Online ISSN: 2754-9380

Keywords : anxiety

There is a substantial global burden of perioperative anxiety in the paediatric population – a systematic review

Iona Minty; Millicent Banks

GLOBAL PSYCHIATRY ARCHIVES, 2021, Volume 4, Issue 2, Pages 208-217
DOI: 10.52095/gp.2021.1181.1014

Objective: Perioperative anxiety is described as an uncomfortable, tense or unpleasant mood at any point in the surgical journey. It can alter the way patients’ deal with the surgical experience and think about surgical treatments in the future. This systematic review aims to investigate the methods of diagnosing perioperative anxiety and assess the prevalence of the condition within the global paediatric population undergoing operations.
Materials and methods: The systematic review was conducted in accordance with the PRISMA Checklist (a 27-item checklist to address introduction, methods, results and discussion with a systematic review). Medline and Scopus databases were searched. Two independent reviewers determined which papers were suitable for inclusion. Inclusion was determined by the mention of prevalence of operative-related anxiety, in a population under 18 years old and patients that were undergoing an operation in a hospital setting. Initially, 48 papers were found and, after screening, a total of 12 eligible studies were included. Data was extracted on the method of diagnosis of anxiety, the prevalence of perioperative anxiety, the time of assessment and the age of the cohort. Cochrane bias assessment was used to assess the presence of types of bias in randomised control trials (RCTs) included and the risk of bias in non-randomised studies of interventions tool in each non-RCTs.
Results: 83% (n=10) studies used the modified Yale Preoperative Anxiety Scale (mYPAS) for diagnosis.‌‌ The overall average prevalence of perioperative anxiety in each paediatric cohort undergoing surgery was 42.1% (95% CI 30.5 - 53.7). There was not sufficient evidence to support a relationship between the age of the patient groups, the time of the anxiety assessment and the prevalence of the perioperative anxiety.
Conclusion: Paediatric anxiety remains a significant factor affecting over a third of all children who undergo operations. The vast majority of papers used the mYPAS for diagnosis although there is still some debate about the most appropriate diagnostic tool. Further studies are needed to assess the factors influencing perioperative anxiety and to evaluate the impact of perioperative anxiety on the patient experience and recovery.

Severity of depression, anxiety and stress among the people of Kashmir, India during COVID-19: An observation from telepsychiatric services

Sheikh Shoib; Sheikh Mohd Saleem; Sheikh Mohammed Shaiful Islam; S.M yasir Arafat; Shijo John Joseph

GLOBAL PSYCHIATRY ARCHIVES, 2021, Volume 4, Issue 1, Pages 62-67
DOI: 10.52095/gp.2021.8115

Objective:  The COVID-19 pandemic has affected the mental health and well-being of millions of people across the globe. This study aimed to assess the severity of depression, anxiety and stress level among persons who sought teleconsultation during the lockdown period in Kashmir, India.
Materials and methods: This cross-sectional study was carried out from 21 March to 31 May 2020 in Kashmir, India. A call line was set up for people with mental health concerns and participants who signed up for the service were included in the study. The mental health services were provided by a team via teleconsultation. The Depression, Anxiety and Stress Scale (DASS-21) questionnaire was used to assess the severity of distress.
Results: A total of 293 people were interviewed during the teleconsultation service. The mean age was 37.10 (± 10.54) years, the majority had moderate depression, 125 (42.7%), followed by extreme severe depression, 95 (32.4%). The mean depression score on the DASS-21 scale was 13.52 ± 4.13. A total of 276 (94.2%) patients had severe anxiety following lockdown with a mean anxiety score of 14.04 ± 9.23. Also, 96 (32.8%) of people had mild stress with a mean stress score of 12.82 ± 7.32.
Conclusion: The severity of depression, anxiety and stress was high in our study population highlighting the need to provide critical mental health services. Teleconsultations could be an alternative approach to provide such services in areas with public health emergencies and where medical infrastructure is limited.

Lack of association between academic achievement and social phobia among high school students of Kathmandu

Pralhad Adhikari; Upama Poudel

GLOBAL PSYCHIATRY ARCHIVES, 2020, Volume 3, Issue 2, Pages 192-200

Objectives: The general objective of this research was to see if academic achievement significantly relates with social anxiety of high school students. There were other specific and auxiliary objectives also. One among these was to gather prevalence data of social anxiety among adolescents of Kathmandu.
Method: A survey was conducted among 696 high school students of Kathmandu to see if academic achievement was associated with their social phobia. Convenient sample from a high school was used. Social Phobia Inventory (SPIN), a self-report test, was used to measure social anxiety disorder of adolescent students. Some demographic data were also collected. Data were organized in MS Excel and analysed in SPSS.
Results: The prevalence of ‘very severe’ social phobia among boys was 2.01% and girls had that of 1.71%. One-way ANOVA showed that academic achievement did not have a relationship with social phobia, F (2, 613) = 1.74, p > 0.05.
Conclusions: Academic achievement was not associated with social phobia among students of a high school in Kathmandu. Boys have more prevalence of severe forms of social anxiety than girls when they are in adolescence.

The effects of Rhodiola Rosea supplementation on depression, anxiety and mood – A Systematic Review

Fanaras Konstantinos; Reinhard Heun

GLOBAL PSYCHIATRY ARCHIVES, 2020, Volume 3, Issue 1, Pages 72-82

Rhodiola rosea is an adaptogen herb from the Crassulaceae family, which has been vastly used in the Russian and Chinese medicine. The herb is used against depression, anxiety, mental and physical fatigue and to promote overall health. In this systematic review, we examined the effects of R. rosea on depression, anxiety and mood, as these are the most relevant to mental health.

Literature searches were made in PubMed using the term ‘Rhodiola rosea’. Inclusion criteria were: Randomized controlled trials using interventions of R. rosea on any type of participants, while focusing on the effects of the intervention on depression, anxiety or mood. Mixed interventions of R. rosea with other herbs were excluded. Studies not published in English or Greek were excluded.

A total of 39 randomized controlled trials were identified and their abstract was screened. After screening, a total of 17 papers were excluded because they were focusing on irrelevant outcomes. The full text of the remaining 22 papers was read and an additional 17 papers were excluded. These papers were excluded because they were eventually not focusing on our main outcome or they were using R. rosea interventions with other herbs. In the end, a total of 5 papers (n = 327 participants) were found eligible for our systematic review. In these studies, R. rosea seems to improve the symptoms of mild to moderate depression, symptoms of mild anxiety and to enhance mood. The last date of our search was October 13, 2019.

Rhodiola rosea supplementation may alleviate symptoms of mild to moderate depression and mild anxiety, while it may also enhance mood. The findings of our review are not definite due to the lack of available experimental data. Randomized controlled trials with a low risk of bias are needed to further study the herb.


A systematic review on the effect of Ramadan on mental health: minor effects and no harm in general, but increased risk of relapse in schizophrenia and bipolar disorder

Reinhard Heun

GLOBAL PSYCHIATRY ARCHIVES, 2018, Volume 1, Issue 1, Pages 7-16

Globally, Moslems are the second largest religious group. During the month of Ramadan from dawn to sundown, healthy Moslems are required to refrain from eating, drinking, smoking, sexual activity and harmful behaviour towards others and themselves. Thus Ramadan may change individual physical states and social interactions. Both might affect mental health within society. Consequently, this systematic review looks at the various effects of Ramadan on mental health.

A literature search on Ramadan and mental health initially identified 294 papers. We finally selected all 22 relevant papers covering Ramadan and mental health from which study data were extracted.

Relevant papers focussed on the general population and healthy volunteers, on subjects practising sports, on subjects with severe physical disorders, on subjects at risk of eating disorders and on subjects with mental health disorders. The effects of Ramadan on mental well-being were mixed. Positive and negative effects were usually minor, except in subjects with schizophrenia and metabolic syndrome, and in subjects with bipolar disorder who suffered a substantial increase of relapses.

Ramadan fasting is safe in most conditions and disorders, but caution is required in subjects with schizophrenia and bipolar disorder. The research on mental health and Ramadan would profit from larger studies with more representative samples to help understand the intra-individual and social factors that affect the mental health and well-being in patients and in society. The scientific potential of such studies may have been overlooked in the psychiatric community.

Football does not improve mental health: a systematic review on football and mental health disorders

Reinhard Heun; Alan Pringle

GLOBAL PSYCHIATRY ARCHIVES, 2018, Volume 1, Issue 1, Pages 25-38

Both football (also called association football or soccer) and mental health disorders have a global impact on the lives of billions of people. Football has been used to approach and support subjects with or at risk of mental health disorders. However, it is not clear if football itself has any beneficial effect on the mental health of players, fans or spectators. Consequently, the aim of the current systematic review was to examine if playing or watching football impacts on the frequency of mental health problems in people who are involved in playing or watching the game.

We performed a systematic review on the relationship between football and mental health disorders. A total of 662 abstracts were screened initially. We identified 17 relevant papers assessing the prevalence of mental health disorders in current and previous football players, referees or spectators.

The prevalence and 12 months incidence of mental health problems in active and retired professional players and referees were similar to or higher than those found in the general population, possibly as response to osteoarthritis, severe injuries, career dissatisfaction, low social support and poor employment status after retirement. Studies in adolescent amateurs and spectators indicate that playing and watching football games may negatively affect subjective mental health, even though qualitative studies indicate mental health benefits of playing or watching football.

Players, referees and spectators are unlikely to present with fewer mental health problems than other members of society as a result of their involvement with football. It appears that some of the infrastructure that supports resilience in mental health such as a sense of inclusion, shared purpose and positive peer identification might be developed by playing in or supporting a team. Strategies that may use the assumed positive aspects of football need to be validated before implementation of large projects.