Identification of factors determining anxiety, depression and aggression, with particular emphasis on pain in Polish adolescents and young adults with cystic fibrosis
Abstract:Background. The prolonged survival of patients with cystic fibrosis leads to the search for predictors that determine their physical health and functioning in social and psycho-emotional areas, and allows for better understanding of the mutual interactions. Objectives. The aim of the study was to assess the incidence of pain in patients with CF and clinical determinants of anxiety, depression and aggression. Material and methods. The study covered 95 patients with CF aged 14-25 years. The analysis included: th… Show more
“…In our own research, 60% of respondents stated that immunosuppressive treatment had no effect on their life functions, mentioning at the same time such ailments as mood changes and attention deficit disorders, together with obesity and diabetes, and deterioration of vision, which may be connected with immunosuppressive therapy. In a publication from 2012, more than half of the patients complained about being overweight and hypertension, while claiming earlier that immunosuppressive drugs did not affect their daily functioning [22].…”
Background. Heart transplantation is a complex surgical procedure for the treatment of endstage heart failure, performed only in six Cardiac Surgery Clinics in Poland. After a heart transplantation, the patient requires specialist therapy and care, together with a change of lifestyle. The aim of the study was to analyze adherence to therapeutic recommendations, together with an assessment of the social activity of patients after myocardial transplantation.
Material and methods.The study included 50 patients (27♂, 23♀) who had undergone heart transplantation. The research method was a diagnostic survey, and the research tool was a questionnaire handed in personally.Results. Among respondents, 78% declared that their current health condition was much better than before the transplant, 85% of the examined patients assessed their current health as good or very good, and 40% of patients said that the necessity of using immunosuppressive drugs negatively affected their everyday lives. As many as 48% of patients attested to a significant loosening of contacts with extended family and friends, and not undertaking professional work.
Conclusions.Most patients after heart transplantation changed their lifestyle, but not sufficiently enough, especially when we consider following the rules of healthy eating and practicing sports regularly on a daily basis. In patients after heart transplantation, apart from physical rehabilitation, improvement in the reconstruction of social relations would be highly recommended as well, because of the low percentage of the surveyed patients returning to their
“…In our own research, 60% of respondents stated that immunosuppressive treatment had no effect on their life functions, mentioning at the same time such ailments as mood changes and attention deficit disorders, together with obesity and diabetes, and deterioration of vision, which may be connected with immunosuppressive therapy. In a publication from 2012, more than half of the patients complained about being overweight and hypertension, while claiming earlier that immunosuppressive drugs did not affect their daily functioning [22].…”
Background. Heart transplantation is a complex surgical procedure for the treatment of endstage heart failure, performed only in six Cardiac Surgery Clinics in Poland. After a heart transplantation, the patient requires specialist therapy and care, together with a change of lifestyle. The aim of the study was to analyze adherence to therapeutic recommendations, together with an assessment of the social activity of patients after myocardial transplantation.
Material and methods.The study included 50 patients (27♂, 23♀) who had undergone heart transplantation. The research method was a diagnostic survey, and the research tool was a questionnaire handed in personally.Results. Among respondents, 78% declared that their current health condition was much better than before the transplant, 85% of the examined patients assessed their current health as good or very good, and 40% of patients said that the necessity of using immunosuppressive drugs negatively affected their everyday lives. As many as 48% of patients attested to a significant loosening of contacts with extended family and friends, and not undertaking professional work.
Conclusions.Most patients after heart transplantation changed their lifestyle, but not sufficiently enough, especially when we consider following the rules of healthy eating and practicing sports regularly on a daily basis. In patients after heart transplantation, apart from physical rehabilitation, improvement in the reconstruction of social relations would be highly recommended as well, because of the low percentage of the surveyed patients returning to their
“…According to this author, chronic pain is physically and mentally debilitating and as such, it affects the individual's potential for self-care and the performance of daily living activities necessary for personal and economic independence [24]. Cepuch et al identified some factors that determine the emotional disorders (anxiety, depression, or aggression) in patients with cystic fibrosis: pain, female gender, quality of sleep, and body weight [25].…”
Introduction: Hospitalisation affects patients' well-being. Surgery intensifies negative feelings because of risk of postoperative complications, fear of anaesthesia, and pain associated with surgery. Aim of the research: To analyse the impact of selected determinants (physical activity, self-dependence, and perceived pain) on the mood and well-being of patients treated with surgery. Material and methods: The study included 121 patients who had undergone a laparoscopic surgical operation (80 cholecystectomies and 41 appendectomies). The State-Trait Anxiety Inventory (STAI) and the Functional Assessment of Chronic Illness Therapy (FACIT) were applied. Results: Physically active patients presented with significantly better well-being (p = 0.015) and better emotional reaction to a disease (p = 0.017) than those who declared lack of physical activity. The ability to move independently significantly increased the patient's mood (p = 0.030) and the level of emotional reaction to a disease (p < 0.0005). The presence of pain negatively affected the patient's mood (p = 0.032). Patients presented reduced mood and increased level of anxiety. Conclusions: The presence of symptoms associated with surgery, such as pain and decreased physical fitness, negatively affect mood, well-being, and emotional reaction to a disease in patients treated with surgery. A greater degree of self-dependence increases patients' mood, well-being, and emotional reaction to disease. Streszczenie Wprowadzenie: Pobyt w szpitalu zazwyczaj wpływa na samopoczucie pacjentów. Leczenie chirurgiczne nasila negatywne odczucia wynikające z ryzyka wystąpienia powikłań pooperacyjnych, lęku przed znieczuleniem i bólem pooperacyjnym. Cel pracy: Analiza wpływu wybranych czynników (aktywność fizyczna, samodzielność i odczuwany ból) na nastrój oraz samopoczucie pacjentów leczonych chirurgicznie. Materiał i metody: Do badania włączono 121 pacjentów poddanych leczeniu chirurgicznemu z dostępu laparoskopowego (80 cholecystektomii oraz 41 appendektomii) na Oddziale Chirurgii Ogólnej i Onkologicznej w Uniwersyteckim Szpitalu Klinicznym we Wrocławiu. Pacjenci udzielili odpowiedzi na pytania kwestionariusza autorskiego oraz na pytania standaryzowanych kwestionariuszy: the State-Trait Anxiety Inventory (STAI) oraz the Functional Assessment of Chronic Illness Therapy (FACIT). W celu porównania zmiennych zastosowano tablice kontyngencji oraz test c 2. Zależności oceniano za pomocą współczynnika korelacji rangowej Spearmana. Wyniki: Pacjenci aktywni fizycznie mieli znamiennie lepsze samopoczucie (p = 0,015) i lepsze reakcje emocjonalne na chorobę (p = 0,017). Zdolność samodzielnego poruszania się znamiennie poprawia nastrój (p = 0,030) oraz reakcję emocjonalną na chorobę (p < 0,0005). Ból pooperacyjny obniża nastrój (p = 0,032). U chorych po leczeniu chirurgicznym stwierdzono obniżenie nastroju i zwiększenie natężenia lęku.
“…Most reports suggest that the prevalence rates of insomnia are 5% to 15% [2–5] . Insomnia is a chronic problemand has been associated with erectile dysfunction, [6] burning mouth syndrome, [7] depression, [8] anxiety, [9] and functional gastrointestinal disorders [10] . There are many ways to treat or relieve insomnia, including the “guided fantasy” technique, [11] operation of a homeostatic sleep switch, [12] and cognitive behavioral treatments [13] .…”
Background: Acupuncture may be a clinically effective treatment for insomnia. We will perform a multicenter, large-scale, singleblinded, randomized controlled trial to compare the differences in the clinical efficacy between the use of singleacupoints and compatibilityacupoints in the treatment of primary insomnia.Methods/Design: A total of 333 participants will be randomly assigned to 2 acupoint treatment groups or 1 nonacupoint control group in a 1:1:1 ratio by a central stochastic system. The acupuncture groups are: the single acupoint group: Shenmen (HT7); and he compatibility acupoint group: Shenmen (HT7), Baihui (DU20), and Sanyinjiao (SP6). The observation period of this trial will be 10 weeks. All patients will be followed for 1 week before randomization (baseline phase). After randomization, the patients will receive 30 minutes of electro-acupuncture once per day for 5 weeks. In the fourth week after the treatment, follow-up will be performed once. The primary outcome will be the Pittsburgh sleep quality index score at 1 week before randomization and 2 and 8 weeks after randomization. The secondary outcomes will include data from sleep diaries, Athens insomnia scale scores, ShortForm-36 Health Survey scores, electroencephalogram technology results and polysomnogram) results. Patients will be required to complete a sleep diary every day during the treatment period. Patients will also undergo electroencephalogram technology and polysomnogram 1 week before randomization and 5 weeks after randomization. The other secondary outcomes will be measured 1 week before randomization and 5 and 9 weeks after randomization.Discussion: This trial will be helpful in identifying whether acupuncture at compatibility acupoints is more effective than acupuncture at single acupoints.
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