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    Predictors of distress in cancer patients and their partners: The role of optimism in the sense of coherence construct
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    Abstract:
    The aim of this study was to clarify the associations between sense of coherence (SOC), dispositional optimism and distress (i.e., anxiety and depression) in cancer patients and their partners.The associations between SOC, dispositional optimism (Life Orientation Test-Revised, LOT-R), depression (Beck Depression Inventory-14, BDI-14) and anxiety (Endler Multidimensional Anxiety Scales, EMAS-State) were studied in 147 cancer couples. The data were collected with self-report questionnaires at the time of diagnosis (2 months) and after 6 months. Path analysis was used to analyse the predictors of follow-up distress and crossover effects in the longitudinal data.Optimistic patients and patients with strong SOC as well as their partners reported fewer symptoms of depression and anxiety than less optimistic subjects and subjects with weaker SOC. Optimism partially explained the effect of SOC on distress and SOC seemed to be an independent factor in predicting distress. Patient and partner distress at baseline and at 8-month follow-up correlated positively. In addition, high partner optimism at baseline seemed to predict low patient anxiety at follow-up.The beneficial effects of SOC seem to include also other elements beyond optimism. In clinical practice, enhancing optimistic expectations of the future and promoting SOC could be expected to reduce distress in cancer patients and their partners.
    Keywords:
    Partner effects
    Depression
    The aim of this study was to clarify the associations between sense of coherence (SOC), dispositional optimism and distress (i.e., anxiety and depression) in cancer patients and their partners.The associations between SOC, dispositional optimism (Life Orientation Test-Revised, LOT-R), depression (Beck Depression Inventory-14, BDI-14) and anxiety (Endler Multidimensional Anxiety Scales, EMAS-State) were studied in 147 cancer couples. The data were collected with self-report questionnaires at the time of diagnosis (2 months) and after 6 months. Path analysis was used to analyse the predictors of follow-up distress and crossover effects in the longitudinal data.Optimistic patients and patients with strong SOC as well as their partners reported fewer symptoms of depression and anxiety than less optimistic subjects and subjects with weaker SOC. Optimism partially explained the effect of SOC on distress and SOC seemed to be an independent factor in predicting distress. Patient and partner distress at baseline and at 8-month follow-up correlated positively. In addition, high partner optimism at baseline seemed to predict low patient anxiety at follow-up.The beneficial effects of SOC seem to include also other elements beyond optimism. In clinical practice, enhancing optimistic expectations of the future and promoting SOC could be expected to reduce distress in cancer patients and their partners.
    Partner effects
    Depression
    Our systematic review aimed to establish what is known about low self-esteem and anxiety/depression in young people (<18s). We wanted to find out whether young people with clinically significant anxiety disorders and/or depression also have low self-esteem as measured on validated questionnaires. We also wanted to know whether young people with low self-esteem as measured on a validated questionnaire develop depression and anxiety symptomology later in adolescence and young adulthood.
    Depression
    Citations (0)
    Failure in dealing with anxiety-provoking situations and stressors in the school setting may have negative consequences not only on children’s performance, but also on their well-being in the future. This research aimed to examine the relationship of forms of anxiety (anticipatory anxiety, school-based performance anxiety, and generalized anxiety) with sources (teacher interactions, academic stress, peer interactions, and academic self-concept) and manifestations (emotional, behavioral, and physiological) of school-based distress. Specifically, our objectives were to examine the correlations between anxiety and school-based distress and, using a person-centered approach, to verify whether different anxiety profiles differed in their levels of distress. The Visual Analogue Scale for Anxiety-Revised (VAA-R) and the School Situation Survey (SSS) were administered to 756 Spanish students (Mage = 9.6, SD = 1.12); 50.3% were girls. Pearson’s correlation coefficients revealed a positive and significant association between each form of anxiety and each source and manifestation of distress. The latent profile analysis identified three anxiety profiles: High Anxiety, High School-based performance Anxiety, and Low Anxiety. The High Anxiety profile scored significantly higher in all sources and manifestations of distress than the Low Anxiety profile. The High Anxiety profile showed significantly higher scores in peer interactions and emotional and behavioral manifestations of distress than the group High School-based performance Anxiety. Suggestions for intervention strategies according to the risk profile are discussed.
    Stressor
    Association (psychology)
    Citations (12)
    Objective: To investigate the influence of gender, dispositional optimism, and coping strategies on appearance-related distress among individuals with unilateral cleft lip and palate (UCLP). Design: Cross-sectional design with self-report questionnaires analyzed primarily with Spearman correlations ( r s ) and multivariate regression analyses. Setting: A tertiary cleft center in Sweden. Participants: Eighty individuals with UCLP born 1966 to 1986. The mean age for men (n = 50) and women (n = 30) was 38.8 and 37.4 years, respectively. Main Outcome Measures: The Derriford Appearance Scale 24 measured appearance-related distress, the Life Orientation Test–Revised, short version measured dispositional optimism and pessimism, and the Coping Orientation to Problems Experienced, short version included 14 coping strategies. Results: Women had higher appearance-related distress than men, which was significantly ( P < .05) related to self-blame ( r s = 0.59), pessimism ( r s = 0.59), and low optimism ( r s = −0.56). Men’s appearance-related distress was significantly associated with low active coping ( r s = 0.35), low use of emotional support ( r s = 0.29), denial ( r s = 0.39), behavioral disengagement ( r s = 0.41), and pessimism ( r s = 0.28). The only significant gender interaction reflected greater impact of optimism in reducing appearance-related distress for women (β = −0.06). Conclusions: This study showed that high levels of dispositional optimism decrease appearance-related distress, particularly for women. The coping strategies used differed between men and women, and the results suggest that both gender and psychosocial facto r s need to be considered in regard to appearance-related distress among individuals with UCLP in both clinical and research settings. A possible way to decrease distress is to strengthen positive coping strategies and dispositional optimism.
    Disengagement theory
    Pessimism
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    The present study intended to find out the associated variables of depression and anxiety symptoms for young adults confronted with an academic stress. Ninety-two graduate students, who were actively involved in preparing their thesis, participated in this study. Two regression analyses were conducted to see different variables associated with depression and anxiety symptoms separately. Consistent with the expectations, depression and anxiety had overlapping predictors, such as negative automatic thoughts and hopelessness. However, adequacy of problem-solving abilities seemed to be associated with anxiety symptoms. Findings were discussed in the light of relevant literature.
    Depression
    Graduate students
    Citations (36)
    Dear editors We thank Drs Webb and Bryon for their comments1 on our TIDES paper.2 We are responding to their critiques of our study. Beyond clarifying the ‘devilish details’ they highlighted, we want to emphasise the clinical significance of our results2—a substantial proportion of our patients reported elevated symptoms of depression (17%) and anxiety (29%) across nine countries. Higher rates were reported by parents: depression (37.3% of mothers, 31.3% of fathers) and anxiety (47.8% of mothers, 35.2% of fathers). Although the ‘absolute’ number of individuals who have depression or anxiety is difficult to ascertain with any screening tool, it is clear that psychological distress is common and has been associated with worse: self-management, pulmonary function, quality of life, and increased hospitalisations and healthcare costs.3 ,4 We can no longer minimise the extent of the problem and its impact on the health of individuals with CF. Our response to the ‘details’: First, 6088 participants completed the depression and anxiety screening, with a small …
    The purpose of this paper is to find out the level of depression, anxiety and stress of students judging by gender and age. The method used is a survey with a quantitative approach. The subjects in the study were 169 students. Data retrieval is done by spreading depression, anxiety, stress scale 42 (DASS 42) questionnaires through online applications. The results in this study are that at the age of 20, many students have depression, anxiety and stress in the normal category and there is also a very heavy category. There was no significant difference between levels of depression, anxiety and stress with age as well as gender. Male and female experience very heavy categories on depression and anxiety.
    Depression
    DASS
    Citations (0)
    Objective To understand anxiety and depression status among female college students, to explore the relationship between anxiety, depression and personality and to provide reference for the intervention. Methods A total of 1334 female college students were anonymously investigated by using SAS, CES-D and EPQ. Results The prevalence rates of anxiety and depression was 6.4% and 22.7% respectively, and the rate of combined anxiety and depression was 5.5%. Among the students coming from the normal universities or the science and technology universities, N scores, P scores and E scores were associated with anxiety; poor school achievements, low education level of mother, N scores, P scores and E scores were associated with depression. Conclusion Anxiety and depression syndromes are common among female college students. Preventive intervention should focus on the related risk factors to promote their mental health.
    Depression
    Citations (0)
    This paper analyzes the condition of undergraduates' daily stress,as well as the level of depression and anxiety.The authors are exploring the relations among daily stress,depression,and anxiety,and caring for whether undergraduates' depression can be predicted through daily stress,and which standards can help us.Hereby it aims at arousing more concerns for students' daily stress,depression,and anxiety,and then taking proper measures to help students dispel their worryied and depressed emotions.
    Depression
    Citations (0)