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Greenaway AM, Hwang F, Nasuto S, Ho AK. Rumination in dementia and its relationship with depression, anxiety, and attentional biases. NEUROPSYCHOLOGY, DEVELOPMENT, AND COGNITION. SECTION B, AGING, NEUROPSYCHOLOGY AND COGNITION 2024:1-27. [PMID: 38461459 DOI: 10.1080/13825585.2024.2327679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 02/29/2024] [Indexed: 03/12/2024]
Abstract
Rumination (self-referential and repetitive thinking), attentional biases (AB), and impaired cognitive control are theorized as being integral factors in depression and anxiety. Yet, research examining the relationship between rumination, mood, and AB for populations with reduced cognitive control, e.g., people living with dementia (PwD), is lacking. To explore whether literature-based relationships are demonstrated in dementia, PwD (n = 64) and healthy controls (HC) (n = 75) completed an online self-report survey measuring rumination and mood (twice), and a telephone cognitive status interview (once). Rumination was measured as an emotion-regulation style, thinking style, and response to depression. We examined the test-retest reliability of PwD's (n = 50) ruminative-scale responses, ruminative-scale internal consistency, and correlations between rumination, age, cognitive ability, and mood scores. Also, nine participants (PwD = 6, HC = 3) completed an AB measure via eye-tracking. Participants fixated on a cross, naturally viewed pairs of facial images conveying sad, angry, happy, and neutral emotions, and then fixated on a dot. Exploratory analyses of emotional-face dwell-times versus rumination and mood scores were conducted. Except for the HC group's reflective response to depression measure, rumination measures were reliable, and correlation strengths between rumination and mood scores (.29 to .79) were in line with literature for both groups. For the AB measure subgroup, ruminative thinking style scores and angry-face metrics were negatively correlated. The results of this study show that literature-based relationships between rumination, depression, and anxiety are demonstrated in dementia, but the relationship between rumination and AB requires further investigation.
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Affiliation(s)
- Anne-Marie Greenaway
- Biomedical Engineering, School of Biological Sciences, University of Reading, Berkshire, UK
- School of Psychology and Clinical Language Sciences, University of Reading, Berkshire, UK
| | - Faustina Hwang
- Biomedical Engineering, School of Biological Sciences, University of Reading, Berkshire, UK
| | - Slawomir Nasuto
- Biomedical Engineering, School of Biological Sciences, University of Reading, Berkshire, UK
| | - Aileen K Ho
- School of Psychology and Clinical Language Sciences, University of Reading, Berkshire, UK
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Dai H, Sun C, Chen J, Zhou X, Li H, Martin P, Zhang Q. The mediating effect of eHealth literacy on the relationship between health personality and quality of life in community-dwelling older adults. Geriatr Nurs 2024; 56:237-243. [PMID: 38382173 DOI: 10.1016/j.gerinurse.2024.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 01/08/2024] [Accepted: 02/01/2024] [Indexed: 02/23/2024]
Abstract
AIMS To explore the relationship between health personality and quality of life among community-dwelling older adults and to examine the mediating effect of eHealth literacy on this relationship. METHODS A total of 413 community-dwelling older adults from central China were recruited from September 2022 to January 2023. A cross-sectional investigation was conducted using the Chinese versions of the Health Personality Assessment (HPA), eHealth Literacy Scale (eHEALS), and 12-item Short Form Health Survey (SF-12). Correlations between the three variables were examined by Pearson analysis, and mediation analysis was conducted to explore the direct, indirect, and total effects of the health personality on quality of life vis-à-vis eHealth literacy. RESULTS Health personality factors (including health neuroticism, health openness, and health conscientiousness), eHealth literacy, and quality of life are significantly correlated (P<0.05); eHealth literacy can play a significant mediating role in the relationship between health neuroticism (β= -0.256, 95 %CI: [-0.405, -0.119]), health openness (β = 0.488, 95 % CI: [0.343,0.652]), health conscientiousness (β= 0.489, 95 % CI: [0.354, 0.634]) and quality of life. CONCLUSION This study revealed that the effect of health personality factors (including health neuroticism, health openness, and health conscientiousness) on quality of life in older adults was mediated through eHealth literacy. IMPACT Individual personality is essential to understanding eHealth literacy and quality of life among community-dwelling older adults. It may be helpful to identify the health personality traits of older adults first, then implement targeted interventions accordingly to enhance eHealth literacy and ultimately improve quality of life.
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Affiliation(s)
- Huohuo Dai
- School of Nursing, Wuhan University, Wuhan, China; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands
| | - Chao Sun
- Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands
| | - Jiyu Chen
- School of Nursing, Wuhan University, Wuhan, China
| | - Xieting Zhou
- School of Nursing, Wuhan University, Wuhan, China
| | - Hang Li
- School of Nursing, Wuhan University, Wuhan, China
| | - Peter Martin
- Department of Human Development and Family Studies, Iowa State University, USA
| | - Qing Zhang
- School of Nursing, Wuhan University, Wuhan, China.
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Xu Z, Zhu Y. Bibliometric Analysis of Psychological Distress in Stroke: Research Trends, Hot Spots, and Prospects- An Emphasis on China. J Multidiscip Healthc 2023; 16:4279-4291. [PMID: 38164461 PMCID: PMC10758185 DOI: 10.2147/jmdh.s434201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Accepted: 12/11/2023] [Indexed: 01/03/2024] Open
Abstract
Background Currently, the psychological problems of stroke patients are of great concern. It is a hot topic of clinical care research to analyze and discuss the current status and hot spots, frontiers and development trends of research on psychological distress of stroke patients, and to develop and implement psycho-social care programs to improve the quality of life of patients.However, there is an absence of visual overviews to assess the published literature systematically. Methods The Web of Science (WOS) database was used to search the relevant literature in this field, spanning the period 2009-2023, and the countries, institutions, and research keywords in this field were visualized and analyzed by CiteSpace analysis software. Results An analysis of 416 papers found that the overall trend of psychological distress in stroke patients was increasing, and the research hotspots were mainly focusing on the relationship between different risk factors and psychological distress in stroke patients, psychological distress in stroke caregivers, positive psychology in stroke patients, and interventions on psychological distress in stroke patients. In the future, the research population may gradually shift to stroke caregivers, and the research focus will be on developing and studying scales. Conclusion Visual analysis of psychological distress studies in stroke patients can provide strategies for clinical interventions and broaden thinking about clinical care.
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Affiliation(s)
- Zhiguo Xu
- Department of Pharmaceutical Engineering, School of Life and Health Sciences, Huzhou College, Huzhou, Zhejiang, People’s Republic of China
- Xiehe Union East China Stem Cell & Gene Engineering Corp., Ltd, Zhejiang Umbilical Cord Blood Hematopoietic Stem Cell Bank, Huzhou, Zhejiang, People’s Republic of China
| | - Yi Zhu
- Department of Medicine and Health, Shaoxing University Yuanpei College, Shaoxing, Zhejiang, People’s Republic of China
- Department of Nursing, Huzhou University, Huzhou, Zhejiang, People’s Republic of China
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Huang Y, Wongpakaran T, Wongpakaran N, Bhatarasakoon P, Pichayapan P, Worland S. Depression and Its Associated Factors among Undergraduate Engineering Students: A Cross-Sectional Survey in Thailand. Healthcare (Basel) 2023; 11:2334. [PMID: 37628531 PMCID: PMC10454827 DOI: 10.3390/healthcare11162334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 08/08/2023] [Accepted: 08/16/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Depression is a common mental health problem that can affect everyone at different stages of development. Though the prevalence rate of depression among university students is rising, exploration among engineering students is limited. The aim of the study was to examine the prevalence of depression and its associated factors of among engineering students in Thailand. METHODS A total of 346 students participated in this study. All completed the outcome inventory depression subscale (OI-D) to evaluate the level and prevalence of depression. Other variables assessed included social skills, learning styles, relationship satisfaction, interpersonal difficulty, alcohol use, internet addiction, and neuroticism. Correlation and regression analyses were applied to test the association between sociodemographic and psychosocial factors and depression. RESULTS Of the 346 students with the mean age of 20.25 (SD, 1.33), 52.31% were male. Based on the OI-D, 35.3% of participants exhibited symptoms indicative of major depression. Multiple regression showed that only neuroticism, interpersonal difficulties, social skills, and self-esteem appeared to be the significant predictors of depression. CONCLUSION The prevalence of depression among engineering students in Thailand was unexpectedly high compared with the prevalence of depression among engineering students in some other countries. Intra- and interpersonal factors were found to be associated with depression. Further study on identifying these risk factors should be encouraged.
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Affiliation(s)
- Yuanyue Huang
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
| | - Tinakon Wongpakaran
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Nahathai Wongpakaran
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Patraporn Bhatarasakoon
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Faculty of Nursing, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Preda Pichayapan
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Faculty of Engineering, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Shirley Worland
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand; (Y.H.); (N.W.); (P.B.); (P.P.); (S.W.)
- Faculty of Social Sciences, Chiang Mai University, Chiang Mai 50200, Thailand
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Schneider BC, Veckenstedt R, Karamatskos E, Pinho LG, Morgado B, Fonseca C, Moritz S, Jelinek L. Negative cognitive beliefs, positive metacognitive beliefs, and rumination as mediators of metacognitive training for depression in older adults (MCT-Silver). Front Psychol 2023; 14:1153377. [PMID: 37034960 PMCID: PMC10074596 DOI: 10.3389/fpsyg.2023.1153377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Accepted: 03/02/2023] [Indexed: 04/11/2023] Open
Abstract
Background Metacognitive Training for Depression in older adults (MCT-Silver; www.uke.de/mct-silver) is a cognitive-behavioral based group intervention that aims at reducing depression by targeting (meta)cognitive beliefs and rumination. In the present study, it was examined whether negative cognitive beliefs, positive metacognitive beliefs and/or rumination may be implicated as mediators of MCT-Silver's effects on depression. Materials and methods We conducted a secondary analysis of a randomized controlled trial comparing MCT-Silver to an active control intervention (cognitive remediation) including 66 older adults (60 years and older) with complete baseline data. Clinician-rated (Hamilton Depression Rating Scale) and self-reported (Beck Depression Inventory-II) depression, negative cognitive beliefs (Dysfunctional Attitudes Scale-18B), positive metacognitive beliefs (positive beliefs subscale; Metacognition Questionnaire-30) and rumination (10-item Ruminative Response Scale) were assessed before (pre) and after 8 weeks of treatment (post), as well as 3 months later (follow-up). It was examined whether change in depression (pre- to follow-up) was mediated by change in negative cognitive beliefs, positive metacognitive beliefs and/or rumination (pre- to post-assessment). Results Mediation results differed for self-reported vs. clinician-rated depression. The effect of MCT-Silver on reduction in clinician-rated depression was mediated by a reduction in self-reported rumination, whereas reduction in self-reported depression was mediated by a reduction in negative cognitive beliefs. Positive metacognitive beliefs were not a significant mediator for either outcome. Conclusion The current study provides initial evidence for the roles of negative cognitive beliefs and rumination in the treatment of depression in later life with MCT-Silver. Given the divergence of findings and lack of causal precedence, mechanisms of change for MCT-Silver cannot yet be equivocally identified.
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Affiliation(s)
- Brooke C. Schneider
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- *Correspondence: Brooke C. Schneider,
| | - Ruth Veckenstedt
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Evangelos Karamatskos
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Lara Guedes Pinho
- Nursing Department, University of Évora, Évora, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, Évora, Portugal
| | | | - César Fonseca
- Nursing Department, University of Évora, Évora, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, Évora, Portugal
| | - Steffen Moritz
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Lena Jelinek
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Devita M, De Salvo R, Ravelli A, De Rui M, Coin A, Sergi G, Mapelli D. Recognizing Depression in the Elderly: Practical Guidance and Challenges for Clinical Management. Neuropsychiatr Dis Treat 2022; 18:2867-2880. [PMID: 36514493 PMCID: PMC9741828 DOI: 10.2147/ndt.s347356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 11/24/2022] [Indexed: 12/12/2022] Open
Abstract
Depression is one of the most common mood disorders in the late-life population and is associated with poor quality of life and increased morbidity, disability and mortality. Nevertheless, in older adults, it often remains undetected and untreated. This narrative review aims at giving an overview on the main definitions, clinical manifestations, risk and protective factors for depression in the elderly, and at discussing the main reasons for its under/misdiagnosis, such as cognitive decline and their overlapping symptomatology. A practical approach for the global and multidisciplinary care of the older adult with depression, derived from cross-checking evidence emerging from the literature with everyday clinical experience, is thus provided, as a short and flexible "pocket" guide to orient clinicians in recognizing, diagnosing and treating depression in the elderly.
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Affiliation(s)
- Maria Devita
- Department of General Psychology (DPG), University of Padua, Padua, Italy.,Geriatrics Division, Department of Medicine (DIMED), University of Padua, Padua, Italy
| | - Rossella De Salvo
- Department of General Psychology (DPG), University of Padua, Padua, Italy
| | - Adele Ravelli
- Geriatrics Division, Department of Medicine (DIMED), University of Padua, Padua, Italy
| | - Marina De Rui
- Geriatrics Division, Department of Medicine (DIMED), University of Padua, Padua, Italy
| | - Alessandra Coin
- Geriatrics Division, Department of Medicine (DIMED), University of Padua, Padua, Italy
| | - Giuseppe Sergi
- Geriatrics Division, Department of Medicine (DIMED), University of Padua, Padua, Italy
| | - Daniela Mapelli
- Department of General Psychology (DPG), University of Padua, Padua, Italy
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