ansiedad

Predictores de ansiedad durante la pandemia COVID-19 en estudiantes de medicina de Morelos, México. Predictors of anxiety during the COVID-19 pandemic in medical students from Morelos, Mexico.

Introduction: Medical students are a group of concern in the face of COVID-19, as social distancing measures may affect their anxiety and be vulnerable to the emotional impact, since the profession is part of the first line of care in the face of this pandemic.

Objective: To describe the prevalence and predictors of anxiety caused by the COVID-19 pandemic in university medical students from Morelos, Mexico.

Method: Cross-sectional descriptive observational study using an online questionnaire, with Sociodemographic Characterization, Generalized Anxiety Disorder-7 (GAD-7), Passion for Study, Self Compassion Scale (SCS), Connor-Davidson Resilience Scale (CDRISC), Life Satisfaction and Demoralization Scale (DS).

Results: In a sample of 292 medical students, women (62.8%), older than 21 years (66.9%), 72.7% reported anxiety and 65.5% sleep problems. The multiple regression model shows that dysphoria is the variable that reports the greatest predictive capacity of importance with 34.8%, followed by having trouble sleeping with 24.4%, discouragement 22.4%, over-identification 13.9% and concern about getting infected 4.5%.

Conclusions: Concern and uncertainty in the hospital environments where medical students are prepared and trained increase the risk of anxiety, due to the perception of adverse conditions and frustration as part of their profession.

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Palabras clave: ansiedad, COVID-19, desmoralización, estudiantes universitarios, malestar psicológico,

Keywords: anxiety, COVID-19, demoralization, psychological distress, university students,

Predictores de Ansiedad y Depresión en Cuidadores Primarios de Pacientes Neurológicos.

Objective: To describe predictors of depression and anxiety in caregivers of neurological patients.

Methods: To a sample of 145 caregivers, from the outpatient clinic of the National Institute of Neurology and Neurosurgery, sociodemographic variables were collected and the following questionnaires were applied: Ways of Coping with Stress of Lazarus and Folkman, Zarit Burden Scale, Hospital Anxiety and Depression Scale. Additionally, Activities of Daily Living were assessed in patients.

Results: 97% of caregivers were provided by the informal system, usually a woman (82%) with an average age of 47.7 ± 15.1, house-wife (60%) and close relative of the sick person (78% . They suffer from a current illness (48%) and 62% presented the condition after caregiving. The regression model for anxiety included: negative impact, cognitive distancing, patient age and caregiver education. The depression model included: negative impact, caregiver education and cognitive distancing. Both explained 37% of variance.

Conclusions: Anxiety and depression depend on the skills and resources of the caregiver, the burden and impact of the disease. These correlate with physical, mental and socioeconomic issues that affect social relationships, intimacy and freedom of the caregiver.

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Palabras clave: Afrontamiento, ansiedad, Cuidador Primario, depresión,

Keywords: anxiety, Caregiver, Coping, depression,

The Impact of Rheumatoid Arthritis in Neuropsychology, Depression and Anxiety. A Case-Control Study, with 90 Portuguese Female Subjects.

Objectives: The study of the impact of Rheumatoid Arthritis in cognitive functions has not been well documented in Portugal. So, with this original article we tried to clarify this reality in this particular country.

Methods: We assessed the results of 45 Rheumatoid Arthritis female patients (intervention group), comparing each patient in a case control paired strategy (years in school and age), with control subjects (n = 45, in a total of 90 subjects). All subjects were evaluated with Paced Auditory Selective Attention Test, Word List Generation Test, Luria Nebraska Neuropsychological Battery, a Portuguese depression screening test (IACLIDE), STAI (anxiety trace and trait test) and the Mini Mental state examination.

Results: The results show, for the first time in Portuguese patients, the presence of major deficits in terms of cognitive function and symptoms of depression and anxiety.

Conclusion: This article strengthens the argument of the necessity to pay attention in psycho-educational, psychotherapeutic and cognitive stimulation as well as neuropsychological intervention in these types of patients.

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Palabras clave: ansiedad, depresión, enfermedades inflamatorias reumáticas, evaluación neuropsicológica,

Keywords: anxiety, depression, inflammatory rheumatic diseases, Neuropsychological assessment,

Relación Entre Patrones de Sueño y Ansiedad / Depresión

In recent years contradictory data as to relationship between the sleep patterns and psychological variables have appeared. This study analyses the relationships of depression and state-trait anxiety levels in subjects with different sleep patterns. From 583 subject sample, 25 long sleep pattern , 25 medium sleep and 25 short sleep pattern were selected. The results show that no relationships between psychological variables and sleep patterns.