1
|
Yıldırım M, Çağış ZG, Gómez-Salgado J. Intolerance of Uncertainty, Job Satisfaction and Work Performance in Turkish Healthcare Professionals: Mediating Role of Psychological Capital. Int J Public Health 2024; 69:1607127. [PMID: 38978830 PMCID: PMC11228175 DOI: 10.3389/ijph.2024.1607127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 06/11/2024] [Indexed: 07/10/2024] Open
Abstract
Objective: Psychological capital refers to internal resources including self-efficacy, hope, optimism and resilience to overcome adverse life events. The current study sought to examine the mediating role of psychological capital in the relationship between intolerance of uncertainty and job satisfaction and work performance in healthcare professionals. Methods: Participants were 302 healthcare professionals [48% females; M(SD) age = 34.0 (7.5)] and completed measures of intolerance of uncertainty, psychological capital, work performance, and job satisfaction. Results: The findings indicated that intolerance of uncertainty was negatively correlated with psychological capital, work performance, and job satisfaction, whereas psychological capital was positively correlated with job satisfaction and work performance. More importantly, the findings revealed that these relationships were mediated by psychological capital. Conclusion: The results provide several contributions that help to understand the role of psychological capital in the relationship between intolerance to uncertainty and job satisfaction and work performance.
Collapse
Affiliation(s)
- Murat Yıldırım
- Department of Psychology, Faculty of Arts and Sciences, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
- Department of Social and Educational Sciences, Lebanese American University, Beirut, Lebanon
| | - Zafer Güney Çağış
- Department of Psychology, Faculty of Arts and Sciences, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
| | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador
| |
Collapse
|
2
|
Panchamia J, Sinha A, Pandya A. From Campus to Crisis: Psychological Effect of the COVID-19 Pandemic on Indian Management Students. Cureus 2024; 16:e57330. [PMID: 38690473 PMCID: PMC11060391 DOI: 10.7759/cureus.57330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2024] [Indexed: 05/02/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has adversely affected students pursuing higher education, but limited studies highlight student's psychological experiences, especially from Western India. OBJECTIVE The present study aimed to understand psychological experiences, coping behaviors, and the perceived role of tele-counseling services among final-year students of Masters of Business Administration from leading business schools (B-schools) in Western India. DESIGN A qualitative research design was adopted for the study. A semi-structured interview guide was utilized to conduct in-depth interviews with 35 students. Students were reached via personal networks and social media, and data was gathered after the second wave of the COVID-19 pandemic. A thematic analysis technique was employed to analyze the data. RESULTS The findings showed that management students had upsetting psychological experiences. Key stressors that emerged in the study were job concerns, lifestyle changes, concerns about their own and parents' health and safety, uncertainty about the future, and social isolation. They expressed the need for mental health help; however, they were reluctant to utilize tele-counseling services. The authors present an integrated psychological well-being model for promoting positive mental health among students in higher education institutions. CONCLUSION The study explains the psychological toll on management students. Enhancing mental health literacy through awareness sessions and other innovative means would be critical to addressing myths around mental health and mental healthcare-seeking behavior in higher education institutions. An integrated approach to promoting positive mental health and well-being is needed.
Collapse
Affiliation(s)
- Jallavi Panchamia
- Health Policy, Management and Behavioural Science, Indian Institute of Public Health Gandhinagar, Gandhinagar, IND
| | | | - Apurvakumar Pandya
- Medicine, Parul Institute of Public Health, Parul University, Vadodara, IND
| |
Collapse
|
3
|
Shao M, Luo S, Qian H, Li X, Wei Z, Hong M, Wang J, Li X, Meng J. The relationship between autistic traits and the stress of social isolation: Development of an explanatory model. Heliyon 2024; 10:e26082. [PMID: 38404812 PMCID: PMC10884416 DOI: 10.1016/j.heliyon.2024.e26082] [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] [Received: 06/12/2023] [Revised: 01/06/2024] [Accepted: 02/07/2024] [Indexed: 02/27/2024] Open
Abstract
Background Social isolation can be particularly challenging for individuals with high autistic traits who struggle with social interactions. The COVID-19 pandemic led to increased isolation, exacerbating stress for those who may have difficulty in connecting with others. This study aimed to explore the relationship between autistic traits and stress associated with social isolation. Methods A sample of 1597 Chinese adults completed measures of autistic traits, the stress of social isolation, psychological inflexibility and core self-evaluation, during an epidemic prevention and control period of COVID-19 in Chongqing, China. Measures included the Autism-Spectrum Quotient, Coronavirus Stress Measure, Acceptance and Action Questionnaire-II, and Core Self-Evaluation Scale. Results Autistic traits were positively correlated with the stress of social isolation, which was mediated by the chain effect of core self-evaluation and psychological inflexibility. individuals with high autistic traits reported significantly higher stress than individuals with low autistic traits. Limitations This was a cross-sectional study, which limits causal inference. In addition, data were self-reported, which may cause methodological effects. Finally, this study was conducted during China's quarantine policy and external validation of the findings is required. Conclusions Autistic traits are positively associated with the stress of social isolation. Autistic traits affected core self-evaluation first, and psychological inflexibility subsequently, leading to the stress of social isolation. individuals with high autistic traits tended to experience higher levels of stress during pandemic quarantines. The findings provide useful evidence for developing interventions and implementing preventive measures to reduce stress in individuals with high autistic traits and autism spectrum disorder.
Collapse
Affiliation(s)
- Min Shao
- Research Center for Brain and Cognitive Science, Chongqing Normal University, Chongqing, China
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| | - Shu Luo
- Student Mental Health Education and Consultation Center, Chongqing Normal University, Chongqing, China
| | - Huiling Qian
- Research Center for Brain and Cognitive Science, Chongqing Normal University, Chongqing, China
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| | - Xiaoran Li
- Basic Teaching Department, Shandong Water Conservancy Vocational College, Shandong, China
| | - Zilong Wei
- Research Center for Brain and Cognitive Science, Chongqing Normal University, Chongqing, China
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| | - Mingyu Hong
- Research Center for Brain and Cognitive Science, Chongqing Normal University, Chongqing, China
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| | - Junyao Wang
- Research Center for Brain and Cognitive Science, Chongqing Normal University, Chongqing, China
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| | - Xiong Li
- Faculty of Psychology, Southwest University, Chongqing, China
| | - Jing Meng
- Research Center for Brain and Cognitive Science, Chongqing Normal University, Chongqing, China
- Key Laboratory of Applied Psychology, Chongqing Normal University, Chongqing, China
| |
Collapse
|
4
|
Tasfi JT, Mostofa SM. Understanding complex causes of suicidal behaviour among graduates in Bangladesh. BMC Public Health 2024; 24:560. [PMID: 38389062 PMCID: PMC10882760 DOI: 10.1186/s12889-024-17989-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 02/05/2024] [Indexed: 02/24/2024] Open
Abstract
This study utilizes both fieldwork and desk-based discourse analysis of newspaper reports to investigate the concerning number of suicides among graduates in Bangladesh. According to some reports, a majority of suicide cases involve young adults who are either currently studying at university or have recently completed their degree (between the ages of 20 and 32). This research contends that patriarchal social expectations in Bangladesh place significant pressure on young adults to secure well-paying jobs to support their families and uphold their family's status, which can have a negative impact on their mental health. Furthermore, this article identifies additional risk factors that contribute to the high suicide rates among graduates in Bangladesh. These factors include unemployment, poverty, relationship problems, drug addiction, political marginalization, and the stigma of shame, all of which can cause low self-esteem and suicidal thoughts. Moreover, the research suggests that families in Bangladesh have not been providing adequate support to their young members when facing challenges in life. On the contrary, families have added to the pressure on young adults, which can be attributed to joiner's theory of the effect of industrialization on family norms and values.
Collapse
Affiliation(s)
- Jarin Tasnim Tasfi
- Department of World Religions and Culture, University of Dhaka, Arts Building, 1000, Dhaka, Bangladesh
| | - Shafi Md Mostofa
- Department of World Religions and Culture, University of Dhaka, Arts Building, 1000, Dhaka, Bangladesh.
| |
Collapse
|
5
|
Gould A, Lewis L, Evans L, Greening L, Howe-Davies H, West J, Roberts C, Parkinson JA. COVID-19 Personal Protective Behaviors during Large Social Events: The Value of Behavioral Observations. Behav Sci (Basel) 2024; 14:63. [PMID: 38247715 PMCID: PMC10813672 DOI: 10.3390/bs14010063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 01/10/2024] [Accepted: 01/15/2024] [Indexed: 01/23/2024] Open
Abstract
Within the context of reopening society in the summer of 2021, as the UK moved away from 'lockdowns', the Government of Wales piloted the return of organized 'mass gatherings' of people at a number of test events. The current study reports behavioral observations that were made at two of the test events to inform this process. The researchers were particularly interested in four key factors: how (1) context within a venue, (2) environmental design, (3) staffing and social norms, and (4) time across an event, affected the personal protective behaviors of social distancing and face-covering use. Data collection was undertaken by trained observers. Adherence to protective behaviors was generally high, but there is clear evidence that these behaviors were shaped in a systematic way by the environment, situational cues, and the passage of time during the events. Some instances of large-scale non-adherence to personal protective behaviors were documented. An analysis within a dual-process framework suggests ways to understand and respond to supporting target health behaviors in groups of people where intervention is deemed valuable, such as in complex or ambiguous contexts. This is one of the first studies to include a 'true' behavioral measure in understanding human responses to COVID-19. It demonstrates that behavioral observations can add precision and granularity to understanding human behavior in complex real-world contexts. Given the significant physical and mental health burden created acutely and chronically by COVID-19, this work has implications for how governments and organizations support target populations in other complex challenges facing us today, such as in sustainability, and healthy lifestyle behaviors. An individual's intentions are not always matched by their actions, and so the findings support a balanced liberal paternalistic approach where system-level changes support appropriate individual-level decisions to engender collective responsibility and action.
Collapse
Affiliation(s)
| | | | | | - Leanne Greening
- School of Management, Swansea University, Swansea SA1 8EN, UK
| | | | | | | | - John A. Parkinson
- Wales Centre for Behaviour Change, Department of Psychology, Bangor University, Bangor LL57 2AS, UK
| |
Collapse
|
6
|
Qiao Z, Wu Y, Xie Y, Qiu X, Chen L, Yang J, Pan H, Gu S, Yang X, Hu X, Wei P, Zhao J, Qu Y, Zhou J, Bu T, Yang Y. The chain mediating roles of anxiety and depression in the relationship between the effects of the COVID-19 pandemic and procrastination in adolescents: a longitudinal study. BMC Public Health 2023; 23:2277. [PMID: 37978471 PMCID: PMC10656881 DOI: 10.1186/s12889-023-16605-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 08/24/2023] [Indexed: 11/19/2023] Open
Abstract
BACKGROUND The relationship between the Coronavirus Disease 2019 (COVID-19) pandemic, which is a traumatic event for adolescents, and procrastination is not clear. Mental health may play an important role in this relationship; however, the underlying mechanisms remain unknown. This study aimed to construct chain mediation models to examine whether anxiety and depression symptoms mediate the effects of the COVID-19 pandemic on procrastination in adolescents. METHODS A convenience sample of 12 middle and high schools in Harbin, China, with four follow-up online surveys was conducted during the COVID-19 pandemic. A total of 4,156 Chinese adolescents were enrolled in this study, of whom ages 11-18 (Mean = 13.55; SD = 1.18), 50.75% were male, and 93.24% were middle school students. Descriptive demographic analysis and Pearson's correlation analysis of the effects of the COVID-19 pandemic (T1), anxiety(T2), depression (T3), and procrastination (T4) were performed in SPSS 22.0. Chain mediation analysis performed with Mplus 8.3. RESULTS The effects of the COVID-19 pandemic, anxiety symptoms, depression symptoms, and procrastination were positively correlated (P < 0.01). The effects of the COVID-19 pandemic have a direct link on adolescent procrastination (effect = 0.156; SE = 0.031; 95%CI: 0.092, 0.214), and have three indirect paths on procrastination: the independent mediating role of anxiety symptoms was 29.01% (effect = 0.047; SE = 0.012; 95%CI: 0.024, 0.072), the independent mediating role of depression symptoms was 29.01% (effect = 0.047; SE = 0.010; 95%CI: 0.030, 0.068), as well as the completely chain mediating role of anxiety and depression symptoms was 15.43% (effect = 0.025; SE = 0.005; 95%CI: 0.017, 0.036). CONCLUSIONS Our results suggest that anxiety and depressive symptoms are part of a causal chain between the effects of the COVID-19 pandemic and procrastination among Chinese adolescents. To effectively reduce their procrastination, attention should be paid to the emotional distress caused to adolescents by major events such as the COVID-19 epidemic. All data were taken from self-reported measures and one city in China, which may bias the results and limit their generalizability.
Collapse
Affiliation(s)
- Zhengxue Qiao
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China
| | - Yongmei Wu
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China
| | - Yunjia Xie
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China
| | - Xiaohui Qiu
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China
| | - Lu Chen
- Beijing Hospital, Beijing, China
| | - Jiarun Yang
- Department of Psychology, School of Education of Heilongjiang University, Heilongjiang Province, Harbin, China
| | - Hui Pan
- Department of Endocrinology, Peking Union Medical College Hospital, Beijing, China
| | - Simeng Gu
- Department of Psychology, Jiangsu University Medical School, Zhenjiang, Jiangsu Province, China
| | - Xiuxian Yang
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China
| | - Xiaomeng Hu
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China
| | - Ping Wei
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China
| | - Jinxin Zhao
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China
| | - Yuanpeng Qu
- School of Western Languages and Cultures, Harbin Normal University, Heilongjiang Province, Harbin, China
| | - Jiawei Zhou
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China.
| | - Tianyi Bu
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China.
| | - Yanjie Yang
- Psychology and Health Management Center, Harbin Medical University, No.157, Baojian Road, Nangang District, Harbin, 150081, China.
| |
Collapse
|
7
|
Bhattarai D, Upadhyaya S, Banstola H, Pant SB. Alcohol Withdrawal Presenting with Cut Throat Injury during COVID-19 Lockdown: Case Reports from Nepal. Case Rep Psychiatry 2023; 2023:5514321. [PMID: 37928320 PMCID: PMC10624550 DOI: 10.1155/2023/5514321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 09/06/2023] [Accepted: 10/11/2023] [Indexed: 11/07/2023] Open
Abstract
Background The relationship between alcohol dependence and suicidal tendency is well recognized. Self-harm by cut throat is an uncommon but is potentially life-threatening when attempted. We present a description and discussion of a series of three cases of alcohol dependence syndrome who presented with self-inflicted cut throat wounds during the lockdown period from 24th March to 7th July 2020 due to the COVID-19 pandemic at the largest tertiary care hospital in Nepal. Case description. During the three and a half months of COVID-19 lockdown, we had three cases of alcohol dependence syndrome presenting to emergency services with a self-inflicted cut throat injury. Two cases were diagnosed as having alcohol withdrawal delirium and one case as alcohol-induced psychotic disorder (alcoholic hallucinosis) as per the international classification of mental and behavioral disorders diagnostic criteria for research. All three cases were alcohol dependent for more than a decade, but with no prior self-harm attempts. Necessary surgical interventions were done by the Department of Otorhinolaryngology, and in liaison with the Department of Psychiatry, appropriate psychiatric management was done. All three cases had uneventful outcomes in regard to wound care and mental disorder. Conclusion Suicidal precautions should be taken in alcohol dependence during phases of consumption and abstinence. Screening for alcohol dependence and withdrawal should be a standard process in all self-harm cases that present to the emergency department during a crisis.
Collapse
Affiliation(s)
- Dipesh Bhattarai
- Department of Psychiatry, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - Shreeram Upadhyaya
- Department of Psychiatry, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - Hemanta Banstola
- Department of General Practice and Emergency Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - Sagun Ballav Pant
- Department of Psychiatry, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| |
Collapse
|
8
|
Tao Y, Wang S, Tang Q, Ma Z, Zhang L, Liu X. Centrality depression-anxiety symptoms linked to suicidal ideation among depressed college students--A network approach. Psych J 2023; 12:735-745. [PMID: 37433668 DOI: 10.1002/pchj.668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 05/16/2023] [Indexed: 07/13/2023]
Abstract
The long-term effects of the COVID-19 pandemic have caused severe mental health problems among college students, which can eventually cause suicidal ideation. Therefore, through network analysis, this study aims to explore the new characteristics of the depression-anxiety symptom network that arose during the long-term lockdown of the COVID-19 pandemic and to identify the most influential symptoms linked to suicidal ideation. We used a Patient Health Questionnaire (PHQ-9) score above 10 as the cutoff and screened 622 participants with an inclination toward depressive disorders from 7976 college students, and then divided the sample into suicidal and nonsuicidal groups based on the presence or absence of suicidal ideation. The General Anxiety Disorder scale (GAD-7) was also used. Network analysis was used to identify the network structure of anxiety-depression and which symptoms were directly related to suicidal ideation in the network. The prevalence of depression and anxiety among Chinese college students in the late stage of the COVID-19 pandemic was 7.8% and 17.8%, respectively. The most central symptoms in the nonsuicidal group were "excessive worry," "uncontrollable worry," and "nervousness," and in the suicidal group they were "excessive worry," "motor function," and "irritability." The network of the suicidal group was denser than that of the nonsuicidal group. The most influential symptom directly related to suicidal ideation was "guilt." The most influential central symptom of depression-anxiety comorbidity characteristics of Chinese adolescents showed a tendency to shift from depression-oriented (i.e., sad mood) to anxiety-oriented (i.e., excessive worry) with the continuation of the COVID-19 pandemic. Treatments or interventions focused on these critical symptoms could be useful in preventing college students from suicide risk.
Collapse
Affiliation(s)
- Yanqiang Tao
- Faculty of Psychology, Beijing Normal University, Beijing, China
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing, China
| | - Shujian Wang
- Faculty of Psychology, Beijing Normal University, Beijing, China
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing, China
| | - Qihui Tang
- Faculty of Psychology, Beijing Normal University, Beijing, China
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing, China
| | - Zijuan Ma
- School of Psychology, South China Normal University, Guangzhou, China
| | - Liang Zhang
- Student Mental Health Education Center, Northeast Agricultural University, Harbin, China
| | - Xiangping Liu
- Faculty of Psychology, Beijing Normal University, Beijing, China
- Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Beijing, China
| |
Collapse
|
9
|
Hosen MZ. The impacts of COVID-19 lockdown and post-lockdown on homicide and rape in Bangladesh: A dynamic time series analysis. Heliyon 2023; 9:e20061. [PMID: 37809462 PMCID: PMC10559820 DOI: 10.1016/j.heliyon.2023.e20061] [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] [Received: 05/04/2023] [Revised: 08/31/2023] [Accepted: 09/10/2023] [Indexed: 10/10/2023] Open
Abstract
There are studies on crime trend changes during the pandemic lockdown, but very few on homicide and rape instances afterward. This study investigates how lockdown and post-lockdown pandemic situations affect homicide and rape cases in Bangladesh. Initially, the investigation checked the bidirectional Granger cause between COVID-19 and the trend of crimes (homicide and rape). The study found a unidirectional Granger cause of COVID-19 in crime trend changes. Further, the study used the ordinary least square (OLS) approach to a dynamic model to produce unbiased, consistent, and efficient conclusions for future policy implications. Compared to the crime rates during normal (pre-pandemic) times, this study found that homicides increased substantially (9.5%) during the lockdown and declined marginally (3.0%) afterward. The rate of rapes dropped considerably (34.3%) during the lockdown, but it rebounded significantly (13.9%) during the post-lockdown pandemic period. This study suggests further investigations of the causes of increased rape cases during the post-lockdown pandemic period in the country.
Collapse
|
10
|
Srivastava N, Anand V, Kumar A, Singh S, Dey C, Rathia SK. Knowledge, Concerns, and Psychological Distress Among Caregivers of Patients Seeking Emergency Medical Care for Non-COVID-19-Related Illness During the COVID-19 Pandemic: A Cross-Sectional Study. Cureus 2023; 15:e45115. [PMID: 37842436 PMCID: PMC10568235 DOI: 10.7759/cureus.45115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2023] [Indexed: 10/17/2023] Open
Abstract
Introduction During the active phase of the COVID-19 pandemic, the global healthcare system failed to meet the increased demand for healthcare resources, infrastructures, and facilities. The brunt of the healthcare crisis was faced not only by COVID-19 victims; a large majority of non-COVID patients were deprived of routine and emergency care. Factors that possibly affected resource utilization, healthcare-seeking behavior, service delivery patterns, and national health systems' priority during the pandemic were the knowledge and attitudinal concerns related to the COVID-19 disease and its control measures. Here, we evaluated the knowledge, concern, and psychological distress among the caregivers of the patients attending the emergency department at a tertiary healthcare center in India. Methodology We conducted a survey-based study using a pre-validated questionnaire on the caregivers of the patients visiting the emergency department (ED) from June to September 2020 (during the first wave of the COVID-19 pandemic). The demographic details and responses of the participants were documented in the semi-structured proforma. A pre-validated COVID-19 Peritraumatic Distress Index (CPDI) questionnaire was used to assess psychological stress. Results Out of 1014 participants interviewed, the majority were male attendants (72%), aged 18-45 (82%), and seeking medical attention for patients with chronic illnesses (76%). Acute onset emergencies like stroke, myocardial infarction, trauma, etc. were the ED presentation in only one-fifth of patients. COVID-19-related knowledge was adequate for questions related to age groups at risk for the viral infection (97% agreed that all age groups were at risk), mode of transmission (75-90% were aware of the common modes of transmission), and >65% knew the common symptoms of COVID-19 infection. However, only 38.5% knew about frequent handwashing as a protective measure. More than half of the participants considered the COVID-19 vaccine as the sole ray of hope and disregarded the effectiveness of alternative medicines such as Ayurvedic/homeopathic/allopathic medicines as preventive options. One-third were first-time visitors to the hospital, while two-thirds of all participants were afraid to visit any hospital during the COVID-19 pandemic. The majority (84%) faced difficulty in accessing the index tertiary care center due to transport, socioeconomic support, or lockdown-related restrictions. In comparison, 60% reported some form of discrimination at almost all levels of healthcare settings due to COVID-19-related priority changes. Nearly half (48%) of all enrolled caregivers reported experiencing mild-to-moderate distress (CPDI score=28-51), and 15.7% felt severe distress (CPDI score >51) while seeking treatment for the non-COVID-19 illness of their patient. Age and socioeconomic status were significantly associated with COVID-19-related psychological distress levels (p<0.001 in logistic regression), while gender, education, and residence showed no significant associations. Conclusion Most of the patient caregivers visiting the emergency department during the COVID-19 pandemic had an adequate understanding of risk factors and preventive measures. The major barriers to accessing healthcare facilities were transport, financial issues, and lockdown-related restrictions. Almost two-thirds of the caregivers revealed mild-to-moderate to severe psychological distress due to the pandemic and lockdown-related concerns.
Collapse
Affiliation(s)
- Niraj Srivastava
- General Surgery, All India Institute of Medical Sciences, Raebareli, Raebareli, IND
| | - Varun Anand
- Trauma and Emergency/Pediatric Emergency Medicine, All India Institute of Medical Sciences, Raipur, Raipur, IND
| | - Ajay Kumar
- Psychiatry, All India Institute of Medical Sciences, Raipur, Raipur, IND
| | - Sunita Singh
- General Surgery/Pediatric Surgery, All India Institute of Medical Sciences, Raebareli, Raebareli, IND
| | - Chandan Dey
- Emergency Medicine and Trauma, All India Institute of Medical Sciences, Raipur, Raipur, IND
| | - Santosh K Rathia
- Trauma and Emergency/Pediatric Emergency Medicine, All India Institute of Medical Sciences, Raipur, Raipur, IND
| |
Collapse
|
11
|
Kim H, Kim J, Ha J. Factors influencing mobility in community-dwelling older adults during the early COVID-19 pandemic: a cross-sectional study. BMC Public Health 2023; 23:1649. [PMID: 37641017 PMCID: PMC10464251 DOI: 10.1186/s12889-023-16553-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 08/17/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND In older adults, mobility is important for maintaining their independence and quality of life, and it influences their physical, cognitive, and social health. This study aimed to identify the physical and psychosocial factors that affected the mobility of community-dwelling older adults, aged 65 years or older, who were socially isolated during the coronavirus disease 2019 (COVID-19) pandemic due to stay-at-home policies. METHODS The participants in this study were 214 community-dwelling older adults in Korea, and a cross-sectional survey was conducted from December 2020 to January 2021. Variables included participants' general characteristics, mobility, sitting time, depression, social support, and cognitive function. RESULTS Multiple linear regression analysis showed that the factors influencing older adults' mobility during the COVID-19 pandemic were depression (β=-0.29, p < .001), age (65-74 years old) (β = 0.19, p = .002), a lower level of education (β=-0.17, p = .006), two or more comorbidities (β=-0.18, p = .001), sitting time (β=-0.17, p = .004), and the ability to drive a vehicle (β = 0.14, p = .017). CONCLUSIONS Home healthcare interventions are needed to limit psychosocial issues and improve mobility for older adults who had limited mobility during the COVID-19 pandemic.
Collapse
Affiliation(s)
- Hyori Kim
- College of Nursing, Seoul National University, Seoul, Republic of Korea
| | - Juah Kim
- Department of Nursing, Korean Bible University, Seoul, Republic of Korea
| | - Jiyeon Ha
- College of Nursing, Research Institute of Nursing Science, Ajou University, 164 World cup-ro, Yeongtong-gu, Suwon-si, 16499, Gyeonggi-do, Republic of Korea.
| |
Collapse
|
12
|
Alabdulla M, Kumar R. Death by suicide during COVID-19 infection: Two case reports. Qatar Med J 2023; 2023:12. [PMID: 37521092 PMCID: PMC10375911 DOI: 10.5339/qmj.2023.12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 03/19/2023] [Indexed: 08/01/2023] Open
Abstract
A range of psychiatric disorders has been recognized with coronavirus disease 2019 (COVID-19) infection, including acute stress, anxiety, depression, suicidal behavior, and post-traumatic stress disorder. Among those, the most worrying is death by suicide, which has been associated with COVID-19-related psychiatric disorders and psychosocial stressors. We report the first two cases of death by suicide, unlikely due to any current psychiatric disorders, while undergoing treatment in two inpatient facilities designated for COVID-19 patients. Case 1 was a 40-year-old man who presented to the emergency department with symptoms of a viral infection. This led to the diagnosis of COVID-19. While undergoing treatment in an inpatient facility, 3 weeks later, he died by hanging. Case 2 was a 25-year-old man with COVID-19-related upper respiratory tract symptoms and a possible undiagnosed pre-existing anxiety disorder. While undergoing treatment in a medical unit of a COVID-19-designated hospital, a week after the diagnosis of COVID-19, the patient died after jumping off the multistory hospital building. In both cases, there had been a diagnosis of COVID-19, and treatment was provided within an inpatient facility. Both patients were unvaccinated and had no evidence of a current psychiatric disorder or any warning signs of suicidal intent. Death by suicide can occur in COVID-19 patients without any warning signs of a psychiatric disorder or evidence of any apparent distress. Therefore, even without a diagnosable mental disorder, clinicians should still be vigilant about potential suicidal risk in patients with COVID-19 infection.
Collapse
Affiliation(s)
- Majid Alabdulla
- Consultation-Liaison Psychiatry Unit, Hamad Medical Corporation, Doha, Qatar E-mail: ORCID: https://orcid.org/0000-0002-7524-4742
- College of Medicine, Qatar University, Doha, Qatar
| | - Rajeev Kumar
- Consultation-Liaison Psychiatry Unit, Hamad Medical Corporation, Doha, Qatar E-mail: ORCID: https://orcid.org/0000-0002-7524-4742
- College of Medicine, Qatar University, Doha, Qatar
| |
Collapse
|
13
|
DÜZENCİ S, MALAK B. Environmental Ethics and Mental Health during COVID-19. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2023. [DOI: 10.18863/pgy.1076940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
As the cause of the COVID-19 pandemic, climate change, population density, ecological changes, etc. natural phenomena are shown. The physical, chemical, biological, socioeconomic, cultural and psychological effects of COVID-19 have been felt all over the world. COVID-19 negatively affects the environment with an unbalanced increase in medical waste and disposable products, while quarantine and pandemic measures have given an opportunity for nature to renew itself. The causes and consequences of COVID-19 have brought the concepts of environmental health and therefore environmental ethics to the agenda of healthcare professionals. As the environmental ethics attitudes and behaviors of health professionals develop, health professionals will be able to take initiatives to create these attitudes and behaviors in society. Environmental ethics has been evaluated in the context of public health, mostly in the physical health. However, environmental ethics is also very important in terms of community mental health. Living in an unhealthy environment threatens mental health. Because people want to live in a safe environment, every factor that threatens this trust poses a risk for mental health. There is actually literally no way to talk about happiness in an environment where there is no environmental order and nature is deteriorated and polluted. Therefore, we aimed to explain the concepts of environmental health, environmental ethics and mental health during the COVID-19 process. Thus, an important strategy development in the pandemic process can be achieved by enabling the assessment and management of the causes of the COVID-19 pandemic from a broader perspective.
Collapse
|
14
|
Xie X, Hao M, Ding F, Ide T, Helman D, Scheffran J, Wang Q, Qian Y, Chen S, Wu J, Ma T, Ge Q, Jiang D. Exploring the worldwide impact of COVID-19 on conflict risk under climate change. Heliyon 2023; 9:e17182. [PMID: 37332947 PMCID: PMC10256592 DOI: 10.1016/j.heliyon.2023.e17182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 06/01/2023] [Accepted: 06/09/2023] [Indexed: 06/20/2023] Open
Abstract
Objectives Understand whether and how the COVID-19 pandemic affects the risk of different types of conflict worldwide in the context of climate change. Methodology Based on the database of armed conflict, COVID-19, detailed climate, and non-climate data covering the period 2020-2021, we applied Structural Equation Modeling specifically to reorganize the links between climate, COVID-19, and conflict risk. Moreover, we used the Boosted Regression Tree method to simulate conflict risk under the influence of multiple factors. Findings The transmission risk of COVID-19 seems to decrease as the temperature rises. Additionally, COVID-19 has a substantial worldwide impact on conflict risk, albeit regional and conflict risk variations exist. Moreover, when testing a one-month lagged effect, we find consistency across regions, indicating a positive influence of COVID-19 on demonstrations (protests and riots) and a negative relationship with non-state and violent conflict risk. Conclusion COVID-19 has a complex effect on conflict risk worldwide under climate change. Implications Laying the theoretical foundation of how COVID-19 affects conflict risk and providing some inspiration for the implementation of relevant policies.
Collapse
Affiliation(s)
- Xiaolan Xie
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
- College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Mengmeng Hao
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
- College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Fangyu Ding
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
- College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Tobias Ide
- Murdoch University, Murdoch, 6150, Perth, Australia
| | - David Helman
- Institute of Environmental Sciences, Department of Soil and Water Sciences, The Robert H. Smith Faculty of Agriculture, Food & Environment, The Hebrew University of Jerusalem, Rehovot, 7610001, Israel
- Advanced School for Environmental Studies, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Jürgen Scheffran
- Institute of Geography, Center for Earth System Research and Sustainability, University of Hamburg, Hamburg, 20144, Germany
| | - Qian Wang
- Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, United Kingdom
| | - Yushu Qian
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
- College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Shuai Chen
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
- College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Jiajie Wu
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
- College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Tian Ma
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
- College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Quansheng Ge
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
| | - Dong Jiang
- Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, 100101, China
- College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China
| |
Collapse
|
15
|
Veronese G, Cavazzoni F, Pepe A. Trajectories of quality of life and mental health during the Covid-19 lockdown and six months after in Italy. A longitudinal exploration. ZEITSCHRIFT FUR GESUNDHEITSWISSENSCHAFTEN = JOURNAL OF PUBLIC HEALTH 2023:1-11. [PMID: 37361293 PMCID: PMC10154179 DOI: 10.1007/s10389-023-01913-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 04/05/2023] [Indexed: 06/28/2023]
Abstract
Aim Covid-19 pandemic and its relative containment measures have affected populations' quality of life and psychological well-being worldwide. The fear related to the pandemic and the imposed containment measures has acted as a trigger causing a global increase in negative mental health states. Thus, we aimed to explore the relationship between fear of covid-19 and mental health via QoL (the first and the second lockdown in Italy, 2020). Subject and methods Through a quantitative cross-lagged path model research design, the study investigates people's fear of Covid-19, quality of life, and negative mental states in a population of 444 Italian adults (Mean=40.7; Standard Deviation=16.9; 80% women), in the period between the first and the second waves of the pandemic. Results Results show that participants' Covid-19 fear decreased between waves, contributing to a decrease in negative mental states (stress, anxiety and depression), thus improving the perceived quality of life. Furthermore, quality of life emerged as able to buffer the impact of fear of Covid on people's psychological distress in short and medium terms, confirming its central role in regulating mental distress. Conclusion The study suggests important guidelines for developing interventions to support the populations' well-being and mental health.
Collapse
Affiliation(s)
- Guido Veronese
- Department of Human Sciences “R. Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milano, Italy
- Stellenbosch University, Stellenbosch, South Africa
| | - Federica Cavazzoni
- Department of Human Sciences “R. Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milano, Italy
| | - Alessandro Pepe
- Department of Human Sciences “R. Massa”, University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milano, Italy
| |
Collapse
|
16
|
Jannat T, Omar NA, Che Senik Z, Ayob AH, Al Mamun A, Arefin MS, Hijrah Hati SR. People's Perceptions and Coping Strategies During the COVID-19 Pandemic: A Phenomenological-Longitudinal Study in Bangladesh. OMEGA-JOURNAL OF DEATH AND DYING 2023:302228231173605. [PMID: 37106521 PMCID: PMC10140766 DOI: 10.1177/00302228231173605] [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: 04/29/2023]
Abstract
By emphasizing the Terror Management Theory, this study investigated the participants' perceptions, psychological experiences, coping strategies, and behavioral changes during the pandemic in Bangladesh in two phases: first, after the pandemic's immediate outbreak, and second, after 3 months of the pandemic (daily infection cases were very high). To perform the research, an empirical-phenomenological method was used. Findings indicate that at the first stage, participants' death phobia was extremely high, and poor medical facilities, religious struggles, imprudent behavior of others, concerns for family members, and a tendency to compare the socioeconomic status with other developed countries affected participants' emotions severely. Later on, participants' perceptions of the disease changed significantly. This study highlights that people's behavior varies depending on whether the thought of death is in the center or on the periphery of their attention. In both stages, religious faith and rituals played a crucial role in coping with the crisis situation.
Collapse
Affiliation(s)
- Taslima Jannat
- Faculty of Business and Management, UCSI University, Kuala Lumpur, Malaysia
| | - Nor Asiah Omar
- Faculty of Economics and Management, Universiti Kebangsaan Malaysia(UKM), Bangi, Malaysia
| | - Zizah Che Senik
- Faculty of Economics and Management, Universiti Kebangsaan Malaysia(UKM), Bangi, Malaysia
| | - Abu Hanifah Ayob
- Faculty of Economics and Management, Universiti Kebangsaan Malaysia(UKM), Bangi, Malaysia
| | - Abdullah Al Mamun
- Graduate School of Management, Universiti Kebangsaan Malaysia(UKM), Bangi, Malaysia
| | - Md. Shamshul Arefin
- Department of Human Resource, Universiti Sains Islam Malaysia(USIM), Nilai, Malaysia
| | - Sri Rahayu Hijrah Hati
- Department of Management, Faculty of Economics and Business Universitas
Indonesia, Depok, Indonesia
| |
Collapse
|
17
|
Sun Y, Zeng H, Ye Z, Yang H, Liu Y, Zhu S, Liu N, Wu H, Bian X. Social isolation, psychological distress and resilience of Chinese college students during COVID-19 pandemic. Biotechnol Genet Eng Rev 2023:1-16. [PMID: 37036071 DOI: 10.1080/02648725.2023.2200345] [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: 04/11/2023]
Abstract
It has been 3 years since the first appearance of COVID-19 in China. During this time, social isolation was widely used as an important method to fight it. However, this measure had many negative effects on the mental health of college students. To better understand this issue, this study aims to explore the impact of social isolation and COVID-19-related stress on psychological distress among Chinese college students. Additionally, resilience has been evaluated as a key component of stress resistance in this situation. Coronavirus Stress Measure (CSM), the Connor-Davidson Resilience Scale (CD-RISC) and the Brief Symptom Inventory (BSI) were used in this study. A total of 388 Chinese college students participated in the survey via the Internet. Two groups (isolated group vs. non-isolated group) were divided according to whether they have been isolated from their classmates and families. Data analysis adopts t-test, F test and mediate effect analysis by SPSS21.0. (1) All factors, except resilience, were found to have lower scores in the isolated group; (2) significant correlations were found between all factors; (3) resilience partially mitigated the impact of COVID-19 stress on psychological symptoms. Social isolation has been found to be a significant factor contributing to negative psychological distress in Chinese college students. The COVID-19-related stress may increase the likelihood of psychological suffering among isolated group. Resilience can help reduce the negative effects of COVID-19 stress on college students. Therefore, providing appropriate psychological support tailored to different isolation situations is crucial.
Collapse
Affiliation(s)
- YueYi Sun
- Department of psychology, School of Medicine and Holistic Medicine, Nanjing University of Chinese Medicine, Nanjing, P.R.China
| | - HanJin Zeng
- Department of psychology, School of Medicine and Holistic Medicine, Nanjing University of Chinese Medicine, Nanjing, P.R.China
| | - Zhuang Ye
- Department of psychology, School of Medicine and Holistic Medicine, Nanjing University of Chinese Medicine, Nanjing, P.R.China
| | - HuangYueYing Yang
- Department of psychology, School of Medicine and Holistic Medicine, Nanjing University of Chinese Medicine, Nanjing, P.R.China
| | - YeXiao Liu
- Psychiatry Department, Zhangjiagang Fourth People's Hospital, Zhangjiagang, P.R.China
| | - ShuYue Zhu
- Department of psychology, School of Medicine and Holistic Medicine, Nanjing University of Chinese Medicine, Nanjing, P.R.China
| | - Na Liu
- Department of psychology, School of Medicine and Holistic Medicine, Nanjing University of Chinese Medicine, Nanjing, P.R.China
| | - HaiYing Wu
- Department of psychology, School of Medicine and Holistic Medicine, Nanjing University of Chinese Medicine, Nanjing, P.R.China
| | - XiaoHua Bian
- School of Educational Science, Zhengzhou Normal University, Zhengzhou, P.R.China
| |
Collapse
|
18
|
Harmanci H, Akdeniz S. Self-Compassion and COVID-19 Stress in Turkish Healthcare Workers: The Mediating Role of Psychological Resilience. Psychol Rep 2023; 126:775-790. [PMID: 36573899 PMCID: PMC9806201 DOI: 10.1177/00332941221149173] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The coronavirus (COVID-19) pandemic is a time when both physical and mental health are affected. Due to the increased workload and crucial strains brought on by the pandemic, healthcare workers (HW) have been disproportionately affected by this period of time. Understanding the stress faced by HW, identifying the elements that impact stress, and making reinforcements in these areas are deemed critical in order to avoid disruption of health services and protect public health. The aim of this research is to measure the COVID-19 stress level in HW and to evaluate its relationship with self-compassion and psychological resilience. The study included 281 HW who volunteered to participate and actively served in pandemic services. The researchers used a sociodemographic information form, the Coronavirus Stress Scale, Psychological Resilience Scale, and the Self-Compassion Scale in the study. The data were collected online, and analyzed using the SPSS 25.0 and PROCESS applications. In the second year of the pandemic, HW are still facing the burden of COVID-19. In our observations in this study, we see that COVID-19 stress has a negative relationship with self-compassion and resilience. Self-compassion and resilience account for 20% of COVID-19 stress variation. The connection between self-compassion and COVID-19 stress is partially mediated by resilience. It is important to develop these skills, as psychological resilience and self-compassion skills are effective in maintaining HW' mental health.
Collapse
Affiliation(s)
- Hatice Harmanci
- Psychology Department, 218507KTO Karatay University, Faculty of Social Sciences and Humanities, Konya, Turkey
| | - Seher Akdeniz
- Psychology Department, 218507KTO Karatay University, Faculty of Social Sciences and Humanities, Konya, Turkey
| |
Collapse
|
19
|
Sarker MR, Rouf Sarkar MA, Alam MJ, Begum IA, Bhandari H. Systems thinking on the gendered impacts of COVID-19 in Bangladesh: A systematic review. Heliyon 2023; 9:e13773. [PMID: 36811121 PMCID: PMC9933548 DOI: 10.1016/j.heliyon.2023.e13773] [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] [Received: 08/10/2022] [Revised: 02/09/2023] [Accepted: 02/09/2023] [Indexed: 02/17/2023] Open
Abstract
The COVID-19 pandemic has disproportionately affected women and threatens to overturn four decades of progress in Sustainable Development Goal (SDG) 5: Gender Equality and Women's Empowerment. To better grasp the key areas of concern that gender inequality exists, gender studies and sex-disaggregated evidence are required. Using the PRISMA technique, this review paper is the first attempt to present a comprehensive and current picture of the gendered dimensions of the COVID-19 pandemic in Bangladesh regarding economic well-being, resource endowments, and agency. This study found that women were more likely to face hardship as widows, mothers, or sole breadwinners after the loss of husbands and male household members because of the pandemic. The evidence suggests that the advancement of women during this pandemic was hampered by poor reproductive health outcomes; girls' dropping out of school; job loss; less income; a comparable wage gap; a lack of social security; unpaid work burnout; increased emotional, physical, and sexual abuse; an increase in child marriages; and less participation in leadership and decision-making. Our study found inadequate sex-disaggregated data and gender studies on COVID-19 in Bangladesh. However, our research concludes that policies must account for gender disparities and male and female vulnerability across multiple dimensions to achieve inclusive and effective pandemic prevention and recovery.
Collapse
Affiliation(s)
- Mou Rani Sarker
- Sustainable Impact Platform, International Rice Research Institute (IRRI), Dhaka, Bangladesh
| | - Md Abdur Rouf Sarkar
- Agricultural Economics Division, Bangladesh Rice Research Institute (BRRI), Gazipur, Bangladesh,Corresponding author.
| | - Mohammad Jahangir Alam
- Department of Agribusiness and Marketing, Bangladesh Agricultural University (BAU), Mymensingh, Bangladesh
| | - Ismat Ara Begum
- Department of Agricultural Economics, Bangladesh Agricultural University (BAU), Mymensingh, Bangladesh
| | - Humnath Bhandari
- Impact, Policy, and Foresight Department, International Rice Research Institute (IRRI), Dhaka, Bangladesh
| |
Collapse
|
20
|
Mamun MA, Mamun MA, Hosen I, Ahmed T, Rayhan I, Al-Mamun F. Trend and gender-based association of the Bangladeshi student suicide during the COVID-19 pandemic: a GIS-based nationwide distribution. Int J Soc Psychiatry 2023; 69:38-46. [PMID: 34961356 PMCID: PMC9936165 DOI: 10.1177/00207640211065670] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
BACKGROUND Students are one of the most vulnerable groups to suicide. Before the COVID-19 pandemic, a Bangladeshi study was conducted assessing their suicide patterns regarding gender-based associations. But how has the pandemic changed the Bangladeshi students' suicide patterns is not studied yet, which is investigated herein. Besides, for the first time, this study provides GIS-based distribution of suicide cases across the country's administrative district. METHODS As Bangladesh has no suicide surveillance system, this study utilized media reporting suicide cases following the prior studies. A total of 127 students' suicide cases from March 2020 to March 2021 were finally analyzed after eliminating the duplicate ones, and data were synthesized following the prior studies. Arc-GIS was also used to distribute the suicide cases across the administrative district. RESULTS Results revealed that female (72.4%; n = 92/127) was more prone to die by suicide than males. About 42.5% of the cases were aged between 14 and 18 years (mean age 16.44 ± 3.512 years). The most common method of suicide was hanging (79.5%; n = 101), whereas relationship complexities (15.7%), being emotional (12.6%), not getting the desired one (11%), conflict with a family member (9.4%), academic failure (9.4%), mental health problem (8.7%), sexual complexities (6.3%), scolded or forbidden by parents (3.9%) were the prominent suicide causalities. In respect to gender and suicide patterns, only the suicide stressor was significantly distributed, whereas the method of suicide was significantly associated with GIS-based distribution. However, a higher number of suicide cases was documented in the capital (i.e. Dhaka) and the northern region than in its surrounding districts. CONCLUSIONS The findings reported herein are assumed to be helpful to identify the gender-based suicide patterns and suicide-prone regions in the time of the COVID-19 pandemic to initiate suicide prevention programs of the risky students.
Collapse
Affiliation(s)
- Mohammed A Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh.,Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Md Al Mamun
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Ismail Hosen
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh.,Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Tanvir Ahmed
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh.,Department of Economics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Istihak Rayhan
- Department of Economics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Firoj Al-Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh.,Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| |
Collapse
|
21
|
Abstract
The study aims at understanding the relationships between the fear of COVID-19 and perceived stress, wellbeing, and life satisfaction. The study also analyses the role of gender on the relationship of fear of COVID-19 with these study variables. For this, a cross-sectional study was conducted among 1125 participants in India, comprising 638 men and 487 women. Structural equation model was used to analyse the data. It was found that the fear of COVID-19 is positively related to perceived stress and negatively related to wellbeing and life satisfaction. It was also found that, these relationships are stronger among women than among men. The study shows the importance of psychiatric assessment during pandemic times and alerts policy makers and society in general, to take measures for ensuring mental health among people during times of crisis. Future studies can include longitudinal research for a comprehensive understanding of the psychological impacts of the pandemic.
Collapse
|
22
|
Abstract
Abstract
Background
The suicide rate has increased during the pandemic in India. Moreover, several studies, especially press-media reporting suicide studies have been conducted but no systematic review has been attempted in this context. Therefore, the present study systematically investigated the risk factors associated with suicidal behaviors, and the method of suicide during the COVID-19 pandemic in India.
Methods
Following the PRISMA guidelines, a systematic search was performed to include papers published up until September 30, 2022. From an initial 144 papers, 18 studies which met the inclusion criteria were included in the present review. The Pierson’s method was used for quality assessment of the included studies in the present review.
Results
The risk factors associated with suicide comprised: (i) socio-demographic factors (e.g., being aged between 31 and 50 years, male, married, unemployed), (ii) behavior and health-related factors (e.g., unavailability of alcohol and alcohol withdrawal symptoms, poor state of physical health and health issues, family disputes, relationship complexities, and sexual harassment), (iii) COVID-19-related factors (e.g., fear of COVID-19, COVID-19 test results, quarantine or isolation, financial hardship due to the pandemic, having influenza-like symptoms, experiencing stigmatization and ostracism despite testing negative, separation from family due to transport restrictions, misinterpreting other illness symptoms as COVID-19, saving the village from infection, watching COVID-19 videos on social media, online schooling, perceived stigma toward COVID-19, and being suspected of having COVID-19), and (iv) psychopathological stressors (depression, loneliness, stress, TikTok addiction, and poor mental health, suicidal tendencies, helplessness, and worrying). Hanging was the most common method of suicide. In addition, jumping from high buildings, poisoning, drowning, burning, cutting or slitting throat or wrists, self-immolation, medication overdose, electrocution, pesticide, and gun-shot were also used to carry out the suicide.
Conclusions
Findings from this research suggest multiple reasons for suicide during the COVID-19 pandemic and knowledge of such factors could aid in developing suicide prevention strategies focusing the most vulnerable cohorts inside and outside India.
Collapse
|
23
|
Eşkisu M, Çam Z, Boysan M. Health-Related Cognitions and Metacognitions Indirectly Contribute to the Relationships Between Impulsivity, Fear of COVID-19, and Cyberchondria. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2023:1-23. [PMID: 36687465 PMCID: PMC9838370 DOI: 10.1007/s10942-022-00495-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2022] [Indexed: 01/11/2023]
Abstract
The aim of the study was to converge a structural equation model to unfold the compositive relationships between trait impulsivity, health cognitions, metacognitions about health, fear of COVID-19 and cyberchondria, after controlling for gender, age, marital status, having a chronic illness and chronic illness among first-degree relatives. Six hundred fifty-one participants (423 females, 65%; 228 males, 35%) participated in the study. The Short UPPS-P Impulsive Behavior Scale (S-UPPS-P), Health Cognitions Questionnaire (HCQ), The Meta-Cognitions about Health Questionnaire (MCQ-HA), Cyberchondria Severity Scale -Short Form (CSS-12), and Fear of COVID-19 Scale (FCV-19 S) were completed by volunteered participants. The structural model showed that the S-UPPS-P directly and indirectly contributed to the HCQ, MCQ-HA, CSS-12, and FCV-19 S. The multi-group structural analysis by gender showed that the structural model had a partial measurement and factorial invariance. We concluded that the significant associations between impulsivity, fear of COVID-19 and cyberchondria were indirectly contributed by health-related cognitions and metacognitions.
Collapse
Affiliation(s)
- Mustafa Eşkisu
- Faculty of Education, Erzincan Binali Yıldırım University, Erzincan, Turkey
| | - Zekeriya Çam
- Faculty of Education, Muş Alparslan University, Muş, Turkey
| | - Murat Boysan
- Faculty of Social Sciences and Humanities, Social Sciences University of Ankara, Ankara, Turkey
| |
Collapse
|
24
|
Nisar S, Wakeel A, Tahir W, Tariq M. Minimizing Viral Transmission in COVID-19 Like Pandemics: Technologies, Challenges, and Opportunities. IEEE SENSORS JOURNAL 2023; 23:922-932. [PMID: 36913229 PMCID: PMC9983691 DOI: 10.1109/jsen.2022.3170521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 04/23/2022] [Indexed: 05/06/2023]
Abstract
Coronavirus (COVID-19) pandemic has incurred huge loss to human lives throughout the world. Scientists, researchers, and doctors are trying their best to develop and distribute the COVID-19 vaccine throughout the world at the earliest. In current circumstances, different tracking systems are utilized to control or stop the spread of the virus till the whole population of the world gets vaccinated. To track and trace patients in COVID-19 like pandemics, various tracking systems based on different technologies are discussed and compared in this paper. These technologies include, cellular, cyber, satellite-based radio navigation and low range wireless technologies. The main aim of this paper is to conduct a comprehensive survey that can overview all such tracking systems, which are used in minimizing the spread of COVID-19 like pandemics. This paper also highlights the shortcoming of each tracking systems and suggests new mechanisms to overcome such limitations. In addition, the authors propose some futuristic approaches to track patients in prospective pandemics, based on artificial intelligence and big data analysis. Potential research directions, challenges, and the introduction of next-generation tracking systems for minimizing the spread of prospective pandemics, are also discussed at the end.
Collapse
Affiliation(s)
- Shibli Nisar
- Department of Electrical EngineeringMilitary College of SignalsNational University of Sciences and Technology (NUST) Rawalpindi 46000 Pakistan
| | - Abdul Wakeel
- Department of Electrical EngineeringMilitary College of SignalsNational University of Sciences and Technology (NUST) Rawalpindi 46000 Pakistan
| | - Wania Tahir
- Department of Electrical EngineeringBalochistan University of Information Technology, Engineering and Management Sciences (BUITEMS) Quetta 87300 Pakistan
| | - Muhammad Tariq
- Department of Electrical EngineeringNational University of Computer and Emerging Sciences Islamabad 44000 Pakistan
| |
Collapse
|
25
|
Yan XG, Sun HY, Yoo BW. A Cross-Sectional Study on the Psychological Changes of Medical Personnel in Hospitals Who Experienced Special COVID-19 Situations. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2023; 60:469580231161435. [PMID: 36941758 PMCID: PMC10031595 DOI: 10.1177/00469580231161435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
The COVID-19 pandemic contributed to an increase in mental health issues; Psychological changes occur in health professionals who are more susceptible to infection. The purpose of this study was to investigate health professionals' levels of anxiety, rage, and depression in COVID-related special circumstances. A general hospital in Korea experienced a widespread COVID-19 outbreak. There was a total of 149 involved frontline and non-frontline health professionals surveyed. The State-Trait Anger Expression Inventory, General Anxiety Disorder-7, and Korean Screening Tool for Depressive Disorders were utilized in the evaluation of their rage, anxiety, and depression. Anxiety and depression were found to be significantly higher among health professionals by occupation than among non-health professionals. Frontline workers were more depressed than non-frontline workers, according to type of work. These psychological changes can cause PTSD, so it is necessary to check and care for the mental health of health care workers working in medical institutions in the event of mass infections. These issues have been confirmed through studies related to the occurrence of mass infections such as SARS and MERS that the occurrence of mass infections can cause PTSD. The findings proved that the COVID-19 pandemic had a psychological impact on healthcare workers. During the COVID-19 pandemic, it is critical to raise awareness of post-traumatic stress disorder among healthcare professionals.
Collapse
Affiliation(s)
- Xiao Guang Yan
- Department of Interdisciplinary Program in Biomedical Science, Soonchunhyang University, Cheonan, Republic of Korea
| | - Hwa Yeon Sun
- Graduate School Natural Science, Division of Medical Science (Interdisciplinary Programs), Soonchunhyang University, Cheonan, Republic of Korea
| | - Byung Wook Yoo
- Soonchunhyang University Seoul Hospital, Seoul, Republic of Korea
| |
Collapse
|
26
|
Hossain MT, Ahammed B, Jahan N, Islam MA, Rahman MM, Khan B, Sarker MJA, Nibir MMAM, Hasan M, Hasib M, Rahman R, Islam MN. Prevalence and predictors of pornography exposure during the third wave of the COVID-19 pandemic: A web-based cross-sectional study on students in Bangladesh. Front Public Health 2022; 10:1046813. [PMID: 36605242 PMCID: PMC9807871 DOI: 10.3389/fpubh.2022.1046813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 11/14/2022] [Indexed: 12/24/2022] Open
Abstract
Background Pornography exposure, particularly among students, in Bangladesh, has increased in the twenty-first century. However, pornography exposure during the COVID-19 pandemic, when people were compelled to "stay at home" and relied extensively on the internet for all forms of activities, including academia, socializing, and communication, has remained unexplored. The present study aimed to assess the prevalence of pornography exposure among students during the third wave of the COVID-19 pandemic and to determine the associated predictors. Methods A web-based cross-sectional study was carried out among students with certain specifications, i.e., current students at high school/college/university with access to the internet and valid social media accounts. By administering a semi-structured e-questionnaire using Google Forms, a total of 646 valid responses were retained for this study. The data were analyzed in two phases by Pearson's Chi-square and multiple logistic regression model, using IBM SPSS Statistics, version 25. The results were expressed as an adjusted odds ratio (AOR) with a 95% confidence interval (95% CI). Results The findings suggest that 75.9% of students were exposed to pornography during the third wave of the COVID-19 pandemic and preferred to watch the amateur/professional genre of pornography. Pornography exposure was significantly associated with age and relationship status, as students aged 22-24 years (95% CI: 1.01-2.41; p = 0.045) and over 25 years (95% CI: 1.61-10.03; p = 0.003) were more likely to watch pornography, while married students and those in relationships (95% CI: 1.24-3.49; p = 0.006) also watched pornography during the pandemic. In contrast, students who were living alone (95% CI: 0.38-0.92; p = 0.021), were living in the Khulna division (95% CI: 0.16-0.52; p < 0.001) or had a negative attitude toward pornography (95% CI: 0.94-0.99; p = 0.002) were less likely to be exposed to pornography. Conclusion Pornography exposure was higher among students in Bangladesh during the COVID-19 pandemic, and religiosity and disapproving attitudes toward pornography negatively influenced the pornography exposure. For a better understanding of the complex dynamics of socio-demographic issues with pornography exposure among students, extensive research is required for policymakers to devise appropriate strategies and interventions to ensure healthy and safe sex life for the younger population.
Collapse
Affiliation(s)
- Md. Tanvir Hossain
- Sociology Discipline, Social Science School, Khulna University, Khulna, Bangladesh,*Correspondence: Md. Tanvir Hossain
| | - Benojir Ahammed
- Statistics Discipline, Science, Engineering and Technology School, Khulna University, Khulna, Bangladesh
| | - Nusrat Jahan
- Sociology Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Md. Akhtarul Islam
- Statistics Discipline, Science, Engineering and Technology School, Khulna University, Khulna, Bangladesh
| | - Md. Mostafizur Rahman
- Department of Disaster Management and Resilience, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Dhaka, Bangladesh
| | - Bayezid Khan
- Development Studies Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Md. Juwel Ahmed Sarker
- Department of Development Studies, Faculty of Social Science and Humanities, Hajee Mohammad Danesh Science and Technology University, Dinajpur, Bangladesh
| | | | - Mahamudul Hasan
- Statistics Discipline, Science, Engineering and Technology School, Khulna University, Khulna, Bangladesh
| | - Mir Hasib
- Mass Communication and Journalism Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Rumana Rahman
- English Discipline, Arts and Humanities School, Khulna University, Khulna, Bangladesh
| | - Md. Nazrul Islam
- Forestry and Wood Technology Discipline, Life Science School, Khulna University, Khulna, Bangladesh
| |
Collapse
|
27
|
Mamun MA, Al-Mamun F, Islam J, Muhit M. Prevalence and associated factors of suicidal behaviors among Bangladeshi rural community people: Findings from the 'BD ComMen Study'. PLoS One 2022; 17:e0279271. [PMID: 36538518 PMCID: PMC9767375 DOI: 10.1371/journal.pone.0279271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 12/03/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Suicide is considered as one of the major public health concerns, which can be prevented with cost-effective and timely intervention. In Bangladesh, very few studies assessed the suicidal behavior of rural community people. Thus, this Bangladesh Community Mental Health Study (BD ComMen Study) attempted to understand the current situation of suicidality in Bangladeshi rural community people considering three-time frames: lifetime, past year, and past month. METHODS A cross-sectional study was conducted in a rural community in Bangladesh between May 17 and 31, 2022, using a cluster sampling technique. Information on socio-demographics, COVID-19-related factors, depression, anxiety, insomnia, and suicidal behaviors was collected. The Chi-square test or Fisher's exact test and logistic regression were used to analyze the data. RESULTS During their lifetime, 33.1% of the rural community people had suicidal thoughts, whereas 5.5% made a plan for suicide and 1.8% attempted suicide. The prevalence of past-year suicidal ideation was 3.9%, whereas 1.4% had a suicide plan. In addition, 0.6% had past-month suicidal thoughts, although none of them had planned or attempted suicide. The factors associated with suicidal behaviors included males, lower age, lower educational grade, low-earning jobs, living in a government-provided house, family history of mental health and suicide, and suffering from anxiety and insomnia. CONCLUSIONS Suicidal behaviors among the rural community people are of great concern as most of the rural people in Bangladesh do not have enough mental health literacy for treatment-seeking due to a high level of mental health-related stigma. Thus, this study would likely help to initiate further studies and stimulate suicide prevention programs, because most suicide can be prevented.
Collapse
Affiliation(s)
- Mohammed A. Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh
- Department of Public Health & Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
- Department of Public Health, University of South Asia, Dhaka, Bangladesh
- * E-mail: ,
| | - Firoj Al-Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh
- Department of Public Health & Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
- Department of Public Health, University of South Asia, Dhaka, Bangladesh
| | - Johurul Islam
- Department of Public Health, University of South Asia, Dhaka, Bangladesh
- CSF Global, Banani, Dhaka, Bangladesh
| | - Mohammad Muhit
- Department of Public Health, University of South Asia, Dhaka, Bangladesh
- CSF Global, Banani, Dhaka, Bangladesh
| |
Collapse
|
28
|
Rezvi MR, Tonmoy MSB, Khan B. The mental health of adolescents following the COVID-19 pandemic in Bangladesh. Asian J Psychiatr 2022; 78:103309. [PMID: 36368146 PMCID: PMC9612875 DOI: 10.1016/j.ajp.2022.103309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 10/18/2022] [Accepted: 10/23/2022] [Indexed: 11/29/2022]
Abstract
This paper highlights the current situation of the COVID-19 pandemic and adolescents' mental health in Bangladesh. It contains a thorough literature review that summarizes relevant articles and newspapers on the mental health of adolescents. In Bangladesh, the COVID-19 pandemic is worsening adolescent mental health issues. To maintain the safety and security of adolescents mental health issues are becoming increasingly frequent in Bangladesh as a result of lockdowns, financial stress, and livelihood scarcity; this trend cannot be ignored. This study will aid policymakers, government officials, and non-government officials in the development of more effective social safety net measures.
Collapse
Affiliation(s)
| | | | - Bayezid Khan
- Development Studies Discipline, Khulna University, Bangladesh.
| |
Collapse
|
29
|
Lee S, Kim HR, Kim B. The impact of fear of COVID-19 on the impact of event and indirect trauma. Arch Psychiatr Nurs 2022; 41:306-311. [PMID: 36428065 PMCID: PMC9458603 DOI: 10.1016/j.apnu.2022.09.003] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 08/23/2022] [Accepted: 09/04/2022] [Indexed: 12/14/2022]
Abstract
This study investigated the mediating effect of fear of COVID-19 on the relationship between the impact of an event and indirect trauma during the pandemic. The study was conducted online from February 8 to 18, 2021, with 215 participants who had never been diagnosed with COVID-19. The collected data were analyzed using SPSS and PROCESS macro software. It was confirmed that fear of COVID-19 partially mediates the relationship between the impact of an event and indirect trauma. This means that the greater the degree of impact of COVID-19, the higher the level of indirect trauma. Additionally, the greater the fear of COVID-19, the higher the level of indirect trauma. These results indicate that the prolonged spread of COVID-19 may vary depending on the country's quarantine systems. Overall, the findings of this study can assist in understanding the psychological problems of people who have experienced COVID-19 and in preparing relevant countermeasures for emotional problems.
Collapse
Affiliation(s)
- Sowon Lee
- College of Nursing, Chonnam National University, South Korea
| | - Hae Ran Kim
- Department of Nursing, College of Medicine, Chosun University, South Korea
| | - Boyoung Kim
- College of Nursing, Chonnam National University, South Korea.
| |
Collapse
|
30
|
Khandker S, Akther A, Syed BH, Shafiullah R, Ahmed K, Chowdhury AA, Khan S. Post-COVID-19 complications in home and hospital-based care: A study from Dhaka city, Bangladesh. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:1037649. [PMID: 36504697 PMCID: PMC9731105 DOI: 10.3389/fresc.2022.1037649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 10/21/2022] [Indexed: 11/25/2022]
Abstract
A cross-sectional survey was undertaken to understand the management patterns and post-COVID-19 complications among hospital and home-treated participants. Retrospective information was collected from four COVID-19 dedicated hospitals and four selected community settings. Using probability proportional sampling, 925 participants were selected. Data were collected using a semi-structured questionnaire. Bivariate and multivariate logistic regression analysis and the exact chi-square tests were utilized to analyze the association between the studied variables. A total of 659 participants responded (response rate 70.93%); 375 from hospitals and 284 from communities. About 80% of participants were mild cases, 75% were treated at home, and 65% of hospital-treated participants were referred after home treatment. Participants treated at home-to hospital and directly in the hospital had 1.64 and 3.38 times longer recovery time respectively than what home-based participants had. A significant increasing trend (p < 0.001) of co-morbidities was found among referred and hospital treated participants. Age, level of education, physical exercise, practicing preventive measures, exposure to sunlight, and intake of carbohydrate, additional liquid, food supplements, and avoidance of junk foods were significantly associated with place of treatment. Post-COVID-19 difficulties of all factors were statistically significant for home treatment participants, whilst only depression (p = 0.026), chest pain (p = 0.017), and digestive disorders (p = 0.047) were significant (p < 0.05) for hospital treated participants. The outcomes from this study provide insight into a range of post-COVID-19 difficulties relating to at home and in hospital treatment participants. There are clear differences in the complications experienced, many of which are statistically significant. The health care professionals, the community people and COVID-19 survivors will be benefitted from the study findings, and the policy level people may use the information for designing health education program on post COVID-19 complications.
Collapse
Affiliation(s)
- Salamat Khandker
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh,Correspondence: Salamat Khandker
| | - Aivee Akther
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
| | - Billal H. Syed
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
| | - Rezoun Shafiullah
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
| | - Kawsar Ahmed
- School of Mathematics & Statistics, Central South University, Changsha, China
| | | | - Salim Khan
- Head, Department of Public Health, Birmingham City University, Birmingham, United Kingdom
| |
Collapse
|
31
|
Nardi B, Del Prete L, Amatori G, Carpita B, Carmassi C, Pompili M, Dell'Osso L. An attempted "suicide pact" in Covid-19 era - psychiatric perspectives. BMC Psychiatry 2022; 22:686. [PMID: 36333800 PMCID: PMC9636834 DOI: 10.1186/s12888-022-04333-z] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 10/22/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND A "suicide pact" is a joint and actively induced death of two individuals with the essential and unavoidable characteristic of a mutual consent. One of the partners (dominant in the relationship, commonly male) usually induces the action and in most cases, it is the one who actively carries it out. Undiagnosed psychopathological dimension or pathological subthreshold traits are found in those who enter into suicide agreements, the presence of cluster B personality traits such as narcissistic or borderline is of particular relevance in the dominant partner, while in the submissive one dependent personality traits are more frequent. As in the case of other similar health emergencies, COVID-19 pandemic seems to lead to greater suicidality, including the "suicide pacts" of couples whose motivation varies including firstly financial problems, strictly followed by fear of infection and not being able to return home from abroad. CASE PRESENTATION We reported a case of a couple who entered a suicide agreement consequently to the economic difficulties caused by COVID-19 pandemic, hospitalized in our department. Both partners were assessed with Adult Autism Subthreshold Spectrum (AdAS Spectrum) and both crossed the threshold for clinically relevant autistic traits (M = 67; F = 49). CONCLUSION This case further confirms the link between COVID-19 pandemics and suicidality. The role of autism spectrum traits as a vulnerability factor towards the development of severe psychopathological consequences after traumatic events is also stressed.
Collapse
Affiliation(s)
- Benedetta Nardi
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy.
| | - Luca Del Prete
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| | - Giulia Amatori
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| | - Barbara Carpita
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| | - Claudia Carmassi
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| | - Maurizio Pompili
- Department of Neurosciences, Faculty of Medicine and Psychology, Mental Health and Sensory Organs, Sapienza University of Rome, Rome, Italy
| | - Liliana Dell'Osso
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| |
Collapse
|
32
|
Keskin G, Gümüşsoy S, Taşdemir Yiğitoğlu G. The effect of hopelessness on the perceived partner behaviors during Covid-19 pandemic process. Perspect Psychiatr Care 2022; 58:2800-2810. [PMID: 35762210 PMCID: PMC9350409 DOI: 10.1111/ppc.13127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 03/24/2022] [Accepted: 06/08/2022] [Indexed: 12/01/2022] Open
Abstract
PURPOSE It is aimed to evaluate the effect of hopelessness on the perceived partner behaviors during Covid-19 pandemic process in Turkey. DESIGN Descriptive. METHODS Totally, 486 participants have been included in the study. FINDINGS It has been found that there is a positive correlation between codependence, disconnection, controlling subdimension and hopelessness in both women and men (p < 0.05). PRACTICE IMPLICATIONS In the study, the women and men who evaluate their partners as dependent, disconnected and controlling are hopeless.
Collapse
Affiliation(s)
- Gülseren Keskin
- Atatürk Health Care Vocational School, Ege University, Bornova, İzmir, Turkey
| | - Süreyya Gümüşsoy
- Atatürk Health Care Vocational School, Ege University, Bornova, İzmir, Turkey
| | - Gülay Taşdemir Yiğitoğlu
- Department of Psychiatric Nursing, Faculty of Health Science, Pamukkale University, Denizli, Turkey
| |
Collapse
|
33
|
Chanda SK, Kabir MR, Roy T, Shohel TA, Howlader MH, Razu SR. Sociocultural Costs of the Long-term COVID-19 Outbreak in Bangladesh: A Systematic Review. SAGE OPEN 2022; 12:21582440221143298. [PMID: 36575745 PMCID: PMC9773001 DOI: 10.1177/21582440221143298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Beyond the physical transmission of COVID-19, the pandemic has had far-reaching consequences in Bangladesh, including social and cultural implications. This review paper aimed at identifying and synthesizing the costs of COVID-19 on sociocultural issues in Bangladesh. For this purpose, we conducted a systematic search in MEDLINE, PubMed, ProQuest, Web of Science, Scopus and Google Scholar up to August 2021. Studies related to the costs of COVID-19 were identified, tabulated, analyzed, and synthesized by using a thematic approach. Our final synthesis of 19 studies resulted in five analytical themes: (i) disruption in education, (ii) loss of everyday social interaction, (iii) increase of "new poor" and suicide, (iv) rise of violence against women, and (v) worsening the life of refugees. Our findings showed that the costs of disruption in education, loss of everyday social interaction, and increase of "new poor" and suicide were more evident. Finally, we recommend the government and the community to adopt some integrated actions and policies to combat the problems in improving Bangladeshi sociocultural situations.
Collapse
Affiliation(s)
| | | | - Tuhin Roy
- Khulna University, Khulna, Bangladesh
| | | | | | | |
Collapse
|
34
|
Sohel MS, Ehsan SMA, Zaman NT, Hossain B, Shi G, Sarker MNI, Ali HM. Understanding rural local government response during COVID-19-induced lockdown: perspective from Bangladesh. SN SOCIAL SCIENCES 2022; 2:216. [PMID: 36193448 PMCID: PMC9520961 DOI: 10.1007/s43545-022-00516-3] [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: 04/09/2022] [Accepted: 09/06/2022] [Indexed: 11/24/2022]
Abstract
This study intends to explore the responses of local government during the COVID-19-induced lockdown in the rural areas, with particular emphasis on Bangladesh. By adopting a qualitative phenomenological research approach and employing multi-method data collection techniques (for instance, Key Informant Interview (KII), Focus Group Discussion (FGD), participant observation, and content analysis), this study found that the local governments managed the crisis of the pandemic relatively well with its limited manpower and funding through adequate preparedness and prevention strategies; effective emergency responses; and consolidated post-lockdown measures. The study revealed that the Bangladesh local government promptly took some essential actions, such as preparedness and prevention, arrangement of home quarantine and isolation, the training program for readiness, and disseminated crucial information to the local people during the pandemic, such as using masks, hand washing and sanitizing, and social distancing. Besides, the local government delivered relief, such as food and non-food items and financial support. Furthermore, the rural local government took post-lockdown responses to tackle pandemic in rural Bangladesh. Nevertheless, the service delivery individuals from local governance encountered numerous challenges, like scarcity of manpower, less support, and superstition, while providing services during the pandemic.
Collapse
Affiliation(s)
- Md Salman Sohel
- National Research Center for Resettlement, Hohai University, Nanjing, China
| | | | - Noshin Tasnim Zaman
- School of Humanities and Social Sciences, BRAC University, Dhaka, Bangladesh
| | - Babul Hossain
- National Research Center for Resettlement, Hohai University, Nanjing, 210000 China
| | - Guoqin Shi
- National Research Center for Resettlement, Hohai University, Nanjing, 210000 China
| | | | | |
Collapse
|
35
|
Mistry SK, Ali ARMM, Yadav UN, Huda MN, Rahman MM, Saha M, Rahman MA, Lim D, Ghimire S. Stigma toward people with COVID-19 among Bangladeshi older adults. Front Public Health 2022; 10:982095. [PMID: 36176510 PMCID: PMC9514800 DOI: 10.3389/fpubh.2022.982095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 08/08/2022] [Indexed: 01/25/2023] Open
Abstract
The onset of the coronavirus disease (COVID-19) pandemic and its overwhelming physical and mental health burden can result in stigmatization toward the disease and those affected. This study aimed to measure the prevalence of COVID-19-related stigma and its associated factors among older people in Bangladesh. This cross-sectional study was conducted among 1,045 Bangladeshi older adults aged 60 years and above through telephone interviews in September 2021. The outcome was measured using an eight-point Stigma Scale, adapted to the Bengali language. Level of stigma was indicated by the cumulative score of the eight-items, ranging from 0 to 8, with a higher score indicating a higher level of stigma. On average, participants had stigmas on three of the eight items, and 62.6% had a high stigma score. The most prevalent stigmas were as follows: COVID-19 is a punishment from God (79.3%), patients with previous COVID-19 must be isolated (67.3%), and people infected with COVID-19 did not meet hygiene standards (63.9%). Participants who lived in rural areas (β: 0.67, 95% CI: 0.39 to 0.95) and who perceived needing additional care during the pandemic (β: 0.35, 95% CI: 0.09 to 0.60) had a higher average stigma score, whereas stigma scores were lower among unemployed/retired participants (β: -0.22, 95% CI: -0.45 to 0.00). The study findings suggest implementing interventions to raise awareness through appropriate health literacy interventions and mass media campaigns.
Collapse
Affiliation(s)
- Sabuj Kanti Mistry
- Department of Health Research, ARCED Foundation, Dhaka, Bangladesh
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW, Australia
- BRAC James P. Grant School of Public Health, BRAC University, Dhaka, Bangladesh
- Department of Public Health, Daffodil International University, Dhaka, Bangladesh
| | | | - Uday Narayan Yadav
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, NSW, Australia
- National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, ACT, Australia
| | - Md. Nazmul Huda
- Department of Health Research, ARCED Foundation, Dhaka, Bangladesh
- Translational Health Research Institute, School of Medicine, Western Sydney University, Campbeltown, NSW, Australia
| | - Md. Mahmudur Rahman
- Research, Monitoring and Information Management Organization/Institutions, Deep Eye Care Foundation, Rangpur, Bangladesh
| | - Manika Saha
- Department of Human-Centred Computing, Faculty of Information Technology, Monash University, Clayton, VIC, Australia
| | | | - David Lim
- Translational Health Research Institute, School of Medicine, Western Sydney University, Campbeltown, NSW, Australia
- School of Health Sciences, Western Sydney University, Campbeltown, NSW, Australia
| | - Saruna Ghimire
- Department of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, OH, United States
| |
Collapse
|
36
|
Prevalence of depression and anxiety among university students during COVID-19 in Bangladesh: A cross sectional study. Ment Health (Lond) 2022. [DOI: 10.56508/mhgcj.v5i2.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Introduction: The COVID-19 outbreak has become a challenging crisis for public health. During the COVID-19 pandemic, the indefinite closure of educational institutions in Bangladesh has a severe impact on the mental health of students.
Purpose: The purpose of this study is to investigate factors that might have considerable influence on the mental health of students during quarantine in Bangladesh though they did not explore in previous studies on mental health status during the pandemic.
Methodology: A standardized questionnaire was generated using PH9 and GAD7 to measure depression and anxiety levels. A total of 203 responses were collected from university students of Bangladesh through social media.
Results: Descriptive statistics found that 37% of the students experienced moderate to severe anxiety while 54% faced moderate to severe depression. Ordinal Logistic Regression analysis found that anxiety is significantly related to gender, students’ current affiliation status in university (e.g., sophomore, masters), and time spent on watching TV while depression was related to family member’s contact with Covid-19, performing multiple activities as hobbies, and spending time in reading and writing.
Conclusions: This study adds valuable findings in the existing literature, and it will help Students, university authorities, and government can take productive steps to tackle mental health issues
Collapse
|
37
|
Kim UR, Sung H. Urban parks as a potential mitigator of suicide rates resulting from global pandemics: Empirical evidence from past experiences in Seoul, Korea. CITIES (LONDON, ENGLAND) 2022; 127:103725. [PMID: 35530723 PMCID: PMC9066293 DOI: 10.1016/j.cities.2022.103725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 04/06/2022] [Accepted: 04/25/2022] [Indexed: 05/07/2023]
Abstract
Globally, the increased suicide rate of the general population has become a concern not only because of the COVID-19 pandemic, but also because of its associated socioeconomic insecurity, loss of jobs, and economic shocks. This study employed robust fixed-effects panel models to empirically identify the mitigating effects of infectious diseases, via urban parks, on the suicide rate, and to examine gender differences in this regard, based on previous experiences in Seoul, Korea. We found that the differentiating mitigating effect did not significantly affect suicide rates during the 2015 MERS epidemic. However, during the 2009 H1N1 pandemic, wherein the number of confirmed cases was very high and diffused nationwide, urban parks significantly reduced the suicide rates for both men and women. The role of parks as a mitigator was more enhanced in cities with a high number of confirmed cases if it was associated with economic shocks. However, this effect was significant only in the suicide rates of men, not women. During a pandemic, urban parks can help maintain social interaction and sustain physical activities (i.e., walking and exercise) while maintaining physical distance. National and local governments should develop urban parks to actively control the suicide rate influenced by movement restriction measures inevitably occurring during the spread of infectious diseases.
Collapse
Affiliation(s)
- U-Ram Kim
- Department of Urban and Regional Development, Graudate School of Urban Studies, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea
- Center for Housing Policy Research, Seoul Metropolitan Government, 04514, Korea
| | - Hyungun Sung
- Department of Urban and Regional Development, Graudate School of Urban Studies, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea
| |
Collapse
|
38
|
Hossain MT, Islam MA, Jahan N, Nahar MT, Sarker MJA, Rahman MM, Deeba F, Hoque KE, Aktar R, Islam MM, Hossain MZ, Siddiqua L, Mahbub Z, Islam MN. Mental Health Status of Teachers During the Second Wave of the COVID-19 Pandemic: A Web-Based Study in Bangladesh. Front Psychiatry 2022; 13:938230. [PMID: 35958639 PMCID: PMC9357994 DOI: 10.3389/fpsyt.2022.938230] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 06/20/2022] [Indexed: 12/12/2022] Open
Abstract
Background Following the outbreak of the COVID-19 pandemic, the government of Bangladesh implemented strict non-therapeutic measures, i.e., "social distancing," "lockdown," "work from home," in the first quarter of 2020. Like other professionals, teachers at schools, colleges and universities were confined within households. However, the introduction of online education imposed an additional burden on teachers along with growing household responsibilities, thus, affecting their psychological state. Aims This study was aimed to explore the prevalence of mental health problems among teachers in Bangladesh and to identify the associated risk factors. Methods This web-based cross-sectional study was conducted during the second wave of COVID-19 pandemic in Bangladesh. Data were collected from 381 teachers working at schools, colleges, and universities between 01 August and 29 August 2021 by administering a self-reported e-questionnaire using Google Form, where the mental health of teachers was assessed by depression, anxiety, and stress scale. Data were analyzed using IBM SPSS Statistics (Version 26) and STATA Version 16, and multiple linear regression was executed to predict mental health problems among teachers. Results The findings indicate that the overall prevalence of depression, anxiety, and stress among teachers was 35.4%, 43.7%, and 6.6%, respectively. The prevalence was higher among male and older teachers than among their female and younger colleagues. The findings further showed that place of residence, institution, self-reported health, usage of social and electronic media, and fear of COVID-19 significantly influenced the mental health status of teachers. Conclusion It is strongly recommended that the government and policymakers provide proper mental health services to teachers in order to reduce mental health problems and thus sustain the quality of education during and after the pandemic.
Collapse
Affiliation(s)
- Md. Tanvir Hossain
- Sociology Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Md. Akhtarul Islam
- Statistics Discipline, Science, Engineering and Technology School, Khulna University, Khulna, Bangladesh
| | - Nusrat Jahan
- Sociology Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Mst. Tanmin Nahar
- Statistics Discipline, Science, Engineering and Technology School, Khulna University, Khulna, Bangladesh
| | - Md. Juwel Ahmed Sarker
- Department of Development Studies, Faculty of Social Science and Humanities, Hajee Mohammad Danesh Science and Technology University, Dinajpur, Bangladesh
| | - Md. Mostafizur Rahman
- Department of Disaster and Human Security Management, Faculty of Arts and Social Sciences, Bangladesh University of Professionals, Dhaka, Bangladesh
| | - Farah Deeba
- Department of Clinical Psychology, Faculty of Biological Sciences, University of Dhaka, Dhaka, Bangladesh
| | | | - Rina Aktar
- Sociology Discipline, Social Science School, Khulna University, Khulna, Bangladesh
| | - Md. Mazharul Islam
- Department of Sociology, Faculty of Social Science, Government Azizul Haque College, Bogura, Bangladesh
| | | | - Laila Siddiqua
- Architecture Discipline, Science, Engineering and Technology School, Khulna University, Khulna, Bangladesh
| | | | - Md. Nazrul Islam
- Forestry and Wood Technology Discipline, Life Science School, Khulna University, Khulna, Bangladesh
| |
Collapse
|
39
|
Ke GN, Grajfoner D, Carter S, DeLima N, Khairudin R, Lau WY, Kamal KA, Lee SC. Psychological Wellbeing and Employability of Retrenched Workforce During COVID-19: A Qualitative Study Exploring the Mitigations for Post Pandemic Recovery Phase. Front Public Health 2022; 10:907797. [PMID: 35875037 PMCID: PMC9304802 DOI: 10.3389/fpubh.2022.907797] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 06/20/2022] [Indexed: 11/30/2022] Open
Abstract
The ongoing COVID-19 pandemic has triggered several employment-related issues, followed by different response strategies. With retrenchment measures being a common response strategy during economic downturns, many individuals have been faced with unemployment. This study aimed to explore the effect of the COVID-19 pandemic related retrenchment on the psychological wellbeing of the Malaysian workforce, using a qualitative research approach and based on the Latent-deprivation Model. A purposive sample of 30 retrenched participants was interviewed via telephone during Malaysia's Movement Control Order (MCO). Thematic analysis was subsequently conducted to identify key themes in the data set. Six themes emerged from the thematic analysis: (1) Retrenchment leading to the deterioration of psychological wellbeing; (2) Unemployment, financial strain and economic uncertainty; (3) Emotions related to the COVID-19 virus; (4) Coping with lifestyle change; (5) Recommendations to improve the psychological wellbeing and mental health of the retrenched workforce, and (6) Career and financial support at the recovery phase. The present study provides valuable insight into the wellbeing of retrenched workforce who are forced to cope with both unemployment and a global pandemic, and workforce perspectives regarding types of support needed during the recovery phase.
Collapse
Affiliation(s)
- Guek-Nee Ke
- Department of Psychology, School of Social Sciences, Heriot-Watt University Malaysia, Putrajaya, Malaysia
- *Correspondence: Guek-Nee Ke
| | - Dasha Grajfoner
- Department of Psychology, School of Social Sciences, Heriot-Watt University, Edinburgh, United Kingdom
| | - Stephen Carter
- Edinburgh Business School, Heriot-Watt University, Edinburgh, United Kingdom
| | - Nicole DeLima
- Department of Psychology, School of Social Sciences, Heriot-Watt University Malaysia, Putrajaya, Malaysia
| | - Rozainee Khairudin
- Centre for Research in Psychology and Human Well-Being, Faculty of Social Sciences and Humanities, National University of Malaysia, Bangi, Malaysia
| | - Wee-Yeap Lau
- Department of Applied Statistics, Faculty of Economics and Administration, University of Malaya, Kuala Lumpur, Malaysia
| | | | - Shen Chieng Lee
- Malaysian Institute of Economic Research (MIER), Kuala Lumpur, Malaysia
| |
Collapse
|
40
|
Islam MR, Rahman MS, Qusar MMAS. Community‐based decentralized mental health services are essential to prevent the epidemic turn of post‐Covid mental disorders in Bangladesh: A call to action. Health Sci Rep 2022; 5:e734. [PMID: 35873400 PMCID: PMC9297297 DOI: 10.1002/hsr2.734] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 07/02/2022] [Accepted: 07/07/2022] [Indexed: 12/03/2022] Open
Affiliation(s)
- Md. Rabiul Islam
- Department of Pharmacy University of Asia Pacific Dhaka Bangladesh
| | | | - MMA Shalahuddin Qusar
- Department of Psychiatry Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh
| |
Collapse
|
41
|
Mahmood QK, Sohail MM, Qureshi WA, Zakar R, Wrona KJ, Fischer F. Role of positive mental health in reducing fears related to COVID-19 and general anxiety disorder in Khyber Pakhtunkhwa, Pakistan. BMC Psychol 2022; 10:163. [PMID: 35761390 PMCID: PMC9238220 DOI: 10.1186/s40359-022-00869-7] [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] [Received: 04/16/2021] [Accepted: 06/17/2022] [Indexed: 11/10/2022] Open
Abstract
Background The outbreak of the novel coronavirus disease (COVID-19) has posed multiple challenges to healthcare systems. Evidence suggests that mental well-being is badly affected due to compliance with preventative measures in containing the COVID-19 pandemic. This study aims to explore the role of positive mental health (subjective sense of wellbeing) to cope with fears related to COVID-19 and general anxiety disorder in the Pashtun community in Pakistan.
Methods A cross-sectional survey was conducted among 501 respondents from Khyber Pakhtunkhwa participating in an online-based study. We performed correlational analysis, hierarchical linear regression and structural equational modeling (SEM) to analyze the role of mental health in reducing fears and general anxiety disorder. Results The results of the SEM show that positive mental health has direct effects in reducing the fear related to COVID-19 (β = − 0.244, p < 0.001) and general anxiety (β = − 0.210, p < 0.001). Fears of COVID-19 has a direct effect on increasing general anxiety (β = 0.480). In addition, positive mental health also has an indirect effect (β = − 0.117, p < 0.001) on general anxiety (R2 = 0.32, p < 0.001) through reducing fear of coronavirus. Conclusion Based on these findings, there is a need to develop community health policies emphasizing on promotive and preventive mental health strategies for people practicing social/physical distancing.
Collapse
Affiliation(s)
| | | | | | - Rubeena Zakar
- Institute of Social and Cultural Studies, University of the Punjab, Lahore, Pakistan
| | - Kamil J Wrona
- School of Public Health, Bielefeld University, Bielefeld, Germany
| | - Florian Fischer
- Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany. .,Bavarian Research Center for Digital Health and Social Care, Kempten University of Applied Sciences, Kempten, Germany.
| |
Collapse
|
42
|
Park JY, Lee I. Factors influencing suicidal tendencies during COVID-19 pandemic in Korean multicultural adolescents: a cross-sectional study. BMC Psychol 2022; 10:158. [PMID: 35729606 PMCID: PMC9212200 DOI: 10.1186/s40359-022-00867-9] [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: 04/11/2022] [Accepted: 06/15/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There is concern that the COVID-19 pandemic has had a negative impact on the psychological wellbeing of many populations, including increase of fear, anxiety, and uncertainty. Since the start of the COVID-19 pandemic, adolescents specifically have experienced direct and indirect impacts on their mentally, resulting in severe depression, self-harm and suicide. This study aimed to identify factors influencing suicidal tendencies and the mental health status of multicultural adolescents in Korea during the COVID-19 pandemic. METHODS This cross-sectional study was conducted with 784 multicultural adolescents (Korean fathers and foreign mothers) who participated in the 16th national Korean Youth Risk Behaviour online survey. Research variables were measured using self-reported questionnaires for mental health and suicidal tendencies. Data was analysed using SPSS 26.0 program. RESULTS The factors influencing suicidal tendencies (contemplating suicide, suicidal plans, and suicide attempts) were sexual intercourse experience (adjusted odds ratio [aOR], 7.67, 5.04, 7.10), depressive mood (aOR 1.03, 0.98, 0.97, 0.90), and unhappiness (aOR 13.00, 7.28, 5.56). CONCLUSIONS In conclusion, the factors that affect suicidal tendencies showed sexual intercourse experience, depressive mood and unhappiness. Screening for suicidal tendencies and suicide prevention programs that consider the significant factors that affect suicidal tendencies should be developed for multicultural adolescents. School health professions and mental health counselors at schools need to emphasize the mental health and psychosocial support needs of senior high school students.
Collapse
Affiliation(s)
- Ju-Young Park
- College of Nursing, Konyang University, Deajeon City, Republic of Korea
| | - Insook Lee
- Department of Nursing, Changwon National University, 20 Changwon Daehak-ro, Uichang-gu, Changwon, Gyeongnam, 51140, Republic of Korea.
| |
Collapse
|
43
|
A Network Analysis of the Fear of COVID-19 Scale (FCV-19S): A Large-Scale Cross-Cultural Study in Iran, Bangladesh, and Norway. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116824. [PMID: 35682405 PMCID: PMC9180255 DOI: 10.3390/ijerph19116824] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 05/27/2022] [Accepted: 05/28/2022] [Indexed: 01/09/2023]
Abstract
The rapid spread of the coronavirus disease 2019 (COVID-19) has led to high levels of fear worldwide. Given that fear is an important factor in causing psychological distress and facilitating preventive behaviors, assessing the fear of COVID-19 is important. The seven-item Fear of COVID-19 Scale (FCV-19S) is a widely used psychometric instrument to assess this fear. However, the factor structure of the FCV-19S remains unclear according to the current evidence. Therefore, the present study used a network analysis to provide further empirical evidence for the factor structure of FCV-19S. A total of 24,429 participants from Iran (n = 10,843), Bangladesh (n = 9906), and Norway (n = 3680) completed the FCV-19S in their local language. A network analysis (via regularized partial correlation networks) was applied to investigate the seven FCV-19S items. Moreover, relationships between the FCV-19S items were compared across gender (males vs. females), age groups (18−30 years, 31−50 years, and >50 years), and countries (Iran, Bangladesh, and Norway). A two-factor structure pattern was observed (three items concerning physical factors, including clammy hands, insomnia, and heart palpitations; four items concerning psychosocial factors, including being afraid, uncomfortable, afraid of dying, and anxious about COVID-19 news). Moreover, this pattern was found to be the same among men and women, across age groups and countries. The network analysis used in the present study verified the two-factor structure for the FCV-19S. Future studies may consider using the two-factor structure of FCV-19S to assess the fear of COVID-19 during the COVID-19 era.
Collapse
|
44
|
Akhter S, Bashar F, Kamruzzaman M, Mahmood N, Rahman A, Anwar I, Hawkes S. A Rapid Ethnographic Assessment of Cultural and Social Perceptions and Practices About COVID-19 in Bangladesh: What the Policy Makers and Program Planners Should Know. QUALITATIVE HEALTH RESEARCH 2022; 32:1114-1125. [PMID: 35543221 PMCID: PMC9099403 DOI: 10.1177/10497323221091516] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Anthropological literature on health beliefs and practices related to COVID-19 is scarce, particularly in low and middle-income countries. We conducted a qualitative research on perceptions of COVID-19 among slum residents of Dhaka, Bangladesh from November 2020 through January, 2021. Methods included in-depth interviews and photo elicitation with community residents. Interviews were transcribed and analyzed thematically. Results show scientific explanations of COVID-19 conflicted with interviewees' cultural and spiritual beliefs such as: coronavirus is a disease of rich, sinful people; the virus is a curse from Allah to punish sinners. Interviewees rejected going to hospitals in favor of home remedies, and eschewed measures such as mask-wearing or social distancing instead preferring to follow local beliefs. We have highlighted a gap between community beliefs about the pandemic and science-led interventions proposed by health professionals. For public health policy to be more effective it requires a deeper understanding of and response to community perceptions.
Collapse
Affiliation(s)
- Sadika Akhter
- Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
| | - Farzana Bashar
- Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
| | - Mohammed Kamruzzaman
- Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
| | - Nabila Mahmood
- Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
| | - Aminur Rahman
- Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
| | - Iqbal Anwar
- Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
- Obstetrical and Gynecological Society of Bangladesh, Dhaka, Bangladesh
| | - Sarah Hawkes
- Institute for Global Health, University College London, London, UK
| |
Collapse
|
45
|
Cutrer-Párraga EA, Cotton C, Heath MA, Miller EE, Young TA, Wilson SN. Three Sibling Survivors' Perspectives of their Father's Suicide: Implications for Postvention Support. JOURNAL OF CHILD AND FAMILY STUDIES 2022; 31:1838-1858. [PMID: 35611068 PMCID: PMC9120346 DOI: 10.1007/s10826-022-02308-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/27/2022] [Indexed: 06/15/2023]
Abstract
This qualitative case study describes three adult siblings' experiences and their perceptions of support connected with the time before and after their father's suicide. At the time of the suicide, participants were ages 1, 5, and 8 years old. We considered commonalities and disparities among the three survivors' perceptions. We also considered how their reported experiences compared to extant literature on child survivors of parent suicide. Our findings suggest that, although the siblings experienced the same traumatic event, each had unique perceptions of the parent's suicide. Immediately prior to closing each interview, to deescalate from the intense topic of suicide, participants offered their impressions of potentially therapeutic children's books and how bibliotherapy may or may not support surviving children. Participants' perceptions of selected children's picture books offer insights about opening communication and addressing challenges specific to a parent's suicide. Implications for teachers, parents, and school-based mental health professionals are provided. We conclude that postvention must consider and monitor each child's perceptions and provide individualized interventions that encourage open communication and support adaptive coping to navigate the intense grief associated with a parent's suicide.
Collapse
Affiliation(s)
- Elizabeth A. Cutrer-Párraga
- Counseling Psychology & Special Education, McKay School of Education, 340 MCKB, Brigham Young University, Provo, UT 84602 USA
| | - Caitlin Cotton
- Spectrum Academy, 867 S 800 W, Pleasant Grove, UT 84062 USA
| | - Melissa A. Heath
- Counseling Psychology & Special Education, McKay School of Education, 340 MCKB, Brigham Young University, Provo, UT 84602 USA
| | - Erica E. Miller
- Counseling Psychology & Special Education, McKay School of Education, 340 MCKB, Brigham Young University, Provo, UT 84602 USA
| | - Terrell A. Young
- Teacher Education, McKay School of Education, 205-F MCKB, Brigham Young University, Provo, UT 84602 USA
| | | |
Collapse
|
46
|
Aqeel M, Rehna T, Shuja KH, Abbas J. Comparison of Students' Mental Wellbeing, Anxiety, Depression, and Quality of Life During COVID-19's Full and Partial (Smart) Lockdowns: A Follow-Up Study at a 5-Month Interval. Front Psychiatry 2022; 13:835585. [PMID: 35530024 PMCID: PMC9067378 DOI: 10.3389/fpsyt.2022.835585] [Citation(s) in RCA: 49] [Impact Index Per Article: 24.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 02/25/2022] [Indexed: 12/25/2022] Open
Abstract
Objective Scholars have debated the COVID-19's full and partial lockdowns' effectivity to control the transmission of the new case. They emphasized the provision of required economic and social resources worldwide. Past literature related to COVID-19 has contributed little evidence to examine the efficacy of full and partial lockdown measures with experimental perspectives at different intervals. This study bridges this literature gap and explores the full and smart lockdowns' impacts on Pakistani students' mental health, depression, quality of life, and anxiety symptoms, during the various waves of the COVID-19 pandemic. Method This pretest and posttest experimental designed web-based survey recruited 40 students from March 23 to August 23, 2020, and recorded their responses. The study incorporated four standardized psychological instruments to receive the desired datasets related to students' mental health, quality of life, anxiety, and depression. Researchers shared data links with the participants via social media, WhatsApp. The study applied one-way and multivariate ANOVA tests (analysis of variance) to draw the desired results. Results This study's findings suggest that both full and partial COVID-19 lockdowns effectively improve students' mental health and quality of life. These measures help reduce anxiety and depressive symptoms among university students. The study results exhibit that partial lockdown (PL) is more effective in improving quality of life. Besides, PL helps reduce anxiety symptoms than complete lockdown among Pakistani students. Conclusion The present study's findings suggest that students are vulnerable. They need particular interventions and preventive measures to protect and improve their mental health and quality of life during a global pandemic. As the stressful experience of the epidemic persists in Pakistan. It will also be interesting to examine the psychological impact of the successive waves of the COVID-19 pandemic.
Collapse
Affiliation(s)
- Muhammad Aqeel
- Foundation University Islamabad, Rawalpindi Campus, Islamabad, Pakistan
| | - Tasnim Rehna
- National University of Modern Languages, Islamabad, Pakistan
| | | | - Jaffar Abbas
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
- Antai College of Economics and Management, Shanghai Jiao Tong University, Shanghai, China
| |
Collapse
|
47
|
Sajid KS, Hussain S, Hussain RI, Mustafa B. The Effect of Fear of COVID-19 on Green Purchase Behavior in Pakistan: A Multi-Group Analysis Between Infected and Non-infected. Front Psychol 2022; 13:826870. [PMID: 35422735 PMCID: PMC9002235 DOI: 10.3389/fpsyg.2022.826870] [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: 12/01/2021] [Accepted: 01/31/2022] [Indexed: 12/12/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic and its effects on an individual's life have altered the consumer behavior. In the context of purchase and consumption, a shift from conventional to green purchase has been noticed. Although the factors underlying this shift were relatively unexplored, the study aimed to identify the factors that influenced a significant role in the green purchases during the outbreak and the relationship of these factors with green purchase behavior (GPB). Subsequently, this study investigates and interprets the role of fear of COVID-19 (FCV), psychological distress (PD), and mortality salience (MS) in predicting consumer's GPB. This research adopted a quantitative methodology using data collected from 432 respondents in various cities across Pakistan. Smart-PLS 3 was used to evaluate the measurement model, structural model, and multi-group analysis (MGA). Despite having the negative psychological and physical impact of the pandemic, a significant proportion of customers have switched to healthier and sustainable products. This research revealed that the FCV, PD, and MS plays a substantial role in adopting GPB. All the direct relationships were positive and significant. In addition, MS and PD partially mediate the effect of FCV on GPB. Furthermore, the MGA revealed that the infected respondents were interested in purchasing green products than uninfected respondents due to their FCV; conversely, the PD and MS were higher in uninfected individuals than infected ones. However, there is a vast literature on GPB, but little has investigated the cumulative impact of FCV, PD, and MS on GPB.
Collapse
Affiliation(s)
- Kubra S Sajid
- Department of Management Sciences, University of Okara, Okara, Pakistan
| | - Shahbaz Hussain
- Department of Management Sciences, University of Okara, Okara, Pakistan.,The Evidence-Based Research Center for Educational Assessment, Jiangsu University, Zhenjiang, China
| | - Rai I Hussain
- Department of Management Sciences, University of Okara, Okara, Pakistan
| | - Bakhtawar Mustafa
- School of Business, George Mason University, Fairfax, VA, United States
| |
Collapse
|
48
|
YALÇIN M, ÖZDEMİR D, CAKİROGLU S, ARPACIOĞLU S. Gelir düzeyi ve mesleki faktörlerin Türkiye'de COVID-19 kapanması döneminde ruh sağlığı üzerindeki etkisi. CUKUROVA MEDICAL JOURNAL 2022. [DOI: 10.17826/cumj.1022808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
49
|
Rusyan E, Mielczarek A, Bogusławska-Kapała A, Adamczyk K, Piec R, Szykuła-Piec B. Level of Anxiety Caused by the Coronavirus (COVID-19) Pandemic among Dentists in Poland. Medicina (B Aires) 2022; 58:medicina58030415. [PMID: 35334591 PMCID: PMC8955376 DOI: 10.3390/medicina58030415] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 03/01/2022] [Accepted: 03/07/2022] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives: The early information on both the speed and high morbidity rate and, above all, mortality triggered the symptoms of COVID-19-related panic and anxiety. Dentists were listed in the top five professions with the highest risk of transmission of the virus. The aim of the present study was to investigate the correlation between the fear level of COVID-19 and sociodemographic variables in Polish dentists. Materials and Methods: A cross-sectional study was conducted via an online survey questionnaire with seven statements in the COVID-19 Fear Scale (FCV-19S). The online questionnaire was completed by 356 dentists. The SPSS and PQStat were used to analyze, validate, and assess correlations and logistic regression. Results: In the studied population of dentists, the perceived level of anxiety associated with COVID-19 should be considered relatively low. When the respondents had children, lived with the elderly, or looked after them, the observed level of anxiety was higher, and physical symptoms, such as sweating palms and increased heart rate, occurred. Conclusions: Studies concerning the anxiety level related to COVID-19 carried out among Polish dentists ascertained that the tested level of anxiety among dentists was relatively low. The COVID-19 Fear Scale (FCV-19S) adjusted to the Polish language requirements is a reliable tool that can be used effectively for analyzing the impact of any pandemic on the Polish-speaking population.
Collapse
Affiliation(s)
- Ewa Rusyan
- Department of Conservative Dentistry, Warsaw Medical University, 02-097 Warsaw, Poland; (E.R.); (A.M.)
| | - Agnieszka Mielczarek
- Department of Conservative Dentistry, Warsaw Medical University, 02-097 Warsaw, Poland; (E.R.); (A.M.)
| | | | - Kamil Adamczyk
- Central Clinical Hospital of the Ministry of Interior and Administration in Warsaw, 02-507 Warsaw, Poland;
| | - Robert Piec
- The Main School of Fire Service, 01-629 Warsaw, Poland;
| | | |
Collapse
|
50
|
Cavazzoni F, Pancake R, Veronese G. Impact of COVID-19 Pandemic on Mental Health and Quality of Life. An Exploratory Study During the First Outbreak in Italy. Psychol Rep 2022:332941211066259. [PMID: 35271789 PMCID: PMC8914301 DOI: 10.1177/00332941211066259] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
The coronavirus pandemic has been sweeping the world for more than a year. As physical health begins to stabilize in the western world, an increasing concern is related to the impact of the virus and its containment measures on people's mental health. This work aimed to explore the effect of demographic factors (age, gender, level of education, and socioeconomic status) and variables such as fear of COVID-19 and social support in predicting the quality of life and mental health of adults during the first wave of the pandemic in Italy. Through an online survey with 1087 Italian adults (M = 39.7, SD = 16.39; 74.4% women), gender and socioeconomic status emerged as crucial factors in determining differences regarding people's responses and reactions to the pandemic. In addition, the results highlighted the importance of perceived social support and a moderate fear of COVID-19 in predicting people's quality of life and mental health. The study suggests important guidelines for the development of interventions to support the population's well-being and mental health.
Collapse
Affiliation(s)
- Federica Cavazzoni
- Federica Cavazzoni, Department of Human Sciences “R. Massa,” University of Milano-Bicocca, Piazza dell’Ateneo Nuovo 1, Milano 20126, Italy.
| | | | - Guido Veronese
- 9305University of Milano-Bicocca, Milan, Italy.,Stellenbosch University, South Africa
| |
Collapse
|