Browsing by Author "Rancans, E."
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Item Association of depression and anxiety with cardiovascular co-morbidity in a primary care population in Latvia : A cross-sectional study(2018-03-06) Ivanovs, R.; Kivite, A.; Ziedonis, D.; Mintale, I.; Vrublevska, J.; Rancans, E.; Department of Psychiatry and Narcology; Department of Public Health and EpidemiologyBackground: Cardiovascular (CV) diseases (CVDs) are the leading cause of mortality worldwide. Globally, there is a growing interest in understanding and addressing modifiable psychosocial risk factors, particularly depression and anxiety, to prevent CVDs and to reduce morbidity and mortality. Despite the high premature mortality rate from CVDs in Latvia, this is the first Latvian study to examine the association of depression and anxiety with CVD morbidity in a primary care population. Methods: This cross-sectional study was carried out in 2015 within the framework of the National Research Program BIOMEDICINE at 24 primary care facilities throughout Latvia. Consecutive adult patients during a one-week time period at each facility were invited to join the study. Assessments onsite included a 9-item Patient Health Questionnaire (PHQ-9) and a 7-item Generalized Anxiety Disorder scale (GAD-7) followed by a socio-demographic questionnaire and measurements of height, weight, waist circumference, blood pressure, and total cholesterol. The diagnostic Mini International Neuropsychiatric Interview (MINI) was conducted over the telephone within 2 weeks after the visit to the general practitioner. A multivariate model was developed using binary logistic regression. Results: From the 1565 subjects (31.2% male), CVD was detected in 17.1%. Depression screening was positive (PHQ-9 ≥ 10) for 14.7%, and anxiety screening was positive (GAD-7 ≥ 10) for 10.1% of the study subjects. According to the MINI, 10.3% had current and 28.1% had lifetime depressive episode, and 16.1% had an anxiety disorder. Depression, not anxiety, was statistically significantly related to CVDs with an odds ratio (OR) of 1.52 (p = 0.04) for current depressive symptoms (PHQ-9 ≥ 10) and 2.08 (p = 0.002) for lifetime depressive episode (MINI). Conclusions: Current depressive symptoms (PHQ-9 ≥ 10) and a lifetime depressive episode (according to the MINI) were significantly associated with increased risk of CV morbidity. Therefore, CV patients should be screened and treated for depression to potentially improve the prognosis of CVDs. Enhanced training and integration of mental health treatment in Latvian primary care settings may improve clinical outcomes.Item Awareness of doctors of health care and possible therapy methods for alcohol and drug dependant patients in Latvia(2012) Sudraba, V.; Rancans, E.; Dave, V.; Rīga Stradiņš UniversityItem The challenges in schizophrenia treatment in real-life : The uncomfortable truth(2021-04) Rancans, E.; Department of Psychiatry and NarcologyItem Characteristics and duration of untreated illness in correlation with insight level of first time diagnosed schizophrenia patients in rural region of Latvia(2017-04) Berze, L.; Pavlovs, K.; Slikova, K.; Bodins, V.; Samule, I.; Kurakina, N.; Smonins, I.; Rancans, E.; Department of Psychiatry and NarcologyItem Depression, distress and their association with patterns of psychoactive substance use during the COVID-19 emergency state in Latvia(2021-04) Vrublevska, Jelena; Sibalova, A.; Aleskere, Ilana; Rezgale, Baiba; Smirnova, D.; Fountoulakis, K.; Rancans, E.; Department of Psychiatry and NarcologyItem The DiSCoVeR trial first look at patient training and their expectations regarding a new, innovative treatment(2022-06) Rubene, L.; Konošonoka, L.; Nahum, M.; Padberg, F.; Bavelier, D.; Hummel, F.; Bonne, O.; Rancans, E.; Department of Psychiatry and NarcologyItem Early intervention in psychosis : An innovation trigger in a challenging environment(2021-04) Sile, L.; Rancans, E.; Rīga Stradiņš University; Department of Psychiatry and NarcologyItem Practical observations - the COVID-19 influence on Latvian early intervention work with first episode psychosis (FEP) patients(2021-04) Kokina, N.; Sile, L.; Butorins, B.; Pocopko, A.; Lesina, A.; Kikuste, S.; Sapele, I.; Rancans, E.; Rīga Stradiņš University; Department of Psychiatry and NarcologyItem Prevalence of suicidal behaviours and its correlates in Latvian general population : 2019-2020(2021-04) Vinogradova, V. V.; Kivite-Urtane, A.; Vrublevska, J.; Rancans, E.; Department of Psychiatry and Narcology; Department of Public Health and EpidemiologyItem The results of PHQ-9 screening of Latvian general population in 2019-2020(2021-04) Vinogradova, V. V.; Kivite-Urtane, A.; Vrublevska, J.; Rancans, E.; Department of Psychiatry and Narcology; Department of Public Health and EpidemiologyItem Suicide attempts in patients with acute and transient psychotic disorders in in-patient centers in Latvia 2014-2019(2022-06) Germanenko, I.; Vrubleska, J.; Rancans, E.; Department of Psychiatry and Narcology