revlon Breast Center High Risk Clinic. Predictor variables included age, computed breast-cancer risk, participants' perceived personal risk, clinically significant depressive symptomatology (CES–D score ≥ 16), current level of anxiety (State–Trait Anxiety Inventory), and survival status of participants' mothers (survived or passed away from breast cancer).Results:A greater likelihood of reattendance was associated with older age (adjusted odds ratio [AOR] = 1.07, p = 0.004), computed breast-cancer risk (AOR = 1.10, p = 0.017), absence of depressive symptomatology (AOR = 0.25, p = 0.009), past psychiatric diagnosis (AOR = 3.14, p = 0.029), and maternal loss to breast cancer (AOR = 2.59, p = 0.034). Also, an interaction was found between mother's survival and perceived risk (p = 0.019), such that reattendance was associated with higher perceived risk among participants whose mothers survived (AOR = 1.04, p = 0.002), but not those whose mothers died (AOR = 0.99, p = 0.685). Furthermore, a nonlinear inverted “U” relationship was observed between state anxiety and reattendance (p = 0.037); participants with moderate anxiety were more likely to reattend than those with low or high anxiety levels.Significance of Results:Demographic, medical, and psychosocial factors were found to be independently associated with reattendance to a high-risk breast-cancer clinic. Explication of the profiles of women who may or may not reattend may serve to inform the development and implementation of interventions to increase the likelihood of follow-up care.

Myocardial Infarction, Anxiety, Length of Stay . The purpose of nursing care of cardiovascular patients are to repair hemodynamic, to suffice oxygen need and to decrease anxiety. AMI patients who are undergoing treatment can use anxiety and may the length of stay . Research purpose to determine the relationship between the anxiety and length of stay in myocardial infarction patients at ICVCU Dr. Moewardi General Hospital. This study is descriptive analytic correlation using cross sectional approach . The subject is all AMI patients. The sampling technique using in this research is total sampling. A questionnaire was constructed to collect data. The collection data was analyzed by using spearman. Re trieved from 30 respondents, it is the average age of patients with myocardial infarction is 51-65 (63,3%) and the majority of the majority of the male gender with percentage 63,3%. Majority of AMI patients moderate anxiety with percentage 43,3% and long of stay fast with a percentage 56,7%. Analysis of test result obtained probality value 0.41 . Based on the analysis it can be concluced that there is a significant relationship between anxiety and length of day in myocardial infarction patient at ICVCU Dr. Moewardi General Hospital Surakarta. Keywords : Myocardial Infarction, Anxiety, Length of Stay Link OJS 3 artikel HUBUNGAN TINGKAT KECEMASAN DENGAN LAMA HARI RAWAT PADA PASIEN AKUT MIOKARD INFARK (AMI) DI RUANG ICVCU RSUD DR. MOEWARDI SURAKARTA

Background: Affective disturbances can influence the attitude toward smoking in patients with various diseases. This study aims to assess the level of anxiety and its influence on smoking behavior in a group of adult patients with community-acquired pneumonia (CAP). Methods: The study included 64 smokers with CAP admitted in the Clinic of Infectious Diseases, Timisoara between 2012 and 2014. All patients answered the State Trait Anxiety Inventory-X2 anonymous test. The final scores allowed the classification of patients by their level of anxiety: minimal (score below 40), moderate (score 40-60) and severe (score over 60). Other variables were: sex, education, number of cigarettes smoked/day, etc. The obtained data was statistically processed with EpiInfo 6 program. Results: Out of study group, 40 patients (62.51%) were male and 24 (37.50%) werewomen; and were recorded43 patients withsevere anxiety and 21 with moderate anxiety (p=0.02); 22 patients were smoking less than 10 cigarettes/day and 42 patients were smoking more than 10 cigarettes/day were smoking (p=0.04); Out of the 22 patients who were smoking less than 10 cigarettes/day, 18 patients showed with moderate anxiety and 4 withsevere anxiety were reported. Out of the 42 patients who were smoking more than 10 cigarettes/day, 36 withsevere anxiety and 6 with moderate anxietywere reported.Only 13 (20.31%) patients accepted anti-smoking counseling. Conclusions: Taking in to consideration the level of anxiety among the patients with CAP leads to an increased number of cigarettes smoked/day, it is required to establish programs in order to enhance the level of medical education and to support the anti-smoking counseling.

// Yaru Zou 1,2,4,* , Waiian Leong 1,2,3,* , Mingling Yao 1,3 , Xuefei Hu 1,5 , Sixiao Lu 6 , Xiaowei Zhu 1,3 , Lianxiang Chen 1,3 , Jianjing Tong 7 , Jingyi Shi 8 , Eric Gilson 1,9,10 , Jing Ye 1,2,3 and Yiming Lu 1,2,3 1 International Laboratory in Hematology and Cancer, Shanghai Jiao Tong University School of Medicine/Ruijin Hospital/CNRS/INSERM/Nice University, Pole Sino-Francais de Recherche en Sciences du Vivant et Genomique, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 2 Emergency Department, Shanghai Ruijin Hospital North, Shanghai, China 3 Emergency Department, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 4 Dermatology Department, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 5 School of Life Science, Eastern China Normal University, Shanghai, China 6 Xiangming High School, Shanghai, China 7 Exclusive Medical Care Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 8 State Key Laboratory of Medical Genomics, Shanghai Institute of Hematology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 9 Universite Cote d’Azur, CNRS, INSERM, IRCAN, Faculty of Medicine, Nice, France 10 Department of Medical Genetics, CHU Nice, France * These authors have contributed equally to this work Correspondence to: Jing Ye, email: // Yiming Lu, email: // Keywords : adolescent, academic stress, test anxiety, telomere shortening, TL of salivary, Pathology Section Received : August 17, 2016 Accepted : January 11, 2017 Published : January 22, 2017 Abstract Academic stress (AS) is one of the most important health problems experienced by students, but no biomarker of the potential psychological or physical problems associated with AS has yet been identified. As several cross-sectional studies have shown that psychiatric conditions accelerate aging and shorten telomere length (TL), we explored whether AS affected TL. Between June 2014 and July 2014, we recruited 200 junior high school students with imminent final examinations for participation in this study. The students were divided into three subgroups (mild, moderate, and severe anxiety) using the Sarason Test Anxiety Scale (TAS). Saliva samples were collected for TL measurement via quantitative polymerase chain reaction (qPCR). Students from both a specialized and a general school suffered from anxiety ( p > 0.05). A total 35% had severe anxiety (score: 26.09±3.87), 33% had moderate anxiety (16.98±2.64), and 32% had mild anxiety (7.89±1.92). The TAS values differed significantly ( p 0.05): 1.14±0.46 for those with severe anxiety, 1.02±0.40 for those with moderate anxiety, and 1.12±0.45 for those with mild anxiety. Previous reports have found that AS is very common in Asian adolescents. We found no immediate telomere shortening in adolescents with AS. Longitudinal observations are required to determine if TL is affected by AS.

High anxiety levels during pregnancy commonly lead to clinical complications that affect the mother/child’s prenatal and perinatal health. Such complications are thought to result from combining deficiencies of the endocrine milieu and decreased immune tolerance that support pregnancy. It is yet unclear whether pregnant women subjected to moderate anxiety develop a similar state of endocrine deficits and compromised immune tolerance. Here, we evaluated this issue by monitoring endocrine and immune parameters during pregnancy in a sample of women suffering of moderate anxiety. The health of mothers and children, as well as the outcome of the pregnancies were also revised and recorded. Moderately anxious pregnant women present increments of state anxiety, serum cortisol and progesterone, but not of estradiol, as pregnancy progressed. No variations of leukocyte anti- and pro-inflammatory cytokine mRNA expression were found along pregnancy. However, these pregnant women did show an increased frequency of gestational and perinatal complications, conditions that had no major consequences for their health and that of their children at birth. Hence, moderate anxiety renders the mother to be susceptible to develop diseased states during or by the end of pregnancy, while keeping the endocrine milieu and immune tolerance reasonably in place.

DETERMINE THE IMAGE OF FAMILY ANXIETY WHEN FACING THE RECURRENCE OF FAMILY MEMBERS WITH CHRONIC DISEASES ABSTRACT Chronic illness is a condition (illness) that lasts for a long time and continuously. Some chronic diseases that exist in the community such as diabetes mellitus, hypertension, etc. The aims of this study to determine the image of family anxiety when facing the recurrence of family members with chronic diseases. This research is a descriptive quantitative research, with total sample 64 respondents. The level of family anxiety was measured using an anxiety-related DASS questionnaire consisting of 14 questions. The results showed that the majority families experienced anxiety at the level of moderate anxiety. The need for family and community-based health services to improve the ability of families in overcoming anxiety so as to care for family members with chronic diseases. Keywords: Anxiety, family, chronic illness

Introduction:Test anxiety is known to have an impact on students either negatively or positively. It is normal to have exam anxiety that help the students to be prepared them for facing examination, on the other hand it can also distress the students that can have a negative impact on students’ physically, emotionally, cognitively that paves a way to poor performance in the examination. Objective:The purpose of this study is to find the prevalence and levels of test anxiety in the sample population. Methods:The current study sample includes 60 first year nursing students from Universiti Sultan Zainal Abidin, Terengganu, Malaysia. Thecross sectional study design was applied and sample population was selected with universal sampling. The data was analysed using SPSS statistics Version 22 (IBM Co., Armonk, NY, USA).The descriptive data analysis was used for the analysis of the prevalence, percentages and mean score. Results:The study results revealed that only 1.7% respondents no anxiety, 36.7% respondents experienced of mild anxiety, more than half 58.3% respondents had moderate anxiety and 3.3% respondents experienced of severe anxiety. Conclusion:Majority of first year nursing students experienced test anxiety. The implications of this study is giving overview of mind-body interventions to get helped to have normal anxiety during their exams; the faculty, lecturer or advisor should find out the main factors contributing test anxiety and also should have some wellness programmes for the students.

A comparative analysis of the psycho-emotional status and quality of life of patients with acne and post-acne.There were 147 patients included in the study, 84 (57%) women and 63 (43%) men, aged from 14 to 48 years. The following parameters were studied: CADI score, APSEA score, DLQI score. Anxiety and depression were assessed with HAM-D and HAM-A.Higher scores on CADI, APSEA and DLQI and dissatisfaction with the results of therapy were noted in older patients. Significant changes in CADI, APSEA and DLQI scores in patients with post-acne symptoms were recorded later compared to patients with acne. Anxiety and depression symptoms measured with HAM-D and HAM-A reached the level of depressive disorder of moderate severity and moderate anxiety in patients over 20 years old. Mental disorders were qualified within the nosogenic anxiety-phobic reactions developing in connection with dermatosis manifestation.Acnes substantially better give in to correction than post-acne symptom complex. Regardless of age, post-acne symptoms considerably reduce quality of life of patients, sometimes causing more expressed changes (anxiety and depression) than dermatosis.Цель исследования. Сравнительное изучение психического состояния и качества жизни пациентов с акне и постакне. Материал и методы. Под наблюдением находились 147 пациентов, среди них 84 (57%) женщины и 63 (43%) мужчины, в возрасте от 14 до 48 лет. В работе исследовались индекс CADI, индекс APSEA, индекс DLQI, применялись шкалы для оценки выраженности депрессии HAM-D и тревоги HAM-A, а также психопатологический метод. Результаты и заключение. Более высокие значения исследуемых индексов и неудовлетворенность результатами терапии отмечались у пациентов более старшей возрастной группы. Достоверная динамика индексов CADI, APSEA и DLQI у пациентов с постакне наблюдалась в более поздние, чем при акне, сроки. Тревожная и депрессивная симптоматика в соответствии с оценкой по шкалам HAM-D и HAM-A у пациентов старше 20 лет достигала уровня депрессивных расстройств средней степени тяжести и умеренно выраженных анксиозных симптомов. Психические нарушения были квалифицированы в рамках нозогенных реакций, возникающих в связи с манифестацией дерматоза. Акне поддаются коррекции в значительной степени лучше, чем симптомокомплекс постакне. Вне зависимости от возраста симптомы постакне в большей степени снижают качество жизни пациентов, порой вызывая более выраженные, чем сам дерматоз, психические изменения (тревожные и депрессивные расстройства).

Dental anxiety and dental fear are major factors causing much troubles for the people attending to their own personal health. Statistics show that the 25-26-year-olds experience higher dental anxiety than others. This can be accounted for by the diverse, intense effects of a number of psychological factors in this age range that can cause dental fear and dental anxiety. The aim of the present study was to survey the dental anxiety levels among the students of the Faculty of Dentistry in Plovdiv and determine whether they change throughout the course of study. Material and methods. The self-reported assessment scale developed by N. Corah, the Dental Anxiety Scale (DAS) was used in the study; it was applied in the form of a questionnaire containing data on gender, age, education. A total of 535 students of all years in the Faculty of Dentistry in Plovdiv were recruited in the study; they were interviewed either individually or in groups. Results and discussion. Anxiety-free students were the most numerous group in the sample (369, 63.08%), which were followed by students showing moderate anxiety. The mean DAS score of the whole sample was 7.83±0.12; the mean scores by groups were as follows: 8.37±0.26 for the first year students (n1), 7.34±0.19 for the second, third and fourth year students (n2), 7.82±0.16 for the fifth and sixth year students (n3). Twenty five (4.27%) students experienced high anxiety and 11 students (1.88%) - severe anxiety. Analysis of the mean dental anxiety scores for the three groups showed that fear of dental treatment statistically significantly declined with each successive year of study (P = 0.008). Conclusions: Dental students have a significantly higher level of dental anxiety at the beginning of their training than at its end (P

The goal of this study was to empirically test a prevention program for panic disorder. Participants who had experienced at least 1 panic attack in the last 12 months and at least moderate anxiety sensitivity, but did not meet criteria for panic disorder, were randomly assigned to either a 1-day prevention workshop group or a wait-list control group. Participants were followed for 6 months. Relative to the wait-list control, workshop participants were less likely to develop panic disorder and reported significantly more improvement in panic attacks and avoidance of social situations. Satisfaction with the workshop predicted outcome 6 months later. These findings suggest that prevention may be a viable option for panic disorder, and one that warrants further development.

This study aims at understanding the patient's experience in the waiting room of the emergency department. The research explores and unveils the context and interactions in the waiting room and the factors that cause anxiety. As a result, a service that helps patients moderate anxiety has been developed.For the research, 12 patients and their family members were observed, and an interview with the head of the department was conducted. These methods were used to answer the following research questions: How do people experience the waiting room in the emergency department? How can the negative aspects be relieved?The main findings of this study reveal distrust between the patients and staff of the hospital, the patients' consistent focus on their status, and an uncertainty about the waiting time. The focus of this study is on alleviating these negative aspects by enabling patients to acquire sufficient information about the procedure and the waiting time.

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) O objetivo do presente estudo foi verificar os escores referentes à escala de dependência de exercício, qualidade de vida, bem como os escores indicativos de humor em atletas de corrida de aventura (CA). Participaram deste estudo 17 atletas de ambos os gêneros com histórico de prática da modalidade de pelo menos três anos, com experiência em provas nacionais e internacionais e que figuram nas primeiras posições do ranking brasileiro. A média (± desvio-padrão) da idade, altura, massa corporal, índice de massa corpórea (IMC) e consumo de oxigênio foram: 31,11 ± 6,30 anos; 1,73 ± 0,07cm; 70,75 ± 7,96kg; 23,48 ± 1,48kg/m² e 58,70 ± 6,63ml.min¹.kg¹, respectivamente. Os voluntários responderam aos seguintes questionários: Escala de Dependência de Exercício (EDE), Idate Traço e Estado, Profile of Mood States (POMS), SF-36 Pesquisa em Saúde e Questionário de Padrão Social. Os resultados revelaram que os escores observados na EDE foram indicativos de dependência de exercício; já os questionários de humor revelaram ansiedade moderada, enquanto o POMS não detectou escores indicativos de distúrbios de humor. Quanto à qualidade de vida, a média das oito dimensões referentes ao questionário SF-36 se mostrou acima de 85%, sugerindo que, apesar de haver dependência de exercício, parece que esse fato não foi capaz de promover alterações significativas no estado de humor e na qualidade de vida. Esses dados sugerem que atletas de CA apresentam dependência de exercício não associada aos distúrbios de humor. The aim of this study was to verify the referring scores of exercise dependence, quality of life as well as the mood indicators in adventure race (AR) athletes. 17 athletes of both sexes participated in the study and all had a history of three years in this modality, with national and international experience, and figured in the first positions in the Brazilian ranking. The age, height, weight, body mass index (BMI) and oxygen uptake averages ± standard deviations were: 31.11 ± 6.30 years; 1.73 ± 0.07 cm; 70.75 ± 7.96 kg; 23.48 ± 1.48 wt/ht² and 58.70 ± 6.63 ml.min-1.kg-1, respectively. The volunteers were given the following questionnaires: Exercise Dependency Scale (EDE), Idate Trait and State, Profile of Mood States (POMS), SF-36 Health Research and Social Patterns Questionnaire. The results showed that scores in EDE indicated exercise dependence, and the mood questionnaires revealed moderate anxiety, while the POMS did not detect any indicative scores of mood disorders. Concerning the quality of life, the average of 8 dimensions of the SF-36 was higher than 85%, suggesting that although there was exercise dependence, this fact alone did not promote significant alterations in mood and quality of life. Thus, our data suggested that athletes of AR have exercise dependence not associated to mood disorders. El objetivo del presente estudio ha sido el de verificar los escores referentes a la escala de dependencia de ejercicio, calidad de vida, así como los escores indicativos de humor en atletas de Carrera de Aventura (CA). Participaron de este estudio 17 atletas de ambos géneros con histórico de práctica de la modalidad de por lo menos tres años, con experiencia en pruebas nacionales e internacionales y que figuran en las primeras posiciones del ranking brasileño. La media (± desvío padrón) de edad, altura, masa corporal, índice de masa corpórea (IMC) y consumo de oxígeno fueron: 31,11 ± 6,30 años; 1,73 ± 0,07 cm; 70,75 ± 7,96 kg; 23,48 ± 1,48 kg/m² y 58,70 ± 6,63 ml.min-1.kg-1, respectivamente. Los voluntarios respondieron a los siguientes cuestionarios: Escala de Dependencia de Ejercicio (EDE), Idate Traço y Estado, Profile of Mood States (POMS), SF-36 Investigación e Salud y Cuestionario de Padrón Social. Los resultados revelaron que los escores observados en la EDE fueron indicativos de dependencia de ejercicio, mientras que los cuestionarios de humor revelaron ansiedad moderada, entretanto el POMS no detectó escores indicativos de disturbios de humor. En relación a la calidad de vida, la media de las 8 dimensiones referentes al cuestionario SF-36 se mostró por encima de 85%, lo que sugiere que a pesar de haber dependencia de ejercicio, parece que ese hecho no fue capaz de promover alteraciones significativas en el estado de humor y en la calidad de vida. Nuestros datos sugieren que atletas de CA presentan dependencia de ejercicio no asociada a los disturbios de humor. Universidade Federal de São Paulo (UNIFESP) Departamento de Psicobiologia UNIFESP CENESP Centro de Estudos em Psicobiologia e Exercício UNIFESP, Depto. de Psicobiologia UNIFESP, CENESP Centro de Estudos em Psicobiologia e Exercício SciELO

Prevalence, characteristics and consequences of dental anxiety in a randomly selected sample of 645 Danish adults were explored in telephone interviews. Participation rate was 88%. Demographics, fear of specific procedures, negative dentist contacts, general fear tendency, treatment utilization and perceived oral conditions were explored by level of dental anxiety using a modified Dental Anxiety Scale (DAS). A Seattle fear survey item and a summary item from the Dental Fear Survey (DFS) were also included for fear description comparisons. Correlation between these indices (DAS-DFS: rs = 0.72; DAS-Seattle item: rs = 0.68) aided semantic validation of DAS anxiety intensity levels. Extreme dental anxiety (DAS > or = 15) was found in 4.2% of the sample and 6% reported moderate anxiety (DAS scores 14-12). Bivariate (B) and logistic regression (L) odds ratios (OR) showed that high dental anxiety was associated with gender, education and income, but not with age. Extreme dental anxiety for dentate subjects was characterized by fear of drilling (ORL = 38.7), negative dentist contacts (ORL = 9.3), general fear tendency (ORL = 3.4), avoidance of treatment (ORL = 16.8) and increased oral symptoms (ORB = 4.4). Moderate dental anxiety was also related to drilling (ORL = 22.3), but with less avoidance due to anxiety (ORL = 6.8) compared with low fear subjects

Introduction and objectivesPsychological problems like anxiety in patients who are candidate for coronary artery bypass graft (CABGs) may increase mortality and morbidity. The effect of reassurance and preoperative information in decreasing anxiety is uncertain.AimsThis study was designed to address the effect of preoperative information and reassurance in decreasing anxiety patients who are candidate for CABGs.MethodsWith experimental study and random sampling 85 (55male and 30 female) of 238 patients who were candidate for CABGs were included and completed spilberger anxiety test on the day of admission. Preoperative information and reassurance was done and test was completed again a day before the surgery. At last the Statistical analysis was done.ResultsThe Mean score of anxiety in patients with mild anxiety disorder (21 patients) was 34± 4.2 before and 39±5.8 after intervention. In patients with moderate anxiety disorder (39 patients) the score decreased from 52.61±3.8 to 50.76±56. Twenty five patients had severe anxiety disorder formerly with score of 63.88±2.8 which decreased to 53.88±7.6. All of differences were significant statistically.ConclusionsIn patients with mild anxiety intervention of preoperative information and reassurance resulted in increasing of anxiety but in patients with moderate or severe anxiety disorder such intervention decreased the level of anxiety significantly.

Botanicals are an alternative option to prescription drugs for the alleviation of symptoms due to anxiety disorders and insomnia. Melissa officinalis L. has been shown as an anti-stress and anxiolytic agent. We previously reported moderate stress improvement in mice in which Cyracos(®), a standardized Melissa officinalis L. extract, was administrated. Cyracos(®) contains phytochemicals that inhibit gamma-aminobutyric acid catabolism. This was a prospective, open-label, 15-day study to evaluate the efficacy of Cyracos(®) on stressed volunteers, who have mild-to-moderate anxiety disorders and sleep disturbances. Using clinician rating criteria, primary outcomes showed improvement of symptoms. Cyracos(®) reduced anxiety manifestations by 18% (p 0.01), ameliorated anxiety-associated symptoms by 15% (p 0.01) and lowered insomnia by 42% (p 0.01). As much as 95% of subjects (19/20) responded to treatment, of which 70% (14/20) achieved full remission for anxiety, 85% (17/20) for insomnia, and 70% (14/20) for both. Our study demonstrates, for the first time that chronic administration of Melissa officinalis L. relieves stress-related effects. It is critical that further studies incorporate a placebo and investigate physiological stress markers.

A group of moderately to severely depressed individuals with moderate anxiety were studied to determine the frequency and nature of pain complaints and their response to doxepin. It was discovered that 100% of these subjects had chronic pain complaints, most of which paralleled the course of depression. Headache was most commonly noted. Doxepin's analgesic effects were intimately associated with its antidepressant effects. There was a highly significant relationship between improvement of depression and reduction of pain on doxepin (P less than 0.005). Conversely, patients who obtained minimal antidepressant effect also obtained minimal analgesic effect. Psychophysiologic and biochemical hypotheses of this association of pain and depression are discussed.