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      Self-esteem and optimism in patients with major depression disorder: a cross-sectional study

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          Abstract

          Background:

          Depressive disorders are common mental illnesses characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities. Self-esteem refers to the appraisal of one’s worth and personality, whereas optimism reflects a positive attitude and the expectation of positive outcomes. Therefore, the present study aims to determine the average self-esteem and optimism of patients with depression in 2022.

          Methods:

          The present study is a single center and prospective descriptive-analytical study in which 121 patients out of 154 participants with major depression using convenience sampling were studied. Recruitment started on 10 June 2022 and ended on 12 July 2022. Data were collected using a demographic questionnaire, the Rosenberg Self-Esteem Scale (RSES), and the Revised Life Orientation Test (LOT -R). Data analysis was performed using statistical tests and the Pearson correlation coefficient with SPSS software version 21.

          Results:

          The mean and SD of patients’ self-esteem scores were 14.68±1.30, and the mean and SD for optimism scores were 9.90±1.68. Pearson correlation analysis showed that educational level had a significant inverse relationship with patients’ self-esteem scores ( r=−0.009, P=0.03), and sex had a significant relationship with patients’ optimism scores ( r=0.175, P=0.008).

          Conclusion:

          Considering the importance of self-esteem and optimism in the recovery and return to society of patients with major depression, it is necessary to take measures to strengthen and increase self-esteem and optimism in these patients.

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          Most cited references27

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          STROCSS 2021: Strengthening the reporting of cohort, cross-sectional and case-control studies in surgery

          Introduction Strengthening The Reporting Of Cohort Studies in Surgery (STROCSS) guidelines were developed in 2017 in order to improve the reporting quality of observational studies in surgery and updated in 2019. In order to maintain relevance and continue upholding good reporting quality among observational studies in surgery, we aimed to update STROCSS 2019 guidelines. Methods A STROCSS 2021 steering group was formed to come up with proposals to update STROCSS 2019 guidelines. An expert panel of researchers assessed these proposals and judged whether they should become part of STROCSS 2021 guidelines or not, through a Delphi consensus exercise. Results 42 people (89%) completed the DELPHI survey and hence participated in the development of STROCSS 2021 guidelines. All items received a score between 7 and 9 by greater than 70% of the participants, indicating a high level of agreement among the DELPHI group members with the proposed changes to all the items. Conclusion We present updated STROCSS 2021 guidelines to ensure ongoing good reporting quality among observational studies in surgery. • In order to maintain relevance and continue upholding good reporting quality among observational studies in surgery, STROCSS 2019 guidelines were updated through a DELPHI consensus exercise. • 42 people participated in the development of STROCSS 2021 guidelines and there was a high level of agreement among the DELPHI group members with the proposed changes to all the items. • Updated STROCSS 2021 guideline is presented.
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            Separating optimism and pessimism: a robust psychometric analysis of the revised Life Orientation Test (LOT-R).

            The internal structure of the revised Life Orientation Test (LOT-R, German version; M. F. Scheier, C. S. Carver, & M. W. Bridges, 1994) was analyzed in a sample of 46,133 participants who ranged in age from 18 years to 103 years. Confirmatory factor analysis showed that dispositional optimism, as measured by the LOT-R, is bidimensional, consisting of an Optimism and a Pessimism factor. Consistent with previous results, there were small to moderate negative correlations between Optimism and Pessimism, but the strength of the association continuously decreased with age. The relative independence of the 2 dimensions occurred in both genders and across different age groups of patients with different medical disorders. (c) 2006 APA, all rights reserved
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              Optimism and pessimism in the general population: Psychometric properties of the Life Orientation Test (LOT-R)

              Background/Objective: The Life Orientation Test-Revised (LOT-R) is often used to assess dispositional optimism. The aims of this study were to test psychometric properties of the LOT-R, to provide normative scores, and to test the association between optimism and several psychological, sociodemographic, and behavioral factors. Method: A randomly selected German general population community sample with an age range of 18-80 years (N = 9,711) was surveyed. Results: The Confirmatory Factor Analysis (CFA) proved two (correlated) factors: Optimism and Pessimism. Invariance tests across gender and age groups confirmed metric invariance. There were only small gender differences in the LOT-R total score (M = 16.4 for females and M = 16.1 for males). The correlation between the subscales Optimism and Pessimism was strong for young and well educated people. Low optimism mean scores were observed for unemployed people, people with low income, smokers, and obese people. Normative scores of the LOT-R are provided. Conclusions: The study confirmed the bidimensional structure of the LOT-R and invariance across age and gender. We can recommend using this instrument for measuring dispositional optimism and pessimism in epidemiological research and clinical practice.
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                Author and article information

                Contributors
                Journal
                Ann Med Surg (Lond)
                Ann Med Surg (Lond)
                MS9
                Annals of Medicine and Surgery
                Lippincott Williams & Wilkins (Hagerstown, MD )
                2049-0801
                November 2023
                07 September 2023
                : 85
                : 11
                : 5379-5383
                Affiliations
                [a ]Department of Psychiatric Nursing
                [b ]Department of Medical-Surgical Nursing
                [c ]Department of Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
                Author notes
                [* ]Corresponding author. Address: Nursing and Midwifery Faculty, Campus Nazlu, 11 KM Road Seru, Urmia 575611-5111, West Azerbaijan, Iran. Tel.: +98 441 275 23 03; fax: +98 441 275 23 78. E-mail: Rasoulgoli94@ 123456gmail.com (R. Goli).
                Article
                AMSU-D-23-01511 00014
                10.1097/MS9.0000000000001263
                10617889
                e8e46f31-4ae1-46e6-91c1-61bbcaccc262
                Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0/

                History
                : 14 July 2023
                : 23 August 2023
                Categories
                Original Research
                Custom metadata
                TRUE

                cross-sectional,major depressive disorder,optimism,self-esteem

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