[Impacto de la covid-19 en el estrés, la ansiedad y la depresión en personas con Trastorno Obsesivo Compulsivo: una revisión sistemática.] / Impact of covid-19 on stress, anxiety and depression in people with Obsessive-Compulsive Disorder: a systematic review.

OBJECTIVE: The population's mental health has been compromised by a global pandemic, especially in patients with obsessive-compulsive disorder. The objective of this study was to evaluate the levels of stress, anxiety and depression in patients with obsessive-compulsive disorder during COVID-19 pandemic. METHODS: A systematic review was carried out following the PRISMA format in the electronic databases Pubmed, Scopus, Web of Science, Dialnet and Medline between the months of January and May 2023. Method quality was assessed based on the critical evaluation tools for studies of the Joanna Briggs Institute (JBI). RESULTS: A total of twelve studies were included in this review. The mental health of the population has been compromised by the COVID-19 pandemic, with patients with obsessive-compulsive disorder being especially affected. Although there was a wide variability of results, it was observed that the level of stress and anxiety increased during the pandemic. CONCLUSIONS: The mental health of patients with obsessive-compulsive disorder, especially washing machine patients, is compromised in times of pandemic, presenting medium-high levels of stress, anxiety and depression.

OBJETIVO: La salud mental de la población se ha visto comprometida ante una situación de pandemia mundial, especialmente en pacientes con Trastorno Obsesivo Compulsivo (TOC). El objetivo de este estudio fue evaluar los niveles de estrés, ansiedad y depresión en pacientes con TOC durante la pandemia de la COVID-19. METODOS: Se realizó una revisión sistemática siguiendo el formato PRISMA en las bases de datos electrónicas Pubmed, Scopus, Web of Science, Dialnet y Medline entre los meses de enero y mayo de 2023. A partir de las herramientas de evaluación crítica para estudios del Joanna Briggs Institute (JBI) se evaluó la calidad metodológica. RESULTADOS: Un total de doce estudios fueron incluidos en esta revisión. La salud mental de la población se vio comprometida ante la pandemia de la COVID-19, siendo especialmente afectados los pacientes con TOC. Aunque existió una amplia variabilidad de resultados, se observó que el nivel de estrés y ansiedad aumentó durante la pandemia. CONCLUSIONES: La salud mental de los pacientes con TOC, especialmente los que tienen TOC de limpieza, se ve comprometida en tiempos de pandemia, presentando niveles medios-altos de estrés, ansiedad y depresión.

Impacto de la COVID-19 en el estrés, la ansiedad y la depresión en personas con Trastorno Obsesivo Compulsivo: una revisión sistemática / mpact of COVID-19 on stress, anxiety and depression in people with Obsessive-Compulsive Disorder: a systematic review

Fundamentos: La salud mental de la población se ha visto comprometida ante una situación de pandemia mundial, especialmente en pacientes con Trastorno Obsesivo Compulsivo (TOC). El objetivo de este estudio fue evaluar los niveles de estrés, ansiedady depresión en pacientes con TOC durante la pandemia de la COVID-19. Métodos: Se realizó una revisión sistemática siguiendo el formato PRISMA en las bases de datos electrónicasPubmed, Scopus,Web of Science, Dialnet yMedline entre los meses de enero y mayo de 2023. A partir de las herramientas de evaluación crítica paraestudios del Joanna Briggs Institute (JBI) se evaluó la calidad metodológica. Resultados: Un total de doce estudios fueron incluidos en esta revisión. La salud mental de la población se vio comprometidaante la pandemia de la COVID-19, siendo especialmente afectados los pacientes con TOC. Aunque existió una amplia variabilidad deresultados, se observó que el nivel de estrés y ansiedad aumentó durante la pandemia. Conclusiones: La salud mental de los pacientes con TOC, especialmente los que tienen TOC de limpieza, se ve comprometidaen tiempos de pandemia, presentando niveles medios-altos de estrés, ansiedad y depresión.(AU)

Bacground: The population’s mental health has been compromised by a global pandemic, especially in patients with obsessive-compulsive disorder. The objective of this study was to evaluate the levels of stress, anxiety and depression in patients withobsessive-compulsive disorder during COVID-19 pandemic. Methods: A systematic review was carried out following the PRISMA format in the electronic databases Pubmed, Scopus, Web ofScience, Dialnet and Medline between the months of January and May 2023. Method quality was assessed based on the critical evaluationtools for studies of the Joanna Briggs Institute (JBI). Results: A total of twelve studies were included in this review. The mental health of the population has been compromised by theCOVID-19 pandemic, with patients with obsessive-compulsive disorder being especially affected. Although there was a wide variabilityof results, it was observed that the level of stress and anxiety increased during the pandemic. Conclusions: The mental health of patients with obsessive-compulsive disorder, especiallywashing machine patients, is com-promised in times of pandemic, presenting medium-high levels of stress, anxiety and depression.(AU)

Health care workers' protection and psychological safety during the COVID-19 pandemic in Spain.

AIMS: To analyse the relationship between work engagement, sense of coherence and psychological distress levels in Spanish health professionals who were active during the COVID-19 pandemic lockdown. BACKGROUND: Work engagement and sense of coherence can help professionals to cope with work-related psychological distress due to the harsh conditions of the COVID-19 working environment. METHODS: Cross-sectional observational study of 1,459 health care professionals. The Utrecht Work Engagement Scale, the Sense of Coherence Scale and Goldberg's General Health Questionnaire were distributed and analysed with descriptive and multiple linear regression methods. RESULTS: High levels of work engagement, especially in the dedication dimension, of sense of coherence, in particular in the meaningfulness dimension, and psychological distress were obtained. Significant correlations (p < .001) were identified between all the variables. CONCLUSIONS: Work engagement and sense of coherence correlated positively with each other and both negatively with psychological distress. So, health care professionals, despite presenting psychological distress, perceive their work satisfactorily and positively despite the severity of the situation and the harsh conditions. IMPLICATIONS FOR NURSING MANAGEMENT: Sense of coherence and work engagement are protective factors against psychological distress. Preventive measures for professionals should go through the dimensionalization of the problem and the adaptation of practical measures for daily management.

Neuropsychological functioning in methadone maintenance patients with HIV / Función neuropsicológica en el tratamiento de mantenimiento con metadona en pacientes con VIH

Although highly active antiretroviral therapy (HAART) has improved survival rates of HIV patients, HIV-associated neurocognitive disorders (HAND) still exist in a highly prevalent group of persons with this disease. In this study we seek to evaluate the influence of drug use in the neuropsychological performance of seropositive drug users. We carried out an extensive neuropsychological evaluation and compared the performance of seropositive drug users (n = 90) with that of a control group of seronegative drug users (n = 48). The results reveal that methadone maintenance programmes can make the seropositive subject neuropsychologically vulnerable. Likewise, we found that giving up drugs have a protective effect in the presence of neuropsychological alterations associated with HIV. These findings lead us to suggest that seropositivity is not sufficient to explain the neuropsychological alterations of seropositive drug users, noting that these alterations are multifactorial.

Aunque la terapia antirretroviral de gran actividad (TARGA) ha mejorado los índices de supervivencia de los pacientes infectados por el VIH, los trastornos neurocognitivos asociados con el VIH (TNAV) todavía existen en un grupo de personas altamente prevalente a esta enfermedad. En este estudio buscamos evaluar la influencia del consumo de drogas en el rendimiento neuropsicológico de los usuarios de drogas seropositivos. Llevamos a cabo una amplia evaluación neuropsicológica, y el rendimiento de los usuarios de drogas seropositivos (n = 90) se comparó con la de un grupo control de usuarios de drogas seronegativos (n = 48). Los resultados demuestran que los programas de tratamiento de mantenimiento con metadona pueden convertir en vulnerable a nivel neuropsicológico al individuo seropositivo. Asimismo, descubrimos que abandonar las drogas provoca un efecto protector frente a la existencia de alteraciones neuropsicológicas asociadas con el VIH. Estos resultados nos llevan a sugerir que la seropositividad no basta para explicar las alteraciones neuropsicológicas de los usuarios de drogas seropositivos, ya que estas alteraciones al parecer son multifactoriales.