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Sample records for anxiety multimodal study

  1. Child/Adolescent Anxiety Multimodal Study (CAMS: rationale, design, and methods

    Directory of Open Access Journals (Sweden)

    Waslick Bruce D

    2010-01-01

    Full Text Available Abstract Objective To present the design, methods, and rationale of the Child/Adolescent Anxiety Multimodal Study (CAMS, a recently completed federally-funded, multi-site, randomized placebo-controlled trial that examined the relative efficacy of cognitive-behavior therapy (CBT, sertraline (SRT, and their combination (COMB against pill placebo (PBO for the treatment of separation anxiety disorder (SAD, generalized anxiety disorder (GAD and social phobia (SoP in children and adolescents. Methods Following a brief review of the acute outcomes of the CAMS trial, as well as the psychosocial and pharmacologic treatment literature for pediatric anxiety disorders, the design and methods of the CAMS trial are described. Results CAMS was a six-year, six-site, randomized controlled trial. Four hundred eighty-eight (N = 488 children and adolescents (ages 7-17 years with DSM-IV-TR diagnoses of SAD, GAD, or SoP were randomly assigned to one of four treatment conditions: CBT, SRT, COMB, or PBO. Assessments of anxiety symptoms, safety, and functional outcomes, as well as putative mediators and moderators of treatment response were completed in a multi-measure, multi-informant fashion. Manual-based therapies, trained clinicians and independent evaluators were used to ensure treatment and assessment fidelity. A multi-layered administrative structure with representation from all sites facilitated cross-site coordination of the entire trial, study protocols and quality assurance. Conclusions CAMS offers a model for clinical trials methods applicable to psychosocial and psychopharmacological comparative treatment trials by using state-of-the-art methods and rigorous cross-site quality controls. CAMS also provided a large-scale examination of the relative and combined efficacy and safety of the best evidenced-based psychosocial (CBT and pharmacologic (SSRI treatments to date for the most commonly occurring pediatric anxiety disorders. Primary and secondary results

  2. A multimodal behavioral approach to performance anxiety.

    Science.gov (United States)

    Lazarus, Arnold A; Abramovitz, Arnold

    2004-08-01

    Cognitive-behavior therapy (CBT) stresses a trimodal assessment framework (affect, behavior, and cognition [ABC]), whereas the multimodal approach assesses seven discrete but interactive components--behavior, affect, sensation, imagery, cognition, interpersonal relationships, and drugs/biological factors (BASIC I.D.). Only complex or recalcitrant cases call for the entire seven-pronged range of multimodal interventions. Various case illustrations are offered as examples of how a clinician might proceed when confronted with problems that fall under the general heading of performance anxiety. The main example is of a violinist in a symphony orchestra whose career was in serious jeopardy because of his extreme fear of performing in public. He responded very well to a focused but elaborate desensitization procedure. The hierarchy that was eventually constructed contained many dimensions and subhierarchies featuring interlocking elements that evoked his anxiety. In addition to imaginal systematic desensitization, sessions were devoted to his actual performance in the clinical setting. As a homework assignment, he found it helpful to listen to a long-playing record of an actual rehearsal and to play along with the world-renowned orchestra and conductor. The subsequent disclosure by the client of an important sexual problem was dealt with concomitantly by using a fairly conventional counseling procedure. Therapy required 20 sessions over a 3-month period. PMID:15241811

  3. New advances in the treatment of generalized anxiety disorder: the multimodal antidepressant vortioxetine.

    Science.gov (United States)

    Orsolini, Laura; Tomasetti, Carmine; Valchera, Alessandro; Iasevoli, Felice; Buonaguro, Elisabetta Filomena; Vellante, Federica; Fornaro, Michele; Fiengo, Annastasia; Mazza, Monica; Vecchiotti, Roberta; Perna, Giampaolo; de Bartolomeis, Andrea; Martinotti, Giovanni; Di Giannantonio, Massimo; De Berardis, Domenico

    2016-05-01

    Generalized Anxiety Disorder (GAD) is a persistent condition characterized by chronic anxiety, exaggerated worry and tension, mainly comorbid with Major Depressive Disorder (MDD). Currently, selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are recommended as first-line treatment of GAD. However, some patients may not respond to the treatment or discontinue due to adverse effects. Vortioxetine (VRX) is a multimodal antidepressant with a unique mechanism of action, by acting as 5-HT3A, 5-HT1D and 5-HT7 receptor antagonist, partial agonist at the 5-HT1A and 5-HT1B receptors and inhibitor at the 5-HT transporter. Preliminary clinical trials showed contrasting findings in terms of improvement of the anxiety symptomatology and/or cognitive impairment. Here, we aim to systematically review the evidence currently available on the efficacy, safety and tolerability of VRX in the treatment of GAD. The generalizability of results on the efficacy of VRX in patients with anxiety symptomatology and GAD is limited due to few and contrasting RCTs so far available. Only two studies, of which one prevention relapse trial, reported a significant improvement in anxiety symptomatology compared to three with negative findings. PMID:27050932

  4. Randomized Controlled Trial: Multimodal Anxiety and Social Skill Intervention for Adolescents with Autism Spectrum Disorder

    OpenAIRE

    White, Susan W.; Ollendick, Thomas; Albano, Anne Marie; Oswald, Donald; Johnson, Cynthia; Southam-Gerow, Michael A.; Kim, Inyoung; Scahill, Lawrence

    2013-01-01

    Anxiety is common among adolescents with autism spectrum disorders (ASD) and may amplify the core social disability, thus necessitating combined treatment approaches. This pilot, randomized controlled trial (RCT) evaluated the feasibility and preliminary outcomes of the Multimodal Anxiety and Social Skills Intervention (MASSI) program in a sample of 30 adolescents with ASD and anxiety symptoms of moderate or greater severity. The treatment was acceptable to families, subject adherence was hig...

  5. a multimodal mapping study

    Directory of Open Access Journals (Sweden)

    Barbara Tomasino

    2015-10-01

    Full Text Available Our environment is full of auditory events such as warnings or hazards, and their correct recognition is essential. We explored environmental sound (ES recognition in a series of studies. In study 1 we performed an Activation Likelihood Estimation (ALE meta-Analysis of neuroimaging studies addressing ES processing to delineate the network of areas consistently involved in ES processing. In study 2 we reported a series of 7 neurosurgical patients with lesions involving the areas found consistently activated by the ALE meta-analysis and tested their ES recognition abilities. In study 3 we investigated how the areas involved in ES might be functionally deregulated as an effect of lesion by performing an fMRI study on patients (in comparison to healthy controls. Areas found to be consistently activated in the ALE quantitative meta-analysis involved the STG/MTG, insula/rolandic operculum, parahippocampal gyrus and inferior frontal gyrus complex bilaterally. Some of these areas were found modulated by design choices, e.g., type of task, type of control condition, type of stimuli. Patients with lesions in these areas of the left and the right hemisphere had an impaired ES recognition. The most frequently lesioned area corresponded to the hippocampus/insula/superior temporal gyrus. For the most part, the patients’ responses were unrelated to the target sounds or were semantically related to the target sounds. The other type of responses were: auditorily related, semantically and auditorily related, and "I don't Know" answers. The fMRI evidenced deregulations of the activation reported in the right IFG and in the STG bilaterally and in the left insula. We showed that some of these clusters of activation truly reflect ES processing, whereas others are related to design choices. Our results allowed a parcelization of the activation found along the MTG/STG area

  6. Multimodality

    DEFF Research Database (Denmark)

    Buhl, Mie

    In this paper, I address an ongoing discussion in Danish E-learning research about how to take advantage of the fact that digital media facilitate other communication forms than text, so-called ‘multimodal’ communication, which should not be confused with the term ‘multimedia’. While multimedia...... learning situations. The choices they make involve E-learning resources like videos, social platforms and mobile devices, not just as digital artefacts we interact with, but the entire practice of using digital media. In a life-long learning perspective, multimodality is potentially very useful for...... represent the use of various media for communication, multimodality refers to the different symbol systems we employ in communication practices. As new educational practices emerge from the application of ICT, all teachers address multimodality when they plan, practice and reflect on their teaching and...

  7. Multimodality

    DEFF Research Database (Denmark)

    Buhl, Mie

    2010-01-01

    In this paper, I address an ongoing discussion in Danish E-learning research about how to take advantage of the fact that digital media facilitate other communication forms than text, so-called ‘multimodal' communication, which should not be confused with the term ‘multimedia'. While multimedia r...

  8. Studying Anxiety Disorders | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... page please turn Javascript on. Feature: Phobias and Anxiety Disorders Studying Anxiety Disorders Past Issues / Fall 2010 Table of Contents ... physical and psychological stress, and diet. 5 Major Anxiety Disorders Generalized Anxiety Disorder (GAD) : chronic anxiety, exaggerated ...

  9. Analgesic efficacy of lidocaine and multimodal analgesia for chest tube removal: A randomized trial study1

    Science.gov (United States)

    Pinheiro, Valdecy Ferreira de Oliveira; da Costa, José Madson Vidal; Cascudo, Marcelo Matos; Pinheiro, Ênio de Oliveira; Fernandes, Maria Angela Ferreira; de Araujo, Ivonete Batista

    2015-01-01

    Objective: to assess the analgesic efficacy of subcutaneous lidocaine and multimodal analgesia for chest tube removal following heart surgery. Methods: sixty volunteers were randomly allocated in two groups; 30 participants in the experimental group were given 1% subcutaneous lidocaine, and 30 controls were given a multimodal analgesia regime comprising systemic anti-inflammatory agents and opioids. The intensity and quality of pain and trait and state anxiety were assessed. The association between independent variables and final outcome was assessed by means of the Chi-squared test with Yates' correction and Fisher's exact test. Results: the groups did not exhibit significant difference with respect to the intensity of pain upon chest tube removal (p= 0.47). The most frequent descriptors of pain reported by the participants were pressing, sharp, pricking, burning and unbearable. Conclusion: the present study suggests that the analgesic effect of the subcutaneous administration of 1% lidocaine combined with multimodal analgesia is most efficacious. PMID:26625989

  10. The use of Study Anxiety Intervention in Reducing Anxiety to Improve Academic Performance among University Students

    OpenAIRE

    Prima Vitasari; Muhammad Nubli Abdul Wahab; Ahmad Othman; Muhammad Ghani Awang

    2010-01-01

    Anxiety is one of the wide varieties of emotional and behaviour disorders, it is a major predictor of low academic performance. To this, anxiety should be taken seriously. Students needed some intervention to reduce anxiety in improving academic performance. Study anxiety intervention is designed to help students handling the problem regarding of their study process. In this paper, the study anxiety intervention to manage study anxiety in order to increase academic performance among students ...

  11. Clinical relevance of comorbidity in anxiety disorders : A report from the Netherlands Study of Depression and Anxiety (NESDA)

    NARCIS (Netherlands)

    Hofmeijer-Sevink, Mieke Klein; Batelaan, Neeltje M.; van Megen, Harold J. G. M.; Penninx, Brenda W.; Cath, Danielle C.; van den Hout, Marcel A.; van Balkom, Anton J. L. M.

    2012-01-01

    Background: To study the clinical relevance of type of comorbidity and number of comorbid disorders in anxiety disorders. Four groups were compared according to sociodemographic-, vulnerability- and clinical factors: single anxiety disorder, anxiety-anxiety comorbidity, anxiety-depressive comorbidit

  12. Candidate gene studies in human anxiety disorders

    OpenAIRE

    Donner, Jonas

    2012-01-01

    Anxiety disorders, such as panic disorder (PD), obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and phobias are common psychiatric disorders, characterized by exaggerated, prolonged and debilitating levels of anxiety. They are complex diseases with onset influenced by both environmental and genetic factors, but so far little progress has been made in identifying solid susceptibility genes. The aim of this study was to shed light on the genetic basi...

  13. Identifying environmental sounds: a multimodal mapping study

    Science.gov (United States)

    Tomasino, Barbara; Canderan, Cinzia; Marin, Dario; Maieron, Marta; Gremese, Michele; D'Agostini, Serena; Fabbro, Franco; Skrap, Miran

    2015-01-01

    Our environment is full of auditory events such as warnings or hazards, and their correct recognition is essential. We explored environmental sounds (ES) recognition in a series of studies. In study 1 we performed an Activation Likelihood Estimation (ALE) meta-analysis of neuroimaging experiments addressing ES processing to delineate the network of areas consistently involved in ES processing. Areas consistently activated in the ALE meta-analysis were the STG/MTG, insula/rolandic operculum, parahippocampal gyrus and inferior frontal gyrus bilaterally. Some of these areas truly reflect ES processing, whereas others are related to design choices, e.g., type of task, type of control condition, type of stimulus. In study 2 we report on 7 neurosurgical patients with lesions involving the areas which were found to be activated by the ALE meta-analysis. We tested their ES recognition abilities and found an impairment of ES recognition. These results indicate that deficits of ES recognition do not exclusively reflect lesions to the right or to the left hemisphere but both hemispheres are involved. The most frequently lesioned area is the hippocampus/insula/STG. We made sure that any impairment in ES recognition would not be related to language problems, but reflect impaired ES processing. In study 3 we carried out an fMRI study on patients (vs. healthy controls) to investigate how the areas involved in ES might be functionally deregulated because of a lesion. The fMRI evidenced that controls activated the right IFG, the STG bilaterally and the left insula. We applied a multimodal mapping approach and found that, although the meta-analysis showed that part of the left and right STG/MTG activation during ES processing might in part be related to design choices, this area was one of the most frequently lesioned areas in our patients, thus highlighting its causal role in ES processing. We found that the ROIs we drew on the two clusters of activation found in the left and in

  14. A research for identifying study anxiety sources among university students

    OpenAIRE

    Prima Vitasari; Muhammad Nubli Abdul Wahab; Ahmad Othman; Muhammad Ghani Awang

    2010-01-01

    University students suffer to some levels of study anxiety, such as; have new experiences, environment and situation. Study anxiety is a real phenomenon. Campus environment has universal access to increase study anxiety among students. The prevalence of study anxiety has been acknowledged by students and educators. However, no current researches exist to identify the study anxiety sources among university students. In this research, we present a survey aimed to identify of study anxiety sourc...

  15. Is the beck anxiety inventory a good tool to assess the severity of anxiety? A primary care study in The Netherlands study of depression and anxiety (NESDA)

    NARCIS (Netherlands)

    Muntingh, Anna D. T.; van der Feltz-Cornelis, Christina M.; van Marwijk, Harm W. J.; Spinhoven, Philip; Penninx, Brenda W. J. H.; van Balkom, Anton J. L. M.

    2011-01-01

    Background: Appropriate management of anxiety disorders in primary care requires clinical assessment and monitoring of the severity of the anxiety. This study focuses on the Beck Anxiety Inventory (BAI) as a severity indicator for anxiety in primary care patients with different anxiety disorders (so

  16. Religiousness and preoperative anxiety: a correlational study

    OpenAIRE

    Karimollahi Mansoureh; Aghamohammadi Kalkhoran Masoomeh

    2007-01-01

    Abstract Background Major life changes are among factors that cause anxiety, and one of these changes is surgery. Emotional reactions to surgery have specific effects on the intensity and velocity as well as the process of physical disease. In addition, they can cause delay in patients recovery. This study is aimed at determining the relationship between religious beliefs and preoperative anxiety. Methods This survey is a correlational study to assess the relationship between religious belief...

  17. Multimode optical fiber study for a new radiation dosimeter development

    Science.gov (United States)

    Badita, Eugenia; Stancu, Elena; Scarlat, Florea; Vancea, Catalin; Dumitrascu, Maria; Scarisoreanu, Anca

    2013-06-01

    This paper presents the experimental results on preliminary study of the physical proprieties of the multimode optical fiber in radiation field delivered by electron linear accelerator of the National Research and Development Institute for Laser, Plasma and Radiation Physics (INFLPR). This study is based on the physical degradation effect of the optical fiber due to electron beam exposure measured through dependence of the exposure dose in electron beam and radiation induced attenuation. Optical fiber attenuations were measured before, during and after electron beam exposure. Results show a greater attenuation for multimode optical fiber of lower wavelength.

  18. Multimodal Biometric Systems - Study to Improve Accuracy and Performance

    CERN Document Server

    Sasidhar, K; Ramakrishna, Kolikipogu; KailasaRao, K

    2010-01-01

    Biometrics is the science and technology of measuring and analyzing biological data of human body, extracting a feature set from the acquired data, and comparing this set against to the template set in the database. Experimental studies show that Unimodal biometric systems had many disadvantages regarding performance and accuracy. Multimodal biometric systems perform better than unimodal biometric systems and are popular even more complex also. We examine the accuracy and performance of multimodal biometric authentication systems using state of the art Commercial Off- The-Shelf (COTS) products. Here we discuss fingerprint and face biometric systems, decision and fusion techniques used in these systems. We also discuss their advantage over unimodal biometric systems.

  19. Religiousness and preoperative anxiety: a correlational study

    Directory of Open Access Journals (Sweden)

    Karimollahi Mansoureh

    2007-06-01

    Full Text Available Abstract Background Major life changes are among factors that cause anxiety, and one of these changes is surgery. Emotional reactions to surgery have specific effects on the intensity and velocity as well as the process of physical disease. In addition, they can cause delay in patients recovery. This study is aimed at determining the relationship between religious beliefs and preoperative anxiety. Methods This survey is a correlational study to assess the relationship between religious beliefs and preoperative anxiety of patients undergoing abdominal, orthopaedic, and gynaecologic surgery in educational hospitals. We used the convenience sampling method. The data collection instruments included a questionnaire containing the Spielberger State-Trait Anxiety Inventory (STAI, and another questionnaire formulated by the researcher with queries on religious beliefs and demographic characteristics as well as disease-related information. Analysis of the data was carried out with SPSS software using descriptive and inferential statistics. Results were arranged in three tables. Results The findings showed that almost all the subjects had high level of religiosity and moderate level of anxiety. In addition, there was an inverse relationship between religiosity and intensity of anxiety, though this was not statistically significant. Conclusion The results of this study can be used as evidence for presenting religious counselling and spiritual interventions for individuals undergoing stress. Finally, based on the results of this study, the researcher suggested some recommendations for applying results and conducting further research.

  20. Is the beck anxiety inventory a good tool to assess the severity of anxiety? A primary care study in the Netherlands Study of Depression and Anxiety (NESDA)

    OpenAIRE

    van der Feltz-Cornelis Christina M; Muntingh Anna DT; van Marwijk Harm WJ; Spinhoven Philip; Penninx Brenda WJH; van Balkom Anton JLM

    2011-01-01

    Abstract Background Appropriate management of anxiety disorders in primary care requires clinical assessment and monitoring of the severity of the anxiety. This study focuses on the Beck Anxiety Inventory (BAI) as a severity indicator for anxiety in primary care patients with different anxiety disorders (social phobia, panic disorder with or without agoraphobia, agoraphobia or generalized anxiety disorder), depressive disorders or no disorder (controls). Methods Participants were 1601 primary...

  1. “A STUDY ON TEST ANXIETY OF STUDENTS”

    OpenAIRE

    Hosamani Manilingappa

    2015-01-01

    A Study reveals that anxiety level of college male & fame students, the present study attempts that level of anxiety among college students the study shows that females have more anxiety then the male. The male have less anxiety then the Female.

  2. Heterogeneity in development of adolescent anxiety disorder symptoms in an 8-year longitudinal community study

    NARCIS (Netherlands)

    Nelemans, Stefanie A.; Hale, William W.; Branje, Susan J. T.; Raaijmakers, Quinten A. W.; Frijns, Tom; van Lier, Pol A. C.; Meeus, Wim H. J.

    2014-01-01

    In this study, we prospectively examined developmental trajectories of five anxiety disorder symptom dimensions (generalized anxiety disorder, panic disorder, school anxiety, separation anxiety disorder, and social anxiety disorder) from early to late adolescence in a community sample of 239 adolesc

  3. Cognitive content-specificity in anxiety and depression: a twin study of associations with anxiety sensitivity dimensions across development.

    OpenAIRE

    Brown, H. M.; Waszczuk, M.A.; Zavos, Helena M. S.; Trzaskowski, M; Gregory, Alice M.; Eley, Thalia C.

    2014-01-01

    Background The classification of anxiety and depressive disorders has long been debated and has important clinical implications. The present study combined a genetically sensitive design and multiple time points to investigate cognitive content specificity in anxiety and depressive disorder symptoms across anxiety sensitivity dimensions, a cognitive distortion implicated in both disorders. Method Phenotypic and genetic correlations between anxiety sensitivity dimensions, anxiety and depre...

  4. Anxiety

    Science.gov (United States)

    ... anxiety disorder. As many as 14% of older adults have anxiety disorders. These disorders are more common among older women than older men. In later life, people may develop anxiety disorders during stressful events such as a serious illness, the loss of ...

  5. Writing Anxiety: A Case Study on Students’ Reasons for Anxiety in Writing

    OpenAIRE

    Kara, Selma

    2013-01-01

    The purpose of the present study was twofold. First, the present study set out to investigate the learners‟ attitudes towards academic writing courses that they have to take as part of their curriculum, whether they experience second language writing anxiety and what reasons they report for their anxiety and failure in academic writing courses. Second, the study aimed to develop a selfreport measure of second language writing anxiety reasons

  6. The Study of the Relationship between Mothers' Anxiety with the Mathematical Performance and Students' Anxiety

    OpenAIRE

    Sepideh Moradpour; Mohsen Rostamy-Malkhalifeh; Mohammad Hassan Behzadi; Ahmad Shahvarani

    2015-01-01

    Today mathematics stress have considered under interesting of many psychologists of mathematics education and cognitive psychologists too so that recognize emotion and mental stimulations of students in mathematics and to find scientific strategies for removing and controlling them. Anxiety is one of important and effective issues of 21th century. This study is done with aim of the study of relationship between mothers' anxiety with mathematics performance and anxiety of their children at fir...

  7. Studying Anxiety Disorders | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... of this page please turn Javascript on. Feature: Phobias and Anxiety Disorders Studying Anxiety Disorders Past Issues / ... palpitations, shortness of breath, dizziness, or abdominal distress. Phobias often result in panic attacks. Post-Traumatic Stress ...

  8. Study Parses Comorbidity of Cannabis Use and Social Anxiety

    Science.gov (United States)

    ... Study Parses Comorbidity of Cannabis Use and Social Anxiety Email Facebook Twitter October 25, 2013 A recent ... relationship between cannabis use disorder (CUD) and social anxiety disorder (SAD). The findings affirmed that a significant ...

  9. The Study of the Relationship between Mothers' Anxiety with the Mathematical Performance and Students' Anxiety

    Directory of Open Access Journals (Sweden)

    Sepideh Moradpour

    2015-04-01

    Full Text Available Today mathematics stress have considered under interesting of many psychologists of mathematics education and cognitive psychologists too so that recognize emotion and mental stimulations of students in mathematics and to find scientific strategies for removing and controlling them. Anxiety is one of important and effective issues of 21th century. This study is done with aim of the study of relationship between mothers' anxiety with mathematics performance and anxiety of their children at first grade of high school at zone one of Tehran. Among population, 97 students and their mothers are chosen. Data of this research are collected by Cattell standard questionnaire for studying mothers' anxiety and standard questionnaire of mathematics anxiety for studying mathematics anxiety and a math exam for studying of students' performance. Research findings indicate that there is significant relationship between mothers' anxiety with mathematics anxiety and performance of students. Also it indicated that there is significant difference between students with high and low mathematics anxiety in term of mathematics performance.

  10. Dental anxiety among adults: An epidemiological study in South India

    OpenAIRE

    Devapriya Appukuttan; Sangeetha Subramanian; Anupama Tadepalli; Lokesh Kumar Damodaran

    2015-01-01

    Background: Dental anxiety is a major barrier for dental care utilization. Hence, identifying anxious individuals and their appropriate management becomes crucial in clinical practice. Aim: The study aims to assess dental anxiety, factors influencing dental anxiety, and anxiety towards tooth extraction procedure among patients attending a dental hospital in India. Materials and Methods: The study sample consisted of 1,148 consecutive patients aged 18-70 years. The assessment tools consisted o...

  11. Pilot study of a multimodal intervention

    DEFF Research Database (Denmark)

    Jarden, Mary Ellen; Hovgaard, Doris; Boesen, Ellen;

    2007-01-01

    Substantial physical and functional deconditioning and diminished psychological wellbeing are all potential adverse effects of allogeneic stem cell transplantation (allo-HSCT). The aim of this study was to evaluate the feasibility, safety and benefits (physical and functional capacity) of a 4......-6 week supervised and structured mixed-type exercise, progressive relaxation and psychoeducation programme in patients undergoing allo-HSCT. Nineteen patients were randomized to an intervention or a conventional care group (CC) and were tested for physical and functional capacity before admission and...

  12. Study of English Speaking Anxiety in English Teaching

    Institute of Scientific and Technical Information of China (English)

    张艳梅

    2014-01-01

    Anxiety has an important influence on two language learning as one of the affective factors in language learning. Peo-ple usually think that excessive anxiety can interfere with the learning of English, especially the spoken English. This paper mainly studies the reasons of causing anxiety, strategies of solving speaking anxiety and help students overcome affective barriers, enhanc-ing the level of spoken english.

  13. Anxiety

    Science.gov (United States)

    ... take a test or walk down a dark street. This kind of anxiety is useful - it can make you more alert or careful. It usually ends soon after you are out of the situation that caused it. But for millions of people in the United States, the anxiety does not ...

  14. An Exploratory Study of Library Anxiety in Developmental Education Students

    Science.gov (United States)

    Lee, Scott W.

    2012-01-01

    This study examined Library Anxiety in a cohort of developmental English students. Levels of anxiety were measured in 191 students using Bostick's Library Anxiety Scale. Thirteen of those students were then interviewed about their use, knowledge and valuation of their campus library. The results of the interviews were compared against the measured…

  15. Study on Writing Anxiety among Iranian EFL Students

    Directory of Open Access Journals (Sweden)

    Naghmeh Jebreil

    2015-03-01

    Full Text Available This article aimed at investigating the level of writing anxiety of the Iranian EFL students with different proficiency levels. To do so, 45 students (elementary, intermediate, and advanced learners studying in Azad University of Ilam, Iran were selected based on random sampling. Second, Language Writing Anxiety Inventory SLWAI (Cheng, 2004 was used to measure anxiety.  Both descriptive and inferential statistics including One-way ANOVA were run to analyze the data. Statistical analysis was conducted using Statistical Package for Social Science (SPSS. The results of the study indicated that the selected Iranian EFL students majoring in English language teaching experienced a high level of anxiety. In addition, students with elementary level were found to suffer higher level of English writing anxiety than the students with intermediate and advanced levels. Finally, based on the findings, cognitive anxiety was the most common type of anxiety, followed by somatic anxiety, and avoidance behavior. The results also highlighted the fact that foreign and second language teachers should be cautious of the dangers of  anxiety  and try  to  make  the  atmosphere  of  class  as  stress-free  as possible  in  order  to  improve  students’ performance.Keywords: Writing Anxiety, EFL Students, Cognitive Anxiety, Somatic Anxiety, Avoidance

  16. Positron Emission Tomography (PET) Studies in Anxiety Disorders

    OpenAIRE

    Michelgård Palmquist, Åsa

    2010-01-01

    Anxiety disorders are very common and the primary feature is abnormal or inappropriate anxiety. Fear and anxiety is often mediated by the amygdala, a brain structure rich in substance P (SP) and neurokinin 1 (NK1) receptors. To learn more about how the human amygdala is modulated by fear and anxiety in event-triggered anxiety disorders and to investigate if the SP/NK1 receptor system is affected, regional cerebral blood flow (rCBF) ([15O]-water; Study I and II) and the SP/NK1 receptor system ...

  17. Assessing Anxiety in Youth with the Multidimensional Anxiety Scale for Children (MASC)

    OpenAIRE

    Wei, Chiaying; Hoff, Alexandra; Villabø, Marianne A.; Peterman, Jeremy; KENDALL, Philip C.; Piacentini, John; McCracken, James; Walkup, John T.; Albano, Anne Marie; Rynn, Moira; Sherrill, Joel; Sakolsky, Dara; Birmaher, Boris; Ginsburg, Golda; Keaton, Courtney

    2013-01-01

    The present study examined the psychometric properties, including discriminant validity and clinical utility, of the youth self-report and parent-report forms of the Multidimensional Anxiety Scale for Children (MASC) among youth with anxiety disorders. The sample included parents and youth (N= 488, 49.6% male) ages 7 – 17 who participated in the Child/Adolescent Anxiety Multimodal Study (CAMS). Although the typical low agreement between parent and youth self-reports was found, the MASC eviden...

  18. Cultural Shifts, Multimodal Representations, and Assessment Practices: A Case Study

    Science.gov (United States)

    Curwood, Jen Scott

    2012-01-01

    Multimodal texts involve the presence, absence, and co-occurrence of alphabetic text with visual, audio, tactile, gestural, and spatial representations. This article explores how teachers' evaluation of students' multimodal work can be understood in terms of cognition and culture. When teachers apply a paradigm of assessment rooted in print-based…

  19. Level up with Multimodal Composition in Social Studies

    Science.gov (United States)

    Dalton, Bridget

    2015-01-01

    Students find multimodal composing highly engaging. Even with students' investment in designing multimodal texts, the teaching process is complex. The purpose for writing, audience, and genre must be considered in relation to the modes, digital authoring and presentation tools, and technology devices that are available to the composer. This…

  20. A review of neuroimaging studies of anxiety disorders in China

    OpenAIRE

    Chen J; Shi S

    2011-01-01

    Jing Chen, Shenxun ShiDepartment of Psychiatry, Huashan Hospital, Fudan University, Shanghai, ChinaBackground: Anxiety disorders are highly prevalent internationally, and constitute a substantial social and economic burden for patients, their families, and society. A number of neuroimaging studies have investigated the etiology of anxiety disorders in China in the last decade. We discuss the findings of these studies, and compare them with the results of neuroimaging studies of anxiety disord...

  1. Exploring the Multimodality of EFL Textbooks for Chinese College Students: A Comparative Study

    Science.gov (United States)

    Liu, Xiqin; Qu, Dianning

    2014-01-01

    To explore the multimodality of two representative EFL textbook series for Chinese college students, their visual and verbal semiotic modes were compared. The target textbooks are "Experiencing English" and "New Century College English". Through multimodal discourse analysis, the study aims to shed some light on how to develop…

  2. Anxiety Disorders

    Science.gov (United States)

    ... press the Escape (Esc) button on your keyboard.) Anxiety Disorders in Older Adults Click for more information Studies estimate that anxiety ... anxiety symptoms or make them worse. In older adults, anxiety disorders often occur at the same time as depression, ...

  3. Study of Mothers' Anxieties Related to Their Children's Future

    Science.gov (United States)

    Ilgar, Sengul

    2015-01-01

    The purpose of this study is to study anxieties of mothers related to their children's future. Qualitative method was used in order to study anxieties of mothers from different socio-economic levels. Sample of the study participants are 129 mothers living in Istanbul. 32 of those mothers are from upper socio-economic level, 57, from middle…

  4. Anxiety

    Science.gov (United States)

    ... take a test or walk down a dark street. This kind of anxiety is useful - it can make you more alert or careful. It usually ends soon after you are out of the situation that caused it. But for millions of people ...

  5. Performing PET/CT studies: do they create anxiety?

    OpenAIRE

    Abreu, Carla; Lucena, Filipa; Grilo, Ana

    2014-01-01

    Introduction: Anxiety is a common problem in primary care and specialty medical settings. Treating an anxious patient takes more time and adds stress to staff. Unrecognised anxiety may lead to exam repetition, image artifacts and hinder the scan performance. Reducing patient anxiety at the onset is probably the most useful means of minimizing artifactual FDG uptake, both fat brown and skeletal muscle uptake, as well patient movement and claustrophobia. The aim of the study was to examine the ...

  6. Study on Writing Anxiety among Iranian EFL Students

    OpenAIRE

    Naghmeh Jebreil; Akbar Azizifar; Habib Gowhary; Ali Jamalinesari

    2015-01-01

    This article aimed at investigating the level of writing anxiety of the Iranian EFL students with different proficiency levels. To do so, 45 students (elementary, intermediate, and advanced learners) studying in Azad University of Ilam, Iran were selected based on random sampling. Second, Language Writing Anxiety Inventory SLWAI (Cheng, 2004) was used to measure anxiety.  Both descriptive and inferential statistics including One-way ANOVA were run to analyze the data. Statistical analysis was...

  7. Dental anxiety among adults: An epidemiological study in South India

    Directory of Open Access Journals (Sweden)

    Devapriya Appukuttan

    2015-01-01

    Full Text Available Background: Dental anxiety is a major barrier for dental care utilization. Hence, identifying anxious individuals and their appropriate management becomes crucial in clinical practice. Aim: The study aims to assess dental anxiety, factors influencing dental anxiety, and anxiety towards tooth extraction procedure among patients attending a dental hospital in India. Materials and Methods: The study sample consisted of 1,148 consecutive patients aged 18-70 years. The assessment tools consisted of a consent form, history form, a questionnaire form containing the Modified Dental Anxiety Scale (MDAS which was used to assess the level of dental anxiety, and an additional question on anxiety towards dental extraction procedure. Results: Among the study group, 63.7% were men and 36.3% were women. Based on the MDAS score, 45.2% of the participants were identified to be less anxious, 51.8% were moderately or extremely anxious, and 3% were suffering from dental phobia. Mean MDAS total score was 10.4 (standard deviation (SD = 3.91. Female participants and younger subjects were more anxious (P < 0.001. Subjects who were anxious had postponed their dental visit (P < 0.001. Participants who had negative dental experience were more anxious (P < 0.05. Notably, 82.6% reported anxiety towards extraction procedure. Significant association was seen between anxiety towards extraction procedure and the respondents gender (P < 0.05, age (P < 0.001, education level (P < 0.05, employment status (P < 0.001, income (P < 0.001, self-perceived oral health status (P < 0.05, and their history of visit to dentist (P < 0.05. Conclusion: Significant percentage of population was suffering from dental anxiety in this study population. A plethora of factors like age, gender, education level, occupation, financial stability, and previous bad dental experience influences dental anxiety to various levels. Extraction followed by drilling of tooth and receiving local anesthetic injection

  8. Predictors of Childhood Anxiety: A Population-Based Cohort Study.

    Directory of Open Access Journals (Sweden)

    Dawn Kingston

    Full Text Available Few studies have explored predictors of early childhood anxiety.To determine the prenatal, postnatal, and early life predictors of childhood anxiety by age 5.Population-based, provincial administrative data (N = 19,316 from Manitoba, Canada were used to determine the association between demographic, obstetrical, psychosocial, medical, behavioral, and infant factors on childhood anxiety.Risk factors for childhood anxiety by age 5 included maternal psychological distress from birth to 12 months and 13 months to 5 years post-delivery and an infant 5-minute Apgar score of ≤7. Factors associated with decreased risk included maternal age < 20 years, multiparity, and preterm birth.Identifying predictors of childhood anxiety is a key step to early detection and prevention. Maternal psychological distress is an early, modifiable risk factor. Future research should aim to disentangle early life influences on childhood anxiety occurring in the prenatal, postnatal, and early childhood periods.

  9. A STUDY OF ENGLISH LANGUAGE ANXIETY AMONG CHINESE COLLEGE STUDENTS

    Institute of Scientific and Technical Information of China (English)

    仇迪

    2012-01-01

      The aims of this paper are to determine whether English language anxiety in Chinese college students affects their learning of English, to identify what these effects are, and to discover strategies for countering such anxiety. A brief review of literature on the previous studies of English language anxiety was conducted. A second review of literature relating to definitions, classifications, causes of these anxieties, and relations with other variables was also conducted. Through a review of the literature, the corresponding countermeasures of anxiety were summarized and a variety of recommendations were provided: 1) create a relaxing and pleasant learning atmosphere, 2) increase learners’ self-confidence, 3) reduce learners’ test anxiety, and 4) adopt cooperative learning in the English class.

  10. The Impact of Smoking in Adolescence on Early Adult Anxiety Symptoms and the Relationship between Infant Vulnerability Factors for Anxiety and Early Adult Anxiety Symptoms: The TOPP Study

    OpenAIRE

    Moylan, Steven; Gustavson, Kristin; Karevold, Evalill; Øverland, Simon; Jacka, Felice N; Pasco, Julie A.; Berk, Michael

    2013-01-01

    Cigarette smoking is increased in people with trait anxiety and anxiety disorders, however no longitudinal data exist illuminating whether smoking in adolescence can influence the developmental trajectory of anxiety symptoms from early vulnerability in infancy to adult anxiety expression. Using The Tracing Opportunities and Problems in Childhood and Adolescence (TOPP) Study, a community-based cohort of children and adolescents from Norway who were observed from the age of 18months to age 18–1...

  11. Is math anxiety in the secondary classroom limiting physics mastery? A study of math anxiety and physics performance

    Science.gov (United States)

    Mercer, Gary J.

    This quantitative study examined the relationship between secondary students with math anxiety and physics performance in an inquiry-based constructivist classroom. The Revised Math Anxiety Rating Scale was used to evaluate math anxiety levels. The results were then compared to the performance on a physics standardized final examination. A simple correlation was performed, followed by a multivariate regression analysis to examine effects based on gender and prior math background. The correlation showed statistical significance between math anxiety and physics performance. The regression analysis showed statistical significance for math anxiety, physics performance, and prior math background, but did not show statistical significance for math anxiety, physics performance, and gender.

  12. A study of exam related anxiety amongst medical students

    Directory of Open Access Journals (Sweden)

    B Pahwa

    2008-01-01

    Full Text Available Background: The present study focuses on pre-examination anxiety amongst medical students & its personality co-relates. Material & Method : 91 medical students were administered Eysenck Personality Questionnaire to determine predominant personality trait if any and Beck′s Anxiety Inventory. Results : There was an increase in anxiety levels prior to exam, more so in females and in students with neuroticism and extraversion temperaments. Conclusion: Anxiety levels increase in medical students prior to exams and are associated with certain personality traits, though the difference is not statistically significant.

  13. Anxiety and depression in patients receiving radiotherapy. Prospective study

    International Nuclear Information System (INIS)

    The objective of this study was to detect the prevalence of anxiety and depressive disorders using the Hospital Anxiety and Depression Scale (HADS) prospectively in patients receiving Radiotherapy (RT) during and after treatment. 140 consecutive cancer patients referred for radiotherapy and their care givers were included. All patients were administered the Hospital Anxiety and Depression Scale (HADS) conducted at intake, just before starting RT, after finishing the course of RT, and at 3-4 months follow-up. Anxiety and depression are detected frequently in patients receiving RT both prior to treatment and later during follow-up

  14. Two-year course of depressive and anxiety disorders : Results from the Netherlands Study of Depression and Anxiety (NESDA)

    NARCIS (Netherlands)

    Penninx, B.W.; Nolen, W.A.; Lamers, F.; Zitman, F.G.; Smit, J.H.; Spinhoven, P.; Cuijpers, P.; de Jong, P.J.; van Marwijk, H.W.; van der Meer, K.; Verhaak, P.; Laurant, M.G.; de Graaf, R.; Hoogendijk, W.J.; van der Wee, N.; Ormel, J.; van Dyck, R.; Beekman, A.T.

    2011-01-01

    Background: Whether course trajectories of depressive and anxiety disorders are different, remains an important question for clinical practice and informs future psychiatric nosology. This longitudinal study compares depressive and anxiety disorders in terms of diagnostic and symptom course trajecto

  15. The impact of smoking in adolescence on early adult anxiety symptoms and the relationship between infant vulnerability factors for anxiety and early adult anxiety symptoms: the TOPP Study.

    Directory of Open Access Journals (Sweden)

    Steven Moylan

    Full Text Available Cigarette smoking is increased in people with trait anxiety and anxiety disorders, however no longitudinal data exist illuminating whether smoking in adolescence can influence the developmental trajectory of anxiety symptoms from early vulnerability in infancy to adult anxiety expression. Using The Tracing Opportunities and Problems in Childhood and Adolescence (TOPP Study, a community-based cohort of children and adolescents from Norway who were observed from the age of 18 months to age 18-19 years, we explored the relationship between adolescent smoking, early vulnerability for anxiety in infancy (e.g. shyness, internalizing behaviors, emotional temperaments and reported early adult anxiety. Structural equation modeling demonstrated that adolescent active smoking was positively associated with increased early adulthood anxiety (β = 0.17, p<0.05, after controlling for maternal education (proxy for socioeconomic status. Adolescent anxiety did not predict early adult smoking. Adolescent active smoking was a significant effect modifier in the relationship between some infant vulnerability factors and later anxiety; smoking during adolescence moderated the relationship between infant internalizing behaviors (total sample: active smokers: β = 0.85, p<0.01, non-active smokers: ns and highly emotional temperament (total sample: active smokers: β = 0.55, p<0.01,non-active smokers: ns, but not shyness, and anxiety in early adulthood. The results support a model where smoking acts as an exogenous risk factor in the development of anxiety, and smoking may alter the developmental trajectory of anxiety from infant vulnerability to early adult anxiety symptom expression. Although alternative non-mutually exclusive models may explain these findings, the results suggest that adolescent smoking may be a risk factor for adult anxiety, potentially by influencing anxiety developmental trajectories. Given the known adverse health effects of cigarette

  16. An Experimental Study into the Effects of Anxiety Reduction Techniques on State and Trait Anxiety in Cricket Batters.

    OpenAIRE

    Cooke, Esme

    2011-01-01

    The present study investigated the effects of state and trait anxiety and personality in an anxiety reducing intervention program. The anxiety reduction program consisted of effective goal setting, relaxation techniques and a gratitude diary was designed specifically to help those cricket players who suffered from anxiety. The subjects were male and female current members of the Edinburgh University Cricket Club who were separated into control and intervention groups using the results of the ...

  17. Psychometric Properties of the Liebowitz Social Anxiety Scale in a Longitudinal Study of Latinos with Anxiety Disorders

    Science.gov (United States)

    Beard, Courtney; Rodriguez, Benjamin F.; Weisberg, Risa B.; Perry, Ashley; Keller, Martin B.

    2012-01-01

    The Liebowitz Social Anxiety Scale (LSAS) is one of the most commonly used measures of social anxiety symptoms. To date, no study has examined its psychometric properties in a Latino sample. The authors examined the reliability, temporal stability, and convergent validity of the LSAS in 73 Latinos diagnosed with an anxiety disorder. The original…

  18. Anxiety disorders in mothers and their children: prospective longitudinal community study

    OpenAIRE

    Schreier, Andrea; Wittchen, Hans-Ulrich; Höfler, Michael; Lieb, Roselind

    2013-01-01

    The relationship between DSM-IV anxiety disorders and their clinical characteristics in mothers and anxiety in offspring was examined in 933 mother-child pairs from a longitudinal community study. Offspring of mothers with an anxiety disorder had an elevated risk of developing any anxiety disorder, compared with offspring of mothers with no anxiety disorder. Increased risk of anxiety in the offspring was especially associated with maternal social phobia and generalised anxiety disorder, and w...

  19. Multimodal Communication Training in Aphasia: A Pilot Study.

    Science.gov (United States)

    Purdy, Mary; Van Dyke, Julie A

    2011-09-01

    Management of patients with aph asia often focuses on training nonverbal augmentative communication strategies; however, these strategies frequently do not generalize to natural situations. The limited success may be because training waS not sufficient to produce an integrated multimodal semantic representation. The purpose of this study was to examine whether simultaneous training of stimuli in both verbal and nonverbal modalities would solidify the links within the semantic network and improve switching among modalities as needed in conversation. Two individuals with severe aphasia participated in 6 to 8 hours of Multi moda I Communication Training (MeT), during which they conveyed a concept by verbalizing, gesturing, writing, and drawing. After practice with all modalities for a single concept, a new concept was introduced. Results showed that one participant increased conveyance of concepts on the functional communication task using a variety of modalities. Although some improvement was seen with the second participant, his overall performance remained poor, likely because of a greater impairment in semantic knowledge. After a brief period of semantic training, the second participant demonstrated additional gains. Thus, MeT may serve to increase switching among verbal and nonverbal modalities in individuals with intact semantic representations, thereby increasing the likelihood that individuals will use an alternative method to communicate. PMID:24558295

  20. Effectiveness of a Multimodal Therapy for Patients with Chronic Low Back Pain Regarding Pre-Admission Healthcare Utilization

    OpenAIRE

    Borys, Constanze; Lutz, Johannes; Strauss, Bernhard; Altmann, Uwe

    2015-01-01

    Objective The aim of the study was to examine the effectiveness of an intensive inpatient three-week multimodal therapy. We focused especially on the impact on the multimodal therapy outcome of the pre-admission number of treatment types patients had received and of medical specialist groups patients had consulted. Methods 155 patients with chronic low back pain and indication for multimodal therapy were evaluated with respect to pain intensity, depression, anxiety, well-being, and pre-admiss...

  1. Mining Multimodal Sequential Patterns: A Case Study on Affect Detection

    DEFF Research Database (Denmark)

    Martínez, Héctor Pérez; Yannakakis, Georgios N.

    2011-01-01

    Temporal data from multimodal interaction such as speech and bio-signals cannot be easily analysed without a preprocessing phase through which some key characteristics of the signals are extracted. Typically, standard statistical signal features such as average values are calculated prior to the...... analysis and, subsequently, are presented either to a multimodal fusion mechanism or a computational model of the interaction. This paper proposes a feature extraction methodology which is based on frequent sequence mining within and across multiple modalities of user input. The proposed method is applied...

  2. Experimental Study on Bioluminescence Tomography with Multimodality Fusion

    Directory of Open Access Journals (Sweden)

    Yujie Lv

    2007-01-01

    Full Text Available To verify the influence of a priori information on the nonuniqueness problem of bioluminescence tomography (BLT, the multimodality imaging fusion based BLT experiment is performed by multiview noncontact detection mode, which incorporates the anatomical information obtained by the microCT scanner and the background optical properties based on diffuse reflectance measurements. In the reconstruction procedure, the utilization of adaptive finite element methods (FEMs and a priori permissible source region refines the reconstructed results and improves numerical robustness and efficiency. The comparison between the absence and employment of a priori information shows that multimodality imaging fusion is essential to quantitative BLT reconstruction.

  3. Correlational study of psychological variables self-confidence and anxiety

    Directory of Open Access Journals (Sweden)

    Gloria González Campos

    2015-12-01

    Full Text Available Abstract The purpose of this study is to analyze the concurrent validity of the psychological variables self-confidence and anxiety among the psychological measurement instruments: Psychological Characteristics Questionnaire related to Sports Performance (CPRD; Competitive State Anxiety Inventory-2 (CSAI-2; and Sports Psychological Inventory LOEHR. For this purpose, a correlational study was conducted between the selected variables and pertinent aspects of the measurement instruments. The study has revealed that the psychological variables self-confidence and anxiety are relevant in all three instruments, although not in all of the selected items.

  4. A twin study of computer anxiety in Turkish adolescents.

    Science.gov (United States)

    Deryakulu, Deniz; Calışkan, Erkan

    2012-04-01

    The present study investigated computer anxiety within a sample of Turkish twins aged 10-18. A total of 185 twin-pairs participated in the study. Of the twins, 64 pairs (34.6 percent) were monozygotic (MZ) and 121 pairs (65.4 percent) were dizygotic (DZ). Of the 121 DZ twins, 54 pairs (44.63 percent) were same-sex twins and 67 pairs (55.37 percent) were opposite-sex twins. Computer anxiety was assessed using Computer Anxiety Rating Scale-Turkish Version (CARS-TV), one of the three main scales of "Measuring Technophobia Instruments" developed by Rosen and Weil. The results of paired t test comparisons showed no significant differences in MZ and same-sex DZ twin-pairs' levels of computer anxiety. On the other hand, a significant difference was found in opposite-sex DZ twin-pairs' level of computer anxiety. Interesting enough, males appeared to be more computer anxious than their female co-twins. In the present study, using Falconer's formula, heritability estimate for computer anxiety was derived from correlations based on MZ and DZ twins' mean scores on CARS-TV. The results showed that 57 percent of the variance in computer anxiety was from genetics and 41.5 percent was from nonshared environmental factors. Shared environmental influence, on the other hand, was very small and negligible. Interpretations of results and potential directions for future research are presented. PMID:22394420

  5. EFFECT OF MAMSYADI KWATHA ON ANXIETY LEVELS: AN EXPERIMENTAL STUDY

    Directory of Open Access Journals (Sweden)

    Shreevathsa

    2011-12-01

    Full Text Available Mamsyadi Kwatha an Ayurvedic formulation cited in Siddha Yoga Sangraha of Yadavji Trikramji Acharya is said to be highly effective in various psychiatric conditions.This wellknown formulation contains the ingredients- Jatamamsi (Nordosthachys jatamansi DC, Ashwagandha (Withania somnifera and Parasika Yavani (Hyocymus niger Linn in 8:4:1 ratio respectively. The test formulation was subjected to assess its effect on Anxiety status. The model selected for this study were Open field behavior test and Elevated Plus Maze Performance Test,in albino mice. The test formulation showed interesting results in anti anxiety property and pro-anxiety property at different phases of study.

  6. Anxiety, Depression May Reduce Women's Success with IVF: Study

    Science.gov (United States)

    ... The findings were published online recently in the journal Fertility & Sterility . According to the study's principal investigator, Anastasia Nyman Iliadou, "Taken together, these results indicate that the depression and anxiety diagnoses may be the underlying factor ...

  7. A STUDY OF ANXIETY AND STRESS OF SPORTSPERSONS

    OpenAIRE

    Quadri Syed Javeed

    2014-01-01

    Aim of the study was to find out the relationship anxiety and stress of sportspersons. Hypothesis: There will be no correlation between anxiety and stress of sportspersons. Sample: For the present study 100 Sample were belongings to Jalna and Aurangabad, 100 subjects were included of various games sportsmen i.e . Football, hockey, cricket, tennis and runner. The age range of subjects was 18-25 years. Purposive non-probability sampling technique was used. Tools: 1) Sports Anxie...

  8. Correlational study of psychological variables self-confidence and anxiety

    OpenAIRE

    Gloria González Campos; Javier Cachón Zagalaz; Santiago Romero Granados

    2015-01-01

    Abstract The purpose of this study is to analyze the concurrent validity of the psychological variables self-confidence and anxiety among the psychological measurement instruments: Psychological Characteristics Questionnaire related to Sports Performance (CPRD); Competitive State Anxiety Inventory-2 (CSAI-2); and Sports Psychological Inventory LOEHR. For this purpose, a correlational study was conducted between the selected variables and pertinent aspects of the measurement instruments. The s...

  9. Review of Studies of Foreign Language Classroom Anxiety

    Institute of Scientific and Technical Information of China (English)

    QIN Ci-feng

    2015-01-01

    Anxiety is considered to be one of the key psychological variables as well as one of the important emotional factors that affect language learning. Taken into account that classroom is the main place in which Chinese college students learn English, it is of great significance to study students’language anxiety in the classroom environment. Based on the previous researches, this paper reviews the relevant studies in this area conducted at home and abroad.

  10. The Significance of Person-Centered Information on Dental Anxiety – a mixed method study

    OpenAIRE

    Asad, Lanna; Jumaa, Hifi

    2014-01-01

    Dental anxieties are one of the most common forms of anxieties today and represent an obstacle for both the patients and the therapists. The aim of this study was twofold; first, to describe experiences of and assess dental anxiety among patients, and second, based on this develop, implement and evaluate a person-centered information program to decrease experiences of dental anxiety. Our hypothesis was that person-centered information reduces dental anxiety estimated by the Dental Anxiety Sca...

  11. Instruments for the assessment of social anxiety disorder: Validation studies

    OpenAIRE

    Osório, Flávia de Lima; Crippa, José Alexandre de Souza; Loureiro, Sonia Regina

    2012-01-01

    Great progress has been observed in the literature over the last decade regarding the validation of instruments for the assessment of Social Anxiety Disorder in the Brazilian context. Particularly outstanding in this respect is the production of a group of Brazilian investigators regarding the psychometric study of the following instruments: Liebowitz Social Anxiety Scale, Social Phobia Inventory, Brief Social Phobia Scale, Disability Profile, Liebowitz Self-Rated Disability Scale, Social Pho...

  12. Anxiety disorders in young people: a population-based study

    OpenAIRE

    Thaíse Campos Mondin; Caroline Elizabeth Konradt; Taiane de Azevedo Cardoso; Luciana de Avila Quevedo; Karen Jansen; Luciano Dias de Mattos; Ricardo Tavares Pinheiro; Ricardo Azevedo da Silva

    2013-01-01

    Objective: To assess the prevalence of anxiety disorders and associated factors in young adults. Methods: Cross-sectional population-based study of individuals between the ages of 18 and 24 years randomly selected from 89 census-based sectors to ensure an adequate sample size. Household selection within the sectors was performed according to a systematic sampling process. Anxiety disorders were assessed using the Mini International Neuropsychiatric Interview (MINI). The final sample compris...

  13. Experimental Study on Bioluminescence Tomography with Multimodality Fusion

    OpenAIRE

    Lv, Yujie; Tian, Jie; Cong, Wenxiang; Wang, Ge

    2007-01-01

    To verify the influence of a priori information on the nonuniqueness problem of bioluminescence tomography (BLT), the multimodality imaging fusion based BLT experiment is performed by multiview noncontact detection mode, which incorporates the anatomical information obtained by the microCT scanner and the background optical properties based on diffuse reflectance measurements. In the reconstruction procedure, the utilization of adaptive finite element methods (FEMs) and a priori permissible s...

  14. A Study on English Writing Anxiety of Chinese College Students

    Institute of Scientific and Technical Information of China (English)

    郭敏

    2015-01-01

    The study investigated the relationship between English writing anxiety and English proficiency of Chinese college stu-dents. A total of 149 college students participated in the study. Research data was collected through a writing anxiety test and the final course scores of writing classes. In order to address assess writing anxiety, three factors (Negative perception about writing ability, Fear of evaluation, and Avoidance of writing in English) were examined. The results found that Chinese college students were highly apprehensive in the process of English writing, and the Negative perception about the writing ability was a most im-portant and significant component of their writing anxiety. It also found that there was a significant correlation between the writ-ing anxiety and the final English writing score, and it also provided evidence that self-perception about the writing ability had the strongest relationship with the writing performance. Students who are not interested in taking more advanced English writing classes were more anxiety than the participant who were willing to enroll the courses.

  15. The challenge of simple graphics for multimodal studies

    DEFF Research Database (Denmark)

    Johannessen, Christian Mosbæk

    2016-01-01

    This article suggests that a Multimodal Social Semiotics (MSS) approach to graphics is severely challenged by structurally very simple texts. Methodologically, MSS favours the level at which elements from discrete modes are integrated grammatically into texts. Because the tradition has this focus......-grammatical meaning potential as typically understood by MSS. In order to demonstrate the usefulness of the approach, the article carries out a comparative reading of two logos for Scandinavian fuel retail companies: Norwegian Statoil Fuel and Retail ASA and Swedish Preem AB....

  16. Critical Analysis of Multimodal Discourse

    DEFF Research Database (Denmark)

    van Leeuwen, Theo

    2013-01-01

    This is an encyclopaedia article which defines the fields of critical discourse analysis and multimodality studies, argues that within critical discourse analysis more attention should be paid to multimodality, and within multimodality to critical analysis, and ends reviewing a few examples...... of recent work in the critical analysis of multimodal discourse....

  17. Breastfeeding cessation and symptoms of anxiety and depression: a longitudinal cohort study

    OpenAIRE

    Ystrom Eivind

    2012-01-01

    Abstract Background Neonatal anxiety and depression and breastfeeding cessation are significant public health problems. There is an association between maternal symptoms of anxiety and depression and early breastfeeding cessation. In earlier studies, the causality of this association was interpreted both ways; symptoms of anxiety and depression prepartum significantly impacts breastfeeding, and breastfeeding cessation significantly impacts symptoms of anxiety and depression. First, we aimed t...

  18. Herbal medicine use behaviour in Australian adults who experience anxiety: a descriptive study

    OpenAIRE

    McIntyre, Erica; Anthony J. Saliba; Wiener, Karl K.; Sarris, Jerome

    2016-01-01

    Background Anxiety disorders are the most prevalent mental health condition in Australia. In addition, there are many people who experience problematic anxiety symptoms who do not receive an anxiety disorder diagnosis but require treatment. As herbal medicine use is popular in Australia, and little is known about how adults experiencing anxiety are using these medicines, this study aimed to identify how Australian adults who experience anxiety are using herbal medicines. Methods An online cro...

  19. Gender, Anxiety, and Depressive Symptoms: A Longitudinal Study of Early Adolescents

    OpenAIRE

    Chaplin, Tara M.; Gillham, Jane E.; Martin E. P. Seligman

    2009-01-01

    Does anxiety lead to depression more for girls than for boys? This study prospectively examines gender differences in the relationship between anxiety and depressive symptoms in early adolescence. One hundred thirteen 11- to 14-year-old middle school students complete questionnaires assessing depressive symptoms and three dimensions of anxiety (worry and oversensitivity, social concerns and concentration, and physiological anxiety) as well as total anxiety symptoms at an initial assessment an...

  20. The study of fear extinction: implications for anxiety disorders.

    Science.gov (United States)

    Graham, Bronwyn M; Milad, Mohammed R

    2011-12-01

    In this review, the authors propose that the fear extinction model can be used as an experimental tool to cut across symptom dimensions of multiple anxiety disorders to enhance our understanding of the psychopathology of these disorders and potentially facilitate the detection of biomarkers for them. The authors evaluate evidence for this proposition from studies examining the neurocircuitry underlying fear extinction in rodents, healthy humans, and clinical populations. The authors also assess the potential use of the fear extinction model to predict vulnerability for anxiety and treatment response and to improve existing treatments or develop novel ones. Finally, the authors suggest potential directions for future research that will help to further validate extinction as a biomarker for anxiety across diagnostic categories and to bridge the gap between basic neuroscience and clinical practice. PMID:21865528

  1. A pilot study of transdiagnostic group cognitive-behavioral therapy for anxiety in a veteran sample.

    Science.gov (United States)

    Espejo, Emmanuel P; Castriotta, Natalie; Bessonov, Daniel; Kawamura, Mari; Werdowatz, Emily A; Ayers, Catherine R

    2016-05-01

    High rates of anxiety disorders at Veteran Affairs (VA) health care centers necessitate increased availability of evidence-based treatments for all anxiety disorders. Group-based transdiagnostic cognitive-behavioral therapy (CBT) for anxiety can help to increase the availability of effective treatment for anxiety. The current study examined group-based transdiagnostic CBT for anxiety when implemented in a VA outpatient mental health clinic. Over a 1-year period, 52 veterans with various anxiety disorders completed transdiagnostic group CBT for anxiety. Veterans completing the group treatment reported significant decreases in general distress, anxiety, depression, and individualized fear hierarchy ratings (ps CBT for anxiety can be effectively implemented in a VA outpatient mental health clinic and holds promise for initiatives aimed at broadly increasing the availability of evidence-based treatment for anxiety disorders in VA health care systems. (PsycINFO Database Record PMID:26349072

  2. Virtual Chironomia: A Multimodal Study of Verbal and Non-Verbal Communication in a Virtual World

    Science.gov (United States)

    Verhulsdonck, Gustav

    2010-01-01

    This mixed methods study examined the various aspects of multimodal use of non-verbal communication in virtual worlds during dyadic negotiations. Quantitative analysis uncovered a treatment effect whereby people with more rhetorical certainty used more neutral non-verbal communication; whereas people that were rhetorically less certain used more…

  3. Middle-School Students Reading and Creating Multimodal Texts: A Case Study

    Science.gov (United States)

    Pantaleo, Sylvia

    2012-01-01

    This article focuses on the graphic novel produced by a 12-year-old student who participated in a multifaceted study that provided her with opportunities to engage with multimodal texts. An ecological perspective on teaching and learning framed the classroom-based research that explored how developing students' knowledge of literary and…

  4. Double-Wavelet Approach to Studying the Modulation Properties of Nonstationary Multimode Dynamics

    DEFF Research Database (Denmark)

    Sosnovtseva, Olga; Mosekilde, Erik; Pavlov, A.N.;

    2005-01-01

    On the basis of double-wavelet analysis, the paper proposes a method to study interactions in the form of frequency and amplitude modulation in nonstationary multimode data series. Special emphasis is given to the problem of quantifying the strength of modulation for a fast signal by a coexisting...

  5. Preschool Predictors of Childhood Anxiety Disorders: A Prospective Community Study

    Science.gov (United States)

    Wichstrøm, Lars; Belsky, Jay; Berg-Nielsen, Turid Suzanne

    2013-01-01

    Background: Anxiety disorders are often present at preschool age. Research on older children and studies contrasting preschoolers with high versus low behavioral inhibition (BI) highlight several risk factors, but these have not been investigated in community samples of young children. Child, parent, and peer factors at age 4 were therefore…

  6. Math Anxiety Case Studies: A Beyond Crossroads Companion

    Science.gov (United States)

    Peskoff, Fred

    2007-01-01

    The case study approach is commonly used in the fields of law, medicine, and business administration to help apply theory to practice. This approach is equally useful in the teaching and learning of mathematics since various categories of coping strategies used to alleviate math anxiety become more meaningful when they are used to assist "real"…

  7. Anxiety Sensitivity and Panic Attacks: A 1-Year Longitudinal Study

    Science.gov (United States)

    Li, Wen; Zinbarg, Richard E.

    2007-01-01

    The hypothesis that anxiety sensitivity (AS) is a risk factor for panic genesis has obtained compelling support, but the clinical/practical importance of AS in panic genesis has been questioned. In addition, the association between panic experience and AS increase has not been clearly demonstrated. Through this 1-year longitudinal study among…

  8. A Validation Study of the Existential Anxiety Scale.

    Science.gov (United States)

    Hullett, Michael A.

    Logotherapy is a meaning-centered psychotherapy which focuses on both the meaning of human existence and the personal search for meaning. If the will to search for meaning is frustrated, "existential frustration" may result. This study validates the Existential Anxiety Scale (EAS) developed by Good and Good (1974). Basic principles of logotherapy…

  9. Comparative Study of Multimodal and Pharmacological Therapy in Treating School Aged Children with ADHD

    Directory of Open Access Journals (Sweden)

    Susana Bogdana MILEA

    2012-09-01

    Full Text Available The attention deficit hyperactivity disorder (ADHD, one of the most commonly diagnosed psychiatric disorders among school aged children, continues to create disputes between specialists, upon the best treatment to be used. The herby study aims to bring forward some differences that may exist between the efficacy of the multimodal treatment compared to the drug treatment of ADHD. The novelty component of this study, unfolded February 2010-July 2012, is that the children, their parents and also their teachers were included in the multimodality treatment. The children included in this research (n=63, aged 6-14 and ADHD diagnosed, were randomly assigned in two groups. In the medication (Med group (n=32 the children only received the specific pharmacological treatment (Atomoxetine or Methylphenidate, and for the multimodality (MM group (n=31 the therapy included psychosocial interventions besides the drug therapy. All children were evaluated, both pre and post intervention, with the Achenbach System of Empirically Based Assessment – ASEBA, for the 6-18 aged category. We have compared the influence of therapy on the core symptoms, on the adaptive functionality and academic performance and on the competences and social functioning of the children in the two groups. The multimodal intervention proved to be more effective (p<0.05 than medication alone, firstly in ameliorating the child’s social behavior in both family and school environment, than in what concerns the main ADHD symptoms. The children’s academic performance was little impacted by either of the two therapies.

  10. DEVELOPING OF INDIVIDUAL INSTRUMENT PERFORMANCE ANXIETY SCALE: VALIDITY - RELIABILITY STUDY

    OpenAIRE

    DALKIRAN, Esra; Hülya ŞAHİN BALTACI; KARATAŞ, Zeynep; NACAKCI, Zeki

    2014-01-01

    The purpose of this study is to develop a scale unique to our culture, concerning  individual instrument performance anxiety of the students  who are getting instrument training  in the Department of Music Education. In the study, the descriptive research model is used and qualitative research techniques are utilized. The study population consists of the students attending the 23 universities which has Music Education Department. The sample of the study consists of 438 girls and 312 boys, tot...

  11. DEVELOPING OF INDIVIDUAL INSTRUMENT PERFORMANCE ANXIETY SCALE: VALIDITY - RELIABILITY STUDY

    Directory of Open Access Journals (Sweden)

    Esra DALKIRAN

    2014-07-01

    Full Text Available The purpose of this study is to develop a scale unique to our culture, concerning  individual instrument performance anxiety of the students  who are getting instrument training  in the Department of Music Education. In the study, the descriptive research model is used and qualitative research techniques are utilized. The study population consists of the students attending the 23 universities which has Music Education Department. The sample of the study consists of 438 girls and 312 boys, totally 750 students  who are studying in the Department of Music Education of randomly selected 10 universities. As a result of the explanatory and confirmatory factor analyses that were performed, a one-dimensional structure consisting of 14 items was obtained. Also, t-scores and  the coefficient scores of total item correlation concerning the distinguishing power of the items, the difference in the scores of the set of lower and upper 27% was calculated, and it was observed that the items are distinguishing as a result of both analyses. Of the scale, Cronbach's alpha coefficient of internal consistency was calculated as .94, and test-retest reliability coefficient was calculated as .93. As a result, a valid and reliable assessment and evaluation instrument that measures the exam performance anxiety of the students studying in the Department of Music Education, has been developed.Extended AbstractsIntroductionAnxiety is a universal phenomenon which people experience once or a few times during lives. It was accepted as concern for the future or as an unpleasant emotional experience regarding probable hitches of the events (Di Tomasso & Gosch, 2002.In general, the occasions on which negative feelings are experienced cause anxiety to arise (Baltaş and Baltaş, 2000. People also feel anxious in dangerous situations. Anxiety may lead a person to be creative, while it may have hindering characteristics. Anxiety is that an individual considers him

  12. Depressive and anxiety disorders and risk of subclinical atherosclerosis Findings from the Netherlands Study of Depression and Anxiety (NESDA)

    NARCIS (Netherlands)

    Seldenrijk, Adrie; Vogelzangs, Nicole; van Hout, Hein P. J.; van Marwijk, Harm W. J.; Diamant, Michaela; Penninx, Brenda W. J. H.

    2010-01-01

    Objective: Current evidence regarding the association between psychopathology and subclinical atherosclerosis show inconsistent results. The present study examined whether subclinical atherosclerosis was more prevalent in a large cohort of persons with depressive or anxiety disorders as compared to

  13. Anxiety and Depression Symptoms Among Farmers: The HUNT Study, Norway.

    Science.gov (United States)

    Torske, Magnhild Oust; Hilt, Bjørn; Glasscock, David; Lundqvist, Peter; Krokstad, Steinar

    2016-01-01

    Agriculture has undergone profound changes, and farmers face a wide variety of stressors. Our aim was to study the levels of anxiety and depression symptoms among Norwegian farmers compared with other occupational groups. Working participants in the HUNT3 Survey (The Nord-Trøndelag Health Study, 2006-2008), aged 19-66.9 years, were included in this cross-sectional study. We compared farmers (women, n = 317; men, n = 1,100) with HUNT3 participants working in other occupational groups (women, n = 13,429; men, n = 10,026), classified according to socioeconomic status. We used the Hospital Anxiety and Depression Scale (HADS) to measure anxiety and depression symptoms. Both male and female farmers had higher levels of depression symptoms than the general working population, but the levels of anxiety symptoms did not differ. The differences in depression symptom levels between farmers and the general working population increased with age. In an age-adjusted logistic regression analysis, the odds ratio (OR) for depression caseness (HADS-D ≥8) when compared with the general working population was 1.49 (95% confidence interval [CI]: 1.22-1.83) in men and 1.29 (95% CI: 0.85-1.95) in women. Male farmers had a higher OR of depression caseness than any other occupational group (OR = 1.94, 95% CI: 1.52-2.49, using higher-grade professionals as reference). Female farmers had an OR similar to men (2.00, 95% CI: 1.26-3.17), but lower than other manual occupations. We found that farmers had high levels of depression symptoms and average levels of anxiety symptoms compared with other occupational groups. PMID:26488439

  14. Science Anxiety, Science Attitudes, and Constructivism: A Binational Study

    Science.gov (United States)

    Bryant, Fred B.; Kastrup, Helge; Udo, Maria; Hislop, Nelda; Shefner, Rachel; Mallow, Jeffry

    2013-08-01

    Students' attitudes and anxieties about science were measured by responses to two self-report questionnaires. The cohorts were Danish and American students at the upper secondary- and university-levels. Relationships between and among science attitudes, science anxiety, gender, and nationality were examined. Particular attention was paid to constructivist attitudes about science. These fell into at least three broad conceptual categories: Negativity of Science Toward the Individual, Subjective Construction of Knowledge, and Inherent Bias Against Women. Multigroup confirmatory factor analyses revealed that these dimensions of constructivist attitudes were equally applicable and had the same meaning in both cultures. Gender differences in mean levels of constructivist attitudes were found; these varied across the two cultures. Constructivist beliefs were associated with science anxiety, but in different ways for females and males, and for Danes and Americans. In agreement with earlier studies, females in both the US and Danish cohorts were significantly more science anxious than males, and the gender differences for the Americans were larger than those for the Danes. Findings are discussed in terms of their implications for reducing science anxiety by changing constructivist beliefs.

  15. A review of neuroimaging studies of anxiety disorders in China

    Directory of Open Access Journals (Sweden)

    Chen J

    2011-05-01

    Full Text Available Jing Chen, Shenxun ShiDepartment of Psychiatry, Huashan Hospital, Fudan University, Shanghai, ChinaBackground: Anxiety disorders are highly prevalent internationally, and constitute a substantial social and economic burden for patients, their families, and society. A number of neuroimaging studies have investigated the etiology of anxiety disorders in China in the last decade. We discuss the findings of these studies, and compare them with the results of neuroimaging studies of anxiety disorders outside China.Method: A literature search was conducted using the Chinese BioMedical Literature Database, the Chinese Scientific and Technical Periodicals Database, the Chinese Journal Full-text Database, and PubMed, from 1989 to April 2009. We selected neuroimaging studies in which all participants and researchers were Chinese.Results: Twenty-five studies fit our inclusion criteria. Nine studies examined general anxiety disorder (GAD and/or panic disorder (PD, eight examined obsessive-compulsive disorder (OCD, and eight examined posttraumatic stress disorder (PTSD. Our literature review revealed several general findings. First, reduced regional cerebral blood flow (rCBF was found in the frontal lobe and temporal lobe in patients with GAD and PD compared with healthy controls. Second, when viewing images with negative and positive valence, relatively increased or decreased activation was found in several brain areas in patients with GAD and PD, respectively. Third, studies with positron emission tomography (PET and magnetic resonance spectroscopy (MRS imaging revealed that OCD patients exhibited hyperperfusion and hypoperfusion in some brain regions compared with healthy controls. Neuroimaging studies of PTSD indicate that the hippocampal volume and the N-acetylaspartic acid (NAA level and the NAA/creatine ratio in the hippocampus are decreased in patients relative to controls.Conclusion: Neuroimaging studies within and outside China have provided

  16. Study of internalization and viability of multimodal nanoparticles for labeling of human umbilical cord mesenchymal stem cells; Estudo de internalizacao e viabilidade de nanoparticulas multimodal para marcacao de celulas-tronco mesenquimais de cordao umbilical humano

    Energy Technology Data Exchange (ETDEWEB)

    Miyaki, Liza Aya Mabuchi [Faculdade de Enfermagem, Hospital Israelita Albert Einstein - HIAE, Sao Paulo, SP (Brazil); Sibov, Tatiana Tais; Pavon, Lorena Favaro; Mamani, Javier Bustamante; Gamarra, Lionel Fernel, E-mail: tatianats@einstein.br [Instituto do Cerebro - InCe, Hospital Israelita Albert Einstein - HIAE, Sao Paulo, SP (Brazil)

    2012-04-15

    Objective: To analyze multimodal magnetic nanoparticles-Rhodamine B in culture media for cell labeling, and to establish a study of multimodal magnetic nanoparticles-Rhodamine B detection at labeled cells evaluating they viability at concentrations of 10 {mu}g Fe/mL and 100{mu}g Fe/mL. Methods: We performed the analysis of stability of multimodal magnetic nanoparticles-Rhodamine B in different culture media; the mesenchymal stem cells labeling with multimodal magnetic nanoparticles-Rhodamine B; the intracellular detection of multimodal magnetic nanoparticles-Rhodamine B in mesenchymal stem cells, and assessment of the viability of labeled cells by kinetic proliferation. Results: The stability analysis showed that multimodal magnetic nanoparticles-Rhodamine B had good stability in cultured Dulbecco's Modified Eagle's-Low Glucose medium and RPMI 1640 medium. The mesenchymal stem cell with multimodal magnetic nanoparticles-Rhodamine B described location of intracellular nanoparticles, which were shown as blue granules co-localized in fluorescent clusters, thus characterizing magnetic and fluorescent properties of multimodal magnetic nanoparticles Rhodamine B. Conclusion: The stability of multimodal magnetic nanoparticles-Rhodamine B found in cultured Dulbecco's Modified Eagle's-Low Glucose medium and RPMI 1640 medium assured intracellular mesenchymal stem cells labeling. This cell labeling did not affect viability of labeled mesenchymal stem cells since they continued to proliferate for five days. (author)

  17. Study habits and anxiety about learning foreign languages.

    Science.gov (United States)

    Bailey, P; Onwuegbuzie, A J; Daley, C E

    2000-06-01

    The purpose was to investigate the relationship of self-reported study habits to anxiety about learning foreign languages. 219 college students from a variety of disciplinary backgrounds were enrolled in either Spanish, French, German, or Japanese classes. Correlational analyses, using the Bonferroni adjustment, indicated that students with the highest anxiety about foreign languages tended to report that (1) they spend too much time on some subjects and not enough time on others, (2) they frequently do not get enough sleep and feel sluggish in class or when studying, (3) they do not try to space study period to avoid becoming too tired while studying, and (4) they have trouble settling down to work and do not begin to study as soon as they sit down. The implications of these findings are discussed. PMID:10939062

  18. Prospective community study of family stress and anxiety in (pre)adolescents: the TRAILS study

    OpenAIRE

    Van Oort, Floor; Verhulst, Frank; Ormel, Johan Hans; Huizink, Anja

    2009-01-01

    textabstractFor prevention of anxiety in children and adolescents, it is important to know whether family stress is a predictor of anxiety. We studied this in 1,875 adolescents from the Tracking Adolescents' Individual Lives Survey (TRAILS) who were followed up for 2 years, from age 10-12 to 12-14 years. Adolescents reported anxiety and depression symptoms at both assessments, and parents reported family stress (family dysfunction and parenting stress) at the first assessment. Family dysfunct...

  19. Study protocol: Intensive care anxiety and emotional recovery (Icare) - A prospective study

    OpenAIRE

    Castillo, M.; Aitken, L. M.; Cooke, M. L.

    2013-01-01

    Background Survivors of intensive care units (ICUs) commonly present with symptoms of anxiety, depression and post-traumatic stress disorder (PTSD) during recovery. A number of factors have been identified as predictors of these adverse emotional outcomes, but the role of state anxiety during critical illness in the development of these emotional problems remains unknown. Purpose The Intensive Care Anxiety and Emotional Recovery (ICARe) study protocol proposes the development of a s...

  20. Multimodality and CALL

    OpenAIRE

    Guichon, Nicolas; Cohen, Cathy

    2016-01-01

    This chapter explores the issues pertaining to multimodality, which has always been considered as a defining characteristic of CALL (Chapelle 2009). The chapter begins by critically examining the various definitions of multimodality, especially in the field of second language acquisition and cognitive psychology and explores the distinction between mode, modality and channel. With reference to specific studies conducted in the field, we then investigate the potential of multimodality for seco...

  1. Assessing Children's Anxiety Using the Modified Short State-Trait Anxiety Inventory and Talking Mats: A Pilot Study

    OpenAIRE

    Stefan Nilsson; Margret Buchholz; Gunilla Thunberg

    2012-01-01

    Background. Preoperative anxiety complicates treatment and requires assessment by nurses in children. Children, with or without disability, are helped when pictures are used to support communication. The purpose of this pilot study was to test the reliability and validity of the modified short State-Trait Anxiety Inventory (STAI) using a modified Talking Mats method in children undergoing day surgeries. Method. A modified short STAI with pictorial support along the lines of the Talking Mats m...

  2. Factors accounting for the association between anxiety and depression, and eczema: the Hordaland health study (HUSK

    Directory of Open Access Journals (Sweden)

    Gotestam Karl

    2010-04-01

    Full Text Available Abstract Background The association between anxiety and depression, and eczema is well known in the literature, but factors underlying this association remain unclear. Low levels of omega-3 fatty acids and female gender have been found to be associated with both depression and eczema. Somatization and health anxiety are known to be associated with anxiety and depression, further, somatization symptoms and health anxiety have also been found in several dermatological conditions. Accordingly, omega-3 fatty acid supplement, female gender, somatization and health anxiety are possible contributing factors in the association between anxiety and depression, and eczema. The aim of the study is to examine the relevance of proposed contributing factors for the association between anxiety and depression, and eczema, including, omega-3 fatty acid supplement, female gender, health anxiety and somatization. Methods Anxiety and depression was measured in the general population (n = 15715 employing the Hospital Anxiety and Depression Scale (HADS. Information on eczema, female gender, omega-3 fatty acid supplement, health anxiety and somatization was obtained by self-report. Results Somatization and health anxiety accounted for more than half of the association between anxiety/depression, and eczema, while the other factors examined were of minor relevance for the association of interest. Conclusions We found no support for female gender and omega-3 fatty acid supplement as contributing factors in the association between anxiety/depression, and eczema. Somatization and health anxiety accounted for about half of the association between anxiety/depression, and eczema, somatization contributed most. The association between anxiety/depression, and eczema was insignificant after adjustment for somatization and health anxiety. Biological mechanisms underlying the mediating effect of somatization are yet to be revealed.

  3. Multimodal Approach for Automatic Emotion Recognition Applied to the Tension Levels Study in TV Newscasts

    OpenAIRE

    Moisés Henrique Ramos Pereira; Flávio Luis Cardeal Pádua; Giani David Silva

    2015-01-01

    This article addresses a multimodal approach to automatic emotion recognition in participants of TV newscasts (presenters, reporters, commentators and others) able to assist the tension levels study in narratives of events in this television genre. The methodology applies state-of-the-art computational methods to process and analyze facial expressions, as well as speech signals. The proposed approach contributes to semiodiscoursive study of TV newscasts and their enunciative praxis, assisting...

  4. A clinical study of metastasized rectal cancer treatment: assessing a multimodal approach

    OpenAIRE

    Jung, Michaela; Holmqvist, Annica; Sun, Xiao-Feng; Albertsson, Maria

    2014-01-01

    Metastasized rectal cancer has long been considered incurable. During recent years, the treatment of rectal cancer patients has been improved, and nowadays, a subgroup of patients might even be cured. The aim of this study was to investigate the optimal timing of treatment in a multimodal therapy schedule in order to see whether the addition of bevacizumab (Avastin) to conventional chemotherapy was effective. The study included 39 patients with metastatic rectal cancer between 2009 and 2011, ...

  5. Nefopam analgesia and its role in multimodal analgesia: A review of preclinical and clinical studies.

    Science.gov (United States)

    Girard, Philippe; Chauvin, Marcel; Verleye, Marc

    2016-01-01

    Nefopam is a non-opioid, non-steroidal, centrally acting analgesic drug used to prevent postoperative pain, primarily in the context of multimodal analgesia. This paper reviews preclinical and clinical studies in which nefopam has been combined with opioids, non-steroidal anti-inflammatory compounds, and paracetamol. This report focuses on the literature during the last decade and discusses the translational efforts between animal and clinical studies in the context of multimodal or balanced analgesia. In preclinical rodent models of acute and inflammatory pain, nefopam combinations including opioids revealed a synergistic interaction or enhanced morphine analgesia in six out of seven studies. Nefopam combinations including non-steroidal anti-inflammatory drugs (NSAIDs) (aspirin, ketoprofen or nimesulide) or paracetamol likewise showed enhanced analgesic effects for the associated compound in all instances. Clinical studies have been performed in various types of surgeries involving different pain intensities. Nefopam combinations including opioids resulted in a reduction in morphine consumption in 8 out of 10 studies of severe or moderate pain. Nefopam combinations including NSAIDs (ketoprofen or tenoxicam) or paracetamol also demonstrated a synergic interaction or an enhancement of the analgesic effect of the associated compound. In conclusion, this review of nefopam combinations including various analgesic drugs (opioids, NSAIDs and paracetamol) reveals that enhanced analgesia was demonstrated in most preclinical and clinical studies, suggesting a role for nefopam in multimodal analgesia based on its distinct characteristics as an analgesic. Further clinical studies are needed to evaluate the analgesic effects of nefopam combinations including NSAIDs or paracetamol. PMID:26475417

  6. A Study on the Correlation between Self Efficacy and Foreign Language Learning Anxiety

    Science.gov (United States)

    Cubukcu, Feryal

    2008-01-01

    Anxiety in language learning is one of the less researched areas; that is why this study explores whether the anxiety level of foreign language learners is related to their self efficacy levels. For this purpose, 100 participants joined the study and the Foreign Language Learning Anxiety Scale and The Self Efficacy Scale were administered to them.…

  7. A Study on Correlation between Anxiety Symptoms and Suicidal Ideation

    OpenAIRE

    Choi, Hee-Yeon; Kim, Soo-In; Yun, Kyu Wol; Kim, Young Chul; Lim, Weon-Jeong; Kim, Eui-Jung; Ryoo, Jae-Hong

    2011-01-01

    Objective In South Korea, the number of deaths from suicide has increased in the last two decades, and suicide has become both a social and political problem. In this study, after controlling the variables influencing suicidal ideation, it was expected that it would be determined if anxiety symptoms are independently related to suicidal ideation. Methods Data were obtained from 327 psychiatric outpatients accomplished a self-reported questionnaire that included sociodemographic characteristic...

  8. Study of Dark-Hollow Beams Generated with Different Multimode Fibres

    Institute of Scientific and Technical Information of China (English)

    ZHAO Cheng-Liang; LU Xuan-Hui; CHEN He

    2008-01-01

    A dark-hollow beam (DHB) is generated by a coupfing of a single fundamental mode He-Ne laser beam with a misalignment multimode fibre (MMF) in a special way.Effects of the misalignment angle,diameter and length of the MMF are studied.The generated DHBs can be used for guiding and trapping of atoms,manipulating particles,or as optical tweezers.

  9. Prospective community study of family stress and anxiety in (pre)adolescents: the TRAILS study

    NARCIS (Netherlands)

    F.V. van Oort; F.C. Verhulst; J. Ormel; A.C. Huizink

    2010-01-01

    For prevention of anxiety in children and adolescents, it is important to know whether family stress is a predictor of anxiety. We studied this in 1,875 adolescents from the Tracking Adolescents’ Individual Lives Survey (TRAILS) who were followed up for 2 years, from age 10-12 to 12-14 years. Adoles

  10. Prospective community study of family stress and anxiety in (pre)adolescents: the TRAILS study

    NARCIS (Netherlands)

    Van Oort, F.V.A.; Verhulst, F.C.; Ormel, J.; Huizink, A.C.

    2010-01-01

    For prevention of anxiety in children and adolescents, it is important to know whether family stress is a predictor of anxiety. We studied this in 1,875 adolescents from the Tracking Adolescents' Individual Lives Survey (TRAILS) who were followed up for 2 years, from age 10-12 to 12-14 years. Adoles

  11. Prospective community study of family stress and anxiety in (pre)adolescents : the TRAILS study

    NARCIS (Netherlands)

    van Oort, Floor V. A.; Verhulst, Frank C.; Ormel, Johan; Huizink, Anja C.

    2010-01-01

    For prevention of anxiety in children and adolescents, it is important to know whether family stress is a predictor of anxiety. We studied this in 1,875 adolescents from the Tracking Adolescents' Individual Lives Survey (TRAILS) who were followed up for 2 years, from age 10-12 to 12-14 years. Adoles

  12. Stress inoculation training to control anxiety in sport: two case studies in squash.

    OpenAIRE

    Mace, R; Carroll, D

    1986-01-01

    This study arose as a result of two squash players, one male one female, seeking advice on how to improve their mental approach to playing. They both felt that their game suffered badly through too much anxiety. After preliminary interviews it was decided to use a programme of stress inoculation training to help them learn to control their anxiety. In order to obtain baseline measures of anxiety, both subjects completed a state anxiety questionnaire on five occasions, immediately prior to pla...

  13. The developmental course of anxiety symptoms during adolescence: the TRAILS study

    NARCIS (Netherlands)

    Van Oort, F.V.A.; Greaves-Lord, K.; Verhulst, F.C.; Ormel, J.; Huizink, A.C.

    2009-01-01

    Background: Little is known about the development of anxiety symptoms from late childhood to late adolescence. The present study determined developmental trajectories of symptoms of separation anxiety disorder (SAD), social phobia (SoPh), generalized anxiety disorder (GAD), panic disorder (PD), and

  14. The developmental course of anxiety symptoms during adolescence: the TRAILS study

    NARCIS (Netherlands)

    F.V. van Oort; K. Greaves-Lord; F.C. Verhulst; J. Ormel; A.C. Huizink

    2009-01-01

    Background:  Little is known about the development of anxiety symptoms from late childhood to late adolescence. The present study determined developmental trajectories of symptoms of separation anxiety disorder (SAD), social phobia (SoPh), generalized anxiety disorder (GAD), panic disorder (PD), and

  15. The developmental course of anxiety symptoms during adolescence : the TRAILS study

    NARCIS (Netherlands)

    Van Oort, F. V. A.; Greaves-Lord, K.; Verhulst, F. C.; Ormel, J.; Huizink, A. C.

    2009-01-01

    Background: Little is known about the development of anxiety symptoms from late childhood to late adolescence. The present study determined developmental trajectories of symptoms of separation anxiety disorder (SAD), social phobia (SoPh), generalized anxiety disorder (GAD), panic disorder (PD), and

  16. A Cross-Cultural Study of Anxiety among Chinese and Caucasian American University Students

    Science.gov (United States)

    Xie, Dong; Leong, Frederick T. L.

    2008-01-01

    This study investigated the cross-cultural differences on state, trait, and social anxiety between Chinese and Caucasian American university students. Chinese students reported higher levels of social anxiety than did Caucasian American students. Correlations between trait and state anxiety were compared in light of the trait model of…

  17. A study on current situations of college students' foreign language anxiety

    Institute of Scientific and Technical Information of China (English)

    Bi Ran

    2015-01-01

    An empirical study on current situations of college students' foreign language anxiety is concerned with in this paper. The author adopted Horwitz's Foreign Language Classroom Anxiety Scale (FLCAS) to measure the level of foreign language anxiety of 325 participants and then the conclusions are drawn.

  18. Information Anxiety from the Undergraduate Student Perspective: A Pilot Study of Second-Semester Freshmen

    Science.gov (United States)

    Blundell, Shelley; Lambert, Frank

    2014-01-01

    In early spring 2013, a pilot study was conducted at a major public university in Ohio to explore elements of information anxiety (defined herein as a combination of library anxiety and information technology anxiety) among second-semester freshmen enrolled in all iterations of both a traditional and a remedial first-year English course. The…

  19. Dental anxiety among university students at the University of Tromsø: a quantitative study

    OpenAIRE

    Storjord, Helene Persen; Teodorsen, Mari Mjønes

    2013-01-01

    This study demonstrated that dental students have a lower degree of dental anxiety compared to psychology- and biology students. Senior dental students also have less dental anxiety than junior dental students. This indicates that the dentistry programme structure may influence dental anxiety levels.

  20. Anxiety in High-Functioning Autism: A Pilot Study of Experience Sampling Using a Mobile Platform

    Science.gov (United States)

    Hare, Dougal Julian; Gracey, Carolyn; Wood, Christopher

    2016-01-01

    Anxiety and stress are everyday issues for many people with high-functioning autism, and while cognitive-behavioural therapy is the treatment of choice for the management of anxiety, there are challenges in using it with people with high-functioning autism. This study used modified experience sampling techniques to examine everyday anxiety and…

  1. The Developmental Course of Anxiety Symptoms during Adolescence: The TRAILS Study

    Science.gov (United States)

    Van Oort, F. V. A.; Greaves-Lord, K.; Verhulst, F. C.; Ormel, J.; Huizink, A. C.

    2009-01-01

    Background: Little is known about the development of anxiety symptoms from late childhood to late adolescence. The present study determined developmental trajectories of symptoms of separation anxiety disorder (SAD), social phobia (SoPh), generalized anxiety disorder (GAD), panic disorder (PD), and obsessive-compulsive disorder (OCD) in a large…

  2. Anxiety Disorders

    Science.gov (United States)

    ... Therapies Join a Study Learn More Anxiety Disorders Definition Occasional anxiety is a normal part of life. ... and sharing their problems and achievements with others. Internet chat rooms might also be useful, but any ...

  3. Psychosocial predictors of the onset of anxiety disorders in women: Results from a prospective 3-year longitudinal study

    OpenAIRE

    Calkins, Amanda W.; Otto, Michael W; Cohen, Lee S.; Soares, Claudio N.; Vitonis, Alison F.; Hearon, Bridget A.; Harlow, Bernard L.

    2009-01-01

    In a prospective, longitudinal, population-based study of 643 women participating in the Harvard Study of Moods and Cycles we examined whether psychosocial variables predicted a new or recurrent onset of an anxiety disorder. Presence of anxiety disorders was assessed every six months over three years via structured clinical interviews. Among individuals who had a new episode of anxiety, we confirmed previous findings that history of anxiety, increased anxiety sensitivity (the fear of anxiety ...

  4. Rovibrational energy levels of hydrogen peroxide, studied by MULTIMODE with a reaction path Hamiltonian.

    Science.gov (United States)

    Carter, S; Handy, N C

    2004-07-01

    Recently, Carter and Handy [J. Chem. Phys. 113 (2000) 987] have introduced the theory of the reaction path Hamiltonian (RPH) [J. Chem. Phys. 72 (1980) 99] into the variational scheme MULTIMODE, for the calculation of the J=0 vibrational levels of polyatomic molecules, which have a single large-amplitude motion. In this theory the reaction path coordinate s becomes the fourth dimension of the moment-of-inertia tensor, and must be treated separately from the remaining 3N-7 normal coordinates in the MULTIMODE program. In the modified program, complete integration is performed over s, and the M-mode MULTIMODE coupling approximation for the evaluation of the matrix elements applies only to the 3N-7 normal coordinates. In this paper the new algorithm is extended to the calculation of rotational-vibration energy levels (i.e. J>0) with the RPH, following from our analogous implementation for rigid molecules [Theoret. Chem. Acc. 100 (1998) 191]. The full theory is given, and all extra terms have been included to give the exact kinetic energy operator. In order to validate the new code, we report studies on hydrogen peroxide (H2O2), where the reaction path is equivalent to torsional motion. H2O2 has previously been studied variationally using a valence coordinate Hamiltonian; complete agreement for calculated rovibrational levels is obtained between the previous results and those from the new code, using the identical potential surface. MULTIMODE is now able to calculate rovibrational levels for polyatomic molecules which have one large-amplitude motion. PMID:15248993

  5. Can father inclusive practice reduce paternal postnatal anxiety? A repeated measures cohort study using the hospital anxiety and depression scale

    Directory of Open Access Journals (Sweden)

    Tohotoa Jenny

    2012-07-01

    Full Text Available Abstract Background Perinatal research on anxiety and depression has primarily focused on mothers. We have limited knowledge of fathers’ anxiety during the perinatal period yet there is evidence that the parenting capacity of a person can be compromised by anxiety and depression. The purpose of this paper is to identify the impact of a father inclusive intervention on perinatal anxiety and depression. The prime focus of the intervention was to provide education and support to fathers of breastfeeding partners with the aim of increasing both initiation and duration of breastfeeding. Methods A repeated measures cohort study was conducted during a RCT that was implemented across eight public maternity hospitals in Perth, Western Australia between May 2008 and June 2009. A baseline questionnaire which included the Hospital Anxiety and Depression Scale (HADS was administered to all participants on the first night of their hospital based antenatal education program and was repeated at six weeks postnatal. SPSS version 17 was used for reporting descriptive results. Results The mean anxiety levels at baseline for the fathers in the intervention group (n=289 and control group (n=244 were 4.58 and 4.22 respectively. At 6 weeks postnatal (only matched pairs, intervention and control group were 3.93 and 3.79. More intervention group fathers self-rated less anxiety compared to the fathers in the control group from baseline to post test (p=0.048. Depression scores for intervention fathers at baseline (mean =1.09 and at six weeks (mean=1.09 were very similar to fathers in the control group at baseline (mean=1.11 and at six weeks (mean =1.07 with no significant changes. Conclusions Both intervention and control group fathers experienced some anxiety prior to the birth of their baby, but this was rapidly reduced at six weeks. Paternal anxiety is common to new fathers and providing them with information and strategies for problem-solving can increase their

  6. Anxiety Disorders

    Science.gov (United States)

    Klein, Rachel G.

    2009-01-01

    Because of their high prevalence and their negative long-term consequences, child anxiety disorders have become an important focus of interest. Whether pathological anxiety and normal fear are similar processes continues to be controversial. Comparative studies of child anxiety disorders are scarce, but there is some support for the current…

  7. Psychiatric comorbidities among adolescents with and without anxiety disorders: a community study

    Directory of Open Access Journals (Sweden)

    Estácio Amaro da Silva Júnior

    2015-09-01

    Full Text Available ABSTRACT Objective To evaluate, in a community sample of adolescents, the presence of comorbidities in different anxiety disorders. Methods This is a cross-sectional study, initially composed of 2,457 adolescents, aged between 10-17 years old, from public schools of the area covered by the Basic Health Unit of a university hospital. We applied the Screen for Child Anxiety Related Emotional Disorders (SCARED to assess for anxiety disorders. Then, 138 positive cases in the screening were assessed for mental disorders through the Schedule for Affective Disorder and Schizophrenia for School-Age Children – Present and Lifetime Version (K-SADS-PL. Results Patients with anxiety disorders had more association with other anxiety disorders, as well as depression, and enuresis. The most common comorbidity described in our study was between generalized anxiety disorder and separation anxiety disorder (OR = 4.21, 95% CI 1.88, 9.58. Significant association was observed between other disorders such as enuresis and separation anxiety disorder (OR = 3.81, 95% CI 1.16, 12.49, as well as depression and generalized anxiety disorder (OR = 3.40; 95% CI 1.52, 7.61. Conclusion Our study showed a relevant presence of comorbidities adolescents with anxiety disorders, selected from a community sample, especially regarding other anxiety disorders. Nevertheless, further studies are needed to confirm our findings.

  8. Impact of doctor-patient communication on preoperative anxiety: Study at industrial township, Pimpri, Pune

    Directory of Open Access Journals (Sweden)

    Vandana B Nikumb

    2009-01-01

    Full Text Available Background: Anxiety may not be recognized by physicians though they affect a large number of patients awaiting surgery as reported in some studies. Good doctor-patient communication may have an impact on preoperative anxiety. Aim: To find out the incidence of anxiety in patients awaiting surgery and its association with good doctor-patient communication. Materials and Methods: The study was undertaken in a medical college hospital situated in an industrial township, for the duration of two months. It was a cross-sectional study. The study included 79 patients admitted to various surgical wards of a teaching hospital. Data was collected on a pretested questionnaire, which included a set of questions on various aspects of doctor-patient communication. The level of anxiety was assessed using the Hospital Anxiety and Depression Scale (HADS. Statistical analysis was carried out using the WHO/CDC package EPI INFO 2002. Though preoperative anxiety was collected on an ordinal scale, later during analysis, it was collapsed to give a categorical scale. Aspects of doctor-patient communication associated with preoperative anxiety were explored by Chi square tests. Results: Out of the total 79 patients, 26.5% reported definite anxiety levels. Good doctor-patient communication was found to be inversely associated with anxiety levels in the preoperative period. Conclusions: Preoperative anxiety is a common phenomenon among indoor surgical patients. A lot can be done to alleviate this anxiety by improving doctor-patient communication.

  9. A Study on Listening Anxiety and Listening Proficiency

    Institute of Scientific and Technical Information of China (English)

    HAN Ju-hong

    2015-01-01

    Three instruments are adopted including the Foreign Language Listening Anxiety Scales (FLLAS), a listening metacog⁃nitive strategy-use questionnaire and a CET-4 listening test. The results indicate that a large proportion of students report experi⁃encing listening anxiety. There is significantly negative correlation between listening anxiety and listening proficiency and there is significant difference in the use of metacognitive strategies across three listening anxiety levels.

  10. Latent Profile Analyses of Test Anxiety: A Pilot Study

    Science.gov (United States)

    von der Embse, Nathaniel P.; Mata, Andrea D.; Segool, Natasha; Scott, Emma-Catherine

    2014-01-01

    In an era of test-based accountability, there has been a renewed interest in understanding the relationship between test anxiety and test performance. The development and validation of test anxiety scales have grown with the rise of test anxiety research. Research is needed to critically examine the psychometric properties of these scales prior to…

  11. Investigating the Relationship among Test Anxiety, Gender, Academic Achievement and Years of Study: A Case of Iranian EFL University Students

    Science.gov (United States)

    Rezazadeh, Mohsen; Tavakoli, Mansoor

    2009-01-01

    The construct of anxiety plays a major role in one's life. One of these anxieties is test anxiety or apprehension over academic evaluation. The present study was designed to investigate the relationship between gender, academic achievement, years of study and levels of test anxiety. This investigation is a descriptive analytic study and was done…

  12. The Study on the Interactive Effect of Multimodality and Meta Cognition upon College Students' Listening Ability

    Institute of Scientific and Technical Information of China (English)

    崔中原

    2015-01-01

    Multimodality and meta cognition are the hot topic in SLA research and FLT research. This paper integrates the theoretical framework of multi-modality and meta cognition, proposing multimodal integrative and meta cognitive process approach can improve the learners' listening performance. Based on this, this paper also gives some enlightenment on the college English teaching and further listening teaching research in the end.

  13. Multimodality in Translation and Interpreting Studies: Theoretical and Methodological Perspectives

    OpenAIRE

    Pérez-González, Luis

    2014-01-01

    Recent scholarly developments both within and outside translation studies attest to the growing perception among researchers that, in the pursuit of understanding processes of interlingual and intercultural transfer and mediation, analysing language is not enough. The centrality of (mostly written) language in translation studies research is hardly surprising, with linguistics being widely regarded as the discipline which has most informed the study of translation and interpreting since they ...

  14. Multitasking information behavior, information task switching and anxiety: An exploratory study

    Science.gov (United States)

    Alexopoulou, Peggy; Kotsopoulou, Anastasia

    2015-02-01

    Multitasking information behavior involves multiple forms of information searching such as library and Web search. Few researchers, however, have explored multitasking information behavior and information task switching in libraries in conjunction with psychological variables. This study explored this behavior in terms of anxiety under time pressure. This was an exploratory case study. Participant searched information for three unrelated everyday life information topics during a library visit, in a timeframe of one hour. The data collection tools used were: diary, observation, interview, and the State-Trait Anxiety Inventory test. Participant took the Trait-anxiety test before the library visit to measure anxiety level as a personal characteristic. She also took State-anxiety test before, during and after the library visit to measure anxiety levels regarding the information seeking behavior. The results suggested that participant had high levels of anxiety at the beginning of the multitasking information behavior. The reason for that was the concern about the performance as well as the identification of the right resources. During the multitasking information behavior, participant still had anxiety to find the right information. The levels of anxiety, however, were less due to library's good organized structure. At the end of the information seeking process, the levels of anxiety dropped significant and therefore calm and safety returned. Finally, participant searched information for topics that were more important and for which she had prior knowledge When people, under time pressure, have access to well organized information, the levels of anxiety might decrease.

  15. Multitasking information behavior, information task switching and anxiety: An exploratory study

    International Nuclear Information System (INIS)

    Multitasking information behavior involves multiple forms of information searching such as library and Web search. Few researchers, however, have explored multitasking information behavior and information task switching in libraries in conjunction with psychological variables. This study explored this behavior in terms of anxiety under time pressure. This was an exploratory case study. Participant searched information for three unrelated everyday life information topics during a library visit, in a timeframe of one hour. The data collection tools used were: diary, observation, interview, and the State-Trait Anxiety Inventory test. Participant took the Trait-anxiety test before the library visit to measure anxiety level as a personal characteristic. She also took State-anxiety test before, during and after the library visit to measure anxiety levels regarding the information seeking behavior. The results suggested that participant had high levels of anxiety at the beginning of the multitasking information behavior. The reason for that was the concern about the performance as well as the identification of the right resources. During the multitasking information behavior, participant still had anxiety to find the right information. The levels of anxiety, however, were less due to library’s good organized structure. At the end of the information seeking process, the levels of anxiety dropped significant and therefore calm and safety returned. Finally, participant searched information for topics that were more important and for which she had prior knowledge When people, under time pressure, have access to well organized information, the levels of anxiety might decrease

  16. Multitasking information behavior, information task switching and anxiety: An exploratory study

    Energy Technology Data Exchange (ETDEWEB)

    Alexopoulou, Peggy, E-mail: p.alexopoulou@lboro.ac.uk, E-mail: an-kotsopoulou@yahoo.com; Kotsopoulou, Anastasia, E-mail: p.alexopoulou@lboro.ac.uk, E-mail: an-kotsopoulou@yahoo.com [City Unity College, Thiseos 15-17, Athens, 105 62 (Greece)

    2015-02-09

    Multitasking information behavior involves multiple forms of information searching such as library and Web search. Few researchers, however, have explored multitasking information behavior and information task switching in libraries in conjunction with psychological variables. This study explored this behavior in terms of anxiety under time pressure. This was an exploratory case study. Participant searched information for three unrelated everyday life information topics during a library visit, in a timeframe of one hour. The data collection tools used were: diary, observation, interview, and the State-Trait Anxiety Inventory test. Participant took the Trait-anxiety test before the library visit to measure anxiety level as a personal characteristic. She also took State-anxiety test before, during and after the library visit to measure anxiety levels regarding the information seeking behavior. The results suggested that participant had high levels of anxiety at the beginning of the multitasking information behavior. The reason for that was the concern about the performance as well as the identification of the right resources. During the multitasking information behavior, participant still had anxiety to find the right information. The levels of anxiety, however, were less due to library’s good organized structure. At the end of the information seeking process, the levels of anxiety dropped significant and therefore calm and safety returned. Finally, participant searched information for topics that were more important and for which she had prior knowledge When people, under time pressure, have access to well organized information, the levels of anxiety might decrease.

  17. Effectiveness of a Multimodal Therapy for Patients with Chronic Low Back Pain Regarding Pre-Admission Healthcare Utilization.

    Directory of Open Access Journals (Sweden)

    Constanze Borys

    Full Text Available The aim of the study was to examine the effectiveness of an intensive inpatient three-week multimodal therapy. We focused especially on the impact on the multimodal therapy outcome of the pre-admission number of treatment types patients had received and of medical specialist groups patients had consulted.155 patients with chronic low back pain and indication for multimodal therapy were evaluated with respect to pain intensity, depression, anxiety, well-being, and pre-admission health care utilization. In our controlled clinical trial we compared N = 66 patients on the waiting list with N = 89 patients who received immediate treatment. The waiting list patients likewise attended multimodal therapy after the waiting period. Longitudinal post-treatment data for both were collected at three- and twelve-month follow-ups. The impact of pre-admission health care utilization on multimodal therapy outcome (post was analysed by structural equation model.Compared to the control group, multimodal therapy patients' pain intensity and psychological variables were significantly reduced. Longitudinal effects with respect to pre-measures were significant at three-month follow-up for pain intensity (ES = -0.48, well-being (ES = 0.78, anxiety (ES = -0.33, and depression (ES = -0.30. Effect sizes at twelve-month follow-up were small for anxiety (ES = -0.22, and moderate for general well-being (ES = 0.61. Structural equation model revealed that a higher number of pre-admission treatment types was associated with poorer post-treatment outcomes in pain intensity, well-being, and depression.Multimodal therapy proved to be effective with regard to improvements in pain intensity, depression, anxiety, and well-being. The association between treatment effect and number of pre-admission pain treatment types suggests that patients would benefit more from attending multimodal therapy in an earlier stage of health care.

  18. A prospective study of anxiety in ICD patients with a pilot randomized controlled trial of cognitive behavioral therapy for patients with moderate to severe anxiety

    DEFF Research Database (Denmark)

    Qintar, Mohammed; George, Jason J; Panko, Melanie;

    2015-01-01

    PURPOSE: Stress and anxiety are potential consequences from arrhythmias and implantable cardioverter defibrillator (ICD) shocks that can contribute to substantial morbidity. We assessed anxiety associated with an ICD and whether cognitive behavioral therapy (CBT) reduces anxiety. METHODS: The study...... consisted of two parts: part 1 (N = 690) was a prospective cross-sectional observational study of consecutive ICD patients. Patients completed the Beck Anxiety Inventory (BAI), Generalized Anxiety Disorder Scale (GAD-7), Florida Shock Anxiety Scale (FSAS), and Florida Patient Acceptance Survey (FPAS......) psychometric tests. Part 2 (N = 29) was a pilot randomized controlled trial of CBT (three sessions in 3 months) vs. usual care (UC) in patients with BAI ≥ 19 from part 1. RESULTS: The median BAI and GAD-7 scores were 5 and 2, respectively. By BAI scores, 64.5 % had minimal and 3.9 % had severe anxiety. By GAD...

  19. Studying the User Experience with a Multimodal Pedestrian Navigation Assistant

    OpenAIRE

    ROVELO RUIZ, Gustavo; Abat, M.C.Juan Francisco; Camahort, Emilio

    2015-01-01

    The widespread usage of mobile devices together with their computational capabilities enables the implementation of novel interaction techniques to improve user performance in traditional mobile applications. Navigation assistance is an important area in the mobile domain, and probably Google Maps is the most popular example. This type of applications is highly demanding for user’s attention, especially in the visual channel. Tactile and auditory feedback have been studied as alternatives to ...

  20. Prospective community study of family stress and anxiety in (pre)adolescents: the TRAILS study

    OpenAIRE

    Oort, Floor V. A.; Verhulst, Frank C.; Ormel, Johan; Huizink, Anja C.

    2009-01-01

    International audience For prevention of anxiety in children and adolescents, it is important to know whether family stress is a predictor of anxiety. We studied this in 1,875 adolescents from the Tracking Adolescents' Individual Lives Survey (TRAILS) who were followed up for 2 years, from age 10–12 to 12–14 years. Adolescents reported anxiety and depression symptoms at both assessments, and parents reported family stress (family dysfunction and parenting stress) at the first assessment. F...

  1. Cognition, study habits, test anxiety, and academic performance.

    Science.gov (United States)

    Kleijn, W C; van der Ploeg, H M; Topman, R M

    1994-12-01

    The Study Management and Academic Results Test (SMART) was developed to measure study- and examination-related cognitions, time management, and study strategies. This questionnaire was used in three prospective studies, together with measures for optimism and test anxiety. In the first two studies, done among 253 first-year students enrolled in four different faculties, the highest significant correlations with academic performance were found for the SMART scales. In a replication study among first-year medical students (n = 156) at a different university, the same pattern of results was observed. A stepwise multiple regression analysis, with academic performance as a dependent variable, showed significant correlations only for the SMART Test Competence and Time Management (Multiple R = .61). Results give specific indications about the profile of successful students. PMID:7892384

  2. The association between antenatal anxiety and fear of childbirth in nulliparous women: a prospective study

    OpenAIRE

    Alipour, Zahra; Lamyian, Minoor; Hajizadeh, Ebrahim; Vafaei, Maryam Agular

    2011-01-01

    BACKGROUND: This study aimed to examine the association of state and trait anxiety with fear of childbirth to explore whether there was any support for the hypothesis that state and trait anxiety are risk factors for the fear of childbirth or not. METHODS: In this prospective study, 156 pregnant women referred to the health centers of Qom. The study samples selected using simple random sampling method. Anxiety and fear of the childbirth in nulliparous women were measured using Spielberger's s...

  3. Predicting Anxiety Diagnoses and Severity with the CBCL-A: Improvement Relative to Other CBCL Scales?

    OpenAIRE

    Read, Kendra L.; Settipani, Cara A.; Peterman, Jeremy; KENDALL, Philip C.; Compton, Scott; Piacentini, John; McCracken, James; Bergman, Lindsey; Walkup, John; Sakolsky, Dara; Birmaher, Boris; Albano, Anne Marie; Rynn, Moira; Ginsburg, Golda; Keeton, Courtney

    2014-01-01

    The Child Behavior Checklist (CBCL) is a widely used parent-report of child and adolescent behavior. We examined the ability of the CBCL-A scale, a previously published subset of CBCL items, to predict the presence of generalized anxiety disorder (GAD), separation anxiety disorder (SAD), and social phobia (SoP), as well as anxiety severity, among 488 youth randomized in the Child Anxiety Multimodal Study (CAMS). We predicted that the CBCL-A’s unique inclusion of items related to somatic sympt...

  4. Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: A cross-sectional study

    OpenAIRE

    2015-01-01

    Background: There is an increasing amount of stress in undergraduate dental students leading to anxiety, depression, and suicidal attempts/suicide. Aims: This study aims to evaluate anxiety, depression and suicidal intent in undergraduate dental students and to find out the various areas of stress. Materials and Methods: A cross-sectional study was conducted using a semi-structured questionnaire (to assess academic and nonacademic areas of stress) and three scales-Hamilton scale for anxiety (...

  5. Peer Victimization During Adolescence and Risk for Anxiety Disorders in Adulthood: A Prospective Cohort Study

    OpenAIRE

    Stapinski, Lexine A; Bowes, Lucy; Wolke, Dieter; Pearson, Rebecca M.; Mahedy, Liam; Button, Katherine S; Lewis, Glyn; Araya, Ricardo

    2014-01-01

    Background Peer victimization is ubiquitous across schools and cultures, and has been suggested as one developmental pathway to anxiety disorders. However, there is a dearth of prospective studies examining this relationship. The purpose of this cohort study was to examine the association between peer victimization during adolescence and subsequent anxiety diagnoses in adulthood. A secondary aim was to investigate whether victimization increases risk for severe anxiety presentations involving...

  6. Impact of doctor-patient communication on preoperative anxiety: Study at industrial township, Pimpri, Pune

    OpenAIRE

    Nikumb, Vandana B.; Amitav Banerjee; Gurleen Kaur; Suprakash Chaudhury

    2009-01-01

    Background: Anxiety may not be recognized by physicians though they affect a large number of patients awaiting surgery as reported in some studies. Good doctor-patient communication may have an impact on preoperative anxiety. Aim: To find out the incidence of anxiety in patients awaiting surgery and its association with good doctor-patient communication. Materials and Methods: The study was undertaken in a medical college hospital situated in an industrial township, for the duration of two ...

  7. Depression, Anxiety and Symptoms of Stress among Hong Kong Nurses: A Cross-sectional Study

    OpenAIRE

    Teris Cheung; Yip, Paul S. F.

    2015-01-01

    Recent epidemiological data suggests 13.3% of Hong Kong residents suffered from Common Mental Disorders, most frequently mixed anxiety and depressive disorder. This study examines the weighted prevalence and associated risk factors of depression, anxiety and stress among Hong Kong nurses. A total of 850 nurses were invited to participate in this cross-sectional study. Participants completed the Depression, Anxiety and Stress Scale 21 and multiple logistic regression was used to determine sign...

  8. A STUDY ON PREVALENCE OF ANXIETY DISORDERS AMONG HIGHER SECONDARY SCHOOL STUDENTS

    OpenAIRE

    Srinivasa; Chaithanya C; Ravindra

    2015-01-01

    Anxiety disorders are very common in secondary school children with little epidemiological data from countries like India. The objective of this study was to assess the prevalence of anxiety disorders in higher secondary school students using Screen for Ch ild Anxiety Related Emotional Disorders (SCARED) questionnaire. Methodology: The study was conducted in July 2014 and 100 students belonging to class 11 and class 12 of a higher secondary school at Tiptur were includ...

  9. A STUDY ON PREVALENCE OF ANXIETY DISORDERS AMONG HIGHER SECONDARY SCHOOL STUDENTS

    Directory of Open Access Journals (Sweden)

    Srinivasa

    2015-03-01

    Full Text Available Anxiety disorders are very common in secondary school children with little epidemiological data from countries like India. The objective of this study was to assess the prevalence of anxiety disorders in higher secondary school students using Screen for Ch ild Anxiety Related Emotional Disorders (SCARED questionnaire. Methodology: The study was conducted in July 2014 and 100 students belonging to class 11 and class 12 of a higher secondary school at Tiptur were included in the study. The SCARED questionnair es were used to assess anxiety in these children. Results: In this study, 37% were found to have anxiety disorder (p value < 0.001. Of these majority (58% were females which was significant. Of the 100 children, 64% had PN (panic disorder, 10% had GD (g eneralized anxiety disorder, 53% had SP (separation anxiety, 15% had SC (social anxiety disorder and 16% had SH (significant school avoidance. Hence in this study, panic disorder and separation anxiety were found to be highly prevalent. In this study o f the children who had anxiety, majority of these children’s mothers (79% and majority of the children’s fathers were illiterate (54%. In this study, of the children with anxiety, 76% belonged to nuclear family and majority i.e. 84% belonged to rural are a. Conclusion: This study shows the high prevalence of undiagnosed depression and anxiety disorders among adolescents and hence the need for them. Early interventions can provide long - term health and socioeconomic benefits by prevention of the onset of men tal health problems and their development into chronic disorders.

  10. A Study on Anxiety Levels of Children Having Fatherless and Living With Mother and Father

    Directory of Open Access Journals (Sweden)

    Funda ÖZDAL

    2005-12-01

    Full Text Available This study is planned with the aim of determining the anxiety level of children who live with their parents and children who live with only their mother and of analysing whether or not some variables make difference on the anxiety level. Participants of the study were primary school students (age level is ten-eleven years. The sampleincludes 300 children in order to represent different socioeconomical conditions. Two questionnaires were administered to the participants: “General Information Form” and “Stait-Trait Anxiety Inventory” which is developed by Spielberger et.al. Data obtained were analysed using ANOVA and MANOVA. The findings of the study show that those children without father have higher levels of stait and trait anxiety in contrast to those living with parents. Furthermore, it is found that age leads to significannt differences on the stait anxiety scores and that lack of father leads to significant differences on the trait anxiety scores.

  11. A longitudinal study of anxiety and cognitive decline in dementia with Lewy bodies and Alzheimer’ s disease

    OpenAIRE

    Breitve, Monica H.; Hynninen, Minna J.; Brønnick, Kolbjørn; Chwiszczuk, Luiza J.; Auestad, Bjørn H.; Aarsland, Dag; Rongve, Arvid

    2016-01-01

    Background Anxiety in dementia is common but not well studied. We studied the associations of anxiety longitudinally in Alzheimer’s disease (AD) and dementia with Lewy bodies (DLB). Methods In total, 194 patients with a first-time diagnosis of dementia were included (n = 122 patients with AD, n = 72 patients with DLB). Caregivers rated the patients’ anxiety using the Neuropsychiatric Inventory, and self-reported anxiety was assessed with the anxiety and tension items on the Montgom...

  12. Does the Revised Child Anxiety and Depression Scale (RCADS) measure anxiety symptoms consistently across adolescence? The TRAILS study

    OpenAIRE

    Mathyssek, Christina M.; Olino, Thomas M.; Hartman, Catharina A.; Ormel, Johan; Verhulst, Frank C.; Oort, Floor V. A.

    2013-01-01

    We assessed if the Revised Child Anxiety and Depression Scale (RCADS) measures anxiety symptoms similarly across age groups within adolescence. This is crucial for valid comparison of anxiety levels between different age groups. Anxiety symptoms were assessed biennially in a representative population sample (n = 2226) at three time points (age range 10–17 years) using the RCADS anxiety subscales (generalized anxiety disorder [GAD], obsessive-compulsive disorder [OCD], panic disorder [PD], sep...

  13. Accuracy and reproducibility of tumor positioning during prolonged and multi-modality animal imaging studies

    Science.gov (United States)

    Zhang, Mutian; Huang, Minming; Le, Carl; Zanzonico, Pat B.; Claus, Filip; Kolbert, Katherine S.; Martin, Kyle; Ling, C. Clifton; Koutcher, Jason A.; Humm, John L.

    2008-10-01

    Dedicated small-animal imaging devices, e.g. positron emission tomography (PET), computed tomography (CT) and magnetic resonance imaging (MRI) scanners, are being increasingly used for translational molecular imaging studies. The objective of this work was to determine the positional accuracy and precision with which tumors in situ can be reliably and reproducibly imaged on dedicated small-animal imaging equipment. We designed, fabricated and tested a custom rodent cradle with a stereotactic template to facilitate registration among image sets. To quantify tumor motion during our small-animal imaging protocols, 'gold standard' multi-modality point markers were inserted into tumor masses on the hind limbs of rats. Three types of imaging examination were then performed with the animals continuously anesthetized and immobilized: (i) consecutive microPET and MR images of tumor xenografts in which the animals remained in the same scanner for 2 h duration, (ii) multi-modality imaging studies in which the animals were transported between distant imaging devices and (iii) serial microPET scans in which the animals were repositioned in the same scanner for subsequent images. Our results showed that the animal tumor moved by less than 0.2-0.3 mm over a continuous 2 h microPET or MR imaging session. The process of transporting the animal between instruments introduced additional errors of ~0.2 mm. In serial animal imaging studies, the positioning reproducibility within ~0.8 mm could be obtained.

  14. Accuracy and reproducibility of tumor positioning during prolonged and multi-modality animal imaging studies

    International Nuclear Information System (INIS)

    Dedicated small-animal imaging devices, e.g. positron emission tomography (PET), computed tomography (CT) and magnetic resonance imaging (MRI) scanners, are being increasingly used for translational molecular imaging studies. The objective of this work was to determine the positional accuracy and precision with which tumors in situ can be reliably and reproducibly imaged on dedicated small-animal imaging equipment. We designed, fabricated and tested a custom rodent cradle with a stereotactic template to facilitate registration among image sets. To quantify tumor motion during our small-animal imaging protocols, 'gold standard' multi-modality point markers were inserted into tumor masses on the hind limbs of rats. Three types of imaging examination were then performed with the animals continuously anesthetized and immobilized: (i) consecutive microPET and MR images of tumor xenografts in which the animals remained in the same scanner for 2 h duration, (ii) multi-modality imaging studies in which the animals were transported between distant imaging devices and (iii) serial microPET scans in which the animals were repositioned in the same scanner for subsequent images. Our results showed that the animal tumor moved by less than 0.2-0.3 mm over a continuous 2 h microPET or MR imaging session. The process of transporting the animal between instruments introduced additional errors of ∼0.2 mm. In serial animal imaging studies, the positioning reproducibility within ∼0.8 mm could be obtained.

  15. Deep assessment: an exploratory study of game-based, multimodal learning in Epidemic

    Directory of Open Access Journals (Sweden)

    Jennifer Jenson

    2016-03-01

    Full Text Available n this study, we examine what and how intermediate age students learned from playing in a health-focused game-based digital learning environment, Epidemic. Epidemic is a playful interactive environment designed to deliver factual knowledge, invite critical understanding, and encourage effective self-care practices in dealing with viral contagious diseases, using a social networking interface to integrate both serious games and game-like multimodal design projects. Epidemic invites a playful approach to its deadly serious core concern – communicable disease – in order to see what happens when students are encouraged to critically approach information from multiple or contradictory perspectives. To identify what participants learned while interacting within Epidemic, we deployed two instructional and assessment models, noting the differences each instructional approach could potentially make, and what approach to assessment might help us evaluate game-based learning. We found that each approach provided importantly different perspectives on what and how students learned, and on the very meaning of student success. Recognizing that traditional assessment tools based in print-cultural literacy may prove increasingly ill-suited for assessing emergent multimodal literacies in game-based learning environments, this study seeks to contribute to a growing body of work on the development of novel assessments for learning.

  16. Multimodal ultrasonographic characterisation of parotid gland lesions-A pilot study

    Energy Technology Data Exchange (ETDEWEB)

    Knopf, Andreas, E-mail: a.knopf@lrz.tum.de [Technische Universitaet Muenchen, Hals-Nasen-Ohrenklinik und Poliklinik, Ismaningerstrasse 22, 81675 Muenchen (Germany); Mansour, Naglaa; Chaker, Adam; Bas, Murat [Technische Universitaet Muenchen, Hals-Nasen-Ohrenklinik und Poliklinik, Ismaningerstrasse 22, 81675 Muenchen (Germany); Stock, Konrad [Technische Universitaet Muenchen, Abteilung fuer Nephrologie der II. Medizinischen Klinik und Poliklinik, Ismaningerstrasse 22, 81675 Muenchen (Germany)

    2012-11-15

    Objectives: Lesions of the major salivary glands represent a heterogeneous group comprising infectious, autoimmune, and neoplastic disorders. The reliable pre-operative assessment of the lesional dignity might reduce patient's morbidity preventing re-surgery. To date, there exists no imaging technique which reliably distinguishes tumour entities. Methods: 35 parotid lesions were analysed in this study. B-mode ultrasound, colour duplex imaging and contrast enhanced ultrasound were applied for all patients. After fractionated boli of 4.8 ml SonoVue{sup Registered-Sign} perfusion kinetics, time to peak (TP) and mean transit time (MTT), were analysed for intraparotideal lesion and were normalised by circumjacent parotid tissue. Ultrasonographic data was structured in a multimodal diagnostic pathway. Results: B-mode ultrasound identifies six lymphoepithelial lesions due to Sjoegren's syndrome (p: 0.0001). CDS further differentiates hypovascularised pleomorphic adenoma from hypervascularised Warthin's tumours, monomorphic adenomas, and carcinomas (p < 0.0001). Application of CEUS detected Warthin's tumours being significantly hypervascularised compared to monomorphic adenomas (MTT, p < 0.05) and carcinomas (MTT, p < 0.02). Conclusions: A multimodal diagnostic pathway unifies different ultrasonographic techniques and identifies pleomorphic adenomas, Warthin's tumours and carcinomas with sensitivities of 100%. Further studies have to be performed to validate this diagnostic approach and to specify monomorphic adenomas.

  17. Multimodal Afslapning

    Directory of Open Access Journals (Sweden)

    Stephen Palmer

    2012-10-01

    Full Text Available Artiklen beskriver Multimodal Relaxation Method (MRM, fremover Multimodal Afslapningsmetode, somkan anvendes i livs-, ledelses-, virksomheds-, sports- eller sundhedscoaching til at forbedre ydeevnen hos denenkelte og reducere eller håndtere stress. Inden for sports- og sundhedscoaching kan metoden anvendes til atreducere fysiske spændinger og styrke fysiologisk kontrol, fx lavere hjertefrekvens og nedsætte blodtrykket.

  18. Reducing anxiety and enhancing physical performance by using an advanced version of EMDR: a pilot study

    OpenAIRE

    Rathschlag, Marco; Memmert, Daniel

    2014-01-01

    Background The main aim of this pilot study was to investigate an advanced version of eye movement desensitization and reprocessing (EMDR) for reducing anxiety. Methods Fifty participants were asked at two times of measurement (T1 and T2 with a rest of 4 weeks) to generate anxiety via the recall of autobiographical memories according to their anxiety. Furthermore, the participants were randomly assigned to an experimental group and a control group, and the experimental group received an inter...

  19. Pre-treatment anxiety in a dental hygiene recall population: a cross-sectional pilot study

    OpenAIRE

    Hofer, Deborah; Thoma, Myriam V.; SCHMIDLIN, Patrick R.; Attin, Thomas; Ehlert, Ulrike; Nater, Urs M.

    2016-01-01

    BACKGROUND: Increased levels of anxiety may affect a patient's receptiveness to treatment, health care information and behaviour modification. This study was undertaken to assess pre-treatment anxiety in a dental hygiene recall population maintaining a schedule of regular preventive care appointments. METHODS: The sample population consisted of 46 consecutive adult recall patients waiting for their regularly scheduled dental hygiene appointment. Pre-treatment state (current) anxiety was as...

  20. Pre-treatment anxiety in a dental hygiene recall population: a cross-sectional pilot study

    OpenAIRE

    Hofer, Deborah; Thoma, Myriam V.; SCHMIDLIN, Patrick R.; Attin, Thomas; Ehlert, Ulrike; Nater, Urs M.

    2016-01-01

    Background Increased levels of anxiety may affect a patient’s receptiveness to treatment, health care information and behaviour modification. This study was undertaken to assess pre-treatment anxiety in a dental hygiene recall population maintaining a schedule of regular preventive care appointments. Methods The sample population consisted of 46 consecutive adult recall patients waiting for their regularly scheduled dental hygiene appointment. Pre-treatment state (current) anxiety was assesse...

  1. Incidence of depression, anxiety and stress following traumatic injury: a longitudinal study

    OpenAIRE

    Wiseman, Taneal A; Curtis, Kate; Lam, Mary; Foster, Kim

    2015-01-01

    Background Traumatic injury and mental health disorders are co-associated. Early identification of depression, anxiety and stress following injury, and subsequent preventive intervention, may reduce the long-term symptoms and negative impacts associated with depression and anxiety. The purpose of the study was to determine the incidence, severity and predictors of depression, anxiety and stress in injured patients in the acute phase of care, and at six months following injury, as well as the ...

  2. The contribution of embarrassment to phobic dental anxiety: a qualitative research study

    OpenAIRE

    Rosenberg Nicole; Brødsgaard Inger; Moore Rod

    2004-01-01

    Abstract Background Embarrassment is emphasized, yet scantily described as a factor in extreme dental anxiety or phobia. Present study aimed to describe details of social aspects of anxiety in dental situations, especially focusing on embarrassment phenomena. Methods Subjects (Ss) were consecutive specialist clinic patients, 16 men, 14 women, 20–65 yr, who avoided treatment mean 12.7 yr due to anxiety. Electronic patient records and transcribed initial assessment and exit interviews were anal...

  3. Role of Depression, Anxiety and Stress in Patients with Oral Lichen Planus: A Pilot Study

    OpenAIRE

    Chaithra Kalkur; Atul Prahlad Sattur; Kruthika Satyabodh Guttal

    2015-01-01

    Context: Lichen planus is a psychosomatic disease. Higher frequency of psychiatric symptoms, poor quality of life, higher level of anxiety and neuroendocrine and immune dysregulations, all these factors, will enhance the exacerbation of the disease. Aims: The present study was to assess depression, anxiety and stress levels in patients with oral lichen planus. Materials and Methods: The psychometric evaluation using the Depression Anxiety Stress Scale (DASS)-42 questionnaire was carried out, ...

  4. Metacognition as a Mediator of the Effect of Test Anxiety on a Surface Approach to Studying

    Science.gov (United States)

    Spada, Marcantonio M.; Nikcevic, Ana V.; Moneta, Giovanni B.; Ireson, Judy

    2006-01-01

    This study investigated the role of metacognition as a mediator of the effect of test anxiety on a surface approach to studying. The following scales were completed by 109 undergraduate social sciences students: Approaches and Study Skills Inventories for Students (ASSIST), Metacognitions Questionnaire (MCQ), and Test Anxiety Scale (TAS). Positive…

  5. Risk indicators of anxiety throughout adolescence : The trails study

    NARCIS (Netherlands)

    van Oort, F. V. A.; Greaves-Lord, K.; Ormel, J.; Verhulst, F. C.; Huizink, A. C.

    2011-01-01

    Background: The aim was to identify risk indicators from preadolescence (age period 10-12) that significantly predict unfavorable deviations from normal anxiety development throughout adolescence (age period 10-17 years). Methods: Anxiety symptoms were assessed in a community sample of 2,220 boys an

  6. Risk indicators of anxiety throughout adolescence: the TRAILS study

    NARCIS (Netherlands)

    F.V.A. van Oort; K. Greaves-Lord; J. Ormel; F.C. Verhulst; A.C. Huizink

    2011-01-01

    Background: The aim was to identify risk indicators from preadolescence (age period 10-12) that significantly predict unfavorable deviations from normal anxiety development throughout adolescence (age period 10-17 years). Methods: Anxiety symptoms were assessed in a community sample of 2,220 boys an

  7. Test Anxiety and Perception of Self: A Correctional Study.

    Science.gov (United States)

    Nunn, Gary D.

    There is a positive relationship between a selected measure of test anxiety and several measures of self-perception. Hypotheses of concommitant decreases in self-esteem as test anxiety increased were offered. Subjects consisted of 193 undergraduate students (123 females and 70 males) enrolled in educational psychology and foundations of education…

  8. Two dimensions of social anxiety disorder: a pilot study of the Questionnaire for Social Anxiety and Social Competence Deficits for Adolescents

    OpenAIRE

    Fernandez Castelao, Carolin; Naber, Katharina; Altstädt, Stefanie; Kröner-Herwig, Birgit; Ruhl, Uwe

    2015-01-01

    Background The Questionnaire for Social Anxiety and Social Competence Deficits for Adolescents (SASKO-J) was developed as an instrument for clinical diagnostics of social anxiety disorder in youths by measuring social anxiety and social deficits in two separate dimensions. The study provides an initial assessment of the scale’s psychometric properties in a clinical sample. Method The reliability and validity of the SASKO-J were assessed in a mixed clinical sample of 12- to 19-year-old German ...

  9. Mindfulness Based Stress Reduction for Academic Evaluation Anxiety: A Naturalistic Longitudinal Study

    Science.gov (United States)

    Dundas, Ingrid; Thorsheim, Torbjørn; Hjeltnes, Aslak; Binder, Per Einar

    2016-01-01

    ABSTRACT Mindfulness based stress reduction (MBSR) for academic evaluation anxiety and self-confidence in 70 help-seeking bachelor’s and master’s students was examined. A repeated measures analysis of covariance on the 46 students who completed pretreatment and posttreatment measures (median age = 24 years, 83% women) showed that evaluation anxiety and self-confidence improved. A growth curve analysis with all 70 original participants showed reductions in both cognitive and emotional components of evaluation anxiety, and that reduction continued postintervention. Although more research is needed, this study indicates that MBSR may reduce evaluation anxiety. PMID:27227169

  10. The Netherlands Study of Depression and Anxiety (NESDA): rationale, objectives and methods

    NARCIS (Netherlands)

    Penninx, B.W.J.H.; Beekman, A.T.F.; Smit, J.H; Zitman, F.G.; Nolen, W.A.; Spinhoven, P; Cuijpers, P.; De Jong, P.J.; Van Marwijk, H.W.J.; Assendelft, W.J.J.; Van Der Meer, K.; Verhaak, P.; Wensing, M.; de Graaf, R.; Hoogendijk, W.J.; Ormel, J.; Van Dyck, R.

    2008-01-01

    The Netherlands Study of Depression and Anxiety (NESDA) is a multi-site naturalistic cohort study to: (1) describe the long-term course and consequences of depressive and anxiety disorders, and (2) to integrate biological and psychosocial research paradigms within an epidemiological approach in orde

  11. The Netherlands Study of Depression and Anxiety (NESDA) : rationale, objectives and methods

    NARCIS (Netherlands)

    Penninx, B.W.J.H.; Beekman, A.T.F.; Smit, J.H.; Zitman, F.G.; Nolen, W.A.; Spinhoven, P.; Cuijpers, P.; de Jong, P.J.; Van Marwijk, H.W.J.; Assendelft, W.J.J.; van der Meer, K.; Verhaak, P.; Wensing, M.; de Graaf, R.; Hoogendijk, W.J.; Ormel, J.; Van Dyck, R.

    2008-01-01

    The Netherlands Study of Depression and Anxiety (NESDA) is a multi-site naturalistic cohort study to: (1) describe the long-term course and consequences of depressive and anxiety disorders, and (2) to integrate biological and psychosocial research paradigms within an epidemiological approach in orde

  12. A Comparative Study of Writing Anxiety among Iranian University Students Majoring English Translation, Teaching and Literature

    Science.gov (United States)

    Olanezhad, Mahdie

    2015-01-01

    This study is designed to examine writing anxiety in three groups of EFL students who use English writing in their academic programs. The main purpose of this study is to determine the level and sources of anxiety that students experience while writing in English as a foreign language. To this end, 150 university students from Iranian EFL students…

  13. Breastfeeding cessation and symptoms of anxiety and depression: a longitudinal cohort study

    Directory of Open Access Journals (Sweden)

    Ystrom Eivind

    2012-05-01

    Full Text Available Abstract Background Neonatal anxiety and depression and breastfeeding cessation are significant public health problems. There is an association between maternal symptoms of anxiety and depression and early breastfeeding cessation. In earlier studies, the causality of this association was interpreted both ways; symptoms of anxiety and depression prepartum significantly impacts breastfeeding, and breastfeeding cessation significantly impacts symptoms of anxiety and depression. First, we aimed to investigate whether breastfeeding cessation is related to an increase in symptoms of anxiety and depression from pregnancy to six months postpartum. Second, we also investigated whether the proposed symptom increase after breastfeeding cessation was disproportionately high for those women already suffering from high levels of anxiety and depression during pregnancy. Methods To answer these objectives, we examined data from 42 225 women in the Norwegian Mother and Child Cohort Study (MoBa. Subjects were recruited in relation to a routine ultra-sound examination, and all pregnant women in Norway were eligible. We used data from the Medical Birth Registry of Norway and questionnaires both pre and post partum. Symptoms of anxiety and depression at six months postpartum were predicted in a linear regression analysis by WHO-categories of breastfeeding, symptoms of anxiety and depression prepartum (standardized score, and interaction terms between breastfeeding categories and prepartum symptoms of anxiety and depression. The results were adjusted for cesarean sections, primiparity, plural births, preterm births, and maternal smoking. Results First, prepartum levels of anxiety and depression were related to breastfeeding cessation (β 0.24; 95% CI 0.21-0.28, and breastfeeding cessation was predictive of an increase in postpartum anxiety and depression ( β 0.11; 95%CI 0.09-0.14. Second, prepartum anxiety and depression interacted with the relation between

  14. Disability in anxiety disorders

    NARCIS (Netherlands)

    Hendriks, S.M.; Spijker, J.; Licht, C.M.; Beekman, A.T.; Hardeveld, F.; Graaf, R. de; Batelaan, N.M.; Penninx, B.W.J.H.

    2014-01-01

    BACKGROUND: This study compares disability levels between different anxiety disorders and healthy controls. We further investigate the role of anxiety arousal and avoidance behaviour in disability, and whether differences in these symptom patterns contribute to disability differences between anxiety

  15. Gender, Anxiety, and Depressive Symptoms: A Longitudinal Study of Early Adolescents

    Science.gov (United States)

    Chaplin, Tara M.; Gillham, Jane E.; Seligman, Martin E. P.

    2009-01-01

    Does anxiety lead to depression more for girls than for boys? This study prospectively examines gender differences in the relationship between anxiety and depressive symptoms in early adolescence. One hundred thirteen 11- to 14-year-old middle school students complete questionnaires assessing depressive symptoms and three dimensions of anxiety…

  16. Comorbid anxiety disorders in late-life depression : results of a cohort study

    NARCIS (Netherlands)

    van der Veen, D. C.; van Zelst, W. H.; Schoevers, R. A.; Comijs, H. C.; Oude Voshaar, Richard

    2015-01-01

    Background: Comorbid anxiety disorders are common in late-life depression and negatively impact treatment outcome. This study aimed to examine personality characteristics as well as early and recent life-events as possible determinants of comorbid anxiety disorders in late-life depression, taking pr

  17. Study of Anxiety in Parents and Children with Attention Deficit with Hyperactivity Disorder

    Science.gov (United States)

    Sánchez, Jose Juan Castro; Bermúdez, M. Olga Escandell; Sevilla, M. del Sol Fortea; Hernán-Pérez, Alejandra Sanjuán

    2015-01-01

    The identification of factors that influence attention deficit/hyperactivity disorder (ADHD) will help to develop intervention strategies for the personal and social adjustment of these individuals. The goal of the study is to assess the perception of anxiety in a group of children and adolescents with ADHD and the anxiety that their parents…

  18. Foreign Language Anxiety of Students Studying English Language and Literature: A Sample from Turkey

    Science.gov (United States)

    Elaldi, Senel

    2016-01-01

    A considerable number of foreign language learners experience a feeling of anxiety in language learning process. The purpose of this research was to find out foreign language anxiety levels of students studying in the Faculty of English Language and Literature at Cumhuriyet University, Sivas, Turkey when they were in preparatory class and when…

  19. Multimodal Approach for Automatic Emotion Recognition Applied to the Tension Levels Study in TV Newscasts

    Directory of Open Access Journals (Sweden)

    Moisés Henrique Ramos Pereira

    2015-12-01

    Full Text Available This article addresses a multimodal approach to automatic emotion recognition in participants of TV newscasts (presenters, reporters, commentators and others able to assist the tension levels study in narratives of events in this television genre. The methodology applies state-of-the-art computational methods to process and analyze facial expressions, as well as speech signals. The proposed approach contributes to semiodiscoursive study of TV newscasts and their enunciative praxis, assisting, for example, the identification of the communication strategy of these programs. To evaluate the effectiveness of the proposed approach was applied it in a video related to a report displayed on a Brazilian TV newscast great popularity in the state of Minas Gerais. The experimental results are promising on the recognition of emotions on the facial expressions of tele journalists and are in accordance with the distribution of audiovisual indicators extracted over a TV newscast, demonstrating the potential of the approach to support the TV journalistic discourse analysis.This article addresses a multimodal approach to automatic emotion recognition in participants of TV newscasts (presenters, reporters, commentators and others able to assist the tension levels study in narratives of events in this television genre. The methodology applies state-of-the-art computational methods to process and analyze facial expressions, as well as speech signals. The proposed approach contributes to semiodiscoursive study of TV newscasts and their enunciative praxis, assisting, for example, the identification of the communication strategy of these programs. To evaluate the effectiveness of the proposed approach was applied it in a video related to a report displayed on a Brazilian TV newscast great popularity in the state of Minas Gerais. The experimental results are promising on the recognition of emotions on the facial expressions of tele journalists and are in accordance

  20. Overlap between Headache, Depression, and Anxiety in General Neurological Clinics: A Cross-sectional Study

    Institute of Scientific and Technical Information of China (English)

    Cui-Bai Wei; Jian-Ping Jia; Fen Wang; Ai-Hong Zhou; Xiu-Mei Zuo; Chang-Biao Chu

    2016-01-01

    Background:Many studies have reported that depression and anxiety have bidirectional relationship with headache.However,few researches investigated the roles of depression or anxiety in patients with headache.We surveyed the prevalence of depression and anxiety as a complication or cause of headache among outpatients with a chief complaint of headache at neurology clinics in general hospitals.Additional risk factors for depression and anxiety were also analyzed.Methods:A cross-sectional study was conducted at 11 general neurological clinics.All consecutive patients with a chief complaint of headache were enrolled.Diagnoses of depression and anxiety were made using the Chinese version of the Mini International Neuropsychiatric Interview,and those for headache were made according to the International Classification of Headache Disorders,2nd Edition.The headache impact test and an 11-point verbal rating scale were applied to assess headache severity and intensity.Logistic regression was used to analyze risk factors of patients with headache for depression or anxiety.Results:A total of 749 outpatients with headache were included.Among them,148 (19.7%) were diagnosed with depression and 103 (13.7%) with anxiety.Further analysis showed that 114 (15.2%) patients complaining headache due to somatic symptoms of psychiatric disorders and 82 (10.9%) had a depression or anxiety comorbidity with headache.Most patients with depression or anxiety manifested mild to moderate headaches.Poor sleep and severe headache-related disabilities were predictors for either depression or anxiety.Conclusion:Clinicians must identify the etiology of headache and recognize the effects of depression or anxiety on headache to develop specific treatments.

  1. Health Anxiety, Hypochondriasis, and the Anxiety Disorders

    Science.gov (United States)

    Abramowitz, Jonathan S.; Olatunji, Bunmi O.; Deacon, Brett J.

    2007-01-01

    Although clinical observations suggest that health-related anxiety is present, to some extent, in a number of anxiety disorders, this relationship has not been examined empirically. The present study therefore utilized the Short Health Anxiety Inventory (SHAI) to elucidate the structure of such symptoms among patients with anxiety disorders and to…

  2. Recognition of anxiety disorders by family physicians after rigorous medical record case extraction Results of the Netherlands Study of Depression and Anxiety

    NARCIS (Netherlands)

    Janssen, Evelien H. C.; van de Ven, Peter M.; Terluin, Berend; Verhaak, Peter F. M.; van Marwijk, Harm W. J.; Smolders, Mirrian; van der Meer, Klaas; Penninx, Brenda W. J. H.; van Hout, Hein P. J.

    2012-01-01

    Objective: Previous studies reported low and inconsistent rates of recognition of anxiety disorders by family physicians (FPs). Our objectives were to examine (a) which combination of indications within medical records most accurately reflects recognition of anxiety disorders and (b) whether patient

  3. Recognition of anxiety disorders by family physicians after rigorous medical record case extraction: results of the Netherlands Study of Depression and Anxiety.

    NARCIS (Netherlands)

    Janssen, E.H.C.; Ven, P.M. van de; Terluin, B.; Verhaak, P.F.M.; Marwijk, H.W.J. van; Smolders, M.; Meer, K. van der; Penninx, B.W.J.H.; Hout, H.P.J. van

    2012-01-01

    Objective: Previous studies reported low and inconsistent rates of recognition of anxiety disorders by family physicians (FPs). Our objectives were to examine (a) which combination of indications within medical records most accurately reflects recognition of anxiety disorders and (b) whether patient

  4. Qualitative experimental study of the electromagnetic field distribution in microwave multimode cavities

    International Nuclear Information System (INIS)

    The most common applicator for the microwave treatment of materials is a multimode cavity. Because of its own experimental geometry, the electromagnetic field inside this kind of oven is usually extremely unhomogeneous. In this work, the energy distribution has been qualitatively studied investigating the thermal effect caused by the coupling of the field with a dielectric and detected by a white thermal paper, which gradually blackens when reaching temperature around 100-1500 C. It was proved that the spatial behaviour of the microwave filed inside the cavity depends strongly on the kind of load, i.e. the sample to be treated, its size and position (x, y, z) in the applicator and the presence or absence of metallic devices, such as a mode stirrer or a thermocouple to measure the sample temperature

  5. Assessing task importance and anxiety in medical school: an instrument development and initial validation study.

    Science.gov (United States)

    Phillips, Henry L; Dong, Ting; Durning, Steven J; Artino, Anthony R

    2015-04-01

    Recent research in medical education suggests that students' motivational beliefs, such as their beliefs about the importance of a task, and their emotions are meaningful predictors of learning and performance. The primary purpose of this study was to develop a self-report measure of "task importance" and "anxiety" in relation to several medical education competencies and to collect validity evidence for the new measures. The secondary purpose was to evaluate differences in these measures by year of medical school. Exploratory factor analysis of scores from 368 medical school students suggested two task importance factors and three anxiety factors. The task importance and anxiety subscales were weakly related to each other and exhibited consistently negative and positive correlations, respectively, with three self-efficacy subscales. The task importance subscales were positively related to "metacognition," whereas "interpersonal skills anxiety" and "health knowledge anxiety" were positively related to "procrastination." All three anxiety factors were positively related to "avoidance of help seeking," whereas "interpersonal skills and professionalism importance" was negatively related to help avoidance behaviors. Finally, comparisons across the 4 years of medical school indicated that some aspects of task importance and anxiety varied significantly. Overall, findings from this study provide validity evidence for the psychometric quality of these scales, which capture task importance and anxiety in medical students. Limitations and implications for medical education research are discussed. PMID:25850124

  6. Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies

    Directory of Open Access Journals (Sweden)

    Moylan Steven

    2012-10-01

    Full Text Available Abstract Background Multiple studies have demonstrated that rates of smoking and nicotine dependence are increased in individuals with anxiety disorders. However, significant variability exists in the epidemiological literature exploring this relationship, including study design (cross-sectional versus prospective, the population assessed (random sample versus clinical population and diagnostic instrument utilized. Methods We undertook a systematic review of population-based observational studies that utilized recognized structured clinical diagnostic criteria (Diagnostic and Statistical Manual of Mental Disorders (DSM or International Classification of Diseases (ICD for anxiety disorder diagnosis to investigate the relationship between cigarette smoking, nicotine dependence and anxiety disorders. Results In total, 47 studies met the predefined inclusion criteria, with 12 studies providing prospective information and 5 studies providing quasiprospective information. The available evidence suggests that some baseline anxiety disorders are a risk factor for initiation of smoking and nicotine dependence, although the evidence is heterogeneous and many studies did not control for the effect of comorbid substance use disorders. The identified evidence however appeared to more consistently support cigarette smoking and nicotine dependence as being a risk factor for development of some anxiety disorders (for example, panic disorder, generalized anxiety disorder, although these findings were not replicated in all studies. A number of inconsistencies in the literature were identified. Conclusions Although many studies have demonstrated increased rates of smoking and nicotine dependence in individuals with anxiety disorders, there is a limited and heterogeneous literature that has prospectively examined this relationship in population studies using validated diagnostic criteria. The most consistent evidence supports smoking and nicotine dependence as

  7. THE IMPACT OF ANXIETY UPON COGNITION: PERSPECTIVES FROM HUMAN THREAT OF SHOCK STUDIES

    Directory of Open Access Journals (Sweden)

    Oliver Joe Robinson

    2013-05-01

    Full Text Available Anxiety disorders constitute a sizeable worldwide health burden with profound social and economic consequences. The symptoms are wide-ranging; from hyperarousal to difficulties with concentrating. This latter effect falls under the broad category of altered cognitive performance; in this review we examine studies quantifying such impacts of anxiety on cognition. Specifically, we focus on the translational threat of unpredictable shock paradigm, a method previously used to characterize emotional responses and defensive mechanisms that is now emerging as valuable tool for examining the interaction between anxiety and cognition. In particular, we compare the impact of threat of shock on cognition in humans to that of pathological anxiety disorders. We highlight that both threat of shock and anxiety disorders promote mechanisms associated with harm avoidance across multiple levels of cognition (from perception to attention to learning and executive function – a ‘hot’ cognitive function which can be both adaptive and maladaptive depending upon the circumstances. This mechanism comes at a cost to other functions such as working memory, but leaves some functions, such as planning, unperturbed. We also highlight a number of cognitive effects that differ across anxiety disorders and threat of shock. These discrepant effects are largely seen in ‘cold’ cognitive functions involving control mechanisms and may reveal boundaries between adaptive (e.g. response to threat and maladaptive (e.g. pathological anxiety. We conclude by raising a number of unresolved questions regarding the role of anxiety in cognition that may provide fruitful avenues for future research.

  8. Behavioral Inhibition as a Risk Factor for the Development of Childhood Anxiety Disorders: A Longitudinal Study.

    Science.gov (United States)

    Muris, Peter; van Brakel, Anna M L; Arntz, Arnoud; Schouten, Erik

    2011-04-01

    This longitudinal study examined the additive and interactive effects of behavioral inhibition and a wide range of other vulnerability factors in the development of anxiety problems in youths. A sample of 261 children, aged 5 to 8 years, 124 behaviorally inhibited and 137 control children, were followed during a 3-year period. Assessments took place on three occasions to measure children's level of behavioral inhibition, anxiety disorder symptoms, other psychopathological symptoms, and a number of other vulnerability factors such as insecure attachment, negative parenting styles, adverse life events, and parental anxiety. Results obtained with Structural Equation Modeling indicated that behavioral inhibition primarily acted as a specific risk factor for the development of social anxiety symptoms. Furthermore, the longitudinal model showed additive as well as interactive effects for various vulnerability factors on the development of anxiety symptoms. That is, main effects of anxious rearing and parental trait anxiety were found, whereas behavioral inhibition and attachment had an interactive effect on anxiety symptomatology. Moreover, behavioral inhibition itself was also influenced by some of the vulnerability factors. These results provide support for dynamic, multifactorial models for the etiology of child anxiety problems. PMID:21475710

  9. Anxiety's Effect on Muscle Activation and Fatigue in Trumpet Players: A Pilot Study.

    Science.gov (United States)

    Rumsey, Hannah E; Aggarwal, Sahil; Hobson, Erin M; Park, Jeeyn; Pidcoe, Peter

    2015-12-01

    Due to the high percentage of musicians who suffer from musculoskeletal disorders, there is a need for more research in the field of music and medicine. The purpose of this study was to analyze the possible relationship between anxiety, muscle activation, and muscle fatigue in undergraduate trumpet players. Assessment tools included surface electromyography (sEMG) data, State Trait Anxiety Inventory (STAI), and Visual Analogue Scales (VAS) of perceived anxiety. Data were collected from 27 undergraduate music students across five universities (22 males, 5 females) aged 18 to 24 years. The three muscles targeted by the sEMG were the upper trapezius, sternocleidomastoid, and masseter muscles. Participants were randomly divided into two single-blinded groups: (1) anxiety-induction and (2) control. The anxiety-induction group was instructed to play as accurately as possible and informed that mistakes were being counted and evaluated, while the control group was instructed to play without any concern for possible mistakes. The anxiety-induction group was shown to have more masseter muscle activation than the control; the anxiety-induction group also displayed a higher fatigue rate in all three muscles versus the controls. Subjects with high perceived-anxiety (as measured by VAS) displayed higher masseter activation and higher fatigue rates in the upper trapezius and sternocleidomastoid than non-anxious participants. Despite these notable trends, there was no statistical significance for any of the muscle groups for muscle activation or fatigue. PMID:26614974

  10. Using virtual humans to alleviate social anxiety: preliminary report from a comparative outcome study.

    Science.gov (United States)

    Robillard, Genevève; Bouchard, Stéphane; Dumoulin, Stéphane; Guitard, Tanya; Klinger, Evelyne

    2010-01-01

    Empirical studies have consistently shown the effectiveness of a multicomponent CBT treatment of social anxiety disorder (SAD). Previous outcome studies on virtual reality and SAD have focused on people suffering from fear of public speaking and not full blown SAD. In this study, 45 adults receiving a DSM-IV-TR diagnostic of social anxiety were randomly assigned to traditional CBT treatment (with in vivo exposure), CBT-VR combined treatment, or a waiting list. Results show significant reduction of anxiety on all questionnaires as well as statistically significant interactions between both treatment groups and the waiting list. PMID:20543270

  11. A review of studies concerning treatment adherence of patients with anxiety disorders

    Directory of Open Access Journals (Sweden)

    Santana L

    2011-08-01

    Full Text Available Lívia Santana1, Leonardo F Fontenelle1–31Anxiety and Depression Research Program, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Brazil; 2Department of Psychiatry and Mental Health, Institute of Community Health, Universidade Federal Fluminense, Brazil; 3D’Or Institute for Research and Education (IDOR, Rio de Janeiro, BrazilObjective: This paper aimed at describing the most consistent correlates and/or predictors of nonadherence to treatment of patients with different anxiety disorders.Method: The authors retrieved studies indexed in PubMed/MedLine, PsycINFO, and ISI Web of Knowledge using the following search terms: attrition OR dropout OR attrition rates OR patient dropouts OR treatment adherence AND anxiety disorders. Research was limited to articles published before January 2010.Results: Sixteen studies were selected that investigated the impact of sociodemographic, clinical, or cognitive variables on adherence to treatment for anxiety disorders. While no consistent pattern of sociodemographic or clinical features associated with nonadherence emerged, all studies that investigated cognitive variables in panic disorder, social anxiety disorder, and obsessive-compulsive disorder found that expectations and opinions about treatment were related to adherence.Conclusion: The findings of this study suggest that it is essential to consider anxiety disorder patients’ beliefs about illness and treatment strategies to increase their compliance with the therapeutic plan.Keywords: attrition, dropout, OCD, obsessive-compulsive disorder, social anxiety disorder

  12. Assessment of depression and anxiety in adult cancer outpatients: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Shahzad Mohammad A

    2010-10-01

    Full Text Available Abstract Background The prevalence of anxiety and depressive disorders in cancer patients and its associated factors in Pakistan is not known. There is a need to develop an evidence base to help introduce interventions as untreated depression and anxiety can lead to significant morbidity. We assessed the prevalence of depression and anxiety among adult outpatients with and without cancer as well as the effect of various demographic, clinical and behavioral factors on levels of depression and anxiety in cancer patients. Methods This cross-sectional study was carried out in outpatient departments of Multan Institute of Nuclear Medicine and Radiotherapy and Nishtar Medical College Hospital, Multan. Aga Khan University Anxiety and Depression Scale (AKUADS was used to define the presence of depression and anxiety in study participants. The sample consisted of 150 diagnosed cancer patients and 268 participants without cancer (control group. Results The mean age of cancer patients was 40.85 years (SD = 16.46 and median illness duration was 5.5 months, while the mean age of the control group was 39.58 years (SD = 11.74. Overall, 66.0% of the cancer patients were found to have depression and anxiety using a cutoff score of 20 on AKUADS. Among the control group, 109 subjects (40.7% had depression and anxiety. Cancer patients were significantly more likely to suffer from distress compared to the control group (OR = 2.83, 95% CI = 1.89-4.25, P = 0.0001. Performing logistic regression analysis showed that age up to 40 years significantly influenced the prevalence of depression and anxiety in cancer patients. There was no statistically significant difference between gender, marital status, locality, education, income, occupation, physical activity, smoking, cancer site, illness duration and mode of treatment, surgery related to cancer and presence of depression and anxiety. Cancers highly associated with depression and anxiety were gastrointestinal

  13. Assessment of depression and anxiety in adult cancer outpatients: a cross-sectional study

    International Nuclear Information System (INIS)

    The prevalence of anxiety and depressive disorders in cancer patients and its associated factors in Pakistan is not known. There is a need to develop an evidence base to help introduce interventions as untreated depression and anxiety can lead to significant morbidity. We assessed the prevalence of depression and anxiety among adult outpatients with and without cancer as well as the effect of various demographic, clinical and behavioral factors on levels of depression and anxiety in cancer patients. This cross-sectional study was carried out in outpatient departments of Multan Institute of Nuclear Medicine and Radiotherapy and Nishtar Medical College Hospital, Multan. Aga Khan University Anxiety and Depression Scale (AKUADS) was used to define the presence of depression and anxiety in study participants. The sample consisted of 150 diagnosed cancer patients and 268 participants without cancer (control group). The mean age of cancer patients was 40.85 years (SD = 16.46) and median illness duration was 5.5 months, while the mean age of the control group was 39.58 years (SD = 11.74). Overall, 66.0% of the cancer patients were found to have depression and anxiety using a cutoff score of 20 on AKUADS. Among the control group, 109 subjects (40.7%) had depression and anxiety. Cancer patients were significantly more likely to suffer from distress compared to the control group (OR = 2.83, 95% CI = 1.89-4.25, P = 0.0001). Performing logistic regression analysis showed that age up to 40 years significantly influenced the prevalence of depression and anxiety in cancer patients. There was no statistically significant difference between gender, marital status, locality, education, income, occupation, physical activity, smoking, cancer site, illness duration and mode of treatment, surgery related to cancer and presence of depression and anxiety. Cancers highly associated with depression and anxiety were gastrointestinal malignancies, chest tumors and breast cancer. This study

  14. Multimodal Analysis on Teacher Talk—A Case Study of an Excellent Grammar Lesson

    Institute of Scientific and Technical Information of China (English)

    张丽君

    2016-01-01

    With the development of multi-media and computer technology, discourses are transforming into multi-semiotic, which is a more complex pattern, containing pictures, flash, font colour, tables, layout etc. Based on the multimodal analysis of an excellent lesson on English grammar, this paper explores how to realize meaning construction and interaction in class multimodally, how to make classroom discourse enlightening, vivid and coherent, and thus realize the experiential, interpersonal and textual function of classroom discourse.

  15. Validity and Reliability Study of Mathematics Anxiety-Apprehension Survey (MASS)

    OpenAIRE

    Özdemir, Emine; Emine ÖZDEMİR, Balıkesir Üniversitesi, Necatibey Eğitim Fakültesi, İlköğretim Matematik Eğitimi Bölümü; Gür, Hülya; Balıkesir Üniversitesi, Necatibey Eğitim Fakültesi, Ortaöğretim Fen ve Matematik Alanlar Eğitimi Bölümü

    2011-01-01

    This study contains validity and reliability study of Mathematics Anxiety- Apprehension Survey (MAAS) developed by Ikegulu (1998). The aim of the study was to develop a mathematics anxiety-apprehension survey for students especially in the second stage of the primary school. Validity and reliability was completed in three phases according to the phases of cross-national scale adaptation by Hambleton ve Patsula (1999). MAAS’s Cronbach alpha reliability coefficient was .912 and the Cronbach’s a...

  16. Randomized crossover trial studying the effect of music on examination anxiety.

    Science.gov (United States)

    Lai, Hui-Ling; Chen, Pin-Wen; Chen, Chia-Jung; Chang, Hui-Kuan; Peng, Tai-Chu; Chang, Fwu-Mei

    2008-11-01

    The purpose of this study was to assess the effect of lento music on examination anxiety among nursing students. A randomized crossover classroom-based trial was conducted. Thirty-eight students with a mean age of 19.4 years (SD = .54) were randomly assigned to either a music/silence or a silence/music group sequence. The students in the music group were given a 40-min group-based music intervention in a classroom, whereas the students in the silence group received the regular test without music. Using paired t-tests, there were no significant different in pretest scores for state anxiety, examination anxiety, finger temperature and pulse rate between the two conditions. Nonetheless, the findings indicated that music intervention did effectively decrease examination anxiety and state anxiety as well as reducing pulse rate and increasing higher finger temperature (p = 0.05 to 0.001). In addition, significant differences were detected between the pretest and posttest measures for silence (p = 0.001). The results suggest that lento music is effective at anxiety reduction. This study provides evidence for nursing faculty and clinical educators to foster nursing students' mastering over the anxiety of examination by using lento music. PMID:18597899

  17. The relationship between alopecia areata and alexithymia, anxiety and depression: A case-control study

    Directory of Open Access Journals (Sweden)

    Rim Sellami

    2014-01-01

    Full Text Available Background: Alopecia areata (AA is a skin disease characterized by the sudden appearance of areas of hair loss on the scalp and other hair-bearing areas, but its aesthetic repercussions can lead to profound changes in patient′s psychological status and relationships. Aim: The goal was to investigate a possible relationship between AA and alexithymia as well as two other emotional dimensions, anxiety and depression. Materials and Methods: Fifty patients with AA seen in the Department of Dermatology of Hedi Chaker University Hospital, Sfax were included in this study. Anxiety and depression were evaluated by Hospital Anxiety and Depression scale questionnaire, alexithymia was assessed by Toronto Alexithymia scale 20, and severity of AA was measured by Severity of Alopecia Tool. Results: Patient′s mean age was 32.92 years. 52% of patients were females. Depression and anxiety were detected respectively in 38% and 62% of patients. There was statistically significant difference between patients and control group in terms of depression (P = 0.047 and anxiety (P = 0.005. Forty-two percent of patients scored positive for alexithymia. No significant difference was found between patient and control groups (P = 0.683 in terms of alexithymia. Anxiety was responsible for 14.7% of variation in alexithymia (P = 0.047. Conclusions: Our study shows a high prevalence of anxiety and depressive symptoms in AA patients. Dermatologists should be aware of the psychological impact of AA, especially as current treatments have limited effectiveness.

  18. Role of depression, anxiety and stress in patients with oral lichen planus: A pilot study

    Directory of Open Access Journals (Sweden)

    Chaithra Kalkur

    2015-01-01

    Full Text Available Context: Lichen planus is a psychosomatic disease. Higher frequency of psychiatric symptoms, poor quality of life, higher level of anxiety and neuroendocrine and immune dysregulations, all these factors, will enhance the exacerbation of the disease. Aims: The present study was to assess depression, anxiety and stress levels in patients with oral lichen planus. Methods: The psychometric evaluation using the Depression Anxiety Stress Scale (DASS-42 questionnaire was carried out, by the same investigator on all members of group 1 (Oral Lichen Planus and group 2 (Control. DASS-42 questionnaire consists of 42 symptoms divided into three subscales of 14 items: Depression scale, anxiety scale, and stress scale. Statistical Analysis Used: The Student t test was used to determine statistical difference for both the groups and to evaluate for significant relationships among variables. Results: Psychological assessment using DASS-42 reveals lichen planus patients showed higher frequency of psychiatric co morbidities like depression, anxiety and stress compared to control group. Conclusions: This study has provided evidence that the DASS-42 questionnaire is internally consistent and valid measures of depression, anxiety, and stress. Psychiatric evaluation can be considered for patients with oral lichen planus with routine treatment protocols are recommended. DASS-42 Questionnaire can also be used to determine the level of anxiety, stress and depression in diseases of the oral mucosa like recurrent apthous stomatitis, burning mouth syndrome and TMD disorders.

  19. Post partum anxiety and depression in peri-urban communities of Karachi, Pakistan: a quasi-experimental study

    OpenAIRE

    Azam Iqbal S; Ali Badar S; Ali Niloufer S

    2009-01-01

    Abstract Background Postpartum anxiety and depression is a major public health concern because of its adverse effects on the cognitive and social development of the infant. Globally postpartum depression has been widely investigated but as anxiety is a more prominent feature of postpartum depression we assessed the prevalence of anxiety and depression and their associated factors in post partum women. Methods A quasi-experimental study investigating the impact of postpartum anxiety and depres...

  20. A randomized control study of psychological intervention to reduce anxiety, amotivation and psychological distress among medical students

    OpenAIRE

    Coumaravelou Saravanan; Rajiah Kingston

    2014-01-01

    Background: Test anxiety aggravates psychological distress and reduces the motivation among graduate students. This study aimed to identify psychological intervention for test anxiety, which reduces the level of psychological distress, amotivation and increases the intrinsic and extrinsic motivation among medical students. Materials and Methods: Westside test anxiety scale, Kessler Perceived Stress Scale and Academic Motivation Scale were used to measure test anxiety, psychological distress a...

  1. A prospective naturalistic study of antidepressant-induced jitteriness/anxiety syndrome

    Directory of Open Access Journals (Sweden)

    Harada T

    2014-11-01

    Full Text Available Tsuyoto Harada, Ken Inada, Kazuo Yamada, Kaoru Sakamoto, Jun Ishigooka Department of Psychiatry, Tokyo Women’s Medical University School of Medicine, Tokyo, Japan Objective: Patients often develop neuropsychiatric symptoms such as anxiety and agitation after they have started taking an antidepressant, and this is thought to be associated with a potentially increased risk of suicide. However, the incidence of antidepressant-induced jitteriness/anxiety syndrome has not been fully investigated, and little has been reported on its predictors. The aim of this study was to survey the incidence of antidepressant-induced jitteriness/anxiety syndrome and clarify its predictors in a natural clinical setting.Materials and methods: Between January 2009 and July 2012, we prospectively surveyed 301 patients who had not taken any antidepressants for 1 month before presentation, and who were prescribed antidepressants for 1 month after their initial visit. Patients were classified as developing antidepressant-induced jitteriness/anxiety syndrome if they experienced any symptoms of anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia, hypomania, or mania during the first month.Results: Among the 301 patients, 21 (7.0% developed antidepressant-induced jitteriness/anxiety syndrome. Major depressive disorder and a diagnosis of mood disorder in first-degree relatives of patients were significantly associated with induction of antidepressant-induced jitteriness/anxiety syndrome (odds ratio 10.2, P=0.001; odds ratio 4.65, P=0.02; respectively. However, there was no such relationship for sex, age, class of antidepressant, combined use of benzodiazepines, or diagnosis of anxiety disorder.Conclusion: The findings of this study suggest that major depressive disorder and a diagnosis of mood disorder in first-degree relatives may be clinical predictors of antidepressant-induced jitteriness/anxiety syndrome

  2. Association between Anxiety Levels and Weight Change in the Multiethnic Study of Atherosclerosis

    Directory of Open Access Journals (Sweden)

    Katherine Rieke

    2014-01-01

    Full Text Available Objective. To examine the association between anxiety and weight change in a multiethnic cohort followed for approximately 10 years. Methods. The study population consisted of participants of the multiethnic study of atherosclerosis who met specified inclusion criteria (n = 5,799. Weight was measured at baseline and four subsequent follow-up exams. Anxiety was analyzed as sex-specific anxiety quartiles (QANX. The relationship between anxiety level and weight change was examined using a mixed-effect model with weight as the dependent variable, anxiety and time as the independent variables, and adjusted for covariates. Results. Average annual weight change (range was −0.17 kg (−6.04 to 4.38 kg for QANX 1 (lowest anxiety, −0.16 kg (−10.71 to 4.45 kg for QANX 2, −0.15 kg (−8.69 to 6.39 kg for QANX 3, and −0.20 kg (−7.12 to 3.95 kg for QANX 4 (highest anxiety. No significant association was noted between QANX and weight change. However, the highest QANX was associated with a −2.48 kg (95% CI = −3.65, −1.31 lower baseline weight compared to the lowest QANX after adjustment for all covariates. Conclusions. Among adults, age 45–84, higher levels of anxiety, defined by the STPI trait anxiety scale, are associated with lower average baseline weight but not with weight change.

  3. Anxiety, automatic negative thoughts, and unconditional self-acceptance in rheumatoid arthritis: a preliminary study.

    Science.gov (United States)

    Paloș, Ramona; Vîșcu, Loredana

    2014-01-01

    Objectives. This research was carried out in two stages: the objectives of the first stage were (1) to identify the existing relationships between the level of anxiety, the frequency of automatic negative thoughts, and unconditional self-acceptance and (2) to capture the existing differences regarding these variables between people diagnosed with rheumatoid arthritis and those with no such medical history. Methods. The sample made up of 50 subjects filled out the following three questionnaires: the Hamilton Anxiety Scale, the Automatic Thoughts Questionnaire, and the Unconditional Self-Acceptance Questionnaire. Results. Psychological anxiety is positively correlated with automatic negative thoughts, while unconditional self-acceptance is negatively correlated with both psychological anxiety and somatic anxiety as well as with automatic negative thoughts. All studied variables were significantly different in rheumatoid arthritis as compared to the control population. Conclusions. The results showed the presence to a greater extent of anxiety and automatic negative thoughts, along with reduced unconditional self-acceptance among people with rheumatoid arthritis. Intervention on these variables through support and counseling can lead to reducing anxiety and depression, to altering the coping styles, and, implicitly, to improving the patients' quality of life. PMID:25028611

  4. Neural correlates of attention biases, behavioral inhibition, and social anxiety in children: An ERP study.

    Science.gov (United States)

    Thai, Nhi; Taber-Thomas, Bradley C; Pérez-Edgar, Koraly E

    2016-06-01

    Behavioral inhibition (BI) is a biologically-based temperament characterized by vigilance toward threat. Over time, many children with BI increasingly fear social circumstances and display maladaptive social behavior. BI is also one of the strongest individual risk factors for developing social anxiety disorder. Although research has established a link between BI and anxiety, its causal mechanism remains unclear. Attention biases may underlie this relation. The current study examined neural markers of the BI-attention-anxiety link in children ages 9-12 years (N=99, Mean=9.97, SD=0.97). ERP measures were collected as children completed an attention-bias (dot-probe) task with neutral and angry faces. P2 and N2 amplitudes were associated with social anxiety and attention bias, respectively. Specifically, augmented P2 was related to decreased symptoms of social anxiety and moderated the relation between BI and social anxiety, suggesting that increasing attention mobilization may serve as a compensatory mechanism that attenuates social anxiety in individuals with high BI. The BI by N2 interaction found that larger N2 related to threat avoidance with increasing levels of BI, consistent with over-controlled socio-emotional functioning. Lastly, children without BI (BN) showed an augmented P1 to probes replacing angry faces, suggesting maintenance of attentional resources in threat-related contexts. PMID:27061248

  5. Symptoms of anxiety and depression in lesbian couples treated with donated sperm: a descriptive study

    OpenAIRE

    Borneskog, C; Sydsjö, Gunilla; Lampic, C; Bladh, Marie; Svanberg, A.S.

    2013-01-01

    Objective To investigate symptoms of anxiety and depression in lesbian couples undergoing assisted reproductive treatment (ART), and to study the relationship of demographic data, pregnancy outcome and future reproductive plans with symptoms of anxiety and depression. Design Descriptive, a part of the prospective longitudinal ‘Swedish study on gamete donation’. Setting All university clinics in Sweden performing gamete donation. Population A consecutive sample of 214 lesbian couples requestin...

  6. Depression, Anxiety, and Suicidal Ideation Among Chinese Americans: A Study of Immigration-Related Factors

    OpenAIRE

    Zhang, Jie; Fang, Le; Wu, Yow-Wu B.; Wieczorek, William F.

    2013-01-01

    The aim of this study was to identify anxiety, depression, and suicidal ideation disparities among Chinese Americans and how immigration-related factors affected the outcomes. We tried to explain the differences as a function of the Chinese culture. Data were derived from the National Latino and Asian American Study, the first national epidemiological survey of these populations in the United States. We used only the Chinese sample (N = 600) and focused on depressive disorder, anxiety disorde...

  7. The Dresden predictor study of anxiety and depression : objectives, design, and methods

    OpenAIRE

    Trumpf, J.; Vriends, N.; Meyer, A H; Becker, E.S.; Neumer, S. P.; Margraf, J

    2010-01-01

    ObjectiveThe present report describes the objectives, design, and methods of the Dresden Predictor Study (DPS) of anxiety and depression, a prospective epidemiological study investigating anxiety disorders and depression in 3,065 young German women (18–25 years of age). Materials and methodsThe DPS consists of a baseline and one follow-up investigation separated by approximately 17 months. At both time points, respondents were diagnosed according to the Diagnostic and Statistical Manual of Me...

  8. The CRF system, stress, depression and anxiety – insights from human genetic studies

    OpenAIRE

    Binder, Elisabeth B.; Nemeroff, Charles B.

    2009-01-01

    A concatenation of findings from preclinical and clinical studies support a preeminent role for the corticotropin-releasing factor (CRF) system in mediating the physiological response to external stressors and in the pathophysiology of anxiety and depression. Recently, human genetic studies have provided considerable support to several long-standing hypotheses of mood and anxiety disorders, including the CRF hypothesis. These data, reviewed in this report, are congruent with the hypothesis th...

  9. Women With Addictions Report Reduced Anxiety After Group Music Therapy: A Quasi-Experimental Study

    Directory of Open Access Journals (Sweden)

    Wiebke S. Diestelkamp

    2013-07-01

    Full Text Available Roughly six million females in the USA abuse or are addicted to alcohol. Women are more likely than men to report depression and anxiety as triggers for substance use and relapse, which emphasizes the importance of therapies designed to help women mitigate anxiety.Research supporting music therapy (MT with women with addictions is scarce. In this quasi-experimental investigation, we hoped to learn: (1 What percentage of women with addictive disorders in a 45-minute group MT session will report pre-session anxiety?; and (2 of these, what percentage will report a palpable reduction in their post-session anxiety? We used a single group design: Participants self-reported anxiety before and after each session.Study participants were 53 women in a gender-specific residential program. Voluntary group MT sessions were held twice weekly for 9 weeks. Four MT methods were used: Composition, Receptive (Listening, Improvisation, and Re-Creative (Performing. Of 53 first-session surveys, 39 (73.6% indicated pre-session anxiety. Of these, 33 (84.6% showed a reduction in post-session anxiety. A sign test confirmed an overall reduction in anxiety.Outcomes may have been related to interventions, group cohesion, or other factors. The absence of a comparison group prevents suppositions of causality. Nonetheless, the results present a compelling case for the use of MT with women with anxiety. Because of the link between trauma and addictive disorders, we encourage exploration of the role and benefits of MT within trauma-informed models of addiction treatment.

  10. APPROACHES TO SOCIAL ANXIETY

    OpenAIRE

    ÖZTÜRK, Abdülkadir

    2014-01-01

    The communication process that influences human lives is negatively affected by social anxiety. There have been many studies conducted and perspectives introduced about social anxiety. The purpose of this study is to explain social anxiety through examining approaches regarding social anxiety and investigate the sufficiency of those approaches. In this study, approaches about social anxiety are categorized in five groups. These categories are biological approach, psychological approach, cult...

  11. Depression and Anxiety in a Cardiovascular Outpatient Clinic: A Descriptive Study

    Directory of Open Access Journals (Sweden)

    Baktash Bayani MD

    2011-09-01

    Full Text Available Objective: Cardiac diseases are psycho-somatic disorders, and psychological aspects play an essential role in their initiation and exacerbation. The aim of this study was to gain appropriate knowledge in the epidemiology of co-morbid depression and anxiety disorder in cardiovascular outpatients.Method: This study is descriptive with a sample of patients attending a cardio-vascular clinic. 238 individuals were included in this study using a consecutive sampling method. The study instrument was Hospital Anxiety and Depression Scale (HADS questionnaire, which is a clinical scale for assessing anxiety and depression.Results: Of the 238 participants in this study, 93(38.7% were male and 146 (61.3% female. 28.5% of patients suffered from anxiety disorders , and 41.9% had depression. Regarding comorbid diseases such as diabetes mellitus, hyperlipidemia and hypertension, the severity of depression was just related to hypertension. There was a meaningful relationship between gender and symptoms of anxiety so that symptoms were more severe in women. Conclusion: Considering the high prevalence of depression and anxiety in patients suffering from cardio-vascular diseases, it is necessary to screen psychological disorders in patients with cardio-vascular diseases and improve their cardio-vascular health and quality of life as mush as possible.

  12. Dental Procedures, Oral Practices, and Associated Anxiety: A Study on Late-teenagers

    OpenAIRE

    Bhola, Rahul; Malhotra, Reema

    2014-01-01

    Objectives The study aims to determine the degree of anxiety pertaining to dental procedures and various oral hygiene practices among college teenagers. Methods Corah's Modified Dental Anxiety Scale was administered on a randomly chosen sample of 100 Indian college students (50 males and 50 females) of Delhi University, belonging to the age group of 17–20 years. Results Descriptive statistical computations revealed 12.14 years as the mean age of first dental visit, with moderately high levels...

  13. Fear of being laughed at and social anxiety: A preliminary psychometric study

    OpenAIRE

    Hugo Carretero-Dios; Willibald Ruch; Diana Agudelo; Tracey Platt; René T. Proyer

    2010-01-01

    The present study examines the relationship between questionnaire measures of social phobia and gelotophobia. A sample of 211 Colombian adults filled in Spanish versions of the Social Anxiety and Distress scale (SAD; Watson & Friend, 1969), the Fear of Negative Evaluation scale (FNE; Watson & Friend, 1969) and the GELOPH (Ruch & Proyer, 2008). Results confirmed that both Social Anxiety and Distress and Fear of Negative Evaluation scale overlapped with the fear of being laughed at without bein...

  14. Anxiety induced by cardiac perceptions in patients with panic attack: a field study

    OpenAIRE

    Pauli, Paul; Marquardt, Christian; Hartl, Lydia; Nutzinger, Detlef O.; Hölzl, Rupert; Strian, Friedrich

    2011-01-01

    In panic disorder bodily sensations appear to play an important role as a trigger for anxiety. In our psychophysiological model of panic attacks we postulate the following vicious circle: individuals with panic attacks perceive even quite small increases in heart rate and interpret these changes as being catastrophic. This elicits anxiety and a further increase in heart rate. To evaluate this model we conducted a field study of 28 subjects with panic attacks and 20 healthy controls. A 24 hr a...

  15. Temporal Patterns of Anxious and Depressed Mood in Generalized Anxiety Disorder: A Daily Diary Study

    OpenAIRE

    Starr, Lisa R.; Davila, Joanne

    2011-01-01

    Research suggests that anxiety disorders tend to temporally precede depressive disorders, a finding potentially relevant to understanding comorbidity. The current study used diary methods to determine whether daily anxious mood also temporally precedes daily depressed mood. 55 participants with generalized anxiety disorder (GAD) and history of depressive symptoms completed a 21-day daily diary tracking anxious and depressed mood. Daily anxious and depressed moods were concurrently associated....

  16. Effect of music therapy on pain and anxiety levels of cancer patients: A pilot study

    OpenAIRE

    Priyadharshini Krishnaswamy; Shoba Nair

    2016-01-01

    Background: The pain associated with cancer is highly detrimental to the quality of life of the affected individuals. It also contributes to the anxiety of the patient. There is a need for a nonpharmacological approach in addition to the pharmacological therapy for the management of the pain for a more holistic improvement in the individual. With this study, we wish to achieve this through music. Objective: To assess the effect of music therapy on pain scores and anxiety levels of cancer ...

  17. Physical, Behavioral and Cognitive Characteristics of Perceived Performance Anxiety in Music Students: A Qualitative Study

    OpenAIRE

    Deniz Yöntem, Zeynep; Abant İzzet Baysal Üniversitesi

    2012-01-01

    The objective of this study is to determine the physical, behavioral and cognitive characteristics of perceived performance anxiety in music students. A qualitative researchmethod was used for this purpose. Data were collected via semi-structured interviews alongwith video recordings. The anxiety and pre-performance preparation levels of students weregraded based on their statements. A total number of 17 (12 women and 5 men) universitystudents of the department of music constituted the partic...

  18. Anxiety mediates the relationship between perfectionism and insomnia symptoms: A longitudinal study

    OpenAIRE

    Akram, Umair; Ellis, Jason; Barclay, Nicola

    2015-01-01

    Objectives Individuals with insomnia often report aspects of perfectionism and symptoms of anxiety and depression. Investigation of these factors together has been limited. As such, the aim of the present study was to examine the extent to which the association between perfectionism and insomnia symptoms was mediated by anxiety and depression, concurrently and longitudinally. Methods Seventy-six members from the general-population participated at baseline. Data from 57 participant...

  19. Childhood Separation Anxiety and the Risk of Subsequent Psychopathology: Results from a Community Study

    OpenAIRE

    Brückl, Tanja M.; Wittchen, Hans-Ulrich; Höfler, Michael; Pfister, Hildegard; Schneider, Silvia; Lieb, Roselind

    2012-01-01

    Objective: To examine the association between separation anxiety disorder (SAD) and mental disorders in a community sample and to evaluate whether separation anxiety is specifically related to panic disorder with and without agoraphobia. Method: The data come from a 4-year, prospective longitudinal study of a representative cohort of adolescents and young adults aged 14–24 years at baseline in Munich, Germany. The present analyses are based on a subsample of the younger cohort that comple...

  20. Anxiety toward Mathematics (An Empirical Study in College Students in Tuxtepec Oaxaca-México)

    OpenAIRE

    Arturo García-Santillán; Josefina del Carmen Santana-Villegas; María Elena Téllez-Mora; Elena Moreno-García

    2015-01-01

    In this paper we examine anxiety toward mathematics in undergraduate students; therefore, we take a Muñoz and Mato anxiety scale (2007). This is a study carried out at several universities in Tuxtepec, Oaxaca, Mexico. 302 questionnaires were applied face-to-face to undergraduate students of several profiles, among others: Business Management Engineering, Civil Engineering, Public Accounting, Electro-mechanic Engineering, Biochemistry, Informatics Engineering, Electronic Engineering, Managemen...

  1. Dental fear and anxiety in children and adolescents - A qualitative study using social media

    OpenAIRE

    Gao, Xiaoli; Hamzah, SH; Yiu, Cynthia Kar Yung; McGrath, Colman; King, Nigel M.

    2013-01-01

    Background Dental fear and anxiety (DFA) refers to the fear of and anxiety towards going to the dentist. It exists in a considerable proportion of children and adolescents and is a major dilemma in pediatric dental practice. As an Internet social medium with increasing popularity, the video-sharing website YouTube offers a useful data source for understanding health behaviors and perceptions of the public. Objective Using YouTube as a platform, this qualitative study aimed to examine the mani...

  2. Behavioral Inhibition as a Risk Factor for the Development of Childhood Anxiety Disorders: A Longitudinal Study

    OpenAIRE

    Muris, Peter; Brakel, Anna; Arntz, Arnoud; Schouten, Erik

    2011-01-01

    textabstractThis longitudinal study examined the additive and interactive effects of behavioral inhibition and a wide range of other vulnerability factors in the development of anxiety problems in youths. A sample of 261 children, aged 5 to 8 years, 124 behaviorally inhibited and 137 control children, were followed during a 3-year period. Assessments took place on three occasions to measure children's level of behavioral inhibition, anxiety disorder symptoms, other psychopathological symptoms...

  3. Behavioral Inhibition as a Risk Factor for the Development of Childhood Anxiety Disorders: A Longitudinal Study

    OpenAIRE

    2010-01-01

    This longitudinal study examined the additive and interactive effects of behavioral inhibition and a wide range of other vulnerability factors in the development of anxiety problems in youths. A sample of 261 children, aged 5 to 8 years, 124 behaviorally inhibited and 137 control children, were followed during a 3-year period. Assessments took place on three occasions to measure children’s level of behavioral inhibition, anxiety disorder symptoms, other psychopathological symptoms, and a numb...

  4. Study protocol: a randomised controlled trial of the effects of a multi-modal exercise program on cognition and physical functioning in older women

    OpenAIRE

    Vaughan Sue; Morris Norm; Shum David; O’Dwyer Siobhan; Polit Denise

    2012-01-01

    Abstract Background Intervention studies testing the efficacy of cardiorespiratory exercise have shown some promise in terms of improving cognitive function in later life. Recent developments suggest that a multi-modal exercise intervention that includes motor as well as physical training and requires sustained attention and concentration, may better elicit the actual potency of exercise to enhance cognitive performance. This study will test the effect of a multi-modal exercise program, for o...

  5. [The early maladaptive schemas: a study in adult patients with anxiety disorders].

    Science.gov (United States)

    Delattre, V; Servant, D; Rusinek, S; Lorette, C; Parquet, P-J; Goudemand, M; Hautekeete, M

    2004-01-01

    The theory of early maladaptive schemas was initiated by Young, who postulated that each pathology is supported by one or several schemas. Adults with anxiety disorders more activate schemas that controls. This hyper activate schemas would go back the childhood. In this study, we measure some cognitive schema's activation, with the Schmidt and al. Questionnaire: this schema's questionnaire measures the dysfunctional schemas in actual way. Our purpose was to compare early maladaptive schema's activation of adults with anxiety disorders and adults healthy. The results indicate that each dysfunctional schema is more significatively activate by the adults with anxiety disorders that adults healthy. He doesn't exist schema typical of anxiety, but just a more important activation of all schemas of adults with -anxiety disorders. All subjects (with anxiety disorder and healthy) activate the schemas in the same order. It would appear that schema who imply an action of subject was more activate. So, in our study, we doesn't observe schema typical of anxiety, as opposed to postulate of Young and Klosko. In fact, in comparison with healthy subjects, all early maladaptive schemas of subjects with anxiety disorders were hypervalent. The order of schema's activation was the same in the two groups, but the activation in the anxious is always more important that in the healthy. All early maladaptive schemas would so hyperactivate in the anxious and a important activation of this schemas in the infancy would predispose to adult's anxious pathology. We consider this research as a preliminary work about early maladaptive schemas. In order to specify the research about schemas in the anxious, il will be interesting to observe this schemas according to different anxious disorders and to study prospectively the evolution of child's schemas. PMID:15235523

  6. Anxiety and its time courses during radiotherapy for non-metastatic breast cancer: A longitudinal study

    International Nuclear Information System (INIS)

    Purpose: To our knowledge, no study has specifically assessed the time course of anxiety during radiotherapy (RT). The objective of this study was to assess anxiety time courses in patients with non-metastatic breast cancer. Material and methods: This multicenter, descriptive longitudinal study included 213 consecutive patients with breast cancer who completed visual analog scales (VASs) assessing state anxiety before and after the RT simulation and the first and last five RT sessions. Results: Pre- and post-session anxiety mean levels were highest at the RT simulation (respectively, 2.9 ± 2.9 and 1.6 ± 2.5) and first RT session (respectively, 3.4 ± 2.9 and 2.0 ± 2.4), then declined rapidly. Clinically relevant mean differences (⩾1 cm on the VAS) between pre- and post-simulation/session VAS scores were found only for the RT simulation (−1.3 ± 2.7; p < 0.001) and first RT session (−1.4 ± 2.4; p < 0.001). Five percent to 16% of patients presented clinically relevant anxiety (pre- and post-simulation/session VAS scores ⩾ 4 cm) throughout treatment. Conclusions: To optimize care, RT team members should offer all patients appropriate information about treatment at the simulation, check patients’ understanding, and identify patients with clinically relevant anxiety requiring appropriate support throughout RT

  7. The Level of Anxiety and Depression in Dialysis Patients Undertaking Regular Physical Exercise Training - a Preliminary Study

    Directory of Open Access Journals (Sweden)

    Wioletta Dziubek

    2016-02-01

    Full Text Available Background/Aims: The aim of the study was to evaluate the effects of a six-month physical training undertaken by haemodialysis (HD patients, on the depression and anxiety. Methods: Patients with end stage renal disease (ESRD were recruited from the dialysis station at the Department of Nephrology and Transplantation Medicine in Wroclaw. Physical training took place at the beginning of the first 4-hours of dialysis, three times a week for six months. A personal questionnaire, Beck Depression Inventory (BDI and State-Trait Anxiety Inventory (STAI were used in the study. Results: A total of 28 patients completed the study: 20 were randomised to endurance training and 8 were randomised to resistance training. Statistical analysis of depression and anxiety at the initial (t1 and final examination (t2 indicated a significant reduction in depression and anxiety, particularly anxiety as a trait (X2 in the whole study group. The change in anxiety as a state correlated with the disease duration, duration of dialysis and the initial level of anxiety as a state (t1X1. The change in anxiety as a trait significantly correlated with age and the initial level of anxiety (t1X2. Conclusions: Undertaking physical training during dialysis by patients with ESRD is beneficial in reducing their levels of anxiety and depression. Both resistance and endurance training improves mood, but only endurance training additionally results in anxiety reduction.

  8. Study on Multimodal Metadiscourse%多模态元话语

    Institute of Scientific and Technical Information of China (English)

    钱秀娟

    2012-01-01

    This paper first introduces briefly muhimodal discourse as well as meta-discourse, and then points out the connection between the two. Next it uses "multimodal meta-discourse" as the concept and then studies its definition, identification and classification. The aim of the paper is to recognize how the author/speaker uses a variety of forms to guide the audience to connect, interpret, organize and evaluate the discourse, so as to achieve successful communication.%通过介绍多模态话语以及元话语,并指出两者间的联系,然后借助语料,以“多模态元话语”为概念,对其进行定义、识别并分类,旨在对全面解读作者/发话人是如何运用多种形式组织话语,表达自己对话语内容的观点,指导受众连接、组织、解释、评价话语内容,从而达到提高语言交际能力。

  9. Study of bifurcation processes in a multimode waveguide with statistical irregularities

    International Nuclear Information System (INIS)

    We consider the theoretical principles of the original investigation of irregular optical waveguides in the form of a dynamic dissipative system. The scattering of guided modes in an irregular optical waveguide is considered as a process of gradual transition of a dynamic dissipative system from an 'ordered' state into 'chaos.' The growth of scattering losses in an irregular optical waveguide is represented as an increase in chaos in the system under analysis. The phase retardation factor of a multimode waveguide is used as a control parameter of the process. The use of the methods of catastrophe theory can explain the behaviour of the dissipative system under study in the process of changing the control parameter. It is found that an increase in chaos in the system (an increase in losses due to scattering in an irregular waveguide under excitation of modes of increasingly higher order) can be explained by a sequence of direct bifurcations, i.e., the existence of stable cycles in the system. As a result, the irregular optical waveguide can be regarded as a system in which the energy of a regular process (the process of propagation of a guided mode) passes into the energy of a 'disordered' process, i.e., the energy of radiation modes.

  10. Adaptive Motor Imagery: A Multimodal Study of Immobilization-Induced Brain Plasticity.

    Science.gov (United States)

    Burianová, Hana; Sowman, Paul F; Marstaller, Lars; Rich, Anina N; Williams, Mark A; Savage, Greg; Al-Janabi, Shahd; de Lissa, Peter; Johnson, Blake W

    2016-03-01

    The consequences of losing the ability to move a limb are traumatic. One approach that examines the impact of pathological limb nonuse on the brain involves temporary immobilization of a healthy limb. Here, we investigated immobilization-induced plasticity in the motor imagery (MI) circuitry during hand immobilization. We assessed these changes with a multimodal paradigm, using functional magnetic resonance imaging (fMRI) to measure neural activation, magnetoencephalography (MEG) to track neuronal oscillatory dynamics, and transcranial magnetic stimulation (TMS) to assess corticospinal excitability. fMRI results show a significant decrease in neural activation for MI of the constrained hand, localized to sensorimotor areas contralateral to the immobilized hand. MEG results show a significant decrease in beta desynchronization and faster resynchronization in sensorimotor areas contralateral to the immobilized hand. TMS results show a significant increase in resting motor threshold in motor cortex contralateral to the constrained hand, suggesting a decrease in corticospinal excitability in the projections to the constrained hand. These results demonstrate a direct and rapid effect of immobilization on MI processes of the constrained hand, suggesting that limb nonuse may not only affect motor execution, as evidenced by previous studies, but also MI. These findings have important implications for the effectiveness of therapeutic approaches that use MI as a rehabilitation tool to ameliorate the negative effects of limb nonuse. PMID:25477368

  11. Teacher autonomy support reduces adolescent anxiety and depression: An 18-month longitudinal study.

    Science.gov (United States)

    Yu, Chengfu; Li, Xian; Wang, Shujun; Zhang, Wei

    2016-06-01

    Grounded in stage-environment fit theory, this study adopts a longitudinal design to examine the contribution of autonomy support from teachers to reducing adolescent anxiety and depression. A total of 236 Chinese adolescents (57.38% females, Mage = 14.34) completed questionnaires on teacher autonomy support, basic psychological needs satisfaction, school engagement, anxiety, and depression in the fall and spring semesters of their 7th and 8th grade years. The results showed that teacher autonomy support in the fall of 7th grade boosted basic psychological needs satisfaction in the spring of 7th grade; this, in turn, increased school engagement in the fall of 8th grade, which subsequently decreased anxiety and depression in the spring of 8th grade. These findings demonstrated the significant effect of teacher autonomy support on reducing adolescent anxiety and depression; furthermore, it highlighted the mediating roles of basic psychological needs satisfaction and school engagement in this relationship. PMID:27042976

  12. The contribution of embarrassment to phobic dental anxiety: a qualitative research study

    DEFF Research Database (Denmark)

    Moore, R.; Brødsgaard, I.; Rosenberg, N.

    2004-01-01

    Embarrassment is emphasized, yet scantily described as a factor in extreme dental anxiety or phobia. Present study aimed to describe details of social aspects of anxiety in dental situations, especially focusing on embarrassment phenomena. Subjects (Ss) were consecutive specialist clinic patients......, 16 men, 14 women, 20-65 yr, who avoided treatment mean 12.7 yr due to anxiety. Electronic patient records and transcribed initial assessment and exit interviews were analyzed using QSR"N4" software to aid in exploring contexts related to social aspects of dental anxiety and embarrassment phenomena....... Qualitative findings were co-validated with tests of association between embarrassment intensity ratings, years of treatment avoidance, and mouth-hiding behavioral ratings. Embarrassment was a complaint in all but three cases. Chief complaints in the sample: 30% had fear of pain; 47% cited powerlessness...

  13. Stage fright in orchestral musicians: a study of cognitive and behavioural strategies in performance anxiety.

    Science.gov (United States)

    Steptoe, A; Fidler, H

    1987-05-01

    A questionnaire study was carried out with three groups of musicians: experienced professional orchestral players (n=65), music students (n=41), and members of an amateur orchestra (n=40). Musical performance anxiety was assessed together with neuroticism, everyday fears, self-statements and behavioural coping strategies. Performance anxiety was lowest in the professional group and highest among students. In all three groups, performance anxiety was related to neuroticism and everyday fears, notably fear of crowds and social situations. A negative association between age, performing experience and stage fright was observed in professional musicians but not other groups. Six clusters of self-statements were identified. Catastrophizing was positively linked with performance anxiety in all groups, while realistic appraisal of the performance situation was used most commonly by those with moderate levels of stage fright. Implications for the conceptualization and management of stage fright are discussed. PMID:3594093

  14. Study on Decision Process and Strategy Choice Behavior under Multimode Choice

    Directory of Open Access Journals (Sweden)

    Huanmei Qin

    2015-01-01

    Full Text Available Information Display Board is used to design an experimental survey and dynamic decision process data are retrieved under a multimode choice scenario with car, bus and subway, and park and ride. It is concluded that car travelers who will switch to choosing park and ride need more decision time to compare it with the existing modes (car, bus and subway and tend to mainly use compensatory decision strategies in the decision process. The most commonly used decision strategy for travelers is the combined strategy under the multimode choice scenario. Correlation analysis shows that the influencing factors of age, whether the travelers have ever used park and ride, and decision time highly correlate with decision strategy choice. These conclusions have a certain reference value for theory research of decision process under multimode choice.

  15. Recognition of anxiety disorders by family physicians after rigorous medical record case extraction: results of the Netherlands Study of Depression and Anxiety.

    OpenAIRE

    Janssen, E.H.C.; Ven, P.M. van de; Terluin, B.; Verhaak, P.F.M.; van Marwijk, H.W.J.; Smolders, M.; Meer, K. van der; Penninx, B.W.J.H.; Hout, H.P.J. van

    2012-01-01

    Objective: Previous studies reported low and inconsistent rates of recognition of anxiety disorders by family physicians (FPs). Our objectives were to examine (a) which combination of indications within medical records most accurately reflects recognition of anxiety disorders and (b) whether patient and FP characteristics were related to recognition. Method: A cross-sectional comparison was made between FPs' registration and a structured diagnostic interview, the Composite International Diagn...

  16. Predictors of anxiety and depression in Egyptian thalassemic patients: a single center study.

    Science.gov (United States)

    Yahia, Sohier; El-Hadidy, Mohamed Adel; El-Gilany, Abdel-Hady; Anwar, Rokiah; Darwish, Ahmad; Mansour, A K

    2013-05-01

    Thalassemic patients are vulnerable to emotional and behavioral problems. Each patient age group exhibits problems unique to that stage of development, and although up to 80 % of thalassemic patients are likely to have psychological disorders, e.g., anxiety and depression, predictors of these disorders remain poorly understood. The present study was designed to assess the prevalence of anxiety and depression in a sample of Egyptian thalassemic patients and to identify predictors of these psychiatric disorders. A case-control study was conducted in 218 thalassemic patients, with 244 healthy subjects as a control. All patients and control subjects were subjected to thorough evaluation of medical history and clinical examination, and examined by a psychiatrist using the clinician version of the structured clinical interview for DSM-IV (SCID-CV), hospital anxiety and depression scale and Coopersmith self-esteem inventory. Abnormal and borderline anxieties were reported by 36.7 and 20.6 % of thalassemic patients, respectively, while abnormal and borderline depressions were reported by 32.1 and 16.1 % of patients, respectively. Hospitalization, low self-esteem, diabetes mellitus and heart failure were independent predictors of anxiety. The independent predictors of depression were heart failure, hospitalization, diabetes mellitus, short stature and delayed puberty. Thalassemic patients were more vulnerable to anxiety and depression, indicating that screening and management for such psychiatric disorders should be considered in treating all such patients. PMID:23595950

  17. Childbirth and symptoms of postpartum depression and anxiety: a prospective birth cohort study.

    Science.gov (United States)

    Bell, A F; Carter, C S; Davis, J M; Golding, J; Adejumo, O; Pyra, M; Connelly, J J; Rubin, L H

    2016-04-01

    We investigated associations between aspects of childbirth and elevated postpartum symptoms of depression and anxiety. We employed secondary analysis of perinatal data (N = 4657-4946) from the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort. Multivariable logistic regression models (adjusted for covariates) examined predictors of elevated symptoms of postpartum depression and anxiety. Predictors included the following: type of delivery (normal physiological vs. interventive non-physiological), immediate postpartum complications, and maternal perception of the recent birth experience. The Edinburgh Postnatal Depression Scale assessed elevated symptoms of depression (score ≥ 13), and the Crown-Crisp Experiential Index assessed elevated symptoms of anxiety (score ≥ 9) at 2 and 8 months after delivery. A more negative perception of the recent birth experience was associated with elevated symptoms of anxiety at 2 months [odds ratio (OR) 1.52, 95 % confidence interval (CI) 1.25-1.85] and 8 months (OR 1.30, 95 % CI 1.06-1.60) postpartum but was not associated with elevated symptoms of depression at either time point. Type of delivery (physiological vs. non-physiological) and immediate postpartum complications were not associated with elevated symptoms of depression or anxiety. Our findings suggest that improving women's childbirth experience may decrease the likelihood of postpartum anxiety, but not postpartum depression. PMID:26202722

  18. FOLLOW-UP STUDY OF THREE COGNITIVE POTENTIALS OF DEPRESSION AND ANXIETY DISORDERS

    Institute of Scientific and Technical Information of China (English)

    XIAO Ze-ping; CHEN Xing-shi; ZHANG Ming-dao; LOU Fei-ying; CHEN Jue

    2005-01-01

    Objective To investigate the variations of contingent negative variations (CNV), P300 and mismatch negativity (MMN) in depression and anxiety disorders. Methods CNV, P300 and MMN were recorded from 44 depressive patients using Nicolet Spirit Instrument, and were compared with that of 32 anxiety patients and 28 normal controls(NC). 21 of depressive patients and 18 of anxiety patients were followed up by 2.5 months with the same evoked potentials. Results 1. Compared with NC, all patients in acute episode showed decreased M1 of CNV amplitude, delayed P3 latency and decreased P3 amplitude of P300, and delayed MMN latency and decreased MMN amplitude; 2. The follow-up study of evoked potentials revealed that abnormal P3 of P300 and MMN latencies were significant between depressed patients in remission status and NC group but not P3 of P300 and MMN amplitudes, and M1 of CNV and P3 of P300 amplitudes and P3 of P300 and MMN latencies are not significant between anxiety patients in remission and NC group. Conclusion Delayed P3 of P300 and MMN latencies in depression show state and trait markers, while those variations in anxiety correlate with clinical status of anxiety state.

  19. TMEM132D, a new candidate for anxiety phenotypes: evidence from human and mouse studies.

    Science.gov (United States)

    Erhardt, A; Czibere, L; Roeske, D; Lucae, S; Unschuld, P G; Ripke, S; Specht, M; Kohli, M A; Kloiber, S; Ising, M; Heck, A; Pfister, H; Zimmermann, P; Lieb, R; Pütz, B; Uhr, M; Weber, P; Deussing, J M; Gonik, M; Bunck, M; Kebler, M S; Frank, E; Hohoff, C; Domschke, K; Krakowitzky, P; Maier, W; Bandelow, B; Jacob, C; Deckert, J; Schreiber, S; Strohmaier, J; Nöthen, M; Cichon, S; Rietschel, M; Bettecken, T; Keck, M E; Landgraf, R; Müller-Myhsok, B; Holsboer, F; Binder, E B

    2011-06-01

    The lifetime prevalence of panic disorder (PD) is up to 4% worldwide and there is substantial evidence that genetic factors contribute to the development of PD. Single-nucleotide polymorphisms (SNPs) in TMEM132D, identified in a whole-genome association study (GWAS), were found to be associated with PD in three independent samples, with a two-SNP haplotype associated in each of three samples in the same direction, and with a P-value of 1.2e-7 in the combined sample (909 cases and 915 controls). Independent SNPs in this gene were also associated with the severity of anxiety symptoms in patients affected by PD or panic attacks as well as in patients suffering from unipolar depression. Risk genotypes for PD were associated with higher TMEM132D mRNA expression levels in the frontal cortex. In parallel, using a mouse model of extremes in trait anxiety, we could further show that anxiety-related behavior was positively correlated with Tmem132d mRNA expression in the anterior cingulate cortex, central to the processing of anxiety/fear-related stimuli, and that in this animal model a Tmem132d SNP is associated with anxiety-related behavior in an F2 panel. TMEM132D may thus be an important new candidate gene for PD as well as more generally for anxiety-related behavior. PMID:20368705

  20. A prospective study of leukocyte telomere length and risk of phobic anxiety among women.

    Science.gov (United States)

    Ramin, Cody; Wang, Wei; Prescott, Jennifer; Rosner, Bernard; Simon, Naomi M; De Vivo, Immaculata; Okereke, Olivia I

    2015-12-15

    We prospectively examined the relation of relative telomere lengths (RTLs), a marker of biological aging, to phobic anxiety in later-life. RTLs in peripheral blood leukocytes were measured among 3194 women in the Nurses' Health Study who provided blood samples in 1989/90. The Crown-Crisp Phobic Index (CCI, range=0–16) was assessed in 1988 and 2004. Only participants with CCI≤3 (consistent with no meaningful anxiety symptoms) in 1988 were included. We related baseline RTLs to odds ratios (ORs) of incident high phobic anxiety symptoms (CCI≥6). To enhance clinical relevance, we used finite mixture modeling (FMM) to relate baseline RTLs to latent classes of CCI in 2004. RTLs were not significantly associated with high phobic anxiety symptoms after 16 years of follow-up. However, FMM identified 3 groups of phobic symptoms in later-life: severe, minimal/intermediate, and non-anxious. The severe group had non-significantly shorter multivariable-adjusted mean RTLs than the minimal/intermediate and non-anxious groups. Women with shorter telomeres vs. longest telomeres had non-significantly higher likelihood of being in the severe vs. non-anxious group. Overall, there was no significant association between RTLs and incident phobic anxiety symptoms. Further work is required to explore potential connections of telomere length and emergence of severe phobic anxiety symptoms during later-life. PMID:26603336

  1. ANXIETY DISORDERS: A REVIEW

    OpenAIRE

    Arya Ashwani; Kumar Tarun; Malik Ajay; Hooda Anil

    2011-01-01

    Anxiety disorders are a highly prevalent and disabling class of psychiatric disorders. Anxiety disorders are highly prevalent and associated with substantial distress, morbidity and mortality. Recent epidemiological studies of anxiety disorders provided evidence of their high frequency in the general population worldwide. Anxiety disorders afflict an estimated 15.7 million people in the United States each year. Anxiety disorders are highly prevalent in adults with females showing higher prepo...

  2. Association between Anxiety Disorders and Heart Rate Variability in The Netherlands Study of Depression and Anxiety (NESDA)

    NARCIS (Netherlands)

    Licht, Carmilla M. M.; de Geus, Eco J. C.; van Dyck, Richard; Penninx, Brenda W. J. H.

    2009-01-01

    Objective: To determine whether patients with different types of anxiety disorder (panic disorder, social phobia, generalized anxiety disorder) have higher heart rate and lower heart rate variability compared with healthy controls in a sample that was sufficiently powered to examine the confounding

  3. Multimodal indexing of digital audio-visual documents: A case study for cultural heritage data

    NARCIS (Netherlands)

    J. Carmichael; M. Larson; J. Marlow; E. Newman; P. Clough; J. Oomen; S. Sav

    2008-01-01

    This paper describes a multimedia multimodal information access sub-system (MIAS) for digital audio-visual documents, typically presented in streaming media format. The system is designed to provide both professional and general users with entry points into video documents that are relevant to their

  4. Study on the New Model of College English Teaching under the Setting of Multimodality

    Science.gov (United States)

    Wang, Qian

    2015-01-01

    Currently, the application of the network resources and various means of teaching such as multimedia into the classroom has led to the demonstration of multimodality in college English teaching. This paper analyzes the current status of college English teaching and the existing problems, elaborates the research trends of the theory of multimodal…

  5. An fMRI Study of Multimodal Semantic and Phonological Processing in Reading Disabled Adolescents

    Science.gov (United States)

    Landi, Nicole; Mencl, W. Einar; Frost, Stephen J.; Sandak, Rebecca; Pugh, Kenneth R.

    2010-01-01

    Using functional magnetic resonance imaging, we investigated multimodal (visual and auditory) semantic and unimodal (visual only) phonological processing in reading disabled (RD) adolescents and non-impaired (NI) control participants. We found reduced activation for RD relative to NI in a number of left-hemisphere reading-related areas across all…

  6. Relationship between Study Habits and Test Anxiety of Higher Secondary Students

    Science.gov (United States)

    Lawrence, Arul A. S.

    2014-01-01

    The present study aims to probe the relationship between study habits and test anxiety of higher secondary students. In this normative study survey method was employed. The population for the present study consisted of higher secondary students studying in Tirunelveli district. The investigator used the simple random sampling technique. The sample…

  7. Multimodal magnetic resonance imaging study of treatment-naive adults with attention-deficit/hyperactivity disorder.

    Directory of Open Access Journals (Sweden)

    Tiffany M Chaim

    Full Text Available BACKGROUND: Attention-Deficit/Hiperactivity Disorder (ADHD is a prevalent disorder, but its neuroanatomical circuitry is still relatively understudied, especially in the adult population. The few morphometric magnetic resonance imaging (MRI and diffusion tensor imaging (DTI studies available to date have found heterogeneous results. This may be at least partly attributable to some well-known technical limitations of the conventional voxel-based methods usually employed to analyze such neuroimaging data. Moreover, there is a great paucity of imaging studies of adult ADHD to date that have excluded patients with history of use of stimulant medication. METHODS: A newly validated method named optimally-discriminative voxel-based analysis (ODVBA was applied to multimodal (structural and DTI MRI data acquired from 22 treatment-naïve ADHD adults and 19 age- and gender-matched healthy controls (HC. RESULTS: Regarding DTI data, we found higher fractional anisotropy in ADHD relative to HC encompassing the white matter (WM of the bilateral superior frontal gyrus, right middle frontal left gyrus, left postcentral gyrus, bilateral cingulate gyrus, bilateral middle temporal gyrus and right superior temporal gyrus; reductions in trace (a measure of diffusivity in ADHD relative to HC were also found in fronto-striatal-parieto-occipital circuits, including the right superior frontal gyrus and bilateral middle frontal gyrus, right precentral gyrus, left middle occipital gyrus and bilateral cingulate gyrus, as well as the left body and right splenium of the corpus callosum, right superior corona radiata, and right superior longitudinal and fronto-occipital fasciculi. Volumetric abnormalities in ADHD subjects were found only at a trend level of significance, including reduced gray matter (GM in the right angular gyrus, and increased GM in the right supplementary motor area and superior frontal gyrus. CONCLUSIONS: Our results suggest that adult ADHD is associated

  8. MR image features predicting hemorrhagic transformation in acute cerebral infarction: a multimodal study

    International Nuclear Information System (INIS)

    The aims of this study were to observe magnetic resonance imaging (MRI) features and the frequency of hemorrhagic transformation (HT) in patients with acute cerebral infarction and to identify the risk factors of HT. We first performed multimodal MRI (anatomical, diffusion weighted, and susceptibility weighted) scans on 87 patients with acute cerebral infarction within 24 hours after symptom onset and documented the image findings. We then performed follow-up examinations 3 days to 2 weeks after the onset or whenever the conditions of the patients worsened within 3 days. We utilized univariate statistics to identify the correlations between HT and image features and used multivariate logistical regression to correct for confounding factors to determine relevant independent image features of HT. HT was observed in 17 out of total 87 patients (19.5 %). The infarct size (p = 0.021), cerebral microbleeds (CMBs) (p = 0.004), relative apparent diffusion (rADC) (p = 0.023), and venous anomalies (p = 0.000) were significantly related with HT in the univariate statistics. Multivariate analysis demonstrated that CMBs (odd ratio (OR) = 0.082; 95 % confidence interval (CI) = 0.011-0.597; p = 0.014), rADC (OR = 0.000; 95 % CI = 0.000-0.692; p = 0.041), and venous anomalies (OR = 0.066; 95 % CI = 0.011-0.403; p = 0.003) were independent risk factors for HT. The frequency of HT is 19.5 % in this study. CMBs, rADC, and venous anomalies are independent risk factors for HT of acute cerebral infarction. (orig.)

  9. Cerebral changes and cognitive impairment after an ischemic heart disease: a multimodal MRI study.

    Science.gov (United States)

    Bernard, Charlotte; Catheline, Gwénaëlle; Dilharreguy, Bixente; Couffinhal, Thierry; Ledure, Sylvain; Lassalle-Lagadec, Saioa; Callaert, Dorothée; Allard, Michèle; Sibon, Igor

    2016-09-01

    Three to 6 months after an acute coronary syndrome (ACS), cognitive impairment is observed in more than 30 % of the patients, mainly in executive functioning. The aim of this study was to investigate, using multimodal MRI, cerebral anatomo-functional substratum of executive dysfunction. Thirty-three patients were recruited 4 ± 1 months after a first ACS. Executive functions were evaluated with the Trail-Making-Test-B (TMTB) at baseline (ie 4 ± 1 months after ACS) and 6 months later (ie 10 ± 1 months after ACS). Using both time-points, we identified 3 groups of patients according to normative data based on age, gender and education level: 15 'cognitively normal' patients without impairment at each follow-up, 10 'transient impaired' patients with an impairment only at baseline and 8 'impairing' patients with an impairment only at follow-up. We explored, in the whole-brain, the structural integrity using Voxel-Based Morphometry and Tract-Based Spatial Statistics and the resting-state functional connectivity using Network-Based Statistics. No structural difference was observed between impaired and cognitively normal patients. At the functional level, compared to the 'cognitively normal' group, the 'transient impaired' patients presented an increased functional connectivity in a network centered on middle-orbito-frontal regions, whereas the 'impairing' patients presented only a non-significant decrease of functional connectivity. Executive dysfunction in ACS patients is associated to functional but no structural characteristics, particularly to an increased functional connectivity in cognitive networks in transient impaired patients. Further studies with larger sample size are needed to confirm these results and to determine if these patients could be at higher risk for developing permanent cognitive disorders. PMID:26589710

  10. MR image features predicting hemorrhagic transformation in acute cerebral infarction: a multimodal study

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Chunming; Xu, Liang; Dong, Longchun; Liu, Zhenxing; Yang, Jun; Liu, Jun [Tianjin Union Medicine Centre, Department of Radiology, Tianjin (China); Dong, Zhengchao [Columbia University, Translational Imaging and MRI Unit, Department of Psychiatry, New York, NY (United States); New York State Psychiatric Institute, New York, NY (United States); Khursheed, Aiman [Tianjin Medical University, International Medical School, Tianjin (China)

    2015-11-15

    The aims of this study were to observe magnetic resonance imaging (MRI) features and the frequency of hemorrhagic transformation (HT) in patients with acute cerebral infarction and to identify the risk factors of HT. We first performed multimodal MRI (anatomical, diffusion weighted, and susceptibility weighted) scans on 87 patients with acute cerebral infarction within 24 hours after symptom onset and documented the image findings. We then performed follow-up examinations 3 days to 2 weeks after the onset or whenever the conditions of the patients worsened within 3 days. We utilized univariate statistics to identify the correlations between HT and image features and used multivariate logistical regression to correct for confounding factors to determine relevant independent image features of HT. HT was observed in 17 out of total 87 patients (19.5 %). The infarct size (p = 0.021), cerebral microbleeds (CMBs) (p = 0.004), relative apparent diffusion (rADC) (p = 0.023), and venous anomalies (p = 0.000) were significantly related with HT in the univariate statistics. Multivariate analysis demonstrated that CMBs (odd ratio (OR) = 0.082; 95 % confidence interval (CI) = 0.011-0.597; p = 0.014), rADC (OR = 0.000; 95 % CI = 0.000-0.692; p = 0.041), and venous anomalies (OR = 0.066; 95 % CI = 0.011-0.403; p = 0.003) were independent risk factors for HT. The frequency of HT is 19.5 % in this study. CMBs, rADC, and venous anomalies are independent risk factors for HT of acute cerebral infarction. (orig.)

  11. Factors Associated with Anxiety in Premature Coronary Artery Disease Patients: THC-PAC Study.

    Science.gov (United States)

    Abbasi, Seyed Hesameddin; Kassaian, Seyed Ebrahim; Sadeghian, Saeed; Karimi, Abbasali; Saadat, Soheil; Peyvandi, Flora; Jalali, Arash; Davarpasand, Tahereh; Akhondzadeh, Shahin; Shahmansouri, Nazila; Boroumand, Mohammad Ali; Lotfi-Tokaldany, Masoumeh; Amiri Abchouyeh, Maryam; Ayatollahzade Isfahani, Farah; Rosendaal, Frits

    2016-04-01

    Anxiety may negatively affect the course of coronary artery disease (CAD). The aim of this study was to assess which factors are associated with anxiety in young adults with CAD. A cohort of individuals with premature coronary artery disease was formed between 2004-2011, as the Tehran Heart Center's Premature Coronary Atherosclerosis Cohort (THC-PAC) study. Patients (men≤45-year-old, and women≤55-year-old) were visited between March 2013 and February 2014. All participants were examined, and their demographic, clinical, and laboratory data were collected. Then, all participants filled in the Beck Anxiety Inventory. Logistic regression models were used to identifying factors related to anxiety in both sexes. During the study, 708 patients (mean [SD] age: 45.3 [5.8] y, men:48.2%) were visited. Anxiety was present in 53.0% of participants (66.0% of women and 39.0% of men). The logistic regressions model showed that the associated factors for anxiety in men were opium usage (OR=1.89, 95% CI: 1.09-3.27), positive family history (OR=1.49, 95% CI:0.94-2.35), and creatinine serum level (OR=1.17, 95% CI:1.05-1.303); and in women were major adverse cardiac events (MACE) during follow-up (OR=2.30, 95% CI:1.25-4.23), hypertension (OR=1.71, 95% CI:1.07-2.73) and the duration of CAD (OR=0.99, 95% CI:0.98-1.00). In premature CAD patients, the determinants of anxiety seem to be different in each sex. Opium usage, positive family history of CAD, and creatinine serum levels in men, and MACE, hypertension, and duration of CAD in women appear the relevant factors in this regard. PMID:27309268

  12. Social and psychological predictors of onset of anxiety disorders: results from a large prospective cohort study

    DEFF Research Database (Denmark)

    Flensborg-Madsen, Trine; Tolstrup, Janne Schurmann; Sørensen, Holger Jelling;

    2012-01-01

    PURPOSE: The vast majority of studies investigating the association between social and psychological factors and anxiety disorders have been cross-sectional, making it difficult to draw causal conclusions. The purpose of the study was to investigate in a prospective longitudinal study whether...... social and psychological factors are associated with the later risk of being admitted to a hospital and receive a diagnosis of anxiety disorders. METHOD: The study population comprised 4,497 members of The Copenhagen Perinatal Cohort (CPC) who in 1993 answered a mailed questionnaire containing questions...... on a range of social and psychological factors. In 2007, the study population was linked to The Danish Hospital Discharge Register and the Danish Psychiatric Central Register to obtain information on registration with anxiety disorders. Multiple Cox regression analysis was used to analyze the risk of...

  13. Anxiety and depression among outpatients with type 2 diabetes: A multi-centre study of prevalence and associated factors

    OpenAIRE

    Khuwaja Ali; Lalani Saima; Dhanani Raheem; Azam Iqbal; Rafique Ghazala; White Franklin

    2010-01-01

    Abstract Background Anxiety and depression contribute to poor disease outcomes among individuals with diabetes. This study aimed to assess the prevalence of anxiety and depression and to identify their associated factors including metabolic components among people with type 2 diabetes. Methods We conducted a cross-sectional, multi-center study in four out-patient clinics in Karachi, Pakistan. In all, 889 adults with type-2 diabetes were included in this study. Anxiety and depression were meas...

  14. A Strategic Planning Methodology for the Multimodal Transportation Systems: A Case Study from Turkey

    Directory of Open Access Journals (Sweden)

    Umut R. Tuzkaya

    2014-01-01

    Full Text Available Transportation costs have an important effect on companies’ competition capability in various sectors. To realize a positive effect, transportation industry should provide some specific performance criteria related with the economical efficiency and service quality. Also an increase in this performance degree depends on the obtaining optimum results of using the logistical resources in a convenient manner by the specialized logistics service providers. In this study, considering the effects of transportation modes on constituting a methodology that is interested in a strategic subject like constructing a transportation network is emphasized. In the process of selecting the most convenient transportation modes, all the required criteria are determined considering the related literature and the opinions of the experts. Then the analytical network process methodology is used to solve this selection problem. The close relationship between the transportation modes that will be used among the points in the network and the points that will be used for short storages and transshipment activities is considered. And the analytical network process is again used to select the most convenient ones among the alternative port locations. After decision making on these two important points, optimizing the freight flow among the supply chain by choosing the right transportation modes at each stage is aimed. To realize that optimization, the aims of decision makers from different levels or from different functional areas are satisfied by using the multilevel programming technique. Finally, the proposed methodology is applied on a transportation project of a logistic service provider, which gives service in a multimodal, multicommodity, multilevel and multiechelon transportation network.

  15. Does Risk for Anxiety Increase During the Menopausal Transition? Study of Women's Health Across the Nation (SWAN)

    Science.gov (United States)

    Bromberger, Joyce T.; Kravitz, Howard M.; Chang, Yuefang; Randolph, John F.; Avis, Nancy E.; Gold, Ellen B.; Matthews, Karen A.

    2012-01-01

    Objective Little is known about the risk of anxiety in women during midlife and the menopausal transition. We examined anxiety as a cluster of 4 symptoms and determined the association between menopausal stage and high anxiety during ten years of follow-up of 2,956 women of multiple race/ethnicities. Methods This study was a longitudinal analysis of data from the multi-site Study of Women's Health Across the Nation (SWAN), a study of menopause and aging. Women were 42-52 at study entry. The outcome was high anxiety, a score of 4 or greater on the sum of four anxiety symptoms rated according to frequency in the previous 2 weeks from 0 (none) to 4 (daily) (upper 20%). Covariates included sociodemographics, health factors, stressors, and vasomotor symptoms (VMS). Results Women with low anxiety at baseline were more likely to report high anxiety symptoms when early or late perimenopausal or postmenopausal compared to when they were premenopausal (odds ratios ranged from 1.56 to 1.61), independent of multiple risk factors, including upsetting life events, financial strain, fair/poor perceived health, and VMS. Women with high anxiety at baseline continued to have high rates of high anxiety throughout the follow-up but odds ratios did not differ by menopausal stage. Conclusion Women with high anxiety premenopausally may be chronically anxious and not at increased risk of high anxiety at specific stages of the menopausal transition. In contrast, women with low anxiety premenopausally may be more susceptible to high anxiety during and after the menopausal transition than before. PMID:23615639

  16. The role of individual temperament, family and peers in social anxiety disorder: A controlled study

    Directory of Open Access Journals (Sweden)

    Marina Cunha

    2008-01-01

    Full Text Available In the present ex post facto study the influence of inhibition, attachment styles, parental rearing styles and social comparison in social anxiety disorder was investigated. First, we studied the isolated effect of each variable through the comparison of two clinical groups and a control group. Then we analysed the action of these variables altogether, using the structural equation model, controlling eventual mediator effects. The sample consisted of adolescents with ages between 12 and 18 years old, who were distributed by three comparison groups: social phobia, other anxiety disorders and normal controls. A structured clinical interview and self-report instruments were used for/in youth assessment. Results showed a specific effect of inhibition and social comparison in social anxiety disorder. The structural equation model outlined the combined action of inhibition, social comparison and peers attachment quality in what concerns the prediction of social anxiety as well as the mediation role of social comparison through the effect of other variables. Although this study presents some limitations, its results contribute to the understanding of some of the ways of development and maintenance of social anxiety during adolescence.

  17. Anxiety in high-functioning autism: A pilot study of experience sampling using a mobile platform.

    Science.gov (United States)

    Hare, Dougal Julian; Gracey, Carolyn; Wood, Christopher

    2016-08-01

    Anxiety and stress are everyday issues for many people with high-functioning autism, and while cognitive-behavioural therapy is the treatment of choice for the management of anxiety, there are challenges in using it with people with high-functioning autism. This study used modified experience sampling techniques to examine everyday anxiety and stress in adults with high-functioning autism and to explore the feasibility of delivering real-time stress management techniques using a mobile platform. High levels of anxiety were found to be characterised by worry, confusing thoughts and being alone but was not associated with internal focus, imagery or rumination. Participants reported improved mood and less worry and anxious thinking in the active phase of the study. These results support previous studies indicating that people with high-functioning autism differ in their experience of anxiety and provided preliminary data on the feasibility of real-time stress management. The limitations of this approach are discussed together with considerations for future work in the area of developing clinical interventions on mobile platforms. PMID:26514793

  18. Anxiety and depressive symptoms related to parenthood in a large Norwegian community sample: the HUNT2 study

    OpenAIRE

    Rimehaug, Tormod; Wallander, Jan

    2010-01-01

    INTRODUCTION: The study compared anxiety and depression prevalence between parents and non-parents in a society with family- and parenthood-friendly social politics, controlling for family status and family history, age, gender, education and social class. METHODS: All participants aged 30-49 (N = 24,040) in the large, non-sampled Norwegian HUNT2 community health study completed the Hospital Anxiety and Depression Scales. RESULTS: The slightly elevated anxiety and depression among non-parents...

  19. A meta-analytic study of self-help interventions for anxiety problems.

    Science.gov (United States)

    Hirai, Michiyo; Clum, George A

    2006-06-01

    The present study examined the effectiveness of self-help (SH) interventions for individuals with anxiety problems. Thirty-three studies, targeting a variety of anxiety disorders and problems, met criteria for inclusion with 1,582 clinical and subclinical participants. Self-help formats included books, audio/videotapes, and computer/Internet-based programs. The average effect sizes (Cohen's ds) comparing SH interventions to control groups for target symptoms were .62 at posttreatment and .51 at follow-up. When compared to therapist-directed interventions (TDIs), the average effect sizes (Cohen's ds) for target problems were -.42 at posttreatment and -.36 at follow-up. Format of SH materials, type of target disorder, presence of minimal therapist contact, and other study parameters were examined for their effect on treatment outcome. The results were discussed from the perspective of a stepped-care approach for anxiety problems. PMID:16942965

  20. Prevalence of anxiety and depressive symptoms among obese pregnant and postpartum women: an intervention study

    Directory of Open Access Journals (Sweden)

    Sydsjö Gunilla

    2010-12-01

    Full Text Available Abstract Background Although studies have shown an association between anxiety and depression and obesity, psychological health among obese women during and after pregnancy has not been carefully studied. The aim of this study was to investigate psychological well-being using symptoms of depression and/or anxiety among obese pregnant women attending a weight gain restriction program and to then compare this group with a control group receiving traditional antenatal care. Methods 151 obese pregnant women in an intervention group and 188 obese pregnant women in a control group answered the Beck Anxiety Inventory (BAI and the Edinburgh Postnatal Depression Scale (EPDS. Group differences between the two groups were estimated by using the χ2 - test on categorical variables. The Student's t-test on continuous, normally distributed variables measuring changes in mean score on BAI and EPDS over time was used. To make a more comprehensive assessment of group differences, between as well as within the two groups, logistic regressions were performed with the BAI and EPDS as dependent variables, measured at gestational weeks 15 and 35 and 11 weeks postnatal. The grouping variable has been adjusted for socio-demographic variables and complications. Results The prevalence of symptoms of anxiety during pregnancy varied between 24% and 25% in the intervention group and 22% and 23% in the control group. The prevalence of symptoms of anxiety postnatally was 9% in the intervention group and 11% in the control group. Five percent of the women in the intervention group and 4% of the women in the control group showed symptoms of anxiety during the course of pregnancy and at the postpartum assessment. The prevalence of symptoms of depression during pregnancy varied between 19% and 22% in the intervention group but was constant at 18% in the control group. Postnatal prevalence was 11% in both groups. Six percent of the women in the intervention group and 4% in the

  1. Anxiety symptoms among Chinese nurses and the associated factors: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Gao Yu-Qin

    2012-09-01

    Full Text Available Abstract Background Nurses are an indispensable component of the work force in the health care system. However, many of them are known to work in a stressful environment which may affect their mental well-being; the situation could be worse in rapidly transforming societies such as China. The purpose of this study was to investigate anxiety symptoms and the associated factors in Chinese nurses working in public city hospitals. Methods A cross-sectional survey was performed for Chinese nurses in public city hospitals of Liaoning Province, northeast China. Seven hospitals in different areas of the province were randomly selected for the study. The Zung Self-Rating Anxiety Scale was used to measure anxiety symptoms. Effort-reward imbalance questionnaire and Job Content Questionnaire were used to assess the work stressors. Univariate analysis and stepwise multivariate logistic regression analysis were used to identify the factors associated with anxiety symptoms. Results All registered nurses in the seven city hospitals, totaling 1807 registered nurses were surveyed. Of the returned questionnaires, 1437 were valid (79.5% for analysis. Utilizing the total raw score ≥ 40 as the cut-off point, the prevalence of anxiety symptoms in these nurses was 43.4%. Demographic factors (education, chronic disease and life event, lifestyle factors (regular meals and physical exercise, work conditions (hospital grade, job rank, monthly salary, nurse-patient relationships, job satisfaction and intention of leaving, job content (social support and decision latitude, effort-reward imbalance and overcommitment were all significantly related to the anxiety symptoms. Multivariate logistic regression analysis showed main factors associated with anxiety symptoms were lower job rank (OR 2.501, overcommitment (OR 2.018, chronic diseases (OR 1.541, worse nurse-patient relationship (OR 1.434, higher social support (OR 0.573, lower hospital grade (OR 0.629, taking regular

  2. Management of Stress and Anxiety Among PhD Students During Thesis Writing: A Qualitative Study.

    Science.gov (United States)

    Bazrafkan, Leila; Shokrpour, Nasrin; Yousefi, Alireza; Yamani, Nikoo

    2016-01-01

    Today, postgraduate students experience a variety of stresses and anxiety in different situations of academic cycle. Stress and anxiety have been defined as a syndrome shown by emotional exhaustion and reduced personal goal achievement. This article addresses the causes and different strategies of coping with this phenomena by PhD students at Iranian Universities of Medical Sciences. The study was conducted by a qualitative method using conventional content analysis approach. Through purposive sampling, 16 postgraduate medical sciences PhD students were selected on the basis of theoretical sampling. Data were gathered through semistructured interviews and field observations. Six hundred fifty-four initial codes were summarized and classified into 4 main categories and 11 subcategories on the thematic coding stage dependent on conceptual similarities and differences. The obtained codes were categorized under 4 themes including "thesis as a major source of stress," "supervisor relationship," "socioeconomic problem," and "coping with stress and anxiety." It was concluded that PhD students experience stress and anxiety from a variety of sources and apply different methods of coping in effective and ineffective ways. Purposeful supervision and guidance can reduce the cause of stress and anxiety; in addition, coping strategy must be in a thoughtful approach, as recommended in this study. PMID:27455365

  3. Depression, Anxiety and Symptoms of Stress among Hong Kong Nurses: A Cross-sectional Study

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    Teris Cheung

    2015-09-01

    Full Text Available Recent epidemiological data suggests 13.3% of Hong Kong residents suffered from Common Mental Disorders, most frequently mixed anxiety and depressive disorder. This study examines the weighted prevalence and associated risk factors of depression, anxiety and stress among Hong Kong nurses. A total of 850 nurses were invited to participate in this cross-sectional study. Participants completed the Depression, Anxiety and Stress Scale 21 and multiple logistic regression was used to determine significant relationships between variables. Chronic past-year illness and poor self-perceived mental health were significant correlates of past-week depression, anxiety and stress. It confirmed further positive correlations between depression and divorce, widowhood and separation, job dissatisfaction, disturbance with colleagues, low physical activity levels and sleep problems. Marital status; general medicine; sleep problems, and a lack of leisure significantly correlated with anxiety. Stress was significantly associated with younger age, clinical inexperience, past-year disturbance with colleagues, low physical activity, no leisure and drinking alcohol. Nurses were more depressed, anxious and stressed than the local general population, with over one-third of our respondents classified as subject to these disorders.

  4. Anxiety, Motivation and Autonomy in Iranian High School Students: A Quantitative Study

    Directory of Open Access Journals (Sweden)

    Fatemeh Sanadgol

    2015-02-01

    Full Text Available Research in the series of second language learning certify that both cognitive and affective factors within a language learner affect the level of success that will be achieved in learning a second language. This study was an attempt to investigate the relationship among three factors of anxiety, motivation, and autonomy. To this purpose, 207 students were invited from Golestan high school in Ramian, in the north of Iran. Their age ranged from 18 to 22 years. In one session they filled out the anxiety questionnaire, in the next session they completed the motivation questionnaire, and in the third session they answered the items in the autonomy questionnaire. At the end of the term their final scores were recorded.  Analysis of the results showed that there was a meaningful relationship between anxiety and motivation, but there was no relationship between anxiety and autonomy, and no relationship autonomy and motivation. Both high-stakeholders and low-stakeholder may benefit from the findings of this study.Keywords: motivation; anxiety; autonomy; EFL learners

  5. Defining Treatment Response and Remission in Child Anxiety: Signal Detection Analysis Using the Pediatric Anxiety Rating Scale

    Science.gov (United States)

    Caporino, Nicole E.; Brodman, Douglas M.; Kendall, Philip C.; Albano, Anne Marie; Sherrill, Joel; Piacentini, John; Sakolsky, Dara; Birmaher, Boris; Compton, Scott N.; Ginsburg, Golda; Rynn, Moira; McCracken, James; Gosch, Elizabeth; Keeton, Courtney; March, John; Walkup, John T.

    2013-01-01

    Objective: To determine optimal Pediatric Anxiety Rating Scale (PARS) percent reduction and raw score cut-offs for predicting treatment response and remission among children and adolescents with anxiety disorders. Method: Data were from a subset of youth (N = 438; 7-17 years of age) who participated in the Child/Adolescent Anxiety Multimodal Study…

  6. Family load estimates and risk factors of anxiety disorders in a nationwide three generation study

    DEFF Research Database (Denmark)

    Helenius, Dorte; Munk-Jørgensen, Povl; Steinhausen, Hans-Christoph

    2014-01-01

    The present study investigated how often anxiety disorders with different ages of onset occurred in affected families compared to control families. Furthermore, the study addressed the impact of sex, region of residence, year and month of birth, and parental age at birth. The sample included N=1373...... child and adolescent psychiatric participants born between 1952 and 2000 and registered in the Danish Psychiatric Central Register (DPCR) who developed an anxiety disorder before the age of 18. N =4019 controls without any psychiatric diagnosis before age 18, were matched for age, sex, and residential...... region. Psychiatric diagnoses were also obtained for parents, siblings, and offspring. A family load component was obtained by using various mixed regression models. Anxiety disorders occurred significantly more often in case than in control families. Having a mother, father, or a sibling with the...

  7. Comparative Study of Multimodal Biometric Recognition by Fusion of Iris and Fingerprint

    OpenAIRE

    Benaliouche, Houda; Touahria, Mohamed

    2014-01-01

    This research investigates the comparative performance from three different approaches for multimodal recognition of combined iris and fingerprints: classical sum rule, weighted sum rule, and fuzzy logic method. The scores from the different biometric traits of iris and fingerprint are fused at the matching score and the decision levels. The scores combination approach is used after normalization of both scores using the min-max rule. Our experimental results suggest that the fuzzy logic meth...

  8. Multimodal Behavior Program for ADHD Incorporating Yoga and Implemented by High School Volunteers: A Pilot Study

    OpenAIRE

    Mehta, Sanjiv; Mehta, Vijay; Mehta, Sagar; Shah, Devesh; Motiwala, Ashok; Vardhan, Jay; Mehta, Naina; Mehta, Devendra

    2011-01-01

    A low-cost resource approach to ADHD therapy would be a practical approach to treating children in developing countries. Research has shown that ADHD is prevalent in all areas of the world, and yet treatment for children in more impoverished countries is still lacking. The approach taken was to combine yoga and meditation combined with multimodal behavioral therapy program for children ageing 6 to 11. The program was kept low cost by using trained high school volunteers and integrating the pr...

  9. Coordinating multimodal social semiotics and an institutional perspective in studying assessment actions in mathematics classrooms.

    OpenAIRE

    Björklund Boistrup, Lisa; Selander, Staffan

    2009-01-01

    What can a multimodal social semiotic perspective in coordination with an institutional perspective make visible? In this paper we describe how we coordinate these two perspectives in order to look at the same empirical material with different focuses. The research interest is assessment actions in mathematics classrooms, an interest that also affects research objectives and possible results. When coordinating the different perspectives, we have chosen, for the analytical frame-work, to devel...

  10. Influence of Corpus Callosum Damage on Cognition and Physical Disability in Multiple Sclerosis: A Multimodal Study

    OpenAIRE

    Llufriu, Sara; Blanco, Yolanda; Martinez-Heras, Eloy; Casanova-Molla, Jordi; Gabilondo, Iñigo; Sepulveda, Maria; Falcon, Carles; Berenguer, Joan; Bargallo, Nuria; Villoslada, Pablo; Graus, Francesc; Valls-Sole, Josep; Saiz, Albert

    2012-01-01

    Background Corpus callosum (CC) is a common target for multiple sclerosis (MS) pathology. We investigated the influence of CC damage on physical disability and cognitive dysfunction using a multimodal approach. Methods Twenty-one relapsing-remitting MS patients and 13 healthy controls underwent structural MRI and diffusion tensor of the CC (fractional anisotropy; mean diffusivity, MD; radial diffusivity, RD; axial diffusivity). Interhemisferic transfer of motor inhibition was assessed by reco...

  11. Comparative Study of Krill Herd, Firefly and Cuckoo Search Algorithms for Unimodal and Multimodal Optimization

    Directory of Open Access Journals (Sweden)

    Gobind Preet Singh

    2014-02-01

    Full Text Available Today, in computer science, a computational challenge exists in finding a globally optimized solution from an enormously large search space. Various meta-heuristic methods can be used for finding the solution in a large search space. These methods can be explained as iterative search processes that efficiently perform the exploration and exploitation in the solution space. In this context, three such nature inspired meta-heuristic algorithms namely Krill Herd Algorithm (KH, Firefly Algorithm (FA and Cuckoo search Algorithm (CS can be used to find optimal solutions of various mathematical optimization problems. In this paper, the proposed algorithms were used to find the optimal solution of fifteen unimodal and multimodal benchmark test functions commonly used in the field of optimization and then compare their performances on the basis of efficiency, convergence, time and conclude that for both unimodal and multimodal optimization Cuckoo Search Algorithm via Lévy flight has outperformed others and for multimodal optimization Krill Herd algorithm is superior than Firefly algorithm but for unimodal optimization Firefly is superior than Krill Herd algorithm.

  12. A Study on International Multimodal Transport Networks from Korea to Central Asia: Focus on Secondhand Vehicles

    Directory of Open Access Journals (Sweden)

    Ying Wang

    2016-03-01

    Full Text Available Currently, high-income countries use multimodal transportation to export large quantities of secondhand vehicles to low-income countries. Secondhand vehicle export has shown its highest growth in recent years, especially in Korea. The problem of transporting secondhand vehicles from Korea to Central Asia is becoming an important issue, but few researchers are interested in it. The objective of this research is to determine the optimal transport network for exporting secondhand vehicles from Korea to Central Asian countries by combining experts’ opinions and real data from existing transport networks. The fuzzy Delphi method was applied to obtain factors to evaluate alternative multimodal transport networks for moving secondhand vehicles from Korea to Central Asian countries by judgment from experts. The analysis shows that among the five factors (total cost, total time, reliability, security, and transportation capability, total cost is the most considerable factor, followed by reliability, transportation capability, total time, and security. Additionally, in the mainly three multimodal transport networks, the sea+Trans-China Railway route is ranked first, followed by the sea+Trans-Siberian Railway and sea+truck routes.

  13. Test Anxiety

    Science.gov (United States)

    ... Can I Help a Friend Who Cuts? Test Anxiety KidsHealth > For Teens > Test Anxiety Print A A ... with their concentration or performance. What Is Test Anxiety? Test anxiety is actually a type of performance ...

  14. Multi-mode combustion facility for thermal treatment studies of wastes and biomass

    Science.gov (United States)

    Eldabbagh, Fadi; Kozinski, Janusz A.; Bourassa, Michael; Farant, Jean-Pierre; Gangli, Peter; Groves, Michael; Rosen, Eric; Uloth, Vic; Hawari, Jalal; Hutny, Wes

    2004-12-01

    This article describes newly built Multi-Mode Combustion Facility (MCF) used for investigating thermal destruction of industrial wastes and combustion of biomass. A flexible, refractory-lined combustion chamber consists of individual sections of various heights and diameter of 0.5 m. The MCF can be used either as a fluidized bed combustor (FBC) to study the combustion of solid residues or as a single-burner furnace (SBF) to study cofiring of biomass and natural gas. The facility is designed such that the outer wall temperature should not exceed 327 K with the use of water-cooling system and refractory materials. The inner temperature of each section is independent of the rest of the sections and controlled individually. This arrangement allows for the combustion process to be carried out in a multizone manner called low-high-low (LHL) temperature approach. The LHL approach means that the waste/biomass is initially fed into a low temperature zone (<1060 K) and then subjected to the high temperature treatment (˜1500 K) that is followed by another low temperature zone (<1160 K). The LHL setup allows for heavy metals encapsulation and immobilization within the fly ash particles. The facility has 25 openings for sampling of solids and gases at different stages of the combustion process, as well as in situ observation. Experiments reported in this article were performed in the bubbling FBC mode with the purpose of testing the leachability of heavy metals (Cd, Cr, and Pb) from fly ash generated during two different combustion approaches: (1) multi-zone LHL treatment, and (2) no-LHL. Baseline fluidization properties of different bed materials were tested. Axial profiles of temperature and gas concentration (CO2, NO, and NOx) were compared. The results show that the leachability of the heavy metals (Cd, Cr, and Pb) contained in the LHL-generated ash particles was negligible (0.14, 0.061, and 1.55 ppm, respectively), while the leachability data from the no-LHL technique

  15. A multi-factor model of panic disorder: results of a preliminary study integrating the role of perfectionism, stress, physiological anxiety and anxiety sensitivity

    Directory of Open Access Journals (Sweden)

    Cristina M. Wood

    2015-05-01

    Full Text Available Background: Panic disorder (PD is a highly prevalent and disabling mental health problem associated with different factors including perfectionism, stress, physiological anxiety, and anxiety sensitivity regarding physical concerns; however, no studies have analyzed the joint relationship between these factors and PD in a multi-factor model using structural equation modeling. Method: A cross-sectional study was carried out to collect data on these factors and self-reported DSM-IV past-year PD symptoms in a large sample of the general population (N=936. Results: Perceived stress had a significant effect in increasing physiological anxiety, which in turn had an important association with physical concerns. Perfectionism and perceived stress had an indirect relation with past year PD via the mediator role of physiological anxiety and physical concerns. Physical concerns, on one hand, seemed to mediate the impact between perfectionism and PD and, on the other, partially mediated the role between physiological anxiety and PD. Conclusions: Although there is considerable evidence on the association between each of these factors and PD, this model can be considered a broader and productive framework of research on the nature and treatment of PD.

  16. Anxiety and Depression in Patients with Coronary Heart Disease: A Study in a Tertiary Hospital

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    Ho Siew Eng

    2011-09-01

    Full Text Available Anxiety and depression could reduce the quality of life, and exacerbate physical symptoms and even mortality amongst patients with coronary heart disease (CHD. The aim of this study was to investigate the incidence of anxiety and depression in patients with acute CHD. In a period from March to December 2008, the views of 108 CHD patients, hospitalized in a tertiary hospital, were solicited using Hospital Anxiety and Depression Scale (HADS and sociodemographic questionnaires. Patients with CHD had a low level anxiety and depression scores. There was significant differences in the total HADS score of participants stratified for marital status (P=0.027 or co-morbidity of diseases (P=0.012. Also, there were significant differences in the scores of depression subscale stratified for marital status (P=0.021 or co-morbidity of disease (P=0.007. However, there was no significant difference between the total HADS score or depression subscale score of the participants stratified based on age, gender, race, education, or income. Moreover, unmarried CHD respondents possessed higher depression level compared to the married respondents, and CHD respondents with co-morbid diseases showed a high level of depression. The findings might be taken as evidence to suggest that CHD patients should be evaluated early for the detection of anxiety and depression for appropriate referral and support

  17. A pilot study examining the effects of Kouk Sun Do on university students with anxiety symptoms.

    Science.gov (United States)

    Kim, Jong-Ho; Yang, Heewon; Schroeppel, Stephen

    2013-04-01

    The effects of Kouk Sun Do (KSD), a mind-body exercise on mental health in university students, were investigated in this pilot study. University students (N = 30) with self-reported anxiety symptoms were randomly assigned to either the treatment group or the waiting list control group. Eighteen participants (N = 18; seven in the treatment group and 11 in the waiting list control group) completed a pre-test and a post-test, and 12 participants dropped out before or during the intervention. Ten 70-min KSD exercise sessions were conducted three times per week over a 4-week period. Trait anxiety, depressive symptoms and general self-efficacy in coping with stress were measured with the pre-test and the post-test. Qualitative data were collected using open-ended questions regarding benefits of KSD at the last session. A two (group) by two (time) repeated-measure analysis of variance was used to analyse the data. Trait anxiety and depressive symptoms decreased whereas general self-efficacy increased over a 4-week period. The treatment group had significantly reduced trait anxiety and depressive symptoms compared with the control group across time. Qualitative data provided support that the self-induced relaxation effects of KSD may lead to reduced anxiety. PMID:22674565

  18. New Study Skills Training Intervention for Students Who Suffer from Test Anxiety

    Directory of Open Access Journals (Sweden)

    Saeid Motevalli

    2013-05-01

    Full Text Available This article introduced a combination of study habits and test taking skills intervention for students on how to control test anxiety and promote their abilities and academic achievement. Based on skill-deficit model, anxious students suffer from test anxiety due to inability of using sufficient study habits and test taking skills to approach examination. Study skills interventions may assist anxious students to distinguish, recover and increase their study habits and test-taking skills. Study skills training intervention can improve students’ cognitive processes which affect the organization, processing and retrieval information. Study skills and test-taking skills training are two related treatment components of new study-skills training program. The present intervention introduced in this paper, attempts to guide students on the nature of anxiety, test anxiety, goal setting, motivation, time management techniques, memory tips, reading and summarizing skills improvement and test taking tricks. Through this intervention as a practical tool, students can be able to learn various tips and strategies across the study habits and test taking skills activities to improve their study abilities and academic achievement.

  19. Outcomes for depression and anxiety in primary care and details of treatment: a naturalistic longitudinal study

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    Prins Marijn A

    2011-11-01

    Full Text Available Abstract Background There is little evidence as to whether or not guideline concordant care in general practice results in better clinical outcomes for people with anxiety and depression. This study aims to determine possible associations between guideline concordant care and clinical outcomes in general practice patients with depression and anxiety, and identify patient and treatment characteristics associated with clinical improvement. Methods This study forms part of the Netherlands Study of Depression and Anxiety (NESDA. Adult patients, recruited in general practice (67 GPs, were interviewed to assess DSM-IV diagnoses during baseline assessment of NESDA, and also completed questionnaires measuring symptom severity, received care, socio-demographic variables and social support both at baseline and 12 months later. The definition of guideline adherence was based on an algorithm on care received. Information on guideline adherence was obtained from GP medical records. Results 721 patients with a current (6-month recency anxiety or depressive disorder participated. While patients who received guideline concordant care (N = 281 suffered from more severe symptoms than patients who received non-guideline concordant care (N = 440, both groups showed equal improvement in their depressive or anxiety symptoms after 12 months. Patients who (still had moderate or severe symptoms at follow-up, were more often unemployed, had smaller personal networks and more severe depressive symptoms at baseline than patients with mild symptoms at follow-up. The particular type of treatment followed made no difference to clinical outcomes. Conclusion The added value of guideline concordant care could not be demonstrated in this study. Symptom severity, employment status, social support and comorbidity of anxiety and depression all play a role in poor clinical outcomes.

  20. Is math anxiety caused by a deficit in basic numerical skills? A study using numerical and non-numerical tasks

    OpenAIRE

    García-Orza, Javier; Carratalá, Patricia

    2013-01-01

    Recent research found differences between high and low anxiety adults in basic numerical tasks like Arabic number comparison and dot enumeration (Maloney et al., 2010; 2011). This led some researchers to consider that math anxiety could be motivated by a subtle deficit in processing quantities. However, most of these studies did not controlled for some relevant variables, hence the difficulties found in basic tasks could be motivated by differences in working memory or in “general” anxiety be...

  1. The relationship between multidimensional competitive anxiety, cognitive threat appraisal, and coping strategies : a multi-sport study

    OpenAIRE

    Dias, Claudia S.; Cruz, José Fernando A.; Fonseca, António Manuel

    2012-01-01

    The purpose of the present study was to examine the relationship between, multidimensional competitive trait anxiety (cognitive and somatic anxiety), trait cognitive threat appraisal, and coping styles. Five-hundred and fifty male and female athletes of several individual and team sports, between the ages of 15 and 35 (M ¼ 19.8 + 4.5), completed the translated and adapted versions of the Sport Anxiety Scale and of the Brief COPE, as well as the Cognitive Appraisal Scale in Spor...

  2. Foreign Language Anxiety and Oral Exam Performance: A Replication of Phillips's "MLJ" Study

    Science.gov (United States)

    Hewitt, Elaine; Stephenson, Jean

    2012-01-01

    This article reports on a replication study of a substantial piece of research published in "The Modern Language Journal", carried out by Elaine Matties Phillips in 1992, and entitled "The Effects of Language Anxiety on Students' Oral Test Performance and Attitudes." The aim of both studies was to assess the influence of language anxiety…

  3. The Depression Anxiety and Stress Scale (DASS): The Study of Validity and Reliability

    Science.gov (United States)

    Akin, Ahmet; Cetin, Bayram

    2007-01-01

    This study investigated the validity and reliability of the Turkish version of the Depression Anxiety Stress Scale (DASS). The sample of the study consisted of 590 university students, 121 English teachers and 136 emotionally disturbed individuals who sought treatment in various clinics and counseling centers. Factor loadings of the scale ranged…

  4. A cross-sectional study of prevalence and implications of depression and anxiety in psoriasis

    Directory of Open Access Journals (Sweden)

    Sreelatha Lakshmy

    2015-01-01

    Full Text Available Background: Physical and mental comorbidity is common and has significant implications for overall health outcomes. Psoriasis, a psychocutaneous disorder, is a classic example of mental-physical comorbidity. Aims: In view of the impact of socio-cultural influences on mind-body interactions and the paucity of Indian research pertaining to psychiatric morbidity in psoriatic patients, this study was undertaken to measure the prevalence of anxiety and depression in patients with psoriasis, and to correlate these with severity of psoriasis and quality of life. Materials and Methods: This cross-sectional study was conducted on 90 consecutive patients of psoriasis, over a period of 12 months, in a tertiary care centre. The Psoriasis Area and Severity Index was used to assess severity of psoriasis. PHQ-9, GAD-7 and the Perceived Stress Scale were used to screen for depression, anxiety and perceived stress respectively. The WHOQOL-BREF was used to determine the quality of life. Statistics Analysis: All analysis was performed using Microsoft Excel software and Statistical Package for Social Sciences. Results: A total of 71 (78.9% subjects had depression and 69 (76.7% had anxiety. Fifty one patients had significant stress. A significant positive correlation was established between psoriasis variables (severity and duration of psoriasis and psychological variables (depression, anxiety and stress. Severity of psoriasis had a significant negative correlation with social relationships and environmental domains of WHOQOL. Quality of life was significantly worse in patients with psoriasis with comorbid anxiety/depression. Conclusion: Patients with psoriasis have a clinically significant prevalence of depression, anxiety and perceived stress. This study highlights the complex relationship between psoriasis, psychiatric comorbidity and quality of life and the need to simultaneously consider dermatological and psychological factors.

  5. Test of an hypothesized structural model of the relationships between cognitive style and social anxiety: a 12-month prospective study.

    Science.gov (United States)

    González-Díez, Zahira; Calvete, Esther; Riskind, John H; Orue, Izaskun

    2015-03-01

    The aim of this study was to test whether social looming cognitive style accounts for the predictive association between early maladaptive schema domains and social anxiety. We predicted that early maladaptive schema domains would predict the increase of social anxiety over time and that social looming would act as a mediator between schema domains and social anxiety. A three-wave longitudinal design was used. The participants (N=471, 56.95% women) were Spanish adolescents and young adults aged between 16 and 25 years old (Mage=17.81, SD age=3.19). The results showed that three schema domains (impaired autonomy and performance, impaired limits, and other-directedness) predicted the increase in social anxiety and that LCS for social threat acted as a mediator between other-directedness and social anxiety at T3. These results are important to improve the knowledge of the cognitive mechanisms that are involved in the occurrence and development of social anxiety. PMID:25602785

  6. A STUDY OF ACADEMIC ANXIETY AND ACADEMIC ACHIEVEMENT OF SECONDARY SCHOOL STUDENTS IN RELATION TO GENDER, LOCALITY AND BIRTH ORDER.

    Directory of Open Access Journals (Sweden)

    Altaf Husain

    2015-04-01

    Full Text Available Anxiety is a state of tension, it is a drive like hunger or sex but instead of arising from internal tissue conditions, it is produced originally by external cues. It is an unpleasant emotional state in which a present and continuing strong desire or drive seems likely to miss its goal. The cause of basic anxiety is the result of competitive feeling between the individual and the group. In general anything that disturbs the security of the child in relation to his parents produces basic anxiety. Anxiety is caused by parental pressure to perform and to stand out among other children when they cannot rise up to that expectation, or during the process of meeting it, children may suffer from frustration, physical stress and depression. Academic anxiety can arise if there is an illness in the child or family a recent divorce; some students refuse to go to school, if they have some kind of anxiety. By achievement we mean proficiency of performance generally measured by standard task act of attaining and end of carrying out a purpose. Academic achievement means knowledge, understanding and skills acquired after construction and training in a particular course. Keeping this thing into consideration, the present study aim to study of academic anxiety and academic achievement of secondary school students in relation to gender, locality and birth order .in present study 233 students were selected which include 123 boys and 110 girls. Academic anxiety scale by A.K.Singh and A.Sen Gupta was used to measure the extent of academic anxiety. It was found that low achievers have more academic anxious than higher achievers. Gender has no effect regarding academic anxiety; moreover it was found that urban students have more academic anxiety than the rural students. Birth order has no effect regarding academic anxiety

  7. Can relaxation interventions reduce anxiety in patients receiving radiotherapy? outcomes and study validity

    International Nuclear Information System (INIS)

    This study piloted the use of three relaxation interventions in an attempt to reduce levels of anxiety in patients who are immobilised for radiotherapy treatment of head and neck cancers, as well as trying to validate the study methodology. In addition to receiving normal radiation therapy treatment, 14 patients were assigned to either a control group not receiving the relaxation intervention or one of three validated relaxation intervention techniques; music therapy, aromatherapy or guided imagery. Patients in the intervention groups underwent the relaxation technique daily for the first seven days of treatment. On days 1, 3, 5 and 7 of treatment patients were required to complete the State Anxiety Inventory survey. While caution should be taken in accepting the results due to the small numbers of patients involved in the study and the non-randomised assignment of patients within the study, the results of the study demonstrate a clinically significant reduction in anxiety levels in each of the three relaxation interventions compared to the control group. The study demonstrated good study validity due to the ease of implementation, the unambiguous results generated, and the use of already validated anxiety intersections and measurement tools. Copyright (2001) Australian Institute of Radiography

  8. The Effect of Yoga on Stress, Anxiety and Depression among Turkish Adults: A preliminary study

    OpenAIRE

    Mehrtash, Shabnam; KOÇAK, SETTAR; Hürmeriç Altunsöz, Irmak

    2015-01-01

    In this study, it is investigated the psychological effects of yoga on adult’s mood such as stress, anxiety and depression. Depression, Anxiety and Stress Scale (DASS) with 42 items (Lovibond and Lovibond, 1995) was used for collecting data in two times: Pre-test and Post-test. This scale administered in 95 subjects in Middle East Technical University in Ankara/Turkey.  For data analysis, SPSS version 21 and a paired sample T-test were used. The results indicated that there was a significant ...

  9. To what extent does the anxiety scale of the Four-Dimensional Symptom Questionnaire (4DSQ) detect specific types of anxiety disorder in primary care? A psychometric study

    OpenAIRE

    Terluin, B.; Oosterbaan, D.B.; Brouwers, E.P.M.; van Straten, A.H.M.; Van de Ven, P.; Langerak, W.; van Marwijk, H.W.J.

    2014-01-01

    BACKGROUND: Anxiety scales may help primary care physicians to detect specific anxiety disorders among the many emotionally distressed patients presenting in primary care. The anxiety scale of the Four-Dimensional Symptom Questionnaire (4DSQ) consists of an admixture of symptoms of specific anxiety disorders. The research questions were: (1) Is the anxiety scale unidimensional or multidimensional? (2) To what extent does the anxiety scale detect specific DSM-IV anxiety disorders? (3) Which cu...

  10. Cognitive-Behavioral Therapy for Anxiety in Youth with an Autism Spectrum Disorder: A Follow-Up Study

    Science.gov (United States)

    Selles, Robert R.; Arnold, Elysse B.; Phares, Vicky; Lewin, Adam B.; Murphy, Tanya K.; Storch, Eric A.

    2015-01-01

    Cognitive-behavioral therapy for anxiety in youth with an autism spectrum disorder appears efficacious; however, maintenance of treatment gains has not yet been studied. Using a sample of 32 youth who had benefited at least minimally from a past trial of cognitive-behavioral therapy for anxiety in autism spectrum disorder, this study assessed…

  11. Cognitive-Behavioral Therapy for Adult Anxiety Disorders in Clinical Practice: A Meta-Analysis of Effectiveness Studies

    Science.gov (United States)

    Stewart, Rebecca E.; Chambless, Dianne L.

    2009-01-01

    The efficacy of cognitive-behavioral therapy (CBT) for anxiety in adults is well established. In the present study, the authors examined whether CBT tested under well-controlled conditions generalizes to less-controlled, real-world circumstances. Fifty-six effectiveness studies of CBT for adult anxiety disorders were located and synthesized.…

  12. Common mental disorders associated with 2-year diabetes incidence : The Netherlands Study of Depression and Anxiety (NESDA)

    NARCIS (Netherlands)

    Atlantis, Evan; Vogelzangs, Nicole; Cashman, Kara; Penninx, Brenda J. W. H.

    2012-01-01

    Background: Few prospective cohort studies describe the risk of type 2 diabetes mellitus associated with depression or anxiety. The aim of this study was to determine the 2-year diabetes incidence and pattern of explanatory factors associated with depressive and/or anxiety disorders. Methods: A pros

  13. Anxiety and depression among outpatients with type 2 diabetes: A multi-centre study of prevalence and associated factors

    Directory of Open Access Journals (Sweden)

    Khuwaja Ali

    2010-12-01

    Full Text Available Abstract Background Anxiety and depression contribute to poor disease outcomes among individuals with diabetes. This study aimed to assess the prevalence of anxiety and depression and to identify their associated factors including metabolic components among people with type 2 diabetes. Methods We conducted a cross-sectional, multi-center study in four out-patient clinics in Karachi, Pakistan. In all, 889 adults with type-2 diabetes were included in this study. Anxiety and depression were measured by using the Hospital Anxiety and Depression Scale (HADS. Multivariable analysis using multiple logistic regression was carried out to evaluate the combined effect of various factors associated with anxiety and depression, while adjusting for confounding variables. Results Overall, 57.9% (95% CI = 54.7%, 61.2% and 43.5% (95% CI = 40.3%, 46.8% study participants had anxiety and depression respectively. Factors found to be independently associated with anxiety were physical inactivity, having hypertension and ischemic heart disease. For depression, being female, of older age, having hypertension and ischemic heart disease were significantly associated. Metabolic components found to be independently associated with both anxiety and depression were systolic blood pressure, fasting blood glucose and fasting blood triglycerides. Body mass index was independently associated with depression but not with anxiety. Conclusion This study identified that a large proportion of adults with diabetes had anxiety and/or depression, and identified factors associated with these entities. These results alert clinicians to identify and treat anxiety and depression as common components of diabetes care. Additional studies are needed to establish the directional nature of this relationship and to test interventions.

  14. Fathers' challenging parenting behavior prevents social anxiety development in their 4-year-old children: a longitudinal observational study.

    Science.gov (United States)

    Majdandžić, Mirjana; Möller, Eline L; de Vente, Wieke; Bögels, Susan M; van den Boom, Dymphna C

    2014-02-01

    Recent models on parenting propose different roles for fathers and mothers in the development of child anxiety. Specifically, it is suggested that fathers' challenging parenting behavior, in which the child is playfully encouraged to push her limits, buffers against child anxiety. In this longitudinal study, we explored whether the effect of challenging parenting on children's social anxiety differed between fathers and mothers. Fathers and mothers from 94 families were separately observed with their two children (44 % girls), aged 2 and 4 years at Time 1, in three structured situations involving one puzzle task and two games. Overinvolved and challenging parenting behavior were coded. Child social anxiety was measured by observing the child's response to a stranger at Time 1, and half a year later at Time 2, and by parental ratings. In line with predictions, father's challenging parenting behavior predicted less subsequent observed social anxiety of the 4-year-old child. Mothers' challenging behavior, however, predicted more observed social anxiety of the 4-year-old. Parents' overinvolvement at Time 1 did not predict change in observed social anxiety of the 4-year-old child. For the 2-year-old child, maternal and paternal parenting behavior did not predict subsequent social anxiety, but early social anxiety marginally did. Parent-rated social anxiety was predicted by previous parental ratings of social anxiety, and not by parenting behavior. Challenging parenting behavior appears to have favorable effects on observed 4-year-old's social anxiety when displayed by the father. Challenging parenting behavior emerges as an important focus for future research and interventions. PMID:23812638

  15. Anxiety in Children with Headaches

    OpenAIRE

    Anita Vulić-Prtorić; Slavka Galić; Renata Coha; Marina Grubić; Josip Lopižić; Patricija Padelin

    2007-01-01

    The aim of this study was to examine the different aspects of anxiety symptoms: separation anxiety, social anxiety, test anxiety, obsessive-compulsive symptoms, worry, anxiety sensitivity, somatic symptoms in four groups of subjects: 1) children with headaches in pediatric care, 2) nonclinical headachers, 3) subjects with anxiety disorders, and 4) healthy controls. The sample consisted of 187 schoolchildren: 43 patients with headaches as a primary complaint, 59 headachers recruited from th...

  16. Death and Dying Attitudes, Anxieties, and Fears of Certified Nursing Assistants: A Descriptive Study

    Science.gov (United States)

    Hamilton, Josephine A.

    2010-01-01

    The critical role of Certified Nursing Assistants (CNAs) to help elderly nursing home residents' move through declining conditions or diseases to death is salient. It is important for CNAs and nursing home leaders to understand CNAs' attitudes, fears, and anxieties toward death and dying. The quantitative study investigated CNA's…

  17. Pilot Study: Fluvoxamine Treatment for Depression and Anxiety Disorders in Children and Adolescents with Cancer

    Science.gov (United States)

    Gothelf, Doron; Rubinstein, Maly; Shemesh, Eyal; Miller, Orit; Farbstein, Ilana; Klein, Anat; Weizman, Abraham; Apter, Alan; Yaniv, Isaac

    2005-01-01

    Objective: To evaluate the safety, tolerability, and benefit of fluvoxamine for the treatment of major depressive disorder or anxiety disorders in children and adolescents with cancer. Method: The study was conducted from 2001 to 2004 at a pediatric hematology-oncology center. Fifteen children and adolescents with cancer were treated with…

  18. Behavioral Inhibition as a Risk Factor for the Development of Childhood Anxiety Disorders: A Longitudinal Study

    NARCIS (Netherlands)

    P.E.H.M. Muris (Peter); A.M.L. van Brakel (Anna); A. Arntz (Arnoud); E. Schouten (Erik)

    2011-01-01

    textabstractThis longitudinal study examined the additive and interactive effects of behavioral inhibition and a wide range of other vulnerability factors in the development of anxiety problems in youths. A sample of 261 children, aged 5 to 8 years, 124 behaviorally inhibited and 137 control childre

  19. A Study of the Relationship between Students' Anxiety and Test Performance on State-Mandated Assessments

    Science.gov (United States)

    Hernandez, Rosalinda; Menchaca, Velma; Huerta, Jeffery

    2011-01-01

    This study examined whether relationships exist between Hispanic fourth-grade students' anxiety and test performance on a state-mandated writing assessment. Quantitative methodologies were employed by using test performance and survey data from 291 participants. While no significantly direct relationship exists between students' levels of anxiety…

  20. Silent Illumination: A Study on Chan (Zen) Meditation, Anxiety, and Musical Performance Quality

    Science.gov (United States)

    Lin, Peter; Chang, Joanne; Zemon, Vance; Midlarsky, Elizabeth

    2008-01-01

    This study investigated the effects of Chan (Zen) meditation on musical performance anxiety and musical performance quality. Nineteen participants were recruited from music conservatories and randomly assigned to either an eight-week meditation group or a wait-list control group. After the intervention, all participants performed in a public…

  1. Behavioral Inhibition and Risk for Developing Social Anxiety Disorder: A Meta-Analytic Study

    Science.gov (United States)

    Clauss, Jacqueline A.; Blackford, Jennifer Urbano

    2012-01-01

    Objective: Behavioral inhibition (BI) has been associated with increased risk for developing social anxiety disorder (SAD); however, the degree of risk associated with BI has yet to be systematically examined and quantified. The goal of the present study was to quantify the association between childhood BI and risk for developing SAD. Method: A…

  2. The Interaction of Metadiscourse and Anxiety in Determining Children's Learning of Social Studies Textbook Materials.

    Science.gov (United States)

    Crismore, Avon; Hill, Kennedy T.

    1988-01-01

    Examines the effect of metadiscourse characteristics (attitudinal, voice, and informational) and level of test anxiety on students' learning from social studies textbooks. Finds high anxious students perform best with first person voice and no attitudinal metadiscourse while low anxious students showed the opposite effect. (RS)

  3. Fearless Improvisation: A Pilot Study to Analyze String Students' Confidence, Anxiety, and Attitude toward Learning Improvisation

    Science.gov (United States)

    Alexander, Michael L.

    2012-01-01

    The purpose of this study was to investigate the confidence, anxiety, and attitude of novice string student improvisers. A form of the Fennema-Sherman Mathematics Attitudes Scales, as modified for improvisation by Wehr-Flowers, was given to middle school and high school string students (N = 121) after their participation in a 4-month improvisation…

  4. Impact of Comorbid Anxiety in an Effectiveness Study of Interpersonal Psychotherapy for Depressed Adolescents

    Science.gov (United States)

    Young, Jami F.; Mufson, Laura; Davies, Mark

    2006-01-01

    Objective: To assess the impact of comorbid anxiety on treatment for adolescent depression in an effectiveness study of interpersonal psychotherapy for depressed adolescents (IPT-A). Method: A randomized clinical trial was conducted from April 1, 1999, through July 31, 2002. Sixty-three depressed adolescents, ages 12 to 18, received either IPT-A…

  5. The efficacy of preopoerative instruction in reducing anxiety following gyneoncological surgery: a case control study

    Directory of Open Access Journals (Sweden)

    Gungor Tayfun

    2011-04-01

    Full Text Available Abstract Background This is a quasi-experimental case control research focusing on the impact of systematic preoperative instruction on the level of postoperative anxiety in gyneoncologic patients. The population studied consists of the gyneoncologic surgery patients admitted to the Gynecologic Oncology Service at Zekai Tahir Burak Gynecology Training and Research Hospital from May to September 2010. Patients and methods Through a random sampling, 60 patients were recruited in each group. The study group was given a systematic preoperative instruction while the control group was given routine nursing care. Patients were interviewed in the postoperative period and anxiety was measured. The data-collecting tool consisted of the Individual Information Form and the State-Trait Anxiety Inventory. The collected data were analyzed by using the SPSS Program to find the frequency, the percentage, the mean and the standard variables, and the hypothesis was tested with Chi-square, variance, and t-independent test. Results It was found that the incidence rates from the post-operative anxiety score of the study group were lower than those of the control group (p Conclusions Results of this study suggest that preoperative instruction programs aiming at informing gyneoncologic surgery patients at the preoperative stage should be organized in hospitals and have an essential role.

  6. Outcomes for depression and anxiety in primary care and details of treatment : a naturalistic longitudinal study

    NARCIS (Netherlands)

    Prins, Marijn A.; Verhaak, Peter F. M.; Hilbink-Smolders, Mirrian; Spreeuwenberg, Peter; Laurant, Miranda G. H.; van der Meer, Klaas; van Marwijk, Harm W. J.; Penninx, Brenda W. J. H.; Bensing, Jozien M.

    2011-01-01

    Background: There is little evidence as to whether or not guideline concordant care in general practice results in better clinical outcomes for people with anxiety and depression. This study aims to determine possible associations between guideline concordant care and clinical outcomes in general pr

  7. Outcomes for depression and anxiety in primary care and details of treatment: a naturalistic longitudinal study.

    NARCIS (Netherlands)

    Prins, M.A.; Verhaak, P.F.M.; Hilbink-Smolders, M.; Spreeuwenberg, P.; Laurant, M.G.H.; Meer, K. van der; Marwijk, H.W.J. van; Penninx, B.W.J.H.; Bensing, J.M.

    2011-01-01

    Background: There is little evidence as to whether or not guideline concordant care in general practice results in better clinical outcomes for people with anxiety and depression. This study aims to determine possible associations between guideline concordant care and clinical outcomes in general pr

  8. Depression, anxiety, and apathy in Parkinson's disease: insights from neuroimaging studies.

    Science.gov (United States)

    Wen, M-C; Chan, L L; Tan, L C S; Tan, E K

    2016-06-01

    Depression, anxiety and apathy are common mood disturbances in Parkinson's disease (PD) but their pathophysiology is unclear. Advanced neuroimaging has been increasingly used to unravel neural substrates linked to these disturbances. A systematic review is provided of neuroimaging findings in depression, anxiety and apathy in PD. A PubMed, MEDLINE and EMBASE search of peer-reviewed original research articles on these mood disturbances in PD identified 38 studies on depression, eight on anxiety and 14 on apathy in PD. Most of the imaging studies used either position emission tomography or single-photon emission computed tomography techniques. These studies generally suggest increased neural activity in the prefrontal regions and decreased functional connectivity between the prefrontal-limbic networks in depressed patients. Functional imaging studies revealed an inverse correlation between dopaminergic density in the caudate and putamen with the severity of anxiety in PD. There was no consistent correlation between dopaminergic density of thalamus and anxiety. Studies demonstrated both positive and inverse correlations between apathy and metabolism or activity in the striatum, amygdalar, prefrontal, temporal and parietal regions. The clinical variability of study subjects and differences in image pre-processing and analytical strategies may contribute to discrepant findings in these studies. Both nigrostriatal and extra-nigrostriatal pathways (in particular the frontal region and its connecting areas) are affected in mood disorders in PD. Identifying the relative contributions of these neural pathways in PD patients with overlapping motor and mood symptoms could provide new pathophysiological clues for the development of better therapeutic targets for affected patients. PMID:27141858

  9. Preliminary study of family accommodation in youth with autism spectrum disorders and anxiety: Incidence, clinical correlates, and behavioral treatment response.

    Science.gov (United States)

    Storch, Eric A; Zavrou, Sophia; Collier, Amanda B; Ung, Danielle; Arnold, Elysse B; Mutch, P Jane; Lewin, Adam B; Murphy, Tanya K

    2015-08-01

    Anxiety symptoms are common in youth with autism spectrum disorders (ASD) and directly associated with symptom severity and functional impairment. Family accommodation occurs frequently among individuals with obsessive-compulsive and anxiety disorders; to date, no data exist on the nature and correlates of family accommodation in youth with ASD and anxiety, as well as its relationship to cognitive-behavioral therapy outcome. Forty children with ASD and a comorbid anxiety disorder participated. Clinicians administered measures of ASD and anxiety disorder caseness, anxiety symptom severity, and family accommodation; parents completed questionnaires assessing social responsiveness, internalizing and externalizing behaviors, and functional impairment. A subsample of youth (n = 24) completed a course of cognitive-behavioral therapy. Family accommodation was common and positively correlated with anxiety symptom severity, but not functional impairment, general internalizing symptoms, externalizing behavior, or social responsiveness. Family accommodation decreased following cognitive-behavioral therapy with decreases in family accommodation being associated with decreases in anxiety levels. Treatment responders reported lower family accommodation frequency and lower parent impact relative to non-responders. Clinical implications of this study in assessing and psychotherapeutically treating youth with ASD and comorbid anxiety are discussed. PMID:26188615

  10. Is metacognition a causal moderator of the relationship between catastrophic misinterpretation and health anxiety? A prospective study.

    Science.gov (United States)

    Bailey, Robin; Wells, Adrian

    2016-03-01

    Psychological theories have identified a range of variables contributing to health anxiety, including, dysfunctional illness beliefs, catastrophic misinterpretation, somatosensory amplification and neuroticism. More recently, metacognitive beliefs have been proposed as important in health anxiety. This study aimed to test the potential causal role of metacognitive beliefs in health anxiety. A prospective design was employed and participants (n = 105) completed a battery of questionnaire at two time points (6 months apart). Results demonstrated that cognitive, personality and metacognitive variables were bi-variate prospective correlates of health anxiety. Hierarchical regression analysis revealed that only metacognitive beliefs emerged as independent and significant prospective predictors of health anxiety. Moderation analysis demonstrated that metacognitive beliefs prospectively moderated the relationship between catastrophic misinterpretation and health anxiety. Follow-up regression analysis incorporating the interaction term (metacognition × misinterpretation) showed that the term explained additional variance in health anxiety. The results confirm that metacognition is a predictor of health anxiety and it is more substantive than misinterpretations of symptoms, somatosensory amplification, neuroticism, and illness beliefs. These results may have major implications for current cognitive models and for the treatment of health anxiety. PMID:26851713

  11. Multimodal therapy for painful bladder syndrome / interstitial cystitis: pilot study combining behavioral, pharmacologic, and endoscopic therapies

    Directory of Open Access Journals (Sweden)

    Robert S. Hanley

    2009-08-01

    Full Text Available Purpose: We evaluated the effectiveness of combining behavioral therapy, pharmacologic therapy and endoscopic hydrodistension for treating painful bladder syndrome / interstitial cystitis (PBS/IC. Materials and Methods: Twenty-five patients with PBS/IC were prospectively enrolled in a pilot multimodal behavioral, pharmacologic and endoscopic treatment protocol. Behavioral modification included diet recommendations, fluid restriction to 64 oz. /day, progressive timed voiding and Kegel exercises. Oral pharmacologic therapy consisted of daily doses of macrodantin 100 mg, hydroxyzine 10-20 mg and urised 4 tablets. Patients underwent endoscopic bladder hydrodistention under anesthesia at least 2 weeks after protocol enrollment. Behavioral and pharmacological treatments were continued after the hydrodistention. O'Leary-Sant questionnaire scores were recorded before starting the protocol, after pharmacologic/behavioral therapy, 2 months post-hydrodistension, and at scheduled follow-up. Results: Eighteen patients (72% completed the pilot multimodal treatment protocol and were followed for a mean of 10.2 months. All patients were female with a median age of 36.3 years and had mean bladder capacity under anesthesia of 836 milliliters. Mean O'Leary-Sant symptom index scores for baseline symptoms, after behavioral/pharmacologic treatment, post-hydrodistension and during follow up were 12.5, 8.6, 7.0, and 6.7 (p < 0.05. Mean O'Leary-Sant problem index scores for baseline, after behavioral/pharmacologic treatment, post-hydrodistention and during follow up were 12.7, 8.9, 6.7, and 7.7 (p < 0.05. Conclusion: Our pilot multimodal protocol of behavioral modification, pharmacologic therapy and endoscopic hydrodistention demonstrated a significant progressive improvement in PBS/IC quality of life scores, compared to a pre-treatment baseline. These results should be validated in a larger, placebo controlled trial.

  12. The contribution of embarrassment to phobic dental anxiety: a qualitative research study

    Directory of Open Access Journals (Sweden)

    Rosenberg Nicole

    2004-04-01

    Full Text Available Abstract Background Embarrassment is emphasized, yet scantily described as a factor in extreme dental anxiety or phobia. Present study aimed to describe details of social aspects of anxiety in dental situations, especially focusing on embarrassment phenomena. Methods Subjects (Ss were consecutive specialist clinic patients, 16 men, 14 women, 20–65 yr, who avoided treatment mean 12.7 yr due to anxiety. Electronic patient records and transcribed initial assessment and exit interviews were analyzed using QSR"N4" software to aid in exploring contexts related to social aspects of dental anxiety and embarrassment phenomena. Qualitative findings were co-validated with tests of association between embarrassment intensity ratings, years of treatment avoidance, and mouth-hiding behavioral ratings. Results Embarrassment was a complaint in all but three cases. Chief complaints in the sample: 30% had fear of pain; 47% cited powerlessness in relation to dental social situations, some specific to embarrassment and 23% named co-morbid psychosocial dysfunction due to effects of sexual abuse, general anxiety, gagging, fainting or panic attacks. Intense embarrassment was manifested in both clinical and non-clinical situations due to poor dental status or perceived neglect, often (n = 9 with fear of negative social evaluation as chief complaint. These nine cases were qualitatively different from other cases with chief complaints of social powerlessness associated with conditioned distrust of dentists and their negative behaviors. The majority of embarrassed Ss to some degree inhibited smiling/laughing by hiding with lips, hands or changed head position. Secrecy, taboo-thinking, and mouth-hiding were associated with intense embarrassment. Especially after many years of avoidance, embarrassment phenomena lead to feelings of self-punishment, poor self-image/esteem and in some cases personality changes in a vicious circle of anxiety and avoidance. Embarrassment

  13. Depression, anxiety and stress levels in industrial workers: A pilot study in Bangalore, India

    Directory of Open Access Journals (Sweden)

    Sheldon Rao

    2015-01-01

    Full Text Available Background: Mental health disorders affect around 500 million people worldwide. In India, around 10-12% of people are affected by a mental disorder either due to stress, depression, anxiety, or any other cause. Mental health of workers affects the productivity of the workplace, with estimates putting these losses to be over 100 million dollars annually. Aims: The study aims to measure depression, anxiety, and stress levels of workers in an industry and to investigate if it has any effect on productivity of the firm. Materials and Methods: The study utilized a cross-sectional design and was conducted among workmen of the firm. A sociodemographic based questionnaire and a mental health screening tool -Depression Anxiety Stress Scale (DASS-21 were used for the same. A total of 90 completed questionnaires were analyzed for the study. The data was analyzed for central tendencies as well as for any associations and correlations. Results: The study showed that none of the workers had a positive score for depression. It also showed that around 36% of the workers had a positive score for anxiety and 18% of the workers had a positive score for stress on DASS-21 scale. The odds ratio between stress and number of leaves taken by a worker in the last 3 months suggested a dose-response relationship, but was statistically insignificant. Conclusion: The study found a prevalence rate of around 18-36% for anxiety and stress amongst the workers at the factory. Large-scale studies will help understand the effect mental health status has on the Indian workplace.

  14. Multimode resistive switching in nanoscale hafnium oxide stack as studied by atomic force microscopy

    Science.gov (United States)

    Hou, Y.; Celano, U.; Goux, L.; Liu, L.; Degraeve, R.; Cheng, Y.; Kang, J.; Jurczak, M.; Vandervorst, W.

    2016-07-01

    The nanoscale resistive switching in hafnium oxide stack is investigated by the conductive atomic force microscopy (C-AFM). The initial oxide stack is insulating and electrical stress from the C-AFM tip induces nanometric conductive filaments. Multimode resistive switching can be observed in consecutive operation cycles at one spot. The different modes are interpreted in the framework of a low defect quantum point contact theory. The model implies that the optimization of the conductive filament active region is crucial for the future application of nanoscale resistive switching devices.

  15. Så väljer eleverna att delta : En studie av multimodal kommunikation i musikundervisningen

    OpenAIRE

    Hansson, Marie

    2010-01-01

    Det övergripande syftet med denna uppsats är att studera multimodal kommunikation under musikundervisning, det vill säga att försöka förstå möjligheter och hinder för meningsskapande i musikundervisning, genom att beskriva och analysera hur undervisning semiotiskt designas av undervisande lärare. Jag har tittat på vilka teckensystem som en lärare använder sig av för att entusiasmera eleverna till delaktighet. Jag har valt att fokusera på de kroppsliga, verbala och rumsliga resurserna. Jag har...

  16. A Study on Potential of Integrating Multimodal Interaction into Musical Conducting Education

    CERN Document Server

    Siang, Gilbert Phuah Leong; Yong, Pang Yee

    2010-01-01

    With the rapid development of computer technology, computer music has begun to appear in the laboratory. Many potential utility of computer music is gradually increasing. The purpose of this paper is attempted to analyze the possibility of integrating multimodal interaction such as vision-based hand gesture and speech interaction into musical conducting education. To achieve this purpose, this paper is focus on discuss some related research and the traditional musical conducting education. To do so, six musical conductors had been interviewed to share their musical conducting learning/ teaching experience. These interviews had been analyzed in this paper to show the syllabus and the focus of musical conducting education for beginners.

  17. Depression, Anxiety and Stress among Saudi Arabian Dermatology Patients; Cross-sectional study

    Directory of Open Access Journals (Sweden)

    Anwar E. Ahmed

    2016-05-01

    Full Text Available Objectives: This study aimed to determine the prevalence of depression, anxiety and stress among Saudi Arabian dermatology patients and to assess associations with sociodemographic and clinical characteristics. Methods: This cross-sectional study was conducted among 300 consecutive dermatology patients visiting King Abdulaziz Medical City in Riyadh, Saudi Arabia, in August 2015. The Arabic version of the Depression, Anxiety and Stress Scale was used to screen for symptoms of depression, anxiety and stress. Quality of life (QOL was assessed using the Dermatology Life Quality Index. Results: A total of 254 dermatology patients participated in the study (response rate: 84.7%. The prevalence of depression, anxiety and stress was 12.6%, 22.1% and 7.5%, respectively. The presence of at least one of these negative emotional states was noted among 24.4% of the cohort (95% confidence interval: 19.3–30.2%. Depression was significantly higher among subjects who lacked family support (26.5% versus 10.7%; P = 0.006 while anxiety was less common among patients who engaged in physical exercise (14.5% versus 29.4%; P = 0.005. According to the multivariate logistic regression analysis, poor QOL and a lack of family support were significant predictors of a negative emotional state. Conclusion: Almost a quarter of the studied Saudi Arabian dermatology patients were found to suffer from at least one negative emotional state. A lack of family support and poor QOL were the primary factors associated with a negative emotional state. Interventional studies are needed to examine the effects of social and family support on psychological conditions among Saudi Arabian dermatology patients.

  18. Factors That Explains Student Anxiety toward Mathematics

    Science.gov (United States)

    García-Santillán, Arturo; Escalera-Chávez, Milka Elena; Moreno-García, Elena; Santana-Villegas, Josefina del Carmen

    2016-01-01

    The aim of this research is to test whether anxiety toward mathematics is made up of a five-factor structure: anxiety toward evaluation, anxiety toward temporality, anxiety toward understanding of mathematical problems, anxiety toward numbers and operations, and anxiety toward mathematical situations in real life. Our study sample was formed of…

  19. Moving Social Work Education Forward Through the Application of Neuroscientifically Informed Teaching Practice: A Case Study in Student Engagement Through Art and Multimodal Processing

    Directory of Open Access Journals (Sweden)

    David Axlyn McLeod

    2016-02-01

    Full Text Available Modern advances in neuroscience suggest learning occurs through three basic cognition patterns. Higher-level multimodal learning occurs when learning activities contain multiple cognition patterns. This case study details an application of these concepts where fine art, journaling, practicum experiences, and in-class processing were fused to create an active and participatory method of engaging social work students in critical thinking as related to differential impacts of clinical decision-making. The learning activities are described and multimodal learning is explained, along with the findings of a focus group used to assess student feedback. Student experiences and the potential adaptations of this approach are also addressed. The tentative findings of this case study indicate positive learning experiences and suggest a need for further research to explore the opportunities associated with the use of multimodal and art-infused learning techniques in social work courses.

  20. Etizolam in the treatment of generalized anxiety disorder: a double-blind study versus placebo.

    Science.gov (United States)

    Casacchia, M; Bolino, F; Ecari, U

    1990-01-01

    A double-blind, placebo-controlled study was carried out in 36 patients diagnosed as suffering from Generalized Anxiety Disorder with associated depressive symptoms to assess the efficacy and tolerability of two unitary doses of etizolam. After a 1-week wash-out period on placebo, patients were assigned at random to receive 1 tablet twice daily of either 0.50 mg or 0.25 mg etizolam or placebo for 5 weeks. Assessments were made at entry, on Day 21 and Day 35 of the patients' condition and symptoms using a battery of four psychometric tests (the Hamilton rating scales for anxiety and for depression, the Covi scale for anxiety and the Raskin scale for depression). Ten patients were withdrawn before the end of the study, 8 because of inadequate response (4 on placebo, 3 on 0.25 mg etizolam and 1 on 0.50 mg etizolam) in spite of dosage increase to 1 tablet 3-times daily, and 2 because of side-effects (both on 0.50 mg etizolam). Analysis of the results from the remaining 26 patients showed that, at the 0.50 mg dosage level, etizolam produced significant improvement in anxiety and depressive symptoms, particularly somatic manifestations, and was significantly more effective than placebo or the 0.25 dosage regimen. Etizolam was generally well tolerated and the few side-effects reported, mainly daytime drowsiness, were of mild to moderate severity. PMID:1981698

  1. Influence of a Dissection Video Clip on Anxiety, Affect, and Self-Efficacy in Educational Dissection: A Treatment Study

    OpenAIRE

    Randler, Christoph; Demirhan, Eda; Wüst-Ackermann, Peter; Desch, Inga H.

    2016-01-01

    A predissection video to instruct students about fish dissection was used in a treatment-control study. The dissection film group scored higher in positive affect, negative affect, anxiety, and self-efficacy after the dissection. The dissection film has clear benefits—increasing positive affect and self-efficacy—that come at the cost of higher negative affect and state anxiety.

  2. A study in male and female 5-HT transporter knockout rats : An animal model for anxiety and depression disorders

    NARCIS (Netherlands)

    Olivier, J D A; Van Der Hart, M G C; Van Swelm, R P L; Dederen, P J; Homberg, J R; Cremers, T; Deen, P M T; Cuppen, E; Cools, A R; Ellenbroek, B A

    2008-01-01

    Human studies have shown that a reduction of 5-HT transporter (SERT) increases the vulnerability for anxiety and depression. Moreover, women are more vulnerable to develop depression and anxiety disorders than men. For that reason we hypothesized that homozygous 5-HT transporter knockout rat (SERT-/

  3. Does the diagnosis influence the outcome in a multimodal outpatient pain management program for low back pain and sciatica? A comparative study.

    Science.gov (United States)

    Artner, Juraj; Kurz, Stephan; Cakir, Balkan; Reichel, Heiko; Lattig, Friederike

    2012-01-01

    The literature describes multimodal pain-management programs as successful therapy options in the conservative treatment of chronic low back pain. Yet, the intensity and inclusion criteria of such programs remain debatable. In many studies, the pain originating from spinal structures is described as nonspecific low back pain - a diffuse diagnosis without serious implications. The purpose of this study is to compare the short-term outcomes between patients suffering from sciatica due to a discus intervertebralis herniation and those suffering from low back pain caused by facet joint disease after 3 weeks of treatment in an intense multimodal outpatient program in the Department of Orthopaedic Surgery at the university hospital. PMID:22888258

  4. Sleep and anxiety disorders

    OpenAIRE

    Staner, Luc

    2003-01-01

    Sleep disturbances-particularly insomnia - are highly prevalent in anxiety disorders and complaints such as insomnia or nightmares have even been incorporated in some anxiety disorder definitions, such as generalized anxiety disorder and posttraumatic stress disorder. In the first part of this review, the relationship between sleep and anxiety is discussed in terms of adaptive response to stress. Recent studies suggested that the corticotropin-releasing hormone system and the locus ceruleus-a...

  5. Multimodal behavior program for ADHD incorporating yoga and implemented by high school volunteers: a pilot study.

    Science.gov (United States)

    Mehta, Sanjiv; Mehta, Vijay; Mehta, Sagar; Shah, Devesh; Motiwala, Ashok; Vardhan, Jay; Mehta, Naina; Mehta, Devendra

    2011-01-01

    A low-cost resource approach to ADHD therapy would be a practical approach to treating children in developing countries. Research has shown that ADHD is prevalent in all areas of the world, and yet treatment for children in more impoverished countries is still lacking. The approach taken was to combine yoga and meditation combined with multimodal behavioral therapy program for children ageing 6 to 11. The program was kept low cost by using trained high school volunteers and integrating the program within the public school. After 6 weeks of the program, 90.5% of children showed improvement as measured by their performance impairment score, a measurement of academic performance. Parent and Teacher evaluations of behavior also found improvement as 25 of the 64 children (39.1%) improved into the normal range as measured by the Vanderbilt questionnaire. Moreover, children could successfully learn both yoga and meditation from high school students irrespective of their age, ADHD type, or initial performance impairment. The results demonstrate efficacy of a multimodal behavioral program incorporating yoga and meditation. The use of high school volunteers from schools in the area demonstrates an effective low-cost and universally applicable approach. PMID:22389788

  6. Quality of life in borderline patients comorbid with anxiety spectrum disorders – a cross-sectional study

    Science.gov (United States)

    Grambal, Ales; Prasko, Jan; Kamaradova, Dana; Latalova, Klara; Holubova, Michaela; Sedláčková, Zuzana; Hruby, Radovan

    2016-01-01

    Introduction Borderline personality disorder (BPD) significantly reduces the quality of life (QoL) in mental, social, and work domains. Patients with BPD often suffer from depressive anxiety symptoms. The purpose of this cross-sectional study was to compare the QoL and demographic and clinical factors of inpatients diagnosed with BPD and comorbid anxiety spectrum disorders, and healthy controls. Methods Ninety-two hospitalized patients treated in the psychotherapeutic department and 40 healthy controls were included. Subjects were assessed by the Quality of Life Satisfaction and Enjoyment Questionnaire (Q-LES-Q), Dissociative Experiences Scale, Beck Depression Inventory (BDI)-II, Beck Anxiety Inventory, Clinical Global Impression, demographic questionnaire, Sheehan Disability Scale (SDS), and Sheehan Anxiety Scale. Results BPD patients suffered from comorbid anxiety disorders, panic disorder (18.5%), social phobia (20.7%), generalized anxiety disorder/mixed anxiety depression disorder (17.4%), adjustment disorder (22.8%), and posttraumatic stress disorder (8.7%); 19.6% patients had two or more anxiety disorder comorbidities. Patients score in Q-LES-Q (general) was 36.24±9.21, which was significantly lower in comparison to controls (57.83±10.21) and similar in all domains (physical health, feelings, work, household, school/study, leisure, social activities). The subjective level of depression measured by BDI and SDS (social life and family subscales) negatively correlated with all Q-LES-Q domains. Conclusion Patients suffering from BPD and comorbid anxiety disorders have a lower level of QoL compared to healthy controls in all measured domains. Negative correlations of the Q-LES-Q domains with clinical scales (Dissociative Experiences Scale, BDI, Beck Anxiety Inventory, Sheehan Anxiety Scale, Clinical Global Impression, and SDS) are noticeable. PMID:27536074

  7. Multimodal emotion perception after anterior temporal lobectomy

    OpenAIRE

    Valérie Milesi; Chiara Cristinzio; Margitta Seeck

    2014-01-01

    In the context of emotion information processing, several studies have demonstrated the involvement of the amygdala in emotion perception, for unimodal and multimodal stimuli. However, it seems that not only the amygdala, but several regions around it, may also play a major role in multimodal emotional integration. In order to investigate the contribution of these regions to multimodal emotion perception, five patients who had undergone unilateral anterior temporal lobe resection were exposed...

  8. Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Manish Bathla

    2015-01-01

    Full Text Available Background: There is an increasing amount of stress in undergraduate dental students leading to anxiety, depression, and suicidal attempts/suicide. Aims: This study aims to evaluate anxiety, depression and suicidal intent in undergraduate dental students and to find out the various areas of stress. Materials and Methods: A cross-sectional study was conducted using a semi-structured questionnaire (to assess academic and nonacademic areas of stress and three scales-Hamilton scale for anxiety (HAM-A; Hamilton depression rating scale (HDRS and Beck′s Suicide Intent Scale (BSI. Descriptive statistics; Pearson′s Chi-square test; Multiple ANOVA; Kruskal-Wallis test and Mann-Whitney test were used to analyze the data at the significant level of P ≤ 0.05. Results: In a total of 258 dental undergraduate students, academic areas of stress that were found to be statistically significant were long teaching hours (P = 0.002; high workload (P ≤ 0.001; frequency of tests (P ≤ 0.001 and competition/fear of failure (P = 0.009. Lack of interest in the profession was a statistically significant nonacademic area for stress (P ≤ 0.001. The students of first and final year reported higher anxiety (HAM-A 13.93 ± 6.908 and 16.44 ± 7.637 respectively and depression (HDRS 14.29 ± 6.302 and 14.22 ± 5.422; whereas suicidal intent was reported almost the same throughout the study sample (BSI 5.65 ± 5.465. Conclusion: An increasing level of anxiety, depression and suicidal intent due to various stressors in undergraduate dental students indicate a need to modify current education system and timely help to have psychological healthy dental professionals in future.

  9. A PILOT STUDY ON CERTAIN YOGIC AND NATUROPATHIC PROCEDURES IN GENERALIZED ANXIETY DISORDER

    Directory of Open Access Journals (Sweden)

    Kshama Gupta

    2013-12-01

    Full Text Available Generalized Anxiety Disorder (GAD is one of the most common anxiety disorders characterized by persistent worrying, anxiety symptoms, and tension. Most community-based studies place the prevalence in the range of 2 to 5 percent, with a lifetime prevalence as high as 8 percent. Even though previous studies on yoga and naturopathy in anxiety disorders proved effective, there lack proper methodology and they are not specifically focused at GAD. The aim of this study was to assess the efficacy of certain yogic and naturopathic procedures in the management of GAD. A total of 12 patients with GAD satisfying the DSM IV TR diagnostic criteria were selected and allotted in to two groups, Yoga group and Naturopathic group by following randomization method. In Yoga group, various asana’s and pranayama were practiced one hour daily for 21 days. In Naturopathy group, full body massage and steam, diaphragmatic breathing and acupressure were done one hour daily for 21 days. Criteria of assessment were based on the scoring of Hamilton Anxiety Rating Scale (HARS. Statistical analysis was done by using paired and unpaired‘t’ test. In Yoga group (n = 6, 52.59 % relief was observed (P 0.05 found in between the two groups. Both Yoga and Naturopathic procedures are effective in the management of GAD. Even though Yoga and Naturopathy interventions proved effective on HARS total score of GAD, Yoga seems to be an attractive option because of its non pharmacological approach, cost effectiveness and international acceptance when compared to the other interventions.

  10. RELATIONSHIP BETWEEN ENGLISH LANGUAGE ANXIETY AND ENGLISH LANGUAGE COMPETENCE: A CORRELATION STUDY

    Directory of Open Access Journals (Sweden)

    BIJU M.A

    2013-01-01

    Full Text Available English language has become a global language with the advent of Globalisation. Naturally English language learning has got increased importance as English is the language for the global communication. English is a second language for Indian sand often mother tongue hampers the English acquisition of most of the Indians. NCF 2005 has underlined that significance of teaching of English as early as possible so that the learners may have a native speaker like fluency in English. Based on these guidelines Kerala government introduced English Language teaching from class 1 onwards. Teaching of English also affects the quality student acquisition of English. Anxiety is often produced when one tries to interact in English which can affect the language proficiency of the learners. Teacher competence in English and their anxiety can have an influential impact on learners. This study found out that there is a negative correlation between English language anxiety and English language competence of Elementary teacher trainees in Kerala. As elementary teachers have an influential role in developing different competence of the young learners including English language competence, this paper puts foreword a number of suggestion to reduce the anxiety evoking situations and to improve English language competence of the trainees.

  11. A study on regional cerebral blood flow at rest and stress state in anxiety disorder patients

    International Nuclear Information System (INIS)

    Objective: To investigate he characteristics of rest and stress regional cerebral blood flow (rCBF) in naive anxiety disorder patients. Methods: Twenty naive anxiety disorder patients were enrolled in the study with twenty healthy volunteers as controls. The rest and stress 99Tcm-ethylene cystein dimer (ECD) SPECT were performed separately at 2 consecutive days, Raven reasoning test was used as a stressor. Results: 1) Compared to the healthy controls, the patients' rest rCBF of the frontal lobe, temporal lobe, thalamus and basal ganglia were significantly lower (P<0.05 and 0.01). 2)The patients' stress rCBF of the frontal lobe, temporal lobe, part occipital lobe, part parietal lobe, thalamus and basal ganglia were significantly lower compared to the healthy controls' (P<0.05 and 0.01). 3) Opposite to the healthy controls, the rCBF of patients increased significantly after stressor simulating. Conclusions: The hypofunction of frontal lobe, temporal lobe, thalamus and basal ganglia may exist in naive anxiety disorder patients. The abnormal rCBF of patients after simulating may be one of the characteristics of anxiety disorder

  12. Fear of being laughed at and social anxiety: A preliminary psychometric study

    Directory of Open Access Journals (Sweden)

    Hugo Carretero-Dios

    2010-03-01

    Full Text Available The present study examines the relationship between questionnaire measures of social phobia and gelotophobia. A sample of 211 Colombian adults filled in Spanish versions of the Social Anxiety and Distress scale (SAD; Watson & Friend, 1969, the Fear of Negative Evaluation scale (FNE; Watson & Friend, 1969 and the GELOPH (Ruch & Proyer, 2008. Results confirmed that both Social Anxiety and Distress and Fear of Negative Evaluation scale overlapped with the fear of being laughed at without being identical with it. The SAD and FNE correlated highly with the GELOPH but not all high scorers in these scales expressed a fear of being laughed at. Furthermore, an item factor analysis yielded three factors that were mostly loaded by items of the respective scales. This three-factor structure was verified using confirmatory factor analysis. A measure model where one general factor of social anxiety was specified, or another one where two different factors were defined (gelotophobia vs. social anxiety assessed by SAD and FNE showed a very poor fit to the data. It is concluded that the fear of being laughed cannot fully be accounted for by these measures of social phobia.

  13. The influence of anxiety and personality factors on comfort and reachability space: a correlational study.

    Science.gov (United States)

    Iachini, Tina; Ruggiero, Gennaro; Ruotolo, Francesco; Schiano di Cola, Armando; Senese, Vincenzo Paolo

    2015-09-01

    Although the effects of several personality factors on interpersonal space (i.e. social space within personal comfort area) are well documented, it is not clear whether they also extend to peripersonal space (i.e. reaching space). Indeed, no study has directly compared these spaces in relation to personality and anxiety factors even though such a comparison would help to clarify to what extent they share similar mechanisms and characteristics. The aim of the present paper was to investigate whether personality dimensions and anxiety levels are associated with reaching and comfort distances. Seventy university students (35 females) were administered the Big Five Questionnaire and the State-Trait Anxiety Inventory; afterwards, they had to provide reachability- and comfort-distance judgments towards human confederates while standing still (passive) or walking towards them (active). The correlation analyses showed that both spaces were positively related to anxiety and negatively correlated with the Dynamism in the active condition. Moreover, in the passive condition higher Emotional Stability was related to shorter comfort distance, while higher cognitive Openness was associated with shorter reachability distance. The implications of these results are discussed. PMID:26232194

  14. The Effectiveness of Generalized Anxiety Disorder Intervention through Islamic Psychotherapy: The Preliminary Study

    Directory of Open Access Journals (Sweden)

    Che Haslina Binti Abdullah

    2013-09-01

    Full Text Available Generalized Anxiety Disorder is categorized as psychiatry neurosis. Until today, there are no dominant factors that have been identified in influencing this disease to occur among university students. Problems in education, family, social and many others are some of the issues which result continous anxiety to these university students. This also gives negative psychological and physical effects. Although the treatment from the West manages to cure this illness, this gives negative side effects. From the Islamic point of view, anxiety disorder is seen as a spiritual disease. There is no specific treatment in curing this disease. However, with the practice of Qur’anic verses, Sunnah and also the practice of various ulama’ in the past, this illness can be coped through Islamic psychotherapy, which is one of the alternatives or complimentary ways to the existing treatment. The study uses the qualitative and quantitative research methods. The findings show that intervention through Islamic psychotherapy method gives positive reactions and this helps to reduce Generalized Anxiety Disorder among the university students.

  15. Cardiac Coherence Training to Reduce Anxiety in Remitted Schizophrenia, a Pilot Study.

    Science.gov (United States)

    Trousselard, M; Canini, F; Claverie, D; Cungi, C; Putois, B; Franck, N

    2016-03-01

    Health care that addresses the emotional regulation capacity of patients with schizophrenia confronted with daily stress may contribute to a less anxious life. A psycho-physiological training [cardiac coherence training (CCT)] focusing on emotion regulation is known to decrease anxiety for healthy individuals. We performed a pilot cross sectional survey to explore the benefits of CCT for clinically stable patients with schizophrenia. Ten patients were enrolled in the program consisting of twelve weekly 1-h session programs monitored over a 2-month period. Standardised questionnaires were used before and after the intervention to assess anxiety, well-being outcomes, and how patients deal with stress and stressors. Results showed that this quite-well accepted intervention improved (or tended to improve) well-being outcomes, state-anxiety, and emotional stressors evaluation. The successful transformations were higher for patients with the highest clinical and emotional suffering. Thus, this pilot study revealed that CCT may help patients with schizophrenia to deal with anxiety in daily life. PMID:26346569

  16. Marked for life? A prospective study of tattoos on appearance anxiety and dissatisfaction, perceptions of uniqueness, and self-esteem.

    Science.gov (United States)

    Swami, Viren

    2011-06-01

    Previous studies on psychosocial aspects of tattooing have not examined prospective changes in self- and body-related attitudes as a result of obtaining a tattoo. In the present study, 82 British residents obtaining their first tattoo completed measures of state appearance anxiety and dissatisfaction prior to, and immediately after, obtaining a tattoo. They also completed measures of trait body appreciation, distinctive appearance investment, self-ascribed uniqueness, social physique anxiety, and self-esteem before obtaining a tattoo and three weeks later. Results showed that both women and men had significantly lower appearance anxiety and dissatisfaction immediately after obtaining their tattoo, and significantly higher body appreciation, distinctive appearance investment, self-ascribed uniqueness, and self-esteem after three weeks. Women reported greater social physique anxiety after three weeks, whereas men reported lower anxiety. These results are discussed in relation to the positive impacts of obtaining body art and the mainstreaming of tattooing in Western societies. PMID:21641893

  17. Stability of childhood anxiety disorder diagnoses: a follow-up naturalistic study in psychiatric care

    OpenAIRE

    Carballo, Juan J.; Baca-Garcia, Enrique; Blanco, Carlos; Perez-Rodriguez, M Mercedes; Jimenez Arriero, Miguel A.; Artes-Rodriguez, Antonio; Rynn, Moira; Shaffer, David; Oquendo, Maria A.

    2009-01-01

    Abstract Few studies have examined the stability of major psychiatric disorders in pediatric psychiatric clinical populations. The objective of this study was to examine the long-term stability of anxiety diagnoses starting with pre-school age children through adolescence evaluated at multiple time points. Prospective cohort study was conducted of all children and adolescents receiving psychiatric care at all pediatric psychiatric clinics belonging to two catchment areas in Madrid,...

  18. Functional brain imaging study in patients with anxiety disorders using SPECT

    International Nuclear Information System (INIS)

    Objective: To evaluate the changes of brain function in patients with anxiety disorders. Methods: Regional cerebral perfusion was investigated using SPECT in 65 patients with anxiety disorders dragnosed according to the fourth edition of the diagnostic and statistical manual of mental disorder (DSMTD) criteria and in a matched control group of 21 healthy volunteers. 65 cases of the patients were further divided into: drug treated group (31 patients) and non-drug treated group (34 patients). The mean ages of the patients and the controls were (39.2±26.1) and (34.4±9.7) years, respectively. The severity of the anxiety was assessed using the 17-item Hamilton Anxiety scale (mean: 24.8±5.5 and 24.7±7.5, respectively). After administration of 740-925 MBq 99Tcm-ethylene cysteinate direct (ECD) brain SPECT image study was performed. For the semi- quantitative analysis of the data, the ratios of the mean counts/pixel in the different cerebral regions of interest (ROI) to that of cerebellum were calculated respectively as a regional perfusion index (RPI). Some patients had a repeated SPECT after three months of treatment. Results: 93.8% (61/65) patients had relative hypoperfusions in some cerebral regions. Compared with the control group, the patients had a significant decrease of regional cerebral blood flow (rCBF) in the bilateral frontal lobes, paralimbic system, temporal lobes and basal ganglia. The course of disease had negatively correlated with the changes of rCBF in both groups of patients. Follow-up SPECT study demonstrated increased rCBF related with the symptomatic improvement. Conclusions: Patients with anxiety disorders had profound dysfunction of the frontal and temporal cortices, and was closely related to the symptom and therapy. 99Tcm-ECD brain SPECT may offer the most accurate assessment of response to therapy. . (authors)

  19. Treatment-Related Changes in Objectively Measured Parenting Behaviors in the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder

    Science.gov (United States)

    Wells, Karen C.; Chi, Terry C.; Hinshaw, Stephen P.; Epstein, Jeffery N.; Pfiffner, Linda; Nebel-Schwalm, Marie; Owens, Elizabeth B.; Arnold, L. Eugene; Abikoff, Howard B.; Conners, C. Keith; Elliott, Glen R.; Greenhill, Laurence L.; Hechtman, Lily; Hoza, Betsy; Jensen, Peter S.; March, John; Newcorn, Jeffrey H.; Pelham, William E.; Severe, Joanne B.; Swanson, James; Vitiello, Benedetto; Wigal, Timothy

    2006-01-01

    The present study examined treatment outcomes for objectively measured parenting behavior in the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder (ADHD). Five hundred seventy-nine ethnically and socioeconomically diverse children with ADHD-combined type (ages 7.0-9.9 years) and their parent(s) were recruited …

  20. Psychological Distress, Depression, Anxiety, and Burnout among International Humanitarian Aid Workers: A Longitudinal Study

    OpenAIRE

    Lopes Cardozo, Barbara; Gotway Crawford, Carol; Eriksson, Cynthia; Zhu, Julia; Sabin, Miriam; Ager, Alastair; Foy, David; Snider, Leslie; Scholte, Willem; Kaiser, Reinhard; Olff, Miranda; Rijnen, Bas; Simon, Winnifred

    2012-01-01

    Background International humanitarian aid workers providing care in emergencies are subjected to numerous chronic and traumatic stressors. Objectives To examine consequences of such experiences on aid workers' mental health and how the impact is influenced by moderating variables. Methodology We conducted a longitudinal study in a sample of international non-governmental organizations. Study outcomes included anxiety, depression, burnout, and life and job satisfaction. We performed bivariate ...

  1. Yoga-Enhanced Cognitive Behavioral Therapy (Y-CBT) for Anxiety Management: A Pilot Study

    OpenAIRE

    Khalsa, Manjit K.; Greiner-Ferris, Julie M.; Hofmann, Stefan G.; Sat Bir S. Khalsa

    2014-01-01

    Cognitive behavioral therapy is an effective treatment for generalized anxiety disorder (GAD), but there is still room for improvement. The aim of the present study was to examine the potential benefit of enriching cognitive behavioral therapy (CBT) with Kundalini Yoga (Y-CBT). Participants consisted of treatment resistant clients at a community mental health clinic. A total of 32 participants enrolled in the study and 22 completed the program. After the Y-CBT intervention, pre-post compariso...

  2. Homeopathic medical practice for anxiety and depression in primary care: the EPI3 cohort study

    OpenAIRE

    Grimaldi-Bensouda, Lamiae; Abenhaim, Lucien; Massol, Jacques; Guillemot, Didier; Avouac, Bernard; Duru, Gerard; Lert, France; Magnier, Anne-Marie; Rossignol, Michel; Rouillon, Frederic; Begaud, Bernard; ,

    2016-01-01

    Background The purpose of the study was to compare utilization of conventional psychotropic drugs among patients seeking care for anxiety and depression disorders (ADDs) from general practitioners (GPs) who strictly prescribe conventional medicines (GP-CM), regularly prescribe homeopathy in a mixed practice (GP-Mx), or are certified homeopathic GPs (GP-Ho). Methods This was one of three epidemiological cohort studies (EPI3) on general practice in France, which included GPs and their patients ...

  3. A Study On Parental Anxiety Among Visually Impaired And Normal Children

    OpenAIRE

    Nivedha Lakshmi; Zahida Jabeen

    2012-01-01

    The objective of the study is to find out the parental anxiety among the visually impaired children and normal children. In the present investigation, 120 visually impaired children and normal children and their parents were selected. Equal number of 60 subjects belonged to the group of visually impaired children and normal children. Of which 30 were males and females in each group. Both fathers and mothers of these children were selected for the present study. The results of the present stud...

  4. A Study On Parental Anxiety Among Visually Impaired And Normal Children

    OpenAIRE

    Nivedha Lakshmi and Zahida Jabeen

    2012-01-01

    The objective of the study is to find out the parental anxiety among the visually impaired children and normal children. In the present investigation, 120 visually impaired children and normal children and their parents were selected. Equal number of 60 subjects belonged to the group of visually impaired children and normal children. Of which 30 were males and females in each group. Both fathers and mothers of these children were selected for the present study. The results of the pr...

  5. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version

    OpenAIRE

    Vahdaninia Mariam; Montazeri Ali; Ebrahimi Mandana; Jarvandi Soghra

    2003-01-01

    Abstract Background The Hospital Anxiety and Depression Scale (HADS) is a widely used instrument to measure psychological morbidity in cancer patients. This study aimed to translate and test the reliability and validity of the Iranian version of the HADS. Methods The English language version of the HADS was translated into Persian (Iranian language) and was used in this study. The questionnaire was administered to a consecutive sample of 167 breast cancer patients and statistical analysis was...

  6. A comparative study between oral melatonin and oral midazolam on preoperative anxiety, cognitive, and psychomotor functions

    OpenAIRE

    Patel, Tushar; Kurdi, Madhuri S

    2015-01-01

    Background & Aims: Melatonin, a naturally occurring hormone in the human body, has been reported to cause preoperative anxiolysis and sedation without impairing orientation. The aim of the following study was to evaluate and to compare the effects of oral melatonin and oral midazolam on preoperative anxiety, sedation, psychomotor, and cognitive function. Materials and Methods: A study conducted on 120 patients aged 16-55 years, of American Society of Anesthesiologists Grade 1 and 2 posted for...

  7. Comparative imaging study in ultrasound, MRI, CT, and DSA using a multimodality renal artery phantom

    Energy Technology Data Exchange (ETDEWEB)

    King, Deirdre M.; Fagan, Andrew J.; Moran, Carmel M.; Browne, Jacinta E. [Medical Ultrasound Physics and Technology Group, School of Physics, Dublin Institute of Technology, Dublin 8 (Ireland); Centre for Advanced Medical Imaging (CAMI), St James' s Hospital, Dublin 8 (Ireland); Department of Medical Physics, University of Edinburgh, Edinburgh EH16 4TJ (United Kingdom); Medical Ultrasound Physics and Technology Group, School of Physics, Dublin Institute of Technology, Dublin 8 (Ireland)

    2011-02-15

    Purpose: A range of anatomically realistic multimodality renal artery phantoms consisting of vessels with varying degrees of stenosis was developed and evaluated using four imaging techniques currently used to detect renal artery stenosis (RAS). The spatial resolution required to visualize vascular geometry and the velocity detection performance required to adequately characterize blood flow in patients suffering from RAS are currently ill-defined, with the result that no one imaging modality has emerged as a gold standard technique for screening for this disease. Methods: The phantoms, which contained a range of stenosis values (0%, 30%, 50%, 70%, and 85%), were designed for use with ultrasound, magnetic resonance imaging, x-ray computed tomography, and x-ray digital subtraction angiography. The construction materials used were optimized with respect to their ultrasonic speed of sound and attenuation coefficient, MR relaxometry (T{sub 1},T{sub 2}) properties, and Hounsfield number/x-ray attenuation coefficient, with a design capable of tolerating high-pressure pulsatile flow. Fiducial targets, incorporated into the phantoms to allow for registration of images among modalities, were chosen to minimize geometric distortions. Results: High quality distortion-free images of the phantoms with good contrast between vessel lumen, fiducial markers, and background tissue to visualize all stenoses were obtained with each modality. Quantitative assessments of the grade of stenosis revealed significant discrepancies between modalities, with each underestimating the stenosis severity for the higher-stenosed phantoms (70% and 85%) by up to 14%, with the greatest discrepancy attributable to DSA. Conclusions: The design and construction of a range of anatomically realistic renal artery phantoms containing varying degrees of stenosis is described. Images obtained using the main four diagnostic techniques used to detect RAS were free from artifacts and exhibited adequate contrast

  8. The right to play wrong : qualitative study about group music therapy experience of young musicians dealing with music performance anxiety

    OpenAIRE

    Haarde, Käll

    2015-01-01

    Few studies have looked or presented the meaning of music performance anxiety from the viewpoint of young musician´s. Whereas most of the studies conducted were quantitative, this study used qualitative approach of phenomenology. The aim of this study was to investigate the experience of young musicians dealing with higher amount of music performance anxiety in clinical music therapy group. The study addressed questions about the role of the group, shared experiences in music and the role ...

  9. ANXIETY DISORDERS: A REVIEW

    Directory of Open Access Journals (Sweden)

    Arya Ashwani

    2011-05-01

    Full Text Available Anxiety disorders are a highly prevalent and disabling class of psychiatric disorders. Anxiety disorders are highly prevalent and associated with substantial distress, morbidity and mortality. Recent epidemiological studies of anxiety disorders provided evidence of their high frequency in the general population worldwide. Anxiety disorders afflict an estimated 15.7 million people in the United States each year. Anxiety disorders are highly prevalent in adults with females showing higher preponderance of 2:1 as compared to males. Anxiety disorders are a group of mental disorders characterized by various combinations of key features - Irritability, fear, Insomnia, Nervousness, Tachycardia, Inability to concentrate, poor coping skills, Palpitation, Sweating, Agoraphobia and Social Withdrawal. The anxiety disorders, including panic disorder (PD, generalized anxiety disorder (GAD, social anxiety disorder (SAD, and posttraumatic stress disorder (PTSD, are among the disabling medical disorders. The neurobiology of anxiety disorders is not fully understood, but several different biologic abnormalities have been implicated in their etiology. The GABA, NE and 5HT systems play crucial roles in mediating the affective circuitry underlying the highly related clinical disorders of anxiety. Anxiety is a common psychiatric condition characterized by unnecessary aggression, poor quality of life, fear, worry, avoidance, and compulsive rituals that are associated with significant distress.

  10. Statistics Anxiety, Trait Anxiety, Learning Behavior, and Academic Performance

    Science.gov (United States)

    Macher, Daniel; Paechter, Manuela; Papousek, Ilona; Ruggeri, Kai

    2012-01-01

    The present study investigated the relationship between statistics anxiety, individual characteristics (e.g., trait anxiety and learning strategies), and academic performance. Students enrolled in a statistics course in psychology (N = 147) filled in a questionnaire on statistics anxiety, trait anxiety, interest in statistics, mathematical…

  11. Performance Anxiety

    OpenAIRE

    ÇİMEN, Gül

    2001-01-01

    Performance anxiety is an important professional matter effecting the musicians. In this article, with the reasons of performance anxiety, methods and techniques used to relieve the anxiety are discussed and some suggestions are introduced.

  12. The neuroprotective agent CNTF decreases neuronal metabolites in the rat striatum: an in vivo multimodal magnetic resonance imaging study.

    Science.gov (United States)

    Carrillo-de Sauvage, Maria-Angeles; Flament, Julien; Bramoulle, Yann; Ben Haim, Lucile; Guillermier, Martine; Berniard, Aurélie; Aurégan, Gwennaëlle; Houitte, Diane; Brouillet, Emmanuel; Bonvento, Gilles; Hantraye, Philippe; Valette, Julien; Escartin, Carole

    2015-06-01

    Ciliary neurotrophic factor (CNTF) is neuroprotective against multiple pathologic conditions including metabolic impairment, but the mechanisms are still unclear. To delineate CNTF effects on brain energy homeostasis, we performed a multimodal imaging study, combining in vivo proton magnetic resonance spectroscopy, high-performance liquid chromatography analysis, and in situ glutamate imaging by chemical exchange saturation transfer. Unexpectedly, we found that CNTF expression through lentiviral gene transfer in the rat striatum significantly decreased the levels of neuronal metabolites (N-acetyl-aspartate, N-acetyl-aspartyl-glutamate, and glutamate). This preclinical study shows that CNTF remodels brain metabolism, and suggests that decreased levels of neuronal metabolites may occur in the absence of neuronal dysfunction. PMID:25833344

  13. Evidence, Interpretation, and Qualification from Multiple Reports of Long-Term Outcomes in the Multimodal Treatment Study of Children with ADHD (MTA): Part I--Executive Summary

    Science.gov (United States)

    Swanson, James; Arnold, L. Eugene; Kraemer, Helena; Hechtman, Lily; Molina, Brooke; Hinshaw, Stephen; Vitiello, Benedetto; Jensen, Peter; Steinhoff, Ken; Lerner, Marc; Greenhill, Laurence; Abikoff, Howard; Wells, Karen; Epstein, Jeffery; Elliott, Glen; Newcorn, Jeffrey; Hoza, Betsy; Wigal, Timothy

    2008-01-01

    Objective: To review the primary and secondary findings from the Multimodal Treatment study of ADHD (MTA) published over the past decade as three sets of articles. Method: In a two-part article--Part I: Executive Summary (without distracting details) and Part II: Supporting Details (with additional background and detail required by the complexity…

  14. Evidence, Interpretation, and Qualification from Multiple Reports of Long-Term Outcomes in the Multimodal Treatment Study of Children with ADHD (MTA): Part II--Supporting Details

    Science.gov (United States)

    Swanson, James; Arnold, L. Eugene; Kraemer, Helena; Hechtman, Lily; Molina, Brooke; Hinshaw, Stephen; Vitiello, Benedetto; Jensen, Peter; Steinhoff, Ken; Lerner, Marc; Greenhill, Laurence; Abikoff, Howard; Wells, Karen; Epstein, Jeffery; Elliott, Glen; Newcorn, Jeffrey; Hoza, Betsy; Wigal, Timothy

    2008-01-01

    Objective: To review and provide details about the primary and secondary findings from the Multimodal Treatment study of ADHD (MTA) published during the past decade as three sets of articles. Method: In the second of a two part article, we provide additional background and detail required by the complexity of the MTA to address confusion and…

  15. [Pharmacological support of exposure therapy in anxiety disorders. Animal experiment studies].

    Science.gov (United States)

    Koch, M

    2002-05-01

    The fear-potentiated startle paradigm (i.e., the enhancement of the startle response in the presence of an aversive conditioned stimulus) is a valuable cross-species model for the study of the neuronal mechanisms underlying fear and anxiety as well as of the cognitive control of those aversive states. Walker et al. present data from a study in rats indicating that extinction of fear in the fear-potentiated startle paradigm is enhanced by the partial agonist of the N-methyl-D-aspartate receptor D-cycloserine (DCS). The authors therefore suggest tests of DCS in clinical trials as a potential pharmacotherapeutic adjuvant for exposition therapies in fear and anxiety disorders. PMID:12078031

  16. Predicting the Onset of Anxiety Syndromes at 12 Months in Primary Care Attendees. The PredictA-Spain Study

    Science.gov (United States)

    Moreno-Peral, Patricia; Luna, Juan de Dios; Marston, Louise; King, Michael; Nazareth, Irwin; Motrico, Emma; GildeGómez-Barragán, María Josefa; Torres-González, Francisco; Montón-Franco, Carmen; Sánchez-Celaya, Marta; Díaz-Barreiros, Miguel Ángel; Vicens, Catalina; Muñoz-Bravo, Carlos; Bellón, Juan Ángel

    2014-01-01

    Background There are no risk algorithms for the onset of anxiety syndromes at 12 months in primary care. We aimed to develop and validate internally a risk algorithm to predict the onset of anxiety syndromes at 12 months. Methods A prospective cohort study with evaluations at baseline, 6 and 12 months. We measured 39 known risk factors and used multilevel logistic regression and inverse probability weighting to build the risk algorithm. Our main outcome was generalized anxiety, panic and other non-specific anxiety syndromes as measured by the Primary Care Evaluation of Mental Disorders, Patient Health Questionnaire (PRIME-MD-PHQ). We recruited 3,564 adult primary care attendees without anxiety syndromes from 174 family physicians and 32 health centers in 6 Spanish provinces. Results The cumulative 12-month incidence of anxiety syndromes was 12.2%. The predictA-Spain risk algorithm included the following predictors of anxiety syndromes: province; sex (female); younger age; taking medicines for anxiety, depression or stress; worse physical and mental quality of life (SF-12); dissatisfaction with paid and unpaid work; perception of financial strain; and the interactions sex*age, sex*perception of financial strain, and age*dissatisfaction with paid work. The C-index was 0.80 (95% confidence interval = 0.78–0.83) and the Hedges' g = 1.17 (95% confidence interval = 1.04–1.29). The Copas shrinkage factor was 0.98 and calibration plots showed an accurate goodness of fit. Conclusions The predictA-Spain risk algorithm is valid to predict anxiety syndromes at 12 months. Although external validation is required, the predictA-Spain is available for use as a predictive tool in the prevention of anxiety syndromes in primary care. PMID:25184313

  17. A population-based study of anxiety as a precursor for depression in childhood and adolescence.

    OpenAIRE

    van den Bree Marianne BM; Rice Frances; Thapar Anita

    2004-01-01

    Background Anxiety and depression co-occur in children and adolescents with anxiety commonly preceding depression. Although there is some evidence to suggest that the association between early anxiety and later depression is explained by a shared genetic aetiology, the contribution of environmental factors is less well examined and it is unknown whether anxiety itself is a phenotypic risk factor for later depression. These explanations of the association between early anxiety and later depre...

  18. Performance study of a fan beam collimator designed for a multi-modality small animal imaging device

    International Nuclear Information System (INIS)

    This paper describes the methodology to design and conduct the performances of a fan beam collimator. This fan beam collimator was designed to use with a multi-modality small animal imaging device and the performance of the collimator was studied for a 3D geometry. Analytical expressions were formulated to calculate the parameters for the collimator. A Monte Carlo model was developed to analyze the scattering and image noises for a 3D object. The results showed that the performance of the fan beam collimator was strongly dependent on the source distribution and position. The fan beam collimator showed increased counting efficiency in comparison to a parallel hole collimator. Inside attenuating medium, the increased attenuating effect outweighed the fan beam increased counting efficiency.

  19. To what extent does the anxiety scale of the Four-Dimensional Symptom Questionnaire (4DSQ) detect specific types of anxiety disorder in primary care? A psychometric study

    NARCIS (Netherlands)

    Terluin, B.; Oosterbaan, D.B.; Brouwers, E.P.; Straten, A. van; Ven, P.M. van de; Langerak, W.; Marwijk, H.W.J. van

    2014-01-01

    BACKGROUND: Anxiety scales may help primary care physicians to detect specific anxiety disorders among the many emotionally distressed patients presenting in primary care. The anxiety scale of the Four-Dimensional Symptom Questionnaire (4DSQ) consists of an admixture of symptoms of specific anxiety

  20. ANXIETY between mind and society: a corpus-driven cross-cultural study of conceptual metaphors

    OpenAIRE

    Nordmark, Henrik; Glynn, Dylan

    2013-01-01

    This study examines the possibility of using corpus-driven quantitative techniques to describe emotion concepts. It examines the concept of ANXIETY in American English, British English, Japanese and Swedish. In Cognitive Linguistics, the description of emotion concepts, based on lexical semantics, is done with the analytical framework of the Idealised Cognitive Model and the Theory of Conceptual Metaphors. Despite the descriptive power of this approach, it does not produce falsifiable results...

  1. A STUDY ON PREVALENCE OF DEPRESSION AND ANXIETY, AMONGST FEMALE STUDENTS, IN PROFESSIONAL COURSES

    OpenAIRE

    Snigdha Pattnaik

    2014-01-01

    Epidemiologic and clinical investigations indicate that onset of depressive disorders usually occurs during adolescence or early adulthood. The clinical presentation of adolescent-onset depression shares a variety of features with that of adult onset. Both are more common in females; are frequently associated with anxiety disorders, substance use disorders, and/or suicidal behavior; and result in impairment in social and academic or occupational functioning. The study was conducted to find ou...

  2. A Cross-sectional Study of Prevalence and Implications of Depression and Anxiety in Psoriasis

    OpenAIRE

    Sreelatha Lakshmy; Sivaprakash Balasundaram; Sukanto Sarkar; Moutusi Audhya; Eswaran Subramaniam

    2015-01-01

    Background: Physical and mental comorbidity is common and has significant implications for overall health outcomes. Psoriasis, a psychocutaneous disorder, is a classic example of mental-physical comorbidity. Aims: In view of the impact of socio-cultural influences on mind-body interactions and the paucity of Indian research pertaining to psychiatric morbidity in psoriatic patients, this study was undertaken to measure the prevalence of anxiety and depression in patients with psoriasis, and to...

  3. Blunted cardiac reactivity to psychological stress associated with higher trait anxiety: a study in peacekeepers

    OpenAIRE

    Souza, Gabriela Guerra Leal; Mendonça-de-Souza, Ana Carolina Ferraz; Duarte, Antônio Fernando Araújo; Fischer, Nastassja Lopes; Souza, Wanderson Fernandes; Silva Freire Coutinho, Evandro; Figueira, Ivan; Volchan, Eliane

    2015-01-01

    Background Both exaggerated and diminished reactivity to stress can be maladaptive. Previous studies have shown that performing increasingly difficult tasks leads first to increased reactivity and then to a blunted response when success is impossible. Our aim was to investigate the influence of trait anxiety on cardiac and cortisol response to and recovery from a standardized psychosocial stress task (Trier Social Stress Task) in a homogeneous sample of healthy peacekeepers. We hypothesized t...

  4. Anxiety, Motivation and Autonomy in Iranian High School Students: A Quantitative Study

    OpenAIRE

    Fatemeh Sanadgol; Seyed Jalal Abdolmanafi-Rokni

    2015-01-01

    Research in the series of second language learning certify that both cognitive and affective factors within a language learner affect the level of success that will be achieved in learning a second language. This study was an attempt to investigate the relationship among three factors of anxiety, motivation, and autonomy. To this purpose, 207 students were invited from Golestan high school in Ramian, in the north of Iran. Their age ranged from 18 to 22 years. In one session they filled out th...

  5. Alexithymia, anxiety and depression in patients with psoriasis: a case–control study

    OpenAIRE

    Korkoliakou, Panagiota; Christodoulou, Christos; Kouris, Anargyros; Porichi, Evgenia; Efstathiou, Vasiliki; Kaloudi, Eythymia; Kokkevi, Anna; Stavrianeas, Nikolaos; Papageorgiou, Charalabos; Douzenis, Athanasios

    2014-01-01

    Background Alexithymia, the difficulty in describing or recognizing emotions, has been associated with various psychosomatic pathologies including psoriasis. The aim of this study was to examine the prevalence of alexithymia and its association with anxiety and depression in patients with psoriasis compared with healthy participants, while taking into consideration demographic and clinical variables. Methods One hundred and eight psoriatic patients and 100 healthy participants from the genera...

  6. The efficacy of preopoerative instruction in reducing anxiety following gyneoncological surgery: a case control study

    OpenAIRE

    Gungor Tayfun; Kurt Ayten; Pinar Gul

    2011-01-01

    Abstract Background This is a quasi-experimental case control research focusing on the impact of systematic preoperative instruction on the level of postoperative anxiety in gyneoncologic patients. The population studied consists of the gyneoncologic surgery patients admitted to the Gynecologic Oncology Service at Zekai Tahir Burak Gynecology Training and Research Hospital from May to September 2010. Patients and methods Through a random sampling, 60 patients were recruited in each group. The...

  7. Mathematics teaching experiences of elementary preservice teachers with high and low mathematics anxiety during student teaching: A multiple case study

    Science.gov (United States)

    Nisbet, Leslie Deanna

    This study investigated the teaching experiences of six elementary preservice teachers (EPTs), three with high mathematics anxiety and three with low mathematics anxiety, during their student teaching semester. The EPTs were selected from an initial pool of 121 EPTs who took the Abbreviated Mathematics Anxiety Scale. The cases were compared in a cross case analysis to highlight mathematics teaching experiences among EPTs. Data sources included EPT and researcher journal entries, interview transcripts, pre-lesson surveys, field notes, lesson plans, and artifacts of observed lessons. Data were coded using Shulman's content knowledge, Graeber's mathematics pedagogical content knowledge, and mathematics anxiety characteristics. Findings revealed both similarities and differences across EPTs as related to four major categories: (a) planning and resources used, (b) role of the cooperating teacher, (c) content knowledge, and (d) pedagogical content knowledge. All EPTs used mostly direct instruction and relied on the course textbook and their respective cooperating teacher as their primary resources for planning. Additionally, across participants, the cooperating teacher influenced EPTs' perceptions of students and teaching. Also, EPTs with high mathematics anxiety were weaker with respect to content knowledge and pedagogical content knowledge. Findings suggest a need to re-design methods courses to address improving the pedagogical content knowledge of EPTs with mathematics anxiety. Findings also suggest a need to develop content specific mathematics courses for EPTs to improve their content knowledge. Future studies could include a longitudinal study to follow highly anxious EPTs who take content specific elementary mathematics courses to observe their content knowledge and mathematics anxiety.

  8. Association between anxiety and hypertension: a systematic review and meta-analysis of epidemiological studies

    Directory of Open Access Journals (Sweden)

    Pan Y

    2015-04-01

    Full Text Available Yu Pan,1,2,* Wenpeng Cai,1,* Qi Cheng,3,* Wei Dong,1 Ting An,4 Jin Yan1 1Department of Psychology and Mental Health, Second Military Medical University, Shanghai, 2Department of Psychology, Peoples Liberation Army General Hospital, Beijing, 3Department of Child and Adolescent Behavioral Medicine, The 102 Hospital of PLA, Changzhou, 4Department of Internal Medicine, The PLA Second Artillery Force General Hospital, Beijing, People’s Republic of China *These authors contributed equally to this work Background: Epidemiological studies have repeatedly investigated the association between anxiety and hypertension. However, the results have been inconsistent. This study aimed to summarize the current evidence from cross-sectional and prospective studies that evaluated this association. Methods: Seven common databases were searched for articles published up to November 2014. Cross-sectional and prospective studies that reported an association between the two conditions in adults were included. Data on prevalence, incidence, unadjusted or adjusted odds ratios or hazard ratios, and 95% confidence intervals (CIs were extracted or calculated by the authors. The pooled odds ratio was calculated separately for cross-sectional and prospective studies using random-effects models. The Q test and I2 statistic was used to assess heterogeneity. A funnel plot and modified Egger linear regression test were used to estimate publication bias. Results: The search yielded 13 cross-sectional studies (n=151,389, and the final pooled odds ratio was 1.18 (95% CI 1.02–1.37; PQ<0.001; I2=84.9%. Eight prospective studies with a total sample size of 80,146 and 2,394 hypertension case subjects, and the pooled adjusted hazard ratio was 1.55 (95% CI 1.24–1.94; PQ<0.001; I2=84.6%. The meta-regression showed that location, diagnostic criteria for anxiety, age, sex, sample size, year of publication, quality, and years of follow-up (for prospective study were not

  9. Pain and anxiety control: an online study guide.

    Science.gov (United States)

    2008-05-01

    The Editorial Board of the Journal of Endodontics has developed a literature-based study guide of topical areas related to endodontics. This study guide is intended to give the reader a focused review of the essential endodontic literature and does not cite all possible articles related to each topic. Although citing all articles would be comprehensive, it would defeat the idea of a study guide. This section will cover pain theories and dentin hypersensitivity, referred pain, oral pain not of dental origin, barodontalgia, local anesthetics, long-acting local anesthetics, intrapulpal anesthesia, intraligamentary anesthesia, intraosseous anesthesia, inferior alveolar nerve block anesthesia, Gow-Gates anesthesia technique, Vazirani-Akinosi anesthesia technique, second-division block anesthesia technique, endodontic postoperative pain, effect of occlusal adjustment on endodontic pain, paresthesia associated with periradicular pathosis, analgesics, sedation, and endodontic flare-ups. PMID:18457697

  10. A study on the anxiety disorder and related factors among highschool students of Ghasem Abad, Islamshahr, December, 1986

    Directory of Open Access Journals (Sweden)

    Moshkani Z

    1998-08-01

    Full Text Available Anxiety is one of the most common disorders among the adolescent. Because in this period they have to make many new adjustments such as establishing the sense of identity, thinking about the choice of their career and decide which one matches with their abilities and also makes some social adjustments. In this study 793 highschool students (boys and girls took the Spiel Berger anxiety tests which measure the overt and covert anxiety. They also completed a structured questionnaire containing questions about the independent variables. Findings of this study indicate that 15% of the highschool students had severe overt anxiety disorder and 20.1% had severe covert anxiety disorder. A statistically significant relation has been found between the covert anxiety and father's education (P=0.006, mother's death (P=0.01, the student's disability (P=0.04, religious believes (P=0.006, illness of family members (P=0.05, educational achievement (P=0.01, mother's occupation (P=0.02. Also a significant relation has been found between the covert anxiety and sex (P=0.01, student's occupation after school hours (P=0.002, religious belief (P=0.01, father's education (P=0.01, illeness of family members (P=0.004.

  11. A randomized control study of psychological intervention to reduce anxiety, amotivation and psychological distress among medical students

    Science.gov (United States)

    Saravanan, Coumaravelou; Kingston, Rajiah

    2014-01-01

    Background: Test anxiety aggravates psychological distress and reduces the motivation among graduate students. This study aimed to identify psychological intervention for test anxiety, which reduces the level of psychological distress, amotivation and increases the intrinsic and extrinsic motivation among medical students. Materials and Methods: Westside test anxiety scale, Kessler Perceived Stress Scale and Academic Motivation Scale were used to measure test anxiety, psychological distress and motivation on 436 1st year medical students. Out of 436 students, 74 students who exhibited moderate to high test anxiety were randomly divided into either experimental or waiting list group. In this true randomized experimental study, 32 participants from the intervention group received five sessions of psychological intervention consist of psychoeducation, relaxation therapy and systematic desensitization. Thirty-three students from waiting list received one session of advice and suggestions. Results: After received psychological intervention participants from the intervention group experienced less anxiety, psychological distress, and amotivation (P motivation (P < 0.01) in the postassessment compared with their preassessment scores. Conclusion: Overall psychological intervention is effective to reduce anxiety scores and its related variables. PMID:25097619

  12. A randomized control study of psychological intervention to reduce anxiety, amotivation and psychological distress among medical students

    Directory of Open Access Journals (Sweden)

    Coumaravelou Saravanan

    2014-01-01

    Full Text Available Background: Test anxiety aggravates psychological distress and reduces the motivation among graduate students. This study aimed to identify psychological intervention for test anxiety, which reduces the level of psychological distress, amotivation and increases the intrinsic and extrinsic motivation among medical students. Materials and Methods: Westside test anxiety scale, Kessler Perceived Stress Scale and Academic Motivation Scale were used to measure test anxiety, psychological distress and motivation on 436 1 st year medical students. Out of 436 students, 74 students who exhibited moderate to high test anxiety were randomly divided into either experimental or waiting list group. In this true randomized experimental study, 32 participants from the intervention group received five sessions of psychological intervention consist of psychoeducation, relaxation therapy and systematic desensitization. Thirty-three students from waiting list received one session of advice and suggestions. Results: After received psychological intervention participants from the intervention group experienced less anxiety, psychological distress, and amotivation (P < 0.01 and high intrinsic and extrinsic motivation (P < 0.01 in the postassessment compared with their preassessment scores. Conclusion: Overall psychological intervention is effective to reduce anxiety scores and its related variables.

  13. CEREBRAL BLOOD FLOW AND METABOLISM IN ANXIETY AND ANXIETY DISORDERS

    OpenAIRE

    Mathew, Roy J.

    1994-01-01

    Anxiety disorders are some of the commonest psychiatric disorders and anxiety commonly co-exists with other psychiatric conditions. Anxiety can also be a normal emotion. Thus, study of the neurobiological effects of anxiety is of considerable significance. In the normal brain, cerebral blood flow (CBF) and metabolism (CMR) serve as indices of brain function. CBF/CMR research is expected to provide new insight into alterations in brain function in anxiety disorders and other psychiatric disord...

  14. Exploring Anxiety Symptoms in a Large-Scale Twin Study of Children with Autism Spectrum Disorders, Their Co-Twins and Controls

    Science.gov (United States)

    Hallett, Victoria; Ronald, Angelica; Colvert, Emma; Ames, Catherine; Woodhouse, Emma; Lietz, Stephanie; Garnett, Tracy; Gillan, Nicola; Rijsdijk, Fruhling; Scahill, Lawrence; Bolton, Patrick; Happé, Francesca

    2013-01-01

    Background: Although many children with autism spectrum disorders (ASDs) experience difficulties with anxiety, the manifestation of these difficulties remains unresolved. The current study assessed anxiety in a large population-based twin sample, aged 10-15 years. Phenotypic analyses were used to explore anxiety symptoms in children with ASDs,…

  15. Scared to Death? Generalized Anxiety Disorder and Cardiovascular Events in Patients With Stable Coronary Heart Disease The Heart and Soul Study

    NARCIS (Netherlands)

    Martens, Elisabeth J.; de Jonge, Peter; Na, Beeya; Cohen, Beth E.; Lett, Heather; Whooley, Mary A.

    2010-01-01

    Context: Anxiety is common in patients with coronary heart disease (CHD), but studies examining the effect of anxiety on cardiovascular prognosis and the role of potential mediators have yielded inconsistent results. Objectives: To evaluate the effect of generalized anxiety disorder (GAD) on subsequ

  16. Anxiety and Depression Are Risk Factors Rather than Consequences of Functional Somatic Symptoms in a General Population of Adolescents: The Trails Study

    Science.gov (United States)

    Janssens, Karin A. M.; Rosmalen, Judith G. M.; Ormel, Johan; van Oort, Floor V. A.; Oldehinkel, Albertine J.

    2010-01-01

    Background: It is well known that functional somatic symptoms (FSS) are associated with anxiety and depression. However, evidence is lacking about how they are related to FSS. The aim of this study was to clarify these relationships and examine whether anxiety and depression are distinctly related to FSS. We hypothesized that anxiety contributes…

  17. Effect of music therapy on pain and anxiety levels of cancer patients: A pilot study

    Directory of Open Access Journals (Sweden)

    Priyadharshini Krishnaswamy

    2016-01-01

    Full Text Available Background: The pain associated with cancer is highly detrimental to the quality of life of the affected individuals. It also contributes to the anxiety of the patient. There is a need for a nonpharmacological approach in addition to the pharmacological therapy for the management of the pain for a more holistic improvement in the individual. With this study, we wish to achieve this through music. Objective: To assess the effect of music therapy on pain scores and anxiety levels of cancer patients with pain. Study Design: In this quantitative study, a comparative study was done on fourteen cancer patients admitted for pain relief under the Department of Pain and Palliative Medicine, of a tertiary care hospital, having moderate to severe pain (numerical pain rating scale [NRS] - of 4 to 10. Subjects and Methods: Convenience sampling was used. Patients were allocated to test group or control group nonrandomly. The test group patients were subjected to music therapy for 20 min while the control group patients were kept occupied by talking to them for 20 min. The NRS scale was used to assess the pre- and post-interventional pain scores and the Hamilton anxiety rating scale was used to assess the pre- and post-interventional anxiety scores in the two groups. Statistics: Student′s t-test was used for comparing the pre- and post-interventional data. Two sample t-test was used to compare the data obtained from the control and study groups. Results: Statistically significant reduction seen in the pain scores in the test group after music therapy (P = 0.003. No statistically significant reduction seen in the pain score in the control group (P = 0.356. There was a statistically significant reduction in the postintervention pain scores in the test group compared to the control group (P = 0.034. The reduction in anxiety levels in both groups after intervention was not statistically significant. Conclusion: Music therapy was found to lower the pain score of

  18. Effect of Music Therapy on Pain and Anxiety Levels of Cancer Patients: A Pilot Study

    Science.gov (United States)

    Krishnaswamy, Priyadharshini; Nair, Shoba

    2016-01-01

    Background: The pain associated with cancer is highly detrimental to the quality of life of the affected individuals. It also contributes to the anxiety of the patient. There is a need for a nonpharmacological approach in addition to the pharmacological therapy for the management of the pain for a more holistic improvement in the individual. With this study, we wish to achieve this through music. Objective: To assess the effect of music therapy on pain scores and anxiety levels of cancer patients with pain. Study Design: In this quantitative study, a comparative study was done on fourteen cancer patients admitted for pain relief under the Department of Pain and Palliative Medicine, of a tertiary care hospital, having moderate to severe pain (numerical pain rating scale [NRS] – of 4 to 10). Subjects and Methods: Convenience sampling was used. Patients were allocated to test group or control group nonrandomly. The test group patients were subjected to music therapy for 20 min while the control group patients were kept occupied by talking to them for 20 min. The NRS scale was used to assess the pre- and post-interventional pain scores and the Hamilton anxiety rating scale was used to assess the pre- and post-interventional anxiety scores in the two groups. Statistics: Student's t-test was used for comparing the pre- and post-interventional data. Two sample t-test was used to compare the data obtained from the control and study groups. Results: Statistically significant reduction seen in the pain scores in the test group after music therapy (P = 0.003). No statistically significant reduction seen in the pain score in the control group (P = 0.356). There was a statistically significant reduction in the postintervention pain scores in the test group compared to the control group (P = 0.034). The reduction in anxiety levels in both groups after intervention was not statistically significant. Conclusion: Music therapy was found to lower the pain score of a patient who

  19. Cardiovascular Health in Anxiety or Mood Problems Study (CHAMPS): study protocol for a randomized controlled trial

    OpenAIRE

    Tully, Phillip J; Turnbull, Deborah A; Horowitz, John D; Beltrame, John F.; Selkow, Terina; Baune, Bernhard T; Markwick, Elizabeth; Sauer-Zavala, Shannon; Baumeister, Harald; Cosh, Suzanne; Gary A Wittert

    2016-01-01

    Background Previous psychological and pharmacological interventions have primarily focused on depression disorders in populations with cardiovascular diseases (CVDs) and the efficacy of anxiety disorder interventions is only more recently being explored. Transdiagnostic interventions address common emotional processes and the full range of anxiety and depression disorders often observed in populations with CVDs. The aim of CHAMPS is to evaluate the feasibility of a unified protocol (UP) for t...

  20. Predicting the laterality of temporal lobe epilepsy from PET, MRI, and DTI: A multimodal study

    Directory of Open Access Journals (Sweden)

    Dorian Pustina

    2015-01-01

    Full Text Available Pre-surgical evaluation of patients with temporal lobe epilepsy (TLE relies on information obtained from multiple neuroimaging modalities. The relationship between modalities and their combined power in predicting the seizure focus is currently unknown. We investigated asymmetries from three different modalities, PET (glucose metabolism, MRI (cortical thickness, and diffusion tensor imaging (DTI; white matter anisotropy in 28 left and 30 right TLE patients (LTLE and RTLE. Stepwise logistic regression models were built from each modality separately and from all three combined, while bootstrapped methods and split-sample validation verified the robustness of predictions. Among all multimodal asymmetries, three PET asymmetries formed the best predictive model (100% success in full sample, >95% success in split-sample validation. The combinations of PET with other modalities did not perform better than PET alone. Probabilistic classifications were obtained for new clinical cases, which showed correct lateralization for 7/7 new TLE patients (100% and for 4/5 operated patients with discordant or non-informative PET reports (80%. Metabolism showed closer relationship with white matter in LTLE and closer relationship with gray matter in RTLE. Our data suggest that metabolism is a powerful modality that can predict seizure laterality with high accuracy, and offers high value for automated predictive models. The side of epileptogenic focus can affect the relationship of metabolism with brain structure. The data and tools necessary to obtain classifications for new TLE patients are made publicly available.

  1. Comparative study of multimodal biometric recognition by fusion of iris and fingerprint.

    Science.gov (United States)

    Benaliouche, Houda; Touahria, Mohamed

    2014-01-01

    This research investigates the comparative performance from three different approaches for multimodal recognition of combined iris and fingerprints: classical sum rule, weighted sum rule, and fuzzy logic method. The scores from the different biometric traits of iris and fingerprint are fused at the matching score and the decision levels. The scores combination approach is used after normalization of both scores using the min-max rule. Our experimental results suggest that the fuzzy logic method for the matching scores combinations at the decision level is the best followed by the classical weighted sum rule and the classical sum rule in order. The performance evaluation of each method is reported in terms of matching time, error rates, and accuracy after doing exhaustive tests on the public CASIA-Iris databases V1 and V2 and the FVC 2004 fingerprint database. Experimental results prior to fusion and after fusion are presented followed by their comparison with related works in the current literature. The fusion by fuzzy logic decision mimics the human reasoning in a soft and simple way and gives enhanced results. PMID:24605065

  2. Comparative Study of Multimodal Biometric Recognition by Fusion of Iris and Fingerprint

    Directory of Open Access Journals (Sweden)

    Houda Benaliouche

    2014-01-01

    Full Text Available This research investigates the comparative performance from three different approaches for multimodal recognition of combined iris and fingerprints: classical sum rule, weighted sum rule, and fuzzy logic method. The scores from the different biometric traits of iris and fingerprint are fused at the matching score and the decision levels. The scores combination approach is used after normalization of both scores using the min-max rule. Our experimental results suggest that the fuzzy logic method for the matching scores combinations at the decision level is the best followed by the classical weighted sum rule and the classical sum rule in order. The performance evaluation of each method is reported in terms of matching time, error rates, and accuracy after doing exhaustive tests on the public CASIA-Iris databases V1 and V2 and the FVC 2004 fingerprint database. Experimental results prior to fusion and after fusion are presented followed by their comparison with related works in the current literature. The fusion by fuzzy logic decision mimics the human reasoning in a soft and simple way and gives enhanced results.

  3. Generalised Anxiety Disorder – A Twin Study of Genetic Architecture, Genome-Wide Association and Differential Gene Expression

    OpenAIRE

    Davies, Matthew N; Serena Verdi; Andrea Burri; Maciej Trzaskowski; Minyoung Lee; Hettema, John M.; Rick Jansen; Boomsma, Dorret I.; Spector, Tim D.

    2015-01-01

    Generalised Anxiety Disorder (GAD) is a common anxiety-related diagnosis, affecting approximately 5% of the adult population. One characteristic of GAD is a high degree of anxiety sensitivity (AS), a personality trait which describes the fear of arousal-related sensations. Here we present a genome-wide association study of AS using a cohort of 730 MZ and DZ female twins. The GWAS showed a significant association for a variant within the RBFOX1 gene. A heritability analysis of the same cohort ...

  4. Are anxiety and fear separable emotions in driving? A laboratory study of behavioural and physiological responses to different driving environments.

    Science.gov (United States)

    Barnard, M P; Chapman, P

    2016-01-01

    Research into anxiety and driving has indicated that those higher in anxiety are potentially more dangerous on the roads. However, simulator findings suggest that conclusions are mixed at best. It is possible that anxiety is becoming confused with fear, which has a focus on more clearly defined sources of threat from the environment, as opposed to the internal, thought-related process associated with anxiety. This research aimed to measure feelings of fear, as well as physiological and attentional reactions to increasing levels of accident risk. Trait anxiety was also measured to see if it interacted with levels of risk or its associated reactions. Participants watched videos of driving scenarios with varying levels of accident risk and had to rate how much fear they would feel if they were the driver of the car, whilst skin conductance, heart rate, and eye movements were recorded. Analysis of the data suggested that perceptions of fear increased with increasing levels of accident risk, and skin conductance reflected this pattern. Eye movements, when considered alongside reaction times, indicated different patterns of performance according to different dangerous situations. These effects were independent of trait anxiety, which was only associated with higher rates of disliking driving and use of maladaptive coping mechanisms on questionnaires. It is concluded that these results could provide useful evidence in support for training-based programmes; it may also be beneficial to study trait anxiety within a more immersive driving environment and on a larger scale. PMID:26536073

  5. A Study on Fijian Secondary School Students' Anxiety toward Mathematics and their Academic Achievement : Considering School Avoidance and Teachers' awareness

    OpenAIRE

    石坂,広樹

    2013-01-01

    the purpose of this study is to research and analyze the secondary school students’ attitude toward Mathematics and their weak points of mathematical knowledge, in consideration with school avoidance and teachers’ level of perceiving the students’ issues. In the study, it is confirmed that 1) the class-related anxiety in Mathematics could have a negative correlation with the attendance rate, mutually being liked with the tendency of school avoidance, 2) the anxiety for problem solving, teache...

  6. Predictive Factors of Postoperative Pain and Postoperative Anxiety in Children Undergoing Elective Circumcision: A Prospective Cohort Study

    OpenAIRE

    Zavras, Nick; Tsamoudaki, Stella; Ntomi, Vasileia; Yiannopoulos, Ioannis; Christianakis, Efstratios; Pikoulis, Emmanuel

    2015-01-01

    Background Although circumcision for phimosis in children is a minor surgical procedure, it is followed by pain and carries the risk of increased postoperative anxiety. This study examined predictive factors of postoperative pain and anxiety in children undergoing circumcision. Methods We conducted a prospective cohort study of children scheduled for elective circumcision. Circumcision was performed applying one of the following surgical techniques: sutureless prepuceplasty (SP), preputial pl...

  7. Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: A population based study in rural Bangladesh

    OpenAIRE

    Kabir Zarina N; Nasreen Hashima E; Forsell Yvonne; Edhborg Maigun

    2011-01-01

    Abstract Background Few studies have examined the associated factors of antepartum depressive and anxiety symptoms (ADS and AAS) in low-income countries, yet the World Health Organization identifies depressive disorders as the second leading cause of global disease burden by 2020. There is a paucity of research on mental disorders and their predictors among pregnant women in Bangladesh. This study aims to estimate the prevalence of depressive and anxiety symptoms and explore the associated fa...

  8. Association of Body Mass Index with Depression, Anxiety and Suicide—An Instrumental Variable Analysis of the HUNT Study

    OpenAIRE

    Johan Håkon Bjørngaard; David Carslake; Tom Ivar Lund Nilsen; Linthorst, Astrid C E; George Davey Smith; David Gunnell; Pål Richard Romundstad

    2015-01-01

    Objective: While high body mass index is associated with an increased risk of depression and anxiety, cumulative evidence indicates that it is a protective factor for suicide. The associations from conventional observational studies of body mass index with mental health outcomes are likely to be influenced by reverse causality or confounding by ill-health. In the present study, we investigated the associations between offspring body mass index and parental anxiety, depression and suicide ...

  9. Aromatherapy with ylang ylang for anxiety and self-esteem: a pilot study

    Directory of Open Access Journals (Sweden)

    Juliana Rizzo Gnatta

    2014-06-01

    Full Text Available Objective: To verify if the use of ylang ylang essential oil by cutaneous application or inhalation alters the anxiety and self-esteem perception and physiological parameters as blood pressure and temperature. Method : A pilot study with 34 professionals from a nursing group randomized in three groups: one received the ylang ylang essential oil by cutaneous application, the second received through inhalation and the third (placebo received the ylang ylang essence through cutaneous application. The assessment was done by an Anxiety Inventory (IDATE and the Dela Coleta self-esteem scale, applied on baseline, after 30, 60 and 90 days and after 15 days post-intervention (follow up. Results : In the pre and post-intervention intergroup analysis, there was a significant difference in self-esteem for the three groups (p values: G1=0.014; G2=0.016; G3=0.038. There were no differences in the analysis between groups for anxiety or for physiological parameters. Conclusion : It was found significant alterations only to the intergroup perception of self-esteem for the three groups.

  10. Impact of Working Memory Load on Cognitive Control in Trait Anxiety: An ERP Study

    Science.gov (United States)

    Qi, Senqing; Zeng, Qinghong; Luo, Yangmei; Duan, Haijun; Ding, Cody; Hu, Weiping; Li, Hong

    2014-01-01

    Whether trait anxiety is associated with a general impairment of cognitive control is a matter of debate. This study investigated whether and how experimentally manipulated working memory (WM) load modulates the relation between trait anxiety and cognitive control. This question was investigated using a dual-task design in combination with event-related potentials. Participants were required to remember either one (low WM load) or six letters (high WM load) while performing a flanker task. Our results showed that a high WM load disrupted participants' ability to overcome distractor interference and this effect was exacerbated for the high trait-anxious (HTA) group. This exacerbation was reflected by larger interference effects (i.e., incongruent minus congruent) on reaction times (RTs) and N2 amplitudes for the HTA group than for the low trait-anxious group under high WM load. The two groups, however, did not differ in their ability to inhibit task-irrelevant distractors under low WM load, as indicated by both RTs and N2 amplitudes. These findings underscore the significance of WM-related cognitive demand in contributing to the presence (or absence) of a general cognitive control deficit in trait anxiety. Furthermore, our findings show that when limited WM resources are depleted by high WM load, HTA individuals exhibit less efficient recruitments of cognitive control required for the inhibition of distractors, therefore resulting in a greater degree of response conflict. PMID:25369121

  11. Anxiety toward Mathematics (An Empirical Study in College Students in Tuxtepec Oaxaca-México

    Directory of Open Access Journals (Sweden)

    Arturo García-Santillán

    2015-08-01

    Full Text Available In this paper we examine anxiety toward mathematics in undergraduate students; therefore, we take a Muñoz and Mato anxiety scale (2007. This is a study carried out at several universities in Tuxtepec, Oaxaca, Mexico. 302 questionnaires were applied face-to-face to undergraduate students of several profiles, among others: Business Management Engineering, Civil Engineering, Public Accounting, Electro-mechanic Engineering, Biochemistry, Informatics Engineering, Electronic Engineering, Management, Nursing, Systems Computational Engineering, Logistics, Communication, Humanities, Architectural Drawing, Industrial Mechanics, Clinical Lab, Programming, and Computer Science. Statistical procedure used was factorial analysis with an extracted principal component in order to measure data. Statistics test to prove: X2, Bartlett test of Sphericity, KMO (Kaiser-Meyer-Olkin, MSA (Measure sampling adequacy and Significance level: p X2 tabulated. The results obtained from the Bartlett test of Sphericity KMO (0.85, X2 calculated, 1214.505 with 10 df > X2tabulated, Sig. 0.000 p< 0.01, MSA (ANSIEVAL .817a; ANSITEM .822a; ANSICOM .870a; ANSINUM .892a; ANSISIMA .857a allow us to know that the variables of Muñoz and Mato scale help us to understand the student’s anxiety toward mathematics.

  12. Computerized measurement of anticipated anxiety from eating increasing portions of food in adolescents with and without anorexia nervosa: Pilot studies.

    Science.gov (United States)

    Kissileff, H R; Brunstrom, J M; Tesser, R; Bellace, D; Berthod, S; Thornton, J C; Halmi, K

    2016-02-01

    Dieting and excessive fear of eating coexist in vulnerable individuals, which may progress to anorexia nervosa [AN], but there is no objective measure of this fear. Therefore, we adapted a computer program that was previously developed to measure the satiating effects of foods in order to explore the potential of food to induce anxiety and fear of eating in adolescent girls. Twenty four adolescents (AN) and ten healthy controls without eating disorders rated pictures of different types of foods in varying sized portions as too large or too small and rated the expected anxiety of five different portions (20-320 kcal). Two low energy dense (potatoes and rice) and two high energy dense (pizza and M&Ms) foods were used. The regression coefficient of line lengths (0-100 mm) marked from "No anxiety" to "this would give me a panic attack", regressed from portions shown, was the measure of "expected anxiety" for a given food. The maximum tolerated portion size [kcal] (MTPS), computed by method of constant stimulus from portions shown, was significantly smaller for high energy dense foods, whereas the expected anxiety response was greater, for all foods, for patients compared to controls. For both groups, expected anxiety responses were steeper, and maximum tolerated portion sizes were larger, for low, than high, energy dense foods. Both maximum tolerated portion size and expected anxiety response were significantly predicted by severity of illness for the patients. Those who had larger maximum tolerated portion sizes had smaller anticipated anxiety to increasing portion sizes. Visual size had a greater influence than energy content for these responses. This method could be used to quantify the anxiety inducing potential of foods and for studies with neuro-imaging and phenotypic clarifications. PMID:26631251

  13. Quality of life in borderline patients comorbid with anxiety spectrum disorders – a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Grambal A

    2016-08-01

    Full Text Available Ales Grambal,1 Jan Prasko,1 Dana Kamaradova,1 Klara Latalova,1 Michaela Holubova,1,2 Zuzana Sedláčková,3 Radovan Hruby4 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital, Olomouc, 2Department of Psychiatry, Hospital Liberec, Liberec, 3Department of Psychology, Faculty of Arts, Palacky University Olomouc, Olomouc, Czech Republic; 4Private Practice, Martin, Slovak Republic Introduction: Borderline personality disorder (BPD significantly reduces the quality of life (QoL in mental, social, and work domains. Patients with BPD often suffer from depressive anxiety symptoms. The purpose of this cross-sectional study was to compare the QoL and demographic and clinical factors of inpatients diagnosed with BPD and comorbid anxiety spectrum disorders, and healthy controls.Methods: Ninety-two hospitalized patients treated in the psychotherapeutic department and 40 healthy controls were included. Subjects were assessed by the Quality of Life Satisfaction and Enjoyment Questionnaire (Q-LES-Q, Dissociative Experiences Scale, Beck Depression Inventory (BDI-II, Beck Anxiety Inventory, Clinical Global Impression, demographic questionnaire, Sheehan Disability Scale (SDS, and Sheehan Anxiety Scale.Results: BPD patients suffered from comorbid anxiety disorders, panic disorder (18.5%, social phobia (20.7%, generalized anxiety disorder/mixed anxiety depression disorder (17.4%, adjustment disorder (22.8%, and posttraumatic stress disorder (8.7%; 19.6% patients had two or more anxiety disorder comorbidities. Patients score in Q-LES-Q (general was 36.24±9.21, which was significantly lower in comparison to controls (57.83±10.21 and similar in all domains (physical health, feelings, work, household, school/study, leisure, social activities. The subjective level of depression measured by BDI and SDS (social life and family subscales negatively correlated with all Q-LES-Q domains.Conclusion: Patients suffering

  14. Efficacy of Multimodal Intervention for Children with Attention Deficit Hyperactivity Disorder (ADHD)—An Indian Study

    OpenAIRE

    Malavika Kapur; Shoba Srinath; Anna Oommen; Thudalikunnil Gopalan Rejani

    2012-01-01

    Background: To find the efficacy of multimodal intervention on attention deficit and hyperactivity, behavioral problems in home and school situations and on academic achievement of children with ADHD and the impact of family stress and coping on the outcome of multi-modal intervention. Method: A sample (N = 40) of children aged 5 - 10 years registered in the Child and Adolescent Mental Health Unit (CAMHU) with a diagnosis of ADHD (on the ICD-10) with or without comorbidity were randomly alloc...

  15. The Efficacy and Safety of Clonazepam in Patients with Anxiety Disorder Taking Newer Antidepressants: A Multicenter Naturalistic Study

    OpenAIRE

    Wang, Sheng-Min; Kim, Jung-Bum; Sakong, Jeong Kyu; Suh, Ho-Suk; Oh, Kang Seob; Woo, Jong-Min; Yoo, Sang-Woo; Lee, Sang Min; Lee, Sang-Yeol; Lim, Se-Won; Cho, Seong Jin; Chee, Ik-Seung; Chae, Jeong-Ho; Hong, Jin Pyo; Lee, Kyoung-Uk

    2016-01-01

    Objective This study compared the efficacy and tolerability of clonazepam with other benzodiazepines in patients with anxiety disorders. Methods Inclusion criteria were as follows: age >20 years, diagnosis of anxiety disorder according to the Diagnostic and Statistical Manual of Mental Disorders 4th edition, text revision (DSM-IV-TR) criteria, taking only one type of antidepressant, and prescribed one of three oral benzodiazepines (alprazolam, clonazepam, or lorazepam). At baseline and week 6...

  16. In ICU state anxiety is not associated with posttraumatic stress symptoms over six months after ICU discharge: A prospective study

    OpenAIRE

    M. I. Castillo; Cooke, M. L.; Macfarlane, B.; Aitken, L. M.

    2015-01-01

    Background: Posttraumatic stress symptoms are common after intensive care treatment. The influence of anxiety during critical illness on the development of posttraumatic stress symptoms needs to be investigated. Objective: To determine the association between anxiety during critical illness (state and trait components) and posttraumatic stress symptoms over six months after ICU discharge. Methods: Prospective study including 141 patients admitted ≥24. h to a closed mixed adult ICU in ...

  17. Establishing key components of yoga interventions for reducing depression and anxiety, and improving well-being: a Delphi method study

    OpenAIRE

    de Manincor, Michael; Bensoussan, Alan; Smith, Caroline; Fahey, Paul; Bourchier, Suzanne

    2015-01-01

    Background Previous research suggests benefits of yoga in reducing depression and anxiety. However, common concerns in reviews of the research include lack of detail, rationale and consistency of approach of interventions used. Issues related to heterogeneity include amount, types and delivery of yoga interventions. This study aims to document consensus-based recommendations for consistency of yoga interventions for reducing depression and anxiety. Methods The Delphi method was used to establ...

  18. Comorbidity of Infectious Diseases and Anxiety Disorders in Adults and Its Association with Quality of Life: A Community Study

    OpenAIRE

    Witthauer, Cornelia; Gloster, Andrew T.; Meyer, Andrea Hans; Goodwin, Renee D.; Lieb, Roselind

    2014-01-01

    Objective: Infectious diseases and anxiety disorders are common and both are associated with substantial burden to individual, families, and society. A better understanding of their association may be helpful in explicating possible etiological mechanisms related to both. The goal of the current study was to investigate the relationship between specific infectious diseases and anxiety disorders among adults in the community, and to examine whether the co-occurrence of the two is associated wi...

  19. Comorbidity of infectious diseases and anxiety disorders in adults and its association with quality of life: a community study

    OpenAIRE

    Cornelia eWitthauer; Gloster, Andrew T.; Andrea Hans Meyer; Goodwin, Renee D.; Roselind eLieb

    2014-01-01

    Objective: Infectious diseases and anxiety disorders are common and both are associated with substantial burden to individual, families and society. A better understanding of their association may be helpful in explicating possible etiological mechanisms related to both. The goal of the current study was to investigate the relationship between specific infectious diseases and anxiety disorders among adults in the community, and to examine whether the co-occurrence of the two is associated wit...

  20. Lower Urinary Tract Symptoms, Depression, Anxiety and Systemic Inflammatory Factors in Men: A Population-Based Cohort Study

    OpenAIRE

    Sean Martin; Andrew Vincent; Taylor, Anne W; Evan Atlantis; Alicia Jenkins; Andrzej Januszewski; Peter O'Loughlin; Gary Wittert

    2015-01-01

    Background The relationship between lower urinary tract symptoms (LUTS) and common mental health disorders such as depression and anxiety in men remains unclear. Inflammation has recently been identified as an independent risk factor for LUTS and depression. This study aimed to assess the association between depression, anxiety and LUTS, and the moderating influence of systemic inflammation, in the presence of other biopsychosocial confounders. Methods Participants were randomly-selected from...

  1. Neuroimaging in anxiety disorders

    OpenAIRE

    Engel, Kirsten; Bandelow, Borwin; Gruber, Oliver; Wedekind, Dirk

    2008-01-01

    Neuroimaging studies have gained increasing importance in validating neurobiological network hypotheses for anxiety disorders. Functional imaging procedures and radioligand binding studies in healthy subjects and in patients with anxiety disorders provide growing evidence of the existence of a complex anxiety network, including limbic, brainstem, temporal, and prefrontal cortical regions. Obviously, “normal anxiety” does not equal “pathological anxiety” although many phenomena are evident in ...

  2. Depression, Anxiety and Symptoms of Stress among Baccalaureate Nursing Students in Hong Kong: A Cross-Sectional Study.

    Science.gov (United States)

    Cheung, Teris; Wong, Siu Yi; Wong, Kit Yi; Law, Lap Yan; Ng, Karen; Tong, Man Tik; Wong, Ka Yu; Ng, Man Ying; Yip, Paul S F

    2016-01-01

    This study examines the prevalence of depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong. Recent epidemiological data suggest that the prevalence of mild to severe depression, anxiety and stress among qualified nurses in Hong Kong stands at 35.8%, 37.3% and 41.1%, respectively. A total of 661 nursing students were recruited to participate in our cross-sectional mental health survey using the Depression, Anxiety and Stress Scale 21. Multiple logistic regression was used to determine significant relationships between variables. Working in general medicine, being in financial difficulty, having sleep problems, not having leisure activity and perceiving oneself in poor mental health were significant correlates of past-week depression, anxiety and stress. Year of study, physical inactivity and family crisis in the past year correlated significantly with depression. Imbalanced diets significantly correlated with anxiety. Stress was significantly associated with a lack of alone time. This is the first study to confirm empirically that clinical specialty, financial difficulties and lifestyle factors can increase nursing students' levels of depression and anxiety and symptoms of stress. Prevention, including the early detection and treatment of mental disorder, promises to reduce the prevalence of these indicators among this group. PMID:27527192

  3. Enhanced Olfactory Sensory Perception of Threat in Anxiety: An Event-Related fMRI Study

    OpenAIRE

    Krusemark, Elizabeth A.; Li, Wen

    2012-01-01

    The current conceptualization of threat processing in anxiety emphasizes emotional hyper-reactivity, which mediates various debilitating symptoms and derangements in anxiety disorders. Here, we investigated olfactory sensory perception of threat as an alternative causal mechanism of anxiety. Combining an event-related functional magnetic resonance imaging paradigm with an olfactory discrimination task, we examined how anxiety modulates basic perception of olfactory threats at behavioral and n...

  4. Metric characteristics of Anxiety Scale for Children and Adolescents: A preliminary study

    OpenAIRE

    Ana Krevh

    2007-01-01

    The paper is exploring measurements of anxiety in youth and adolescence. It introduces a new scale for measuring anxiety in youth and adolescence (LAOM) and selected metric characteristics are being analysed. The scale was designed to measure general level of anxiety in school surroundings. The concept of anxiety and the evolvement of measures are highlighted and the theoretical base for construction of the new scale is presented. The psychometric analyses were based on a sample of 300 elemen...

  5. Factors associated with anxiety in critically ill patients: A prospective observational cohort study

    OpenAIRE

    Castillo, M. I.; Cooke, M.; Macfarlane, B; Aitken, L. M.

    2016-01-01

    Background: Anxiety is an unpleasant emotion that most intensive care patients experience. This emotion is an important issue in intensive care settings because of its prevalence, adverse effects and severity. Little is known about the factors associated with state and trait anxiety during critical illness. Objectives: To describe the patterns of state anxiety reported by intensive care patients, and identify factors associated with state and trait anxiety. Design: Prospective observ...

  6. Experimental studies of components in the treatment for social anxiety disorder

    OpenAIRE

    Nilsson, Jan-Erik

    2012-01-01

    Social anxiety disorder (social phobia) is a debilitating and common anxiety disorder, with a lifetime prevalence ranging from 6 % to 12 %. The condition has its onset in childhood and early adolescence, affects females more often than males, and if untreated is associated with high risk of developing comorbid anxiety and mood disorders, as well as substance abuse. The increasingly growing body of research during the last decades has helped to understand the mechanisms of social anxiety disor...

  7. THE EFFECTS OF COOPERATIVE LEARNING ON FOREIGN LANGUAGE ANXIETY: A COMPARATIVE STUDY OF TAIWANESE AND AMERICAN UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    John G. Duxbury

    2010-01-01

    Full Text Available This study investigated the level of foreign language anxiety in the classroom, plus the correlation between foreign language anxiety and cooperative learning attitudes and practice among university students at one university in the United States and three universities in Southern Taiwan. Two instruments (The Foreign Language Classroom Anxiety scale by Horwitz et al., 1986 and the Style Analysis Survey by Oxford et al., 1999a were employed along with ten questions designed by the author: five sought to establish student perceptions of their classrooms’ cooperative atmosphere and five concerned students’ predilection towards cooperative learning. No significant correlation was found between foreign language anxiety and cooperative learning at the United States University. Of the three Southern Taiwan colleges, results from only one school showed a significant correlation. This was the only school that had a Taiwanese teacher.

  8. Hypnosis to manage anxiety and pain associated with colonoscopy for colorectal cancer screening: Case studies and possible benefits.

    Science.gov (United States)

    Elkins, Gary; White, Joseph; Patel, Parita; Marcus, Joel; Perfect, Michelle M; Montgomery, Guy H

    2006-10-01

    This study explored using hypnosis for pain and anxiety management in 6 colonoscopy patients (5 men, 1 woman), who received a hypnotic induction and instruction in self-hypnosis on the day of their colonoscopy. Patients' levels of anxiety were obtained before and after the hypnotic induction using Visual Analogue Scales (VAS). Following colonoscopy, VASs were used to assess anxiety and pain during colonoscopy, perceived effectiveness of hypnosis, and patient satisfaction with medical care. Hypnotizability was assessed at a separate appointment. The authors also obtained data (time for procedure, number of vasovagal events, and recovery time) for 10 consecutive patients who received standard care. Results suggest that hypnosis appears to be a feasible method to manage anxiety and pain associated with colonoscopy, reduces the need for sedation, and may have other benefits such as reduced vasovagal events and recovery time. PMID:16950684

  9. Anxiety, splint treatment and clinical characteristics of patients with osteoarthritis of temporomandibular joint and dental students – a pilot study.

    Directory of Open Access Journals (Sweden)

    Tomislav Badel

    2011-02-01

    Full Text Available The aim of this study was to evaluate the use of splint treatment for therapy of osteoarthritis of temporomandibular joint, and to compare the level of anxiety (State-Trait Anxiety Inventory,STAI and clinical characteristics between 16 patients and 20 asymptomatic dental school students. Magnetic resonance imaging (MRI was used for all subjects. Dental students showed a statistically signiicant higher capacity of mouth opening (p<0.05, and lower level of anxiety (p<0.05 for STAI 1, and p<0.001 for STAI 2 than patients. Patients who had suffered chronic pain before splint treatment had a higher value of anxiety by STAI 1 test (p<0.05.

  10. A population-based study of anxiety as a precursor for depression in childhood and adolescence

    Directory of Open Access Journals (Sweden)

    van den Bree Marianne BM

    2004-12-01

    Full Text Available Background Anxiety and depression co-occur in children and adolescents with anxiety commonly preceding depression. Although there is some evidence to suggest that the association between early anxiety and later depression is explained by a shared genetic aetiology, the contribution of environmental factors is less well examined and it is unknown whether anxiety itself is a phenotypic risk factor for later depression. These explanations of the association between early anxiety and later depression were evaluated. Methods Anxiety and depressive symptoms were assessed longitudinally in a U.K. population-based sample of 676 twins aged 5–17 at baseline. At baseline, anxiety and depression were assessed by parental questionnaire. Depression was assessed three years later by parental and adolescent questionnaire. Results Shared genetic effects between early anxiety and later depression were found. A model of a phenotypic risk effect from early anxiety on later depression provided a poor fit to the data. However, there were significant genetic effects specific to later depression, showing that early anxiety and later depression do not index entirely the same genetic risk. Conclusions Anxiety and depression are associated over time because they share a partly common genetic aetiology rather than because the anxiety phenotype leads to later depression.

  11. Foreign language classroom anxiety : A study of Chinese university students of Japanese and English over time

    NARCIS (Netherlands)

    Jin, Yinxing

    2016-01-01

    This PhD project mainly aimed at exploring the relationship between foreign language (FL) anxiety and FL proficiency development, the sources of FL anxiety, and the stability of FL anxiety over time and across target languages. To this end, 146 L1 Chinese university students, who had been learning E

  12. Determination Anxiety Level of the Youngsters Studying in Denizli Apprenticeship Training Center

    Directory of Open Access Journals (Sweden)

    Ozgur Metin

    2008-04-01

    Full Text Available AIM/BACKGROUND: This study was carried out as a definitive work in order to determine the anxiety level and self-respect of the students studying in Denizli Apprenticeship Training Center. METHODS: The study population was composed of 1276 individuals registered at Denizli Apprenticeship Training Center. The size of the sample was established to be as 235 individuals considering the formula used in the conditions where the study population was determined but 231 individuals were contacted. Those recruited in the study were chosen with the stratified randomized sampling method. The data were obtained during February-March 2005 in the class via the questionnaire formed by the researcher, the State-Continuous Anxiety Inventory and Coopersmith Self-respect Scale. For the evaluation of the data mean, standard deviation, percentage and quantity estimations, Kruskal-Wallis test, t-test, Mann-Whitney Test and one way ANOVA tests were employed. RESULTS: The mean age of the youngsters recruited in the study was 17.06 1.45. 75.3% of the subjects were male, 33.8% had 4 or more siblings, 79.7% were graduated from middle school and 76.7% were living with their families. Another working individual was present in 87.9% of the subjects. 16.5% of the subjects pointed out that they their master did not provided them assistance for a job they held for the first time whereas 35.5% of the subjects stated that they experienced difficulties in case when they needed license of absence. 40.3% of the students enunciated that they were obliged to do work that strain their power, and 29.9% stated that they were not appreciated. The difference between the sex of the subjects, the education status of their fathers and the anxiety level of the youngsters was found to be significant (p0.05. CONCLUSION: The anxiety level of the females involved in the study and the youngsters whose fathers’ education level was middle school or higher was detected to be greater. [TAF Prev Med

  13. Internal focus of attention in anxiety-sensitive females up-regulates amygdale activity: an fMRI study.

    Science.gov (United States)

    Pfleiderer, Bettina; Berse, Timo; Stroux, Daniel; Ewert, Adrianna; Konrad, Carsten; Gerlach, Alexander L

    2014-11-01

    Cognitive behavioral models of panic disorder (PD) stress the importance of an increased attentional focus towards bodily symptoms in the onset and maintenance of this debilitating anxiety disorder. In this fMRI mental tracking paradigm, we looked at the effects of focusing one's attention internally (interoception) vs. externally (exteroception) in a well-studied group at risk for PD-that is anxiety-sensitive females (AS-high). We hypothesized that AS-high subjects compared to control subjects will present higher arousal and decreased valence scores during interoception and parallel higher activity in brain areas which are associated with fear and interoception. 24 healthy female students with high levels of anxiety sensitivity and 24 healthy female students with normal levels of anxiety sensitivity serving as control group were investigated by 3 T fMRI. Subjects either focused their attention on their heartbeats (internal condition) or on neutral tones (external condition). Task performance was monitored by reporting the number of heartbeats or tones after each block. State of arousal and emotional valence were also assessed. The high anxiety-sensitive group reported higher arousal scores compared to controls during the course of the experiment. Simultaneously, fMRI results indicated higher activation in anxiety-sensitive participants than in controls during interoception in a network of cortical and subcortical brain regions (thalamus, amygdala, parahippocampus) that overlaps with known fear circuitry structures. In particular, the activity of the right amygdala was up-regulated. Future prospective-longitudinal studies are needed to validate the role of the amygdala for transition to disorder. Attention to internal body functions up-regulates the activity of interoceptive and fear-relevant brain regions in anxiety-sensitive females, a high-risk group for the development of anxiety disorders. PMID:24898851

  14. Implementation of the CALM intervention for anxiety disorders: a qualitative study

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    Curran Geoffrey M

    2012-03-01

    Full Text Available Abstract Background Investigators recently tested the effectiveness of a collaborative-care intervention for anxiety disorders: Coordinated Anxiety Learning and Management(CALM [] in 17 primary care clinics around the United States. Investigators also conducted a qualitative process evaluation. Key research questions were as follows: (1 What were the facilitators/barriers to implementing CALM? (2 What were the facilitators/barriers to sustaining CALM after the study was completed? Methods Key informant interviews were conducted with 47 clinic staff members (18 primary care providers, 13 nurses, 8 clinic administrators, and 8 clinic staff and 14 study-trained anxiety clinical specialists (ACSs who coordinated the collaborative care and provided cognitive behavioral therapy. The interviews were semistructured and conducted by phone. Data were content analyzed with line-by-line analyses leading to the development and refinement of themes. Results Similar themes emerged across stakeholders. Important facilitators to implementation included the perception of "low burden" to implement, provider satisfaction with the intervention, and frequent provider interaction with ACSs. Barriers to implementation included variable provider interest in mental health, high rates of part-time providers in clinics, and high social stressors of lower socioeconomic-status patients interfering with adherence. Key sustainability facilitators were if a clinic had already incorporated collaborative care for another disorder and presence of onsite mental health staff. The main barrier to sustainability was funding for the ACS. Conclusions The CALM intervention was relatively easy to incorporate during the effectiveness trial, and satisfaction was generally high. Numerous implementation and sustainability barriers could limit the reach and impact of widespread adoption. Findings should be interpreted with the knowledge that the ACSs in this study were provided and trained by

  15. A study on the EFL students’ speech related anxiety in Taiwan

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    Hsu, Tsu-Chia

    2012-01-01

    Full Text Available Global challenges in terms of producing more globally competitive graduates have given grounds to the need of students to enhance their English proficiencies. Although most Taiwanese students have studied English starting from their elementary education up to their senior high school years, however, research have shown that there is still a need to improve on the students’ English speech proficiency. This presentation details an empirical study which aims to investigate how Public Speaking Anxiety (PSA affects English as Foreign Language (EFL students who took a yearlong public speaking course in Taiwan. More specifically, the study seeks to answer these four major concerns: 1. what are the underlying factors behind the students PSA; 2. to what extent can gender differences affects PSA and time of preparation for a speech (TPS; 3. to what extent can gender differences and the different type of audiences affect the reported levels of PSA; and 4. what are the advantages/disadvantages brought about by the yearlong public speaking course. This case study adopts a mixed-method paradigm, wherein methodology from both quantitative and qualitative is systematically combined. Participants were 82 third-year technical-vocational college students. The Personal Report of Public Speaking Anxiety (PRPSA quantitative survey was used to determine the level of students’ anxiety, while the qualitative focus group interview was accomplished to further understand the effects of PSA and gender differences with respects to TPS and types of audiences. Results show that the yearlong public speaking course had indeed helped diminish some if not all of the students’ PSA. Furthermore, relationship between PSA and gender differences of the audience was significant. Lastly, female students have longer TPS and higher reported PSA than male students, however, is caused mainly due to their being grade conscious and fear of performing badly in front of their classmates.

  16. A Comparative Study of Group Behavioral Activation and Cognitive Therapy in Reducing Subsyndromal Anxiety and Depressive Symptoms

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    Mehdi Soleimani

    2015-10-01

    Full Text Available Objective: This study compared the effectiveness of two group treatments, behavioral activation (BA and cognitive therapy (CT, in reducing subsyndromal anxiety and depressive symptoms in a sample of Iranian university students.Method: Twenty-seven Iranian university students who scored 18 or higher on the depression subscale and 16 or higher on the anxiety subscale of the Depression, Anxiety, and Stress Scale (DASS-42 were randomly assigned into treatment groups. One group received 8 sessions of BA (n = 14, and the other received 8 sessions of group CT (n = 13.Result: Analysis of covariance revealed that the BA group had a significantly greater reduction in depressive symptoms than the CT group. However, there were no significant differences between the two groups in the levels of anxiety, stress symptoms or functional impairment after treatment.Conclusion: This study found evidence for the effectiveness of BA in reducing anxiety, depressive and stress symptoms and functional impairment compared to CT. BA was more effective than CT in improving depressive symptoms and was as effective as CT in decreasing anxiety, stress and functional impairment. BA is also a cost-effective intervention, particularly in group formats.

  17. Depression or anxiety and all-cause mortality in adults with atrial fibrillation - A cohort study in Swedish primary care.

    Science.gov (United States)

    Wändell, Per; Carlsson, Axel C; Gasevic, Danijela; Wahlström, Lars; Sundquist, Jan; Sundquist, Kristina

    2016-02-01

    Objective Our aim was to study depression and anxiety in atrial fibrillation (AF) patients as risk factors for all-cause mortality in a primary care setting. Methods The study population included adults (n = 12 283) of 45 years and older diagnosed with AF in 75 primary care centres in Sweden. The association between depression or anxiety and all-cause mortality was explored using Cox regression analysis, with hazard ratios (HRs) and 95% confidence intervals (95% CIs). Analyses were conducted in men and women, adjusted for age, educational level, marital status, neighborhood socio-economic status (SES), change of neighborhood status and anxiety or depression, respectively, and cardiovascular co-morbidities. As a secondary analysis, background factors and their association with depression or anxiety were explored. Results The risk of all-cause mortality was higher among men with depression compared to their counterparts without depression even after full adjustment (HR = 1.28, 95% CI 1.08-1.53). For anxiety among men and anxiety or depression among women with AF, no associations were found. Cerebrovascular disease was more common among depressed AF patients. Conclusions Increased awareness of the higher mortality among men with AF and subsequent depression is called for. We suggest a tight follow-up and treatment of both ailments in clinical practice. PMID:26758363

  18. Influence of corpus callosum damage on cognition and physical disability in multiple sclerosis: a multimodal study.

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    Sara Llufriu

    Full Text Available BACKGROUND: Corpus callosum (CC is a common target for multiple sclerosis (MS pathology. We investigated the influence of CC damage on physical disability and cognitive dysfunction using a multimodal approach. METHODS: Twenty-one relapsing-remitting MS patients and 13 healthy controls underwent structural MRI and diffusion tensor of the CC (fractional anisotropy; mean diffusivity, MD; radial diffusivity, RD; axial diffusivity. Interhemisferic transfer of motor inhibition was assessed by recording the ipsilateral silent period (iSP to transcranial magnetic stimulation. We evaluated cognitive function using the Brief Repeatable Battery and physical disability using the Expanded Disability Status Scale (EDSS and the MS Functional Composite (MSFC z-score. RESULTS: The iSP latency correlated with physical disability scores (r ranged from 0.596 to 0.657, P values from 0.004 to 0.001, and with results of visual memory (r = -0.645, P = 0.002, processing speed (r = -0.51, P = 0.018 and executive cognitive domain tests (r = -0.452, P = 0.039. The area of the rostrum correlated with the EDSS (r = -0.442, P = 0.045. MD and RD correlated with cognitive performance, mainly with results of visual and verbal memory tests (r ranged from -0.446 to -0.546, P values from 0.048 to 0.011. The iSP latency correlated with CC area (r = -0.345, P = 0.049, volume (r = -0.401, P = 0.002, MD (r = 0.404, P = 0.002 and RD (r = 0.415, P = 0.016. CONCLUSIONS: We found evidence for structural and microstructural CC abnormalities associated with impairment of motor callosal inhibitory conduction in MS. CC damage may contribute to cognitive dysfunction and in less extent to physical disability likely through a disconnection mechanism.

  19. Influence of Corpus Callosum Damage on Cognition and Physical Disability in Multiple Sclerosis: A Multimodal Study

    Science.gov (United States)

    Llufriu, Sara; Blanco, Yolanda; Martinez-Heras, Eloy; Casanova-Molla, Jordi; Gabilondo, Iñigo; Sepulveda, Maria; Falcon, Carles; Berenguer, Joan; Bargallo, Nuria; Villoslada, Pablo; Graus, Francesc; Valls-Sole, Josep; Saiz, Albert

    2012-01-01

    Background Corpus callosum (CC) is a common target for multiple sclerosis (MS) pathology. We investigated the influence of CC damage on physical disability and cognitive dysfunction using a multimodal approach. Methods Twenty-one relapsing-remitting MS patients and 13 healthy controls underwent structural MRI and diffusion tensor of the CC (fractional anisotropy; mean diffusivity, MD; radial diffusivity, RD; axial diffusivity). Interhemisferic transfer of motor inhibition was assessed by recording the ipsilateral silent period (iSP) to transcranial magnetic stimulation. We evaluated cognitive function using the Brief Repeatable Battery and physical disability using the Expanded Disability Status Scale (EDSS) and the MS Functional Composite (MSFC) z-score. Results The iSP latency correlated with physical disability scores (r ranged from 0.596 to 0.657, P values from 0.004 to 0.001), and with results of visual memory (r = −0.645, P = 0.002), processing speed (r = −0.51, P = 0.018) and executive cognitive domain tests (r = −0.452, P = 0.039). The area of the rostrum correlated with the EDSS (r = −0.442, P = 0.045). MD and RD correlated with cognitive performance, mainly with results of visual and verbal memory tests (r ranged from −0.446 to −0.546, P values from 0.048 to 0.011). The iSP latency correlated with CC area (r = −0.345, P = 0.049), volume (r = −0.401, P = 0.002), MD (r = 0.404, P = 0.002) and RD (r = 0.415, P = 0.016). Conclusions We found evidence for structural and microstructural CC abnormalities associated with impairment of motor callosal inhibitory conduction in MS. CC damage may contribute to cognitive dysfunction and in less extent to physical disability likely through a disconnection mechanism. PMID:22606347

  20. Multimodal Emotion Recognition Using Multimodal Deep Learning

    OpenAIRE

    Liu, Wei; Zheng, Wei-Long; Lu, Bao-Liang

    2016-01-01

    To enhance the performance of affective models and reduce the cost of acquiring physiological signals for real-world applications, we adopt multimodal deep learning approach to construct affective models from multiple physiological signals. For unimodal enhancement task, we indicate that the best recognition accuracy of 82.11% on SEED dataset is achieved with shared representations generated by Deep AutoEncoder (DAE) model. For multimodal facilitation tasks, we demonstrate that the Bimodal De...

  1. Developing of Individual Instrument Performance Anxiety Scale: ValidityReliability Study

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    Esra DALKIRAN

    2016-07-01

    Full Text Available In this study, it is intended to develop a scale unique to our culture, concerning individual instrument performance anxiety of the students who are getting instrument training in the Department of Music Education. In the study, the descriptive research model is used and qualitative research techniques are utilized. The study population consists of the students attending the 23 universities which has Music Education Department. The sample of the study consists of 438 girls and 312 boys, totally 750 students who are studying in the Department of Music Education of randomly selected 10 universities. As a result of the explanatory and confirmatory factor analyses that were performed, a onedimensional structure consisting of 14 items was obtained. Also, t-scores and the coefficient scores of total item correlation concerning the distinguishing power of the items, the difference in the scores of the set of lower and upper 27% was calculated, and it was observed that the items are distinguishing as a result of both analyses. Of the scale, Cronbach's alpha coefficient of internal consistency was calculated as .94, and test-retest reliability coefficient was calculated as .93. As a result, a valid and reliable assessment and evaluation instrument that measures the exam performance anxiety of the students studying in the Department of Music Education, has been developed.

  2. Randomised placebo controlled study on Sarasvata choorna in generalised anxiety disorder

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    Kshama Gupta

    2014-01-01

    Full Text Available Background: Generalised anxiety disorder (GAD is characterised by a pattern of frequent, persistent worry and anxiety, which is out of proportion to the impact of the event or circumstance that is the focus of the worry. GAD is associated with muscle tension, trembling, twitching, feeling shaky and muscle aches or soreness. Many individuals with GAD also experience somatic symptoms like sweating, nausea and diarrhoea. Epidemiological studies reveal that the prevalence rate of GAD in India is 5.8%. Objective: The main objective of the present study was to evaluate the efficacy of Sarasvata choorna in the management of GAD. Materials and Methods: In this study, a total of 114 patients with GAD satisfying the Diagnostic and Statistical Manual of Mental Disorders - Text Revision (DSM IV - TR diagnostic criteria were selected and randomly divided; of these, 102 patients completed the course of treatment. In trial group, Sarasvata choorna and in control group, placebo (wheat powder was given with the dose of 1 g thrice a day (i.e. 3 g/day along with madhu (honey and ghrita (cow′s ghee orally for 60 days. Fifteen days of follow up period was kept after treatment. Two assessments were done before and after treatment. Criterion of assessment was based on the scoring of Hamilton Anxiety Rating Scale (HAM-A. Paired and unpaired ′t′- test was used for statistical analysis. Results and Conclusion: In trial group (n = 51, 51.1% improvement and in control group (n = 51, 47.67% of improvement was observed with the significance of (P 0.05 was found in between the two groups. Sarasvata choorna did not provide better relief compared with placebo.

  3. Oxidative stress and anxiety

    OpenAIRE

    Bouayed, Jaouad; Rammal, Hassan; Soulimani, Rachid

    2009-01-01

    High O2 consumption, modest antioxidant defenses and a lipid-rich constitution make the brain highly vulnerable to redox imbalances. Oxidative damage in the brain causes nervous system impairment. Recently, oxidative stress has also been implicated in depression, anxiety disorders and high anxiety levels. The findings which establish a link between oxidative stress and pathological anxiety have inspired a number of other recent studies focusing on the link between oxidative status and normal ...

  4. Towards Multimodal Content Representation

    CERN Document Server

    Bunt, Harry

    2009-01-01

    Multimodal interfaces, combining the use of speech, graphics, gestures, and facial expressions in input and output, promise to provide new possibilities to deal with information in more effective and efficient ways, supporting for instance: - the understanding of possibly imprecise, partial or ambiguous multimodal input; - the generation of coordinated, cohesive, and coherent multimodal presentations; - the management of multimodal interaction (e.g., task completion, adapting the interface, error prevention) by representing and exploiting models of the user, the domain, the task, the interactive context, and the media (e.g. text, audio, video). The present document is intended to support the discussion on multimodal content representation, its possible objectives and basic constraints, and how the definition of a generic representation framework for multimodal content representation may be approached. It takes into account the results of the Dagstuhl workshop, in particular those of the informal working group...

  5. Anxiety is associated with diminished exercise performance and quality of life in severe emphysema: a cross-sectional study

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    Wise Robert A

    2010-03-01

    Full Text Available Abstract Background Anxiety in patients with chronic obstructive pulmonary disease (COPD is associated with self-reported disability. The purpose of this study is to determine whether there is an association between anxiety and functional measures, quality of life and dyspnea. Methods Data from 1828 patients with moderate to severe emphysema enrolled in the National Emphysema Treatment Trial (NETT, collected prior to rehabilitation and randomization, were used in linear regression models to test the association between anxiety symptoms, measured by the Spielberger State Trait Anxiety Inventory (STAI and: (a six-minute walk distance test (6 MWD, (b cycle ergometry peak workload, (c St. Georges Respiratory Questionnaire (SRGQ, and (d UCSD Shortness of Breath Questionnaire (SOBQ, after controlling for potential confounders including age, gender, FEV1 (% predicted, DLCO (% predicted, and the Beck Depression Inventory (BDI. Results Anxiety was significantly associated with worse functional capacity [6 MWD (B = -0.944, p Conclusion In clinically stable patients with moderate to severe emphysema, anxiety is associated with worse exercise performance, quality of life and shortness of breath, after accounting for the influence of demographic and physiologic factors known to affect these outcomes. Trail Registration ClinicalTrials.gov NCT00000606

  6. The effects of self-focus on attentional biases in social anxiety:An ERP study.

    Science.gov (United States)

    Judah, Matt R; Grant, DeMond M; Carlisle, Nancy B

    2016-06-01

    Cognitive theories of social anxiety disorder suggest that biased attention plays a key role in maintaining symptoms. These biases include self-focus and attention to socially threatening stimuli in the environment. The goal of this study was to utilize ERPs that are elicited by a change detection task to examine biases in selective attention (i.e., N2pc) and working memory maintenance (i.e., contralateral delay activity; CDA). Additionally, the effect of self-focus was examined using false heart rate feedback. In support of the manipulation, self-focus cues resulted in greater self-reported self-consciousness and task interference, enhanced anterior P2 amplitude and reduced SPN amplitude. Moreover, P2 amplitude for self-focus cues was correlated with reduced task performance for socially anxious subjects only. The difference in P2 amplitude between self-focus and standard cues was correlated with social anxiety independent of depression. As hypothesized, socially anxious participants (n = 20) showed early selection and maintenance of disgust faces relative to neutral faces as indicated by the N2pc and CDA components. Nonanxious controls (n = 22) did not show these biases. During self-focus cues, controls showed marginal evidence of biased selection for disgust faces, whereas socially anxious subjects showed no bias in this condition. Controls showed an ipsilateral delay activity after being cued to attend to one hemifield. Overall, this study supports early and persistent attentional bias for social threat in socially anxious individuals. Furthermore, self-focus may disrupt these biases. These findings and supplementary data are discussed in light of cognitive models of social anxiety disorder, recent empirical findings, and treatment. PMID:26676918

  7. A STUDY OF ADOLESCENTS’ ANXIETY AND ACHIEVEMENT IN ENGLISH AS A FOREIGN LANGUAGE

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    Ridha Fadillah

    2011-10-01

    Full Text Available This paper aims at investigating whether there is relationship between students’ anxiety and students’ achievement in English as a foreign language among adolescents at Sekolah Menengah Umum Negeri 1 Banjarbaru, South Kalimantan. The sample was 152 students of sixteen and seventeen years old at second grade. The results indicate that the students’ anxiety in learning English as foreign language is at moderate level. There is no significant relationship between English language anxiety and students’ achievement in English as a foreign language as a whole. But a significant negative correlation between test anxiety and students’ achievement is indicated. And the difference of English language anxiety between male and female occurred on communication apprehension, it shows that female is more apprehensive than male in English communication but for overall anxiety, there is no difference in English language anxiety by gender at second grade in this school.

  8. Screening for depression and anxiety: correlates of non-response and cohort attrition in the Netherlands study of depression and anxiety (NESDA).

    Science.gov (United States)

    Van Der Veen, Willem Jan; Van Der Meer, Klaas; Penninx, Brenda W

    2009-12-01

    A major problem in the analysis of attrition of cohorts in studies on mental health problems is that data on those who do not participate at the outset of a study are largely unavailable. It is not known how underlying psychopathology affects the first stages of screening where non-response and selectivity are usually highest. This article presents results of one of the centres of the Netherlands Study of Depression and Anxiety (NESDA), a longitudinal study aimed at describing the long-term course and consequences of depression and anxiety disorders. The aim is to describe the different ways of attrition during the first NESDA-wave in a cohort of patients aged 18-65 years of the Registration Network Groningen and to analyse whether attrition is related to gender, age and psychopathology as recorded in general practice. The attrition of the study cohort (n = 8475) was highest during the first stages, eventually leading to a population of 169 patients only who participated in the full NESDA-programme. Probabilities of transition from one stage of the screening process to the next were regressed on selected background variables using binary logistic regression. Correlates of participation were being female and being older (>40). Psychopathology was an important variable in the formation of the initial sample cohort, but only had a weak influence on patient response to the screening questionnaire. Study design factors had a stronger impact on the changing composition of the cohort at each screening stage compared to patient factors. PMID:20027601

  9. Study protocol of the YOU CALL - WE CALL TRIAL: impact of a multimodal support intervention after a "mild" stroke

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    Bravo Gina

    2010-01-01

    Full Text Available Abstract Background More than 60% of new strokes each year are "mild" in severity and this proportion is expected to rise in the years to come. Within our current health care system those with "mild" stroke are typically discharged home within days, without further referral to health or rehabilitation services other than advice to see their family physician. Those with mild stroke often have limited access to support from health professionals with stroke-specific knowledge who would typically provide critical information on topics such as secondary stroke prevention, community reintegration, medication counselling and problem solving with regard to specific concerns that arise. Isolation and lack of knowledge may lead to a worsening of health problems including stroke recurrence and unnecessary and costly health care utilization. The purpose of this study is to assess the effectiveness, for individuals who experience a first "mild" stroke, of a sustainable, low cost, multimodal support intervention (comprising information, education and telephone support - "WE CALL" compared to a passive intervention (providing the name and phone number of a resource person available if they feel the need to - "YOU CALL", on two primary outcomes: unplanned-use of health services for negative events and quality of life. Method/Design We will recruit 384 adults who meet inclusion criteria for a first mild stroke across six Canadian sites. Baseline measures will be taken within the first month after stroke onset. Participants will be stratified according to comorbidity level and randomised to one of two groups: YOU CALL or WE CALL. Both interventions will be offered over a six months period. Primary outcomes include unplanned use of heath services for negative event (frequency calendar and quality of life (EQ-5D and Quality of Life Index. Secondary outcomes include participation level (LIFE-H, depression (Beck Depression Inventory II and use of health services for

  10. Does the diagnosis influence the outcome in multimodal outpatient pain management program for low back pain and sciatica? a comparative study

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    Artner J

    2012-07-01

    Full Text Available Juraj Artner, Stephan Kurz, Balkan Cakir, Heiko Reichel, Friederike LattigDepartment of Orthopaedic Surgery, University of Ulm, GermanyAbstract: The literature describes multimodal pain-management programs as successful therapy options in the conservative treatment of chronic low back pain. Yet, the intensity and inclusion criteria of such programs remain debatable. In many studies, the pain originating from spinal structures is described as nonspecific low back pain – a diffuse diagnosis without serious implications. The purpose of this study is to compare the short-term outcomes between patients suffering from sciatica due to a discus intervertebralis herniation and those suffering from low back pain caused by facet joint disease after 3 weeks of treatment in an intense multimodal outpatient program in the Department of Orthopaedic Surgery at the university hospital.Keywords: chronic low back pain, sciatica, interdisciplinary management, discus herniation, spondylarthritis

  11. [Multimodal pain therapy].

    Science.gov (United States)

    Böger, A

    2014-06-01

    Chronic pain has both high prevalence and a significant economic impact in Germany. The most common chronic pain types are low back pain and headache. On the one hand, the management of chronic pain patients is incomplete, yet it is often overtreated in orthopaedic surgical settings with interventional procedures. The reason for this is the structure of outpatient management and the way it is paid for in Germany. Pain management of patients with private insurance cover is no better because of "doctor shopping". Medical guidelines could be of some help in improving the situation, but they are widely unknown, and have still to demonstrate whether they have any impact on GP treatment pathways. The "gold standard" multimodal pain therapy shows significant improvement in many studies compared to monomodal therapy regimes and interventional regimes, but is too rarely recommended by the patients' physicians, whether GPs or specialists. Because of the huge number of institutions nowadays that, for the sake of form, offer such multimodal therapies, these need to be differentiated in terms of their structural and process quality. A first step is the "k edoq" project. It is essential to improve knowledge of the principles of modern pain management. This includes better networking and communication between doctors, physiotherapists and psychologists, and at the grassroots level, providing the public with more detailed and better information. PMID:25000627

  12. A pilot study into the anxiety induced by various assessment methods

    International Nuclear Information System (INIS)

    Purpose: To quantify the anxiety associated with various assessment methods undertaken by post-graduate students and to contextualise this with other life experiences. Method: Spielberger's state and trait anxiety inventory was anonymously completed prior to the magnetic resonance imaging (MRI) and ultrasound (US) students undertaking assessments. The data were analysed as follows. The mean state and trait anxiety scores and standard deviations, associated with the assessment methods were calculated. An analysis of variance (ANOVA) was performed on the state and trait anxiety scores recorded. Post hoc tests (Sidak) were then performed and finally an analysis of covariance (ANCOVA) completed the analysis. Results: The seminar was the most anxiety provoking assessment method, followed by the objective structured clinical examination (OSCE) and the staged assessment, with the unseen written examination being the least anxiety provoking assessment. However, even the unseen written examination provoked more anxiety than elective surgery. There was a significant difference between the anxiety provoked by the aforementioned assessments only in the state anxiety scores, but not the trait anxiety scores (ANOVA). The significant differences were between both the OSCE and seminar and the unseen written examination, with the other differences not being significant as demonstrated by post hoc tests. ANCOVA, which controls for differences in the individual's trait score, also showed significant differences between the state anxiety scores between the OSCE and seminar and unseen written examinations. Conclusion: OSCEs and seminars are both significantly more anxiety provoking than unseen written examinations, but even unseen written examinations are more anxiety provoking than elective surgery. The anxiety provoking potential of assessments should not be underestimated

  13. A study on epidemiological profile of anxiety disorders among people living with HIV/AIDS in a sub-Saharan Africa HIV clinic.

    Science.gov (United States)

    Olagunju, Andrew T; Adeyemi, Joseph D; Ogbolu, Raphael E; Campbell, Elizabeth A

    2012-11-01

    The aim of this study is to find out the prevalence, types and correlates of anxiety disorders among people living with HIV/AIDS (PLWHA) attending a sub-Saharan Africa HIV clinic. Three hundred HIV positive adults were subjected to semi-structured clinical interview using the Schedule for Clinical Assessment in Neuropsychiatry to diagnose anxiety disorders in them. Additionally, a socio-demographic/clinical profile questionnaire designed for the study was administered to the study participants. The prevalence of anxiety disorders among PLWHA in this study was 21.7 %, and anxiety disorder unspecified (6.2 %), mixed anxiety-depressive disorder (5.3 %) and social phobia (4 %) among others were the subtypes of anxiety disorders elicited among the participants. Lack of family support [correlation coefficient (r) = 0.212, P unemployment (r = 0.168, P = 0.004) and being unmarried (r = 0.182, P = 0.002) were much more likely to be found among participants with anxiety disorders; while younger age group (r = -0.126, P = 0.039) and negative previous mental illness (r = -0.894, P = 0.021) seem protective against anxiety disorders in this study. Our findings suggest a high burden of anxiety disorders among PLWHA and up to five-folds when compared to the general population. Thus, integration of proactive mental health screening as well as treatment services with inclusion of targeted intervention for anxiety disorders among PLWHA is recommended. PMID:22772942

  14. Anxiety disorders and inflammation in a large adult cohort

    NARCIS (Netherlands)

    Vogelzangs, N.; Beekman, A. T. F.; de Jonge, P.; Penninx, Brenda

    2013-01-01

    Although anxiety disorders, like depression, are increasingly being associated with metabolic and cardiovascular burden, in contrast with depression, the role of inflammation in anxiety has sparsely been examined. This large cohort study examines the association between anxiety disorders and anxiety

  15. A Randomized Prospective Study Of The Use Of Ipads In Reducing Anxiety During Cast Room Procedures

    Science.gov (United States)

    Ko, Justine S.; Whiting, Zachariah; Nguyen, Cynthia; Liu, Raymond W; Gilmore, Allison

    2016-01-01

    Background Cast room procedures can be a source of anxiety for children. Various techniques, including music therapy, have been evaluated as a way to ease this anxiety. The use of iPads as a form of distraction during cast room procedures has not previously been evaluated and was the purpose of the current study. Methods 146 children and adolescents who underwent cast room procedures during June- August 2015 were randomly assigned to one of three groups: no-iPad, iPad with video, or iPad with game. Patient heart rates were measured using a pulse oximeter in the waiting room, before the procedure, during the procedure, and after the procedure. Mean values for each group were calculated at each time interval and compared both between groups and within groups over time. Results There were no significant differences in baseline (waiting room) heart rate between the no-iPad and iPad groups. When compared with the no-iPad group, there was a trend toward decreased heart rate in the video group (p=0.13) and a significant increase in heart rate in the game group (p=0.026) before the procedure. There were no significant decreases in heart rate within any of the groups when comparing the waiting room heart rates with the during procedure heart rates. There was a significant difference between the no-iPad and video groups (p=0.047) when comparing the change in heart rate from baseline to before the procedure, with a decreased heart rate observed in the video group. Conclusions The results of this study show a significant decrease in heart rate when transitioning from the waiting room to the cast room while watching videos on the iPad. iPad-based video delivery appears to decrease anxiety prior to cast room procedures. iPad-based game play is difficult to assess as elevations in heart rate prior to the procedure are presumed to be related to game play and confound the observed effect it may have on anxiety related to the procedure.

  16. Treatment of Children With Attention-Deficit/Hyperactivity Disorder (ADHD) and Irritability: Results From the Multimodal Treatment Study of Children With ADHD (MTA)

    OpenAIRE

    Fernandez de la Cruz, Lorena; Simonoff, Emily; McGough, James J.; Jeffrey M. Halperin; Arnold, L. Eugene; Stringaris, Argyris

    2015-01-01

    Objective Clinically impairing irritability affects 25% to 45% of children with attention-deficit/hyperactivity disorder (ADHD); yet, we know little about what interventions are effective in treating children with ADHD and co-occurring irritability. We used data from the Multimodal Treatment Study of Children With ADHD (MTA) to address 3 aims: to establish whether irritability in children with ADHD can be distinguished from other symptoms of oppositional defiant disorder (ODD); to examine whe...

  17. Multidisciplinary approach and multimodal therapy in resected pancreatic cancer: Observational study Evaluación multidisciplinaria y tratamiento multimodal del cáncer de páncreas resecado: Estudio observacional

    Directory of Open Access Journals (Sweden)

    R. Morales

    2011-01-01

    Full Text Available Objective: analysis and evaluation of a multidisciplinary approach, postoperative results and survival of a group of patients with resected pancreatic cancer after a multimodal therapy. Design: descriptive, prospective and observational study. Patients: between January 2004 and December 2004, 124 patients with pancreatic cancer were evaluated. In 30 patients pancreatic resection was performed, and they are the object of this study. Results of preoperative evaluation, postoperative morbidity and mortality, and long term survival were studied. Results: diagnostic evaluation was completed in ambulatory basis in 20% of the patients. In 63% of cases, admission was done in the same day of surgery. In 3 patients (9%, tumor resection was not achieved, therefore, concordance between radiological and surgical resectability rate was 91%. Resectability rate was 24.1%. Surgical Mortality was 3.3%, with a global morbidity rate of 56.6%. Survival at one, two, three and, four years was 76.2%, 56.3%, 43%, y 27.3% respectively. Conclusions: technological development and coordination of efforts in multidisciplinary teams offer an accurate evaluation of tumor involvement, and may reduce the number of laparotomies without tumor resection. The application of a systematic and generalized multimodal treatment in pancreatic cancer is progressively showing a tendency of progressive increase in resectability and survival rates in pancreatic cancer.Objetivo: analizar la evaluación del abordaje multidisciplinario de un grupo de pacientes con cáncer de páncreas resecado, los resultados postoperatorios y la supervivencia tras la aplicación de un tratamiento multimodal. Diseño: estudio descriptivo prospectivo observacional. Pacientes: entre enero de 2004 y diciembre 2009 se evaluaron 124 pacientes con cáncer de páncreas. De ellos, se realizó la resección pancreática con intención curativa en 30 casos que constituyen el objeto del estudio. Se analizaron los

  18. Stress, anxiety, and depression among parents of children with autism spectrum disorder in Oman: a case–control study

    Science.gov (United States)

    Al-Farsi, Omar A; Al-Farsi, Yahya M; Al-Sharbati, Marwan M; Al-Adawi, Samir

    2016-01-01

    Previous studies carried out in Euro-American populations have unequivocally indicated that psychological disorders of the CASD (caregivers of children with autism spectrum disorder) are marked with high levels of stress, anxiety, and depression. This finding has been attributed to the reaction of having to care for a child with neurodevelopmental disorders. While there have been reports on autism spectrum disorder in Arab/Islamic countries such as Oman, there is no study from this region, to our knowledge, reporting the performance of indices of stress, anxiety, and depression among CASD. This study aimed to examine whether there is variation in the performance of indices of stress, depression, and anxiety explored via Depression, Anxiety and Stress Scale 21 among CASD, caregivers of children with intellectual disabilities, and caregivers of typically developing children. All indices of stress, depression, and anxiety were higher in CASD compared to other caregivers in the control group. This study corroborates with other studies carried out in other populations that caring for children impacts the mental health status of caregivers. Therefore, there are strong grounds to contemplate the mechanism to help such a vulnerable group of family caregivers. PMID:27536117

  19. Stress, anxiety, and depression among parents of children with autism spectrum disorder in Oman: a case-control study.

    Science.gov (United States)

    Al-Farsi, Omar A; Al-Farsi, Yahya M; Al-Sharbati, Marwan M; Al-Adawi, Samir

    2016-01-01

    Previous studies carried out in Euro-American populations have unequivocally indicated that psychological disorders of the CASD (caregivers of children with autism spectrum disorder) are marked with high levels of stress, anxiety, and depression. This finding has been attributed to the reaction of having to care for a child with neurodevelopmental disorders. While there have been reports on autism spectrum disorder in Arab/Islamic countries such as Oman, there is no study from this region, to our knowledge, reporting the performance of indices of stress, anxiety, and depression among CASD. This study aimed to examine whether there is variation in the performance of indices of stress, depression, and anxiety explored via Depression, Anxiety and Stress Scale 21 among CASD, caregivers of children with intellectual disabilities, and caregivers of typically developing children. All indices of stress, depression, and anxiety were higher in CASD compared to other caregivers in the control group. This study corroborates with other studies carried out in other populations that caring for children impacts the mental health status of caregivers. Therefore, there are strong grounds to contemplate the mechanism to help such a vulnerable group of family caregivers. PMID:27536117

  20. Post partum anxiety and depression in peri-urban communities of Karachi, Pakistan: a quasi-experimental study

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    Azam Iqbal S

    2009-10-01

    Full Text Available Abstract Background Postpartum anxiety and depression is a major public health concern because of its adverse effects on the cognitive and social development of the infant. Globally postpartum depression has been widely investigated but as anxiety is a more prominent feature of postpartum depression we assessed the prevalence of anxiety and depression and their associated factors in post partum women. Methods A quasi-experimental study investigating the impact of postpartum anxiety and depression on child growth and development was conducted in two peri-urban, multiethnic, communities of Karachi, a mega city of Pakistan. A house to house questionnaire based survey was done by trained field workers; 420 consenting pregnant women were identified and data for socio-demographic, home environment and family relationship variables was collected between 36 weeks of pregnancy and within 10 days of childbirth. Mother's levels of anxiety and depression were assessed after one month, two months, six months and twelve months of childbirth; this was two step process: initially an indigenous, validated screening instrument Aga Khan University Anxiety and Depression Scale was used and diagnostic confirmation was done through a psychologist's interview based on DSM IV criteria. Women found to be anxious and depressed at least once out of four assessments were considered for the computation of overall prevalence of postpartum anxiety and depression as well as its risk factors. However, point prevalence's of postpartum anxiety and depression were also reported at each assessment time. Two sixty seven women could be followed for one year. Data was analyzed using SPSS. Chi-square test, simple and multiple logistic regression were used to see the association of different factors. Results The overall prevalence of postpartum anxiety and depression was found to be 28.8 percent. Domestic violence, difficulty in breast feeding at birth and unplanned current pregnancy

  1. The Efficacy and Safety of Clonazepam in Patients with Anxiety Disorder Taking Newer Antidepressants: A Multicenter Naturalistic Study

    Science.gov (United States)

    Wang, Sheng-Min; Kim, Jung-Bum; Sakong, Jeong Kyu; Suh, Ho-Suk; Oh, Kang Seob; Woo, Jong-Min; Yoo, Sang-Woo; Lee, Sang Min; Lee, Sang-Yeol; Lim, Se-Won; Cho, Seong Jin; Chee, Ik-Seung; Chae, Jeong-Ho; Hong, Jin Pyo; Lee, Kyoung-Uk

    2016-01-01

    Objective This study compared the efficacy and tolerability of clonazepam with other benzodiazepines in patients with anxiety disorders. Methods Inclusion criteria were as follows: age >20 years, diagnosis of anxiety disorder according to the Diagnostic and Statistical Manual of Mental Disorders 4th edition, text revision (DSM-IV-TR) criteria, taking only one type of antidepressant, and prescribed one of three oral benzodiazepines (alprazolam, clonazepam, or lorazepam). At baseline and week 6, clinical benefit was evaluated using the Clinical Global Impression-Severity Scale (CGI-S), Clinical Global Impression-Anxiety Scale (CGI-anxiety), and Clinical Global Impression-Sleep Scale (CGI-sleep). Results Among 180 patients, no differences in demographic characteristics among the three benzodiazepine groups were noted. After six weeks of treatment, all benzodiazepine groups showed significant improvements in CGI-S, CGI-anxiety, and CGI-sleep scores (p<0.001). There were no differences in mean changes in CGI-S, CGI-anxiety and CGI-sleep among the three benzodiazepine groups. The incidence of side effects was significantly lower in the clonazepam group than with the other benzodiazepines. The incidences of adverse events for the clonazepam, alprazolam, and lorazepam groups were 26.7% (n=20), 48.4% (n=31), and 43.9% (n=18), respectively. Conclusion The present study suggests that clonazepam is as efficacious as other benzodiazepines for the treatment of various anxiety disorders. Furthermore, the safety profile of clonazepam was superior to the other benzodiazepines in this study. PMID:27121429

  2. Trait anxiety among undergraduates according to the Implicit Association Test.

    Science.gov (United States)

    Huang, Peng; Yang, Zhibing; Miao, Danmin; Lu, Huijie; Zhu, Xia

    2012-08-01

    Trait anxiety, which includes stress and anxiety, affects mental health. However, early studies using the Implicit Association Test-Anxiety (IAT-Anxiety) did not consider the participants' trait anxiety. In the present study, the hypothesis that trait anxiety would influence the results of the IAT-Anxiety was tested. A total of 148 healthy undergraduates were assessed with the Profile of Mood State (POMS) test and the State-Trait Anxiety Inventory (STAI) to test explicit anxiety; they were then assessed for implicit anxiety with the IAT-Anxiety. High trait anxiety was positively correlated with negative mood; low trait anxiety tended to be associated with greater vigor and higher self-esteem. Significant main effects were found for both critical block and group among participants who received the IAT-Anxiety. Future studies of the IAT-Anxiety should consider trait anxiety as a within-subject factor for group matching to enhance the persuasiveness of the results. PMID:23045843

  3. Familial aggregation of anxiety and depression in the community: the role of adolescents’ self-esteem and physical activity level (the HUNT Study)

    OpenAIRE

    Ranøyen, Ingunn; Stenseng, Frode; Kløckner, Christian; Wallander, Jan Lance; Jozefiak, Thomas

    2015-01-01

    Background Symptoms of anxiety and depression are significantly associated in parents and children, but few studies have examined associations between recurrent parental problems and offspring symptoms, and fathers have rarely been included in these studies. Additionally, few have investigated factors that may protect against familial aggregation of anxiety and depression. The aims of the present study are to examine the associations between recurrent parental anxiety/depression over a ten-ye...

  4. Frequency and Associated Factors for Anxiety and Depression in Pregnant Women: A Hospital-Based Cross-Sectional Study

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    Niloufer S. Ali

    2012-01-01

    Full Text Available Antepartum anxiety and/or depression is a major public health problem globally. The aim of this study was to estimate the frequency of antepartum anxiety and/or depression among pregnant women. This was a cross-sectional study conducted in a tertiary care hospital among pregnant women. A total of 165 pregnant women were interviewed by a clinical psychologist using HADS for assessing anxiety and/or depression and also collected information regarding sociodemographic, obstetric, family relationships, and home environment. Out of the total of 165 pregnant women about 70 percent of them were either anxious and/or depressed. The increasing age of women (P-value=0.073, not having any live birth (P-value=0.036, adverse pregnancy outcome in past including death of a child, stillbirth or abortion (P-value=0.013, participant’s role in household decision making (P-value=0.013, and domestic violence (verbal or physical abuse towards mother or children by any family member (P-value=0.123. Our study highlights that anxiety and/or depression is quite common among pregnant women. Therefore, there is a need to incorporate screening for anxiety and depression in the existing antenatal programs and development of strategies to provide practical support to those identified.

  5. The Study Of Anxiety In Medical Students And It’s Relation With Practice of Health Behavior

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    Meshkani Z

    2005-06-01

    Full Text Available Background: Medical education is inherently stressful and demanding to deal with various stressors, which may cause impaired judgment, reduced concentration, lack of self-steam, increased anxiety and depression. Materials and Methods: A cross sectional study was conducted on 250 medical students from 6 month period to graduation in medical college of Tehran university of Medical sciences in order to assess their anxiety and practice of health behaviors and also the relation between the two variables and some other related factors.. Results: The results of study show that of 6.6% medical students suffer from severe state and 4.9% from trait anxiety. The finding of this study shows that 83.3% of girls and 84.6% of boys have practicing risky health behaviors. No statistical relationships found between, anxiety and practicing health behaviors. The relation between anxiety and health satisfaction was Statistically significant; mental and physical (P<0.001. Conclusion: The information found in this research, can help medical education institute to capitalize an opportunities to help their students in preventing risky behaviors, and different stress management techniques should be taught at medical schools.

  6. Anxiety and Attentional Bias in Preschool-Aged Children: An Eyetracking Study.

    Science.gov (United States)

    Dodd, Helen F; Hudson, Jennifer L; Williams, Tracey; Morris, Talia; Lazarus, Rebecca S; Byrow, Yulisha

    2015-08-01

    Extensive research has examined attentional bias for threat in anxious adults and school-aged children but it is unclear when this anxiety-related bias is first established. This study uses eyetracking technology to assess attentional bias in a sample of 83 children aged 3 or 4 years. Of these, 37 (19 female) met criteria for an anxiety disorder and 46 (30 female) did not. Gaze was recorded during a free-viewing task with angry-neutral face pairs presented for 1250 ms. There was no indication of between-group differences in threat bias, with both anxious and non-anxious groups showing vigilance for angry faces as well as longer dwell times to angry over neutral faces. Importantly, however, the anxious participants spent significantly less time looking at the faces overall, when compared to the non-anxious group. The results suggest that both anxious and non-anxious preschool-aged children preferentially attend to threat but that anxious children may be more avoidant of faces than non-anxious children. PMID:25434325

  7. Oxidative Imbalance and Anxiety Disorders

    OpenAIRE

    R, Krolow; D. M, Arcego; C, Noschang; S. N, Weis; C, Dalmaz

    2014-01-01

    The oxidative imbalance appears to have an important role in anxiety development. Studies in both humans and animals have shown a strong correlation between anxiety and oxidative stress. In humans, for example, the increased malondialdehyde levels and discrepancies in antioxidant enzymes in erythrocytes have been observed. In animals, several studies also show that anxiety-like behavior is related to the oxidative imbalance. Moreover, anxiety-like behavior can be caused by pharmacological-ind...

  8. Analysis of test anxiety in medical students

    OpenAIRE

    Pantić Marina; Latas Milan; Obradović Danilo

    2010-01-01

    Introduction. Most students experience some level of anxiety during the exam. However, when anxiety affects the exam performance, it represents a problem. Test anxiety is a special form of anxiety, which is characterized with somatic, cognitive and behavioral symptoms of anxiety in situations of preparing and performing tests and exams. Test anxiety turns into a problem when it becomes so high that it interferes with test preparation and performance. The objective of this study was to a...

  9. Addressing Library Anxiety (LA) in student nurses: a study in an NHS Foundation Trust Hospital library and information service.

    Science.gov (United States)

    Still, Madeleine

    2015-12-01

    Library anxiety is a concept which has been recognised in academic library circles since the early 1990s. It can result in students actively avoiding the library for the duration of their studies. Madeleine Still is Trust Librarian at North Tees & Hartlepool NHS Foundation Trust and while studying for an MSc, recognised that some student nurses were exhibiting signs of library anxiety. She decided to make it the focus of her MSc dissertation, and this article discusses her research project as well as highlighting the measures she has taken to address the issues she uncovered. Madeleine graduated in July 2013 with an MSc in Information & Library Studies from Robert Gordon University. PMID:26768906

  10. The Mediating Role of Resilience in the Relationship between Big Five Personality and Anxiety among Chinese Medical Students: A Cross-Sectional Study

    OpenAIRE

    Shi, Meng; Liu, Li; Wang, Zi Yue; Wang, Lie

    2015-01-01

    Backgrounds The psychological distress of medical students is a major concern of public health worldwide. However, few studies have been conducted to evaluate anxiety symptoms of medical students in China. The purpose of this study was to investigate the anxiety symptoms among Chinese medical students, to examine the relationships between big five personality traits and anxiety symptoms among medical students, and to explore the mediating role of resilience in these relationships. Methods Thi...

  11. Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients ´ relatives – the DEPRESS study

    OpenAIRE

    Rusinova, Katerina; Kukal, Jaromir; Simek, Jiri; Cerny, Vladimir

    2014-01-01

    Background Symptoms of anxiety and depression are common among family members of ICU patients and are culturally dependent. The aim of the study was to assess the prevalence of symptoms of anxiety and depression and associated factors in family members of ICU patients in two Central European countries. Methods We conducted a prospective multicenter study involving 22 ICUs (250 beds) in the Czech and Slovak Republics. The Hospital Anxiety and Depression Scale (HADS) was used to assess symptoms...

  12. Managing co-morbid depression and anxiety in primary care patients with asthma and/or chronic obstructive pulmonary disease: Study protocol for a randomized controlled trial

    OpenAIRE

    Pommer Antoinette M; Pouwer François; Denollet Johan; Pop Victor JM

    2012-01-01

    Abstract Background Chronic Obstructive Pulmonary Disease (COPD) and asthma are common chronic diseases that are frequently accompanied by depression and/or anxiety. However, symptoms of depression and anxiety are often not recognized and therefore not treated. Currently, only a few studies have tested new clinical approaches that could improve the treatment of co-morbid depression and anxiety in these groups of patients. Methods/design The present randomized controlled study will be conducte...

  13. The backscattering characteristics of wetland vegetation and water-level changes detection using multi-mode SAR: A case study

    Science.gov (United States)

    Zhang, Meimei; Li, Zhen; Tian, Bangsen; Zhou, Jianmin; Tang, Panpan

    2016-03-01

    A full understanding of the backscattering characteristics of wetlands is necessary for the analysis of the hydrological conditions. In this study, a temporal set of synthetic aperture radar (SAR) imagery, acquired at different frequencies, polarizations and incidence angles over the coastal wetlands of the Liaohe River Delta, China, were used to characterize seasonal variations in radar backscattering coefficient for reed marshes and rice fields. The combination of SAR backscattering intensity and an optical-based normalized difference vegetation index (NDVI) for long time series can provide additional insight into vegetation structural and its hydrological states. After identifying the factors that induce the backscattering and scattering mechanism changes, detailed analysis of L-band ALOS PALSAR interferometric SAR (InSAR) imagery was conducted to study water-level changes under different environmental conditions. In addition, ENVISAT altimetry was used to validate the accuracy of the water-level changes estimated using the InSAR technique-this is an effective tool instead of sparsely distributed gauge stations for the validation. Our study demonstrates that L-band SAR data with horizontal polarization is particularly suitable for the extraction of water-level changes in the study area; however, vertically-polarized C-band data may also be useful where the density of herbaceous vegetation is low at the initial stage. It is also shown that integrated analysis of the backscattering mechanism and interferometric characteristics using multi-mode SAR can considerably enhance the reliability of the water-level retrieval scheme and better capture the spatial distribution of hydrological patterns.

  14. Science Anxiety among Form Four Students in Penang: A Gender Comparison

    Science.gov (United States)

    Kuan, Foo Lay; Tek, Ong Eng

    2007-01-01

    This paper reports a causal-comparative study of science anxiety among Form Four students in Penang. The Wynstra's (1991) Science Anxiety Inventory (SAI), which consists of six factors (i.e., danger anxiety, science test anxiety, math and problem-solving anxiety, squeamish anxiety, performance anxiety, and science classroom anxiety), was…

  15. Internet treatment for social anxiety disorder in Romania: study protocol for a randomized controlled trial

    OpenAIRE

    Tulbure Bogdan Tudor; Månsson Kristoffer NT; Andersson Gerhard

    2012-01-01

    Abstract Background Social anxiety disorder (SAD) is one of the most common anxiety disorders and is associated with marked impairments. However, a small proportion of individuals with SAD seek and receive treatment. Internet-administrated cognitive behavior therapy (iCBT) has been found to be an effective treatment for SAD. This trial will be the first Internet-delivered guided self-help intervention for SAD in Romania. Methods Participants with social anxiety disorder (N = 96) will be recru...

  16. Assessment of depression and anxiety in adult cancer outpatients: a cross-sectional study

    OpenAIRE

    Shahzad Mohammad A; Munir Waqar; Jadoon Nauman A; Choudhry Zeshan S

    2010-01-01

    Abstract Background The prevalence of anxiety and depressive disorders in cancer patients and its associated factors in Pakistan is not known. There is a need to develop an evidence base to help introduce interventions as untreated depression and anxiety can lead to significant morbidity. We assessed the prevalence of depression and anxiety among adult outpatients with and without cancer as well as the effect of various demographic, clinical and behavioral factors on levels of depression and ...

  17. Anxiety and Social Phobia in Norwegian Adolescents: Studies of risk factors, school absenteeism and treatment effects

    OpenAIRE

    Ingul, Jo Magne

    2014-01-01

    The background for the thesis is that research has shown that anxiety disorders are among the most prevalent disorders in adolescence. The effects of an anxiety disorder may be detrimental to the adolescents’ health and wellbeing, social life, and educational success. Many anxiety-disordered adolescents go undetected and untreated; this may lead to chronification and accumulation of problems. Excessive or problematic school absenteeism and school refusal has consistently been shown to be asso...

  18. A STUDY OF ADOLESCENTS’ ANXIETY AND ACHIEVEMENT IN ENGLISH AS A FOREIGN LANGUAGE

    OpenAIRE

    Ridha Fadillah

    2011-01-01

    This paper aims at investigating whether there is relationship between students’ anxiety and students’ achievement in English as a foreign language among adolescents at Sekolah Menengah Umum Negeri 1 Banjarbaru, South Kalimantan. The sample was 152 students of sixteen and seventeen years old at second grade. The results indicate that the students’ anxiety in learning English as foreign language is at moderate level. There is no significant relationship between English language anxiety and stu...

  19. EXAMINATION OF THE RELATION BETWEEN SCHOOL OF PHYSICAL EDUCATION AND SPORT STUDENTS' APPROACH TO LEARNING AND STUDYING AND TEST ANXIETY

    Directory of Open Access Journals (Sweden)

    Ender

    2014-04-01

    Full Text Available In this study, the aim of this study was to examine the relation between school of physical education and sport students' approach to learning and studying and test anxiety. Students in departments of physical education and sport teacher (n=103, coaching education (n=155 and sport management (n=110 at Mugla Sıtkı Koçman University participated in the study (n=368. 145 of participant were female, 223 of them were male. Test Anxiety Inventory (TAI, developed by Speilberger (1980 and adapted to Turkish by Öner and Albayrak-Kaymak (1993 (cited in Erözkan, 2004, was used to identify students' test anxiety levels. Approaches to Learning and Studying Inventory (ALSI, developed by Hounsell, Entwistle, Anderson et al. (2002 and adapted to Turkish by Topyaka, Yaka and Öğretmen (2011, was used to identify students' approaches to learning and studying. ALSI consists of 18 items with 5 Likert. TAI consists of 20 items with 4 likert. One-Way ANOVA and Independent T-Test in SPSS 16.0 were used to analyze the collected data. Confirmatory Factor Analysis (CFA was used to find out whether used inventories were suitable for the sample. When the differences about approaches to learning and studying between departments were examined, while no significant difference was found in surface and deep approaches, significant difference was found in strategic approaches. No significant difference was found between grades. Significant gender differences were found in emotionality, worry and total test anxiety. Positive correlation was found between surface approach and emotionality, worry and total test anxiety. Consequently, it was found that students who adopt surface approach have high-test anxiety, because it was found that while adopting surface approach, students could have high-level of emotionality and worry. It is important to create learning environment that discourage students to adopt surface approach.

  20. The welfare burden of adolescent anxiety and depression: a prospective study of 7500 young Norwegians and their families: the HUNT study

    OpenAIRE

    Pape, Kristine; Bjørngaard, Johan Håkon; Holmen, Turid Lingaas; Krokstad, Steinar

    2012-01-01

    Objectives: To examine the association between anxiety and depression symptoms in adolescents and their families and later medical benefit receipt in young adulthood. Design: Prospective cohort study. Norwegian population study linked to national registers. Participants: Data from the Nord-Trøndelag Health Study 1995–1997 (HUNT) gave information on anxiety and depression symptoms as self-reported by 7497 school-attending adolescents (Hopkins Symptoms Checklist—SCL-5 score) and the...

  1. Dose timing of D-cycloserine to augment cognitive behavioral therapy for social anxiety: Study design and rationale.

    Science.gov (United States)

    Hofmann, Stefan G; Carpenter, Joseph K; Otto, Michael W; Rosenfield, David; Smits, Jasper A J; Pollack, Mark H

    2015-07-01

    The use of D-cycloserine (DCS) as a cognitive enhancer to augment exposure-based cognitive-behavioral therapy (CBT) represents a promising new translational research direction with the goal to accelerate and optimize treatment response for anxiety disorders. Some studies suggest that DCS may not only augment extinction learning but could also facilitate fear memory reconsolidation. Therefore, the effect of DCS may depend on fear levels reported at the end of exposure sessions. This paper presents the rationale and design for a randomized controlled trial examining the relative efficacy of tailoring DCS administration based on exposure success (i.e. end fear levels) during a 5-session group CBT protocol for social anxiety disorder (n = 156). Specifically, tailored post-session DCS administration will be compared against untailored post-session DCS, untailored pre-session DCS, and pill placebo in terms of reduction in social anxiety symptoms and responder status. In addition, a subset of participants (n = 96) will undergo a fear extinction retention experiment prior to the clinical trial in which they will be randomly assigned to receive either DCS or placebo prior to extinguishing a conditioned fear. The results from this experimental paradigm will clarify the mechanism of the effects of DCS on exposure procedures. This study aims to serve as the first step toward developing an algorithm for the personalized use of DCS during CBT for social anxiety disorder, with the ultimate goal of optimizing treatment outcome for anxiety disorders. PMID:26111923

  2. Disaster anxiety and self-assistance behaviours among persons with cervical cord injury in Japan: a qualitative study

    Science.gov (United States)

    Takahashi, Kyo; Kitamura, Yayoi

    2016-01-01

    Objectives Persons with disabilities, especially those with a severe disability, have a vague anxiety about future disasters; however, the measures of self-assistance for disaster preparedness have not been standardised. The present study aimed to describe disaster-related anxiety and behaviours related to disaster preparedness among persons who have cervical cord injury in Japan. Design Qualitative study. Setting Tokyo Metropolitan area, Japan. Participants 16 persons with cervical cord injury participated. Inclusion criteria were being 20 years old and older, being diagnosed with cervical cord injury, being able to communicate verbally, having an interest in disaster preparedness, and belonging to a self-help group of persons with cervical cord injury in the Tokyo Metropolitan area. Results Participants usually had ‘anxiety about health management’ and it became more serious once they thought about a disaster. We identified three themes in relation to their anxiety: ‘storing needed items,’ ‘staying in a safe place’ and ‘having reliable caregivers.’ We also identified three other themes that were the reasons behind these themes: ‘travel experiences,’ ‘experiences of failure’ and ‘information from peers.’ Conclusions To buffer the anxiety about health management in a disaster, it would be important for persons with cervical cord injury to store needed items, stay in a safe place and have reliable caregivers. Various daily experiences, including experiences of failure, would encourage such behaviours. PMID:27091817

  3. Elementary Pre-Service Teachers' Mathematics Anxiety and Mathematics Teaching Anxiety

    Science.gov (United States)

    Haciomeroglu, Guney

    2014-01-01

    The present study examined the structure of elementary pre-service teachers' mathematics anxiety and mathematics teaching anxiety by asking whether the two systems of anxiety are related. The Turkish Mathematics Anxiety Rating Scale Short Version and the Mathematics Teaching Anxiety Scale were administered to 260 elementary pre-service…

  4. Anxiety Sensitivity: Prospective Prediction of Anxiety among Early Adolescents

    OpenAIRE

    Schmidt, Norman B.; Keough, Meghan E.; Mitchell, Melissa A.; Reynolds, Elizabeth K.; MacPherson, Laura; Zvolensky, Michael J.; Lejuez, C. W.

    2010-01-01

    Emerging evidence suggests that anxiety sensitivity (AS) predicts subsequent development of anxiety symptoms and panic attacks as well as clinical syndromes in adult samples. The primary aim of the present study was to determine whether AS similarly acts as a vulnerability factor in the pathogenesis of anxiety symptoms among youth in early adolescence (ages 9-13). A large nonclinical community sample of youth (N = 277) was prospectively followed over one year. The Childhood Anxiety Sensitivit...

  5. Statistics Anxiety, State Anxiety during an Examination, and Academic Achievement

    Science.gov (United States)

    Macher, Daniel; Paechter, Manuela; Papousek, Ilona; Ruggeri, Kai; Freudenthaler, H. Harald; Arendasy, Martin

    2013-01-01

    Background: A large proportion of students identify statistics courses as the most anxiety-inducing courses in their curriculum. Many students feel impaired by feelings of state anxiety in the examination and therefore probably show lower achievements. Aims: The study investigates how statistics anxiety, attitudes (e.g., interest, mathematical…

  6. The Effects of Foreign Language Anxiety and Test Anxiety on Foreign Language Test Performance

    OpenAIRE

    Masoomeh Salehi; Fahimeh Marefat

    2014-01-01

    This study aimed at investigating the effects of foreign language anxiety and test anxiety on foreign language test performance. Another purpose of this study was to see whether there is any relationship between foreign language anxiety and test anxiety. Two hundred students of English as a foreign language at pre-intermediate (Pre 1) level participated in this study. In the present study, the Foreign Language Classroom Anxiety Scale and the Test Anxiety Scale were used to measure foreign lan...

  7. Prevalence of mood and anxiety disorder in self reported irritable bowel syndrome (IBS. An epidemiological population based study of women

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    Mykletun Arnstein

    2010-08-01

    Full Text Available Abstract Background Irritable bowel syndrome (IBS is commonly regarded as a functional disorder, and is hypothesized to be associated with anxiety and depression. This evidence mainly rests on population-based studies utilising self-report screening instruments for psychopathology. Other studies applying structured clinical interviews are generally based on small clinical samples, which are vulnerable to biases. The extant evidence base for an association between IBS and psychopathology is hence not conclusive. The aim of this study was therefore to re-examine the hypothesis using population-based data and psychiatric morbidity established with a structured clinical interview. Methods Data were derived from a population-based epidemiological study (n = 1077. Anxiety and mood disorders were established using the Structured Clinical Interview for DSM-IV-TR (SCID-I/NP and the General Health Questionnaire (GHQ-12. Current and lifetime IBS was self-reported. Hypertension and diabetes were employed as comparison groups as they are expected to be unrelated to mental health. Results Current IBS (n = 69, 6.4% was associated with an increased likelihood of current mood and/or anxiety disorders (OR = 2.62, 95%CI 1.49 - 4.60. Half the population reporting a lifetime IBS diagnosis also had a lifetime mood or anxiety disorder. Exploratory analyses demonstrated an increased prevalence of IBS across most common anxiety and mood disorders, the exception being bipolar disorder. The association with IBS and symptoms load (GHQ-12 followed a curved dose response pattern. In contrast, hypertension and diabetes were consistently unrelated to psychiatric morbidity. Conclusions IBS is significantly associated with anxiety and mood disorders. This study provides indicative evidence for IBS as a disorder with a psychosomatic aspect.

  8. Stress, anxiety, and depression among parents of children with autism spectrum disorder in Oman: a case–control study

    Directory of Open Access Journals (Sweden)

    Al-Farsi OA

    2016-08-01

    Full Text Available Omar A Al-Farsi,1 Yahya M Al-Farsi,1,2 Marwan M Al-Sharbati,3 Samir H Al-Adawi31Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman; 2Department of Epidemiology, School of Public Health, Boston, MA, USA; 3Department of Behavioural Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman Abstract: Previous studies carried out in Euro-American populations have unequivocally indicated that psychological disorders of the CASD (caregivers of children with autism spectrum disorder are marked with high levels of stress, anxiety, and depression. This finding has been attributed to the reaction of having to care for a child with neurodevelopmental disorders. While there have been reports on autism spectrum disorder in Arab/Islamic countries such as Oman, there is no study from this region, to our knowledge, reporting the performance of indices of stress, anxiety, and depression among CASD. This study aimed to examine whether there is variation in the performance of indices of stress, depression, and anxiety explored via Depression, Anxiety and Stress Scale 21 among CASD, caregivers of children with intellectual disabilities, and caregivers of typically developing children. All indices of stress, depression, and anxiety were higher in CASD compared to other caregivers in the control group. This study corroborates with other studies carried out in other populations that caring for children impacts the mental health status of caregivers. Therefore, there are strong grounds to contemplate the mechanism to help such a vulnerable group of family caregivers. Keywords: stress, anxiety, depression, caregivers, autism, Oman

  9. Genome-wide association study of response to cognitive-behavioural therapy in children with anxiety disorders

    DEFF Research Database (Denmark)

    Coleman, Jonathan R I; Lester, Kathryn J; Keers, Robert;

    2016-01-01

    BACKGROUND: Anxiety disorders are common, and cognitive-behavioural therapy (CBT) is a first-line treatment. Candidate gene studies have suggested a genetic basis to treatment response, but findings have been inconsistent. AIMS: To perform the first genome-wide association study (GWAS......) of psychological treatment response in children with anxiety disorders (n = 980). METHOD: Presence and severity of anxiety was assessed using semi-structured interview at baseline, on completion of treatment (post-treatment), and 3 to 12 months after treatment completion (follow-up). DNA was genotyped using...... the Illumina Human Core Exome-12v1.0 array. Linear mixed models were used to test associations between genetic variants and response (change in symptom severity) immediately post-treatment and at 6-month follow-up. RESULTS: No variants passed a genome-wide significance threshold (P = 5×10(-8)) in either...

  10. Moving-Talker, Speaker-Independent Feature Study, and Baseline Results Using the CUAVE Multimodal Speech Corpus

    Directory of Open Access Journals (Sweden)

    Patterson Eric K

    2002-01-01

    Full Text Available Strides in computer technology and the search for deeper, more powerful techniques in signal processing have brought multimodal research to the forefront in recent years. Audio-visual speech processing has become an important part of this research because it holds great potential for overcoming certain problems of traditional audio-only methods. Difficulties, due to background noise and multiple speakers in an application environment, are significantly reduced by the additional information provided by visual features. This paper presents information on a new audio-visual database, a feature study on moving speakers, and on baseline results for the whole speaker group. Although a few databases have been collected in this area, none has emerged as a standard for comparison. Also, efforts to date have often been limited, focusing on cropped video or stationary speakers. This paper seeks to introduce a challenging audio-visual database that is flexible and fairly comprehensive, yet easily available to researchers on one DVD. The Clemson University Audio-Visual Experiments (CUAVE database is a speaker-independent corpus of both connected and continuous digit strings totaling over 7000 utterances. It contains a wide variety of speakers and is designed to meet several goals discussed in this paper. One of these goals is to allow testing of adverse conditions such as moving talkers and speaker pairs. A feature study of connected digit strings is also discussed. It compares stationary and moving talkers in a speaker-independent grouping. An image-processing-based contour technique, an image transform method, and a deformable template scheme are used in this comparison to obtain visual features. This paper also presents methods and results in an attempt to make these techniques more robust to speaker movement. Finally, initial baseline speaker-independent results are included using all speakers, and conclusions as well as suggested areas of research are

  11. Multimodal intervention improves fatigue and quality of life in subjects with progressive multiple sclerosis: a pilot study

    Directory of Open Access Journals (Sweden)

    Bisht B

    2015-02-01

    Full Text Available Babita Bisht,1 Warren G Darling,2 E Torage Shivapour,3 Susan K Lutgendorf,4–6 Linda G Snetselaar,7 Catherine A Chenard,1 Terry L Wahls1,8 1Department of Internal Medicine, Carver College of Medicine, University of Iowa, 2Department of Health and Human Physiology, College of Liberal Arts and Sciences, University of Iowa, 3Department of Neurology, Carver College of Medicine, University of Iowa, 4Department of Psychology, College of Liberal Arts and Sciences, University of Iowa, 5Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, 6Department of Urology, Carver College of Medicine, University of Iowa, 7Department of Epidemiology, College of Public Health, University of Iowa, 8Department of Internal Medicine, VA Medical Center, Iowa City, IA, USA Background: Fatigue is a disabling symptom of multiple sclerosis (MS and reduces quality of life. The aim of this study was to investigate the effects of a multimodal intervention, including a modified Paleolithic diet, nutritional supplements, stretching, strengthening exercises with electrical stimulation of trunk and lower limb muscles, and stress management on perceived fatigue and quality of life of persons with progressive MS. Methods: Twenty subjects with progressive MS and average Expanded Disability Status Scale (EDSS score of 6.2 (range: 3.5–8.0 participated in the 12-month phase of the study. Assessments were completed at baseline and at 3 months, 6 months, 9 months, and 12 months. Safety analyses were based on monthly side effects questionnaires and blood analyses at 1 month, 3 months, 6 months, 9 months, and 12 months. Results: Subjects showed good adherence (assessed from subjects' daily logs with this intervention and did not report any serious side effects. Fatigue Severity Scale (FSS and Performance Scales-fatigue subscale scores decreased in 12 months (P<0.0005. Average FSS scores of eleven subjects showed clinically significant reduction (more than

  12. Impact of anxiety symptoms on outcomes of depression: an observational study in Asian patients

    Directory of Open Access Journals (Sweden)

    Novick D

    2016-04-01

    Full Text Available Diego Novick,1 William Montgomery,2 Jaume Aguado,3 Xiaomei Peng,4 Josep Maria Haro3 1Eli Lilly and Company, Windlesham, Surrey, UK; 2Eli Lilly Australia Pty Ltd, West Ryde, NSW, Australia; 3Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain; 4Eli Lilly and Company, Indianapolis, IN, USA Objective: To investigate the impact of anxiety symptoms on depression outcomes in Asian patients with major depressive disorder (MDD (n=714. Methods: The 17-item Hamilton Depression Scale (HAMD-17, overall severity, somatic symptoms, and quality of life (QOL (EuroQOL Questionnaire-5 Dimensions [EQ-5D] were assessed at baseline and 3 months. Anxiety was measured using items 10 and 11 from the HAMD-17. Linear, tobit, and logistic multiple regression models analyzed the impact of anxiety symptoms on outcomes. Baseline anxiety was related to age and the presence of pain symptoms at baseline. Results: Regression models showed that a higher level of anxiety was associated with a lower frequency of remission and lower QOL at 3 months. Patients with lower baseline anxiety symptoms had higher remission rates (odds ratio for each point of anxiety symptoms, 0.829 [95% confidence interval [CI]: 0.723–0.951]. Patients with higher levels of baseline anxiety had a lower QOL at 3 months (a decrease in EQ-5D tariff score for each point of anxiety symptoms, 0.023 [95% CI: 0.045–0.001]. Conclusion: In conclusion, the presence of anxiety symptoms negatively impacts the outcomes of depression. Keywords: depression, anxiety, Asia, observational, outcomes

  13. Anxiety and depression in patients with head and neck cancer: 6-month follow-up study

    Directory of Open Access Journals (Sweden)

    Wu YS

    2016-04-01

    Full Text Available Yi-Shan Wu,1 Pao-Yen Lin,1,2 Chih-Yen Chien,3 Fu-Min Fang,4 Nien-Mu Chiu,1 Chi-Fa Hung,1 Yu Lee,1 Mian-Yoon Chong11Department of Psychiatry, 2Institute for Translational Research in Biomedical Sciences, 3Department of Otolaryngology, 4Department of Radiation Oncology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, TaiwanObjective: We aimed to assess psychiatric morbidities of patients with head and neck cancer (HNC in a prospective study at pretreatment, and 3 and 6 months after treatment, and to compare their health-related quality of life (HRQL between those with and without depressive disorders (depression.Materials and methods: Patients with newly diagnosed HNC from a tertiary hospital were recruited into the study. They were assessed for psychiatric morbidities using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition. Their HRQL was simultaneously evaluated using the quality of life questionnaire of the European Organisation for Research and Treatment of Cancer with a specific module for head and neck cancer; and depressed and nondepressed HNC patients were compared by using the generalized mixed-effect model for repeated measurements.Results: A total of 106 patients were recruited into this study. High rates of anxiety were found at pretreatment, but steadily declined over time (from 27.3% to 6.4%, and later 3.3%. A skew pattern of depression was observed, with prevalence rates from 8.5% at pretreatment to 24.5% and 14% at 3 and 6 months, respectively, after treatment. We found that loss of sense (P=0.001, loss of speech (P<0.001, low libido (P=0.001, dry mouth (P<0.001, and weight loss (P=0.001 were related to depression over time. The depressed patients had a higher consumption of painkillers (P=0.001 and nutrition supplements (P<0.001. The results showed that depression was predicted by sticky saliva (P<0.001 and trouble with

  14. Psychological distress, depression, anxiety, and burnout among international humanitarian aid workers: a longitudinal study.

    Directory of Open Access Journals (Sweden)

    Barbara Lopes Cardozo

    Full Text Available BACKGROUND: International humanitarian aid workers providing care in emergencies are subjected to numerous chronic and traumatic stressors. OBJECTIVES: To examine consequences of such experiences on aid workers' mental health and how the impact is influenced by moderating variables. METHODOLOGY: We conducted a longitudinal study in a sample of international non-governmental organizations. Study outcomes included anxiety, depression, burnout, and life and job satisfaction. We performed bivariate regression analyses at three time points. We fitted generalized estimating equation multivariable regression models for the longitudinal analyses. RESULTS: Study participants from 19 NGOs were assessed at three time points: 212 participated at pre-deployment; 169 (80% post-deployment; and 154 (73% within 3-6 months after deployment. Prior to deployment, 12 (3.8% participants reported anxiety symptoms, compared to 20 (11.8% at post-deployment (p = 0.0027; 22 (10.4% reported depression symptoms, compared to 33 (19.5% at post-deployment (p = 0.0117 and 31 (20.1% at follow-up (p = .00083. History of mental illness (adjusted odds ratio [AOR] 4.2; 95% confidence interval [CI] 1.45-12.50 contributed to an increased risk for anxiety. The experience of extraordinary stress was a contributor to increased risk for burnout depersonalization (AOR 1.5; 95% CI 1.17-1.83. Higher levels of chronic stress exposure during deployment were contributors to an increased risk for depression (AOR 1.1; 95% CI 1.02-1.20 comparing post- versus pre-deployment, and increased risk for burnout emotional exhaustion (AOR 1.1; 95% CI 1.04-1.19. Social support was associated with lower levels of depression (AOR 0.9; 95% CI 0.84-0.95, psychological distress (AOR = 0.9; [CI] 0.85-0.97, burnout lack of personal accomplishment (AOR 0.95; 95% CI 0.91-0.98, and greater life satisfaction (p = 0.0213. CONCLUSIONS: When recruiting and preparing aid workers for deployment, organizations should

  15. The Effects of Math Anxiety

    Science.gov (United States)

    Andrews, Amanda; Brown, Jennifer

    2015-01-01

    Math anxiety is a reoccurring problem for many students, and the effects of this anxiety on college students are increasing. The purpose of this study was to examine the association between pre-enrollment math anxiety, standardized test scores, math placement scores, and academic success during freshman math coursework (i.e., pre-algebra, college…

  16. Statistics Anxiety and Instructor Immediacy

    Science.gov (United States)

    Williams, Amanda S.

    2010-01-01

    The purpose of this study was to investigate the relationship between instructor immediacy and statistics anxiety. It was predicted that students receiving immediacy would report lower levels of statistics anxiety. Using a pretest-posttest-control group design, immediacy was measured using the Instructor Immediacy scale. Statistics anxiety was…

  17. Reaction Time in Adolescence, Cumulative Allostatic Load, and Symptoms of Anxiety and Depression in Adulthood: The West of Scotland Twenty-07 Study

    OpenAIRE

    Gale, Catharine R; Batty, G David; Cooper, Sally-Ann; Deary, Ian J.; Der, Geoff; McEwan, Bruce S.; Cavanagh, Jonathan

    2015-01-01

    ABSTRACT Objective To examine the relation between reaction time in adolescence and subsequent symptoms of anxiety and depression and investigate the mediating role of sociodemographic measures, health behaviors, and allostatic load. Methods Participants were 705 members of the West of Scotland Twenty-07 Study. Choice reaction time was measured at age 16. At age 36 years, anxiety and depression were assessed with the 12-item General Health Questionnaire (GHQ) and the Hospital Anxiety and Depr...

  18. Reaction Time in Adolescence, Cumulative Allostatic Load, and Symptoms of Anxiety and Depression in Adulthood:The West of Scotland Twenty-07 Study.

    OpenAIRE

    Gale, Catharine; G David Batty; Cooper, Sally-Ann; Deary, Ian; Der, Geoff; McEwen, Bruce; Cavanagh, Jonathon

    2015-01-01

    Objective: To examine the relation between reaction time in adolescence and subsequent symptoms of anxiety and depression and investigate the mediating role of sociodemographic measures, health behaviors, and allostatic load.Methods: Participants were 705 members of the West of Scotland Twenty-07 Study. Choice reaction time was measured at age 16. At age 36 years, anxiety and depression were assessed with the 12-item General Health Questionnaire (GHQ) and the Hospital Anxiety and Depression S...

  19. Parental migration patterns and risk of depression and anxiety disorder among rural children aged 10–18 years in China: a cross-sectional study

    OpenAIRE

    Shen, Min; Gao, Jing; Liang, Zenzen; Wang, Youjie; Du, Yukai; Stallones, Lorann

    2015-01-01

    Objectives This study aims to explore the prevalence of depression and anxiety in left-behind children, and to identify patterns of parents’ migration and relative factors associated with depression and anxiety risk in this population. Setting A cross-sectional survey using a school-based sample was conducted in Puyang, Hebei, North China in December 2012. Participants 2283 students aged 10–18 years. Main outcome measures Parental migration status, depression and anxiety disorder. Results 61....

  20. Increased neurokinin-1 receptor availability in the amygdala in social anxiety disorder : a positron emission tomography study with [(11)C]GR205171

    OpenAIRE

    Frick, Andreas; Åhs, Fredrik; Linnman, Clas; Jonasson, My; Appel, Lieuwe; Lubberink, Mark; Långström, Bengt; Fredrikson, Mats; Furmark, Tomas

    2015-01-01

    The neurokinin-1 (NK1) receptor is abundantly expressed in the fear circuitry of the brain, including the amygdala, where it modulates stress and anxiety. Despite its proposed involvement in psychopathology, only a few studies of NK1 receptor availability in human subjects with anxiety disorders exist. Here, we compared NK1 receptor availability in patients with social anxiety disorder (SAD; n = 17) and healthy controls (n = 17) using positron emission tomography and the radiotracer [(11)C]GR...

  1. Oppositional Behavior and Anxiety in Boys and Girls: A Cross-Sectional Study in Two Community Samples

    Science.gov (United States)

    Mireault, Gina; Rooney, Siri; Kouwenhoven, Kristen; Hannan, Carolyn

    2008-01-01

    Studies have repeatedly shown that oppositional behavior is linked to anxiety in clinical samples of children. This study explored whether these variables were similarly related in nonclinical samples of elementary and middle school students (N = 302). Despite greater self-reported oppositional behavior among boys in these samples, anxiety…

  2. Cognitive Coping, Goal Adjustment, and Depressive and Anxiety Symptoms in People Undergoing Infertility Treatment A Prospective Study

    NARCIS (Netherlands)

    Kraaij, Vivian; Garnefski, Nadia; Schroevers, Maya J.; Weijmer, Janneke; Helmerhorst, Frans

    2010-01-01

    The relationships between cognitive coping strategies, goal adjustment, and symptoms of depression and anxiety were studied in people with fertility problems. Both cross-sectional and prospective relationships were studied in a sample of 313 patients attending an infertility clinic. Self-report ques

  3. Multimodal Composition and the Rhetoric of Comics: A Study of Comics Teams in Collaboration

    OpenAIRE

    Scanlon, Molly Jane

    2013-01-01

    The field of writing studies has long inquired about how writers engage in individualized writing processes. As an extension of this inquiry, contemporary scholarship in writing studies began to study collaborative writing through the understanding of writing as a social act. Our understanding of writing processes and collaborative writing has expanded through studies of writing as it occurs in the academy, the workplace, and extracurricular settings. Still, to a large extent, inquiries about...

  4. Mindfulness Based Stress Reduction for Academic Evaluation Anxiety: A Naturalistic Longitudinal Study

    Science.gov (United States)

    Dundas, Ingrid; Thorsheim, Torbjørn; Hjeltnes, Aslak; Binder, Per Einar

    2016-01-01

    Mindfulness based stress reduction (MBSR) for academic evaluation anxiety and self-confidence in 70 help-seeking bachelor's and master's students was examined. A repeated measures analysis of covariance on the 46 students who completed pretreatment and posttreatment measures (median age = 24 years, 83% women) showed that evaluation anxiety and…

  5. Foreign Language Reading Anxiety in a Jordanian EFL Context: A Qualitative Study

    Science.gov (United States)

    Al-Shboul, Murad M.; Ahmad, Ismail Sheikh; Nordin, Mohamad Sahari; Rahman, Zainurin Abdul

    2013-01-01

    In the last two decades, investigating the sources of foreign language anxiety in general has increasingly attracted the attention of many researchers in the field of foreign language teaching. However, the sources of anxiety that influence the acquisition of certain specific language skills such as reading in particular have rarely been…

  6. In the Face of Uncertainty: A Twin Study of Ambiguous Information, Anxiety and Depression in Children

    Science.gov (United States)

    Eley, Thalia C.; Gregory, Alice M.; Lau, Jennifer Y. F.; McGuffin, Peter; Napolitano, Maria; Rijsdijk, Fruhling V.; Clark, David M.

    2008-01-01

    Anxiety and depression share genetic influences, and have been associated with similar cognitive biases. Psychological theories of anxiety and depression highlight threat interpretations of ambiguity. Little is known about whether genes influence cognitive style, or its links to symptoms. We assessed ambiguous word and scenario interpretations,…

  7. Virtual reality exposure therapy in anxiety disorders: a systematic review of process-and-outcome studies

    NARCIS (Netherlands)

    K. Meyerbröker; P.M.G. Emmelkamp

    2010-01-01

    In recent years, virtual reality exposure therapy (VRET) has become an interesting alternative for the treatment of anxiety disorders. Research has focused on the efficacy of VRET in treating anxiety disorders: phobias, panic disorder, and posttraumatic stress disorder. In this systematic review, st

  8. Developmental Profile of Infants Born to Mothers with Postpartum Depression and Anxiety: A Comparative Study

    Science.gov (United States)

    Kalita, Kamal Narayan

    2010-01-01

    Background: Postpartum period is associated with higher rates for depression, blues and psychosis. Anxiety is also significant. These disorders may have serious implications in the cognitive development of the infant. There is relative lack of data in this area. So we tried to estimate postpartum anxiety and depression in a group of women and…

  9. Multimodal Imaging in Hereditary Retinal Diseases

    OpenAIRE

    Francesco Pichi; Mariachiara Morara; Chiara Veronese; Paolo Nucci; Ciardella, Antonio P.

    2013-01-01

    Introduction. In this retrospective study we evaluated the multimodal visualization of retinal genetic diseases to better understand their natural course. Material and Methods. We reviewed the charts of 70 consecutive patients with different genetic retinal pathologies who had previously undergone multimodal imaging analyses. Genomic DNA was extracted from peripheral blood and genotyped at the known locus for the different diseases. Results. The medical records of 3 families of a 4-generation...

  10. Auricular Acupressure Reduces Anxiety Levels and Improves Outcomes of in Vitro Fertilization: A Prospective, Randomized and Controlled Study

    OpenAIRE

    Qu, Fan; Zhang, Dan; Chen, Lu-Ting; Wang, Fang-fang; Pan, Jie-Xue; Zhu, Yi-Min; Ma, Chun-Mei; Huang, Yi-Ting; Ye, Xiao-Qun; Sun, Sai-Jun; Zheng, Wen-Jun; Zhang, Run-Ju; Xu, Jian; Xing, Lan-Feng; Huang, He-Feng

    2014-01-01

    The study was to explore whether auricular acupressure (AA) can relieve anxiety during the period from trans-vaginal oocyte retrieval to the embryo transfer in IVF treatment and whether AA can improve the outcomes of IVF. 305 infertile patients with tubal blockage who were referred for IVF were included. The women were randomized into a control group with 102 cases, a Sham-AA group with 102 cases and an AA group with 101 cases. The anxiety levels were rated with Spielberger's State Trait Anxi...

  11. Anxiety and depression levels in prepubertal obese children: a case-control study

    Directory of Open Access Journals (Sweden)

    Esposito M

    2014-10-01

    Full Text Available Maria Esposito,1 Beatrice Gallai,2 Michele Roccella,3 Rosa Marotta,4 Francesco Lavano,4 Serena Marianna Lavano,4 Giovanni Mazzotta,5 Domenico Bove,6 Michele Sorrentino,1 Francesco Precenzano,1 Marco Carotenuto1 1Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Second University of Naples, Naples, Italy; 2Unit of Child and Adolescent Neuropsychiatry, University of Perugia, Perugia, Italy; 3Child Neuropsychiatry, Department of Psychology, University of Palermo, Palermo, Italy; 4Department of Psychiatry, “Magna Graecia” University of Catanzaro, Catanzaro, Italy; 5Unit of Child and Adolescent Neuropsychiatry, AUSL Umbria 2, Terni, Italy; 6Centro per la Diagnosi e Cura dei Disturbi dell’apprendimento e del Comportamento Associazione per la ricerca scientifica Fusis, Alvignano, Italy Introduction: Childhood obesity has become a worldwide epidemic in Western and in developing countries and has been accompanied by many serious and severe comorbidities, such as diabetes, hypertension, sleep apnea syndrome, depression, dyslipidemia, impaired glucose homeostasis, steatohepatitis, and intracranial hypertension, as well as medical concerns unique to youth, such as accelerated pubertal and skeletal development and orthopedic disorders. To date, no specific studies about the psychological assessment in pediatric obesity are present. Therefore, the aim of this study was to evaluate the putative relationship between psychological troubles and obesity in a sample of school-aged children. Materials and methods: The study population consists of 148 obese subjects (body mass index [BMI] >95th percentile (69 males, mean age 8.9±1.23 years consecutively referred from clinical pediatricians to the Child and Adolescent Neuropsychiatry department at the Second University of Naples. In all subjects, weight, height, and BMI z-score were evaluated. In order to assess the anxiety levels and the presence of

  12. CLINICAL STUDY TO COMPARE THE ROLE OF JALADHARA AND SANKHAPUSPI RASAYAN IN THE MANAGEMENT OF CHITTODVEGA (ANXIETY DISORDERS

    Directory of Open Access Journals (Sweden)

    Ranjip Kumar Dass

    2012-12-01

    Full Text Available Chittodvega is a Manasa Vikara described by Charak. It has been considered as a perfect word for highlighting the status of anxiety, which is produced due to vitiation of Raja and Tama. In addition Prana, Udana, Vyana Vayu; Sadhaka Pitta; and Tarpaka Kapha are also provocated factors in it. On the basis of these considerations it can be postulated that Chittodvega is a minor mental disorder. In modern parlances also, the neurotic disorders which include anxiety disorders are considered as minor mental disorder in comparison to major mental condition like schizophrenia etc. Beneficial action of Shirodhara in the management of anxiety disorder has been reported. Acharya Charaka has advised to use Medhya Rasayana drugs for the mental disorders, especially for the promotion of Medha. Sankhapuspi (Convolvulus pluricaulis has been considered best amongst the Medhya Rasayana drugs. Here in this study the total 36 patients of Chittodvega (Anxiety disorders were randomly divided into two groups: 1 Group-J: The patients of this group were subjected to Jaladhara for 30 minutes daily in the morning between 8:30 to 11:00 AM for 6 weeks with a gap of 1 week after completion of three weeks course of Jaladhara. 2 Group-SR: The Patients of this group were administered 3 gms powders of Sankhapuspi Rasayana three times a day orally with water for 6 weeks. It can be concluded that Jaladhara gave better relief in panic attack and phobic disorder while Sankhapuspi Rasayana is more useful in generalized anxiety disorder. Results of the study are encouraging and these two therapies i.e. Jaladhara and Sankhapuspi Rasayana may become first line treatment of Chittodvega (Anxiety disorders.

  13. Measures of mindfulness and anxiety in OM meditators and non-meditators: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Deepeshwar Singh

    2014-01-01

    Full Text Available Background: Meditation has been shown to be an effective practice of mindfulness and psychological health. The aim of the study was to explore this relationship and to investigate the role of meditation on mindfulness skills and psychological health. Materials and Methods: Sixty-seven long-term 'Om' meditation practitioners and equal number of normal healthy subjects matched to the meditators on age (meditators: 23.96 ± 3.25 years; non-meditators: 21.72 ± 3.44 years, years of education (meditators: 15.13 ± 1.57 years: non-meditators: 14.12 ± 1.76 years participated in the study. Anxiety and mindfulness were measured by the State-Trait Anxiety Inventory (STAI and Freiburg Mindfulness Inventory (FMI, respectively. Statistical analyses were carried out using the Statistical Package for Social Sciences (SPSS software version 18.00 (SPSS Inc., Chicago, USA. The mindfulness and state and trait anxiety scores were analyzed using one-way analysis of variance (ANOVA and independent t-test. Results: The meditator group showed significantly lower state (P < 0.001 and total anxiety (P < 0.001 as compared to the non-meditation group. 'Om' meditation practice was positively correlated to mindfulness (P < 0.001, acceptance (P < 0.001, and presence (P < 0.05; and negatively correlated to state (P < 0.01 and total anxiety (P < 0.001. Conclusions: The practice of meditation was associated with higher levels of mindfulness and lower levels of psychological anxiety.

  14. Plant-based medicines for anxiety disorders, Part 1: a review of preclinical studies.

    Science.gov (United States)

    Sarris, Jerome; McIntyre, Erica; Camfield, David A

    2013-03-01

    Research in the area of herbal psychopharmacology has revealed a variety of promising medicines that may provide benefit in the treatment of general anxiety and specific anxiety disorders. However, a comprehensive review of plant-based anxiolytics has been absent to date. This article (part 1) reviews herbal medicines for which only preclinical investigations for anxiolytic activity have been performed. In part 2, we review herbal medicines for which there have been clinical investigations for anxiolytic activity. An open-ended, language-restricted (English) search of MEDLINE (PubMed), CINAHL, Scopus and the Cochrane Library databases was conducted (up to 28 October 2012) using specific search criteria to identify herbal medicines that have been investigated for anxiolytic activity. This search of the literature revealed 1,525 papers, from which 53 herbal medicines were included in the full review (having at least one study using the whole plant extract). Of these plants, 21 had human clinical trial evidence (reviewed in part 2), with another 32 having solely preclinical studies (reviewed here in part 1). Preclinical evidence of anxiolytic activity (without human clinical trials) was found for Albizia julibrissin, Sonchus oleraceus, Uncaria rhynchophylla, Stachys lavandulifolia, Cecropia glazioui, Magnolia spp., Eschscholzia californica, Erythrina spp., Annona spp., Rubus brasiliensis, Apocynum venetum, Nauclea latifolia, Equisetum arvense, Tilia spp., Securidaca longepedunculata, Achillea millefolium, Leea indica, Juncus effusus, Coriandrum sativum, Eurycoma longifolia, Turnera diffusa, Euphorbia hirta, Justicia spp., Crocus sativus, Aloysia polystachya, Albies pindrow, Casimiroa edulis, Davilla rugosa, Gastrodia elata, Sphaerathus indicus, Zizyphus jujuba and Panax ginseng. Common mechanisms of action for the majority of botanicals reviewed primarily involve GABA, either via direct receptor binding or ionic channel or cell membrane modulation; GABA transaminase

  15. A preliminary study of the moderating role of church-based social support in the relationship between racist experiences and general anxiety symptoms.

    Science.gov (United States)

    Graham, Jessica R; Roemer, Lizabeth

    2012-07-01

    The current study explores the potential buffering effect of church-based social support on the effect of racism on anxiety symptomology in a Black sample. Fifty participants completed a questionnaire packet containing measures of anxious arousal and stress (general anxiety) symptoms, church-based social support, and experience of racist events. Results indicated that church-based social support moderated the relationship between racist experiences and general anxiety symptoms such that at low levels of church-based social support the experiences of racism and stress (general anxiety) symptoms were significantly positively associated. The clinical implications of these findings and future research directions are discussed. PMID:22686149

  16. Multimodal Processes Rescheduling

    DEFF Research Database (Denmark)

    Bocewicz, Grzegorz; Banaszak, Zbigniew A.; Nielsen, Peter;

    2013-01-01

    -cuted in these kinds of systems can be considered using a declarative modeling framework. Proposed representation provides a unified way for performance evaluation of local cyclic as well as supported by them multimodal processes. The main question regards of reachability of a SCCP cyclic behavior. In this context......Cyclic scheduling problems concerning multimodal processes are usually observed in FMSs producing multi-type parts where the Automated Guided Vehicles System (AGVS) plays a role of a material handling system. Schedulability analysis of concurrently flowing cyclic processes (SCCP) exe......, the sufficient conditions guarantee the reachability of both local and multimodal processes cyclic steady state spaces are discussed....

  17. Comparative study between patients with infarction and angina about the fear of pain, anxiety pain symptoms, heart focused anxiety, psychopathology and hostility

    Directory of Open Access Journals (Sweden)

    Bakella P.

    2010-10-01

    Full Text Available Background: To examine the fear of pain, anxiety pain symptoms, heart focused anxiety, psychopathology and hostility between patients with infarction and angina. Method: Subjects were 104 patients with infarction or angina, who completed the Hostility and Direction of Hostility Questionnaire, the Symptom Checklist-90-R, Cardiac Anxiety Questionnaire, the Pain Anxiety Symptoms Scale-20 and the Fear of Pain Questionnaire – III. Results: For all patients higher levels of fear and anxiety of pain, heart-focused anxiety psychopathology, and a tendency to develop a hostile attitude were observed. For angina group higher levels of fearfull thinking and total PASS-20, avoidance CAQ, somatization and anxiety (SCL-90. In addition, all patients were found to be significantly correlated (P< .005 with sex, fearfull PASS-20, physiological responses PASS-20, total PASS-20, avoidance CAQ, somatization SCL-90, anxiety SCL-90 Conclusion: There is a variety of general factors that may promote the development of cardiophobia. These processes are likely nonspecific in the sense that they increase the chance of negative emotional responding and poor affect regulatory strategies. For persons exposed to cardiac-related illnesses or persons who model the potential dangers of cardiac-related sensations, there may be an enhanced specificity to that general vulnerability.

  18. Differential association of somatic and cognitive symptoms of depression and anxiety with inflammation : Findings from the Netherlands Study of Depression and Anxiety (NESDA)

    NARCIS (Netherlands)

    Duivis, Hester E.; Vogelzangs, Nicole; Kupper, Nina; de Jonge, Peter; Penninx, Brenda W. J. H.

    2013-01-01

    Objective: Depression and anxiety have been suggested to be associated with systemic inflammation upregulation. However, results are not always consistent, which may be due to symptom heterogeneity of depression and anxiety. There are some indications that associations with inflammation are mainly d

  19. Vision-Related Quality of Life and Appearance Concerns Are Associated with Anxiety and Depression after Eye Enucleation: A Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Juan Ye

    Full Text Available To investigate the association of demographic, clinical and psychosocial variables with levels of anxiety and depression in participants wearing an ocular prosthesis after eye enucleation.This cross-sectional study included 195 participants with an enucleated eye who were attending an ophthalmic clinic for prosthetic rehabilitation between July and November 2014. Demographic and clinical data, and self-reported feelings of shame, sadness and anger were collected. Participants also completed the National Eye Institute Visual Function Questionnaire, the Facial Appearance subscale of the Negative Physical Self Scale, and the Hospital Anxiety and Depression Scale. Regression models were used to identify the factors associated with anxiety and depression.The proportion of participants with clinical anxiety was 11.8% and clinical depression 13.8%. More anxiety and depression were associated with poorer vision-related quality of life and greater levels of appearance concerns. Younger age was related to greater levels of anxiety. Less educated participants and those feeling more angry about losing an eye are more prone to experience depression. Clinical variables were unrelated to anxiety or depression.Anxiety and depression are more prevalent in eye-enucleated patients than the general population, which brings up the issues of psychiatric support in these patients. Psychosocial rather than clinical characteristics were associated with anxiety and depression. Longitudinal studies need to be conducted to further elucidate the direction of causality before interventions to improve mood states are developed.

  20. Anxiety Disorders

    Science.gov (United States)

    ... Databases International Annual Meeting Residents & Medical Students Residents Medical Students ... Information Anxiety is a normal reaction to stress and can be beneficial in some situations. It ...