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1.
Rev. SPAGESP ; 22(1): 145-159, ene.-jun. 2021. tab
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1155520

RESUMEN

Este estudo teve como objetivo identificar e analisar se os sintomas de depressão, ansiedade e estresse estão relacionados com uso de álcool, tabaco e maconha em universitários da área da saúde. Trata-se de uma pesquisa com 111 universitários matriculados em cursos da área da saúde de uma universidade da região metropolitana do Rio Grande do Sul. Os instrumentos foram Questionário de dados sociodemográficos, Depression, Anxiety and Stress Scale (DASS-21), Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Foi realizada análise descritiva dos dados e correlação de Spearman para amostras não paramétricas. As drogas mais utilizadas foram álcool, tabaco e maconha, sendo o álcool o que mais pontuou. Houve correlações significativas entre o uso de drogas com sintomas de estresse e ansiedade. Destaca-se a necessidade de atentar para o uso de substâncias realizado por universitários da área da saúde, uma vez que esta pode acarretar danos à vida acadêmica, pessoal e profissional.


This study aimed to identify the relationship between anxiety, depression, and stress symptoms and alcohol, marijuana, and tobacco use among healthcare university students. There were 111 students from healthcare courses of a private university from the state of Rio Grande do Sul's metropolitan region, Brazil, in the present sample. The instruments were sociodemographic questionnaire; Depression, Anxiety and Stress Scale (DASS-21); Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Descriptive statistics and Spearman’s correlation analyses were done. The most frequently used drug was alcohol, followed by marijuana and tobacco. There were significant correlationsbetween substance use and stress and anxiety symptoms. It is evidenced that there is a need to pay attention to drug use among healthcare students, since such use can cause damage to academic, personal and professional life.


Este estudio tuvo como objetivo identificar y analizar si los síntomas de estrés, ansiedad, depresión, están relacionados con el uso de alcohol, tabaco y marihuana en estudiantes universitariosen el área de la salud. Esta es una encuesta de 111 estudiantes universitarios inscritos en cursos del area de la salud de una Universidad en la región metropolitana de Rio Grande do Sul. Instrumentos: Cuestionario de datos sociodemográficos, Escala de depresión, ansiedad y estrés (DASS-21), Prueba de detección de alcohol, tabaquismo y participación de sustancias (ASSIST). Se realizó análisis descriptivo de los datos y correlación de Spearman para muestras no paramétricas. Resultados: las drogas más utilizadas fueron alcohol, tabaco y marihuana, siendo el alcohol el que obtuvo la mayor puntuación. Hubo correlaciones significativas entre el uso de drogas con síntomas de estrés y ansiedad. Se destaca la necesidad de prestar atención al uso de substancias por parte de los estudiantes universitarios en el campo de la salud, ya que esto pueden causar daños a la vida académica, personal y profesional.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Ansiedad , Signos y Síntomas , Estudiantes del Área de la Salud , Tabaquismo , Universidades , Cannabis , Encuestas y Cuestionarios , Prestación de Atención de Salud , Depresión , Uso de Tabaco
2.
Rev. SPAGESP ; 22(1): 39-53, ene.-jun. 2021. tab
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1155513

RESUMEN

A ansiedade materna é um tema relevante de pesquisa no âmbito da relação mãe-bebê, pois esse sentimento pode trazer repercussões para mãe e o desenvolvimento do bebê. Este estudo de casos múltiplos, de caráter qualitativo, teve como objetivo investigar a ansiedade materna em mães de bebês de seis a 10 meses, buscando identificar sua repercussão na díade mãe-bebê. Os achados demonstraram a presença de complicações na gravidez e no pós-parto e de eventos estressantes durante esses períodos. Em todos os casos analisados, observou-se ansiedade materna na gravidez e nos primeiros cuidados com o bebê. Sentimentos como medo, angústia, dúvidas e preocupações, relatados pelas mães, desencadearam comportamentos ansiosos, refletindo na relação mãe-bebê. A partir dos relatos deste estudo, observa-se a importância do apoio para o empoderamento das mães, para que elas assumam o papel materno com mais confiança. Salienta-se a necessidade de intervenções desde a gestação para o manejo da ansiedade materna, bem como práticas de educação em saúde visando à promoção da saúde mental materno-infantil


Maternal anxiety is an important topic of research regarding the mother-child relationship because this feeling can impact the mother and the baby's development. This qualitative study, of a multiple-case design, aimed to investigate maternal anxiety in mothers of babies aged between six and 10 months, trying to identify its impact on the mother-child dyad. The findings showed the occurrence of complications in pregnancy and the postpartum period and stressful events during these periods. In all analyzed cases, the presence of maternal anxiety during pregnancy and the newborn early care was verified. Feelings such as fear, anguish, doubts, and concerns, reported by mothers, triggered anxious behaviors, reflecting on the mother-baby relationship. From the reports of this study, the importance of support for the empowerment of mothers was observed, so that they can assume the maternal role with more confidence. It points out the need for intervention programs since pregnancy for the management of maternal anxiety, as well as health education practices aiming to promote maternal and child mental health.


La ansiedad materna es un tema relevante de investigación en el ámbito de la relación madre-hijo, ya que este sentimiento puede tener repercusiones en la madre y en el desarrollo del bebé. Este estudio cualitativo, de casos múltiples, investigó la ansiedad materna en madres de niños de seis a 10meses, buscando identificar su impacto en la díada madre-hijo. Los resultados revelaron la presencia de complicaciones en el embarazo y en el posparto, y de eventos estresantes durante estos momentos. En los casos analizados, se observó ansiedad materna durante el embarazo y en el cuidado temprano del bebé. Sentimientos como el miedo, la angustia, las dudas y las preocupaciones, relatados por las madres, desencadenaron comportamientos ansiosos, reflejándose en la relación madre-bebé. A partir de los informes de este estudio se observa la importancia del apoyo para el empoderamiento de las madres, para que asuman ese rol con más confianza. Son necesarias intervenciones desde el embarazo para el tratamiento de la ansiedad materna, así como prácticas de educación con la finalidad de promoción de la salud mental materna y infantil.


Asunto(s)
Humanos , Femenino , Adulto , Ansiedad , Complicaciones del Embarazo , Terapéutica , Conducta , Educación en Salud , Parto , Periodo Posparto , Relaciones Madre-Hijo
3.
MMWR Morb Mortal Wkly Rep ; 70(18): 685-688, 2021 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-33956781

RESUMEN

On April 7, 2021, after 5 weeks' use of the Janssen COVID-19 vaccine under the Food and Drug Administration (FDA) Emergency Use Authorization (EUA), CDC received reports of clusters of anxiety-related events after administration of Janssen COVID-19 vaccine from five mass vaccination sites, all in different states. To further investigate these cases, CDC interviewed vaccination site staff members to gather additional information about the reported events and vaccination site practices. Four of the five sites temporarily closed while an investigation took place. Overall, 64 anxiety-related events, including 17 reports of syncope (fainting), an anxiety-related event, among 8,624 Janssen COVID-19 vaccine recipients, were reported from these sites for vaccines administered during April 7-9. As a follow-up to these interviews, CDC analyzed reports of syncope shortly after receipt of Janssen COVID-19 vaccine to the Vaccine Adverse Event Reporting System (VAERS), the vaccine safety monitoring program managed by CDC and FDA. To compare the occurrence of these events with those reported after receipt of other vaccines, reports of syncopal events after influenza vaccine administered in the 2019-20 influenza season were also reviewed. Syncope after Janssen COVID-19 vaccination was reported to VAERS (8.2 episodes per 100,000 doses). By comparison, after influenza vaccination, the reporting rate of syncope was 0.05 episodes per 100,000 doses. Anxiety-related events can occur after any vaccination. It is important that vaccination providers are aware that anxiety-related adverse events might be reported more frequently after receipt of the Janssen COVID-19 vaccine than after influenza vaccination and observe all COVID-19 vaccine recipients for any adverse reactions for at least 15 minutes after vaccine administration.


Asunto(s)
Ansiedad/complicaciones , Vacunación Masiva/psicología , Síncope/epidemiología , Adolescente , Adulto , Sistemas de Registro de Reacción Adversa a Medicamentos , Anciano , Anciano de 80 o más Años , Análisis por Conglomerados , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estados Unidos/epidemiología , Adulto Joven
4.
Artículo en Inglés | PAHO-IRIS | ID: phr-53908

RESUMEN

[ABSTRACT]. Objective. To assess the association between drinking behaviors during the COVID-19 pandemic and quarantine, anxiety symptoms, and sociodemographic characteristics in Latin America and the Caribbean (LAC). Method. Data was collected through a cross‐sectional online survey (non-probabilistic sample) conducted by the Pan American Health Organization between May 22 and June 30, 2020, in 33 countries and two territories of LAC. Participants were 18 years of age or older and must not have traveled outside of their country since March 15, 2020 (n= 12 328, M age= 38.1 years, 65% female). Four drinking behaviors (online socializing drinking [OSD], drinking with child present [DCP], drinking before 5 p.m. [DB5]), heavy episodic drinking [HED]) were response variables, and quarantining, anxiety symptoms and sociodemographic covariables were explanatory variables. Results. Quarantine was positively associated with a higher frequency of OSD and with DCP, but negatively associated with a higher frequency of HED. Anxiety symptoms were associated with a higher frequency of HED, more OSD, and DB5. Higher incomes seemed to be more associated with all the studied drinking behaviors. Women tended to report less DB5 and less HED during the pandemic. Conclusions. Quarantine during the COVID-19 pandemic seems to affect drinking behavior and mental health indicators like anxiety symptoms. This study is the first effort to measure the consequences of the quarantine on alcohol consumption and mental health in LAC during the COVID-19 pandemic. Considering the associations found, screenings and brief interventions targeting alcohol consumption and mental health are recommended.


[RESUMEN]. Objetivo. Evaluar la asociación entre comportamientos relacionados con el consumo de alcohol durante la pandemia de COVID-19 y la cuarentena, los síntomas de ansiedad y las características sociodemográficas en América Latina y el Caribe. Método. Se recopilaron datos mediante una encuesta transversal en línea (muestra no probabilística) realizada por la Organización Panamericana de la Salud entre el 22 de mayo y el 30 de junio del 2020 en 33 países y 2 territorios de América Latina y el Caribe. Los participantes tenían 18 años o más y no tenían que haber viajado fuera de su país después del 15 de marzo del 2020 (n= 12 328, edad M= 38,1 años, 65% mujeres). Las variables de respuesta eran cuatro comportamientos relacionados con el consumo de alcohol: beber socializando en línea, beber en presencia de niños, beber antes de las 5 de la tarde o consumo excesivo episódico. La cuarentena, los síntomas de ansiedad y las covariables sociodemográficas fueron las variables explicativas. Resultados. La cuarentena se relacionó positivamente con una mayor frecuencia de consumo de alcohol socializando en línea y en presencia de niños, pero negativamente con una mayor frecuencia de consumo excesivo episódico. Los síntomas de ansiedad se relacionaron con una mayor frecuencia de consumo excesivo de alcohol, un mayor consumo de alcohol socializando en línea y con beber antes de las 5 de la tarde. Aparentemente los ingresos más altos estuvieron más asociados con todos los comportamientos relacionados con el consumo del alcohol estudiados. Las mujeres tendieron a notificar menos consumo de alcohol antes de las 5 de la tarde y menos consumo excesivo episódico de alcohol durante la pandemia. Conclusiones. La cuarentena durante la pandemia de COVID-19 parece afectar el comportamiento relacionado con el consumo de alcohol y los indicadores de salud mental, como los síntomas de ansiedad. Este estudio es la primera iniciativa para medir las consecuencias de la cuarentena sobre el comportamiento relacionado con el consumo de alcohol y la salud mental en América Latina y el Caribe durante la pandemia de COVID-19. Dadas las asociaciones encontradas, se recomienda llevar a cabo pruebas de tamizaje e intervenciones breves para abordar el consumo del alcohol y la salud mental.


[RESUMO]. Objetivo. Avaliar a associação entre comportamentos relacionados ao uso de álcool durante a pandemia de COVID-19 e quarentena, sintomas de ansiedade e características sociodemográficas na América Latina e no Caribe (ALC). Métodos. Os dados foram coletados em uma pesquisa transversal online (amostra não probabilística) realizada pela Organização Pan-Americana da Saúde (OPAS) em 33 países e dois territórios da ALC entre 22 de maio e 30 de junho de 2020. Participaram da pesquisa pessoas com 18 anos ou mais de idade que não haviam feito viagens ao exterior desde 15 de março de 2020 (n = 12 328, mediana [M] de idade = 38,1 anos, 65% do sexo feminino). Quatro comportamentos relacionados ao uso de álcool (socialização online com o uso de álcool, uso de álcool na presença de crianças, uso de álcool antes das 5 da tarde e episódios de consumo excessivo de álcool) foram as variáveis de resposta e quarentena, sintomas de ansiedade e covariáveis sociodemográficas foram as variáveis explicativas. Resultados. A quarentena teve uma associação positiva com uma maior frequência de socialização online com o uso de álcool e o uso de álcool na presença de crianças, mas demonstrou uma associação negativa com uma maior frequência de episódios de consumo excessivo de álcool. Sintomas de ansiedade foram associados a uma maior frequência de episódios de consumo excessivo de álcool, socialização online com uso de álcool e uso de álcool antes das 5 da tarde. Houve uma aparente associação entre maior nível de renda e todos os comportamentos relacionados ao uso de álcool estudados. As mulheres em geral relataram menos uso de álcool antes das 5 da tarde e menos episódios de consumo excessivo de álcool durante a pandemia. Conclusões. A quarentena durante a pandemia de COVID-19 parece influenciar o comportamento relacionado ao uso de álcool e indicadores de saúde mental, como sintomas de ansiedade. Este é o primeiro estudo que procurou dimensionar a repercussão da quarentena no uso de álcool e na saúde mental das pessoas na ALC durante a pandemia de COVID-19. Diante das associações observadas, recomenda-se rastrear problemas relacionados ao uso de álcool e de saúde mental e oferecer intervenções breves.


Asunto(s)
Alcoholismo , Consumo de Bebidas Alcohólicas , Ansiedad , Cuarentena , Infecciones por Coronavirus , Pandemias , Salud Mental , Américas , Alcoholismo , Consumo de Bebidas Alcohólicas , Ansiedad , Cuarentena , Infecciones por Coronavirus , Pandemias , Salud Mental , Américas , Alcoholismo , Consumo de Bebidas Alcohólicas , Ansiedad , Cuarentena , Infecciones por Coronavirus , Salud Mental , Américas
5.
Artículo en Inglés | MEDLINE | ID: mdl-33946978

RESUMEN

Background: This study aims to investigate the mental health of COVID-19 patients in Saudi Arabia. Method: A cross-sectional study was carried out targeting confirmed cases of COVID-19 in Saudi Arabia. Due to travel and time constraints as well as the accessibility of patients, cases were included from East Jeddah Hospital, King Abdulaziz Hospital, and the Oncology Center in Jeddah. The data were collected using a predesigned self-administered questionnaire. The questionnaire addressed COVID-19 cases, personal data, medical history, smoking, traveling abroad, and work-related conditions. Additionally, data regarding contact level with COVID-19 cases were considered. The mental health statuses of the patients were assessed using a validated Arabic version of the Hospital Anxiety and Depression (HAD) scale. The study included 261 COVID-19 patients whose ages ranged from 18 to 65 years. Results: The survey findings revealed that 13% of COVID-19 patients had a borderline level of anxiety, 26.8% were considered anxiety cases, while 60.2% were normal. The findings also revealed that 29.9% had a borderline level of depression, 18.4% were considered depression cases, while 51.7% were normal. Conclusions: This study concluded that COVID-19 patients experience anxiety and depression, and as the COVID-19 epidemic continues to spread, the results of the study are particularly useful in developing a strategy to psychologically support COVID-19 patients.


Asunto(s)
Salud Mental , Adolescente , Adulto , Anciano , Ansiedad/epidemiología , Estudios Transversales , Humanos , Persona de Mediana Edad , Arabia Saudita/epidemiología , Encuestas y Cuestionarios , Adulto Joven
6.
BMC Psychol ; 9(1): 70, 2021 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-33957981

RESUMEN

BACKGROUND: Parental anxiety and depression have been associated with changes to parent-child interactions. Although play constitutes an important part of parent-child interactions and affords critical developmental opportunities, little is known regarding how parental anxiety and depression are related to parent-child play. This is an important knowledge gap because parents play a crucial role in children's early play experience. The purpose of the current study was to examine whether levels of maternal anxiety and depression respectively predicted frequencies of pretend play in both mothers and their children, and whether mothers' engagement in pretend play predicted child behaviour problems two years later. METHODS: Pretend play in 60 mother-toddler dyads (Mage of child = 29.67 months, SD = 3.25, 41.7% girls) was assessed during home visits. Maternal anxiety and depression were assessed using self-report questionnaires. Children's behaviour problems were rated by mothers at baseline and two years later. Hierarchical regression analyses examined concurrent associations between mother-child pretend play and maternal anxiety and depression at baseline, and longitudinal associations between baseline mother pretend play and child behavioural problems two years later. RESULTS: Higher maternal anxiety predicted less pretend play in mothers and children (ß = - .23, BCa 95% CI: [- .018, - .001]) and ß = - .22, BCa 95% CI [- .014, - .001]). Higher maternal depression predicted less child pretend play (ß = - .20, BCa 95% CI [- .012, - .001]). There was evidence (albeit weak) that more mother pretend play at baseline predicted fewer child behaviour problems two years later (ß = - .18, BCa 95% CI [- 62.38, 11.69]), when baseline child behaviour problems and maternal anxiety were controlled for. CONCLUSIONS: Maternal anxiety and depression are associated with less pretend play during mother-child interaction. Mother's pretend play might help reduce child behavioural problems risks, suggesting that play might be one mechanism by which maternal mental health influences children's development.


Asunto(s)
Depresión , Problema de Conducta , Ansiedad , Preescolar , Femenino , Humanos , Relaciones Madre-Hijo , Madres
7.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 46(3): 293-299, 2021 Mar 28.
Artículo en Inglés, Chino | MEDLINE | ID: mdl-33927077

RESUMEN

OBJECTIVES: The waiting room for surgery is an area set up to improve the surgical turnover rate, but the waiting time for surgery is uncertain. Patients are prone to negative emotions that affect their physiological state during waiting time. This study aims to explore the effect of Mandala painting intervention based on Mandala-self theory on the emotion and physiological state of patients waiting before operation. METHODS: The patients in the control group (n=30) were given routine nursing before operation in the waiting room, and the patients in the intervention group (n=30) were given Mandala painting intervention on the basis of routine nursing. Repeated measurement analysis of variance was used to compare patients' mood, pressure, heart rate, and waiting time of perception after intervention via SPSS 21.0. RESULTS: Diastolic pressure, heart rate, and happiness and excitement showed no statistical significance in the time effect, intervention effect, and interaction between the 2 factors (all P>0.05). Systolic pressure, fidgety, and pain and sadness showed interaction between the time effect and intervention effect (P<0.05 or P<0.01). The waiting time of perception in the intervention group was significantly shorter than that in the control group (P<0.01). CONCLUSIONS: The application of Mandala painting in the operation waiting room is feasible and can effectively regulate the patients' negative mood and systolic pressure, as well as shorten the waiting time of perception.


Asunto(s)
Ansiedad , Emociones , Frecuencia Cardíaca , Humanos , Dolor
8.
Sci Rep ; 11(1): 8925, 2021 04 26.
Artículo en Inglés | MEDLINE | ID: mdl-33903603

RESUMEN

The spread of coronavirus disease 2019 (COVID-19) has affected both physical health and mental well-being around the world. Stress-related reactions, if prolonged, may result in mental health problems. We examined the consequences of the COVID-19 pandemic on mental health in a multinational study and explored the effects of government responses to the outbreak. We sampled 18,171 community adults from 35 countries/societies, stratified by age, gender, and region of residence. Across the 35 societies, 26.6% of participants reported moderate to extremely severe depression symptoms, 28.2% moderate to extremely severe anxiety symptoms, and 18.3% moderate to extremely severe stress symptoms. Coronavirus anxiety comprises two factors, namely Perceived Vulnerability and Threat Response. After controlling for age, gender, and education level, perceived vulnerability predicted higher levels of negative emotional symptoms and psychological distress, whereas threat response predicted higher levels of self-rated health and subjective well-being. People in societies with more stringent control policies had more threat response and reported better subjective health. Coronavirus anxiety exerts detrimental effects on subjective health and well-being, but also has the adaptive function in mobilizing safety behaviors, providing support for an evolutionary perspective on psychological adaptation.


Asunto(s)
Ansiedad/etiología , Salud Mental , Adaptación Psicológica , Adulto , Anciano , Anciano de 80 o más Años , /virología , Brotes de Enfermedades , Femenino , Humanos , Internacionalidad , Masculino , Persona de Mediana Edad , Pandemias , Índice de Severidad de la Enfermedad , Adulto Joven
9.
Int. j. clin. health psychol. (Internet) ; 21(1): 201-201, ene.-abr. 2021. graf, tab
Artículo en Inglés | IBECS | ID: ibc-200213

RESUMEN

BACKGROUND/OBJECTIVE: Long-term childhood cancer survivors (CCS) are at risk for adverse late effects. However, not all of them are well understood. The present study addressed loneliness, a previously under-researched mental health risk in cancer survivor populations. We assessed the prevalence of loneliness and its impact on psychological symptoms over time. METHOD: A registry-based sample of N=633 adult long-term CCS underwent medical and psychological assessments and took part in a follow-up survey 2.5 years later. Psychological symptoms (somatic, anxiety, depression symptoms, and suicidal ideation) were measured using the Patient Health Questionnaire. We calculated linear regression models of symptoms at follow-up to investigate the impact of loneliness over time (controlling for symptoms at baseline and relevant confounders). RESULTS: Loneliness was reported by 17.70% of CCS. In multivariate linear regression analyses, loneliness was still predictive of more severe anxiety symptoms and suicidal ideation over two years later. Loneliness did not predict somatic and depression symptoms at follow-up (which increased with age). CONCLUSIONS: Loneliness affected a significant number of CCS and was a risk factor for persistent anxiety symptoms and suicidal ideation. The extent to which young cancer patients' re-integration into society is successful could thus have important implications for well-being in adulthood


ANTECEDENTE/OBJETIVO: Los sobrevivientes a largo plazo de cáncer infantil (SCI) están en riesgo de sufrir efectos tardíos. Evaluamos la prevalencia de la soledad y su impacto en los síntomas psicológicos a lo largo del tiempo. MÉTODO: Una muestra de N=633 adultos con un pasado de SCI se sometió a evaluaciones médicas y psicológicas y participó en una encuesta de seguimiento 2,5 años después. Los síntomas psicológicos se midieron mediante el Patient Health Questionnaire. Calculamos modelos de regresión lineal de síntomas en el seguimiento para investigar el impacto de la soledad a lo largo del tiempo (controlando los síntomas al inicio y los factores de confusión relevantes). RESULTADOS: La soledad fue reportada por el 17,70% de SCI. La soledad seguía siendo predictiva de síntomas de ansiedad más graves e ideación suicida dos años después. La soledad no predijo los síntomas somáticos y de depresión durante el seguimiento (que aumentaron con la edad). CONCLUSIONES: La soledad fue un factor de riesgo para síntomas de ansiedad persistente e ideación suicida. La medida en que la reintegración de los pacientes jóvenes con cáncer en la sociedad tenga éxito podría tener importantes implicaciones para el bienestar en la edad adulta


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Adultos Sobrevivientes de Eventos Adversos Infantiles/psicología , Supervivientes de Cáncer/psicología , Soledad/psicología , Ideación Suicida , Ansiedad/psicología , Factores de Riesgo , Encuestas y Cuestionarios , Factores Socioeconómicos , Modelos Lineales , Escalas de Valoración Psiquiátrica , Alemania/epidemiología
10.
Rev. ecuat. pediatr ; 22(1): 1-8, Abril 30, 2021.
Artículo en Inglés | LILACS | ID: biblio-1222375

RESUMEN

Introducción: La Organización mundial de la salud expresa que la depresión es un trastorno mental frecuente, caracterizado por aparición de tristeza, pérdida de interés o placer, sentimientos de culpa o falta de autoestima, trastornos del sueño, apetito, sensación de cansancio y falta de concentración. El objetivo del presente estudio fue determinar la prevalencia de depresión y factores asociados en los adolescentes de 14 a 18 años estudiantes de la Unidad Educativa Luis Cordero en la ciudad de Azogues en el año 2019. Métodos: se realizó una investigación de tipo analítica y transversal. La muestra fue de 262 estudiantes de 14 a 18 años en la Unidad Educativa Luis Cordero. Se aplicó una encuesta, que incluyó la escala HAD (Hospital anxiety and Depression Scale ), la información fue recolectada en formularios, se procesaron los datos utilizando el programa SPSS V.15 mediante frecuencia absoluta, porcentaje, Chi cuadrado y Odds ratio con un Intervalo de Con-fianza de 95% y valor P=0.05. Resultados: al aplicar el Cuestionario HAD se determinó una prevalencia de depresión del 25.9%. La depresión en mujeres fue de 14.1%, mientras que en hombres fue el 11.8%, residen en áreas urbanas (21.4%), no tienen padres migrantes (19.5%), su percepción de la existencia de violencia intrafamiliar (23.3%) y su percepción de bajo rendimiento académico (21%). En cuanto a la edad, no se encontró diferencias, correspondiendo cada grupo etario al 13%. Conclusiones: la prevalencia de depresión en los adolescentes es alta, los más afectados son las mujeres y los que presentan bajo rendimiento académico; sin encontrar asociación estadística entre las variables analizadas y la presencia de depresión.


Introduction: The World Health Organization has stated that depression is a very frequent mental disorder, characterized by the appearance of sadness, loss of interest or pleasure, feelings of guilt or lack of self-esteem, sleep or appetite disorders, feeling tired, and having a lack of concentration. The aim of this study was to determine the prevalence of depression and associated factors in adolescents from 14 to 18 years students of the Luis Cordero High School in the city of Azogues, Cañar-Ecuador in the year 2019. Methods: An analytical and cross-sectional investigation was carried out. The sample con-sisted of 262 students aged 14 to 18 in the Luis Cordero Luis Cordero High School. A survey was applied, which included the Hospital Anxiety and Depression Scale (HADS). Information was collected on forms, the data was processed using the SPSS V.15 program by absolute frequency, percentage, Chi square and odds ratio with a 95% confidence Interval and value P=0.05, which are represented in tables. Results: When applying the HADS questionnaire, students were determined to have a rate of depression of 26%. The prevalence of depression in women was 14.1%, while in men it was 11.8%. These students resided in urban areas (21.4%) and did not have migrant parents (19.5%). The existence of domestic violence was 23.3% and poor academic performance was 21%. Regarding age, no differences were found with each age group corresponding to 13%. Conclusions: The prevalence of depression in adolescents is high. The most affected are women and those with poor academic performance. However, there was no statistical association between the analyzed variables and the presence of depression.


Asunto(s)
Estudiantes , Adolescente , Depresión , Ansiedad , Cuestionario de Salud del Paciente
11.
Am J Mens Health ; 15(2): 15579883211005617, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33845678

RESUMEN

Black Americans remain disproportionately affected by the COVID-19 pandemic. Emerging data suggests that employment in certain occupations (e.g., essential; frontline) may place individuals at higher-risk for contracting COVID-19. The current investigation examined how Black American fathers' COVID-19 perceived work risk was associated with their individual well-being (COVID-19 diagnosis; depressive and anxiety symptoms; sleep disturbance; sleep quality) as well as spillover into family contexts. Participants were 466 Black American fathers (M = 36.63; SD = 11.00) who completed online surveys in June-July 2020. Adjusted binomial logistic and multiple regressions were estimated to examine how fathers' work context was associated with COVID-19 health outcomes, psychological functioning, sleep health, and family stress. Descriptive analyses revealed that 32% of fathers reported a personal diagnosis of COVID-19 and 21% indicated that an immediate family member had been diagnosed. Adjusted binomial logistic regression analyses revealed that fathers working in higher-risk contexts for contracting COVID-19 had a greater odds ratio for both a personal (OR: 1.68, 95% CI: 1.05, 2.68) and an immediate family member diagnosis (OR: 2.58, 95% CI: 1.52, 4.36). Working in a higher-risk context for contracting COVID-19 was associated with poorer psychological functioning, greater sleep disturbance, and higher levels of family discord. Findings suggest that Black fathers working in higher risk contexts may be at risk for COVID-19 exposure and infection. Further, this study indicates that these effects extend to their own well-being, including mental and sleep health as well as increased family stress.


Asunto(s)
Afroamericanos/psicología , /transmisión , Padre/psicología , Ocupaciones , Adulto , Ansiedad/psicología , Depresión/psicología , Humanos , Masculino , Pandemias , Factores de Riesgo , Trastornos del Sueño-Vigilia/psicología , Determinantes Sociales de la Salud , Estrés Psicológico/psicología , Encuestas y Cuestionarios , Estados Unidos/epidemiología
12.
Global Health ; 17(1): 47, 2021 Apr 14.
Artículo en Inglés | MEDLINE | ID: mdl-33853616

RESUMEN

OBJECTIVE: This study was aimed to assess the perceived fear of COVID-19 and its associated factors among older adults in Bangladesh. METHODS: This cross-sectional study was conducted in October 2020 among 1032 older Bangladeshi adults aged ≥60 years. A semi-structured questionnaire was used to collect information on participants' characteristics and COVID-19 related information. Perceived fear of COVID-19 was measured using the seven-item Fear of COVID-19 Scale (FCV-19S), where the cumulative score ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with perceived fear of COVID-19. RESULTS: The mean fear score was 19.4. Participants who were concerned about COVID-19 (ß: 2.75, 95% CI: 1.71 to 3.78) and overwhelmed by COVID-19 (ß: 3.31, 95% CI: 2.33 to 4.29) were significantly more likely to be fearful of COVID-19. Moreover, older adults who felt themselves isolated from others and whose close friends and family members were diagnosed with COVID-19 were more fearful. However, the participants who received COVID-19 related information from the health workers had a lower level of fear (ß: -1.90, 95% CI: - 3.06 to - 0.73). CONCLUSIONS: The presence of overwhelming fear of COVID-19 among the older adults of Bangladesh underlines the psychological needs of these vulnerable groups. Health workers have a key role in addressing these needs and further research is needed to identify the effective strategies for them to use.


Asunto(s)
Ansiedad/etiología , Miedo , Estrés Psicológico/etiología , Acceso a la Información/psicología , Anciano , Anciano de 80 o más Años , Bangladesh , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Aislamiento Social/psicología , Encuestas y Cuestionarios
13.
J Infect Dev Ctries ; 15(3): 320-325, 2021 03 31.
Artículo en Inglés | MEDLINE | ID: mdl-33839704

RESUMEN

INTRODUCTION: The COVID-19 epidemic has been causing serious physical, but also psychological effects in society. This systematic review sought to identify studies that describe COVID-19 related anxiety, and to understand the impact of anxiety assessment in defining strategies to be implemented in future studies. METHODOLOGY: This systematic review included cross-sectional studies with no publication year limit. It was performed a systematic search through three databases, namely, PubMed, Science Direct and Web of Science using the descriptors "COVID-19" and "anxiety". PRISMA criteria reporting of systematic reviews and meta-analyses were applied. Eligible articles were selected in accordance with inclusion and exclusion criteria. The inclusion criteria were: research articles related with anxiety measurement during the COVID-19 outbreak; interventions to reduce anxiety; and published in English. RESULTS: From 44 references, just four scientific articles were accepted for inclusion within this review. These studies were analyzed regarding their sample, methodology, instruments used, and its results. CONCLUSIONS: This systematic review was based on published data at the onset of the pandemic, and it could serve as a basis for the development of implementations plans to improve anxiety disorders. The importance of this theme, the implications and potential directions for future investigations will be discussed.


Asunto(s)
Ansiedad/epidemiología , /psicología , Estudios Transversales , Salud Global , Humanos
14.
BMJ Open ; 11(4): e044397, 2021 04 13.
Artículo en Inglés | MEDLINE | ID: mdl-33849850

RESUMEN

OBJECTIVES: To determine the prevalence and factors associated with depression, anxiety and stress among healthcare workers (HCWs) during COVID-19 pandemic. DESIGN: Cross-sectional online survey. SETTING: HCWs from four major hospitals within the Regional Health Authorities of Trinidad and Tobago. PARTICIPANTS: 395 HCWs aged ≥18 years. MAIN OUTCOME MEASURES: Depression, anxiety and stress scores. RESULTS: Among the 395 HCWs, 42.28%, 56.2% and 17.97% were found to have depression, anxiety and stress, respectively. In the final stepwise regression model, contact with patients with confirmed COVID-19, p<0.001 (95% CI 3.072 to 6.781) was reported as significant predictors of depression. Further, gender, p<0.001 (95% CI 2.152 to 5.427) and marital status, p<0.001 (95% CI 1.322 to 4.270) of the HCWs were considered to be correlated with anxiety. HCWs who had contact with patients with suspected COVID-19 had lower depression, p<0.001 (95% CI -5.233 to -1.692) and stress, p<0.001 (95% CI -5.364 to -1.591). CONCLUSIONS: This study has depicted the prevalence and evidence of depression, anxiety and stress among HCWs during the COVID-19 pandemic. The findings of the study will serve as supportive evidence for the timely implementation of further planning of preventative mental health services by the Ministry of Health, for frontline workers within the public and private health sectors.


Asunto(s)
Ansiedad/epidemiología , Depresión/epidemiología , Personal de Salud/psicología , Estrés Laboral/epidemiología , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Prevalencia , Encuestas y Cuestionarios , Trinidad y Tobago/epidemiología
15.
BMC Psychiatry ; 21(1): 194, 2021 04 14.
Artículo en Inglés | MEDLINE | ID: mdl-33853562

RESUMEN

BACKGROUND: Confinement due to COVID-19 has increased mental ill-health. Few studies unpack the risk and protective factors associated with mental ill-health and addictions that might inform future preparedness. METHODS: Cross-sectional on-line survey with 37,810 Catalan residents aged 16+ years from 21 April to 20 May 2020 reporting prevalence of mental ill-health and substance use and associated coping strategies and behaviours. RESULTS: Weighted prevalence of reported depression, anxiety and lack of mental well-being was, respectively, 23, 26, and 75%, each three-fold higher than before confinement. The use of prescribed hypnosedatives was two-fold and of non-prescribed hypnosedatives ten-fold higher than in 2018. Women, younger adults and students were considerably more likely, and older and retired people considerably less likely to report mental ill-health. High levels of social support, dedicating time to oneself, following a routine, and undertaking relaxing activities were associated with half the likelihood of reported mental ill-health. Worrying about problems living at home, the uncertainty of when normality would return, and job loss were associated with more than one and a half times the likelihood of mental ill-health. With the possible exception of moderately severe and severe depression, length of confinement had no association with reported mental ill-health. CONCLUSIONS: The trebling of psychiatric symptomatology might lead to either to under-identification of cases and treatment gap, or a saturation of mental health services if these are not matched with prevalence increases. Special attention is needed for the younger adult population. In the presence of potential new confinement, improved mental health literacy of evidence-based coping strategies and resilience building are urgently needed to mitigate mental ill-health.


Asunto(s)
Adolescente , Adulto , Ansiedad , Estudios Transversales , Depresión , Femenino , Humanos , Salud Mental , Encuestas y Cuestionarios
16.
Am J Alzheimers Dis Other Demen ; 36: 15333175211008768, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33853394

RESUMEN

Little is known about the family experience of caregiving for persons living with dementia (PLWD) at home during the COVID-19 pandemic. The purpose of this study was to examine the influence of COVID-19 on concerns of current family caregivers of PLWD. Study participants were recruited from the parent study, Healthy Patterns Clinical Trial (NCT03682185). Data was collected from 34 caregivers via semi-structured telephone interviews. Over 70% of the study participants reported worrying about spreading COVID-19 to the PLWD, 41% reported they had taken on additional caregiving duties for others in their family since COVID-19, and 62% reported one or more anxiety symptoms. Dementia caregivers who reported anxiety symptoms reported lower scores on functional independence of their care recipients compared to dementia caregivers who did not report anxiety symptoms (p=0.036). Health care professionals should be alert to the concerns expressed by dementia caregivers for their well-being during this unprecedented pandemic.


Asunto(s)
Demencia , Ansiedad , Cuidadores , Demencia/epidemiología , Humanos , Pandemias
17.
Ann Acad Med Singap ; 50(3): 203-211, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33855316

RESUMEN

INTRODUCTION: Frontline healthcare workers (HCWs) exposed to coronavirus disease 2019 (COVID-19) are at risk of psychological distress. This study evaluates the psychological impact of COVID-19 pandemic on HCWs in a national paediatric referral centre. METHODS: This was a survey-based study that collected demographic, work environment and mental health data from paediatric HCWs in the emergency, intensive care and infectious disease units. Psychological impact was measured using the Depression, Anxiety, Stress Scale-21. Multivariate regression analysis was performed to identify risk factors associated with psychological distress. RESULTS: The survey achieved a response rate of 93.9% (430 of 458). Of the 430 respondents, symptoms of depression, anxiety and stress were reported in 168 (39.1%), 205 (47.7%) and 106 (24.7%), respectively. Depression was reported in the mild (47, 10.9%), moderate (76, 17.7%), severe (23, 5.3%) and extremely severe (22, 5.1%) categories. Anxiety (205, 47.7%) and stress (106, 24.7%) were reported in the mild category only. Collectively, regression analysis identified female sex, a perceived lack of choice in work scope/environment, lack of protection from COVID-19, lack of access to physical activities and rest, the need to perform additional tasks, and the experience of stigma from the community as risk factors for poor psychological outcome. CONCLUSION: A high prevalence of depression, anxiety and stress was reported among frontline paediatric HCWs during the COVID-19 pandemic. Personal psychoneuroimmunity and organisational prevention measures can be implemented to lessen psychiatric symptoms. At the national level, involving mental health professionals to plan and coordinate psychological intervention for the country should be considered.


Asunto(s)
Ansiedad/etiología , Depresión/etiología , Hospitales Pediátricos , Enfermedades Profesionales/etiología , Personal de Hospital/psicología , Estrés Psicológico/etiología , Adulto , Ansiedad/diagnóstico , Ansiedad/epidemiología , /prevención & control , Depresión/diagnóstico , Depresión/epidemiología , Femenino , Encuestas Epidemiológicas , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Enfermedades Profesionales/diagnóstico , Enfermedades Profesionales/epidemiología , Pandemias , Prevalencia , Factores de Riesgo , Autoinforme , Índice de Severidad de la Enfermedad , Singapur/epidemiología , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología
18.
BMJ Open ; 11(4): e049653, 2021 04 15.
Artículo en Inglés | MEDLINE | ID: mdl-33858874

RESUMEN

OBJECTIVE: To provide evidence on the effect of the COVID-19 pandemic on the mental health of young people who grew up in poverty in low/middle-income countries (LMICs). DESIGN: A phone survey administered between August and October 2020 to participants of a population-based longitudinal cohort study established in 2002 comprising two cohorts born in 1994-1995 and 2001-2002 in Ethiopia, India (Andhra Pradesh and Telangana), Peru and Vietnam. We use logistic regressions to examine associations between mental health and pandemic-related stressors, structural factors (gender, age), and lifelong protective/risk factors (parent and peer relationship, wealth, long-term health problems, past emotional problems, subjective well-being) measured at younger ages. SETTING: A geographically diverse, poverty-focused sample, also reaching those without mobile phones or internet access. PARTICIPANTS: 10 496 individuals were approached; 9730 participated. Overall, 8988 individuals were included in this study; 4610 (51%) men and 4378 (49%) women. Non-inclusion was due to non-location or missing data. MAIN OUTCOME MEASURES: Symptoms consistent with at least mild anxiety or depression were measured by Generalized Anxiety Disorder-7 (≥5) or Patient Health Questionnaire-8 (≥5). RESULTS: Rates of symptoms of at least mild anxiety (depression) were highest in Peru at 41% (32%) (95% CI 38.63% to 43.12%; (29.49-33.74)), and lowest in Vietnam at 9% (9%) (95% CI 8.16% to 10.58%; (8.33-10.77)), mirroring COVID-19 mortality rates. Women were most affected in all countries except Ethiopia. Pandemic-related stressors such as health risks/expenses, economic adversity, food insecurity, and educational or employment disruption were risk factors for anxiety and depression, though showed varying levels of importance across countries. Prior parent/peer relationships were protective factors, while long-term health or emotional problems were risk factors. CONCLUSION: Pandemic-related health, economic and social stress present significant risks to the mental health of young people in LMICs where mental health support is limited, but urgently needed to prevent long-term consequences.


Asunto(s)
Ansiedad/epidemiología , Depresión/epidemiología , Pandemias , Adulto , Etiopía/epidemiología , Femenino , Humanos , India/epidemiología , Estudios Longitudinales , Masculino , Salud Mental , Perú/epidemiología , Vietnam/epidemiología , Adulto Joven
19.
BMC Oral Health ; 21(1): 200, 2021 04 20.
Artículo en Inglés | MEDLINE | ID: mdl-33879144

RESUMEN

BACKGROUND: The purpose was to analyse the associations between dental and trait anxiety, fear of COVID-19 and the duration and frequency of spontaneous hand-to-face contact (self-contact). METHODS: A cross-sectional design was carried out with 128 adult patients from four dental clinics in Madrid, during the confinement, from March 15 to May 15. The patients' movements in the waiting room were monitored with Microsoft Kinect Software, also completed the Trait anxiety subscale of the STAI, the COVID-19 Fear and the S-DAI questionnaire. RESULTS: Associations were observed between the duration and frequency of facial, mask and eye contact with trait anxiety and dental fear was determined only by the frequency of this self-contact. Trait anxiety is associated with dental anxiety and with fear of COVID-19. Although facial self-contact is higher in women, it also rises in men as dental fear increases. Moreover, dental anxiety is a good predictor of trait anxiety and the incidence of facial self-contact. CONCLUSIONS: Understanding the possible associations between biopsychosocial factors, such as trait anxiety, dental anxiety and self-contact is important. It may help to prevent the spread of COVID-19 in the population as well as enabling the formulation of effective interventions to improve oral health care through the implementation of dental care programmes.


Asunto(s)
Adulto , Ansiedad , Estudios Transversales , Ansiedad al Tratamiento Odontológico , Femenino , Humanos , Masculino , Encuestas y Cuestionarios
20.
Sr Care Pharm ; 36(5): 226-227, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33879282

RESUMEN

Despite the support systems that may be available, the scope of the recent pandemic is debilitating on a multitude of levels including, but not limited to, psychological, social, and financial. Older people already coping with mental distress on the sidelines of chronic illness, may be further compromised. The older person with chronic obstructive pulmonary disease (COPD) often struggles to withstand the anxiety and depression that is intertwined with symptoms of worsening respiratory function.


Asunto(s)
Depresión , Enfermedad Pulmonar Obstructiva Crónica , Adaptación Psicológica , Anciano , Anciano de 80 o más Años , Ansiedad/epidemiología , Ansiedad/etiología , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/epidemiología , Depresión/epidemiología , Depresión/etiología , Humanos , Enfermedad Pulmonar Obstructiva Crónica/epidemiología
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