Relationship between depression, anxiety, stress, and SARS-CoV-2 infection: a longitudinal study

Leave a Comment / Anxiety and COVID-19, Anxiety News, Anxiety Research, Depression Research, Fear Research /

ObjectivesWe aimed to (1) describe the course of the emotional burden (i.e., depression, anxiety, and stress) in a general population sample during the coronavirus pandemic in 2020 and 2021 and (2) explore the association between emotional burden and a serologically proven infection with SARS-CoV-2.Study designThis longitudinal study involved a sample of community-dwelling persons aged ≥14 years from the general population of South Tyrol (Province of Bolzano-Bozen, Northern Italy). Data were collected at two stages over a 1-year period in 2020 and 2021.MethodsPersons were invited to participate in a survey on socio-demographic, health-related and psychosocial variables (e.g., age, chronic diseases, Depression Anxiety Stress Scale, DASS-21), as well as in the serological testing for of SARS-CoV-2-specific immunoglobulins.ResultsIn 2020, 855 (23.8%) out of 3,600 persons participated; in 2021, 305 (35.7%) out of 855 were tested again. We observed a statistically significant decrease in mean DASS-21 scores for depression, stress, and total scores between 2020 and 2021, yet not for anxiety. Persons with a confirmed SARS-CoV-2-infection between the first and second data collection exhibited increased emotional burden compared to those without SARS-CoV-2-infection. The odds of participants with a self-reported diagnosis of mental disorder for future infection with SARS-CoV-2 was almost four times higher than that of participants without mental disorders (OR:3.75; 95%CI:1.79-7.83).ConclusionOur findings support to the hypothesis of a psycho-neuroendocrine-immune interplay in COVID-19. Further research is necessary to explore the mechanisms underlying the interplay between mental health and SARS-CoV-2 infections.

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Angst bewältigen: Früchte des Muts – SPIEGEL Coaching Podcast

Leave a Comment / Angst in den Nachrichten, Angst und Angsterkrankung, Angstbewältigung, Anxiety News, Anxiety Treatment, Fear News, Fear Treatment, News /

Angst hindert Menschen oft daran, Dinge zu tun, die ihnen wichtig sind und die sie mögen. Mit einer Checkliste finden Sie die nötige Motivation, Situationen trotz Angst zu meistern.

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The hell of somniphobia: ‘On a bad night I get zero to two hours’ sleep’

Leave a Comment / Anxiety and Sleep, Anxiety and Sleep / Insomnia, Anxiety News, News, Stress News /

The fear of falling asleep can have many causes, from trauma to sleep apnea, and the effects are debilitating. But there are effective treatmentsWhen Elizabeth Johnson tries to fall asleep, anxiety often takes over. After going to bed, she starts to relax, but feels as though she is losing control. “Instead of continuing,” she says, “I get a sense of panic, a shot of adrenaline and I’m fully awake again.” She is describing what it is like to have somniphobia – the fear of falling asleep. “Then I have to do the whole process of trying to sleep again, or give up for the night.”Johnson, 38, from Kansas, has had trouble sleeping and staying asleep since she was seven. It started out as insomnia and a fear of not sleeping, progressing by 12 to a fear of sleep itself. As a young child, she recalls, it was a case of, “When you get to a place where you can mentally fall asleep, you’re scared that it’s not going to happen this time. Or you’re scared that you’re going to have nightmares. And then, later, there was another layer of being afraid to fall asleep: because you’re no longer aware of what’s going on, so you’re not safe.” Continue reading…

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Condition openness is associated with better mental health in individuals with an intersex/differences of sex development condition: structural equation modeling of European multicenter data

Leave a Comment / Anxiety Research, Anxiety Resources, Anxiety Treatment, Communication Research, Depression Research, News, Psychiatry Research, Psychotherapy Research, Social Anxiety Research /

Background
Openness on one’s health condition or (stigmatized) identity generally improves mental health. Intersex or differences of sex development (DSD) conditions have long been kept concealed and high levels of (internalizing) mental health problems are reported. This study examines the effects of condition openness on anxiety and depression and the role of mediating concepts in this population.

Methods
Cross-sectional data of individuals of 16 years and older with an intersex/DSD condition was collected in 14 specialized European clinics as part of the dsd-LIFE study. Patient-reported measures were taken on openness and shame (Coping with DSD), self-esteem (Rosenberg Self-Esteem Scale), satisfaction with care (CSQ4), anxiety and depression (HADS). Scores were compared per clinical group and data were analyzed via structural equation modeling (SEM) to calculate prediction and mediation models.

Results
Data of 903 individuals were included in this study (Turner syndrome (n = 284), 46, XY DSD (n = 233), CAH (n = 206) and Klinefelter syndrome (n = 180)). Participants were moderately open on their condition. High levels of both anxiety and depression were observed across the sample. In SEM analysis, the tested models predicted 25% of openness, 31% of anxiety and 48% of depression. More condition openness directly predicted lower anxiety and depression symptoms, as well as indirectly through increased self-esteem, self-satisfaction and satisfaction with social support.

Conclusions
Condition openness is associated with lower anxiety and depression in individuals with an intersex/DSD condition. Healthcare may provide the necessary knowledge and skills to employ one’s optimal level of self-disclosure in order to improve mental health.

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Brief self-affirmation intervention for adults with psoriasis for reducing anxiety and depression and boosting well-being: Evidence from a randomized controlled trial

Leave a Comment / Anxiety News, Anxiety Research, Anxiety Treatment, Depression Research, Psychotherapy Research, Psychotherapy Research, Psychotherapy Research, Social Anxiety Research, Somatic Illnesses and Anxiety /

Background
There are relatively few studies to address mental health implications of self-affirming, especially across groups experiencing a chronic health condition. In this study, short- and longer-term effects of a brief self-affirmation intervention framed in terms of implementation intentions (if-then plans with self-affirming cognitions; S-AII) were evaluated against an active control group (non-affirming implementation intentions; N-AII), matched to the target condition, and mere goal intention condition (a non-active control) in adults with psoriasis. The three pre-registered primary outcomes captured depression, anxiety, and well-being.

Methods
Adults with psoriasis (N = 175; Mage = 36.53, s.d. = 11.52) were randomized into S-AII, N-AII, or control. Participants’ mental health outcomes were assessed prior to randomization (at baseline), at week 2 (post-intervention), and at a 1-month follow-up.

Results
Linear mixed models were used and results were reported on the intention-to-treat principle. Analyses revealed that S-AII exerted significantly more improvement in the course of well-being (ds > 0.25), depressive symptoms (ds > −0.40), and anxiety (ds > −0.45) than the N-AII and control group at 2-week post-intervention. Though the differences between groups faded at 1-month follow-up, the within-group changes over time for S-AII in all mental health outcomes remained significant.

Conclusions
Brief and low-intensity S-AII intervention exerted in the short-term a considerable impact on mental health outcomes. The S-AII shows promising results as a relevant public mental health strategy for enhancing well-being and reducing psychological distress. Future studies could consider whether these effects can be further enhanced with booster interventions.

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