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1.
Nurs Res ; 70(2): 95-105, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33630532

RESUMEN

BACKGROUND: Nonpharmacological and accessible therapies that engage individuals in self-management are needed to address depressive symptoms in pregnancy. The 12-week "Mindful Moms" intervention was designed to empower pregnant women with depressive symptomatology to create personal goals and engage in mindful physical activity using prenatal yoga. OBJECTIVES: This longitudinal pilot study evaluated the feasibility, acceptability, and preliminary effects of the "Mindful Moms" intervention in pregnant women with depressive symptoms. METHODS: We evaluated enrollment and retention data (feasibility) and conducted semistructured interviews (acceptability). We evaluated the intervention's effects over time on participants' depressive symptoms, anxiety, perceived stress, self-efficacy, and maternal-child attachment, and we compared findings to an archival comparison group, also assessed longitudinally. RESULTS: Enrollment and retention rates and positive feedback from participants support the intervention's acceptability and feasibility. "Mindful Moms" participants experienced decreases in depressive symptoms, perceived stress, anxiety, ruminations, and maternal-child attachment and no change in physical activity self-efficacy from baseline to postintervention. Comparisons of the "Mindful Moms" intervention to the comparison groups over time indicated differences in depressive symptoms between all groups and a trend in differences in perceived stress. DISCUSSION: Results support the feasibility and acceptability of "Mindful Moms" for pregnant women with depressive symptoms and suggest that further research is warranted to evaluate this intervention for reducing depressive and related symptoms. Lack of a concurrent control group, with equivalent attention from study staff, and no randomization limit the generalizability of this study; yet, these preliminary findings support future large-scale randomized controlled trials to further evaluate this promising intervention.


Asunto(s)
Depresión/prevención & control , Ejercicio Físico/psicología , Atención Plena/métodos , Complicaciones del Embarazo/prevención & control , Adulto , Depresión/psicología , Depresión Posparto/prevención & control , Estudios de Factibilidad , Femenino , Humanos , Estudios Longitudinales , Proyectos Piloto , Embarazo , Complicaciones del Embarazo/psicología , Automanejo , Estrés Psicológico/prevención & control , Adulto Joven
2.
Braz J Med Biol Res ; 54(4): e10370, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33624731

RESUMEN

This study aimed to investigate the effect of WeChat-based education and rehabilitation program (WERP) on anxiety, depression, health-related quality of life (HRQoL), major adverse cardiac/cerebrovascular events (MACCE)-free survival, and loss to follow-up rate in unprotected left main coronary artery disease (ULMCAD) patients after coronary artery bypass grafting (CABG). In this randomized controlled study, 140 ULMCAD patients who underwent CABG were randomly assigned to WERP group (n=70) or control care (CC) group (n=70). During the 12-month intervention period, anxiety and depression (using hospital anxiety and depression scale (HADS)) and HRQoL (using 12-Item Short-Form Health Survey (SF-12)) were assessed longitudinally. During the total 36-month follow-up period (12-month intervention and 24-month non-intervention periods), MACCE and loss to follow-up were recorded. During the intervention period, HADS-anxiety score at month 9 (M9) (P=0.047) and month 12 (M12) (P=0.034), anxiety rate at M12 (P=0.028), and HADS-D score at M12 (P=0.048) were all reduced in WERP group compared with CC group. As for HRQoL, SF-12 physical component summary score at M9 (P=0.020) and M12 (P=0.010) and SF-12 mental component summary score at M9 (P=0.040) and M12 (P=0.028) were all increased in WERP group compared with CC group. During the total follow-up period, WERP group displayed a trend of longer MACCE-free survival than that in CC group but without statistical significance (P=0.195). Additionally, loss to follow-up rate was attenuated in WERP group compared with CC group (P=0.033). WERP serves as an effective approach in optimizing mental health care and promoting life quality in ULMCAD patients after CABG.


Asunto(s)
Enfermedad de la Arteria Coronaria , Calidad de Vida , Ansiedad/prevención & control , Puente de Arteria Coronaria , Enfermedad de la Arteria Coronaria/cirugía , Depresión/prevención & control , Estudios de Seguimiento , Humanos
3.
J Prim Care Community Health ; 12: 2150132721995448, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33576290

RESUMEN

AIM: This study aims to assess how optimism, social support, and perceived susceptibility are associated with depressive symptoms and health-related quality of life among elderly patients during the COVID-19 pandemic in Israel. METHODS: In a cross-sectional study, 256 participants age 60 through 95 completed the following self-administered questionnaires: Perceived Susceptibility, Life Orientation Test (LOT-R), Multidimensional Scale of Perceived Social Support (MSPSS), Symptoms of Depression (CES-D) and health-related quality of life (SF-12v2 Health Survey). Data were collected from June to July 2020, 3 months after the COVID-19 state of emergency was declared in Israel. Participants were interviewed by family medicine residents via telephone. Statistical analyses included Pearson correlations, t-tests between groups, regression analyses, and Hayes' PROCESS to analyze a moderated mediation model. RESULTS: Of the elderly participants, 37.5% were classified as having depression. Optimism, social support and health-related quality of life were positively associated. Higher optimism and social support were related to lower perceived susceptibility and lower depression. Results of a multivariate regression explained 29% of the variance in depression and 19% of the variance in health-related quality of life. The relationships assessed by 4 Process models were significant, such that higher optimism and social support were related to lower perceived susceptibility, which in turn was related to higher depression and lower health-related quality of life. CONCLUSIONS: Optimism and social support may be effective in coping with challenges and buffering depression. Perceived susceptibility may mediate the association of optimism and social support with higher depression and lower health-related quality of life. The conclusions of this study underscore the need to treat depression among older adults during this period. Hence, healthcare providers should also support elderly patients living at home. In giving this type of help, healthcare providers should strive to increase social support and optimism among older adults.


Asunto(s)
/psicología , Depresión/etiología , Optimismo , Pandemias , Calidad de Vida , Aislamiento Social , Apoyo Social , Actividades Cotidianas , Adaptación Psicológica , Anciano , Anciano de 80 o más Años , Estudios Transversales , Depresión/prevención & control , Autoevaluación Diagnóstica , Femenino , Estado de Salud , Encuestas Epidemiológicas , Humanos , Israel , Masculino , Persona de Mediana Edad
4.
Environ Res ; 195: 110828, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33548294

RESUMEN

OBJECTIVES: To evaluate and compare nurses' depression, anxiety and stress symptoms at the beginning of the COVID-19 pandemic and after six months; to evaluate and compare the frequency of use of mental health promotion strategies during the same period; and to identify the relationship between the frequency of use of mental health promotion strategies, during the same period, with nurses' depression, anxiety and stress symptoms. METHODS: Data collection was carried out in two moments: at baseline and after six months. An online questionnaire was applied to nurses to assess the frequency of use of some mental health promotion strategies and their depression, anxiety, and stress symptoms (through the Depression Anxiety Stress Scales - short version (DASS-21)). RESULTS: The anxiety and stress symptoms significantly decreased over time. The physical activity increased, and a decrease was observed in the remote social contacts after six months. The stress, anxiety and depression scores were significantly lower in nurses who frequently or always used all strategies compared to participants who never or rarely used them, except for one strategy (rejecting information about COVID-19 from unreliable sources). CONCLUSIONS: Mental health promotion strategies, such as physical activity, relaxation activity, recreational activity, healthy diet, adequate water intake, breaks between work shifts, maintenance of remote social contacts, and verbalization of feelings/emotions, are crucial to reduce nurses' stress, anxiety and depression symptoms during the COVID-19 outbreak.


Asunto(s)
Pandemias , Ansiedad/epidemiología , Estudios Transversales , Depresión/epidemiología , Depresión/prevención & control , Brotes de Enfermedades , Promoción de la Salud , Humanos , Salud Mental , Estudios Prospectivos
5.
BMC Pregnancy Childbirth ; 21(1): 114, 2021 Feb 08.
Artículo en Inglés | MEDLINE | ID: mdl-33557768

RESUMEN

BACKGROUND: This retrospective study aimed to identify possible intensification of mental health difficulties among women seeking support in the postpartum period during the epidemic state in Poland. We assumed that the epidemic crisis, social isolation, and restrictions in hospitals which affect pregnant and postpartum women - lack of family labors, lack of the possibility to be with the newborn when he/she is hospitalized, may increase fear and reduce psychosocial resources of women, hinder their normal process of transition to motherhood and thus contribute to the intensified severity of depressive symptoms. METHODS: The study participants were women seeking support at the on-line platform of the project 'Next Stop: Mum', which is a part of the postpartum depression prevention's program implemented by the Ministry of Health in Poland, and enables remote self-screening for the severity of the postpartum depression symptoms with the Edinburgh Postnatal Depression Scale developed by Cox and collaborators. The analyzed data in this study were obtained from 139 women: 61 filled forms from October 1 - November 10, 2019 (non-epidemic period), and 78 filled forms from February 20-March 30 (beginning of the COVID-19 epidemic), 2020. RESULTS: A statistically significant difference in the severity of postpartum depression symptoms were observed among women making a self-assessment with EPDS scale at the beginning of the COVID-19 epidemic in Poland (M = 15.71; SD = 6.23), compared to the pre-epidemic neutral period (M = 13.56; SD = 6.46). CONCLUSIONS: The results of this study indicate that the epidemic crisis may be associated with an increased need for additional caution and support of women's mental health in the postpartum period. We believe that recommendations for medical staff, policy, and families of women struggling with postpartum depression symptoms during crisis should be widespread as the second wave of COVID-19 disease may develop in the autumn-winter 2020 and spring 2021.


Asunto(s)
/epidemiología , Depresión Posparto/epidemiología , Depresión/epidemiología , Salud Materna , Pandemias , Periodo Posparto/psicología , Sistemas de Apoyo Psicosocial , Adulto , Depresión/prevención & control , Depresión/psicología , Depresión Posparto/prevención & control , Depresión Posparto/psicología , Femenino , Humanos , Recién Nacido , Salud Mental , Polonia/epidemiología , Embarazo , Escalas de Valoración Psiquiátrica , Estudios Retrospectivos , Autoinforme , Autoevaluación
6.
Psicothema (Oviedo) ; 33(1): 111-117, feb. 2021. tab, graf
Artículo en Inglés | IBECS | ID: ibc-196952

RESUMEN

BACKGROUND: In March 2020, the Spanish government established an official lockdown across the country in response to the COVID-19 pandemic and confined the population to their homes, restricting their mobility. The objectives of the study are twofold: a) to examine dose-response relationships between physical activity (PA) components (volume, intensity, frequency, duration) and depressive symptoms of the population during confinement, and b) to identify the optimal levels of PA to mitigate notable depressive symptoms (NDS). METHODS: 4,811 (2,952 women) Spanish citizens, age range 16-92 years, completed an online questionnaire (snowball sampling) to measure their levels of depressive symptoms, PA, and various anthropometric and sociometric variables. Volume (METs-min/week), frequency (days/week), and duration (hours) were examined using logistic regressions with restricted cubic splines. RESULTS: The PA components were inversely associated with NDS. Performing at least 477 METs-min/week was associated with a 33% decrease in probability of NDS, and reaching 3,000 METs-min/week was associated with the lowest risk of NDS (47%). As for frequency, with 10 times/week the probability of NDS was 56% lower. At 10 hours of weekly practice, the probability of NDS was 39% lower. CONCLUSIONS: A range and optimal amount of PA is suggested to reduce the appearance of SDN during confinement


ANTECEDENTES: en marzo de 2020 el gobierno español decretó el estado de alarma debido a la pandemia por COVID-19 y confinó a la población. Los objetivos son dos: a) examinar las relaciones dosis-respuesta entre los componentes de actividad física (AF: volumen, intensidad, frecuencia y duración) y los síntomas depresivos de la población durante el confinamiento, y b) identificar los niveles óptimos de AF para mitigar los síntomas depresivos notables (SDN). MÉTODO: 4.811 (2.952 mujeres) ciudadanos de España, de 16 a 92 años respondieron a un cuestionario on line (muestreo de bola de nieve) para medir sus niveles de síntomas depresivos, AF, y variables antropométricas y sociométricas. El volumen (METs-min/sem), la frecuencia (días/sem) y la duración (horas) se examinaron mediante regresiones logísticas con splines cúbicas restringidas. RESULTADOS: los componentes de AF se asociaron inversamente con las probabilidades de SDN. La realización de 477 METs-min/sem se asoció con una disminución del 33% en las probabilidades de SDN, y alcanzar 3.000 METs-min/sem se asoció con el menor riesgo de SDN (47%). En cuanto a frecuencia, con 10 días/sem las probabilidades de SDN fueron un 56% más bajas. A las 10 horas de práctica semanal, las probabilidades de SDN fueron un 39% más bajas. CONCLUSIONES: se sugiere un rango y cantidad óptima de AF para reducir la aparición de SDN en confinamiento


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Infecciones por Coronavirus/psicología , Neumonía Viral/psicología , Pandemias , Cuarentena/psicología , Aislamiento Social/psicología , Actividad Motora , Depresión/prevención & control , Encuestas y Cuestionarios , España
7.
Artículo en Inglés | MEDLINE | ID: mdl-33478173

RESUMEN

Background: Internally Displaced Persons (IDPs) are people who have been forced to flee their homes due to disasters. Depressive symptoms, at over 31-67%, are prevalent in IDPs in Africa. Despite the evidence for the benefits of the promotion of dance interventions on psychological health, supporting information is needed to outline the benefits of an African Circle Dance (ACD) intervention for IDPs in Africa. Methods: A quasi-experimental design (pre-/post-test) was employed. Two IDP camps were randomized into the intervention group (psychoeducation and ACD intervention) and the control group (psychoeducation). Adults aged ≥18 years, living in an IDP camp, able to perform brisk walking, and who scored ≥10 on a depressive symptoms subscale were recruited. The intervention group received an 8-week ACD dance intervention and two 1-h psychoeducation sessions on stress management; the controls only received the psychoeducation sessions. Outcomes were depressive symptoms, stress, and anxiety. Data were collected at baseline (T0), immediately after the intervention at week 8 (T1), and at week 12 (T2) at the post-intervention and follow-up session. A generalized estimating equation was used to test the effects of the ACD intervention, with a 0.05 significance level. Results: 198 IDPs completed the study (ncontrol = 98; nintervention = 100). The intervention group reported significantly greater improvements in depressive symptoms (v = 0.33, p < 0.001) and stress (v = 0.15, 0.008) than did the control group. Conclusions: ACD could be a valuable complementary intervention in health promotion but more research is needed.


Asunto(s)
Baile , Refugiados , Adolescente , Adulto , África , Trastornos de Ansiedad , Depresión/prevención & control , Humanos
8.
PLoS One ; 16(1): e0245865, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33503045

RESUMEN

The COVID-19 pandemic, the accompanying lockdown measures, and their possible long-term effects have made mental health a pressing public health concern. Acts that focus on benefiting others-known as prosocial behaviors-offer one promising intervention that is both flexible and low cost. However, neither the range of emotional states prosocial acts impact nor the size of those effects is currently clear, both of which directly influence its attractiveness as a treatment option. Using a large online sample from Canada and the United States, we will examine the effect of a three-week prosocial intervention on two indicators of emotional well-being (happiness and the belief that one's life is valuable) and mental health (anxiety and depression). Respondents will be randomly assigned to perform prosocial, self-focused, or neutral behaviors each week. Two weeks after the intervention, a final survey will assess whether the intervention has a lasting effect on mental health and emotional well-being. Our results will illuminate whether prosocial interventions are a viable approach to addressing mental health needs during the current COVID-19 pandemic, as well for those who face emotional challenges during normal times.


Asunto(s)
Altruismo , /psicología , Ansiedad/epidemiología , Ansiedad/prevención & control , /prevención & control , Canadá/epidemiología , Depresión/epidemiología , Depresión/prevención & control , Emociones , Femenino , Felicidad , Humanos , Masculino , Salud Mental , /patogenicidad , Estados Unidos/epidemiología
9.
Psicothema ; 33(1): 111-117, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33453743

RESUMEN

BACKGROUND: In March 2020, the Spanish government established an official lockdown across the country in response to the COVID-19 pandemic and confined the population to their homes, restricting their mobility. The objectives of the study are twofold: a) to examine dose-response relationships between physical activity (PA) components (volume, intensity, frequency, duration) and depressive symptoms of the population during confinement, and b) to identify the optimal levels of PA to mitigate notable depressive symptoms (NDS). METHODS: 4,811 (2,952 women) Spanish citizens, age range 16-92 years, completed an online questionnaire (snowball sampling) to measure their levels of depressive symptoms, PA, and various anthropometric and sociometric variables. Volume (METs-min/week), frequency (days/week), and duration (hours) were examined using logistic regressions with restricted cubic splines. RESULTS: The PA components were inversely associated with NDS. Performing at least 477 METs-min/week was associated with a 33% decrease in probability of NDS, and reaching 3,000 METs-min/week was associated with the lowest risk of NDS (47%). As for frequency, with 10 times/week the probability of NDS was 56% lower. At 10 hours of weekly practice, the probability of NDS was 39% lower. CONCLUSIONS: A range and optimal amount of PA is suggested to reduce the appearance of SDN during confinement.


Asunto(s)
Depresión/etiología , Depresión/prevención & control , Ejercicio Físico , Cuarentena , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Estudios Transversales , Depresión/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , España , Adulto Joven
10.
J Sci Med Sport ; 24(4): 320-326, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33341382

RESUMEN

OBJECTIVES: To assess physical activity (PA), mental health and well-being of adults in the United Kingdom (UK), Ireland, New Zealand and Australia during the initial stages of National governments' Coronavirus disease (COVID-19) containment responses. DESIGN: Observational, cross-sectional. METHODS: An online survey was disseminated to adults (n=8,425; 44.5±14.8y) residing in the UK, Ireland, New Zealand and Australia within the first 2-6 weeks of government-mandated COVID-19 restrictions. Main outcome measures included: Stages of Change scale for exercise behaviour change; International Physical Activity Questionnaire (short-form); World Health Organisation-5 Well-being Index; and the Depression Anxiety and Stress Scale-9. RESULTS: Participants who reported a negative change in exercise behaviour from before initial COVID-19 restrictions to during the initial COVID-19 restrictions demonstrated poorer mental health and well-being compared to those demonstrating either a positive-or no change in their exercise behaviour (p<0.001). Whilst women reported more positive changes in exercise behaviour, young people (18-29y) reported more negative changes (both p<0.001). Individuals who had more positive exercise behaviours reported better mental health and well-being (p<0.001). Although there were no differences in PA between countries, individuals in New Zealand reported better mental health and well-being (p<0.001). CONCLUSION: The initial COVID-19 restrictions have differentially impacted upon PA habits of individuals based upon their age and sex, and therefore have important implications for international policy and guideline recommendations. Public health interventions that encourage PA should target specific groups (e.g., men, young adults) who are most vulnerable to the negative effects of physical distancing and/or self-isolation.


Asunto(s)
/prevención & control , Ejercicio Físico/psicología , Conductas Relacionadas con la Salud , Salud Mental , Adolescente , Adulto , Anciano , Ansiedad/diagnóstico , Ansiedad/etiología , Australia , Estudios Transversales , Depresión/diagnóstico , Depresión/etiología , Depresión/prevención & control , Femenino , Política de Salud , Humanos , Irlanda , Masculino , Persona de Mediana Edad , Nueva Zelanda , Estrés Psicológico/diagnóstico , Estrés Psicológico/etiología , Estrés Psicológico/prevención & control , Reino Unido , Adulto Joven
11.
Anaesthesia ; 76(1): 82-90, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32761611

RESUMEN

Prehabilitation aims to increase the endurance capacity of patients who are awaiting major surgery. However, there are no studies investigating the implementation of this demanding and expensive intervention in low-income countries. This study aimed to assess the impact of a 4-week trimodal prehabilitation program on the physical and psychological health of patients waiting for colorectal surgery compared with a control group managed according to enhanced recovery after surgery principles supplemented by nutritional care. This study was a single-centre, randomised controlled trial. The primary outcome measures for the physical aspects were 6-minute walking distance (6MWD) and incentive spirometry, whereas the psychological elements were measured using the 36-item short form survey questionnaire and the hospital anxiety and depression score. In total, data from 149 patients were analysed (77 in the prehabilitation group and 72 in the control group). At the time of surgery, patients in the prehabilitation group had improved 6MWD and incentive spirometry compared with the control group (median (IQR [range]) percentage improvement 131% (112-173 [68-376]) vs. 107% (99-120 [63-163]); p < 0.001 and 113% (100-125 [75-200]) vs. 100% (100-112 [86-167]); p < 0.001 respectively). Patients in the prehabilitation group also had reduced anxiety scores compared with the control group (mean (SD) anxiety score (4 (3) vs. 5 (3) respectively; p = 0.032). However, these effects did not translate into improvements in postoperative mortality and morbidity, or a reduction in duration of hospital stay. Trimodal (physical, emotional and nutritional) prehabilitation is able to improve functional status as well as some parameters of emotional and physical well-being of patients waiting for colorectal surgery.


Asunto(s)
Cirugía Colorrectal/psicología , Estado de Salud , Salud Mental , Cuidados Preoperatorios/métodos , Anciano , Anciano de 80 o más Años , Ansiedad/prevención & control , Ansiedad/psicología , Depresión/prevención & control , Depresión/psicología , Femenino , Humanos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Estado Nutricional , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/mortalidad , Cuidados Preoperatorios/psicología , Espirometría , Encuestas y Cuestionarios , Resultado del Tratamiento
12.
Medicine (Baltimore) ; 99(51): e23683, 2020 Dec 18.
Artículo en Inglés | MEDLINE | ID: mdl-33371109

RESUMEN

BACKGROUND: The infection of human immunodeficiency virus (HIV) is 1 of the major causes of morbidity and mortality in the world. People with chronic diseases have a higher risk of depression. The HIV people are more likely to suffer from depression. Appropriate psychosocial interventions are effective, but their accessibility is limited by the resources needed for their transmission. Thus, it makes sense to develop more cost-effective alternatives, for instance the web-based intervention (WBI), which may be effective for the well-being and depression. The aim of our program is to explore the effects of a WBI on depressive symptoms and well-being in HIV-infected patients. METHOD: It is a randomized controlled experiment to be conducted from February 2021 to July 2021. It was permitted through the Ethics Committee of Changshan County People's Hospital (no.60928376). This study includes 100 HIV patients. Inclusion criteria: (1)18 + years, on effective antiretroviral therapy≥ 1 year before inclusion. Exclusion criteria: patients with severe kidney, liver, lung, and heart diseases. Patients are divided randomly into the study group and control group, each group is assigned 50. The primary results are subjective well-being and depressive symptoms, while the secondary result involves the patients' satisfaction with life. RESULTS: The following Table 1 will exhibit the comparison of outcomes between 2 groups. CONCLUSION: HIV infected patients can benefit from WBI, which can be utilized as an adjunct to medical treatment. TRIAL REGISTRATION NUMBER: researchregistry6215.


Asunto(s)
Depresión/prevención & control , Infecciones por VIH/psicología , Intervención basada en la Internet , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto
13.
Work ; 67(4): 767-769, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33325427

RESUMEN

The potential ramifications of the COVID-19 pandemic global shut down on physical education providers and youth sport coaches may be particularly severe due to substantial cutbacks on many of their normal activities. This population faces unique challenges in engaging in "virtual learning" given the physical nature of their job, potentially leading to sedentary lifestyle, weight gain, and the development of depressive mood disorders. This commentary aims to explore options to mitigate worsening of stress, depression, physical inactivity, and social disconnection in youth sport coaches following the guidelines of the American College of Sports Medicine (ACSM) and to call attention to this vulnerable demographic which has been substantially impacted by the COVID-19 pandemic.


Asunto(s)
/prevención & control , Tutoría , Educación y Entrenamiento Físico , Cuarentena , Deportes Juveniles/psicología , Adaptación Psicológica , Depresión/prevención & control , Dieta Saludable , Humanos , Estrés Laboral/prevención & control , Pandemias , Conducta Sedentaria , Aislamiento Social
14.
BMC Public Health ; 20(1): 1926, 2020 Dec 30.
Artículo en Inglés | MEDLINE | ID: mdl-33380321

RESUMEN

BACKGROUND: During the perinatal period women lack screening and treatments for perinatal depressive symptoms, while public health professionals (PHPs) in primary care centres (PCCs) need training for identification and management of such symptoms. This quasi-experimental study was aimed at evaluating knowledge, attitudes and self-efficacy among PHPs after participating in a Knowledge, Attitude, and Self-efficacy (KAS) program for identification and management of perinatal depressive symptoms. METHOD: The KAS-program, carried through in Sakonnakhon in north-eastern Thailand, comprised one day of theory and a four-week period of field practice. Thirty-three PHPs from PCCs participated in the program. Twenty-three of them participated in focus group discussions (FGDs). Chi-square for trend, paired-sample T-tests and content analysis were used. RESULTS: Knowledge, attitude and self-efficacy scores increased after the PHPs had fully participated in the KAS-program. Four categories emerged from the FGDs: increased understanding and knowledge, being aware and having a positive attitude, having confidence and ability to work, and need of regular training and feedback. CONCLUSION: The KAS-program may contribute to giving PHPs in PCCs the knowledge, positive attitude and self-efficacy they need to identify and manage perinatal depressive symptoms. Implementation of the KAS-program to other healthcare professionals such as nurses/midwives is great of interest.


Asunto(s)
Depresión/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/educación , Complicaciones del Embarazo/prevención & control , Autoeficacia , Adulto , Femenino , Grupos Focales , Humanos , Masculino , Tamizaje Masivo , Persona de Mediana Edad , Embarazo , Evaluación de Programas y Proyectos de Salud , Escalas de Valoración Psiquiátrica , Tailandia/epidemiología , Adulto Joven
15.
Artículo en Inglés | MEDLINE | ID: mdl-33327407

RESUMEN

Mindfulness and Shinrin-yoku (SY) translated as forest bathing, is potentially effective to alleviate mental health issues related to the COVID-19 pandemic and beyond. The purpose of this article is to provide a translational and pragmatic approach to understanding mindfulness in the context of SY and psychological wellbeing through a rapid review of the literature. The background of mindfulness and SY practice are discussed and the emotional, neuroendocrine, and neurobiological responses are examined. Next, a rapid review of the literature examined six studies, published between 2010 and 2020 to determine what is known regarding the relationship between SY, mindfulness, and psychological wellbeing. The studies included 21-360 participants with a mean age of 20-55 years. The results demonstrated a significant positive correlation between nature, mindfulness, and measures of psychological wellbeing. During uncertain events, including COVID-19, weaving mindfulness with SY may be specifically important to at-risk groups, those experiencing depression, loneliness, and social isolation, and at-risk populations such as college students, veterans, and professionals with high levels of stress. The goal of this review is to provide a thorough background and support of this cost-effective modality to promote overall psychological wellbeing as a preventative measure to those at risk or experiencing psychological illnesses.


Asunto(s)
Depresión/prevención & control , Atención Plena , Estrés Psicológico/prevención & control , Adulto , Humanos , Persona de Mediana Edad , Pandemias , Adulto Joven
16.
Artículo en Inglés | MEDLINE | ID: mdl-33339317

RESUMEN

The increasing prevalence of mental health disorders and psychosocial distress among young people exceeds the capacity of mental health services. Social and systemic factors determine mental health as much as individual factors. To determine how best to address multi-level risk factors, we must first understand the distribution of risk. Previously, we have used psychometric methods applied to two epidemiologically-principled samples of people aged 14-24 to establish a robust, latent common mental distress (CMD) factor of depression and anxiety normally distributed across the population. This was linearly associated with suicidal thoughts and non-suicidal self-harm such that effective interventions to reduce CMD across the whole population could have a greater total benefit than those that focus on the minority with the most severe scores. In a randomised trial of mindfulness interventions in university students (the Mindful Student Study), we demonstrated a population-shift effect whereby the intervention group appeared resilient to a universal stressor. Given these findings, and in light of the COVID-19 pandemic, we argue that population-based interventions to reduce CMD are urgently required. To target all types of mental health determinants, these interventions must be multi-level. Careful design and evaluation, interdisciplinary work, and extensive local stakeholder involvement are crucial for these interventions to be effective.


Asunto(s)
Trastornos Mentales/prevención & control , Prevención Primaria , Adolescente , Adulto , Ansiedad/epidemiología , Ansiedad/prevención & control , Depresión/epidemiología , Depresión/prevención & control , Humanos , Trastornos Mentales/epidemiología , Pandemias , Conducta Autodestructiva/prevención & control , Ideación Suicida , Adulto Joven
17.
Med Sci Monit ; 26: e930340, 2020 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-33323916

RESUMEN

Alterations in complex behavioral patterns during the extended period of the COVID-19 pandemic are predicted to promote a variety of psychiatric disease symptoms due to enforced social isolation and self-quarantine. Accordingly, multifaceted mental health problems will continue to increase, thereby creating a challenge for society and the health care system in general. Recent studies show that COVID-19 can directly or indirectly influence the central nervous system, potentially causing neurological pathologies such as Alzheimer disease and Parkinson disease. Thus, chronic COVID-19-related disease processes have the potential to cause serious mental illnesses, including depression, anxiety, and sleep disorders. Importantly, mental health problems can foster systemic changes in functionally-linked neuroendocrine conditions that heighten a person's susceptibility to COVID-19 infection. These altered defense mechanisms may include compromised "self-control" and "self-care", as well as a "lack of insight" into the danger posed by the virus. These consequences may have serious social impacts on the future of COVID-19 survivors. Compounding the functionally related issues of altered mental health parameters and viral susceptibility are the potential effects of compromised immunity on the establishment of functional herd immunity. Within this context, mental health takes on added importance, particularly in terms of the need to increase support for mental health research and community-based initiatives. Thus, COVID-19 infections continue to reveal mental health targets, a process we must now be prepared to deal with.


Asunto(s)
/complicaciones , Salud Mental , Sobrevivientes/psicología , Enfermedad de Alzheimer/epidemiología , Enfermedad de Alzheimer/prevención & control , Enfermedad de Alzheimer/virología , Ansiedad/epidemiología , Ansiedad/prevención & control , Ansiedad/psicología , /psicología , Depresión/epidemiología , Depresión/prevención & control , Depresión/psicología , Susceptibilidad a Enfermedades/psicología , Humanos , Pandemias , Enfermedad de Parkinson/epidemiología , Enfermedad de Parkinson/prevención & control , Enfermedad de Parkinson/virología , Autocuidado/psicología , Autocontrol/psicología , Aislamiento Social/psicología
18.
Nihon Koshu Eisei Zasshi ; 67(10): 734-744, 2020.
Artículo en Japonés | MEDLINE | ID: mdl-33361668

RESUMEN

Objectives This study aimed to examine the effectiveness of a walking point project with incentives for increasing walking time, preventing the decline of physical function and worsening depression among older adults.Methods We used data from the Japan Gerontological Evaluation Study, which included subjects aged ≥65 years who lived in Yokohama City in 2013 and 2016. We obtained information on the subjects' participation in the "Yokohama Walking Point (YWP)," a program launched by Yokohama City in 2014, from the 2016 survey data. We excluded individuals with missing data for sex, age, walking time per day (<30, 30-59, 60-89, or ≥90 min/day), physical function (5 physical function category items on the Kihon Checklist), depression (15-item Geriatric Depression Scale), and participation status in the YWP. We used data from 4,509 eligible respondents. Changes in walking time, physical function, and depression were designated as independent variables, and participation status in the YWP was designated as the dependent variable in the multiple regression analysis with inverse probability of treatment weighting (IPTW), after adjusting for demographic variables, socioeconomic status, health status, and behavior.Results Among the total subjects, 758 (16.8%) participated in the YWP. The IPTW method showed that participants in the YWP had significantly higher walking times (B=3.61, 95% CI: 1.04, 6.17), less decline in physical function, and less depression (B=-0.13, 95% CI: -0.23, -0.03; B=-0.21, 95% CI: -0.42, -0.01) than those who did not participate in the YWP.Conclusions Our findings suggest that the YWP, with incentives, effectively increased walking time and prevented worsening of physical function and depression among older adults. The municipality's health point project, based on the number of steps, is a useful population approach for promoting health among older adults.


Asunto(s)
Depresión/prevención & control , Tolerancia al Ejercicio/fisiología , Promoción de la Salud/métodos , Envejecimiento Saludable/fisiología , Envejecimiento Saludable/psicología , Motivación/fisiología , Rendimiento Físico Funcional , Servicios Preventivos de Salud/métodos , Puntaje de Propensión , Caminata/fisiología , Factores de Edad , Anciano , Anciano de 80 o más Años , Eficiencia Organizacional , Femenino , Humanos , Japón , Masculino
19.
F1000Res ; 9: 116, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33363715

RESUMEN

Background: Burnout is characterized by deficiencies in attention and several components of the working memory, of which the lingering effects of impaired attention and executive functions are the most frustrating. We hypothesized that anodal transcranial direct current stimulation (atDCS) over the left dorsolateral prefrontal cortex (DLPFC) can improve the executive control of attention and possibly several other components of working memory in patients with burnout. Methods: This was a randomized double-blind sham-controlled pilot study with two groups. Patients with burnout received three weeks of daily sessions (15 sessions in total) of atDCS or sham stimulation in addition to three weekly sessions of standard behavioral therapy. The primary outcome measure was attention and the central executive of the working memory. Secondary, the effect of atDCS was measured on other components of working memory, on burnout and depression scores, and on quality of life (QoL). Results: We enrolled and randomly assigned 16 patients to a sham or real stimulation group, 15 (7 sham, 8 real) were included in the analysis. atDCS had a significant impact on attention. Post-hoc comparisons also revealed a trend towards more improvement after real tDCS for inhibition and shifting, updating and control, and encoding. Both groups improved on burnout and depression scores. Conclusion: These data provide preliminary evidence for the value of atDCS over the left DLPFC in rehabilitating attention deficits, and possibly also central executive and encoding deficits, in burnout. However, the current study has some limitations, including the sample size and heterogeneous patient population. More elaborate studies are needed to elucidate the specific impact of atDCS over the left DLPFC on burnout. Trial registration: ISRCTN.com ( ISRCTN94275121) 17/11/19.


Asunto(s)
Atención , Agotamiento Psicológico/prevención & control , Memoria a Corto Plazo , Estimulación Transcraneal de Corriente Directa , Adulto , Depresión/prevención & control , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Proyectos Piloto , Calidad de Vida
20.
Eur Rev Med Pharmacol Sci ; 24(21): 11381-11385, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33215459

RESUMEN

OBJECTIVE: This study aims to discuss the effects of simulation training on improving the pre-examination, triage, prevention, and control of coronavirus disease 2019 (COVID-19), explain the psychological states of pre-examination and triage staff in general hospitals during the COVID-19 epidemic, and analyze relevant influencing factors. This study may serve as a reference of psychological consultation services to medical staff. SUBJECTS AND METHODS: This study included 60 nurses assigned in the pre-examination department, fever clinics, and isolation wards of a general hospital from January 26th to February 1st, 2020. Before assuming the posts, the nurses received simulation training on the clinical reception of suspected patients with COVID-19. Operation skills of the nurses before and after the training were assessed. RESULTS: The percent of passing significantly increased from 65% before the training to 98.33% after training (p<0.05). Training also significantly relieved the anxiety and depression of the nurses (p<0.05). CONCLUSIONS: Scenario-simulation training can increase the emergency abilities of pediatric nurses in the prevention and control of the COVID-19 epidemic and relieve the anxiety of nurses.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Control de Infecciones/organización & administración , Enfermeras Pediátricas/psicología , Estrés Laboral/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Entrenamiento Simulado/organización & administración , Adulto , Ansiedad/prevención & control , Ansiedad/psicología , Betacoronavirus/patogenicidad , Competencia Clínica , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Depresión/prevención & control , Depresión/psicología , Servicio de Urgencia en Hospital/organización & administración , Femenino , Hospitales Pediátricos/organización & administración , Humanos , Control de Infecciones/instrumentación , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Enfermeras Pediátricas/organización & administración , Exposición Profesional/efectos adversos , Estrés Laboral/psicología , Equipo de Protección Personal , Neumonía Viral/diagnóstico , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Carga de Trabajo/psicología , Adulto Joven
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