Anxiety News

Caregiving burden, depression, and anxiety among family caregivers of patients with cancer: An investigation of patient and caregiver factors

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BackgroundCaring for patients with cancer can result in significant burden, anxiety, and depression among family caregivers, leading to alterations in their mental and physical wellbeing. Evidence on the level of cancer caregivers’ burden, depression, anxiety, their role in assisting their patients, and other patient and caregiver factors that play in improving/worsening the outcomes, is limited. This study explored the prevalence of caregiving burden, depression, and anxiety with a focus on the patient and caregiver-related factors among cancer family caregivers.MethodsA cross-sectional study was conducted on the population of caregivers of adult patients with cancer in Zanjan, Iran between 2019 and 2020. The Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the Zarit Burden Inventory (ZBI) were used to measure outcome variables. Clinical and basic characteristics of the caregivers and patients were also collected. An independent samples t-test, analysis of variance, Pearson’s correlation coefficient, and stepwise linear regression were performed using SPSS software version 26.ResultsMean ± standard deviation age of the caregivers (167 men and 133 women) was 40.77 ± 12.56. Of the caregivers, 46.3, 53, and 30.7% showed severe depression, anxiety, and burden, respectively. There was a significant positive correlation between ZBI with both BDI [r(298) = 0.19, p < 0.01] and BAI [r(298) = 0.20, p < 0.01]. Caregiving ≥24 months (B = 14.36, p < 0.001), outpatient care setting (B = −12.90, p < 0.001), being retired (B = −12.90, p < 0.001), depression (B = 0.28, p < 0.001), supplemental health insurance (B = −7.79, p < 0.001), being illiterate (B = 7.77, p < 0.01), surgery (B = 8.55, p < 0.01), ECOG1 (B = 4.88, p < 0.01), and patient's age (B = 0.11, p < 0.05) were found to be significant predictors of caregiving burden.ConclusionHigh levels of depression, anxiety, and burden were observed among the caregivers of patients with cancer. These findings underline the importance of paying close attention to the needs and psychological challenges of this population.

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The impact of adolescent achievement goal orientation on learning anxiety: The mediation effect of peer interaction

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Learning anxiety is one of the most critical emotional disturbances, which also has a high incidence rate in adolescents. Peer interaction is critical and unique for adolescents. Although previous studies have found that achievement goal orientation has an important role in the development of learning anxiety, its mechanism has not been clarified. This study surveyed 470 adolescents (191 middle school students and 279 high school students; 211 boys) and established a structural equation model to explore the mediating role of peer interaction in the influence of achievement goal orientation on learning anxiety. Results showed that (1) there were significant gender differences in mastery-avoidance goal orientation, peer interaction, and learning anxiety, and there were grade differences in performance-approach goal and performance-avoidance goal orientations; (2) mastery-approach, mastery-avoidance, and performance-avoidance goal orientations directly predicted learning anxiety; and (3) social anxiety in peer interactions had a mediating effect on the influence of mastery-approach, mastery-avoidance, and performance-avoidance goal orientations on learning anxiety. The findings extend theoretical considerations by teasing out the process of peer interaction affecting the relationship between achievement goal orientation and learning anxiety. Additionally, the results have practical implications for the effective use of peer interaction to reduce learning anxiety.

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Bodies of People With Mental Illness Are Biologically Older Than Their Actual Age

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People with a long-term history of mental illness, including bipolar disorder and anxiety disorders, have blood biomarkers that reflect increased biological aging. The findings may help explain why those with mental health disorders tend to have shorter life spans and are more prone to age-related diseases than the general population.

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Is it really that important to you? How the topics of conflict and emotional reactions to conflicts explain the associations between attachment insecurities and relationship satisfaction

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Journal of Marital and Family Therapy, Volume 49, Issue 1, Page 260-279, January 2023.

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Klimawandel und psychische Gesundheit. Positionspapier einer Task-Force der DGPPN

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Zusammenfassung
Der Klimawandel und die damit häufiger auftretenden Extremwetterereignisse wirken sich direkt negativ auf die psychische Gesundheit aus. Naturkatastrophen gehen insbesondere mit einem Anstieg von Depressionen, Angst- und Traumafolgestörungen einher. Indirekte Folgen des Klimawandels wie Nahrungsmittelknappheit, ökonomische Krisen, gewaltvolle Konflikte und unfreiwillige Migration stellen zusätzlich massive psychische Risiko- und Belastungsfaktoren dar. Klimaangst und Solastalgie, die Trauer um verlorenen Lebensraum, sind neue psychische Syndrome angesichts der existenziellen Bedrohung durch die Klimakrise. Eine nachhaltige Psychiatrie muss sich dementsprechend auf steigenden und veränderten Bedarf einstellen. Psychiatrische Behandlungsprinzipien müssen die Prävention stärker in den Blick nehmen, um das Versorgungssystem insgesamt zu entlasten. Ressourcenverschwendung und CO2-Ausstoß im psychiatrischen Behandlungsablauf sowie Infrastruktur müssen wahrgenommen und verhindert werden. Psychiatrische Aus‑, Fort- und Weiterbildungskonzepte sollen um die Thematik des Klimawandels erweitert werden, um Fachkräfte, Betroffene und Öffentlichkeit umfassend zu informieren, zu sensibilisieren und zu klimafreundlichem und gesundheitsförderlichem Verhalten anzuregen. Die Auswirkungen des Klimawandels auf die psychische Gesundheit müssen tiefergehend erforscht werden. Die DGPPN wird Förderer und strebt die Klimaneutralität bis 2030 an. Sie hat sich zu klimaschonenden und energiesparenden Maßnahmen im Bereich der Finanzwirtschaft, in Bezug auf den DGPPN-Kongress sowie die DGPPN-Geschäftsstelle verpflichtet.

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