Psychiatric disorders in older adults

With an aging population, health professionals will face a growing cohort of older patients presenting with neurological and psychiatric disorders. The aging process is associated with an increase in chronic medical conditions, sensory impairments, cognitive and functional decline, and bereavement, all of which can impact psychological wellbeing. The COVID-19 pandemic has presented further, unique challenges for vulnerable older people, although preliminary findings have indicated that older adults have actually been more resilient than younger people in terms of developing mental health conditions during the pandemic. In the present chapter, an overview of common psychiatric disorders in late adulthood is provided, in addition to recommendations for assessment and treatment planning. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Portuguese adolescents' perception of the Covid-19 pandemic: Gender differences and relation with psychopathological symptoms

The Covid-19 pandemic is having a great impact on people's mental health all over the world. Adolescents have been facing several potential stressors. The aim of this study was to explore how Portuguese adolescents were perceiving the Covid-19 outbreak and the relationship between the perceived impact of the pandemic and mental health. Participants were 130 adolescents (97 girls) who completed online questionnaires about the Covid-19 pandemic and the DASS-21. Around 73% of the adolescents agreed that the Covid-19 pandemic affected their lives and 45% felt emotionally affected. Feeling uncomfortable around family during quarantine was correlated with depression (r = .39), anxiety (r = .44), and stress symptoms (r = .37), and feeling capable to deal with the pandemic was negatively correlated with psychopathological symptoms. Girls seemed to be more emotionally affected. Results revealed the negative effect of the Covid-19 pandemic on Portuguese adolescents' mental health. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Portuguese) A pandemia de Covid-19 esta a ter um grande impacto na saude mental das pessoas em todo o mundo. Os adolescentes tem enfrentado diversos potenciais stressores. O objectivo deste estudo foi explorar como os adolescentes portugueses percecionaram o surto do Covid-19 e a relacao entre o impacto percebido da pandemia e a saude mental. Os participantes foram 130 adolescentes (97 do sexo feminino) que responderam a questionarios online sobre a pandemia de Covid-19 e DASS-21. Cerca de 73% dos adolescentes concordaram que a pandemia afectou as suas vidas e 45% sentiu-se emocionalmente afectado. Sentir-se desconfortavel perto da familia durante a quarentena mostrou-se correlacionado com sintomas de depressao (r = .39), ansiedade (r = .44) e stress (r = .37) e sentir-se capaz de lidar com a pandemia esteve negativamente correlacionado com sintomas psicopatologicos. Adolescentes do sexo feminino pareceram ficar mais emocionalmente afectadas. Esses resultados apontam para o efeito negativo da pandemia de Covid-19 na saude mental dos adolescentes portugueses. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) La pandemia de Covid-19 esta teniendo un gran impacto en la salud mental de las personas. Los adolescentes se han enfrentado a varios posibles estresores. El objetivo de este estudio fue explorar como los adolescentes portugueses percibieron el brote de Covid-19 y la relacion entre el impacto percibido de la pandemia y la salud mental. Los participantes fueron 130 adolescentes (97 mujeres) que respondieron cuestionarios online sobre la pandemia Covid-19 y DASS-21. 73% de los adolescentes estuvo de acuerdo en que la pandemia de Covid-19 afecto sus vidas y el 45% se sintio emocionalmente afectado. Sentirse incomodo con la familia durante la cuarentena se correlaciono con sintomas de depresion (r = .39), ansiedad (r = .44) y estres (r = .37), y sentirse capaz de lidiar con la pandemia se correlaciono negativamente con los sintomas psicopatologicos. Las adolescentes parecian estar mas emocionalmente afectadas. Estos resultados apuntan al efecto negativo de la pandemia Covid-19 en la salud mental de los adolescentes portugueses. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

COVID-19: Predictors of depression and anxiety among high school students

Although it is thought that Coronavirus Disease 2019 (COVID-19) infection does not clinically affect children as severely as adults, the short and long-term psychological effects on adolescents during the COVID-19 pandemic are quite significant. The aim of the present study is to determine the prevalence of anxiety and depression and related factors in high school students during the COVID-19 pandemic. In June and July 2020, 506 high school students from two different provinces were included in the present study. A questionnaire form including sociodemographic characteristics, 'Child Depression Scale' and 'State-Trait Anxiety Scale' were applied online. Univariate and multivariate analyzes were used in data analysis, and p<0.05 was accepted as significance level. Depression prevalence was 22.9 %, median trait anxiety score was 44, and median state anxiety score was 39. Low-income level, think of themselves or the household was at risk, using information sources other than health professionals, high screen time, high mother coronavirus stress score and low family communication score were shown to increase depression. Higher school grades, not regularly exercising, think of themselves or the household were at risk, staying alone at home, high mother's and father's coronavirus stress scores and low family communication score were shown to increase state anxiety. Adolescents highly suffer from psychological outcomes of the COVID-19 pandemic. It is essential to involve the family in planning and implementing early mental health interventions during the pandemic, especially as parent-related factors affect children's psychological state. During the social isolation period, it is recommended to organize indoor exercise programs for children and adolescents, limit the time spent in front of the screen, and improve communication with family members. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Turkish) Koronavirus Hastaligi 2019 (COVID-19) klinik olarak cocuklari eriskin bireyler kadar etkilemese de COVID-19 pandemisinin adolesanlar uzerindeki kisa ve uzun donem etkileri oldukca onemlidir. Bu calismanin amaci COVID- 19 pandemisinde lise ogrencilerinin depresyon ve anksiyete sikligi ile etkileyen faktorlerin belirlenmesidir. Calismaya Haziran-Temmuz 2020 tarihlerinde 2 farkli ilden 506 lise ogrencisi dahil edilmistir ve sosyodemografik ozellikleri iceren bir soru formu, 'Cocuk Depresyon Olcegi' ve 'Durumluk-Surekli Anksiyete Olcegi' online olarak uygulanmistir. Veri analizinde tek degiskenli ve cok degiskenli analizler uygulanmis olup p<0.05 anlamlilik duzeyi olarak kabul edilmistir. Depresyon sikligi %22.9, surekli anksiyete olcek puani ortanca degeri 44, durumluk anksiyete olcek ortanca degeri 39 olarak bulunmustur. Dusuk gelir duzeyi, kendinin ya da ayni evde yasadigi kisilerin risk altinda oldugunu dusunme, bilgi kaynagi olarak saglik profesyonelleri disindaki kaynaklarin kullanilmasi, uzamis ekran suresi, koronavirusle ilgili anne stres puaninin yuksek olmasi, aile ici iletisim puaninin dusuk olmasinin depresyon sikligini artirdigi gosterilmistir. Daha yuksek okul sinifi, duzenli egzersiz yapmama, kendinin ya da ayni evde yasadigi kisilerin risk altinda oldugunu dusunme, evde yalniz kalma, koronavirusle ilgili anne ve baba stres puaninin yuksek olmasi ve aile ici iletisim puaninin dusuk olmasinin anksiyete puanini artirdigi gosterilmistir. Adolesanlar COVID-19 pandemisinin psikolojik sonuclarindan oldukca muzdariptir. Ozellikle ebeveyn iliskili faktorlerin cocuklarin psikolojik durumunu etkiledigi goruldugunden, pandemide erken ruh sagligi mudahalelerinin planlanmasi ve uygulanmasinda ailenin dahil edilmesi onemlidir. Sosyal izolasyon doneminde cocuk ve ergenler icin ev ici egzersiz programlarinin duzenlenmesi, ekran basinda gecen surenin kisitlanmasi, aile bireyleri ile iletisimin iyilestirilmesi onerilmektedir. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Prevalence and predictors of psychological distress and common mental health concerns among filipino university teachers amid the covid-19 pandemic

The current pandemic has drastically changed the academic landscape, causing distressing experiences among students and teachers. While there are increasing studies demonstrating the psychological experiences of students during the pandemic, only a few have examined the mental health conditions of university teachers. The present study sought to address this gap by investigating the prevalence of psychological distress and common mental health disorders and their pandemic-related risk factors among Filipino university teachers. A total of 1110 university teachers self-reported their psychological distress, generalized anxiety, and major depression symptoms through an online assessment. Findings of the study revealed the overall prevalence of psychological distress at 55.6%, and anxiety and depression were 17.0% and 28.4%, respectively. Younger teachers (i.e., aged <=31 years old) and those who have less than a year of teaching experience are more likely to reach the cut-off scores for all outcomes. Further, teachers who have experienced pandemic-related adversities are highly vulnerable to psychological distress, generalized anxiety, and depression. These results offer important implications for creating psychosocial interventions that will help teachers manage their distresses amid the pandemic situation. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Determination of symptoms of depressive, anxiety and somatic and perceived threat of Covid-19 among health care workers

This study aimed to determine symptoms of depressive, anxiety and somatic and perceived threat of coronavirus disease among health care workers. The study was conducted in Istanbul. 315 health care workers who completed the online questionnaire included in the study. Measurement tools consisted of a questionnaire including items to define perceived level of coronavirus disease of participants and questions about demographic characteristics and Patient Health Questionnare-9, Generalized Anxiety Disorder-7, and Patient Health Questionnaire-15. It was determined that somatic symptoms were clinically significantly high in 37.8% of the healthcare workers and it is followed by depression symptoms in 34% and anxiety symptoms in 23.5% respectively. The results showed that 77.8% of participants felt coronavirus disease as a life-threatening situation and 95.6% of them worried about being infected. Although worrying about being infected by coronavirus affected symptoms of depressive, anxiety and somatic, feeling life-threatening of coronavirus disease affected symptoms of anxiety and somatic. The factors associated with depression were following;females (OR, 3.85, p= 0.001), being married (OR, 2.35, P=0.049), and no physical exercise (OR, 3.02, p=0.008). As to somatic symptoms, being female (OR, 2.63, p= 0.013), living alone (OR, 2.66, p=0.016), having chronic diseases (OR, 4.31, p= 0.000), and no physical exercise (OR, 2.33, p=0.025) were found as the risk factors. Early psychosocial and psychotherapeutic interventions to these groups that have risk factors in terms of psychiatric symptoms might be beneficial in preventing the development of psychiatric symptoms in healthcare workers during outbreak. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Turkish) Bu calismanin amaci, saglik calisanlarinda depresif, anksiyete ve somatik belirtiler ile algilanan koronavirus tehdidini arastirmaktir. Calisma Istanbul'da yapilmistir. Calismaya cevrimici anketi dolduran 315 saglik calisani dahil edilmistir. Calismada olcme araci olarak katilimcilarin algilanan koronavirus hastaligi tehdit duzeyini tanimlayan maddeler ve demografik ozellikleri icern anket formu ile Hasta Saglik Anketi-9, Genellestirilmis Anksiyete Bozuklugu-7 ve Hasta Sagligi Anketi-15 kullanilmistir. Saglik calisanlarinin% 37,8'inde somatik belirtilerin klinik olarak anlamli derecede yuksek oldugu ve bunu sirasiyla% 34'inda depresyon ve % 23,5'inde anksiyete belirtilerinin izledigi tespit edilmistir. Bu calisma sonucuna gore, katilimcilarin% 77,8'inin koronavirus hastaligini yasami tehdit eden bir durum olarak hissettigini ve % 95,6'si enfekte olmaktan endise duydugunu saptanmistir. Koraviruse yakalanma endisesi depresif, anksiyete ve somatik semptomlari etkilese de, koronavirus hastaliginin yasami tehdit etmesi hissi anksiyete ve somatik semptomlari etkilemektedir. Depresyonla iliskili faktorler kadin olma (OR, 3,85, p = 0.001), evli olma (OR, 2,35, P = 0.049) ve fiziksel egzersiz yapma (OR, 3.02, p = 0.008) olarak tanimlanmistir. Somatik belirtiler icin de kadin olmak (OR, 2,63, p = 0,013), yalniz yasamak (OR, 2,66, p = 0,016), kronik hastaligi olmak (OR, 4,31, p = 0,000) ve fiziksel egzersiz yapmamak (OR, 2,33, p = 0,025) risk faktoru olarak bulunmustur. Psikiyatrik belirtiler acisindan risk faktorleri olan bu gruplara erken donem psikososyal ve psikoterapotik mudahaleler, salgin sirasinda saglik calisanlarinda psikiyatrik belirti gelisimini onlemede faydali olabilecegi dusunulmektedir. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Analysis of anxiety and depression during the Covid-19 pandemic using Google Trends

Anxiety and depression disorders have a high prevalence in the population, sometimes generated by exceptional situations such as the Covid-19 pandemic. The prevalence of these mental disorders could be inferred with Google Trends, a tool that analyzes Internet search holdings by time ranges and geographic location. In order to study the relationship between search trends for the terms "Anxiety" and "Depression" and their prevalence in Spain during the Covid-19 pandemic, a selective search analysis was carried out based on geographic variables (Madrid, Andalusia, Catalonia) and temporary (weeks in 2020). The words "Anxiety", "Depression" and "Covid-19" were taken into account to make the estimates of search trends in Google Trends. The results showed significant differences between the autonomous communities in their interest in searching for information on depression, as well as a different temporal progression, both in anxiety and depression, which would reflect the fluctuations in the evolution of epidemiological data in each geographic region. Tools such as Google Trends would allow the health community to implement prevention strategies in the event of the detection of peaks of concern for certain mental disorders in specific regions and time periods. This is especially relevant if the prevalence of these disorders in the population can negatively interfere with the effectiveness of prevention and health containment policies in emergency situations. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) Los trastornos de ansiedad y depresion tienen una alta prevalencia en la poblacion, en algunas ocasiones generada por situaciones excepcionales como la pandemia del Covid-19. La prevalencia de estos trastornos mentales podria inferirse con Google Trends, una herramienta que analiza las tenencias de busqueda en Internet por rangos de tiempo y localizacion geografica. Con el objetivo de estudiar la relacion entre las tendencias de busqueda de los terminos "Ansiedad" y "Depresion" y su prevalencia en Espana durante la pandemia del Covid-19, se realizo un analisis de busqueda selectiva a partir de variables geograficas (Madrid, Andalucia, Cataluna) y temporales (semanas ano 2020). Se tuvieron en cuenta las palabras "Ansiedad", "Depresion" y "Covid-19", para realizar las estimaciones de las tendencias de busqueda en Google Trends. Los resultados mostraron diferencias significativas entre las comunidades autonomas en el interes por la busqueda de informacion sobre depresion, asi como una progresion temporal diferente, tanto en ansiedad como en depresion, que reflejaria las fluctuaciones en la evolucion de los datos epidemiologicos en cada region geografica. Herramientas como Google Trends permitirian a la comunidad sanitaria implementar estrategias de prevencion ante la deteccion de picos de preocupacion por determinados trastornos mentales en regiones y periodos temporales concretos. Esto resulta especialmente relevante si la prevalencia de estos trastornos en la poblacion puede interferir negativamente con la eficacia de las politicas de prevencion y contencion sanitaria en situaciones de emergencia. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

The mental health continuum during the Covid-19 pandemic in a general population of Argentine adults

The people's mental health analysis in SARS-Cov-2 pandemic context constitutes a highly relevant challenge for current psychology. The present research had two goals, firstly to analyze the associations between the mental health continuum and symptoms of anxiety, depression and intolerance to uncertainty in Argentine adults in the COVID-19 pandemic, and secondly to compare the levels of emotional, psychological and social well-being according to psychological assistance in the context of the COVID-19 pandemic. The study included a sample of 1120 adults between 18 and 84 years of age (Mage 37.32, SD = 14.81), 60.1% women and 39.9% men. The results reported that the associations between levels of emotional, psychological, social and total well-being and symptoms of depression and intolerance of uncertainty were negative and significant. However, the correlations with anxiety symptoms were positive and significant. Significant differences were found in the levels of emotional, psychological, social and total well-being according to attendance to psychotherapeutic treatment. In all cases, people who attended psychotherapeutic treatment showed higher levels of well-being compared to those who did not. It is concluded that people who were in the flourishing mental health category and underwent psychotherapeutic treatment showed lower indicators of depression and intolerance to uncertainty. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Portuguese) A analise da saude mental das pessoas no contexto de uma pandemia de SARS-Cov-2 e um desafio altamente relevante para a psicologia actual. A presente investigacao tinha dois objectivos, primeiro para analisar as associacoes entre a continuidade da saude mental e os sintomas de ansiedade, depressao e intolerancia a incerteza em adultos argentinos numa pandemia COVID-19, e segundo para comparar os niveis de bem-estar emocional, psicologico e social de acordo com a assistencia psicologica no contexto de uma pandemia COVID-19. O tipo de estudo foi descritivo, correlacional e de diferenca de grupo, sob um desenho transversal nao experimental. Foi utilizada uma amostra de 1120 adultos de 18-84 anos (Midade 37.32, DP = 14.81), 60.1% feminino e 39.9% masculino. Os resultados relataram que as associacoes entre os niveis de bem-estar emocional, psicologico, social e total e os sintomas de depressao e de intolerancia a incerteza eram negativas e significativas. No entanto, as correlacoes com sintomas de ansiedade foram positivas e significativas. Foram encontradas diferencas significativas nos niveis de bem-estar emocional, psicologico, social e total de acordo com a assistencia ao tratamento psicoterapeutico. Em todos os casos, as pessoas que assistiram ao tratamento psicoterapeutico mostraram niveis mais elevados de bem-estar em comparacao com as que nao o fizeram. Conclui-se que as pessoas que se encontravam na prospera categoria de saude mental e foram submetidas a tratamento psicoterapeutico mostraram indicadores mais baixos de depressao e intolerancia a incerteza. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) El analisis de la salud mental de las personas en contexto de pandemia por SARS-Cov-2 constituye un reto de gran relevancia para la psicologia actual. La presente investigacion se propuso dos objetivos. En primer lugar, analizar las asociaciones entre el continuo de salud mental y los sintomas de ansiedad, depresion e intolerancia a la incertidumbre en adultos argentinos en pandemia por COVID-19 y, en segundo lugar, comparar los niveles de bienestar emocional, psicologico y social segun asistencia psicologica en contexto de pandemia por COVID-19. El tipo de estudio fue descriptivo, correlacional y de diferencia de grupos bajo un diseno no experimental de corte transversal. Se utilizo una muestra de 1120 adultos de entre 18 y 84 anos (MEdad 37.32, DE = 14.81), 60.1% mujeres y 39.9% varones. Los resultados informaron que las asociaciones entre los niveles de bienestar emocional, psicologico, social y total y los sintomas de depresion e intolerancia a la incertidumbre fueron negativas y significativas. Sin embargo, las correlaciones con los sintomas de ansiedad fueron positivas y significativas. Se hallaron diferencias significativas en los niveles de bienestar emocional, psicologico, social y total segun asistencia a tratamiento psicoterapeutico. En todos los casos, las personas que asistieron a tratamiento psicoterapeutico demostraron mayores niveles de bienestar en comparacion a quienes no lo realizaron. Se concluye que las personas que se encontraban en la categoria de salud mental floreciente y realizaban tratamiento psicoterapeutico presentaron menores indicadores de depresion e intolerancia a la incertidumbre. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Parenting and child mental health during the COVID-19 pandemic: An online study with Portuguese and British Families

COVID-19 and the subsequent public health response created many additional stresses for families. We examined parental behaviour during the COVID-19 pandemic in two European Countries and explored the association between parents' behaviour and children's anxiety and quality of life. Caregivers of children and adolescents (N = 442;86.7% mothers) between 6 and 16 years old (M = 10, SD = 2.85) participated in an online cross-sectional survey in Portugal and the United Kingdom. Results show that higher children's anxiety and lower quality of life were associated with higher levels of unrealistic parental demands, lower parental self-care, and higher parental emotional dysregulation. Encouragement of children's emotion expression and management of exposure to COVID-19 information was negatively associated with children's anxiety. Promotion of routines, support of children's emotion modulation and promotion of children's healthy lifestyles were positively associated with children's quality of life. The predictors differed according to country and age group. These results highlight the importance of specific parenting behaviours on children's mental health during COVID-19. The need to moderate unrealistic demands and attend to parental self-care to reduce parental emotional dysregulation is important. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Abstract (Spanish) COVID-19 y la subsiguiente respuesta de salud publica crearon muchas tensiones adicionales para las familias. Examinamos el comportamiento de los padres durante la pandemia de COVID-19 en dos paises europeos y exploramos la asociacion entre el comportamiento de los padres y la ansiedad y la calidad de vida del nino. Cuidadores de ninos y adolescentes (N = 442;86.7% madres) entre 6 y 16 anos (M = 10, DT = 2,85) participaran en una online encuesta en Portugal y en el Reino Unido. En los resultados se observa que la mayor ansiedad y una menor calidad de vida de los ninos se asociaron con niveles mas altos de demandas parentales poco realistas, menor autocuidado y mayor desregulacion emocional de los padres. El estimulo a la expresion de las emociones de los ninos y el manejo de la exposicion a la informacion de COVID-19 se asocio negativamente con la ansiedad de los ninos. La promocion de rutinas, el apoyo a la modulacion de las emociones de los ninos y la promocion de estilos de vida saludables de los ninos se asociaron positivamente con la calidad de vida de los ninos. Los predictores difirieron segun el pais y el grupo de edad. Estos resultados resaltan la importancia de comportamientos parentales especificos en la salud mental de los ninos durante el COVID-19. La necesidad de moderar las demandas poco realistas y prestar atencion al autocuidado de los padres para reducir la desregulacion emocional de los padres es importante. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

The association between COVID-19-related stressors and mental health outcomes for survivors of past interpersonal and non-interpersonal trauma

The mental health difficulties of trauma survivors during the COVID-19 pandemic have been under-reported. This study explored the moderating role of trauma history and trauma type (interpersonal and non-interpersonal) in the association between COVID-19-related stressors and depression, anxiety, and stress. A sample of n = 321 participants ages 19 to 71 (M = 36.63, SD = 10.36) was recruited from across the United States through MTurk. Participants reported the number of COVID-19-related stressors, trauma history and psychological symptoms. Hierarchical multiple regression analyses, controlling for age, race, ethnicity, gender, education, and income levels, were used to determine (a) whether COVID-19-related stressors are associated with adverse mental health outcomes;(b) whether trauma history and (c) trauma type moderated this association. Results revealed significant interactions;for those with a trauma history, exposure to COVID-19-related stressors was associated with higher levels of depression (beta = .21, p < .05) and anxiety (beta = .19, p < .05). For those with a history of interpersonal trauma specifically, COVID-19-related stressors were associated with depression (beta = .16, p < .05) more so than for those without a trauma history. These findings highlight the vulnerability of trauma survivors to the unprecedented COVID-19-related stress. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Being a parent, emotional stability, and adjustment disorder symptoms in the face of COVID-19

Objective: The current study examines the correlation between emotional stability and symptoms related to adjustment to the stresses related to the pandemic for parents and nonparents at the initial stage of the COVID-19 outbreak in Israel. Background: At the early stage of the COVID-19 outbreak, governments prohibited public gatherings and demanded social distancing. These challenges may be especially difficult for individuals with low levels of emotional stability as adaptation difficulties may lead to stress-related outcomes, such as adjustment disorder symptoms. Additionally, in the face of a significant external threat and the demand for intensive joint familial time at home, the parental role becomes especially salient. Methods: Two hundred forty-four Israeli adults filled in self-reported e-version questionnaires regarding emotional stability, adjustment disorder symptoms, and background variables. A cross-sectional design was used to examine the association between emotional stability and adjustment disorder symptoms, as well as the potential moderation by parenting status. Results: The findings revealed that the levels of emotional stability were negatively correlated with adjustment disorder symptoms, while being a parent mitigated this correlation. This correlation was nonsignificant among parents. Conclusion and Implications: It appears that the identity salience of parental role in the current stressful situation and its associated strain may have overcome the advantage of emotional stability. The identity of being a parent has the potential to dismiss it. Here, the social role emerges as more forcible than the personality trait. Recommendations for practice are discussed. 202305303 (PsycInfo Database Record (c) 2023 APA, all rights reserved)

"Suicide addict": The sovereignty of shame in the dissociated mind

Through her obsessive artwork of infinite dots, the artist Yayoi Kusama has been expressing her depression and suicidal ideation for over eight decades. To this day, Kusama has chosen to reside by night in a mental hospital in Tokyo while during the day she continues producing her works of art with their infinitude of elaborate repetition which mirrors the loop of her depression and the monotony of her obsession with death. The title of this paper is borrowed from Kusama's book (2005) and poem. Suicide, according to the French philosopher and sociologist Emile Durkheim, is a result of both emotional and social factors and the two are inseparable. In his book Suicide (1897), Durkheim concluded that the more socially integrated and connected a person is, the less likely he or she is to commit suicide. He came up with the term anomie. Anomie is a state or condition of instability in individuals or in a society resulting from the breakdown or absence of social norms and values. He associated anomie with the influence of a loss of societal norms that was too sudden and too rigid. When this rigidity becomes normalised and obsolete as a result of the lack of connection to a sense of purpose and belonging to society, an increase in suicide is then predictable. We can see this in times of economic austerity as well as in periods of political and societal upheaval such as the one we are currently facing with the COVID-19 pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

The mental health impact of COVID-19 outbreak: A nationwide survey in Iran

Background: Disease outbreak not only carries the risk of death to the public due to the infection, but it also can lead to unbearable psychological impact on the mental health of the individuals. This study aims to explore and evaluate the burden of psychological problems on the Iranian general population during the outbreak of COVID-19. Method: A cross-sectional web-based survey was conducted among the general population of Iran age 15 and above. Demographic variables, depression, and anxiety symptoms were evaluated using the Patient Health Questionnaire-9 and General Anxiety Disorder-7 questionnaires. Results: Among the 8591 participants, the mean age was 34.37 (+/- 11.25) years and 66.4% were female while 33.6% were male. Based on our results, 1295 (15.1%) and 1733 (20.1%) of the general population had clinically significant depressive and anxiety symptoms, respectively. Based on the demographic variables, female gender was associated with a higher risk for developing depression and anxiety symptoms, whereas getting information about the disease from medical journals and articles, being older, and being married were considered as associated protective factors. In terms of depression, being a healthcare worker was an associated risk factor. On the other hand, for anxiety, having higher education was a protective factor while a higher number of individuals in a household was considered as a risk factor. Conclusions: This study identified a major mental health problem in the Iranian population during the time of the COVID-19 outbreak. Therefore, establishing a targeted mental health support program during the time of public emergencies, such as the disease outbreak, is advised. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Impact of COVID-19 pandemic on psychiatric patients at clinical trial sites

Introduction: Recent research on the COVID-19 pandemic suggests that individuals who suffer from serious mental illness (SMI) are at heightened risk of infection and have increased mortality due to their illness and/or lack of access to healthcare. Consequently, progress in developing new treatments for SMIs has been disrupted, with many interruptions to clinical trials in psychiatry due to concerns regarding the pandemic and its risks to patients with SMI. Objective: This study aimed to examine the impact of the COVID-19 pandemic on patients with SMI, specifically relating to psychiatric morbidity, pandemic-induced stress, and ability to cope with pandemic-related precautionary measures, restrictions, and disruptions to daily life. Design: A cross-sectional survey study of 94 clinical trial patients diagnosed with bipolar disorder, major depressive disorder (MDD), or schizophrenia was conducted in three geographically distinct clinical trial sites between June and September 2020. Prevalence rates were calculated for sample characteristics and demographics, and low versus high stress groups were compared on survey variables using Pearson's Chi-squared test of independence. Results: The results from the surveys indicated that COVID-19 knowledge, awareness, and the use of precautionary safety measures (e.g., handwashing, personal protective equipment [PPE], and social distancing) were robust and mirrored the general population. While the majority of patients reported experiencing moderate or extreme levels of distress (61.5%, n = 56), high levels of stress were correlated with positive coping skills. Conclusion: These findings suggest that clinical trial patients with SMI can safely participate in clinical trials despite the increase safety risks posed by the COVID-19 pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Parenting and child mental health during the COVID-19 pandemic: An online study with Portuguese and British Families

(Spanish) COVID-19 y la subsiguiente respuesta de salud publica crearon muchas tensiones adicionales para las familias. Examinamos el comportamiento de los padres durante la pandemia de COVID-19 en dos paises europeos y exploramos la asociacion entre el comportamiento de los padres y la ansiedad y la calidad de vida del nino. Cuidadores de ninos y adolescentes (N = 442;86.7% madres) entre 6 y 16 anos (M = 10, DT = 2,85) participaran en una online encuesta en Portugal y en el Reino Unido. En los resultados se observa que la mayor ansiedad y una menor calidad de vida de los ninos se asociaron con niveles mas altos de demandas parentales poco realistas, menor autocuidado y mayor desregulacion emocional de los padres. El estimulo a la expresion de las emociones de los ninos y el manejo de la exposicion a la informacion de COVID-19 se asocio negativamente con la ansiedad de los ninos. La promocion de rutinas, el apoyo a la modulacion de las emociones de los ninos y la promocion de estilos de vida saludables de los ninos se asociaron positivamente con la calidad de vida de los ninos. Los predictores difirieron segun el pais y el grupo de edad. Estos resultados resaltan la importancia de comportamientos parentales especificos en la salud mental de los ninos durante el COVID-19. La necesidad de moderar las demandas poco realistas y prestar atencion al autocuidado de los padres para reducir la desregulacion emocional de los padres es importante. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

A study of online purchasing intention during the COVID-19 pandemic in the Lebanese context

This study aims to investigate the impact of selected factors (website quality, website brand, trust, SNS usage through mobile application, eWOM, and mobile phone addiction) on online purchase intention during the COVID-19 pandemic. The study also investigates the mediating impact of trust on the association between website quality, website brand, and online purchase intention. Data were collected from 226 Facebook users in Lebanon. The hierarchical regression analysis was used to evaluate the impact of these factors on online purchase intention. The results show that only website brand and mobile phone addiction were significantly related to online purchase intention. It was also found that trust does not have a mediation effect on the relationship between website brand and online purchase intention. However, trust can be considered as a partial mediator of the relationship between website quality and online purchase intention. Finally, practical implications are discussed. Then directions for future research are presented. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Depression and anxiety symptoms in workers during the COVID-19 pandemic

The COVID-19 pandemic caused a health, economic and social crisis, with important repercussions on working conditions, jobs, domestic life, and people's mental health. This study aimed to identify symptoms of depression and anxiety experienced during the COVID-19 pandemic in a sample of workers. For data collection, an online protocol was used, consisting of a sociodemographic and occupational questionnaire, the DASS-21 screening scale (Depression, Anxiety and Stress Scale-Short Form) and the Mental and Occupational Health Battery (BSMO). The study was carried out with 503 professionals, 78.5% female, with a mean age of 41.38 years (SD 11.89). Most of the sample (92%) had attended higher education and resided in the southern region of Brazil. It was found that single females who reported contact with people infected with COVID-19 and who indicated that they were more concerned about the disease had higher scores in anxiety/or depression. It is concluded that the BSMO scale discriminates anxiety from depression well and presents good correlation indicators with the DASS-21 scale. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) Este estudo teve por objetivo identificar sintomas de depressao e ansiedade vivenciados durante a pandemia de COVID-19 em uma amostra de trabalhadores. Para a coleta de dados utilizou-se um protocolo on-line, composto por um questionario sociodemografico e ocupacional, pela escala de rastreio DASS-21 (Depression, Anxiety and Stress Scale-Short Form) e a Bateria de Saude Mental e Ocupacional (BSMO). O estudo foi realizado com 503 profissionais de diferentes ocupacoes, 78,5% do sexo feminino, com idade media de 41,38 anos (DP 11,89). A maioria (92%) cursou o ensino superior e reside na regiao Sul do Brasil. Foi verificado que pessoas do sexo feminino, solteiras, que referiram contato com pessoas contaminadas pela COVID-19 e que se mostraram mais preocupadas com a doenca tiveram escores mais altos em ansiedade e/ou depressao. Conclui-se que a escala BSMO discrimina bem a ansiedade da depressao e apresenta bons indicadores de correlacao com a escala DASS-21. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) Este estudio tuvo como objetivo identificar los sintomas de depresion y ansiedad experimentados durante la pandemia de COVID-19 en una muestra de trabajadores. Para la recoleccion de datos se utilizo un protocolo online, compuesto por un cuestionario sociodemografico y ocupacional, la escala de cribado DASS-21 (Depression, Anxiety and Stress Scale-Short Form) y la Bateria de Salud Mental y Ocupacional (BSMO). El estudio se realizo con 503 profesionales de diferentes ocupaciones, 78,5% mujeres, con una edad media de 41,38 anos (DP 11,89). La mayoria de la muestra (92%) asistio a la educacion superior y reside en la region sur de Brasil. Se encontro que las mujeres solteras que informaron haber estado en contacto con personas infectadas con COVID-19 y que indicaron que estaban mas preocupadas por la enfermedad tenian puntuaciones mas altas en ansiedad y/o depresion. Se puede concluir que la escala BSMO discrimina bien la ansiedad de la depresion y presenta buenos indicadores de correlacion con la escala DASS-21. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Epigenetics in psychiatry., 2nd ed

After the positive response to the first edition of Epigenetics in Psychiatry, we are pleased to release the second edition. All chapters of the first edition have been revised to include new knowledge acquired in the last few years, and several new chapters have been added to keep the book abreast with conceptual and experimental developments and current trends in the field. In Section 1 the new chapters are "ATAC-seq and Psychiatric Disorders," "Single Cell RNA Sequencing in Psychiatric Disorders," and "Single Cell Transcriptomics and Epigenomics Methods Provide High Resolution Genomics Profiling of Brain Disorders." A new chapter in Section 2 is "Alcohol Use Disorder and Associated Alterations in Brain Epigenetic Marks." New chapters in Section 3 are "Epigenetics in Psychotherapy," and "Functional Genomics of Psychiatric Disease Risk Using Genome Engineering." Finally, new chapters in Section 4 are "Systems Biology and the Epigenetics of Psychiatric Disorders," and "Epigenetic Aspects of the Microbiota and Psychiatric Disorders." Despite the constraints and difficulties due to the Covid-19 pandemic, we believe that we and the chapter authors managed to put together an up-to-date book reflecting the current state of knowledge of epigenetics in psychiatry. We thank all chapter authors for their excellent contributions. We also thank Peter Linsley of Elsevier for initiating the work on this edition and Samuel Young, also of Elsevier, for his help in bringing out this edition. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Impact of post-COVID conditions on mental health: A cross-sectional study in Japan and Sweden

[Correction Notice: An Erratum for this article was reported in Vol 22[324] of BMC Psychiatry (see record 2022-61376-001). Following the publication of the original article, the authors identified that the funding note was incorrect. The correct funding note should be. Funding: The present research was supported by JSPS KAKENHI (grant numbers:18K17313;19J00227), and the Daiwa Securities Health Foundation Ordinance 2nd Year Coronavirus Infectious Diseases (COVID-19) Research Grant "COVID-19 International Comparative Study on Mental Health of Infected Persons". The original article has been corrected.] Background: Due to the coronavirus disease 2019 (COVID-19) pandemic, people have undermined their mental health. It has been reported that post-COVID conditions at a certain rate. However, information on the mental health of people with post-COVID conditions is limited. Thus, this study investigated the relationship between post-COVID conditions and mental health. Methods: Design of the present study was an International and collaborative cross-sectional study in Japan and Sweden from March 18 to June 15, 2021. The analyzed data included 763 adults who participated in online surveys in Japan and Sweden and submitted complete data. In addition to demographic data including terms related to COVID-19, psychiatric symptoms such as depression, anxiety, and post-traumatic stress were measured by using the fear of COVID-19 scale (FCV-19S), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 item (GAD-7), and Impact of Event Scale-Revised (IES-R). Results: Of the 135 COVID-19 survivors among the 763 total participants, 37.0% (n = 50/135) had COVID-19-related sequelae. First, the results of the Bonferroni-corrected Mann Whitney U test showed that the group infected SARS-CoV-2 with post-COVID conditions scored significantly higher than those without one and the non-infected group on all clinical symptom scales (P <= .05). Next, there was a significant difference that incidence rates of clinical-significant psychiatric symptoms among each group from the results of the Chi-squared test (P <= .001). Finally, the results of the multivariate logistic model revealed that the risk of having more severe clinical symptoms were 2.44-3.48 times higher among participants with post-COVID conditions. Conclusion: The results showed that approximately half had some physical symptoms after COVID-19 and that post-COVID conditions may lead to the onset of mental disorders.Trial registrationThe ethics committee of Chiba University approved this cross-sectional study (approval number: 4129). However, as no medical intervention was conducted, a clinical trial registration was not necessary. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Munchausen by Internet and false perinatal crises

Background: In representative cases of Munchausen by internet (MBI), an individual (or "poser") goes online to falsely report or exaggerate illnesses or life crises. The principal goal, as in factitious disorder imposed on self or another, is to garner emotional satisfaction. We provide the first evidence that MBI can target a specific type of health care provider-in this case, birthing doulas. Methods: We describe 5 cases in which individuals have utilized social media platforms to report factitious perinatal illnesses and crises, including neonatal death, in real time. Current health headlines, such as those involving the COVID-19 pandemic, can be relevant to the ruses. Posers can engage in deceptions with several health care professionals concurrently or serially, and may portray multiple people ("sock puppets") at the same time. Results: MBI has consequences that can be highly disruptive. In the cases highlighted in this report, many hours of support were given to individuals who had fabricated their pregnancies, infants, and perinatal complications. The doulas experienced feelings ranging from resignation to anger and betrayal. Conclusions: Health care professionals of all types who offer services online should be vigilant to the risks of potential MBI. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

"Suicide addict": The sovereignty of shame in the dissociated mind

Through her obsessive artwork of infinite dots, the artist Yayoi Kusama has been expressing her depression and suicidal ideation for over eight decades. To this day, Kusama has chosen to reside by night in a mental hospital in Tokyo while during the day she continues producing her works of art with their infinitude of elaborate repetition which mirrors the loop of her depression and the monotony of her obsession with death. The title of this paper is borrowed from Kusama's book (2005) and poem. Suicide, according to the French philosopher and sociologist Emile Durkheim, is a result of both emotional and social factors and the two are inseparable. In his book Suicide (1897), Durkheim concluded that the more socially integrated and connected a person is, the less likely he or she is to commit suicide. He came up with the term anomie. Anomie is a state or condition of instability in individuals or in a society resulting from the breakdown or absence of social norms and values. He associated anomie with the influence of a loss of societal norms that was too sudden and too rigid. When this rigidity becomes normalised and obsolete as a result of the lack of connection to a sense of purpose and belonging to society, an increase in suicide is then predictable. We can see this in times of economic austerity as well as in periods of political and societal upheaval such as the one we are currently facing with the COVID-19 pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved)