BACKGROUND Patients with gastric cancer often experience slow postoperative recovery and psychological stress,necessitating enhanced nursing care to improve their prognosis.AIM To analyze the impact of a timing-theory...BACKGROUND Patients with gastric cancer often experience slow postoperative recovery and psychological stress,necessitating enhanced nursing care to improve their prognosis.AIM To analyze the impact of a timing-theory-guided three-stage integrated nursing intervention(TSIN)on the postoperative recovery of patients undergoing gastric cancer surgery.METHODS Total 84 patients that underwent gastric cancer surgeries between June 2022 and June 2024 were selected and divided into a control group and an observation group based on perioperative nursing methods.The control group(n=42)received routine nursing care,whereas the observation group(n=42)received a timing-theory-guided TSIN.The psychological adjustment capabilities,psychological stress,cancer-related fatigue levels,postoperative recovery,and quality of life of the two groups were compared.RESULTS Compared to the control group,the observation group took lesser time to get out of bed,achieve gastrointestinal motility,have the first mealtime,along with a shorter hospital stay(P<0.05).Before nursing,there were no significant differences between groups’parameters or scores(P>0.05).After nursing,the scores for psychological stress and cancer-related fatigue decreased.In contrast,the scores for psychological adjustment capabilities and quality of life increased,with more significant improvements observed in the observation group,showing significant differences within and between the groups(P<0.05).CONCLUSION Timing theory-guided TSIN can improve the psychological adjustment capabilities of patients undergoing gastric cancer surgery,reduce psychological stress and cancer-related fatigue,accelerate postoperative recovery,and improve the quality of life.展开更多
BACKGROUND Frailty has become a significant public health issue.The recent increase in the number of frail older adults has led to increased attention being paid to psycho-logical care services in communities.The soci...BACKGROUND Frailty has become a significant public health issue.The recent increase in the number of frail older adults has led to increased attention being paid to psycho-logical care services in communities.The social isolation of pre-frail older adults can impact their psychological distress.AIM To explore the mediating effect of health literacy between social isolation and psychological distress among communitydwelling older adults with pre-frailty.METHODS This descriptive cross-sectional study was conducted with 254 pre-frail older individuals aged 60 years and over.Social isolation,health literacy,and psycholo-gical distress were comprehensively measured using the Lubben Social Network Scale-6,12-item Short-Form Health Literacy Questionnaire,and the Kessler Psy-chological Distress Scale-10.Data were evaluated using the SPSS 27.0 package program and the PROCESS macro tool.Descriptive statistical analyses,correlation analyses,and bootstrap mediation tests were used to assess associations between the variables.RESULTS The results showed that social isolation had an effect on health literacy among pre-frail older adults(β=0.240,P<0.001),social isolation impact on psycho-logical distress pre-frail older adults(β=-0.415,P<0.001);health literacy was identified effect on psychological distress among pre-frail older persons(β=-0.307,P<0.001).Health literacy partially mediated the relationship between social isolation and psychological distress among community-dwelling older adults with pre-frailty,with a mediation effect of-0.074,accounting for 17.83%of the total effect.展开更多
BACKGROUND Chronic psychological stress(CPS)is increasingly recognized for its detrimental effects on systemic and oral health,yet its impact on peri-implantitis remains underexplored.AIM To evaluate the evidence link...BACKGROUND Chronic psychological stress(CPS)is increasingly recognized for its detrimental effects on systemic and oral health,yet its impact on peri-implantitis remains underexplored.AIM To evaluate the evidence linking CPS to peri-implantitis.METHODS This systematic review was conducted according to the PRISMA guidelines.Publications searching PubMed,EMBASE,MEDLINE,Cochrane Library,and ClinicalTrials.gov for human studies published in English from 1983 to December 2024.Additionally,quality assessment of selected full-text articles were performed using the modified Newcastle–Ottawa Scale.RESULTS From an initial total of 3964 studies,4 cross-sectional studies comprising 432 participants met the inclusion criteria and consistently demonstrated a positive association between CPS and peri-implantitis.However,the findings are compromised by small sample sizes,study design limitations,methodological heterogeneity,and inadequate adjustment for critical confounders such as smoking and prior periodontitis.CONCLUSION Cortisol levels in peri-implant sulcus fluid were linearly correlated with probing depth,with evidence suggesting this relationship may be independent of hyperglycemia.Depression emerged as the most significant CPS subtype associated with peri-implantitis.Additionally,CPS may amplify peri-implantitis inflammation by modulating cytokine expression effects.Long-term studies with larger,more diverse patient populations and careful control of confounding variables are needed to establish causality and understand the underlying mechanisms.Including psychological evaluations and stress management techniques in peri-implant care protocols could improve treatment outcomes and patient health.展开更多
BACKGROUND The integration of patient-nurse communication language and focused psychological nursing can provide a reference for nursing interventions in patients undergoing gastrointestinal surgery.AIM To analyze the...BACKGROUND The integration of patient-nurse communication language and focused psychological nursing can provide a reference for nursing interventions in patients undergoing gastrointestinal surgery.AIM To analyze the impact of patient-nurse communicative language combined with focused psychological nursing on psychological and physiological stress responses,coping styles,health behaviors,and complications in patients undergoing gastrointestinal surgery.METHODS Eighty patients who underwent gastrointestinal surgery at Northern Jiangsu People's Hospital between October 2021 and August 2024 were selected and randomly divided into two groups,with 40 patients in each group.The control group received routine nursing care,while the observation group was provided with patient-nurse communicative language combined with focused psychological nursing care.Psychological stress responses,physiological stress responses,coping styles,health behaviors,incidence of complications,and nursing satisfaction were compared between the two groups.RESULTS After nursing,the observation group showed a significant improvement in psychological stress responses,with the average score on the Connor-Davidson Resilience Scale increasing from 23.22±1.08 to 30.14±2.78(P<0.05).On postoperative awakening,the heart rate of the observation group was 78.36±2.98 times/min,significantly lower than the control group's 81.14±2.44 times/min(P<0.05),and the mean arterial blood pressure was 12.06±1.26 kPa,compared to the control group's 13.45±1.17 kPa(P<0.05).The coping style scale scores of the observation group improved from 17.25±1.40 to 23.64±1.52 for confrontation,16.94±1.24 to 12.11±1.02 for avoidance,and 21.69±2.63 to 15.32±1.41 for submission(P<0.05).The health promotion lifestyle profile scores of the observation group increased from 104.25±6.77 to 133.61±10.25(P<0.05).The incidence of complications,such as wound infection and abdominal distension,in the observation group was 2.50%,significantly lower than that in the control group(20.00%;P<0.05).Nursing satisfaction in the observation group was 95.00%,significantly higher than that in the control group(80.00%;P<0.05).CONCLUSION The integration of patient-nurse communicative language and focused psychological nursing can alleviate psychological and physiological stress responses in patients undergoing gastrointestinal surgery,improve their coping styles and health behaviors,reduce the risk of complications,and enhance nursing satisfaction,yielding ideal clinical outcomes.展开更多
BACKGROUND Total hip arthroplasty(THA)is an increasingly common treatment for older patients with hip osteoarthritis.Psychological stress is common before THA,although its clinical effects on selected parameters such ...BACKGROUND Total hip arthroplasty(THA)is an increasingly common treatment for older patients with hip osteoarthritis.Psychological stress is common before THA,although its clinical effects on selected parameters such as joint function,quality of life,and postoperative complications remain unclear.AIM To investigate the effects of preoperative psychological stress on selected parameters in older patients who underwent THA.METHODS Ninety older patients who underwent THA between January 2023 and August 2024 were divided into two groups by their preoperative self-rated anxiety scale and self-rated depression scale scores,including high-stress(n=42)and lowstress(n=48).The postoperative joint function,short form-36 health survey(SF36)score,incidence of postoperative complications,and other indicators were compared between the two groups.Pearson’s correlation coefficient analysis of the relationship among preoperative psychological stress,quality of life,and postoperative complications was performed.RESULTS Postoperative joint function and quality of life were lower in the high-stress group than they were in the low-stress group(P<0.05).The incidence of postoperative complications was higher in the high-stress group(29.27%)than it was in the low-stress group(9.30%)(P<0.05).Cor-relation analysis revealed that psychological stress was correlated with the Harris hip and SF-36 scores.Total scores on the scale,including physical function,physical pain,general health,mental health,social function,vitality,and emotional function,were negatively correlated(P<0.05).CONCLUSION Preoperative psychological stress results in adverse effects on quality of life and complications in older patients undergoing THA.Therefore,pre-operative psychological interventions should be strengthened to improve postoperative outcomes.展开更多
BACKGROUND Hip fracture in elderly patients,particularly those with comorbid post-traumatic stress disorder(PTSD),presents a significant clinical challenge.In addition to the physiological stress of surgery,these pati...BACKGROUND Hip fracture in elderly patients,particularly those with comorbid post-traumatic stress disorder(PTSD),presents a significant clinical challenge.In addition to the physiological stress of surgery,these patients often endure psychological burdens that may adversely affect postoperative recovery.The potential benefits of targeted perioperative psychological interventions have not been fully elucidated in this special population.This study hypothesized that a structured perioperative psychological program would improve recovery outcomes,including postoperative pain,functional outcomes,and mental well-being.AIM To evaluate the impact of perioperative psychological intervention on postoperative outcomes among elderly patients with PTSD undergoing hip fracture surgery.METHODS Between January 1,2022,and December 31,2024,medical records of 50 elderly hip fracture patients(age≥65)with PTSD who underwent surgical fixation at our center were retrospectively reviewed.Patients were divided into an intervention(n=25;standardized psychological care)and control(n=25;usual care)groups.Data collected included demographics,fracture type,PTSD severity,and anesthesia details.The intervention comprised preoperative counseling,relaxation training,and postoperative coping sessions.Postoperative outcomes compared included pain,PTSD severity,activities of daily living scores,complications,length of stay,mental health,and functional recovery.RESULTS The groups had comparable demographic and clinical characteristics.The intervention group demonstrated significantly lower pain scores on postoperative days 3 and 7(P<0.01),fewer moderate-to-severe depressive symptoms(P<0.05),and a greater reduction in PTSD severity(P<0.01)compared with the control group.Furthermore,the intervention group exhibited improved activities of daily living scores at 4 weeks post-surgery and a lower postoperative complication rate(16%vs 32%,P=0.14).The average length of hospital stay was shorter in the intervention group(11.5±2.0 days vs 13.1±2.6 days,P<0.05).CONCLUSION In elderly hip fractures patients with comorbid PTSD,perioperative psychological interventions improved pain control,functional recovery,and PTSD symptoms,supporting its value in holistic perioperative management and outcome enhancement.展开更多
Objective:This study primarily focuses on analyzing the inductive effects of emotional disturbances on the malignant transformation process of mammary gland epithelial cells.Methods:A total of 42 patients with maligna...Objective:This study primarily focuses on analyzing the inductive effects of emotional disturbances on the malignant transformation process of mammary gland epithelial cells.Methods:A total of 42 patients with malignant transformation of mammary gland epithelial cells(breast cancer,observation group)and 42 patients without malignant transformation of mammary gland epithelial cells(non-breast tumors,control group)were selected as research subjects.The earliest consultation time was January 2022,and the latest was January 2024.The extent of psychological stress impact on these patients was compared.Results:Compared with the control group,the observation group experienced a higher frequency and intensity(LEU value)of adverse life events,with P<0.05.The intensity of adverse life events in the observation group,except for mild events,was significantly higher than that in the control group(P<0.05).In terms of the content distribution of adverse life events,the proportion of marital and family problems in the observation group was significantly higher than that in the control group(P<0.05).The negative coping score and positive coping score in the observation group were significantly different from those in the control group(P<0.05).Regarding social support,the objective support score in the observation group was higher than that in the control group(P<0.05).Conclusion:During the malignant transformation process of mammary gland epithelial cells,long-term emotional disturbances have a significant impact,indicating a close relationship between psychological stress and the occurrence of breast cancer.展开更多
Thyroid cancer is a common endocrine malignancy with a rising incidence.Pa-tients often suffer from mental pain due to concerns about recurrence,treatment-related side-effect,and body image changes.Demographic factors...Thyroid cancer is a common endocrine malignancy with a rising incidence.Pa-tients often suffer from mental pain due to concerns about recurrence,treatment-related side-effect,and body image changes.Demographic factors like age,gender,physiological factors such as somatic symptoms and disease stage,co-gnitive-regulatory factors including negative and positive thinking,and social factors like work,economy,education level,and social support all influence their mental state.Existing interventions,including nursing,psychological,and tra-ditional Chinese medicine-based methods,have some benefits but face limitations like short-term effectiveness and lack of standardization.Future research should focus on creating better-defined,long-term,and widely applicable intervention programs and explore positive psychology-based approaches to improve patients'mental well-being and quality of life.展开更多
This minireview focuses on psychological distress and treatment adherence-issues in patients with chronic hepatitis B(CHB).It begins by discussing the epidemiology and disease burden of CHB,and addresses the relations...This minireview focuses on psychological distress and treatment adherence-issues in patients with chronic hepatitis B(CHB).It begins by discussing the epidemiology and disease burden of CHB,and addresses the relationship between psychological distress and treatment adherence.Next,it delves into the current status and risk factors for psychological distress among patients with CHB,and explores the challenges and risk factors related to treatment adherence.Subsequently,it explores the development and implementation of integrated nursing strategies,including psychological interventions and support,self-efficacy enhancement strategies,social support-system optimization,personalized medical care,and technological innovation.Finally,it highlights the limitations of current interventions and clarifies future research priorities.This minireview aims to provide a comprehensive theoretical basis and practical guidance for improving treatment outcomes and quality of life of patients with CHB.In summary,we reveal that psychological distress significantly impacts treatment adherence in patients with CHB and that it is essential to adopt integrated nursing strategies to address these challenges.These findings highlight the need to consider the psychological states of individuals and develop targeted interventions to improve treatment outcomes.展开更多
Background:Theworld is nowexperiencing many crises and adversities of great impact that pose serious threats to both physical and mental health.Threats to mental health include major depressive disorder,which can be s...Background:Theworld is nowexperiencing many crises and adversities of great impact that pose serious threats to both physical and mental health.Threats to mental health include major depressive disorder,which can be severe and disabling.The current study aimed to identify the prevalence of one type of depressive disorder,reactive depression(RD),and its relationship to demographic and psychological variables.Methods:For this study,RD is defined as an abnormal emotional response to traumatic situations involving mood difficulties.This study created an online self-report reactive depression questionnaire consisting of 23 items distributed across three subscales:1)bad feelings and life attitudes,2)loss of hope and loneliness,and 3)feeling sad and loss of confidence.The questionnaire was administered to a volunteer sample of 362male and female Iraqi university students.Exploratory Factor Analysis(EFA),Confirmatory Factor Analysis(CFA),t-tests,and one-way Analysis of Variance(ANOVA)were used to investigate exploratory and confirmatory factor structures of the questionnaire.Results:Evidence of reactive depression was found in 18.2%of the students.Female students had significantly higher levels of reactive depression than males(female N=205,mean=85.00,SD=11.30;male N=157,mean=76.46,SD=11.51).The high levels of reactive depression identified in these students demonstrate the value of assessing reactive depression in university students.Conclusion:The study underscores that the loss of emotional and psychological security,particularly in the face of traumatic and permanent events such as the death of a loved one,may contribute to the onset and progression of depressive symptoms.Future research should explore the role of specific cultural factors and further validate the reactive depression questionnaire in broader populations.Additionally,there is a need for improvedmental health support in Iraqi universities,particularly for female students,who may face unique challenges.展开更多
Objective:To explore the correlation between disease uncertainty and psychological distress in hospitalized patients with primary liver cancer,providing a basis for clinical nursing interventions.Methods:A convenient ...Objective:To explore the correlation between disease uncertainty and psychological distress in hospitalized patients with primary liver cancer,providing a basis for clinical nursing interventions.Methods:A convenient sampling method was used to select 82 patients with primary liver cancer from a tertiary first-class hospital in Guangzhou from September 2023 to March 2024 as the research subjects.General information questionnaires,the Mishel Uncertainty in Illness Scale-Adult Version(MUIS-A),and the Kessler Psychological Distress Scale(K10)were used for investigation.Pearson correlation analysis and linear regression analysis were performed to explore the relationship between the two.Results:The total score of disease uncertainty in hospitalized patients with primary liver cancer was(99.20±8.79),and the total score of psychological distress was(22.87±9.46),both at a medium level.There was a positive correlation between disease uncertainty and psychological distress(r=0.360,P<0.01),and the ambiguity dimension had the strongest correlation with psychological distress(r=0.399,P<0.01).Regression analysis showed that the ambiguity dimension had a significant predictive effect on psychological distress(β=0.399,P<0.01).Conclusion:There is a close correlation between disease uncertainty and psychological distress in patients with primary liver cancer.In clinical nursing,it is necessary to pay special attention to patients’ambiguity regarding disease symptoms and prognosis.Targeted health education should be carried out to reduce their uncertainty,thereby improving their psychological state.展开更多
BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucia...BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucianism and other traditional cultures,people generally adhere to the belief of“reincarnation to avoid death”,focusing more on themes of life,such as eugenics and longevity,and paying less attention to matters related to death,including death education and grief counseling.Currently,grief counseling in China is still in an exploratory stage,and there is relatively little research on the psychological status of family members of patients with terminal tumors.AIM To investigate the psychological effects of grief counseling on family members of terminal cancer patients.METHODS This study was designed as a randomized controlled trial that utilized convenience sampling to select family members of terminal tumor patients who were admitted to the hospice ward of the Affiliated Hospital of Jiangnan University from January to June 2025 as research subjects.All participants received conventional symptomatic supportive treatment and palliative care.Additionally,the intervention group benefited from extra grief counseling.RESULTS The Distress Thermometer(DT)score of the control group slightly decreased compared to before the intervention,but the difference was not statistically significant(P>0.05).In contrast,the DT score of the intervention group decreased significantly compared to before the intervention,with a statistically significant difference(P<0.05).After the intervention,the DT score of the intervention group was lower than that of the control group,and the difference was also statistically significant(P<0.05).After the intervention,the intervention group performed better DT level than the control group,with a statistically significant difference(P<0.05),the intervention group outperformed the control group in terms of depression and anxiety,and the difference was statistically significant(P<0.05).CONCLUSION Grief counseling can help alleviate the psychological pain and negative emotions experienced by family members of patients with terminal malignant tumors.展开更多
Psychological distress detection plays a critical role in modern healthcare,especially in ambient environments where continuous monitoring is essential for timely intervention.Advances in sensor technology and artific...Psychological distress detection plays a critical role in modern healthcare,especially in ambient environments where continuous monitoring is essential for timely intervention.Advances in sensor technology and artificial intelligence(AI)have enabled the development of systems capable of mental health monitoring using multimodal data.However,existing models often struggle with contextual adaptation and real-time decision-making in dynamic settings.This paper addresses these challenges by proposing TRANS-HEALTH,a hybrid framework that integrates transformer-based inference with Belief-Desire-Intention(BDI)reasoning for real-time psychological distress detection.The framework utilizes a multimodal dataset containing EEG,GSR,heart rate,and activity data to predict distress while adapting to individual contexts.The methodology combines deep learning for robust pattern recognition and symbolic BDI reasoning to enable adaptive decision-making.The novelty of the approach lies in its seamless integration of transformermodelswith BDI reasoning,providing both high accuracy and contextual relevance in real time.Performance metrics such as accuracy,precision,recall,and F1-score are employed to evaluate the system’s performance.The results show that TRANS-HEALTH outperforms existing models,achieving 96.1% accuracy with 4.78 ms latency and significantly reducing false alerts,with an enhanced ability to engage users,making it suitable for deployment in wearable and remote healthcare environments.展开更多
Objective: To explore the factors affecting the psychological pain of patients with enterostomy through meta-analysis, with the aim of reducing psychological pain and improving patients’ quality of life. Methods: Pub...Objective: To explore the factors affecting the psychological pain of patients with enterostomy through meta-analysis, with the aim of reducing psychological pain and improving patients’ quality of life. Methods: Published literature on psychological pain in enterostomy patients was retrieved from Chinese and English databases, including CNKI, Wanfang, VIP, China Biomedical Network, PubMed, Embase, Ovid, and Web of Science. The search period covered the establishment of the databases until October 2024. Literature was screened based on inclusion and exclusion criteria, and its quality was evaluated. Data analysis was performed using R Studio software. Results: A total of 2,237 articles involving 1,221 patients with enterostomy and 11 influencing factors were identified. The results of the meta-analysis indicated that age, marital status, ostomy complications, self-care ability, pain severity, and sleep quality were the primary contributors to psychological distress. Conclusion: Multiple factors influence psychological pain in enterostomy patients. Medical staff should prioritize addressing these factors to alleviate psychological pain and enhance patients’ quality of life.展开更多
Dear Editor,Post-traumatic stress disorder(PTSD)is a major issue for military personnel,with prevalence rates between 1%and 35%in veterans^([1]),significantly higher than in the general population^([2]).Psychological ...Dear Editor,Post-traumatic stress disorder(PTSD)is a major issue for military personnel,with prevalence rates between 1%and 35%in veterans^([1]),significantly higher than in the general population^([2]).Psychological resources,particularly hope,can protect against PTSD and promote post-traumatic growth^([3]).Hope,conceptualized as both a trait and a state,contributes to well-being and resilience and is negatively associated with PTSD symptoms,representing a psychological factor while mitigating the impact of trauma by fostering resilience and adaptive coping mechanisms.展开更多
Holistic nursing is guided by modern nursing concept and framed by nursing procedures, providing high quality nursing according to patients’ psychological, physiological, social and cultural needs. To develop holisti...Holistic nursing is guided by modern nursing concept and framed by nursing procedures, providing high quality nursing according to patients’ psychological, physiological, social and cultural needs. To develop holistic nursing in pediatrics is to develop nursing services for the purpose of satisfying the various clinical needs and psychological nursing of children. It is of great significance to establish holistic nursing concept, provide high quality nursing service for hospitalized children, and take targeted psychological intervention to alleviate their adverse psychological stress, which can improve treatment compliance and clinical efficacy, and shorten the length of hospital stay. In this paper, scientific and effective psychological nursing stress intervention means are used to improve the psychological anti-stress level of hospitalized children, and nursing intervention means are put forward, contribute to the maintenance of children’s mental health and the development of children’s mental health work and also to provide a theoretical basis for the intervention and treatment of children with psychological stress.展开更多
It is established in the psychological literature that pre-displacement stressors,PTSD symptoms,and psycholo-gical distress are associated among internally displaced persons.However,existing studies have not demonstra...It is established in the psychological literature that pre-displacement stressors,PTSD symptoms,and psycholo-gical distress are associated among internally displaced persons.However,existing studies have not demonstrated the mechanism underlying these associations.This study compared two explanatory models;one with PTSD symptoms severity explaining the indirect association between pre-displacement stressors and psychological dis-tress,and the other with psychological distress explaining the indirect relationship between pre-displacement stressors and PTSD symptoms severity.In a cross-sectional design,631 women(Mean age=31.18±8.59)were conveniently and purposely selected from the displaced women harboured in two camps in Borno State,Nigeria,due to the Boko-Haram insurgency.Data were collected utilizing structured questionnaires and subjected to path analyses.Results demonstrated that PTSD symptoms severity and psychological distress indirectly explained their respective and independent association with pre-displacement stressors.However,PTSD symptoms had a statis-tically larger standardized indirect effect size,greater indirect effect percentage,and bigger kappa-squared(k2)effect size than psychological distress.PTSD symptoms and psychological distress may have a reciprocal influence on each other from pre-displacement stressors.However,PTSD symptoms can better explain the association between pre-displacement stressors and psychological distress than the other way around.These outcomes have important implications for the psychological treatment of displaced persons.展开更多
Evidence showed occupational factors may contribute distress to breast cancer survivors, however, very few studies focused on the occupational factors and job strain among breast cancer survivors. This study examined ...Evidence showed occupational factors may contribute distress to breast cancer survivors, however, very few studies focused on the occupational factors and job strain among breast cancer survivors. This study examined the relationship between job strain and workplace stressors with psychological distress among employed breast cancer survivors after the completion of their medical treatment. Study subject were outpatients of 2 hospitals and members of 4 breast cancer support groups. They were requested to fill up the Job Content Questionnaires (JCQ), the Hospital Anxiety and Depression Scale (HADS) and the Distress Thermometer (DT) were filled up by the selected respondents. On simple logistic regression, psychological job demand and job strain were significantly associated with anxiety, distress on HADS-T and DT at (p < 0.001). While, psychological job demand (p < 0.001), social support (p = 0.047) and job strain (p < 0.001) were significantly associated with depression. Results showed survivors with high job strain has 4.74 time the odds of having anxiety (p < 0.001). Survivors with high psychological job demand have 8.08 time the odds of getting depression (p < 0.001). On the other hand, social support served as a protective factor of depression, (p = 0.041). Survivors with high psychological job demand were 4.4 time the odds of having distress (HADS-T) (p = 0.012). As a conclusion, survivors who experienced high psychological job demand, low social support and high job strain were reported with anxiety, depression or psychological distress.展开更多
BACKGROUND Among diverse profound impacts on patients’quality of life(QoL),end-stage renal disease(ESRD)frequently results in increased levels of depression,anxiety,and stress.Renal replacement therapies such as hemo...BACKGROUND Among diverse profound impacts on patients’quality of life(QoL),end-stage renal disease(ESRD)frequently results in increased levels of depression,anxiety,and stress.Renal replacement therapies such as hemodialysis(HD)and transplantation(TX)are intended to enhance QoL,although their ability to alleviate psychological distress remains uncertain.This research posits the existence of a significant correlation between negative emotional states and QoL among ESRD patients,with varying effects observed in HD and TX patients.AIM To examine the relationship between QoL and negative emotional states(depression,anxiety,and stress)and predicted QoL in various end-stage renal replacement therapy patients with ESRD.METHODS This cross-sectional study included HD or TX patients in the Eastern Region of Saudi Arabia.The 36-item Short Form Survey and Depression Anxiety Stress Scale(DASS)was used for data collection,and correlation and regression analyses were performed.RESULTS The HD and TX transplantation groups showed statistically significant inverse relationships between QoL and DASS scores.HD patients with high anxiety levels and less education scored low on the physical component summary(PCS).In addition,the results of the mental component summary(MCS)were associated with reduced depression.Compared with older transplant patients,TX patients’PCS scores were lower,and depression,stress,and negative working conditions were highly correlated with MCS scores.CONCLUSION The findings of this study revealed notable connections between well-being and mental turmoil experienced by individuals undergoing HD and TX.The PCS of HD patients is affected by heightened levels of anxiety and lower educational attainment,while the MCS of transplant patients is influenced by advancing age and elevated stress levels.These insights will contribute to a more comprehensive understanding of patient support.展开更多
Psychological stress is an important factor for the development of irritable bowel syndrome(IBS). More and more clinical and experimental evidence showed that IBS is a combination of irritable bowel and irritable brai...Psychological stress is an important factor for the development of irritable bowel syndrome(IBS). More and more clinical and experimental evidence showed that IBS is a combination of irritable bowel and irritable brain. In the present review we discuss the potential role of psychological stress in the pathogenesis of IBS and provide comprehensive approaches in clinical treatment. Evidence from clinical and experimental studies showed that psychological stresses have marked impact on intestinal sensitivity, motility, secretion and permeability, and the underlying mechanism has a close correlation with mucosal immune activation, alterations in central nervous system, peripheral neurons and gastrointestinal microbiota. Stress-induced alterations in neuro-endocrine-immune pathways acts on the gut-brain axis and microbiota-gut-brain axis, and cause symptom flare-ups or exaggeration in IBS. IBS is a stresssensitive disorder, therefore, the treatment of IBS should focus on managing stress and stress-induced responses. Now, non-pharmacological approaches and pharmacological strategies that target on stress-related alterations, such as antidepressants, antipsychotics, miscellaneous agents, 5-HT synthesis inhibitors, selective 5-HT reuptake inhibitors, and specific 5-HT receptor antagonists or agonists have shown a critical role in IBS management. A integrative approach for IBS management is a necessary.展开更多
文摘BACKGROUND Patients with gastric cancer often experience slow postoperative recovery and psychological stress,necessitating enhanced nursing care to improve their prognosis.AIM To analyze the impact of a timing-theory-guided three-stage integrated nursing intervention(TSIN)on the postoperative recovery of patients undergoing gastric cancer surgery.METHODS Total 84 patients that underwent gastric cancer surgeries between June 2022 and June 2024 were selected and divided into a control group and an observation group based on perioperative nursing methods.The control group(n=42)received routine nursing care,whereas the observation group(n=42)received a timing-theory-guided TSIN.The psychological adjustment capabilities,psychological stress,cancer-related fatigue levels,postoperative recovery,and quality of life of the two groups were compared.RESULTS Compared to the control group,the observation group took lesser time to get out of bed,achieve gastrointestinal motility,have the first mealtime,along with a shorter hospital stay(P<0.05).Before nursing,there were no significant differences between groups’parameters or scores(P>0.05).After nursing,the scores for psychological stress and cancer-related fatigue decreased.In contrast,the scores for psychological adjustment capabilities and quality of life increased,with more significant improvements observed in the observation group,showing significant differences within and between the groups(P<0.05).CONCLUSION Timing theory-guided TSIN can improve the psychological adjustment capabilities of patients undergoing gastric cancer surgery,reduce psychological stress and cancer-related fatigue,accelerate postoperative recovery,and improve the quality of life.
基金Supported by the Scientific Research Fund of Zhejiang Provincial Education Department,No.Y202351104and Huzhou Science and Technology Plan Project,No.2023GZ67。
文摘BACKGROUND Frailty has become a significant public health issue.The recent increase in the number of frail older adults has led to increased attention being paid to psycho-logical care services in communities.The social isolation of pre-frail older adults can impact their psychological distress.AIM To explore the mediating effect of health literacy between social isolation and psychological distress among communitydwelling older adults with pre-frailty.METHODS This descriptive cross-sectional study was conducted with 254 pre-frail older individuals aged 60 years and over.Social isolation,health literacy,and psycholo-gical distress were comprehensively measured using the Lubben Social Network Scale-6,12-item Short-Form Health Literacy Questionnaire,and the Kessler Psy-chological Distress Scale-10.Data were evaluated using the SPSS 27.0 package program and the PROCESS macro tool.Descriptive statistical analyses,correlation analyses,and bootstrap mediation tests were used to assess associations between the variables.RESULTS The results showed that social isolation had an effect on health literacy among pre-frail older adults(β=0.240,P<0.001),social isolation impact on psycho-logical distress pre-frail older adults(β=-0.415,P<0.001);health literacy was identified effect on psychological distress among pre-frail older persons(β=-0.307,P<0.001).Health literacy partially mediated the relationship between social isolation and psychological distress among community-dwelling older adults with pre-frailty,with a mediation effect of-0.074,accounting for 17.83%of the total effect.
文摘BACKGROUND Chronic psychological stress(CPS)is increasingly recognized for its detrimental effects on systemic and oral health,yet its impact on peri-implantitis remains underexplored.AIM To evaluate the evidence linking CPS to peri-implantitis.METHODS This systematic review was conducted according to the PRISMA guidelines.Publications searching PubMed,EMBASE,MEDLINE,Cochrane Library,and ClinicalTrials.gov for human studies published in English from 1983 to December 2024.Additionally,quality assessment of selected full-text articles were performed using the modified Newcastle–Ottawa Scale.RESULTS From an initial total of 3964 studies,4 cross-sectional studies comprising 432 participants met the inclusion criteria and consistently demonstrated a positive association between CPS and peri-implantitis.However,the findings are compromised by small sample sizes,study design limitations,methodological heterogeneity,and inadequate adjustment for critical confounders such as smoking and prior periodontitis.CONCLUSION Cortisol levels in peri-implant sulcus fluid were linearly correlated with probing depth,with evidence suggesting this relationship may be independent of hyperglycemia.Depression emerged as the most significant CPS subtype associated with peri-implantitis.Additionally,CPS may amplify peri-implantitis inflammation by modulating cytokine expression effects.Long-term studies with larger,more diverse patient populations and careful control of confounding variables are needed to establish causality and understand the underlying mechanisms.Including psychological evaluations and stress management techniques in peri-implant care protocols could improve treatment outcomes and patient health.
文摘BACKGROUND The integration of patient-nurse communication language and focused psychological nursing can provide a reference for nursing interventions in patients undergoing gastrointestinal surgery.AIM To analyze the impact of patient-nurse communicative language combined with focused psychological nursing on psychological and physiological stress responses,coping styles,health behaviors,and complications in patients undergoing gastrointestinal surgery.METHODS Eighty patients who underwent gastrointestinal surgery at Northern Jiangsu People's Hospital between October 2021 and August 2024 were selected and randomly divided into two groups,with 40 patients in each group.The control group received routine nursing care,while the observation group was provided with patient-nurse communicative language combined with focused psychological nursing care.Psychological stress responses,physiological stress responses,coping styles,health behaviors,incidence of complications,and nursing satisfaction were compared between the two groups.RESULTS After nursing,the observation group showed a significant improvement in psychological stress responses,with the average score on the Connor-Davidson Resilience Scale increasing from 23.22±1.08 to 30.14±2.78(P<0.05).On postoperative awakening,the heart rate of the observation group was 78.36±2.98 times/min,significantly lower than the control group's 81.14±2.44 times/min(P<0.05),and the mean arterial blood pressure was 12.06±1.26 kPa,compared to the control group's 13.45±1.17 kPa(P<0.05).The coping style scale scores of the observation group improved from 17.25±1.40 to 23.64±1.52 for confrontation,16.94±1.24 to 12.11±1.02 for avoidance,and 21.69±2.63 to 15.32±1.41 for submission(P<0.05).The health promotion lifestyle profile scores of the observation group increased from 104.25±6.77 to 133.61±10.25(P<0.05).The incidence of complications,such as wound infection and abdominal distension,in the observation group was 2.50%,significantly lower than that in the control group(20.00%;P<0.05).Nursing satisfaction in the observation group was 95.00%,significantly higher than that in the control group(80.00%;P<0.05).CONCLUSION The integration of patient-nurse communicative language and focused psychological nursing can alleviate psychological and physiological stress responses in patients undergoing gastrointestinal surgery,improve their coping styles and health behaviors,reduce the risk of complications,and enhance nursing satisfaction,yielding ideal clinical outcomes.
文摘BACKGROUND Total hip arthroplasty(THA)is an increasingly common treatment for older patients with hip osteoarthritis.Psychological stress is common before THA,although its clinical effects on selected parameters such as joint function,quality of life,and postoperative complications remain unclear.AIM To investigate the effects of preoperative psychological stress on selected parameters in older patients who underwent THA.METHODS Ninety older patients who underwent THA between January 2023 and August 2024 were divided into two groups by their preoperative self-rated anxiety scale and self-rated depression scale scores,including high-stress(n=42)and lowstress(n=48).The postoperative joint function,short form-36 health survey(SF36)score,incidence of postoperative complications,and other indicators were compared between the two groups.Pearson’s correlation coefficient analysis of the relationship among preoperative psychological stress,quality of life,and postoperative complications was performed.RESULTS Postoperative joint function and quality of life were lower in the high-stress group than they were in the low-stress group(P<0.05).The incidence of postoperative complications was higher in the high-stress group(29.27%)than it was in the low-stress group(9.30%)(P<0.05).Cor-relation analysis revealed that psychological stress was correlated with the Harris hip and SF-36 scores.Total scores on the scale,including physical function,physical pain,general health,mental health,social function,vitality,and emotional function,were negatively correlated(P<0.05).CONCLUSION Preoperative psychological stress results in adverse effects on quality of life and complications in older patients undergoing THA.Therefore,pre-operative psychological interventions should be strengthened to improve postoperative outcomes.
基金Supported by the Shandong Province Medical and Health Science and Technology Development Program Project,No.202204070354.
文摘BACKGROUND Hip fracture in elderly patients,particularly those with comorbid post-traumatic stress disorder(PTSD),presents a significant clinical challenge.In addition to the physiological stress of surgery,these patients often endure psychological burdens that may adversely affect postoperative recovery.The potential benefits of targeted perioperative psychological interventions have not been fully elucidated in this special population.This study hypothesized that a structured perioperative psychological program would improve recovery outcomes,including postoperative pain,functional outcomes,and mental well-being.AIM To evaluate the impact of perioperative psychological intervention on postoperative outcomes among elderly patients with PTSD undergoing hip fracture surgery.METHODS Between January 1,2022,and December 31,2024,medical records of 50 elderly hip fracture patients(age≥65)with PTSD who underwent surgical fixation at our center were retrospectively reviewed.Patients were divided into an intervention(n=25;standardized psychological care)and control(n=25;usual care)groups.Data collected included demographics,fracture type,PTSD severity,and anesthesia details.The intervention comprised preoperative counseling,relaxation training,and postoperative coping sessions.Postoperative outcomes compared included pain,PTSD severity,activities of daily living scores,complications,length of stay,mental health,and functional recovery.RESULTS The groups had comparable demographic and clinical characteristics.The intervention group demonstrated significantly lower pain scores on postoperative days 3 and 7(P<0.01),fewer moderate-to-severe depressive symptoms(P<0.05),and a greater reduction in PTSD severity(P<0.01)compared with the control group.Furthermore,the intervention group exhibited improved activities of daily living scores at 4 weeks post-surgery and a lower postoperative complication rate(16%vs 32%,P=0.14).The average length of hospital stay was shorter in the intervention group(11.5±2.0 days vs 13.1±2.6 days,P<0.05).CONCLUSION In elderly hip fractures patients with comorbid PTSD,perioperative psychological interventions improved pain control,functional recovery,and PTSD symptoms,supporting its value in holistic perioperative management and outcome enhancement.
基金Bayan Nur Science and Technology Plan Project(Project No.:K202148)。
文摘Objective:This study primarily focuses on analyzing the inductive effects of emotional disturbances on the malignant transformation process of mammary gland epithelial cells.Methods:A total of 42 patients with malignant transformation of mammary gland epithelial cells(breast cancer,observation group)and 42 patients without malignant transformation of mammary gland epithelial cells(non-breast tumors,control group)were selected as research subjects.The earliest consultation time was January 2022,and the latest was January 2024.The extent of psychological stress impact on these patients was compared.Results:Compared with the control group,the observation group experienced a higher frequency and intensity(LEU value)of adverse life events,with P<0.05.The intensity of adverse life events in the observation group,except for mild events,was significantly higher than that in the control group(P<0.05).In terms of the content distribution of adverse life events,the proportion of marital and family problems in the observation group was significantly higher than that in the control group(P<0.05).The negative coping score and positive coping score in the observation group were significantly different from those in the control group(P<0.05).Regarding social support,the objective support score in the observation group was higher than that in the control group(P<0.05).Conclusion:During the malignant transformation process of mammary gland epithelial cells,long-term emotional disturbances have a significant impact,indicating a close relationship between psychological stress and the occurrence of breast cancer.
文摘Thyroid cancer is a common endocrine malignancy with a rising incidence.Pa-tients often suffer from mental pain due to concerns about recurrence,treatment-related side-effect,and body image changes.Demographic factors like age,gender,physiological factors such as somatic symptoms and disease stage,co-gnitive-regulatory factors including negative and positive thinking,and social factors like work,economy,education level,and social support all influence their mental state.Existing interventions,including nursing,psychological,and tra-ditional Chinese medicine-based methods,have some benefits but face limitations like short-term effectiveness and lack of standardization.Future research should focus on creating better-defined,long-term,and widely applicable intervention programs and explore positive psychology-based approaches to improve patients'mental well-being and quality of life.
文摘This minireview focuses on psychological distress and treatment adherence-issues in patients with chronic hepatitis B(CHB).It begins by discussing the epidemiology and disease burden of CHB,and addresses the relationship between psychological distress and treatment adherence.Next,it delves into the current status and risk factors for psychological distress among patients with CHB,and explores the challenges and risk factors related to treatment adherence.Subsequently,it explores the development and implementation of integrated nursing strategies,including psychological interventions and support,self-efficacy enhancement strategies,social support-system optimization,personalized medical care,and technological innovation.Finally,it highlights the limitations of current interventions and clarifies future research priorities.This minireview aims to provide a comprehensive theoretical basis and practical guidance for improving treatment outcomes and quality of life of patients with CHB.In summary,we reveal that psychological distress significantly impacts treatment adherence in patients with CHB and that it is essential to adopt integrated nursing strategies to address these challenges.These findings highlight the need to consider the psychological states of individuals and develop targeted interventions to improve treatment outcomes.
文摘Background:Theworld is nowexperiencing many crises and adversities of great impact that pose serious threats to both physical and mental health.Threats to mental health include major depressive disorder,which can be severe and disabling.The current study aimed to identify the prevalence of one type of depressive disorder,reactive depression(RD),and its relationship to demographic and psychological variables.Methods:For this study,RD is defined as an abnormal emotional response to traumatic situations involving mood difficulties.This study created an online self-report reactive depression questionnaire consisting of 23 items distributed across three subscales:1)bad feelings and life attitudes,2)loss of hope and loneliness,and 3)feeling sad and loss of confidence.The questionnaire was administered to a volunteer sample of 362male and female Iraqi university students.Exploratory Factor Analysis(EFA),Confirmatory Factor Analysis(CFA),t-tests,and one-way Analysis of Variance(ANOVA)were used to investigate exploratory and confirmatory factor structures of the questionnaire.Results:Evidence of reactive depression was found in 18.2%of the students.Female students had significantly higher levels of reactive depression than males(female N=205,mean=85.00,SD=11.30;male N=157,mean=76.46,SD=11.51).The high levels of reactive depression identified in these students demonstrate the value of assessing reactive depression in university students.Conclusion:The study underscores that the loss of emotional and psychological security,particularly in the face of traumatic and permanent events such as the death of a loved one,may contribute to the onset and progression of depressive symptoms.Future research should explore the role of specific cultural factors and further validate the reactive depression questionnaire in broader populations.Additionally,there is a need for improvedmental health support in Iraqi universities,particularly for female students,who may face unique challenges.
文摘Objective:To explore the correlation between disease uncertainty and psychological distress in hospitalized patients with primary liver cancer,providing a basis for clinical nursing interventions.Methods:A convenient sampling method was used to select 82 patients with primary liver cancer from a tertiary first-class hospital in Guangzhou from September 2023 to March 2024 as the research subjects.General information questionnaires,the Mishel Uncertainty in Illness Scale-Adult Version(MUIS-A),and the Kessler Psychological Distress Scale(K10)were used for investigation.Pearson correlation analysis and linear regression analysis were performed to explore the relationship between the two.Results:The total score of disease uncertainty in hospitalized patients with primary liver cancer was(99.20±8.79),and the total score of psychological distress was(22.87±9.46),both at a medium level.There was a positive correlation between disease uncertainty and psychological distress(r=0.360,P<0.01),and the ambiguity dimension had the strongest correlation with psychological distress(r=0.399,P<0.01).Regression analysis showed that the ambiguity dimension had a significant predictive effect on psychological distress(β=0.399,P<0.01).Conclusion:There is a close correlation between disease uncertainty and psychological distress in patients with primary liver cancer.In clinical nursing,it is necessary to pay special attention to patients’ambiguity regarding disease symptoms and prognosis.Targeted health education should be carried out to reduce their uncertainty,thereby improving their psychological state.
基金Supported by Wuxi Institute of Translational Medicine Project Program,No.LCYJ202336the Scientific and Technological Achievements Promotion Project of Wuxi Municipal Health Commission Project Program,No.T202336+1 种基金Hospital Management Innovation Research Project of Jiangsu Hospital Association,No.JSYGY-3-2024-601Jiangsu Provincial Traditional Chinese Medicine Science and Technology Development Plan Project,No.MS2024063。
文摘BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucianism and other traditional cultures,people generally adhere to the belief of“reincarnation to avoid death”,focusing more on themes of life,such as eugenics and longevity,and paying less attention to matters related to death,including death education and grief counseling.Currently,grief counseling in China is still in an exploratory stage,and there is relatively little research on the psychological status of family members of patients with terminal tumors.AIM To investigate the psychological effects of grief counseling on family members of terminal cancer patients.METHODS This study was designed as a randomized controlled trial that utilized convenience sampling to select family members of terminal tumor patients who were admitted to the hospice ward of the Affiliated Hospital of Jiangnan University from January to June 2025 as research subjects.All participants received conventional symptomatic supportive treatment and palliative care.Additionally,the intervention group benefited from extra grief counseling.RESULTS The Distress Thermometer(DT)score of the control group slightly decreased compared to before the intervention,but the difference was not statistically significant(P>0.05).In contrast,the DT score of the intervention group decreased significantly compared to before the intervention,with a statistically significant difference(P<0.05).After the intervention,the DT score of the intervention group was lower than that of the control group,and the difference was also statistically significant(P<0.05).After the intervention,the intervention group performed better DT level than the control group,with a statistically significant difference(P<0.05),the intervention group outperformed the control group in terms of depression and anxiety,and the difference was statistically significant(P<0.05).CONCLUSION Grief counseling can help alleviate the psychological pain and negative emotions experienced by family members of patients with terminal malignant tumors.
基金funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number(PNURSP2025R435),Princess Nourah bint Abdulrahman University,Riyadh,Saudi Arabia.
文摘Psychological distress detection plays a critical role in modern healthcare,especially in ambient environments where continuous monitoring is essential for timely intervention.Advances in sensor technology and artificial intelligence(AI)have enabled the development of systems capable of mental health monitoring using multimodal data.However,existing models often struggle with contextual adaptation and real-time decision-making in dynamic settings.This paper addresses these challenges by proposing TRANS-HEALTH,a hybrid framework that integrates transformer-based inference with Belief-Desire-Intention(BDI)reasoning for real-time psychological distress detection.The framework utilizes a multimodal dataset containing EEG,GSR,heart rate,and activity data to predict distress while adapting to individual contexts.The methodology combines deep learning for robust pattern recognition and symbolic BDI reasoning to enable adaptive decision-making.The novelty of the approach lies in its seamless integration of transformermodelswith BDI reasoning,providing both high accuracy and contextual relevance in real time.Performance metrics such as accuracy,precision,recall,and F1-score are employed to evaluate the system’s performance.The results show that TRANS-HEALTH outperforms existing models,achieving 96.1% accuracy with 4.78 ms latency and significantly reducing false alerts,with an enhanced ability to engage users,making it suitable for deployment in wearable and remote healthcare environments.
文摘Objective: To explore the factors affecting the psychological pain of patients with enterostomy through meta-analysis, with the aim of reducing psychological pain and improving patients’ quality of life. Methods: Published literature on psychological pain in enterostomy patients was retrieved from Chinese and English databases, including CNKI, Wanfang, VIP, China Biomedical Network, PubMed, Embase, Ovid, and Web of Science. The search period covered the establishment of the databases until October 2024. Literature was screened based on inclusion and exclusion criteria, and its quality was evaluated. Data analysis was performed using R Studio software. Results: A total of 2,237 articles involving 1,221 patients with enterostomy and 11 influencing factors were identified. The results of the meta-analysis indicated that age, marital status, ostomy complications, self-care ability, pain severity, and sleep quality were the primary contributors to psychological distress. Conclusion: Multiple factors influence psychological pain in enterostomy patients. Medical staff should prioritize addressing these factors to alleviate psychological pain and enhance patients’ quality of life.
基金supported by the Institut de Recherche Biomédicale des Armées(Brétigny-sur-Orge,France).
文摘Dear Editor,Post-traumatic stress disorder(PTSD)is a major issue for military personnel,with prevalence rates between 1%and 35%in veterans^([1]),significantly higher than in the general population^([2]).Psychological resources,particularly hope,can protect against PTSD and promote post-traumatic growth^([3]).Hope,conceptualized as both a trait and a state,contributes to well-being and resilience and is negatively associated with PTSD symptoms,representing a psychological factor while mitigating the impact of trauma by fostering resilience and adaptive coping mechanisms.
文摘Holistic nursing is guided by modern nursing concept and framed by nursing procedures, providing high quality nursing according to patients’ psychological, physiological, social and cultural needs. To develop holistic nursing in pediatrics is to develop nursing services for the purpose of satisfying the various clinical needs and psychological nursing of children. It is of great significance to establish holistic nursing concept, provide high quality nursing service for hospitalized children, and take targeted psychological intervention to alleviate their adverse psychological stress, which can improve treatment compliance and clinical efficacy, and shorten the length of hospital stay. In this paper, scientific and effective psychological nursing stress intervention means are used to improve the psychological anti-stress level of hospitalized children, and nursing intervention means are put forward, contribute to the maintenance of children’s mental health and the development of children’s mental health work and also to provide a theoretical basis for the intervention and treatment of children with psychological stress.
基金the National Institutes of Health(NIH)/Fogarty International Centre(5D43TW007278-13).
文摘It is established in the psychological literature that pre-displacement stressors,PTSD symptoms,and psycholo-gical distress are associated among internally displaced persons.However,existing studies have not demonstrated the mechanism underlying these associations.This study compared two explanatory models;one with PTSD symptoms severity explaining the indirect association between pre-displacement stressors and psychological dis-tress,and the other with psychological distress explaining the indirect relationship between pre-displacement stressors and PTSD symptoms severity.In a cross-sectional design,631 women(Mean age=31.18±8.59)were conveniently and purposely selected from the displaced women harboured in two camps in Borno State,Nigeria,due to the Boko-Haram insurgency.Data were collected utilizing structured questionnaires and subjected to path analyses.Results demonstrated that PTSD symptoms severity and psychological distress indirectly explained their respective and independent association with pre-displacement stressors.However,PTSD symptoms had a statis-tically larger standardized indirect effect size,greater indirect effect percentage,and bigger kappa-squared(k2)effect size than psychological distress.PTSD symptoms and psychological distress may have a reciprocal influence on each other from pre-displacement stressors.However,PTSD symptoms can better explain the association between pre-displacement stressors and psychological distress than the other way around.These outcomes have important implications for the psychological treatment of displaced persons.
文摘Evidence showed occupational factors may contribute distress to breast cancer survivors, however, very few studies focused on the occupational factors and job strain among breast cancer survivors. This study examined the relationship between job strain and workplace stressors with psychological distress among employed breast cancer survivors after the completion of their medical treatment. Study subject were outpatients of 2 hospitals and members of 4 breast cancer support groups. They were requested to fill up the Job Content Questionnaires (JCQ), the Hospital Anxiety and Depression Scale (HADS) and the Distress Thermometer (DT) were filled up by the selected respondents. On simple logistic regression, psychological job demand and job strain were significantly associated with anxiety, distress on HADS-T and DT at (p < 0.001). While, psychological job demand (p < 0.001), social support (p = 0.047) and job strain (p < 0.001) were significantly associated with depression. Results showed survivors with high job strain has 4.74 time the odds of having anxiety (p < 0.001). Survivors with high psychological job demand have 8.08 time the odds of getting depression (p < 0.001). On the other hand, social support served as a protective factor of depression, (p = 0.041). Survivors with high psychological job demand were 4.4 time the odds of having distress (HADS-T) (p = 0.012). As a conclusion, survivors who experienced high psychological job demand, low social support and high job strain were reported with anxiety, depression or psychological distress.
文摘BACKGROUND Among diverse profound impacts on patients’quality of life(QoL),end-stage renal disease(ESRD)frequently results in increased levels of depression,anxiety,and stress.Renal replacement therapies such as hemodialysis(HD)and transplantation(TX)are intended to enhance QoL,although their ability to alleviate psychological distress remains uncertain.This research posits the existence of a significant correlation between negative emotional states and QoL among ESRD patients,with varying effects observed in HD and TX patients.AIM To examine the relationship between QoL and negative emotional states(depression,anxiety,and stress)and predicted QoL in various end-stage renal replacement therapy patients with ESRD.METHODS This cross-sectional study included HD or TX patients in the Eastern Region of Saudi Arabia.The 36-item Short Form Survey and Depression Anxiety Stress Scale(DASS)was used for data collection,and correlation and regression analyses were performed.RESULTS The HD and TX transplantation groups showed statistically significant inverse relationships between QoL and DASS scores.HD patients with high anxiety levels and less education scored low on the physical component summary(PCS).In addition,the results of the mental component summary(MCS)were associated with reduced depression.Compared with older transplant patients,TX patients’PCS scores were lower,and depression,stress,and negative working conditions were highly correlated with MCS scores.CONCLUSION The findings of this study revealed notable connections between well-being and mental turmoil experienced by individuals undergoing HD and TX.The PCS of HD patients is affected by heightened levels of anxiety and lower educational attainment,while the MCS of transplant patients is influenced by advancing age and elevated stress levels.These insights will contribute to a more comprehensive understanding of patient support.
文摘Psychological stress is an important factor for the development of irritable bowel syndrome(IBS). More and more clinical and experimental evidence showed that IBS is a combination of irritable bowel and irritable brain. In the present review we discuss the potential role of psychological stress in the pathogenesis of IBS and provide comprehensive approaches in clinical treatment. Evidence from clinical and experimental studies showed that psychological stresses have marked impact on intestinal sensitivity, motility, secretion and permeability, and the underlying mechanism has a close correlation with mucosal immune activation, alterations in central nervous system, peripheral neurons and gastrointestinal microbiota. Stress-induced alterations in neuro-endocrine-immune pathways acts on the gut-brain axis and microbiota-gut-brain axis, and cause symptom flare-ups or exaggeration in IBS. IBS is a stresssensitive disorder, therefore, the treatment of IBS should focus on managing stress and stress-induced responses. Now, non-pharmacological approaches and pharmacological strategies that target on stress-related alterations, such as antidepressants, antipsychotics, miscellaneous agents, 5-HT synthesis inhibitors, selective 5-HT reuptake inhibitors, and specific 5-HT receptor antagonists or agonists have shown a critical role in IBS management. A integrative approach for IBS management is a necessary.
