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2.
Artículo en Inglés | MEDLINE | ID: mdl-32532077

RESUMEN

Since December 2019, the COVID-19 pandemic has attracted worldwide attention for its rapid and exponential diffusion. The long-term psychological impact, of both the spread of the virus and the restrictive policies adopted to counteract it, remains uncertain. However, recent studies reported a high level of psychological distress and Post-Traumatic Stress Disorder (PTSD) symptoms. The purpose of this study is to assess the psychometric properties of a new questionnaire, to evaluate PTSD risk related to the COVID-19 emergency. A total of Italian people completed a web-based cross-sectional survey broadcasted through different social-media. Demographic data and some psychological dimensions, such as general distress and sleep disturbance, were collected. A new self-report questionnaire (COVID-19-PTSD), consisting of 19 items, was developed starting from the PTSD Check List for DSM-5 (PCL-5) questionnaire, and it was administered in order to analyze its psychometric properties. The results highlighted the adequate psychometric properties of the COVID-19-PTSD questionnaire. The confirmatory factor analysis indicated that a seven-factor model (Intrusion, Avoidance, Negative Affect, Anhedonia, Dysphoric arousal, Anxious arousal and Externalizing behavior) best fits the data. Significant correlations were found among COVID-19-PTSD scores, general distress and sleep disturbance. A high percentage of PTSD symptomatology (29.5%) was found in the Italian population. COVID-19-PTSD appears to be effective in evaluating the specific stress symptoms related to the COVID-19 pandemic in the Italian population. These results are relevant from a clinical point of view because they suggest that the COVID-19 pandemic could be considered as a traumatic event. Psychological interventions to counteract short- and long-term psychopathological effects, consequent to the COVID-19 pandemic, appear to be necessary.


Asunto(s)
Infecciones por Coronavirus/psicología , Neumonía Viral/psicología , Trastornos por Estrés Postraumático/diagnóstico , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Análisis Factorial , Humanos , Italia/epidemiología , Pandemias , Neumonía Viral/epidemiología , Prevalencia , Trastornos por Estrés Postraumático/clasificación , Trastornos por Estrés Postraumático/psicología , Encuestas y Cuestionarios
3.
Preprint en Inglés | SciELO Preprints | ID: pps-801

RESUMEN

The coronavirus pandemic, 2019 (COVID-19) is a public health emergency with significant impacts on the mental health of the general population. Both studies in previous epidemics and those that have been developed to date show a wide range of psychosocial consequences and multiple psychological symptoms, among which changes in the sleep pattern stand out, consistently in the publications it has been recorded that close of a third of the people who experience social isolation present insomnia, this is an important predictor for the development of mental disturbances with great compromises in functionality such as anxiety, depression and post-traumatic stress disorders. The purpose of this reflection article is to describe the effects on sleep that can result from social isolation due to the COVID-19 pandemic.


La pandemia por coronavirus 2019 (COVID-19) es una emergencia de salud pública con impactos significativos en la salud mental de la población general. Tanto estudios en epidemias anteriores como los que se han desarrollo a la fecha evidencian una amplia gama de consecuencias psicosociales y múltiples síntomas psicológicos, dentro de los cuales resaltan las alteraciones en el patrón de sueño, de forma consistente en las publicaciones se ha registrado que cerca de una tercera parte de las personas que vivencian el aislamiento social presentan insomnio, siendo éste un predictor importante para el desarrollo de perturbaciones mentales con gran compromiso en la funcionalidad como trastornos de ansiedad, depresión y estrés postraumático. Este artículo de reflexión tiene por objetivo, describir los efectos en el sueño que pueden resultar del aislamiento social debido a la pandemia del COVID-19.

4.
Acta colomb. psicol ; 23(1): 311-319, Jan.-June 2020. tab, graf
Artículo en Inglés | LILACS-Express | ID: biblio-1098014

RESUMEN

Abstract In recent years, violence has been exacerbated in several northeastern states of México, with implications for the mental health of young people, as is the development of symptoms of post-traumatic stress disorder (PTSD). The present study aims to identify the types of victimization (direct or indirect) experienced by university students, determine the symptoms of post-traumatic stress they present and see the relationship between the types of victimization and PTSD symptoms. The Victimization Scale and the Short Scale of Post-Traumatic Stress Disorder were applied to 500 young people of Tamaulipas. The university students report on average 7 direct and indirect victimization events, the indirect being more frequent. Although there is a relationship between direct and indirect victimization, with the presence of PTSD symptoms, only indirect victimization is a predictive variable of PTSD symptoms in university students. It is proposed that, together with policies of crime prevention and reduction, policies of the reduction of fear of crimes should be created.


Resumen En México, sobre todo en los estados del noreste del país, en los últimos años la violencia se ha exacerbado y, a su vez, ha incrementado sus implicaciones en la salud mental de los jóvenes, principalmente con el desarrollo de síntomas del trastorno por estrés postraumático (TEPT). Teniendo esto en cuenta, en el presente estudio se tuvo como objetivo identificar los tipos de victimización (directa o indirecta) que viven los jóvenes universitarios ante la violencia comunitaria, así como determinar los síntomas de estrés postraumático que presentaban, e identificar la relación entre los tipos de victimización y los síntomas del TEPT. En total, participaron 500 jóvenes universitarios de un estado del noreste del país, a quienes se les aplicó la Escala de Victimización y la Escala Breve del Desorden del Estrés Postraumático. Como resultados, los participantes reportaron un promedio de siete sucesos de victimización tanto directa como indirecta, siendo más frecuente la indirecta. Aunque se observa una relación directa e indirecta entre la victimización y la presencia de síntomas del TEPT, solo la victimización indirecta resultó ser una variable predictora de síntomas del TEPT. Se propone que, junto a las políticas de prevención y reducción del delito, deben crearse políticas de reducción del miedo al crimen en la población.

5.
Rev Infirm ; 69(259): 41-43, 2020 Mar.
Artículo en Francés | MEDLINE | ID: mdl-32532443

RESUMEN

When subjected to potentially traumatic events, adults can develop psychological trauma with varying levels of severity. For preventive and therapeutic purposes, these psychological traumas must be assessed and managed by psychologists and/or psychiatrists who are well trained and experienced in performing these complex professional acts.


Asunto(s)
Psiquiatría , Trauma Psicológico , Trastornos por Estrés Postraumático , Adulto , Humanos
6.
Medicine (Baltimore) ; 99(26): e20700, 2020 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-32590744

RESUMEN

BACKGROUND: Post-traumatic stress disorder (PTSD) acts as a complex mental illness in which individuals are prone to long-lasting mental disorders after suffering traumatic events. PTSD is usually accompanied by some comorbidities, such as depressive disorder and sleep disorder, which seriously threaten patients' life and health. Evidences showed that acupuncture could remarkably relieve the symptoms of PTSD patients. The review aims at assessing the safety and effectiveness exhibited by acupuncture for treating PTSD patients. METHODS AND ANALYSIS: The literature identified by searching 8 English electronic databases and 5 Chinese electronic databases from their inception to April 20, 2020 will be incorporated into the study. Two researchers will independently take charge of the research selection, the data extraction, as well as the assessment on research quality. The primary outcomes will be total PTSD symptoms, measured by different instruments including interviews and self-report measures. Data analysis will be performed via the RevMan 5 software, and Grading of Recommendations Assessment, Development, and Evaluation will help to assess the evidence level. A heterogeneity x test, the Higgins' I test as well as visually inspecting the forest plot will help to investigate the heterogeneity of data. A sensitivity analysis and subgroup analyses will assist in investigating the sources of heterogeneity. ETHICS AND DISSEMINATION: The review neither assesses the individual information of patients nor impacts their rights, so it is not necessary for it to be approved by ethical institution. The article will be published in a peer-reviewed journal and present at relevant conferences. OSF REGISTRATION NUMBER:: https://osf.io/dc3js.


Asunto(s)
Terapia por Acupuntura , Trastornos por Estrés Postraumático/terapia , Humanos , Metaanálisis como Asunto , Escalas de Valoración Psiquiátrica , Proyectos de Investigación , Revisiones Sistemáticas como Asunto
7.
Medicine (Baltimore) ; 99(26): e20965, 2020 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-32590808

RESUMEN

Quantitative studies using validated questionnaires on post-traumatic stress disorder (PTSD) of Nurses exposed to corona virus disease 2019 (COVID-19) in China are rare and the baseline PTSD must first be evaluated before prevention. This study aimed to investigate the factors potentially involved in the level of PTSD of Nurses exposed to COVID-19 in China.In this cross-sectional study, male and female Nurses (n = 202) exposed to COVID-19 from HuBei China were included in the final sample. The PTSD Checklist-Civilian (PCL-C) questionnaire and Simplified Coping Style Questionnaire (SCSQ) were used for evaluation. Multivariate stepwise linear regression analysis and spearman correlation test were performed to assess the association between various factors associated with PTSD.The incidence of PTSD in Nurses exposed to COVID-19 was 16.83%, the PCL-C score was 27.00 (21.00-34.00), and the highest score in the three dimensions was avoidance dimension 9.50 (7.00-13.25); multivariable stepwise linear regression analysis showed that job satisfaction and gender were independently associated with lower PCL-C scores (both P < .001); PCL-C scores were correlated with positive coping (r = -0.151, P = .032), negative coping (r = 0.154, P = .029).Nurses exposed to COVID-19 from HuBei China with job satisfaction, male and positive coping had low PCL-C scores which necessitate reducing the PTSD level by ways of improving job satisfaction, positive response, and strengthening the psychological counseling of female nurses in order to reduce the risk of psychological impairment.


Asunto(s)
Infecciones por Coronavirus/enfermería , Neumonía Viral/enfermería , Trastornos por Estrés Postraumático/etiología , Adulto , China/epidemiología , Estudios Transversales , Femenino , Humanos , Incidencia , Masculino , Pandemias , Trastornos por Estrés Postraumático/epidemiología
10.
Artículo en Inglés | MEDLINE | ID: mdl-32485859

RESUMEN

The COVID-19 pandemic might lead to more mental health problems. However, few studies have examined sleep problems, depression, and posttraumatic symptoms among the general adult population during the COVID-19 outbreak, and little is known about coping behaviors. This survey was conducted online in China from February 1st to February 10th, 2020. Quota sampling was used to recruit 2993 Chinese citizens aged ≥18 years old. Mental health problems were assessed with the Post-Traumatic Stress Disorders (PTSD) Checklist for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the Center for Epidemiological Studies Depression inventory, and the Pittsburgh Sleep Quality Index. Exposure to COVID-19 was measured with questions about residence at outbreak, personal exposure, media exposure, and impact on livelihood. General coping style was measured by the brief Coping Style Questionnaire (SCSQ). Respondents were also asked 12 additional questions about COVID-19 specific coping behaviors. Direct exposure to COVID-19 instead of the specific location of (temporary) residence within or outside the epicenter (Wuhan) of the pandemic seems important (standardized beta: 0.05, 95% confidence interval (CI): 0.02-0.09). Less mental health problems were also associated with less intense exposure through the media (standardized beta: -0.07, 95% CI: -0.10--0.03). Perceived negative impact of the pandemic on livelihood showed a large effect size in predicting mental health problems (standardized beta: 0.15, 95% CI: 0.10-0.19). More use of cognitive and prosocial coping behaviors were associated with less mental health problems (standardized beta: -0.30, 95% CI: -0.34--0.27). Our study suggests that the mental health consequences of the lockdown impact on livelihood should not be underestimated. Building on cognitive coping behaviors reappraisal or cognitive behavioral treatments may be most promising.


Asunto(s)
Adaptación Psicológica , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Adolescente , Adulto , Grupo de Ascendencia Continental Asiática , China/epidemiología , Depresión/epidemiología , Brotes de Enfermedades , Femenino , Humanos , Funciones de Verosimilitud , Masculino , Salud Mental , Persona de Mediana Edad , Pandemias , Trastornos del Sueño-Vigilia/epidemiología , Trastornos por Estrés Postraumático , Encuestas y Cuestionarios , Adulto Joven
11.
Monaldi Arch Chest Dis ; 90(2)2020 Jun 23.
Artículo en Inglés | MEDLINE | ID: mdl-32573175

RESUMEN

There is a need of consensus about the pulmonary rehabilitation (PR) in patients with COVID-19 after discharge from acute care. To facilitate the knowledge of the evidence and its translation into practice, we developed suggestions based on experts' opinion. A steering committee identified areas and questions sent to experts. Other international experts participated to a RAND Delphi method in reaching consensus and proposing further suggestions. Strong agreement in suggestions was defined when the mean agreement was >7 (1 = no agreement and 9 = maximal agreement). Panelists response rate was >95%. Twenty-three questions from 4 areas: Personnel protection equipment, phenotypes, assessments, interventions, were identified and experts answered with 121 suggestions, 119 of which received high level of concordance. The evidence-based suggestions provide the clinicians with current evidence and clinical experts opinion. This framework can be used to facilitate clinical decision making within the context of the individual patient. Further studies will evaluate the clinical usefulness of these suggestions.


Asunto(s)
Infecciones por Coronavirus/rehabilitación , Modalidades de Fisioterapia , Neumonía Viral/rehabilitación , Insuficiencia Respiratoria/rehabilitación , Terapia Respiratoria/métodos , Atención Ambulatoria , Betacoronavirus , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/fisiopatología , Técnica Delfos , Prueba de Esfuerzo , Humanos , Unidades de Cuidados Intensivos , Italia , Estado Nutricional , Pandemias , Equipo de Protección Personal , Neumonía Viral/complicaciones , Neumonía Viral/fisiopatología , Calidad de Vida , Pruebas de Función Respiratoria , Insuficiencia Respiratoria/etiología , Insuficiencia Respiratoria/fisiopatología , Trastornos por Estrés Postraumático
12.
JAAPA ; 33(7): 45-48, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32590533

RESUMEN

The novel coronavirus (SARS-CoV-2) that emerged in late 2019 in Wuhan, China, commonly presents as a severe acute respiratory disease referred to as coronavirus disease-2019 (COVID-19). The rapid spread of the disease created challenges for healthcare systems and forced healthcare workers to grapple with clinical and nonclinical stressors, including shortages of personal protective equipment, mortality and morbidity associated with COVID-19, fear of bringing the virus home to family members, and the reality of losing colleagues to the disease. Evidence from previous outbreaks, along with early evidence from the COVID-19 pandemic, suggests that these events have significant short- and long-term effects on the mental health of healthcare workers. All healthcare stakeholders should create short- and long-term plans to support the mental health of workers during and after the COVID-19 pandemic.


Asunto(s)
Ansiedad/psicología , Infecciones por Coronavirus/epidemiología , Depresión/psicología , Personal de Salud/psicología , Neumonía Viral/epidemiología , Trastornos del Inicio y del Mantenimiento del Sueño/psicología , Trastornos por Estrés Postraumático/psicología , Betacoronavirus , Pesar , Hong Kong/epidemiología , Humanos , Salud Mental , Ontario/epidemiología , Pandemias , Equipo de Protección Personal/provisión & distribución , Síndrome Respiratorio Agudo Grave/epidemiología , Taiwán/epidemiología , Estados Unidos/epidemiología
13.
Riv Psichiatr ; 55(3): 145-151, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32489191

RESUMEN

INTRODUCTION: Peritraumatic distress is an important predictor of post-traumatic stress disorder and although several questionnaires are available for its measurement, none of these are specific to CoViD-19. The new CoViD-19 Peritraumatic Distress Index (CPDI), developed in China, is characterized as a rapid compilation tool (10 minutes), easily understandable and appreciated by people. AIM: The objectives of this study were: (1) the validation of the Italian version of the CPDI, and (2) the measurement of the prevalence of peritraumatic distress in this phase 1 CoViD-19. METHOD: CPDI has been translated using a standard forward-backward-translation procedure and offered online to 329 people (191 females and 137 males, aged 46.49 ± 13.58 years). The CPDI showed an internal-consistency of Cronbach's α =0.916. Content validity was judged satisfactory by two psychologists experienced in stress and trauma. The construct validity is given by the high correlation with the dimensions of Intrusion, Avoidance and Hyperarousal as measured by the Impact of Event Scale-Revised (r=0.63, r=0.57, r=0.71, respectively). RESULTS: Our results are comparable to the Chinese ones. A third of people experienced symptoms of mild/moderate and severe peritraumatic distress. Females have higher scores, compared to males. Older people are more resilient, compared to younger, and those who have been in quarantine report less distress than those didn't, as evidenced by the results of the multivariate logistic regression model. High distress was associated with use of psychotropic drugs (AOR=4.28; 95% CI=1.55-11.85), sleeping remedies (AOR=4.05; 95% CI=2.07-7.94), be worried about dying in case of contagion CoViD-19 (AOR=3.33; 95% CI=1.83-6.06), female gender (AOR=2.95; 95% CI=1.58-5.53) and have a religious belief (AOR=1.97; 95% CI=1.05-3.70). To be aged 51-71 years, to have been in quarantine and to have received psychological support were variables associated with lower distress scores. CONCLUSIONS: The psychometric properties of the Italian version are satisfactory and confirm that CPDI is a tool fast, non-intrusive, administered online, and therefore 'safe' in a phase with a high risk of contagion. It allows, like a psychic thermoscan, to quickly detect the needs of the population and propose equally rapid interventions.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Pruebas Psicológicas , Trastornos por Estrés Postraumático/diagnóstico , Estrés Psicológico/diagnóstico , Adulto , Factores de Edad , Anciano , Actitud Frente a la Muerte , Femenino , Humanos , Italia , Lenguaje , Modelos Logísticos , Masculino , Persona de Mediana Edad , Pandemias , Datos Preliminares , Prevalencia , Psicometría , Reproducibilidad de los Resultados , Resiliencia Psicológica , Factores Sexuales , Trastornos por Estrés Postraumático/etiología , Estrés Psicológico/tratamiento farmacológico , Estrés Psicológico/epidemiología , Traducciones , Adulto Joven
14.
Ansiedad estrés ; 26(1): 39-45, ene.-jun. 2020. tab
Artículo en Español | IBECS-Express | ID: ibc-FGT-4240

RESUMEN

La violencia de género evidencia la desigualdad, la subordinación y las relaciones de poder de los hombres sobre las mujeres, que podrían generar déficits neuropsicológicos y síntomas psicopatológicos. Con el objetivo de analizar estas consecuencias se realizó una investigación en la que participaron 34 mujeres (17 víctimas de violencia de género, con edades entre los 25 y los 60 años). Las herramientas de evaluación utilizadas se han dividido en 2: por un lado, pruebas neuropsicológicas para medir la velocidad de procesamiento, la atención y la memoria: TMT A, TMT B, letras y números, cubos de Corsi, HVLT y d2; por otro lado, pruebas psicopatológicas para medir la ansiedad, la depresión, el abuso y el estrés postraumático: STAI, BDI-II, ISA y EGEP-5. Los resultados mostraron que el abuso está relacionado con mayores déficits neuropsicológicos y numerosos síntomas psicopatológicos. Además, los niveles altos de estrés se relacionaron con una peor memoria de trabajo. Por otro lado, no se encontraron diferencias significativas en relación con el tipo de abuso en los síntomas psicopatológicos, pero sí en algunas variables neuropsicológicas como la memoria a largo plazo y la memoria visual de trabajo. Los datos obtenidos apuntan a la necesidad de centrar la atención en la causa de estas diferencias que podrían estar relacionadas con el abuso físico y psicológico, así como en los efectos que estos déficits cognitivos y el incremento en los niveles de ansiedad y depresión tienen sobre la calidad de vida de las mujeres maltratadas


Gender violence demonstrates the inequality, subordination and the power in relations of men over women, which could generate neuropsychological deficits and psychopathological symptoms. In order to analyze these consequences, an investigation was carried out with 34 women (17 victims of gender-based violence aged between 25 and 60). The assessment tools used for this research study have been divided into 2: on the one hand, neuropsychological measures composed of: TMT A, TMT B, letters and numbers, Corsi cubes, HVLT and d2 Attention Test. These tools have been used to measure processing speed, attention and memory. On the other hand, psychopathological tests STAI, BDI-II, ISA and EGEP-5 have been used to measure anxiety, depression, abuse and post-traumatic stress respectively. After the data analysis, the results demonstrated that the abuse is related to greater neuropsychological deficits and psychopathological symptoms. In addition, high levels of stress were associated with a worse working memory. Furthermore, no significant differences were found in relation to the type of abuse in psychopathological symptoms, but they appeared in some neuropsychological variables such as long-term memory and working visual memory. The data obtained in this study point out the necessity to focus the attention on the cause of these differences since they could be related to physical and psychological abuse, as well as the effects that these cognitive deficits and the increase in levels of anxiety and depression have on battered women's quality of life

15.
Brain Behav Immun ; 87: 100-106, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32353518

RESUMEN

This study aimed to assess and compare the immediate stress and psychological impact experienced by people with and without psychiatric illnesses during the peak of 2019 coronavirus disease (COVID-19) epidemic with strict lockdown measures. Seventy-six psychiatric patients and 109 healthy control subjects were recruited from Chongqing, China and completed a survey on demographic data, physical symptoms during the past 14 days and a range of psychiatric symptoms using the Impact of Event Scale-Revised (IES-R), Depression, Anxiety and Stress Scale (DASS-21) and Insomnia Severity Index (ISI). IES-R measures PTSD symptoms in survivorship after an event. DASS-21 is based on tripartite model of psychopathology that comprise a general distress construct with distinct characteristics. The mean IES-R, DASS-21 anxiety, depression and stress subscale and ISI scores were higher in psychiatric patients than healthy controls (p < 0.001). Serious worries about their physical health, anger and impulsivity and intense suicidal ideation were significantly higher in psychiatric patients than healthy controls (p < 0.05). More than one-third of psychiatric patients might fulfil the diagnostic criteria post-traumatic stress disorder (PTSD). More than one-quarter of psychiatric patients suffered from moderately severe to severe insomnia. Respondents who reported no change, poor or worse physical health status and had a psychiatric illness were significantly more likely to have higher mean IES-R, DASS depression, anxiety and stress subscale scores and ISI scores (p < 0.05). This study confirms the severity of negative psychological impact on psychiatric patients during the COVID-19 epidemic with strict lockdown measures. Understanding the psychological impact on psychiatric patients during the COVID-19 pandemic has the potential to provide insight into how to develop a new immunopsychiatry service. Further research is required to compare pro-inflammatory cytokines between psychiatric patients and healthy controls during the pandemic.


Asunto(s)
Infecciones por Coronavirus/psicología , Depresión/psicología , Neumonía Viral/psicología , Adulto , Ansiedad/epidemiología , Ansiedad/psicología , Trastornos de Ansiedad/epidemiología , Trastornos de Ansiedad/psicología , Betacoronavirus , Estudios de Casos y Controles , China , Coronavirus , Depresión/epidemiología , Femenino , Estado de Salud , Humanos , Masculino , Trastornos Mentales/psicología , Persona de Mediana Edad , Pandemias , Psiconeuroinmunología , Trastornos del Inicio y del Mantenimiento del Sueño/psicología , Trastornos por Estrés Postraumático/epidemiología , Trastornos por Estrés Postraumático/psicología , Estrés Psicológico/psicología , Encuestas y Cuestionarios
16.
Brain Behav Immun ; 87: 172-176, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32405150

RESUMEN

The pandemic caused by Covid-19 has been an unprecedented social and health emergency worldwide. This is the first study in the scientific literature reporting the psychological impact of the Covid-19 outbreak in a sample of the Spanish population. A cross-sectional study was conducted through an online survey of 3480 people. The presence of depression, anxiety and post-traumatic stress disorder (PTSD) was evaluated with screening tests from 14 March. Sociodemographic and Covid-19-related data was collected. Additionally, spiritual well-being, loneliness, social support, discrimination and sense of belonging were assessed. Descriptive analyses were carried out and linear regression models compiled. The 18.7% of the sample revealed depressive, 21.6% anxiety and 15.8% PTSD symptoms. Being in the older age group, having economic stability and the belief that adequate information had been provided about the pandemic were negatively related to depression, anxiety and PTSD. However, female gender, previous diagnoses of mental health problems or neurological disorders, having symptoms associated with the virus, or those with a close relative infected were associated with greater symptomatology in all three variables. Predictive models revealed that the greatest protector for symptomatology was spiritual well-being, while loneliness was the strongest predictor of depression, anxiety and PTSD. The impact on our mental health caused by the pandemic and the measures adopted during the first weeks to deal with it are evident. In addition, it is possible to identify the need of greater psychological support in general and in certain particularly vulnerable groups.


Asunto(s)
Infecciones por Coronavirus/psicología , Salud Mental/tendencias , Neumonía Viral/psicología , Estrés Psicológico/epidemiología , Adulto , Anciano , Ansiedad/epidemiología , Trastornos de Ansiedad/epidemiología , Betacoronavirus/patogenicidad , Estudios Transversales , Depresión/epidemiología , Trastorno Depresivo/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias/prevención & control , España/epidemiología , Trastornos por Estrés Postraumático/epidemiología , Encuestas y Cuestionarios
17.
Acta Obstet Gynecol Scand ; 99(7): 848-855, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32449178

RESUMEN

INTRODUCTION: Prenatal maternal distress has a negative impact on the course of pregnancy, fetal development, offspring development, and later psychopathologies. The study aimed to determine the extent to which the coronavirus disease 2019 (COVID-19) pandemic may aggravate the prenatal distress and psychiatric symptomatology of pregnant women. MATERIAL AND METHODS: Two cohorts of pregnant volunteer women were evaluated, one that was recruited before the COVID-19 pandemic (n = 496) through advertisements in prenatal clinics in Quebec, Canada, from April 2018 to March 2020; the other (n = 1258) was recruited online during the pandemic from 2 April to 13 April 2020. Prenatal distress and psychiatric symptomatology were measured with the Kessler Distress Scale (K10), Post-traumatic Checklist for DSM-5 (PCL-5), Dissociative Experiences Scale (DES-II), and Positive and Negative Affect Schedule (PANAS). RESULTS: The 1754 pregnant women (Mage  = 29.27, SD = 4.23) were between 4 and 41 gestational weeks (M = 24.80, SD = 9.42), were generally educated (91.3% had post-high-school training), and financially well-resourced (85.3% were above the low-income cut-off). A multivariate analysis of covariance controlling for age, gestational age, household income, education, and lifetime psychiatric disorders showed a large effect size (ES) in the difference between the two cohorts on psychiatric symptoms (Wilks' λ = 0.68, F6,1400  = 108.50, P < .001, partial η2  = 0.32). According to post-hoc analyses of covariance, the COVID-19 women reported higher levels of depressive and anxiety symptoms (ES = 0.57), dissociative symptoms (ES = 0.22 and ES = 0.25), symptoms of post-traumatic stress disorder (ES = 0.19), and negative affectivity (ES = 0.96), and less positive affectivity (ES = 0.95) than the pre-COVID-19 cohort. Women from the COVID-19 cohort were more likely than pre-COVID-19 women to present clinically significant levels of depressive and anxiety symptoms (OR = 1.94, χ2 [1] = 10.05, P = .002). Multiple regression analyses indicated that pregnant women in the COVID-19 cohort having a previous psychiatric diagnosis or low income would be more prone to elevated distress and psychiatric symptoms. CONCLUSIONS: Pregnant women assessed during the COVID-19 pandemic reported more distress and psychiatric symptoms than pregnant women assessed before the pandemic, mainly in the form of depression and anxiety symptoms. Given the harmful consequences of prenatal distress on mothers and offspring, the presently observed upsurge of symptoms in pregnant women calls for special means of clinical surveillance.


Asunto(s)
Ansiedad , Infecciones por Coronavirus , Depresión , Pandemias , Neumonía Viral , Complicaciones del Embarazo , Mujeres Embarazadas/psicología , Estrés Psicológico , Adulto , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/etiología , Ansiedad/fisiopatología , Betacoronavirus/aislamiento & purificación , Canadá/epidemiología , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Depresión/diagnóstico , Depresión/epidemiología , Depresión/etiología , Depresión/fisiopatología , Femenino , Humanos , Neumonía Viral/diagnóstico , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Embarazo , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/epidemiología , Complicaciones del Embarazo/fisiopatología , Complicaciones del Embarazo/psicología , Escalas de Valoración Psiquiátrica , Trastornos por Estrés Postraumático/etiología , Trastornos por Estrés Postraumático/prevención & control , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología , Estrés Psicológico/etiología , Estrés Psicológico/fisiopatología
18.
Clin Psychol Psychother ; 27(3): 384-395, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32415733

RESUMEN

Corona virus disease 2019 (COVID-19) outbreak has attracted worldwide attention. The COVID-19 outbreak is unique in its rapid transmission and results in heavy stress for the front-line health care workers (HCWs). The current study aimed to exam posttraumatic stress symptoms (PTSSs) of HCWs fighting for the COVID-19 and to evaluate their sleep quality after 1-month stressful suffering. Three hundred seventy-seven HCWs working in different provinces of China participated in the survey between February 1 and 5. The demographic information was collected first. Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) and the Pittsburgh Sleep Quality Index (PSQI) were selected to measure PTSSs and sleep quality. Results showed that 1 month after the outbreak, the prevalence of PTSSs was 3.8% in HCWs. Female HCWs were more vulnerable to PTSSs with hazard ratio of 2.136 (95% CI = 1.388-3.286). HCWs with higher exposure level also significantly rated more hyperarousal symptoms (hazard ratio = 4.026, 95% CI = 1.233-13.140). There was a significant difference of sleep quality between participants with and without PTSSs (z value = 6.014, p < .001) and among different groups with various contact frequencies (chi-square = 7.307, p = .026). Path analysis showed that there was a significant indirect effect from exposure level to PTSSs through sleep quality (coefficient = 1.750, 95% CI of Boostroop test = 0.543-2.998). In summary, targeted interventions on sleep contribute to the mental recovery during the outbreak of COVID-19. Understanding the mental health response after a public health emergency might help HCWs and communities prepare for a population's response to disaster.


Asunto(s)
Infecciones por Coronavirus/psicología , Personal de Salud/psicología , Personal de Salud/estadística & datos numéricos , Neumonía Viral/psicología , Trastornos por Estrés Postraumático/epidemiología , Trastornos por Estrés Postraumático/prevención & control , Adolescente , Adulto , Betacoronavirus , China/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Adulto Joven
19.
Encephale ; 46(3): 193-201, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32370982

RESUMEN

OBJECTIVE: The lack of resources and coordination to face the coronavirus epidemic raises concerns for the health of patients with mental disorders in a country where we still have memories of the dramatic experience of famine in psychiatric hospitals during the Second World War. This article aims to propose guidance to ensure mental health care during the SARS-CoV epidemic in France. METHODS: The authors performed a narrative review identifying relevant results in the scientific and medical literature and in local initiatives in France. RESULTS: We identified four types of major vulnerabilities among patients with mental disorders during this pandemic: (1) medical comorbidities that are more frequently found among patients with mental disorders (cardiovascular and pulmonary pathologies, diabetes, obesity, etc.) which are risk factors for severe covid-19 infection; (2) age (the elderly form the population most vulnerable to the coronavirus); (3) cognitive and behavioural disorders, which can hamper compliance with confinement and hygiene measures and finally and (4) psychosocial vulnerability as a result of stigmatization and/or socio-economic difficulties. Furthermore, the mental health healthcare system is more vulnerable than other healthcare systems. Current government plans are poorly suited to psychiatric establishments in a context of major shortages of organizational, material and human resources. In addition, a certain number of structural aspects make the psychiatric institution particularly vulnerable: many beds have been closed, wards have high densities of patients, mental health community facilities are closed, and medical teams are understaffed and poorly trained to face infectious diseases. There are also major issues when referring patients with acute mental disorders to intensive care units. To maintain the continuity of psychiatric care in this pandemic situation, several directions can be considered, in particular with the creation of "COVID+ units". These units are under the dual supervision of a psychiatrist and an internist/infectious disease specialist; all new entrants are placed in quarantine for 14 days; the nursing staff receives specific training, daily medical check-ups and close psychological support. Family visits are prohibited and replaced by videoconference. At the end of hospitalization, in particular for the population of patients in compulsory ambulatory care situations, specific case-management are organized with the possibility of home visits, in order to support patients when they get back home and to help them cope with the experience of confinement, which is liable to induce recurrences of mental disorders. The total or partial closure of community mental health facilities is particularly disturbing for patients, but a regular follow-up is possible with telemedicine and should include the monitoring of suicide risk and psycho-education strategies; developing support platforms could also be very helpful in this context. Private practice psychiatrists also have a crucial role of information towards their patients on confinement and barrier measures, and also on measures to prevent the psychological risks inherent in confinement: maintenance of regular sleep r, physical exercise, social interactions, stress management and coping strategies, prevention of addictions, etc. They should also be trained to prevent, detect and treat early warning symptoms of post-traumatic stress disorder, because their prevalence was high in the regions of China most affected by the pandemic. DISCUSSION: French mental healthcare is now facing a great and urgent need for reorganization and must also prepare in the coming days and weeks to face an epidemic of emotional disorders due to the confinement of the general population.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Trastornos Mentales/terapia , Salud Mental , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Anciano , Anciano de 80 o más Años , Epidemias , Francia/epidemiología , Hospitales Psiquiátricos/organización & administración , Hospitales Psiquiátricos/normas , Hospitales Psiquiátricos/estadística & datos numéricos , Humanos , Trastornos Mentales/epidemiología , Trastornos Mentales/prevención & control , Pandemias , Trastornos Psicóticos/epidemiología , Trastornos Psicóticos/terapia , Cuarentena/psicología , Cuarentena/estadística & datos numéricos , Factores de Riesgo , Trastornos por Estrés Postraumático/epidemiología , Trastornos por Estrés Postraumático/etiología , Trastornos por Estrés Postraumático/terapia , Suicidio/prevención & control , Suicidio/estadística & datos numéricos
20.
J Rehabil Med ; 52(5): jrm00063, 2020 05 31.
Artículo en Inglés | MEDLINE | ID: mdl-32449782

RESUMEN

OBJECTIVE: To determine long-term clinical outcomes in survivors of severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) coronavirus infections after hospitalization or intensive care unit admission. DATA SOURCES: Ovid MEDLINE, EMBASE, CINAHL Plus, and PsycINFO were searched. STUDY SELECTION: Original studies reporting clinical outcomes of adult SARS and MERS survivors 3 months after admission or 2 months after discharge were included. DATA EXTRACTION: Studies were graded using the Oxford Centre for Evidence-Based Medicine 2009 Level of Evidence Tool. Meta-analysis was used to derive pooled estimates for prevalence/severity of outcomes up to 6 months after hospital discharge, and beyond 6 months after discharge. DATA SYNTHESIS: Of 1,169 identified studies, 28 were included in the analysis. Pooled analysis revealed that common complications up to 6 months after discharge were: impaired diffusing capacity for carbon monoxide (prevalence 27%, 95% confidence interval (CI) 15­45%); and reduced exercise capacity (mean 6-min walking distance 461 m, CI 450­473 m). The prevalences of post-traumatic stress disorder (39%, 95% CI 31­47%), depression (33%, 95% CI 20­50%) and anxiety (30%, 95% CI 10­61) beyond 6 months after discharge were considerable. Low scores on Short-Form 36 were identified beyond 6 months after discharge. CONCLUSION: Lung function abnormalities, psychological impairment and reduced exercise capacity were common in SARS and MERS survivors. Clinicians should anticipate and investigate similar long-term outcomes in COVID-19 survivors.


Asunto(s)
Infecciones por Coronavirus/psicología , Coronavirus del Síndrome Respiratorio de Oriente Medio , Síndrome Respiratorio Agudo Grave/psicología , Adulto , Ansiedad/etiología , Betacoronavirus , Infecciones por Coronavirus/fisiopatología , Depresión/etiología , Prueba de Esfuerzo , Tolerancia al Ejercicio , Hospitalización , Humanos , Unidades de Cuidados Intensivos , Pandemias , Alta del Paciente , Neumonía Viral , Pruebas de Función Respiratoria , Síndrome Respiratorio Agudo Grave/fisiopatología , Trastornos por Estrés Postraumático/etiología , Sobrevivientes
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