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Akoko B, Regan S, Idigbe I, Ezechi O, Pierce LJ, Musa Z, Okonkwo P, Freedberg KA, Ahonkhai AA. HIV-related stigma and psychological distress in a cohort of patients receiving antiretroviral therapy in Nigeria. AIDS Care 2024; 36:204-211. [PMID: 37229763 PMCID: PMC10674032 DOI: 10.1080/09540121.2023.2216006] [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: 02/23/2022] [Accepted: 05/15/2023] [Indexed: 05/27/2023]
Abstract
Psychological distress is increasingly recognized as a barrier to engagement in HIV care, resulting in poor HIV outcomes. HIV-related stigma is a potential driver of distress in people living with HIV (PLWH). We conducted a prospective cohort study in 288 PLWH who newly initiated ART in a Nigeria. We assessed overall stigma (range 40-160) and four stigma subtypes (personalized, disclosure, negative self-image, and public stigma) at enrollment, and assessed psychological distress at enrollment, 6, and 12-months after ART initiation. We used logistic regression to assess the relationship between stigma and 12-month psychological distress. Overall stigma was high (102.34 ± 5.65) and was higher in both unmarried patients (p < 0.01) and those who had not disclosed their HIV status to anyone at enrollment (p < 0.01). Higher overall stigma (OR: 1.05, 95% CI 1.00-1.09) and personalized stigma (OR:1.08, 95% CI 1.00-1.16) were associated with higher odds of psychological distress at 12-months. Conclusions: Overall stigma levels were high in a cohort of PLWH initiating care in Nigeria. Higher stigma was associated with psychological distress. These data support the need for integration of measures to reduce stigma and psychological distress in the care of PLWH.
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Affiliation(s)
- Bentley Akoko
- Emerging Infections Program, Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Susan Regan
- Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America
| | - Ifeoma Idigbe
- Nigerian Institute for Medical Research, Lagos, Nigeria
| | - Oliver Ezechi
- Nigerian Institute for Medical Research, Lagos, Nigeria
| | - Leslie J. Pierce
- Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America
| | - Zaidat Musa
- Nigerian Institute for Medical Research, Lagos, Nigeria
| | | | - Kenneth A. Freedberg
- Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America
- Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, United States of America
- Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, United States of America
- Harvard University Center for AIDS Research (CFAR), Boston, Massachusetts, United States of America
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America
| | - Aima A. Ahonkhai
- Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America
- Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America
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Lin B, Xiang S, Chen J, Jing Y, Ye Z, Zhang Y, Cao X, Yin Z, Qiao N, Zhou X. Assessment of quality of life in patients with craniopharyngioma and identification of risk factors for compromised overall wellness. ARCHIVES OF ENDOCRINOLOGY AND METABOLISM 2023; 68:e230001. [PMID: 37988666 PMCID: PMC10916840 DOI: 10.20945/2359-4292-2023-0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Accepted: 06/24/2023] [Indexed: 11/23/2023]
Abstract
Objective Quality of Life (QoL) has been a multifactorial concerning issue in oncology. We aimed to inspect the pre-operative QoL among patients with craniopharyngioma and to explore the potential correlations between parameters of QoL and clinical indices. Subjects and methods We enrolled a total of 109 patients with craniopharyngioma. We utilized Short Form 36 (SF-36), Symptom Check List-90, Generalized Anxiety Disorder Questionnaire scale (GAD7), Patient Health Questionnaire Depression (PHQ9) and Pittsburgh Sleep Quality Index to prospectively evaluated their QoL. Parameters of QoL along with clinical indices were compared among sub-groups divided according to Puget classification. Correlation analyses and regression analyses were performed to detect influential determinants to self-reported wellness. Results Patients presented impaired QoL compared with general population (p < 0.001), as assessed by SF-36. Correlation analyses indicated the detrimental influence resulting from central diabetes insipidus (CDI). Multivariate linear regression unveiled the adverse effect of CDI on Mental Component Summary (coefficient = -13.869, p= 0.007), GAD7 total score (coefficient = 2.072, p = 0.049) as well as PHQ9 total score (coefficient = 3.721, p = 0.001). Multivariate logistic regression verified CDI as a risk factor of developing depressive symptoms (OR = 6.160, p = 0.001). Conclusion QoL of patients with craniopharyngioma was remarkably compromised before operation. CDI exerted detrimental influences on patients' QoL and it might serve as a marker for early identification of patients at risk of depression.
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Affiliation(s)
- Ben Lin
- Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
- National Center for Neurological Disorders, Shanghai, China
- Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
- Neurosurgical Institute of Fudan University, Shanghai, China
- Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
- These authors contributed equally to this work
| | - Shiyuan Xiang
- Department of Nursery, Huashan Hospital West Campus, Shanghai, China
- These authors contributed equally to this work
| | - Jiajun Chen
- Department of Nursery, Huashan Hospital West Campus, Shanghai, China
- These authors contributed equally to this work
| | - Yu Jing
- Department of Endocrinology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
- These authors contributed equally to this work
| | - Zhao Ye
- Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
- National Center for Neurological Disorders, Shanghai, China
- Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
- Neurosurgical Institute of Fudan University, Shanghai, China
- Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
| | - Yichao Zhang
- Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
- National Center for Neurological Disorders, Shanghai, China
- Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
- Neurosurgical Institute of Fudan University, Shanghai, China
- Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
| | - Xiaoyun Cao
- Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
- National Center for Neurological Disorders, Shanghai, China
- Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
- Neurosurgical Institute of Fudan University, Shanghai, China
- Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
| | - Zhiwen Yin
- Department of Nursery, Huashan Hospital West Campus, Shanghai, China,
| | - Nidan Qiao
- Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China,
- National Center for Neurological Disorders, Shanghai, China
- Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
- Neurosurgical Institute of Fudan University, Shanghai, China
- Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
| | - Xiang Zhou
- Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China,
- National Center for Neurological Disorders, Shanghai, China
- Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
- Neurosurgical Institute of Fudan University, Shanghai, China
- Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
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Yu Y, Wu T, Gao J, Wang S, Zhou Y, Zhang J. Do preschool teachers in Southwest China need more mental health education? An online cross-sectional survey 1 year after the COVID-19 pandemic. Front Psychol 2022; 13:907838. [PMID: 35992440 PMCID: PMC9389072 DOI: 10.3389/fpsyg.2022.907838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 07/14/2022] [Indexed: 11/13/2022] Open
Abstract
This study intended to explore the current status of psychological problems of preschool teachers in Southwest China 1 year after the COVID-19 pandemic and to assess the association between mental health education and psychological problems and symptoms of psychopathology. A total of 614 preschool teachers from Southwest China were enrolled to complete the questionnaires of the Chinese Symptom Checklist (SCL-90). Notably, 60% of the respondents reported psychological distress with GSI T-scores ≥ 63, especially the high score was reported on obsessive-compulsive disorder, interpersonal sensitivity, and phobic anxiety. Although less than half of the respondents have received mental health education last year, the teachers who received the mental health education reported lower GSI T-scores(β = −1.303, 95% CI: −2.208, −0.397). The results demonstrated the significance of constructing the education of promoting mental health of preschool teachers, and enlightening government or managers of kindergartens to relieve the psychological problems of preschool teachers through mental health education, especially for those with the pressure of overtime. It is recommended that local governments or kindergartens should organize more mental health education for kindergarten teachers to improve their mental health as well as their teaching professionalism.
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Affiliation(s)
- Yao Yu
- Children and Adolescent Physical Health Research Center, Chongqing University of Education, Chongqing, China
- Faculty of Education, Southwest University, Chongqing, China
| | - Tingting Wu
- Department of Food and Nutrition, College of Medical and Life Sciences, Silla University, Busan, South Korea
- Collaborative Innovation Center for Child Nutrition and Health Development, Chongqing University of Education, Chongqing, China
| | - Jing Gao
- Children’s Hospital of Chongqing Medical University, Chongqing, China
| | - Shanshan Wang
- School of Public Health and Management, Chongqing Medical University, Chongqing, China
| | - Yang Zhou
- School of Public Health and Management, Chongqing Medical University, Chongqing, China
| | - Jiajun Zhang
- Faculty of Education, Southwest University, Chongqing, China
- *Correspondence: Jiajun Zhang,
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Hou J, Xu B, Zhang J, Luo L, Pen X, Chen S, Ma G, Hu Z, Kong X. Psychological Status and Job Burnout of Nurses Working in the Frontline of the Novel Coronavirus in China During the Delta Variant Outbreak: A Cross-Sectional Survey. Psychol Res Behav Manag 2022; 15:533-546. [PMID: 35281999 PMCID: PMC8906864 DOI: 10.2147/prbm.s343749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 02/18/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose Investigating psychological status and job burnout of nurses working in the frontline of the novel coronavirus in Zhangjiajie city in China during the Delta variant outbreak, comparing differences and analyzing factors of these two variables between the nurses from different nucleic acid testing (NAT) sites. Patients and methods This survey was conducted from August 1 to 31, 2021. The participants were 512 nurses, 198 nurses of whom were from temporary NAT sites in communities/towns in Zhangjiajie city, and the rest were from NAT sites inside hospitals. The psychological status and the job burnout were measured by the Symptom Checklist-90 (SCL-90) and the Maslach Burnout Inventory-General Scale (MBI-GS). Results The prevalence of the SCL-90 positive result and job burnout were 49.4% and 61.1%, respectively. The factors influencing the psychological status of nurses included the contact with COVID-19 patients or their body fluids and specimens, working seniority and the duration of working in the frontline of the novel coronavirus. The independent risk factors of nurses’ job burnout included the following four factors. Firstly, the contact with COVID-19 patients or their body fluids and specimens (OR=150.95, 95% CI=(44.87,507.77), P<0.001). Secondly, five to nine years of working seniority (OR=8.91, 95% CI=(3.59,22.14), P<0.001). Thirdly, 10 to 19 days (OR=2.63, 95% CI=(1.19,5.82), P=0.017), 20 to 29 days (OR=161.31, 95% CI=(49.48,525.9), P<0.001). Lastly, more than 30 days (OR=92.05, 95% CI=(33.88,250.14), P<0.001) of working in the frontline of the novel coronavirus. Conclusion The prevalence of psychological problems and job burnout were at a high level among nurses working in the frontline of the novel coronavirus in different NAT sites. The nurses from NAT sites inside hospitals and temporary NAT sites in communities/towns in Zhangjiajie city had an equal risk of developing psychological problems and job burnout. Interventions need to be immediately implemented to promote psychological well-being and decrease job burnout of nurses.
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Affiliation(s)
- Jianmei Hou
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Department of Thoracic Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
| | - Binbin Xu
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
| | - Jinghui Zhang
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
- Correspondence: Jinghui Zhang, Tel +86 15874032339, Email
| | - Lingxia Luo
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Emergency Department, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
| | - Xiaobei Pen
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Intensive Care Unit, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
| | - Shujie Chen
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
| | - Guiyuan Ma
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
| | - Zixing Hu
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
| | - Xiaoya Kong
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
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Wang Z, Jiang B, Wang X, Niu Y, Xue H. Cross-sectional investigation and correlation analysis of psychology of college students returning to campus after COVID-19 lockdown lift. Front Psychiatry 2022; 13:915042. [PMID: 35935405 PMCID: PMC9352858 DOI: 10.3389/fpsyt.2022.915042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 06/27/2022] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE To conduct a large cross-sectional survey of the mental health of college students during the recovery period of the COVID-19 epidemic. METHODS Symptom Checklist 90 (SCL-90) and COVID-19 questionnaire were used to investigate the overall mental health level and cognition of epidemic situation of college students in seven colleges and universities in Shaanxi Province. RESULTS (1) In the recovery period of COVID-19 epidemic, college students still had psychological and somatic symptoms such as obsessive-compulsive disorder, interpersonal sensitivity, anxiety, hostility, and poor appetite or insomnia; (2) female college students, science and engineering college students, freshmen and senior graduates, and some ethnic minority college students were all groups with psychological symptoms; (3) the psychological status of college students was related to their perception of COVID-19 epidemic, and the more knowledge about epidemic prevention and control, the more confident they were in overcoming the epidemic, and the milder the psychological symptoms. CONCLUSION College students still have some mental health problems in the recovery period of COVID-19 epidemic, which should be paid attention to by education authorities and colleges and universities.
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Affiliation(s)
- Zhifeng Wang
- Department of Physical Education, Xi'an Polytechnic University, Xi'an, China
| | - Bing Jiang
- Department of Physical Education, Xi'an Polytechnic University, Xi'an, China
| | - Xingtong Wang
- Department of General Education, Shandong First Medical University and Shandong Academy of Medical Science, Tai'an, China
| | - Yi Niu
- Department of Physical Education, Xi'an Polytechnic University, Xi'an, China
| | - Haihong Xue
- Department of Physical Education, Xi'an Polytechnic University, Xi'an, China
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Conway R, Grimshaw AA, Konig MF, Putman M, Duarte-García A, Tseng LY, Cabrera DM, Chock YPE, Degirmenci HB, Duff E, Egeli BH, Graef ER, Gupta A, Harkins P, Hoyer BF, Jayatilleke A, Jin S, Kasia C, Khilnani A, Kilian A, Kim AH, Lin CMA, Low C, Proulx L, Sattui SE, Singh N, Sparks JA, Tam H, Ugarte-Gil MF, Ung N, Wang K, Wise LM, Yang Z, Young KJ, Liew JW, Grainger R, Wallace ZS, Hsieh E. SARS-CoV-2 Infection and COVID-19 Outcomes in Rheumatic Disease: A Systematic Literature Review And Meta-Analysis. Arthritis Rheumatol 2021; 74:766-775. [PMID: 34807517 PMCID: PMC9011807 DOI: 10.1002/art.42030] [Citation(s) in RCA: 96] [Impact Index Per Article: 32.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Revised: 10/22/2021] [Accepted: 11/16/2021] [Indexed: 11/13/2022]
Abstract
Objective The relative risk of SARS–CoV‐2 infection and COVID‐19 disease severity among people with rheumatic and musculoskeletal diseases (RMDs) compared to those without RMDs is unclear. This study was undertaken to quantify the risk of SARS–CoV‐2 infection in those with RMDs and describe clinical outcomes of COVID‐19 in these patients. Methods We conducted a systematic literature review using 14 databases from January 1, 2019 to February 13, 2021. We included observational studies and experimental trials in RMD patients that described comparative rates of SARS–CoV‐2 infection, hospitalization, oxygen supplementation/intensive care unit (ICU) admission/mechanical ventilation, or death attributed to COVID‐19. Methodologic quality was evaluated using the Joanna Briggs Institute critical appraisal tools or the Newcastle‐Ottawa scale. Risk ratios (RRs) and odds ratios (ORs) with 95% confidence intervals (95% CIs) were calculated, as applicable for each outcome, using the Mantel‐Haenszel formula with random effects models. Results Of the 5,799 abstracts screened, 100 studies met the criteria for inclusion in the systematic review, and 54 of 100 had a low risk of bias. Among the studies included in the meta‐analyses, we identified an increased prevalence of SARS–CoV‐2 infection in patients with an RMD (RR 1.53 [95% CI 1.16–2.01]) compared to the general population. The odds of hospitalization, ICU admission, and mechanical ventilation were similar in patients with and those without an RMD, whereas the mortality rate was increased in patients with RMDs (OR 1.74 [95% CI 1.08–2.80]). In a smaller number of studies, the adjusted risk of outcomes related to COVID‐19 was assessed, and the results varied; some studies demonstrated an increased risk while other studies showed no difference in risk in patients with an RMD compared to those without an RMD. Conclusion Patients with RMDs have higher rates of SARS–CoV‐2 infection and an increased mortality rate.
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Affiliation(s)
- Richard Conway
- Department of Rheumatology, St. James's Hospital, Dublin, Ireland and Clinical Lecturer Trinity College Dublin, Ireland
| | - Alyssa A Grimshaw
- Cushing/Whitney Medical Library, Yale University New Haven, Connecticut, USA
| | - Maximilian F Konig
- Division of Rheumatology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | | | | | | | - Diego M Cabrera
- Section of Rheumatology, Allergy & Immunology, Yale School of Medicine, New Haven, CT, USA
| | - Yu Pei Eugenia Chock
- Section of Rheumatology, Allergy & Immunology, Yale School of Medicine, New Haven, CT, USA
| | | | - Eimear Duff
- Department of Rheumatology, St. James's Hospital, Dublin, Ireland
| | - Bugra Han Egeli
- Graduate Medical Sciences, Boston University School of Medicine, 72 E Concord St L-317, 02118, Boston, MA, USA and Department of Pediatrics, Children's Hospital of Los Angeles, University of Southern California, Los Angeles, CA, USA
| | - Elizabeth R Graef
- Section of Rheumatology, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA
| | - Akash Gupta
- Yale School of Medicine, New Haven, Connecticut, USA
| | - Patricia Harkins
- Department of Rheumatology, St. James's Hospital, Dublin, Ireland
| | - Bimba F Hoyer
- Department of Rheumatology and Clinical Immunology, Clinic for Internal Medicine I, University Hospital Schleswig-Holstein, Campus Kiel, Germany
| | | | - Shangyi Jin
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College; National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID),, Beijing, 100730, China
| | | | - Aneka Khilnani
- George Washington University School of Medicine and Health Sciences, Washington, DC, USA
| | - Adam Kilian
- Division of Rheumatology, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO, USA
| | - Alfred Hj Kim
- Division of Rheumatology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA
| | - Chung Mun Alice Lin
- National Institute of Health Research, Newcastle Biomedical Research Centre and the Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Candice Low
- St. Vincent's University Hospital, Dublin, Ireland
| | - Laurie Proulx
- Patient Author, Canadian Arthritis Patient Alliance, Ottawa, Ontario, Canada
| | - Sebastian E Sattui
- Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | - Namrata Singh
- Division of Rheumatology, University of Washington, Seattle, WA, USA
| | - Jeffrey A Sparks
- Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Herman Tam
- Division of Rheumatology, Department of Pediatrics, Stollery Children's Hospital, University of Alberta, Edmonton, Canada
| | - Manuel F Ugarte-Gil
- Lima, Peru and Hospital Guillermo Almenara Irigoyen, EsSalud, Universidad Cientifica del Sur, Lima, Peru
| | - Natasha Ung
- Campbelltown Hospital, Campbelltown, New South Wales, Australia and University of Western Sydney, New South Wales, Australia
| | - Kaicheng Wang
- Section of Rheumatology, Allergy & Immunology, Yale School of Medicine, New Haven, CT, USA and Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT, USA
| | - Leanna M Wise
- Division of Rheumatology, University of Southern California; Los Angeles, CA, USA
| | - Ziyi Yang
- Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID),, Beijing, 100730, China
| | - Kristen J Young
- Division of Rheumatic Diseases, University of Texas Southwestern, Dallas, TX, USA
| | - Jean W Liew
- Section of Rheumatology, Boston University School of Medicine, Boston, MA, USA
| | - Rebecca Grainger
- Department of Medicine, University of Otago, Wellington, New Zealand
| | - Zachary S Wallace
- Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Evelyn Hsieh
- Section of Rheumatology, VA Connecticut Healthcare System, West Haven, CT, USA
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7
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Wimberly AS, Ware OD, Bazell A, Sibinga EMS. Stress Among a Sample of Returning Citizens Living with HIV and Substance Use Disorder: A Mixed Methods Analysis. Community Ment Health J 2021; 57:884-897. [PMID: 32642816 DOI: 10.1007/s10597-020-00667-8] [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: 01/10/2020] [Accepted: 06/19/2020] [Indexed: 10/23/2022]
Abstract
This mixed-methods study asks: among a sample of returning citizens living with HIV and substance use disorder, how is stress experienced; and what are the leading stressors and stress-coping strategies? Data is from a parent study that randomized 36 people to a yoga intervention and 36 people to treatment as usual. Qualitative analysis found that securing basic life needs was more acute in early reentry, and challenges with HIV acceptance were greater among those with a more recent HIV diagnosis. Social support was the most widely employed coping strategy but many lacked social networks. Post-program, multiple regression found older age(β = - 0.38, p < .05), greater income(β = - 0.002, p < .01), shorter incarceration(β = .03, p < .01) and randomization to yoga(β = 6.92, p < .01) predicted lower levels of stress. Results indicate that reentry needs for people living with HIV and substance use disorder include basic life needs, social supports, and stress-coping interventions that address physical and mental stress symptoms (such as yoga).
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Affiliation(s)
| | - Orrin D Ware
- School of Social Work, University of Maryland, Baltimore, MD, USA
| | - Alicia Bazell
- School of Social Work, University of Maryland, Baltimore, MD, USA
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8
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Wise JM, Vance DE, Heaton K, Raper JL, Konkle-Parker D, Azuero A, Kempf MC. Employment and Occupational Productivity Among Women Living With HIV: A Conceptual Framework. J Assoc Nurses AIDS Care 2021; 32:37-46. [PMID: 32852297 DOI: 10.1097/jnc.0000000000000202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
ABSTRACT Women living with HIV (WLWH) have lower employment rates and more difficulty finding and keeping employment compared with their counterparts without HIV. These disparities affect physical, psychological, and socioeconomic outcomes, and they may compound the disadvantages associated with living with HIV. Although historical literature has emphasized the impact of clinical factors on employment, current evidence suggests that socioeconomic and psychosocial factors associated with HIV should be included for a more comprehensive view. Based on this broader inclusion, a conceptual framework is presented describing how socioeconomic and psychosocial characteristics influence employment acquisition and maintenance among WLWH. The framework posits that there is a reciprocal relationship between employment acquisition and occupational productivity, and psychological health, physical health, social support, and empowerment. Implications for future research and interventions include (a) an extended conceptualization of vocational rehabilitation and (b) the use of peer support groups to increase social capital, empowerment, knowledge, and resources among WLWH.
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Affiliation(s)
- Jenni M Wise
- Jenni M. Wise, PhD, MSN, RN, is an Assistant Professor, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. David E. Vance, PhD, is the Associate Dean for Research and Scholarship, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. Karen Heaton, PhD, FNP-BC, FAAN, is an Associate Professor, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. James L. Raper, PhD, CRNP, JD, FAANP, FAAN, is a Professor, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. Deborah Konkle-Parker, PhD, FNP, FAAN, is a Professor, Department of Medicine, Department of Infectious Diseases, and School of Nursing, University of Mississippi Medical Center, Jackson, Mississippi, USA. Andres Azuero, PhD, is the Director of Statistics, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA. Mirjam-Colette Kempf, PhD, MPH, is a Professor, School of Nursing, School of Medicine, and School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA
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9
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Tian F, Li H, Tian S, Yang J, Shao J, Tian C. Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the level I emergency response to COVID-19. Psychiatry Res 2020; 288:112992. [PMID: 32302816 PMCID: PMC7151383 DOI: 10.1016/j.psychres.2020.112992] [Citation(s) in RCA: 257] [Impact Index Per Article: 64.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 04/05/2020] [Accepted: 04/06/2020] [Indexed: 12/26/2022]
Abstract
The World Health Organization (WHO) has declared that the Corona Virus (COVID-19) has become a global pandemic. This study aimed to investigate the psychological symptoms of ordinary Chinese citizens during the Level I Emergency Response throughout China. From January 31 to February 2 2020, an online questionnaire, Symptom Checklist 90 (SCL-90) was designed, and differences in GSI T-scores among subgroups were examined by ANOVA. Based on a cut-off point of the GSI T-scores of 63, the overall sample was divided into high and low-risk groups. of the 1,060 participants investigated in China, more than 70% of them have moderate and higher level of psychological symptoms specifically elevated scores for obsessive compulsion, interpersonal sensitivity, phobic anxiety, and psychoticism. There were no significant differences between males and females. Those who were of over 50 years old, had an undergraduate education and below, were divorced or widowed, and agricultural workers had significantly more symptoms. However, significantly more minors and medical staff were in the high-risk group. These results show that COVID-19 has a significant adverse socio-psychological influence on ordinary citizens. Therefore, governments should equip psychological health departments and pay attention to the people who are in high-risk groups, providing psychological interventions and assistance.
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Affiliation(s)
- Fangyuan Tian
- Institute of Safety Management & Risk Control, Institute of Safety & Emergency Management, School of Safety Science and Engineering, Xi'an University of Science and Technology, No. 58 Yanta Road, Xi'an 710054 China
| | - Hongxia Li
- Institute of Safety Management & Risk Control, Institute of Safety & Emergency Management, School of Safety Science and Engineering, Xi'an University of Science and Technology, No. 58 Yanta Road, Xi'an 710054 China.
| | - Shuicheng Tian
- Institute of Safety Management & Risk Control, Institute of Safety & Emergency Management, School of Safety Science and Engineering, Xi'an University of Science and Technology, No. 58 Yanta Road, Xi'an 710054 China.
| | - Jie Yang
- Institute of Safety Management & Risk Control, Institute of Safety & Emergency Management, School of Safety Science and Engineering, Xi'an University of Science and Technology, No. 58 Yanta Road, Xi'an 710054 China
| | - Jiang Shao
- School of Architecture & Design, China University of Mining and Technology, Xuzhou 221116 China
| | - Chenning Tian
- Institute of Safety Management & Risk Control, Institute of Safety & Emergency Management, School of Safety Science and Engineering, Xi'an University of Science and Technology, No. 58 Yanta Road, Xi'an 710054 China
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