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Li J, Wisnivesky JP, Lin JJ, Campbell KN, Hu L, Kale MS. Examining the Trajectory of Health-Related Quality of Life among Coronavirus Disease Patients. J Gen Intern Med 2024; 39:1820-1827. [PMID: 38169022 PMCID: PMC11282031 DOI: 10.1007/s11606-023-08575-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 12/08/2023] [Indexed: 01/05/2024]
Abstract
BACKGROUND Recent studies have reported a reduction in health-related quality of life (HR-QoL) among post-coronavirus disease 2019 (COVID-19) patients. However, there remains a gap in research examining the heterogeneity and determinants of HR-QoL trajectory in these patients. OBJECTIVE To describe and identify factors explaining the variability in HR-QoL trajectories among a cohort of patients with history of COVID-19. DESIGN A prospective study using data from a cohort of COVID-19 patients enrolled into a registry established at a health system in New York City. PARTICIPANTS Participants were enrolled from July 2020 to June 2022, and completed a baseline evaluation and two follow-up visits at 6 and 12 months. METHODS We assessed HR-QoL with the 29-item Patient Reported Outcomes Measurement Information System instrument, which was summarized into mental and physical health domains. We performed latent class growth and multinomial logistic regression to examine trajectories of HR-QoL and identify factors associated with specific trajectories. RESULTS The study included 588 individuals with a median age of 52 years, 65% female, 54% White, 18% Black, and 18% Hispanic. We identified five physical health trajectories and four mental health trajectories. Female gender, having pre-existing hypertension, cardiovascular disease, asthma, and hospitalization for acute COVID-19 were independently associated with lower physical health. In addition, patients with increasing body mass index were more likely to experience lower physical health over time. Female gender, younger age, pre-existing asthma, arthritis and cardiovascular disease were associated with poor mental health. CONCLUSIONS We found significant heterogeneity of HR-QoL after COVID-19, with women and patients with specific comorbidities at increased risk of lower HR-QoL. Implementation of targeted psychological and physical interventions is crucial for enhancing the quality of life of this patient population.
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Affiliation(s)
- Jia Li
- Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, 10029, USA.
| | - Juan P Wisnivesky
- Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Division of Pulmonary and Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Jenny J Lin
- Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Kirk N Campbell
- Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Liangyuan Hu
- Department of Biostatistics and Epidemiology, Rutgers University School of Public Health, New Brunswick, NJ, USA
| | - Minal S Kale
- Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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Gil-Almagro F, García-Hedrera FJ, Carmona-Monge FJ, Peñacoba-Puente C. A study on optimism as a psychological strength in nurses through a prospective study from the outbreak of the COVID-19 pandemic to two years later. Brain Behav Immun Health 2024; 38:100782. [PMID: 38706572 PMCID: PMC11070230 DOI: 10.1016/j.bbih.2024.100782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 04/21/2024] [Accepted: 04/23/2024] [Indexed: 05/07/2024] Open
Abstract
Aims and objectives This study analyzes, in nurses, the influence of openness to experience and hardiness (assessed at baseline and one year after the COVID-19 pandemic respectively) on the development of optimism (assessed two years after the COVID-19 pandemic). Concerns about self-contagion were included as a moderating variable, given their relevance as a risk factor. Background Nurses have been among the healthcare professionals most affected by the COVID-19 pandemic. Most previous studies have focused on the variables contributing to psychological symptoms, whilst the attention given to the variables adding to the well-being of these professionals has been much scarcer. Design A prospective study was carried out. Methods This study was carried out using three data collection periods: Period 1 (From May to June 2020), Period 2 (From January 2021 to April 2021), and Period 3 (From April 2022 to July 2022), with the participation of 151 Spanish nurses, using online self-reporting questionnaires. The study followed the STROBE statement. Results The results showed that the proposed model was statistically significant. There was a positive effect of openness to experience (year 2020) on hardiness assessed one year later (year 2021). Similarly, hardiness had a positive effect on optimism assessed another year on (year 2022). Conclusions Concerns about self-contagion behaved as a moderator in the relationship between openness to experience and hardiness (the relationship between openness and hardiness was statistically significant when contagion concern was higher). Relevance to clinical practice: In-depth understanding of the psychological processes that trigger psychological strengths (i.e. optimism) as a result of adverse situations (i.e. COVID-19 pandemic) is essential in promoting the mental health of healthcare professionals. Interventions targeting resilient personality traits and cognitive flexibility are key to this goal. No Patient or Public Contribution: The participants contributed exclusively to the collection of the sample.
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Affiliation(s)
- Fernanda Gil-Almagro
- Unidad de Cuidados Críticos, Hospital Universitario Fundación Alcorcón, C. Budapest, 1, 28922, Alcorcón, Madrid, Spain
- Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain
| | - Fernando J. García-Hedrera
- Unidad de Cuidados Críticos, Hospital Universitario Fundación Alcorcón, C. Budapest, 1, 28922, Alcorcón, Madrid, Spain
| | - F. Javier Carmona-Monge
- Servicio de Anestesiología, Hospital Universitario Santiago de Compostela, Rúa da Choupana, s/n, 15706, Santiago de Compostela, A Coruña, Spain
| | - Cecilia Peñacoba-Puente
- Departamento de Psicología, Universidad Rey Juan Carlos, Av. de Atenas, s/n, 28922, Alcorcón, Madrid, Spain
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Chen YN. The Relationship Between Personality Traits, Emotional Stability and Mental Health in Art Vocational and Technical College Students During Epidemic Prevention and Control. Psychol Res Behav Manag 2023; 16:2857-2867. [PMID: 37525850 PMCID: PMC10387273 DOI: 10.2147/prbm.s417243] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 07/11/2023] [Indexed: 08/02/2023] Open
Abstract
Objective To investigate the relationship between the personality traits, emotional stability and mental health state of students in vocational and technical colleges of art under epidemic prevention and control based on latent trait-state theory. Methods Using the stratified sampling method, we selected 1569 students in vocational and technical colleges of art as research subjects. From 1 April 2022 to 5 April 2022, we conducted an online survey using the Eysenck Personality Questionnaire (Adult Edition) (EPQA), Emotional Stability Self-Test Scale and University Personality Inventory (UPI) to analyse the relationship between the traits, emotional stability and mental health of students in vocational and technical colleges of art. Results For the EPQA personality traits, boys had lower extraversion and introversion scores than girls (47.71 ± 11.23 vs 49.06 ± 10.74, p = 0.021). In terms of mental health, boys had lower scores than girls (12.20 ± 12.73 vs 14.64 ± 11.85, p< 0.001). There were significant grade differences in psychoticism and total mental health scores in terms of EPQA personality traits (P < 0.01). There were significant associations between all dimensions of personality traits, emotional stability and mental health (r = 0.68, 0.62, p < 0.01). Emotional stability plays a partial mediating role in the effects of neuroticism on mental health. Conclusion There is a close relationship between personality traits, emotional stability and mental health. Under the condition of epidemic prevention and control, strengthening the management of the self-emotional stability of students in vocational and technical colleges of art is helpful in improving students' mental health.
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Affiliation(s)
- Yan Ni Chen
- College of Education for the Future, Beijing Normal University, Zhuhai, 519087, People’s Republic of China
- Department of Student Affairs, Hunan Arts and Crafts Vocational College, Yiyang, 413000, People’s Republic of China
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Lanz M, Caliciuri R, Iafrate R, Regalia C, Rosnati R, Sorgente A. Covid-Related Stress in the Financial, Relational and Health Domains. Which Longitudinal Effects on Present and Future Perception? Psychol Rep 2023:332941231161790. [PMID: 36872891 DOI: 10.1177/00332941231161790] [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: 03/07/2023]
Abstract
While pre-covid literature about stress has indicated the importance of studying domain-specific stress, studies conducted during the pandemic have investigated covid-related stress as a monodimensional construct. The current study aimed to assess the impact that covid-related stress in three domains (financial, relational, health) had on individuals' psychological well-being and future anxiety. Furthermore, we aimed to assess whether the relationship among variables changed during the different phases of the pandemic as well as whether age moderated those relationships. Data were collected from 4185 Italian participants (55.4% female) aged 18-90 years (M = 46.10; SD = 13.47) at three waves: April 2020 (time 1), July 2020 (time 2), May 2021 (time 3). A cross-lagged panel model was run in Mplus. Results indicated that the financial domain is the life domain within which people are most worried during the pandemic, as it had the strongest impact on both psychological well-being and future anxiety. Having high levels of psychological well-being at time t served as a protective factor, as it was negatively related to any kinds of stress as well as to future anxiety at time t+1. These relationships among variables were stable over the course of the pandemic. Finally, we found significant age differences in the mean level for all variables under investigation, where young adults were the group with the highest level of stress and future anxiety as well as the lowest level of psychological well-being. Despite these differences in the variables' level, the relationships between variables were invariant across age groups. Implications for researchers and practitioners are discussed.
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Affiliation(s)
- Margherita Lanz
- Department of Psychology, 9371Università Cattolica del Sacro Cuore, Milano, Italy
- Family Studies and Research University Centre, 9371Università Cattolica del Sacro Cuore, Milano, Italy
| | - Rossella Caliciuri
- Department of Psychology, 9371Università Cattolica del Sacro Cuore, Milano, Italy
| | - Raffaella Iafrate
- Department of Psychology, 9371Università Cattolica del Sacro Cuore, Milano, Italy
- Family Studies and Research University Centre, 9371Università Cattolica del Sacro Cuore, Milano, Italy
| | - Camillo Regalia
- Department of Psychology, 9371Università Cattolica del Sacro Cuore, Milano, Italy
- Family Studies and Research University Centre, 9371Università Cattolica del Sacro Cuore, Milano, Italy
| | - Rosa Rosnati
- Department of Psychology, 9371Università Cattolica del Sacro Cuore, Milano, Italy
- Family Studies and Research University Centre, 9371Università Cattolica del Sacro Cuore, Milano, Italy
| | - Angela Sorgente
- Department of Psychology, 9371Università Cattolica del Sacro Cuore, Milano, Italy
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Mills-Finnerty C, Staggs H, Hogoboom N, Naparstek S, Harvey T, Beaudreau SA, O’Hara R. Association between mental health symptoms and behavioral performance in younger vs. older online workers. Front Psychiatry 2023; 14:995445. [PMID: 37065893 PMCID: PMC10090330 DOI: 10.3389/fpsyt.2023.995445] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 01/25/2023] [Indexed: 04/18/2023] Open
Abstract
Background The COVID-19 pandemic has been associated with increased rates of mental health problems, particularly in younger people. Objective We quantified mental health of online workers before and during the COVID-19 pandemic, and cognition during the early stages of the pandemic in 2020. A pre-registered data analysis plan was completed, testing the following three hypotheses: reward-related behaviors will remain intact as age increases; cognitive performance will decline with age; mood symptoms will worsen during the pandemic compared to before. We also conducted exploratory analyses including Bayesian computational modeling of latent cognitive parameters. Methods Self-report depression (Patient Health Questionnaire 8) and anxiety (General Anxiety Disorder 7) prevalence were compared from two samples of Amazon Mechanical Turk (MTurk) workers ages 18-76: pre-COVID 2018 (N = 799) and peri-COVID 2020 (N = 233). The peri-COVID sample also completed a browser-based neurocognitive test battery. Results We found support for two out of three pre-registered hypotheses. Notably our hypothesis that mental health symptoms would increase in the peri-COVID sample compared to pre-COVID sample was not supported: both groups reported high mental health burden, especially younger online workers. Higher mental health symptoms were associated with negative impacts on cognitive performance (speed/accuracy tradeoffs) in the peri-COVID sample. We found support for two hypotheses: reaction time slows down with age in two of three attention tasks tested, whereas reward function and accuracy appear to be preserved with age. Conclusion This study identified high mental health burden, particularly in younger online workers, and associated negative impacts on cognitive function.
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Affiliation(s)
- Colleen Mills-Finnerty
- Sierra Pacific Mental Illness, Research, Education, and Clinical Center, Veterans Administration Palo Alto Health Care System, Palo Alto, CA, United States
- Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, United States
- *Correspondence: Colleen Mills-Finnerty,
| | - Halee Staggs
- Sierra Pacific Mental Illness, Research, Education, and Clinical Center, Veterans Administration Palo Alto Health Care System, Palo Alto, CA, United States
- Shiley-Marcos School of Engineering, University of San Diego, San Diego, CA, United States
| | - Nichole Hogoboom
- Department of Psychology, San Jose State University, San Jose, CA, United States
| | - Sharon Naparstek
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
| | - Tiffany Harvey
- Department of Biochemistry, University of Tennessee at Chattanooga, Chattanooga, TN, United States
| | - Sherry A. Beaudreau
- Sierra Pacific Mental Illness, Research, Education, and Clinical Center, Veterans Administration Palo Alto Health Care System, Palo Alto, CA, United States
- Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, United States
- School of Psychology, The University of Queensland, Brisbane, QLD, Australia
| | - Ruth O’Hara
- Sierra Pacific Mental Illness, Research, Education, and Clinical Center, Veterans Administration Palo Alto Health Care System, Palo Alto, CA, United States
- Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, United States
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Astleitner H, Bains A, Hörmann S. The effects of personality and social media experiences on mental health: Examining the mediating role of fear of missing out, ghosting, and vaguebooking. COMPUTERS IN HUMAN BEHAVIOR 2023. [DOI: 10.1016/j.chb.2022.107436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Zhou M. COVID-19-related stigma and its impact on psychological distress: A cross-sectional study in Wuhan, China. Health Sci Rep 2022; 5:e758. [PMID: 35949673 PMCID: PMC9358535 DOI: 10.1002/hsr2.758] [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: 04/03/2022] [Revised: 06/13/2022] [Accepted: 06/30/2022] [Indexed: 11/11/2022] Open
Abstract
Background and Aims Health-related stigma arises from the perceived association between a person or group of certain characteristics and a specific disease. Coronavirus disease 2019 (COVID-19) has brought about stigma targeted at individuals and groups who are perceived to be connected with the virus. Wuhan of China was not only the locale where the first COVID-19 cases were detected in the world but was also the hardest hit across China. Methods Using new data (N = 1153) from a survey conducted in Wuhan in August 2020, this cross-sectional study aims to reveal the stigma experienced by residents in Wuhan during the COVID-19 pandemic and the impact of this experienced stigma on psychological distress, specifically posttraumatic stress disorder. Results 69.47% (95% confidence interval (CI): 66.81%─72.13%) of the surveyed Wuhan residents have experienced some forms of stigma related to COVID-19. The average posttraumatic stress disorder score based on the impact of event scale-revised is 20.28 (95% CI: 19.096─21.468) out of 88. In particular, 27.75% (95% CI: 25.17%─30.34%) of the respondents display clinically significant distress symptoms. Moreover, this stigma not only aggravates individuals' posttraumatic stress disorder score by 10.652 (95% CI: 8.163─13.141) but also elevates the chance of developing clinically significant distress symptoms. Specifically, the probability of clinical distress is significantly higher (p < 0.001) among those who have experienced stigma (33.66%) than those who have no such experiences (12.62%). Conclusion The public should be aware of the distress-inducing impact of stigma related to COVID-19 and prevent it from causing more harm to certain individuals and groups.
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Affiliation(s)
- Min Zhou
- Department of SociologyUniversity of VictoriaVictoriaCanada
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Cai W, Zhou Y. Men smoke less under the COVID-19 closure policies: The role of altruism. Soc Sci Med 2022; 306:115159. [PMID: 35753168 PMCID: PMC9217683 DOI: 10.1016/j.socscimed.2022.115159] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 05/21/2022] [Accepted: 06/16/2022] [Indexed: 11/29/2022]
Abstract
This study examines whether people smoked more under the Coronavirus Disease 2019 (COVID-19) closure policies which trapped them at home with their families. In such circumstances, the pleasure from smoking could be more tempting than usual, but at the same time smokers’ families are more likely to be victims of passive smoking. This study uses temporal and regional variations in policy strengths with data from the Oxford COVID-19 Government Response Tracker project (OxCGRT) to examine the impact of COVID-19 closure policies on smoking behaviors. With longitudinal data from the China Family Panel Studies (CFPS) in 2018 and 2020, we find diminished smoking behaviors among Chinese male adults when the government implemented strict public health policies for the COVID-19 pandemic. People with more conscientiousness personality traits or stronger pro-family attitudes tend to smoke less as policy stringency increases.
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Affiliation(s)
- Weicheng Cai
- Center for Social Research and Guanghua School of Management, Peking University, China
| | - Yi Zhou
- Center for Social Research and Guanghua School of Management, Peking University, China.
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Wagener A, Stassart C, Etienne AM. At the Peak of the Second Wave of COVID-19, Did Millennials Show Different Emotional Responses from Older Adults? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5908. [PMID: 35627444 PMCID: PMC9140619 DOI: 10.3390/ijerph19105908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Revised: 05/09/2022] [Accepted: 05/11/2022] [Indexed: 02/01/2023]
Abstract
The COVID-19 pandemic disturbs mental health. Indeed, higher levels of negative emotions and anxiety, along with lower levels of positive emotions and well-being, have been highlighted. As a result, individuals need to regulate these psychological states in a context of uncertainty and daily restrictions (e.g., access to leisure activities, social contacts) or modifications of livelihood (e.g., working modalities). Overall, psychological reactions to the pandemic have been shown to differ based on one's age. The purpose of this research is to compare psychological reactions to the pandemic between Millennials (born between 1981 and 1996) and Older Adults. The generation's prism seems relevant as members of specific generations are shaped (e.g., views of the world, the future) by their similar experiences. Ninety-four Millennials and 129 Older Adults, recruited in the general population, participated to an online survey assessing emotions, emotion regulation strategies, environmental satisfaction, and intolerance of uncertainty. Results show that Millennials experience higher levels of negative emotions along with higher levels of worry and rumination than Older Adults. Millennials also report a higher level of joy. Nonetheless, more Older Adults engage themselves in novel activities. Overall, findings confirm previous ones and indicate the need to offer effective clinicals tool to prevent mental health worsening.
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Affiliation(s)
- Aurélie Wagener
- Research Unit for a Life-Course Perspective on Health and Education (RUCHE), Health Psychology, Department of Psychology, Faculty of Psychology and Science of Education, University de Liege, Rue de l’Aunaie, 30, 4000 Liege, Belgium; (C.S.); (A.-M.E.)
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Decio V, Pirard P, Pignon B, Bouaziz O, Perduca V, Chin F, Le Strat Y, Messika J, Kovess-Masfety V, Corruble E, Regnault N, Tebeka S. Hospitalization for COVID-19 is associated with a higher risk of subsequent hospitalization for psychiatric disorders: A French nationwide longitudinal study comparing hospitalizations for COVID-19 and for other reasons. Eur Psychiatry 2022; 65:e70. [DOI: 10.1192/j.eurpsy.2022.2331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Abstract
Introduction
Although COVID-19 has been associated with psychiatric symptoms in patients, no study to date has examined the risk of hospitalization for psychiatric disorders after hospitalization for this disease.
Objective
We aimed to compare the proportions of hospitalizations for psychiatric disorders in the 12 months following either hospitalization for COVID-19 or hospitalization for another reason in the adult general population in France during the first wave of the current pandemic.
Methods
We conducted a retrospective longitudinal nationwide study based on the national French administrative healthcare database.
Results
Among the 2,894,088 adults hospitalized, 96,313 (3.32%) were admitted for COVID-19. The proportion of patients subsequently hospitalized for a psychiatric disorder was higher for COVID-19 patients (11.09 vs. 9.24%, OR = 1.20 95%CI 1.18–1.23). Multivariable analyses provided similar results for a psychiatric disorder of any type and for psychotic and anxiety disorders (respectively, aOR = 1.06 95%CI 1.04–1.09, aOR = 1.09 95%CI 1.02–1.17, and aOR = 1.11 95%CI 1.08–1.14). Initial hospitalization for COVID-19 in intensive care units and psychiatric history were associated with a greater risk of subsequent hospitalization for any psychiatric disorder than initial hospitalization for another reason.
Discussion
Compared with hospitalizations for other reasons, hospitalizations for COVID-19 during the first wave of the pandemic in France were associated with a higher risk of hospitalization for a psychiatric disorder during the 12 months following initial discharge. This finding should encourage clinicians to increase the monitoring and assessment of psychiatric symptoms after hospital discharge for COVID-19, and to propose post-hospital care, especially for those treated in intensive care.
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