Depression Treatment: Do All Individuals With Sleep Apnea Suffer From Daytime Sleepiness? a Preliminary Investigation.
Do All Individuals With Sleep Apnea Suffer From Daytime Sleepiness? A Preliminary Investigation.
Filed under: Depression Treatment
J Health Psychol. 2013 Jan 23;
Fichten CS
We derived descriptive characteristics related to habitual sleep duration and insomnia for individuals newly diagnosed with sleep apnea/hypopnea syndrome and evaluated how sleep apnea/hypopnea syndrome, insomnia, depression, and sleep duration relate to sleepiness and fatigue. In total, 100 participants were divided into three sleep groups: short (<7 hours), long (?8 hours), and midrange (7-7.9 hours). Polysomnography, insomnia, sleepiness, fatigue, depression, and gender were assessed. Half of the participants were short sleepers. They were more likely to have insomnia than midrange or long sleepers and they were more likely to be sleepy than midrange or long sleepers, regardless of insomnia. HubMed – depression
The Role of Religious and Existential Well-being in Families with Lynch Syndrome: Prevention, Family Communication, and Psychosocial Adjustment.
Filed under: Depression Treatment
J Genet Couns. 2013 Jan 25;
Morris BA, Hadley DW, Koehly LM
This study explored the role of religious (RWB) and existential well-being (EWB) on psychosocial factors, support network characteristics, and screening practices in families with Lynch syndrome, also referred to as hereditary nonpolyposis colon cancer (HNPCC). Participants were individuals with Lynch syndrome associated cancers and their first-degree relatives at risk of inheriting an identified deleterious mutation. Analyses considered both family RWB and EWB norms and individual deviations from that norm. Analyses controlled for age, gender, cancer diagnosis, number of respondents, and network size. Higher family RWB was associated with increased depressive symptoms (p?.05) and avoidant cognitions (p?.05). Higher family EWB was related to decreased depression symptoms (p?.001). Higher family EWB was associated with fecal occult blood testing (p?.01), and family communication about genetic counselling and testing (p?.01). Analyses pointed to individual effects of EWB above and beyond family-level effects. Individuals with lower EWB than their family had lower perceived risk for colorectal cancer (p?.05), communicated disease risk information to less family members (p?.05), and were less likely to undergo recent colonoscopies (p?.05). Participants with lower EWB than their family also had higher cancer worry (p?.01) and increased depressive symptoms (p?.001). Findings indicate the importance of assessing individuals within the context of their family network and being aware of family characteristics which may impact individual adjustment to disease risk. Interventions considering family-level factors may provide efficient pathways to improving psychosocial factors, screening practices, communication about disease risk and genetic testing, and cancer prevention. HubMed – depression
A predictive model for disability in patients with lumbar disc herniation.
Filed under: Depression Treatment
J Orthop Sci. 2013 Jan 24;
Chen HN, Tsai YF
BACKGROUND: Lumbar disc herniation may influence patients’ daily activities and social interactions; however, no predictive models of disability could be found for patients with lumbar disc herniation. We aimed to explore predictive factors for disability in patients with lumbar disc herniation. METHODS: The sample included 216 patients recruited from the orthopedic outpatient clinics at a medical center in northern Taiwan. Data were collected on patients’ pain, fatigue, depression, disability, and demographics. Hierarchical multiple regression analysis was used in model verification. Path analysis was used to investigate causal relationships between disability and other factors. RESULTS: In path analysis, the most influential factor affecting the disability level was the pain level (standardized regression coefficient, b = 0.746), followed by the fatigue level (b = 0.138) and depression level (b = 0.100). The depression level was directly affected by the fatigue level (b = 0.416) and the pain level (b = 0.367), the fatigue level was directly affected by the pain level (b = 0.538), and the pain level was directly affected by age (b = 0.140) and previous surgery (b = 0.260). CONCLUSIONS: We recommend that health-care providers regularly assess and treat pain and depression to reduce/prevent disability among patients with lumbar disc herniation, even among those who are apparently functioning well in the community.
HubMed – depression
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