Association between perceived stress, multimorbidity and primary care health services: a Danish population-based cohort study

Prior, Anders; Vestergaard, Mogens; Larsen, Karen Kjær; Fenger‐Grøn, Morten

doi:10.1136/bmjopen-2017-018323

Cited by 37 publications

(50 citation statements)

References 69 publications

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“…13 Regarding the perceived stress, we found PSS scores again significantly higher compared to those in a recent study in the Danish population (median of 11). 17 Our findings reveal that sleeping less than seven hours per night has a correlation with PSQI greater than 5. Furthermore, the number of weekly work hours, taking sleep medication and perceived stress are independent risk factors for "poor" quality of sleep, in contrast to sleeping more hours per night, which is protective.…”

Section: Discussionmentioning

confidence: 49%

Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study

et al. 2019

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Introduction: Sleeping is essential to maintain proper relationships with others, keep alertness, and execute responsibilities, among many other functions. In the medical profession, there are several studies linking sleep deprivation with a decrease in responsiveness, cognition and attention. With this study we intended to characterize the sleep pattern of Portuguese anaesthesiologists and identify independent factors associated with sleep quality in this population.Material and Methods: An observational, cross-sectional study of senior and resident anesthesiologists working in Portugal was carried out through an online questionnaire. Individuals working exclusively in intensive care units, emergency departments or with previously diagnosed sleep disorders were excluded. Socio-demographic data, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Perceived Stress Scale were applied. Statistical significance was assessed using the Mann-Whitney test and the chi-square test. A multivariable analysis was performed to examine the association between the Pittsburgh Sleep Quality Index and certain variables.Results: Among 256 respondents, 46.1% reported “poor” quality of sleep (Pittsburgh Sleep Quality Index > 5). Within these individuals, 77.1% slept less than 7 hours per night (p < 0.001). Excessive daytime sleepiness (Epworth Sleepiness Scale > 10) was present in 41.0% of the sample, and the median Perceived Stress Scale score was 17.0. The independent factors associated with worse quality ofsleep were the number of working hours/week (OR 1.03, 95% CI 1,01 to 1,06), perceived stress (OR 1.18, 95% CI 1.11 to 1.26), taking sleep medication (OR 14.72, 95% CI 5.55 to 39.08), and sleep hours/night (OR 0.25, 95% CI 0.15 to 0.42).Discussion: This fraction of Portuguese anaesthesiologists presented a poorer quality of sleep, with excessive daytime somnolence, perceived stress and higher sedative use compared to previously studied populations.Conclusion: Our study characterizes sleep patterns and identifies potential risk factors linked to sleep disturbances in a sample of Portuguese anaesthesiologists. Government and institutional policies can endorse sleep hygiene practices and habits, promoting healthier working environments.

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Section: Discussionmentioning

confidence: 49%

Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study

et al. 2019

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“…One in fifty may not sound as many, but this figure corresponds to almost one patient per week per GP and around 75,000 patients in Denmark during 6 months. Patients with stress often requires several consultations, including examinations of psychological and physical symptoms, talk therapy, introduction and adjustment of pharmaceutical treatment, sick notes and declarations to employer and municipality; psychological stress is associated with high use of both elective and acute services by the GP and in the hospitals [29, 30]. This reflects a substantial burden on society at large and on general practice in specific.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of persons contacting general practice for psychological stress in Denmark

Lykkegaard

Rosendal

Brask

et al. 2018

Scandinavian Journal of Primary Health Care

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A total of 2% of the working-age population contacted the GP during a six-month period for psychological stress. The prevalence of psychological stress varies with age, sex and characteristics of both the regional area and the GP. Key points Psychological stress is a leading cause of days on sick leave, but its prevalence has been based on population surveys rather than on assessment by health care professionals. • This study found that during six months 2.1% of all working-age persons have at least one contact with the GP regarding psychological stress. • The six months prevalence of psychological stress was associated with patient age and sex, GP age and sex, practices' number of GPs and patients per GP, and area education and urbanization level.

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“…Higher scores are known to be associated with depressive symptoms related to current life situations. 29 Alkhathami et al, through a study of 368 primary healthcare patients with diagnosed hypertension and diabetes, demonstrated that patients who were aware of their uncontrolled HTN or T2DM had increased levels of perceived stress and this was associated with increased prevalence of depression and anxiety. This feeling had no correlation with objective measures of control like glycated hemoglobin and measured blood pressure.…”

Section: Discussionmentioning

confidence: 99%

Psychological Stress in Myocardial Infarction Patients

Vaswani¹

2020

Ind J Car Dis Wom

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Background The interplay between mental and physical health is an area of inadequate research and hence poorly understood. However, decades of research have made surprising revelations—that both may actually cause each other—but the precise nature of these links is not clearly defined. Hence, the aim of this paper is to determine the prevalence of undiagnosed depressive and anxiety symptoms in patients presenting with Acute Myocardial Infarction (MI) in the Intensive Care Unit (ICU) of our hospital. Materials and Methods This is a cross-sectional study conducted on 100 patients admitted with acute MI in the cardiology ICU of our tertiary hospital. A detailed history was obtained, including socioeconomic history and complete medical history. The Perceived Stress Scale (PSS) was used to assess subjective psychological stress. Patient Health Questionnaire-9 (PHQ9) was used to diagnose unrecognized depression, and Generalized Anxiety Disorder-7 (GAD7) was used to identify anxiety disorder among patients. Results Out of total study population, 35% (n = 35) were females (mean age: 57.44 ± 13.54 years) and 65% (n = 65) were males (mean age: 55.90 ± 10.81 years). 82% (n = 82) of the patients were found to have subjective psychological distress, among which 70.73% (n = 58) patients had depressive symptoms, with 5.17% (n = 3) having major depression. Of the total patients diagnosed to have depression, 68.96% (n = 40) patients were males and 31.03% (n = 18) were females, with two out of three patients with major depression being females. Among the total study patients, 24% (n = 24) had anxiety symptoms, out of which 58.3% (n = 14) were males and 41.6% (n = 10) were females, with only two patients categorized as having severe anxiety disorder, both being females. Univariate analysis of study variables with depression showed that increased incidence of subjective psychological stress and lesser physical activity were strongly associated with depressive symptoms (P value: 0.04 and 0.01 respectively). Among the total study patients, 24% (n = 24) had anxiety symptoms out of which 58.3% (n = 14) were males and 41.6% (n = 10) were females, with only two patients categorized as having severe anxiety disorder, both being females. Univariate analysis of study variables with anxiety disorder showed significant association of older age > 60 years (P value 0.002), hypertension (HTN) (P value 0.001), T2DM (P value 0.02), and coexisting T2DM and HTN (P value 0.05), with anxiety disorder. Smoking and alcoholism also demonstrated an independent association with anxiety disorder (P value 0.04 and 0.01 respectively). Lesser physical activity demonstrated a strong association with anxiety (P value 0.0001). Conclusion The prevalence of psychological stress among MI patients is high, with depression existing in 70.7% of patients, notably, major depression was more in females. Of the total study population, 24% of patients had anxiety, where a severe degree of anxiety was more in female patients.

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Association between perceived stress, multimorbidity and primary care health services: a Danish population-based cohort study

Cited by 37 publications

References 69 publications

Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study

Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study

Prevalence of persons contacting general practice for psychological stress in Denmark

Psychological Stress in Myocardial Infarction Patients

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