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Sowan W, Baziliansky S. Acute Stress Symptoms, Intolerance of Uncertainty and Coping Strategies in Reaction to the October 7 War. Clin Psychol Psychother 2024; 31:e3021. [PMID: 38894501 DOI: 10.1002/cpp.3021] [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: 02/17/2024] [Revised: 05/01/2024] [Accepted: 06/01/2024] [Indexed: 06/21/2024]
Abstract
BACKGROUND On 7 October 2023, hundreds of armed Hamas fighters breached the security border fence and entered Israel from the Gaza Strip. More than 1400 Israeli citizens were murdered, and 239 individuals were kidnapped. Many Israeli citizens experienced these occurrences as psychologically traumatic events that caused stress and uncertainty. OBJECTIVES The present study aimed to examine the relationship between exposure to war (in more distant circles), intolerance of uncertainty (IU) and disengaged coping on acute stress symptoms (ASS). First, we examined whether exposure to war and IU were directly associated with ASS. Second, we tested the mediating role of disengaged coping in the relationship among war exposure, IU and ASS. METHODS This cross-sectional study involved 393 Israeli citizens. Participants answered questionnaires on exposure to war, IU, coping strategies and ASS. RESULTS The study results indicate that higher exposure and higher levels of IU were directly associated with more intensive ASS, and this association was partially mediated by higher use of disengaged coping strategies. CONCLUSIONS Individuals during wartime are at risk of experiencing high levels of ASS and developing ASD. However, degree of exposure to war alone was not associated with ASS, but it was related to personal resources and coping strategies.
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Affiliation(s)
- Wafaa Sowan
- School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Svetlana Baziliansky
- School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
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2
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De Tanti A, Conforti J, Bruni S, De Gaetano K, Cappalli A, Basagni B, Bertoni D, Saviola D. Cognitive and psychological outcomes and follow-up in severely affected COVID-19 survivors admitted to a rehabilitation hospital. Neurol Sci 2023; 44:1481-1489. [PMID: 36757605 PMCID: PMC9910237 DOI: 10.1007/s10072-023-06665-4] [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] [Received: 11/27/2022] [Accepted: 02/04/2023] [Indexed: 02/10/2023]
Abstract
BACKGROUND The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) represents the most recent severe pandemic resulting in coronavirus disease 2019 (COVID-19). COVID-19 can damage the central nervous system, requiring admission to intensive care units (ICU) and aggressive treatments (long-term ventilatory assistance and sedation) to stabilize vitals. Most post-COVID-19 patients experience cognitive impairments and mood or stress disorders. We aimed to study the frequency of cognitive deficits in COVID-19 survivors, the relationship between clinical factors in the acute phase and cognitive outcomes, affective states, and quality of life. We explored cognitive reserve (CR) role, as a post-COVID-19 resilience factor. METHODS Twenty-nine COVID-19 inpatients were assessed using a neuropsychological battery, mood scales, quality of life, and social integration questionnaires. Twenty-five were retained through telephone follow-up to monitor cognitive sequelae, affective states, and reintegration levels roughly 8 months after hospital discharge. We administered the Cognitive Reserve Index questionnaire. RESULTS We found most patients display no cognitive deficits. When they did, multi-domain impairment occurred most frequently, especially involving executive functions. Results revealed a significant correlation between depression levels and the interval between ICU admission and tracheal tube removal. We found increased levels of depression and anxiety at follow-up, a significant relationship between resuming daily life activities, high CR, and executive functions. CONCLUSIONS These findings suggest the importance of psychological support in the long term and the modulating role of cognitive reserve in quality of life after infection.
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Affiliation(s)
- Antonio De Tanti
- Centro Cardinal Ferrari, Via IV Novembre 21, Fontanellato, Parma, Italy
| | - Jessica Conforti
- Centro Cardinal Ferrari, Via IV Novembre 21, Fontanellato, Parma, Italy
| | - Stefania Bruni
- Centro Cardinal Ferrari, Via IV Novembre 21, Fontanellato, Parma, Italy
| | - Katia De Gaetano
- Centro Cardinal Ferrari, Via IV Novembre 21, Fontanellato, Parma, Italy
| | - Asya Cappalli
- Centro Cardinal Ferrari, Via IV Novembre 21, Fontanellato, Parma, Italy
| | | | - Debora Bertoni
- Centro Cardinal Ferrari, Via IV Novembre 21, Fontanellato, Parma, Italy.
| | - Donatella Saviola
- Centro Cardinal Ferrari, Via IV Novembre 21, Fontanellato, Parma, Italy
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3
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Lazzaroni E, Tosi D, Pontiggia S, Ermolli R, Borghesi L, Rigamonti V, Frisone E, Piconi S. Early psychological intervention in adult patients after hospitalization during COVID-19 pandemia. A single center observational study. Front Psychol 2022; 13:1059134. [PMID: 36467161 PMCID: PMC9710094 DOI: 10.3389/fpsyg.2022.1059134] [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: 09/30/2022] [Accepted: 10/20/2022] [Indexed: 11/07/2023] Open
Abstract
The coronavirus disease 2019 pandemic has represented an individual and collective trauma with an impact on mental health. COVID-19 survivors need to be screened for psychological distress regularly for timely intervention. After March 2020, an outpatients clinic for follow up of discharged COVID-19 patients was set up at Infectious Diseases Department of the Hospital of Lecco, Italy. Blood exams, specialistic visits were performed for each patients and IES-R and BDI scales were dispensed. 523 patients were referred to the clinic; 93 of them resulted positive at IES-R and/or BDI self-report and 58 agreed to have early interviews with psychologist specialist. Patients could receive only a short psychoeducation/psychological support intervention or in addition to the same, even a specific trauma-focused psychotherapeutic intervention with EMDR where clinically indicated. IES-R e BDI were administered pre- and post-intervention. The results show that the average of the post-traumatic stress scores detected at IES-R is above the clinical cut-off for the entire sample. There is an overall change in the decrease in mean scores on the IES and BDI scales before and after psychological intervention. Among the patients for whom psychopharmacological therapy was also necessary, those who had COVID-mourning in family improved the most at IES-R scale post- intervention. With respect to EMDR treatment, there is a significant improvement in depressive symptoms noticed at BDI for male patients who have received neither psychotropic drugs nor CPAP. Being hospitalized for coronavirus has a significant impact on the patient's mental health and it is a priority to arrange early screening to intercept psychological distress and give it an early response.
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Affiliation(s)
- Elisa Lazzaroni
- Department of Mental Health and Addictions, Asst Lecco, Lecco, Italy
| | - Davide Tosi
- Department of Theoretical and Applied Sciences, Insubria University, Varese, Italy
| | - Silvia Pontiggia
- Infectious Diseases Unit, Ospedale di Lecco, Asst Lecco, Lecco, Italy
| | - Riccardo Ermolli
- Department of Theoretical and Applied Sciences, Insubria University, Varese, Italy
| | - Luca Borghesi
- Infectious Diseases Unit, Ospedale di Lecco, Asst Lecco, Lecco, Italy
| | | | | | - Stefania Piconi
- Infectious Diseases Unit, Ospedale di Lecco, Asst Lecco, Lecco, Italy
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Skórka P, Grzywacz B, Moroń D, Lenda M. COVID-19 in Memes: The Adaptive Response of Societies to the Pandemic? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12969. [PMID: 36232263 PMCID: PMC9566158 DOI: 10.3390/ijerph191912969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 10/06/2022] [Accepted: 10/07/2022] [Indexed: 06/16/2023]
Abstract
COVID-19 expanded rapidly throughout the world, with enormous health, social, and economic consequences. Mental health is the most affected by extreme negative emotions and stress, but it has been an underestimated part of human life during the pandemic. We hypothesized that people may have responded to the pandemic spontaneously with increased interest in and creation of funny internet memes. Using Google and Google Trends, we revealed that the number of and interest in funny internet memes related to COVID-19 exploded during the spring 2020 lockdown. The interest in coronavirus memes was positively correlated with interest in mortality due to COVID-19 on a global scale, and positively associated with the real number of deaths and cases reported in different countries. We compared content of a random sample of 200 coronavirus memes with a random sample of 200 non-coronavirus memes found on the Internet. The sentiment analysis showed that coronavirus memes had a similar proportion of positive and negative words compared to non-coronavirus memes. However, an internet questionnaire revealed that coronavirus memes gained higher funniness scores than a random sample of non-coronavirus memes. Our results confirm that societies may have turned to humor to cope with the threat of SARS-CoV-2.
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Affiliation(s)
- Piotr Skórka
- Institute of Nature Conservation, Polish Academy of Sciences, 31-120 Kraków, Poland
| | - Beata Grzywacz
- Institute of Systematics and Evolution of Animals, Polish Academy of Sciences, 31-016 Kraków, Poland
| | - Dawid Moroń
- Institute of Systematics and Evolution of Animals, Polish Academy of Sciences, 31-016 Kraków, Poland
| | - Magdalena Lenda
- Institute of Nature Conservation, Polish Academy of Sciences, 31-120 Kraków, Poland
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Battaglia S, Cardellicchio P, Di Fazio C, Nazzi C, Fracasso A, Borgomaneri S. The Influence of Vicarious Fear-Learning in “Infecting” Reactive Action Inhibition. Front Behav Neurosci 2022; 16:946263. [PMID: 35941933 PMCID: PMC9355887 DOI: 10.3389/fnbeh.2022.946263] [Citation(s) in RCA: 35] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 06/16/2022] [Indexed: 12/14/2022] Open
Abstract
Since the dawn of cognitive neuroscience, emotions have been recognized to impact on several executive processes, such as action inhibition. However, the complex interplay between emotional stimuli and action control is not yet fully understood. One way to measure inhibitory control is the stop-signal task (SST), which estimates the ability to cancel outright an action to the presentation of a stop signal by means of the stop-signal reaction times (SSRTs). Impaired as well as facilitated action control has been found when faced with intrinsic emotional stimuli as stop signals in SSTs. Here, we aimed at investigating more deeply the power of negative stimuli to influence our action control, testing the hypothesis that a previously neutral stimulus [i.e., the image of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)], which has been conditioned through vicarious fear learning, has the same impact on reactive action inhibition performance as an intrinsically negative stimulus (i.e., a fearful face or body). Action control capabilities were tested in 90 participants by means of a SST, in which the stop signals were represented by different negative stimuli. Results showed that the SARS-CoV-2 image enhanced the ability to suppress an ongoing action similarly to observing fearful facial expressions or fearful body postures. Interestingly, we found that this effect was predicted by impulsivity traits: for example, the less self-control the participants had, the less they showed emotional facilitation for inhibitory performance. These results demonstrated that vicarious fear learning has a critical impact on cognitive abilities, making a neutral image as threatening as phylogenetically innate negative stimuli and able to impact on our behavioral control.
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Affiliation(s)
- Simone Battaglia
- Department of Psychology, Center for Studies and Research in Cognitive Neuroscience, University of Bologna, Bologna, Italy
- Department of Psychology, University of Turin, Turin, Italy
- *Correspondence: Simone Battaglia,
| | - Pasquale Cardellicchio
- IIT@UniFe Center for Translational Neurophysiology, Istituto Italiano di Tecnologia, Ferrara, Italy
| | - Chiara Di Fazio
- Department of Psychology, Center for Studies and Research in Cognitive Neuroscience, University of Bologna, Bologna, Italy
| | - Claudio Nazzi
- Department of Psychology, Center for Studies and Research in Cognitive Neuroscience, University of Bologna, Bologna, Italy
| | - Alessio Fracasso
- Institute of Neuroscience and Psychology, University of Glasgow, Glasgow, United Kingdom
| | - Sara Borgomaneri
- Department of Psychology, Center for Studies and Research in Cognitive Neuroscience, University of Bologna, Bologna, Italy
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Santa Lucia, Rome, Italy
- Sara Borgomaneri,
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Avalos LA, Nance N, Badon SE, Young-Wolff K, Ames J, Zhu Y, Hedderson MM, Ferrara A, Zerbo O, Greenberg M, Croen LA. Associations of COVID-19-Related Health, Healthcare and Economic Factors With Prenatal Depression and Anxiety. Int J Public Health 2022; 67:1604433. [PMID: 35601595 PMCID: PMC9114304 DOI: 10.3389/ijph.2022.1604433] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 03/17/2022] [Indexed: 02/04/2023] Open
Abstract
Objective: This study evaluated whether COVID-19 pandemic-related health, healthcare and economic factors during pregnancy are associated with prenatal depression and anxiety. Methods: We conducted a cross-sectional study of 6,628 pregnant members of Kaiser Permanente Northern California who responded to a survey between 22 June and 30 September 2020. The survey included questions about depression (Patient Health Questionnaire) and anxiety (Generalized Anxiety Disorder) symptoms and COVID-19-related health and healthcare (e.g., had COVID-19) and economic (e.g., food insecurity) factors. Results: Over one third of individuals reported depression (25% mild, 8% moderate, 3% severe) or anxiety (22% mild, 8% moderate, 5% severe) symptoms. In multivariable analyses, COVID-19 during pregnancy, employment with greater risk of COVID-19, distress over changes in prenatal care, job loss, changes in childcare and food insecurity were associated with greater odds of prenatal depression or anxiety. Conclusion: Findings suggest the COVID-19 pandemic may have severe mental health repercussions for pregnant individuals. Support services for pregnant individuals experiencing these COVID-19-related factors and monitoring of those who had moderate/severe prenatal depression and anxiety symptoms during the COVID-19 pandemic is warranted.
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Olszewska-Czyz I, Sozkes S. Anxiety Levels among Polish and Turkish Dentists during the COVID-19 Pandemic. Healthcare (Basel) 2022; 10:357. [PMID: 35206971 PMCID: PMC8872420 DOI: 10.3390/healthcare10020357] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 02/02/2022] [Accepted: 02/10/2022] [Indexed: 12/01/2022] Open
Abstract
Working conditions, work-related stressors and high risk of infection, as well as the fear of contagion and spreading the disease to family members, may have influenced dentists' mental health during the COVID-19 pandemic. The aim of this study was to evaluate the anxiety levels among Polish and Turkish dentists during the COVID-19 pandemic and to investigate any relevant predictors. The study was an anonymous online questionnaire-based cross-sectional study that was conducted among dentists from two countries: Poland and Turkey. In total 400 dentists (200 from each country) participated in the study. The survey consisted of two parts: part 1 comprised demographic data, including age, gender, country of origin, COVID-19 infection history, place of work and lockdown history; part 2 was based on the State-Trait Anxiety Inventory (STAI). The mean trait and state anxiety levels of the Polish dentists was statistically significantly lower than that of the Turkish dentists (p = 0.000; p < 0.05). However, Polish dentists had higher state anxiety levels than trait levels, while both types of anxiety among Turkish dentists were almost at the same level. The number of dentists who suffered from COVID-19 was found to be statistically significantly higher in Poland (54%) than in Turkey (16%) (p = 0.000; p < 0.05). The percentage of dentists reporting anxiety was 51% in Poland and 95.5% in Turkey. Polish dentists reported a lower mean anxiety level during the COVID-19 pandemic than the dentists in Turkey but their anxiety levels were more affected by the COVID-19 pandemic as they had a higher difference between their state and trait anxiety levels. The higher coronavirus infection rate and lack of governmental lockdowns of dental practices during the pandemic in Poland compared with those in Turkey may explain the difference in the state and trait anxiety levels.
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Affiliation(s)
- Iwona Olszewska-Czyz
- Periodontology, Prophylaxis and Clinical Oral Pathology Department, Jagiellonian University Medical College, 31155 Krakow, Poland
| | - Sarkis Sozkes
- Biomaterials Department, Biomedical Engineering Corlu Faculty, Tekirdag Namik Kemal University, Tekirdag 59860, Turkey;
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Savostyanov V, Kobelev A, Kudashov I. Comprehensive Biotechnical System for Screening Risk-based Diagnosis of COVID-19 and Post-COVID Syndrome. JOURNAL OF ELECTRICAL BIOIMPEDANCE 2022; 13:45-53. [PMID: 36196240 PMCID: PMC9487909 DOI: 10.2478/joeb-2022-0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 08/26/2022] [Indexed: 06/16/2023]
Abstract
At present, there are no hardware or biochemical systems that allow to assess the severity of post-COVID syndrome in vivo. The hardware of the proposed biotechnical system is based on routine transthoracic electrical impedance rheography, which makes it possible to register the frequency characteristics of the patient's bioimpedance response to controlled stress stimulation, thereby simultaneously fixing the characteristics of his productive heart, the state of the hemomicrocirculatory bed, the efficiency of the gas transport function of his blood, and also reliably assess personal reactivity and adaptive potential. Subsequent mathematical approximation of the obtained biometric data by an original neural network makes it possible to rank the results obtained and automatically generate a program of medical rehabilitation for a particular patient, depending on the severity of his post-COVID syndrome. The study results proved two reliable physiological signs confirming the presence of latent post-COVID complications: a decrease in the base impedance value for light exercise and an increase in the length of the systolic arc of the rheocardiogram.
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Affiliation(s)
- Vladimir Savostyanov
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow, Russia
| | - Alexander Kobelev
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow, Russia
| | - Ivan Kudashov
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow, Russia
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9
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Avalos LA, Nance N, Zhu Y, Croen LA, Young-Wolff KC, Zerbo O, Hedderson MM, Ferrara A, Ames JL, Badon SE. Contributions of COVID-19 Pandemic-Related Stressors to Racial and Ethnic Disparities in Mental Health During Pregnancy. Front Psychiatry 2022; 13:837659. [PMID: 35360124 PMCID: PMC8964047 DOI: 10.3389/fpsyt.2022.837659] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 02/11/2022] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND This study aimed to identify racial and ethnic disparities in prenatal mental health and identify COVID-19 pandemic-related health/healthcare and economic contributors to these disparities, using an established framework for disparity investigation. METHODS This cross-sectional study includes 10,930 pregnant people at Kaiser Permanente Northern California who completed an online survey between June 22, 2020 and April 28, 2021 on COVID-19 pandemic-related health/healthcare and economic stressors, depression, and anxiety. Self-reported race and ethnicity were extracted from electronic health records. Weighted analyses were used to evaluate the association between racial and ethnic category and prenatal depression and anxiety; the prevalence of each stressor by race and ethnicity; and the relationship between each stressor and prenatal depression and anxiety in each racial and ethnic category. RESULTS The sample was 22% Asian, 3% Black, 20% Hispanic, 5% Other/Multiracial/Unknown, and 49% White. Compared to White people, Black and Hispanic people had a higher prevalence of prenatal depression (aPR: 1.85, 95% CI: 1.45, 2.35 and aPR: 1.17, 95% CI: 1.00, 1.37, respectively) and anxiety (aPR: 1.71, 95% CI: 1.34, 2.18 and aPR: 1.10, 95% CI: 0.94, 1.29, respectively). Compared to White people, Black and Hispanic people had a higher prevalence of moderate/severe distress due to changes in prenatal care (24 vs. 34 and 31%), and food insecurity (9 vs. 31 and 24%). Among Black and Hispanic people, distress due to changes in prenatal care was associated with a greater prevalence of prenatal depression (aPR: 2.27, 95% CI: 1.41, 3.64 and aPR: 2.76, 95% CI: 2.12, 3.58, respectively) and prenatal anxiety (aPR: 3.00, 95% CI: 1.85, 4.84 and aPR: 2.82, 95% CI: 2.15, 3.71, respectively). Additionally, among Hispanic people, high-risk employment and food insecurity were associated with a greater prevalence of prenatal depression and anxiety. CONCLUSIONS This study identified racial and ethnic disparities in mental health for pregnant Black and Hispanic people. Distress due to prenatal care changes contributed to the observed disparities in prenatal depression and anxiety for Black and Hispanic people and food insecurity additionally contributed to the observed disparities for Hispanic people. Addressing distress due to changes to prenatal care and food insecurity specifically in Black and Hispanic people may help reduce the high burden of poor mental health and reduce observed disparities in these communities.
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Affiliation(s)
- Lyndsay A Avalos
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Nerissa Nance
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Yeyi Zhu
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Lisa A Croen
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Kelly C Young-Wolff
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Ousseny Zerbo
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Monique M Hedderson
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Assiamira Ferrara
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Jennifer L Ames
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
| | - Sylvia E Badon
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States
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Khasanova DR, Zhitkova YV, Vaskaeva GR. Post-covid syndrome: a review of pathophysiology, neuropsychiatric manifestations and treatment perspectives. NEUROLOGY, NEUROPSYCHIATRY, PSYCHOSOMATICS 2021. [DOI: 10.14412/2074-2711-2021-3-93-98] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
In the context of the COVID-19 pandemic, healthcare is faced with several new problems, one of which is a post-covid syndrome. Symptoms in many COVID-19 survivors can persist for a long time, significantly affecting the quality of life and work performance. All of the above makes post-covid syndrome a socially significant disease, requires dynamic follow-up of such patients, and rehabilitation programs development. We are currently at the stage of accumulating knowledge about the SARS-CoV-2 pathophysiology and morphogenesis and its long-term consequences. This article discusses neuropsychiatric aspects of the post-covid syndrome: pathogenetic hypotheses, clinical features, and potentially promising treatment strategies.
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Affiliation(s)
- D. R. Khasanova
- Kazan State Medical University, Ministry of Health of Russia;
Interregional Clinical Diagnostic Center, Ministry of Healthof the Republic of Tatarstan
| | - Yu. V. Zhitkova
- Interregional Clinical Diagnostic Center, Ministry of Healthof the Republic of Tatarstan
| | - G. R. Vaskaeva
- Kazan State Medical University, Ministry of Health of Russia
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Wang Y, Yang X, Chen H, Xu Y. Effect of smartphone app on post-traumatic stress disorder in COVID-19 convalescent patients: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2021; 100:e25479. [PMID: 33832166 PMCID: PMC8036085 DOI: 10.1097/md.0000000000025479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Accepted: 03/18/2021] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND The outbreak of Coronavirus Disease 2019 (COVID-19) seriously affects humans' health worldwide physically and mentally. Studies revealed that the prevalence of post-traumatic stress disorder (PTSD) increased under this condition. PTSD can change the structure of patients' central nervous system, and increase the risk of anxiety or depression, thus greatly affecting the quality of patients' life and their families. PTSD is preventable, and the effects of early prevention are better. Non-drug intervention can prevent or reduce the psychological sequelae after hospitalization, help patients understand the experience during hospitalization, and be beneficial to their psychological rehabilitation. Whether smartphone app based intervention can be an alternative therapy for PTSD in terms of COVID-19 convalescent patients is still controversial. Therefore, we conducted a meta-analysis and systematic review to evaluate the effects of smartphone app based intervention on PTSD in COVID-19 convalescent patients, so as to provide some guidance for clinical application. METHODS The literatures that are related to the smartphone app based intervention and PTSD in COVID-19 convalescent patients from inception to February 2021 will be searched. The following databases are our focused areas: ClinicalTrials.gov, Cochrane Central Register of Controlled Trials repositories, PubMed, EmBase, and Web of Science databases. According to the inclusion and exclusion criteria, 2 investigators would independently screen the literature extract data and evaluate the risk of bias in the included studies. Meta-analysis was performed with RevMan5.3 software. RESULTS The results of this meta-analysis will be submitted to a peer-reviewed journal for publication. CONCLUSION The conclusion of our study could provide evidence for the judgment of whether smartphone app based intervention is an effective intervention on PTSD in COVID-19 convalescent patients. PROSPERO REGISTRATION NUMBER CRD42021240340.
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Affiliation(s)
| | | | | | - Yanfang Xu
- Department of Pneumology, The Sixth People's Hospital of KunShan, KunShan 215321, Jiangsu Province, China
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