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The COVID-19 pandemic precipitated numerous changes in daily life, including the cancellation and restriction of sports trainings and competitions globally. Because engagement in sports contributes positively to the physical and psychosocial development of adolescents, restricting these activities may have led to long-term changes in mental health, especially among high school student-athletes that spend a significant amount of time training and competing.
Objectives
We sought to (1) compare overall prevalence rates and symptom severity of depression and anxiety between 2021 and 2022, (2) assess cohort and class-level differences on internalizing measures, and (3) identify demographic and health risk factors for developing depressive and anxiety symptoms in 2022 and compare the composition of these models predicting depression and anxiety with those proposed by Håkansson et al. (Front. sports act. living 2022; 4 943402) on student-athletes in the 2021 sample.
Methods
Using a cross-sectional study design with repeated measures, we measured rates of depression using the Patient Health Questionnaire-2 scale (PHQ-2) and anxiety using the Generalized Anxiety Disorder-2 scale (GAD-2) in student-athletes attending elite sport high schools in Sweden during the second wave of the pandemic (February 2021) and after all restrictions were lifted (February 2022).
Results
As illustrated in Table 1, the overall prevalence of depression among student-athletes declined significantly from 19.8% in 2021 to 17.8% in 2022, whereas the percentage of student-athletes screening for anxiety did not change significantly (17.4% in 2021 to 18.4% in 2022).Table 1
Note. Comparison of psychological health measures across years. P-values adjusted for multiple comparison using Benjamini & Hochberg (1995)36 procedure.
a
Chi-square test of homogeneity
b
independent-samples t-test
Cohort-level analyses revealed older students exhibited decreases in depressive symptoms (Figure 1), while younger cohorts experienced increases in symptoms of anxiety (Image 2) from 2021 to 2022. Logistic regressions revealed that being female, reporting poorer mental health due to COVID-19, and excessive worry over one’s career in sports were significant predictors of both depression and anxiety screenings in the 2022 sample (Image 2).
Image:
Image 2:
Conclusions
In comparison to periods when sports participation was limited in February 2021, the lifting of restrictions in February 2022 was associated with overall reduced levels of depression, but not anxiety.
Disclosure of Interest
M. Andersson: None Declared, G. Kenttä: None Declared, K. Moesch: None Declared, E. Borg: None Declared, E. Claesdotter-Knutsson: None Declared, A. Håkansson Grant / Research support from: AH receives financing from the Swedish state-owned gambling operator, AB Svenska Spel, and the state-owned alcohol monopoly. Neither were involved in the study planning, execution, or decision to publish the current article.
An online training package providing a concise synthesis of the scientific data underpinning EU legislation on enrichment and tail-docking of pigs was produced in seven languages, with the aim of improving consistency of professional judgements regarding legislation compliance on farms. In total, 158 participants who were official inspectors, certification scheme assessors and advisors from 16 EU countries completed an initial test and an online training package. Control group participants completed a second identical test before, and Training group participants after, viewing the training. In Section 1 of the test participants rated the importance of modifying environmental enrichment defined in nine scenarios from 1 (not important) to 10 (very important). Training significantly increased participants’ overall perception of the need for change. Participants then rated nine risk factors for tail-biting from 1 (no risk) to 10 (high risk). After training scores were better correlated with risk rankings already described by scientists. Scenarios relating to tail-docking and management were then described. Training significantly increased the proportion of respondents correctly identifying that a farm without tail lesions should stop tail-docking. Finally, participants rated the importance of modifying enrichment in three further scenarios. Training increased ratings in all three. The pattern of results indicated that participants’ roles influenced scores but overall the training improved: i) recognition of enrichments that, by virtue of their type or use by pigs, may be insufficient to achieve legislation compliance; ii) knowledge on risk factors for tail-biting; and iii) recognition of when routine tail-docking was occurring.
Although cats are extremely common, pet owners seem to have a poor understanding of their natural behaviour and needs and a large number end up in cat shelters. In Sweden, no records exist of the number of cat shelters or their activities. The aim of this study was to investigate the occurrence of cat shelters in Sweden. We found 62 cat shelters during 2006; the year in which this study was conducted. Questionnaires were sent to these shelters with questions concerning: received animals, reasons for relinquishing cats, cat husbandry and how the shelter was run. The most common reason for relinquishing a cat was that the cat was homeless; another common reason was that the owner had an allergy to cats. The shelters had, on average, space for 29 cats, but this varied from six-to-100, and they received on average ten cats per month. This means that a total of around 7,400 cats enter the 62 shelters in Sweden each year. On average, the cats stayed more than three months in the shelter. Less than 10% of the relinquished cats were euthanised. Our study reveals that there are shelters that continuously receive unwanted cats. The majority of these cats are said to be homeless, therefore in order to minimise the number of cats in shelters in Sweden, the focus should be on reducing the number of homeless cats.
Rabbits (Oryctolagus cuniculus) are popular companion animals, yet there has been little research into rabbits kept as pets in Sweden. Many rabbits that are rehomed are done so via personal contacts rather than through animal shelters. The purpose of this study was to provide a picture as to why rabbit owners rehome their pets and to what extent this is done in Sweden. There were 505 rabbits put up for rehoming through a large Swedish advertisement site during the winter of 2012/2013. The most commonly stated reasons for trying to rehome rabbits were ‘Lack of time’ (35.8%), ‘Owners are moving’ (16.6%) and ‘Allergies’ (13.2%). The mean age of the rabbits was 17.6 months and most rabbits were put up for sale for a price of between €11.1 and €55. Requests about the new home were mentioned in 46.8% of the adverts and the majority of the comments described the type of home needed for the rabbit. Reasons for relinquishing rabbits were similar to those found in other studies and the number of rabbits with behavioural problems was very low (0.9%). We conclude that a number of rabbits in Sweden are experiencing rehoming and the effect of this on their welfare should be further investigated.
Animal shelters rescue and care for society's unwanted companion animals. Nonetheless, several studies have shown that ending up in a shelter can be stressful, and that shelter husbandry can amplify and spread certain diseases. The aim of the present study was to investigate and describe husbandry policy, practices and routines as well as occurrence and prevention of diseases in Swedish cat shelters. A survey was sent to 64 potential shelters of which 39 (61%) responded. Thirty-two shelters (82%) housed cats (Felis silvestris catus) in groups; one shelter provided only solitary housing. Thirty-one shelters provided single, pair and group housing. The most common group size was 3-5 cats (59%). Ninety-two percent of responding shelters had routines and/or protocol(s) for the management of the cats, 35 had healthcare routines and 30 shelters had routines for the admission of cats. All shelters with the exception of one had quarantine, and 22 shelters (58%) vaccinated cats prior to admittance. There was a significant positive correlation between shelter size and number of reported diseases. The most common reported disease was cat ‘flu/cold, although altogether, shelters reported a low occurrence of disease. Practices differ between shelters relating to management, eg use of quarantine and vaccination routines. In Sweden, group housing is common and shelters provide cats with plenty of resources, eg hides and climbing structures, often providing outdoor access and a more ‘home-like’ environment. The possibility that providing a more ‘enriched home-like’ environment can help cats cope with the shelter environment is discussed, thereby decreasing the occurrence and transmission of infectious diseases.
Necrotising otitis externa is a severe ear infection for which there are no established diagnostic or treatment guidelines.
Method
This study described clinical characteristics, management and outcomes for patients managed as necrotising otitis externa cases at a UK tertiary referral centre.
Results
A total of 58 (63 per cent) patients were classified as definite necrotising otitis externa cases, 31 (34 per cent) as probable cases and 3 (3 per cent) as possible cases. Median duration of intravenous and oral antimicrobial therapy was 6.0 weeks (0.49–44.9 weeks). Six per cent of patients relapsed a median of 16.4 weeks (interquartile range, 23–121) after stopping antimicrobials. Twenty-eight per cent of cases had complex disease. These patients were older (p = 0.042), had a longer duration of symptoms prior to imaging (p < 0.0001) and higher C-reactive protein at diagnosis (p = 0.005). Despite longer courses of intravenous antimicrobials (23 vs 14 days; p = 0.032), complex cases were more likely to relapse (p = 0.016).
Conclusion
A standardised case-definition of necrotising otitis externa is needed to optimise diagnosis, management and research.
Quetiapine immediate release (quetiapine IR) improves PANSS total, positive, negative and general psychopathology scores in schizophrenia. This study (D1444C00132) evaluated the efficacy of once-daily extended release quetiapine fumarate (quetiapine XR) in patients with acute schizophrenia.
Methods:
This was a 6-week, double-blind, randomised study (n=588) comparing quetiapine XR (400, 600 or 800 mg/day) and quetiapine IR (400 mg/day) with placebo. Efficacy was assessed using ANCOVA analyses of the change from baseline to study endpoint (Day 42) for: PANSS total score; positive, negative and general psychopathology subscale scores; and aggression and depression cluster scores (modified ITT population, LOCF). Changes in individual PANSS item scores were assessed post hoc.
Results:
At Day 42, there were statistically significant reductions (ie two-sided p-value <0.05) versus placebo with all doses of quetiapine XR for the change in PANSS total, positive, general psychopathology and aggression cluster scores. Changes in negative and depression cluster scores were statistically significant versus placebo for quetiapine XR 600 mg/day and 800 mg/day. There was statistically significant separation from placebo with quetiapine XR 600 mg/day and 800 mg/day for the change in 6/7 PANSS positive items, 5/7 negative items, and 12/16 general psychopathology items. For those items with no statistically significant separation from placebo, baseline scores were generally low.
Conclusions:
Once-daily quetiapine XR is effective across a broad range of symptoms in acute schizophrenia, including positive and negative symptoms, as well as symptoms of general psychopathology, aggression and depression.
To evaluate efficacy and tolerability of quetiapine sustained release (SR) in a 6-week study (D1444C00132).
Methods:
588 patients with acute schizophrenia (PANSS total ≥70; CGI-S ≥4) were randomised to fixed-dose quetiapine SR 400, 600 or 800 mg/day (once-daily), quetiapine immediate release (IR) 400 mg/day (200 mg twice-daily; 5-day dose-escalation schedule), or placebo. Quetiapine SR doses: 400, 600 mg reached by Day 2; 800 mg by Day 3. Primary endpoint: change from baseline to Day 42 in PANSS total score (LOCF; ANCOVA). Other assessments: PANSS response rate (% patients with ≥30% reduction in total score from baseline); CGI-I response rate (% patients with rating ≤3); CGI-S; AEs.
Results:
446 patients (76%) completed the study (similar across groups). LS mean change from baseline in PANSS total score at Day 42 showed significant improvement versus placebo (-18.8): -24.8 (p=0.03), -30.9 (p<0.001), and -31.3 (p<0.001), quetiapine SR 400, 600, and 800 mg, respectively; -26.6 (p=0.004), quetiapine IR. Statistical separation from placebo at Day 42 for: change from baseline in CGI-S (quetiapine SR 600 and 800 mg; IR); PANSS and CGI-I response rates (all active treatments). Most common AEs with quetiapine: somnolence and dizziness. There were no unexpected AEs with quetiapine SR. Incidence of EPS-related AEs was similar to placebo. Two quetiapine SR and two IR patients discontinued due to AEs in Week 1.
Conclusions:
Once-daily quetiapine SR (400-800 mg) was effective versus placebo in patients with acute schizophrenia. Rapid dose escalation was well tolerated, with a therapeutically effective dose reached by Day 2.
Blood was drawn from 18 inpatients fullfilling the DSMIII criteria for schizophrenia and their 15 age- and sex-matched clinically infection-free controls before and after neuroleptic treatment. Blood films were stained with MGG solution, mixed, and subsequently read in random order by one observer. The lymphocytes were examined by light microscopy and classified into six types: normal lymphocytes, Downey type I atypical lymphocytes, Downey type III atypical lymphocytes, stress lymphocytes, plasmocytoid lymphocytes, and large granular lymphocytes. Downey type I and III atypical lymphocytes were classified into small, medium, and large lymphocytes. Schizophrenic patients had significantly more Downey type III medium size cells before treatment (p = 0.019 before treatment and p = 0.056 after treatment) and less Downey type I small size cells (p = 0.113 before treatment and p = 0.026 after treatment). Our study supports the idea of a possible subgroup of schizophrenia exhibiting immunological aberrations. In the present study, we found morphologically more specified cells which could be involved in this alteration.
Maintenance electroconvulsive therapy (M-ECT) has been increasingly used to prevent relapse in patients with major psychiatric disorders. However, little is known about the long-term benefits and risks of M-ECT.
We report on a patient with recurrent episodes of depression with psychotic features who has been successfully treated with M-ECT for 9 years.
Case-report:
An 83-year old female patient was first admitted to our department at the age of 72 years, after a suicide attempt. She was diagnosed as having psychotic depression and received antidepressive medication with moderate effect. Relapses were multiple despite continuation medication. The failure of administered antidepressive medication to prevent relapse, necessitated the use of index, continuation and eventually maintenance ECT. The additional parallel use of mood stabilisers (lithium and lamotrigine) allowed us to lower the frequency of M-ECT. Attempts to discontinue M-ECT led to relapse and M-ECT is now seen as a life-long treatment for that patient. To date (2007) our patient has received 450 treatments. Her depression remains in remission over the last years. Despite the unusual large number of administered ECT, her memory function appears to be unimpaired and repeated assessments with the MMSE test have not revealed cognitive deterioration.
Discussion:
For some patients long-term M-ECT is the only effective treatment to prevent relapse in depression. The risks of long-term M-ECT, especially regarding its possible adverse effects on cognition, are still under research.
Our case-report provides support for the safety of expanded M-ECT which, in some cases, can be seen as a life-long treatment.
Some earlier studies have reported a positive association between alexithymia and delinquency. We studied this association in a sample of Finnish prison inmates. A questionnaire including the 20-item Toronto Alexithymia Scale (TAS-20), the 13-item Beck Depression Inventory and questions on socio-demographic variables as well as current and previous convictions, was delivered to 209 male prisoners. Of these, 113 individuals (54.1%) aged 17-65 years (mean 33.5) returned the questionnaire acceptably filled in. From a general population study, 1300 men aged 30-50 years (mean 40.3) were drawn as a control group.
The prevalence of alexithymia (TAS-20 cut-off point 60/61) was 7.5% in the population sample and 26.5% in the prisoner sample (p<.001). In a logistic regression analysis, controlling for age, marital status, basic education and depression, being a prisoner was still highly significantly associated with dichotomous alexithymia (OR 2.60, p=.003). Moreover, the mean TAS-20 score differed significantly between the samples (45.9 vs. 50.6 points, p<.001).
Of the prisoners, 18 (15.9%) reported having committed homicide. When they alone were compared with the population sample, no significant difference in the prevalence (7.5% vs. 11.1%) or level (mean TAS-20 score 45.9 vs. 46.8) of alexithymia was found. In a logistic regression analysis with confounders, being a convict confessing to homicide was not associated with alexithymia.
Male prisoners are more alexithymic than men in general population. There are, however, differences between different types of crimes. Those who confessed to homicide were, surprisingly, not more alexithymic than controls. Studies with larger samples are needed.
Previous studies of conduct disorder (CD) have reported structural and functional alterations in the limbic system. However, the white matter tracts that connect limbic regions have not been comprehensively studied. The uncinate fasciculus (UF), a tract connecting limbic to prefrontal regions, has been implicated in CD. However, CD-related alterations in other limbic tracts, such as the cingulum and the fornix, have not been investigated. Furthermore, few studies have examined the influence of sex and none have been adequately powered to test whether the relationship between CD and structural connectivity differs by sex. We examined whether adolescent males and females with CD exhibit differences in structural connectivity compared with typically developing controls.
Methods
We acquired diffusion-weighted magnetic resonance imaging data from 101 adolescents with CD (52 females) and 99 controls (50 females). Data were processed for deterministic spherical deconvolution tractography. Virtual dissections of the UF, the three subdivisions of the cingulum [retrosplenial cingulum (RSC), parahippocampal and subgenual cingulum], and the fornix were performed and measures of fractional anisotropy (FA) and hindrance-modulated orientational anisotropy (HMOA) were analysed.
Results
The CD group had lower FA and HMOA in the right RSC tract relative to controls. Importantly, these effects were moderated by sex – males with CD significantly lower FA compared to male controls, whereas CD and control females did not differ.
Conclusions
Our results highlight the importance of considering sex when studying the neurobiological basis of CD. Sex differences in RSC connectivity may contribute to sex differences in the clinical presentation of CD.
As the IAU heads towards its second century, many changes have simultaneously transformed Astronomy and the human condition world-wide. Amid the amazing recent discoveries of exoplanets, primeval galaxies, and gravitational radiation, the human condition on Earth has become blazingly interconnected, yet beset with ever-increasing problems of over-population, pollution, and never-ending wars. Fossil-fueled global climate change has begun to yield perilous consequences. And the displacement of people from war-torn nations has reached levels not seen since World War II.
Violators of cooperation norms may be informally punished by their peers. How such norm enforcement is judged by others can be regarded as a meta-norm (i.e., a second-order norm). We examined whether meta-norms about peer punishment vary across cultures by having students in eight countries judge animations in which an agent who over-harvested a common resource was punished either by a single peer or by the entire peer group. Whether the punishment was retributive or restorative varied between two studies, and findings were largely consistent across these two types of punishment. Across all countries, punishment was judged as more appropriate when implemented by the entire peer group than by an individual. Differences between countries were revealed in judgments of punishers vs. non-punishers. Specifically, appraisals of punishers were relatively negative in three Western countries and Japan, and more neutral in Pakistan, UAE, Russia, and China, consistent with the influence of individualism, power distance, and/or indulgence. Our studies constitute a first step in mapping how meta-norms vary around the globe, demonstrating both cultural universals and cultural differences.
We investigated relationship between pasture biomass and measures of height and NDVI (normalised difference vegetation index). The pastures were tall fescue (Festuca arundinacea), perennial ryegrass (Lolium perenne), and phalaris (Phalaris aquatica) located in Tasmania, Victoria and in the Northern Tablelands of NSW, Australia. Using the Trimble® GreenSeeker® Handheld active optical sensor (AOS) to measure NDVI, and a rising plate meter, the optimal model to estimate green dry biomass (GDM) during two years was a combination of NDVI and falling plate height index. The combined index was significantly correlated with GDM in each region during winter and spring (r2=0.62–0.77, P<0.001). Regional calibrations provided a smaller error in estimates of green biomass, required for potential application in the field, compared to a single overall calibration. Data collected in a third year will be used to test the accuracy of the models.
Comparative models suggest that effects of dietary tryptophan (Trp) on brain serotonin (5-hydroxytryptamine; 5-HT) neurochemistry and stress responsiveness are present throughout the vertebrate lineage. Moreover, hypothalamic 5-HT seems to play a central role in control of the neuroendocrine stress axis in all vertebrates. Still, recent fish studies suggest long-term effects of dietary Trp on stress responsiveness, which are independent of hypothalamic 5-HT. Here, we investigated if dietary Trp treatment may result in long-lasting effects on stress responsiveness, including changes in plasma cortisol levels and 5-HT neurochemistry in the telencephalon and hypothalamus of Atlantic salmon. Fish were fed diets containing one, two or three times the Trp content in normal feed for 1 week. Subsequently, fish were reintroduced to control feed and were exposed to acute crowding stress for 1 h, 8 and 21 d post Trp treatment. Generally, acute crowding resulted in lower plasma cortisol levels in fish treated with 3×Trp compared with 1×Trp- and 2×Trp-treated fish. The same general pattern was reflected in telencephalic 5-HTergic turnover, for which 3×Trp-treated fish showed decreased values compared with 2×Trp-treated fish. These long-term effects on post-stress plasma cortisol levels and concomitant 5-HT turnover in the telencephalon lends further support to the fact that the extrahypothalamic control of the neuroendocrine stress response is conserved within the vertebrate lineage. Moreover, they indicate that trophic/structural effects in the brain underlie the effects of dietary Trp treatment on stress reactivity.
Hepatitis E virus (HEV) infection is a major cause of acute hepatitis worldwide. This infection causes major water-borne outbreaks in low- and middle-income countries, whilst in industrialised countries this infection is zoonotic. These differences in epidemiology are related to different HEV genotypes. HEV genotype 3 is a zoonotic infection, whilst genotype 2 causes large outbreaks. This study determined the seroprevalence of HEV in blood donors from the Western Cape. Anti-hepatitis A virus (anti-HAV) antibody was detected in 184/300 (61%) donors. Antibody to HEV (anti-HEV) was detected in 78 of 300 donors (26%). It was highest in mixed race donors (62/100), followed by white donors (23/100) and lowest in black donors (19/100) P = 0.019. Since it is thought that genotypes 1 and 2 predominate both viruses would be acquired by the oro-faecal route, it is surprising that HEV seroprevalence does not mirror that of HAV. We postulate that this may reflect differences in socio-economic status and consumption of dietary meat. So the marked divergence between HEV and HAV seroprevalence may be the result of different routes of transmission. Further data are needed to explore the risk factors associated with HEV infection.