1
|
Wen L, Yang K, Cao Y, Qu M, Xiu M. Parental marital status and anxiety symptoms in adolescents: the mediating effect of childhood maltreatment. Eur Arch Psychiatry Clin Neurosci 2024; 274:1719-1727. [PMID: 38060034 DOI: 10.1007/s00406-023-01717-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 10/29/2023] [Indexed: 12/08/2023]
Abstract
Although previous studies have established the association between parental marital status and mental health problems in adolescents, however, the adverse effects of incomplete family settings and childhood maltreatment on adolescent anxiety symptoms have not been fully investigated. Moreover, whether childhood maltreatment can mediate the relationship between parental marital status and anxiety symptoms remains unclear. A population-based cross-sectional study was performed among 35,573 adolescents in elementary schools across 17 provinces in China. And childhood maltreatment, resilience, and anxiety symptoms were assessed among adolescents, respectively. The parental marital status was self-reported as having two married biological parents, divorced parents, stepparents, and single-parent. We found that the rates of anxiety symptoms among adolescents were 35.1% in intact families, 48.8% in divorced families, 49% in stepparent families, and 48% in single-parent families. Divorced parents (aOR = 1.191, 95% CI [1.060-1.337]) was an independent risk factor for adolescents' anxiety symptom while having stepparents and single-parent were not. In addition, emotional abuse (aOR = 1.300, 95% CI [1.285-1.316]), sexual abuse (aOR = 1.088, 95% CI [1.063-1.114]), and physical neglect (aOR = 1.019, 95% CI [1.007-1.031]) were all independent risk factors for anxiety symptoms in adolescents, while physical abuse and emotional neglect were not. The negative impacts of divorced and remarried parents on adolescent anxiety symptoms were mediated by childhood maltreatment partially (64.9% and 72.2%), while childhood maltreatment completely mediated the adverse impacts of single-parent on adolescent anxiety symptoms. Childhood maltreatment intervention strategies could be necessary for anxiety symptoms of adolescents in divorced/stepparent/single-parent families.
Collapse
Affiliation(s)
- Lulu Wen
- Neurology Department, Xuanwu Hospital of Capital Medical University, Xicheng District, Beijing, 100053, China
| | - Kun Yang
- Evidence-Based Department, Xuanwu Hospital of Capital Medical University, Beijing, China
| | - Yujia Cao
- Neurology Department, Third Affiliated Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Miao Qu
- Neurology Department, Xuanwu Hospital of Capital Medical University, Xicheng District, Beijing, 100053, China.
| | - Meihong Xiu
- Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Changping District, Beijing, 100096, China.
| |
Collapse
|
2
|
Wu N, Ding F, Ai B, Zhang R, Cai Y. Mediation effect of perceived social support and psychological distress between psychological resilience and sleep quality among Chinese medical staff. Sci Rep 2024; 14:19674. [PMID: 39181925 PMCID: PMC11344796 DOI: 10.1038/s41598-024-70754-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 08/20/2024] [Indexed: 08/27/2024] Open
Abstract
Sleep quality is crucial for the personal well-being of healthcare professionals and the health outcomes of their patients. This study aims to explore the relationship between psychological resilience (PR), perceived social support (PSS), psychological distress (comprising anxiety,depression,and stress), and sleep quality. It also examines whether PSS and psychological distress function as chain mediators between PR and sleep quality. A cross-sectional online survey was conducted using a convenient sampling method, with 454 participants included. The survey instruments included the Connor and Davidson Resilience Scale, the Perceived Social Support Scale, the 21-item Depression Anxiety Stress Scale, and the Pittsburgh Sleep Quality Index. Structural equation modeling revealed that PR significantly predicted sleep quality of Chinese medical staff. Psychological distress was identified as a mediating factor between PR and sleep quality. However, PSS did not directly mediate the relationship between PR and sleep quality. Instead, PSS and psychological distress were found to play a chain mediating role in the relationship between PR and sleep quality. This study provides new insights into the impact of PR on sleep quality, highlights the importance of PSS and psychological distress, and suggests practical implications for enhancing sleep quality among medical staff.
Collapse
Affiliation(s)
- Nannan Wu
- Mental Health Education and Counseling Center, Shaoguan University, Shaoguan, 512005, China
| | - Fan Ding
- School of Intelligence Engineering, Shaoguan University, Shaoguan, 512005, China
| | - Bo Ai
- Mental Health Education Center, Wuhan Institute of Technology, Wuhan, 430205, China.
| | - Ronghua Zhang
- Institute of Developmental and Educational Psychology, School of Marxism, Wuhan University, Wuhan, 430072, China
| | - Yaoyao Cai
- Mental Health Education and Counseling Center, Shaoguan University, Shaoguan, 512005, China
| |
Collapse
|
3
|
Shalata W, Gothelf I, Bernstine T, Michlin R, Tourkey L, Shalata S, Yakobson A. Mental Health Challenges in Cancer Patients: A Cross-Sectional Analysis of Depression and Anxiety. Cancers (Basel) 2024; 16:2827. [PMID: 39199598 PMCID: PMC11352929 DOI: 10.3390/cancers16162827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2024] [Revised: 08/04/2024] [Accepted: 08/07/2024] [Indexed: 09/01/2024] Open
Abstract
Advancements in cancer treatment and early detection have extended survival rates, transforming many cancers into chronic conditions. However, cancer diagnosis and treatment can trigger significant psychological distress, including depression and anxiety, impacting patient outcomes and care. This study aimed to examine the prevalence of and identify the risk factors for depression and anxiety among cancer patients. A cross-sectional study was conducted, including patients under the care of the oncology department at a tertiary medical center between June 2021 and October 2023. Depression and anxiety were assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) short forms. Logistic regression analysis identified risk factors for depression and anxiety. The study population included 159 patients, with 40.3% reporting worsening mental health, but only about half of them received therapy. Among the study participants, 22.6% experienced symptoms of depression and 30.2% experienced symptoms of anxiety. Single-cancer patients and those with metastases were at increased risk for depression, while those with a disease duration of more than a year and patients with female-specific cancer were more likely to experience anxiety. Given the high prevalence of mental health deterioration in cancer patients, closer monitoring and validated assessment tools are essential to improve depression and anxiety diagnosis and facilitate early interventions.
Collapse
Affiliation(s)
- Walid Shalata
- The Legacy Heritage Oncology Center & Dr. Larry Norton Institute, Soroka Medical Center, Ben-Gurion University, Beer-Sheva 84105, Israel
| | - Itamar Gothelf
- Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel
| | - Tomer Bernstine
- The Azrieli Faculty of Medicine, Bar-Ilan University, Safed 13115, Israel
| | - Regina Michlin
- The Legacy Heritage Oncology Center & Dr. Larry Norton Institute, Soroka Medical Center, Ben-Gurion University, Beer-Sheva 84105, Israel
| | - Lena Tourkey
- The Legacy Heritage Oncology Center & Dr. Larry Norton Institute, Soroka Medical Center, Ben-Gurion University, Beer-Sheva 84105, Israel
| | - Sondos Shalata
- Nutrition Unit, Galilee Medical Center, Nahariya 22000, Israel
| | - Alexander Yakobson
- The Legacy Heritage Oncology Center & Dr. Larry Norton Institute, Soroka Medical Center, Ben-Gurion University, Beer-Sheva 84105, Israel
| |
Collapse
|
4
|
Ala S, Ramos-Campos F, Relva IC. Symptoms of Post-Traumatic Stress and Mental Health in a Sample of University Students: The Mediating Role of Resilience and Psychological Well-Being. Eur J Investig Health Psychol Educ 2024; 14:2262-2281. [PMID: 39194945 DOI: 10.3390/ejihpe14080151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Revised: 07/22/2024] [Accepted: 07/29/2024] [Indexed: 08/29/2024] Open
Abstract
The COVID-19 pandemic has been one of the most stressful events in recent times across the world. The long-term effect of these experiences raises several concerns, including the development of post-traumatic stress symptomatology. However, little is known about the psychological processes that mediate this association. The aim of this study was to explore the association of emotional exhaustion and anxiety in post-traumatic stress symptomatology, and the mediating role of resilience and psychological well-being in university students. A total of 526 university students of both sexes participated in this study, and they were aged between 17 and 62 years old. Symptoms of anxiety and emotional exhaustion were significantly higher in females, in contrast, males showed on average more resilience and psychological well-being. Additionally, participants with COVID-19 infection had higher levels of emotional exhaustion, anxiety, and PTSD. The results indicated that the variables were correlated with each other (p < 0.001). A conceptual model was confirmed that describes anxiety and emotional exhaustion as predictors, post-traumatic stress symptomatology as an outcome variable, and resilience and psychological well-being as mediators. Resilience and psychological well-being can be important protective factors for adaptive responses in stressful situations. The findings obtained in this study will provide a theoretical basis for designing targeted interventions to improve psychological health, whether for crisis intervention, the process of adapting to higher education, or for recovery plans from psychological trauma.
Collapse
Affiliation(s)
- Sílvia Ala
- Department of Social Sciences, Life and Public Health Polytechnic Institute of Bragança, School of Health, 5300-121 Bragança, Portugal
- Research Group on Neuroscience and Psychiatric Illnesses in Instituto de Investigation Sanitaria Galicia Sur, 36213 Vigo, Spain
- Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Salamanca, 37005 Salamanca, Spain
| | - Francisco Ramos-Campos
- Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Salamanca, 37005 Salamanca, Spain
| | - Inês Carvalho Relva
- Department of Education and Psychology, University of Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal
- Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal
- Centre for Research and Intervention in Education (CIIE), University of Porto, 4200-135 Porto, Portugal
| |
Collapse
|
5
|
Broos HC, Dev AS, Llabre MM, Saab PG, Timpano KR. Trait and situation-specific intolerance of uncertainty predict affective symptoms during the COVID-19 pandemic. J Affect Disord 2024; 352:115-124. [PMID: 38350541 PMCID: PMC11167600 DOI: 10.1016/j.jad.2024.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 01/16/2024] [Accepted: 02/06/2024] [Indexed: 02/15/2024]
Abstract
BACKGROUND The COVID-19 pandemic, a high-uncertainty situation, presents an ideal opportunity to examine how trait intolerance of uncertainty (IU) and situation-specific IU relate to each other and to mental health outcomes. The current longitudinal study examined the unique associations of trait and COVID-specific IU with general distress (anxiety and depression) and pandemic-specific concerns (pandemic stress and vaccine worry). METHODS A community sample of Florida adults (N = 2152) was surveyed online at three timepoints. They completed measures of trait IU at Wave 1 (April-May 2020) and COVID-specific IU at Wave 2 (May-June 2020). At Wave 3 (December-February 2021), they reported symptoms of depression, anxiety, pandemic stress, and vaccine worry. RESULTS We used structural equation modeling to test our overall model. Trait IU significantly predicted later COVID-specific IU, however there was no significant effect of trait IU on any outcome measure after accounting for COVID-specific IU. Notably, COVID-specific IU fully mediated the relationship between trait IU and all four symptom measures. LIMITATIONS There were several limitations of the current study, including the use of a community sample and high participant attrition. CONCLUSIONS Results suggest that COVID-specific IU predicts mental health outcomes over and above trait IU, extending the existing literature. These findings indicate that uncertainty may be more aversive when it is related to specific distressing situations, providing guidance for developing more specific and individualized interventions. Idiographic treatments which target situation-specific IU may be more efficacious in reducing affective symptoms and related stress during the COVID-19 pandemic or other similar events.
Collapse
Affiliation(s)
- Hannah C Broos
- University of Miami, Department of Psychology, 5665 Ponce de Leon Blvd, Coral Gables, FL 33146, United States of America.
| | - Amelia S Dev
- University of Miami, Department of Psychology, 5665 Ponce de Leon Blvd, Coral Gables, FL 33146, United States of America
| | - Maria M Llabre
- University of Miami, Department of Psychology, 5665 Ponce de Leon Blvd, Coral Gables, FL 33146, United States of America
| | - Patrice G Saab
- University of Miami, Department of Psychology, 5665 Ponce de Leon Blvd, Coral Gables, FL 33146, United States of America
| | - Kiara R Timpano
- University of Miami, Department of Psychology, 5665 Ponce de Leon Blvd, Coral Gables, FL 33146, United States of America
| |
Collapse
|
6
|
Zhang D, Li X, Zhang M, Huang A, Yang L, Wang C, Yuan T, Lei Y, Liu H, Hua Y, Zhang L, Zhang J. The mediating effect of resilience and COVID-19 anxiety on the relationship between social support and insomnia among healthcare workers: a cross-sectional study. Front Psychiatry 2024; 15:1328226. [PMID: 38414504 PMCID: PMC10896830 DOI: 10.3389/fpsyt.2024.1328226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 01/29/2024] [Indexed: 02/29/2024] Open
Abstract
Background Insomnia in healthcare workers has become a topic of concern in the health system. The high infectivity and longevity of the COVID-19 pandemic have resulted in great pressure and a high incidence of insomnia among healthcare workers. Insomnia among healthcare workers has a negative impact on high-quality healthcare services in addition to their health. Thus, it's necessary to explore insomnia's underlying mechanisms. Object The present research's aims were threefold: explored the association between social support, resilience, COVID-19 anxiety, and insomnia among healthcare workers during the pandemic, elucidated the underlying mechanism of insomnia, and offered recommendations for improving the health of these workers. Materials and methods A cross-sectional design was adopted. From May 20 to 30, 2022, 1038 healthcare workers were selected to fill out the Oslo 3-item Social Support Scale, the eight-item Athens Insomnia Scale, the Coronavirus Anxiety Scale, and the Brief Resilience Scale. Descriptive statistics and correlations were analyzed by SPSS 25.0. Mediation analysis was conducted by Mplus 8.3 using 5000 bootstrap samples. Results Of the participating 1038 healthcare workers, the prevalence of insomnia was 41.62% (432/1038). Significant associations were found involving insomnia, resilience, COVID-19 anxiety, and social support. Insomnia was directly affected by social support. Moreover, three indirect pathways explain how social support affected insomnia: resilience's mediating role, COVID-19 anxiety's mediating role, and the chain-mediation role of resilience and COVID-19 anxiety. Conclusion The results validated our hypotheses and supported the opinion of Spielman et al. 's three-factor model of insomnia. Social support of healthcare workers has an indirect impact on insomnia in addition to its direct one via independent and chain-mediation effects of resilience and COVID-19 anxiety.
Collapse
Affiliation(s)
- Dongmei Zhang
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Xiaoping Li
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Ming Zhang
- School of Innovation and Entrepreneurship, Wannan Medical College, Wuhu, Anhui, China
| | - Anle Huang
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Liu Yang
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Congzhi Wang
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Ting Yuan
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Yunxiao Lei
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Haiyang Liu
- Student Health Center, Wannan Medical College, Wuhu, Anhui, China
| | - Ying Hua
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Lin Zhang
- School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Jing Zhang
- Nursing Department, The People's Hospital of Yingshang, Yingshang, Anhui, China
| |
Collapse
|
7
|
Sayed T, Malan H, Fourie E. Exploring the associations between resilience and psychological well-being among South Africans during COVID-19. Front Psychol 2024; 15:1323466. [PMID: 38414871 PMCID: PMC10898365 DOI: 10.3389/fpsyg.2024.1323466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 01/04/2024] [Indexed: 02/29/2024] Open
Abstract
Resilience pertains to an individual's ability to withstand, adapt, and recuperate from adversity and stress. As the world grapples with unprecedented challenges such as the COVID-19 pandemic, understanding the relationship between resilience and psychological well-being becomes essential. Preliminary observations suggest that those with a higher resilience tend to have better psychological well-being, indicating a possible symbiotic relationship between the two. This study was structured using a cross-sectional survey design. A convenience sampling technique was employed, including 631 respondents in South Africa. Data collection took place between June 11 and July 9, 2022, facilitated through a Google Forms questionnaire. This questionnaire encompassed various instruments, namely a biographical questionnaire, the CD-RISC 10, the WHO Well-being Index, the FACIT-Sp-12, and the PMHS. The findings from the collected data highlighted a strong correlation between resilience and overall well-being during the COVID-19 pandemic. This elevation in resilience can be instrumental in augmenting psychological well-being. As such, interventions or programs aimed at enhancing individual and community well-being might benefit from incorporating elements that bolster resilience, especially during periods of global adversity.
Collapse
Affiliation(s)
- Tasleem Sayed
- Community Psychosocial Research (COMPRES), Faculty of Health Sciences, North-West University (NWU), Potchefstroom, South Africa
| | - Hanelie Malan
- Community Psychosocial Research (COMPRES), Faculty of Health Sciences, North-West University (NWU), Potchefstroom, South Africa
| | - Erika Fourie
- Research Design, Statistical Analysis and Interpretation: Pure and Applied Analytics, School of Mathematical and Statistical Sciences, North-West University (NWU), Potchefstroom, South Africa
| |
Collapse
|
8
|
Liu X, Wang Z, Zhang C, Xu J, Shen Z, Peng L, Mi Y, Xu H. Psychological Capital and Its Factors as Mediators Between Interpersonal Sensitivity and Depressive Symptoms Among Chinese Undergraduates. Psychol Res Behav Manag 2024; 17:429-441. [PMID: 38348156 PMCID: PMC10860822 DOI: 10.2147/prbm.s452993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 01/31/2024] [Indexed: 02/15/2024] Open
Abstract
Purpose Current interpersonal sensitivity among college students is easily linked to mood disorders such as anxiety, depression and other mood disorders. This study aims to examine the mediating role of psychological capital and its dimensions in the relationship between interpersonal sensitivity and depressive symptoms among undergraduates. Methods The cross-sectional survey was conducted by using cluster stratified random sampling method across six Chinese universities between November and December 2022. The questionnaire consists of the Interpersonal Sensitivity sub-scale, the Patient Health Questionnaire, the Psychological Capital Questionnaire and the Socio-Demographic Feature Questionnaire. Results A total of 2580 respondents participated in the survey, with the majority being females (69.73%) and an average age of 19.22±1.28 years. Descriptive and correlation analyses were performed using SPSS v24.0, while direct and indirect effects were analyzed using PROCESS v3.4 macro. The findings revealed that interpersonal sensitivity had a significant direct effect on depression symptoms among undergraduates (β =0.416, 95% Boot CI [0.380, 0.453], p < 0.001) Additionally, psychological capital and its components were found to be negatively correlated with depression (p < 0.001). Further analysis demonstrated that hope, optimism, and resilience significantly mediated the association between interpersonal sensitivity and depressive symptoms (indirect effect: hope = 0.056, optimism = 0.074, resilience = 0.099; p < 0.001 for all). Conclusion These results suggest that psychological capital, including its dimensions of hope, optimism, and resilience plays a crucial role in mitigating the negative effects of interpersonal sensitivity on depressive symptoms among undergraduates.
Collapse
Affiliation(s)
- Xin Liu
- School of Management, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
- Center for Mental Health Education and Research, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
- Research Center for Psychological Crisis Prevention and Intervention of College Students in Jiangsu Province, Xuzhou medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
| | - Zhen Wang
- School of Management, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
| | - Chaoran Zhang
- School of Management, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
| | - Jingwen Xu
- The Second Clinical Medical School, Xuzhou medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
| | - Ziheng Shen
- The Second Clinical Medical School, Xuzhou medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
| | - Lixin Peng
- School of Management, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
| | - Yanyan Mi
- Center for Mental Health Education and Research, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
- Research Center for Psychological Crisis Prevention and Intervention of College Students in Jiangsu Province, Xuzhou medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
| | - Haibo Xu
- School of Management, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
- Center for Mental Health Education and Research, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
- Research Center for Psychological Crisis Prevention and Intervention of College Students in Jiangsu Province, Xuzhou medical University, Xuzhou, Jiangsu, 221004, People’s Republic of China
| |
Collapse
|
9
|
Carlson AS, Stegall MS, Sirotiak Z, Herrmann F, Thomas EBK. Just as Essential: The Mental Health of Educators During the COVID-19 Pandemic. Disaster Med Public Health Prep 2024; 18:e6. [PMID: 38234124 PMCID: PMC10904175 DOI: 10.1017/dmp.2023.231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
OBJECTIVE The coronavirus disease 2019 (COVID-19) pandemic deleteriously impacted physical and mental health. In the summer of 2020, return-to-learn plans were enacted, including virtual, hybrid, and in-person plans, impacting educators and students. We examined (1) how return-to-learn plan was related to depressive and social anxiety symptoms among educators and (2) how psychological flexibility related to symptoms. METHODS Educators (N = 853) completed a survey via Qualtrics that assessed internalizing symptoms, psychological flexibility, and occupational characteristics. Two one-way analyses of variance (ANOVAs) examined between-group differences in return-to-learn plans across depression and social anxiety. Two hierarchical linear regressions examined the relation between psychological flexibility components and depressive and social anxiety symptoms. RESULTS Median T-scores were well above the national normative means for General Depression (median T-score: 81) and Social Anxiety (median T-score: 67). There were no significant differences between reopening plans in general depression nor social anxiety T-scores. Psychological flexibility accounted for 33% of the variance in depressive symptoms and 24% of the variance in social anxiety symptoms. CONCLUSIONS Results indicated high levels of psychiatric symptoms among educators during COVID-19, and psychological flexibility was associated with lower symptoms. Addressing educator mental health is of utmost importance in future research.
Collapse
Affiliation(s)
| | - Manny S Stegall
- Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USA
| | - Zoe Sirotiak
- Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USA
| | - Felipe Herrmann
- Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USA
| | - Emily B K Thomas
- Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USA
| |
Collapse
|
10
|
Sun Y, Song B, Zhen C, Zhang C, Cheng J, Jiang T. The mediating effect of psychological resilience between social support and anxiety/depression in people living with HIV/AIDS-a study from China. BMC Public Health 2023; 23:2461. [PMID: 38066520 PMCID: PMC10709980 DOI: 10.1186/s12889-023-17403-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 12/04/2023] [Indexed: 12/18/2023] Open
Abstract
Objective To understand the relationship between psychological resilience in social support and anxiety/depression in people living with HIV/AIDS and to verify whether there is a mediating effect. Methods The questionnaire was administered to 161 people living with HIV/AIDS in a hospital. The questionnaire contained a general questionnaire, the Hospital Anxiety and Depression Scale (HADS), the Psychological Resilience Inventory (CD-RICS), and the Social Collaborative Support Scale (PSSS), and Pearson correlation analyses were used to explore the correlation between the factors and anxiety/depression, stratified linear regression analyses were used to validate the mediation model, and the bootstrap method was used to test for mediating effects. Results Anxiety was negatively correlated with psychological resilience and social support (r=-0.232, P < 0.01; r=-0.293, P < 0.01); depression was negatively correlated with psychological resilience and social support (r=-0.382, P < 0.01; r=-0.482, P < 0.01); there was a mediation effect model of social support between psychological resilience and anxiety/depression; psychological resilience played a fully mediating role in social support and anxiety/depression, with an effect contribution of 68.42%/59.34% and a 95% CI(-0.256~-0.036)/(-0.341 to~-0.106). Conclusion Psychological resilience plays a complete mediating effect between social support and anxiety/depression. It is recommended that more channels of social support be provided to patients with HIV/AIDS, thereby enhancing their psychological resilience and reducing anxiety/depression levels.
Collapse
Affiliation(s)
- Yongbing Sun
- The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Bing Song
- The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Cheng Zhen
- The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Chao Zhang
- The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Juan Cheng
- The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Tianjun Jiang
- The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
| |
Collapse
|
11
|
Engelmann P, Toussaint A, Addo MM, Brehm TT, Lohse AW, Weigel A, Thompson M, Löwe B. Predictors of somatic symptom burden in healthcare professionals during the COVID-19 pandemic: an 8-week follow-up study. J Ment Health 2023; 32:1111-1121. [PMID: 35549625 DOI: 10.1080/09638237.2022.2069709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 11/29/2021] [Accepted: 02/09/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Literature investigating the impact of COVID-19 on healthcare professionals barely addresses predictors of somatic symptom burden during the COVID-19 pandemic. AIMS As biopsychosocial models propose that not only the disease but also sociodemographic and psychosocial factors contribute to the development and maintenance of symptoms, this study investigates the predictive value of these factors for bothersome somatic symptoms in SARS-CoV-2 negative healthcare professionals. METHODS German healthcare professionals were assessed with self-rating questionnaires and underwent SARS-CoV-2 IgG antibody tests at baseline and 8 weeks later between April and August 2020. Differences in psychosocial variables between the time points were analyzed and regression analyses were performed to predict somatic symptoms at follow-up. RESULTS 1185 seronegative healthcare professionals completed both assessments. Previous somatic symptom burden, higher levels of anxiety, being a nurse, younger age, higher psychological symptom burden, lower efficiency, and higher fatigability at baseline predicted somatic symptom burden at follow-up. Comparisons between baseline and follow-up showed a significant improvement in psychological impairment and deterioration of physical exhaustion. CONCLUSIONS Our study applies a biopsychosocial perspective to bothersome somatic symptoms during the COVID-19 pandemic and contributes to the identification of potential risk factors as a starting point for future interventions that could support the handling of symptoms.
Collapse
Affiliation(s)
- Petra Engelmann
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Anne Toussaint
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Marylyn M Addo
- I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems
| | - Thomas Theo Brehm
- I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems
| | - Ansgar W Lohse
- I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems
| | - Angelika Weigel
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Michelle Thompson
- I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems
| | - Bernd Löwe
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| |
Collapse
|
12
|
Voltmer E, Köslich-Strumann S, Goetz K. The impact of the COVID-19 pandemic on professional life and well-being in German physicians: A cross-sectional study. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2023; 78:321-328. [PMID: 37830498 DOI: 10.1080/19338244.2023.2268506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 10/03/2023] [Indexed: 10/14/2023]
Abstract
This study assessed perceptions of German physicians' regarding the impact of the COVID-19 pandemic on work-related issues as well as mental and physical health. Almost three quarters of the physicians felt stressed by the increased quantity (69%) and quality (73%) of the work and felt physically (68%) or mentally exhausted (71%). Also about three-quarters of physicians reported the pandemic having a strong impact on family life. A higher proportion feared to infect their family more than being infected themselves (66% vs 50%). Mental health scores were significantly lower in physicians compared to the general population. In female physicians, these findings were even more pronounced. Stressful work conditions and feelings of isolation were the most important predictors for mental health scores (R2 = 0.37), and also for motivation to work (R2 = 0.20). Preventive measures to strengthen resilience and optimize work organization are warranted to alleviate the toll of the pandemic on physicians.
Collapse
Affiliation(s)
- Edgar Voltmer
- Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany
| | | | - Katja Goetz
- Institute of Family Medicine, University Medical Centre Schleswig-Holstein, Lübeck, Germany
| |
Collapse
|
13
|
Wu M, Dai S, Wang R, Yang S. The relationship between uncertainty and acute procedure anxiety among surgical patients in Chinese mainland: the mediating role of resilience. BMC Psychiatry 2023; 23:796. [PMID: 37915033 PMCID: PMC10619271 DOI: 10.1186/s12888-023-05315-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2023] [Accepted: 10/27/2023] [Indexed: 11/03/2023] Open
Abstract
BACKGROUND Surgery, as one of the main diagnostic and treatment methods, is a routine work in medical settings. Patients undergoing surgery often experience acute procedure anxiety due to uncertainty. There is ample evidence showing that uncertainty is a risk factor for the acute procedure anxiety in surgical patients. However, little is known about the psychological processes mediating this relationship. Therefore, this study aims to evaluate resilience as a mediator of the association between uncertainty and anxiety. METHODS A population-based cross-sectional survey with a convenience sampling method was conducted, involving 243 surgical patients in Jiaxing, Zhejiang province of China was carried out. Relevant data were collected by self-reporting questionnaires, including demographic characteristics questionnaire, Amsterdam Preoperative Anxiety and Information Scale (APAIS-C), Mishel's Illness Uncertainty Scale (MUIS), Connor-Davidson Resilience Scale (CD-RISC). Pearson correlation analysis was employed to examine correlations between various variables. A path model was used to assess the mediation effect of resilience with respect to uncertainty and acute procedure anxiety. RESULTS In the path model, uncertainty have an indirect effect on acute procedure anxiety through resilience. The results suggest that resilience has a mediating role in uncertainty and acute procedure anxiety among surgical patients. CONCLUSIONS These findings call for the development of interventions targeting the role of resilience in effectively predicting and preventing acute procedure anxiety and uncertainty among surgical patients.
Collapse
Affiliation(s)
- Min Wu
- The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China
- The graduate school of Zhejiang Chinese Medicine University, Hangzhou, Zhejiang, China
| | - Suwan Dai
- The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China
- The graduate school of Zhejiang Chinese Medicine University, Hangzhou, Zhejiang, China
| | - Rong Wang
- The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
| | - Silan Yang
- The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
| |
Collapse
|
14
|
Capellini VK, Paro FM, Vieira RD, Wittmer VL, Barbalho-Moulim MC, Soares SCS, Oliveira CGTD, Duarte H. Brazilian physiotherapist anxiety and depression during the COVID-19 pandemic: a cross-sectional survey. CIENCIA & SAUDE COLETIVA 2023; 28:2951-2963. [PMID: 37878937 DOI: 10.1590/1413-812320232810.09922023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Accepted: 06/01/2023] [Indexed: 10/27/2023] Open
Abstract
This study investigated the prevalence and the potential risk factors for anxiety and depression among physiotherapists during the pandemic. Physiotherapists answered a web-based questionnaire including 1) sociodemographic, professional and clinical information; 2) psychosocial demands; and 3) two validated questionnaires to measure anxiety and depression. Binary logistic regression identified the risk factors by means of odds ratio (OR) and 95% confidence interval (CI). In 417 participants, there was a high prevalence of anxiety (48.2%) and depression (53.0%). The risk factors for anxiety were female sex (OR 2.07; 95%CI 1.01-4.24), worsening in sleep patterns (OR 3.78; 95%CI 1.92-7.44), moderate (OR 2.24; 95%CI 1.00-5.00) and extreme concern about financial issues (OR 3.47; 95%CI 1.57-7.65), and extreme loneliness (OR 3.47; 95%CI 1.71-7.07). The risk factors for depression were female sex (OR 2.16; 95%CI 1.03-4.55), low family income (OR 2.43; 95%CI 1.21-4.89), worsening in sleep patterns (OR 5.97; 95%CI 3.02-11.82), extreme concern about financial issues (OR 2.61; 95%CI 1.15-5.94), and extreme loneliness (OR 4.38; 95%CI 2.00-9.63). This study found a high prevalence of anxiety and depression in the studied population and identified risk factors for both.
Collapse
Affiliation(s)
- Verena Kise Capellini
- Departamento de Biociências, Instituto de Saúde e Sociedade, Universidade Federal de São Paulo. R. Silva Jardim 136, Vila Matias. 11015-020 Santos SP Brasil.
| | - Flavia Marini Paro
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| | | | - Veronica Lourenço Wittmer
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| | - Marcela Cangussu Barbalho-Moulim
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| | - Samanta Caroline Santos Soares
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| | | | - Halina Duarte
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| |
Collapse
|
15
|
Yardeni M, Shaked OZ, Pienik R, Ben-Ami M, Stern E, Golan H, Waldman D, Gothelf D, Modan-Moses D. Impact of COVID-19 on Lifestyle Habits and Emotional State of Childhood Cancer Survivors and Their Parents. Nutrients 2023; 15:3932. [PMID: 37764717 PMCID: PMC10537817 DOI: 10.3390/nu15183932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 09/02/2023] [Accepted: 09/05/2023] [Indexed: 09/29/2023] Open
Abstract
OBJECTIVE The COVID-19 pandemic and associated social distancing measures affected the physical and emotional state of children and parents worldwide. Survivors of childhood cancer may be particularly vulnerable to these effects. We aimed to evaluate the lifestyle habits and emotional states of childhood cancer survivors and their parents during the COVID-19 outbreak. METHODS Lifestyle habits and emotional distress were assessed in 43 childhood cancer survivors (aged 8-21 years) and their parents before and during the COVID-19 lockdown, using the PROMIS anxiety and depression modules and the "Mabat Youth" questionnaire. RESULTS Most parents (80.5%) reported eating more family meals during home confinement compared to their usual routine. Patients' physical activity levels did not change significantly during confinement, leisure-related screen time nearly doubled (p < 0.001), and sleep duration increased (p = 0.006). Anxiety levels of children (p = 0.045) and parents (p = 0.02) increased during confinement compared to pre-pandemic levels, with no significant changes in depression levels. CONCLUSIONS Contrary to concerns regarding lifestyle habits during the COVID-19 lockdown, eating behaviors of childhood cancer survivors improved, sleep duration increased, and physical activity remained unchanged. Still, screen time increased significantly. Parents of childhood cancer survivors reported higher anxiety levels for themselves and their children during home confinement. Our findings may assist medical and psycho-social teams in guiding parents of cancer survivors during similar circumstances in the future.
Collapse
Affiliation(s)
- Maya Yardeni
- Division of Pediatric Hemato-Oncology, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel; (H.G.)
| | - Omer Zvi Shaked
- Pediatric Endocrinology and Diabetes Unit, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel; (O.Z.S.); (E.S.)
| | - Reut Pienik
- Pediatric Endocrinology and Diabetes Unit, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel; (O.Z.S.); (E.S.)
| | - Michal Ben-Ami
- Pediatric Endocrinology and Diabetes Unit, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel; (O.Z.S.); (E.S.)
| | - Eve Stern
- Pediatric Endocrinology and Diabetes Unit, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel; (O.Z.S.); (E.S.)
| | - Hana Golan
- Division of Pediatric Hemato-Oncology, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel; (H.G.)
- Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
| | - Dalia Waldman
- Division of Pediatric Hemato-Oncology, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel; (H.G.)
- Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
| | - Doron Gothelf
- Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
- The Child Psychiatry Division, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Dalit Modan-Moses
- Pediatric Endocrinology and Diabetes Unit, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer 5262000, Israel; (O.Z.S.); (E.S.)
- Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
| |
Collapse
|
16
|
Sella-Shalom K, Hertz-Palmor N, Braun M, Rafaeli E, Wertheim R, Pizem N, Shacham-Shmueli E, Hasson-Ohayon I. The association between communication behavior and psychological distress among couples coping with cancer: Actor-partner effects of disclosure and concealment. Gen Hosp Psychiatry 2023; 84:172-178. [PMID: 37540941 DOI: 10.1016/j.genhosppsych.2023.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 07/23/2023] [Accepted: 07/27/2023] [Indexed: 08/06/2023]
Abstract
OBJECTIVE This study applies the Actor-Partner Interdependence Model (APIM) to explore the associations between disclosure and concealment with depression and anxiety among patients with cancer and their partners. METHOD 90 patient-spouse dyads completed the Self-Disclosure Index (SDI), the Self-Concealment Scale (SCS), the Couples Illness Self-Concealment (CISC) questionnaire, and anxiety and depression via the Patient-Reported Outcomes Measurement Information System (PROMIS) and the Hospital Anxiety and Depression Scale (HADS). RESULTS Significant actor effects were found for most variables, showing disclosure is negatively and concealment is positively associated with depression and anxiety (β between |0.29| to |0.65|, p ≤ .029). Partner's effect showed a negative association between patients' self-disclosure and their spouses' depression (β = -0.35, p = .043). Patients' anxiety was negatively associated with similarity in all communication variables (β between -0.21 to -0.22, p = .042). CONCLUSIONS Dyadic communication is an important correlate of distress among couples coping with cancer. Specifically, concealment behaviors have a positive association with distress, whereas disclosure is related to lower levels of anxiety and depression among both partners. In addition, whereas patients are affected more strongly than their spouses by the dyadic similarity, spouses seem to be more attuned to their partners' behaviors and therefore potentially more related to patients' propensity for sharing.
Collapse
Affiliation(s)
| | - Nimrod Hertz-Palmor
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - Michal Braun
- The School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Israel; Breast Cancer Unit, Sharett Institute of Oncology, Hadassah Medical Center, Israel
| | - Eshkol Rafaeli
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
| | - Reut Wertheim
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
| | - Noam Pizem
- Chaim Sheba Medical Center at Tel Hashomer, Ramat Gan, Israel
| | - Einat Shacham-Shmueli
- Chaim Sheba Medical Center at Tel Hashomer, Ramat Gan, Israel; Sackler School of Medicine, Tel Aviv University, Israel
| | | |
Collapse
|
17
|
Liu L, Tian L, Jiang J, Zhang Y, Chi X, Liu W, Zhao YH, Sun P. Effect of an Online Mindfulness-Based Stress Reduction Intervention on Postpandemic Era Nurses' Subjective Well-being, Job Burnout, and Psychological Adaptation. Holist Nurs Pract 2023; 37:244-252. [PMID: 37595116 DOI: 10.1097/hnp.0000000000000603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/20/2023]
Abstract
This study explores the effects of an online mindfulness-based stress reduction intervention on postpandemic era nurses' subjective well-being, job burnout, and psychological adaptation. Previous studies on the psychological adaptability of nurses mainly focused on investigation rather than intervention. Ninety nurses were randomly classified into an intervention or control group. The intervention group received weekly online mindfulness-based stress reduction training for 8 weeks. The Subjective Well-being, Job Burnout, and Psychological Use scales were administered pre- and postintervention. Postintervention, nurses' positive emotions and life satisfaction significantly improved. Nurses' psychological adaptation was significantly higher postintervention than preintervention. The total scores for negative emotion, low personal accomplishment, and job burnout were significantly lower postintervention than preintervention. The scores for positive emotion and life satisfaction in the intervention group were significantly higher than those in the control group, and the scores for low personal accomplishment in the intervention group were significantly lower than those in the control group. Online mindfulness-based stress reduction interventions can improve nurses' subjective well-being, reduce job burnout, and improve their level of psychological adaptability. Moreover, it could promote nurses' ability to communicate mindfully with patients and their families. This intervention could help promote the development of mindfulness in the nursing field.
Collapse
Affiliation(s)
- LiHua Liu
- Department of Discipline Construction and Scientific Research Management (Mss Liu, Zhang, Chi, and Sun), Department of Nursing (Mr Tian and Ms Jiang), and Intensive Care Unit (Dr Zhao), The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China; and Department of Nursing, Zhongshan Hospital Affiliated to Dalian University, Dalian, Liaoning, China (Mr Liu)
| | | | | | | | | | | | | | | |
Collapse
|
18
|
Tian J, Chen J. Editorial: Public health promotion and medical education reform, volume II. Front Public Health 2023; 11:1267528. [PMID: 37655291 PMCID: PMC10466126 DOI: 10.3389/fpubh.2023.1267528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 08/07/2023] [Indexed: 09/02/2023] Open
Affiliation(s)
| | - Jian Chen
- School of Basic Medical Sciences, Guilin Medical University, Guilin, China
| |
Collapse
|
19
|
Lo Destro C, Costa A. Effects of Locomotion Regulatory Mode on COVID-19 Anxiety: The Mediating Role of Resilience. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6533. [PMID: 37569073 PMCID: PMC10418419 DOI: 10.3390/ijerph20156533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 07/25/2023] [Accepted: 08/04/2023] [Indexed: 08/13/2023]
Abstract
The COVID-19 pandemic has exerted a significant impact on mental health globally. The uncertainty, fear, and stress associated with this crisis have contributed to a heightened prevalence of anxiety, depression, and various other mental health disorders. In this scenario, the present study aimed at investigating the relationship between locomotion regulatory mode, resilience, and COVID-19 anxiety. It is worth noting that previous extensive research has established a significant correlation between high levels of locomotion and diverse positive psychological conditions, such as optimism, reduced hopelessness, and a positive effect. A total of 243 participants completed measures of locomotion regulatory mode, resilience, and COVID-19 anxiety. In line with our hypotheses, individuals' locomotion regulatory mode was negatively, although non-significatively, associated with COVID-19 anxiety. Furthermore, resilience was found to mediate the relationship between the locomotion regulatory mode and COVID-19 anxiety, indicating that individuals displaying high locomotion may be better equipped to cope with the stress and uncertainty of the COVID-19 pandemic due to their greater levels of resilience. Taken together, these findings highlight the importance of considering both locomotion and resilience in managing anxiety related to COVID-19, and suggest that interventions aimed at enhancing resilience may be particularly beneficial for individuals with a low locomotion regulatory mode.
Collapse
|
20
|
Gertler J, Dale L, Tracy N, Dorsett J, Sambuco N, Guastello A, Allen B, Cuffe SP, Mathews CA. Resilient, but for how long? The relationships between temperament, burnout, and mental health in healthcare workers during the Covid-19 pandemic. Front Psychiatry 2023; 14:1163579. [PMID: 37484670 PMCID: PMC10361786 DOI: 10.3389/fpsyt.2023.1163579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Accepted: 06/15/2023] [Indexed: 07/25/2023] Open
Abstract
Introduction Dispositional traits of wellbeing and stress-reaction are strong predictors of mood symptoms following stressful life events, and the COVID-19 pandemic introduced many life stressors, especially for healthcare workers. Methods We longitudinally investigated the relationships among positive and negative temperament group status (created according to wellbeing and stress-reaction personality measures), burnout (exhaustion, interpersonal disengagement), COVID concern (e.g., health, money worries), and moral injury (personal acts, others' acts) as predictors of generalized anxiety, depression, and post-traumatic stress symptoms in 435 healthcare workers. Participants were employees in healthcare settings in North Central Florida who completed online surveys monthly for 8 months starting in October/November 2020. Multidimensional Personality Questionnaire subscale scores for stress-reaction and wellbeing were subjected to K-means cluster analyses that identified two groups of individuals, those with high stress-reaction and low wellbeing (negative temperament) and those with the opposite pattern defined as positive temperament (low stress-reaction and high wellbeing). Repeated measures ANOVAs assessed all time points and ANCOVAs assessed the biggest change at timepoint 2 while controlling for baseline symptoms. Results and Discussion The negative temperament group reported greater mood symptoms, burnout, and COVID concern, than positive temperament participants overall, and negative participants' scores decreased over time while positive participants' scores increased over time. Burnout appeared to most strongly mediate this group-by-time interaction, with the burnout exhaustion scale driving anxiety and depression symptoms. PTSD symptoms were also related to COVID-19 health worry and negative temperament. Overall, results suggest that individuals with higher stress-reactions and more negative outlooks on life were at risk for anxiety, depression, and PTSD early in the COVID-19 pandemic, whereas individuals with positive temperament traits became more exhausted and thus more symptomatic over time. Targeting interventions to reduce mood symptoms in negative temperament individuals and prevent burnout/exhaustion in positive temperament individuals early in an extended crisis may be an efficient and effective approach to reduce the mental health burden on essential workers.
Collapse
Affiliation(s)
- Joshua Gertler
- UF Center for OCD, Anxiety, and Related Disorders, University of Florida, Gainesville, Florida, United States
- University of Florida, Evelyn F. and William L. McKnight Brain Institute, Gainesville, Florida, United States
- Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, United States
| | - Lourdes Dale
- Department of Psychiatry, College of Medicine-Jacksonville, University of Florida, Jacksonville, Florida, United States
| | - Natasha Tracy
- UF Center for OCD, Anxiety, and Related Disorders, University of Florida, Gainesville, Florida, United States
- University of Florida, Evelyn F. and William L. McKnight Brain Institute, Gainesville, Florida, United States
- Department of Psychiatry, College of Medicine, University of Florida, Gainesville, Florida, United States
| | - Joelle Dorsett
- Department of Educational and Psychological Studies, School of Education and Human Development, University of Miami, Miami, Florida, United States
| | - Nicola Sambuco
- Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, United States
| | - Andrea Guastello
- UF Center for OCD, Anxiety, and Related Disorders, University of Florida, Gainesville, Florida, United States
- University of Florida, Evelyn F. and William L. McKnight Brain Institute, Gainesville, Florida, United States
- Department of Psychiatry, College of Medicine, University of Florida, Gainesville, Florida, United States
| | - Brandon Allen
- Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville, Florida, United States
| | - Steven P. Cuffe
- Department of Psychiatry, College of Medicine-Jacksonville, University of Florida, Jacksonville, Florida, United States
| | - Carol A. Mathews
- UF Center for OCD, Anxiety, and Related Disorders, University of Florida, Gainesville, Florida, United States
- University of Florida, Evelyn F. and William L. McKnight Brain Institute, Gainesville, Florida, United States
- Department of Psychiatry, College of Medicine-Jacksonville, University of Florida, Jacksonville, Florida, United States
| |
Collapse
|
21
|
Rahmat I, Pawestri F, Saputro RA, Widianingrum S, Hanifah T. Psychosocial Problems among Psychiatric Nurses for Caring Patients with Mental Disorders during the COVID-19 Pandemic. Nurs Res Pract 2023; 2023:3689759. [PMID: 37441199 PMCID: PMC10335755 DOI: 10.1155/2023/3689759] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 06/17/2023] [Accepted: 06/21/2023] [Indexed: 07/15/2023] Open
Abstract
COVID-19 has a negative effect on the psychological well-being of psychiatric nurses. Thus, examining the psychosocial response of nurses is important for preventing more serious mental health problems and disruption of the quality of nursing care. This study aimed to evaluate the psychosocial problems of nurses who provided nursing care to patients with mental health disorders during the COVID-19 pandemic. A quantitative study with a cross-sectional design was conducted. The 101 nurses at Central Mental Health Hospital who provide nursing care to patients with mental health disorders were recruited through consecutive sampling. The instruments used were the demographic questionnaire, the Expanded Nursing Stress Scale, Zung Self-Rating Anxiety Scale, and The Connor-Davidson Resilience Scale 25. Univariate and bivariate analyses were used to process the data. The mean score of 45.1 (±24.3) was obtained for the ENSS; around 97% of nurses have a work stress score below the average, 4.95% have mild-moderate anxiety, and 28.7% have a low level of resilience. Work stress and contact frequency, work stress and gender, anxiety and contact frequency, as well as resilience and contact frequency all correlated significantly (p value <0.05). The Pearson test showed a significant positive correlation between work stress and anxiety (p: 0.002, r: 0.299). However, there was no significant correlation between anxiety and resilience (p: 0.643, r: 0.47), nor between work stress and resilience (p: 0.643; r: 0.47). Psychosocial disorders that psychiatric nurses face include occupational stress, mild-moderate anxiety, and low resilience. The government can create specific infection control guidelines for the mental health setting, and hospital management or ward leaders can also provide support to psychiatric nurses to increase resilience in reducing psychosocial problems.
Collapse
Affiliation(s)
- Ibrahim Rahmat
- Department of Mental Health and Community, School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Fajar Pawestri
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Ragil Aji Saputro
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Setiyati Widianingrum
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Triana Hanifah
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| |
Collapse
|
22
|
Nadeem MU, Kulich SJ, Bokhari IH. The assessment and validation of the depression, anxiety, and stress scale (DASS-21) among frontline doctors in Pakistan during fifth wave of COVID-19. Front Public Health 2023; 11:1192733. [PMID: 37397733 PMCID: PMC10311542 DOI: 10.3389/fpubh.2023.1192733] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Accepted: 05/30/2023] [Indexed: 07/04/2023] Open
Abstract
Objective The study aims to document sociodemographic features, address the symptoms and levels of depression, anxiety, and stress among frontline doctors in Pakistan, and validate the depression, anxiety, stress scale (DASS-21) on the context of Pakistan. Method A cross-sectional survey was conducted throughout the regions of Pakistan on frontline doctors to document their sociodemographic patterns and the levels of depression, anxiety, and stress while dealing with the fifth wave (Omicron-variant) of the coronavirus (SARS-CoV-2) pandemic in Pakistan (December 2021-April 2022). Respondents (N = 319) were recruited through a snowball sampling process. Results Though previous literature reported declines in psychological symptoms after earlier waves of COVID-19, these DASS-21 findings show that as the pandemic has worn on, frontline doctors in Pakistan are having considerable personal symptoms of depression (72.7%), anxiety (70.2%), and stress (58.3%). Though specifically related to the COVID-19 pandemic, they rated only moderate levels of depression and stress, however they reported severe levels of anxiety. The results also revealed a positive correlation between depression and anxiety (r = 0.696, p < 0.001), depression and stress (r = 0.761, p < 0.001), and anxiety and stress (r = 0.720, p < 0.001). Conclusion Through the application of all required statistical procedures, DASS-21 is validated in the cultural context of Pakistan among this group of frontline doctors. The findings of this study can provide new directions for the policy makers (government and hospitals' administration) of Pakistan to focus on the mental wellbeing of the doctors under similar enduring public health crises and to protect them from short- or long-term disorders.
Collapse
Affiliation(s)
- Muhammad Umar Nadeem
- SISU Intercultural Institute (SII), Shanghai International Studies University (SISU), Shanghai, China
| | - Steve J. Kulich
- SISU Intercultural Institute (SII), Shanghai International Studies University (SISU), Shanghai, China
| | - Ijaz Hussain Bokhari
- School of Commerce and Accountancy, University of Management and Technology (UMT), Lahore, Punjab, Pakistan
| |
Collapse
|
23
|
Wang K, Yang B, Wu C, Zheng L. The moderation of satisfaction with working conditions in the association between workload and mental health among healthcare workers collecting test samples in the post-COVID-19 era. Front Public Health 2023; 11:1106299. [PMID: 37361146 PMCID: PMC10286863 DOI: 10.3389/fpubh.2023.1106299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 05/11/2023] [Indexed: 06/28/2023] Open
Abstract
Background This study aimed to examine the associations between workload and satisfaction with working conditions and mental health (i.e., anxiety disorder, depression, and somatization) of healthcare workers collecting test samples during the local outbreaks of COVID-19, and explore satisfaction with working conditions as a moderator of these relationships. Methods A total of 1,349 participants were obtained via an online survey in Zhengzhou, Henan Province, China. Multivariate regression was used to assess the associations between workload and satisfaction with working conditions and anxiety disorder, depression, and somatization. The simple slope analysis and Johnson-Neyman technique were used to assess the effect value and change trend of the moderator. Results The prevalence of anxiety disorder, depression, and somatization were 8.6, 6.9, and 19.2% of healthcare workers collecting test samples, respectively. High levels of workload were associated with an increased risk of an anxiety disorder (OR = 1.81, 95%CI = 1.17-2.78), depression (OR = 1.92, 95%CI = 1.19-3.10), and somatization (OR = 1.90, 95%CI = 1.40-2.57), while high satisfaction of working conditions was associated with a reduction in the risk of these outcomes, and ORs (95%CI) were 0.35 (0.20-0.64), 0.27 (0.13-0.56), and 0.32 (0.21-0.48), respectively. The findings also indicated that a weaker association between workload and anxiety disorder, as well as depression and somatization, has been reported in those with a high level of satisfaction with working conditions. Conclusion Workload significantly increased the risk of healthcare workers suffering from psychological problems, while satisfaction with working conditions alleviated these negative effects, and effective resource support was crucial for healthcare workers.
Collapse
Affiliation(s)
- Kehui Wang
- Faculty of Education, Henan University, Kaifeng, Henan, China
- The General Office, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China
| | - Bin Yang
- Department of Occupational and Environmental Health, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Cuiping Wu
- Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Lianxue Zheng
- The General Office, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China
| |
Collapse
|
24
|
Nkire N, Shalaby R, Obuobi-Donkor G, Agyapong B, Eboreime E, Agyapong VIO. Assessing Resilience and Its Correlates among Residents of Fort McMurray during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6064. [PMID: 37372651 DOI: 10.3390/ijerph20126064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 05/26/2023] [Accepted: 05/31/2023] [Indexed: 06/29/2023]
Abstract
BACKGROUND The coronavirus disease of 2019 (COVID-19) pandemic has led to a global health crisis that has affected the psychological well-being of individuals across the world. The persistence of the pandemic and measures to curtail it have tested people's ability to cope successfully and bounce back from the pandemic, otherwise referred to as resilience. The present study examined resilience levels among residents of Fort McMurray and identified the demographic, clinical and social factors associated with resilience. METHODS The study used a cross-sectional survey design and collected data from 186 participants using online questionnaires. The survey included questions assessing sociodemographic information, mental health history and COVID-19-related variables. The main study outcome was resilience measured using the six-item Brief Resilience Scale (BRS). The data from the survey were analyzed using chi-squared tests and binary logistic regression analyses in the Statistical Package for Social Sciences (SPSS), version 25. RESULTS The results showed that seven independent variables (age, history of depression, history of anxiety, willingness to receive mental health counselling, support from the government of Alberta and support from employer) were statistically significant within the context of the logistic regression model. A history of an anxiety disorder was demonstrated to best predict low resilience. Participants who had a history of anxiety disorder were five times more likely to show low resilience compared to those without such a history. Participants with a history of depression showed a three-fold likelihood of having low resilience in comparison to those who did not have a history of depression. Individuals who expressed a desire to receive mental health counselling had a four-times likelihood of having low resilience than those who did not express a desire to receive mental health counselling. The results also showed that younger participants were more prone to low resilience compared to older participants. Receiving support from the government and one's employer is a protective factor. CONCLUSIONS This study highlights the importance of examining resilience and its associated factors during a pandemic such as COVID-19. The results demonstrated that a history of anxiety disorder, depression and being younger were important predictors of low resilience. Responders who reported the desire to receive mental health counselling also reported expressing low resilience. These findings could be used to design and implement interventions aimed at improving the resilience of individuals affected by the COVID-19 pandemic.
Collapse
Affiliation(s)
- Nnamdi Nkire
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada
| | - Reham Shalaby
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada
| | - Gloria Obuobi-Donkor
- Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Belinda Agyapong
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada
| | - Ejemai Eboreime
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada
| | - Vincent I O Agyapong
- Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada
- Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada
| |
Collapse
|
25
|
Hertz-Palmor N, Ruppin S, Matalon N, Mosheva M, Dorman-Ilan S, Serur Y, Avinir A, Mekori-Domachevsky E, Hasson-Ohayon I, Gross R, Gothelf D, Pessach IM. A 16-month longitudinal investigation of risk and protective factors for mental health outcomes throughout three national lockdowns and a mass vaccination campaign: Evidence from a weighted Israeli sample during COVID-19. Psychiatry Res 2023; 323:115119. [PMID: 36881950 PMCID: PMC9968478 DOI: 10.1016/j.psychres.2023.115119] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Revised: 02/13/2023] [Accepted: 02/18/2023] [Indexed: 02/27/2023]
Abstract
BACKGROUND COVID-19 is an ongoing global crisis, with a multitude of factors that affect mental health worldwide. We explored potential predictors for the emergence and maintenance of depression, anxiety, and posttraumatic stress symptoms (PTSS) in the general population in Israel. METHODS Across the span of 16 months, 2478 people completed a repeated self-report survey which inquired psychiatric symptoms and pandemic related stress factors (PRSF). We applied mixed-effects models to assess how each stressor contributes to depression, anxiety and PTSS at each time point, and longitudinally assessed participants who completed at least two consecutive surveys (n = 400). We weighted our sample to increase representativeness of the population. RESULTS Fatigue was the strongest predictor for depression, anxiety and PTSS at all time points, and predicted deterioration overtime. Financial concerns associated with depression and anxiety at all time points, and with their deterioration overtime. Health related concerns were uniquely associated with anxiety and PTSS at all time points and their deterioration, but not with depression. Improvement in sense of protection overtime associated with decrease in depression and anxiety. Hesitancy towards vaccination was associated to higher financial concerns and lower sense of protection by the authorities. CONCLUSIONS Our findings accentuate the multitude of risk factors for psychiatric morbidity during COVID-19, and the centrality of fatigue in determining mental health outcomes.
Collapse
Affiliation(s)
- Nimrod Hertz-Palmor
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel; MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK; School of Psychological Sciences, Faculty of Social Sciences, Tel Aviv University, Israel.
| | - Shachar Ruppin
- School of Psychological Sciences, Faculty of Social Sciences, Tel Aviv University, Israel
| | - Noam Matalon
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel
| | - Mariela Mosheva
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel
| | - Shirel Dorman-Ilan
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel
| | - Yaffa Serur
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel
| | - Asia Avinir
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel
| | - Ehud Mekori-Domachevsky
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel
| | | | - Raz Gross
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel
| | - Doron Gothelf
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children Hospital at Sheba Medical Center, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel; Sagol School of Neuroscience, Tel Aviv University, Israel
| | - Itai M Pessach
- Sackler Faculty of Medicine, Tel Aviv University, Israel; Pediatric Intensive Care Unit, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel
| |
Collapse
|
26
|
Emirza S, Yılmaz Kozcu G. Protecting healthcare workers' mental health against COVID-19-related stress: The effects of stress mindset and psychological resilience. Nurs Health Sci 2023. [PMID: 37098413 DOI: 10.1111/nhs.13018] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 02/20/2023] [Accepted: 03/28/2023] [Indexed: 04/27/2023]
Abstract
Healthcare workers have been on the frontline of the battle against COVID-19 disease. However, this has taken a toll on them, resulting in elevated stress and poor mental health. We argue that healthcare workers' stress mindset and resilience could mitigate negative outcomes of COVID-19-related stress by helping them view this stressful situation in a more positive light and appraise it as a challenge rather than a threat. Accordingly, we hypothesized that both a stress-is-enhancing mindset about COVID-19-related stress and resilience would improve healthcare workers' appraisal of their personal resources and increase their challenge appraisals, positively contributing to their mental health. We collected data from 160 healthcare workers and performed structural equation modeling for hypothesis testing. The results indicate that both a stress-is-enhancing mindset about COVID-19-related stress and psychological resilience are indirectly related to better mental well-being and lower health-related anxiety through challenge appraisals. This study contributes to research in mental health by suggesting that protecting and promoting healthcare workers' mental health is possible by empowering them through increasing personal resources such as a positive mindset about stressful situations and resilience.
Collapse
Affiliation(s)
- Sevgi Emirza
- Department of Business Administration, Dokuz Eylül University, İzmir, Turkey
| | - Gizem Yılmaz Kozcu
- Department of Business Administration, Dokuz Eylül University, İzmir, Turkey
| |
Collapse
|
27
|
Van Grondelle SE, Van Bruggen S, Rauh SP, Van der Zwan M, Cebrian A, Seidu S, Rutten GEHM, Vos HMM, Numans ME, Vos RC. The impact of the covid-19 pandemic on diabetes care: the perspective of healthcare providers across Europe. Prim Care Diabetes 2023; 17:141-147. [PMID: 36822977 PMCID: PMC9933343 DOI: 10.1016/j.pcd.2023.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 02/12/2023] [Indexed: 02/18/2023]
Abstract
AIMS Covid-19 caused changes on the delivery of diabetes care. This study aimed to explore perceptions of healthcare providers across Europe concerning 1) the impact of covid-19 on delivery of diabetes care; 2) impact of changes in diabetes care on experienced workload; 3) experiences with video consultation in diabetes care. METHODS Cross-sectional survey among healthcare providers in the Netherlands, United Kingdom, Turkey, Ukraine and Sweden, with a focus on primary care. RESULTS The survey was completed by 180 healthcare providers. During the COVID-19 pandemic 57.1% of respondents provided less diabetes care and 72.8% observed a negative impact on people with diabetes. More than half of respondents (61.9%) expressed worries to some extent about getting overloaded by work. Although the vast majority considered their work meaningful (85.6%). Almost half of healthcare providers (49.4%) thought that after the pandemic video-consultation could be blended with face-to-face contact. CONCLUSIONS Less diabetes care was delivered and a negative impact on people with diabetes was observed by healthcare providers. Despite healthcare providers' feeling overloaded, mental wellbeing seemed unaffected. Video consultations were seen as having potential. Given the remaining covid-19 risks and from the interest of proactive management of people with diabetes, these findings urge for further exploration of incorporating video consultation in diabetes care.
Collapse
Affiliation(s)
- S E Van Grondelle
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands.
| | - S Van Bruggen
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands; Hadoks, The Hague, the Netherlands
| | - S P Rauh
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands
| | - M Van der Zwan
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands
| | - A Cebrian
- Primary Care Research Group, Biomedical Research Institute of Murcia (IMIB), Murcia, Spain; Centro de Salud Casco Antiguo Cartagena, Murcia, Spain; Spanish Diabetes Association, Catholic University of Murcia, Servicio Murciano de Salud, Cartagena, Murcia, Spain
| | - S Seidu
- Diabetes Research Centre, University of Leicester, Leicester, UK
| | - G E H M Rutten
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands
| | - H M M Vos
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands
| | - M E Numans
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands
| | - R C Vos
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, the Netherlands
| |
Collapse
|
28
|
Guraya SS, Menezes P, Lawrence IN, Guraya SY, Rashid-Doubell F. Evaluating the impact of COVID-19 pandemic on the physicians' psychological health: A systematic scoping review. Front Med (Lausanne) 2023; 10:1071537. [PMID: 37056734 PMCID: PMC10086257 DOI: 10.3389/fmed.2023.1071537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Accepted: 03/09/2023] [Indexed: 03/30/2023] Open
Abstract
BackgroundCOVID-19 has endangered healthcare systems at multiple levels worldwide. Published data suggests that moral dilemmas faced during these unprecedented times have placed physicians at the intersections of ethical and unethical considerations. This phenomenon has questioned the physicians' morality and how that has affected their conduct. The purpose of our review is to tap into the spectrum of the transforming optics of patient care during the pandemic and its impact on psychological wellbeing of physicians.MethodsWe adopted the Arksey and O'Malley's framework, defining research questions, identifying relevant studies, selecting the studies using agreed inclusion and exclusion criteria, charting the data, and summarizing and reporting results. Databases of PubMed/Medline, Web of Science, Scopus, Science Direct, CINAHL, and PsycInfo were searched using a predefined search string. The retrieved titles and abstracts were reviewed. Later, a detailed full-text analysis of the studies which matched our inclusion criteria was performed.ResultsOur first search identified 875 titles and abstracts. After excluding duplicates, irrelevant, and incomplete titles, we selected 28 studies for further analysis. The sample size in 28 studies was 15,509 with an average size of 637 per study. Both quantitative and qualitative approaches were used, with cross-sectional surveys being utilized in all 16 quantitative studies. Using the data from semi-structured interviews, several discrete codes were generated, which led to the identification of five main themes; mental health, individual challenges, decision-making, change in patient care, and support services.ConclusionThis scoping review reports an alarming rise in psychological distress, moral injury, cynicism, uncertainty, burnout, and grief among physicians during the pandemic. Decision-making and patient care were mostly regulated by rationing, triaging, age, gender, and life expectancy. Poor professional controls and institutional services potentially led to physicians' crumbling wellbeing. This research calls for the remediation of the deteriorating mental health and a restoration of medical profession's advocacy and equity.
Collapse
Affiliation(s)
- Shaista S. Guraya
- School of Medicine, Royal College of Surgeons Ireland – Medical University Bahrain, Muharraq, Bahrain
| | - Prianna Menezes
- School of Medicine, Royal College of Surgeons Ireland – Medical University Bahrain, Muharraq, Bahrain
| | | | - Salman Yousuf Guraya
- Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
- *Correspondence: Salman Yousuf Guraya
| | - Fiza Rashid-Doubell
- School of Medicine, Royal College of Surgeons Ireland – Medical University Bahrain, Muharraq, Bahrain
| |
Collapse
|
29
|
DiMaggio C, Susser E, Frangos S, Abramson D, Andrews H, Hoven C, Ryan M, Li G. The New York State COVID-19 Healthcare Personnel Study: One-Year Follow-up of Physicians, Nurse Practitioners, and Physician Assistants, 2020-2021. Public Health Rep 2023:333549231155473. [PMID: 36905312 PMCID: PMC10009497 DOI: 10.1177/00333549231155473] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023] Open
Abstract
OBJECTIVES The COVID-19 Healthcare Personnel Study is a longitudinal survey to assess the changing impact of the COVID-19 pandemic on the New York State health care workforce. We analyzed results from a follow-up survey of physicians, nurse practitioners, and physician assistants on the availability of equipment and personnel, work conditions, physical and mental health of participants, and impact of the pandemic on commitment to their profession. METHODS We conducted an online survey of all licensed New York State physicians, nurse practitioners, and physician assistants in April 2020 (N = 2105) and a follow-up survey in February 2021 (N = 978). We analyzed changes in item responses from baseline to follow-up. We calculated survey-adjusted paired t tests and odds ratios (ORs) using survey-adjusted generalized linear models controlling for age, sex, region of practice, and hospital versus non-hospital-based practice. RESULTS Twenty percent of respondents expressed continuing concern about personnel shortages at both baseline and follow-up. Respondents reported working approximately 5 more hours on average during a 2-week period at follow-up compared with baseline (78.1 vs 72.6 hours; P = .008). For 20.4% (95% CI, 17.2%-23.5%) of respondents, mental health issues had become persistent. More than one-third (35.6%; 95% CI, 31.9%-39.4%) of respondents reported that they thought about leaving their profession more often than once per month. The association between persistent mental and behavioral health issues and contemplating leaving one's profession was significant (OR = 2.7; 95% CI, 1.8-4.1; P < .001). CONCLUSIONS Interventions such as decreasing the number of hours worked, ensuring health care professionals do not work directly with patients while ill, and addressing shortages of personal protective equipment can help address concerns of the health care workforce.
Collapse
Affiliation(s)
- Charles DiMaggio
- Department of Surgery, Grossman School of Medicine, New York University, New York, NY, USA
| | - Ezra Susser
- Mailman School of Public Health, Columbia University and New York State Psychiatric Institute, New York, NY, USA
| | - Spiros Frangos
- Department of Surgery, Grossman School of Medicine, New York University, New York, NY, USA
| | - David Abramson
- School of Global Public Health, New York University, New York, NY, USA
| | - Howard Andrews
- Data Coordinating Center (DCC), Irving Medical Center, Columbia University, New York, NY, USA
| | - Christina Hoven
- Mailman School of Public Health, Columbia University and New York State Psychiatric Institute, New York, NY, USA
| | - Megan Ryan
- Mailman School of Public Health, Columbia University and New York State Psychiatric Institute, New York, NY, USA
| | - Guohua Li
- Department of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
| |
Collapse
|
30
|
Nashashibi L, Khouri M, Meretyk I, Livni T, Cohen N, Fruchter E. Working in corona-designated departments in a fortified underground hospital: Concerns about corona and predictors of job burnout. Front Psychiatry 2023; 14:1105632. [PMID: 36960459 PMCID: PMC10029354 DOI: 10.3389/fpsyt.2023.1105632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 02/03/2023] [Indexed: 03/09/2023] Open
Abstract
Background In August 2020 during Israel's second COVID-19 wave Rambam Medical Center opened the Sammy Ofer Fortified Underground Emergency Hospital. This was declared a regional Corona center in the north of Israel, receiving the most severe Corona patients from the region. Alongside the advanced inpatient capacity and technology within the underground facility, there was a severe shortage of trained medical and paramedical staff, as well as harsh working conditions. The current study examined the implications and effects of working in an underground facility on healthcare workers, focusing on emotion regulation tendencies and profession as predictors of job burnout. Methods Seventy-six healthcare workers, who had worked in the underground hospital for a minimum continuous period of 2 weeks during the peak of the COVID-19 pandemic, and a control group of 40 healthcare workers from northern Israel were asked to fill out an online survey administered via Qualtrics (total sample 116). The survey comprised six questionnaires: a demographic survey questionnaire; a COVID-19 concerns questionnaire; a psychological distress questionnaire (DASS, Depression Anxiety Stress Scale); trait worry (PSWQ; Penn State Worry Questionnaire); emotion regulation (ERQ, Emotion Regulation Questionnaire), and burnout (SMBM, Shirom - Melamed Burnout Measure). Results Independent-samples t-tests revealed no significant differences in psychological distress or burnout between Rambam Underground hospital workers and the control group. Conversely, COVID-19 concern scores were significantly different in the two groups, the Rambam hospital workers showing less concern (M = 2.9, SD = 0.73) than the control group (M = 3.47, SD = 0.76) [t (114) = -3.974, p < 0.001]. Hierarchical linear regression analysis identified the significant predictors of burnout among healthcare workers. Participants' profession (physician), psychological distress (total DASS score), and a personality trait of worry were statistically significant predictors for job burnout (p = 0.028, p < 0.001, p = 0.023, respectively). Concerns about COVID-19 marginally predicted job burnout (p = 0.09). Group (underground vs. control) and emotion regulation tendencies did not predict burnout. Conclusion The two groups showed no significant differences in psychological distress nor in burnout. Being a physician, having an intrinsic trait of being overly worried and experiencing psychological distress were significant predictors for job burnout among healthcare workers, regardless of work environment (underground vs. control).
Collapse
Affiliation(s)
- Lauren Nashashibi
- Rambam Health Care Campus and Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
| | - Marlyn Khouri
- Department of Special Education, University of Haifa, Haifa, Israel
| | - Irit Meretyk
- Rambam Health Care Campus and Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
| | - Tom Livni
- The Edmond J. Safra Brain Research Center for the Study of Learning Disabilities, University of Haifa, Haifa, Israel
| | - Noga Cohen
- Department of Special Education, University of Haifa, Haifa, Israel
- The Edmond J. Safra Brain Research Center for the Study of Learning Disabilities, University of Haifa, Haifa, Israel
| | - Eyal Fruchter
- Rambam Health Care Campus and Faculty of Medicine, Technion – Israel Institute of Technology, Haifa, Israel
| |
Collapse
|
31
|
Yin T, Lu Y, Xiong W, Yu C, Yin D, He H. Occupational Risk Factors for Physical and Mental Health in Primary Healthcare Providers: A National Cross-Sectional Survey from 62 Urban Communities in China. J Multidiscip Healthc 2023; 16:751-762. [PMID: 36969734 PMCID: PMC10032140 DOI: 10.2147/jmdh.s401914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 03/14/2023] [Indexed: 03/19/2023] Open
Abstract
Purpose To understand the physical and mental health status of primary healthcare providers (PHPs) including physicians, nurses and other staff and the workplace risk factors for depression, anxiety and intention-to-leave. Patients and Methods In December 2021, a national cross-sectional survey was conducted from 62 urban communities in China, and all PHPs were invited to complete a standardized questionnaire. Information on demographic, health-related lifestyle, cardiovascular risk factors and physical health status, occupational stress and intention-to-leave was collected. Depression and anxiety were assessed using the Zung Self-Rating Anxiety/Depression Scale (SAS/SDS). Results A total of 4901 PHPs were included. 67.0% males currently drank alcohol vs 25.3% in females; 36.0% males currently smoked cigarettes vs 1.4% in females. Notably, more than half males were overweight or obese, but this proportion was 24.2% in females. The prevalence of chronic diseases, including hypertension, diabetes, dyslipidemia, non-alcoholic fatty liver disease, gout, and disease clustering were higher in males than in females. The prevalence of depression and anxiety were high, 50% had depression, of whom 15.6% had moderate/severe depression. Over 15% participants had varied levels of anxiety, and approximately 4% had moderate/severe anxiety. PHPs who aged 18-29 (OR: 1.31, 95% CI: 1.05-1.64), were males (OR: 1.34, 95% CI: 1.14-1.57), with lower professional title (comparing with staff with senior title, the ORs of the intermedium, junior and none were 1.83, 2.18 and 2.49, respectively), took charge in nursing (OR: 1.41, 95% CI: 1.20-1.65), with higher perceived stress level (OR: 1.82, 95% CI: 1.41-2.34), and suffering from severe fatigue (OR: 2.55, 95% CI: 1.99-3.27) were more likely to have depression. Likewise, PHPs who were younger, with intermedium professional title, had higher perceived pressure level, and higher fatigue levels were more likely to have anxiety. Conclusion The mental health of PHPs is worrisome, with a high burden of chronic diseases and occupational risk factors. Younger PHPs, nurses, and those with higher levels of work pressure and fatigue are more vulnerable to psychological problems. The high prevalence of intention-to-leave calls for strategies that relieve the workplace stress and enhance the human resource capability.
Collapse
Affiliation(s)
- Tao Yin
- Department of Technology, Capital Institute of Pediatrics, Beijing, People’s Republic of China
| | - Yan Lu
- Department of Cardiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, People’s Republic of China
| | - Wei Xiong
- Department of Gynecology Endocrine & Reproductive Center, National Clinical Research Center for Obstetric & Gynecologic Diseases Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College/Chinese Academy of Medical Sciences, Beijing, People’s Republic of China
| | - Chengdong Yu
- Department of Growth and Development, Capital Institute of Pediatrics, Beijing, People’s Republic of China
| | - Delu Yin
- Department of Child Health Care, Capital Institute of Pediatrics, Beijing, People’s Republic of China
- Delu Yin, Department of Child Health Care, Capital Institute of Pediatrics, 2 Yabao Road, Chaoyang District, Beijing, 100020, People’s Republic of China, Tel +8613810349722, Email
| | - Huijing He
- Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing, People’s Republic of China
- Correspondence: Huijing He, Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, 5 Dongdansantiao, Dongcheng District, Beijing, 100005, People’s Republic of China, Tel +8615010086743, Email
| |
Collapse
|
32
|
Amsalem D, Wall M, Lazarov A, Markowitz JC, Fisch CT, LeBeau M, Hinds M, Liu J, Fisher PW, Smith TE, Hankerson S, Lewis-Fernández R, Dixon LB, Neria Y. Brief Video Intervention to Increase Treatment-Seeking Intention Among U.S. Health Care Workers: A Randomized Controlled Trial. Psychiatr Serv 2023; 74:119-126. [PMID: 36097721 DOI: 10.1176/appi.ps.20220083] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Many health care workers avoid seeking mental health care, despite COVID-19-related increases in risk of psychopathology. This study assessed the effects of two versions (distinguished by the race of the protagonist) of a brief social contact-based video on treatment-seeking intention and stigma toward mental health services among U.S. health care workers. METHODS Participants (N=1,402) were randomly assigned to view a 3-minute video in which a Black or White female nurse described struggles with COVID-19-related anxiety and depression, barriers to care, and how therapy helped, or to view a control video unrelated to mental health. Half of the participants receiving the intervention watched the same video (i.e., booster) again 14 days later. Treatment-seeking intention and treatment-related stigma were assessed at baseline, postintervention, and 14- and 30-day follow-ups. RESULTS Both intervention videos elicited an immediate increase in treatment-seeking intention in the intervention groups (p<0.001, effect size [ES]=21%), with similar effects among those who watched the booster video (p=0.016, ES=13%) and larger effects among those who had never sought treatment (p<0.001, ES=34%). The increased effects were not sustained 14 days after the initial video or at 30-day follow-up. The results showed an immediate reduction in stigma, but with no booster effect. The race of the protagonist did not influence outcomes. CONCLUSIONS This easily administered intervention could increase the likelihood of care seeking by proactively encouraging health care workers with mental health challenges to pursue treatment. Future studies should examine whether the inclusion of linkable referrals to mental health services helps to increase treatment-seeking behavior.
Collapse
Affiliation(s)
- Doron Amsalem
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Melanie Wall
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Amit Lazarov
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - John C Markowitz
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Chana T Fisch
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Mariah LeBeau
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Melissa Hinds
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Jun Liu
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Prudence W Fisher
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Thomas E Smith
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Sidney Hankerson
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Roberto Lewis-Fernández
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Lisa B Dixon
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| | - Yuval Neria
- New York State Psychiatric Institute, New York City (Amsalem, Wall, Markowitz, Fisch, LeBeau, Hinds, Liu, Fisher, Hankerson, Lewis-Fernández, Dixon, Neria); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Amsalem, Wall, Markowitz, Liu, Fisher, Smith, Hankerson, Lewis-Fernández, Dixon, Neria); School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel (Lazarov); New York State Office of Mental Health, Albany (Smith)
| |
Collapse
|
33
|
Xia Y, Wang Q, Shi L, Shi Z, Chang J, Xu R, Miao H, Wang D. Prevalence and risk factors of COVID-19-related generalized anxiety disorder among the general public in China: a cross-sectional study. PeerJ 2023; 11:e14720. [PMID: 36691480 PMCID: PMC9864122 DOI: 10.7717/peerj.14720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 12/19/2022] [Indexed: 01/20/2023] Open
Abstract
Objective This study aimed to estimate the prevalence of generalized anxiety disorder in China during the coronavirus disease 2019 (COVID-19) pandemic and identify its associated factors. Methods A cross-sectional study was conducted among the general population in China from March 16 to April 2, 2020. The participants were recruited using stratified random sampling. Data on demographic characteristics and COVID-19 related factors were obtained using self-administered questionnaires. The anxiety score was measured based on the Chinese version of the Generalized Anxiety Disorder 7-item Scale (GAD-7). Results The study comprised 10,824 participants, of which 37.69% had symptoms of anxiety. The risk factors for anxiety symptoms included poor self-reported health (OR = 1.672, p < 0.001), chronic diseases (OR = 1.389, p < 0.001), and quarantine (OR = 1.365, p < 0.001), while participants' perceptions that COVID-19 would be controlled was a protective factor (OR = 0.774, p < 0.001). The interactions between quarantine and self-reported health (p < 0.001), as well as between perceptions of COVID-19 and self-reported health (p < 0.001) were found to have a significant effect on GAD-7 scores. Conclusions Self-reported health status, chronic diseases, quarantine, and perceptions of COVID-19 were significantly associated with GAD-7 scores, indicating that mental health interventions are urgently needed during pandemics, especially for high-risk groups.
Collapse
Affiliation(s)
- Yi Xia
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Qi Wang
- Shenzhen People’s Hospital, The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China
| | - Lushaobo Shi
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Zengping Shi
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Jinghui Chang
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Richard Xu
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China,Center for Health Systems and Policy Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Huazhang Miao
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Dong Wang
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China,Institute of Health Management, Southern Medical University, Guangzhou, Guangdong, China,Public Health Service System Construction Research Foundation of Guangzhou, Guangzhou, Guangdong, China,Public Health Policy Research and Evaluation Key Laboratory Project of the Philosophy and Social Sciences of Guangdong College, Guangzhou, Guangdong, China
| |
Collapse
|
34
|
Rehder KJ, Adair KC, Eckert E, Lang RW, Frankel AS, Proulx J, Sexton JB. Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…. J Patient Saf 2023; 19:36-41. [PMID: 35948315 PMCID: PMC9788875 DOI: 10.1097/pts.0000000000001070] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVES The COVID 19 pandemic placed unprecedented strain on healthcare systems and workers, likely also impacting patient safety and outcomes. This study aimed to understand how teamwork climate changed during that pandemic and how these changes affected safety culture and workforce well-being. METHODS This cross-sectional observational study of 50,000 healthcare workers (HCWs) in 3 large U.S. health systems used scheduled culture survey results at 2 distinct time points: before and during the first year of the COVID 19 pandemic. The SCORE survey measured 9 culture domains: teamwork climate, safety climate, leadership engagement, improvement readiness, emotional exhaustion, emotional exhaustion climate, thriving, recovery, and work-life balance. RESULTS Response rate before and during the pandemic was 75.45% and 74.79%, respectively. Overall, HCWs reporting favorable teamwork climate declined (45.6%-43.7%, P < 0.0001). At a facility level, 35% of facilities saw teamwork climate decline, while only 4% saw an increase in teamwork climate. Facilities with decreased teamwork climate had associated decreases in every culture domain, while facilities with improved teamwork climate maintained well-being domains and saw improvements in every other culture domain. CONCLUSIONS Healthcare worker teamwork norms worsened during the COVID-19 pandemic. Teamwork climate trend was closely associated with other safety culture metrics. Speaking up, resolving conflicts, and interdisciplinary coordination of care were especially predictive. Facilities sustaining these behaviors were able to maintain other workplace norms and workforce well-being metrics despite a global health crisis. Proactive team training may provide substantial benefit to team performance and HCW well-being during stressful times.
Collapse
Affiliation(s)
- Kyle J. Rehder
- From the Duke Center for Healthcare Safety and Quality
- Department of Pediatrics, Duke University, Durham, North Carolina
| | | | - Erin Eckert
- From the Duke Center for Healthcare Safety and Quality
| | - Richard W. Lang
- Department of Orthopedic Surgery, Naval Medical Center San Diego, San Diego, California
| | | | | | - J. Bryan Sexton
- From the Duke Center for Healthcare Safety and Quality
- Department of Psychiatry, Duke University, Durham, North Carolina
| |
Collapse
|
35
|
Resilience Among Gifted Students: Are they Prone to Anxiety During Pandemic? Scand J Child Adolesc Psychiatr Psychol 2022; 10:153-162. [PMID: 36687264 PMCID: PMC9828212 DOI: 10.2478/sjcapp-2022-0016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Background Resilience is an important protective factor for psychological wellbeing. According to the previous literature, physical activity level and digital game playing are likely to impact anxiety level. Objective The present study aimed to identify the role of resilience, doing physical activity, and playing digital games on gifted children's anxiety levels during the Pandemic period in 2021 in Turkey. Method The sample consisted of 199 gifted students. Anxiety was measured using the Spielberger's State Anxiety Inventory. Resilience was measured using The Brief Resilience Scale. The physical activity and online/digital game-playing were measured using two open-ended questions. Results Results provided evidence that resilience had a strong negative association with anxiety among gifted students during the Pandemic period (β = -.59, p<.001). Doing physical activity was associated with anxiety among gifted boys (β = -.16, p<.001) but not girls. Finally, digital game playing was associated with anxiety among neither girls nor boys. Conclusions These results reflected the importance of resilience for anxiety.
Collapse
|
36
|
Yazicioglu B, Oruc MA, Ozdemir S. Evaluation of family physicians' anxiety during the COVID-19 process: provincial example from Turkey. BMC Psychol 2022; 10:313. [PMID: 36528775 PMCID: PMC9758459 DOI: 10.1186/s40359-022-01024-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 12/14/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND In the natural progression of COVID-19, recovery usually takes months in most cases. Comprehensive evaluation of underlying complications requires a holistic approach as in primary health care, which creates additional workload and stress for family physicians. METHODS The descriptive-cross-sectional study was carried out in 226 family physicians in Samsun, Turkey. Ethical permissions were obtained to conduct the study. State-Trait Anxiety Inventory scale was used as data collection tool. RESULTS 214 physicians were included in the study. The majority of the participants in the study were female. Most of the family physicians were not specialist physicians. Most of them were married. The majority of family physicians do not smoke and did not have any chronic diseases. The trait anxiety score of the physicians was 43.40 ± 8.50, and the situational anxiety score was 48.09 ± 11.55. The correlation between trait anxiety and situational anxiety was positive and significant. Gender difference did not make a significant difference on anxiety. Anxiety was significantly higher in patients with chronic disease. Marital status, having a child, and a history of COVID disease do not have a significant effect on anxiety. CONCLUSION At the beginning of the COVID pandemic, the greatest struggle was given in secondary and tertiary healthcare institutions. In the following process, this burden shifted to primary health care institutions. This situation has increased the workload and stress of family physicians working in primary care. Therefore, it also increased perceived anxiety. Individuals with high trait anxiety scores have higher state anxiety scores.
Collapse
Affiliation(s)
- Bahadir Yazicioglu
- Department of Family Medicine, Samsun Education and Research Hospital, Samsun, Turkey
| | - Muhammet Ali Oruc
- grid.510471.60000 0004 7684 9991Department of Family Medicine, Samsun University Faculty of Medicine, Samsun, Turkey
| | - Sule Ozdemir
- grid.510471.60000 0004 7684 9991Department of Public Health, Samsun University Faculty of Medicine, Samsun, Turkey
| |
Collapse
|
37
|
Weitzel EC, Löbner M, Glaesmer H, Hinz A, Zeynalova S, Henger S, Engel C, Reyes N, Wirkner K, Löffler M, Riedel-Heller SG. The Association of Resilience with Mental Health in a Large Population-Based Sample (LIFE-Adult-Study). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15944. [PMID: 36498017 PMCID: PMC9740913 DOI: 10.3390/ijerph192315944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 11/17/2022] [Accepted: 11/25/2022] [Indexed: 06/17/2023]
Abstract
Resilience describes a good adaptation to adversity. Strengthening resilience is a promising approach in the prevention of mental health problems. Yet, research on the association of resilience with mental health symptoms in the general population is scarce. The aim of our study is to examine comprehensively the association of resilience with depressive symptoms, anxiety, and perceived stress in a large population-based sample. We analyzed data of n = 3762 participants from the follow-up assessment of the LIFE-Adult-Study, a population-based cohort study in Leipzig. Assessments included resilience (RS-11), depressive symptoms (CES-D), anxiety (GAD-7), and perceived stress (PSQ). The association of resilience with mental health symptoms was examined via multiple linear regression analyses. In our analyses, higher resilience predicted less mental health problems and contributed significantly to the explained variance in mental health outcomes. Women, individuals with previous mental disorders, and those without employment had higher mental health symptoms. Resilience is closely associated with mental health problems in the general population. Vulnerable groups should be targeted with public health measures. Strengthening resilience is a promising approach in the large-scale prevention of mental disorders.
Collapse
Affiliation(s)
- Elena Caroline Weitzel
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Margrit Löbner
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Heide Glaesmer
- Department of Medical Psychology and Medical Sociology, Medical Faculty, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Andreas Hinz
- Department of Medical Psychology and Medical Sociology, Medical Faculty, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| | - Samira Zeynalova
- Institute of Medical Informatics, Statistics and Epidemiology, University of Leipzig, Härtel-Str. 16–18, 04107 Leipzig, Germany
| | - Sylvia Henger
- Institute of Medical Informatics, Statistics and Epidemiology, University of Leipzig, Härtel-Str. 16–18, 04107 Leipzig, Germany
| | - Christoph Engel
- Institute of Medical Informatics, Statistics and Epidemiology, University of Leipzig, Härtel-Str. 16–18, 04107 Leipzig, Germany
| | - Nigar Reyes
- Institute of Medical Informatics, Statistics and Epidemiology, University of Leipzig, Härtel-Str. 16–18, 04107 Leipzig, Germany
| | - Kerstin Wirkner
- LIFE—Leipzig Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Str. 27, 04103 Leipzig, Germany
| | - Markus Löffler
- Institute of Medical Informatics, Statistics and Epidemiology, University of Leipzig, Härtel-Str. 16–18, 04107 Leipzig, Germany
- LIFE—Leipzig Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Str. 27, 04103 Leipzig, Germany
| | - Steffi G. Riedel-Heller
- Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany
| |
Collapse
|
38
|
Jeamjitvibool T, Duangchan C, Mousa A, Mahikul W. The Association between Resilience and Psychological Distress during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14854. [PMID: 36429573 PMCID: PMC9690093 DOI: 10.3390/ijerph192214854] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 11/08/2022] [Accepted: 11/08/2022] [Indexed: 05/13/2023]
Abstract
This study examined the association between resilience and psychological distress in healthcare workers, the general population, and patients during the COVID-19 pandemic. We searched the PubMed, Web of Science, PsycInfo, Science Direct, and Nursing and Allied Health databases. Included articles examined healthcare workers (e.g., physicians and nurses), the general population, and patients during the COVID-19 pandemic. Studies of exposure to other infectious diseases related to epidemics or pandemics (e.g., SARS and MERS) were excluded. This study was performed following the Cooper matrix review method and PRISMA guidelines, followed by a meta-analysis of study results using R version 4.1.2. A random effect model was used for the pooled analysis. This study was registered with PROSPERO (registration No. CRD42021261429). Based on the meta-analysis, we found a moderate negative relationship between overall resilience and psychological distress (r = -0.42, 95% confidence interval [CI]: -0.45 to -0.38, p < 0.001). For the subgroup analysis, a moderately significant negative relationship between overall resilience and psychological distress was found among healthcare workers (r = -0.39, 95% CI: -0.44 to -0.33, p < 0.001), which was weaker than in the general population (r = -0.45, 95% CI: -0.50 to -0.39, p < 0.001) and in patients (r = -0.43; 95% CI: -0.52 to -0.33; p < 0.001). This association was robust, although the heterogeneity among individual effect sizes was substantial (I2 = 94%, 99%, and 74%, respectively). This study revealed a moderate negative relationship between resilience and psychological distress in healthcare workers, the general population, and patients. For all these populations, interventions and resources are needed to improve individuals' resilience and ability to cope with psychological distress during the COVID-19 pandemic and in future disease outbreaks.
Collapse
Affiliation(s)
- Thanakrit Jeamjitvibool
- Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok 10210, Thailand
- College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA
| | - Cherdsak Duangchan
- Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok 10210, Thailand
- College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA
| | - Andria Mousa
- Department of Infection Biology, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
| | - Wiriya Mahikul
- Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy, Bangkok 10210, Thailand
| |
Collapse
|
39
|
Ruengorn C, Awiphan R, Phosuya C, Ruanta Y, Wongpakaran N, Wongpakaran T, Thavorn K, Nochaiwong S. Psychological Resilience and Adverse Mental Health Issues in the Thai Population during the Coronavirus Disease 2019 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13023. [PMID: 36293610 PMCID: PMC9602542 DOI: 10.3390/ijerph192013023] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 10/06/2022] [Accepted: 10/09/2022] [Indexed: 06/16/2023]
Abstract
In light of the coronavirus disease 2019 (COVID-19) pandemic and the enormous amount of uncertainty caused by it, mental health issues have become a great concern. Evidence regarding the effects of psychological resilience on the Thai population is scarce. We evaluated psychological resilience during the first wave of the COVID-19 pandemic and its association with the risk of mental health outcomes, such as depression, anxiety, stress, and health-related well-being. This cross-sectional study was a part of the HOME-COVID-19 project, which conducted an online survey of 4004 members of the general population in Thailand using the Brief Resilience Coping Scale. Logistic regression was performed to identify the association between psychological resilience and mental health issues and well-being. Groups with prevalence rates of 43.9%, 39.2%, and 16.9% were classified as low, moderate, and high resilient copers, respectively. Using high resilient copers as a reference group, the low resilient copers had a higher chance of having mental health adversities. The adjusted odds ratio (OR) was 1.89 (95% confidence interval [CI], 1.39-2.56; p < 0.001) for depression, 2.13 (95% CI, 1.45-3.14; p < 0.001) for anxiety, 4.61 (95% CI, 3.30-6.45; p < 0.001) for perceived stress, and 3.18 (95% CI, 2.31-4.38; p < 0.001) for low well-being. For the medium resilient copers, only low well-being was found to be statistically significant (OR, 1.60; 95% CI, 1.16-2.20; p = 0.004). It is important that resilience be considered in the development of strategies for managing the COVID-19 pandemic to prevent or reduce adverse mental health outcomes.
Collapse
Affiliation(s)
- Chidchanok Ruengorn
- Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
- Pharmacoepidemiology and Statistics Research Center (PESRC), Chiang Mai University, Chiang Mai 50200, Thailand
| | - Ratanaporn Awiphan
- Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
- Pharmacoepidemiology and Statistics Research Center (PESRC), Chiang Mai University, Chiang Mai 50200, Thailand
| | - Chabaphai Phosuya
- Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
- Pharmacoepidemiology and Statistics Research Center (PESRC), Chiang Mai University, Chiang Mai 50200, Thailand
| | - Yongyuth Ruanta
- Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
- Pharmacoepidemiology and Statistics Research Center (PESRC), Chiang Mai University, Chiang Mai 50200, Thailand
| | - Nahathai Wongpakaran
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Tinakon Wongpakaran
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Kednapa Thavorn
- Pharmacoepidemiology and Statistics Research Center (PESRC), Chiang Mai University, Chiang Mai 50200, Thailand
- Ottawa Hospital Research Institute, Ottawa Hospital, Ottawa, ON K1H 8L6, Canada
- ICES uOttawa, Ottawa, ON K1Y 4E9, Canada
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON K1G 5Z3, Canada
| | - Surapon Nochaiwong
- Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
- Pharmacoepidemiology and Statistics Research Center (PESRC), Chiang Mai University, Chiang Mai 50200, Thailand
| |
Collapse
|
40
|
Serur Y, Dikstein H, Shilton T, Gothelf D, Latzer Y, Lewis Y, Enoch-Levy A, Pessach I, Gur E, Stein D. The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic. J Eat Disord 2022; 10:145. [PMID: 36209127 PMCID: PMC9547577 DOI: 10.1186/s40337-022-00668-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 09/30/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND During the COVID-19 pandemic in Israel, the number of patients with eating disorders (EDs) seeking treatment increased significantly. The present study sought to evaluate whether, during the pandemic (2020-21), patients with anorexia nervosa (AN) would show more ED-related, comorbid, and COVID-19-related symptoms in comparison to a naturalistic control group, and whether differences would be found between adult and adolescent patients with AN. We also examined attitudes to telemedicine use during the pandemic in patients receiving long-distance interventions. METHODS Using online self-report questionnaires, we assessed general and COVID-19-specific symptoms with a secure digital platform (REDCap®) in 36 female adolescents with AN, 35 female adults with AN, and 25 female controls. RESULTS Compared with controls, patients with AN showed more symptoms of EDs, anxiety, depression, and post-traumatic stress disorder (PTSD), elevated suicidal ideation, more COVID-related emotional-behavioral disturbances, and lower resilience. Adult patients with AN fared worse than adolescent patients on most of these measures. Adult patients using telemedicine during the COVID-19 pandemic showed fewer positive attitudes toward this treatment than adolescents (telemedicine was offered to all, but used by 18/35 adolescents and 21/36 adults with AN). Last, elevated COVID-19-related symptomatology was correlated with more symptoms of ED, anxiety, depression and PTSD, and with lower resilience. CONCLUSIONS Our findings suggest that the emotional-behavioral state of Israeli females with AN, particularly adults, was worse during the COVID-19 pandemic in comparison to controls. Many patients did not use telemedicine for their treatment. Adult patients using telemedicine were less satisfied with it than adolescent patients.
Collapse
Affiliation(s)
- Yaffa Serur
- Pediatric Psychosomatic Department, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Psychatric Division, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel
| | - Hadar Dikstein
- Pediatric Psychosomatic Department, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Psychatric Division, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel
| | - Tal Shilton
- Psychiatric Division, Psychiatric Department, Sheba Medical Center, Safra Children's Hospital, 5265601, Tel Hashomer, Israel.,Psychatric Division, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Doron Gothelf
- Psychiatric Division, Psychiatric Department, Sheba Medical Center, Safra Children's Hospital, 5265601, Tel Hashomer, Israel.,Psychatric Division, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yael Latzer
- Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.,Psychiatric Division, Eating Disorders Institution, Rambam Health Care Campus, Haifa, Israel
| | - Yael Lewis
- Shalvatah Mental Health Center, Hod Hasharon, Israel
| | - Adi Enoch-Levy
- Pediatric Psychosomatic Department, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Psychatric Division, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel
| | - Itai Pessach
- Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel.,Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Eitan Gur
- Center for the Treatment of Eating Disorders and Obesity, Sheba Medical Center, Tel Hashomer, Israel
| | - Daniel Stein
- Pediatric Psychosomatic Department, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel. .,Psychatric Division, Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel. .,Sheba Medical Center, Safra Children's Hospital, Tel Hashomer, Israel. .,Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
| |
Collapse
|
41
|
Adler L, Vinker S, Heymann AD, Van Poel E, Willems S, Zacay G. The effect of the COVID-19 pandemic on primary care physicians in Israel, with comparison to an international cohort: a cross-sectional study. Isr J Health Policy Res 2022; 11:34. [PMID: 36127744 PMCID: PMC9486777 DOI: 10.1186/s13584-022-00543-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 08/30/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic had a major impact on primary care and primary care physicians (PCPs) in Israel and around the world. There is paucity of information regarding treatment of patients with COVID-19 in the community, since most research was performed in hospitals. The aim of this study was to describe the Israeli PCPs' experience. METHODS This study is a part of an international cross-sectional study, the PRICOV-19. A translated version of the questionnaire was distributed among Israeli PCPs from December 2020 to July 2021. In this study, we describe the Israeli results and compare them to the international results. RESULTS 5,961 respondents from 29 countries answered the questionnaire, 94 from Israel, with an Israeli response rate of 16%. Israeli PCPs reported an increase in use of telemedicine from 11 to 49% during the COVID epidemic. PCPs also reported a decline in their wellbeing; absence of secured time slots for keeping updated; perception that the Ministry of Health guidelines were a threat to the staff wellbeing and organization of practice and delays in the examination of non-COVID urgent cases. CONCLUSIONS The findings of this study raise concerns regarding the PCPs experience and may form the basis for an improved process of care. Guidelines for proper usage of telemedicine, substitutes for the physical examination and procedures for minimizing delayed patient examination for urgent conditions should be developed. Government directives and clinical guidelines should be communicated in a timely manner, with secured timeslots for physicians' self-learning or updating. Ensuring physicians' well-being in general should be an organization priority.
Collapse
Affiliation(s)
- Limor Adler
- Department of Family Medicine, Sackler Faculty of Medicine, Tal Aviv University, Tel Aviv, Israel. .,Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv, Israel.
| | - Shlomo Vinker
- Department of Family Medicine, Sackler Faculty of Medicine, Tal Aviv University, Tel Aviv, Israel.,Headquarters, Medical Division, Leumit Healthcare Services, Tel Aviv, Israel
| | - Anthony D Heymann
- Department of Family Medicine, Sackler Faculty of Medicine, Tal Aviv University, Tel Aviv, Israel.,Department of Family Medicine, Meuhedet Healthcare Maintenance Organization, Tel Aviv, Israel
| | - Esther Van Poel
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.,Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Sara Willems
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.,Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Galia Zacay
- Department of Family Medicine, Sackler Faculty of Medicine, Tal Aviv University, Tel Aviv, Israel.,Department of Family Medicine, Meuhedet Healthcare Maintenance Organization, Tel Aviv, Israel
| |
Collapse
|
42
|
Broos HC, Llabre MM, Saab PG, Leite RO, Port JH, Timpano KR. The relationship between health worry, work distress, and affective symptoms during the COVID-19 pandemic: The mediating role of hopelessness and helplessness. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2022; 62:10-27. [PMID: 36125014 PMCID: PMC9538047 DOI: 10.1111/bjc.12391] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 08/17/2022] [Accepted: 08/23/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The COVID-19 pandemic presented both serious health threats and economic hardships, which were reflected in increased rates of mood and anxiety symptoms. We examined two separate distress domains, health worries and work distress, as predictors of mood and anxiety symptoms. Additionally, we considered whether these two domains might be uniquely associated with the development of dysfunctional beliefs, as a proposed mechanism to account for increased symptoms during the pandemic. Two separate models were considered to examine if associations remained stable through the first year of the pandemic. METHODS Participants (N = 2152) were a representative sample of Florida adults. They completed online surveys at three waves: Wave 1 (April-May 2020), Wave 2 (May-June 2020), and Wave 3 (December-February 2021). Participants completed measures of COVID-19 health worry and work distress, anxiety, and depression. They also reported their level of hopelessness and helplessness (indices of dysfunctional beliefs). RESULTS In an early pandemic model (Wave 1-Wave 2), health worry directly and indirectly predicted anxiety and depression via dysfunctional beliefs. In contrast, work distress only indirectly predicted both outcomes. In a longer-term model (Wave 2-Wave 3), health worry had direct and indirect effects on downstream anxiety but not depression. Pandemic work distress had no effect on depression or dysfunctional beliefs; however, it was associated with less anxiety. CONCLUSIONS Although health worry and work distress predicted later symptoms of anxiety and depression, they appeared to operate through different pathways. These findings provide guidance for the development of more effective interventions to reduce the impact of pandemics.
Collapse
Affiliation(s)
- Hannah C. Broos
- Department of PsychologyUniversity of MiamiCoral GablesFloridaUSA
| | - Maria M. Llabre
- Department of PsychologyUniversity of MiamiCoral GablesFloridaUSA
| | - Patrice G. Saab
- Department of PsychologyUniversity of MiamiCoral GablesFloridaUSA
| | - Rafael O. Leite
- Department of PsychologyUniversity of MiamiCoral GablesFloridaUSA
| | - Jamie H. Port
- Department of PsychologyUniversity of MiamiCoral GablesFloridaUSA
| | - Kiara R. Timpano
- Department of PsychologyUniversity of MiamiCoral GablesFloridaUSA
| |
Collapse
|
43
|
Valladares-Garrido MJ, Huamani-Colquichagua Y, Anchay-Zuloeta C, Picón-Reátegui CK, Valladares-Garrido D. Time in Service and Resilience in Active Military Personnel during the COVID-19 Pandemic: A Cross-Sectional Study in Northern Peru. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11052. [PMID: 36078763 PMCID: PMC9518471 DOI: 10.3390/ijerph191711052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 08/01/2022] [Accepted: 08/02/2022] [Indexed: 06/15/2023]
Abstract
Greater occupational exposure may have a positive effect on the development of resilience. We aimed to determine the association between working time and resilience in Peruvian military personnel during the COVID-19 pandemic. A secondary data analysis was performed including 586 records of military personnel who supported the health emergency during the second epidemic wave in Lambayeque, Peru. Resilience was measured with the short form of the Connor-Davidson Resilience Scale (CD-RISC). Working time and other relevant covariates were collected by self-report. Generalized linear models were used. The mean resilience score was 22.18 and 43.2% scored high for resilience. Participants reported that they are strong individuals when facing difficulties (42.3%), are able to handle unpleasant feelings (40.3%), and achieve their goals despite obstacles (40.4%). Working more than 18 months was associated with a 35% higher prevalence of high resilience (PR: 1.35; 95% CI: 1.05-1.75). In conclusion, a notable number of military personnel experienced high levels of resilience during the pandemic. Working time may have played an important role in the development of this ability. Our findings could help guide the deployment and organization of the military in health emergency support missions.
Collapse
Affiliation(s)
- Mario J. Valladares-Garrido
- South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima 15046, Peru
- Oficina de Epidemiología, Hospital Regional Lambayeque, Chiclayo 14012, Peru
| | | | - Claudia Anchay-Zuloeta
- Facultad de Medicina, Universidad de San Martín de Porres, Chiclayo 14012, Peru
- Sociedad Científica de Estudiantes de Medicina Veritas (SCIEMVE), Chiclayo 14012, Peru
| | | | | |
Collapse
|
44
|
Johns G, Waddington L, Samuel V. Prevalence and predictors of mental health outcomes in UK doctors and final year medical students during the COVID-19 pandemic. J Affect Disord 2022; 311:267-275. [PMID: 35569608 PMCID: PMC9098653 DOI: 10.1016/j.jad.2022.05.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 03/11/2022] [Accepted: 05/05/2022] [Indexed: 11/15/2022]
Abstract
BACKGROUND The mental health of doctors is an ongoing concern, both prior to and during the COVID-19 pandemic. This study aimed to: i) assess the prevalence of symptoms of depression, anxiety, PTSD, and burnout in UK doctors and final year medical students during the pandemic, and ii) analyse the hypothesised relationships between psychological flexibility, intolerance of uncertainty and resilience with these mental health outcomes. METHODS A cross-sectional online study of UK-based doctors and final year medical students was conducted between 27/09/2020 and 31/01/2021. Outcomes were measured using the PHQ9, GAD7, PCL-5, and aMBI. Independent variables included the CompACT-SF, IUS-12, and CD-RISC-10. Descriptive statistics, between-group analyses, and multiple regression were performed. RESULTS Prevalence of anxiety symptoms was 26.3%, depression 21.9%, PTSD 11.8%, and burnout 10.8%. Psychological flexibility negatively predicted all outcomes, apart from low personal achievement. Intolerance of uncertainty positively predicted anxiety and PTSD scores. Resilience negatively predicted scores on burnout subscales. LIMITATIONS Cross-sectional design and non-probability sampling method means that assumptions about causality cannot be made and may have implications for bias and generalisability of results. CONCLUSION Doctors and medical students in the UK reported high levels of mental health symptoms during the pandemic, between September 2020 and January 2021. All three independent variables explained significant variance in mental health outcomes. Psychological flexibility was the most consistent predictor, over and above sociodemographic variables and other psychological predictors. These findings have implications for interventions to improve retention of our essential medical workforce, and for providing support at future times of national crisis.
Collapse
|
45
|
Dror C, Hertz-Palmor N, Barzilai Y, Gila S, Tali BZ, Alex G, Tal L, Maya KL, Talia S, Doron G, Bloch Y. Youth Psychiatric Hospitalization in Israel during COVID-19: A Multi-Center Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9870. [PMID: 36011509 PMCID: PMC9407708 DOI: 10.3390/ijerph19169870] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 08/04/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
During the COVID-19 pandemic there have been numerous reports of increases in psychiatric morbidity and a deterioration of status among existing patients. There is little information about how this increase has affected youth and rates of adolescent psychiatric hospitalization. Our study was aimed at examining trends in youth psychiatric hospitalization during the first year of the COVID-19 pandemic. Method: We used medical records to compare trends in hospitalization rates from 2019 to 2020, among psychiatric youth wards from five different centers in Israel. Results: The number of patients that were hospitalized in youth psychiatric wards decreased significantly from 2019 (Mean ± SD=52.2 ± 28.6 per month) to 2020 (M ± SD = 40.8 ± 22.0; unstandardized B = −11.4, 95% CI = −14.4 to −8.3, p < 0.0001). There was a significant decrease in the number of patients that were hospitalized due to internalizing disorders from 2019 (M ± SD = 22.3 ± 9.3 per month) to 2020 (M ± SD = 16.8 ± 7.7; B = −5.5, 95% CI = −8.0 to −3.0, p = 0.0002) and a marginally significant increase in the number of restraints per month (2019: M ± SD = 2.8 ± 6.8, 2020: M ± SD = 9.0 ± 14.5; Z = −1.96, Rosenthal’s r = 0.36, p = 0.07). Conclusions: There was a significant decline in psychiatric hospitalizations during the pandemic, specifically among patients suffering from internalizing disorders. The reasons for this decline, and the future impact these changes had on hospitalizations during the pandemic demand further research. Study limitations: This is a retrospective multicenter study from five medical centers in Israel, therefore generalizability of our findings is limited.
Collapse
Affiliation(s)
- Chen Dror
- The Emotion-Cognition Research Center, Shalvata Mental Health Center, Hod Hasharon 45100, Israel
- Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel
| | - Nimrod Hertz-Palmor
- Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel
- Sheba Medical Center, Ramat Gan 52621, Israel
| | - Yael Barzilai
- The Emotion-Cognition Research Center, Shalvata Mental Health Center, Hod Hasharon 45100, Israel
| | - Schoen Gila
- Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel
- Geha Mental Health Center, Petah Tikva 49100, Israel
| | - Bretler-Zager Tali
- Ziv Medical Center (Safed), Safed 13100, Israel
- The Azrieli Faculty of Medicine, Bar-Ilan University, Poriya 15208, Israel
| | - Gizunterman Alex
- Eitanim Mental Health Center, Harav Rafael Katzalbogen, Jerusalem 9097200, Israel
- Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9112102, Israel
| | - Lahav Tal
- Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel
- Nes-ziona Mental Health Center, Beer Yaakov 70350, Israel
| | - Kritchmann-Lupo Maya
- The Emotion-Cognition Research Center, Shalvata Mental Health Center, Hod Hasharon 45100, Israel
- Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel
| | - Saker Talia
- The Emotion-Cognition Research Center, Shalvata Mental Health Center, Hod Hasharon 45100, Israel
- Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel
| | - Gothelf Doron
- Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel
- Sheba Medical Center, Ramat Gan 52621, Israel
| | - Yuval Bloch
- The Emotion-Cognition Research Center, Shalvata Mental Health Center, Hod Hasharon 45100, Israel
- Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel
| |
Collapse
|
46
|
Feng Y, Gu W, Dong F, Dong D, Qiao Z. Overexposure to COVID-19 information amplifies emotional distress: a latent moderated mediation model. Transl Psychiatry 2022; 12:287. [PMID: 35851579 PMCID: PMC9293900 DOI: 10.1038/s41398-022-02048-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 06/22/2022] [Accepted: 06/30/2022] [Indexed: 11/09/2022] Open
Abstract
An infodemic has accompanied the COVID-19 pandemic. This study explores whether overexposure to COVID-19-related information amplifies emotional distress. A cross-sectional online survey was conducted in China during the outbreak and after the peak of the pandemic (N = 1313). A latent moderated mediation model was built to analyze this relationship. COVID-19 information exposure was found to relate positively with emotional distress, and risk perception mediated the association between them. Additionally, psychological resilience moderated the mediating effects of risk perception. However, five factors of resilience differed in their moderating effects. This study offers theoretical and practical implications apropos clinical intervention and public health management.
Collapse
Affiliation(s)
- Yi Feng
- Mental Health Center, Central University of Finance and Economics, Beijing, China
- Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Wen Gu
- Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Fangbai Dong
- Faculty of Psychology, Beijing Normal University, Beijing, China
- Mental Health Center, Henan Agriculture University, Henan, China
| | - Dan Dong
- Faculty of Psychology, Beijing Normal University, Beijing, China.
| | - Zhihong Qiao
- Faculty of Psychology, Beijing Normal University, Beijing, China.
| |
Collapse
|
47
|
Brulin E, Leineweber C, Peristera P. Work-Life Enrichment and Interference Among Swedish Workers: Trends From 2016 Until the COVID-19 Pandemic. Front Psychol 2022; 13:854119. [PMID: 35910960 PMCID: PMC9328076 DOI: 10.3389/fpsyg.2022.854119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 06/16/2022] [Indexed: 11/27/2022] Open
Abstract
The COVID-19 pandemic has altered workers' possibilities to combine work and private life. Work and private life could either interfere with each other, that is, when conflicting demands arise, or enrich, that is, when the two roles are beneficial to one another. Analyzing data from the Swedish Longitudinal Occupational Survey of Health through individual growth models, we investigated time trends of interference and enrichment between work and private life from 2016 through March to September 2020, which is during the first wave of the pandemic. The sample included workers who had remained in the same workplace throughout the study period and worked at least 30% of full time, reaching 5,465 individuals. In addition, we examined trends in level of interference and enrichment across gender and industries. Results showed that Life-to-work interference increased over time in the Swedish working population, but neither did work-to-life interference nor enrichment. We observed only marginal differences across gender. Also, in the industries of fine manufacturing and real-estate activities, a decrease in interference, work-to-life interference, and life-to-work interference, respectively, was observed. In the human health and social care industry, an increase in interference and life-to-work interference was seen. Our conclusion is that overall changes to the possibilities to balance work and private life have occurred for workers in Sweden during the first period of the pandemic. Further studies are needed to study development time trends throughout the pandemic and across different occupations.
Collapse
Affiliation(s)
- Emma Brulin
- Department of Psychology, Stress Research Institute, Stockholm University, Stockholm, Sweden
- Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institute, Solna, Sweden
| | - Constanze Leineweber
- Department of Psychology, Stress Research Institute, Stockholm University, Stockholm, Sweden
| | - Paraskevi Peristera
- Department of Psychology, Stress Research Institute, Stockholm University, Stockholm, Sweden
| |
Collapse
|
48
|
Seens H, Lu Z, Fraser J, MacDermid JC, Walton DM, Grewal R. An intersectional approach to identifying factors associated with anxiety and depression following the COVID-19 pandemic. Sci Rep 2022; 12:11393. [PMID: 35794226 PMCID: PMC9257114 DOI: 10.1038/s41598-022-15695-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Accepted: 06/28/2022] [Indexed: 11/13/2022] Open
Abstract
The COVID-19 pandemic is impacting mental health, with some populations bearing a greater burden. In this cross-sectional online study, we examined the personal and intersectional factors associated with increased symptoms of anxiety and depression following the COVID-19 pandemic. We assessed pre- and post-pandemic levels of anxiety and depressive symptoms using the Generalized Anxiety Disorder-2 (GAD-2) and Patient Health Questionnaire-9 (PHQ-9) scales, respectively. The study included 1847 participants, with an age range of 18 to 79 years and representing 43 countries. Variables with significance (p < 0.05) in predicting post-pandemic GAD-2 and PHQ-9 scores were pre-pandemic scores on the same scales, an interaction between increasing age and non-man gender, and an interaction between non-man gender and having children. Health practitioners, psychiatrists, and policy makers need to be aware and respond to the mental health burden of the pandemic on women and other gendered individuals, especially those who care for children.
Collapse
|
49
|
Nyberg A, Rajaleid K, Demmelmaier I. The Work Environment during Coronavirus Epidemics and Pandemics: A Systematic Review of Studies Using Quantitative, Qualitative, and Mixed-Methods Designs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116783. [PMID: 35682365 PMCID: PMC9180570 DOI: 10.3390/ijerph19116783] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 05/27/2022] [Accepted: 05/28/2022] [Indexed: 02/05/2023]
Abstract
We aimed to provide an overview of how work environment and occupational health are affected, and describe interventions designed to improve the work environment during epidemics and pandemics. The guidelines on Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) were followed. The databases Cinahl, Medline, PsycInfo, and Web of Science were searched for population: working population; exposure: coronavirus epidemic or pandemic; and outcome: work environment, in articles published until October 2020. Quality assessment was based on a modified version of the Mixed Methods Appraisal Tool (MMAT). After deduplication 3711 articles remained, of which 530 were selected for full-text screening and 119 for quality assessment. After the exclusion of studies that were low quality, 95 remained, of which 85 focused on healthcare personnel and 10 on employees in other industries; 73 used quantitative methods and 22 used qualitative or mixed methods; the majority were based on cross-sectional data. Healthcare staff experienced increased job demands, poor leadership, and lack of resources (personal protective equipment, personnel, and competence). High demands and work with infected patients were associated with negative mental health outcomes. There was a lack of studies assessing interventions, studies from industries other than healthcare, and studies of high quality.
Collapse
Affiliation(s)
- Anna Nyberg
- Department of Public Health and Caring Sciences, Uppsala University, P.O. Box 564, SE-751 22 Uppsala, Sweden;
- Correspondence: ; Tel.: +46-8-708-234318
| | - Kristiina Rajaleid
- Stress Research Institute, Department of Psychology, Stockholm University, SE-106 91 Stockholm, Sweden;
| | - Ingrid Demmelmaier
- Department of Public Health and Caring Sciences, Uppsala University, P.O. Box 564, SE-751 22 Uppsala, Sweden;
| |
Collapse
|
50
|
Sancak B, Kılıç C, Özer Ağırbaş Ü. The Attitude of Turkish Physicians Toward COVID-19 Vaccination and the Effects of Vaccination on Their Mental Health. PSYCHIAT CLIN PSYCH 2022; 32:149-158. [PMID: 38764865 PMCID: PMC11099624 DOI: 10.5152/pcp.2022.21287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 05/21/2022] [Indexed: 05/21/2024] Open
Abstract
Background The study aims to investigate the willingness of physicians for the coronavirus disease 2019 vaccination, factors contributing to their attitude, and the effects of vaccination on their mental health. It is conducted online with physicians between February 17 and March 17, 2021, corresponding to a period of at least 1 month after the first dosage. Methods Sociodemographic and professional characteristics are investigated along with coronavirus disease 2019 experiences. The Fear of Coronavirus Disease 2019 Scale, Attitudes Toward the Coronavirus Disease 2019 Vaccine, The Hospital Anxiety and Depression Scale, and Beck Hopelessness Scale are given to evaluate the effects on mental health. Results Among 578 participants, the total vaccination rate was 91.5% and the main reason for non-vaccination is being already infected by coronavirus disease 2019. Vaccination affected mental health positively in more than half of the participants (59.2% in the vaccinated group). Advanced age (odds ratio = 0.985, P < .05), positive attitude toward vaccination (odds ratio = 0.918, P < .001), and high fear of coronavirus disease 2019 (odds ratio = 0.937, P = .001) were among the predictors of being positively affected by the vaccination. Fear of coronavirus disease 2019 was positively correlated with hopelessness (r = .239, P < .001), depression (r = 0.387, P < .001), and anxiety (r = 0.531, P < .001). The negative thoughts about the vaccination were found to be correlated with hopelessness levels (r = -0.093, P < .05). Conclusions Physicians have positive attitudes toward vaccination and vaccination has positive effects on their mental health. As vaccination is a key point during the fight against the coronavirus disease 2019 pandemic, studies on vaccination and its effects on mental health gained importance. The role of physicians in this regard is inevitable.
Collapse
Affiliation(s)
- Barış Sancak
- Department of Psychiatry, Acıbadem Mehmet Ali Aydınlar University School of Medicine, İstanbul, Turkey
| | - Cenk Kılıç
- Department of Psychiatry, Akşehir State Hospital, Konya, Turkey
| | - Ürün Özer Ağırbaş
- Department of Psychiatry, Acıbadem Mehmet Ali Aydınlar University School of Medicine, İstanbul, Turkey
| |
Collapse
|