Acta Paulista de Enfermagem,
Год журнала:
2024,
Номер
38
Опубликована: Дек. 3, 2024
Resumo
Objetivo
Investigar
as
evidências
de
validade
da
Depression,
Anxiety
and
Stress
Scale
(DASS-21)
para
análise
prevalência
sintomas
depressão,
ansiedade
e
estresse
em
uma
amostra
trabalhadores
enfermagem
brasileiros.
Métodos
Estudo
transversal,
com
amostragem
não-probabilística.
Participaram
do
estudo
4053
As
propriedades
psicométricas
DASS-21
foram
avaliadas
por
meio
baseada
na
estrutura
interna
(validade
construto
fatorial,
convergente
discriminante;
invariância
modelo
fatorial;
confiabilidade);
nas
relações
medidas
externas
positiva
negativa
dos
fatores
os
construtos
prejuízo
emocional,
satisfação
no
trabalho
variáveis
individuais
ocupacionais);
padrão
resposta
aos
itens
instrumento
(análise
função
diferencial
subgrupos
distintos).
A
confiabilidade
dados
foi
atestada
estimação
coeficiente
alfa
ordinal
composta.
estimada
a
partir
das
recomendações
autores
originais
DASS-21.
Resultados
Durante
validação
interna,
fatorial
confirmatória
revelou
que
o
original
apresentou
ajustamento
adequado
medida
forte
entre
grupos
distintos.
mostrou
apresentaram
correlações
positivas
moderadas-fortes
domínio
emocional
negativas
moderadas
trabalho.
repostas
comprovou
uniformidade
estabilidade
amostra.
Quanto
sintomas,
destaca-se
alta
níveis
extremamente
graves
participantes.
Conclusão
adequada
avaliação
Children,
Год журнала:
2023,
Номер
10(11), С. 1742 - 1742
Опубликована: Окт. 27, 2023
The
coronavirus
pandemic
has
become
an
unprecedented
world
crisis
in
which
we
have
struggled
against
the
most
potent
threat
of
twenty-first
century.
This
had
a
profound
impact
on
individuals
and
families.
Therefore,
study
aimed
to
examine
family
communication
as
mediator
relationship
between
resilience
functioning
under
quarantine
Algeria
Iraq.
was
conducted
among
Iraq
(N
=
361).
respondents
completed
Family
Communication
Scale
(FCS),
Walsh
Resilience
Questionnaire
(WFRQ),
Functioning
(FFS).
Structural
equation
modeling
(SEM)
with
bootstrapping
method
used
conduct
mediated
effects
communication.
Using
SEM,
significantly
affected
(coefficient
0.808).
Moreover,
direct
effect
indirect
(via
functioning)
were
both
significant,
coefficients
0.682
0.126.
In
addition,
numerous
groups
from
been
analyzed
sample
shown
no
differences
relationships
resilience,
communication,
functioning.
conclusion,
results
showed
that
type
this
mediation
seemed
be
partial
because
significant
According
findings,
healthcare
providers
should
consider
improving
achieve
good
Scientific Reports,
Год журнала:
2024,
Номер
14(1)
Опубликована: Июнь 6, 2024
Abstract
The
global
trend
of
advanced
aging
comes
at
the
cost
amplified
onset
age-related
diseases.
Dementia
is
a
common
multifactorial
neurodegenerative
disorder,
which
manifests
with
progressive
declines
in
cognitive
functioning
and
ability
to
perform
activities
daily
living.
As
polices
discourage
institutionalized
care,
family
members
act
as
primary
caregivers
endure
increased
vulnerability
physical
mental
health
problems
secondary
care-related
changes
life
routine
relationships.
Targeting
clinically
significant
distress
earlier
stages
through
valid
brief
measures
may
promote
caregivers’
wellbeing
dementia
care
continuity/quality.
This
study
aimed
determine
optimal
cutoff
score
Depression
Anxiety
Stress
Scale
8-items
(DASS-8)
convenience
sample
571
European
(Mean
age
=
53
±
12
years,
Italian
74.4%,
Swiss
25.6%)
three
methods.
K-means
clustering
classified
into
high-
low-distress
clusters
based
on
DASS-8
19.
Receiver
operator
curve
(ROC)
analysis
using
48
7
cutoffs
Zarit
Burden
Interview
(ZBI)
Three-Item
University
California,
Los
Angeles,
Loneliness
Scale-version
3
(UCLALS3),
revealed
two
(12.5
14.5,
area
under
(AUC)
0.85
0.92,
p
values
<
.001,
95%
CI
0.82–0.88
0.89
0.94,
sensitivity
0.81
0.78,
specificity
0.76
0.89,
Youden
index
0.57
0.67,
respectively).
Decision
modeling
produced
(9.5
14.5)
for
predicting
low
high
caregiving
burden
loneliness,
respectively.
According
median
all
(14.5)
prevalence
was
50.8%.
Distress
correlated
key
such
burnout
loneliness—in
path
analysis,
scores
were
predicted
by
ZBI,
UCLALS3,
dependency,
receiving
help
especially
among
older,
female,
spouse
caregivers.
Further
diagnostic
workup
should
follow
confirm
psycho-pathogenicity
above
14.5.
Investigations
other
countries/populations
validity
this
score.
Frontiers in Psychiatry,
Год журнала:
2025,
Номер
16
Опубликована: Апрель 7, 2025
Dementia
is
a
chronic
progressive
syndrome,
with
an
entire
loss
of
function
in
the
late
stages.
The
care
this
demanding
condition
primarily
provided
by
family
members,
who
often
suffer
from
burnout,
distress,
and
loneliness.
This
instrumental
study
aimed
to
examine
factor
structure,
reliability,
convergent
validity,
criterion
cutoff
scores
short
loneliness
measure:
Three-Item
version
University
California,
Los
Angeles,
Loneliness
Scale
(UCLALS3)
convenience
sample
dementia
caregivers
(N
=
571,
mean
age
53
±12
years,
81.6%
females).
Exploratory
confirmatory
analyses
were
used
structure
UCLALS3
while
receiver-operating
characteristic
(ROC)
curve,
including
caregiving
burden
emotional
distress
as
outcomes,
was
its
cutoff.
One
accounted
for
79.0%
variance
UCLALS3;
it
perfectly
invariant
across
genders
but
variant
at
metric
level
countries.
scale
had
adequate
internal
consistency
(alpha
0.87),
high
item-total
correlations
(0.69
-
0.79),
reduced
alpha
if
item
deleted
(0.77
0.86),
strong
positive
psychological
(r
0.57
&
0.74,
p
values
0.01).
Percentile
ROC
curve
suggested
two
cutoffs
(≥6
≥6.5),
which
classified
59.3
59.4%
participants
having
higher
levels
loneliness-comparable
global
among
informal
caregivers.
Mann-Whitney
test
revealed
significantly
scoring
≥6.5
on
UCLALS3.
valid
scale;
may
flag
major
clinically
relevant
symptoms
caregivers,
highlighting
need
tailored
interventions
that
boost
caregivers'
individual
perception
social
relationships.
More
investigations
are
needed
confirm
invariance
High
academic
achievement,
an
important
determinant
of
future
success,
is
known
to
be
influenced
by
many
factors
including
dietary
behavior,
lifestyle
and
mental
health,
among
others.
The
objectives
the
current
study
were
explore
university
students'
nutritive
habits,
daily
lifestyle,
status,
scrutinize
associations
between
these
achievement.A
cross-sectional
was
conducted
students
a
private
Lebanese
university,
using
electronic
survey.
Diet,
eating
physical
activity,
sleep,
smoking
evaluated,
health
assessed
validated
Arabic
version
combined
Depression,
Anxiety,
Stress
Score
(DASS-8).
Academic
achievement
measured
Subjective
Achievement
Scale
(SAAS).A
total
1677
participated
in
questionnaire.
results
linear
regression
taking
SAAS
score
as
dependent
variable,
showed
that
who
have
non-scientific
versus
scientific
major
(Beta
=
0.53),
having
breakfast
≥
4
days
per
week
compared
less
than
2
0.28)
significantly
associated
with
higher
scores.
More
psychological
distress
-
0.06)
number
out
0.07)
lower
scores.This
first
investigation
on
success
relation
profiles.
Better
demonstrated
healthier
well
distressing
status.
Such
results,
light
compounded
unprecedented
crises
which
Lebanon
has
been
assailed,
suggest
need
focus
promoting
healthy
habits
education
possible
driver
better
success.
Introduction
Creative
art
therapy
is
a
psychotherapeutic
approach
used
to
enhance
the
mental
health
status
of
patients.
Objectives
This
study
aimed
evaluate
effect
creative
on
levels
depression,
anxiety,
and
stress
in
Jordanian
patients
following
stroke.
Methods
One-group
pretest–posttest
design
was
used;
it
included
four
sessions
which
were
conducted
as
two
for
weeks.
recruited
85
participants
who
within
three
months
poststroke
diagnosis.
The
Depression,
Anxiety,
Stress
Scale
assess
psychological
reactions
pre
post
intervention.
Results
data
showed
that
there
statistically
significant
improvement
depression
(
t
=
37.98;
p
<
.001),
anxiety
20.59,
35.52,
.001)
post-intervention.
There
study-related
aspects
therapy.
Conclusion
findings
this
suggest
valuable
method
complement
other
types
treatments
among
with
stroke,
resulting
positive
patient
outcomes.
could
be
manage
complexities
Health
policymakers
are
invited
use
establish
tailored
counselor
services
using
new
approach.
Journal of Clinical Nursing,
Год журнала:
2023,
Номер
32(23-24), С. 8054 - 8062
Опубликована: Сен. 6, 2023
Mental
distress,
non-specific
symptoms
of
depression
and
anxiety,
is
common
in
chronic
pelvic
pain
(CPP).
It
contributes
to
poor
recovery.
Women's
health
nurses
operate
multidisciplinary
teams
facilitate
the
assessment
treatment
CPP.
However,
valid
cut-off
points
for
identifying
highly
distressed
patients
are
lacking,
entailing
a
gap
CPP
management.This
instrumental
cross-sectional
study
identified
statistically
derived
score
Depression
Anxiety
Stress
Scale-8
(DASS-8)
among
214
Australian
women
with
(mean
age
=
33.3,
SD
12.4,
range
13-71
years).Receiver
operator
characteristic
curve,
decision
trees
K-means
clustering
techniques
were
used
examine
predictive
capacity
DASS-8
psychiatric
comorbidity,
severity,
any
medication
intake,
analgesic
intake
sexual
abuse.
The
prepared
according
STROBE
checklist.Cut-off
resulting
from
analysis
ordered
ascendingly.
median
(13.0)
was
chosen
as
an
optimal
predicting
key
outcomes.
Women
scores
below
15.5
had
higher
intake.CPP
above
13.0
express
greater
comorbidity
polypharmacy.
Thus,
they
may
be
specific
target
nursing
interventions
dedicated
alleviating
through
management
associated
co-morbidities.At
point
13.0,
practical
instrument
recommending
thorough
clinician-based
examination
adequate
management.
useful
evaluating
patients'
response
efforts.
Replications
different
populations/countries
warranted.
Healthcare,
Год журнала:
2024,
Номер
12(16), С. 1612 - 1612
Опубликована: Авг. 13, 2024
Breast
Cancer
Associated
Susceptibility
Proteins
Type
1/2
(BRCA1/2)
promote
cellular
functioning
by
modulating
NRF2-mediated
antioxidant
signaling.
Redox
failure
in
women
with
BRCA1/2
insufficiency
increases
the
risk
for
breast/ovarian/uterine
cancers.
Risk-reducing
salpingo-oophorectomy
(RRSO)
is
a
prophylactic
surgery
of
reproductive
organs,
which
frequently
conducted
age
40
to
lower
occurrence
cancer
mutations.
However,
abrupt
estrogen
decline
following
RRSO
causes
ovarian
failure,
implicates
various
physiological
processes,
resulting
increased
release
free
radicals
and
subsequent
severe
onset
menopausal
symptoms.
Comfort
measures
(e.g.,
hormonal
replacement
therapy
(HRT)
mindfulness-based
stress
reduction
(MBSR))
may
improve
chronological
menopause-related
quality
life,
but
their
specific
effects
are
not
clear
gene
Aiming
fill
gap,
this
study
used
path
analysis
examine
HRT
MBSR
on
symptoms
among
patients
(N
=
199,
mean
50.5
±
6.7
years).
directly
alleviated
levels
urogenital
(β
−0.195,
p
0.005),
mediated
its
indirect
significant
somatic–vegetative
psychological
menopause
−0.046,
−0.067;
both
values
0.004,
respectively),
especially
BRCA2
carriers
who
were
currently
physically
active,
premenopausal
at
time
RRSO,
had
high
BMI,
no
history
breast
cancer.
It
severity
MBSR,
other
hand,
was
associated
intensity
0.108,
0.029;
0.003,
0.033,
respectively).
exerted
positive
direct
different
multigroup
analysis.
The
results
suggest
that
young
undergoing
recent
benefit
from
an
individual
level,
while
need
extensive
optimize
wellbeing
ongoing.
adverse
captured
present
study,
imply
interfere
redox
sensitivity
estradiol
fluctuations
carriers.
Investigations
needed
test
hypothesis
elaborate
underlying
mechanisms
these
women.
Scientific Reports,
Год журнала:
2024,
Номер
14(1)
Опубликована: Сен. 3, 2024
Abstract
Breast
cancer
impacts
the
psychological
well-being
of
women,
leaving
them
at
risk
developing
depression,
anxiety,
and
other
stress-related
disorders.
The
Depression
Anxiety
Stress
Scales
(DASS-21)
is
a
widely
used
measure,
although
empirical
evidence
regarding
its
psychometric
properties
in
breast
population
limited.
purpose
this
study
was
to
conduct
an
exhaustive
analysis
DASS-21
sample
Spanish
women
diagnosed
with
cancer.
Participants
were
289
patients
who
completed
questionnaires
measuring
life
satisfaction,
positive
negative
affect,
flourishing,
perceived
stress,
cancer-specific
stressors.
In
terms
validity
based
on
internal
structure
DASS-21,
adequate
fit
indices
obtained
for
model
three
first-order
factors
(depression,
stress)
one
second-order
factor
(general
distress).
Reliability
coefficients
(McDonald’s
omega)
ranged
from
.84
.95.
Validity
relationships
variables
also
provided
by
moderate
strong
correlations
indicators
stress
measures.
results
support
use
general
distress
context,
where
it
may
provide
useful
information
design
interventions
patients.