Anxiety and Depression in Greek Nursing and Medical Personnel

Tselebis, Athanasios; Gournas, Georgios; Tzitzanidou, Georgia; Παναγιώτου, Ασπασία; Ilias, Ιoannis

doi:10.2466/pr0.99.1.93-96

Cited by 17 publications

(18 citation statements)

References 19 publications

(16 reference statements)

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“…The prevalence of depression among outpatients with COPD is substantially greater than lifetime rates in the general population (ranging between 10% and 42% in the former, compared to approximately 5% in the latter). Correspondingly, the prevalence of anxiety varies from 10% to 19% [26], a percentage that is higher than the 15% reported in the general population [27,28]. Higher predominance of depression and anxiety was observed in patients with COPD compared to patients that suffered from other chronic respiratory disorders, such as bronchial asthma and tuberculosis [28].…”

Section: Discussionmentioning

confidence: 99%

Psychological symptom patterns and vital exhaustion in outpatients with chronic obstructive pulmonary disease

et al. 2011

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BackgroundSeveral studies have reported high prevalence of anxiety and depression in chronic obstructive pulmonary disease (COPD) outpatients. Moreover, these patients share psychological or psychopathological characteristics that inhibit their ability to cope with the disease. In the present study we aimed to record the prevalence of psychological symptom patterns in a sample of Greek COPD outpatients and to assess which psychological factors (and to which degree) contribute to vital exhaustion (VE).MethodsThe study included 139 COPD outpatients. We used the Symptom Checklist 90 - Revised (SCL-90-R) and the Maastricht Questionnaire (MQ) in order to evaluate psychological symptom patterns and VE, respectively.ResultsThe mean MQ score was 19.6, which is significantly higher than the corresponding score in the general population. Regarding the SCL-90-R dimensions, depression was the highest followed by somatization, obsessive-compulsive and anxiety dimensions. Additionally, a positive correlation was observed between the MQ and the SCL-90-R dimensions. MQ failed to demonstrate correlation with age, gender, education level or the severity of the disease. Depression seems to be responsible for 57.9% of the variation of VE, while obsessive-compulsiveness is responsible for an additional 2.4%. All the remaining dimensions of SCL-90-R had no statistically significant contributions.ConclusionsOur findings suggest the high prevalence of VE, together with high rates in most of the SCL-90-R dimensions with greater depression, somatization, obsessive-compulsiveness and anxiety in a Greek COPD group at various Global Initiative for Chronic Obstructive Lung Disease (GOLD) diagnostic criteria stages. The coexistence of such symptoms should be further assessed as an eventual unfavorable prognostic factor.

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Section: Discussionmentioning

confidence: 99%

Psychological symptom patterns and vital exhaustion in outpatients with chronic obstructive pulmonary disease

et al. 2011

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“…Finally, the positive correlation between anxiety and depression is a common finding in both the general population [5,20] and in patients with COPD [1,6,68]. …”

Section: Discussionmentioning

confidence: 99%

“…Studies in Greece also report high prevalence rates of depression in COPD patients, often above 42% [1]. Moreover, studies indicate rates of anxiety varying from 10% to 19% [3], which is higher than the prevalence rate of 15% mentioned in the general population [5]. Additionally, one out of two patients with COPD disease appears to suffer from general psychopathological symptoms [6].…”

Section: Introductionmentioning

confidence: 99%

A pulmonary rehabilitation program reduces levels of anxiety and depression inCOPD patients

Tselebis

Bratis

Pachi

et al. 2013

Multidiscip Respir Med

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BackgroundThe presence of anxiety and depressive symptoms in COPD patients has been acknowledged for many years. The preponderance of recent studies supports the utility of pulmonary rehabilitation programs to reduce the levels of depression and anxiety in these patients. The aim of this study is to investigate possible changes in levels of anxiety and depression among patients enrolled in a pulmonary rehabilitation program, along with the role of disease severity in these changes.MethodsIn 101 COPD patients, who attended a pulmonary rehabilitation program, levels of trait anxiety (STAI) and depressive symptoms (BDI) were assessed at the beginning and at the end of the program. Age, sex, level of education in years and stage of disease severity were recorded.ResultsOur study included 80 male and 21 female patients. Mean age and mean education level were 64.1 ± 8.1 and 11.3 ± 4.1 years, respectively. Regarding COPD staging, 11 patients suffered from mild, 16 from moderate, 47 from severe and 27 from very severe COPD. Significant decreases in anxiety (from 39.7 to 34.0, p < 0.001) and depression rates (from 10.7 to 6.3, p < 0.001) were observed. A statistically significant reduction in anxiety and depression was revealed (p < 0.05)at all stages of COPD.ConclusionPulmonary rehabilitation programs should be offered to all COPD patients irrespective of disease severity, since they all lead to improvement in anxiety and depressive symptoms.

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“…Another study showed that while normal levels of stress were present in most physicians, a disproportionate number of emergency physicians reported high levels of stress and depression and thoughts of abandoning their specialty [25]. Likewise, the few studies on the psychological problems of health professionals in Greece revealed high percentages of anxiety and depression in the medical sector [26,27]. …”

Section: Discussionmentioning

confidence: 99%

Higher levels of psychiatric symptomatology reported by health professionals working in medical settings in Greece

2011

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BackgroundPsychological distress in healthcare workers may vary across different specialties. The purpose of this study was to investigate the differences in the rate of anxiety and depression between medical and mental healthcare workers.MethodsThe sample was randomly selected and consisted of 229 workers from the medical health sector and 212 from the mental health sector, aged 39.8 ± 7.9 years old. Health workers from University and General Hospitals from all over Greece participated in the study. The Greek version of the Symptoms Rating Scale For Depression and Anxiety (SRSDA) was used. Statistics were processed with SPSS v. 17.0.ResultsThe medical health professionals showed statistically significantly higher scores in all the subscales in comparison with the mental health sector workers, independently of years serving in the department. The rates of a possible psychiatric disorder (score over cutoff points) were significantly elevated on the Beck-21, melancholy and asthenia subscales.ConclusionsMedical healthcare workers appear to suffer from psychological distress more than their colleagues in the mental sector.

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Anxiety and Depression in Greek Nursing and Medical Personnel

Cited by 17 publications

References 19 publications

Psychological symptom patterns and vital exhaustion in outpatients with chronic obstructive pulmonary disease

Psychological symptom patterns and vital exhaustion in outpatients with chronic obstructive pulmonary disease

A pulmonary rehabilitation program reduces levels of anxiety and depression inCOPD patients

Higher levels of psychiatric symptomatology reported by health professionals working in medical settings in Greece

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