{"title":"A Comparison of Individual Change using Item Response Theory and Sum Scoring on the Patient Health Questionnaire-9: Implications for Measurement-Based Care","authors":"Jones Smw","doi":"10.26420/ANNDEPRESSANXIETY.1098.2019","DOIUrl":"https://doi.org/10.26420/ANNDEPRESSANXIETY.1098.2019","url":null,"abstract":"We examined change over time in depression with standard sum vs. Item Response Theory (IRT) scoring. Patient Health Questionnaire 9 item responses were extracted from the electronic health records of 5,405 people receiving depression treatment at the start of treatment and 30 to 180 days later. We used four methods to classify change: the Reliable Change Index (RCI), the 5-point change and 50% change from baseline for sum scores and the z-test for IRT scoring. The 5-point change and 50% change from baseline are both Health Effectiveness Data and Information Set measures. The z-test mostly agreed with the RCI, 5-point change or 50% change. More people had change using 5-point change or 50% change but not IRT scoring than no change using 5-point or 50% change but change using IRT scoring. Kappas between changes on IRT and sum scores ranged from 0.620 to 0.813. This difference in agreement is likely meaningful at the individual, patient level. People classified differently between IRT and sum scoring had moderate symptom change. Differences in conclusions from IRT and sum scoring may be most relevant in challenging clinical situations such as small or moderate symptom change.","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79349700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Kessler Psychological Distress Scale (K6) as a Screening Instrument: a Study of Iranian University Students","authors":"Momeni Safarabad N","doi":"10.26420/anndepressanxiety.1097.2018","DOIUrl":"https://doi.org/10.26420/anndepressanxiety.1097.2018","url":null,"abstract":"The Kessler Psychological Distress Scale (K6) provides a brief diagnostic measure for psychological distress. The aim of the present study was to study the validity and usefulness of the K6 as a screening instrument for psychiatric problems in a non-clinical sample of Iranian university students. A convenience sample of 157 Iranian volunteer students was selected from the Medical School in the Iran University of Medical Sciences. The students completed the K6 Scale and the Symptom Checklist 90 Revised (SCL-90-R). The mean score for the K6 was 9.39 (SD=5.48). Cronbach’s α was 0.87. K6 scores correlated 0.62 with the SCL-90-R Anxiety score (ANX), and 0.77 with the Depression score (DEP). K6 items loaded on a single factor labeled: Psychological Distress. The K6, therefore, had adequate psychometric properties and appears to be useful for screening non-clinical samples for the presence of psychiatric problems.","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73161608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suicide Prevention by Agency, Not an Easy Task","authors":"John E. Berg","doi":"10.26420/anndepressanxiety.1096.2019","DOIUrl":"https://doi.org/10.26420/anndepressanxiety.1096.2019","url":null,"abstract":"","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"54 34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82251521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measurements of Electroencephalogram (EEG), Galvanic Skin Resistance (GSR) and Heart Rate Variability (HRV) during the Application of a System that Gives Simultaneously tVNS and Brain Entrainment on Subjects Affected by Depression and Anxiety","authors":"C. E","doi":"10.26420/anndepressanxiety.1095.2019","DOIUrl":"https://doi.org/10.26420/anndepressanxiety.1095.2019","url":null,"abstract":"","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78042961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anxiolytic and Explorative Potentials of the Methanol Leaf Extract of Vernonia Amygdalina in Male Wistar Rats","authors":"L. Adedayo","doi":"10.26420/ANNDEPRESSANXIETY.1094.2019","DOIUrl":"https://doi.org/10.26420/ANNDEPRESSANXIETY.1094.2019","url":null,"abstract":"Anxiety is an unpleasant state of inner turmoil which causes nervous behavior like fear, apprehension and worries. Vernonia amygdalina commonly called bitter leaf, belongs to the family Astaraceae, and has been reported to be used locally in the management of psychiatric disorders. However, no work has been reported on pharmacological potentials of Vernonia amygdalina on anxiety in male rats. This study was therefore designed to investigate the effect of Vernonia amygdalina (VA) on anxiety status in male rats. The air-dried leaves of Vernonia amygdalina (VA) pulverized and macerated in methanol for 72 hours. The methanol was filtered with cotton wool and filter paper and concentrated using rotary evaporator at 40oC and further concentrated in a vacuum oven at temperature of 40oC and pressure of 600mmHg. The anxiolytic-like effect of VA was investigated using the Open Field Test (OPF), Hole-board apparatus and Y-maze apparatus. The results obtained were expressed as mean ± S.E.M. Data were analyzed using Oneway Analysis of Variance (ANOVA), followed by Newman– Keuls’ multiple comparisons test P<0.05. Vernonia amygdalina showed anxiolytic-like effect in rat, 50 mg/kg were significantly different from control in open field test, hole board test. In conclusion, this study has shown that methanol extract Vernonia amygdalina possess anxiolytic-like effects in male rats.","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"240 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80459295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of Heart Rate variability (HRV) in Frequency Domain and Recurrence Quantification Analysis during the Treatment by Transcutaneous Vagus Nerve Stimulation","authors":"C. E","doi":"10.26420/anndepressanxiety.2018.1093","DOIUrl":"https://doi.org/10.26420/anndepressanxiety.2018.1093","url":null,"abstract":"The aim of the present work has a methodological profile. It aims to analyze the HRV during thirty minutes transcutaneous Vagus Nerve Stimulation tVNS treatment. We used the linear methodology of the Fast Fourier Transform and an analysis of the variability of the R-R signal in frequency domain under such conditions of stimulation. As specialized method of analysis we used also the Recurrence Quantification Analysis (RQA). The importance to use a combination of such linear and non linear methodologies was to give results of physiological interest that is to say to ascertain, as well as possible, the influence of such tVNS treatment on HRV. We examined 50 young subjects in normal health conditions and 50 young subjects with Autonomic Nervous Dysfunction (ANS) as well as it is evidenced by HRV. The experiments were arranged in three phases, recording the data before, during, and after a 30-minute treatment. The analysis of the data was performed in the frequency domain evaluating the VLF, the LF, and the HF and the variability of the tachogram according to the 1996 Task Force Standards of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. In addition the Recurrence Quantification Analysis (RQA) was used. The indication arising from such methodological study is that the unbalanced initial ANS dysfunction of the examined subjects, as mirrored from the HRV analysis, compensates and balances with also a prevailing tendency to parasympathetic HRV modulation during the tVNS treatment.","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73616082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cognitive-Behavioral Care of an Old Patient","authors":"Palazzolo J","doi":"10.26420/anndepressanxiety.2018.1092","DOIUrl":"https://doi.org/10.26420/anndepressanxiety.2018.1092","url":null,"abstract":"","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81486260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Parra Alain, Rossi Roxanne, Vaillant Ciszewicz Anne Julie
{"title":"Hypnosis and Neuro-degenerative Pathology, Towards a Reassurance of the Anxious Symptomatology","authors":"Parra Alain, Rossi Roxanne, Vaillant Ciszewicz Anne Julie","doi":"10.26420/anndepressanxiety.2015.1060","DOIUrl":"https://doi.org/10.26420/anndepressanxiety.2015.1060","url":null,"abstract":"We wish, through this article to underline the therapeutic effects obtained thanks to hypnotic practices with institutionalized elderly reached (affected) by the Alzheimer’s disease. The hypnosis is effective on the behavior disorders associated to the insane pathology. She indeed allows to reduce the anxiety and the depressive character of the patient thanks to protocols which the clinician will have known suited and to adapt to the subjectivity of the subject.","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83104593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M C Tompson, E E O Connor, G N Kemp, D A Langer, J R Asarnow
{"title":"Depression in Childhood and Early Adolescence: Parental Expressed Emotion and Family Functioning.","authors":"M C Tompson, E E O Connor, G N Kemp, D A Langer, J R Asarnow","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Across development depression is associated with impairments in interpersonal and family functioning. In turn, these impairments may predict a more negative depression course and outcome. This study examined family functioning and parental Expressed Emotion (EE) among depressed youth during middle childhood and early adolescence and their relationship to demographic and clinical factors. Data were drawn from pretreatment evaluations of 132 depressed youth ages 7-14 and their families enrolled in a randomized clinical trial comparing family to individual treatment for youth depressive disorders. Families completed semi-structured diagnostic interviews, self-report measures of family functioning, and the <i>Five Minute Speech Sample</i> EE measure. High parental EE was more common in one-parent, as opposed to two-parent families, and early adolescent youth were more likely than pre-adolescent youth to have high critical EE parents. Severity and chronicity of child depression, child comorbidity, functional impairment, and maternal depressive symptoms were not associated with parental EE. Parental high EE overall and critical EE in particular were associated with reports of higher conflict and lower cohesion by both parents and children when compared to low parental EE. Similar patterns of associations were evident for youth across pre-adolescent and early adolescent developmental periods. Single parent status may be an indicator of greater family stress; and higher levels of critical EE may reflect the higher levels of parent-child conflict characteristic of the transition from late childhood to early adolescence. Among youth with depression parental EE appears to reflect potentially important impairments in family functioning.</p>","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"2 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917222/pdf/nihms766898.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34613413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David E Vance, Shameka C Humphrey, William C Nicholson, Rita Jablonski-Jaudon
{"title":"Can Speed of Processing Training Ameliorate Depressive Symptomatology in Adults with HIV?","authors":"David E Vance, Shameka C Humphrey, William C Nicholson, Rita Jablonski-Jaudon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite advances in combination Antiretroviral Therapy (cART), adults with HIV continue to experience cognitive impairments. In addition to these cognitive impairments, research suggests as many as 40% and 20% of adults with HIV are diagnosed with depression and anxiety, respectively. The impact of these cognitive and emotional deficits increases caregiver burden, impairs occupational and driving performance, contributes to poor emotional processing, increases cognitive complaints, and reduces quality of life. Fortunately, cognitive remediation therapy improves targeted cognitive abilities along with general cognitive processes. Speed of processing training, a type of cognitive remediation therapy, has been shown to improve cognitive performance on measures of visual attention, speed of processing, and timed-task performances. Furthermore, studies suggest that speed of processing training could also enhance neuromodulatory systems which have direct implications for improving mood functions (depression and anxiety). The benefits of the improvement in these cognitive and emotional systems are a decrease or slowing in cognitive decline along with the potential to protect against clinically significant depressive symptoms. Studies support the need for deeper investigation into the short-term and long-term benefits of speed of processing training as a behavioral adjunct for the pharmacologically-burdened HIV population.</p>","PeriodicalId":8256,"journal":{"name":"Annals of Depression and Anxiety","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533932/pdf/nihms673240.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33925826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}