Adolescents' experiences of being depressed - A literature study

Bakgrund: Depression är en vanlig sjukdom, bara under 2017 drabbades cirka 264 miljoner människor av depression globalt. Depression är en av de vanligaste orsakerna till funktionshinder och självmord. I Sverige är depression ett växande problem bland ungdomar och samtidigt som flickor och unga kvinnor diagnostiseras med depression i högre utsträckning än pojkar och unga män. Syfte: Syftet med litteraturstudien var att beskriva ungdomars erfarenheter av att vara deprimerade. Metod: 11 vetenskapliga artiklar inkluderades i studien. Datasökningen genomfördes i CINAHL, PubMed och PsycInfo. Fribergs femstegsmodell användes för dataanalysen. Resultat: Analysen resulterade i 5 huvudkategorier och 14 subkategorier. Huvudkategorierna var “att lida av depression” “att försöka hantera sitt mående” “konsekvenser av sjukdomen” och “att söka hjälp”. Konklusion: Ungdomars depression påverkar deras hälsa, relationer, utbildning och även deras framtid. De upplever sig ofta stigmatiserade av samhället och detta kan innebära att de inte söker vård i den utsträckning de har behov av. Både vårdpersonal och skolpersonal kan behöva mer kunskap om depression bland ungdomar. Ungdomar med depression önskar att få vård från vårdpersonal som försöker förstå dem som individer och inte bara fokuserar på sjukdomen och medicinering.Background: In 2017 alone, around 264 million people suffered from depression globally. Depression is one of the most common causes of disability and suicide. In Sweden, depression among adolescents is a growing problem and more girls and young women are diagnosed with depression compared with boys and young men. Aim: The purpose of this literature study was to describe the adolescents’ experiences of being depressed. Methods: 11 scientific articles were included in the study. Data searches were performed in CINAHL, PubMed and PsycInfo. Friberg's five-step model was used for data analysis. Results: The analysis resulted in 5 main categories and 14 subcategories. The main categories were to suffer from depression, to try to manage one’s well-being, consequences of the disease, and to seek for help. Conclusion: Adolescents' depression affects their health, relationships, education and even their future. They experience stigma from the society that prevents them from seeking care. There is a need to improve knowledge about depression among health care workers, school staff and society to avoid stigmatization. Young people would like to receive care from health care workers who regard them as individuals and not only focus upon the diagnosis and medication

Adolescents' experiences of being depressed - A literature study

Bakgrund: Depression är en vanlig sjukdom, bara under 2017 drabbades cirka 264 miljoner människor av depression globalt. Depression är en av de vanligaste orsakerna till funktionshinder och självmord. I Sverige är depression ett växande problem bland ungdomar och samtidigt som flickor och unga kvinnor diagnostiseras med depression i högre utsträckning än pojkar och unga män. Syfte: Syftet med litteraturstudien var att beskriva ungdomars erfarenheter av att vara deprimerade. Metod: 11 vetenskapliga artiklar inkluderades i studien. Datasökningen genomfördes i CINAHL, PubMed och PsycInfo. Fribergs femstegsmodell användes för dataanalysen. Resultat: Analysen resulterade i 5 huvudkategorier och 14 subkategorier. Huvudkategorierna var “att lida av depression” “att försöka hantera sitt mående” “konsekvenser av sjukdomen” och “att söka hjälp”. Konklusion: Ungdomars depression påverkar deras hälsa, relationer, utbildning och även deras framtid. De upplever sig ofta stigmatiserade av samhället och detta kan innebära att de inte söker vård i den utsträckning de har behov av. Både vårdpersonal och skolpersonal kan behöva mer kunskap om depression bland ungdomar. Ungdomar med depression önskar att få vård från vårdpersonal som försöker förstå dem som individer och inte bara fokuserar på sjukdomen och medicinering.Background: In 2017 alone, around 264 million people suffered from depression globally. Depression is one of the most common causes of disability and suicide. In Sweden, depression among adolescents is a growing problem and more girls and young women are diagnosed with depression compared with boys and young men. Aim: The purpose of this literature study was to describe the adolescents’ experiences of being depressed. Methods: 11 scientific articles were included in the study. Data searches were performed in CINAHL, PubMed and PsycInfo. Friberg's five-step model was used for data analysis. Results: The analysis resulted in 5 main categories and 14 subcategories. The main categories were to suffer from depression, to try to manage one’s well-being, consequences of the disease, and to seek for help. Conclusion: Adolescents' depression affects their health, relationships, education and even their future. They experience stigma from the society that prevents them from seeking care. There is a need to improve knowledge about depression among health care workers, school staff and society to avoid stigmatization. Young people would like to receive care from health care workers who regard them as individuals and not only focus upon the diagnosis and medication

Effects of Telestroke on Thrombolysis Times and Outcomes: A Meta-analysis

<p><b>Objective</b>: Telestroke systems are tools, used to provide an advanced stroke care in regions without sufficient neurologic services. We performed this meta-analysis to assess the effects of telemedicine on treatment times and clinical outcomes of acute stroke care. <b>Methods:</b> A literature search of PubMed, SCOPUS, and Cochrane CENTRAL was conducted for original studies investigating telemedicine applications in acute stroke care. Dichotomous data on treatment outcomes were pooled as odds ratios (ORs), while continuous data on thrombolysis times were pooled as mean differences (MDs) with 95% confidence interval (CI), using RevMan software (version 5.3). <b>Results</b>: Pooling data from 26 studies (6605 thrombolysed patients) showed no significant differences between the telestroke and control groups in terms of in-hospital mortality (OR = 1.21, 95% CI [0.98, 1.49]), 90-day mortality (OR = 1.08, 95% CI [0.85, 1.37]), symptomatic intracranial hemorrhage (sICH) (OR = 1.10, 95% CI [0.79, 1.53]), and favorable clinical outcome at discharge (OR = 1.03, 95% CI [0.69, 1.53]) and 90 days later (OR = 0.99, 95% CI [0.82, 1.18]). The onset-to-door (OTD) duration (MD = −10.4 minutes, 95% CI [−14.79, −.01]) and length of hospital stay (MD = −0.55 days, 95% CI [−1.02, −0.07]) were significantly shorter in the telestroke group, compared to the control group. Although the overall effect estimate (under the fixed-effect model) showed a significant decrease in the onset-to-treatment (OTT) duration in the telestroke group (MD = −5.83 minutes, 95% CI [−8.57, −3.09]), employing the random-effects model for between-study heterogeneity abolished this significance (MD = −5.90 minutes, 95% CI [−13.23, 1.42]). <b>Conclusion</b>: Telestroke significantly reduced OTD and hospital stay durations in stroke patients without increasing the risk of mortality or sICH. Therefore, telemedicine can improve stroke care in regional areas with minor experience in thrombolysis. Further randomized controlled trials are needed to assess the benefits of telestroke systems, especially in terms of cost-effectiveness and quality of life outcomes.</p