Online ISSN: 2515-8260

Keywords : Stress


Structural Equation Model Factors Affecting Suicidal Ideation among Undergraduate Students

Herlina J. EL- Matury; Besral .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2424-2437

The term suicide refers to the experience that one’s life is undeserved that starts with a thought and advances to the actual action to kill oneself or an obsession with self-destruction. This study aimed to construct a structural equation model of factors that affect suicidal ideation among undergraduate students. This study was conducted at 14 colleges at state universities in Jakarta, Indonesia. Method: A cross-sectional design was used in this study. A sample of 504 students was selected using a stratified random sampling method at 14 colleges. Data was analyzed with structural equation modelling testing. Results: Depression, anxiety, stress, and social support were significant factors that affected students’ suicidal ideation. Low social support was associated with increased suicidal ideation in college students. Depression, anxiety, and stress triggered suicidal ideation in students. Conclusion: Universities need to plan activities that can raise awareness and prevent students from experiencing depression, anxiety, and stress so that students can avoid suicidal ideation

Efficiency of information technologies for measure the level Burnout Syndrome, a systematic review

Michael Cabanillas- Carbonell; Allison De la Cruz- Velasquez

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2035-2046

Burnout Syndrome or burn syndrome is a disease caused by exhaustion or work
overload, this has a high impact due to the consequences occurring in different
situations. This document presents a systematic review of the literature on the
impact of information technologies to measure the level of burnout syndrome.
We reviewed 65 articles from the period 2015-2020 on Burnout syndrome with
indicators like causes, consequences and treatments from the databases IEEE
Xplore, Sciencedirect, SpringerLink and Proquest

Menstrual Distress, Stress And Performance Of Female Basketball Players In Different Phases Of Menstrual Cycle

Navneet Dhadda; Dr. Sukhdev Singh; Dr. Mandeep Singh; Dr. Gurmej Singh Dhaliwal

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 521-528

Objective of the study: The purpose of the study was to compare stress level, basketball performance and menstrual distress in during and post menstrual phases among the university level female basketball players. The relationship between stress level, basketball performance and menstrual distress was also ascertained. Method: A total 80 girls were purposively selected as subjects from different colleges of Punjabi University, Patiala. All the subjects were assessed for stress, basketball performance and menstrual distress in during and post menstruation phases of menstrual cycle. The stress level of subjects was measured with the help of Perceived Stress Scale
(PSS) developed by Sheldon Cohen (1988). Menstrual distress was assessed by using the Menstrual Distress Questionnaire (MDQ) developed by Rudolf. H. Moos (1969).Basketball performance was assessed with the help of Johnson Basketball Test Battery design by L. William Johnson (1934).
Results: Paired sample t-test revealed that the basketball players had significantly (p<0.05) higher mean value on perceived stress scale in during menstruation phase as compared to post menstruation phase. Menstrual distress, pain and concentration were found to have significantly higher mean values (p<0.05) in during menstruation phase among basketball players. Behaviour and arousal were significantly (p<0.05) associated with perceived stress and control significantly associated (p<0.05) with basketball performancein post menstrual phase.
Conclusion: The performance of basketball players was not affected during the menstrual phase. Behaviour and arousal showed significantassociation with stress level and control was observed to be significantly associated with basketball performance in the post menstrual phase.

The Positive Impact From Group Counselling With Cognitive Behaviour (GC-CB) To Stress About Cyberbullying Conditions

Akhmad Fajar Prasetya; Mungin Eddy Wibowo; Edy Purwanto; Mulawarman .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 3348-3355

Technology has now served as a means of cyberbullying. Cyberbullying represents harassment done at any time and in any place. A victim of cyberbullying may undergo a sequence of emotional effects such as anxiety, stress, depression, or even suicidal intention. The present study aimed to confirm the effectiveness of cognitive behavior group counseling with cognitive restructuring and self- instruction technique in reducing university students’ stress due to cyberbullying. To this end, factorial experimental design was implemented. The participants of the study were 20 private university students in Yogyakarta, Indonesia. The data were collected using Social Anxiety Scale. In analyzing the data, repeated measure ANAVA was applied. The result of the study indicated that cognitive behavior group counseling with cognitive restructuring and self-instruction technique was effective in reducing the stress of cyberbullying victims. The study also revealed that self-instruction was more effective in reducing stress, compared to cognitive structuring. Regarding gender, female students exhibited a more significant decrease in stress than male students did.

Comparing the Efficacy of the Contasure-Needleless Sling Technique with a Conventional Midurethral Sling in the Surgical Management of Female Stress Urinary Incontinence

Abd El-moneim Abd El-Aziz Saleh; Mahmoud Ahmed Ghareb; Diab Alsayed Mohamed Ibrahiem; Walid Mohamed Elnagar; Mohammed Hassan Elsayed Barakat

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 709-719

Objective: This study aimed to compare the efficacy of the Contasure-Needleless (C-NDL) technique with the Transvaginal Tension Free Vaginal Tape-Obturator (TVT-O) technique in the surgical management of stress urinary incontinence (SUI).
Methods: This prospective observational study was performed on adult women with urodynamic proved SUI who failed or declined conservative treatment between August 2017 to October 2019. The cough Stress test was performed for all patients, and they underwent urodynamic evaluation preoperatively. Follow-up visits were performed at one month, six months, and 12 months after surgery. For statistical analysis, we used the Statistical Packages for Software Sciences (SPSS) version 21.
Results: Forty patients were divided equally into two groups (TVT-O subgroup and C-NDL subgroup). Regarding the operative time and pain scale, there were no significant differences between both groups (p= 0.078 and 0.054). A higher blood loss was observed in the TVT-O group than the C-NDL group (p= 0.001). At three, six, and 12 months of follow-up, no significant difference was observed in terms of the cough test (p= 0.4708, 0.7256, and 0.6644). Moreover, there was no significant difference in terms of complications (all p>0.05). Regarding the relationship between Valsalva leak-point pressure and cough stress reflex at the last follow-up visit, we detected a significant difference among the studied patients (p= 0.001).
Conclusions: C-NDL is a promising technique for treating SUI cases, with low complication rates and a good patient satisfaction level. Furthermore, the procedure's efficacy holds encouraging results that need to be affirmed and tested by long-term outcomes.

WHAT IT TAKES TO BE A DOCTOR: THE WORK LIFE BALANCE OF DOCTORS DURING COVID-19- A QUALITATIVE STUDY

Manish Dhingra; Vaishali Dhingra

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 2067-2080

The study is based on investigating the work life balance of the resident doctors during COVID-19.
Design: Focus group interviews with doctors, resident doctors and interns were conducted who were assigned duties in COVID 19 wards of the hospitals of Northern India.
Participants: The study was carried out on 97 doctors (Psychiatrists, radiologists, pediatricians, gynecologists and Medicine) who were posted in COVID 19 wards in some or the other shift. The doctors were assigned duties in the two COVID- 19 hospitals of Northern India where the study was carried out. The long and tedious working hours in the hospital came with additional responsibility of maintaining and recording the data of COVID patients. After the 15 day long duty in the hospital these doctors were required to stay alone in a separate accommodation where they were quarantined for fourteen days. This long separation from family and friends disturbed their lives leading to immense stress. Their morale went down drastically. The issue of balancing work life was especially challenging for female doctors having young children.
Conclusion: poor work-lie balance adversely affected the wellbeing of the doctors.

EFFECT OF YOGA THERAPY ON PEAK EXPIRATORY FLOW RATE AND STRESSAMONG ASTHMATIC ADULT WOMEN

K. AMUTHADEVI; R. MUTHULAKSHMI; R. ELANGOVAN

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 1075-1082
DOI: 10.31838/ejmcm.07.09.110

The goal of the random group experimental research was to figure out the impact of yoga therapy on the peak expiratory flow rate (PEFR) of asthmatic adult women and stress. For the purposes of the study, 30 adult asthmatic women were randomly selected using the Chennai random group sampling method between the ages of 45 and 55 and were divided into two groups, A and B, each with 15 subjects. It was speculated that substantial discrepancies within the control group on selected physiological and psychological variables among asthmatic adult women would occur due to Yoga Therapy. The pre-test on the chosen physiological variable such as Peak Expiratory Flow Rate (PEFR) and psychological variable such as Stress before the start of the training program was conducted for both groups (A and B).Yoga Therapy was given to Group A; Group B (Control Group) received no specific treatment, but were in active rest after the trial duration of eight weeks, all groups were retested on the selected dependent variables. The dependent variables tested were measured and compared using the Study of Co-variance (ANCOVA) approach to figure out the essential variations between the classes. The importance test has been set at a confidence level of 0.05. There was a major increase in the peak expiratory flow rate (PEFR) and depression after eight weeks of yoga therapy. Group A remained significantly relevant relative to Group B at the conclusion of the intervention; it is concluded that yoga therapy had a significant impact among asthmatic adult women on physiological and psychological variables. Yoga therapy is therefore useful in increasing the Peak Expiratory Flow Rate (PEFR) and overcoming stress for asthmatic adult women.
 

Prevalence of Depression, Anxiety and Stress Disorders among Nursing College Students in Mosul University / Iraq

Shatha Abdul-Rahman H. Al-Ghurairi; Eman Salem Khaffaf

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 1270-1276

High levels of depression, anxiety, and stress (DAS) can adversely influence the academic and clinical performance of nursing students, psychological well-being, and physical health. Large numbers of studies have recognized the factors that related by depression, anxiety, and stress. The purpose of the study is to determine the prevalence of depression, anxiety, and stress and their levels among undergraduate nursing students in the Mosul University /Mosul/ Iraq. A confidential questionnaire was done in this cross-sectional survey study which is carried out using a depression anxiety stress scale DASS reported by Lovibond and Lovibond (1995a) carried out from 22th of January- 20th of March 2020. Among 800 nursing students analyzed, the age distribution shows that (83%) and (67%) respectively in the third class in morning and evening courses are between age group 22-25 years, 84% and 87% are female in the third class with significant p values. About the prevalence of moderate stress (26%) of third and 25% of second class respectively of morning and evening courses and mild anxiety 26% and 28% respectively of morning and evening courses. Finally, moderate depression was seen among 24% of the fourth class of morning and 35% of second class evening courses. The DAS and their levels among learner nursing students in the Mosul University, Mosul, Iraq had a high prevalence in comparison with others. Prospect research can localize on the need to set up social and mental health screening and hold up services, such as psychotherapy centers in nursing colleges.

EFFECT OF YOGIC PRACTICES ON BODY MAS INDEX (BMI) AND STRESSAMONGADOLESCENT STRESSED GIRLS

K. J. Sridevi; R. Elangovan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 1118-1124
DOI: 10.31838/ejmcm.07.09.116

The aim of the random group experimental research was to figure out the impact of yogic practices on teenage stressed girls' body mass index (BMI) and stress. For the purpose of the study, 30 stressed adolescent girls were chosen randomly using random sampling group method They came from Chennai between the ages of 14 and 18, and were split into two classes, I and II, each with 15 subjects. It was hypothesized that there will be substantial variations in physiological and psychological factors such as Body Mass Index (BMI) and Depression in the teenage depressed girls than in the control group. Preliminary test was conducted for two Groups on Body Mass Index (BMI) and Stress before the start of the training program. Group I subjects were given Yogic practices for 60 minutes, 6 days a week  for a total period of eight weeks. Group II (Control Group) were in active rest. After the experimental period, the two groups were retested again on the same dependent variables. Co-variance analysis (ANCOVA) was used to assess the relevant distinctions between the experimental group and the control group. The significance test was set at a degree of trust of 0.05. The results of the study proved that the Experimental Group showed significant differences on selected physiological and psychological variables such as Body Mass Index (BMI) and Stress than the Control Group due to Yogic practices among adolescent stressed girls. The theory was agreed at a confidence level of 0.05. Therefore it is concluded that teenage girls benefit from Yogic activities to sustain a balanced Body Mass Index (BMI) and to overcome stress.

A Study on the Attitude for Psychosocial Health of Nursing Students in Korea

Seoung-Uk Wie; Keum-Bong Choi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 1333-1341

Background: Korean nursing students experience higher levels of academic stress than
those of other disciplines. Academic stress leads to psychological distress and has
detrimental effects on well-being. The aim of this study was to identify the levels of stress,
self-perception and resilience of undergraduate nursing students and to recognize the
correlations between them. Methods: The research design is a descriptive correlational
study design. The participants in the study 198 nursing students in South Korea. The used
research measures were tools which measure stress, self-perception and resilience. Data
collection was conducted from May 13, 2019 to May 24, 2019 using SPSS 21.0 for data
analysis.Results: The results show that stress is affected by health status, and clinical
practice satisfaction. Meanwhile, resilience is affected by health status, interpersonal
relationships, personality trait and major satisfaction. Stress and resilience are negatively
correlated while self-perception and resilience are positively correlated. Furthermore, an
increase in self-perception correlates with an increase in resilience and a decrease in selfperception
correlates with a decrease in resilience. Conclusions: It is important for nursing
leaders of education and practice to find out the sources of stress and coping strategies used
by the students so that such leaders can help students effectively manage upcoming
problems and situations. In addition, if the social support system that protects nursing
students is systemically formed and utilized, it can not only help increase self-perception
and resilience of nursing students but also improve their happiness.

Determinant Factors Related to Relapse of Schizoprenic Patients at the Islamic Mental Hospital

MahyarSuara .; Sandeep Poddar; Roy Rillera Marzo

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 129-139

Background: During the last century, there has been a high increase in health problems in the world, including Indonesia, one of it is mental health. The actual prevalence of mental health disorders worldwide remains poorly understood. Mental health is very much underreported, and under-diagnosed.
Aims
The purpose of this study was to identify factors associated with schizophrenia relapse of patients at the Islamic Mental Hospital in Jakarta, Indonesia.
Settings and Design
The research method with a quantitative approach was performed with a total sample comprisedof 150 respondents using primary data.
Material and Methods
The data collection method used was library research, field research (observation), and questionnaire research design through a cross-sectional approach.
Statistical Analysis
Univariate analysis process (frequency distribution) and Bivariate analysis with the Chi-square test and multi-variate with path analysis was used in this study
Results
Based on the results of the validity of the instrument, the variable of compliance for taking medication (X1), Stress variable (X2), Drug Abuse variable (X3), the Psychology variable (X4), the variable of Emotional Expression (X5), Relapse among schizophrenic patients (Y) was considered. The results revealed that the correlation of the adherence to the antipsychotic drugs consumption (X1), stress level (X2), and psychological response (X4) to the relapse in schizophrenia patients (Z) is acceptable, whereas the strongest or dominant correlation is the stress factor (X2).
Conclusions
The results of this study can provide a plan for schizophrenic patients in the country. Since schizophrenic patients need medication and treatment for a long time, the researchers recommend for the government to provide medical assistance.

SYSTAMATIC REVIEW ON THE RELATIONSHIP AMONG COVID 19 AND ANXIETY

Dr.Vignesh D; Dr. Lokesh. S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 5687-5693

The existing pandemic of COVID-19 has developed an unimaginable, socially hostile climate for citizens. Against the context of this exogenous shock, we analysed the relationship between risk-taking, trait resilience and state anxiety, under which the relationship between trait resilience and risk-taking moderates with state anxiety during the pandemic, and using the principle of combined prospects. In a survey of 515 people in the U.S. we test risk taking by means of a comportment assessed and evaluate trait anxiety, five main characteristics and other demographics. Study of a regression showed that age moderates the correlation between risk and anxiety and that highly resilient, risk-tolerant people have lower anxiety than less resilient people. In the other hand, older people with a higher longevity, are less prone to threats than their younger and least resilient opposites. Studies are minimal and further research is proposed.

INFLUENCE OF WORK CHARACTERISTICS ON ASSOCIATION BETWEEN DOCTOR’S STRESS AND SLEEP QUALITY

Shivani P. Lanjewar; Shravani G. Deolia; Rutuj N. Waghmare; Surbhi R. Kankriya; Simran D. Badki; Shivani D. Jaiswal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1692-1702

INTRODUCTION- Doctor’s stress has an impact for health and doctor’s satisfactory level involved which ultimately has an effect on care quality for the patients. Stress induced sleep disturbance is prominent.
AIM-This study was designed with aim of assessing the influence of work characteristics on the association between doctor’s stress and sleep quality METHOD- This cross-sectional study was conducted on doctors of Tertiary Care Hospitals of Wardha city using questionnaire, containing 24 questions. The stress was evaluated using 10 items “Global perceived stress scale” and for sleep quality “Pittsburgh Sleep Quality Index” of 
total 14 items was used. The variables were compared in unpaired t test and Pearson correlation test to know the level of significant of determinacy which was set at less than 0.05.
RESULTS –The Positive PSS Score for post-graduates was 14.03 ± 4.55 and staff was 15.69 ± 4.44, the Negative PSS score was 13.57 ± 5.15 and 11.37 ± 4.39, respectively which was statistically significant (p<0.05). Negative PSS scores of females were higher (13.92 ± 5.36) as compared to males (11.96 ± 4.54) but the difference was also statistically insignificant (p <0.05). The total PSS and Total PSQI scores were almost equals in post-graduates and staff, males and females, day and night shift duty doctors.
CONCLUSION- Certain characteristic of work shift among doctors can directly affects the stress and sleep quality and indirectly affect the patient care and treatment. The study indicates that work characteristic may influence sleep quality and stress among doctors. We need to improve work shift schedule in order to provide good health and well-being of doctor which will further improve the quality of patient care.

Effects of Psychological Distress on Hypertension among Liquefaction Refugees in Petobo Shelter

Herawanto .; Vidyana Aulia Rahma; Muh. Jusman Rau; Sendhy Krisnasari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 89-96

The purpose of this research is to know the psychological disorder in the incidence of hypertension among liquefaction refugees in Petobo Shelter. A cross-sectional design was performed. The total number of patients who visit the health post at a Petobo shelter is 3,079 people taken in accidental sampling. The analysis uses the univariate and bivariate analyses at a degree of confidence of 95% (α = 0.05). The chi-square test results show that anxiety (ρ = 0,031), depression (ρ = 0,008), and stress (ρ = 0,000) are associated with the incidence of hypertension. It is expected that hypertension sufferers should do breathing exercises, perform physical activity and meditation relaxation to avoid anxiety, negative thoughts, also avoiding depression, stress and do interact with someone else so that the mind is not saturated and easy to forget the negative thoughts.

Psychological Well-Being And Quality Of Worklife Of The School Teachers During The Covid-19 Situation

Thomas K. P.; Dr. Satish Kumar; Dr. Pavitar Parkash Singh

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 6309-6316

The recent pandemic disease called “COVID-19 or Corona Virus”, which is prevalent the whole world is also spread in every state of our own country India. It has a wide range impact on every aspect of the life of the people everywhere. The people are sure to undergo vast variety of COVID-19 impacts like stress, anxiety, tensions, fear, remorse, disinterestedness, physical problems like pressure and heart problems, various other discomforts, frustrations, irritation, anger, etc. It is said by the psychologists that a like 'COVID-19’ will have a significant impact on the mental health of the people who live any part of the world. This impact will be multifaceted: immediate effect, short-time impact, effect which could be long lasting, different types of impacts, etc. One great impact of this COVID-19 situation is felt in the educational field-education process is in a standstill. Lot stress is experienced by the teachers which has affected their psychological well-being and has reduced the degree of their employment-related experience or the total quality of their work life at the school. Teachers must remain calm so as to look after their own well-being. In this way, through different ways,they should navigate through this time and must their own psychological well-being and higher degree of quality of work life.

Results Of Experimental Program For Studying The Coрing Behavior Peculiarities In Higher Education Students

Tatyana A. Serebryakova; Irina A. Koneva; Olga V. Suvorova; Lidia E. Semenova; Natalya V. Fomina; Irina S. Ipatova; Natalia N. Sheshukova

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 233-243

The article reflects the results of an experimental study of the specifics of coping behavior of university students. Considering coping behavior as a special purposeful socially-oriented behavior of a person that ensures his productivity, health and, both psychological and social, well-being, we believe that the formation of the experience of coping behavior is a prolonged process and is carried out throughout a person's life. We determined the study of the specifics of coping behavior among students of a higher educational institution as the target guidelines of our research. Relying on theoretical and methodological provisions in the field of personality psychology, psychology of coping behavior, as well as the theory of stress, we have designed a diagnostic program that included the method of scientific observation, as well as a system of test methods. Our pilot study showed that the complex application of the diagnostic program developed by us makes it possible not only to study the specifics of coping behavior of students within the framework of their educational activities, but also to determine the type of behavioral activity of respondents, the characteristics of their behavior in emotionally stressful situations, and also to determine the main reasons stimulating the onset of stress.

Effect of the Education of Using Structured Multimedia on Stress, Self-efficacy and Performance Confidence in Undergraduate Nursing Students

Yu-Jeong Kim; Keum-Bong Choi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 1382-1390

Background: The The purpose of this study was to identify the effects of the education of
using structured multimedia on self-efficacy, stress, and performance confidence in future
nursing professionals. Methods: A quasi-experimental study with a non-equivalent control
group pretest-posttest design was used. Participant were recruited from two nursing
colleges. The sample consisted of an intervention group (n=29) that participated in the
educational program and a control group (n=30). The data were collected using selfadministered
questionnaires. Data analyses utilized x2-test, fisher's exact probability & ttest
with the SPSS 21.0 program. Results: As a result of research, the experimental group
showed significantly increases in self-efficacy (t=2.694, p=.027) and performance
confidence (t=1.825, p=.031) than the control group. Also, the experimental group showed
significantly decreases in stress (t=-4.026, p=.031) than the control group. The findings
indicate that the education of using structured multimedia on self-efficacy, stress, and
performance confidence in future nursing professionals is an effective teaching method for
nursing students. Conclusions: It is important to manage the psychological well-being to
prepare successful professionals. In addition, it will be necessary to consider teachinglearning
method strategies for applying structured multimedia learning in the nursing
education.

Role Of Increasing Levels Of The Hormone Cortisol In Cognitive Impairment In Parkinson's Disease: Vascular Parkinsonism

Gulnora Sattarovna Rakhimbaeva; Dilshoda Turdikulovna Akramova

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 2987-2994

This article is based on a review of the literature and recent clinical studies on changes in plasma cortisol hormone concentrations in cognitive impairment in Parkinson's disease. The article presents the reasons for the relationship between cognitive impairment in Parkinson's disease, in particular vascular Parkinsonism and neurodegenerative diseases, as well as the results of neuropsychological tests.
Methods: We studied the level of morning plasma cortisol in 68 patients with Vascular Parkinsonism (VP) who were hospitalized in 1st neurology department of TMA in the period from 2015 to the present.The relationship between increased morning plasma cortisol and cognitive impairment was determined.The results of the study were statistically analyzed.Cortisol was determined in all blood samples of patients of the Main and Control groups.The control group consisted of 47 volunteers.
Results: Normal levels of cortisol were observed in 20 patients (29%) with vascular parkinsonism,, moderate increases in cortisol were observed in 37 patients (54.4%), and elevations in cortisol were observed in 11 patients (16.1%). Was determined the relationship between the value of cortisol and the assessment of cognitive impairment.In the main group, a statistically significant moderate inverse correlation was determined between plasma cortisol level and cognitive impairment in VP. When studying cortisol levels in VP, its significant increase is noted than in the control (p <0.05).
Conclusion: Increased levels of the hormone cortisol in Parkinson's disease play an important role in cognitive impairment and during the course of the disease and affect the effectiveness of VP therapy.

Assessment of quality of life among patients with type 2 diabetes mellitus attending a tertiary health care facility of Odisha, India

Dr bijan kumar panda; dr trilochan sahu; dr lipilekha patnaik

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 898-908

Background: Healthassociated with Quality of life is most important for people with diabetes but this aspect is given less attention.
Objectives: To assess quality of lifeamong type 2 diabetes mellituspatientsand its socio-demographic determinants
Methods:A hospital based cross sectionalstudywasconductedin a tertiary care hospital from June 2014 to September 2016.130 diagnosed patients of Type 2 diabetes mellituswereincluded.Apre-structuredquestionnairewasusedand data related to demographic profile, history of diabetes, quality of life, stress etc. were collected. Datawere analysedusing SPSS version 20.
Results: Out of 130 study subjects selected for the study, 58.5% were males. The mean age 53.68 years ±10.48. The averageperiod of diabetes of participants was 5.88 ±4.70 years. Among participants, 11.5% were suffering from neuropathy. The sleeping hours was less than 7 hours in 27.7% participants. The mean stress scores of the participants was 14.61 ± 2.90 and 6.9% were having stress score 20 and above. The suggested score of the health related excellence of life study participants was 122.42 ± 14.37. The mean HRQoL score was 72.43 and found that 24.6% of the patients showed good score, 56.9% moderate score and 18.5% of the patients showed poor HRQoL score. Conclusion: Steps should be taken in individual and community level to get better the quality of life like counselling for reduction of psychological distress, practice of Yoga and meditation, diabetic diet at diabetic clinics and hospitals.

Decreasing Students’ Stress Through DeStressMeNow Mobile App

Nurul Ain Hidayah Abas; Asma Perveen; Ahmad Jazimin Jusoh

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 5945-5953

Disseminating information on psychological health for university students is critical to university adjustment, interpersonal relationships, academic issues, and others. Using smartphones as the mean of conveying information is vital as it become devices of choice for the millennials. On this basis, the study aims in developing DeStressMeNow app that acts as early preventative tool in managing stress: to identify stressors, to understand its negative consequences, and to cope with stress. There are three main parts; online activities, offline activities and a podcast; along with detailed definition, self-assessment, techniques and strategies, and stress management success stories revealing the app novelty and uniqueness. The results from Usability Testing show that Relax Your Mind is the favorite segment of the app and is effective in managing stress. Further, the results of the effectiveness study of the app showed its significance in decreasing the stress level among university students. It extends the Emotional Intelligence principle in stress management and improve students’ health. We are proposing a mobile app, a technical version of stress management module, as an accessible instrument to prevent the high occurrence of stress among university students

Association Of Stress, Peer Pressure And Performance Pressure On Oral Hygiene: An Original Research

Dr.Mathew J Maliyil; Dr. Rohinjeev Ghotra; Dr. Aseem Bhatia; Dr. Preeti Lath; Dr. Nikhitha Raigir; Dr. Kommuri Baji Babu; Dr. Rahul VC Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3155-3160

Aim: Aim of our research was to evaluate the amount of stress as well as performance pressure on the oral hygiene in our study participants.
Methodology: Survey was conducted in 200 patients who had reported to various private clinics over a period of 6 months. Questionnaire was given having 12 questions, which helped us assess their stress levels related to their oral hygiene status. Descriptive analysis was carried out with the data received from the study participants.
Results: Maximum participants had moderate stress levels (47%), whereas around 34 % experienced oral health problems. 67% were conscious about their appearance, and their smile. Only 14 % went for regular dental check-ups, which further shows less awareness for preventive care.
Conclusion: Our findings suggest that individuals with greater perceived stress also report poorer oral health. These findings may warrant greater attention be paid to the role of psychological stress in the development of oral disease.

A CROSS-SECTIONAL STUDY OF DEPRESSION, ANXIETY, STRESS AND RESILIENCE AMONG THE PRIMARY CAREGIVERS OF PERSONS WITH SCHIZOPHRENIA FROM TERTIARY CARE RURAL HOSPITAL IN CENTRAL INDIA

Rashmi Shukla; Dr. Ajinkya Ghogare; Dr. Pradeep Patil

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2113-2121

Background: Schizophrenia is characterized by disordered thoughts, emotions, perceptions, language, sense of self and behavior. Primary caregivers of individuals with Schizophrenia encounter comprehensive care giving challenges that causes physical as well as mental stress and can deteriorate the family functioning. However, if primary caregivers are resilient enough with strong and positive mindset, they can overcome burden associated with patient care and preserve own health and health of family as well.
Aim: To assess the relationship between depression, anxiety, stress and resilience perceived by primary caregivers of persons with Schizophrenia 
Materials and Methods: Primary caregivers of person diagnosed with Schizophrenia disease reporting to OPD and IPD of Department of Psychiatry of Medical College as per DSM-5 diagnostic criteria will be assessed for depression, anxiety, stress and resilience after taking informed consent for the study by applying inclusion and exclusion criteria. Then psychological scales will be applied on these primary caregivers. The Depression Anxiety and Stress (DASS-21) and Brief Resilience Scale (BRS) scales will be applied and accordingly the points will be given.
Conclusion: We expect to find significant relationship between depression, anxiety, stress and resilience perceived by caregivers of persons with Schizophrenia.

Detection Of Adrenaline And Stress Conditions In Patients Using Psychoactive Substances With Hiv Infection

OchilovUlugbekUsmanovich .; TuraevBobirTemirpulatovich .; KubaevRustamMurodullaevich .; AlkarovRustamBakhtiyarovich .; TurgunboevAnvarUzokboevich .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 2801-2804

The study of the adrenaline content in the blood and the manifestation of a stress state in patients using psychoactive substances (PAS) with HIV infection is one of the key indicators in the provision of medical and psychological assistance and the development of appropriate psychotherapeutic measures. When carrying out these activities, it is necessary to take into account the level of adrenaline and the severity of stressful conditions, in order to be able to overcome stress and adapt to the diagnosis.

PREVALENCE AND IMPACT OF STRESS AND DEPRESSION IN ADULTS WITH DIABETES - A SURVEY

Preety Rajesh; Karthik Ganesh Mohanraj; Manjari Chaudhary

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 799-809

Depression occurrence is found to be three times higher in people with diabetes mellitus. Sometimes the majority of the cases with depression are under diagnosed. According to the International diabetes federation, diabetes is the largest global health emergency of the 21st century. A questionnaire was created with a set of ten questions related to diabetic patients and depression. 100 random participants of the age 25- 50 years took the survey and a random sampling method was done. More than half the participants are well aware that depression is common in adults with diabetes (57.5%). 71.3% think that diabetic patients are more anxious than a normal person, 54.5% are aware that using antidepressants in diabetic adults can be risky, 51% think that diabetes can be under diagnosed during treatment and 70% are aware that glucose metabolism will be altered if the doabetic patient is under depression or stress. Awareness about diabetic patients who could possibly be dealing with stress and depression was created.

A SURVEY ON THE EMOTIONAL AND ANXIETY LEVELS DURING POST VACATION PERIOD AMONG HOME SICKNESS INDUCED COLLEGE STUDENTS

Deepika. R; G. Sridevi; A.K. Anjali

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 501-517

Homesickness is the mental and physical distress caused by the anticipated separation of students from their families. This homesickness may lead to depression, stress, and other psychological problems. The objective of this study is to observe the post-vacation mental state of the students who have been suffering from homesickness in the hostel. In this study, a standardized tool that measures the level of anxiety of the students was used. A questionnaire DASS-21 (Depression Anxiety Stress Scale), containing 21 questions was used which was circulated among 100 -1st-year dental students of Saveetha Dental College who were affected by homesickness. Data collection was done through the administration of Google forms and the data were analyzed in SPSS version-15 using cumulative frequency and percentage analysis. The results of the study showed that the post-vacation period had considerable changes in the student population. The students developed a feeling of positivity, had good energy levels and they were not stressed and anxious and felt enthusiastic during the post-vacation period. Thus the present study concludes that physical and mental stress disorders can only be reduced by spending time with family and home place.