Introduction:The most common mental disorders in elderly, beside dementia, are depression and anxiety, which are important public health problem, although they are diagnosed and treated in under 20% of the population. Mental health care for elderly is one of the indicators of quality or omissions in the health system of a country.Aim:The aim of the study was to examine the incidence of depression and anxiety among the elderly in the Livno area.Material and methods:Across-sectional study was carried out in the Livno area through June 2017 on a sample of 100 respondents (N=100). Inclusion criteria: age over 65 years. Exclusion criteria: persons with malignancy, persons with psychiatric diagnosis or dementia. Research tools used: Questionnaire on sociodemographic status and Hospital Anxiety and Depression Self Evaluation Scale (HAD).Results:More than 90% of the respondents of both genders were estimated to be borderline depressed or depressed. There was a higher incidence of depression among male respondents, and anxiety among female respondents. Probably and borderline anxiety is recorded in 84% of respondents, which exceed the results of all available literature data. Religious habits have no influence on the occurrence of depression but there is a connection between prayer and anxiety occurrence.Conclusion:This research has established an extremely high incidence of depression and anxiety among the elderly in the Livno area. The results of the available studies indicate significantly lower rates of occurrence than in the tested sample. Socioeconomic status did not prove to be a significant predictor of the occurrence of these disorders.
UVOD: Rak dojke je najčešća zloćudna bolest kod žena. Unatoč velikim iskoracima u liječenju tijek bolesti, liječenje i psihološki izazovi negativno utječu na kvalitetu života oboljelih. Žene oboljele od raka dojke imaju,pored fizičkih simptoma bolesti i povećan rizik za razvoj psihičkih tegoba uzrokovanih emocionalnom traumom i promjenom životnih okolnosti.CILJ: Ukazati u kojoj mjeri rak dojke utječe na kvalitetu života te na značaj pružanja psihosocijalne pomoći i podrške oboljelim ženama. METODE: Primijenili smo pretraživanje kliničkih istraživanja biomedicinske baze podataka Pub Med u desetogodišnjem razdoblju pomoću ključnih riječi te najnovijih kliničkih istraživanja u Bosni i Hercegovini u bazi podataka Google znalac. REZULTATI: Analizom kliničkih istraživanja po opisanoj metodologiji može se zaključiti kako je utjecaj bolesti na kvalitetu života kod žena oboljelih od raka dojke multidimenzionalan. Sve studije navode smanjenu kvalitetu socijalne i psihološke domene. ZAKLJUČAK: Podrška u zajednici, a ponajprije obitelji izrazito su važan izvor potpore pacijenticama oboljelim od raka dojke. U proces liječenja neophodno što ranije aktivno uključiti obitelj, a u zdravstvenu skrb duhovnost/religioznost. Analizom literature zaključilismo da multidisciplinaran pristup i kontinuirana suradnja stručnjaka raznih profila imaju pozitivan utjecaj na kvalitetu života, a samim tim i na ishode liječenja.
<abstract><sec> <title>Objectives</title> <p>To determine the prevalence and risk factors of spinal pain in the population of Bosnia and Herzegovina (BiH).</p> </sec><sec> <title>Methods</title> <p>This was a cross-sectional survey conducted online in November/December 2018. Participants were inhabitants of BiH of both sexes, aged ≥ 16 years. The sample was stratified based on region and demographic characteristics. Current pain was analyzed; point prevalence was measured.</p> </sec><sec> <title>Results</title> <p>We received 1048 responses, of which data from 1017 could be used. The prevalence of spinal pain in BiH was 70.9%: 75.5% in women (n = 440) and 64.7% in men (n = 281). Low back pain (LBP) was more common compared to neck pain (NP) and thoracic pain (TP) in both sexes and all age groups. Significant associations with spinal pain in the bivariate analysis were found for the following groups: women, aged from 30 to 50 years, with high school education, employed persons and retirees, spinal pain in parents, smoking, irregular physical activity, longer use of TV or computer/mobile phone per day.</p> </sec><sec> <title>Conclusion</title> <p>To our knowledge, this is the first study of the prevalence of spinal pain in BiH. Some factors associated with spinal pain are modifiable. Therefore, public health interventions should target those factors to reduce the burden of spinal pain in BiH.</p> </sec></abstract>
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