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Khalil MH. Environmental enrichment: a systematic review on the effect of a changing spatial complexity on hippocampal neurogenesis and plasticity in rodents, with considerations for translation to urban and built environments for humans. Front Neurosci 2024; 18:1368411. [PMID: 38919908 PMCID: PMC11196820 DOI: 10.3389/fnins.2024.1368411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Accepted: 05/21/2024] [Indexed: 06/27/2024] Open
Abstract
Introduction Hippocampal neurogenesis is critical for improving learning, memory, and spatial navigation. Inhabiting and navigating spatial complexity is key to stimulating adult hippocampal neurogenesis (AHN) in rodents because they share similar hippocampal neuroplasticity characteristics with humans. AHN in humans has recently been found to persist until the tenth decade of life, but it declines with aging and is influenced by environmental enrichment. This systematic review investigated the impact of spatial complexity on neurogenesis and hippocampal plasticity in rodents, and discussed the translatability of these findings to human interventions. Methods Comprehensive searches were conducted on three databases in English: PubMed, Web of Science, and Scopus. All literature published until December 2023 was screened and assessed for eligibility. A total of 32 studies with original data were included, and the process is reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement and checklist. Results The studies evaluated various models of spatial complexity in rodents, including environmental enrichment, changes to in-cage elements, complex layouts, and navigational mazes featuring novelty and intermittent complexity. A regression equation was formulated to synthesize key factors influencing neurogenesis, such as duration, physical activity, frequency of changes, diversity of complexity, age, living space size, and temperature. Conclusion Findings underscore the cognitive benefits of spatial complexity interventions and inform future translational research from rodents to humans. Home-cage enrichment and models like the Hamlet complex maze and the Marlau cage offer insight into how architectural design and urban navigational complexity can impact neurogenesis in humans. In-space changing complexity, with and without physical activity, is effective for stimulating neurogenesis. While evidence on intermittent spatial complexity in humans is limited, data from the COVID-19 pandemic lockdowns provide preliminary evidence. Existing equations relating rodent and human ages may allow for the translation of enrichment protocol durations from rodents to humans.
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Gomà M, Arias-Pujol E, Prims E, Ferrer J, Lara S, Glover V, Martinez M, Llairó A, Nanzer N. Internet-based interdisciplinary therapeutic group (Grupo Interdisciplinar Online, GIO) for perinatal anxiety and depression-a randomized pilot study during COVID-19. Arch Womens Ment Health 2024; 27:405-415. [PMID: 38150150 PMCID: PMC11116180 DOI: 10.1007/s00737-023-01412-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 12/09/2023] [Indexed: 12/28/2023]
Abstract
Early interventions may promote reductions in mothers' anxiety-depression (AD) symptoms and improvements in their offspring. This longitudinal randomized research was conducted to assess the effects of interdisciplinary online therapeutic groups (GIO) in at-risk mothers and babies during the COVID-19 pandemic in a disadvantaged neighborhood in Barcelona (Spain). A total of 135 babies were born from March 2020 to June 2021 in a primary healthcare center of Barcelona (Spain). Pregnant woman and new mothers were screened for AD symptomatology through EPDS and STAI questionnaires. Seventy-two of them met high-risk criteria for AD and were included in the study. They were randomly assigned into the two groups of the study: 40 participants were assigned to GIO, the therapeutic group (TG), while 32 of them were assigned to the control group (CG) and received treatment as usual. The course of the mothers' symptomatology was assessed, as well as the baby's development at 6 months old in a blind pediatric follow-up. No differences were found in AD between both groups before the intervention. However, we obtained a significant decrease in AD symptomatology (EPDS p < .001; STAI state p = .015 and STAI trait p < .001at 6 months of life) after the intervention in the TG compared to the CG. Pediatric follow-up at 6 months demonstrated significant differences between groups in babies' development assessment (manipulation p = .003; language p < .001; sociability p < .001). The GIO helped to ensure healthy development of the baby and reduction of the mothers' depressive-anxiety symptomatology.
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Affiliation(s)
- M Gomà
- Faculty of Psychology, Education and Sports Sciences Blanquerna, Ramon Llull University (URL), Barcelona, Spain.
- Department of Perinatal Care, Bruc Salut Clinical Psychology Center, Barcelona, Spain.
| | - E Arias-Pujol
- Faculty of Psychology, Education and Sports Sciences Blanquerna, Ramon Llull University (URL), Barcelona, Spain
| | - E Prims
- Roquetes-Canteres Primary Care Center, Catalan Public Health, Barcelona, Spain
| | - J Ferrer
- Roquetes-Canteres Primary Care Center, Catalan Public Health, Barcelona, Spain
| | - S Lara
- Roquetes-Canteres Primary Care Center, Catalan Public Health, Barcelona, Spain
| | - V Glover
- Institute of Reproductive and Developmental Biology, Imperial College London, London, UK
| | - M Martinez
- Roquetes-Canteres Primary Care Center, Catalan Public Health, Barcelona, Spain
| | - A Llairó
- Faculty of Psychology, Education and Sports Sciences Blanquerna, Ramon Llull University (URL), Barcelona, Spain
- Department of Perinatal Care, Bruc Salut Clinical Psychology Center, Barcelona, Spain
| | - N Nanzer
- Child and Adolescent Psychiatry Service, Geneva University Hospitals, Geneva, Switzerland
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Ahmed F, Shafer L, Malla P, Hopkins R, Moreland S, Zviedrite N, Uzicanin A. Systematic review of empiric studies on lockdowns, workplace closures, and other non-pharmaceutical interventions in non-healthcare workplaces during the initial year of the COVID-19 pandemic: benefits and selected unintended consequences. BMC Public Health 2024; 24:884. [PMID: 38519891 PMCID: PMC10960383 DOI: 10.1186/s12889-024-18377-1] [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: 04/05/2023] [Accepted: 03/17/2024] [Indexed: 03/25/2024] Open
Abstract
BACKGROUND We conducted a systematic review aimed to evaluate the effects of non-pharmaceutical interventions within non-healthcare workplaces and community-level workplace closures and lockdowns on COVID-19 morbidity and mortality, selected mental disorders, and employment outcomes in workers or the general population. METHODS The inclusion criteria included randomized controlled trials and non-randomized studies of interventions. The exclusion criteria included modeling studies. Electronic searches were conducted using MEDLINE, Embase, and other databases from January 1, 2020, through May 11, 2021. Risk of bias was assessed using the Risk of Bias in Non-Randomized Studies of Interventions (ROBINS-I) tool. Meta-analysis and sign tests were performed. RESULTS A total of 60 observational studies met the inclusion criteria. There were 40 studies on COVID-19 outcomes, 15 on anxiety and depression symptoms, and five on unemployment and labor force participation. There was a paucity of studies on physical distancing, physical barriers, and symptom and temperature screening within workplaces. The sign test indicated that lockdown reduced COVID-19 incidence or case growth rate (23 studies, p < 0.001), reproduction number (11 studies, p < 0.001), and COVID-19 mortality or death growth rate (seven studies, p < 0.05) in the general population. Lockdown did not have any effect on anxiety symptoms (pooled standardized mean difference = -0.02, 95% CI: -0.06, 0.02). Lockdown had a small effect on increasing depression symptoms (pooled standardized mean difference = 0.16, 95% CI: 0.10, 0.21), but publication bias could account for the observed effect. Lockdown increased unemployment (pooled mean difference = 4.48 percentage points, 95% CI: 1.79, 7.17) and decreased labor force participation (pooled mean difference = -2.46 percentage points, 95% CI: -3.16, -1.77). The risk of bias for most of the studies on COVID-19 or employment outcomes was moderate or serious. The risk of bias for the studies on anxiety or depression symptoms was serious or critical. CONCLUSIONS Empiric studies indicated that lockdown reduced the impact of COVID-19, but that it had notable unwanted effects. There is a pronounced paucity of studies on the effect of interventions within still-open workplaces. It is important for countries that implement lockdown in future pandemics to consider strategies to mitigate these unintended consequences. SYSTEMATIC REVIEW REGISTRATION PROSPERO registration # CRD42020182660.
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Affiliation(s)
- Faruque Ahmed
- Division of Global Migration Health, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop V18-2, Atlanta, GA, 30329-4027, USA.
| | - Livvy Shafer
- Division of Global Migration Health, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop V18-2, Atlanta, GA, 30329-4027, USA
- Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA
| | - Pallavi Malla
- Division of Global Migration Health, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop V18-2, Atlanta, GA, 30329-4027, USA
- Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA
| | - Roderick Hopkins
- Division of Global Migration Health, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop V18-2, Atlanta, GA, 30329-4027, USA
- Cherokee Nation Operational Solutions, Tulsa, OK, USA
| | - Sarah Moreland
- Division of Global Migration Health, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop V18-2, Atlanta, GA, 30329-4027, USA
- Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA
| | - Nicole Zviedrite
- Division of Global Migration Health, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop V18-2, Atlanta, GA, 30329-4027, USA
| | - Amra Uzicanin
- Division of Global Migration Health, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop V18-2, Atlanta, GA, 30329-4027, USA
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Segovia MS, Huseynov S, Palma MA, Nayga RM. The mental burden of stay-at-home order extensions during COVID-19. Sci Rep 2024; 14:4293. [PMID: 38383527 PMCID: PMC10881574 DOI: 10.1038/s41598-024-54059-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 02/08/2024] [Indexed: 02/23/2024] Open
Abstract
This study evaluates the psychological impact of stay-at-home extension orders during COVID-19 and its relationship with individuals' expectations on the duration of the extensions. An online survey was administered to 1259 US adult residents to measure symptoms of post-traumatic stress disorder (PTSD), anxiety and stress induced by different stay-at-home order extensions using hypothetical length scenarios. We find that individuals exposed to two 2-week order extensions exhibit higher levels of stress and anxiety compared to those exposed to a single 4-week extension. We also find that subjects with longer expected extensions exhibit more signs of psychological damage than those with shorter expected extensions. Furthermore, we find that the negative psychological consequences of providing two shorter extensions is observed only among subjects with extension expectations of four weeks or less. Our results demonstrate that people's expectations affect the level of psychological damage caused by lockdown mandates. Our findings suggest that whenever lockdown extensions are necessary, reduced psychological distress may be possible by implementing a one-time restriction, rather than extending multiple smaller extensions perhaps due to manipulation of personal expectations.
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Affiliation(s)
- Michelle S Segovia
- Department of Applied Economics and Statistics, University of Delaware, 204 Townsend Hall, Newark, DE, 19716, USA.
| | - Samir Huseynov
- Department of Agricultural Economics and Rural Sociology, Auburn University, 202 Comer Hall, Auburn, AL, 36849, USA
| | - Marco A Palma
- Department of Agricultural Economics, Texas A&M University, 2124 TAMU, College Station, TX, 77843, USA
| | - Rodolfo M Nayga
- Department of Agricultural Economics, Texas A&M University, 2124 TAMU, College Station, TX, 77843, USA
- Korea University, Seoul, South Korea
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Trub L, Stewart JL, Oberndorf M, Parker V, Starks TJ. The compounding effects of income loss and change in living arrangement on emerging adult women's mental health during COVID's onset. Women Health 2023; 63:713-726. [PMID: 37794625 DOI: 10.1080/03630242.2023.2262620] [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: 06/30/2022] [Accepted: 09/17/2023] [Indexed: 10/06/2023]
Abstract
Research suggests that young adult women were among those more susceptible to mental health declines in the initial months of COVID-19. Unfortunately, longitudinal data examining mental health before and after the pandemic's onset are extremely limited. In a sample of 240 women ages 18-29 who were surveyed online first in November-December 2019 and then again between May and July 2020, this study aimed to examine how major life changes associated with the pandemic (i.e. loss of income, loss of employment, change in relationship status, and change in living arrangement) impacted mental health (i.e. depression, anxiety, stress). Multivariate regression analyses were conducted on three models predicting stress, anxiety, and depression from the four life changes, controlling for the effects of mental health before the COVID-19 pandemic. Results showed that a change in living arrangement was uniformly associated with increased mental health problems among women who also experienced a decrease in income. Likewise, loss of income was uniformly related to increased mental health problems among women who also experienced a change in living arrangement. In contrast, job loss was associated with a decrease in stress, and changes in relationship status were not associated with mental health outcomes. These findings highlight the potential for COVID-19 to produce co-occurring and synergistic stressors. Meanwhile, the impact of job loss on mental health may have been attenuated by enhanced unemployment benefits. Mental health interventions that aim to support young women as the pandemic abates should be tailored to address the impact of multiple psychosocial stressors.
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Affiliation(s)
- Leora Trub
- Psychology, Pace University, New York, New York, USA
| | - J L Stewart
- Psychology, Hunter College of the City University of New York, New York, New York, USA
- Division of General Internal Medicine, Weill Cornell Medicine, New York, New York, USA
| | - M Oberndorf
- Psychology, Pace University, New York, New York, USA
| | - V Parker
- Psychology, Pace University, New York, New York, USA
| | - Tyrel J Starks
- Psychology, Hunter College of the City University of New York, New York, New York, USA
- Health Psychology and Clinical Science Doctoral Program, Graduate Center of the City University of New York, New York, New York, USA
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Dopico-Casal C, Montes C, Fraga I, Vieitez L, Padrón I, Romero E. So far but yet so near: Examining the buffering effect of perceived social support on the psychological impact of Spanish lockdown. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:1803-1819. [PMID: 36350844 DOI: 10.1002/jcop.22966] [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: 01/17/2022] [Revised: 10/26/2022] [Accepted: 10/28/2022] [Indexed: 05/23/2023]
Abstract
The main objective of this study was to examine the moderating or buffering effect of social support (SS) perceived by university students on the psychological impact of lockdown on mental health. Specifically, a total of 826 participants (622 women) completed an online survey that included standardized measures of anxiety (Generalised Anxiety Disorder-7), depression (Patient Health Questionnaire-9), and irritability (Brief Irritability Test), as well as measures of stressors, perceived SS, and self-perceived change in mental health. The results of hierarchical regression analyses suggest that SS contributes toward attenuating the negative impact of academic stressors, general overload, and interpersonal conflict on the indicators of psychological well-being; however, moderation analysis only confirms the buffering effect for symptoms of anxiety. In conclusion, it is suggested that SS networks need to be strengthened as a basic means of protecting health and well-being during unexpected disasters.
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Affiliation(s)
- Carlos Dopico-Casal
- Department of Social Psychology, Basic Psychology, and Methodology, Cognitive Processes & Behavior Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Carlos Montes
- Department of Social Psychology, Basic Psychology, and Methodology, Cognitive Processes & Behavior Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Isabel Fraga
- Department of Social Psychology, Basic Psychology, and Methodology, Cognitive Processes & Behavior Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Lucía Vieitez
- Department of Social Psychology, Basic Psychology, and Methodology, Cognitive Processes & Behavior Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Isabel Padrón
- Department of Social Psychology, Basic Psychology, and Methodology, Cognitive Processes & Behavior Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Estrella Romero
- Department of Clinical Psychology and Psychobiology, UNDERISK, University of Santiago de Compostela, Santiago de Compostela, Spain
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Saeed H, Qureshi AF, Rasool MF, Islam M, Hashmi FK, Saeed A, Asad R, Arshad A, Qureshi AA. Determinants of anxiety and depression among university teachers during third wave of COVID-19. BMC Psychiatry 2023; 23:233. [PMID: 37029400 PMCID: PMC10080511 DOI: 10.1186/s12888-023-04733-9] [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: 10/25/2022] [Accepted: 03/30/2023] [Indexed: 04/09/2023] Open
Abstract
BACKGROUND To estimate the determinants of anxiety and depression among university teachers in Lahore, Pakistan, during COVID-19. METHODS A cross-sectional study was conducted by enrolling 668 teachers from the universities of Lahore, Pakistan. Data were collected using a questionnaire. Chi-square for significance and logistic regression for the association were used. RESULTS Majorly, the university teachers, with an average age of 35.29 years, had regular jobs (72.8%), job experience of > 6 years (51.2%) and good self-reported health (55.4%). The majority of the teachers were working as lecturers (59.6%), lecturing in arts (33.5%) or general science (42.5%) departments, having MPhil (37.9%) or master (28.9%) degrees, and teaching via synchronous video (59.3%) mode. Anxiety and depression, severe and extremely severe, were higher among lecturers, MPhil or master degree holders, teachers lecturing arts and general science subjects, and in those on contract employment. Anxiety was significantly associated with academic departments; arts (OR;2.5, p = 0.001) and general science (OR;2.9, p = 0.001), poor health status (OR;4.4, p = 0.018), and contractual employment (OR;1.8, p = 0.003). Depression was associated with academic departments; arts (OR;2.7, p = 0.001) and general science (OR;2.5, p = 0.001), and health status (OR;2.3, p = 0.001). CONCLUSION Among university teachers, anxiety and depression, severe and extremely severe, were prevalent among lecturers having MPhil or master degrees, belonging to arts and general science departments, and among contract employees. Anxiety and depression were significantly associated with academic disciplines, lower cadre, and poor health status.
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Affiliation(s)
- Hamid Saeed
- Department of Pharmaceutics, College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, 54000, Pakistan.
| | - Amna Fakhar Qureshi
- Department of Pharmaceutics, College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, 54000, Pakistan
| | - Muhammad Fawad Rasool
- Department of Pharmacy Practice, Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Pakistan
| | - Muhammad Islam
- Department of Pharmaceutics, College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, 54000, Pakistan
| | - Furqan Khurshid Hashmi
- Department of Pharmaceutics, College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, 54000, Pakistan
| | - Amna Saeed
- Department of Pharmaceutical Sciences, Pak-Austria Fachhochschule: Institute of Applied Sciences and Technology, Mang Haripur, Pakistan
| | - Rimsha Asad
- Department of Pharmaceutics, College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, 54000, Pakistan
| | - Arfa Arshad
- Department of Pharmaceutics, College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, 54000, Pakistan
| | - Azba Abid Qureshi
- Department of Pharmaceutics, College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, 54000, Pakistan
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Gevers-Montoro C, Liew BXW, Deldar Z, Conesa-Buendia FM, Ortega-De Mues A, Falla D, Khatibi A. A network analysis on biopsychosocial factors and pain-related outcomes assessed during a COVID-19 lockdown. Sci Rep 2023; 13:4399. [PMID: 36928233 PMCID: PMC10019800 DOI: 10.1038/s41598-023-31054-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 03/06/2023] [Indexed: 03/18/2023] Open
Abstract
Psychological stress, social isolation, physical inactivity, and reduced access to care during lockdowns throughout a pandemic negatively impact pain and function. In the context of the first COVID-19 lockdown in Spain, we aimed to investigate how different biopsychosocial factors influence chiropractic patients' pain-related outcomes and vice-versa. A total of 648 chiropractic patients completed online questionnaires including variables from the following categories: demographics, pain outcomes, pain beliefs, impact of the COVID-19 pandemic, stress/anxiety and self-efficacy. Twenty-eight variables were considered in a cross-sectional network analysis to examine bidirectional associations between biopsychosocial factors and pain outcomes. Subgroup analyses were conducted to estimate differences according to gender and symptom duration. The greatest associations were observed between pain duration and pain evolution during lockdown. Participants' age, pain symptoms' evolution during lockdown, and generalized anxiety were the variables with the strongest influence over the whole network. Negative emotions evoked by the pandemic were indirectly associated with pain outcomes, possibly via pain catastrophizing. The network structure of patients reporting acute pain showed important differences when compared to patients with chronic pain. These findings will contribute to identify which factors explain the deleterious effects of both the pandemic and the restrictions on patients living with pain.
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Affiliation(s)
- Carlos Gevers-Montoro
- Madrid College of Chiropractic - RCU María Cristina, Paseo de los Alamillos 2, 28200, San Lorenzo de El Escorial, Madrid, Spain
| | - Bernard X W Liew
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, Essex, UK
| | - Zoha Deldar
- Psychology Department, McGill University, Montréal, QC, Canada
| | | | - Arantxa Ortega-De Mues
- Madrid College of Chiropractic - RCU María Cristina, Paseo de los Alamillos 2, 28200, San Lorenzo de El Escorial, Madrid, Spain
| | - Deborah Falla
- Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK
| | - Ali Khatibi
- Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
- Centre for Human Brain Health, University of Birmingham, Birmingham, UK.
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Morbée S, Beeckman M, Loeys T, Waterschoot J, Cardon G, Haerens L, Vansteenkiste M. An examination of the reciprocal associations between physical activity and anxiety, depressive symptoms, and sleep quality during the first 9 weeks of the COVID-19 pandemic in Belgium. Ment Health Phys Act 2023; 24:100500. [PMID: 36510601 PMCID: PMC9729168 DOI: 10.1016/j.mhpa.2022.100500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 11/30/2022] [Accepted: 12/02/2022] [Indexed: 12/13/2022]
Abstract
During the initial outbreak of the global COVID-19 pandemic, many countries imposed a total lockdown (containment at home). Although it was still allowed in Belgium to be physically active or exercise with people from your household in the vicinity of your home, engaging in sports or physical activity in a group or club context was no longer permitted. To examine whether a lack of physical activity was potentially threatening to the mental well-being of citizens and vice versa, the present study examined concurrent and reciprocal relationships between physical activity and anxiety, depressive symptoms, and sleep quality during the COVID-19 lockdown in a 9-week longitudinal design. In a sample of 983 Belgian adults (75.1% female; M age = 43.78, range = 18-82 years), we explored these relationships at both the between- and within-person levels through random intercept cross-lagged panel models. The findings indicate that more physical activity was associated with lower symptoms of anxiety and depression and better sleep quality, a finding observed both at the between-person (across weeks; βanxiety = -0.25, βdepression = -0.30, βsleep quality = 0.24, p < .001) and within-person level (within weeks; βanxiety = -0.10, βdepression = -0.14, βsleep quality = 0.11, p < .05). Moreover, at the within-person level, an increase in feelings of anxiety and depression at one moment predicted lower levels of physical activity one week later (βanxiety = -0.04, βdepression = -0.06, p < .05). Since poor mental health poses a threat to the maintenance of physical activity, the current findings suggest that it is critical to invest in the mental health of individuals during distressing times.
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Affiliation(s)
- Sofie Morbée
- Department of Developmental, Personality and Social Psychology, Ghent University, Belgium
| | - Melanie Beeckman
- Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Tom Loeys
- Department of Data Analysis, Ghent University, Belgium
| | - Joachim Waterschoot
- Department of Developmental, Personality and Social Psychology, Ghent University, Belgium
| | - Greet Cardon
- Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Leen Haerens
- Department of Movement and Sports Sciences, Ghent University, Belgium
| | - Maarten Vansteenkiste
- Department of Developmental, Personality and Social Psychology, Ghent University, Belgium
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Jumaa JA, Bendau A, Ströhle A, Heinz A, Betzler F, Petzold MB. Psychological distress and anxiety in Arab refugees and migrants during the COVID-19 pandemic in Germany. Transcult Psychiatry 2023; 60:62-73. [PMID: 36154342 PMCID: PMC9510964 DOI: 10.1177/13634615221122536] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The COVID-19 pandemic is associated with various psychological stressors due to health-related, social, economic, and individual consequences, especially for minority groups such as refugees and other migrants who live in unstable conditions and have lost their social support groups. The aim of this study was to explore the impacts of the COVID-19 pandemic on this specific population in Germany.This study used a mixed-method approach. A total of 85 migrants took part in an online survey in Germany from April to July 2020. The questionnaire included demographic information and measures of psychological distress, anxiety and depressive symptoms, as well as risk and protective factors for psychological health during the COVID-19 pandemic. Semi-structured interviews with 10 refugees were conducted between May and June 2020. In our sample, 54.5% expressed fear of being infected with COVID-19. Participants spent several hours per day thinking about COVID-19 (M = 3.13 hours). Psychological and social determinants of mental health showed stronger associations with anxiety regarding COVID-19 than experiences with the disease. Interviews showed that especially for refugees with limited information regarding access to medical treatment, the pandemic increased already-existing psychological symptoms and worries about their families back home and reminded them of their flight from their home country to Europe. The COVID-19 pandemic is associated with psychological distress, anxiety, and depression in refugees and migrants in Germany. Information on where to get medical treatment, if needed, is of utmost importance to this population group, in addition to other strategies such as maintaining a healthy lifestyle and social contacts, and acceptance of strategies to cope with anxiety and negative emotions.
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Affiliation(s)
- Jinan Abi Jumaa
- Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin Campus Charite
Mitte, Germany
| | - Antonia Bendau
- Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin Campus Charite
Mitte, Germany
| | - Andreas Ströhle
- Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin Campus Charite
Mitte, Germany
| | - Andreas Heinz
- Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin Campus Charite
Mitte, Germany
| | - Felix Betzler
- Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin Campus Charite
Mitte, Germany
| | - Moritz Bruno Petzold
- Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin Campus Charite
Mitte, Germany
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A mixed methods exploration of a pilot photo-reflection intervention for enhancing coping and well-being during COVID-19. ARTS IN PSYCHOTHERAPY 2023; 82:101990. [PMID: 36506482 PMCID: PMC9721269 DOI: 10.1016/j.aip.2022.101990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 11/29/2022] [Accepted: 12/01/2022] [Indexed: 12/12/2022]
Abstract
Restrictions enforced during the COVID-19 pandemic are associated with negative impacts on mental health and well-being. There is a need to support individuals to cope with these challenging circumstances. An embedded design mixed methods approach was employed to explore challenges experienced during the pandemic, the effectiveness of a photo-reflection intervention for enhancing coping, wellbeing, and resilience, and how this intervention functioned to impact on these outcomes. 108 participants were randomised to one of three photo-taking conditions; challenges experienced, coping strategies, or experiences and were assessed with measures of wellbeing, coping and resilience. In addition, open-ended survey questions were used to assess perceptions of experiences and of the effects of the intervention. There were no significant differences across the groups, however subjective psychological well-being, and emotional and functional well-being improved post-intervention regardless of intervention type. There was also an increase in planning and self-distraction coping for those whom the intervention elicited reflection. Qualitative data highlighted a range of challenges experienced and examples of both adaptive and maladaptive coping approaches. Photo-reflection intervention approaches may improve well-being and enhance coping during these challenging circumstances through providing opportunity to review and reflect on life experiences.
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Josman N, Atiya Y, Dagan T, Issa E, Demeter N. Assessing Functional Cognition and Health During COVID-19 Pandemic: Gender Differences Among Community-Dwelling Adults. J Prim Care Community Health 2023; 14:21501319231218801. [PMID: 38097506 PMCID: PMC10725103 DOI: 10.1177/21501319231218801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 11/13/2023] [Accepted: 11/17/2023] [Indexed: 12/18/2023] Open
Abstract
INTRODUCTION/OBJECTIVES The COVID-19 pandemic has long-term implications for adult health and function, whether or not people were infected with the disease. Although cognitive disruptions are among the major symptoms of COVID-19, most research focused on managing medical symptoms, such as respiratory symptoms or pain. Thus, less is known about the pandemic's long-term implications for assessing functional cognition. This study aimed to examine COVID-19's effects on community-dwelling adults' functional cognition and health, comparing gender differences. METHODS This cross-sectional study divided 118 community-dwelling adults (25 previously infected with COVID-19) into gender groups. Primary outcome measures included the Daily Living Questionnaire (DLQ) and short form health status survey, SF-12. RESULTS No significant differences were found in functional cognition or health between participants who had contracted COVID-19 and those who remained healthy, but men had better functional cognition and health measures in comparison with women. CONCLUSIONS Gender differences in functional cognition and health state may relate to gender-based family roles. It is essential to assess functional cognition of young adults who were exposed to a pandemic, such as COVID-19, because it may significantly affect their health and functional status. The DLQ is a reliable, valid assessment of functional cognition that may suit individuals who previously contracted COVID-19.
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Zhu R, Hu X. The public needs more: The informational and emotional support of public communication amidst the Covid-19 in China. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2023; 84:103469. [PMID: 36465702 PMCID: PMC9705009 DOI: 10.1016/j.ijdrr.2022.103469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 11/26/2022] [Accepted: 11/26/2022] [Indexed: 06/17/2023]
Abstract
Public communication is critical for responding to disasters. However, most research on public communication is largely focused on its informational support function, overlooking the emotional support that could equally offer. This study takes the lead to investigate their separate impacts. In particular, the variable public engagement, which is a function of the number of Shares, Likes, and Comments in a particular post, is introduced to benchmark the effect of public communication. Besides, considering the evolving nature of the crisis, their dynamic impacts across different COVID-19 pandemic stages are examined. Data from Dec 2019 to Jul 2020 were collected from 17 provincial government-owned social media (Weibo) accounts across COVID-19 in China with a Natural Language Processing-based method to compute the strengths of informational support and emotional support strength. An econometric model is then proposed to explore the impacts of two supports. The findings are twofold: the impact of emotional support on public engagement is empirically confirmed in the study, which is not in lockstep with the informational support; and their impacts on public communication are dynamic rather than static across stages throughout the crisis. We highlighted the importance of emotional support in public engagement by deriving its impact separately from informational support. The findings suggest incorporating both social supports to create stronger public communication tactics during crises.
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Affiliation(s)
- Ruilin Zhu
- Management Science, Lancaster University Management School Lancaster United Kingdom LA1 4YX, UK
| | - Xuan Hu
- School of Public Policy and Administration, Chongqing University, 174 Shazheng St, Chongqing, 440044, China
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14
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Daugherty JC, Bueso-Izquierdo N, Lara-Cinisomo S, Lozano-Ruiz A, Caparros-Gonzalez RA. Partner relationship quality, social support and maternal stress during pregnancy and the first COVID-19 lockdown. J Psychosom Obstet Gynaecol 2022; 43:563-573. [PMID: 35867716 DOI: 10.1080/0167482x.2022.2101446] [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] [Indexed: 10/17/2022] Open
Abstract
Introduction: Pregnancy has been associated with diminished maternal mental health and a deterioration in partner relationship quality. The recent COVID-19 quarantine measures have created additional stressors for pregnant women due to isolation and a surge in partner conflict.Objective: The purpose of this study was to assess how partner relationship conflict and social support may mediate mental health outcomes during the COVID-19 lockdown.Methods: A cross-sectional study with a sample of 152 pregnant women using psychological measures, (i.e. Prenatal Distress Questionnaire, Symptom Checklist-90-R, Duke-UNC-11 Functional Social Support Questionnaire, Perceived Stress Scale). Demographic characteristics, obstetrics history, and partner relationship conflict were assessed using questionnaires.Results: While there were few reports of physical violence in this sample, between 18% and 59% of women reported partner relationship conflict on the psychological subscale (e.g. afraid of one's partner or screamed at by one's partner). Further, the psychological subscale was significantly associated with symptoms of psychopathology. There was a significant negative association between social support and pregnancy-specific stress (p = .005), and perceived stress (p= .038).Conclusions: These findings suggest that partner relationship conflict and social support may act as important buffers for prenatal mental health in childbearing women during vulnerable situations, such as the COVID-19 pandemic.
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Affiliation(s)
- Julia C Daugherty
- Faculty of Education. Psychology Department, University of Valladolid, Valladolid, Spain
| | - Natalia Bueso-Izquierdo
- Faculty of Education & Psychology. Psychology & Anthropology Department, University of Extremadura, Badajoz, Spain
| | | | | | - Rafael A Caparros-Gonzalez
- Faculty of Health Sciences, Department of Nursing, University of Granada, Granada, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain
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15
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Baral K, Dahal M, Khanal S, Subedi P, Pathak K, Kafle A. Linkages between stress and stress coping strategies among Nepalese during COVID-19 lockdown: A nationwide cross- sectional study. DIALOGUES IN HEALTH 2022; 1:100023. [PMID: 36785632 PMCID: PMC9221023 DOI: 10.1016/j.dialog.2022.100023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 06/15/2022] [Accepted: 06/20/2022] [Indexed: 12/01/2022]
Abstract
Aim With the increase in confirmed cases of COVID-19, the universities and colleges have been shut down posing uncertainty and unpredictability contributing to stress and increased morbidity of mental problems. Students are restricted from regular academic involvement, social interaction and are confined at home to reduce the transmission of the virus which in turn tends to provoke stressors and coping strategies. We aimed to assess the linkage between stress and coping strategies among youth students during COVID-19 lockdown. Subject and methods Web-based cross-sectional study was conducted among 2520 university-level students of Nepal. Standard tools like Perceived Stress Scale (PSS) and Stress Coping Resources Inventory (SCRI) were used for collecting information. The final data was analyzed with the help of R-studio (version 1.2.5033). Univariate, bivariate, and multivariate statistics (polytomous logistic regression) were computed to find out the linkages between stress and stress coping strategies. Results The results show that students less than 23 years old, females, and living without parents were found to be more likely to have moderate to high levels of stress. The higher the stress level, the lesser was the possibility of practicing stress coping strategies. Active coping was the most preferred coping strategy while social ease was the least preferred. Conclusions To conclude, Active coping was the most preferred coping strategy involving active information seeking, readiness to take charge of the disease-related situation along with the realization that such event is a result of chance while social ease was the least preferred strategy which suggests that the students prefer to seek help from their friends or relatives.
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Affiliation(s)
- Kushalata Baral
- Department of Public Health, Nobel College, Pokhara University, Sinamangal, Kathmandu, Nepal
| | - Maginsh Dahal
- School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Sudip Khanal
- Department of Public Health, Nobel College, Pokhara University, Sinamangal, Kathmandu, Nepal
| | - Poonam Subedi
- Department of Public Health, Nobel College, Pokhara University, Sinamangal, Kathmandu, Nepal
| | - Kabita Pathak
- Department of Humanities, Pashupati Multiple Campus, Tribhuwan University, Kathmandu, Nepal
| | - Akriti Kafle
- Department of Nursing, Charak Academy, Purbanchal University, Pokhara, Nepal
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Albikawi ZF. Predictors of Anxiety, Depression, and Stress among Female University Nursing Students during the COVID-19 Pandemic: A Cross-Sectional Study in Saudi Arabia. J Pers Med 2022; 12:jpm12111887. [PMID: 36579619 PMCID: PMC9693451 DOI: 10.3390/jpm12111887] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/24/2022] [Accepted: 11/07/2022] [Indexed: 11/12/2022] Open
Abstract
Background: Students at universities increasingly struggle with mental health issues such as anxiety, depression, and stress. The present prevalence of these diseases may arise in the event of a crisis such as the coronavirus disease 2019 (COVID-19) pandemic. Aim: To estimate the level of anxiety, depression, and stress in female university nursing students, and to identify predictors for students' anxiety, depression, and stress during the COVID-19 pandemic. Methods: An online cross-sectional descriptive study was conducted using a convenient sample of 115 female university nursing students. The Depression Anxiety Stress Scale (DASS-21) questionnaire was used to assess symptoms of anxiety, depression, and stress. Multivariate linear regression was used to identify predictors of anxiety, depression, and stress. Results: Stress, anxiety, and depression had prevalence rates of 23.7%, 18.5%, and 34.6%, respectively. Significant anxiety predictors included family support, family salary, being diagnosed with chronic illness, and being exposed to patients with COVID-19. Significant correlations were found between family support, family salary, family history of mental illness, and fear of being infected with COVID-19 and depression in female university nursing students. Students' levels of stress were predicted by family support. Conclusion: The level of anxiety, depression, and stress among female university nursing students was determined to be moderate. It is advised that university nursing students receive interventions that support their mental health.
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Affiliation(s)
- Zainab Fatehi Albikawi
- King Khalid University, Nursing College, Community and Psychiatric/Mental Health Nursing Department, Khamis Mushait 39746, Saudi Arabia
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17
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Thaxter LY, Smitherman TA. The effect of the COVID-19 pandemic on headache-related disability among young adults with migraine. Headache 2022; 62:1293-1301. [PMID: 36419255 DOI: 10.1111/head.14411] [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: 06/27/2022] [Revised: 09/07/2022] [Accepted: 09/12/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The present study aimed to explore the relationship between the COVID-19 pandemic and headache-related disability among a sample of young adults with migraine. BACKGROUND Comorbid psychological symptoms compound migraine-related disability. Due to COVID-19 pandemic procedures, many students experienced institutional closures and corresponding increases in depression, stress, and anxiety. The present study sought to examine changes in headache-related disability before (Spring and Fall of 2019) and during (Fall of 2020 and Spring 2021) the COVID-19 pandemic and whether psychological symptoms mediated such changes. METHODS A cross-sectional study at a southern U.S. university assessed 365 individuals with migraine on headache and psychological variables, comparing those surveyed before COVID-19 with another group surveyed during the pandemic. The direct and indirect effects of COVID-19 status (pre- versus during COVID-19) on headache-related disability through depression, anxiety, and stress symptoms were assessed. RESULTS Statistically higher levels of depression, (M = 13.9 [SD = 12.2] vs. M = 8.7 [SD = 8.7], p < 0.001), anxiety (12.3 [10.0] vs. 9.7 [8.2], p = 0.01), and stress symptoms (17.6 [10.2] vs. 13.2 [7.9], p < 0.001) were endorsed during the COVID-19 pandemic. The direct path from COVID-19 status to headache-related disability was significant and negative, c' = -1.6 (95% CI: -3.1, -0.1). Anxiety (b = 0.3 [95% CI: 0.01, 0.9]) and depression (b = 0.7 [95% CI: 0.07, 1.4]) symptoms acted as mediators of this relationship, rendering the total effect nonsignificant and negating the lowered disability observed during the pandemic. Only depression symptoms remained a significant mediator after controlling for headache frequency (b = 0.7 [95% CI: 0.09, 1.4]). CONCLUSIONS Increased depression and anxiety symptoms attenuated the improvements in disability associated with the pandemic. As such, interventions that address comorbid psychological symptoms may hold value in reducing headache-related disability and improving outcomes for young adults whose headache developed or worsened during the COVID-19 pandemic.
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Affiliation(s)
- Lauren Y Thaxter
- Department of Psychology, University of Mississippi, Oxford, Mississippi, USA
| | - Todd A Smitherman
- Department of Psychology, University of Mississippi, Oxford, Mississippi, USA
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18
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Ozamiz-Etxebarria N, Dosil-Santamaria M, Idoiaga Mondragon N, Picaza Gorrotxategi M, Olaya B, Santabárbara J. The emotional state of young people in northern Spain after one year and a half of the COVID-19 pandemic. THE EUROPEAN JOURNAL OF PSYCHIATRY 2022; 37:109-116. [PMID: 36211327 PMCID: PMC9527219 DOI: 10.1016/j.ejpsy.2022.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 09/27/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND OBJECTIVES : Since the beginning of the COVID-19 pandemic, the young population has been suffering from an accumulation of psychological symptoms in northern Spain. The main objectives of this study were (1) to assess whether psychological symptoms persisted after one year and a half of the COVID-19 pandemic in northern Spain sample of young people, and (2) to analyze whether pandemic-specific variables (having a chronic illness, living with a person who has a chronic illness, having been infected with COVID-19, having a close person who has died or believing that people are respecting the measures imposed) are related to psychological symptomatology. METHODS : Symptoms of stress, anxiety, and depression were measured using the Depression and Stress Anxiety Scale-21 (DASS-21). An ad hoc online questionnaire was used to collect socio-demographical information related to chronic illnesses of the participants, living with a chronically ill person, contact with a person diagnosed with COVID-19, having people close to them who have died of COVID-19, and their perception of whether or not people respect the health measures. RESULTS : Young people have suffered higher stress, anxiety, and depression levels than at the beginning of the pandemic. CONCLUSIONS : The present study highlights the importance of addressing young people's mental health, and ensure that future adults emerge from the COVID-19 pandemic in a psychologically strong state.
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Affiliation(s)
- Naiara Ozamiz-Etxebarria
- Department of Developmental and Educational Psychology, University of the Basque Country UPV/EHU, Leioa, Spain
| | - Maria Dosil-Santamaria
- Department of Research and Diagnostic Methods in Education, University of the Basque Country UPV/EHU, Leioa, Spain
| | - Nahia Idoiaga Mondragon
- Department of Developmental and Educational Psychology, University of the Basque Country UPV/EHU, Leioa, Spain
| | | | - Beatriz Olaya
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Ministry of Science and Innovation, 28029 Madrid, Spain
- Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
| | - Javier Santabárbara
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Ministry of Science and Innovation, 28029 Madrid, Spain
- Department of Microbiology, Pediatrics, Radiology and Public Health, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain
- Aragonese Institute of Health Sciences (IIS Aragón), 50009 Zaragoza, Spain
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19
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Johnson MS, Skjerdingstad N, Ebrahimi OV, Hoffart A, Johnson SU. Parenting in a Pandemic: Parental stress, anxiety and depression among parents during the government-initiated physical distancing measures following the first wave of COVID-19. Stress Health 2022; 38:637-652. [PMID: 34902219 DOI: 10.1002/smi.3120] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 11/22/2021] [Accepted: 12/01/2021] [Indexed: 01/30/2023]
Abstract
Drawing on the tenets of family stress theory, the aim of this study is to examine parents' perceived stress, symptoms of anxiety, depression, and associated risk- and protective factors across demographic subgroups during in the first wave of the COVID-19 pandemic. Norwegian parents (N = 2868; 79.5% mothers) with >1 child under 18 years of age completed an online survey two weeks after the implementation of government-initiated distancing measures. The survey includes measures of COVID-related risk factors (parental stress, burnout, depression, anxiety, anger of parents towards children, difficulty working from home, and positive beliefs about worry) and protective factors (self-efficacy and social support). Mothers, parents living with more than one child, and parents with a psychiatric diagnosis reported greater levels of parental stress, more burnout, and more anger towards their children, as well as less social support. Almost 25% of the parents reported anxiety and depression that are clinically significant. Parents who followed distancing measures reported significantly higher distress. Anger of parents towards children explains 41% of the variation in parental stress. These findings indicate that parents have experienced symptoms of deteriorated mental health due to the COVID- 19 pandemic, including parental stress, anxiety, and depression. The study presents practical implications for meso- and macro-level policymaking and offers support to further the potential aims of public health and clinical interventions. Future studies to monitor long-term aversive mental health outcomes among parents are warranted.
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Affiliation(s)
- Miriam S Johnson
- Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | | | - Omid V Ebrahimi
- Department of Psychology, University of Oslo, Oslo, Norway.,Modum Bad Psychiatric Hospital, Vikersund, Norway
| | - Asle Hoffart
- Department of Psychology, University of Oslo, Oslo, Norway.,Modum Bad Psychiatric Hospital, Vikersund, Norway
| | - Sverre Urnes Johnson
- Department of Psychology, University of Oslo, Oslo, Norway.,Modum Bad Psychiatric Hospital, Vikersund, Norway
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Post-partum Women’s Anxiety and Parenting Stress: Home-Visiting Protective Effect During the COVID-19 Pandemic. Matern Child Health J 2022; 26:2308-2317. [PMID: 36153448 PMCID: PMC9510513 DOI: 10.1007/s10995-022-03540-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2022] [Indexed: 12/05/2022]
Abstract
Objectives The COVID-19 pandemic resulted in a particularly adverse and stressful environment for expecting mothers, possibly enhancing feelings of anxiety and parenting stress. The present work assesses mothers' anxiety levels at delivery and parenting stress after 3 months as moderated by home-visiting sessions. Methods Women (n = 177) in their second or third trimester of pregnancy during the COVID-19 lockdown were enrolled in northern Italy and split into those who did and did not receive home visits. After 3 months, the association between anxiety at delivery and parenting stress was assessed with bivariate correlations in the whole sample and comparing the two groups. Results Higher anxiety at birth correlated with greater perceived stress after 3 months. Mothers who received at least one home-visiting session reported lower parenting stress at 3 months than counterparts who did not receive home visits. Conclusions for Practice The perinatal period is a sensitive time window for mother-infant health, especially during a critical time like the COVID-19 pandemic. We suggest that home-visiting programs could be beneficial during global healthcare emergencies to promote maternal well-being after delivery.
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Mental, Physical, and Cognitive Wellbeing during the COVID-19 Pandemic: Data from Scotland and Japan. JOURNAL OF OPEN PSYCHOLOGY DATA 2022. [DOI: 10.5334/jopd.65] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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22
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Heidler F, Baldt J, Frahm N, Langhorst SE, Mashhadiakbar P, Streckenbach B, Burian K, Zettl UK, Richter J. Vaccination willingness in association with personality traits in patients with multiple sclerosis in the course of SARS-CoV-2 pandemic. Sci Rep 2022; 12:15147. [PMID: 36071083 PMCID: PMC9449937 DOI: 10.1038/s41598-022-18912-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 08/22/2022] [Indexed: 11/16/2022] Open
Abstract
Vaccination is a key strategy for controlling the SARS-CoV-2 pandemic. Acceptance of SARS-CoV-2 vaccines by chronically ill patients, such as multiple sclerosis (MS) patients, plays an important role in prevention of complicated disease course. This longitudinal, prospective, multi-centre-study of German MS-patients aimed to detect socio-demographic, clinical, or psychological determinants of attitudes towards standard vaccines, SARS-CoV-2 vaccines, and governmental measures before/during the pandemic. Exactly 404 MS-patients were investigated by standardized questionnaires and structured interviews on socio-demographic, clinical-neurological, and psychological characteristics, vaccination status, and vaccination from June 2019. Data on SARS-CoV-2 vaccination willingness were collected in two follow-up assessments (1st: June to July 2020, before SARS-CoV-2 vaccine availability, N = 200; 2nd: March to May 2021, after SARS-CoV-2 vaccine availability, N = 157). Age, sex, MS course type, depression, and personality characteristics (Extraversion, Novelty seeking, Self-directedness, and Cooperativeness) were significantly associated with vaccination willingness. Although the majority of MS-patients showed SARS-CoV-2 vaccination willingness at both follow-ups (1st: 60%, 2nd: 61%), a substantial proportion had concerns and were undecided or opposed to vaccination. Socio-demographic variables like age and sex, psychopathological status, and various personality characteristics might influence vaccination willingness and should be considered when discussing with MS-patients about SARS-CoV-2 vaccination.
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Affiliation(s)
- Felicita Heidler
- Department of Neurology, Ecumenic Hainich Hospital gGmbH, Pfafferode 102, 99974, Mühlhausen, Germany
| | - Julia Baldt
- Department of Neurology, Neuroimmunology Section, University Medical Centre of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany
| | - Niklas Frahm
- Department of Neurology, Neuroimmunology Section, University Medical Centre of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany.
| | - Silvan Elias Langhorst
- Department of Neurology, Neuroimmunology Section, University Medical Centre of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany
| | - Pegah Mashhadiakbar
- Department of Neurology, Neuroimmunology Section, University Medical Centre of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany
| | - Barbara Streckenbach
- Department of Neurology, Neuroimmunology Section, University Medical Centre of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany
| | - Katja Burian
- Department of Neurology, Neuroimmunology Section, University Medical Centre of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany
| | - Uwe Klaus Zettl
- Department of Neurology, Neuroimmunology Section, University Medical Centre of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany
| | - Jörg Richter
- Department of Neurology, Ecumenic Hainich Hospital gGmbH, Pfafferode 102, 99974, Mühlhausen, Germany.,Faculty of Health Sciences, University of Hull, Hull, UK.,Durham Law School, Durham University, Durham, UK
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Zhang J, Fu Y, Guo Z, Li R, Guo Q. How Work-Family Conflict Influenced the Safety Performance of Subway Employees during the Initial COVID-19 Pandemic: Testing a Chained Mediation Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11056. [PMID: 36078770 PMCID: PMC9518041 DOI: 10.3390/ijerph191711056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 08/23/2022] [Accepted: 08/30/2022] [Indexed: 06/15/2023]
Abstract
This study examined the impact of work-family conflict on subway employees' safety performance during the initial wave of the COVID-19 pandemic. We proposed a chain mediation model in which job burnout and affective commitment play mediating roles in this process. Using questionnaire data from 632 Chinese subway employees during February 2020, structural equation modeling analyses were performed. The analyses showed that work-family conflict had a significant negative impact on subway employee safety performance. Moreover, job burnout completely mediated the influence of work-family conflict on safety performance, while affective commitment only partially mediated the influence of job burnout on safety performance. These findings suggest the important role played by Work-Family balance during the pandemic and contribute to a deeper understanding of the inner mechanisms. We also discussed several practical implications for organizations to reduce the negative impact of work-family conflict on safety performance.
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Affiliation(s)
- Jingyu Zhang
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Beijing 100101, China
- Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Yao Fu
- School of Transportation and Logistics, Southwest Jiaotong University, Chengdu 610031, China
| | - Zizheng Guo
- School of Transportation and Logistics, Southwest Jiaotong University, Chengdu 610031, China
- National Engineering Laboratory of Integrated Transportation Big Data Application Technology, Chengdu 611756, China
- National United Engineering Laboratory of Integrated and Intelligent Transportation, Southwest Jiaotong University, Chengdu 611756, China
- Comprehensive Transportation Key Laboratory of Sichuan Province, Chengdu 610031, China
| | - Ranran Li
- Chengdu Rail Transit Group Co., Ltd., Chengdu 610110, China
| | - Qiaofeng Guo
- School of Transportation and Logistics, Southwest Jiaotong University, Chengdu 610031, China
- Comprehensive Transportation Key Laboratory of Sichuan Province, Chengdu 610031, China
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Oviedo DC, Pinzón MS, Rodríguez-Araña S, Tratner AE, Pauli-Quirós E, Chavarría C, Posada Rodríguez C, Britton GB. Psychosocial response to the COVID-19 pandemic in Panama. Front Public Health 2022; 10:919818. [PMID: 36033747 PMCID: PMC9399740 DOI: 10.3389/fpubh.2022.919818] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 07/15/2022] [Indexed: 01/22/2023] Open
Abstract
Background The impact of the COVID-19 pandemic and the associated restrictions on mental health is being studied. Objective To analyze the psychosocial response to the COVID-19 pandemic in adults residing in Panama. Methods A community sample of 480 adult residents of Panama completed a survey that included sociodemographic questions, COVID-19 related questions (e.g., health concerns regarding the virus, knowledge and behaviors in biosafety) and scales of stress, anxiety, depression, prosocial behavior, resilience, perceived social support, and insomnia. Results Most of the participants (>60%) reported being negatively affected by the pandemic. Women experienced greater depression, anxiety, and stress symptoms than men, and age was negatively associated with depression, anxiety, and stress symptoms. Self-perceived health status and self-perceived social support were negatively associated with depression, anxiety, and stress symptoms. Self-perceived social isolation was positively associated with depression, anxiety, and stress symptoms. Psychiatric illness and insomnia were positively associated with depression, anxiety, and stress symptoms, whereas psychological resilience was negatively associated with depression, anxiety, and stress symptoms. Discussion These results corroborate other studies regarding COVID-19 and mental health. This study highlights the need for specific prevention and intervention mechanisms related to the COVID-19 pandemic in different population groups. This is the first report of the psychological impact of COVID-19 in the general Panamanian population and one of the only studies in the Latin American region and, therefore, contributes to research in the Latino population and lower-middle income countries.
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Affiliation(s)
- Diana C. Oviedo
- Centro de Neurociencias y Unidad de Investigación Clínica, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama
- Escuela de Psicología, Universidad Santa María la Antigua (USMA), Panama City, Panama
- Sistema Nacional de Investigación (SNI) SENACYT, Panama City, Panama
| | - María Sofía Pinzón
- Escuela de Psicología, Universidad Santa María la Antigua (USMA), Panama City, Panama
| | - Sofía Rodríguez-Araña
- Centro de Neurociencias y Unidad de Investigación Clínica, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama
| | | | - Elianne Pauli-Quirós
- Escuela de Psicología, Universidad Santa María la Antigua (USMA), Panama City, Panama
| | - Carlos Chavarría
- Escuela de Psicología, Universidad Santa María la Antigua (USMA), Panama City, Panama
| | - Camilo Posada Rodríguez
- Centro de Neurociencias y Unidad de Investigación Clínica, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama
| | - Gabrielle B. Britton
- Centro de Neurociencias y Unidad de Investigación Clínica, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT-AIP), Panama City, Panama
- Sistema Nacional de Investigación (SNI) SENACYT, Panama City, Panama
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Knox L, Karantzas GC, Romano D, Feeney JA, Simpson JA. One year on: What we have learned about the psychological effects of COVID-19 social restrictions: A meta-analysis. Curr Opin Psychol 2022; 46:101315. [PMID: 35398753 PMCID: PMC8907153 DOI: 10.1016/j.copsyc.2022.101315] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 02/07/2022] [Accepted: 02/15/2022] [Indexed: 01/11/2023]
Abstract
This article reports on the first meta-analysis of studies on the association between government-imposed social restrictions and mental health outcomes published during the initial year of the COVID-19 pandemic. Thirty-three studies (N = 131,844) were included. Social restrictions were significantly associated with increased mental health symptoms overall (d = .41 [CI 95% .17-.65]), including depression (d = .83 [CI 95% .30-1.37]), stress (d = .21 [CI 95% .01-.42]) and loneliness (d = .30 [CI 95% .07-.52]), but not anxiety (d= .26 [CI 95% -.04-.56]). Subgroup analyses demonstrated that the strictness and length of restrictions had divergent effects on mental health outcomes, but there are concerns regarding study quality. The findings provide critical insights for future research on the effects of COVID-19 social restrictions.
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Affiliation(s)
| | - Gery C. Karantzas
- Deakin University, Australia,Corresponding author: Karantzas, Gery C
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26
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Changes in lifestyles and depressive symptom among patients with chronic diseases during COVID-19 lockdown. Sci Rep 2022; 12:11407. [PMID: 35794125 PMCID: PMC9257558 DOI: 10.1038/s41598-022-15333-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 06/22/2022] [Indexed: 11/26/2022] Open
Abstract
This study aims to investigate the impact of COVID-19 lockdown on lifestyle behaviors and depressive symptom among patients with NCDs (noncommunicable diseases). We incorporated a COVID-19 survey to the WELL China cohort, a prospective cohort study with the baseline survey conducted 8–16 months before the COVID-19 outbreak in Hangzhou, China. The COVID-19 survey was carried out to collect information on lifestyle and depressive symptom during lockdown. A total of 3327 participants were included in the COVID-19 survey, including 2098 (63.1%) reported having NCDs at baseline and 1457 (44%) without NCDs. The prevalence of current drinkers decreased from 42.9% before COVID-19 lockdown to 23.7% during lockdown, current smokers from 15.9 to 13.5%, and poor sleepers from 23.9 to 15.3%, while low physical activity increased from 13.4 to 25.2%, among participants with NCDs (P < 0.05 for all comparisons using McNemar's test). Participants with NCDs were more likely than those without to have depressive symptom (OR, 1.30; 95% CI 1.05–1.61), especially among those who need to refill their medication during the COVID-19 lockdown (OR, 1.52; 95% CI 1.15–2.02). Our findings provide insight into the development of targeted interventions to better prepare patients with NCDs and healthcare system to meet the challenge of future pandemic and lockdown.
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Dash S, Bourke M, Parker AG, Dadswell K, Pascoe MC. Lifestyle behaviours and mental health and wellbeing of tertiary students during COVID-19 lockdown in Australia: A cross-sectional study. Compr Psychiatry 2022; 116:152324. [PMID: 35576672 PMCID: PMC9085438 DOI: 10.1016/j.comppsych.2022.152324] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 04/11/2022] [Accepted: 04/24/2022] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND Australia experienced significant COVID-19 lockdown restrictions throughout 2020 that had an impact on mental health and disrupted health-promoting lifestyle behaviours. Lockdowns may have exacerbated existing mental health concerns among tertiary students, who experience higher levels of mental health concerns compared to the wider community. This study aimed to investigate the association between modifiable lifestyle factors and wellbeing of students at a Melbourne-based tertiary education institution during COVID-19 lockdown. METHODS This quantitative, cross-sectional study was conducted across campuses in Melbourne and Sydney. Data was collected via online questionnaire during the 7th week of a second-wave lockdown. Descriptive statistics were calculated for demographic variables (n = 239). Linear regression models were estimated to determine multivariate associations between lifestyle variables and psychological distress. RESULTS Participants were on average 30.98 years old (SD = 9.78), predominantly female, domestic students, undergraduate, not the first member of their family to attend university and living out of family home. Mindfulness, diet quality, sleep quality and moderate-vigorous physical activity (MVPA) were all inversely correlated with psychological distress. Unadjusted and adjusted models show that mindfulness, sleep quality, and MVPA were all independently inversely related to psychological distress. Greater mindfulness, sleep quality and engagement in MVPA were associated with lower psychological distress during COVID-19 lockdowns. LIMITATIONS As this study is cross-sectional and we cannot rule out reverse causality. CONCLUSION This study highlights the potential for lifestyle focused mental-health promotion delivered through tertiary education institutions to support students in times of crisis as well as more generally.
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Affiliation(s)
- Sarah Dash
- Institute for Health and Sport (IHES), Victoria University, Melbourne, VIC 8001, Australia,Food and Mood Centre, IMPACT SRC, Deakin University, Geelong, VIC 3127, Australia
| | - Matthew Bourke
- Institute for Health and Sport (IHES), Victoria University, Melbourne, VIC 8001, Australia
| | - Alexandra G. Parker
- Institute for Health and Sport (IHES), Victoria University, Melbourne, VIC 8001, Australia,Centre for Youth Mental Health, University of Melbourne, Parkville, VIC 3010, Australia
| | - Kara Dadswell
- Institute for Health and Sport (IHES), Victoria University, Melbourne, VIC 8001, Australia
| | - Michaela C. Pascoe
- Institute for Health and Sport (IHES), Victoria University, Melbourne, VIC 8001, Australia,Peter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia,Corresponding author at: Institute for Health and Sport (IHES), Victoria University, PO Box 14428, Melbourne, VIC 8001, Australia
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28
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English AS, Torres-Marín J, Navarro-Carrillo G. Coping and Anxiety During Lockdown in Spain: The Role of Perceived Impact and Information Sources. Psychol Res Behav Manag 2022; 15:1411-1421. [PMID: 35685817 PMCID: PMC9172919 DOI: 10.2147/prbm.s362849] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 05/18/2022] [Indexed: 11/26/2022] Open
Abstract
Background/Purpose In the context of COVID-19 lockdowns, extant research suggests that secondary coping (a strategy aimed at adjusting oneself self to the stressor) is more robustly associated with better mental health than primary coping (a strategy aimed at adjusting the stressor to oneself). We investigated whether these findings are generalizable to Spain—one of the most severely affected countries at that time. We also tested whether the link between secondary coping and mental health (as measured by anxiety) can be accounted for by how individuals perceive the COVID-19 impact (ie, perceived life changes and personal global impact) and how frequently they use traditional and social media to check COVID-19-related information. Methods A diverse community sample (N = 408), collected during the first lockdown in Spain (early April 2020), completed a multi-measure online survey including the targeted variables. Results Secondary coping outperformed primary coping in predicting reduced anxiety during the lockdown in Spain. Moreover, lower perceived life changes from COVID-19 and reduced personal global impact from COVID-19 both mediated the negative secondary coping-anxiety relationship. No indirect effects emerged for either conventional or social media exposure. Conclusion These results (a) strengthen the cross-cultural validity of the link between secondary coping and anxiety and (b) advance our understanding of the psychological mechanisms underlying this association.
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Affiliation(s)
- Alexander S English
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, People’s Republic of China
- Shanghai International Studies University, Shanghai Intercultural Institute, Shanghai, People’s Republic of China
- Correspondence: Alexander S English, Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, Zhejiang, 310027, People’s Republic of China, Email
| | - Jorge Torres-Marín
- Department of Research Methods in Behavioral Sciences, University of Granada, Granada, Spain
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29
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Zaninotto F, Bossi F, Terry P, Riccaboni M, Galli G. The Evolution of Psychological and Behavioral Consequences of Self-Isolation During Lockdown: A Longitudinal Study Across United Kingdom and Italy. Front Psychiatry 2022; 13:826277. [PMID: 35722571 PMCID: PMC9198491 DOI: 10.3389/fpsyt.2022.826277] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 05/10/2022] [Indexed: 01/08/2023] Open
Abstract
Introduction Several countries imposed nationwide or partial lockdowns to limit the spread of COVID-19 and avoid overwhelming hospitals and intensive care units. Lockdown may involve restriction of movement, stay-at-home orders and self-isolation, which may have dramatic consequences on mental health. Recent studies demonstrated that the negative impact of lockdown restrictions depends on a wide range of psychological and socio-demographic factors. Aims This longitudinal study aimed to understand how internal factors such as personality and mindfulness traits, and external factors, such as daily habits and house features, affect anxiety, depression and general wellbeing indicators, as well as cognitive functions, during the course of a lockdown. Methods To address these questions, 96 participants in Italy and the United Kingdom filled out a survey, once a week for 4 weeks, during the first-wave lockdowns. The survey included questions related to their habits and features of the house, as well as validated questionnaires to measure personality traits, mindful attitude and post-traumatic symptoms. Indicators of wellbeing were the affective state, anxiety, stress and psychopathological indices. We also measured the emotional impact of the pandemic on cognitive ability by using two online behavioral tasks [emotional Stroop task (EST) and visual search]. Results We found that internal factors influenced participants' wellbeing during the first week of the study, while external factors affected participants in the last weeks. In the first week, internal variables such as openness, conscientiousness and being non-judgmental toward one's own thoughts and emotions were positively associated with wellbeing; instead, neuroticism and the tendency to observe and describe one's own thoughts and emotions had detrimental effects on wellbeing. Toward the end of the study, external variables such as watching television and movies, browsing the internet, walking the dog, and having a balcony showed a protective value, while social networking and engaging in video calls predicted lower values of wellbeing. We did not find any effects of wellbeing on cognitive functioning. Conclusion Recognizing specific traits and habits affecting individuals' wellbeing (in both short and long terms) during social isolation is crucial to identify people at risk of developing psychological distress and help refine current guidelines to alleviate the psychological consequences of prolonged lockdowns.
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Affiliation(s)
- Francesca Zaninotto
- Department of Psychology, Kingston University, Kingston upon Thames, United Kingdom
| | - Francesco Bossi
- MoMiLab, IMT School for Advanced Studies Lucca, Lucca, Italy
| | - Philip Terry
- Department of Psychology, Kingston University, Kingston upon Thames, United Kingdom
| | | | - Giulia Galli
- Department of Psychology, Kingston University, Kingston upon Thames, United Kingdom
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30
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Latsou D, Bolosi FM, Androutsou L, Geitona M. Professional Quality of Life and Occupational Stress in Healthcare Professionals During the COVID-19 Pandemic in Greece. Health Serv Insights 2022; 15:11786329221096042. [PMID: 35651953 PMCID: PMC9149609 DOI: 10.1177/11786329221096042] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Accepted: 04/04/2022] [Indexed: 11/15/2022] Open
Abstract
Background: Health professionals (HPs) coping with the coronavirus pandemic are at risk of working under stressful conditions impacting their professional well-being. The aim of this paper was to explore HP’s professional quality of life and occupational stress during the COVID-19 pandemic in Greece. Method: A cross-sectional study was conducted (from October to December 2020) in a COVID-19 reference hospital, one of the biggest in Attica. The method of convenience sampling has been used. Data collection was carried out through an anonymous, self-administered questionnaire including, apart from HPs’ demographic and occupational characteristics, Professional Quality of Life Scale (ProQoL) and Job Stress Measure. A total of 250 questionnaires were distributed to physicians and nurses. One hundred eighty-six questionnaires were fully completed (response rate = 78.8%). The analysis was based on descriptive and inductive statistics, using SPSS v25. Results: Participants’ mean age was 41.5 ± 10.4 years; 75.3% were women and 62.4% was nursing staff. ProQoL analysis showed that the majority had moderate compassion satisfaction (74.2%) and burnout (78.5%), while 48.8% had moderate level of secondary post-traumatic stress. The mean value of occupational stress was estimated at 2.76, showing a moderate level of stress. HPs’ demographic and occupational characteristics seemed to affect both work stress and ProQoL ( P ⩽ .05). Occupational stress was positively correlated with both burnout ( r = 0.461, P = .001) and secondary post-traumatic stress ( r = 0.596, P = .001), indicating that an increase in health professionals’ stress at work corresponds to a simultaneous increase in ProQoL. Conclusions: HPs’ professional quality of life and occupational stress seemed to be moderate during the COVID-19 pandemic in Greece. In order to achieve an improvement in HPs’ overall professional well-being, priority should be given to the strengthening of the capacity of the healthcare system as well as to supporting HPs in both stress management and psychological resilience.
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Affiliation(s)
- Dimitra Latsou
- Department of Public Administration, University of Neapolis, Pafos, Cyprus
| | - Fevronia-Maria Bolosi
- Department of Public Administration, University of Neapolis, Pafos, Cyprus
- General Hospital of Athens “Evangelismos,” Athens, Greece
| | - Lorena Androutsou
- Department of Public Administration, University of Neapolis, Pafos, Cyprus
| | - Mary Geitona
- Department of Public Administration, University of Neapolis, Pafos, Cyprus
- Department of Social & Educational Policy, School of Social Sciences, University of Peloponnese, Corinth, Greece
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Gevers-Montoro C, Deldar Z, Furlan A, Lazar EA, Ghalibaf E, Ortega-De Mues A, Khatibi A. From hands-on to remote: Moderators of response to a novel self-management telehealth programme during the COVID-19 pandemic. Eur J Pain 2022; 26:1368-1379. [PMID: 35610958 PMCID: PMC9320893 DOI: 10.1002/ejp.1968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 04/17/2022] [Accepted: 05/04/2022] [Indexed: 11/12/2022]
Abstract
BACKGROUND In March 2020, state-wide lockdowns were declared in many countries, including Spain. Citizens were confined to their homes and remotely supported activities were prioritized as an alternative to in-person interactions. Previous data suggest that remote and self-management interventions may be successful at reducing pain and related psychological variables. However, individual factors influencing the effectiveness of these interventions remain to be identified. We aimed to investigate the psychological and motivational factors moderating changes in pain observed in chiropractic patients undertaking a novel telehealth self-management programme. METHODS A cohort of 208 patients from a chiropractic teaching clinic was recruited to participate in the study. Patients received telehealth consultations and individualized self-management strategies tailored for their current complaint. They were encouraged to make use of these strategies daily for 2-4 weeks, whilst rating their pain intensity, motivation and adherence. Validated questionnaires were completed online to assess catastrophizing, kinesiophobia and anxiety. RESULTS A total of 168 patients completed the first 2 weeks of the programme, experiencing significant reductions in all variables. Kinesiophobia emerged as a key factor influencing pain reduction and moderating the association between motivation and pain relief. In turn, adherence to the programme was associated with lower pain intensity, although moderated by the degree of motivation. CONCLUSIONS In the context of COVID-19, when introducing remote and self-management strategies, pain cognitions and motivational factors should be taken into consideration to foster adherence and yield better pain outcomes.
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Affiliation(s)
- Carlos Gevers-Montoro
- Madrid College of Chiropractic - RCU María Cristina, Madrid, Spain.,Department of Anatomy, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada
| | - Zoha Deldar
- Department of Anatomy, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.,Department of Psychology, McGill University, Montreal, Quebec, Canada
| | - Andrea Furlan
- KITE, Toronto Rehabilitation Institute, University of Toronto, University Health Network, Institute for Work & Health, Toronto, Ontario, Canada
| | - Eric A Lazar
- Madrid College of Chiropractic - RCU María Cristina, Madrid, Spain
| | - Erfan Ghalibaf
- Institute for Cognitive Science Studies (ICSS), Tehran, Iran
| | | | - Ali Khatibi
- Centre of Precision Rehabilitation for Spinal Pain, University of Birmingham, Birmingham, UK.,Centre for Human Brain Health, University of Birmingham, Birmingham, UK
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Ingram J, Hand CJ, Hijikata Y, Maciejewski G. Exploring the effects of COVID-19 restrictions on wellbeing across different styles of lockdown. Health Psychol Open 2022; 9:20551029221099800. [PMID: 35547558 PMCID: PMC9081023 DOI: 10.1177/20551029221099800] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Countries have instigated different restrictions in response to the COVID-19 pandemic. For instance, nationwide, strict “lockdown” in Scotland was enacted with breaches punishable by law, whereas restrictions in Japan allowed for travel and interaction, with citizens requested rather than required to conform. We explored the impact of these differential strategies on health behaviours and wellbeing. In February 2021, 138 Scottish and 139 Japanese participants reported their demographic information, pandemic-induced health behaviour-change (alcohol consumption, diet, perceived sleep quality, physical activity), negative mood, and perceived social isolation. Scottish participants’ health behaviours were characterised by greater change (typically negative), most likely due to greater lifestyle disruption, whereas Japanese participants’ behaviours were more-stable. Negative changes to health behaviours were typically associated with poorer mental wellbeing and isolation. Interestingly though, Japanese participants reported greater negative mood but not isolation despite the less-restrictive lockdown. Taken together, different lockdown styles led to different changes in health behaviours.
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Affiliation(s)
- Joanne Ingram
- School of Education and Social Science, University of the West of Scotland, Paisley, UK
| | | | - Yuko Hijikata
- Faculty of Humanities and Social Sciences, University of Tsukuba, Tsukuba, Japan
| | - Greg Maciejewski
- School of Education and Social Science, University of the West of Scotland, Paisley, UK
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Silistraru I, Olariu O, Ciubara A, Roșca Ș, Roșca RO, Stanciu S, Condratovici AP, Ciureanu IA. Burnout and Online Medical Education: Romanian Students in Lockdown and Their Residency Choices. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095449. [PMID: 35564841 PMCID: PMC9102410 DOI: 10.3390/ijerph19095449] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 04/27/2022] [Accepted: 04/28/2022] [Indexed: 12/10/2022]
Abstract
The primary aim of the study was to investigate the prevalence of burnout in Romanian medical students during the COVID-19 pandemic using the Maslach Burnout Inventory-General Survey for Students (MBI-GS(S)). The presence of burnout was assessed based on Exhaustion (EX), Cynicism (CY) and Professional Efficacy (PE) subscales. The secondary aim of the study was to identify the presence of intentional shift in medical specialty compared to their initial pursued choice within the population investigated. Data was collected online at the end of 2020 and beginning of 2021 through a licensed, customized MBI-GS(S) questionnaire from a sample of 126 Romanian medical students at the two leading medical schools in the country, Iasi (N = 56) and Cluj Napoca (N = 70). Descriptive statistics and bivariate correlations were also applied to describe the data set (age and gender of participants) and the relationship between variables (EX, CY, PE). Subsequently, the MBI-GS(S) group report revealed that 36.5% of the medical students in the sample (46) experienced burnout, with problematic results both in Exhaustion and Cynicism. Exhaustion and Cynicism, which contribute to burnout, showed high scores compared to the average scale (EX = 3.5/2.4; CY = 2.8/1.8), while the Professional Efficacy score was relatively high (PE = 3.8/4.4), showing a protective effect and burnout reduction. One of the main conclusions is that the consequences of burnout in medical students plays a significant role in shaping the future healthcare practitioners’ perception of the medical profession and of patients’ wellbeing. Exhaustion and Cynicism are mainly associated with depersonalization and disconnection from the patient. Another conclusion of the study is that about one third of the respondents (30% Cluj students and 37.5% Iasi students) considered changing residency options. The pandemic has also revealed the limitations of and challenges facing current medical education, and that further research is required to assess the trends in prevalence of burnout in medical students.
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Affiliation(s)
- Ioana Silistraru
- Faculty of Social Sciences and Humanities, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania;
| | - Oana Olariu
- Faculty of Medicine and Pharmacy, Dunarea de Jos University of Galati, 800008 Galati, Romania; (O.O.); (A.C.); (A.P.C.)
| | - Anamaria Ciubara
- Faculty of Medicine and Pharmacy, Dunarea de Jos University of Galati, 800008 Galati, Romania; (O.O.); (A.C.); (A.P.C.)
| | - Ștefan Roșca
- Faculty of Medicine and Pharmacy, Dunarea de Jos University of Galati, 800008 Galati, Romania; (O.O.); (A.C.); (A.P.C.)
- Correspondence:
| | - Ramona Oana Roșca
- Department of Chemistry, Physics and Environment, Faculty of Sciences and Environment, Dunarea de Jos University of Galati, 800008 Galati, Romania;
| | - Silviu Stanciu
- SAIABA Department-BIOALIMENT Research Center, Faculty of Food Science and Engineering, Dunarea de Jos University of Galati, 800008 Galati, Romania;
| | - Alina Plesea Condratovici
- Faculty of Medicine and Pharmacy, Dunarea de Jos University of Galati, 800008 Galati, Romania; (O.O.); (A.C.); (A.P.C.)
| | - Ioan-Adrian Ciureanu
- Medical Informatics and Biostatistics Department, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania;
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Psychological impact of the quarantine during the COVID-19 pandemic on the general European adult population: a systematic review of the evidence. Epidemiol Psychiatr Sci 2022; 31:e27. [PMID: 35475479 PMCID: PMC9069583 DOI: 10.1017/s2045796022000051] [Citation(s) in RCA: 41] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
AIMS Due to the coronavirus disease 2019 (COVID-19) different countries implemented quarantine measures to limit the spread of the virus. Many studies analysed the mental health consequences of restrictive confinement, some of which focused their attention on specific populations. The general public's mental health also requires significant attention, however. This study aimed to evaluate the effects of the COVID-19 quarantine on the general population's mental health in different European countries. Risk and protective factors associated with the psychological symptoms were analysed. METHODS A systematic search was conducted on four electronic databases (PubMed, PsycINFO, Scopus and Google Scholar). Studies published up until 20th April 2021, and following eligibility criteria were selected for this review. One thousand three hundred thirty-five (1335) studies were screened, 105 of which were included. Via network analysis, the current study investigated the pathways that underlie possible risk factors for mental health outcomes. RESULTS Anxiety, depression, distress and post-traumatic symptoms are frequently experienced during the COVID-19 quarantine and are often associated with changes in sleeping and eating habits. Some socio-demographic and COVID-19-related variables were found to be risk factors for an individual's wellbeing. In particular, being female, young, having a low income, being unemployed and having COVID-19-like symptoms or chronic disorders, were found to be the most common risk factors for mental health symptoms. CONCLUSIONS The COVID-19 pandemic represented an unprecedented threat to mental health globally. In order to prevent psychological morbidity and offer support tailored to short-, medium- and long-term negative outcomes, it is essential to identify the direct and indirect psychosocial effects of the lockdown and quarantine measures, especially in certain vulnerable groups. In addition to measures to reduce the curve of viral transmission, policy makers should urgently take into consideration provisions to alleviate hazards to mental health.
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Meyer ML, Kaesler A, Wolffgramm S, Perić NL, Bunjaku G, Dickmann L, Serino S, Di Lernia D, Tuena C, Bernardelli L, Pedroli E, Wiederhold BK, Riva G, Shiban Y. COVID Feel Good: Evaluation of a Self-Help Protocol to Overcome the Psychological Burden of the COVID-19 Pandemic in a German Sample. J Clin Med 2022; 11:jcm11082080. [PMID: 35456172 PMCID: PMC9029872 DOI: 10.3390/jcm11082080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 03/30/2022] [Accepted: 04/01/2022] [Indexed: 01/27/2023] Open
Abstract
The COVID-19 pandemic has severe consequences for physical as well as mental well-being. In times of restricted social contact, online self-help programs offer a low-threshold first aid to cope with the psychological burden. This current study evaluates the online self-help protocol “COVID Feel Good” in a German sample. The multicentric study was designed as a single cohort with a waiting list control condition. The convenience sample consisted of 38 German individuals who experienced at least two months of restrictions during the COVID-19 pandemic. The 7-day self-help protocol included the VR video “Secret Garden” as well as a social or cognitive exercise each day. General distress, depression, anxiety, stress, and hopelessness were assessed as primary outcomes. Social connectedness and fear of coronavirus were measured as secondary outcomes. Results showed a significant decrease in all primary outcomes except for hopelessness. Furthermore, the results indicated a significant improvement in social connectedness. Treatment effects on general distress, depression, stress, and anxiety persisted for two weeks after participation. The present study indicates that VR-based self-help protocols can mitigate the psychological burden associated with the pandemic, supporting recent findings.
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Affiliation(s)
- Marie Lisa Meyer
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Arne Kaesler
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Stefanie Wolffgramm
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Nicolina Laura Perić
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Gentian Bunjaku
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Lilith Dickmann
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
| | - Silvia Serino
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy; (S.S.); (D.D.L.)
| | - Daniele Di Lernia
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy; (S.S.); (D.D.L.)
| | - Cosimo Tuena
- Humane Technology Lab, Università Cattolica del Sacro Cuore, 20123 Milan, Italy; (C.T.); (G.R.)
- Applied Technology for Neuro-Psychology Lab, IRCCS Istituto Auxologico Italiano, 20149 Milan, Italy;
| | | | - Elisa Pedroli
- Applied Technology for Neuro-Psychology Lab, IRCCS Istituto Auxologico Italiano, 20149 Milan, Italy;
- Faculty of Psychology, University of eCampus, 22060 Novedrate, Italy
| | - Brenda K. Wiederhold
- Virtual Reality Medical Center, La Jolla, CA 92037, USA;
- Virtual Reality Medical Institute, 1200 Brussels, Belgium
| | - Giuseppe Riva
- Humane Technology Lab, Università Cattolica del Sacro Cuore, 20123 Milan, Italy; (C.T.); (G.R.)
- Applied Technology for Neuro-Psychology Lab, IRCCS Istituto Auxologico Italiano, 20149 Milan, Italy;
| | - Youssef Shiban
- Department of Psychology, Private University of Applied Science, 37073 Goettingen, Germany; (M.L.M.); (A.K.); (S.W.); (N.L.P.); (G.B.); (L.D.)
- Correspondence:
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Changes in Perceived Stress and Lifestyle Behaviors in Response to the COVID-19 Pandemic in The Netherlands: An Online Longitudinal Survey Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074375. [PMID: 35410055 PMCID: PMC8998601 DOI: 10.3390/ijerph19074375] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 03/30/2022] [Accepted: 04/04/2022] [Indexed: 11/16/2022]
Abstract
The COVID-19 pandemic has substantial implications for physical and mental wellbeing. This study investigated changes, over time, in lifestyle behaviors and perceived stress during the initial phase of the pandemic and associations with COVID-19 symptoms, in the Dutch general population. An online longitudinal survey study was performed with pre-lockdown measurements in February, and subsequently in April and June 2020 (n = 259, mean age 59 ± 14 years, 59% women). Self-report questionnaires were used to assess weight, diet quality, physical activity, alcohol intake, and smoking. Perceived stress was measured using the validated perceived stress scale (PSS-10). The presence of COVID-19 symptoms (yes/no) was defined as fever, or >3 of the following symptoms: weakness/tiredness, muscle ache, dry cough, loss of smell/taste, and breathing difficulties. Data were analyzed using linear mixed models, adjusted for age, sex, educational level, marital status and (change in) employment status. Minimal increases over time were observed in alcohol intake (0.6 ± 0.7 to 0.7 ± 1.1 glasses/day, p = 0.001) and smoking (9.5 ± 8.7 to 10.9 ± 9.4 cigarettes/day among 10% smokers, p = 0.03), but other lifestyle behaviors remained stable. In April 2020, 15% reported COVID-19-related symptoms, and in June 2020, this was 10%. The presence of COVID-19 symptoms was associated with increased perceived stress (pinteraction = 0.003) and increased alcohol consumption (pinteraction = 0.03) over time. In conclusion, in this prospective study, COVID-19 symptoms were associated with increases in perceived stress and alcohol consumption. Future research on biopsychosocial determinants and underlying mechanisms of lifestyle changes, as a response to the COVID-19 pandemic, is needed.
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Haucke M, Heinz A, Liu S, Heinzel S. The Impact of COVID-19 Lockdown on Daily Activities, Cognitions, and Stress in a Lonely and Distressed Population: Temporal Dynamic Network Analysis. J Med Internet Res 2022; 24:e32598. [PMID: 35191843 PMCID: PMC8972118 DOI: 10.2196/32598] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 11/29/2021] [Accepted: 12/12/2021] [Indexed: 12/14/2022] Open
Abstract
Background The COVID-19 pandemic and its associated lockdown measures impacted mental health worldwide. However, the temporal dynamics of causal factors that modulate mental health during lockdown are not well understood. Objective We aimed to understand how a COVID-19 lockdown changes the temporal dynamics of loneliness and other factors affecting mental health. This is the first study that compares network characteristics between lockdown stages to prioritize mental health intervention targets. Methods We combined ecological momentary assessments with wrist-worn motion tracking to investigate the mechanism and changes in network centrality of symptoms and behaviors before and during lockdown. A total of 258 participants who reported at least mild loneliness and distress were assessed 8 times a day for 7 consecutive days over a 213-day period from August 8, 2020, through March 9, 2021, in Germany, covering a “no-lockdown” and a “lockdown” stage. COVID-19–related worry, information-seeking, perceived restriction, and loneliness were assessed by digital visual analog scales ranging from 0 to 100. Social activity was assessed on a 7-point Likert scale, while physical activity was recorded from wrist-worn actigraphy devices. Results We built a multilevel vector autoregressive model to estimate dynamic networks. To compare network characteristics between a no-lockdown stage and a lockdown stage, we performed permutation tests. During lockdown, loneliness had the highest impact within the network, as indicated by its centrality index (ie, an index to identify variables that have a strong influence on the other variables). Moreover, during lockdown, the centrality of loneliness significantly increased. Physical activity contributed to a decrease in loneliness amid the lockdown stage. Conclusions The COVID-19 lockdown increased the central role of loneliness in triggering stress-related behaviors and cognition. Our study indicates that loneliness should be prioritized in mental health interventions during lockdown. Moreover, physical activity can serve as a buffer for loneliness amid social restrictions.
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Affiliation(s)
- Matthias Haucke
- Department of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany.,Clinical Psychology and Psychotherapy, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| | - Andreas Heinz
- Department of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany
| | - Shuyan Liu
- Department of Psychiatry and Neurosciences, Charité-Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany
| | - Stephan Heinzel
- Clinical Psychology and Psychotherapy, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
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Linking COVID-19-Related Awareness and Anxiety as Determinants of Coping Strategies’ Utilization among Senior High School Teachers in Cape Coast Metropolis, Ghana. SOCIAL SCIENCES-BASEL 2022. [DOI: 10.3390/socsci11030137] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Cognitive-behavioral coping among teachers is an important issue of investigation due to the reported high prevalence of anxiety associated with the COVID-19 pandemic. Whereas several studies have assessed COVID-19 awareness of individuals as a predictor of anxiety, the moderating role of awareness in anxiety and coping mechanisms remains unclear. The study primarily examined the nexus between awareness of COVID-19 and (a) anxiety and (b) coping strategies, including the interaction effect of COVID-19-related awareness in the link between anxiety and coping strategies among senior high school teachers. A descriptive cross-sectional survey design was adopted to conveniently select 184 teachers from senior high schools in the Cape Coast Metropolis. Questionnaires were administered to the participants and data were analyzed with means, standard deviation, Pearson correlation, and linear regression statistical procedures. Summarily, the results revealed a negative relationship between COVID-19 awareness and anxiety levels of teachers. COVID-19-related anxiety significantly predicted coping mechanisms of teachers. Further, COVID-19 awareness significantly moderated the relationship between anxiety and coping strategies adopted. These findings imply that the public health education and mass awareness campaign programs on COVID-19 could act as buffers against the spread of COVID-19, its associated comorbidities, and help improve the mental health of teachers. Promoting adaptation to COVID-19 through the use of functional management strategies such as active coping and emotional support should be encouraged in the Cape Coast Metropolis among teachers.
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Myall KJ, Martinovic JL, West A. How COVID-19 interacts with interstitial lung disease. Breathe (Sheff) 2022; 18:210158. [PMID: 35284020 PMCID: PMC8908865 DOI: 10.1183/20734735.0158-2021] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 01/18/2022] [Indexed: 12/18/2022] Open
Abstract
The global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has had far-reaching impacts on patients with interstitial lung disease (ILD), from diagnosis to management. In addition, after infection, persistent parenchymal change is associated with ongoing symptoms and functional impairment even in patients without pre-existing lung disease. The challenge of investigating and treating these patients has often fallen to ILD physicians. This review therefore seeks to explore the relationship between COVID-19 and the interstitium, as well as the model of care for patients with pre-existing ILD and those patients with persistent disease following recovery from their initial infection. COVID-19 has had profound effects on patients with pre-existing interstitial lung disease, and there is growing interest in the effect on the lung parenchyma in patients recovering from acute infection. https://bit.ly/33M5s4x
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Duarte I, Alves A, Coelho A, Ferreira A, Cabral B, Silva B, Peralta J, Silva J, Domingues P, Nunes P, Serrão C, Santos C. The Mediating Role of Resilience and Life Satisfaction in the Relationship between Stress and Burnout in Medical Students during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052822. [PMID: 35270518 PMCID: PMC8910345 DOI: 10.3390/ijerph19052822] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 02/23/2022] [Accepted: 02/25/2022] [Indexed: 01/07/2023]
Abstract
Following the WHO's declaration of a public health emergency due to the COVID-19 outbreak, the subsequent quarantine and confinement measures that were adopted, including distance learning measures, were shown to have caused a significant deterioration in the mental health of medical students. The goal of this study was to explore the mediating role of resilience and life satisfaction in the relationship between perceived stress and burnout among medical students in the context of COVID-19. A transversal assessment was performed using an online questionnaire, to which 462 students responded. The instruments applied were the Perceived Stress Scale-10, the Resilience Scale-25 items, the Satisfaction with Life Scale (SWLS), and the Burnout Scale (Oldenburg Inventory). A regression model was estimated for each dimension of burnout. The results revealed that resilience and life satisfaction play a mediating role in the association between stress and the dimensions of burnout. This suggests that measures of promoting mental health based on resilience and improving perceptions of life should be implemented.
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Affiliation(s)
- Ivone Duarte
- Department of Community Medicine, Information and Decision in Health (MEDCIS), Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal;
- CINTESIS-Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal
- Correspondence: ; Tel.: +351-220-426-840
| | - Ana Alves
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - Ana Coelho
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - Ana Ferreira
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - Beatriz Cabral
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - Bebiana Silva
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - João Peralta
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - Juliana Silva
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - Pedro Domingues
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - Pedro Nunes
- Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal; (A.A.); (A.C.); (A.F.); (B.C.); (B.S.); (J.P.); (J.S.); (P.D.); (P.N.)
| | - Carla Serrão
- School of Education, Polytechnic of Porto, 4200-465 Porto, Portugal;
- INED-Centre for Research and Innovation in Education, School of Education, Polytechnic of Porto, 4200-465 Porto, Portugal
| | - Cristina Santos
- Department of Community Medicine, Information and Decision in Health (MEDCIS), Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal;
- CINTESIS-Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal
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Cirimele F, Pastorelli C, Favini A, Remondi C, Zuffiano A, Basili E, Thartori E, Gerbino M, Gregori F. Facing the Pandemic in Italy: Personality Profiles and Their Associations With Adaptive and Maladaptive Outcomes. Front Psychol 2022; 13:805740. [PMID: 35282221 PMCID: PMC8908009 DOI: 10.3389/fpsyg.2022.805740] [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: 10/30/2021] [Accepted: 01/13/2022] [Indexed: 11/17/2022] Open
Abstract
The negative impact of the COVID-19 pandemic on individuals' psychosocial functioning was widely attested during the last year. However, the extent to which individual differences are associated with adaptive and maladaptive outcomes during quarantine in Italy remains largely unexplored. Using a person-oriented approach, the present study explored the association of personality profiles, based on three broad individual dispositions (i.e., positivity, irritability, and hostile rumination) and two self-efficacy beliefs in the emotional area (i.e., expressing positive emotions and regulating anger emotion), with adaptive and maladaptive outcomes during the first Italian lockdown (March-June 2020). In doing so, we focused also on how different age groups (i.e., young adults and adults) differently faced the pandemic. The study was conducted through an online survey from May to June 2020 and included 1341 participants living in Italy, divided into two groups: 737 young adults aged 18-35 and 604 adults aged 36-60 years old. Latent Profile Analysis identified three personality profiles: resilient, vulnerable, and moderate. A subsequent path analysis model showed that the resilient profile was positively associated with prosocial behavior as an indicator of adaptive outcome, and negatively associated with three maladaptive outcomes: interpersonal aggression, depressive symptoms, and anxiety problems. Contrarily, the vulnerable profile resulted negatively associated with prosocial behavior and positively associated with the three maladaptive outcomes. Finally, regarding age group differences, young adults belonging to the vulnerable profile showed a greater association especially with interpersonal aggression, depression, and anxiety problems, as compared to adults belonging to the same profile. Overall, the results of the present study highlighted the importance to analyze individual functioning during an isolation period by using a person-oriented approach. Findings evidenced the existence of three different profiles (i.e., Resilient, Vulnerable, and Moderate) and subsequent path analysis revealed, especially for the vulnerable profile and young adults, a greater maladaptive consequence of the quarantine. The practical implications will be discussed.
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Affiliation(s)
- Flavia Cirimele
- Department of Psychology, Sapienza University of Rome, Rome, Italy
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Saeed H, Eslami A, Nassif NT, Simpson AM, Lal S. Anxiety Linked to COVID-19: A Systematic Review Comparing Anxiety Rates in Different Populations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042189. [PMID: 35206374 PMCID: PMC8871867 DOI: 10.3390/ijerph19042189] [Citation(s) in RCA: 30] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 02/09/2022] [Accepted: 02/10/2022] [Indexed: 12/20/2022]
Abstract
The COVID-19 pandemic has incited a rise in anxiety, with uncertainty regarding the specific impacts and risk factors across multiple populations. A qualitative systematic review was conducted to investigate the prevalence and associations of anxiety in different sample populations in relation to the COVID-19 pandemic. Four databases were utilised in the search (Medline, EMBASE, CINAHL, and PsycINFO). The review period commenced in April 2021 and was finalised on 5 July 2021. A total of 3537 studies were identified of which 87 were included in the review (sample size: 755,180). Healthcare workers had the highest prevalence of anxiety (36%), followed by university students (34.7%), the general population (34%), teachers (27.2%), parents (23.3%), pregnant women (19.5%), and police (8.79%). Risk factors such as being female, having pre-existing mental conditions, lower socioeconomic status, increased exposure to infection, and being younger all contributed to worsened anxiety. The review included studies published before July 2021; due to the ongoing nature of the COVID-19 pandemic, this may have excluded relevant papers. Restriction to only English papers and a sample size > 1000 may have also limited the range of papers included. These findings identify groups who are most vulnerable to developing anxiety in a pandemic and what specific risk factors are most common across multiple populations.
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Affiliation(s)
- Hafsah Saeed
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
| | - Ardalan Eslami
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
| | - Najah T. Nassif
- School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (N.T.N.); (A.M.S.)
| | - Ann M. Simpson
- School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (N.T.N.); (A.M.S.)
| | - Sara Lal
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
- Correspondence:
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Manchia M, Gathier AW, Yapici-Eser H, Schmidt MV, de Quervain D, van Amelsvoort T, Bisson JI, Cryan JF, Howes OD, Pinto L, van der Wee NJ, Domschke K, Branchi I, Vinkers CH. The impact of the prolonged COVID-19 pandemic on stress resilience and mental health: A critical review across waves. Eur Neuropsychopharmacol 2022; 55:22-83. [PMID: 34818601 PMCID: PMC8554139 DOI: 10.1016/j.euroneuro.2021.10.864] [Citation(s) in RCA: 172] [Impact Index Per Article: 86.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 10/15/2021] [Accepted: 10/20/2021] [Indexed: 12/19/2022]
Abstract
The global public health crisis caused by COVID-19 has lasted longer than many of us would have hoped and expected. With its high uncertainty and limited control, the COVID-19 pandemic has undoubtedly asked a lot from all of us. One important central question is: how resilient have we proved in face of the unprecedented and prolonged coronavirus pandemic? There is a vast and rapidly growing literature that has examined the impact of the pandemic on mental health both on the shorter (2020) and longer (2021) term. This not only concerns pandemic-related effects on resilience in the general population, but also how the pandemic has challenged stress resilience and mental health outcomes across more specific vulnerable population groups: patients with a psychiatric disorder, COVID-19 diagnosed patients, health care workers, children and adolescents, pregnant women, and elderly people. It is challenging to keep up to date with, and interpret, this rapidly increasing scientific literature. In this review, we provide a critical overview on how the COVID-19 pandemic has impacted mental health and how human stress resilience has been shaped by the pandemic on the shorter and longer term. The vast literature is dominated by a wealth of data which are, however, not always of the highest quality and heavily depend on online and self-report surveys. Nevertheless, it appears that we have proven surprisingly resilient over time, with fast recovery from COVID-19 measures. Still, vulnerable groups such as adolescents and health care personnel that have been severely impacted by the COVID-19 pandemic do exist. Large interindividual differences exist, and for future pandemics there is a clear need to comprehensively and integratively assess resilience from the start to provide personalized help and interventions tailored to the specific needs for vulnerable groups.
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Affiliation(s)
- Mirko Manchia
- Section of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy; Unit of Clinical Psychiatry, University Hospital Agency of Cagliari, Cagliari, Italy; Department of Pharmacology, Dalhousie University, Halifax, NS, Abbreviation
| | - Anouk W Gathier
- Department of Psychiatry (GGZ inGeest), Amsterdam UMC (location VUmc), Vrije University, Amsterdam Public Health and Amsterdam Neuroscience research institutes, Amsterdam, Netherlands
| | - Hale Yapici-Eser
- Department of Psychiatry, Koç University School of Medicine, Istanbul, Turkey; Research Center for Translational Medicine, Koç University, Istanbul, Turkey
| | - Mathias V Schmidt
- Research Group Neurobiology of Stress Resilience, Max Planck Institute of Psychiatry, Munich, Germany
| | - Dominique de Quervain
- Division of Cognitive Neuroscience, Department of Psychology, Department of Medicine, University of Basel, Switzerland
| | - Therese van Amelsvoort
- Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, Netherlands
| | - Jonathan I Bisson
- Division of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, United Kingdom
| | - John F Cryan
- Dept Anatomy & Neuroscience, University College Cork, Cork, Ireland & APC Microbiome Ireland, University College Cork, Cork, Ireland
| | - Oliver D Howes
- King's College London, London, SE5 8AF Imperial College London, London, W12 0NN Lundbeck A/v, Valby, Denmark
| | - Luisa Pinto
- Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal; Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
| | - Nic J van der Wee
- Department of Psychiatry, Leiden University Medical Center, LUMC Neuroscience and Leiden Institute for Brain and Cognition, Leiden, Netherlands
| | - Katharina Domschke
- Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; Center for Basics in NeuroModulation, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Igor Branchi
- Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy
| | - Christiaan H Vinkers
- Department of Psychiatry (GGZ inGeest), Amsterdam UMC (location VUmc), Vrije University, Amsterdam Public Health and Amsterdam Neuroscience research institutes, Amsterdam, Netherlands; Department of Anatomy and Neurosciences, Amsterdam UMC (location VUmc), Vrije University, Amsterdam, Netherlands.
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Zhang SX, Chen RZ, Xu W, Yin A, Dong RK, Chen BZ, Delios AY, Miller S, McIntyre RS, Ye W, Wan X. A Systematic Review and Meta-Analysis of Symptoms of Anxiety, Depression, and Insomnia in Spain in the COVID-19 Crisis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:1018. [PMID: 35055841 PMCID: PMC8775436 DOI: 10.3390/ijerph19021018] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Revised: 11/08/2021] [Accepted: 11/29/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND General population, frontline healthcare workers (HCWs), and adult students in Spain are at risk of anxiety, depression, and insomnia symptoms during the COVID-19 crisis. A meta-analysis of the individual studies on these symptoms would provide systematic evidence to aid policymakers and researchers in focusing on prevalence, risk, and best interventions. OBJECTIVE This paper aims to be the first meta-analysis and systematic review to calculate the prevalence of anxiety, depression, and insomnia symptoms in Spain's adult population (general population, frontline healthcare workers (HCWs), and adult students) during the Covid-19 epidemic. METHOD Random-effect meta-analysis was used to estimate the prevalence of anxiety, depression, and insomnia. RESULTS The meta-analysis includes 28 studies with 38 individual samples in Spain. The pooled prevalence of anxiety symptoms in 22 studies comprising a sample population of 82,024 was 20% (95% CI: 15-25%), that of depression symptoms in 22 articles with a total sample comprising 82,890 individuals was 22% (95% CI: 18-28%), and that of insomnia symptoms in three articles with a sample population of 745 was 57% (95% CI: 48-66%. CONCLUSIONS The accumulative evidence reveals that adults in Spain suffered higher prevalence rates of mental symptoms during the COVID-19 crisis, with a significantly higher rate relative to other countries such as China. Our synthesis also reveals a relative lack of studies on frontline and general HCWs in Spain.
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Affiliation(s)
- Stephen X. Zhang
- Faculty of Professions, University of Adelaide, Adelaide, SA 5005, Australia;
| | | | - Wen Xu
- Nottingham University Business School China, University of Nottingham Ningbo China, Ningbo 315100, China;
| | - Allen Yin
- School of Humanities, Southeast University, Nanjing 211189, China;
| | - Rebecca Kechen Dong
- Business School, University of South Australia, Adelaide, SA 5001, Australia;
| | - Bryan Z. Chen
- Faculty of Professions, University of Adelaide, Adelaide, SA 5005, Australia;
| | | | - Saylor Miller
- College of Business, Oregon State University, Corvallis, OR 97330, USA;
| | - Roger S. McIntyre
- Mood Symptoms Psychopharmacology Unit (MDPU), Department of Psychiatry, University of Toronto, Toronto, ON M5T 2S8, Canada;
| | - Wenping Ye
- Department of Business Administration, School of Management, Jinan University, Guangzhou 510632, China;
| | - Xue Wan
- School of Economics and Management, Tongji University, Shanghai 200092, China;
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de Feijter M, Kocevska D, Blanken TF, van der Velpen IF, Ikram MA, Luik AI. The network of psychosocial health in middle-aged and older adults during the first COVID-19 lockdown. Soc Psychiatry Psychiatr Epidemiol 2022; 57:2469-2479. [PMID: 35674801 PMCID: PMC9174915 DOI: 10.1007/s00127-022-02308-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 05/12/2022] [Indexed: 11/28/2022]
Abstract
PURPOSE Psychosocial health problems, such as social isolation, loneliness, depression and anxiety, have gained attention during the COVID-19 pandemic and are commonly co-occurring. We investigated the network of psychosocial health constructs during the COVID-19 pandemic. METHODS This study included 4553 participants (mean age: 68.6 ± 11.2 years, 56% women) from the prospective Rotterdam Study, who filled out a questionnaire between April and July 2020, the time of the first COVID-19 wave in the Netherlands. Psychosocial health constructs included were depressive symptoms (Center for Epidemiological Studies Depression scale), anxiety symptoms (Hospital Anxiety and Depression scale), loneliness (University of California, Los Angeles loneliness scale), social connectedness (five items) and pandemic-related worry (five items). We estimated mixed graphical models to assess the network of items of these constructs and whether age and sex affected the network structure. RESULTS Within the network of psychosocial constructs, a higher depressive symptoms score was particularly associated with items of loneliness and social connectedness, whereas overall anxiety was particularly associated with items of pandemic-related worry. Between people from different sex and age, the network structure significantly altered. CONCLUSION This study demonstrates that within the same network of psychosocial health constructs, depressive symptom score is particularly associated with loneliness and social connectedness, whereas anxiety symptom score is associated with pandemic-related worry during the first COVID-19 lockdown. Our results support that psychosocial constructs should be considered in conjunction with one another in prevention and treatment efforts in clinical care, and that these efforts need to be tailored to specific demographic groups.
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Affiliation(s)
- Maud de Feijter
- Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
| | - Desana Kocevska
- Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands ,Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center, Rotterdam, The Netherlands ,Department of Sleep and Cognition, Netherlands Institute for Neuroscience, Amsterdam, The Netherlands
| | - Tessa F. Blanken
- Department of Psychological Methods, University of Amsterdam, Amsterdam, The Netherlands
| | - Isabelle F. van der Velpen
- Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands ,Department of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - M. Arfan Ikram
- Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
| | - Annemarie I. Luik
- Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands ,Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
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Benistand P, Vorilhon P, Laporte C, Bouillon-Minois JB, Brousse G, Bagheri R, Ugbolue UC, Baker JS, Flaudias V, Mulliez A, Dutheil F. Effect of the COVID-19 pandemic on the psychotropic drug consumption. Front Psychiatry 2022; 13:1020023. [PMID: 36590615 PMCID: PMC9797694 DOI: 10.3389/fpsyt.2022.1020023] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Accepted: 11/24/2022] [Indexed: 12/23/2022] Open
Abstract
IMPORTANCE Although the COVID-19 pandemic has had a negative impact on mental health, there is no comprehensive longitudinal study of the entire population of a country without selection bias. OBJECTIVE The objective of this study was to evaluate the prescription of psychotropic drugs during the COVID-19 pandemic, using data from the French national health data system (SNDS). DESIGN SETTINGS AND PARTICIPANTS Prescriptions for psychotropic drugs (antidepressants, anxiolytics, hypnotics, and antipsychotics) from 1 January 2015 to 30 September 2021 were collected from administrative data provided by the SNDS. This database includes more than 99% of the French population, i.e., 67 million people. The data were analyzed using an interrupted time series analysis (ITSA) model. MAIN OUTCOMES AND MEASURES Consumption of psychotropic drugs was aggregated in months and expressed in number of boxes per thousand inhabitants. RESULTS During the study period, more than 1.3 billion boxes of psychotropic medications were dispensed. Comparison of psychotropic drug dispensing before and after the pandemic showed a relative increase of 0.76 (95 CI 0.57 to 0.95, p<0.001) boxes per month per thousand inhabitants, all classes of psychotropic drugs combined. Three classes saw their consumption increase in an almost similar proportion, respectively, by 0.23 (0.15 to 0.32, p<0.001) boxes for antidepressants, 0.27 (0.20 to 0.34, p<0.001) boxes for anxiolytics and 0.23 (0.17 to 0.30, p<0.001) boxes for hypnotics. The change in antipsychotic consumption was very small, with an increase of 0.04 boxes (0.02 to 0.06, p = 0.001) per month per thousand population. CONCLUSION AND RELEVANCE The COVID-19 pandemic had led to an increase in the consumption of psychotropic drugs, confirming the significant impact of the pandemic on the mental health of the general population.
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Affiliation(s)
- Paul Benistand
- Département de Médecine Générale, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Philippe Vorilhon
- Research Unit AutomédiCation aCcompagnement Pluriprofessionnel PatienT (ACCePPT), Université Clermont Auvergne, Clermont-Ferrand, France
| | - Catherine Laporte
- Clermont Auvergne INP, Centre Hospitalo-Universitaire (CHU) Clermont-Ferrand, Centre National de Recherche Scientifique (CNRS), Institut Pascal, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Jean-Baptiste Bouillon-Minois
- Centre National de Recherche Scientifique (CNRS), Laboratoire de Psychologie Sociale et Cognitive (LaPSCo), Physiological and Psychosocial Stress, Centre Hospitalo-Universitaire (CHU) Clermont-Ferrand, WittyFit, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Georges Brousse
- Clermont Auvergne INP, Centre Hospitalo-Universitaire (CHU) Clermont-Ferrand, Centre National de Recherche Scientifique (CNRS), Institut Pascal, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Reza Bagheri
- Department of Exercise Physiology, University of Isfahan, Isfahan, Iran
| | - Ukadike Chris Ugbolue
- School of Health and Life Sciences, University of the West of Scotland, Glasgow, United Kingdom
| | - Julien S Baker
- Department of Physical Education and Health, Centre for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon, Hong Kong SAR, China
| | - Valentin Flaudias
- Laboratoire de Psychologie des Pays de la Loire, Université de Nantes, Nantes, France
| | - Aurélien Mulliez
- Direction de la Recherche Clinique et Innovations Biostatistics, Centre Hospitalo-Universitaire (CHU) Clermont-Ferrand, Clermont-Ferrand, France
| | - Frédéric Dutheil
- Centre National de Recherche Scientifique (CNRS), Laboratoire de Psychologie Sociale et Cognitive (LaPSCo), Physiological and Psychosocial Stress, Centre Hospitalo-Universitaire (CHU) Clermont-Ferrand, WittyFit, Université Clermont Auvergne, Clermont-Ferrand, France
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Zrnić Novaković I, Lueger-Schuster B, Verginer L, Bakić H, Ajduković D, Borges C, Figueiredo-Braga M, Javakhishvili JD, Tsiskarishvili L, Dragan M, Nagórka N, Anastassiou-Hadjicharalambous X, Lioupi C, Lotzin A. You can't do anything about it, but you can make the best of it: a qualitative analysis of pandemic-related experiences in six European countries. Eur J Psychotraumatol 2022; 13:2065431. [PMID: 35646295 PMCID: PMC9132427 DOI: 10.1080/20008198.2022.2065431] [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] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND The complex system of stressors related to the coronavirus disease 2019 (COVID-19) pandemic has affected the global population, provoking a broad range of psychological reactions. Although numerous studies have investigated the mental health impact of COVID-19, qualitative research and cross-country comparisons are still rare. OBJECTIVE This qualitative study aimed to explore self-perceived challenges and opportunities related to COVID-19 across six European countries. The overall objective was to provide a differentiated picture of individual subjective experiences in the early stages of the pandemic. METHOD The present study included 7309 participants from Austria, Croatia, Georgia, Greece, Poland, and Portugal. We performed qualitative content analysis according to Mayring analyse open-ended questions regarding stressful events, positive and negative aspects of the pandemic, and recommendations to cope with the pandemic situation. MAXQDA software was used for data management and analysis. RESULTS Participants' accounts were moderately consistent across the countries. The most prominent themes regarding stressful and negative pandemic aspects included: Restrictions and changes in daily life, Emotional distress, and Work and finances. Answers about positive pandemic consequences were mainly centred around the themes Reflection and growth, Opportunity for meaningful/enjoyable activities, and Benefits on interpersonal level. Key themes identified from participants' recommendations to cope with the pandemic included Beneficial behavioural adjustment, Beneficial cognitive-emotional strategies, and Social support. CONCLUSIONS Participants experienced various challenges, but also shared several positive pandemic consequences and recommendations to cope with the pandemic. These first-hand data could inform mental health practices to promote well-being during COVID-19 and similar global challenges in the participating countries and possibly beyond. HIGHLIGHTS We examined COVID-19-related experiences in 7309 adults from six European countries.Besides challenges, participants identified many positive pandemic consequences.Participants' recommendations to cope with COVID-19 included behavioural and cognitive-emotional strategies.
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Affiliation(s)
- Irina Zrnić Novaković
- Department of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria.,Vienna Doctoral School in Cognition, Behavior and Neuroscience, University of Vienna, Vienna, Austria
| | - Brigitte Lueger-Schuster
- Department of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Lucia Verginer
- Department of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Helena Bakić
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Dean Ajduković
- Vienna Doctoral School in Cognition, Behavior and Neuroscience, University of Vienna, Vienna, Austria
| | - Camila Borges
- Trauma Observatory, Centre for Social Studies (CES) of the University of Coimbra, Coimbra, Portugal
| | - Margarida Figueiredo-Braga
- Trauma Observatory, Centre for Social Studies (CES) of the University of Coimbra, Coimbra, Portugal.,Faculty of Medicine, University of Porto, Porto, Portugal
| | | | | | | | - Nadia Nagórka
- Faculty of Psychology, University of Warsaw, Warsaw, Poland
| | | | - Chrysanthi Lioupi
- Psychology Program, School of Ηumanities, Social Sciences and Law, University of Nicosia, Nicosia, Cyprus
| | - Annett Lotzin
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.,Department of Psychology, MSH Medical School Hamburg, Hamburg, Germany
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Lucuix MB, Gómez-Salgado J, Barone ME, Domínguez-Salas S, Luque LE, Rodríguez-Domínguez C, Ruiz-Frutos C. Psychological distress during the COVID-19 pandemic in the population of Argentina. Medicine (Baltimore) 2021; 100:e28333. [PMID: 34941136 PMCID: PMC8701755 DOI: 10.1097/md.0000000000028333] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 10/30/2021] [Accepted: 11/29/2021] [Indexed: 01/05/2023] Open
Abstract
ABSTRACT In addition to the implications that this pandemic has had on physical health, there are other circumstances that threaten the mental health of the population, such as lockdown measures to prevent the spread of the virus, uncertainty, and the increase in infections and deaths. For this reason, this study explored indicators of psychological distress in the Argentine population, as well as its relationship with sociodemographic and health variables.Cross-sectional observational study, with data collection from May to August 2020. A total of 1112 people over the age of 18 who responded to various measurement instruments through an online questionnaire participated. A bivariate analysis and logistic regression were carried out in order to determine predictive factors of psychological distress.The data revealed that 60.9% of the sample presented psychological distress. A greater number with this condition was observed in women, apart from younger people, with a greater number of symptoms associated with the disease and with worse self-perceived health. There was no evidence of association between psychological distress and contact with people infected with coronavirus disease 2019 or with material suspicious of being infected.This research provided an overview of the mental health status of a significant population sample in Argentina, months after the onset of the coronavirus disease 2019 pandemic. These findings complement those found in other national and international studies, allowing the accumulation of evidence that states the need to demand to draw attention to the mental health of the population, especially the most vulnerable groups, on behalf of the public authorities.
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Affiliation(s)
- María Beatriz Lucuix
- Social Work Career, Faculty of Social Sciences, Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador
| | - Myriam E. Barone
- Instituto de Estudios Sociales y Humanos, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Facultad de Humanidades y Ciencias Sociales, Universidad Nacional de Misiones, Posadas, Argentina
| | | | | | | | - Carlos Ruiz-Frutos
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador
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Zayas A, Cruces-Montes SJ, Paramio A, Romero-Moreno A, López-Sánchez JA, Gómez-Carmona D, Merchán-Clavellino A, Guil R. Cross-sectional analysis of coping strategies and anxiety and depression levels in a sample of the Andalusian population during the home lockdown caused by the COVID-19 pandemic (Análisis transversal de las estrategias de afrontamiento y los niveles de ansiedad y depresión en una muestra de población andaluza durante el confinamiento domiciliario motivado por la pandemia de la COVID-19). INTERNATIONAL JOURNAL OF SOCIAL PSYCHOLOGY 2021. [DOI: 10.1080/02134748.2021.1992888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Accept Anxiety to Improve Sleep: The Impact of the COVID-19 Lockdown on the Relationships between Mindfulness, Distress, and Sleep Quality. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413149. [PMID: 34948759 PMCID: PMC8701850 DOI: 10.3390/ijerph182413149] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Revised: 12/04/2021] [Accepted: 12/10/2021] [Indexed: 11/16/2022]
Abstract
It has been recently proposed that mindfulness can improve sleep quality through the mediating role on psychological distress and that acceptance may play a pivotal role in mindfulness beneficial effects. The aim of the present work was to understand the effects of the COVID-19 lockdown on dispositional mindfulness, sleep, and distress, and on their relationships. In particular, we wanted to test the hypothesis that the detrimental effects of lockdown on sleep depended on mindfulness and distress (including anxiety and depression) and that the acceptance facet of mindfulness played the leading role. A longitudinal study based on self-report questionnaires was conducted on 39 Italian adults (M age = 35.03, SD = 14.02; 21 men) assessing mindfulness, distress, and sleep quality before (23 December 2019–8 March 2020) and during (27 April 2020–10 May 2020) the first Italian COVID-19 lockdown. Lockdown decreased mindfulness while increasing distress and sleep problems. Path analysis showed that the effects of lockdown on sleep were fully mediated by mindfulness and distress. Furthermore, a more detailed analysis showed that these effects were mainly dependent on the acceptance component of mindfulness working through anxiety. The present study confirms, in the context of the COVID-19 lockdown, a model according to which mindfulness, and specifically acceptance, influences sleep through the mediating role of distress.
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