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Dosil-Díaz C, Pinazo-Hernandis S, Pereiro AX, Facal D. The impact of the COVID-19 pandemic on nursing home professionals: results of the RESICOVID project. Psicol Reflex Crit 2024; 37:11. [PMID: 38502288 PMCID: PMC10951143 DOI: 10.1186/s41155-023-00284-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 12/16/2023] [Indexed: 03/21/2024] Open
Abstract
OBJECTIVES The situation caused by the COVID-19 pandemic has had an impact on the mental, physical, and social health of nursing home staff. The operations and protocols of long-term care facilities had to be adapted to a new, unforeseen, and unknown situation in which a devastating and highly contagious disease was causing large numbers of deaths. The aim of this study was to determine the cumulative impact of the COVID-19 pandemic on care, technical, coordinating-supervisory, and managerial staff working in nursing homes. METHODS Correlation analysis and between-group comparisons were carried out to study the relationship between burnout scores, emotional balance, and organic and behavioral symptoms. RESULTS The results indicate high levels of burnout and psychological exhaustion. Management professionals displayed higher levels of organic and behavioral symptoms than other professional categories in the same care settings. Despite this negative symptomatology, most professionals showed a positive emotional balance. CONCLUSION The need to develop intervention programs to improve the mental, physical, and occupational health of the staff in nursing homes, considering the needs of different professional categories, is emphasized.
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Affiliation(s)
- Carlos Dosil-Díaz
- Department of Developmental and Educational Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain
| | | | - Arturo X Pereiro
- Department of Developmental and Educational Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - David Facal
- Department of Developmental and Educational Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain.
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Thach S, Pommier B, Soulier V. The impact of Peyronie's disease on couples. Fr J Urol 2024; 34:102595. [PMID: 38442548 DOI: 10.1016/j.fjurol.2024.102595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 01/31/2024] [Accepted: 02/02/2024] [Indexed: 03/07/2024]
Abstract
PURPOSE Peyronie's disease is an acquired fibrosis of penile albuginea which modifies the penile morphology. Few studies described the consequences of Peyronie's disease on the intimate environment. We studied consequences on the patient and on the partner(s). METHODS We questioned last patients followed in our center and more specifically the partners in a direct way, through an online questionnaire, integrating a validated score (HAD score). RESULTS Fifty-five patients and 41 partners gave their agreement by answering the questionnaire. Median age was 51.8 years, with a median duration of symptoms of 15 months. Patients described penile deformation (96%), erectile pain (80%) and erectile dysfunction (40%). Patients had penile pain at rest (26%) or sleep disorders (60%). The level of sexual desire was lower in 86%, Penetrative sex was possible in 87%, couple relationship was deteriorated in 40%. Penile deformation bothers 61% of partners. During the stable phase, 60% of patients underwent surgery. HAD score in the general population was 20.24. The 0-60° subgroup was statistically less anxious (10.06 vs. 13.25) and depressed (7.68 vs. 10.05) than the > 60° subgroup (P<0.05). Partners made research on the disease in 51% of cases; the feeling of having been involved in disease management was found in 66% of cases. Most of partners felt powerless or frustrated. CONCLUSION Peyronie's disease has a certain psychological impact on the couple. It combines depressive and social disorders, a devaluation of patients and an alteration of their intimacy. The role of partners in the management of this pathology is undervalued. This must be a subject of further studies to guarantee optimal overal. LEVEL OF EVIDENCE: 3
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Affiliation(s)
- Sodara Thach
- Service d'urologie, clinique mutualiste chirurgicale Loire, 3, rue Le Verrier, Saint-Étienne, France.
| | | | - Victor Soulier
- Hôpital privé de la Loire, Ramsay Santé, Saint-Étienne, France
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3
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Mohrsen A, Sørensen T, Lund H, Rasmussen SZ, Jensen A, Skov KB, Rathleff MS. "I Feel Like I Have Lost Part Of My Identity" - A Qualitative Study Exploring The Impact Of Chronic Ankle Instability. Int J Sports Phys Ther 2024; 19:316-325. [PMID: 38439771 PMCID: PMC10909303 DOI: 10.26603/001c.92908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Accepted: 01/15/2024] [Indexed: 03/06/2024] Open
Abstract
Introduction Lateral ankle sprain is the most common ankle injury and up to 40% of those who sustain a lateral ankle sprain will develop chronic ankle instability (CAI). The aim of this study was to explore the thoughts and expectations of CAI-patients concerning their condition and expectations of care in an orthopedic setting. . Study Design Qualitative study. Methods Nine semi-structured one-to-one interviews were conducted with CAI-patients who were referred to an orthopedic setting. Interviews were recorded, transcribed, and analyzed using systematic text condensation with an inductive goal free approach. . Results Seven themes emerged. The themes were Injury history and symptoms (Lateral ankle sprain during sport, pain and instability), Information from health professional (conflicting information about management and prognosis), Management (mental and physical challenges), Expectation and hope (explanation of symptoms, prognosis and imaging to provide clarification of condition), Activity and participation (restriction in sport and daily life and feelings of uncertainty), Support (support from family/friends) and Identity (low ability to participate in sport and social life result in loss of identity). . Conclusion The impact of CAI exceeds an experience of pain and instability. Patients experienced loss of identity, having to manage uncertainty regarding their diagnosis and prognosis and had hopes of being able to explain their condition. . Level of Evidence Not applicable.
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Affiliation(s)
- Anders Mohrsen
- Department of Health Science and Technology Aalborg University
| | - Thomas Sørensen
- Department of Health Science and Technology Aalborg University
| | - Henrik Lund
- Department of Health Science and Technology Aalborg University
| | | | - Asger Jensen
- Department of Health Science and Technology Aalborg University
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Baker E, Barlow CF, Daniel L, Morey C, Bentley R, Taylor MP. Mental health impacts of environmental exposures: A scoping review of evaluative instruments. Sci Total Environ 2024; 912:169063. [PMID: 38048998 DOI: 10.1016/j.scitotenv.2023.169063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Revised: 11/21/2023] [Accepted: 12/01/2023] [Indexed: 12/06/2023]
Abstract
To date, much of the health focus of environmental policy has been on preventing physical health impacts of environmental exposures. Recent research has however highlighted increasingly concurrent mental health effects and its consideration is an emerging requirement for many governments and their agencies, yet there are limited universal mental health assessment tools for environmental exposures. This paper details the findings of a scoping review that evaluated assessment tools used to measure psychological impacts from environmental exposures and pollution, as reported in recent peer-reviewed literature (2000-2022). Across the 126 papers identified in our review, a wide range of tools to assess mental health impact were identified. We document a clear recent upswing of research interest in the mental and psychological impacts of environmental exposures, and an overarching concern for air pollution from industry, traffic, and fires. A majority of studies utilised standardised assessment instruments, but there was little consistency in the way that these were combined or deployed. The dominant mental health outcomes of interest in these studies were depression, anxiety, and mental and psychiatric health. The findings of the review identify a need and opportunity to develop a best-practice approach to consistently assess the mental health impacts arising from environmental exposures. Future work is needed to define the most appropriate choice and application of assessment tools to evaluate adverse mental health impacts from environmental exposures. This will support a more universal, coordinated and cross-jurisdiction approach for the assessment, quantification and targeted response to addressing mental health impacts arising from environmental exposures.
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Affiliation(s)
- Emma Baker
- Australian Centre for Housing Research, The University of Adelaide, Adelaide 5005, Australia
| | - Cynthia Faye Barlow
- Australian Centre for Housing Research, The University of Adelaide, Adelaide 5005, Australia
| | - Lyrian Daniel
- UniSA Creative, University of South Australia, Adelaide 5000, Australia
| | - Claire Morey
- Australian Centre for Housing Research, The University of Adelaide, Adelaide 5005, Australia
| | - Rebecca Bentley
- Centre of Research Excellence in Healthy Housing, Melbourne School of Population and Global Health, The University of Melbourne, Parkville 3010, Australia
| | - Mark Patrick Taylor
- Environment Protection Authority Victoria, Centre for Applied Sciences, Ernest Jones Drive, Macleod, Melbourne, Victoria 3085, Australia.
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Okafor IA, Nnaka JA, Chia T. Cadaver Dissection Experience for First-Time Dissectors: a Hypothetical Three-Pronged Approach for Student Preparation. Med Sci Educ 2024; 34:257-269. [PMID: 38510414 PMCID: PMC10948661 DOI: 10.1007/s40670-023-01950-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/15/2023] [Indexed: 03/22/2024]
Abstract
This systematic review synthesized evidence for the development of a preparatory process for first-time dissectors, geared toward improving cadaver dissection (CD) experiences. Eleven studies focused on pre-CD intervention were selected from a literature search in PubMed, the Education Resources Information Centre (ERIC), Google Scholar, PsycNET, and the Cochrane Library. A three-pronged preparatory process was formulated for first-time dissectors based on the evidence from the review. The process includes (1) background assessment; (2) pre-CD education; and (3) gradual exposure and desensitization. The preparatory process shows some hypothetical potential for decreasing negative CD-related experiences, but it still needs validation before implementation.
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Affiliation(s)
- Izuchukwu Azuka Okafor
- Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Nnamdi Azikiwe University, PMB 5001, Nnewi Campus Nnewi, Nigeria
| | - Jude Amechi Nnaka
- Department of Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, Nnamdi Azikiwe University, PMB 5001, Nnewi Campus Nnewi, Nigeria
| | - Terkuma Chia
- Institute of Health Sciences Education, McGill University, Montréal, QC Canada
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Castelletti G, Misirocchi F, Zilioli A, Salvatelli ML, Rausa F, Pizzarotti S, Zinno L, Florindo I, Pedrazzi G, Parrino L, Mutti C. How can sleep disorders affect our reaction towards external stressors: a lesson from the COVID-19 outbreak. Neurol Sci 2024; 45:391-399. [PMID: 37587386 PMCID: PMC10791966 DOI: 10.1007/s10072-023-06938-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 07/01/2023] [Indexed: 08/18/2023]
Abstract
BACKGROUND The COVID-19 outbreak produced extensive psychological consequences, especially among vulnerable populations. Sleep was identified as one of the most common "indirect targets" of the pandemia, with up to 74.8% of patients surviving from COVID-19 complaining of new-onset sleep disorders. However, so far, the clinic-psychological impact of the outbreak in patients affected by pre-existing sleep disorders has not been examined in details. MATERIALS AND METHODS In the present study, we aim to assess the effect of the COVID-19 outbreak in a cohort of 190 adult patients affected by sleep disorders, compared to 265 age and sex-matched healthy sleepers. The assessment was implemented throughout the use of ad hoc anamnestic questions, exploration of dream content, and validated questionnaires, aiming to capture the broad range of the neuropsychological nuances of the COVID-19 impact. RESULTS Subjects with pre-existent sleep disorders faced a more severe impact in terms of sleep quality and amount compared to healthy sleepers, presenting longer sleep latency, reduced sleep efficacy, and greater use of hypnotics and medications. On the other hand, healthy sleepers experienced deeper variation in sleeping habits, sleep duration, and greater impact on dream activity in terms of content, emotionality, and presence of recurrent dreams. Finally, in our sample, being female represents an important aggravating factor in the pandemic experience, both in terms of sleep deterioration and with respect to physical and mental health. For instance, females indeed presented the highest scores of Pittsburgh Sleep Quality Index (PSQI) both in cases and control groups (respectively 10 ± 3.8 vs 7.3 ± 3.9 in cases and 6.6 ± 3.6 vs 6.0 ± 3.4 in controls, p-value < 0.001). CONCLUSION Pre-existent sleep disorders and the female sex might represent risk factors increasing the clinic-psychological burden in dramatic scenarios, such as the COVID-19 pandemia, requiring dedicated attention from clinicians.
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Affiliation(s)
- Gloria Castelletti
- Sleep Disorders Center, Department of General and Specialized Medicine, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy
| | | | | | - Marcello Luigi Salvatelli
- Sleep Disorders Center, Department of General and Specialized Medicine, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy
| | - Francesco Rausa
- Sleep Disorders Center, Department of General and Specialized Medicine, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy
| | - Silvia Pizzarotti
- Sleep Disorders Center, Department of General and Specialized Medicine, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy
| | - Lucia Zinno
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Irene Florindo
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Giuseppe Pedrazzi
- Unit of Neuroscience & Interdepartmental Center of Robust Statistics, Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Liborio Parrino
- Sleep Disorders Center, Department of General and Specialized Medicine, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy.
- Department of Medicine and Surgery, University of Parma, Parma, Italy.
| | - Carlotta Mutti
- Sleep Disorders Center, Department of General and Specialized Medicine, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy
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Qurbani K, Ahmed SK, Hussein S, Omar RM. Urgent attention needed for the mental health of people in Gaza: A call for global action. Asian J Psychiatr 2024; 91:103851. [PMID: 38154351 DOI: 10.1016/j.ajp.2023.103851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 11/27/2023] [Indexed: 12/30/2023]
Affiliation(s)
- Karzan Qurbani
- Department of Biology, College of Science, University of Raparin, Rania, Sulaymaniyah 46012, Iraq
| | - Sirwan Khalid Ahmed
- Department of Adult Nursing, College Nursing, University of Raparin, Rania, Sulaymaniyah, Kurdistan Region, 46012, Iraq.
| | - Safin Hussein
- Department of Biology, College of Science, University of Raparin, Rania, Sulaymaniyah 46012, Iraq
| | - Rukhsar Muhammad Omar
- Department of Kindergarten, College of basic education, University of Raparin, Rania, Sulaymaniyah 46012, Iraq
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Milea-Milea AC, Fernández-Pérez D, Toledano-González A. The psychological impact of the COVID-19 pandemic on children/adolescents with ASD and their family environment: a systematic review. Eur Child Adolesc Psychiatry 2024; 33:203-228. [PMID: 36757483 PMCID: PMC9909131 DOI: 10.1007/s00787-023-02151-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 01/26/2023] [Indexed: 02/10/2023]
Abstract
The main objective of the review is to analyze the impact of the pandemic in children/teenagers with Autism spectrum disorder (ASD) and in their family environment. An electronic search was carried out in different databases (PsycInfo, Web of Science and Scopus) in order to find publications associated with the aim of this project. The search terms used were derived from the combination of the following search string: "((Pandemic OR Epidemic OR Outbreak OR COVID-19 OR Coronavirus) AND (Children OR Adolescents OR Youth OR Child OR Teenager) AND (Autism OR ASD OR Autism Spectrum Disorder))''. In total, 21 articles were included in this review. The findings of the different investigations included in this review show that the pandemic has produced a negative psychological impact in children/teenagers with ASD. Therefore, long-term follow-up studies should be carried out with the objective of creating effective interventions to treat this problematical.
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Affiliation(s)
| | - Dolores Fernández-Pérez
- Department of Psychology, Faculty of Medicine, University of Castilla-La Mancha, Albacete, Spain.
- Neurological Disabilities Research Institute, Albacete, Spain.
| | - Abel Toledano-González
- Department of Psychology, Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, Spain
- Neurological Disabilities Research Institute, Albacete, Spain
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Jafari SMS, Bossart S, Adatto M, Feldmeyer L, Yawalkar N, Heidemeyer K. Successful Removal of 17 Tattoos Self-Administered Using Black Eyeliner Ink with Quality-Switched Neodymium-Doped Yttrium Aluminum Garnet 1,064-nm Laser: A Case Report. Case Rep Dermatol 2024; 16:108-115. [PMID: 38650914 PMCID: PMC11034931 DOI: 10.1159/000538555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 03/22/2024] [Indexed: 04/25/2024] Open
Abstract
Introduction Tattooing has a rich historical presence in various human civilizations, with the earliest physical evidence dating back to around 3258 BC. While acceptance of tattoos is increasing in the Western world, negative associations remain. Short-pulsed lasers, such as Q-Switched (QS) or picosecond lasers, are the gold standard for tattoo removal. Case Presentation This case report discusses the successful removal of 17 amateur tattoos, which were self-administered by a 19-year-old female patient using black eyeliner ink and sewing needles. The tattoos, distributed across her body, including the face and hands, were partially or completely removed over 10 sessions using the QS Neodymium-doped Yttrium Aluminum Garnet 1,064-nm laser. Conclusion The factors that influence the efficacy of tattoo removal are highlighted, including tattoo type, location, and coexisting fibrosis. The psychological and social importance of effective tattoo removal is emphasized, particularly for young people seeking to disassociate from past experiences or affiliations.
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Affiliation(s)
- S. Morteza Seyed Jafari
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Simon Bossart
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Maurice Adatto
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
- Skinpulse Dermatology and Laser Centre, Geneva, Switzerland
| | - Laurence Feldmeyer
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Nikhil Yawalkar
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Kristine Heidemeyer
- Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
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Abstract
BACKGROUND Surgical nurses face the risk of psychological problems while trying to cope with the challenges arising from the COVID-19 pandemic. AIM This study aimed to determine levels of COVID-19-related fear and burnout and affecting factors in surgical nurses. DESIGN The study has a descriptive, cross-sectional design. METHODS The study sample included 321 nurses working in surgical units and operation rooms in Turkey. Data were gathered with a sociodemographic and occupational characteristics form, the Fear of COVID-19 Scale and the COVID-19 Burnout Scale through a Google form between 1 August and 15 October in 2021. Obtained data were analyzed with independent groups t-test, One-Way ANOVA and simple and multiple linear regression analyses. RESULTS The nurses had moderate levels of fear (20.00 ± 6.77; Min-Max: 7-35) and burnout (29.52 ± 10.03; Min-Max:10-50) due to COVID-19. The female gender and belief in health staff shortage were predictive of fear and burnout related to COVID-19. Age was not predictive of COVID-19 fear and receiving education about COVID-19, exposure to violence, having adequate supplies of goggles/face shields and having a limited number of aprons/work wear were not predictive of COVID-19-related burnout. Fear of COVID-19 was predictive of COVID-19 burnout. CONCLUSIONS Female nurses and nurses believing in health staff shortage had higher levels of fear and burnout due to COVID-19. As COVID-19 fear increased, so did COVID-19 burnout. Nurses working in surgical units should be provided with education about coping strategies taking account of the factors affecting COVID-19-related fear and burnout.
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Affiliation(s)
- Adile Savsar
- Faculty of Health Science Department of Nursing, Izmir University of Economics, Sakarya Street, No:156, 35330 Balcova - Izmir, Turkey
| | - Özgül Karayurt
- Faculty of Health Science Department of Nursing, Izmir University of Economics, Sakarya Street, No:156, 35330 Balcova - Izmir, Turkey
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Pajek J, Mancini K, Murray M. COVID-19 and children's behavioral health: An overview. Curr Probl Pediatr Adolesc Health Care 2023; 53:101491. [PMID: 38040607 DOI: 10.1016/j.cppeds.2023.101491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2023]
Abstract
The paper reviews the impact of the COVID-19 pandemic on children's and adolescents' well-being. A trauma-informed framework is employed to discuss the emerging evidence of notable changes in youth's psychological, developmental, academic, and social well-being since the start of the COVID-19 pandemic. Children and adolescents have been uniquely affected based on their age at the start of the pandemic. Despite multiple resiliency factors, COVID-19 and its ramifications have had an adverse effect on youth in general and have exacerbated preexisting racial and socioeconomic disparities. This review concludes with recommendations for child health clinicians.
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Affiliation(s)
- Julie Pajek
- MetroHealth Medical Center, Case Western Reserve University School of Medicine, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.
| | - Kathryn Mancini
- MetroHealth Medical Center, Case Western Reserve University School of Medicine, 2500 MetroHealth Drive, Cleveland, OH 44109, USA
| | - Marsheena Murray
- MetroHealth Medical Center, Case Western Reserve University School of Medicine, 2500 MetroHealth Drive, Cleveland, OH 44109, USA
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Shabestari M, Ansteinsson VE, Hovden EAS, Stangvaltaite-Mouhat L, Mdala I, Skudutyte-Rysstad R, Uhlen-Strand MM. One year of COVID-19 in dental health services in Norway: psychological impact, risk perceptions and vaccination status. BMC Health Serv Res 2023; 23:972. [PMID: 37684589 PMCID: PMC10486048 DOI: 10.1186/s12913-023-09981-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 08/28/2023] [Indexed: 09/10/2023] Open
Abstract
BACKGROUND Increased psychological pressure on oral healthcare professionals (OHP) due to COVID-19 has been shown, yet little is known about the long-term psychological impacts. We aimed to study the psychological impact of COVID-19 and associated factors including perceived risk and preparedness and vaccination status among OHP in the first year after the lockdown period in Norway. METHODS A structured questionnaire sent electronically to dentists, dental hygienists and dental assistants inquired experiences and perceptions during the second year following the outbreak in Norway. The questionnaire comprised a COVID-19 fear scale and questions about risk perception, preparedness and vaccination status. Exploratory factor analysis (EFA) and Structural Equation Modeling (SEM) were used to assess psychological impact, perception of risk and preparedness according to vaccination status of the respondents. RESULTS The majority of the 708 respondents were female (92.8%), had ten or more years of work experience (67.1%), and worked in public dental clinics (95.9%). Fears and concerns related to COVID-19 were common, 72.6% feared getting infected and 85.4% feared infecting others. Of the 642 respondents who agreed that their workplaces handled the situation well, 55.6% were fully vaccinated. Three factors were retrieved from EFA: Insecurity, Instability and Infection. SEM showed that females were more concerned with Infection, and respondents with long clinical experience were less likely to express fear about Instability. Fully vaccinated individuals felt more insecure about becoming infected, and those agreeing that their workplaces handled the current situation well were concerned with Insecurity. CONCLUSIONS Despite widespread perception of adequate preparedness and high vaccine coverage, a considerable psychological impact and high levels of fear of COVID-19 were observed among the majority of OHP. Fully vaccinated individuals had a larger psychological burden than not fully vaccinated and those with unknown vaccination status. These findings can inform means and interventions to reduce negative impacts of fear in populations with a high psychological burden.
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Affiliation(s)
- M Shabestari
- Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway.
| | - V E Ansteinsson
- Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway
| | - E A S Hovden
- Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway
| | | | - I Mdala
- Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway
| | | | - M M Uhlen-Strand
- Oral Health Centre of Expertise in Eastern Norway (OHCE-E), Oslo, Norway
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Bahçecioğlu Turan G, Karaman S, Aksoy M. Psychological impact of cancer scale: Turkish validity and reliability study. World J Psychiatry 2023; 13:351-360. [PMID: 37383279 PMCID: PMC10294135 DOI: 10.5498/wjp.v13.i6.351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 02/12/2023] [Accepted: 04/25/2023] [Indexed: 06/19/2023] Open
Abstract
BACKGROUND In the diagnosis and treatment of cancer, it is important to evaluate the com-ponents of psychological adjustment. Considering the key role of nurses in providing care to patients, it is important to evaluate patients, to determine high-risk patients and to use tools with acceptable validity and reliability to develop care plans.
AIM To analyze the Turkish validity and reliability of The Psychological Impact of Cancer Scale (PICS).
METHODS This methodological study was conducted with 257 cancer patients admitted to the oncology-haematology clinic and outpatient clinic of a University Hospital between February and October 2021. After the translation process of the scale, content and construct validity were conducted. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was examined with construct validity, while item analyses and internal consistency analysis were conducted for reliability.
RESULTS Analyses and assessment results showed that the content validity index of the scale was 0.96. In the exploratory factor analysis of the Turkish adaptation study, total variance rate explained was found as 84.98%. Factor loads of all items were between 0.82 and 0.94. It was found that Cronbach Alpha values were between 0.860 and 0.930 and total scale Cronbach Alpha value was 0.844. EFA and CFA showed that Turkish form of 12-item and 4-factor. The Psychological Impact of Cancer Scale was confirmed with no changes to the original scale. CFA revealed good fit indices.
CONCLUSION Turkish PICS is a valid and reliable measurement tool for the evaluation of individual’s psychological response to cancer diagnosis and treatment and for being used in clinical practice.
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Affiliation(s)
| | - Seda Karaman
- Faculty of Nursing, Atatürk University, Erzurum 25240, Turkey
| | - Meyreme Aksoy
- Department of Nursing, Faculty of Health Sciences, Siirt University, Siirt 56500, Turkey
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Fulham-McQuillan H, O'Donovan R, Buckley CM, Crowley P, Gilmore B, Martin J, McAuliffe E, Martin G, Moore G, Morrissey M, Nicholson E, Shé ÉN, O'Hara MC, Segurado R, Sweeney MR, Wall P, De Brún A. Exploring the psychological impact of contact tracing work on staff during the COVID-19 pandemic. BMC Health Serv Res 2023; 23:602. [PMID: 37291553 DOI: 10.1186/s12913-023-09566-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 05/17/2023] [Indexed: 06/10/2023] Open
Abstract
BACKGROUND Contact tracing is a key control measure in the response to the COVID-19 pandemic. While quantitative research has been conducted on the psychological impact of the pandemic on other frontline healthcare workers, none has explored the impact on contact tracing staff. METHODS A longitudinal study was conducted using two repeated measures with contact tracing staff employed in Ireland during the COVID-19 pandemic using two-tailed independent samples t tests and exploratory linear mixed models. RESULTS The study sample included 137 contact tracers in March 2021 (T1) and 218 in September 2021 (T3). There was an increase from T1 to T3 in burnout related exhaustion (p < 0·001), post-traumatic stress disorder (PTSD) symptom scores (p < 0·001), mental distress (p < 0·01), perceived stress (p < 0·001) and tension and pressure (p < 0·001). In those aged 18-30, there was an increase in exhaustion related burnout (p < 0·01), PTSD symptoms (p < 0·05), and tension and pressure scores (p < 0·05). Additionally, participants with a background in healthcare showed an increase in PTSD symptom scores by T3 (p < 0·001), reaching mean scores equivalent to those of participants who did not have a background in healthcare. CONCLUSIONS Contact tracing staff working during the COVID-19 pandemic experienced an increase in adverse psychological outcomes. These findings highlight a need for further research on psychological supports required by contact tracing staff with differing demographic profiles.
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Affiliation(s)
- Hugh Fulham-McQuillan
- UCD Centre for Interdisciplinary Research, Education, and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
| | - Róisín O'Donovan
- Centre for Positive Psychology and Health, Royal College of Surgeons in Ireland (RCSI), Dublin 2, Ireland
| | | | - Philip Crowley
- Team Strategy and Research Directorate, Health Service Executive, Dublin, Ireland
| | - Brynne Gilmore
- UCD Centre for Interdisciplinary Research, Education, and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland
| | - Jennifer Martin
- National Quality and Patient Safety Directorate, Health Service Executive, Dublin, Ireland
| | - Eilish McAuliffe
- UCD Centre for Interdisciplinary Research, Education, and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland
| | - Gregory Martin
- Health Protection Surveillance Centre, Health Service Executive, Dublin, Ireland
| | - Gemma Moore
- Team Strategy and Research Directorate, Health Service Executive, Dublin, Ireland
| | - Mary Morrissey
- National Health Intelligence Unit, Research & Evidence, Health Service Executive, Dublin, Ireland
| | - Emma Nicholson
- UCD Centre for Interdisciplinary Research, Education, and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland
| | - Éidín Ní Shé
- Graduate School of Healthcare Management, Royal College of Surgeons in Ireland (RCSI), Dublin 2, Ireland
| | - Mary Clare O'Hara
- Research and Development, Strategy and Research, Health Service Executive, Dublin, Ireland
| | - Ricardo Segurado
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - Mary Rose Sweeney
- School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland
| | - Patrick Wall
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - Aoife De Brún
- UCD Centre for Interdisciplinary Research, Education, and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland
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15
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van den Heuvel LM, Kater-Kuipers A, van Dijk T, Crefcoeur LL, Visser G, Langeveld M, Henneman L. A qualitative study on the perspectives of mothers who had been diagnosed with primary carnitine deficiency through newborn screening of their child. Orphanet J Rare Dis 2023; 18:134. [PMID: 37268964 DOI: 10.1186/s13023-023-02735-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 05/14/2023] [Indexed: 06/04/2023] Open
Abstract
BACKGROUND Primary carnitine deficiency is an inborn error of metabolism, which can lead to life-threating complications early in life. Low carnitine levels can be detected by newborn bloodspot screening (NBS). However, NBS can also identify, mostly asymptomatic, mothers with primary carnitine deficiency. To identify mothers' needs and areas for improving screening practice, this study explored the experiences with, and opinions on primary carnitine deficiency screening in NBS among women diagnosed through NBS of their newborn. METHODS Twelve Dutch women were interviewed, 3-11 years after diagnosis. Data were analysed using a thematic approach. RESULTS Four main themes were derived: 1) psychological impact of primary carnitine deficiency diagnosis, 2) becoming a patient and "patient-in-waiting", 3) information issues and care provision, and 4) primary carnitine deficiency as part of the NBS panel. Mothers shared that they did not experience major psychological distress of the diagnosis. They did experience (recall) various emotions following the initial abnormal NBS result, including fear and anxiety as well as relief, and emotions regarding their own diagnosis, including uncertainty about health risks and treatment effectiveness. Some felt a patient-in-waiting. Many participants experienced a lack of information, especially shortly after receiving the abnormal NBS result. All shared the belief that screening for primary carnitine deficiency in NBS is beneficial for the newborn, and, given the information they received, also considered the knowledge beneficial for their own health. CONCLUSIONS Psychological burden following diagnosis was experienced by women as limited, although the experienced lack of information amplified feelings of uncertainty and anxiety. Most mothers believed that benefits of knowing about primary carnitine deficiency outweighed the disadvantages. Mothers' perspectives should be incorporated in policy-making about primary carnitine deficiency in NBS.
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Affiliation(s)
- Lieke M van den Heuvel
- Department of Human Genetics, Amsterdam UMC, location Vrije Universiteit, Amsterdam, the Netherlands
- Amsterdam Reproduction and Development research institute, Amsterdam, the Netherlands
| | - Adriana Kater-Kuipers
- Department of Human Genetics, Amsterdam UMC, location Vrije Universiteit, Amsterdam, the Netherlands
- Amsterdam Reproduction and Development research institute, Amsterdam, the Netherlands
| | - Tessa van Dijk
- Department of Human Genetics, Amsterdam UMC, location Vrije Universiteit, Amsterdam, the Netherlands
- Amsterdam Reproduction and Development research institute, Amsterdam, the Netherlands
| | - Loek L Crefcoeur
- Wilhelmina Children's Hospital, Section Metabolic Diseases, University Medical Centre Utrecht, Utrecht, the Netherlands
| | - Gepke Visser
- Wilhelmina Children's Hospital, Section Metabolic Diseases, University Medical Centre Utrecht, Utrecht, the Netherlands
| | - Mirjam Langeveld
- Department of Endocrinology and Metabolism, Amsterdam UMC, location University of Amsterdam, Amsterdam, the Netherlands
| | - Lidewij Henneman
- Department of Human Genetics, Amsterdam UMC, location Vrije Universiteit, Amsterdam, the Netherlands.
- Amsterdam Reproduction and Development research institute, Amsterdam, the Netherlands.
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16
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Lambotte I, Dussart H, Reis J, Frippiat J, Van Pevenage C, Duret I, Delvenne V, Rotsaert M, Marchini S, Deplus S, Tiete J. Emotional status of children aged 7 to 17 of health workers and in the general population during the COVID-19 pandemic: A cross-sectional comparative study in Belgium. Neuropsychiatr Enfance Adolesc 2023; 71:194-200. [PMID: 37292448 PMCID: PMC10121103 DOI: 10.1016/j.neurenf.2023.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Background We assessed the mental health of children and adolescents aged 7 to 17 and their parents immediately after the first wave of the COVID-19 pandemic. Method A survey online was conducted in Belgium between May 29th and August 31st 2020. Results (1) Anxious and depressive symptoms were self-reported by one out of four children and hetero-reported by parents for one out of five children; (2) Anxiety scores were higher in children compared to adolescents; (3) Social introversion scores were significantly higher in adolescents compared to children; (4) No significant differences for anxio-depressive symptoms were found between healthcare worker parents and the other parents. Children's self- or hetero-reported symptoms were not found to be connected to parents' professional activities. Conclusions This cross-sectional survey adds evidence to the impact the COVID-19 pandemic has had on children's and adolescents' emotional state, in particular on their levels of anxiety and depression.
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Affiliation(s)
- Isabelle Lambotte
- Huderf - Hôpital Universitaire des Enfants Reine Fabiola, H.U.B - Hôpital Universitaire de Bruxelles, 15, avenue J.-J.-Crocq, 1020 Bruxelles, Belgium
| | - Harmony Dussart
- Huderf - Hôpital Universitaire des Enfants Reine Fabiola, H.U.B - Hôpital Universitaire de Bruxelles, 15, avenue J.-J.-Crocq, 1020 Bruxelles, Belgium
| | - Joana Reis
- Huderf - Hôpital Universitaire des Enfants Reine Fabiola, H.U.B - Hôpital Universitaire de Bruxelles, 15, avenue J.-J.-Crocq, 1020 Bruxelles, Belgium
| | - Jessica Frippiat
- Huderf - Hôpital Universitaire des Enfants Reine Fabiola, H.U.B - Hôpital Universitaire de Bruxelles, 15, avenue J.-J.-Crocq, 1020 Bruxelles, Belgium
| | - Claire Van Pevenage
- Huderf - Hôpital Universitaire des Enfants Reine Fabiola, H.U.B - Hôpital Universitaire de Bruxelles, 15, avenue J.-J.-Crocq, 1020 Bruxelles, Belgium
| | - Isabelle Duret
- Service de psychologie du développement et de la famille, faculté des sciences psychologiques et de l'éducation, ULB (Université Libre de Bruxelles), 50 C.P. 122, avenue Franklin-Roosevelt, 1050 Bruxelles, Belgium
| | - Véronique Delvenne
- Huderf - Hôpital Universitaire des Enfants Reine Fabiola, H.U.B - Hôpital Universitaire de Bruxelles, 15, avenue J.-J.-Crocq, 1020 Bruxelles, Belgium
| | - Marianne Rotsaert
- Hôpital Erasme, H.U.B - Hôpital Universitaire de Bruxelles, 808, route de Lennik, 1070 Bruxelles, Belgium
| | - Simone Marchini
- Huderf - Hôpital Universitaire des Enfants Reine Fabiola, H.U.B - Hôpital Universitaire de Bruxelles, 15, avenue J.-J.-Crocq, 1020 Bruxelles, Belgium
| | - Sandrine Deplus
- Huderf - Hôpital Universitaire des Enfants Reine Fabiola, H.U.B - Hôpital Universitaire de Bruxelles, 15, avenue J.-J.-Crocq, 1020 Bruxelles, Belgium
| | - Julien Tiete
- Hôpital Erasme, H.U.B - Hôpital Universitaire de Bruxelles, 808, route de Lennik, 1070 Bruxelles, Belgium
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17
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Alzamil WA, Ibrahem UM, Alabdulkareem R, Almusfir MF, ALqasem MA, Ahmed EM, Alkasabi MT. Factorial validity of the self-compassion scale among female University students: A comparative study between Saudi and Egyptian cultures. Afr J Reprod Health 2023; 27:88-100. [PMID: 37715678 DOI: 10.29063/ajrh2023/v27i6.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/18/2023]
Abstract
The study aims to verify the factorial structure of the self-compassion scale across different cultural contexts. The sample included 1039 students, divided into 521 students from Zagazig University (ZU) and 518 from Princess Nourah University (PNU) in the Kingdom of Saudi Arabia (KSA), which were chosen randomly. Exploratory factor analysis was used to test the stability of items on the dimensions. The results showed stability along with kindness with self, isolation, common humanity, and self-judgment factors. On the other hand, confirmatory factor analysis demonstrated that the results of this study yielded the best fit for the total sample. Then factor analysis across the two groups was used to verify the existence of differences between Saudi and Egyptian cultures. The analysis results revealed that the Egyptian environment model is superior to its Saudi counterpart and that there are no differences between the two cultures using the factorial differences indicators RMSEA, NNFI, GFI, and SRMR. This study's outcomes can have global implications for promoting self-compassion as a tool for improving mental health and well-being across cultures.
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Affiliation(s)
- Wafaa A Alzamil
- Faculty of Arts, Princess Nourah Bint Abdulrahman University- KSA, Saudi Arabia
| | | | | | - May F Almusfir
- Faculty of Arts, Princess Nourah Bint Abdulrahman University- KSA, Saudi Arabia
| | - Mona A ALqasem
- Faculty of Arts, Princess Nourah Bint Abdulrahman University- KSA, Saudi Arabia
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18
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Rolin Kragh A, Tofte Gregers M, Andelius L, Shahriari P, Kjærholm S, Korsgaard A, Folke F, Malta Hansen C. Follow-up on volunteer responders dispatched for out-of-hospital cardiac arrests: Addressing the psychological and physical impact. Resusc Plus 2023; 14:100402. [PMID: 37287956 PMCID: PMC10242620 DOI: 10.1016/j.resplu.2023.100402] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
Abstract
Introduction Smartphone technology is increasingly used to engage lay people as volunteer responders in resuscitation attempts. Attention has recently been drawn to how resuscitation attempts may impact bystanders. Attempting resuscitation in out-of-hospital cardiac arrests (OHCA) may be an overwhelming experience and, in some cases, difficult to cope with. We developed a volunteer responder follow-up program to systematically measure the psychological and physical impact on volunteer responders dispatched for OHCAs. Methods and Results The nationwide Danish volunteer responder program dispatches volunteer responders for presumed cardiac arrests. 90 min after notification of a potential nearby cardiac arrest, all volunteer responders receive a survey, and are asked to self-report their mental state of mind after the event. The volunteer responders are also asked to disclose any physical injury they sustained in relation to the event. Volunteer responders who report severe mental effects are offered a defusing conversation by a trained nurse. Between 1 September 2017 and 31 December 2022, the Danish volunteer responder program has alerted 177,866 volunteer responders for 10,819 presumed cardiac arrest alerts. Of 177,866 alerted volunteers responders, 62,711 accepted the alarm. In the same period, 7,317 cancelled their registration. From January 2019 to 31 December 31 2022, a total of 535 volunteer responders were offered a defusing consultation. Conclusion The Danish volunteer responder follow-up program is carried out to assess the psychological and physical risks of responding to a suspected OHCA. We suggest a survey-based method for systematic screening of volunteer responders that allow volunteer responders to report any physical injury or need of psychological follow-up. The person providing defusing should be a trained and experienced healthcare professional.
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Affiliation(s)
- Astrid Rolin Kragh
- Copenhagen Emergency Medical Services, Denmark
- University of Copenhagen, Department of Clinical Medicine, Denmark
| | - Mads Tofte Gregers
- Copenhagen Emergency Medical Services, Denmark
- University of Copenhagen, Department of Clinical Medicine, Denmark
| | - Linn Andelius
- Copenhagen Emergency Medical Services, Denmark
- University of Copenhagen, Department of Clinical Medicine, Denmark
| | - Persia Shahriari
- Copenhagen Emergency Medical Services, Denmark
- University of Copenhagen, Department of Clinical Medicine, Denmark
| | | | - Anders Korsgaard
- Department of Psychology, University Hospital Rigshospitalet, Copenhagen, Denmark
| | - Fredrik Folke
- Copenhagen Emergency Medical Services, Denmark
- Department of Cardiology, University Hospital Gentofte, Copenhagen, Denmark
- University of Copenhagen, Department of Clinical Medicine, Denmark
| | - Carolina Malta Hansen
- Copenhagen Emergency Medical Services, Denmark
- Department of Cardiology, University Hospital Gentofte, Copenhagen, Denmark
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19
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Aldossari HM. Exploring interrelationships of COVID-19 dimensions in Saudi Arabia: a systematic review. Bull Natl Res Cent 2023; 47:73. [PMID: 37274302 PMCID: PMC10215055 DOI: 10.1186/s42269-023-01041-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 05/07/2023] [Indexed: 06/06/2023]
Abstract
Background COVID-19 affected the world threatening medical, social, economic and community dimensions. Along with the other countries of the world, Saudi Arabia also witnessed critical emergencies leading to serious disaster due mainly to the overcrowding at certain urban residential localities. Nevertheless, the situation handled meticulously not only with measures and combating strategies but also with documentations and researches to build sustainable confrontation systems and lateral programs. Main body of abstract This attempt is a consolidation of the academic efforts on COVID-19 in the country aiming to contribute to the knowledge base aiding to future planning on preparedness. An online survey of published academic research from peer reviewed journals were carried out during August-December 2022, using COVID-19 in Saudi Arabia as search criteria. Many areas of concern are assessed in the context which are classified into spread and burden, patient statistics, symptoms and other clinical dimensions, vaccinations and vaccine acceptance/hesitance, psychosocial impact, impact on education, impact on health staff, impact on migration, impact on nutrition, and control measures adopted. Short conclusions A consolidation of these research findings explains the scientific academic community alertness in raising up to the emergency pandemic situation, which facilitated strategy and policy formulations by the Government ministries and other governing bodies. These researches are linked to stagewise programmatic efforts to curtail the epidemic as a mode of accomplishments.
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Affiliation(s)
- Hamad Mansur Aldossari
- Geography and Geographical Information Systems Department, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia
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20
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Digby R, Manias E, Haines KJ, Orosz J, Ihle J, Bucknall TK. Family experiences and perceptions of intensive care unit care and communication during the COVID-19 pandemic. Aust Crit Care 2023; 36:350-360. [PMID: 35501199 PMCID: PMC8971060 DOI: 10.1016/j.aucc.2022.03.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 02/27/2022] [Accepted: 03/01/2022] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION In 2020, during the first wave of the COVID-19 pandemic in Melbourne, visitor access to acute hospitals including intensive care units (ICUs) was initially barred, followed by a limit of one person per patient for one hour per day. This study explores the care and communication experienced by family members of ICU patients during this time. METHODS This qualitative descriptive study was conducted at an Australian quaternary hospital. Semistructured phone interviews were conducted using an aide-memoire designed to understand participants' experiences as family of a patient during this time. Interviews were recorded, transcribed, and thematically analysed. FINDINGS Twenty family members of patients in the ICU participated. Three major themes were identified: 'impact of restricting visiting procedures', 'family experiences of communication', and 'care and support'. Inflexible visiting restrictions had a momentous impact on families. Participants objected to having to nominate only two people to visit during the admission and the short visiting time limit. Some family members suffered extreme stress and anxiety during their absence from the bedside. Additional challenges were experienced by rural families, visitors with disabilities, and the young children of patients who were excluded. Communication with clinicians varied. Telehealth was valued by some but not universally embraced. The relationship between staff members and families and involvement in decision-making were unaffected. CONCLUSION Families experienced significant psychological distress from being separated from their critically ill relatives. Patient care and involvement in decision-making appeared to be unchanged, but communication with staff felt to be lacking. Better alternatives to face-to-face communication must be sought to limit the impact of family separation on mental health. Families are a key link between the patient and clinicians and often play a major role in patient support and recovery after discharge. There is an urgent need to support them and facilitate meaningful engagement despite the obstacles.
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Affiliation(s)
- R Digby
- Deakin University, School of Nursing and Midwifery, Centre for Quality and Patient Safety, Research, Institute for Health Transformation, Faculty of Health, Geelong, VIC, 3220, Australia; Alfred Health, 55 Commercial Rd, Melbourne, VIC, 3004, Australia.
| | - E Manias
- Deakin University, School of Nursing and Midwifery, Centre for Quality and Patient Safety, Research, Institute for Health Transformation, Faculty of Health, Geelong, VIC, 3220, Australia.
| | - K J Haines
- Department of Physiotherapy, Western Health, Melbourne, Victoria, Australia; Department of Critical Care, School of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
| | - J Orosz
- Department of Intensive Care, The Alfred Hospital, Melbourne, Australia; Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia.
| | - J Ihle
- Department of Intensive Care, The Alfred Hospital, Melbourne, Australia; Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia.
| | - T K Bucknall
- Deakin University, School of Nursing and Midwifery, Centre for Quality and Patient Safety, Research, Institute for Health Transformation, Faculty of Health, Geelong, VIC, 3220, Australia; Alfred Health, 55 Commercial Rd, Melbourne, VIC, 3004, Australia.
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21
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Congard A, Galharret JM, Sapin A, Bret A, Fleury-Bahi G, Khocha A, Navarro O, Boudoukha A. How regulation strategies protected or worsened emotional experience during France's three lockdowns: Prepandemic versus pandemic comparisons and longitudinal approach. Acta Psychol (Amst) 2023; 234:103857. [PMID: 36758376 PMCID: PMC9905004 DOI: 10.1016/j.actpsy.2023.103857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 01/30/2023] [Accepted: 02/02/2023] [Indexed: 02/11/2023] Open
Abstract
The COVID-19 pandemic remains hugely challenging, but its impact on emotional experience, especially over time, has often been neglected. The French Government imposed three COVID lockdowns with varying degrees of strictness that induced different types of emotional discomfort and emotion regulation. The present longitudinal study explored affect and emotion regulation strategies in each of these lockdowns, comparing samples assessed before and during the pandemic. The objective was to understand how government measures influenced subjective experience and how people adjusted their emotion regulation accordingly. The longitudinal lockdown sample comprised 164 participants (Mage = 37.60 years, SD = 12.50). Affect and emotion regulation were assessed in the first week of each of the three lockdowns (20-27 March 2020, 23-30 November 2020, and 19-26 April 2021). The 120 participants in the prepandemic (control) sample were drawn from previous studies focusing on affect and regulation strategies in natural everyday situations. Results indicated that affect deteriorated considerably, compared with prepandemic levels. Whereas activated negative affect (nervous and worried) tended to decrease, deactivated negative affect (sad and bored) increased. Regarding emotion regulation strategies, negative emotion expression was associated with more negative affect and less positive affect, while positive emotion expression and proactive behaviour were associated with a better emotional experience. A multivariate growth curve showed that in the absence of psychological support, stressful situations and repeated lockdowns do not induce people to make better emotion regulation strategy choices. As government restrictions had a negative impact on individuals' emotional experience, support programs should be implemented in future pandemics to promote emotion regulation.
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Affiliation(s)
- Anne Congard
- Nantes Université, Univ Angers, Laboratoire de psychologie des Pays de la Loire, LPPL, UR 4638, F-44000 Nantes, France.
| | - Jean-Michel Galharret
- Nantes Université, CNRS, Laboratoire de Mathématiques Jean Leray, LMJL, Nantes, France
| | - Arnaud Sapin
- Nantes Université, Univ Angers, Laboratoire de psychologie des Pays de la Loire, LPPL, UR 4638, F-44000 Nantes, France
| | - Amélie Bret
- Nantes Université, Univ Angers, Laboratoire de psychologie des Pays de la Loire, LPPL, UR 4638, F-44000 Nantes, France
| | - Ghozlane Fleury-Bahi
- Nantes Université, Univ Angers, Laboratoire de psychologie des Pays de la Loire, LPPL, UR 4638, F-44000 Nantes, France
| | - Ambre Khocha
- Nantes Université, Univ Angers, Laboratoire de psychologie des Pays de la Loire, LPPL, UR 4638, F-44000 Nantes, France
| | - Oscar Navarro
- Nantes Université, CNRS, Laboratoire de Mathématiques Jean Leray, LMJL, Nantes, France; CHROME Laboratory, Nîmes University, Nîmes, France
| | - Abdel Boudoukha
- Nantes Université, Univ Angers, Laboratoire de psychologie des Pays de la Loire, LPPL, UR 4638, F-44000 Nantes, France
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22
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Kwong LT, Wong SF, So PL. Menstrual, fertility and psychological impacts after uterine compression sutures for postpartum hemorrhage: a prospective cohort study. BMC Pregnancy Childbirth 2023; 23:217. [PMID: 36991358 DOI: 10.1186/s12884-023-05530-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 03/20/2023] [Indexed: 03/31/2023] Open
Abstract
BACKGROUND Uterine compression suture is an important conservative surgical technique in managing atonic postpartum hemorrhage. In this study, we aim to evaluate the subsequent menstrual, fertility and psychological outcomes after uterine compression sutures. METHODS This was a prospective cohort study between 2009 and 2022 conducted in a tertiary obstetric unit (6000 deliveries per year) in Hong Kong SAR. Women with primary postpartum hemorrhage successfully treated with uterine compression sutures were followed-up in postnatal clinic for two years after delivery. Data on menstrual pattern were collected during each visit. Psychological impact after uterine compression suture was assessed using a standardized questionnaire. Subsequent pregnancies were identified by territory-wide computer registry and telephone interviews. Women with postpartum hemorrhage treated with uterotonic agents only were chosen as controls. RESULTS In our cohort (n = 80), 87.9% of women had return of menses within six months after delivery. Regular monthly cycle was observed in 95.6% of women. Majority of women reported similar menstrual flow (75%), menstrual days (85.3%) and no change in dysmenorrhea status (88.2%) as compared before. Among eight (11.8%) women who reported hypomenorrhea after uterine compression sutures, two cases of Asherman's syndrome were diagnosed. Among 23 subsequent pregnancies (16 livebirths), no significant differences in outcome were observed except more omental or bowel adhesions (37.5% vs. 8.8%, p = 0.007), recurrence of hemorrhage (68.8% vs. 7.5%, p < 0.001) and repeated compression sutures (12.5% vs. 0%, p = 0.024) were seen in women with previous compression sutures. Over half of the couple declined future fertility after uterine compression sutures with 38.2% of women recalled unpleasant memories and 22.1% reported life-long adverse impact especially tokophobia. CONCLUSION Majority of women with history of uterine compression sutures had similar menstruation and pregnancy outcomes as compared to those who did not have sutures. However, they had higher intrapartum risk of visceral adhesions, recurrence of hemorrhage and repeated compression sutures next pregnancy. Furthermore, couple could be more susceptible to negative emotional impact.
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Affiliation(s)
- Lee Ting Kwong
- Department of Obstetrics and Gynecology, Tuen Mun Hospital, Tuen Mun, Hong Kong.
| | - Sai Fun Wong
- Department of Obstetrics and Gynecology, Tuen Mun Hospital, Tuen Mun, Hong Kong
| | - Po Lam So
- Department of Obstetrics and Gynecology, Tuen Mun Hospital, Tuen Mun, Hong Kong
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23
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Chen Y, Ma Q, Xie X, Cao K, Hou Z, Zhang P. The psychological impact of the COVID-19 outbreak among the fever patients in the lockdown zone. BMC Psychol 2023; 11:69. [PMID: 36918945 PMCID: PMC10012311 DOI: 10.1186/s40359-023-01113-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 03/06/2023] [Indexed: 03/16/2023] Open
Abstract
BACKGROUND COVID-19 pandemic is still ongoing, which not only impact physical health but psychological health. This research aims to analyze the psychological impact of residents with a fever (> 37 °C) during the COVID-19 outbreak in one community. METHODS There were 105 participants surveyed online from 7th March to 21st March 2022. Collected the data included the socio-demographics, health status, COVID-19 knowledge and concerns and the Impact of Events Scale-Revised (IES-R) ratings. RESULTS Among those participants, the IES-R mean score was 24.11 (SD = 6.12), and 30.48% of respondents reported a moderate to the severe psychological impact. Female gender; youth age; single status; other specific symptoms; concerns about family members, and discrimination were significantly associated with the greater psychological impact of the COVID-19 event (p < 0.05). CONCLUSIONS In the lockdown zone, about one-third of the residents have an obvious psychological impact after fever. The factors identified can be used to make effective psychological support strategies in the early stages of the COVID-19 outbreak.
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Affiliation(s)
- Yuewei Chen
- The Department of Disease Control and Prevention, The Armed Police Forces Hospital of Shandong, Jinan, 250000, China
| | - Qian Ma
- First Department of Cardiology, First Affiliated Hospital, School of Medicine, Shihezi University, Shihezi, 832008, Xinjiang, China
| | - Xiaoshuai Xie
- Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250000, China
| | - Kekui Cao
- The Department of Disease Control and Prevention, The Armed Police Forces Hospital of Shandong, Jinan, 250000, China
| | - Zhencai Hou
- The Department of Disease Control and Prevention, The Armed Police Forces Hospital of Shandong, Jinan, 250000, China
| | - Peiyi Zhang
- Department of Rheumatology and Immunology, Jinan Central Hospital Affiliated to Shandong University, Jinan, 250000, China.
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Yang Z, Zhang Y, Xu H, Gan M, Ma J, Liu J, Tan X, Hou W, Ye W, Li L. Generalized anxiety disorder among rural primary and middle school students during the outbreak of COVID-19: a multicenter study in three southern Chinese cities. BMC Public Health 2023; 23:327. [PMID: 36788498 PMCID: PMC9926433 DOI: 10.1186/s12889-023-15215-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 02/06/2023] [Indexed: 02/16/2023] Open
Abstract
BACKGROUND The major public health crisis caused by the rapid spread of the coronavirus disease 2019 (COVID-19) and the large-scale public health measures such as social isolation and school closures enforced by some countries have severely affected on the physical and mental wellbeing of children and adolescents globally. This study aimed to estimate the prevalence of the psychological impact and investigate the similarities and differences in the influential factors for generalized anxiety disorder among rural adolescents as a relatively lesser noticed population the outbreak of COVID-19. METHODS From May 11 to 22, 2020, a total of 1,179 adolescents, including Grade 5-6 in primary school and Grade 7-8 in middle school, were selected by multistage sampling in three Southern Chinese cities (Shantou, Guangdong Province; Hezhou, Guangxi Province; Nanchong, Sichuan Province), and completed the questionnaires including sociodemographic, generalized anxiety disorder, academic stress, coronaphobia, knowledge of COVID-19, and precautionary measures. ANOVA, Chi-square test, Kruskalwallis H test and multivariate linear regression were performed in the statistical analysis. RESULTS The average scores of generalized anxiety disorder during the past two weeks were 3.43 (SD 4.46), 4.47 (SD 5.15), and 4.10 (SD 4.94) in Shantou, Hezhou and Nanchong, respectively. For the pooled data, academic stress (P < 0.001), coronaphobia (P < 0.001), and precautionary measures (P = 0.002) contributed to the prediction of anxiety scores. Academic stress was significantly associated to anxiety symptoms in all cities (P all < 0.001). Coronaphobia was also significantly associated to anxiety symptoms in all cities (P all < 0.001). CONCLUSION This study highlights the urgent need for researchers and policymakers to focus on the mental health of rural children and adolescents during the COVID-19 epidemic. The adolescents with academic stress and coronaphobia, the greater the risk that adolescents will suffer from anxiety, suggesting mental health counseling and professional family support are needed.
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Affiliation(s)
- Zidan Yang
- School of Public Health, Shantou University, Shantou, Guangdong Province, China
- Injury Prevention Research Center, Shantou University Medical College, Shantou, Guangdong Province, China
| | - Yongxin Zhang
- Shantou University Medical College, Shantou, Guangdong, China
| | - Haijie Xu
- Shantou University Medical College, Shantou, Guangdong, China
| | - Menglai Gan
- Shantou University Medical College, Shantou, Guangdong, China
| | - Jianrui Ma
- Shantou University Medical College, Shantou, Guangdong, China
| | - Jiarong Liu
- Shantou University Medical College, Shantou, Guangdong, China
| | - Xiner Tan
- Shantou University Medical College, Shantou, Guangdong, China
| | - Wenjing Hou
- Shantou University Medical College, Shantou, Guangdong, China
| | - Wanbao Ye
- Cancer Hospital of Shantou University Medical College, Shantou, Guangdong Province, China
| | - Liping Li
- School of Public Health, Shantou University, Shantou, Guangdong Province, China.
- Injury Prevention Research Center, Shantou University Medical College, Shantou, Guangdong Province, China.
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Catsaros S, Wendland J. Psychological impact of hypnosis for pregnancy and childbirth: A systematic review. Complement Ther Clin Pract 2023; 50:101713. [PMID: 36509031 DOI: 10.1016/j.ctcp.2022.101713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 11/26/2022] [Accepted: 12/03/2022] [Indexed: 12/12/2022]
Abstract
BACKGROUND The use of hypnosis as a complementary therapy in the perinatal field is expanding, however, there is little research for its impact on perinatal mental health. Here, we review studies that evaluate the effect of hypnosis on women's mental health and subjective experiences. METHODS A systematic review was conducted according to the PRISMA protocol for articles with experimental designs of hypnosis that measured their impact on several psychological variables, such as the presence of symptoms of anxiety, depression or fear of childbirth. Studies were evaluated according to the Critical Appraisal Skills Program Checklists (CASP), and analyzed for their designs and intervention themes. RESULTS Seven studies were included and six themes emerged: preparation for birth and unexpected events; change in the perception and experience of pain; pregnant body as a natural process; connection with the baby during pregnancy; development of inner resources; and progressive relaxation and guided imagery. Although results were partly mitigated, most studies found positive effects of hypnosis in alleviating anxiety, depression, and fear towards birth, empowering women with a higher sense of confidence and improving the overall emotional experience. Two studies also indicate encouraging outcomes in postnatal wellbeing. CONCLUSION While it is still argued as to what extent hypnosis has positive effects on physical aspects of labor, the empowerment and the increase in confidence associated with hypnosis seem to bring a significant contribution to a more positive subjective experience of pregnancy and childbirth, and on women's overall wellbeing in the perinatal period.
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S B, Chandra B. The influence of intrinsic and extrinsic motivational factors on e-WOM behaviour: The role of psychological impact during the time of COVID-19 crisis. Heliyon 2023; 9:e13270. [PMID: 36816325 PMCID: PMC9932786 DOI: 10.1016/j.heliyon.2023.e13270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 01/19/2023] [Accepted: 01/24/2023] [Indexed: 01/30/2023] Open
Abstract
This investigation unearths the trait antecedents of intrinsic and extrinsic motivational drivers and their consequences on attitude towards e-WOM of social mobile app users. Additionally, this study attempts to explore the moderating role of psychological impact on attitude towards e-WOM when COVID-19 is ravaging the world. Following the descriptive research method, the survey was carried out among convenience sample respondents of 627 social mobile app users. The outcome brought out that extraversion had a favourable influence on opinion leadership, customer engagement, and self-expression for sharing consumption related information during the pandemic. Likewise, materialism also had a strong effect on self-expression. Nonetheless, extraversion and materialism failed to affect self-presentation motives. And, self-presentation was observed influencing attitude towards e-WOM negatively. The outcome of the study demonstrates that individuals with high psychological impact have a strong motivation to involve in customer engagement to participate in e-WOM communication. Motivational drivers such as self-expression, opinion leadership, and customer engagement had a significant effect on attitude towards e-WOM for the whole sample analysis. This investigation contributes to existing literature of e-WOM behaviour and widens the scope of self-presentation theory, social exchange theory, theory of planned behaviour etc. Finally, this research also assists marketers and practitioners to take better decision-making on developing a social media advertising and campaign using the framework.
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Viejo Casas A, Gómez-Revuelta M, Merino Garay U, Ruiz Guerrero F, Ruiz Núñez M, Fernández Solla P, Garrastazu López R, López Caro JC, García Rumayor E, Boada Antón L, Juncal Ruiz M, Ortiz-García de la Foz V, Vázquez-Bourgon J. Long-term mental health impact of COVID-19 on primary care health workers in northern Spain: Results from a two-phase longitudinal study. Rev Psiquiatr Salud Ment 2023; 16:1-10. [PMID: 36644525 PMCID: PMC9827670 DOI: 10.1016/j.rpsm.2022.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 12/21/2022] [Indexed: 01/10/2023]
Abstract
Background COVID-19 pandemic has affected the mental health of the general population, and in particular of health professionals. Primary care personnel are at greater risk due to being highly exposed to the disease and working regularly in direct contact with patients suffering COVID-19. However, there is not sufficient evidence on the long-term psychological impact these professionals may suffer. We aimed to explore the long-term psychological impact of COVID-19 on primary care professionals. Methods We applied a two-phase design; a self-reported psychopathology screening (PHQ-9, GAD-7, ISI and IES-R) in phase-1, and a specialised psychiatric evaluation (MINI, HDRS and STAI) in phase-2 to confirm phase-1 results. Evaluations were carried at the beginning of the pandemic (May-June 2020) (n = 410) and one year later (n = 339). Chi-square, ANOVA and logistic regression tests were used for statistical analyses. Results Primary care professionals presented high rates of depression, anxiety and psychological distress, measured by PHQ-9, GAD-7 and IES-R respectively, during the pandemic. Depressive symptoms' severity (PHQ-9: 7.5 vs 8.4, p = 0.013) increased after one year of COVID-19 pandemic. After one year nearly 40% of subjects presented depression. Being women, having suffered COVID-19 or a relative with COVID-19, and being a front-line professional were risk factors for presenting depression and anxiety. Conclusion Primary Care professionals in Cantabria present a poor mental health during COVID-19 pandemic, which has even worsened at long-term, presenting a greater psychopathology severity one year after. Thus, it is critical implementing prevention and early-treatment programmes to help these essential professionals to cope with the pandemic.
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Affiliation(s)
- Ana Viejo Casas
- Pisueña-Cayón Primary Care Centre, Sarón, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
| | - Marcos Gómez-Revuelta
- Department of Psychiatry, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
- Centro de Investigación Biomédica en Red en Salud Mental (CIBERSAM), Seville, Spain
| | | | - Francisco Ruiz Guerrero
- Department of Psychiatry, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
| | | | - Patricia Fernández Solla
- Department of Psychiatry, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
| | | | | | - Elsa García Rumayor
- Department of Psychiatry, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
| | - Laura Boada Antón
- Department of Psychiatry, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
| | - María Juncal Ruiz
- Centro de Investigación Biomédica en Red en Salud Mental (CIBERSAM), Seville, Spain
- Department of Psychiatry, Hospital Sierrallana, Universidad de Cantabria, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
| | - Víctor Ortiz-García de la Foz
- Department of Psychiatry, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
| | - Javier Vázquez-Bourgon
- Department of Psychiatry, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain
- Centro de Investigación Biomédica en Red en Salud Mental (CIBERSAM), Seville, Spain
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Gosavi TD, Koh JS, Rosman M, Prasad K, Doshi K, Lim ES, Saffari SE, Goh SK, Ong HS, Chan CY, De Silva DA, Tan EK. Psychological impact of isolation due to COVID-19 among young and fit dormitory residents. Psychol Med 2023; 53:288-289. [PMID: 33100235 PMCID: PMC7642957 DOI: 10.1017/s0033291720004274] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 10/22/2020] [Accepted: 10/22/2020] [Indexed: 11/28/2022]
Affiliation(s)
- T. D. Gosavi
- Department of Neurology, National Neuroscience Institute, (Singapore General Hospital campus), Singapore, Singapore
| | - J. S. Koh
- Department of Neurology, National Neuroscience Institute (Tan Tock Seng Hospital campus), Singapore, Singapore
| | - M. Rosman
- Department of Ophthalmology, Singapore National Eye Centre, Singapore, Singapore
| | - K. Prasad
- Department of Neurology, National Neuroscience Institute (Tan Tock Seng Hospital campus), Singapore, Singapore
| | - K. Doshi
- Department of Psychology, Singapore General Hospital, Singapore, Singapore
| | - E. S. Lim
- Department of Integrated Care Services, Singapore, Singapore
| | - S. E. Saffari
- Department of Health Services and Systems Research, DUKE-NUS Medical School, Singapore, Singapore
| | - S. K. Goh
- Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore
| | - H. S. Ong
- Department of Surgery, Singapore General Hospital, Singapore, Singapore
| | - C. Y. Chan
- Department of Surgery, Singapore General Hospital, Singapore, Singapore
| | - D. A. De Silva
- Department of Neurology, National Neuroscience Institute, (Singapore General Hospital campus), Singapore, Singapore
| | - E. K. Tan
- Department of Neurology, National Neuroscience Institute, (Singapore General Hospital campus), Singapore, Singapore
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Thompson L, Christian C. "…It just broke me…": exploring the psychological impact of the COVID-19 pandemic on academics. BMC Psychol 2022; 10:289. [PMID: 36471439 PMCID: PMC9724325 DOI: 10.1186/s40359-022-01008-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Accepted: 11/30/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The declaration of COVID-19 as a global pandemic by the World Health Organisation (WHO) in 2020 catapulted institutions of higher education into an emergency transition from face-to-face to online teaching. Given the nature of the COVID-19 pandemic and the continuing after-effects thereof, the study explored the psychological impact of the COVID-19 pandemic on academics. METHODS A qualitative phenomenological research design was used to explore the psychological impact of the COVID-19 pandemic on academics. Data were collected by means of semi-structured interviews from a sample of 11 full-time academics permanently employed at six public and private higher education institutions in South Africa in 2020 and 2021. The data were analysed by means of thematic analysis. RESULTS The study found that the COVID-19 pandemic and lockdown restrictions had a largely negative psychological impact on academics in higher education. The most dominant negative emotions reported by participants included stress, anxiety, fear and guilt either due to the threat of the virus itself, potential for loss of life, lockdown restrictions, a new working environment, and/or their perceived inability to assist their students. Participants also reported feelings of emotional isolation and an increase in levels of emotional fatigue. CONCLUSION In conclusion, institutions of higher education need to be aware of the negative psychological impact of COVID-19 on academics, and ensure they create and foster environments that promote mental well-being. Institutions may offer psychological services and/or emotional well-being initiatives to their academic staff. They must create spaces and cultures where academics feel comfortable to request and seek well-being opportunities. In addition to mental and emotional well-being initiatives, institutions must provide academics with tangible teaching and learning support as this would go a long way in reducing much of the stress experienced by academics during the pandemic.
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Affiliation(s)
- Lynette Thompson
- grid.442346.30000 0004 0419 6602School of Humanities and Social Sciences, Faculty of Humanities and Social Sciences, The Independent Institute of Education, Cape Town, South Africa
| | - Cindy Christian
- grid.442346.30000 0004 0419 6602School of Humanities and Social Sciences, Faculty of Humanities and Social Sciences, The Independent Institute of Education, Cape Town, South Africa
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Madhu S, Kumar P, Chandra S. Reliability and factor analysis of Hindi version of IES-R scale: Effect of Rajyoga meditation on perceiving the impact of COVID-19. Dialogues Health 2022; 1:100024. [PMID: 36785637 PMCID: PMC9220247 DOI: 10.1016/j.dialog.2022.100024] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 06/15/2022] [Accepted: 06/20/2022] [Indexed: 12/13/2022]
Abstract
The purpose of this study is to present the Hindi translation and validation of the Impact of Event Scale-Revised and to evaluate psychometric qualities of this scale in a sample of regular Rajyoga meditators to examine the psychological impact of Coronavirus on them. The convenience sampling method was used to collect the data from 801 Rajyoga meditators through online survey. Data were analysed using SPSS 26.0. The Hindi version of IES-R demonstrated good internal consistency with the value of alpha coefficient being 0.91 for the scale and ranging between 0.81 to 0.83 for the subscales. The correlations between the subscales varied between 0.55 and 0.66. Principal components analysis using Varimax rotation was run with three-factor solution based on eigen value greater than one. This solution explained 54 percent of the total variance. It generated mainly two factors, an intrusion hyperarousal factor and an avoidance factor and third factor with one item only. Only 4.7 percent of the meditators rated the outbreak's psychological impact as moderate or severe. The mean score of IES-R was 10.01 (with an S.D. of 11.107). Significant positive correlations were found among IES-R scores and the presence of COVID symptoms. Thus, in clinical and research contexts, the scale appears to be a valid measure of post-trauma occurrences. The present study was conducted to generate a validated Hindi version of the IES-R that is easier and more compatible for use in the Indian population.
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Affiliation(s)
- Shobhika Madhu
- Academy of Scientific & Innovative Research (AcSIR), Ghaziabad 201002, India
| | - Prashant Kumar
- Academy of Scientific & Innovative Research (AcSIR), Ghaziabad 201002, India,CSIR-Central Scientific Instruments Organisation, Chandigarh 160030, India,Corresponding author at: Technology Block, CSIO, Chandigarh 160030, India
| | - Sushil Chandra
- Institute of Nuclear Medicine & Allied Sciences-DRDO, Delhi 110054, India
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Chakraverty S, Gupta D. As a pandemic strikes: A study on the impact of mental stress, emotion drifts and activities on community emotional well-being. Measurement (Lond) 2022; 204:112121. [PMID: 36311377 PMCID: PMC9597569 DOI: 10.1016/j.measurement.2022.112121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 09/09/2022] [Accepted: 10/20/2022] [Indexed: 06/16/2023]
Abstract
The widespread, ongoing COVID-19 pandemic has brought to the fore concerns regarding the psychological well-being of people. Recent research revealed various issues impacting mental health of people. However, a systematic study of the emotional drift of the populace, has been precluded so far. Our investigative research seeks to explore stress factors for different subgroups in India, variation in primary emotions during COVID-19 initial phase, and the emotional impact of activities practiced by people to adjust to the new norms. We conduct an online questionnaire-based survey that elicits responses from 958 participants. Our analysis establishes significant correlations between pandemic-induced causative factors and stresses in subgroups and micro-community. Unexpected events during the pandemic disturbed community's emotional equilibrium. Lastly, we find specific activities demonstrating an ameliorative impact on the emotional well-being of people. Our analysis emphasizes the need for a pre-planned infrastructure to provide Psychological First Aid (PFA) to foster psychological preparedness.
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Affiliation(s)
- Shampa Chakraverty
- Department of Computer Science and Engineering, Netaji Subhas University of Technology, Delhi, India
| | - Divya Gupta
- Department of Computer Science and Engineering, Netaji Subhas University of Technology, Delhi, India
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Spada MS, Biffi AM, Belotti L, Cremaschi L, Palumbo C, Locatelli C, Cesana BM, Bondi E. Psychological impact of COVID-19 after hospital discharge: A follow-up study on Italian recovered patients. J Affect Disord 2022; 317:84-90. [PMID: 36029882 PMCID: PMC9400369 DOI: 10.1016/j.jad.2022.08.086] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 05/31/2022] [Accepted: 08/22/2022] [Indexed: 12/25/2022]
Abstract
BACKGROUND Since COVID-19 outbreak, clinical experience on its management during the acute phase has rapidly grown, including potential effects on the psychopathological dimension. However, still few data are available regarding the impact on survivors' mental health over the long-term. METHODS A sample of 1457 COVID-19 patients underwent a multidisciplinary follow-up protocol, approximately 3 months after hospital discharge, including a psychological evaluation. The primary outcomes were anxiety, depression, resilience, post-traumatic symptoms, and health-related quality of life. Furthermore, we examined the potential role of hospitalization and delay in the follow-up assessment on the increased burden of illness. RESULTS Although a general high level of resilience emerged, suggesting most patients relied on their individual and interpersonal resources to face difficulties related to the pandemic, almost one third of the sample reported signs of psychological distress over time, especially post-traumatic symptoms, with anxiety being more represented than depression. Furthermore, hospitalization - regardless of the setting of care - and promptness in follow-up evaluation were found to play a protective role on patients' recovery and mental wellbeing. LIMITATIONS Selection bias of patients exclusively admitted to the hospital; absence of a control group; psychological assessment relying on self-reported instruments. CONCLUSIONS The current crisis demands resilience and adjustment resources, either in the acute and post-acute phase. Thus, the clinical effort should aim at relieving the traumatic impact of such condition through timely interventions. Further investigation may address potential predictors of developing a traumatic stress response, in order to identify and promptly treat at-risk subpopulations.
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Affiliation(s)
| | - Ave Maria Biffi
- Department of Psychology, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy
| | - Luca Belotti
- Department of Psychology, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy
| | - Laura Cremaschi
- University of Milan, Department of Mental Health, Department of Biomedical and Clinical Sciences Luigi Sacco, Milan, Italy
| | - Claudia Palumbo
- Department of Psychiatry, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy
| | - Clara Locatelli
- Department of Psychiatry, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy
| | - Bruno Mario Cesana
- Department of Clinical Sciences and Community Health, Unit of Medical Statistics, Biometry and Bioinformatics “Giulio A. Maccacaro”, Faculty of Medicine and Surgery, University of Milan, Milan, Italy
| | - Emi Bondi
- Department of Psychiatry, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy
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Nardi B, Del Prete L, Amatori G, Carpita B, Carmassi C, Pompili M, Dell'Osso L. An attempted "suicide pact" in Covid-19 era - psychiatric perspectives. BMC Psychiatry 2022; 22:686. [PMID: 36333800 PMCID: PMC9636834 DOI: 10.1186/s12888-022-04333-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 10/22/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND A "suicide pact" is a joint and actively induced death of two individuals with the essential and unavoidable characteristic of a mutual consent. One of the partners (dominant in the relationship, commonly male) usually induces the action and in most cases, it is the one who actively carries it out. Undiagnosed psychopathological dimension or pathological subthreshold traits are found in those who enter into suicide agreements, the presence of cluster B personality traits such as narcissistic or borderline is of particular relevance in the dominant partner, while in the submissive one dependent personality traits are more frequent. As in the case of other similar health emergencies, COVID-19 pandemic seems to lead to greater suicidality, including the "suicide pacts" of couples whose motivation varies including firstly financial problems, strictly followed by fear of infection and not being able to return home from abroad. CASE PRESENTATION We reported a case of a couple who entered a suicide agreement consequently to the economic difficulties caused by COVID-19 pandemic, hospitalized in our department. Both partners were assessed with Adult Autism Subthreshold Spectrum (AdAS Spectrum) and both crossed the threshold for clinically relevant autistic traits (M = 67; F = 49). CONCLUSION This case further confirms the link between COVID-19 pandemics and suicidality. The role of autism spectrum traits as a vulnerability factor towards the development of severe psychopathological consequences after traumatic events is also stressed.
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Affiliation(s)
- Benedetta Nardi
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy.
| | - Luca Del Prete
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| | - Giulia Amatori
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| | - Barbara Carpita
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| | - Claudia Carmassi
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
| | - Maurizio Pompili
- Department of Neurosciences, Faculty of Medicine and Psychology, Mental Health and Sensory Organs, Sapienza University of Rome, Rome, Italy
| | - Liliana Dell'Osso
- Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56127, Pisa, Italy
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Khoo EM, Abdullah A, Liew SM, Hussein N, Hanafi NS, Lee PY, Abdullah KL, Vengidasan L, Abu Bakar AIB, Pinnock H, Jackson T. Psychological health and wellbeing of primary healthcare workers during COVID-19 pandemic in Malaysia: a longitudinal qualitative study. BMC Prim Care 2022; 23:261. [PMID: 36229779 PMCID: PMC9558025 DOI: 10.1186/s12875-022-01870-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 09/20/2022] [Indexed: 11/10/2022]
Abstract
BACKGROUND Primary healthcare workers (PHCWs) are at the frontline of dealing with viral pandemics. They may experience significant psychological stresses, which have hitherto not been examined in depth. We aimed to explore the impact of the COVID-19 pandemic on the psychological health and wellbeing of frontline PHCWs in Malaysia. METHOD We purposively recruited PHCWs with diverse backgrounds in Klang Valley, Malaysia. Using longitudinal qualitative methods, we conducted two sequential semi-structured telephone interviews, 3 to 4 weeks apart, to capture different stages of the pandemic. Interviews were audio-recorded, transcribed verbatim, and analysed thematically. RESULT Twenty-one PHCWs participated yielding a total of forty-two interviews. Themes clustered around stressors associated with work, home, and leisure activities, emotional changes, and modifying factors. In the first interviews, COVID-19 had just started in Malaysia. Participants expressed fear about the actual and perceived personal risk of COVID-19 infection. Most were worried about transmitting COVID-19 to their family members. Some felt stigmatized because of this perceived risk of infection. By the second interviews, participants felt safer, but instead focused on the need to keep other people safe. Participants' emotions were influenced by their perceived risk of contracting COVID-19 infection. Internal factors such as religion enabled them to manage their concerns and develop personal coping strategies. Support from family members, colleagues, and employers promoted wellbeing during the pandemic. Training sessions, daily roll calls, and psychological support services were important in maintaining their psychological health and wellbeing. Many participants were hopeful and believed normalcy would return by the end of 2020. CONCLUSION PHCW's psychological health and wellbeing evolved throughout the early stages of the pandemic and were influenced by their perceived risk of contracting the disease and personal belief structures. Clear updates on the disease and strategies for keeping safe at work and socially are essential to maintaining PHCWs' psychological health and wellbeing.
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Affiliation(s)
- Ee Ming Khoo
- grid.10347.310000 0001 2308 5949Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Adina Abdullah
- grid.10347.310000 0001 2308 5949Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Su May Liew
- grid.10347.310000 0001 2308 5949Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Norita Hussein
- grid.10347.310000 0001 2308 5949Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Nik Sherina Hanafi
- grid.10347.310000 0001 2308 5949Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Ping Yein Lee
- grid.10347.310000 0001 2308 5949Faculty of Medicine, UMeHealth Unit, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Khatijah Lim Abdullah
- grid.430718.90000 0001 0585 5508Department of Nursing School of Medical and Life Sciences, Sunway University, Subang Jaya, Malaysia
| | - Lelamekala Vengidasan
- grid.10347.310000 0001 2308 5949Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Ahmad Ihsan Bin Abu Bakar
- grid.10347.310000 0001 2308 5949Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Hilary Pinnock
- grid.4305.20000 0004 1936 7988NIHR Global Health Research Unit On Respiratory Health, University of Edinburgh, Edinburgh, UK
| | - Tracy Jackson
- grid.4305.20000 0004 1936 7988NIHR Global Health Research Unit On Respiratory Health, University of Edinburgh, Edinburgh, UK
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McKenzie CJ, Murphy EM, Watt I. Considering care: A traumatic obturator fracture dislocation of the hip in a middle-aged man from Gaelic Medieval Ballyhanna, Co. Donegal, Ireland. Int J Paleopathol 2022; 38:115-122. [PMID: 35908507 DOI: 10.1016/j.ijpp.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 07/14/2022] [Accepted: 07/16/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE This article explores the potential care provided to a middle-aged man who had a suite of injuries evident in his skeleton, most notably an obturator fracture dislocation in his left hip. MATERIALS The skeleton derived from the Late Medieval Gaelic population buried at Ballyhanna, Co. Donegal, Ireland. METHODS A transdisciplinary bioarchaeology of care approach was adopted to undertake a phenomenological study of an individual with an acquired disability. RESULTS The man would have required intensive nursing care in the months following the initial injury, and longer-term accommodations may have been made by the wider community to support him. CONCLUSIONS Use of a transdisciplinary bioarchaeology of care approach enables important insights to be gained concerning the social impact of disability on the affected individual, his kin, and wider community. SIGNIFICANCE This study achieves a new level of integration of bioarchaeological findings with archaeological, historical, and ethno-historical sources, thereby enabling a phenomenological approach to interpretation of life after acquired disability. This is the first study to allow such an intimate insight into lived experience and it provides a model for bioarchaeology of care analysis of individuals from historical eras. LIMITATIONS These include difficulties in identifying the nature of a long-standing complex injury. SUGGESTIONS FOR FUTURE RESEARCH Further explorations of the bioarchaeology of care in historical time periods should incorporate a similarly wide range of transdisciplinary sources to enrich interpretations of the lived experiences of individuals, their care-givers and broader communities.
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Affiliation(s)
- Catriona J McKenzie
- Department of Archaeology, College of Humanities, University of Exeter, Exeter EX4 4QE, UK.
| | - Eileen M Murphy
- Archaeology and Palaeoecology, School of Natural and Built Environment, Queen's University Belfast, Belfast BT7 1NN, Northern Ireland, UK.
| | - Iain Watt
- Department of Archaeology, College of Humanities, University of Exeter, Exeter EX4 4QE, UK.
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Koca S, Koca E, Okten IN, Orengül FF, Oztürk A, Ozçelik M, Oyman A, Çil I, Gümüş M. Psychological impacts of COVID-19 pandemic in cancer patients on active treatment. Heliyon 2022; 8:e10142. [PMID: 35996550 PMCID: PMC9385601 DOI: 10.1016/j.heliyon.2022.e10142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 04/30/2022] [Accepted: 07/27/2022] [Indexed: 11/28/2022] Open
Abstract
Introduction Although cancer patients have a high risk of exposing COVID-19 and developing severe complications, they have to receive active treatment. We aimed to determine the psychological conditions of cancer patients and shed light on the establishment of early psychological intervention and intervention policies by making specific recommendations. Method We consecutively evaluated 385 cancer patients under treatment. Post-traumatic stress disorder (PTSD) symptoms, depression, anxiety, stress, and associated sociodemographic/clinical characteristics were investigated. In addition, we applied depression-anxiety-stress-scale-21 (DASS-21) for the mental states of patients and Impact of Event-Scale-Revised (IES-R) for the psychological effects of Covid-19. Results The mean age was 58 (18-88). 47.2% were psychologically distressful per DASS-21, and 39.3% were traumatic per IES-R scores. 71.9% stated the risk of getting COVID-19 was high since they had cancer, and 82% stated serious complications would develop if they had COVID-19 infection. Patients diagnosed for more than one year were more stressed, anxious, and depressive (p-value = 0.001,0.003,0.049, respectively). Singles were more stressed, depressed, and traumatized than couples (p-value = 0.001, 0.011, 0.001). In multivariate analysis, a significant correlation with being under psychiatric treatment before the pandemic was found for depression (OR: 3.743, 95 %CI: 1.790-7.827) anxiety (OR: 3.776-95 %CI: 1.945-7.332) and stress levels (OR: 4.129, 95 %CI: 1.728-9.866). Having relatives who died or received treatment for COVID-19(OR: 0.515,0.296-0.895) and being unmarried (OR: 2.445-95% CI: 1.260-4.747) predicts PTSD development. Conclusions When the psychological effects of the COVID-19 pandemic are manifesting strongly, cancer patients' anxiety and exposure levels are high. It is of great importance that clinicians understand needs, recognize psychological distress, and direct them to relevant departments for supportive care.
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Affiliation(s)
- Sinan Koca
- Department of Medical Oncology, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul Medeniyet University, Istanbul, Turkey
| | - Esra Koca
- Department of Mental Health and Psychiatry, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
| | - Ilker N Okten
- Department of Medical Oncology, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul Medeniyet University, Istanbul, Turkey
| | - Fatma Fc Orengül
- Department of Mental Health and Psychiatry, Haseki Education Research Hospital, Istanbul, Turkey
| | - Akın Oztürk
- Department of Medical Oncology, Istanbul Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey
| | - Melike Ozçelik
- Department of Medical Oncology, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey
| | - Abdilkerim Oyman
- Department of Medical Oncology, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey
| | - Ibrahim Çil
- Department of Medical Oncology, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey
| | - Mahmut Gümüş
- Department of Medical Oncology, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul Medeniyet University, Istanbul, Turkey
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Arazi A, Koller J, Zachor DA, Golan O, Sadaka Y, Eytan D, Stolar O, Atzaba-Poria N, Golan H, Menashe I, Meiri G, Gabis LV, Dinstein I. Home-quarantine during the initial Covid-19 outbreak in Israel: parent perceived impact on children with ASD. Heliyon 2022; 8:e09681. [PMID: 35698655 PMCID: PMC9176182 DOI: 10.1016/j.heliyon.2022.e09681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 03/23/2022] [Accepted: 06/01/2022] [Indexed: 11/30/2022] Open
Abstract
Background Studies have reported that Covid-19 home-quarantine periods have had mostly negative psychological impact on children with ASD and their families. Here we examined parent perceived impact of a 6-week quarantine period imposed in Israel at the beginning of the Covid-19 outbreak, in mid-March 2020. Methods An anonymous online questionnaire was completed by parents of 268 children with ASD. Parents rated deterioration/improvement in their child's behaviors, abilities, mood, sleep, and anxiety along with changes in their own mood, sleep, parenting skills, and family relationships. We performed t-tests and ANOVA analyses to assess the significance of perceived impact on each domain and potential differences in the impact across families with children of different ages, genders, and levels of required support as well as families that experienced different magnitudes of economic hardships. Results Parents reported significant deterioration in their mood and sleep along with significant improvements in relationships with their spouse and child with ASD, and in their parenting skills. Parents also reported significant increases in the severity of tantrums, anxiety, and restricted and repetitive behavior symptoms along with significant improvements in social and communication abilities of their child with ASD. Ratings were significantly lower in families of ASD children who regularly require more support and in families that experienced economic hardships. Conclusions While periods of home-quarantine create numerous hardships for families of children with ASD, they may also offer an opportunity for improving parenting skills, family relationships, and children's social communication abilities with potential relevance for improving remote services.
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Affiliation(s)
- Ayelet Arazi
- Department of Cognitive & Brain Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
- Azrieli National Centre for Autism and Neurodevelopment Research, Ben Gurion University of the Negev, Beer Sheva, Israel
| | - Judah Koller
- Seymour Fox School of Education, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Ditza A. Zachor
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- The Autism Center/ALUT, Shamir (Assaf Harofeh) Medical Center, Israel
| | - Ofer Golan
- Autism Treatment and Research Center – Association for Children at Risk, Ramat Gan, Israel
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
- Autism Research Centre, Department of Psychiatry, University of Cambridge, UK
| | - Yair Sadaka
- Neuro-Developmental Research Centre, Beer Sheva Mental Health Centre, Ministry of Health, Beer Sheva, Israel
| | - Dganit Eytan
- ALUT – The Israeli Society for Children and Adults with Autism, Ramat Gan, Israel
- School of Education, Bar-Ilan University, Ramat Gan, Israel
| | - Orit Stolar
- The Autism Center/ALUT, Shamir (Assaf Harofeh) Medical Center, Israel
| | - Naama Atzaba-Poria
- Department of Psychology, Ben Gurion University of the Negev, Beer Sheva, Israel
- Pre-School Psychiatry Unit, Soroka University Medical Center, Beer Sheva, Israel
- Duet Center, Ben Gurion University of the Negev, Beer-Sheva, Israel
| | - Hava Golan
- Azrieli National Centre for Autism and Neurodevelopment Research, Ben Gurion University of the Negev, Beer Sheva, Israel
- Department of Physiology and Cell Biology, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
| | - Idan Menashe
- Azrieli National Centre for Autism and Neurodevelopment Research, Ben Gurion University of the Negev, Beer Sheva, Israel
- Department of Public Health, Ben Gurion University of the Negev, Beer Sheva, Israel
| | - Gal Meiri
- Azrieli National Centre for Autism and Neurodevelopment Research, Ben Gurion University of the Negev, Beer Sheva, Israel
- Pre-School Psychiatry Unit, Soroka University Medical Center, Beer Sheva, Israel
| | - Lidia V. Gabis
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
- Child Development Services, Maccabi Healthcare, Tel Aviv, Israel
| | - Ilan Dinstein
- Department of Cognitive & Brain Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
- Azrieli National Centre for Autism and Neurodevelopment Research, Ben Gurion University of the Negev, Beer Sheva, Israel
- Department of Psychology, Ben Gurion University of the Negev, Beer Sheva, Israel
- Corresponding author.
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Roux A, Cholerton R, Sicsic J, Moumjid N, French DP, Giorgi Rossi P, Balleyguier C, Guindy M, Gilbert FJ, Burrion JB, Castells X, Ritchie D, Keatley D, Baron C, Delaloge S, de Montgolfier S. Study protocol comparing the ethical, psychological and socio-economic impact of personalised breast cancer screening to that of standard screening in the "My Personal Breast Screening" (MyPeBS) randomised clinical trial. BMC Cancer 2022; 22:507. [PMID: 35524202 PMCID: PMC9073478 DOI: 10.1186/s12885-022-09484-6] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 04/02/2022] [Indexed: 12/11/2022] Open
Abstract
Background The MyPeBS study is an ongoing randomised controlled trial testing whether a risk-stratified breast cancer screening strategy is non-inferior, or eventually superior, to standard age-based screening at reducing incidence of stage 2 or more cancers. This large European Commission-funded initiative aims to include 85,000 women aged 40 to 70 years, without prior breast cancer and not previously identified at high risk in six countries (Belgium, France, Italy, Israel, Spain, UK). A specific work package within MyPeBS examines psychological, socio-economic and ethical aspects of this new screening strategy. It compares women’s reported data and outcomes in both trial arms on the following issues: general anxiety, cancer-related worry, understanding of breast cancer screening strategy and information-seeking behaviour, socio-demographic and economic characteristics, quality of life, risk perception, intention to change health-related behaviours, satisfaction with the trial. Methods At inclusion, 3-months, 1-year and 4-years, each woman participating in MyPeBS is asked to fill online questionnaires. Descriptive statistics, bivariate analyses, subgroup comparisons and analysis of variations over time will be performed with appropriate tests to assess differences between arms. Multivariate regression models will allow modelling of different patient reported data and outcomes such as comprehension of the information provided, general anxiety or cancer worry, and information seeking behaviour. In addition, a qualitative study (48 semi-structured interviews conducted in France and in the UK with women randomised in the risk-stratified arm), will help further understand participants’ acceptability and comprehension of the trial, and their experience of risk assessment. Discussion Beyond the scientific and medical objectives of this clinical study, it is critical to acknowledge the consequences of such a paradigm shift for women. Indeed, introducing a risk-based screening relying on individual biological differences also implies addressing non-biological differences (e.g. social status or health literacy) from an ethical perspective, to ensure equal access to healthcare. The results of the present study will facilitate making recommendations on implementation at the end of the trial to accompany any potential change in screening strategy. Trial registration Study sponsor: UNICANCER. My personalised breast screening (MyPeBS). Clinicaltrials.gov (2018) available at: https://clinicaltrials.gov/ct2/show/NCT03672331 Contact: Cécile VISSAC SABATIER, PhD, + 33 (0)1 73 79 77 58 ext + 330,142,114,293, contact@mypebs.eu. Supplementary Information The online version contains supplementary material available at 10.1186/s12885-022-09484-6.
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Affiliation(s)
- Alexandra Roux
- IRIS (UMR8156 CNRS & U997 INSERM), Paris 13 University, Aubervilliers, France
| | | | | | - Nora Moumjid
- Université Lyon 1, P2S EA 4129, Centre Léon Bérard, F-69373, Lyon, France
| | | | | | | | - Michal Guindy
- Assuta Medical Centers, Tel Aviv, Israel.,Ben Gurion University, Beersheba, Israel
| | | | | | - Xavier Castells
- IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
| | | | | | | | - Suzette Delaloge
- Institut Gustave Roussy, Villejuif, France.,Unicancer, Paris, France
| | - Sandrine de Montgolfier
- IRIS (UMR8156 CNRS & U997 INSERM), Paris 13 University, Aubervilliers, France. .,Paris Est Creteil University, Créteil, France.
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Ramos SA, Pinheiro AM, Barcelos AP, Cardoso AP, Varregoso J. Satisfaction with testicular prosthesis: a Portuguese questionnaire-based study in testicular cancer survivors. Rev Int Androl 2022:S1698-031X(22)00003-6. [PMID: 35477530 DOI: 10.1016/j.androl.2020.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 09/18/2020] [Accepted: 10/21/2020] [Indexed: 11/22/2022]
Abstract
Radical orchiectomy in testicular cancer patients can have a negative impact on body image and self-esteem. Reconstructive surgery with testicular prosthesis might mitigate this burden. We conducted a questionnaire-based study aiming to evaluate our patients' satisfaction with testicular prosthesis. Overall satisfaction was rated as excellent or good in 97.7%. The main complaints were related to the prosthesis' inappropriate texture (45.5%), size (18.1%) or position (15.9%). Among men interviewed, 59% considered that having a normal looking scrotum was either extremely important or important for their self-esteem. The majority (88.2%) stated they would make the same decision again, and nearly all patients would recommend it to other men with testicular cancer. We believe testicular implants should always be offered, leaving the final decision to the patient.
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Puig-Perez S, Cano-López I, Martínez P, Kozusznik MW, Alacreu-Crespo A, Pulopulos MM, Duque A, Almela M, Aliño M, Garcia-Rubio MJ, Pollak A, Kożusznik B. Optimism as a protective factor against the psychological impact of COVID-19 pandemic through its effects on perceived stress and infection stress anticipation. Curr Psychol 2022:1-15. [PMID: 35313448 PMCID: PMC8925294 DOI: 10.1007/s12144-022-02819-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/27/2022] [Indexed: 11/30/2022]
Abstract
The 2019 coronavirus disease (COVID-19) and the recommended social isolation presented a challenge to people's mental health status. Optimism is a psychological factor that plays a key role in the evaluation of stressful situations. The purpose of this study was to investigate the mediating role of perceived stress and Covid-19-related stress anticipation in the relationship between optimism and post-traumatic stress symptoms. Our sample included 1015 participants ranging in age from 18 to 79 years, 80% of whom were Spaniards. At the beginning of the worldwide pandemic, participants were confined to their homes for at least seven days and completed an online survey measuring various sociodemographic and psychological variables. We found an indirect effect of optimism on intrusion and hyperarousal through perceived stress and stress anticipation. In addition, we observed an indirect effect of optimism on avoidance through perceived stress. Finally, the results showed a significant indirect effect of optimism on the total post-traumatic stress symptoms score through perceived stress and stress anticipation. Our results indicate that positive beliefs inherent to optimism are related to less psychological impact of the COVID-19 outbreak.
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Affiliation(s)
- Sara Puig-Perez
- Research Group in Psychology and Quality of Life (PsiCal), Valencian International University, Valencia, Spain
- Research Chair in Global Neurosciences and Social Change, Valencian International University and NED Foundation, Valencia, Spain
| | - Irene Cano-López
- Research Group in Psychology and Quality of Life (PsiCal), Valencian International University, Valencia, Spain
- Research Chair in Global Neurosciences and Social Change, Valencian International University and NED Foundation, Valencia, Spain
| | - Paula Martínez
- Research Group in Psychology and Quality of Life (PsiCal), Valencian International University, Valencia, Spain
| | - Malgorzata W. Kozusznik
- Department of Marketing, Innovation and Organization, Ghent University, Ghent, Belgium
- Research Group Organizational and Occupational Psychology and Professional Learning, KU Leuven, Leuven, Belgium
| | | | - Matias M. Pulopulos
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Aranzazu Duque
- Research Group in Psychology and Quality of Life (PsiCal), Valencian International University, Valencia, Spain
| | - Mercedes Almela
- Research Group in Psychology and Quality of Life (PsiCal), Valencian International University, Valencia, Spain
- Department of Cognitive Neuropsychology, Tilburg School of Social and Behavioural Sciences, Tilburg, the Netherlands
| | - Marta Aliño
- Research Group in Psychology and Quality of Life (PsiCal), Valencian International University, Valencia, Spain
- Research Chair in Global Neurosciences and Social Change, Valencian International University and NED Foundation, Valencia, Spain
| | - María J. Garcia-Rubio
- Research Group in Psychology and Quality of Life (PsiCal), Valencian International University, Valencia, Spain
- Research Chair in Global Neurosciences and Social Change, Valencian International University and NED Foundation, Valencia, Spain
| | - Anita Pollak
- Institute of Psychology, University of Silesia in Katowice, Katowice, Poland
| | - Barbara Kożusznik
- Institute of Psychology, University of Silesia in Katowice, Katowice, Poland
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Picardi A, Miniotti M, Leombruni P, Gigantesco A. A Qualitative Study Regarding COVID-19 Inpatient Family Caregivers' Need for Supportive Care. Clin Pract Epidemiol Ment Health 2022; 17:161-169. [PMID: 35136412 PMCID: PMC8719278 DOI: 10.2174/1745017902117010161] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 08/04/2021] [Accepted: 08/05/2021] [Indexed: 01/24/2023]
Abstract
Background: Family caregivers of COVID-19 inpatients are exposed to multiple sources of distress. These include not only losing friends, colleagues and members of the family, but also the fear of possible losses in sociality, finances and, impoverished communication with sick family members and health care providers. Objective: This study describes the psychological experience of COVID-19 inpatient family caregivers to highlight the main sources of distress, issues, concerns and unmet needs. Methods: Two focus groups were independently organized with COVID-19 inpatient family caregivers and health care personnel of COVID-19 wards in order to highlight family caregivers’ practical and psychological burden and related needs. A thematic analysis was conducted to analyze the data. Results: Family caregivers mentioned they needed more information about the patient’s condition with more attention being paid to their own emotional state. Feelings of impotence, concerns about how to deal with patient’s discharge, significant psychological distress, and anxiety were frequently reported by study participants. Conclusion: Study findings suggest the need to strengthen the assistance of COVID-19 patient family caregivers. In the pandemic scenario, family caregivers might represent a crucial resource, which can guarantee rapid discharges, support home health care and thus relieve pressure on hospital systems.
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Affiliation(s)
- Angelo Picardi
- Centre of Behavioural Sciences and Mental Health, Italian National Institute of Health, Rome, Italy
| | - Marco Miniotti
- Department of Neuroscience, "Rita Levi Montalcini", University of Turin, Clinical Psychology Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy
| | - Paolo Leombruni
- Department of Neuroscience, "Rita Levi Montalcini", University of Turin, Clinical Psychology Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy
| | - Antonella Gigantesco
- Centre of Behavioural Sciences and Mental Health, Italian National Institute of Health, Rome, Italy
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Akan Y. Development of the "COVID-19 psychological impact Scale": A validity and reliability study. Curr Psychol 2022; 42:1-10. [PMID: 35153457 PMCID: PMC8816686 DOI: 10.1007/s12144-022-02760-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2022] [Indexed: 01/08/2023]
Abstract
This scale development study aimed to identify the level of COVID-19 impact on the psychology of adults during or after the pandemic. The study group consisted of 1604 individuals for the first stage and 597 individuals for the second stage, who were reached online through convenience sampling method. After the exploratory factor analysis performed on the 50-item pilot survey, a three-factor structure was obtained explaining 60.96% of the total variance. The load values of the items in the "Dejection" sub-dimension were between 0.65 and 0.82, in the "Anxiety" sub-dimension between 0.59 and 0.77 and in the "Frustration" sub-dimension between 0.70 and 0.76. In the reliability analysis, the Cronbach Alpha value for the whole scale was found to be 0.93, and the Cronbach Alpha values for the subscales were found to be Dejection = 0.94, Anxiety = 0.81 and Frustration = 0.83. For similar criterion validity, the survey was applied to 597 new participants and the Pearson Moment Correlation Coefficient between the "COVID-19 Psychological Impact Scale" and the "Depression Anxiety Stress Scale" was found to be 0.71. A confirmatory factor analysis was carried out with the new data set from 597 participants and the goodness of fit index values obtained showed that the model was acceptable and/or perfect compatible. As a result of the research, it has been revealed that the "COVID-19 Psychological Impact Scale" is a valid and reliable scale applicable to adults aged 18 and over.
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Affiliation(s)
- Yunus Akan
- Faculty of Education, Department of Educational Sciences, Department of Psychological Counseling and Guidance, Muş Alparslan University, Centre, Muş, Turkey
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Versluis A, van Alphen K, Dercksen W, de Haas H, van den Hurk C, Kaptein AA. "Dear hair loss"-illness perceptions of female patients with chemotherapy-induced alopecia. Support Care Cancer 2022; 30:3955-3963. [PMID: 35048177 DOI: 10.1007/s00520-021-06748-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 12/07/2021] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Chemotherapy-induced alopecia (CIA) is one of the most common and distressing side effects of chemotherapy treatment. This study aims to assess the illness perceptions of female patients dealing with CIA, and their associations with demographic and clinical characteristics, coping strategies, and quality of life. The secondary aim was to compare the illness perceptions of patients with CIA with other samples, to help elucidate the specific perceptions of patients with CIA. METHOD Forty female patients at risk of severe hair loss due to chemotherapy treatment were included at the oncological daycare unit of a teaching hospital in the Netherlands. Patients were asked to complete the Brief-Illness Perception Questionnaire (B-IPQ) and the Hair Quality of Life (Hair-QoL) questionnaire. RESULTS Illness perceptions indicated that although patients understood their hair loss, they lacked being able to make sense of managing it, negatively impacting patients' lives. Psychological quality of life was significantly correlated with the B-IPQ domains: consequences, degree of concern, and emotional response. Social quality of life was significantly correlated with psychological quality of life. Patients with CIA felt significantly less able to manage their hair loss, compared to patients with breast cancer and psoriatic arthritis. CONCLUSION As patients' beliefs of being able to manage their hair loss are important for adopting and maintaining adequate coping behaviors, additional effort of health care providers in fostering patients' sense of control is indicated, focusing on patients' strengths during and after chemotherapy treatment. In the context of developing interventions for patients with CIA, consequences, concern, and emotional response are the major dimensions that should be taken in account to help patients deal with hair loss.
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Affiliation(s)
- Anne Versluis
- Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Godebaldkwartier 419, 3511 DT, Utrecht, The Netherlands.
| | - Kirsten van Alphen
- Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Godebaldkwartier 419, 3511 DT, Utrecht, The Netherlands
| | - Wouter Dercksen
- Department of Medical Oncology, Máxima Medical Centre, Eindhoven, The Netherlands
| | - Henk de Haas
- Department of Medical Oncology, Máxima Medical Centre, Eindhoven, The Netherlands
| | - Corina van den Hurk
- Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Godebaldkwartier 419, 3511 DT, Utrecht, The Netherlands
| | - Ad A Kaptein
- Department of Medical Psychology, Leiden University Medical Centre, Leiden, The Netherlands
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Silva MCMVD, Ioschpe B, Diniz FS, de Oliveira GMR, Saffi F, Soares ARA, de Almeida Rocca CC, de Pádua Serafim A. Psychological demands of health professionals in the initial phase of the COVID-19 pandemic. Psicol Reflex Crit 2022; 35:2. [PMID: 34982281 PMCID: PMC8724226 DOI: 10.1186/s41155-021-00204-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 11/26/2021] [Indexed: 11/10/2022] Open
Abstract
Recent literature emphasizes how the specific stressors of the COVID-19 outbreak affect the general population and frontline professionals, including those conducting support or backup activities in health units, which can lead to vicarious traumatization. Vicarious traumatization has been used to describe negative emotional reactions in mental health professionals who assist or treat victims of traumatic events. Thus, the aim of this article is to report the actions used in the face of the psychological demands of professionals in a hospital, who were not on the frontline of COVID-19. We collected their sociodemographic information and checked the psychological impact using the depression, anxiety, and stress scale (DASS-21), which was followed by a psychoeducational program (topics related to COVID-19 control and prevention), and individual psychological care for the most severe cases. A total of 118 professionals participated in this study; they were between 20 and 67 years old. Mild to moderate anxiety was observed in 36.5% of the medical teams, 83.3% of the administrative staff, and 65.7% of general service workers, while stress symptoms were observed in 80.2%, 83.3%, and 59.9%, respectively. Depressive symptoms (35.3%) were more frequent in general service workers. The medical teams reported the benefits of primary psychological care, while the other professionals demanded more institutional support services related to the prevention and use of personal protective equipment. This study highlights relevant psychological demands that have repercussions on the daily lives of professionals. The psychoeducational program was considered positive regarding clarification actions. However, it was not perceived as effective in reducing fear, which may result from vicarious traumatization and requires other intervention modalities.
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Affiliation(s)
| | - Bruno Ioschpe
- Department and Institute of Psychiatry, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | - Fernanda Santos Diniz
- Department and Institute of Psychiatry, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | | | - Fabiana Saffi
- Department and Institute of Psychiatry, School of Medicine, University of Sao Paulo, São Paulo, Brazil
| | | | | | - Antonio de Pádua Serafim
- Department and Institute of Psychiatry, School of Medicine, University of Sao Paulo, São Paulo, Brazil
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Xiong N, Fritzsche K, Pan Y, Löhlein J, Leonhart R. The psychological impact of COVID-19 on Chinese healthcare workers: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol 2022; 57:1515-1529. [PMID: 35325261 PMCID: PMC8943357 DOI: 10.1007/s00127-022-02264-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 03/08/2022] [Indexed: 11/26/2022]
Abstract
PURPOSE This study aimed at investigating five dimensions of the psychological impact (post-traumatic stress symptoms (PTSS), anxiety, depression, sleep disturbance or profession-related burnout) of COVID-19 on healthcare workers (HCW) in China. METHODS Studies that evaluated at least one of the five target dimensions of the psychological impact of COVID-19 on HCW in China were included. Studies with no data of our interest were excluded. Relevant Databases were searched from inception up to June 10, 2020. Preprint articles were also included. The methodological quality was assessed using the checklist recommended by AHRQ. Both the rate of prevalence and the severity of symptoms were pooled. The protocol was registered in PROSPERO (CRD42020197126) on July 09, 2020. RESULTS We included 44 studies with a total of 65,706 HCW participants. Pooled prevalence rates of moderate to severe PTSS, anxiety, depression, and sleep disturbances were 27% (95% CI 16%-38%), 17% (13-21%), 15% (13-16%), and 15% (7-23%), respectively; while the prevalence of mild to severe level of PTSS, anxiety, and depression was estimated as 31% (25-37%), 37% (32-42%) and 39% (25-52%). Due to the lack of data, no analysis of profession-related burnout was pooled. Subgroup analyses indicated higher prevalence of moderate to severe psychological impact in frontline HCW, female HCW, nurses, and HCW in Wuhan. CONCLUSION About a third of HCW in China showed at least one dimension of psychological symptoms during the COVID-19 pandemic, whereas the prevalence of moderate and severe syndromes was relatively low. Studies on profession-related burnout, long-term impact, and the post-stress growth are still needed.
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Affiliation(s)
- Nana Xiong
- Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China
| | - Kurt Fritzsche
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Freiburg, Freiburg, Germany
| | - Yiqi Pan
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany
| | - Johanna Löhlein
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Freiburg, Freiburg, Germany
| | - Rainer Leonhart
- Department for Social Psychology and Methodology, Institute of Psychology, University of Freiburg, Engelbergerstr. 41, 79106, Freiburg, Germany.
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Orgilés M, Francisco R, Delvecchio E, Espada JP, Mazzeschi C, Pedro M, Morales A. Psychological Symptoms in Italian, Spanish and Portuguese Youth During the COVID-19 Health Crisis: A Longitudinal Study. Child Psychiatry Hum Dev 2022; 53:853-862. [PMID: 34173126 PMCID: PMC8233185 DOI: 10.1007/s10578-021-01211-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/15/2021] [Indexed: 11/30/2022]
Abstract
Aiming to slow down the spread of the COVID-19, a lockdown was declared in the first term of 2020 in many European countries, applying different restrictions measures. Although the psychological effects of home confinement in children have been described, there is a lack of longitudinal research examining the impact of the confinement over time. The present study analyzes the evolution of the psychological wellbeing of children and adolescents from three European countries with different restrictions. Parents of 624 Italian, Spanish, and Portuguese children and adolescents aged 3 to 18 years old completed the "Impact Scale of COVID-19 and Home Confinement on Children and Adolescents" two, five, and eight weeks after the lockdown. Results show a different pattern for each country. Children from Italy, the first European country that applied a lockdown, were better adapted than Spanish and Portuguese children the first two weeks after confinement but they were more psychologically impacted by home confinement at the eight-week assessment. Portuguese children, who followed a general duty of home confinement, were the best adapted to the situation, with no significant differences over time. A significant change was found in anxiety symptoms in Spanish children, with a decrease at the last assessment. Findings suggest that long confinements and hard restrictions affect children, so prevention measures should be applied during confinements to prevent psychological problems in children.
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Affiliation(s)
- Mireia Orgilés
- Department of Health Psychology, Universidad Miguel Hernández, Avda. de La Universidad S/N, Elche, 03202, Alicante, Spain.
| | | | | | - José P. Espada
- Department of Health Psychology, Universidad Miguel Hernández, Avda. de La Universidad S/N, Elche, 03202 Alicante, Spain
| | | | - Marta Pedro
- Universidade Católica Portuguesa, Porto, Portugal
| | - Alexandra Morales
- Department of Health Psychology, Universidad Miguel Hernández, Avda. de La Universidad S/N, Elche, 03202 Alicante, Spain
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Abstract
The COVID-19 pandemic is a global health emergency that could potentially have a serious impact on public health. Fear has been one of the most frequent psychological reaction in the population during the current pandemic. The aim of this study was to compare fear of COVID-19 between genders and to examine whether the differences between genders may be predictors of fear of COVID-19 scores. A cross-sectional web-based survey design was adopted. The sample comprised 772 Cuban participants. The Fear of COVID-19 Scale was used to explore fear reactions in the sample. An independent-samples t test was conducted to compare the fear of COVID-19 scores between genders, and multinomial logistic regression was modeling to identify variables independently associated with fear of coronavirus. In our sample, on average, female participants experienced significantly greater fear of COVID-19 than men. The gender of participants significantly predicted the level of fear of COVID-19. Being female was a predictor of medium and high levels of fear of COVID-19. The odds of a female with middle fear levels compared to low fear was 3.13 times more than for a male, and the odds of a female with high fear levels compared to low fear was 3.45 times more than for a male. Our results corroborate international research that indicate a greater psychological vulnerability in women during the COVID-19 pandemic. This result points to the need to design interventions that reduce the negative impact of the current outbreak on women's mental health.
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Affiliation(s)
- Yunier Broche-Pérez
- Psychology Department, Universidad Central “Marta Abreu” de Las Villas, Km 5 ½,, 54830 Santa Clara, Villa Clara Cuba ,CognitiON (Cuban Initiative on Cognitive Health), Santa Clara, Cuba
| | - Zoylen Fernández-Fleites
- Psychology Department, Universidad Central “Marta Abreu” de Las Villas, Km 5 ½,, 54830 Santa Clara, Villa Clara Cuba ,CognitiON (Cuban Initiative on Cognitive Health), Santa Clara, Cuba
| | - Elizabeth Jiménez-Puig
- Psychology Department, Universidad Central “Marta Abreu” de Las Villas, Km 5 ½,, 54830 Santa Clara, Villa Clara Cuba ,CognitiON (Cuban Initiative on Cognitive Health), Santa Clara, Cuba
| | - Evelyn Fernández-Castillo
- Psychology Department, Universidad Central “Marta Abreu” de Las Villas, Km 5 ½,, 54830 Santa Clara, Villa Clara Cuba ,CognitiON (Cuban Initiative on Cognitive Health), Santa Clara, Cuba
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Rathod S, Pallikadavath S, Graves E, Rahman MM, Brooks A, Soomro MG, Rathod P, Phiri P. Impact of lockdown relaxation and implementation of the face-covering policy on mental health: A United Kingdom COVID-19 study. World J Psychiatry 2021; 11:1346-1365. [PMID: 35070782 PMCID: PMC8717029 DOI: 10.5498/wjp.v11.i12.1346] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 08/04/2021] [Accepted: 10/20/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Pandemic mitigation policies, such as lockdown, are known to impact on mental health of individuals. Compulsory face covering under relaxed lockdown restrictions gives assurance of less transmission of airborne infection and has the potential to improve mental health of individuals affected by restrictions. AIM To examine the association of the lockdown relaxation and the implementation of the face covering policy on the mental health of the general population and sub-groups in the United Kingdom using interrupted time series model. METHODS Using a web-based cross-sectional survey of 28890 United Kingdom adults carried out during May 1, 2020 to July 31, 2020, changes in mental health status using generalised anxiety disorder (GAD-7), and impact of events scale-revised (IES-R) scales are examined, at the dates of the first lockdown relaxation (July 4, 2020) and the subsequent introduction of face covering (July 24, 2020) in United Kingdom. A sharp regression discontinuity design is used to check discontinuities in mental health outcomes at policy-change dates. RESULTS Average GAD-7 scores of participants were 5.6, 5.6 and 4.3 during the lockdown period, the lockdown relaxation phase and the phase of compulsory face covering, respectively, with lower scores indicating lower anxiety levels. Corresponding scores for IES-R were 17.3, 16.8 and 13.4, with lower scores indicating less distress. Easing lockdown measures and subsequent introduction of face covering, on average, reduced GAD-7 by 0.513 (95%CI: 0.913-0.112) and 1.148 (95%CI: 1.800-0.496), respectively. Corresponding reductions in IES-R were 2.620 (95%CI: 4.279-0.961) and 3.449 (95%CI: 5.725-1.172). These imply that both lockdown relaxation and compulsory face-covering have a positive association with mental health scores (GAD-7 and IES-R). CONCLUSION The differential impact of lockdown and relaxation on the mental health of population sub-groups is evident in this study with future implications for policy. Introduction of face covering in public places had a stronger positive association with mental health than lockdown relaxation.
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Affiliation(s)
- Shanaya Rathod
- Department of Research and Development, Southern Health NHS Foundation Trust, Southampton SO30 3JB, Hampshire, United Kingdom
- Portsmouth-Brawijaya Centre for Global Health, Population and Policy, University of Portsmouth, Portsmouth PO1 2DT, United Kingdom
| | - Saseendran Pallikadavath
- School of Health and Care Professions, University of Portsmouth, Portsmouth PO1 2DT, Hampshire, United Kingdom
| | - Elizabeth Graves
- Department of Research and Development, Southern Health NHS Foundation Trust, Southampton SO30 3JB, Hampshire, United Kingdom
| | - Mohammad Mahbubur Rahman
- School of Health and Care Professions, University of Portsmouth, Portsmouth PO1 2DT, Hampshire, United Kingdom
| | - Ashlea Brooks
- Department of Research and Development, Southern Health NHS Foundation Trust, Southampton SO30 3JB, Hampshire, United Kingdom
| | - Mustafa G Soomro
- Mental Health, Solent NHS Trust, Portsmouth P03 6AD, United Kingdom
| | - Pranay Rathod
- PPI, PPI Representative, London SO30 3JB, United Kingdom
| | - Peter Phiri
- Department of Research and Development, Southern Health NHS Foundation Trust, Southampton SO30 3JB, Hampshire, United Kingdom
- Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton SO16 5ST, United Kingdom
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Padley RH, Di Pace B. Touch-ups, Rejuvenation, Re-dos and Revisions: Remote Communication and Cosmetic Surgery on the Rise. Aesthetic Plast Surg 2021; 45:3078-3080. [PMID: 33797578 PMCID: PMC8018227 DOI: 10.1007/s00266-021-02235-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 03/14/2021] [Indexed: 12/13/2022]
Abstract
The way in which communication takes place has undergone significant change over the last year leading to alterations regarding the way we perceive our own personal image. Indeed, the increase in remote video interaction seems to have led to an increase in the number of requests for teleconsultations with plastic surgeons in private practice (70% in the UK and 64% in the USA), the so-called Zoom Boom. The reasons connected to this increase are still under investigation, but it is likely that patients' greater exposure to seeing their own image in online video communication for prolonged periods has highlighted what patients perceive as flaws and/or their self-image does not correspond to the same image that they see in the mirror. However, the motivations for seeking cosmetic surgery cannot be solely attributed to seeing ourselves online more frequently; the psychological impact of the pandemic (lower moods, isolation and greater concerns) may also be to blame. Therefore, the reasons patients hope to touch-up, rejuvenate, re-do or revise their "lockdown faces" need careful attention with a view to understand the extent of which the online distortion of one's own body image may be the underlying cause.Level of Evidence V "This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 ."
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Al Hariri M, Hamade B, Bizri M, Salman O, Tamim H, Al Jalbout N. Psychological impact of COVID-19 on emergency department healthcare workers in a tertiary care center during a national economic crisis. Am J Emerg Med 2021; 51:342-347. [PMID: 34808456 PMCID: PMC8571126 DOI: 10.1016/j.ajem.2021.10.055] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 10/07/2021] [Accepted: 10/30/2021] [Indexed: 11/26/2022] Open
Abstract
Background Since the declaration of the novel Corona Virus Disease (COVID-19) as a global pandemic by the World Health Organization, frontline healthcare workers (HCWs) and staff in the Emergency Departments (ED) started experiencing feelings of anxiety and fear from the projected exponential spread and the potential burden on the healthcare system and infrastructure. In Lebanon, major local factors contributing to this fear were the rapid escalation of COVID-19 cases across the country, the lack of preparedness, and the shortage of personal protective equipment, in addition to the evolving economic crisis and financial restrictions. This study aims to investigate the immediate psychological impact of the COVID-19 outbreak on ED staff working in a hospital environment in relation to their household income. Methods Self-reported cross-sectional survey was delivered to the frontline staff working at the Department of Emergency Medicine of AUBMC in Beirut, Lebanon. General demographic characteristics, scores of Generalized Anxiety Disorder 7 (GAD-7), scores of Patient Health Questionnaire 9 (PHQ-9), and scores of Burnout Measure-Short (BMS) version were collected. Results 74 HCWs (49.6%) participated in the study. The mean age for participants was (31.78 ± 9.49). More than half of the participants were nurses and more than 70% reported a monthly salary of less than 2000 USD. The household income was negatively associated with the participants' scores on the GAD-7 and PHQ-9, but not the BMS. Previous mental health diagnosis was positively associated with the PHQ-9 and BMS scores, while seeking mental health care was negatively associated with the PHQ-9 and BMS scores. Conclusion At our tertiary care center in a low-income, low resource country amidst the COVID-19 pandemic, the HCWs reported marked psychological disturbances on different scales. In particular, the financial burden was associated with increased anxiety and clinical depression, but was not associated with burnout.
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Affiliation(s)
- Moustafa Al Hariri
- Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
| | - Bachar Hamade
- Emergency Services Institute, Department of Intensive Care and Resuscitation, Cleveland Clinic Foundation, Cleveland, OH, United States of America.
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.
| | - Oday Salman
- Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
| | - Hani Tamim
- Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
| | - Nour Al Jalbout
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, United States of America.
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