A network analysis of anxiety and depression symptoms in Chinese disabled elderly

Journal of Affective Disorders, Год журнала: 2023, Номер 333, С. 535 - 542

Опубликована: Апрель 21, 2023

Язык: Английский

---

Effects of cognitive behavioral therapy in patients with chronic obstructive pulmonary disease: A systematic review and meta‐analysis

Worldviews on Evidence-Based Nursing, Год журнала: 2024, Номер 21(3), С. 288 - 306

Опубликована: Янв. 2, 2024

Chronic obstructive pulmonary disease (COPD) causes airflow blockage and breathing-related issues. This chronic impacts people worldwide. Substantial evidence supports the use of cognitive behavioral therapy (CBT) to help patients with illnesses cope worrisome painful symptoms. However, impact CBT on COPD outcomes is less understood.

Язык: Английский

---

The Effect of Telehealth Based on Symptom Control and Rational Medication Use on Self-Efficacy, Anxiety-Depression, and Symptoms in Male Patients with COPD: A Quasi-Experimental Study

Galician Medical Journal, Год журнала: 2025, Номер unknown

Опубликована: Янв. 6, 2025

Introduction. Chronic obstructive pulmonary disease (COPD) is a critical global public health issue, imposing substantial physical, social, and economic burdens due to its symptoms exacerbations. Telehealth has the potential be applied for symptom management, monitoring medication adherence, providing psychological support. This study was carried out determine effect of telehealth based on control rational use self-efficacy, anxiety-depression, symptoms, walking, healthcare outcomes in male patients with COPD. Methods. A quasi-experimental design used. The examined 41 COPD (the intervention group = 20, 21) treated at Department Chest Diseases, Buldan Diseases State Hospital, Denizli, Türkiye. Data were collected baseline three months post-intervention using Self-Efficacy Scale, Assessment Test, Hospital Anxiety Depression Six-Minute Walk Test. All participants received routine care. provided nurse-led program months. Results. comparison data two groups revealed statistically significant difference incidence respiratory hospitalizations (p 0.009). Analysis covariance adjusted results differences weather/environmental 0.011) behavioral risk factors subscales 0.017) as well dyspnea score after Test (p=0.034) compared group. No observed between > 0.05). Conclusions. demonstrated that significantly affected post-walking partially improved self-efficacy Incorporating teamwork device-based recommended enhance effectiveness interventions education monitoring.

Язык: Английский

---

Determinants of generalized anxiety and construction of a predictive model in patients with chronic obstructive pulmonary disease

World Journal of Psychiatry, Год журнала: 2025, Номер 15(2)

Опубликована: Янв. 14, 2025

BACKGROUND Patients with chronic obstructive pulmonary disease (COPD) frequently experience exacerbations requiring multiple hospitalizations over prolonged courses, which predispose them to generalized anxiety disorder (GAD). This comorbidity exacerbates breathing difficulties, activity limitations, and social isolation. While previous studies predominantly employed the GAD 7-item scale for screening, this approach is somewhat subjective. The current literature on predictive models risk in patients COPD limited. AIM To construct validate a prediction model aid healthcare professionals preventing onset of GAD. METHODS retrospective analysis encompassed treated at our institution from July 2021 February 2024. were categorized into modeling (MO) group validation (VA) 7:3 ratio basis occurrence Univariate multivariate logistic regression analyses utilized model, was visualized using forest plots. model’s performance evaluated Hosmer-Lemeshow (H-L) goodness-of-fit test receiver operating characteristic (ROC) curve analysis. RESULTS A total 271 subjects included, 190 MO 81 VA group. identified 67 COPD, resulting prevalence rate 24.72% (67/271), 49 cases (18.08%) 18 (22.22%) Significant differences observed between without terms educational level, average household income, smoking history, index, number past year, cardiovascular comorbidities, knowledge, personality traits (P < 0.05). Multivariate revealed that lower education levels, income 3000 China yuan, index ≥ 400 cigarettes/year, two complete lack information, introverted significant factors ROC indicated area under predicting groups 0.978 0.960. H-L yielded χ 2 values 6.511 5.179, P = 0.275 0.274. Calibration curves demonstrated good agreement predicted actual risks. CONCLUSION developed includes eight independent factors: Educational presence level traits. effectively predicts enabling early identification high-risk individuals providing preventive interventions by nursing staff.

Язык: Английский

---

Virtual reality for chronic obstructive pulmonary disease: insights from a scoping review

International Journal of Advances in Medicine, Год журнала: 2025, Номер 12(2), С. 242 - 249

Опубликована: Фев. 21, 2025

Recent advances in virtual reality (VR) technology have made it possible to use VR healthcare settings improve patient care and rehabilitation, with promising results various clinical applications. This study aims review the existing literature exploring applications potential benefits of for individuals chronic obstructive pulmonary disease (COPD). A search six databases, including PubMed, Medline, ScienceDirect, Web Science, Ebsco, ProQuest, was conducted identify different studies COPD patients. The search, updated November 2024, yielded 2835 results, from which 18 diverse on this topic were included. publications included qualitative analysis published 2019-2024. These 6 systematic reviews meta-analyses, 4 mixed-methods studies, 3 observational conference papers, 2 trials. Among these, 11 investigated efficacy VR-assisted training enhancing lung function, exercise endurance, physical activity levels Additionally, 7 explored impact depression, anxiety, stress patients COPD. Lastly, 8 assessed acceptability, usability, or feasibility In conclusion, revealed that interventions led positive outcomes patients, improving physiotherapeutic parameters, quality life, psychological well-being. Patients found programs acceptable easy use, increasing motivation adherence treatment. Further research is needed assess VR's long-term effectiveness reducing exacerbation hospitalization rates compliant

Язык: Английский

---

Inter-relationships of depression and anxiety symptoms among widowed and non-widowed older adults: findings from the Chinese Longitudinal Healthy Longevity Survey based on network analysis and propensity score matching

Frontiers in Public Health, Год журнала: 2025, Номер 13

Опубликована: Март 12, 2025

Background Depression and anxiety are prevalent mental health issues among older adult widowed adults. However, the symptom-level relationships between these conditions remain unclear. Due to high correlations complex various symptoms, this study employs network analysis explore differences in structures of depression symptoms non-widowed Methods Propensity score matching was used identify adults with similar demographic characteristics. Data from 1,736 matched controls were analyzed using Chinese Longitudinal Healthy Longevity Survey (2017–2018). measured by Center for Epidemiologic Studies Scale-10 (CESD-10) seven-item Generalized Anxiety Disorder Scale (GAD-7), respectively. Central bridge evaluated expected influence (EI) (BEI), Results Network revealed similarities central adults, both groups exhibiting “Feeling depressed or down” (CESD3), tense having difficulty relaxing” (GAD4), “Being unable stop control worrying” (GAD2) as core symptoms. emerged In group, anxious, worried, distressed” (GAD1) most strongly connected “Felt lonely” (CESD8); “Worrying too much about things” (GAD3) linked increasingly exhausted useless age” (CESD4); (CESD3) had a strong association “Becoming easily annoyed irritable” (GAD6). exhibited strongest “Having good sleep quality” (CESD10); “Getting upset over small matters” (CESD1) closely (GAD1); (CESD3). Conclusion Common highlight universal intervention targets. Addressing may help prevent depression-anxiety comorbidity. These findings support targeted interventions improve outcomes. Future research should evaluate tailored effectiveness.

Язык: Английский

---

Multidimensional analysis of anxiety symptoms in patients with chronic obstructive pulmonary disease (COPD)

Scientific Reports, Год журнала: 2025, Номер 15(1)

Опубликована: Апрель 2, 2025

Язык: Английский

---

Uncovering unseen ties: a network analysis explores activities of daily living limitations and depression among Chinese older adults

Frontiers in Aging Neuroscience, Год журнала: 2025, Номер 17

Опубликована: Апрель 11, 2025

Background Chinese older adults frequently encounter limitations in activities of daily living (ADL) and experience depression. Prior research has not deeply explored the interconnectedness these factors through network analysis. Methods The study utilized data from 2,137 aged 65 older, sourced 2018 China Health Retirement Longitudinal Study (CHARLS). ADL scale CESD-10 were employed to assess ability perform depression, respectively. We conducted modeling bridge expected influence (BEI) evaluations investigate relationships between Results Our analysis revealed robust connections depressive symptoms. Specifically, somatic symptoms emerged as significant predictors depression risk with highest BEI 0.21, whereas positive exhibited a protective effect 0.13. Notably, toileting 0.04 among was identified pivotal node linking Conclusion This illuminated complex interplay adults, serving crucial connecting point. findings offer valuable insights that can inform efforts enhance mental health improve quality life for this population.

Язык: Английский

---

Health-promoting behavior to enhance perceived meaning and control of life in chronic disease patients with role limitations and depressive symptoms: a network approach

Scientific Reports, Год журнала: 2023, Номер 13(1)

Опубликована: Март 24, 2023

Abstract The association between health-related role limitations in the mental and physical subdomains clinical status (i.e., chronic disease comorbid depressive symptoms) is mediated by health-promoting behaviors. To enhance behaviors adults with disease, it necessary to identify item-level associations among targets of monitoring management. Therefore, current study used a network approach examine limitations, symptoms, existential well-being, socioeconomic position, behavior disease. A total 535 (mean ± SD age = 62.9 11.9 years; males, n 231, females, 304) who were regularly visiting an outpatient clinic for treatment participated this cross-sectional study. Data on participant demographics, diagnoses, status, (12-item short form survey scores), symptoms (patient health questionnaire-9 well-being (scores four items McGill quality life questionnaire-Revised), (Healthy Habits Questionnaire scores) acquired. “Undirected regularized partial correlations” “directional joint probability distributions” these variables calculated using mixed graphical model (MGM) directed acyclic graph (DAG). In MGM, most influential nodes emotional feelings failure, affecting usual activities. According both MGM DAG, relationship failure relationships concentration difficulty suicidal ideation. positive mindset was dependent distributions ideation, controllability life, self-image. Both meaning had direct proactive living. Specifically, living associated balanced diet, regular exercise, volunteering community, nurturing intimacy social interactions. individuals diseases could mediate related activities, symptoms. Thus, interventions targeting should aim (as pertains activities), as well promote screening timely psychiatric including difficulties,

Язык: Английский

---

Emotional Distress and Physical Activity Engagement in U.S. Veterans With Chronic Obstructive Pulmonary Disease: A Qualitative Study

Annals of Behavioral Medicine, Год журнала: 2024, Номер 58(8), С. 539 - 551

Опубликована: Июнь 7, 2024

Abstract Background Physical activity is recommended as part of guideline-based care for managing chronic obstructive pulmonary disease (COPD) at all stages the disease. However, physical interventions are less effective in individuals with co-occurring emotional distress (i.e., depression and/or anxiety symptoms). Interventions that dually promote improved and mental health COPD needed. The first step intervention development understanding individuals’ experience these factors. Purpose To understand U.S. Veterans diagnosed to explore how impacts engagement. Methods Structured interviews informed by cognitive behavioral models psychopathology were conducted 29 United States (89.66% male, age 67.72 ± 6.55 years, 93.10% White) VA Boston Healthcare System. Interviews audio recorded, transcribed, underwent thematic analysis. Results Three major themes encapsulating 17 codes emerged through analysis: (i) COPD; (ii) complex relationship between distress, engagement, (iii) contextual personal Conclusions Veterans’ interpretation their symptoms unpredictable uncontrollable COPD-related limitations influenced while both promoted deterred motivated engage despite experiencing when they faced a responsibility daily life. They identified motivational strategies self-regulation techniques manage foster activity.

Язык: Английский

---