Background Several evidences from epidemiologic and treatment studies indicate that anxiety disorders, depression, and substance use disorders commonly co-occur, and the interaction is multifaceted and variable. Epidemiological studies and investigations within clinical substance abuse populations have found an association between anxiety disorders, depression, and substance use disorders. Results The mean age was 28.1 ± 6.5 years. The majority belonged to the moderate socioeconomic status (52%). Substance use disorder (SUD) patients expressed higher levels of anxiety and depression in comparison to the control group. Most of the study group (97%) expressed different levels of anxiety. Eighty percent of them expressed high and moderate anxiety levels, and 20% of caregivers were having mild anxiety levels. Ninety-three percent of the substance users expressed different levels of depression, either mild 12%, moderate 9%, or severe 72%. The Drug Use Disorder Identification Test scores were positively correlated with anxiety (r = 0.256 and p = 0.010) and depression (r = 0.330 and p = 0.001). Moreover, it was found that anxiety and depression are positively correlated with each other’s (r = 0.630 and p = 0.001). Conclusion Substance use disorders are associated with high levels of anxiety and depression. More specifically, it is associated with severe depression and anxiety. There is an obvious association between the presence of anxiety and depression on the one hand and the severity of drug-related problems on the other hand. Depression and anxiety are commonly present together in patients with SUDs.

The study aimed to investigate burden and coping strategies among caregivers of patients with mood disorder and examine the relationship between them. A descriptive correlational design was utilized. The study was carried out at inpatient unit at neuropsychiatry and neurosurgical hospital at Assiut University. A convenient sample comprised of 100 caregivers of patients with mood disorder. Tools of study comprised of personal data questionnaire, mood disorder burden index and ways of coping questionnaire. Results: The highest mean scores of burden of exhibited specific behaviors by patients were related to sleeping too much, there were too many thoughts running through patients' head and they were more talkative than usual. The highest mean scores of coping strategies were related to self-controlling, positive reappraisal and seeking social support respectively. Self-controlling, planful problem solving and positive reappraisal were positively and significantly correlated with frequency of exhibited specific behaviors by patients. Conclusion: Caregivers experienced high mean scores of burden related to the frequency of symptoms exhibited by patients. The highest mean scores of coping strategies utilized by them were related to selfcontrolling, positive reappraisal and seeking social support. Self-controlling, planful problem solving and positive reappraisal were positively and significantly correlated with some of exhibited specific behaviors by patients. Recommendations: Designing and implementing psychoeducational programs are essential for caregivers of patients with mood disorders.

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Background: Universities and colleges are increasingly using e-learning as a delivery method. Although a growing number of educational institutions are adopting an online teaching and learning approach, some concern has been expressed about the pre-requisites for academic success within this environment. This study aimed to assess thecorrelation between perception and psychological challenges toward e-learning among Faculty of Nursing Students. Subjects and method: A descriptive research design was used in this study. A Stratified sample was used. The present study included 341 students. Setting: This study was carried out at the Faculty of Nursing-Assiut University. Tools of study: Included demographic data, Students' Perceptions of e-learning and Psychological challenges of e-learning questionnaire. Results of the study: About two thirds of studied students in the age group (from 18-20 yrs old) are females and less than half of them prefer hybrid mode for their learning. Also, less than of nursing students have a negative perceptions regarding e-learning, and more than one third are unmotivated and unsatisfied from e-learning. Conclusion: The students' perception regarding e-learning negatively correlated with anxiety, while positively correlated with motivation and satisfaction with e-learning. Recommendations: Psychoeductional programs can be designed and administered to nursing students to improve perception and overcome their psychological challenges toward e-learning.

A descriptive study using a convenience sample of family caregivers of psychotic patients recruiting from outpatient clinic and inpatients department in the Psychiatry and Neurology Hospital at Assiut University. They interviewed individually by using Socio-Demographic sheet and Burden Assessment Scale. More than forty percent of caregivers (41.9%) were in the age group, ranged from 45 to less than 60 years and 66.7 % of them were females. family caregivers had the highest mean score of time perspective burden (7.3±2.7) followed by financial problems (2.2±1.2) and personal distress (7.2±2.7). It can be concluded that, family caregivers of psychotic patients were highly suffering from burden related to time perspective and financial burden.