...Hamilton Depression Rating Scale Depression is a prevalent psychiatric illness, afflicting approximately 16% of all Americans (Simon, 2003). Environmental and biological factors play a major role in an individual’s likelihood to develop depression. The exact causes of depression are unknown, but certain common triggers are attributed to the onset of symptoms, such as stress or chemical imbalance. Although some forms of depression are inherited, individuals without a prior family history of depression can also experience it. Throughout one’s lifespan different risk factors, such as life changing events or traumatic experiences, can lead to episodic depression, which is normal in most cases. Others may experience chronic severe depression with extreme, debilitating symptoms, which are at higher risk of suicide. During the early development of psychology, depression was not initially viewed as a psychological disorder. Due to the evolution of psychology as a science, psychologists have a more profound understanding of how one’s biological and environmental factors affect one’s moods, behaviors, and overall health. Today, depression is a commonly diagnosed and treated psychological disorder. Professionals have developed various psychological tests and measurements to effectively diagnose and treat depression. One commonly used tool to measure depression is the Hamilton Depression Rating Scale or HDRS. Summarize selected articles The Hamilton Depression Rating Scale was created...
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...Attack? 5 The Beck Anxiety Inventory of the 21 most common symptoms: 5 Scoring: 6 Interpretation of score 6 Psychometric Properties: 7 Reliability: 7 Validity 7 Advantages: 8 Disadvantages: 9 Suggested Uses: 9 Beck Anxiety Inventory used in Pakistani Settings 10 2. Hamilton Anxiety Scale (HAS) 11 Rating: 11 Purpose 11 Use in the field 12 Scale 12 Scoring 12 Criteria for interpretation 12 Versions 12 Psychometric Properties 13 Applied in different researches 14 3. Hamilton Depression Scale 15 Description/Purpose 15 Use in the field 15 Scale 16 Criteria for interpretation 16 Psychometric properties 16 Applied in different researches 18 Correlations among Depression Rating Scales and A Self-Rating Anxiety Scale In Depressive Outpatients 18 Limitations 19 4. Adaptive Behavior Assessment System Second Edition 19 Rationale: 20 What’s New in ABAS–II 20 ABAS–II Rating Forms 21 Scores Reported 22 Sample Items: 22 Psychometric Properties: 23 Standardization 23 Validity 25 Advantages of Using ABAS–II 25 Adaptive behaviour assessment system in Pakistan: 26 5. Symptom Assessment-45 26 Purpose: 26 Description: 26 SA-45 Scales: 27 Psychometric properties: 28 Reliability and Validity: 28 Norms: 29 Research in Pakistani context: 30 Diagnostic Testing Diagnosis is the identification of the nature and cause of anything. Diagnostic describes a procedure or test, which is performed to determine what...
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...John’s wort with placebo in outpatients with major depression. To do this, they recruited 200 adult outpatients diagnosed as having major depression and having a baseline Hamilton Rating Scale for Depression (HAM-D) score of at least 20. Participants were randomly assigned to receive either St. John’s wort extract, 900 milligrams per day (mg/d) for 4 weeks, increased to 1200 mg/d in the absence of an adequate response thereafter, or a placebo for 8 weeks. The response variable was the change on the HAM-D over the treatment period. After analysis of the data, it was concluded that St. John’s wort was not effective for treatment of major depression. Source: Richard C. Shelton, MD, et al. “Effectiveness of St. John’s Wort in Major Depression,” Journal of the American Medical Association 285:1978–1986,...
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...Prevalence of Anxiety and Depression among Outpatients with Type 2 Diabetes in the Mexican Population ´ ´ ´ ´ Carlos Tovilla-Zarate1,5*, Isela Juarez-Rojop2, Yesenia Peralta Jimenez1, Marıa Antonia Jimenez1, 1 1 1 3 ´ ´ ´ ˜ ´ Silvia Vazquez , Deysi Bermudez-Ocana , Teresa Ramon-Frıas , Alma D. Genis Mendoza , Sherezada ´ ´ ´ Pool Garcıa4, Lilia Lopez Narvaez5 ´ ´ ´ ´mica Multidisciplinaria de Comalcalco, Comalcalco, Tabasco, Me ´xico, 2 Universidad Juarez Autonoma de ´ ´ 1 Universidad Juarez Autonoma de Tabasco, Division Acade ´ ´ ´xico, 3 Servicios de Atencion Psiquia ´ ´trica, Secretarıa de Salud. Me ´xico D. F., Me ´xico, ´ Tabasco, Division Academica de Ciencias de la Salud, Villahermosa, Tabasco, Me ´xico, 5 Centro de Investigacion Genomica, Comalcalco, Tabasco, Mexico ´ ´ ´ ´ 4 Hospital General de Comalcalco, Tabasco. Secretarıa de Salud, Comalcalco, Tabasco, Me Abstract Background: Depression and anxiety are common in diabetic patients; however, in recent years the frequency of these symptoms has markedly increased worldwide. Therefore, it is necessary to establish the frequency and factors associated with depression and anxiety, since they can be responsible for premature morbidity, mortality, risk of developing comorbidities, complications, suffering of patients, as well as escalation of costs. We studied the frequency of depression and anxiety in Mexican outpatients with type 2 diabetes and identified the risk factors for depression and anxiety. Methods and Findings:...
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...are many flaws with antidepressant research, but with ever increasing new ways to re-test old research, the evidence of positive improvements are becoming harder to deny. This report shows that even though scientists are trying to disprove the effectiveness of antidepressants, the evidence of the scientific facts prove that antidepressants work for depression. Table of Contents List of Figures and Tables iv Glossary of Terms v General Information vii Thesis Statement vii Report Audience vii Author’s Purpose vii Argumentative Requirements Fulfillment Statement vii Introduction 1 Americans and Depression 2 Background of Depression and Antidepressants 4 Depression 4 Antidepressants 5 Depression Scale 5 Clinical Trials 6 Claims..................... 6 The Truth ......................................................................................................................................6 Prescribing methods 8 Placebo Effect 8 Efficacy of Antidepressants 9 Antidepressants and Levels of Depression 9 New Research 10 Pharmaceutical Companies 10 References 13 List of Figures and Tables Table 1. Depression Statistics…………………………………………………………………....3 Table 2. FDA Drug Review Steps Simplified…………………………………………………...11 Glossary of Terms Antidepressants This is a drug used for the treatment of...
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...Major depression is a chief health concern in the geriatric population, with up to 20% of this population experiencing some form of depression (Frank, 2014, as cited in Harrigan & Lyons, 2015). The issue of depression in the older adult population is especially complex as causes and outcomes are inter-related and interactive; nurses must consider many variables when assessing and carrying out care for these individuals. Untreated depression can have significant consequences such as poor pain control, poor recovery from illness or surgery, cognitive deficits, increased risk for falls, impaired ability to carry out ADLs leading to a loss of independence, worsening physical health problems, substance use, social isolation, and suicide (Harrigan...
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...THE HAMILTON RATING SCALE FOR DEPRESSION (to be administered by a health care professional) Patient’s Name Date of Assessment To rate the severity of depression in patients who are already diagnosed as depressed, administer this questionnaire. The higher the score, the more severe the depression. For each item, write the correct number on the line next to the item. (Only one response per item) 1. DEPRESSED MOOD (Sadness, hopeless, helpless, worthless) 0= 1= 2= 3= Absent These feeling states indicated only on questioning These feeling states spontaneously reported verbally Communicates feeling states non-verbally—i.e., through facial expression, posture, voice, and tendency to weep 4= Patient reports VIRTUALLY ONLY these feeling states in his spontaneous verbal and nonverbal communication 2. FEELINGS OF GUILT 0= 1= 2= 3= 4= 3. SUICIDE 0= 1= 2= 3= 4= 4. Absent Self reproach, feels he has let people down Ideas of guilt or rumination over past errors or sinful deeds Present illness is a punishment. Delusions of guilt Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations Absent Feels life is not worth living Wishes he were dead or any thoughts of possible death to self Suicidal ideas or gesture Attempts at suicide (any serious attempt rates 4) INSOMNIA EARLY 0= No difficulty falling asleep 1= Complains of occasional difficulty falling asleep —i.e., more than 1/2 hour 2= Complains...
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...family members who provide care to their physically or cognitively impaired relatives, are leading providers of services to elderly individuals. However, caregivers frequently experience symptoms of depression, stress and anxiety. Also, caregivers may suffer from physical or psychological distress as a result of these symptoms. The author examined the effects of depression, stress and anxiety and suggested an assessment instrument to gauge levels of anxiety. In addition, strengths and limitations of this approach were delineated. The author hypothesized that caregivers would exhibit higher anxiety scores than non-caregivers. This hypothesis was tested by comparing a group of informal caregivers to a group of non-caregivers. Furthermore, recommendations for reduction of stress and anxiety symptoms were made. Anxiety Scores of Informal Caregivers Family members of elderly, impaired individuals in the United States provide the majority of necessary daily care for their relatives (Sheehan & Nuttall, 1988). These caregivers may be described as informal: individuals who provide unpaid care to a friend or family member out of love and respect for the impaired person (George & Gwyther, 1986). Unfortunately, many caregivers reported significant stress, depression and anxiety (Sheehan & Nuttall, 1988). Research demonstrated a correlation between caregivers’ depressive symptoms and potentially harmful behaviors toward the recipients of their care (Pillemer...
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...Many individuals at some point in their lives may report feelings of extreme sadness or simply “feeling depressed”. However, such feelings are only one of seven symptoms recognized by the Diagnostic and Statistical Manual (DSM-IV). Major Depressive Disorder (MDD) is one of three primary clinical forms of depression recognized by the DSM-IV. The DSM-IV recognizes the following seven symptoms as indicative of Major Depressive Disorder: (1) significant weight loss (while not trying to lose weight), significant weight gain, or change in appetite; (2) insomnia or hypersomnia; (3) psychomotor agitation or retardation; (4) fatigue or loss of energy; (5) feelings of worthlessness or excessive or inappropriate guilt; (6) decreased concentration or indecisiveness; and (7) recurrent thoughts of death or suicidal ideation, plan, or attempt (Craighead, Ritschel, Arnarson, & Gillespie, 2008, chap. 8). According to the DSM-IV, an individual must experience “marked distress or a decrease in level of functioning” for at least 2 weeks (Craighead et al., 2008, p. 281). The individual must also experience on an almost daily basis, an occurrence of a dysphoric mood or loss of interest/pleasure in almost all activities two weeks prior to the diagnosis of MDD (Craighead et al., 2008, chap. 8). The patient must experience at least four of the seven previously mentioned symptoms (only three if both loss of interest/pleasure and dysphoric mood are present) (Craighead et al., 2008, chap. 8). It...
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...Behavioral Psychiatric Assessments I would like for you to consider the behavioral health issues you have dealt with in your clinical settings up until now, and submit to the objectives assignment link 2 objectives you have set for yourself to improve your interaction with patients with behavioral health problems. And, how you plan to meet them. The behavioral health issues I dealt with this semester include: anxiety, depression, dementia, smoking cessation, and insomnia. The goal during the interaction with patients with psychiatric issues was focused on improving my communication skills when taking history and performing physical assessments. Of particular note were the differences in approach between a behavioral health patient and the non- behavioral health patient. I noticed that for a successful interaction to occur, one has to be knowledgeable and skillful in how they approach patients with depression and dementia. Dealing with the psychiatric patient and those with alcohol and drug abuse issues calls for special skills in order to effectively assess and treat the presenting conditions appropriately. This is an area that I have a goal of improving on by increasing the time spent in clinical settings that have more interactions and treatment modalities aimed at the behavioral health patient. The vastness and diversity of the behavioral health field has resulted in more awareness and a focus aimed at increasing my knowledge base on treatments and management of psychiatric...
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...Prevalence of Depression in Cancer Patients My topic of interest is the prevalence of depression in cancer patients. Prior to analyzing any literature my understanding was that cancer patients have a higher incidence of depression compared to the general population due to the decline in their health. My belief is shaped by a personal experience with a family member who had cancer and suffered from depression. This is significant to nursing because approximately 10-25 percent of cancer patients develop depression (Traeger, 2010). As depression develops within a cancer patient it can cause poorer treatment tolerance, decreased quality of life and an increased desire for death for patients with cancer (Traeger, 2010). These factors can result in reduced treatment effectiveness, treatment refusal, and disease management costs (Traeger, 2010). Furthermore, patients may have difficulty accepting their prognosis which can cause conflict between appropriate and compassionate end of life care causing distress in decision making (Traeger, 2010). Therefore, as health care professionals it is important that we are aware of this and offer the appropriate management and treatment options or interventions to increase the quality of life as well as help prevent the development of depression (Yang et al., 2013) (Neilson et al., 2012). During my preliminary search two articles were found; “The Prevalence of Depression and Anxiety among...
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...affective disorder (BAD) causes acute impairments as it relates to a persons social life, ability to work and think clearly. According to Shubham Mehta et al.’s (2014), the world health organization (WHO) uses the Years lived with Disability (YLD) to ascertain that these two illnesses are among the leading causes of psychological and psychosocial disability. The article sought to compare both disorders and there effect on individuals during each depressive stage of the diagnoses. According to Shubham Mehta et al.’s (2014), the Global Burden of Disease 2000 study, depression was responsible for 4.46% of total Disability Adjusted Life Years (DALYs) and 12.1% of total YLDs. Shubham Mehta et al.’s (2014), states that the specimens utilized in this study were obtained from 96 patients between the ages of 18 to 45 years visiting the outpatient facility of a psychiatric centre in Jaipur, India. The Hamilton Depression Rating Scale was used to assess each patient and only the ones experiencing the depressive stage were selected. Half the patients diagnosed with MDD (unipolar) were placed in one group and the other half diagnosed with BAD (depressed) in another group. According to Shubham Mehta et al.’s (2014), the Range of Impaired Functioning Tool (LIFE-RIFT) assessed and scored (4) areas of a patient’s life: work, interpersonal relationships, satisfaction and recreation. According to Shubham Mehta et al.’s (2014), there are some limitations in the study, which includes the lack of certain...
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...that 11% reported they had been diagnosed with or treated for depression within the past year. Further, 22% had experienced depression in the past 12 months; among those endorsing depression, 39% said that it has affected their academic performance (American College Health Association, 2013). Other research further supports that depression is a significant predictor of both lower grade point average and higher probability of drop- ping out (Eisenberg, Golberstein, & Hunt, 2009). National surveys show that a substantial minority of college students report depression (Eisenberg, Gollust, Golberstein, & Hefner, 2007; National Alliance on Mental Illness, 2012). The 2012 report from the Association for University and College Counseling Center Directors indicated that 95% of counseling center directors believe that psychological problems are a growing concern and that depression is one of the most prevalent concerns with 36% of college students affected (Mistler, Reetz, Krylowicz, & Barr, 2012). Depression is caused by a number of risk factors such as, family history, physical illness, medication and ethnicity. Some types of depression tend to run in families. However, depression can occur in people without family histories of depression too. Scientists are now studying certain genes that may make some people more prone to depression than others. Some genetics research indicates that the risk for depression results from the influence of several genes acting together with...
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...Seasonal affective disorder, likewise abbreviated as SAD, is a type mood disorder that is annual consistent with the seasons. The most common SAD depressive symptoms starts late in the fall, continues throughout the winter (most crucial stage), and the symptoms lessen in the spring. However, it is possible for someone to have SAD during the summer season. For example, during the summer time a person may suffer from summer depression and or summer blues, then less depressed in the winter time when it gets colder. It is a type of depression generated by shorter days and longer nights. This form of depression can prevent the sufferer's ability to cope with their daily life activities, but the symptoms usually fade when there is a change in the season. According to the handbook Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) fourth edition text revised, SAD is considered a pattern “a specifier of major depression”, or subtype, of another mood disorder diagnosis. For example, an individual may be diagnosed as having a major depressive episode with a seasonal pattern. SAD was introduced and named in 1984 by Norman E. Rosenthal as well as his colleagues at the National Institute of Mental Health. Rosenthal is a psychiatrist and a scientist who was born and educated in South Africa and moved to the United States to finish his medical training. In all, he has written a total of seven books, and published two-hundred scholarly papers. In the following you will learn about...
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...insertions, valve replacements, and coronary artery bypass grafts (CABG) are types of surgical interventions used to repair heart damage. Today, cardiac surgery is a common event, but for the person undergoing the procedure, depression and anxiety can play a large role in the recovery process. When the patient learns he must have heart surgery, many feelings and emotions come...
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