Effect of stress perception on depression in medical staff: the mediating role of resilience / 中华行为医学与脑科学杂志

Objective:To explore the impact of stress perception on depression and the potential mediating role of resilience in medical staff.Methods:A total of 606 medical staff were recruited and investigated by self-designed questionnaire, the perceived stress scale (PSS-10), the 10-item Connor-Davidson resilience scale (CD-RISC-10), and the patient health questionnaire-9 (PHQ-9) from February to March, 2020.SPSS 26.0 software was used to execute Pearson or Spearman correlation analysis, common method biases test, and multicollinearity test.Model 4 in PROCESS 3.2 macro program and Bootstrap method were used for mediating effects analysis.Results:There was a positive correlation between stress perception score(16.93±6.65) and depression score (5.00(2.00, 9.00))( r=0.551, P<0.01), and a negative correlation between stress perception score and resilience score (27.08±8.68) ( r=-0.285, P<0.01) among 606 medical staff.There was a negative correlation between resilience score and depression score ( r=-0.474, P<0.01). Mesometric effect examination showed that resilience played a partial mediating role in the relationship between stress perception and depression, and the mediating effect accounted for 10.87% of the total effect. Conclusion:Stress perception can directly or indirectly influence depression scores, and resilience partially mediates the relationship between stress perception and depression.Depression can be reduced clinically by reducing stress perception or enhancing the resilience of medical personnel.

Evaluación del Burnout en Psicólogos de la Ciudad de Neiva, Colombia / Evaluation of The Burnout in Psychologist from Neiva City, Colombia

Resumen. El objetivo de la investigación fue evaluar los niveles de Burnout en una muestra poblacional de psicólogos colombianos, dada la poca información al respecto. Para ello, se evaluaron 351 psicólogos con una edad promedio de 36 anos (60 % hombres y 40% mujeres) con el Inventario de Burnout de Psicólogos - IBP y el Inventario de Sintomatologia del Estrés - ISE, siguiendo las consideraciones éticas vigentes, y se analizó la información con estadisticos comparativos y correlacionales. Se identificaron altos niveles de agotamiento emocional y despersonalización; se encontraron niveles bajos tanto a nivel de estrés fisico, psicológico y social, y se encuentran diferencias estadisticamente significativas conforme a variables sociodemográficas, anos de experiencia laboral y de graduación, y tipo de vinculación laboral. Los análisis plantearon que las variables agotamiento emocional y realización personal correlacionaron con la sintomatologia derivada del estrés laboral. Estos resultados permiten concluir que el aumento en sintomas psicológicos podria estar asociado con mayores niveles de estrés percibido y de Burnout, pero estos, a su vez, podrian ser mitigadas a partir de la presencia de algunas variables tanto sociodemográficas como de la historia académica y laboral.

Abstract. The objective of this research was to evaluate the levels of Burnout in a sample of Colombian psychologists, taking into account the scarcity of respective information. For this, 351 psychologists with an average age of 36 years old (60% men & 40% women) were evaluated with the Burnout Inventory of Psychologists - IBP and the Stress Symptomatology Inventory - ISE instruments, following the current ethics considerations, and this information was analyzed information with comparative and correlational statistics. High levels of emotional exhaustion and depersonalization were identified; at the level of stress symptoms, we found low levels both at the level of physical, psychological and social stress, and we found statistically significant differences according to sociodemographic variables, years of work experience and graduation, and type of work contract. Analyses showed that emotional exhaustion and personal realization correlated with the symptoms derived from work stress. These results could conclude that the increase in psychological symptoms could be associated with higher levels of perceived stress and exhaustion, but these in turn, could be mitigated based on the presence of some variables, both sociodemographic and academic and work history.

Calidad de vida y su relación con la percepción de estrés y el perfil antropométrico en mujeres adultas / Quality of life and its relationship to stress perception and anthropometric profile in adult women

La perimenopausia produce cambios hormonales y emocionales, que podrían influir en la calidad de vida como en la percepción de estrés de las mujeres. El objetivo de este estudio fue evaluar la calidad de vida y su relación con la percepción de estrés y el perfil antropométrico en mujeres adultas. Se efectuó un estudio transversal en mujeres adultas (40-65 años) que concurrieron a la Fundación Hemocentro Buenos Aires (FHBA). El estado nutricional se evaluó con el índice de masa corporal (IMC) y circunferencia de cintura (CC). La calidad de vida se valoró mediante el cuestionario de calidad de vida (CV) de la Organización Mundial de la Salud (WHOQoL-Bref). La percepción de estrés (PS) se valoró por escala de estrés percibido (PSS-10). Se incluyeron 128 mujeres (52,3% premenopáusicas y 47,7 % posmenopáusicas). El 56,3% refirió tener una CV entre bastante buena y muy buena. La prevalencia de sobrepeso y obesidad fue de 60,2% (IC 95%; 51,5 - 68,2%). La percepción de CV se asoció inversamente al IMC (p= 0,0031) al igual que los dominios físico (p= 0,016) y psicológico de CV (p= 0,001). Asimismo, la PS se asoció de manera inversa a la precepción de CV (p= 0,008) y los cuatro dominios de CV.

Perimenopause produces hormonal and emotional changes, which could influence quality of life as well as stress perception in women. The objective of this study was to evaluate quality of life and its relationship with stress perception and anthropometric profile in adult women. A cross-sectional study was carried out in adult women (40-65 years old) who attended the Fundación Hemocentro Buenos Aires. Nutritional status was evaluated with body mass index (BMI) and waist circumference (WC). Quality of life was assessed using the World Health Organization quality of life questionnaire. Perception of stress was assessed by the perceived stress scale (PSS-10). We included 128 women (52.3% premenopausal and 47.7% postmenopausal). Over half (56.3%) reported having a quality of life between fairly good and very good. The prevalence of overweight and obesity was 60.2% (95% CI, 51.5 - 68.2%). The perception of quality of life was inversely associated to the BMI (p= 0.0031) as well as the physical (p= 0.016) and psychological domains of quality of life (p= 0.001). Similarly, perceived stress was associated inversely with the quality of life perception (p= 0.008) and the four quality of life domains.

Chain-mediated effects of resilience and ruminant meditation on post-gastrectomy stress perception and post-traumatic growth in postoperative patients with gastric cancer / 中国实用护理杂志

Objective@#To analyze the correlation between pressure perception, psychological resilience, ruminant meditation and post-traumatic growth in postoperative patients with gastric cancer after gastrectomy.@*Methods@#Totally 384 patients with gastric cancer who underwent total gastrectomy or subtotal gastrectomy from January 2015 to January 2018 in 6 major hospitals in Lianyungang were selected as the subjects,who are measured at pressure perception, post-traumatic growth, post-traumatic growth and event-related ruminative.@*Results@#In postoperative patients with gastric cancer, ruminant meditation and psychological resilience all partially had mediation effect between pressure perception and post-traumatic growth (P<0.05), mediation effect was 0.34 and 0.31, accounting for 19.9% and 18.1% of the total effect. They had chain mediation effect with pressure perception and post-traumatic growth (P<0.05), mediation effect was 0.17, accounting for 10.0% of the total effect.@*Conclusion@#Psychological resilience and ruminant meditation can reduce stress perception, increase post-traumatic growth, and play a part of mediating effect and chain mediating effect between stress perception and post-traumatic growth in Patients with gastric cancer after gastrectomy.

Evaluación de estrés percibido y niveles de alfa-amilasa salival en mujeres embarazadas (del Municipio Libertador del Estado Mérida) / Evaluation of perceived stress and levels of salivary alpha-amylase in pregnant women (the Libertador Municipality of Mérida State)

OBJETIVO: Investigar la percepción del estrés en mujeres embarazadas y su interrelación con los niveles de la enzima alfa amilasa salival (AAS) que es un marcador biológico de estrés. MÉTODOS: Incluimos 38 embarazadas que acudían a la consulta prenatal en Centros de Salud del Municipio Libertador del Estado Mérida, Venezuela. Se distribuyeron en 3 grupos de acuerdo con la edad gestacional, 8 en el primer trimestre, 10 en el segundo, 10 en el tercer y como grupo control se tomaron 10 mujeres no embarazadas con características demográficas similares. El estrés percibido se midió a través del instrumento EEP-13 y el nivel de enzima alfa amilasa salival mediante ensayo enzimático con espectrofotometría. Con los puntajes del EEP-13, se establecieron tres niveles de estrés percibido. RESULTADOS: El 23,7 % de la muestra tenía niveles bajos de estrés percibido, 50 % poseía un nivel intermedio y la cuarta parte (26,3 %) mostró un nivel alto. No se encontró relación significativa entre el nivel de estrés percibido y la etapa del embarazo (P = 0,637). La concentración de enzima alfa amilasa salival fue significativamente mayor en el grupo de embarazadas en el primer trimestre en comparación con el control (P<0,001), sin embargo, no encontramos correlación entre la puntuación del EEP-13 (R²=0,014; P=0,81) y los niveles de enzima alfa amilasa salival. CONCLUSIÓN: El 76,3 % de este grupo de embarazadas mostró niveles significativos de estrés según el EEP-13 y solo el grupo de embarazadas en el primer trimestre mostró niveles de enzima alfa amilasa salival superiores al grupo control.

OBJECTIVE: To assess the levels of salivary alpha amylase enzyme (SAA) that is a biomarker of stress and the correlation of those levels with the perception of stress in pregnant women. METHODS: Thirty eight pregnant women who attended prenatal care clinics in the Libertador Municipality of Merida, Venezuela, were distributed in 3 groups according with the gestational age: 8 on the first trimester, 10 on the second and 10 on the third. The control group consisted of 10 non-pregnant women with similar demographic characteristics. The perceived stress was measured with the EEP-13 instrument and the level of SAA was determined by means of an spectrophotometric enzymatic assay. Three levels of perceived stress were established according to the score obtained by the EEP-13 test. RESULTS: Twenty three percent (23.7 %) of the pregnant women had low levels of perceived stress, 50 % had an intermediate level and 26.3 % showed a high level. No significant relationship between the level of perceived stress and the age of pregnancy was found (P=0.637). The SAA concentration was significantly higher in the group of pregnant women in the first trimester compared to the non-pregnant control group (P <0.001). No correlation between the EEP-13 test values of perceived stress and the enzyme concentration was found (R2=0.014; P=0.81). CONCLUSION: In this group of pregnant women, 76.3 % suffer from a significant amount of stress and only the pregnant women in the first trimester showed increased levels of SAA.

Características ocupacionais e sociodemográficas relacionadas ao estresse percebido de policiais militares / Características ocupacionales y sociodemográficas relacionada con la percepción del estrés en policías militares / Occupational and sociodemographic characteristics in relation to the perception of stress in military policemen

Introdução: no Brasil, o trabalho policial é considerado um dos mais estressantes, não apenas pela natureza das atividades realizadas, que envolvem alto risco, mas também pela sobrecarga de trabalho e pelas relações internas à corporação, cuja organização se fundamenta em hierarquia rígida e disciplina militar. Existem fatores relacionados ao estado biológico de saúde que são decorrentes do estado psicológico, das pressões ambientais e dos recursos econômicos que predispõe o policial ao estresse. Objetivo: comparar a percepção de estresse em policiais militares considerando as características ocupacionais e sociodemográficas destes. Método: participaram do estudo 86 policiais militares homens com idade média de 35 (±8,3) anos lotados em um Batalhão de Florianópolis/SC, Brasil. Foram utilizados os questionários: "Questionário para caracterização", "Questionário de Classificação Socioeconômica ABEP/2008", "Questionário dos Estágios para Mudança de Comportamento para o Exercício Físico" e a "Escala de Estresse Percebido (EEP)". Utilizou-se de análise descritiva e inferencial, adotando-se α de 0,05 (p<0,05). Resultados: maiores médias de estresse percebido foram verificadas em policiais insuficientemente ativos, nos que possuíam até 35 anos de idade, nos que já passaram por algum evento traumático na carreira e nos que atuam na área operacional. Conclusão: os policiais com até 35 anos de idade, que sofreram algum evento traumático na carreira, insuficientemente ativos, atuantes na área operacional e com qualidade de sono ruim apresentaram maiores níveis de estresse percebido. O estresse está relacionado à saúde psicológica e física dos indivíduos e sendo assim, intervenções visando o controle e/ou prevenção do estresse em policiais militares devem ser implementadas pelos batalhões.

Introducción: en Brasil, el trabajo de los policías se considera uno de los que genera más estrés, no solo por la naturaleza de las actividades que involucran un alto riesgo, sino también por la sobrecarga de trabajo y por las relaciones internas a la corporación, cuya organización se fundamenta en la jerarquía rigurosa y en la disciplina militar. Existen factores relacionados al estado biológico de salud que provienen del estado psicológico, de las presiones ambientales y de los recursos económicos; dichos factores predisponen a los policías al estrés. Objetivo: comparar la percepción del estrés en policías militares a partir de las características ocupacionales y sociodemográficas. Métodos: se estudió una muestra de 86 policías militares, hombres, con edad media de 35 años (± 8,3) de un Batallón de la ciudad de Florianóplis, Estado de Santa Catarina, Brasil. Se utilizaron la Encuesta de Caracterización, Encuesta de Caracterización socioeconómica ABEP/2008, Encuesta de las Etapas de Cambio de Comportamiento para el Ejercicio Físico y la Escala del Estrés Percibido (EEP). Se realizó un análisis descriptivo e inferencial y se adoptó α de 0,05 (p< 0,05). Resultados: los mayores niveles de estrés percibido se identificaron en policías insuficientemente activos, en aquellos que tenían hasta 35 años, en los que pasaron por algún evento traumático en la carrera, los que actúan en el área operacional y con una mala calidad de sueño. Conclusiones: el estrés se relaciona con la salud psicológica y física de los individuos; en este sentido, se hace necesario la implementación, por parte de los batallones, de intervenciones que busquen el control y/o la prevención del estrés de los policías, principalmente en los que se identificaron como más afectados.

Introduction: in Brazil, the police work is considered one of the most stressful lines of work, not only due to the nature of activities involving high risk, but also to the work overload and the internal relations of the corporation, whose organization is based on a rigid hierarchy and military discipline. There are factors related to the biological state of health that derive from the psychological state, the environmental pressures and the economical resources; such factors predispose police to stress. Objective: to compare the stress perception in military policemen according to the occupational and sociodemographic characteristics. Methods: eighty six male military policemen aged 35 (± 8.3) years as average, who worked in a battalion in Florianópolis/SC, Brazil, participated in the study. The "Questionário de caracterização", the "Questionário de Classificação Socioeconômica ABEP/2008", the "Questionário dos Estágios para Mudança de Comportamento para o Exercício Físico" and the "Escala de Estresse Percebido (EEP)" were used. Descriptive and inferential analysis was made with α of 0.05 (p< 0.05). Results: the highest levels of perceived stress were found for sedentary policemen, for the ones aged up to 35 years, the ones that had already experienced a traumatic event in their careers, those who work in operational area of police service and in those with poor sleeping quality. Conclusions: stress is related to psychological and physical health of the individuals and therefore, interventions targeting the control and/or prevention of stress in military policemen, mainly those classified as the most affected ones, must be implemented by the battalions.

Stress perception among patients with acute myocardial infarction during the acute stage: the phenomenological method of qualitative study / 中国实用护理杂志

Objective To explore the stress perception among acute myocardial infarction (AMI) patients during acute stage.Methods Phenomenological method of qualitative study was adopted.18 AMI patients during the acute stage of 3～4 days after the onset of the disease were interviewed.Results Stress made AMI patients hard to accept the fact of illness,worry about the treatment of illness and the impact on future life,be difficult to alter living habits,be hard to relieve negative emotion.Conclusions AMI patients during acute stage will experience different levels of psychological stress.Stress management should be fabricated and effective measures should be adopted to relieve their negative emotions in terms of inducing factors.

Stress Perception and Coping Strategy of Patients with Globus Hystericus / 신경정신의학

OBJECTIVES: This study was designed to compare the relationships of psychopathology, stress event frequency and stress perception between globus hystericus patients and normal subjects, and to assess coping strategy and susceptibility for assisting the understanding of psychological mechanism and future treatment modalities. METHODS: Thirty-two globus hystericus patients who were consulted from the department of otolaryngology and fifty-three healthy subjects participated in this study. The authors used SCL-90-R(Korean Symptom Check List-90-Revision) for the measurement of psychiatric symptoms, GARS(Global Assessment of Recent Stress Scale) for stress perception, Social Readjustment Rating Scale for stress frequency and the Weisman Coping Strategy Scale for coping ability and susceptibility. The SPSS version 10.0 for Windows was used for statistical analysis. RESULTS: 1) Comparison of demographic characteristics showed no significant difference except level of education, which was significantly lower in the patient group. 2) The score of depression and anxiety items in SCL-90-R were significantly higher in the patient group. 3) The score of all subclasses in the GARS scale was significantly higher in the patient group. 4) The scores of neutral life event frequency, negative life event frequency, and negative life events more than 1 year past in social Readijustment Rating Scale, were significantly higher in the patient group, but there was no significant difference in positive life event frequency. 5) Weisman Coping Strategy Scale showed suppression, compliance, redefinition, intellectualism and displacement to be higher in frequency in descending order. Projection and fatalism were lower in frequency. 6)The patient group was susceptible to frustration, anxiety & fear, depression in descending order. CONCLUSION: Globus hystericus patients showed higher stress frequency, stress perception, and used positive coping strategies. Globus hystericus has an intimate association with stress factors, so an appropriate management is required in view of treatment.

Stress Perception, Coping Behavior, Depression and Anxiety in Infertile Women / 신경정신의학

OBJECTIVE: The purpose of this study was to investigate psychological impacts of infertility-related stress in Korean infertile women. METHODS: Both the 34 infertile women group and the control group(34 married women) were evaluated by using Semistructured Questionnaire, Stress Perception Scale, Coping Behavior checklist, Beck Depression Inventory(BDI), Hamilton Anxiety Scale(HAS), Hamilton Rating Scale for Depression(HRSD), SCL-90-R and State Trait Anxiety Inventory(STAI). RESULTS: Perceived financial stress, frequency of negative and neutral life events and frequency of passive coping(especially, emotion-focused coping) were significantly higher in infertile women than control group. In infertile women, totally perceived stress was positively correlated with BDI, SCL-90-R(depression) and STAI. Passive coping behavior was positively correlated with BDI, HAS and STAI. CONCLUSION: Above results suggest that infertile women would have a tendency to passive coping and high level of depression and anxiety, and should be considered for psychiatric intervention.

Depression, Anxiety, Stress Perception and Coping Strategy in Male Sexual Dysfunctional Patients / 신경정신의학

Thirty-one male sexual dysfunctional patients were selected to investigate their depression, anxiety, stress perception, and coping strategy. They were examined by Beck's Depression Inventory, State-Trait Anxiety Inventory, Symptom Checklist-90-Revised, Global Assessment of Recent Stress Scale and Coping Strategy. Twenty-seven healthy normal adults were selected as control group. The results were as follows: 1) Depression and anxiety scores were significantly higher in the patients. 2) Stress perception of usual life, especially work, job and change in relationships, was significantly higher in the patients. Frequency of negative life events was significantly higher in the patients. 3) As coping strategy, intellectualisation, redefinition and compliance were most frequently used by the patients. Most of the patients showed tendency to deny their vulnerabilities. Patients who lived with spouse showed more active confrontation and less emotional turmoil, anxiety and fear than patients who lived without spouse.

The relationship of stress with serum IgE level in patients with bronchial asthma

The relationship of stress perception and frequency of stressors with serum total Ig E level was investigated in 54 outpatients with bronchial asthma. The GARS (global assessment of recent stress) scale and SRRS (social readjustment rating scale) were used to measure the degree of stress perception and frequency of stressors during a one-year period Total serum Ig E was measured by the PRIST method. 56% of the patients were found to have psychosomatic disorders, but there was no significant difference in stress perception and frequency of stressors between psychosomatic and non-psychosomatic groups. A considerable number of patients (63%) rated their symptoms as severe, but no significant correlation was found between severity of symptoms and stress perception. Severity of stress perception and frequency of stressors did not correlate with serum total Ig E level. Multiple regression analysis revealed that female patients were significantly higher in stress perception than male ones, and that chronicity of illness was more likely to increase stress perception. Extrinsic asthmatics had significantly more negative stressors than intrinsic ones. In conclusion, serum Ig E is considered a stable indicator of allergy not influenced by stress. It was also indicated that patients with bronchial asthma were more likely to perceive physical symptoms than psychological stress.