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1.
Fam Community Health ; 44(2): 87-98, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33565782

RESUMEN

The COVID-19 pandemic and related quarantine orders will impact the mental health of millions of individuals in the United States. Mental health difficulties, including depression, anxiety, traumatic stress, and other negative mental health sequelae are likely and likely to persist. These challenges will require response from the psychotherapeutic and medical community that addresses the mental health needs of the population. Using binary logistic regression (n = 322 at time 1, and n = 189 at time 2), researchers in the present study examined promotive factors related to having sought medical or behavioral health treatment during a 30-day period in the midst of the COVID-19 pandemic in the United States. Approximately 10% of the sample indicated having sought either type of help. Results from the binary logistic regressions indicated those who sought counseling or medical help were those who reported increased depression symptoms at time 1. The likelihood of help seeking was heightened for those who reported greater caregiving burden, highlighting the need to consider the availability of services for those caring for children during this community-wide crisis.


Asunto(s)
Trastornos de Ansiedad/psicología , Trastorno Depresivo/psicología , Conducta de Búsqueda de Ayuda , Padres/psicología , Aceptación de la Atención de Salud , Estrés Psicológico/psicología , Adolescente , Adulto , Ansiedad/psicología , Niño , Preescolar , Depresión/psicología , Femenino , Humanos , Lactante , Recién Nacido , Modelos Logísticos , Masculino , Salud Mental , Persona de Mediana Edad , Pandemias , Cuestionario de Salud del Paciente , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Estados Unidos
2.
BMC Pregnancy Childbirth ; 21(1): 112, 2021 Feb 08.
Artículo en Inglés | MEDLINE | ID: mdl-33557764

RESUMEN

BACKGROUND: Global crises inevitably increase levels of anxiety in postpartum populations. Effective and efficient measurement is therefore essential. This study aimed to create a 12-item research short form of the 51-item Postpartum Specific Anxiety Scale [PSAS] and validate it for use in rapid response research at a time of global crises [PSAS-RSF-C]. We also present the same 12-items, in five other languages (Italian, French, Chinese, Spanish, Dutch) to increase global accessibility of a psychometric tool to assess maternal mental health. METHODS: Twelve items from the PSAS were selected on the basis of a review of their factor loadings. An on-line sample of UK mothers (N = 710) of infants up to 12 weeks old completed the PSAS-RSF-C during COVID-19 'lockdown'. RESULTS: Principal component analyses on a randomly split sample (n = 344) revealed four factors, identical in nature to the original PSAS, which in combination explained 75% of the total variance. Confirmatory factor analyses (n = 366) demonstrated the four-factor model fit the data well. Reliability of the overall scale and of the underlying factors in both samples proved excellent. CONCLUSIONS: Findings suggest the PSAS-RSF-C may prove useful as a clinical screening tool and is the first postpartum-specific psychometric scale to be validated during the COVID-19 pandemic. This offers psychometrically sound assessment of postpartum anxiety. By increasing the accessibility of the PSAS, we aim to enable researchers the opportunity to measure maternal anxiety, rapidly, at times of global crisis.


Asunto(s)
Ansiedad/epidemiología , /psicología , Salud Materna , Pandemias , Periodo Posparto/psicología , Escalas de Valoración Psiquiátrica , Psicometría/métodos , Adolescente , Adulto , Ansiedad/psicología , /virología , Análisis Factorial , Femenino , Humanos , Lactante , Recién Nacido , Salud Mental , Persona de Mediana Edad , Pandemias/prevención & control , Embarazo , Cuarentena/psicología , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Traducciones , Reino Unido/epidemiología , Adulto Joven
3.
Epidemiol Infect ; 149: e46, 2021 02 09.
Artículo en Inglés | MEDLINE | ID: mdl-33557984

RESUMEN

Healthcare staff have been at the centre of the fight against the COVID-19 pandemic, facing diverse work-related stressors. Building upon studies from various countries, we aimed to investigate (1) the prevalence of various work-related stressors among healthcare professionals in Germany specific to the COVID-19 pandemic, (2) the psychological effects of these stressors in terms of clinical symptoms, and (3) the healthcare professionals' help-seeking behaviour. To this end, N = 300 healthcare professionals completed an online survey including the ICD-10 Symptom Rating checklist (ISR), event-sampling questions on pandemic-related stressors and self-formulated questions on help-seeking behaviour. Participants were recruited between 22 May and 22 July 2020. Findings were analysed using t tests, regressions and comparisons to large clinical and non-clinical samples assessed before and during the pandemic. Results show that healthcare professionals were most affected by protective measures at their workplace and changes in work procedures. Psychological symptoms, particularly anxiety and depression, were significantly more severe than in a non-clinical pre-pandemic sample and in the general population during the pandemic. At the same time, most professionals indicated that they would not seek help for psychological concerns. These findings indicate that healthcare employers need to pay greater attention to the mental health of their staff.


Asunto(s)
Ansiedad/epidemiología , Depresión/epidemiología , Personal de Salud/estadística & datos numéricos , Pandemias , Ansiedad/psicología , Depresión/psicología , Alemania/epidemiología , Incidencia , Prevalencia
4.
Eur Rev Med Pharmacol Sci ; 25(2): 1087-1096, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33577065

RESUMEN

OBJECTIVE: Patients with Coronavirus Disease 2019 (COVID-19) suffer from anxiety, depression and sleep disorders due to isolation treatment, among other reasons. Whether non-drug interventions can be alternative therapies for COVID-19 patients with anxiety, depression and sleep disorders is controversial. Therefore, we conducted a meta-analysis and systematic review to evaluate the effects of non-drug interventions on anxiety, depression and sleep in patients with COVID-19 to provide guidance for clinical application. MATERIALS AND METHODS: We searched the following databases for randomized controlled trials (RCTs) from December 2019 to July 2020: China Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Chongqing VIP Chinese Science and Technology Periodical Database (VIP), Wanfang, Cochrane Library, Web of Science, PubMed, MEDLINE and Embase. Two investigators independently screened the literature according to the inclusion and exclusion criteria, extracted data and evaluated the risk of bias in the included studies. Meta-analysis was performed using RevMan5.3 software. RESULTS: A total of 5 articles with 768 subjects were included. Meta-analysis results indicated that non-drug interventions can reduce anxiety [SMD=-1.40, 95% CI (-1.62, -1.17), p<0.00001] and depression [SMD=-1.22, 95% CI (-2.01, -0.43), p=0.002] scores in patients with COVID-19. Descriptive analysis indicated that non-drug interventions can improve the sleep status of COVID-19 patients. Sensitivity analysis indicated that the meta-analysis results were stable. Egger's test and Begg's test showed no publication bias. CONCLUSIONS: This meta-analysis found that non-drug interventions can reduce the anxiety and depression scores of patients with COVID-19. Due to the limitations of this study, more high-quality studies are needed to verify the findings, especially the effect of non-drug interventions on improving the sleep status of COVID-19 patients.


Asunto(s)
Ansiedad/terapia , Depresión/terapia , Ensayos Clínicos Controlados Aleatorios como Asunto/métodos , Trastornos del Sueño-Vigilia/terapia , Ansiedad/epidemiología , Ansiedad/psicología , /psicología , Depresión/epidemiología , Depresión/psicología , Intervención Médica Temprana/métodos , Humanos , Trastornos del Sueño-Vigilia/epidemiología , Trastornos del Sueño-Vigilia/psicología , Resultado del Tratamiento
5.
PLoS One ; 16(2): e0246824, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33571297

RESUMEN

The coronavirus disease (COVID-19) pandemic has impacted the economy, livelihood, and physical and mental well-being of people worldwide. This study aimed to compare the mental health status during the pandemic in the general population of seven middle income countries (MICs) in Asia (China, Iran, Malaysia, Pakistan, Philippines, Thailand, and Vietnam). All the countries used the Impact of Event Scale-Revised (IES-R) and Depression, Anxiety and Stress Scale (DASS-21) to measure mental health. There were 4479 Asians completed the questionnaire with demographic characteristics, physical symptoms and health service utilization, contact history, knowledge and concern, precautionary measure, and rated their mental health with the IES-R and DASS-21. Descriptive statistics, One-Way analysis of variance (ANOVA), and linear regression were used to identify protective and risk factors associated with mental health parameters. There were significant differences in IES-R and DASS-21 scores between 7 MICs (p<0.05). Thailand had all the highest scores of IES-R, DASS-21 stress, anxiety, and depression scores whereas Vietnam had all the lowest scores. The risk factors for adverse mental health during the COVID-19 pandemic include age <30 years, high education background, single and separated status, discrimination by other countries and contact with people with COVID-19 (p<0.05). The protective factors for mental health include male gender, staying with children or more than 6 people in the same household, employment, confidence in doctors, high perceived likelihood of survival, and spending less time on health information (p<0.05). This comparative study among 7 MICs enhanced the understanding of metal health in the general population during the COVID-19 pandemic.


Asunto(s)
Ansiedad/etiología , Depresión/etiología , Salud Mental , Estrés Psicológico/etiología , Adolescente , Adulto , Ansiedad/diagnóstico , Ansiedad/psicología , Asia/epidemiología , Niño , Estudios Transversales , Depresión/diagnóstico , Depresión/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Protectores , Factores Sexuales , Factores Socioeconómicos , Estrés Psicológico/diagnóstico , Estrés Psicológico/psicología , Adulto Joven
7.
Rev Gaucha Enferm ; 42(spe): e20200160, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33566887

RESUMEN

OBJECTIVE: To understand the reactions and feelings of professionals in the frontline of care for inpatients with suspected COVID-19. METHOD: Qualitative approach study with 19 health team professionals from a teaching hospital located in the hinterland of the state of Paraná. Data were collected in March and April 2020. For data analysis, content analysis was used. RESULTS: Of all professionals, 89.5% were female, 57.8% were between 20 and 30 years old. The following emotions and feelings were highlighted by the content analysis: Motivation; willingness to contribute; feelings of fear, anxiety; obligation; preoccupation with death; sadness; discrimination; isolation; prejudice; uncertainty; and doubts about the future. CONCLUSION: The research showed workers' reactions/feelings, which were ambivalent both as a motivating impulse and as self-care, such as in the case of isolation/fear in coping with COVID-19.


Asunto(s)
/terapia , Emociones , Personal de Salud/psicología , Pacientes Internos , Adulto , Ansiedad/psicología , Actitud Frente a la Muerte , Miedo/psicología , Femenino , Humanos , Masculino , Motivación , Prejuicio , Investigación Cualitativa , Tristeza , Aislamiento Social , Incertidumbre , Adulto Joven
8.
Orv Hetil ; 162(7): 262-268, 2021 02 14.
Artículo en Húngaro | MEDLINE | ID: mdl-33582652

RESUMEN

Összefoglaló. Bevezetés: A tudományos szakirodalomban számos kérdés fogalmazódik meg a pajzsmirigybetegségeket befolyásoló pszichológiai tényezokrol. Kevés tanulmány készült a pajzsmirigybetegségek és a megküzdési stratégiák kapcsolatáról. Célkituzés: Jelen tanulmányunk célja felmérni a megküzdési stratégiák, a depresszió és a szorongás szintjének változásait a pajzsmirigybetegek (hyperthyreosis és hypothyreosis) esetében a gyógyszeres kezelés (Thyrozol és Euthyrox) hatására. Módszer: A betegeket a szakorvos diagnózisa, illetve a TSH- és fT4-szint alapján hyperthyreosis- (n = 10) és hypothyreosis- (n = 21) csoportba soroltuk. Mindkét csoport tagjait az endokrinológiai kezelés elott és után pszichológiai felmérésnek vetettük alá. A felmérés során a megküzdési stratégiák felméréséhez a következo skálákat alkalmaztuk: Kognitív Érzelem Szabályozás Kérdoív (Cognitive Emotion Regulation Questionnaire - CERQ), Hobfoll-féle Megküzdési Stratégia Kérdoív (Strategic Approach to Coping Scale - SACS). A Beck Depresszió Kérdoívet (Beck Depression Inventory - BDI-II) alkalmaztuk a depresszió felmérésére, az Állapot- és Vonásszorongás Kérdoívet (State-Trait Anxiety Inventory, Form Y - STAI-Y) a szorongás szintjének felmérésére. Eredmények: A két csoport pszichológiai és laboreredményeit összehasonlítottuk a gyógyszeres kezelés elott és után. Mind a hyperthyreosisban, mind a hypothyreosisban szenvedo betegeknél magas volt a depresszió és a szorongás szintje. A hyperthyreosisban szenvedo betegeknél a depresszió magasabb. A gyógyszeres kezelés után a depresszió és a szorongás szintje csökkent mindkét csoportban, a megküzdési stratégiák többnyire változatlanok maradtak. Következtetések: Pajzsmirigybetegeknél a kognitív viselkedésbeli pszichoterápiás beavatkozás a gyógyszeres kezelés kiegészíto alternatívája lehet a szorongás és a depresszió szintjének csökkentése és a diszfunkcionális megküzdési stratégiák módosítása szempontjából. Orv Hetil. 2021; 162(7): 262-268. INTRODUCTION: There is a high interest in the scientific literature in psychological factors that influence the course of thyroid disease. There are a few studies on the link between thyroid disease and coping strategies. OBJECTIVE: In the present study, we aimed to evaluate the manifestation of depression, anxiety and coping strategies in people with thyroid disease and the impact of endocrinological medication on these psychologic items. METHOD: The patients were grouped into two groups, hyperthyroid (n = 10) and hypothyroid (n = 21), according to the diagnosis established by the attending physician, TSH and fT4 level. Patients with hyperthyroidism and hypothyroidism were evaluated before and after endocrinological treatment with the Cognitive Emotion Regulation Questionnaire (CERQ), Strategic Approach to Coping Scale (SACS) for the evaluation of coping strategies, Beck Depression Inventory (BDI-II) for assessing the level of depression, State-Trait Anxiety Inventory, Form Y (STAI-Y) for assessing anxiety. These two groups have been compared. RESULTS: The psychological and laboratory results of the two groups were compared before and after drug treatment. Both patients with hyperthyroidism and with hypothyroidism had high levels of depression and anxiety. In hyperthyroidism, depression is more severe. Following treatment with Thyrozol and Euthyrox, the level of depression and anxiety decreases in patients with hyper- and hypothyroidism; the coping strategies remained almost unchanged. CONCLUSION: Cognitive-behavioral psychotherapeutic intervention could be supplementary to drug treatment in terms of reducing anxiety, depression, and modifying dysfunctional coping strategies for patients with thyroid diseases. Orv Hetil. 2021; 162(7): 262-268.


Asunto(s)
Adaptación Psicológica , Antitiroideos/uso terapéutico , Ansiedad/etiología , Depresión/etiología , Hipertiroidismo/tratamiento farmacológico , Hipotiroidismo/tratamiento farmacológico , Metimazol/uso terapéutico , Enfermedades de la Tiroides/psicología , Tiroxina/uso terapéutico , Ansiedad/psicología , Humanos , Hipertiroidismo/diagnóstico , Hipertiroidismo/psicología , Hipotiroidismo/diagnóstico , Hipotiroidismo/psicología
9.
PLoS One ; 16(2): e0246840, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33566868

RESUMEN

Assessing fear and anxiety regarding COVID-19 viral infection is essential for investigating mental health during this epidemic. We have developed and validated a Japanese-language version of The Fear of COVID-19 Scale (FCV-19S) based on a large, nationwide residential sample (n = 6,750) recruited through news and social media responding to an online version of the questionnaire. Data was collected from August 4-25, 2020. Results correlated with K6, GAD-7 and IES-R psychological scales, and T-tests and analysis of variance identified associated factors. All indices indicated the two-factor model emotional fear reactions and symptomatic expressions of fear a better fit for our data than a single-factor model in Confirmatory Factor Analysis (χ2 = 164.16, p<0.001, CFI 0.991, TLI = 0.985, RMSEA = 0.043). Socio-demographic factors identified as disaster vulnerabilities such as female sex, sexual minority, elderly, unemployment, and present psychiatric history associated with higher scores. However, respondent or family member experience of infection risk, or work/school interference from confinement, had greatest impact. Results suggest necessity of mental health support during this pandemic similar to other disasters.


Asunto(s)
Ansiedad/etiología , Miedo/psicología , Adolescente , Adulto , Factores de Edad , Anciano , Análisis de Varianza , Ansiedad/psicología , Productos Biológicos , Femenino , Humanos , Japón , Masculino , Salud Mental , Persona de Mediana Edad , Caracteres Sexuales , Factores Socioeconómicos , Adulto Joven
10.
Psicothema (Oviedo) ; 33(1): 125-130, feb. 2021. tab
Artículo en Inglés | IBECS | ID: ibc-196951

RESUMEN

BACKGROUND: Despite being necessary to delay the spread of COVID-19, home confinement could have affected the emotional well-being of children and adolescents. Knowing which variables are involved in anxiety and depressive symptoms could help to prevent young people's psychological problems related to lockdown as early as possible. This cross-sectional study aims to examine anxiety and depressive symptomatology in Italian, Spanish, and Portuguese children and adolescents in order to determine which variables are related to poorer well-being during the pandemic. METHOD: The parents of 515 children, aged 3-18 years old, completed an online survey. Children's anxiety symptoms were assessed using the Spence Children's Anxiety Scale-Parent Version, and depressive symptoms were measured with the Short Mood and Feelings Questionnaire-Parent Version. RESULTS: We found differences in anxiety and depression between countries, with higher anxiety scores in Spanish children, and higher depression scores in Spanish and Italian children compared to the Portuguese. Anxiety and depressive symptoms were more likely in children whose parents reported higher levels of stress. CONCLUSIONS: These findings are discussed in the light of detecting and supporting affected children as early as possible


ANTECEDENTES: a pesar de ser necesario para retrasar la propagación del COVID-19, el confinamiento podría haber afectado al bienestar emocional de niños y adolescentes. Conocer qué variables están involucradas en la ansiedad y depresión podría ayudar a prevenir en los niños los problemas psicológicos asociados al confinamiento lo antes posible. Este estudio transversal tiene como objetivo examinar la sintomatología ansiosa y depresiva en niños y adolescentes italianos, españoles y portugueses, para detectar qué variables están relacionadas con un peor bienestar durante la pandemia. MÉTODO: los padres de 515 niños de 3 a 18 años completaron una evaluación online. Los síntomas de ansiedad de los niños se evaluaron con la Spence Children's Anxiety Scale-Parent Version, y los síntomas depresivos con el Short Mood and Feelings Questionnaire-Parent Version. RESULTADOS: se hallaron diferencias en la ansiedad y la depresión entre países, con mayor ansiedad en los niños españoles, y mayor sintomatología depresiva en los niños españoles e italianos, en comparación con los portugueses. Los síntomas de ansiedad y depresión eran más probables en niños cuyos padres informaron de un mayor nivel de estrés. CONCLUSIONES: estos hallazgos se discuten con el propósito de detectar y apoyar a los niños afectados lo antes posible


Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Niño , Adolescente , Infecciones por Coronavirus/psicología , Neumonía Viral/psicología , Pandemias , Ansiedad/psicología , Depresión/psicología , Cuarentena/psicología , Comparación Transcultural , Encuestas y Cuestionarios
11.
PLoS One ; 16(1): e0246339, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33503049

RESUMEN

The over-purchasing and hoarding of necessities is a common response to crises, especially in developed economies where there is normally an expectation of plentiful supply. This behaviour was observed internationally during the early stages of the Covid-19 pandemic. In the absence of actual scarcity, this behaviour can be described as 'panic buying' and can lead to temporary shortages. However, there have been few psychological studies of this phenomenon. Here we propose a psychological model of over-purchasing informed by animal foraging theory and make predictions about variables that predict over-purchasing by either exacerbating or mitigating the anticipation of future scarcity. These variables include additional scarcity cues (e.g. loss of income), distress (e.g. depression), psychological factors that draw attention to these cues (e.g. neuroticism) or to reassuring messages (eg. analytical reasoning) or which facilitate over-purchasing (e.g. income). We tested our model in parallel nationally representative internet surveys of the adult general population conducted in the United Kingdom (UK: N = 2025) and the Republic of Ireland (RoI: N = 1041) 52 and 31 days after the first confirmed cases of COVID-19 were detected in the UK and RoI, respectively. About three quarters of participants reported minimal over-purchasing. There was more over-purchasing in RoI vs UK and in urban vs rural areas. When over-purchasing occurred, in both countries it was observed across a wide range of product categories and was accounted for by a single latent factor. It was positively predicted by household income, the presence of children at home, psychological distress (depression, death anxiety), threat sensitivity (right wing authoritarianism) and mistrust of others (paranoia). Analytic reasoning ability had an inhibitory effect. Predictor variables accounted for 36% and 34% of the variance in over-purchasing in the UK and RoI respectively. With some caveats, the data supported our model and points to strategies to mitigate over-purchasing in future crises.


Asunto(s)
/psicología , Comportamiento del Consumidor/economía , Pandemias/economía , Pánico/fisiología , Adulto , Anciano , Ansiedad/psicología , Depresión/psicología , Femenino , Acaparamiento/psicología , Humanos , Irlanda , Masculino , Persona de Mediana Edad , Modelos Psicológicos , Estrés Psicológico/epidemiología , Estrés Psicológico/psicología , Encuestas y Cuestionarios , Reino Unido
12.
PLoS One ; 16(1): e0246204, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33503055

RESUMEN

The COVID-19 pandemic and government imposed social restrictions like lockdown exposed most individuals to an unprecedented stress, increasing mental health disorders worldwide. We explored subjective cognitive functioning and mental health changes and their possible interplay related to COVID-19-lockdown. We also investigated potential risk factors to identify more vulnerable groups. Across Italy, 1215 respondents completed our Qualtrics-based online-survey during the end of a seven to 10-week imposed lockdown and home confinement (from April 29 to May 17, 2020). We found subjective cognitive functioning and mental health severely changed in association with the lockdown. Under government regulations, cognitive complaints were mostly perceived in routine tasks involving attention, temporal orientation and executive functions-with no changes in language abilities. A paradoxical effect was observed for memory, with reduced forgetfulness compared to pre-lockdown. We found higher severity and prevalence of depression, anxiety disorders, abnormal sleep, appetite changes, reduced libido and health anxiety: with mild-to-severe depression and anxiety prevalence climbing to 32 and 36 percent, respectively, under restrictions. Being female, under 45 years, working from home or being underemployed were all identified as relevant risk factors for worsening cognition and mental health. Frequent consumers of COVID-19 mass media information or residents in highly infected communities reported higher depression and anxiety symptoms, particularly hypochondria in the latter. If similar restrictions are reimposed, governments must carefully consider these more vulnerable groups in their decisions, whilst developing effective global and long-term responses to the cognitive and mental health challenges of this type of pandemic; as well as implementing appropriate psychological interventions with specific guidelines: particularly regarding exposure to COVID-19 mass-media reports.


Asunto(s)
/psicología , Cuarentena/psicología , Adulto , Ansiedad/psicología , Trastornos de Ansiedad/epidemiología , /metabolismo , Cognición/fisiología , Depresión/psicología , Trastorno Depresivo/epidemiología , Femenino , Humanos , Italia/epidemiología , Masculino , Salud Mental/tendencias , Persona de Mediana Edad , Pandemias/estadística & datos numéricos , Prevalencia , Factores de Riesgo , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios
13.
Curr Oncol ; 28(1): 294-300, 2021 01 08.
Artículo en Inglés | MEDLINE | ID: mdl-33430131

RESUMEN

BACKGROUND: The current Coronavirus disease 2019 (COVID-19) pandemic is a highly stressful event that may lead to significant psychological symptoms, particularly in cancer patients who are at a greater risk of contracting viruses. This study examined the frequency of stressors experienced in relation to the ongoing coronavirus pandemic and its relationship with psychological symptoms (i.e., anxiety, depression, insomnia, fear of cancer recurrence) in breast cancer patients. METHODS: Thirty-six women diagnosed with a non-metastatic breast cancer completed the Insomnia Severity Index, the Hospital Anxiety and Depression Scale, the severity subscale of the Fear of Cancer Recurrence Inventory, and the COVID-19 Stressors Questionnaire developed by our research team. Participants either completed the questionnaires during (30.6%) or after (69.4%) their chemotherapy treatment. RESULTS: Results revealed that most of the participants (63.9%) have experienced at least one stressor related to the COVID-19 pandemic (one: 27.8%, two: 22.2%, three: 11.1%). The most frequently reported stressor was increased responsibilities at home (33.3%). Higher levels of concerns related to the experienced stressors were significantly correlated with higher levels of anxiety, depressive symptoms, insomnia, and fear of cancer recurrence, rs(32) = 0.36 to 0.59, all ps < 0.05. CONCLUSIONS: Cancer patients experience a significant number of stressors related to the COVID-19 pandemic, which are associated with increased psychological symptoms. These results contribute to a better understanding of the psychological consequences of a global pandemic in the context of cancer and they highlight the need to better support patients during such a challenging time.


Asunto(s)
Neoplasias de la Mama/complicaciones , Supervivientes de Cáncer/psicología , Pandemias , Estrés Psicológico/epidemiología , Adulto , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/psicología , Neoplasias de la Mama/inmunología , Neoplasias de la Mama/psicología , Neoplasias de la Mama/terapia , /psicología , Supervivientes de Cáncer/estadística & datos numéricos , Estudios Transversales , Depresión/diagnóstico , Depresión/epidemiología , Depresión/psicología , Miedo , Femenino , Humanos , Persona de Mediana Edad , Recurrencia Local de Neoplasia/psicología , Cuestionario de Salud del Paciente/estadística & datos numéricos , Índice de Severidad de la Enfermedad , Trastornos del Inicio y del Mantenimiento del Sueño/diagnóstico , Trastornos del Inicio y del Mantenimiento del Sueño/epidemiología , Trastornos del Inicio y del Mantenimiento del Sueño/psicología , Estrés Psicológico/diagnóstico , Estrés Psicológico/etiología , Estrés Psicológico/psicología
14.
In Vivo ; 35(1): 663-670, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33402524

RESUMEN

BACKGROUND: The COVID-19 pandemic has changed the organisation of medical care. PATIENTS AND METHODS: This is the first prospective observational study on patient-reported outcomes, quality of life (HRQOL) and satisfaction in patients with cancer with their care management in a day hospital during the period of May-June 2020. The Generalised Anxiety Disorder Screener and 12-Item Short-Form Health Survey were used. RESULTS: The survey was completed by 189 of 267 patients. They were generally aged 61 to 70 years and women and presented with lung, breast, or colorectal cancer. Patients had low anxiety scores (mean: 3.2±4.5), with only 11.1% showing anxiety. Risk factors of anxiety included female gender (p=0.03) and lifestyle (residence, family environment) (p=0.01). The patient's physical health was stable, whereas mental health had deteriorated (p<0.0001). Risk factors of altered HRQOL included age and lifestyle. Patients greatly appreciated all the facilities of the day hospital and its organisation. CONCLUSION: This study shows a preserved HRQOL and low anxiety of patients with cancer during the COVID-19 pandemic.


Asunto(s)
/prevención & control , Encuestas Epidemiológicas/estadística & datos numéricos , Neoplasias/psicología , Neoplasias/terapia , Calidad de Vida/psicología , /aislamiento & purificación , Adulto , Anciano , Anciano de 80 o más Años , Ansiedad/psicología , /virología , Estudios Transversales , Femenino , Encuestas Epidemiológicas/métodos , Humanos , Masculino , Oncología Médica/métodos , Oncología Médica/estadística & datos numéricos , Persona de Mediana Edad , Neoplasias/clasificación , Pandemias , Estudios Prospectivos , /fisiología
15.
Artículo en Inglés | MEDLINE | ID: mdl-33453320

RESUMEN

During the COVID-19, healthcare workers are exposed to a higher risk of mental health problems, especially anxiety symptoms. The current work aims at contributing to an update of anxiety prevalence in this population by conducting a rapid systematic review and meta-analysis. Medline and Pubmed were searched for studies on the prevalence of anxiety in health care workers published from December 1, 2019 to September 15, 2020. In total, 71 studies were included in this study. The pooled prevalence of anxiety in healthcare workers was 25% (95% CI: 21%-29%), 27% in nurses (95% CI: 20%-34%), 17% in medical doctors (95% CI: 12%-22%) and 43% in frontline healthcare workers (95% CI: 25%-62%). Our results suggest that healthcare workers are experiencing significant levels of anxiety during the COVID-19 pandemic, especially those on the frontline and nurses. However, international longitudinal studies are needed to fully understand the impact of the pandemic on healthcare workers' mental health, especially those working at the frontline.


Asunto(s)
Ansiedad/epidemiología , Ansiedad/psicología , /psicología , Personal de Salud/psicología , Pandemias , Estudios Transversales , Personal de Salud/tendencias , Humanos , Prevalencia , Factores de Tiempo
16.
Artículo en Inglés | MEDLINE | ID: mdl-33476692

RESUMEN

BACKGROUND: Healthcare workers, who are at the forefront of the fight against COVID-19, are particularly susceptible to physical and mental health consequences such as anxiety and depression. The aim of this umbrella review of meta-analyses is to determine the prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic. METHODS: Using relevant keywords, data resources including PubMed, Scopus, Web of Science, Cochrane, ProQuest, Science Direct, Google Scholar and Embase were searched to obtain systematic reviews and meta-analyses reporting the prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic from the beginning of January to the end of October 2020. The random effects model was used for meta-analysis, and the I2 index was employed to assess heterogeneity among studies. Data was analyzed using STATA 14 software. RESULTS: In the primary search, 103 studies were identified, and ultimately 7 studies were included in the umbrella review. The results showed that the overall prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic was 24.94% (95% CI: 21.83-28.05, I2 = 0.0%, P = 0.804) and 24.83% (95% CI: 21.41-28.25, I2 = 0.0%, P = 0.897), respectively. CONCLUSION: This umbrella review shows that the prevalence of anxiety and depression is relatively high among healthcare workers during the COVID-19 pandemic. Healthcare workers should be provided with resources to minimize this risk.


Asunto(s)
Ansiedad/epidemiología , Depresión/epidemiología , Personal de Salud , Pandemias , Ansiedad/psicología , Depresión/psicología , Personal de Salud/psicología , Personal de Salud/tendencias , Humanos , Metaanálisis como Asunto , Prevalencia , Revisiones Sistemáticas como Asunto/métodos
17.
J Med Internet Res ; 23(1): e23126, 2021 01 29.
Artículo en Inglés | MEDLINE | ID: mdl-33439853

RESUMEN

BACKGROUND: Since the COVID-19 outbreak was first reported, considerable attention has been drawn to mental health problems among college students. OBJECTIVE: We aimed to estimate the prevalence of anxiety and depressive symptoms among college students in different geographical areas of China during the early stage of the COVID-19 outbreak. METHODS: A nationwide cross-sectional survey was conducted among Chinese college students of 16 provinces or municipalities from February 4 to 12, 2020. A web-based survey was adopted to collect information from these college students, including demographics, perceived risk of infection, attitudes toward the epidemic and its control, and mental health status. Anxiety symptoms were assessed using the Generalized Anxiety Disorder scale, and depressive symptoms were assessed using the Patient Health Questionnaire. Chi-square test was used to compare the percentage of perceived risk of infection and attitude toward COVID-19 among college students in different geographic locations. Binary logistic models were used to identify associations between geographic locations and mental health problems after controlling for covariates. RESULTS: A total of 11,787 participants were analyzed in this study (response rate: 79.7%). The prevalence of anxiety and depressive symptoms among college students was 17.8% (95% CI 17.1%-18.5%) and 25.9% (95% CI 25.1%-26.7%), respectively. After controlling for covariates, current residence area in Wuhan city was found to have a positive association with anxiety symptoms (odds ratio [OR] 1.37, 95% CI 1.11-1.68) and depressive symptoms (OR 1.32, 95% CI 1.09-1.59). Similarly, college location in Wuhan city was found to have a positive association with anxiety symptoms (OR 1.20, 95% CI 1.07-1.35) and depressive symptoms (OR 1.22, 95% CI 1.10-1.36). History of residence in or travel to Wuhan city in the past month was also positively associated with anxiety symptoms (OR 1.62, 95% CI 1.46-1.80) and depressive symptoms (OR 1.48, 95% CI 1.35-1.63). Furthermore, the perceived risk of COVID-19 was higher among students whose college location and current residence area were in Wuhan city, and it was positively associated with anxiety and depressive symptoms. CONCLUSIONS: During the COVID-19 pandemic, mental health problems among Chinese college students were widespread and geographically diverse. Our study results provide further insight for policymakers to develop targeted intervention strategies.


Asunto(s)
/epidemiología , Encuestas Epidemiológicas , Internet , Salud Mental/estadística & datos numéricos , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Ansiedad/epidemiología , Ansiedad/psicología , China/epidemiología , Estudios Transversales , Depresión/epidemiología , Depresión/psicología , Brotes de Enfermedades , Femenino , Humanos , Masculino , Pandemias , Prevalencia , Universidades , Adulto Joven
18.
Eur Rev Med Pharmacol Sci ; 25(1): 498-502, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33506941

RESUMEN

OBJECTIVE: The study aimed to explore the effects of psychological intervention on alleviating anxiety in patients in novel coronavirus (2019-nCoV) isolation wards. PATIENTS AND METHODS: Between January 24th, 2020 and March 5th, 2020, 103 patients were studied. Among these, 32 were patients in the isolation ward of the Infectious Disease Department in Baoding Second Hospital with suspected 2019-nCoV, and 71 patients diagnosed with 2019-nCoV were in the Tangshan Infectious Disease Hospital. Of the 103 patients included, 97 cases were observed in isolation. Using a self-control study design, each patient's anxiety was scored on a self-rating anxiety scale before receiving the psychological intervention (on the 7th day of isolation) and after receiving the intervention (on the 14th day of isolation). The severity of anxiety was evaluated based on the anxiety score before receiving the intervention. The anxiety scores before and after receiving the intervention were then compared using the paired t-test, and p<0.05 was considered statistically significant. RESULTS: After receiving the psychological intervention once or twice a week, the anxiety of the patients improved significantly after one week. CONCLUSIONS: The anxiety of patients with 2019-nCoV in isolation wards can be alleviated through psychological intervention. By alleviating patient anxiety, this intervention also helps patients maintain their psychological wellbeing, which promotes rehabilitation and helps with the control of 2019-nCoV.


Asunto(s)
Ansiedad/prevención & control , Hospitales de Aislamiento , Calidad de Vida/psicología , Adaptación Psicológica , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Ansiedad/psicología , China , Autoevaluación Diagnóstica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Encuestas y Cuestionarios , Adulto Joven
19.
J Nerv Ment Dis ; 209(2): 147-149, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33502142

RESUMEN

ABSTRACT: Depictions of pandemics presented through the lens of literary authors and poets have everlasting power. In this article, we explore the psychosocial impact of pandemics, as presented through literature and poetry, and attempt to draw similarities with the current COVID-19 pandemic. We explore topics such as fear and anxiety, hopelessness, and suicide ideation. Overall, the psychological devastation caused by epidemics has influenced many major writers and will undoubtedly impact the writers of our generation. These writings are perhaps the richest source of knowledge of humanity's remarkable capacity to endure suffering.


Asunto(s)
Ansiedad , Miedo , Medicina en la Literatura , Pandemias , Ideación Suicida , Ansiedad/psicología , Miedo/psicología , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Medicina en la Literatura/historia , Pandemias/historia
20.
Stroke ; 52(2): 735-747, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33445957

RESUMEN

The current coronavirus disease 2019 (COVID-19) pandemic represents a severe, life-changing event for people across the world. Life changes may involve job loss, income reduction due to furlough, death of a beloved one, or social stress due to life habit changes. Many people suffer from social isolation due to lockdown or physical distancing, especially those living alone and without family. This article reviews the association of life events and social isolation with cardiovascular disease, assembling the current state of knowledge for stroke and coronary heart disease. Possible mechanisms underlying the links between life events, social isolation, and cardiovascular disease are outlined. Furthermore, groups with increased vulnerability for cardiovascular disease following life events and social isolation are identified, and clinical implications of results are presented.


Asunto(s)
/psicología , Enfermedad Coronaria/psicología , Aislamiento Social/psicología , Accidente Cerebrovascular/psicología , Ansiedad/psicología , Control de Enfermedades Transmisibles/métodos , Enfermedad Coronaria/virología , Humanos
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