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Song Y, Cui C, Jia Y, Zhang W, Meng L, Sznajder KK, Xu Y, Yang X. Family Functioning and Optimism as Protective Factors of Life Satisfaction Among Stroke Patients During the COVID-19 Epidemic in Shenyang, China. Front Public Health 2022; 10:738634. [PMID: 35558534 PMCID: PMC9087178 DOI: 10.3389/fpubh.2022.738634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 03/24/2022] [Indexed: 12/12/2022] Open
Abstract
The coronavirus disease-19 (COVID-19) pandemic may result in detrimental consequences for stroke patient's wellbeing. Family functioning and optimism could help stroke patients cope with crises leading to possible improvements in life satisfaction. This study aims to explore the protective effects of family functioning and optimism on life satisfaction among stroke patients during the COVID-19 pandemic in China. This study was designed as a cross-sectional survey. A total of 207 stroke inpatients who were receiving pharmacotherapy and rehabilitation in general public hospital of Liaoning province during the COVID-19 pandemic in China were consecutive selected and interviewed by online questionnaires via the WeChat platform effectively from April 8 to 30, 2020. The scales included: Satisfaction with Life Scale (SWLS), Family Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) Scale and Revised Life Orientation Test (LOT-R). Hierarchical multiple regression (HMR) analysis was conducted to test the associated factors of life satisfaction. Stroke patient's life satisfaction was at a high level (Mean = 26.46, SD = 6.23) during the pandemic. Stroke patient's residence, duration of stroke, stroke type, and community shut down measures were the strong predictors of life satisfaction. Family functioning and optimism increased life satisfaction among stroke patients. This study contributes to the research on the association between family functioning and optimism on life satisfaction among stroke patients during the COVID-19 pandemic. Interventions that improve family functioning and enhance optimism should be provided in order to elevate life satisfaction for stroke patients.
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Affiliation(s)
- Yuequn Song
- Department of Neurosurgery, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Can Cui
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
| | - Yajing Jia
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
| | - Weiyu Zhang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
| | - Lifang Meng
- Department of Scientific Research Management, China Medical University, Shenyang, China
| | - Kristin K Sznajder
- Department of Public Health Sciences, College of Medicine, Pennsylvania State University, Hershey, PA, United States
| | - Yuanyuan Xu
- Group of Chronic Disease and Environmental Genomics, China Medical University School of Public Health, Shenyang, China
| | - Xiaoshi Yang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
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252
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Güven E, Altay B. The Level of Fear Experienced by the Individuals and their Applications to Health Institutions during the Covid-19 Pandemic. OMEGA-JOURNAL OF DEATH AND DYING 2022; 87:649-664. [PMID: 35586941 PMCID: PMC9121142 DOI: 10.1177/00302228221103105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIM The study aims to investigate the effect of the level of fear experienced by individuals during the COVID-19 pandemic on their application to health institutions. METHOD This descriptive study was conducted between July and September 2020 with the participants who met the inclusion criteria in Turkey. When the mean COVID-19 Fear Scale score was considered and the standard deviation values were taken as 18.83 ± 6.01, the sample size was determined as 98 individuals, with 95% confidence level, 90% test power, and 0.331 effect size. With the snowball sampling method, the study was carried out with 577 people who filled out the Google form. The Personal Information Form and the COVID-19 Fear Scale were used as data collection tools. The data were analyzed with SPSS 20.0. Descriptive statistics, correlation, Mann-Whitney U (U), and Kruskal-Wallis tests were performed to analyze the data. Ethics committee approval was obtained prior to the study. RESULTS The mean age of the participants was 32.06 ± 11.25 (min 18-max 71); 77.8% were female; 66% were university graduates, and 54.9% were single. The total mean score of the participants from the COVID-19 Fear Scale was determined as 16.84 ± 5.68 (min 7-max 34), which points to moderate level of fear. The COVID-19 Fear Scale scores of the female participants, the participants with high income, and those living with their families were found to be higher (p < 0.05). The COVID-19 Fear Scale scores were found to be higher in those who sleep less than 7 hours a day, who have a psychological disorder, who applied to health institutions during the coronavirus process, and who postponed their application to health institutions in an emergency due to the fear of infection (p < 0.05). CONCLUSION It has been determined that during the coronavirus process, 21.5% of individuals attend in person to health institutions and 40.7% of individuals attend in person to health institutions in emergencies. It was found that the level of fear was higher in the participants who applied to health institutions during the pandemic. The participants who postponed their application to health institutions in emergencies due to the fear of infection were found to have higher levels of fear.
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Affiliation(s)
- Emel Güven
- Ondokuz Mayıs University Faculty of Health Sciences Department of Nursing, Samsun, Turkey
| | - Birsen Altay
- Ondokuz Mayıs University Faculty of Health Sciences Department of Nursing, Samsun, Turkey
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253
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Ilska M, Brandt-Salmeri A, Kołodziej-Zaleska A, Preis H, Rehbein E, Lobel M. Anxiety among pregnant women during the first wave of the COVID-19 pandemic in Poland. Sci Rep 2022; 12:8445. [PMID: 35589774 PMCID: PMC9118185 DOI: 10.1038/s41598-022-12275-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 05/06/2022] [Indexed: 12/04/2022] Open
Abstract
Although anxiety is common because of the transitional nature of the perinatal period, particularly high levels of anxiety have been observed in some studies of pregnant women during the pandemic. The purpose of this study was to evaluate the severity of anxiety among pregnant women during the first wave of the COVID-19 pandemic in Poland, and factors associated with it. Cross-sectional study with a total of 1050 pregnant women recruited via social media in Poland during the first wave of the COVID-19 pandemic, from March 1 until June 1, 2020. The survey included validated psychological measures: the GAD-7 (anxiety), the PREPS (pandemic stress), with two subscales: preparedness and infection stress, and obstetric, sociodemographic and COVID-19 related variables. T-tests, ANOVAs, and hierarchical binary logistic regression for dichotomized GAD-7 scores (minimal or mild vs. moderate or severe) were used. Over a third of respondents experienced moderate or severe levels of anxiety. Predictors of moderate or severe anxiety were non-pandemic related factors like unplanned pregnancy and emotional and psychiatric problems, as well as pandemic related pregnancy stress. Levels of anxiety among pregnant women during the first wave of the COVID-19 pandemic in Poland exceeded pre-pandemic norms. Findings suggest that prior psychiatric conditions, unplanned pregnancy, and elevated pandemic-related pregnancy stress due to concerns about infection or poor preparation for birth contributed to the risk of high anxiety in Polish pregnant women during the pandemic onset. Given the harmful effects of antenatal anxiety on the health and well-being of mothers and their children, psychotherapeutic interventions, efforts to alleviate pregnant women's stress, and training in adaptive ways to cope with stress are vital to reduce the prevalence of maternal anxiety and its potential consequences during this global crisis.
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Affiliation(s)
- Michalina Ilska
- Institute of Psychology, University of Silesia in Katowice, Grażyńskiego Street 53, Katowice, Poland.
| | - Anna Brandt-Salmeri
- Institute of Psychology, University of Silesia in Katowice, Grażyńskiego Street 53, Katowice, Poland
| | - Anna Kołodziej-Zaleska
- Institute of Psychology, University of Silesia in Katowice, Grażyńskiego Street 53, Katowice, Poland
| | - Heidi Preis
- Department of Psychology, Stony Brook University, Stony Brook, NY, 11794, USA
| | - Emily Rehbein
- Department of Psychology, Stony Brook University, Stony Brook, NY, 11794, USA
| | - Marci Lobel
- Department of Psychology, Stony Brook University, Stony Brook, NY, 11794, USA
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254
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Westmaas JL, Masters M, Bandi P, Majmundar A, Asare S, Diver WR. COVID-19 and Tweets About Quitting Cigarette Smoking: Topic Model Analysis of Twitter Posts 2018-2020. JMIR INFODEMIOLOGY 2022; 2:e36215. [PMID: 35611092 PMCID: PMC9118581 DOI: 10.2196/36215] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 04/06/2022] [Accepted: 04/18/2022] [Indexed: 01/27/2023]
Abstract
Background The risk of infection and severity of illness by SARS-CoV-2 infection is elevated for people who smoke cigarettes and may motivate quitting. Organic public conversations on Twitter about quitting smoking could provide insight into quitting motivations or behaviors associated with the pandemic. Objective This study explored key topics of conversation about quitting cigarette smoking and examined their trajectory during 2018-2020. Methods Topic model analysis with latent Dirichlet allocation (LDA) identified themes in US tweets with the term “quit smoking.” The model was trained on posts from 2018 and was then applied to tweets posted in 2019 and 2020. Analysis of variance and follow-up pairwise tests were used to compare the daily frequency of tweets within and across years by quarter. Results The mean numbers of daily tweets on quitting smoking in 2018, 2019, and 2020 were 133 (SD 36.2), 145 (SD 69.4), and 127 (SD 32.6), respectively. Six topics were extracted: (1) need to quit, (2) personal experiences, (3) electronic cigarettes (e-cigarettes), (4) advice/success, (5) quitting as a component of general health behavior change, and (6) clinics/services. Overall, the pandemic was not associated with changes in posts about quitting; instead, New Year’s resolutions and the 2019 e-cigarette or vaping use–associated lung injury (EVALI) epidemic were more plausible explanations for observed changes within and across years. Fewer second-quarter posts in 2020 for the topic e-cigarettes may reflect lower pandemic-related quitting interest, whereas fourth-quarter increases in 2020 for other topics pointed to a late-year upswing. Conclusions Twitter posts suggest that the pandemic did not generate greater interest in quitting smoking, but possibly a decrease in motivation when the rate of infections was increasing in the second quarter of 2020. Public health authorities may wish to craft messages for specific Twitter audiences (eg, using hashtags) to motivate quitting during pandemics.
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Affiliation(s)
- J Lee Westmaas
- Population Science Department American Cancer Society Kennesaw, GA United States
| | - Matthew Masters
- Population Science Department American Cancer Society Kennesaw, GA United States
| | - Priti Bandi
- Population Science Department American Cancer Society Kennesaw, GA United States
| | - Anuja Majmundar
- Population Science Department American Cancer Society Kennesaw, GA United States
| | - Samuel Asare
- Population Science Department American Cancer Society Kennesaw, GA United States
| | - W Ryan Diver
- Population Science Department American Cancer Society Kennesaw, GA United States
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255
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Bruggeman H, Smith P, Berete F, Demarest S, Hermans L, Braekman E, Charafeddine R, Drieskens S, De Ridder K, Gisle L. Anxiety and Depression in Belgium during the First 15 Months of the COVID-19 Pandemic: A Longitudinal Study. Behav Sci (Basel) 2022; 12:bs12050141. [PMID: 35621438 PMCID: PMC9137576 DOI: 10.3390/bs12050141] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 05/05/2022] [Accepted: 05/10/2022] [Indexed: 02/01/2023] Open
Abstract
The COVID-19 pandemic and policy measures enacted to contain the spread of the coronavirus have had nationwide psychological effects. This study aimed to assess the impact of the first 15 months of the COVID-19 pandemic on the level of anxiety (GAD-7 scale) and depression (PHQ-9 scale) of the Belgian adult population. A longitudinal study was conducted from April 2020 to June 2021, with 1838 respondents participating in 6 online surveys. Linear mixed models were used to model the associations between the predictor variables and the mental health outcomes. Results showed that the prevalence of symptoms of anxiety and depression was higher in times of stricter policy measures. Furthermore, after the initial stress from the outbreak, coping and adjustment were observed in participants, as symptoms of anxiety and depression decreased during times of lower policy restrictions to almost the same level as in pre-COVID times (2018). Though time trends were similar for all population subgroups, higher levels of both anxiety and depression were generally found among women, young people, people with poor social support, extraverts, people having pre-existing psychological problems, and people who were infected/exposed to the COVID-19 virus. Therefore, investment in mental health treatment programs and supports, especially for those risk groups, is crucial.
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Affiliation(s)
- Helena Bruggeman
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
- Correspondence:
| | - Pierre Smith
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
- Institute of Health and Society, Université Catholique de Louvain, 1200 Brussels, Belgium
| | - Finaba Berete
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
| | - Stefaan Demarest
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
| | - Lize Hermans
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
| | - Elise Braekman
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
| | - Rana Charafeddine
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
| | - Sabine Drieskens
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
| | - Karin De Ridder
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
| | - Lydia Gisle
- Sciensano, Epidemiology and Public Health, 1050 Brussels, Belgium; (P.S.); (F.B.); (S.D.); (L.H.); (E.B.); (R.C.); (S.D.); (K.D.R.); (L.G.)
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256
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Wang S, Yang J, Wei N, Lv W, Jiang Z, Huang H, Zhang J, Xu P, Yu CY, Xu Z. Anxiety and depression among epilepsy patients in low-risk areas for COVID-19 in the northern part of Guizhou Province, China, during the COVID-19 pandemic. ACTA EPILEPTOLOGICA 2022. [PMCID: PMC9084936 DOI: 10.1186/s42494-022-00092-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
This study was aimed to investigate whether patients with epilepsy (PWE) have higher depression and anxiety levels than the normal population in low-risk areas for coronavirus disease 2019 (COVID-19) in the northern part of Guizhou Province, China, during the COVID-19 epidemic, to evaluate their knowledge on COVID-19, and to analyze related factors for the psychological distress of PWE at this special time.
Methods
The survey was conducted online from February 28, 2020 to March 7, 2020 via a questionnaire. PWE from the outpatient clinic of epilepsy of the Affiliated Hospital of Zunyi Medical University, and healthy people matched for age and sex, participated in this study. Mental health was assessed via a generalized anxiety self-rating scale (GAD-7) and the self-rating depression scale (PHQ-9). The knowledge of COVID-19 in both groups was investigated.
Results
There were no significant differences in the general demographics between the PWE and healthy control groups. The scores of PHQ-9 (P < 0.01) and GAD-7 (P < 0.001) were higher in the PWE group than in the healthy group. There was a significant difference in the proportions of respondents with different severities of depression and anxiety, between the two groups, which revealed significantly higher degree of depression and anxiety in PWE than in healthy people (P = 0, P = 0). Overwhelming awareness and stressful concerns for the pandemic and female patients with epilepsy were key factors that affect the level of anxiety and depression in PWE. Further, the PWE had less accurate knowledge of COVID-19 than healthy people (P < 0.001). There was no statistically significant difference between the two groups in the knowledge of virus transmission route, incubation period, susceptible population, transmission speed, clinical characteristics, and isolation measures on COVID-19 (P > 0.05). PWE knew less about some of the prevention and control measures of COVID-19 than healthy people.
Conclusions
During the COVID-19 epidemic, excessive attention to the epidemic and the female sex are factors associated with anxiety and depression in PWE, even in low-risk areas.
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257
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Almayahi ZK, Al Lamki N. Psychological effects of, and compliance with, self-isolation among COVID-19 patients in South Batinah Governorate, Oman: a cross-sectional study. THE EGYPTIAN JOURNAL OF NEUROLOGY, PSYCHIATRY AND NEUROSURGERY 2022; 58:45. [PMID: 35573868 PMCID: PMC9079213 DOI: 10.1186/s41983-022-00481-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 04/15/2022] [Indexed: 12/04/2022] Open
Abstract
Background Covid-19 pandemic has left deep psychological impacts, especially among infected patients. It is extremely important to understand the extent of those effects, while improving the compliance with isolation measures at the same time. Objectives To detect prevalence of stress using two psychological scales and examine the stress associated factors, also to identify self-isolation compliance rates among COVID-19 patients. Methods Cross-sectional research was conducted from 15 November to 22 December 2020, involving 379 patient participants selected via systematic random sampling. Kessler 10 Psychological Distress (K10) and the impact of event scale-revised (IES-R) tests were used to ascertain the levels of distress. Results K10 measure revealed elevated stress amongst 121 (31.9%) of participants, whereas IES_R indicated the level was 37.7%. Using the K10 indicated the multivariate analysis was significant for females (OR = 2.482, 95% CI: 1.532–4.021), patients with financial problems (OR = 2.332, 95% CI: 1.270–4.282) and patients experiencing shortages of essentials (OR = 4.920, 95% CI: 2.524–9.590). The IES-R scale indicated that only female and patients experiencing shortages scored significantly in multivariate analysis, (OR = 1.895, 95% CI: 1.1223–2.935) and (OR = 2.928, 95% CI: 1.1580–5.424), respectively. Those undergoing shorter isolation periods reported lower levels of stress on both K10, p=0.016 and IES-R, p=0.002. Approximately 90% of patients used their own towels during isolation. Moreover, 80.2% slept in separate rooms and 74% used masks in the presence of other family members. Essential supply shortages were reported by 14.2% of respondents. Conclusions Self-compliance rates were not optimal, while psychological distress was more prevalent among some groups. Intervention is imperative to minimize stress and improve self-isolation compliance.
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258
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Amatori G, Cappelli A, Carmassi C, Rodgers RF, Bui E. Impact of the COVID-19 pandemic on mental health among women: An editorial. INTERNATIONAL JOURNAL OF MENTAL HEALTH 2022. [DOI: 10.1080/00207411.2022.2066299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Giulia Amatori
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - Andrea Cappelli
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - Claudia Carmassi
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - Rachel F. Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, MA, USA
- Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France
| | - Eric Bui
- Department of Psychiatry, Caen University Hospital, Caen, France
- Faculty of Medicine, University of Caen Normandy, Caen, France
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
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259
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Morales Ramos JG, Picón Pérez MS, Manayay LLaguento FA, Reynosa Navarro E. Burnout and anxiety levels in human medicine teachers, COVID-19 context. F1000Res 2022; 11:491. [PMID: 36704051 PMCID: PMC9837455 DOI: 10.12688/f1000research.110498.1] [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] [Accepted: 03/22/2022] [Indexed: 02/02/2023] Open
Abstract
Introduction: In the COVID-19 context, university teachers have had to face the most complex educational demands, psychosocial risks, and the anxiety of responding to limitations in terms of connectivity and fulfillment of academic objectives . To identify the levels of Burnout and anxiety in the COVID-19 context and determine how these levels are manifested in the participating teachers. Methods: This was an analytical non-experimental, cross-sectional study. The population was 150 teachers of the Human Medicine Program of the University of San Martín de Porres, Chiclayo, Peru, and the sample was 66 teachers. The survey consisted of three sections: 1. Informed consent, 2. Maslach's Burnout Inventory, 3. Beck's Anxiety Inventory. Data processing was performed using the SPSS V.27 statistical software and all citations and bibliographical references were processed using Mendeley Desktop 1.19.8. Results: In the variable burnout syndrome, 25% of the participants were in the high level downwards; they present anxiety in 30.30% of the total. It was found that 50% of teachers presented mild to moderate anxiety. Conclusions: the largest number of teachers surveyed present anxiety due to burnout syndrome in the COVID-19 context. Finally, it is found that there is a correlation between anxiety and the sociodemographic variables sex, age, and marital status.
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Affiliation(s)
| | - María Susana Picón Pérez
- Facultad de Medicina Humana, Universidad De San Martín de Porres, Chiclayo, Lambayeque, 14011, Peru
| | | | - Enaidy Reynosa Navarro
- Instituto de Investigación en Ciencia y Tecnología, Universidad César Vallejo, Trujillo, La Libertad, 13001, Peru
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260
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Atici A, Kaysin MY, Akpinar P, Ozkan FU, Aktas I. Rehabilitation processes, stress and depression in patients with spinal cord injury during the COVID-19 pandemic in Turkey: a telephone survey. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2022. [DOI: 10.12968/ijtr.2021.0064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background/Aims Spinal cord injury is a chronic disease that can develop various complications and multisystem dysfunctions. Patients with spinal cord injury need long-term follow up and rehabilitation. During the COVID-19 pandemic, people had to observe social distancing and stay at home. The aim of this study was to evaluate the effects of the COVID-19 pandemic on the rehabilitation and health status of patients with spinal cord injury and assesses their stress levels and depression status. Methods A telephone-based survey was conducted with patients followed up by a spinal cord injury outpatient clinic about rehabilitation processes and any health problems experienced. Stress levels were assessed using the Perceived Stress Scale, while depression was assessed using the Beck Depression Inventory. Demographic characteristics, American Spinal Injury Association Impairment Scale levels, Functional Ambulation Categories and Spinal Cord Independence Measure scores were retrieved from the patients' files. Results The study included 115 patients, none of whom had contracted COVID-19. Of these patients, 44.3% joined the rehabilitation programme before the pandemic, and 3.5% had been able to participate in the rehabilitation programme during the pandemic. An increase in spasticity was recorded in 43.5% of the respondents, an increase of neuropathic pain was recorded in 37.4% of patients and complaints of neurogenic bladder and neurogenic bowel increased by 26.1% and 16.5% respectively. In addition, 4.3% reported novel decubitus ulcers, while 5.2% reported having experienced autonomic dysreflexia episodes. The Perceived Stress Scale scores were 18.32 ± 5.91. No significant difference was detected between the Beck Depression Inventory scores taken at the time of the study and those recorded before the pandemic. Conclusions An insufficiency in the rehabilitation process was noted among patients with spinal cord injuries, accompanied by increased complications. New approaches need to be developed to ensure that the rehabilitation processes of patients with spinal cord injury are not interrupted during a pandemic, and that patients' mental health is not ignored.
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Affiliation(s)
- Arzu Atici
- Department of Physical Medicine and Rehabilitation, University of Health Science, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey
| | - Meryem Yılmaz Kaysin
- Department of Physical Medicine and Rehabilitation, University of Health Science, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey
| | - Pinar Akpinar
- Department of Physical Medicine and Rehabilitation, University of Health Science, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey
| | - Feyza Unlu Ozkan
- Department of Physical Medicine and Rehabilitation, University of Health Science, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey
| | - Ilknur Aktas
- Department of Physical Medicine and Rehabilitation, University of Health Science, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey
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261
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Watanasriyakul WT, Scotti MAL, Carter CS, McNeal N, Colburn W, Wardwell J, Grippo AJ. Social isolation and oxytocin antagonism increase emotion-related behaviors and heart rate in female prairie voles. Auton Neurosci 2022; 239:102967. [PMID: 35240436 PMCID: PMC8974671 DOI: 10.1016/j.autneu.2022.102967] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 01/06/2022] [Accepted: 02/20/2022] [Indexed: 10/19/2022]
Abstract
Social isolation influences depression- and anxiety-related disorders and cardiac function. Oxytocin may mediate these conditions through interactions with social behavior, emotion, and cardiovascular function, via central and/or peripheral mechanisms. The present study investigated the influence of oxytocin antagonism using L-368,899, a selective oxytocin receptor antagonist that crosses the blood-brain barrier, on depression- and anxiety-related behaviors and heart rate in prairie voles. This rodent species has translational value for investigating interactions of social stress, behavior, cardiac responses, and oxytocin function. Adult female prairie voles were socially isolated or co-housed with a sibling for 4 weeks. A subset of animals in each housing condition was subjected to 4 sessions of acute L-368,899 (20 mg/kg, ip) or saline administration followed by a depression- or anxiety-related behavioral assessment. A subset of co-housed animals was evaluated for cardiac function following acute administration of L-368,899 (20 mg/kg, ip) and during behavioral assessments. Social isolation (vs. co-housing) increased depression- and anxiety-related behaviors. In isolated animals, L-368,899 (vs. vehicle) did not influence anxiety-related behaviors but exacerbated depression-related behaviors. In co-housed animals, L-368,899 exacerbated depression-related behaviors and increased heart rate at baseline and during behavioral tests. Social isolation produces emotion-related behaviors in prairie voles; central and/or peripheral oxytocin antagonism exacerbates these behavioral signs. Oxytocin antagonism induces depression-relevant behaviors and increases basal and stressor-reactive heart rate in co-housed prairie voles, similar to the consequences of social isolation demonstrated in this model. These results provide translational value for humans who experience behavioral and cardiac consequences of loneliness or social stress.
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Affiliation(s)
- W Tang Watanasriyakul
- Department of Psychology, Northern Illinois University, DeKalb, IL 60115, United States of America
| | - Melissa-Ann L Scotti
- Department of Psychology, Northern Illinois University, DeKalb, IL 60115, United States of America; Department of Psychiatry, University of Illinois at Chicago, Chicago, IL 60612, United States of America
| | - C Sue Carter
- The Kinsey Institute, Indiana University, Bloomington, IN 47405, United States of America
| | - Neal McNeal
- Department of Psychology, Northern Illinois University, DeKalb, IL 60115, United States of America
| | - William Colburn
- Department of Psychology, Northern Illinois University, DeKalb, IL 60115, United States of America
| | - Joshua Wardwell
- Department of Psychology, Northern Illinois University, DeKalb, IL 60115, United States of America
| | - Angela J Grippo
- Department of Psychology, Northern Illinois University, DeKalb, IL 60115, United States of America.
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Gokseven Y, Ozturk GZ, Karadeniz E, Sarı E, Tas BG, Ozdemir HM. The Fear of COVID-19 Infection in Older People. J Geriatr Psychiatry Neurol 2022; 35:460-466. [PMID: 33745357 DOI: 10.1177/08919887211002651] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVE To determine the levels of COVID-19-related fear and to investigate fear-associated factors among older people. METHODS This study was conducted with patients aged 65 years and older from the Family Medicine Clinic of Health Sciences University Şişli Hamidiye Etfal Hospital over a 1-month period. A telephone survey was administered to evaluate patients' sociodemographic data and knowledge level on the COVID-19 pandemic and the degree of its impact. The fear levels of participants were determined using the fear of COVID-19 scale (FCV-19 S). Statistical analysis was performed using SPSS 15.0. A p value of < 0.05 was considered to be statistically significant. RESULTS The study included 315 participants: 178 were female and 137 were male. The mean age was 71.5 ± 5.6 (min: 65, max: 94) years, and 26 participants were living alone. Moreover, 47.6% participants considered they had sufficient information about the COVID-19 outbreak, and 61.6% received information about the pandemic from television and 22.2% from their inner circle. While 11.7% participants considered they would require psychological support after the COVID-19 pandemic, 30.8% had sleep disorders for the last month. The mean FCV-19 S score was 16.0 ± 6.4; the FCV-19 S scores were statistically higher in participants who were women, living alone, had partial information about the COVID-19 pandemic, had sleep disorders for the last month, and were in requirement of psychological support after the pandemic. CONCLUSION It is necessary to screen the older people for the COVID-19-related fear and accompanying psychological disorders and to develop appropriate intervention programs for individuals at risk.
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Affiliation(s)
- Yagmur Gokseven
- Hassa Government Hospital, Family Medicine Clinics, Hatay, Turkey
| | - Guzin Zeren Ozturk
- Health Sciences University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Ecem Karadeniz
- Health Sciences University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Ecem Sarı
- Health Sciences University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Beray Gelmez Tas
- Health Sciences University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Hacı Mustafa Ozdemir
- Department of Orthopedics and Traumatology Surgery Specialist, Health Sciences University Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
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263
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Bau N, Khanna G, Low C, Shah M, Sharmin S, Voena A. Women's well-being during a pandemic and its containment. JOURNAL OF DEVELOPMENT ECONOMICS 2022; 156:102839. [PMID: 35221446 PMCID: PMC8860469 DOI: 10.1016/j.jdeveco.2022.102839] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 01/28/2022] [Accepted: 02/01/2022] [Indexed: 05/25/2023]
Abstract
The COVID-19 pandemic brought the dual crises of disease and the containment policies designed to mitigate it. Yet, there is little evidence on the impacts of these policies on women in lower-income countries, where there may be limited social safety nets to absorb these shocks. We conduct a large phone survey and leverage India's geographically varied containment policies to estimate the association between the pandemic and containment policies and measures of women's well-being, including mental health and food security. On aggregate, the pandemic resulted in dramatic income losses, increases in food insecurity, and declines in female mental health. While potentially crucial to stem the spread of COVID-19, the greater prevalence of containment policies is associated with increased food insecurity, particularly for women, and reduced female mental health. For surveyed women, moving from zero to average containment levels is associated with a 38% increase in the likelihood of reporting more depression, a 73% increase in reporting more exhaustion, and a 44% increase in reporting more anxiety. Women whose social position may make them more vulnerable - those with daughters and those living in female-headed households - experience even larger declines in mental health.
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Affiliation(s)
- Natalie Bau
- UCLA, United States of America
- NBER, United States of America
- CEPR, United Kingdom
- BREAD, United States of America
| | | | - Corinne Low
- UPenn, United States of America
- NBER, United States of America
| | - Manisha Shah
- UCLA, United States of America
- NBER, United States of America
- BREAD, United States of America
| | | | - Alessandra Voena
- Stanford, United States of America
- NBER, United States of America
- CEPR, United Kingdom
- BREAD, United States of America
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264
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Muacevic A, Adler JR, Alkanhal AF, Alhinti MF, Alatoui SE, Alrashidi RR, Saleh A. Prevalence of Anxiety, Depression, and Sleep Disturbances Associated With the COVID-19 Outbreak in Riyadh, Saudi Arabia. Cureus 2022; 14:e24838. [PMID: 35702468 PMCID: PMC9177223 DOI: 10.7759/cureus.24838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2022] [Indexed: 01/09/2023] Open
Abstract
Background COVID-19 became a global respiratory pandemic as it disrupted millions of lives and commerce. The implementation of strict lockdown measures to confine the outbreak can negatively affect people's overall sleep quality and mental health. We aimed to assess the prevalence of sleep disturbance and the psychological impact associated with the spread of COVID-19 in Riyadh, Saudi Arabia. Materials and methods A cross-sectional study was conducted in Riyadh, Saudi Arabia. A nationally online questionnaire was sent to participants aged >18 years to assess their socio-demographic information, assessment of psychological status by Hospital Anxiety and Depression Scale (HADS), and assessment of sleep disturbance by Athens Insomnia Scale (AIS) and Insomnia Severity Index (ISI) scales. Results The total sample consisted of 399 participants. The mean age was 34.70 ± 12.57 years; predominant responses were from females (69.4%). The study sample was mostly made up of students (32.1%), and more than half of the participants (52.6%) were married. The prevalence of anxiety, depression, and insomnia was 38.6%, 33.1%, and 54.9%, respectively. Participants with comorbidities were significantly at higher risk of having symptoms of depression in comparison to subjects free from chronic diseases (OR=2.19 95% Cl: 1.24-3.86, p=001). Conclusion These findings suggest that the prevalence of poor sleep quality and worsening mental health in Riyadh, Saudi Arabia was high during the COVID-19 lockdown, which articulates the requirement for raising the awareness, screening, and management of worsening sleep quality and mental health due to the unwholesome effect they may have on the individual's health.
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265
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Akbari M, Seydavi M, Zamani E, Nikčević AV, Spada MM. The Persian COVID-19 Anxiety Syndrome Scale (C-19ASS): Psychometric properties in a general community sample of Iranians. Clin Psychol Psychother 2022; 29:906-921. [PMID: 34761473 PMCID: PMC8652801 DOI: 10.1002/cpp.2686] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/29/2021] [Accepted: 11/01/2021] [Indexed: 12/24/2022]
Abstract
There is a potential for a long-lasting psychological and social impact from the COVID-19 pandemic. Recently, the COVID-19 Anxiety Syndrome Scale (C19-ASS) has been developed, which measures individuals' coping mechanisms in relation to the fear or threat of COVID-19. The C19-ASS was developed and has been used so far only in Western samples. Further psychometric evaluation is needed in ethnically diverse samples. Therefore, the current study sought to test the psychometric properties in a large sample of Iranians (n = 1429; female = 52.1%; Mean age = 35.83, ±12.89) who completed a cross-sectional survey. Exploratory factor analysis revealed that the Persian C19-ASS has a two-factor structure corresponding to the perseveration and avoidance subscales of the original scale. Confirmatory factor analyses also supported a two-factor solution, which showed a firm model fit and high internal consistencies. Furthermore, it showed excellent divergent validity from generalized anxiety, indicating that it is concerned explicitly with COVID-19, supported by correlational analyses and exploratory factor analysis. Test of incremental validity indicated the Persian C19-ASS explained more variance in functional impairment and COVID-19 anxiety than the gender, marital and educational status, generalized anxiety, neuroticism, openness, consciousness and having lost someone close due to COVID-19. Also, based on a mediation test, it was found that C19-ASS mediates the relationship between the Big Five personality traits (except openness and consciousness) and health anxiety, generalized anxiety, depression and COVID-19 anxiety. Overall, the current findings provide further evidence for the construct of the COVID-19 anxiety syndrome. The COVID-19 anxiety syndrome is discussed in light of the S-REF model that provides an explanatory framework for this pandemic-related construct.
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Affiliation(s)
- Mehdi Akbari
- Department of Clinical Psychology, Faculty of Psychology and EducationKharazmi UniversityTehranIran
| | - Mohammad Seydavi
- Department of Clinical Psychology, Faculty of Psychology and EducationKharazmi UniversityTehranIran
| | - Elahe Zamani
- Department of Clinical Psychology, Faculty of Psychology and EducationKharazmi UniversityTehranIran
| | - Ana V. Nikčević
- Department of Psychology, School of Law, Social and Behavioural SciencesKingston UniversityKingstonUK
| | - Marcantonio M. Spada
- Division of Psychology, School of Applied SciencesLondon South Bank UniversityLondonUK
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266
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Haque MR, Ul Islam MS, Hasan MK, Hossain MS, Hossain Khan MA, Islam F. Determinants of anxiety and depression among Bangladeshi adults during COVID-19 lockdown: An online survey. Heliyon 2022; 8:e09415. [PMID: 35600432 PMCID: PMC9106417 DOI: 10.1016/j.heliyon.2022.e09415] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 09/27/2021] [Accepted: 05/09/2022] [Indexed: 01/09/2023] Open
Abstract
Background Human health and well-being are adversely affected by the effects of COVID-19. This study examined the prevalence of anxiety and depression during COVID-19 lockdown in Bangladesh, and their association with some less explored factors like perceived and relative health status, having elderly members in the family, fear for own and family future, and others from the Asian context. Methods Using an online survey, data were collected from the population aged 18 years and above, on socio-demographic and economic attributes, and two separate standardized twelve-item scales were used to assess the level of anxiety and depression. Both descriptive and multivariate linear regression were used to analyze the factors associated with anxiety and depression scores. Results The respondents had an average anxiety score of 21.74 (SD = 8.20) on a scale ranging from 12 to 60 and an average depression score of 24.39 (SD = 10.30) on the same scale. The study findings revealed that respondents' concern for future well-being, perceived physical health status compared to others in the same cohort, and perceived physical health status during the survey compared to prior COVID-19 were significantly associated with anxiety and depression scores during COVID-19 lockdown. In addition, the anxiety score was significantly higher (p = 0.046) for women respondents than men. Moreover, respondents aged 18-24 years had significantly higher (p < 0.001) depression than others. Conclusions The increased level of anxiety and depression during COVID-19 of adult people in Bangladesh are associated with several factors of which their greater concern about the future of their own and family members and health-related attributes are important. These findings may lead to developing interventions to reduce the psychological crisis during the pandemic in Bangladesh.
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Affiliation(s)
- Md Rabiul Haque
- Department of Population Sciences, University of Dhaka, Dhaka, 1000, Bangladesh
| | - Mohammad Sharif Ul Islam
- Department of Information Science and Library Management, University of Dhaka, Dhaka, 1000, Bangladesh
| | - Md Khalid Hasan
- Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, 1000, Bangladesh
- Unit for Research in Emergency and Disaster, Faculty of Medicine and Health Sciences, University of Oviedo, Oviedo, 33006, Spain
- Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, 2408, Cyprus
| | - Md Salim Hossain
- Department of Psychology, University of Dhaka, Dhaka, 1000, Bangladesh
| | | | - Farhin Islam
- South Asian Network on Economic Modeling (SANEM), Dhaka, 1000, Bangladesh
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267
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Antonovsky A, Danon R, Schiff M, Shelef L. Predicting mental burnout among Israeli Home Front Command soldiers during the COVID-19 pandemic. Health Promot Int 2022; 37:daab036. [PMID: 34279594 PMCID: PMC8344459 DOI: 10.1093/heapro/daab036] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The present study examined personality, situational and organizational predictors of burnout during COVID-19 in a military setting, based on the salutogenic theory of health (Antonovsky, 1987). METHOD Questionnaires were completed by 116 reserve Israeli Home Front Command medical staff (71% males). Background variables (e.g., gender), personality variables (self-efficacy and sense of coherence - SOC), situational variables (state-anxiety, self-rated health and sense of threat) and organizational variables (satisfaction with military's and government's handling of the COVID-19 crisis) were measured as predictors of burnout. RESULTS Females had higher levels of state anxiety and burnout compared to males. Females also reported a lower level of satisfaction with the military's handling of the COVID-19 crisis than males. SOC and state anxiety were the only statistically significant predictors of burnout after controlling for sociodemographic variables. The entire model explained 59.4% of the burnout variance. CONCLUSION In accordance with salutogenic theory, SOC is associated with active adaptation through use of generalized and specific resistance resources to avoid burnout in a stressful milieu. Psychological support, psychoeducation and simulation training are offered to increase manageability in crisis situations. LIMITATIONS Following a large dropout rate due to being quarantined, the final sample size was much smaller than planned. Also, although previous longitudinal studies have found SOC to be a causal factor in burnout, the present cross-sectional design limits such conclusions.
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Affiliation(s)
- Avishai Antonovsky
- Department of Health and Well-Being, Israel Defense Forces Medical Corps, Ramat Gan 5262000, Israel
| | - Roey Danon
- Department of Health and Well-Being, Israel Defense Forces Medical Corps, Ramat Gan 5262000, Israel
| | - Miriam Schiff
- Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91905, Israel
| | - Leah Shelef
- Department of Health and Well-Being, Israel Defense Forces Medical Corps, Ramat Gan 5262000, Israel
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268
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Mirzakhani K, Shoorab NJ, Akbari A, Khadivzadeh T. High-risk pregnant women's experiences of the receiving prenatal care in COVID-19 pandemic: a qualitative study. BMC Pregnancy Childbirth 2022; 22:363. [PMID: 35473593 PMCID: PMC9040690 DOI: 10.1186/s12884-022-04676-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Accepted: 04/05/2022] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Women with high-risk pregnancies are among the most vulnerable groups that require additional precautionary measures against the spread of COVID-19 plus receiving prenatal care. Yet, there is limited information on the status of prenatal care in women with high-risk pregnancies. The purpose of this study was to explore the experiences of women with high-risk pregnancies who were receiving prenatal care during the COVID-19 pandemic. METHODS The present qualitative study was conducted on mothers with high-risk pregnancies from September 2020 to March 2021. Purposeful sampling continued until achieving data saturation. Ghaem, Ommolbanin, and Imam Reza in Mashhad, Iran served as the research environment. Face-to-face and semi-structured interviews were effective data collection methods. Each interview lasted between 20 to 45 min (on average 30). The total number of participants was 31. Data analysis was carried out simultaneously with data collection using the qualitative content analysis method developed by Granheim and Landman (2004). RESULTS Following the reduction and analysis of data from women in high-risk pregnancies, as well as their perceptions and experiences with health services during the COVID-19 pandemic, eight subcategories and three main categories were identified, including 1) "Negative psychology responses," 2) "Adoption behavior," and 3) "Adjustment of health services in mutual protection." Fear, anxiety, stress, feelings of loneliness, sadness, depression, guilt, doubt and conflict in receiving services were examples of negative psychological responses. The adaptive behaviors' category reflected the behaviors of women with high-risk pregnancies in the context of the COVID COVID-19 pandemic. The Adjustment of health services in mutual protection indicated that health workers took preventive and protective measures against COVID-19, which, in addition to protecting themselves and their clients against COVID-19, gave women a sense of security. CONCLUSION Receiving prenatal care during the COVID-19 pandemic presents challenges for women with high-risk pregnancies, negatively impacting their psychological state and health-seeking behavior. Supportive and preventive care can ensure that women with high-risk pregnancies receive optimal prenatal care that focuses on COVID-19 prevention. We recommend implementing screening, psychological counseling, and education for women with high-risk pregnancies, as well as ensuring that they have access to women-centered health care services.
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Affiliation(s)
- Kobra Mirzakhani
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nahid Jahani Shoorab
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Azam Akbari
- Emam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Talat Khadivzadeh
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
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269
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Talens A, López-Pintor E, Bejerano M, Guilabert M, Aznar MT, Aznar-Lou I, Lumbreras B. Influence of the COVID-19 Pandemic on Adherence to Orally Administered Antineoplastics. J Clin Med 2022; 11:2436. [PMID: 35566561 PMCID: PMC9103306 DOI: 10.3390/jcm11092436] [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: 03/07/2022] [Revised: 04/21/2022] [Accepted: 04/25/2022] [Indexed: 11/29/2022] Open
Abstract
Background: Several factors can influence adherence to orally administered antineoplastics, including fear or anxiety resulting from situations such as the COVID-19 pandemic. The aim of this study was to analyse the influence of these patients’ experiences on adherence to orally administered antineoplastics. Methods: Cross-sectional study in four hospitals including >18 year old cancer patients receiving orally administered antineoplastics during the first half of 2021. Data were collected from medical records and through telephone interviews. Adherence was assessed through the prescription refill records and pill counts. Patients’ fear resulting from the pandemic was assessed by means of a structured questionnaire using a 5-point Likert-type scale. Results: Our sample compr BARCELONAised 268 patients (54% men) with a mean age of 64 years (SD 12). More than 15% had experienced afraid and 5% had experienced a dangerous situation when attending hospital, 17% felt they had received less care, and 30% preferred telepharmacy. Adherence measured by pill count was 69.3% and 95.5% according to prescription refill records. Patients who had experienced fear or anxiety when attending hospital were less adherent (aOR 0.47, 95% CI 0.23−0.96, p = 0.039). Conclusion: The fear experienced by some patients has affected adherence to treatment.
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Affiliation(s)
- Amparo Talens
- Servicio de Farmacia, Hospital General Universitario de Elda, 03600 Alicante, Spain; (A.T.); (M.B.)
| | - Elsa López-Pintor
- Departamento de Ingeniería, Área de Farmacia y Tecnología Farmacéutica, Universidad Miguel Hernández, 03550 Alicante, Spain;
- Center for Biomedical Research in Epidemiology and Public Health Network (CIBERESP), 28029 Madrid, Spain;
| | - Marta Bejerano
- Servicio de Farmacia, Hospital General Universitario de Elda, 03600 Alicante, Spain; (A.T.); (M.B.)
| | - Mercedes Guilabert
- Departamento de Psicología de la Salud, Universidad Miguel Hernández, 03202 Alicante, Spain;
| | - María Teresa Aznar
- Servicio de Farmacia, Hospital Universitario San Juan de Alicante, 03550 Alicante, Spain;
| | - Ignacio Aznar-Lou
- Center for Biomedical Research in Epidemiology and Public Health Network (CIBERESP), 28029 Madrid, Spain;
- Teaching, Research & Innovation Unit, Institut de Recerca Sant Joan de Déu (IRSJD), 08830 Barcelona, Spain
| | - Blanca Lumbreras
- Center for Biomedical Research in Epidemiology and Public Health Network (CIBERESP), 28029 Madrid, Spain;
- Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández, 03550 Alicante, Spain
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270
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Akgül G, Atalan Ergin D. School counselors' attitude toward online counseling services during the pandemic: The effects of resilience and digital self‐efficacy. PSYCHOLOGY IN THE SCHOOLS 2022. [DOI: 10.1002/pits.22716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Gülendam Akgül
- Department of Social Work Çankırı Karatekin University Cankiri Turkey
| | - Derya Atalan Ergin
- Department of Psychology Cappadocia University Mustafapasa Nevsehir Turkey
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271
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Emhan A, Elkefi S, Asan O. Predictors of Healthcare Professionals' Work Difficulty Perception during the COVID-19 Pandemic: Study of Work Environment in a Pandemic Hospital. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095174. [PMID: 35564568 PMCID: PMC9157311 DOI: 10.3390/ijerph19095174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 04/20/2022] [Accepted: 04/22/2022] [Indexed: 02/01/2023]
Abstract
COVID-19 has dramatically changed the work environment in healthcare, which is creating an additional burden for healthcare professionals. In this study, we investigate the factors that trigger professionals to have negative perceptions of their jobs during the pandemic. A cross-sectional survey is used for this study. The respondents are selected based on convenience random sampling. We use 345 questionaries for the analysis. Respondents are health care professionals (nurses, doctors, midwives, technicians, etc.) working in a pandemic hospital in Turkey. We run a multivariable logistic regression model to analyze the predictors of work difficulty perception. The model is adjusted for the respondents’ demographical characteristics and emotional wellbeing. We found that depression and burnout are significantly correlated with the perception of job difficulty (OR Severe PHQ-9 = 10.8, p = 0.004; OR Severe Burnout = 7.83, p < 0.001). The professionals who are changed from one department to another are also more likely to perceive the job as difficult (OR Department Change = 1.60, p = 0.045). However, the professionals that received sufficient applause from society are more likely to think that they did not face any difficulties doing their job during the pandemic (OR Applause = 0.56, p < 0.016). Anxiety, monetary motivation, religious beliefs, and information availability did not contribute to the perceived difficulty in their jobs. Thus, efforts need to be made to give them more social support and smooth their changes in departments and functions to facilitate their jobs.
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Affiliation(s)
- Abdurrahim Emhan
- Collage of Business Administration, University of Central Florida, Orlando, FL 32816, USA;
| | - Safa Elkefi
- Stevens Institute of Technology, School of Systems and Enterprises, Hoboken, NJ 07030, USA;
| | - Onur Asan
- Stevens Institute of Technology, School of Systems and Enterprises, Hoboken, NJ 07030, USA;
- Correspondence: ; Tel.: +1-(201)-216-5514
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272
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Bekar P, Erkul M, Efe E. Investigation of coronavirus anxiety and caregiving burden among the parents of children with cancer during the COVID‐19 outbreak: A descriptive and cross‐sectional study. Eur J Cancer Care (Engl) 2022; 31:e13600. [PMID: 35466488 PMCID: PMC9111339 DOI: 10.1111/ecc.13600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 02/07/2022] [Accepted: 04/18/2022] [Indexed: 11/28/2022]
Abstract
Objective This study aimed to investigate the coronavirus anxiety and caregiving burden of parents of children with cancer during the COVID‐19 outbreak. Methods This descriptive and cross‐sectional study, including 136 parents of children with cancer, was administered through an online survey at a university hospital from 1 to 31 January 2021. Participants completed a questionnaire form, the Zarit Caregiver Burden Scale and the Coronavirus Anxiety Scale. Results This study identified a significant difference in the caregiving burden scores of parents according to whether their relatives had been diagnosed with COVID‐19, whether they were exposed to coronavirus in their environment and whether their children had other illnesses. A significant difference in the coronavirus anxiety scores of parents was observed according to their child's sex and the time elapsed since their child's cancer diagnosis. No correlation was identified between the Zarit Caregiver Burden Scale scores and the Coronavirus Anxiety Scale scores. Conclusion Oncology nurses and other health professionals should be aware of and consider the factors that influence the caregiving burden and coronavirus‐related anxiety experienced by parents of children with cancer during the COVID‐19 outbreak.
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Affiliation(s)
- Pınar Bekar
- Bucak School of Health, Department of Child Development Burdur Mehmet Akif Ersoy University Bucak/Burdur Turkey
| | - Münevver Erkul
- Department of Paediatric Hematology‐Oncology Akdeniz University Hospital Antalya Turkey
| | - Emine Efe
- Nursing Faculty, Department of Child Health and Diseases Nursing Akdeniz University Antalya Turkey
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273
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McDaniels B, Subramanian I. Social isolation, loneliness and mental health sequelae of the Covid-19 pandemic in Parkinson's disease. INTERNATIONAL REVIEW OF NEUROBIOLOGY 2022; 165:197-227. [PMID: 36208901 PMCID: PMC9034749 DOI: 10.1016/bs.irn.2022.03.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
People living with Parkinson Disease (PwP) have been at risk for the negative effects of loneliness even before the Coronavirus Disease 2019 (Covid-19) pandemic. Despite some similarities with previous outbreaks, the Covid-19 pandemic is significantly more wide-spread, long-lasting, and deadly, which likely means demonstrably more negative mental health issues. Although PwP are not any more likely to contract Covid-19 than those without, the indirect negative sequelae of isolation, loneliness, mental health issues, and worsening motor and non-motor features remains to be fully realized. Loneliness is not an isolated problem; the preliminary evidence indicates that loneliness associated with the Covid-19 restrictions has dramatically increased in nearly all countries around the world.
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Affiliation(s)
- Bradley McDaniels
- Department of Rehabilitation and Health Services, University of North Texas, Denton, TX, United States
| | - Indu Subramanian
- David Geffen School of Medicine, UCLA, Department of Neurology, Los Angeles, CA, United States; PADRECC, West Los Angeles, Veterans Administration, Los Angeles, CA, United States.
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Gerdes ME, Aistis LA, Sachs NA, Williams M, Roberts JD, Rosenberg Goldstein RE. Reducing Anxiety with Nature and Gardening (RANG): Evaluating the Impacts of Gardening and Outdoor Activities on Anxiety among U.S. Adults during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5121. [PMID: 35564513 PMCID: PMC9100102 DOI: 10.3390/ijerph19095121] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 04/13/2022] [Accepted: 04/19/2022] [Indexed: 02/05/2023]
Abstract
The COVID-19 pandemic impacted mental health. Growing research has identified the mental health benefits of nature contact, including gardening. We used a cross-sectional survey to investigate the association between gardening and other outdoor activities with anxiety among U.S. adults. The RANG (Reducing Anxiety with Nature and Gardening) survey was distributed online from June−September 2020 through social media (Twitter and Facebook) and a national Master Gardeners listserv. Survey questions captured demographics, COVID-19 experiences, gardening, outdoor activities, and anxiety using the Generalized Anxiety Disorder 7-item scale. Data were analyzed using chi-square, Fisher’s exact, and Kruskal−Wallis tests, as well as logistic regression. Among participants, 46% reported anxiety symptoms. Participants who had gardened ≥ 15 years and those gardening > 8 h over two weeks had lower anxiety scores. Spending more time outdoors on weekdays also decreased anxiety scores. After adjusting for covariates, lower odds of anxiety were identified for 50−69 and 70−89-year-olds vs. 18−29-year-olds; males vs. females; and Texas vs. Maryland residents. These findings confirm increased anxiety during the COVID-19 pandemic and suggest that sustained gardening and other outdoor activities could help reduce anxiety.
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Affiliation(s)
- Megan E. Gerdes
- Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20742, USA;
| | - Lucy A. Aistis
- Maryland Institute for Applied Environmental Health, School of Public Health, University of Maryland, College Park, MD 20742, USA;
| | - Naomi A. Sachs
- Department of Plant Science and Landscape Architecture, University of Maryland, College Park, MD 20742, USA;
| | - Marcus Williams
- Baltimore City Extension, University of Maryland Extension, Baltimore, MD 21215, USA;
| | - Jennifer D. Roberts
- Department of Kinesiology, School of Public Health, University of Maryland, College Park, MD 20742, USA;
| | - Rachel E. Rosenberg Goldstein
- Maryland Institute for Applied Environmental Health, School of Public Health, University of Maryland, College Park, MD 20742, USA;
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275
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Atreya A, Nepal S, Menezes RG, Shurjeel Q, Qazi S, Ram MD, Usman MS, Ghimire S, Marhatta A, Islam MN, Sapkota AD, Garbuja CK. Assessment of fear, anxiety, obsession and functional impairment due to COVID-19 amongst health-care workers and trainees: A cross-sectional study in Nepal. F1000Res 2022; 11:119. [PMID: 35529279 PMCID: PMC9073267 DOI: 10.12688/f1000research.76032.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/28/2022] [Indexed: 11/26/2022] Open
Abstract
Background:
The emergence of the COVID-19 epidemic threw the world into turmoil. The medical community bore the brunt of the pandemic's toll. Long work hours, and a lack of personal protective equipment (PPE) and social support all had an influence on mental health.
Methods:
This cross-sectional study was conducted among Lumbini Medical College Teaching Hospital students and employees in Palpa, Nepal. Data entailing their demographic details, pre-existing comorbidities, or death in the family due to COVID-19 was collected using a self-administered survey. In addition, the level of fear, anxiety, obsession, and functional impairment due to COVID-19 was recorded using previously validated respective scales.
Results:
In total, 403 health-care workers and trainees participated in our study. The mean age of the study participants was 23±4 years, and more than half of them (n=262, 65%) were females. A significant association was found between fear score with age (p-value=0.04), gender (p-value <0.01) and occupation (p-value<0.001). The participants suffering from chronic diseases (p-value=0.36), were not found to be significantly obsessed with COVID-19. Age (p-value=0.34), was not found to be significantly associated with higher anxiety levels. Nursing students suffered from a significantly greater functional impairment than other health-care professionals (mean rank score=269.15, p-value < 0.001). A moderately positive correlation was observed between fear, anxiety, obsession, and functional impairment scales.
Conclusion:
This study revealed various socio-demographic characteristics as risk factors for psychological stress in the people related to the health-care profession of Nepal during the COVID-19 pandemic. A viable answer to this quandary might be adequate psychosocial intervention by health-care authorities, increased social support, and the introduction of better mental health management measures for the front-line health-care workers.
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Affiliation(s)
- Alok Atreya
- Lumbini Medical College, Palpa, Lumbini, 32500, Nepal
| | - Samata Nepal
- Lumbini Medical College, Palpa, Lumbini, 32500, Nepal
| | - Ritesh G Menezes
- College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, 34212, Saudi Arabia
| | - Qazi Shurjeel
- Dow University of Health Sciences, Karachi, Sindh, 74200, Pakistan
| | - Sana Qazi
- Dow University of Health Sciences, Karachi, Sindh, 74200, Pakistan
| | | | | | | | - Anu Marhatta
- Lumbini Medical College, Palpa, Lumbini, 32500, Nepal
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276
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Ahmad T, Murtaza BN, Ahmad F, Murad MA, Baig M, Imtiaz A, Baig F, Baig J, Siraj M, Sagga AK. Coronavirus Disease 2019 Pandemic Effects on Overseas Pakistanis Particularly Residing in China, Saudi Arabia and United Kingdom. Front Public Health 2022; 10:768812. [PMID: 35433626 PMCID: PMC9009370 DOI: 10.3389/fpubh.2022.768812] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 02/02/2022] [Indexed: 12/31/2022] Open
Abstract
Aim This study explored the Coronavirus Disease 2019 (COVID-19) pandemic effects on overseas Pakistani's residing in various parts of the world, particularly in China, Saudi Arabia (SA), and the United Kingdom (UK). Methods This cross-sectional study was completed between November 2020 and April 2021. An online questionnaire was designed and circulated via various social media mediums to overseas Pakistani communities. The obtained data were statistically analyzed through SPSS version 19 for windows. P < 0.05 was considered statistically significant. Results A total of 542 overseas Pakistani participated in the current study. In total, 157 (29%) were females and 385 (71%) males. There were 174 (32.1%), 142 (26.45%), 117 (21.6%), and 109 (19.85%) participants from the UK, SA, China, and other countries respectively. Some participants, or their family members, 93 (17.2%), got infected with the COVID-19. About one-third, 165 (30.4%), of the respondents were afraid that their company would violate their contracts or lose their jobs or be paid less. The majority, 469 (86.5%), believed that the lockdown is increasing their psychological stress. More than half of the participants, 314 (57.9%), stated that the Pakistani embassy did not facilitate them in their country of stay. About one-third, 194 (35.8%), of the respondents faced visa-related issues. More than one-third of respondents, 221 (40.8%), faced health issues due to lack of physical activities during the lockdown. Males were afraid that their company would violate their contract, lose jobs, or be paid less than females (p < 0.001). Both genders had psychological stress and health issues because of the pandemic. The participants from SA faced more visa-related issues, and they were less satisfied with the efforts of the Pakistani embassy to facilitate them compared to the UK and China participants (p = 0.013). Conclusion Our data indicate that the COVID-19 pandemic impacted Pakistanis living in the UK, SA, China, and other parts of the world. They had health-related issues, visa problems and dissatisfaction with Pakistani embassy facilitations. Pakistanis living abroad require government assistance to resolve their issues.
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Affiliation(s)
- Tauseef Ahmad
- Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, China
| | - Bibi Nazia Murtaza
- Department of Zoology, Abbottabad University of Science and Technology, Abbottabad, Pakistan
| | - Faizan Ahmad
- Department of Microbiology, Abbottabad University of Science and Technology, Abbottabad, Pakistan
| | - Manal Abdulaziz Murad
- Department of Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Mukhtiar Baig
- Department of Clinical Biochemistry, Faculty of Medicine Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia
| | | | - Fizzah Baig
- Ziauddin Medical College-Ziauddin University, Karachi, Pakistan
| | - Javaria Baig
- Liaquat College of Medicine and Dentistry, Karachi, Pakistan
| | - Muhammad Siraj
- Department of Zoology, Abbottabad University of Science and Technology, Abbottabad, Pakistan
| | - Abdullah Khalid Sagga
- General Dentist Assistant Agency for Primary Health Care, Medical Program for Chronic Disease General Department, Ministry of Health, Riyadh, Saudi Arabia
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277
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Zhang L, Yan M, Takashima K, Guo W, Yamada Y. The effect of the COVID-19 pandemic on health care workers' anxiety levels: a meta-analysis. PeerJ 2022; 10:e13225. [PMID: 35433133 PMCID: PMC9009329 DOI: 10.7717/peerj.13225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 03/15/2022] [Indexed: 01/12/2023] Open
Abstract
Background The COVID-19 pandemic has been declared a public health emergency of international concern, causing excessive anxiety among health care workers. Additionally, publication bias and low-quality publications have become widespread, which can result in the dissemination of unreliable information. A meta-analysis was performed for this study with the following two aims: (1) to examine the prevalence of anxiety among health care workers and determine whether it has increased owing to the COVID-19 pandemic and (2) to investigate whether there has been an increase in publication bias. Methods All relevant studies published between 2015 and 2020 were searched in electronic databases (namely Web of Science, PubMed, Embase, PsycInfo, PsyArXiv, and medRxiv). The heterogeneity of the studies was assessed using the I 2 statistic. The effect size (prevalence rate of anxiety) and 95% CI for each study were also calculated. We used moderator analysis to test for the effect of the COVID-19 pandemic on health care workers' anxiety levels and to detect publication bias in COVID-19 studies. We assessed publication bias using funnel plots and Egger's regression. Results A total of 122 studies with 118,025 participants met the inclusion criteria. Eighty-eight articles (75,066 participants) were related to COVID-19, 13 articles (9,222 participants) were unrelated to COVID-19 (i.e., articles related to other outbreaks, which were excluded), and 21 preprints (33,737 participants) were related to COVID-19. The pooled meta-analysis prevalence was 33.6% (95% CI [30.5-36.8]; 95% PI [6.5-76.3]). Moderator analysis revealed no significant differences between articles related to COVID-19 and those unrelated to COVID-19 (p = 0.824). Moreover, no significant differences were found between articles and preprints related to COVID-19 (p = 0.843). Significant heterogeneity was observed in each subgroup. An Egger's test revealed publication bias in both articles and preprints related to COVID-19 (p < 0.001). Conclusions Determining whether the anxiety state of health care workers is altered by the COVID-19 pandemic is currently difficult. However, there is evidence that their anxiety levels may always be high, which suggests that more attention should be paid to their mental health. Furthermore, we found a substantial publication bias; however, the quality of the studies was relatively stable and reliable.
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Affiliation(s)
- Lunbo Zhang
- Graduate School of Human-Environment Studies, Kyushu University, Japan
| | - Ming Yan
- Graduate School of Human-Environment Studies, Kyushu University, Japan
| | - Kaito Takashima
- Graduate School of Human-Environment Studies, Kyushu University, Japan
| | - Wenru Guo
- Graduate School of Human-Environment Studies, Kyushu University, Japan
| | - Yuki Yamada
- Faculty of Arts and Science, Kyushu University, Japan
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278
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Hidayati E, Wijayanti DN, Rahayu DA, Nurhidayati T, Mariyam M, Alfiyanti D. Supportive Therapy to Reduce Anxiety Levels of COVID-19 Nurses in Isolation ICU Room. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2021.7837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: COVID-19 for this year has had a negative impact on life, particularly the psychological impact of anxiety. Anxiety occurs in the general public and in health workers, one of which is a nurse. If anxiety continues, it will affect the quality of life and performance of nurses. Supportive therapy is one of the non-pharmacological treatments to reduce anxiety.
AIM: This study was to determine the effectiveness of supportive therapy in reducing the anxiety of COVID-19 nurses in isolation ICU.
METHODS: This study used quantitative research with a quasi-experimental design. The researcher wanted to know the effectiveness of a treatment, namely, supportive therapy, against the anxiety of the COVID-19 nurses of isolation ICU room. This study used a pre-post-test one-group intervention method. The therapy mechanism applied 1–4 sessions of supportive therapy by dividing each session into 3 days. Forty respondents participated in this study. The data obtained were analyzed using paired t-test.
RESULTS: The results show that 55% of respondents experience moderate anxiety before supportive therapy, and 60% are not anxious after supportive therapy. It is also found that p = 0.000 is considered and lower than the alpha value of 0.05 (0.000 < 0.05). Therefore, there is a statistically significant difference before and after supportive therapy.
CONCLUSION: The conclusion that can be drawn is the influence of supportive therapy on reducing anxiety in COVID-19 isolation ICU nurses.
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279
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Alhazmi RA, Alghadeer S, Al-Arifi MN, Alamer AA, Mubarak AM, Alwhaibi A, Alfayez R, Alsubaie S. Prevalence and Factors of Anxiety During the Coronavirus-2019 Pandemic Among Teachers in Saudi Arabia. Front Public Health 2022; 10:827238. [PMID: 35387186 PMCID: PMC8978600 DOI: 10.3389/fpubh.2022.827238] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Accepted: 02/22/2022] [Indexed: 12/23/2022] Open
Abstract
Background Teachers play a central role in successful education. Due to the COVID-19 pandemic, regular in-person attendance in classes at all levels of education has been disrupted for more than 1 year in many countries. These lockdowns, which include the discontinuation of in person learning at schools and universities has presented a significant challenge for teachers to adapt to online teaching. Given this rapid format change, occupational anxiety levels among educators has increased. Objective The primary objective of this study was to assess the prevalence of anxiety among teachers in Saudi Arabia. A secondary objective was to explore characteristics of teachers associated with the level of anxiety level during the period of lockdown. Methods An anonymous, online cross-sectional study was carried for 3 months (February 2021 through April 2021). The questionnaire consisted of four sections and included the Generalized Anxiety Disorder instrument (GAD-7). Chi-square tests were completed for categorical comparisons while binary logistic regressions were used for associative relationship exploration. The IRB at King Saudi University Medical City, Saudi Arabia approved this study. Results A total of 742 respondents completed the survey yielding an anxiety prevalence of 58.2 % among teachers. Medium degree of statistically significant differences identified as marital status (p = 0.046). women had higher anxiety (65.3%) than men (34.7%) but gender with anxiety was low degree of statistical significance compared with non-anxiety status (p = 0.697). The odds of anxiety among middle teachers was twice (OR = 2.01) as high as the odds of anxiety among other levels of teacher (p = 0.01, 95% CI 0.94–4.26). Conclusions This study identified that many teachers experienced anxiety during the lockdown, especially women and middle school teachers. Future studies should identify contributing factors to estimate the magnitude of the exposure to anxiety between different types of teachers to help establish better preventive measures based on the workplace environment.
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Affiliation(s)
- Riyadh A Alhazmi
- Department of Emergency Medical Services, Prince Sultan Bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia
| | - Sultan Alghadeer
- Department of Clinical Pharmacy, College of Pharmacy - King Saud University, Riyadh, Saudi Arabia
| | - Mohamed N Al-Arifi
- Department of Clinical Pharmacy, College of Pharmacy - King Saud University, Riyadh, Saudi Arabia
| | - Asma A Alamer
- Department of Curricula and Teaching Methods, College of Education, King Faisal University, Al-Ahsa, Saudi Arabia
| | - Abdullah M Mubarak
- Department of Basic Science, Prince Sultan Bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia
| | - Abdulrahman Alwhaibi
- Department of Clinical Pharmacy, College of Pharmacy - King Saud University, Riyadh, Saudi Arabia
| | - Raghad Alfayez
- Department of Clinical Pharmacy, College of Pharmacy - King Saud University, Riyadh, Saudi Arabia
| | - Sara Alsubaie
- Department of Clinical Pharmacy, College of Pharmacy - King Saud University, Riyadh, Saudi Arabia
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280
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Meyer ML, Kaesler A, Wolffgramm S, Perić NL, Bunjaku G, Dickmann L, Serino S, Di Lernia D, Tuena C, Bernardelli L, Pedroli E, Wiederhold BK, Riva G, Shiban Y. COVID Feel Good: Evaluation of a Self-Help Protocol to Overcome the Psychological Burden of the COVID-19 Pandemic in a German Sample. J Clin Med 2022; 11:jcm11082080. [PMID: 35456172 PMCID: PMC9029872 DOI: 10.3390/jcm11082080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 03/30/2022] [Accepted: 04/01/2022] [Indexed: 01/27/2023] Open
Abstract
The COVID-19 pandemic has severe consequences for physical as well as mental well-being. In times of restricted social contact, online self-help programs offer a low-threshold first aid to cope with the psychological burden. This current study evaluates the online self-help protocol “COVID Feel Good” in a German sample. The multicentric study was designed as a single cohort with a waiting list control condition. The convenience sample consisted of 38 German individuals who experienced at least two months of restrictions during the COVID-19 pandemic. The 7-day self-help protocol included the VR video “Secret Garden” as well as a social or cognitive exercise each day. General distress, depression, anxiety, stress, and hopelessness were assessed as primary outcomes. Social connectedness and fear of coronavirus were measured as secondary outcomes. Results showed a significant decrease in all primary outcomes except for hopelessness. Furthermore, the results indicated a significant improvement in social connectedness. Treatment effects on general distress, depression, stress, and anxiety persisted for two weeks after participation. The present study indicates that VR-based self-help protocols can mitigate the psychological burden associated with the pandemic, supporting recent findings.
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Affiliation(s)
- Marie Lisa Meyer
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Arne Kaesler
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Stefanie Wolffgramm
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Nicolina Laura Perić
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Gentian Bunjaku
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Lilith Dickmann
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Silvia Serino
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy; (S.S.); (D.D.L.)
| | - Daniele Di Lernia
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy; (S.S.); (D.D.L.)
| | - Cosimo Tuena
- Humane Technology Lab, Università Cattolica del Sacro Cuore, 20123 Milan, Italy; (C.T.); (G.R.)
- Applied Technology for Neuro-Psychology Lab, IRCCS Istituto Auxologico Italiano, 20149 Milan, Italy;
| | | | - Elisa Pedroli
- Applied Technology for Neuro-Psychology Lab, IRCCS Istituto Auxologico Italiano, 20149 Milan, Italy;
- Faculty of Psychology, University of eCampus, 22060 Novedrate, Italy
| | - Brenda K. Wiederhold
- Virtual Reality Medical Center, La Jolla, CA 92037, USA;
- Virtual Reality Medical Institute, 1200 Brussels, Belgium
| | - Giuseppe Riva
- Humane Technology Lab, Università Cattolica del Sacro Cuore, 20123 Milan, Italy; (C.T.); (G.R.)
- Applied Technology for Neuro-Psychology Lab, IRCCS Istituto Auxologico Italiano, 20149 Milan, Italy;
| | - Youssef Shiban
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
- Correspondence:
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281
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Fukunaga A, Inoue Y, Yamamoto S, Miki T, Hoang DV, Manandhar Shrestha R, Ishiwari H, Ishii M, Miyo K, Konishi M, Ohmagari N, Mizoue T. Association between chronic physical conditions and depressive symptoms among hospital workers in a national medical institution designated for COVID-19 in Japan. PLoS One 2022; 17:e0266260. [PMID: 35390049 PMCID: PMC8989319 DOI: 10.1371/journal.pone.0266260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 03/18/2022] [Indexed: 11/18/2022] Open
Abstract
Objective This study aimed to investigate the cross-sectional association between the presence of chronic physical conditions and depressive symptoms among hospital workers at a national medical institution designated for COVID-19 treatment in Tokyo, Japan. We also accounted for the combined association of chronic physical conditions and SARS-CoV-2 infection risk at work in relation to depressive symptoms, given that occupational infection risk might put additional psychological burden among those with chronic physical conditions with risk of severe COVID-19 outcome. Methods The study sample consisted of 2,440 staff members who participated in a health survey conducted at the national medical institution during period between October 2020 and December 2020. Participants who reported at least one chronic physical condition that were deemed risk factors of severe COVID-19 outcome were regarded as having chronic physical conditions. Depressive symptoms were assessed using the patient health questionnaire-9 (PHQ-9). We performed logistic regression analysis to assess the association between chronic physical conditions and depressive symptoms. Results Our results showed that the presence of chronic physical conditions was significantly associated with depressive symptoms (odds ratio (OR) = 1.49, 95% confidence interval (CI) = 1.10–2.02). In addition, the prevalence of depressive symptoms was significantly higher among healthcare workers with chronic physical conditions who were at a higher occupational infection risk (OR = 1.81, 95% CI = 1.04–3.16). Conclusion Our findings suggest the importance of providing more assistance to those with chronic physical conditions regarding the prevention and control of mental health issues, particularly among frontline healthcare workers engaging in COVID-19-related work.
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Affiliation(s)
- Ami Fukunaga
- Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
- * E-mail:
| | - Yosuke Inoue
- Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
| | - Shohei Yamamoto
- Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
| | - Takako Miki
- Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
| | - Dong Van Hoang
- Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
| | - Rachana Manandhar Shrestha
- Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
| | - Hironori Ishiwari
- Center for Medical Informatics Intelligence, National Center for Global Health and Medicine, Tokyo, Japan
| | - Masamichi Ishii
- Center for Medical Informatics Intelligence, National Center for Global Health and Medicine, Tokyo, Japan
| | - Kengo Miyo
- Center for Medical Informatics Intelligence, National Center for Global Health and Medicine, Tokyo, Japan
| | - Maki Konishi
- Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
| | - Norio Ohmagari
- Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan
| | - Tetsuya Mizoue
- Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan
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282
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Yasmin F, Jatoi HN, Abbasi MS, Asghar MS, Siddiqui SA, Nauman H, Khattak AK, Alam MT. Psychological Distress, Anxiety, Family Violence, Suicidality, and Wellbeing in Pakistan During the COVID-19 Lockdown: A Cross-Sectional Study. Front Psychol 2022; 13:830935. [PMID: 35369256 PMCID: PMC8964640 DOI: 10.3389/fpsyg.2022.830935] [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: 12/07/2021] [Accepted: 02/08/2022] [Indexed: 11/29/2022] Open
Abstract
Background and Objectives The purpose of this study was to draw the attention toward the implications of COVID-19 and the related restrictions imposed worldwide especially in Pakistan. The primary objective was to highlight the levels of psychological distress, anxiety, family violence, suicidality, and well-being due to COVID-19 and the secondary objective was to associate it to social demographic factors. Materials and Methods It is designed as a cross-sectional study by employing an online questionnaire in the English language and obtaining responses using a snowball sampling technique. We used three validated measures including Kessler Psychological Distress Scale (K10), Generalized Anxiety Disorder (GAD-7) index and World Health Organization Well-Being Index (WHO-5). Results A sample of 420 participants was recruited from across Pakistan, with most participants were females (79%), students (89.8%) and belonging to Punjab (54%). Nearly one-fourth of the participants (23.8%) scored above the minimum value set for moderate or high psychological distress (K10 > 12). There was a higher prevalence of distress among females and resident of province Punjab. The majority of individuals reported that they were living with their family (94.5%) and more than half (52.6%) were neutral regarding their satisfaction with their living conditions. 40.5% believed that the lockdown has had a negative impact on their mental health. 31.4% have reported that they themselves have experienced abuse from a family member. 48.6% scored high on the GAD-7 scale and low wellbeing score was found among 80.2%. Students were found to be more vulnerable to mental illness and anxiety. Conclusion With the lockdown restrictions, psychosocial distress has become prevalent in Pakistan.
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Affiliation(s)
- Farah Yasmin
- Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | - Hafsa Nazir Jatoi
- Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | - Muhammad Saif Abbasi
- Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | | | - Sarush Ahmed Siddiqui
- Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | - Hamza Nauman
- Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | | | - Muhammad Tanveer Alam
- Department of Internal Medicine, Civil Hospital, Dow University of Health Sciences, Karachi, Pakistan
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283
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KÜÇÜKKENDİRCİ H, YÜCEL M, DURDURAN Y. Evaluation of the Relationship of Fatigue, Anxiety and Depression Levels in Individuals with the Precautions Taken in the COVID-19 Pandemic Process. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2022. [DOI: 10.33808/clinexphealthsci.1011262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Objective: This study aims to evaluate the effects of the COVID-19 process and the measures taken on fatigue, anxiety and depression levels in individuals, and the factors that may cause this effect.
Methods: The study is of cross-sectional type. A total of 281 participants who applied to the pandemic outpatient clinic were included in the study. Data collection form with 27 questions and Hospital Anxiety and Depression Scale (HADS) with 14 questions were used in the study. Relationships between data were evaluated with t-test and chi-square test in independent groups. The importance levels of the factors affecting the anxiety and depression scores were determined by the Chaid Analysis. Statistically, cases with p
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Affiliation(s)
- Hasan KÜÇÜKKENDİRCİ
- NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, HALK SAĞLIĞI ANABİLİM DALI
| | - Mehtap YÜCEL
- NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, MERAM TIP PR
| | - Yasemin DURDURAN
- NECMETTİN ERBAKAN ÜNİVERSİTESİ, MERAM TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, HALK SAĞLIĞI ANABİLİM DALI
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284
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Daigre C, Grau-López L, Palma-Alvarez RF, Perea-Ortueta M, Sorribes-Puertas M, Serrano-Pérez P, Quesada M, Segura L, Coronado M, Ramos-Quiroga JA, Colom J. A Multicenter Study on the Impact of Gender, Age, and Dual Diagnosis on Substance Consumption and Mental Health Status in Outpatients Treated for Substance Use Disorders During COVID-19 Lockdown. J Dual Diagn 2022; 18:71-80. [PMID: 35324373 DOI: 10.1080/15504263.2022.2051110] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Objective COVID-19 and lockdown measures impacted mental health globally and had a particular impact on patients with substance use disorders (SUD). However, the impact of gender, age, and dual diagnosis on consumption patterns and mental health during COVID-19 lockdown among patients with SUD has not been analyzed in depth. Therefore, this study aimed to examine substance use and mental health status during COVID-19 lockdown considering gender, age, and previous dual diagnosis in patients with SUD treated in different outpatient addiction clinics in Catalonia. Methods: Thirteen clinics participated and 588 patients were enrolled in the study, of whom 70.7% were men and 29.3% were women. The mean age was 48 ± 11.3 years, and 63.2% had dual diagnoses. Results: Men reported significantly more frequent alcohol and cocaine consumption during lockdown, while women experienced more anxiety and depressive symptoms. Younger patients more frequently reported consuming cocaine and cannabis, breaking the lockdown rule, worsened family relationships, and reduced incomes. Older patients more frequently reported maintaining abstinence. Previous dual diagnosis was more often associated with benzodiazepine use disorder, less active working during lockdown, and more anxiety and depressive symptoms than not having previous dual diagnosis. Conclusions: Both new psychiatric symptoms and general worsening of existing symptoms were frequent during the lockdown. Differences based on the gender, age, and dual diagnosis of outpatients treated for substance use disorders should be considered in the planning of protection measures such as home confinement.
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Affiliation(s)
- Constanza Daigre
- Addiction and Dual Diagnosis Section, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain.,Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain.,Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Lara Grau-López
- Addiction and Dual Diagnosis Section, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain.,Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain.,Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Raúl F Palma-Alvarez
- Addiction and Dual Diagnosis Section, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain.,Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain.,Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Marta Perea-Ortueta
- Addiction and Dual Diagnosis Section, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain.,Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Marta Sorribes-Puertas
- Addiction and Dual Diagnosis Section, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain
| | - Pedro Serrano-Pérez
- Addiction and Dual Diagnosis Section, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain.,Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Marta Quesada
- Addiction and Dual Diagnosis Section, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain.,Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Lidia Segura
- Subdirecció General de Drogodependències, Agència de Salut Pública de Catalunya, Barcelona, Spain
| | - Marta Coronado
- Subdirecció General de Drogodependències, Agència de Salut Pública de Catalunya, Barcelona, Spain
| | - Josep Antoni Ramos-Quiroga
- Addiction and Dual Diagnosis Section, Department of Psychiatry, Hospital Universitari Vall d'Hebron, Barcelona, Spain.,Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Barcelona, Spain.,Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain.,Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Joan Colom
- Subdirecció General de Drogodependències, Agència de Salut Pública de Catalunya, Barcelona, Spain
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- Subdirecció General de Drogodependències, Agència de Salut Pública de Catalunya, Barcelona, Spain.,Collaborative Addiction Research Group of the Agència de Salut Pública de Catalunya, Barcelona, Spain
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285
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Deng YM, Wu HW, Liao HE. Utilization Intention of Community Pharmacy Service under the Dual Threats of Air Pollution and COVID-19 Epidemic: Moderating Effects of Knowledge and Attitude toward COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063744. [PMID: 35329431 PMCID: PMC8954536 DOI: 10.3390/ijerph19063744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 03/09/2022] [Accepted: 03/16/2022] [Indexed: 02/05/2023]
Abstract
The utilization of pharmacy services in response to the threat of COVID-19 infection remains unclear in areas suffering from air pollution, and little is known regarding the effects of knowledge and attitude (KA) toward COVID-19 on this preventive behavior. This study aimed to explore how the residents perceived and reacted to the new threats of the epidemic and how KA may affect the correlation. Based on the health belief model (HBM), this research took the pharmacy service utilization (PSU) as an example to explain the preventive behavior. The samples were 375 respondents recruited from five districts near the industrial parks. T-test, ANOVA, and regression analyses of SPSS 22.0 were used to analyze the data. Test results show that self-efficacy was the strongest predictor, followed by the net perceived benefit. KA moderated the association of perceived threat and PSU intention. The levels of air pollution of a district may not be a good predictor for the preventive behavior against COVID-19.
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Affiliation(s)
- Yueen-Mei Deng
- Department of Healthcare Management, Asia University, No.500, Lioufeng Rd., Taichung 41354, Taiwan
- Correspondence: (Y.-M.D.); (H.-E.L.); Tel.: +886-919-038978 (Y.-M.D.)
| | - Hong-Wei Wu
- Department of Pharmacy, Tajen University, No.2, Wexin Rd., Yampu 906, Taiwan;
| | - Hung-En Liao
- Department of Healthcare Management, Asia University, No.500, Lioufeng Rd., Taichung 41354, Taiwan
- Correspondence: (Y.-M.D.); (H.-E.L.); Tel.: +886-919-038978 (Y.-M.D.)
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286
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Akdeniz S, Gültekin Ahçı Z. The role of cognitive flexibility and hope in the relationship between loneliness and psychological adjustment: a moderated mediation model. EDUCATIONAL AND DEVELOPMENTAL PSYCHOLOGIST 2022. [DOI: 10.1080/20590776.2022.2050460] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- Seher Akdeniz
- Faculty of Social and Humanity Science, Psychology Department, KTO Karatay University, Konya, Turkey
| | - Zeynep Gültekin Ahçı
- Faculty of Social and Humanity Science, Psychology Department, KTO Karatay University, Konya, Turkey
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287
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Linking COVID-19-Related Awareness and Anxiety as Determinants of Coping Strategies’ Utilization among Senior High School Teachers in Cape Coast Metropolis, Ghana. SOCIAL SCIENCES-BASEL 2022. [DOI: 10.3390/socsci11030137] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Cognitive-behavioral coping among teachers is an important issue of investigation due to the reported high prevalence of anxiety associated with the COVID-19 pandemic. Whereas several studies have assessed COVID-19 awareness of individuals as a predictor of anxiety, the moderating role of awareness in anxiety and coping mechanisms remains unclear. The study primarily examined the nexus between awareness of COVID-19 and (a) anxiety and (b) coping strategies, including the interaction effect of COVID-19-related awareness in the link between anxiety and coping strategies among senior high school teachers. A descriptive cross-sectional survey design was adopted to conveniently select 184 teachers from senior high schools in the Cape Coast Metropolis. Questionnaires were administered to the participants and data were analyzed with means, standard deviation, Pearson correlation, and linear regression statistical procedures. Summarily, the results revealed a negative relationship between COVID-19 awareness and anxiety levels of teachers. COVID-19-related anxiety significantly predicted coping mechanisms of teachers. Further, COVID-19 awareness significantly moderated the relationship between anxiety and coping strategies adopted. These findings imply that the public health education and mass awareness campaign programs on COVID-19 could act as buffers against the spread of COVID-19, its associated comorbidities, and help improve the mental health of teachers. Promoting adaptation to COVID-19 through the use of functional management strategies such as active coping and emotional support should be encouraged in the Cape Coast Metropolis among teachers.
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288
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YAVUZ D, DOĞRU BALAKBABALAR AP, DEMİRAG MD, SEZER S. COVID-19 pandemic: depression and sleep quality in hemodialysis patients. JOURNAL OF HEALTH SCIENCES AND MEDICINE 2022. [DOI: 10.32322/jhsm.1054899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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289
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Liu W, Yu F, Geldsetzer P, Yang J, Wang Z, Golden T, Jiao L, Chen Q, Liu H, Wu P, Wang C, Bärnighausen T, Chen S. Prevalence of depression in China during the early stage of the COVID-19 pandemic: a cross-sectional study in an online survey sample. BMJ Open 2022; 12:e056667. [PMID: 35264364 PMCID: PMC8914405 DOI: 10.1136/bmjopen-2021-056667] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVES We aimed to determine (1) the prevalence of depression during the COVID-19 pandemic among Chinese adults and (2) how depression prevalence varied by province and sociodemographic characteristics. DESIGN Cross-sectional study. SETTING National online survey in China. PARTICIPANTS We conducted a cross-sectional online survey among adults registered with the survey company KuRunData from 8 May 2020 to 8 June 2020. We aimed to recruit 300-360 adults per province (n=14 493), with a similar distribution by sex and rural-urban residency as the general population within each of these provinces. PRIMARY OUTCOME Participants completed the Patient Health Questionaire-9 (PHQ-9). We calculated the prevalence of depression (defined as a PHQ-9 score ≥10) nationally and separately for each province. ANALYSIS Covariate-unadjusted and covariate-adjusted logistic regression models were used to examine how the prevalence of depression varied by adults' sociodemographic characteristics. All analyses used survey sampling weights. RESULTS The survey was initiated by 14 493 participants, with 10 000 completing all survey questions and included in the analysis. The prevalence of depression in the national sample was 6.3% (95% CI 5.7% to 6.8%). A higher odds of depression was associated with living in an urban area (OR 1.50; 95% CI 1.18 to 1.90) and working as a nurse (OR 3.06; 95% CI 1.41 to 6.66). A lower odds of depression was associated with participants who had accurate knowledge of COVID-19 transmission prevention actions (OR 0.71; 95% CI 0.51 to 0.98), the knowledge that saliva is a main transmission route (OR 0.80; 95% CI 0.64 to 0.99) and awareness of COVID-19 symptoms (OR, 0.82; 95% CI 0.68 to 1.00). CONCLUSION Around one in 20 adults in our online survey sample had a PHQ-9 score suggestive of depression. Interventions and policies to prevent and treat depression during the COVID-19 pandemic in China may be particularly needed for nurses and those living in urban areas.
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Affiliation(s)
- Weina Liu
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
- Children and Adolescents Health Promotion, Jiangsu Provincial CDC, Nanjing, Jiangsu, China
| | - Fengyun Yu
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
- Department of Industrial Engineering, Tsinghua University, Beijing, China
| | - Pascal Geldsetzer
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
- Division of Primary Care and Population Health,Department of Medicine, Stanford University, Stanford, California, USA
| | - Juntao Yang
- Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Zhuoran Wang
- Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Todd Golden
- National Cancer Institute Division of Cancer Control and Population Sciences, Rockville, Maryland, USA
| | - Lirui Jiao
- Mailman School of Public Health, Columbia University, New York City, New York, USA
| | - Qiushi Chen
- Harold and Inge Marcus Department of Industrial and Manufacturing Engineering, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Haitao Liu
- Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Peixin Wu
- Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Chen Wang
- Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
- Department of Pulmonary and Critical Care Medicine of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China
| | - Till Bärnighausen
- Institute of Public Health, Universitatsklinikum Heidelberg Institut fur Global Health, Heidelberg, Germany
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Simiao Chen
- Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
- Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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290
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Orr K, Ta Z, Shoaf K, Halliday TM, Tobin S, Baron KG. Sleep, Diet, Physical Activity, and Stress during the COVID-19 Pandemic: A Qualitative Analysis. Behav Sci (Basel) 2022; 12:66. [PMID: 35323385 PMCID: PMC8945701 DOI: 10.3390/bs12030066] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 02/13/2022] [Accepted: 02/25/2022] [Indexed: 02/06/2023] Open
Abstract
The COVID-19 pandemic has changed routines and habits, raising stress and anxiety levels of individuals worldwide. The goal of this qualitative study was to advance the understanding of how pandemic-related changes affected sleep, diet, physical activity (PA), and stress among adults. We conducted semi-structured, qualitative interviews with 185 participants and selected 33 interviews from a represented sample based on age, race, and gender for coding and analysis of themes. After coding for thematic analysis, results demonstrated four primary themes: sleep, diet, PA, and stress. Sleep sub-themes such as poorer sleep quality were reported by 36% of our participants, and 12% reported increased an frequency of vivid dreams and nightmares. PA was decreased in 52% of our participants, while 33% experienced an increase and 15% experienced no change in PA. Participants also reported having an improved diet, mostly among women. Stress was elevated in 79% of our participants and was more likely to be discussed by women. Many participants reported how stress was involved in precipitating health behavior change, especially for sleep. Increased stress was also linked to elevated anxiety and depression among participants. The results of this qualitative study demonstrate how managing stress could have a beneficial effect on promoting health behaviors and mental health during the COVID-19 pandemic and beyond.
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Affiliation(s)
- Kyanna Orr
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, 375 Chipeta Way A, Salt Lake City, UT 84108, USA; (K.O.); (Z.T.); (K.S.)
| | - Zachary Ta
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, 375 Chipeta Way A, Salt Lake City, UT 84108, USA; (K.O.); (Z.T.); (K.S.)
| | - Kimberley Shoaf
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, 375 Chipeta Way A, Salt Lake City, UT 84108, USA; (K.O.); (Z.T.); (K.S.)
| | - Tanya M. Halliday
- Department of Health and Kinesiology, College of Health, University of Utah, 250 S. 1850 E., Salt Lake City, UT 84112, USA; (T.M.H.); (S.T.)
| | - Selene Tobin
- Department of Health and Kinesiology, College of Health, University of Utah, 250 S. 1850 E., Salt Lake City, UT 84112, USA; (T.M.H.); (S.T.)
| | - Kelly Glazer Baron
- Division of Public Health, Department of Family and Preventive Medicine, University of Utah, 375 Chipeta Way A, Salt Lake City, UT 84108, USA; (K.O.); (Z.T.); (K.S.)
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291
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Emerson K, Mois G, Kim D, Beer J. Gender differences in coping with long-term COVID-19 impacts among older adults. J Women Aging 2022; 35:259-267. [PMID: 35230929 DOI: 10.1080/08952841.2022.2036570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Initial COVID-19 pandemic research suggests that during the first few weeks of the pandemic women were disproportionately impacted by restrictions compared to men. This study explored whether these gender differences in coping with pandemic restrictions were present among older adults 8-9 months into the COVID-19 pandemic. Data are based on online survey responses (n = 781) from respondents aged 60 and older. The survey was fielded from November 2 to December 4, 2020. Compared to older men, a greater proportion of older women self-reported an increase in being lonely, anxious, scared, sad, stressed, hopeless, and frustrated as compared to the beginning of the pandemic. More women reported engaging in healthy coping behaviors compared to men and self-reported more decreases in sleeping and in eating compared to the first few weeks of the pandemic. A greater proportion of older women reported a decline in physical activity since the first few weeks of the pandemic compared to older men. Self-reported changes in communication did not differ by gender, except for text messaging. More women compared to men reported that their use of text messaging increased since the initial stages of the pandemic. Results showed significant gender differences among older adults in coping with long-term COVID-19 restrictions 8-9 months into the pandemic.
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Affiliation(s)
- Kerstin Emerson
- Institute of Gerontology, University of Georgia, Athens, Georgia, USA
| | - George Mois
- Institute of Gerontology, University of Georgia, Athens, Georgia, USA.,School of Social Work, University of Georgia, Athens, Georgia, USA
| | - Deborah Kim
- Institute of Gerontology, University of Georgia, Athens, Georgia, USA.,School of Social Work, University of Georgia, Athens, Georgia, USA
| | - Jenay Beer
- Institute of Gerontology, University of Georgia, Athens, Georgia, USA.,School of Social Work, University of Georgia, Athens, Georgia, USA
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292
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Coscioni V, Silva‐Ferraz BF, Siegmund G, Lins Araújo Costa L, Chang K. Psychological impact of COVID-19 pandemic in Brazil: Adaptation and validation of mental impact and distress screening instrument and the sociodemographic profile of impact. THE JOURNAL OF SOCIAL ISSUES 2022; 78:227-248. [PMID: 35601053 PMCID: PMC9115138 DOI: 10.1111/josi.12501] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 02/09/2022] [Accepted: 02/10/2022] [Indexed: 06/15/2023]
Abstract
The Mental Impact and Distress Scale: COVID-19 (MIDc) was constructed and validated by one of the first pandemic-impact research teams in February 2020 and aims to assess psychosocial impacts of the COVID-19 pandemic. The purpose of the present research was to determine the psychometric properties of the MIDc's Brazilian form and outline a sociodemographic profile of the pandemic's psychosocial impact in a Brazilian sample. Altogether, 1004 Brazilians living in different regions of Brazil completed an online survey. The adapted Brazilian version presented significant validity and reliability as assessed by exploratory and confirmatory factor analysis, Cronbach alpha and Spearman-Brown coefficients, and associations with related psychological measures. Even though the Brazilian version differs from a previous (Macau) version, it contains both anticipation (i.e., the mental engagement processes of managing the unknowns) and modulation (i.e., the mental processes of insulation being activated to maintain a sense of normalcy) factors. Findings indicate greater vulnerability to modulation among younger and female participants. Black participants and those with lower family income were more prone to be economically impacted. Participants living in isolation were more vulnerable to anticipation. Thus, the COVID-19 pandemic was found to differentially affect gender, ethnic, and social groups in Brazil.
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Affiliation(s)
- Vinicius Coscioni
- CINEICC, Faculty of Psychology and Educational SciencesUniversity of Coimbra, Portugal and Federal University of Rio Grande do SulPorto AlegreBrazil
| | | | - Gerson Siegmund
- Clinical psychologistFederal University of Rio Grande do SulPorto AlegreBrazil
| | | | - Kay Chang
- Associate Professor, Department of PsychologyUniversity of MacauTaipaChina
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293
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Baby BT, Anichuvattil Vilson A, Aranjani JM, Eespintakath S, Sudheer AP, Mathew ST, Nair V, Joseph SP. Assessment of fear among the general public of Kerala, India, following a surge of COVID-19 cases. MEDICINE INTERNATIONAL 2022; 2:9. [PMID: 36699101 PMCID: PMC9829194 DOI: 10.3892/mi.2022.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 03/11/2022] [Indexed: 01/28/2023]
Abstract
During the initial stages of the coronavirus disease 2019 (COVID-19) pandemic, the community spread of the virus had efficiently been prevented in Kerala, India. The present study aimed to assess fear and its predictors among the general public following the unforeseen surge of COVID-19 cases in July, 2020 using a reliable and validated tool, the 'Fear of COVID-19 Scale', administered through social media. Of 1,100 responses, 1,046 responses were included in the analysis. The majority of the respondents expressed mild fear 44.6%; moderate fear was found in 39.4% of the respondents, severe fear in 13.6% and very severe fear in 2.4% of the respondents. The mean fear score was found to be 15.93±5.81. Statistically significant (P≤0.05) associations were found between fear and sociodemographic variables, such as age, sex, education and occupation, along with predictors, such as the district of residence, healthcare stakeholders in the family, and the presence of an infected individual in the family. Women and students were found to be the most affected. On the whole, the present study provides sufficient insight into the fear associated with COVID-19. The findings presented herein may enable authorities to take adequate measures to prevent the aftermath.
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Affiliation(s)
- Beena Thazhackavayal Baby
- Department of Pharmaceutical Biotechnology, Manipal College of Pharmaceutical Science, Manipal Academy of Higher Education, Udupi, Karnataka 576104, India
| | | | - Jesil Mathew Aranjani
- Department of Pharmaceutical Biotechnology, Manipal College of Pharmaceutical Science, Manipal Academy of Higher Education, Udupi, Karnataka 576104, India
| | - Safeeda Eespintakath
- Centre for Professional and Advanced Studies, Mahathma Gandhi University, Kottayam, Kerala 686008, India
| | - Arsha Peruvanthara Sudheer
- Centre for Professional and Advanced Studies, Mahathma Gandhi University, Kottayam, Kerala 686008, India
| | | | - Vipin Nair
- Department of Data Sciences, Manipal Academy of Higher Education, Udupi, Karnataka 576104, India
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294
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Badellino H, Gobbo ME, Torres E, Aschieri ME, Biotti M, Alvarez V, Gigante C, Cachiarelli M. 'It's the economy, stupid': Lessons of a longitudinal study of depression in Argentina. Int J Soc Psychiatry 2022; 68:384-391. [PMID: 33706611 DOI: 10.1177/0020764021999687] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND On March 20, 2020, the Argentine Ministry of Health imposed a mandatory quarantine, which still persists. AIM The aim of this study is to determine the variation in the prevalence of depression since the beginning of the quarantine and the evolution of risk factors, with special emphasis on the population's concerns. METHODS A longitudinal study was carried out using a digital questionnaire disseminated in social networks. The first stage (T1) was carried out from March 29 to April 12 and the second stage (T2) from May 23 to June 12, 2020. The prevalence of depression was measured using the 9-item Patients Health Questionnaire (PHQ-9). RESULTS The prevalence of moderate/severe depression increased from 24.3% in T1 to 47.8% in T2 (p: 0.000). Risk factors increased significantly: age 18-27, female, primary and secondary school, smoking and having a poor sleep quality (p: 0.000). The concerns about 'a family member getting sick' (OR: 1.28; CI: 1.04-1.58; p: 0.016), 'changes at work' (OR: 2.24; CI: 1.79-2.81; p: 0.000), 'running out of money' (OR: 1.43; CI: 1.20-1.71; p: 0.000) and 'being unemployed' (OR: 2.99; CI: 2.55-3.52; p: 0.000) were risk factors for depression. On the other hand, the concern about 'getting the virus' (OR: 0.73; CI: 0.61-0.87; p: 0.001) was not a risk factor. CONCLUSIONS The extended quarantine in Argentina is associated with an increase in the prevalence of depression; the high impact of economic and social concerns on mental health must be considered in order to avoid long-term effects.
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Affiliation(s)
- Héctor Badellino
- Faculty of Psychology, UCES University, San Francisco, Córdoba, Argentina
| | - María Emilia Gobbo
- Faculty of Psychology, UCES University, San Francisco, Córdoba, Argentina
| | - Eduardo Torres
- CIECS (CONICET y UNC) y FCE-Universidad Nacional de Córdoba, Argentina
| | | | - Martín Biotti
- Faculty of Psychology, UCES University, San Francisco, Córdoba, Argentina
| | - Valentina Alvarez
- Faculty of Psychology, UCES University, San Francisco, Córdoba, Argentina
| | - Camila Gigante
- Faculty of Psychology, UCES University, San Francisco, Córdoba, Argentina
| | - Mabel Cachiarelli
- Faculty of Psychology, UCES University, San Francisco, Córdoba, Argentina
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295
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Faraci P, Bottaro R, Valenti GD, Craparo G. Psychological Well-Being During the Second Wave of COVID-19 Pandemic: The Mediation Role of Generalized Anxiety. Psychol Res Behav Manag 2022; 15:695-709. [PMID: 35342311 PMCID: PMC8943961 DOI: 10.2147/prbm.s354083] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 03/07/2022] [Indexed: 12/28/2022] Open
Abstract
Introduction The outbreak of the COVID-19 has largely impacted individuals’ health and lifestyles. This study aimed to investigate people’s psychological well-being during the second phase of the COVID-19 pandemic. Methods We selected six indicators of psychological well-being: fear of COVID-19, loneliness, social interaction anxiety, generalized anxiety, PTSD, and depression. A sample of 231 Italian participants (56.3% women), with a mean age of 32.7 (SD=12.61), completed an online survey from February to March 2021, during the so called “second wave”. It included the Fear of COVID-19 Scale (FCV-19S), the UCLA Loneliness Scale- Version 3, the Generalized Anxiety Disorder 7-item Scale (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), the Impact of Event Scale–Revised (IES-R), and the Social Interaction Anxiety Scale (SIAS). Results Apart from loneliness, women reported lower levels of psychological well-being than men. Fairly good associations between all the detected variables were found. Based on a mediation model evaluation (in which generalized anxiety was introduced as a mediator in the relationship between fear of COVID-19, PTSD, loneliness, social interaction anxiety, and depression), except for social interaction anxiety, total and partial mediation effects suggested that generalized anxiety played a crucial role in exacerbating depressive symptoms during the pandemic. Conclusion Our outcomes may expand the knowledge about the psychological well-being during the pandemic experience, with a focus on the mediating role of generalized anxiety.
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Affiliation(s)
- Palmira Faraci
- Faculty of Human and Social Sciences - University of Enna “Kore”, Enna, Italy
- Correspondence: Palmira Faraci, Faculty of Human and Social Sciences, University of Enna “Kore”, Cittadella Universitaria, Enna, 94100, Italy, Tel +39 0935 536536, Email
| | - Rossella Bottaro
- Faculty of Human and Social Sciences - University of Enna “Kore”, Enna, Italy
| | | | - Giuseppe Craparo
- Faculty of Human and Social Sciences - University of Enna “Kore”, Enna, Italy
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296
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Domar AD, Shah JS, Gompers A, Meyers AJ, Khodakhah DR, Hacker MR, Penzias AS, Sakkas D, Toth TL, Vaughan DA. The psychological impact of the coronavirus disease 2019 pandemic on women who become pregnant after receiving treatment for infertility: a longitudinal study. F S Rep 2022; 3:71-78. [PMID: 35098174 PMCID: PMC8786401 DOI: 10.1016/j.xfre.2022.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 01/13/2022] [Accepted: 01/19/2022] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVE To compare the impact of the coronavirus disease 2019 (COVID-19) pandemic on the psychological health of patients with infertility who have become pregnant with that of women who have not. DESIGN Prospective cohort study conducted from April 2020 to June 2020. The participants completed three questionnaires over this period. SETTING A single large, university-affiliated infertility practice. PATIENTS A total of 443 pregnant women and 1,476 women still experiencing infertility who completed all three questionnaires. INTERVENTIONS None. MAIN OUTCOME MEASURES Patient-reported primary stressor over three months of the first major COVID-19 surge; further data on self-reported sadness, anxiety, loneliness, and the use of personal coping strategies. RESULTS Pregnant participants were significantly less likely to report taking an antidepressant or anxiolytic medication, were less likely to have a prior diagnosis of depression, were more likely to cite COVID-19 as a top stressor, and overall were less likely to practice stress-relieving activities during the first surge. CONCLUSIONS Women who became pregnant after receiving treatment for infertility cited the pandemic as their top stressor and were more distressed about the pandemic than their nonpregnant counterparts but were less likely to be engaging in stress-relieving activities. Given the ongoing impact of the pandemic, patients with infertility who become pregnant after receiving treatment should be counseled and encouraged to practice specific stress-reduction strategies.
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Affiliation(s)
- Alice D. Domar
- Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, Massachusetts
- Boston IVF-The Eugin Group, Waltham, Massachusetts
- The Domar Center for Mind/Body Health, Waltham, Massachusetts
| | - Jaimin S. Shah
- Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, Massachusetts
- Boston IVF-The Eugin Group, Waltham, Massachusetts
| | - Annika Gompers
- Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | - Alison J. Meyers
- Boston IVF-The Eugin Group, Waltham, Massachusetts
- The Domar Center for Mind/Body Health, Waltham, Massachusetts
| | - Darya R. Khodakhah
- Boston IVF-The Eugin Group, Waltham, Massachusetts
- The Domar Center for Mind/Body Health, Waltham, Massachusetts
| | - Michele R. Hacker
- Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, Massachusetts
| | - Alan S. Penzias
- Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, Massachusetts
- Boston IVF-The Eugin Group, Waltham, Massachusetts
| | - Denny Sakkas
- Boston IVF-The Eugin Group, Waltham, Massachusetts
| | - Thomas L. Toth
- Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, Massachusetts
- Boston IVF-The Eugin Group, Waltham, Massachusetts
| | - Denis A. Vaughan
- Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, Massachusetts
- Boston IVF-The Eugin Group, Waltham, Massachusetts
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297
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Predictors of ‘problematic internet use’ among adolescents and adults amid the pandemic in India. CLINICAL EPIDEMIOLOGY AND GLOBAL HEALTH 2022. [DOI: 10.1016/j.cegh.2022.101036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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298
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Garcia S, Hopfer S, Botes E, Greiff S. Associations between Coronavirus Crisis Perception, Perceived Economic Risk of Coronavirus, General Self-Efficacy, and Coronavirus Anxiety at the Start of the Pandemic: Differences by Gender and Race. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:2872. [PMID: 35270567 PMCID: PMC8910045 DOI: 10.3390/ijerph19052872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/18/2022] [Accepted: 02/25/2022] [Indexed: 11/16/2022]
Abstract
The coronavirus pandemic has escalated rates of anxiety in the general U.S. population. Understanding how factors associated with coronavirus anxiety at the start of the pandemic differed among populations hardest impacted by coronavirus anxiety is key to effectively remediating negatively associated health outcomes and to better understand how to address concerns of the public at the start of a global pandemic. This study was a secondary analysis of data from a cross-sectional online survey of 1165 Prolific users between 13 and 15 March 2020. Data were collected from a stratified sample of U.S. adults aged 20 or older and currently living in the United States. The sample was stratified for age, gender, and race. Coronavirus anxiety was assessed as the dependent variable, alongside three independent variables: coronavirus crisis perception, perceived economic risk of coronavirus, and general self-efficacy. Multiple linear regression assessed the associations between the independent variables and coronavirus anxiety. Interactions between independent variables and two sociodemographic variables (i.e., gender, race) were also explored. The models were adjusted for age, gender, race, education, employment, and income. The average age of participants was 45.6 ± 15.7. The majority (76%) identified as White, approximately half identified as female and reported obtaining a bachelor's degree or higher. Coronavirus crisis perception and perceived economic risk of coronavirus were positively associated with coronavirus anxiety (β = 0.46, 95% CI = 0.41, 1.00; β = 0.14, 95% CI = 0.09, 1.00, respectively). General self-efficacy was negatively associated with coronavirus anxiety (β = -0.15, 95% CI = -1.00, -0.11). Gender and race both moderated the association between coronavirus crisis perception and anxiety. Race moderated the association between perceived economic risk and coronavirus crisis perception. These results provide a foundation to further explore cognitive factors in subgroups disproportionately affected by anxiety during the pandemic.
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Affiliation(s)
- Samantha Garcia
- Program in Public Health, Department of Health, Society & Behavior, Susan and Henry Samueli College of Health Sciences, University of California-Irvine, Irvine, CA 92697, USA;
| | - Suellen Hopfer
- Program in Public Health, Department of Health, Society & Behavior, Susan and Henry Samueli College of Health Sciences, University of California-Irvine, Irvine, CA 92697, USA;
| | - Elouise Botes
- Department of Developmental and Educational Psychology, University of Vienna, 1010 Vienna, Austria;
| | - Samuel Greiff
- Department of Behavioral and Cognitive Sciences, University of Luxembourg, 4366 Esch-sur-Alzette, Luxembourg;
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299
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Uz B, Savaşan E, Soğancı D. Anxiety, Depression and Burnout Levels of Turkish Healthcare Workers at the End of the First Period of COVID-19 Pandemic in Turkey. CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE : THE OFFICIAL SCIENTIFIC JOURNAL OF THE KOREAN COLLEGE OF NEUROPSYCHOPHARMACOLOGY 2022; 20:97-108. [PMID: 35078952 PMCID: PMC8813310 DOI: 10.9758/cpn.2022.20.1.97] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 02/16/2021] [Accepted: 02/16/2021] [Indexed: 11/18/2022]
Abstract
OBJECTIVE COVID-19 pandemic affected the mental health of healthcare workers (HCWs) as well as their physical health. In this study, we aimed to evaluate the anxiety, depression and burnout levels of Turkish HCWs after the first period of the pandemic. METHODS The participants filled sociodemographic data form, Hospital Anxiety and Depression Scale (HADS) and Maslach Burnout Inventory (MBI). RESULTS In this study, 221 HCWs (68.8% female) with a median age of 28 (20-66) years were included. Concerning HADS cut-off points, 39.8% of the participants scored above the depression cut-off point, while 26.2% scored above the cut-off point for anxiety. The anxiety (HADS-A) and depression (HADS-D) scores of nurses and medical secretaries were significantly higher than the physicians. Also, the anxiety and depression rates of nurses were higher than both physicians and medical secretaries. Emotional exhaustion (MBI-EE) and depersonalization (MBI-D) scores were highest in nurses, followed by medical secretaries and physicians, respectively. In multivariate analysis, being a nurse (OR: 4.671, p = 0.044) or medical secretary (OR: 4.013, p = 0.048), requirement of using a mental health support line (OR: 4.641, p = 0.005), having any kind of addiction (OR: 2.562, p = 0.019) and being under antidepressant therapy (OR: 3.096, p = 0.036) significantly increased the risk of anxiety. However, in multivariate analyses, the only requirement of using a mental health support line significantly increased the risk of depression (OR: 8.542, p = 0.001). CONCLUSION Female HCWs, nurses and medical secretaries experienced higher levels of mental health symptoms than male HCWs and physicians.
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Affiliation(s)
- Burak Uz
- Department of Internal Medicine, Division of Adult Hematology, Medicana International Istanbul Hospital
- Department of Internal Medicine, Division of Adult Hematology, Medicana International Samsun Hospital
| | | | - Dila Soğancı
- Clinical Psychology, Medicana International Samsun Hospital, Istanbul, Turkey
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300
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Aba YA, Dulger O, Sık BA, Ozolcay O. Levels and Predictors of Anxiety and Depression in Turkish Pregnant Woman During the Covid-19 Pandemic. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA : REVISTA DA FEDERACAO BRASILEIRA DAS SOCIEDADES DE GINECOLOGIA E OBSTETRICIA 2022; 44:100-108. [PMID: 35213907 PMCID: PMC9948054 DOI: 10.1055/s-0041-1741033] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE In addition to being a medical phenomenon, pandemics affect the individual and society on several levels and lead to disruptions. In the pandemic process, different groups in the population, including pregnant women as a defenseless group, are subjected to psychological threat. The present study aimed to determine the levels of anxiety and depression and related factors in pregnant women during the the coronavirus disease 2019 (Covid-19) pandemic. METHODS The present cross-sectional study was conducted with 269 pregnant women through face-to-face interviews held in Istanbul, Turkey. Regarding the data collection tools, the Cronbach α reliability coefficient was of 0.90 for the Beck Anxiety Inventory, and of 0.85 for the Beck Depression Inventory. RESULTS Among the participating pregnant women, 30.5% had mild, 17.5% had moderate, and 5.9% had severe anxiety symptoms, whereas 35.3% had mild, 16.7% had moderate, and 2.2% had severe depression symptoms. We found that those who were concerned about their health had 5.36 times (p = 0.04) more risk of developing anxiety, and 4.82 times (p = 0.01) more risk of developing depression than those who were not concerned. Those who had a history of psychiatric disease had 3.92 times (p = 0.02) more risk of developing anxiety than those without it. CONCLUSION We determined that about half of the pregnant women included in the study had some degree of anxiety and depression during the COVID-19 pandemic. The risk factors for anxiety and depression among the pregnant women were determined as smoking, concerns about health and getting infected with the coronavirus, history of psychiatric disease, and undergoing regular antenatal care.
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Affiliation(s)
- Yılda Arzu Aba
- Department of Nursing, Faculty of Health Sciences, Bandırma Onyedi Eylül University, Balıkesir, Turkey
| | - Ozlem Dulger
- Deparment of Gynecology and Obstetrics, Süleymaniye Education and Research Hospital, Istanbul, Turkey
| | - Bulat Aytek Sık
- Department of Reproductive Endocrinology and Infertility, Istanbul Aydın University, Istanbul, Turkey
| | - Ozan Ozolcay
- Karamanoğlu Mehmetbey University, School of Medicine, Department of Gynecology and Obstetrics, Karaman, Turkey
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