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1.
PLoS One ; 16(4): e0249768, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33826654

RESUMEN

In March 2020, New York City (NYC) experienced an outbreak of coronavirus disease 2019 (COVID-19) which resulted in a 78-day mass confinement of all residents other than essential workers. The aims of the current study were to (1) document the breadth of COVID-19 experiences and their impacts on college students of a minority-serving academic institution in NYC; (2) explore associations between patterns of COVID-19 experiences and psychosocial functioning during the prolonged lockdown, and (3) explore sex and racial/ethnic differences in COVID-19-related experiences and mental health correlates. A total of 909 ethnically and racially diverse students completed an online survey in May 2020. Findings highlight significant impediments to multiple areas of students' daily life during this period (i.e., home life, work life, social environment, and emotional and physical health) and a vast majority reported heightened symptoms of depression and generalized anxiety. These life disruptions were significantly related to poorer mental health. Moreover, those who reported the loss of a close friend or loved one from COVID-19 (17%) experienced significantly more psychological distress than counterparts with other types of infection-related histories. Nonetheless, the majority (96%) reported at least one positive experience since the pandemic began. Our findings add to a growing understanding of COVID-19 impacts on psychological health and contribute the important perspective of the North American epicenter of the pandemic during the time frame of this investigation. We discuss how the results may inform best practices to support students' well-being and serve as a benchmark for future studies of US student populations facing COVID-19 and its aftermath.


Asunto(s)
Ansiedad , Depresión , Salud Mental , Estrés Psicológico , Estudiantes , Universidades , Adolescente , Adulto , Ansiedad/epidemiología , Ansiedad/psicología , /psicología , Estudios Transversales , Depresión/epidemiología , Depresión/psicología , Femenino , Humanos , Masculino , Ciudad de Nueva York , Estrés Psicológico/epidemiología , Estrés Psicológico/psicología
2.
Curr Pharm Teach Learn ; 13(6): 635-642, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33867058

RESUMEN

INTRODUCTION: The coronavirus disease of 2019 pandemic has changed university routines affecting student mental health. The aims of this study were to survey aspects related to mental health of pharmaceutical course students considering previous and current contexts. METHODS: The Depression, Anxiety, and Stress Scale (DASS-21), Impact of Event Scale-Revised, and Brunel Mood Scale were used. DASS-21 was completed pre- and post-pandemic. The validity and reliability of the data were verified. The prevalence (95% CI) of mental health symptoms was estimated. The relationship between the time spent watching/reading the news and mean scales scores was evaluated (Pearson's correlation coefficient). RESULTS: The prevalence of depression symptoms in students pre-pandemic was 66.7% (95% CI = 65.3-68.1) and during the pandemic was 81% (95% CI = 79.8-82.2). More than 70% (95% CI = 69.8-72.6) of participants had some psychological impact as a result of the pandemic (mild: 16.7% [95% CI = 15.6-17.8]; moderate: 9.1% [95% CI = 8.2-10]; severe: 45.4% [95% CI = 43.9-46.9]). High values of tension, depressed mood, mental confusion, and anger were observed. There was a significant correlation between the time spent following the news of the pandemic and symptoms of anxiety (r = 0.356; P < .001), stress (r = 0.248; P = .014), hyperarousal (r = 0.322; P ≤ 0.001), and intrusion (r = 0.21; P = .039). CONCLUSIONS: Students are highly vulnerable to depressive symptoms and mood swings due to the pandemic. These findings deserve consideration mainly from mental health professionals, but also from managers and educators.


Asunto(s)
Afecto , Ansiedad/etiología , Depresión/etiología , Pandemias , Estrés Psicológico/etiología , Estudiantes de Farmacia/psicología , Adolescente , Adulto , Ira , Ansiedad/epidemiología , Trastornos de Ansiedad , Brasil/epidemiología , Confusión , Coronavirus , Infecciones por Coronavirus , Depresión/epidemiología , Trastorno Depresivo , Emociones , Femenino , Humanos , Conducta en la Búsqueda de Información , Masculino , Salud Mental , Prevalencia , Índice de Severidad de la Enfermedad , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios , Universidades , Adulto Joven
3.
West Afr J Med ; 38(4): 335-341, 2021 04 23.
Artículo en Inglés | MEDLINE | ID: mdl-33900716

RESUMEN

Introduction: Psychosocial problems are common in chronic kidney disease (CKD) patients and are associated with poor overall outcomes; however, their evaluation has not received the deserved attention. This study assessed self-perceived burden on caregivers, psychosocial wellbeing, anxiety and depression among CKD patients, and the impact on their quality of life (QoL) in two hospitals in Nigeria. Methods: This was a cross-sectional study. Self-perceived burden on caregivers, QoL, anxiety, and depression of the patients, were assessed using the Cousineau questionnaire, modified SF-12 questionnaire, Hospital Anxiety and Depression Scale, respectively. Results: There were 141 participants in the study comprising 50 haemodialysis (HD) patients, 41 pre-dialysis CKD patients and 50 controls. The male: female ratio for CKD patients and controls were 1.1 and 1.4 respectively. Prevalence of depressive and anxiety symptoms in the CKD patients were 46.2% and 33.0% respectively. The QoL score was significantly higher in the control group compared to the CKD patients (p= <0.001) and significantly lower in the HD patients compared to the pre-dialysis CKD patients (p= <0.001). Self-perceived burden score was significantly higher in the HD group compared to the pre-dialysis CKD group (p = < 0.001) There was a negative correlation between QoL score and self-perceived burden, hospital anxiety score and hospital depression score (p =<0.001). Conclusion: Psychological disorders and self-perceived burdens are highly prevalent among CKD patients. They have negative impact on their QoL, hence regular evaluation and management of these disorders should be incorporated into the care of CKD patients.


Asunto(s)
Calidad de Vida , Insuficiencia Renal Crónica , Ansiedad/epidemiología , Ansiedad/etiología , Cuidadores , Estudios Transversales , Femenino , Humanos , Masculino , Nigeria , Insuficiencia Renal Crónica/complicaciones , Insuficiencia Renal Crónica/epidemiología , Insuficiencia Renal Crónica/terapia
4.
Artículo en Inglés | MEDLINE | ID: mdl-33810403

RESUMEN

While large numbers of women report high levels of psychological distress associated with endometriosis, others report levels of distress that are comparable to those of healthy women. Thus, the aim of the current study was to develop an explanatory model for the effect of endometriosis on women's psychological distress. Furthermore, it sought to further investigate the role of body image, self-criticism, and pain intensity on the psychological distress associated with endometriosis and establish the effect of chronic illness load on the development of this distress. This study comprised a total of 247 women aged 20-49 (M = 31.3, SD = 6.4)-73 suffering from endometriosis only, 62 suffering from endometriosis and an additional chronical illness (ACI), and 112 healthy peers (HP)-who completed the Patient Health Questionnaire, the Generalized Anxiety Disorder-Item Scale, the Body Appreciation Scale-2, and the Self-Criticism Sub-Scale. When comparing each endometriosis group to their HP's, we found that the differences between HP and endometriosis ACI in depression and anxiety were mediated by body image (Betas = 0.17 and 0.09, respectively, p's < 0.05) and self-criticism (Betas = 0.23 and 0.26, respectively, p's < 0.05). When comparing endometriosis participants to endometriosis ACI participants, differences in depression were mediated by body image, self-criticism, and pain intensity (Betas = 0.12, 0.13, 0.13 respectively, p's < 0.05), and the differences in anxiety were mediated by self-criticism and pain intensity (Betas = 0.19, 0.08, respectively, p's < 0.05). Physicians and other health professionals are advised to detect women with endometriosis ACI who are distressed, and to offer them appropriate intervention.


Asunto(s)
Endometriosis , Distrés Psicológico , Adulto , Ansiedad/epidemiología , Imagen Corporal , Depresión/epidemiología , Endometriosis/epidemiología , Femenino , Humanos , Persona de Mediana Edad , Multimorbilidad , Autoevaluación , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios , Adulto Joven
5.
BMC Psychiatry ; 21(1): 202, 2021 04 20.
Artículo en Inglés | MEDLINE | ID: mdl-33879109

RESUMEN

BACKGROUND: Depression and anxiety are two common mood problems among patients with cardiovascular disease (CVD) and are associated with poor cardiac prognoses. The comorbidity of depression and anxiety is considered to be a more severe psychological status than non-comorbid mood disorders. However, little is known about the relationship between depression or anxiety and noncardiac readmission. We conducted a prospective study on the prognostic impact of depression, anxiety, and the comorbidity of the two among angina pectoris (AP) patients. METHOD: In this prospective study, 443 patients with AP were included in the analysis. Follow-up assessments were performed 1 year, and 2 years after patient discharges. Clinical outcomes of interest included noncardiac readmission, major adverse cardiovascular events (MACEs), and composite events. Depression and anxiety symptom scores derived from the patient health questionnaire-9 (PHQ-9) and generalised anxiety disorder-7 (GAD-7) questionnaire were used to assess mood symptoms at baseline. Participants with symptom scores of ≥10 on both the depression and anxiety questionnaires formed the clinical comorbidity subgroup. We used multivariable Cox proportional hazards models to evaluate the impact of individual mood symptom and comorbidity on clinical outcomes. RESULTS: Among all the AP patients, 172 (38. 9%) were determined to have depression symptoms, 127 (28.7%) patients had anxiety symptoms and 71 (16.0%) patients suffered from their comorbidity. After controlling covariates, we found that patients who endured clinical depression (hazard ratio [HR] = 2.38, 95% confidence interval [CI] 1.06-5.33, p = 0.035) and anxiety ([HR] 2.85, 95% [CI] 1.10-7.45, p = 0.032) had a high risk of noncardiac readmission. Compared to participants with no mood symptoms, those with clinical comorbidity of depression and anxiety presented a greater risk of noncardiac readmission ([HR] 2.91, 95% [CI] 1.03-8.18, p = 0.043) MACEs ([HR] 2.38, 95% [CI] 1.11-5.10, p = 0.025) and composite event ([HR] 2.52, 95% [CI] 1.35-4.69, p = 0.004). CONCLUSION: Depression and anxiety were found to have predictive value for noncardiac readmission among patients with AP. Furthermore, prognoses were found to be worse for patients with comorbidity of depression and anxiety than those with single mood symptom. Additional attention needs to be focused on the initial identification and long-term monitoring of mood symptom comorbidity.


Asunto(s)
Trastornos de Ansiedad , Depresión , Angina de Pecho/epidemiología , Ansiedad/epidemiología , Trastornos de Ansiedad/epidemiología , Comorbilidad , Depresión/epidemiología , Humanos , Pronóstico , Estudios Prospectivos , Factores de Riesgo
6.
Rev Saude Publica ; 55: 5, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33852675

RESUMEN

OBJECTIVE: To estimate the prevalence of clinical signs and symptoms of severe/extreme stress, anxiety, and depression, as well as their associated factors, among Brazilians during social distancing. METHODS: This is a cross-sectional study conducted in April/May 2020 with 3,200 Brazilians over 18 years old. Respondents' sociodemographic and clinical data were collected using an online questionnaire, which also included the 21-item Depression, Anxiety and Stress Scale (DASS-21) to assess emotional symptoms. Unadjusted and adjusted prevalence ratios and their respective 95% confidence intervals were estimated using Poisson regression models with robust variance. RESULTS: Our results show the prevalence of severe/extreme stress was 21.5%, anxiety 19.4%, and depression 21.5%. In the final model, sociodemographic, clinical, and Covid-19-related factors were associated with severe/extreme stress, anxiety, and depression in Brazilians during social distancing due to the Covid-19 pandemic. We found the main factors associated with severe/extreme depression to be young women, brown, single, not religious, sedentary, presenting reduced leisure activities, history of anxiety and depression, increased medication use, and Covid-19 symptoms. CONCLUSION: This study may help develop and systematically plan measures aimed to prevent, early identify, and properly manage clinical signs and symptoms of stress, anxiety, and depression during the Covid-19 pandemic.


Asunto(s)
Pandemias , Adolescente , Ansiedad/epidemiología , Ansiedad/etiología , Brasil/epidemiología , Estudios Transversales , Depresión/epidemiología , Depresión/etiología , Femenino , Humanos , Estrés Psicológico/epidemiología , Estrés Psicológico/etiología , Encuestas y Cuestionarios
7.
Psychiatr Danub ; 33(1): 48-56, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33857039

RESUMEN

BACKGROUND: To explore corellation of anxiety, depression ant type of personality in inflammatory bowel disease (IBD) and compare with peptic ulcer (PU). SUBJECTS AND METHODS: In this study, prevalence of anxiety, depression and type of personality was investigated in 362 cases divided into three groups: 112 of IBD patients, 122 of peptic ulcer patients and 128 of control group who didn't have any gastrointestinal or psychic complaints. IBD and peptic ulcer diagnosis were established by standard diagnostic procedures (anamnesis, clinical manifestations, laboratory, endoscopy and biopsy in IBD and upper endoscopy in peptic ulcer). Anxiety and depression were established by Hamilton anxiety rating scale (HAM-A) and Hamilton rating test for depression (HAM-D). Type of A/B personality was established by Bortner scale and D type of personality by Denollet scale (DS14). RESULTS: Anxiety was found in 47 (41.9%) and depression in 44 (38.3%) of a total of 112 IBD cases. In group with peptic ulcer anxiety was found in 40 (32.8%) and depression aalso in 40 (32.8%) of total 122 cases. In control group anxiety was diagnosed in 21 (16.4%) and depression in 20 (15.6%) of total 128 cases. Anxiety and depresson were significantly higher in both groups than in control group but anxiety and depression were significantly higher in IBD group than peptic ulcer group. D type of personality was statistically significant in peptic ulcer group. CONCLUSION: Anxiety and depression in IBD and peptic ulcer cases have a greater prevalence compared to the normal population and surprisingly are higher in IBD than peptic ulcer group. D type of personality is associated with peptic ulcer.


Asunto(s)
Enfermedades Inflamatorias del Intestino , Úlcera Péptica , Ansiedad/epidemiología , Depresión/epidemiología , Humanos , Enfermedades Inflamatorias del Intestino/epidemiología , Úlcera Péptica/epidemiología , Personalidad
8.
Psychiatr Danub ; 33(1): 86-94, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33857051

RESUMEN

BACKGROUND: The World Health Organization has declared the Corona Virus Disease 2019 (COVID-19) epidemic as a public health emergency of international concern. Given the sudden infection from and extensive dispersion of COVID-19 and the absence of specific drugs, those infected are in danger if they are not treated in time. Consequently, COVID-19 has become an important factor influencing adolescents' mental health. The purpose of this study is to explore the intervention effect of the integration model on the negative emotions of adolescents during the COVID-19 epidemic. SUBJECTS AND METHODS: Adolescents were randomly selected from five middle schools in Zhejiang Province of China from May 2020 to July 2020. First, the Self-rating Anxiety Scale, Positive and Negative Affect Scale, and Psychological Well-Being Scale were used for measurement. Then, 72 patients with moderate and severe anxiety symptoms were chosen as the research objects, and the intervention and comparison time was determined to be eight weeks. The subjects were randomly divided into the experiment group (35 members) and the control group (34 members). The integration model was employed on the experiment group. RESULTS: Grade, physical condition, and sleep time are important factors influencing the anxiety level of adolescents during the COVID-19 period, and the anxiety risk of adolescents is higher during their third year of junior high school. After the intervention, the SAS score of the experiment group is lower than that of the control group, and the decrease in the SAS score is higher in the experiment group than in the control group (P<0.01). Moreover, the positive emotion score of the experiment group is higher than that of the control group, and the negative emotion score of the former is lower than that of the latter. The variances in the positive and negative emotion scores are higher in the experiment group than in the control group (P<0.01). The variance in the overall well-being index is also greater in the experiment group than in the control group (P<0.01). CONCLUSION: The intervention using the integrated model can significantly reduce negative emotions such as anxiety, increase positive emotions, and improve the overall well-being of adolescents during the epidemic period.


Asunto(s)
Adolescente , Ansiedad/epidemiología , China , Brotes de Enfermedades , Emociones , Humanos , Encuestas y Cuestionarios
9.
BMC Psychol ; 9(1): 60, 2021 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-33892807

RESUMEN

BACKGROUND: The COVID-19 pandemic has led to dramatic social and economic changes in daily life. First studies report an impact on mental health of the general population showing increased levels of anxiety, stress and depression. In this study, we compared the impact of the pandemic on two culturally and economically similar European countries: the UK and Germany. METHODS: Participants (UK = 241, German = 541) completed an online-survey assessing COVID-19 exposure, impact on financial situation and work, substance and media consumption, mental health using the Symptom-Check-List-27 (SCL-27) and the Schizotypal Personality Questionnaire. RESULTS: We found distinct differences between the two countries. UK responders reported a stronger direct impact on health, financial situation and families. UK responders had higher clinical scores on the SCL-27, and higher prevalence. Interestingly, German responders were less hopeful for an end of the pandemic and more concerned about their life-stability. CONCLUSION: As 25% of both German and UK responders reported a subjective worsening of the general psychological symptoms and 20-50% of German and UK responders reached the clinical cut-off for depressive and dysthymic symptoms as well as anxieties, it specifically shows the need for tailored intervention systems to support large proportions of the general public.


Asunto(s)
Pandemias , Ansiedad/epidemiología , Depresión/epidemiología , Alemania/epidemiología , Humanos , Salud Mental , Reino Unido/epidemiología
10.
BMC Psychol ; 9(1): 59, 2021 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-33892817

RESUMEN

BACKGROUND: Three out of ten children in Germany have immigrant backgrounds and this proportion is expected to further increase in subsequent years. While immigrant youth have been found more vulnerable to developing symptoms of depression and anxiety, the underlying mechanisms of how such disparities unfold during youth development are still understudied. Some previous research has found that immigrant youth are at risk of experiencing a less positive self-concept compared to non-immigrant youth. We investigated whether the self-concept mediates mental health disparities and explored variability in such associations from middle childhood to late adolescence. METHODS: Overall 1839 children and adolescents aged 6-21 years (M = 14.05 years, SD = 3.03, 49.8% female, n = 782 with immigrant status) participated in a cross-sectional self-report survey in classroom settings using scales from the Beck Youth Inventories II (Beck et al. in Beck Youth Inventories - Second Edition, Psychological Corporation, San Antonio, 2005) to assess self-concept and symptoms of depression and anxiety. Links between immigrant status, age, self-concept and symptom levels of depression as well as anxiety were examined using hierarchical regression and moderated mediation models. RESULTS: Immigrant youth reported higher symptom levels of depression and anxiety than their non-immigrant peers but did not differ in their self-concepts. Hypothesized moderated mediation models were not fully supported and self-concept neither mediated the link between immigrant status and depression nor immigrant status and anxiety. However, self-concept was a significant predictor for symptom levels of depression as well as anxiety, with stronger associations in adolescents. CONCLUSIONS: Our study substantiates previous findings that immigrant youth in Germany have overall increased symptom levels of depression and anxiety compared to non-immigrant youth. Our study however does not support that immigrant youth have a more negative self-concept and that the self-concept mediates such internalizing mental health disparities. Findings match previous evidence that developing a positive attitude towards the self is linked to better mental health. Beyond that, our findings suggest that mental health interventions addressing the self-concept could be especially relevant when targeting adolescents. Further research is needed to deepen the understanding of the mediating processes between migration status and mental health variables.


Asunto(s)
Emigrantes e Inmigrantes , Salud Mental , Adolescente , Adulto , Ansiedad/epidemiología , Niño , Estudios Transversales , Depresión/epidemiología , Femenino , Alemania , Humanos , Masculino , Adulto Joven
11.
Wiad Lek ; 74(3 cz 1): 455-459, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33813449

RESUMEN

OBJECTIVE: The aim: To study the influence of anxiety and depressive disorders on life quality of patients with arterial hypertension. PATIENTS AND METHODS: Materials and methods: 55 patients with arterial hypertension (AH) of 2nd stage were examined to reach the goal. Age diapason was 25-73 years, the middle age was 53.56+10.28. There were 58.2% (32) of women and 41.8% (23) of men among the patients. RESULTS: Results: Results analysis of the investigation of patients with arterial hypertension and anxiety and depressive disorders using the Spielberger-Khanin anxiety inventory showed moderate (30.9%) and high (69.1%) level of trait anxiety. As for the state anxiety the high level of it was confirmed in 74.6% of studied patients and moderate level of state anxiety in 25.5% of patients. During the analysis of gender-based distribution the trait anxiety level was significantly higher in women (p<0.05). Results of PHQ-9 showed subclinical depression level (12.7%), mild (49.1%) and moderate (16.4%). Moderate manifestations of depression were found in 12.7%, severe depression in 9.1% (5 individuals). As for the gender-based distribution, anxiety indicators were significantly higher in women (p<0.01). HADS method did not show significant difference of depression levels of gender-based distribution. CONCLUSION: Conclusions: The majority of individuals with arterial hypertension and nonpsychotic mental disorders have a high level of trait and state anxiety. Direct correlation was found between the trait anxiety indicator and depression severity, which were defined according to HADS and PHQ-9 questionnaires. The level of anxiety and depressive episode severity were found to be reliably higher in women in gender-based distribution, that/which was accompanied by decrease in most of the life quality indicators.


Asunto(s)
Trastorno Depresivo , Hipertensión , Adulto , Anciano , Ansiedad/epidemiología , Trastornos de Ansiedad/epidemiología , Depresión/epidemiología , Depresión/etiología , Trastorno Depresivo/epidemiología , Femenino , Humanos , Hipertensión/epidemiología , Masculino , Persona de Mediana Edad
12.
Georgian Med News ; (311): 125-129, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33814405

RESUMEN

The aim of the study is to analyze empirically obtained data to identify psychoemotional states of adolescents with manifestations of cyber addiction. The study, conducted from 2016 to the present, involved 559 respondents, 408 of whom with certain types of cyber addictions made up the main group and 151 were relatively healthy, who were included in the control group. All respondents were diagnosed using a psychodiagnostic technique - Toronto Alexithymia Scale (TAS). According to the results of the study, it was found that the majority (more than 80%) of respondents in the age group from 14 to 21 years old, who made up the control group, did not show signs of alexithymia (passive aggression, difficulty in choosing words when describing their own feelings and interpersonal contacts, depression and anxiety they were not typical), and respondents with cyber-addiction demonstrate manifestations of alexithymia in 30-50% of cases. The highest indicators of alexithymia manifestation were found among the respondents of the main group of males aged 16 to 18 years - 50.00% of the respondents, as well as high indicators of manifestation of alexithymia were revealed among young men of the main group aged 14 to 15 years - 45.76% and at the age from 19 to 21 years old - 46.27% of respondents. Among girls of the main group, manifestations of alexithymia were revealed in more than 25% of the respondents (MGG1 - 26.15%, MGG2 - 30.26%, MGG3 - 33.33% of the respondents). This made it possible for us to characterize cyber addicts as persons, mainly with manifestations of alexithymia, capable of reflection, prone to the manifestation of short-term, sharply expressed in the behavior of emotional outbursts, the causes of which are poorly understood, and also have manifestations of depression and anxiety. The study made it possible to include alexithymic manifestations in research markers for the further development of psychocorrectional programs for adolescents suffering from various types of cyber addictions.


Asunto(s)
Síntomas Afectivos , Trastornos de Ansiedad , Adolescente , Adulto , Síntomas Afectivos/diagnóstico , Síntomas Afectivos/epidemiología , Agresión , Ansiedad/diagnóstico , Ansiedad/epidemiología , Emociones , Femenino , Humanos , Masculino , Adulto Joven
13.
Anticancer Res ; 41(4): 1971-1974, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33813403

RESUMEN

BACKGROUND/AIM: Oncological care has faced several challenges during the COVID-19 pandemic, e.g. treatment delay and worsening symptoms. Patient-reported anxiety, depression and sleep quality might have changed due to these special circumstances. Therefore, we analyzed the symptom burden of patients treated with palliative radiotherapy at our center. PATIENTS AND METHODS: A retrospective study was performed of 50 consecutive patients and the results were compared to those obtained in a previous pre-COVID study. The Edmonton Symptom Assessment Scale was employed to assess the preradiotherapy symptoms. RESULTS: The highest mean scores were reported for pain in activity (3.2) and dry mouth (3.1). Regarding anxiety, sadness/depression and sleep, the corresponding scores were 1.5, 1.2 and 2.7, respectively. Compared to the previous study, no significant increases were found. Most items had numerically lower mean values, e.g. anxiety (1.5 vs. 2.7). Both study populations had comparable median age (70.5 vs. 70 years), gender distribution and proportion of patients with bone metastases. However, there were two significant imbalances, namely a lower proportion of patients with prostate cancer (12 vs. 30%, p=0.02) and breast cancer (0 vs. 12%, p=0.02). CONCLUSION: In patients who showed up for radiation treatment planning, the suspected increase in anxiety, sadness/depression and sleep disturbance was not demonstrable. It is not known whether or not patients with substantial worries chose to decline referral to palliative radiotherapy. Therefore, comprehensive large-scale studies of patterns of care are needed to fully understand the impact of COVID-19-related measures.


Asunto(s)
/epidemiología , Costo de Enfermedad , Neoplasias/radioterapia , Cuidados Paliativos/métodos , Pandemias , Anciano , Anciano de 80 o más Años , Ansiedad/epidemiología , Ansiedad/etiología , Neoplasias Óseas/epidemiología , Neoplasias Óseas/secundario , Dolor en Cáncer/diagnóstico , Dolor en Cáncer/epidemiología , Dolor en Cáncer/etiología , Depresión/epidemiología , Depresión/etiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/complicaciones , Neoplasias/epidemiología , Neoplasias/patología , Noruega/epidemiología , Estudios Retrospectivos , Análisis de Supervivencia , Evaluación de Síntomas
14.
Artículo en Inglés | MEDLINE | ID: mdl-33799609

RESUMEN

The COVID-19 pandemic has led many countries to employ public health regulations to achieve behavioral change and stop the transmission of the virus. The factors influencing compliance with these regulations may differ from "classic" predictors for medical compliance. This study attempted to assess the effect of social communication and psychological factors on intention to comply. A cross-sectional online survey was conducted on healthy adults living in Israel (n = 697). The survey assessed the intention to comply with the state COVID-19 regulations and explored possible correlations with demographic and psychosocial factors. Data were collected during May 2020 using a Qualtrics online survey. Data were analyzed to find correlations between anxiety, uncertainty, media exposure and other variables and the level of intention to comply as self-reported. Moderation and mediation effects were studied by an integrative model of influencing factors. We found that media exposure change, trust in responsible agencies and anxiety were positively correlated with compliance, while uncertainty was correlated with noncompliance. The effect of media exposure on compliance had two components. First, media exposure was positively correlated with compliance. On the other hand, media exposure was positively correlated with uncertainty, and uncertainty was negatively correlated with compliance. Interestingly, anxiety, which was positively correlated with media exposure, also moderated the negative correlation between uncertainty and compliance. Our results highlight the important role of uncertainty and anxiety as moderators between media exposure and compliance. To increase public compliance with COVID-19 regulations, efforts should be directed at decreasing uncertainty and anxiety.


Asunto(s)
Medios de Comunicación Sociales , Adulto , Ansiedad/epidemiología , Estudios Transversales , Humanos , Israel/epidemiología , Pandemias
15.
Artículo en Inglés | MEDLINE | ID: mdl-33799677

RESUMEN

This study investigated the association of relationship quality with several well-being measures during the COVID-19 lockdown in the United Kingdom. An online survey was conducted on a study sample (n = 682) measuring relationship quality with the Quality of Marriage Index, and well-being measures including quality of life (WHO-QoL BREF), well-being (WHO-5), perceived stress (PSS-10), depressive (PHQ-9), and anxiety (GAD-7) symptoms. Good relationship quality goes along with higher scores in well-being (WHO-5), quality of life (WHO-QoL BREF), psychological domain, physical health, social relationships, environment, and reduced scores in stress (PSS-10), depressive (PHQ-9) and anxiety (GAD-7) symptoms compared with poor relationship quality (p < 0.001). Moreover, 21% of participants living in relationships with poor quality stated that they drink significantly more alcohol since the initial COVID-19 restrictions, compared to 10% of participants with good quality (p = 0.002). Living in a good relationship seems to be an advantage, whereas those with poor relationship quality are particularly more burdened and drink significantly more alcohol during the COVID-19 lockdown.


Asunto(s)
Calidad de Vida , Ansiedad/epidemiología , Control de Enfermedades Transmisibles , Humanos , Salud Mental , Reino Unido/epidemiología
16.
Artículo en Inglés | MEDLINE | ID: mdl-33800008

RESUMEN

Despite the global impact of COVID-19, studies comparing the effects of COVID-19 on population mental health across countries are sparse. This study aimed to compare anxiety and depression symptoms during the COVID-19 lockdown among adults from 11 countries and to examine their associations with country-level COVID-19 factors and personal COVID-19 exposure. A cross-sectional survey was conducted among adults (≥18 years) in 11 countries (Brazil, Bulgaria, China, India, Ireland, North Macedonia, Malaysia, Singapore, Spain, Turkey, United States). Mental health (anxiety, depression, resilient coping, hope) and other study data were collected between June-August 2020. Of the 13,263 participants, 62.8% were female and 51.7% were 18-34 years old. Participants living in Brazil had the highest anxiety and depression symptoms while participants living in Singapore had the lowest. Greater personal COVID-19 exposure was associated with increased anxiety and depression symptoms, but country-level COVID-19 factors were not. Higher levels of hope were associated with reduced anxiety and depression; higher levels of resilient coping were associated with reduced anxiety but not depression. Substantial variations exist in anxiety and depression symptoms across countries during the COVID-19 lockdown, with personal COVID-19 exposure being a significant risk factor. Strategies that mitigate COVID-19 exposure and enhance hope and resilience may reduce anxiety and depression during global emergencies.


Asunto(s)
Pandemias , Adolescente , Adulto , Ansiedad/epidemiología , Brasil/epidemiología , Bulgaria , China , Control de Enfermedades Transmisibles , Estudios Transversales , Depresión/epidemiología , Femenino , Humanos , India , Irlanda , Malasia , Masculino , Salud Mental , República de Macedonia del Norte , Singapur , España , Turquia , Adulto Joven
17.
Artículo en Inglés | MEDLINE | ID: mdl-33800903

RESUMEN

The COVID-19 pandemic had a significant effect on healthcare globally. Additional pressure created by coronavirus adversely affected the mental health and psychological well-being of healthcare workers, leading many to question their desire and willingness to continue working in healthcare. This study aimed to identify predictors for career change ideation among healthcare professionals in two countries; Lithuania and the United Kingdom amid the coronavirus pandemic. In total, 610 healthcare professionals from Lithuania and the UK (285 and 325, respectively) participated in a survey from May to August 2020. Psychological distress and psychological well-being were measured using the self-report scales "DASS-21" and "WHO-5". Almost half of the sample (49.2%), 59.6% and 40.0% in Lithuanian and the UK, respectively, exhibited career change ideation, the country effect was significant (AOR = 2.21, p < 0.001). Stronger ideation to leave healthcare was predicted by higher levels of depression (AOR = 1.10, p = 0.005), stress (AOR = 1.10, p = 0.007), anxiety surrounding inadequate personal protective equipment (AOR = 2.27, p = 0.009), and lower psychological well-being scores (AOR = 1.10, p = 0.007). We conclude that psychosocial support must be provided for healthcare professionals to prevent burnout and loss of staff amid the pandemic.


Asunto(s)
Distrés Psicológico , Ansiedad/epidemiología , Cuidados Críticos , Personal de Salud , Humanos , Lituania/epidemiología , Pandemias , Reino Unido/epidemiología
18.
Artículo en Inglés | MEDLINE | ID: mdl-33800980

RESUMEN

Scientific knowledge on depression and anxiety in patients with rare diseases during the COVID-19 pandemic is scarce; however, it is essential to perform comprehensive management of these patients. The aim of this study was to research how the situation caused by the SARS-CoV-2 pandemic has influenced the lives of patients with rare diseases regarding depression and anxiety. This Spanish study considered a heterogeneous population sample of 86 patients with confirmed diagnosis of different rare diseases. Participants took part in a cross-sectional online study by completing specific questionnaires on the study topic. Depression was measured using the Patient Health Questionnaire (PHQ-9), and the General Anxiety Disorder Scale (GAD-7) was used for evaluating anxiety. Data collection through an online questionnaire allowed for a greater population scope and therefore the inclusion patients of other nationalities in the study sample. Finally, as a general result, this study found that, in the face of the pandemic, anxiety and depression remained at a higher level in this group than in the general population, making these patients a vulnerable population group.


Asunto(s)
Pandemias , Ansiedad/epidemiología , Trastornos de Ansiedad/epidemiología , Estudios Transversales , Depresión/epidemiología , Humanos , Salud Mental , Enfermedades Raras/epidemiología , Encuestas y Cuestionarios
19.
Artículo en Inglés | MEDLINE | ID: mdl-33801928

RESUMEN

The coronavirus disease (COVID-19) that broke out in China in December 2019 rapidly became a worldwide pandemic. In Mexico, the conditions requiring the declaration of a sanitary emergency were reached by the last week of March 2020, and health authorities' limited mobility and imposed social isolation were the main strategies to keep the virus from spreading. Thus, daily living conditions changed drastically in a few days, generating a stressful situation characterized by an almost complete lack of mobility, social isolation, and forced full-time interactions with family members. Soon, complaints of sleep disturbances, anxiety, and symptoms of depression were reported. The present study reports the results of an online survey performed during the first two months of isolation. Questionnaires exploring sleep disturbances, anxiety, and depression were sent to people who responded to an open invitation. A total of 1230 participants filled out the sleep questionnaire, 812 responded to the anxiety questionnaire, and 814 responded to the depression questionnaire. Both men and women reported poor sleep quality, but women showed a higher proportion (79%) than men (60%); young women were more likely to be affected by social isolation. Concerning anxiety and depression, both sexes reported high similar symptoms. These data suggest that stressful conditions related to social isolation and the economic uncertainty caused by the pandemic may induce mental health disturbances, which may become worse with sleep restriction.


Asunto(s)
Coronavirus , Ansiedad/epidemiología , China/epidemiología , Depresión/epidemiología , Femenino , Humanos , Masculino , Salud Mental , México/epidemiología , Pandemias , Sueño , Aislamiento Social
20.
Artículo en Inglés | MEDLINE | ID: mdl-33802514

RESUMEN

The COVID-19 pandemic induced numerous changes in the daily life of every individual, with important social, economic, and psychological consequences. Particularly, the psychological impact encountered among students might be affected by social isolation, concern for personal health and for the health of family members and friends, and uncertainty about academic progress. The present study aimed to investigate the psychological impact of the COVID-19 outbreak on Italian university students compared to general workers. The responses of 956 participants (478 university students and 478 workers) were included in the final dataset. Participants were asked to provide sociodemographic and occupation-related information, and to complete: (1) COVID-19-related questions; (2) health-related visual analogue scales; (3) State-Trait Anxiety Inventory-Form Y1 (STAI Y1); and (4) the Beck Depression Inventory (BDI-II). Results of comparisons between university students and general workers revealed that the former reported higher levels of anxiety and depressive symptoms. Furthermore, regression analyses showed that in university students, gender, health evaluation, and health concern and gender, educational level, and health evaluation significantly predicted anxiety and depressive symptoms, respectively. Taken together these findings suggest that specific factors could predispose University students to a high risk of developing mental health symptoms as a consequence of the COVID-19 pandemic.


Asunto(s)
Distrés Psicológico , Ansiedad/epidemiología , Depresión/epidemiología , Humanos , Italia/epidemiología , Pandemias , Estudiantes , Universidades
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