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2.
PLoS One ; 15(7): e0235590, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32614889

RESUMEN

Amongst the most robust consensus related to the COVID-19 disease is that the elderly are by far the most vulnerable population group. Hence, public authorities target older people in order to convince them to comply with preventive measures. However, we still know little about older people's attitudes and compliance toward these measures. In this research, I aim to improve our understanding of elderly people's responses to the pandemic using data from 27 countries. Results are surprising and quite troubling. Elderly people's response is substantially similar to their fellow citizens in their 50's and 60's. This research (i) provides the first thorough description of the most vulnerable population's attitudes and compliance in a comparative perspective (ii) suggest that governments' strategies toward elderly people are far from successful and (iii) shows that methodologically, we should be more cautious in treating age as having a linear effect on COVID-19 related outcomes.


Asunto(s)
Actitud , Betacoronavirus , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Conductas Relacionadas con la Salud , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Infecciones por Coronavirus/mortalidad , Infecciones por Coronavirus/virología , Femenino , Desinfección de las Manos , Humanos , Masculino , Máscaras , Persona de Mediana Edad , Cooperación del Paciente/psicología , Neumonía Viral/mortalidad , Neumonía Viral/virología , Cuarentena/métodos , Autoinforme , Adulto Joven
5.
Eval Health Prof ; 43(3): 201-203, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32608250

RESUMEN

This survey aimed to assess the concerns of students of health-related higher education in Brazil regarding distance learning during the coronavirus pandemic. A Google Forms anonymous questionnaire was sent by WhatsApp Messenger to students at a private university. Seven hundred and four students answered the questionnaire (566 female, 138 male, mean age = 23.09 years), reflecting approximately a third of the students in health-related disciplines. Students reported feeling anxious due to the pandemic. Most of the students agreed with having the ability to continue education through distance learning, but relatively few of them enjoyed it. Also, students were concerned that learning of clinical material and professional training would be impaired, and they were afraid of failing the year of education. Health-related higher education private institutions in Brazil should focus on reassessing and prioritizing their policies and protocols and include a detailed plan for the future.


Asunto(s)
Actitud Frente a la Salud , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Educación a Distancia , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Estudiantes/psicología , Brasil/epidemiología , Femenino , Humanos , Masculino , Pandemias , Encuestas y Cuestionarios , Universidades , Adulto Joven
6.
Artículo en Inglés | MEDLINE | ID: mdl-32629829

RESUMEN

This study explored awareness, attitudes, and behavior in relation to Coronavirus Disease 2019 (COVID-19) prevention among Taiwanese citizens and their physical and mental health statuses. Through collection of 2132 questionnaire responses in field research, the present researchers analyzed the data using descriptive statistics and various approaches. In conclusion, the public's high level of willingness to share information, sufficient knowledge of and consensus on epidemic prevention between individuals and families, strict compliance with relevant regulations, effective preventive measures, and adequate public facilities have contributed to control of COVID-19. However, vigilance and awareness of the pandemic in some individuals, epidemic-prevention campaigns, and community-based preventive measures were insufficient. Some citizens subsequently suffered from headaches, anxiety, and mood instability. Furthermore, demographic variables (place of residence, sex, age, and occupation) and physical and mental health status produced various effects on citizens' awareness, attitude, and behavior regarding epidemic prevention as well as the perceived effect of COVID-19 on physical and mental health.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Salud Mental , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Adulto , Betacoronavirus , Infecciones por Coronavirus/psicología , Femenino , Voluntarios Sanos , Humanos , Masculino , Neumonía Viral/psicología , Encuestas y Cuestionarios , Taiwán/epidemiología
7.
Artículo en Inglés | MEDLINE | ID: mdl-32630054

RESUMEN

The rapid spread and high death rates of the COVID-19 pandemic resulted in massive panic and anxiety all over the world. People rely heavily on media for information-seeking during the period of social isolation. This study aimed to explore the relationship between media exposure and anxiety, and highlighted the underlying mechanisms mediated by the media vicarious traumatization effect. A total of 1118 Chinese citizens participated in the online survey, who were from 30 provinces in mainland China. Results showed that all four types of media (official media, commercial media, social media, and overseas media) cause vicarious traumatization to their audiences to different degrees. It was also found that the impact of media exposure on anxiety was mediated by media vicarious traumatization: there were full mediation effects for commercial media exposure and overseas media exposure, while there were indirect-only mediation effects for official media exposure and social media exposure. Audiences staying in cities with a relatively severe pandemic were more susceptible to the vicarious traumatization caused by commercial media compared to those staying in Hubei. This study expanded the concept and application of vicarious traumatization to the mediated context, and the findings provided insightful advice to media practitioners in the face of major crisis.


Asunto(s)
Ansiedad/epidemiología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Medios de Comunicación de Masas/provisión & distribución , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Trauma Psicológico/epidemiología , Medios de Comunicación Sociales/provisión & distribución , Adolescente , Adulto , Betacoronavirus , Niño , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Pandemias
8.
Prev Chronic Dis ; 17: E60, 2020 07 09.
Artículo en Inglés | MEDLINE | ID: mdl-32644918

RESUMEN

Current communication messages in the COVID-19 pandemic tend to focus more on individual risks than community risks resulting from existing inequities. Culture is central to an effective community-engaged public health communication to reduce collective risks. In this commentary, we discuss the importance of culture in unpacking messages that may be the same globally (physical/social distancing) yet different across cultures and communities (individualist versus collectivist). Structural inequity continues to fuel the disproportionate impact of COVID-19 on black and brown communities nationally and globally. PEN-3 offers a cultural framework for a community-engaged global communication response to COVID-19.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Cultura , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Comunicación , Salud Global , Personal de Salud , Humanos , Modelos Teóricos , Salud Poblacional , Salud Pública , Determinantes Sociales de la Salud
12.
Psychother Psychosom Med Psychol ; 70(7): 272-282, 2020 Jul.
Artículo en Alemán | MEDLINE | ID: mdl-32688420

RESUMEN

BACKGROUND: International studies point to increased mental health problems of medical staff during the Corona pandemic (COVID-19). This is the first study to investigate mental health, i. e. adjustment disorder, depression, stress symptoms, Corona related fears as well as coping mechanisms in this group in a German-speaking country. MATERIAL AND METHODS: In April 2020, N=100 subjects were recruited that currently are engaged in a hospital. A series of standardized assessments were included: adjustment disorder (ADNM-20), depression (PHQ-9), stress symptoms and coping strategies (SCI). Currently, cross-sectional data are analyzed, because the study is still going on and longitudinal data is not yet assessed. RESULTS: Frequencies of adjustment disorder and depression are 8 and 15%, respectively. Two hierarchical regression models were run to predict adjustment disorder and depression; predictive power was higher for the first (41 vs. 35%). Fear of infection was reported to be higher regarding one's family than oneself. Nursing staff, those with preloads, and women were found to report more mental health problems. Those with direct contact to people that fell ill with COVID-19 did not differ from those with no direct contact. DISCUSSION: Currently, medical staff has a high risk for being mentally stressed. China, being epidemically experienced, has published principles for psychiatric interventions in January 2020. This might be relevant for Switzerland, too. Specific psychotherapeutic interventions, targeting at cognitive restructuring and sensitizing regarding dealing with alcohol and cigarettes, may be needed in order to protect this vulnerable group of person during and after the Corona pandemic.


Asunto(s)
Trastornos de Adaptación/psicología , Ansiedad/psicología , Infecciones por Coronavirus/psicología , Depresión/psicología , Pandemias , Personal de Hospital/psicología , Neumonía Viral/psicología , Estrés Psicológico/psicología , Adaptación Psicológica , Trastornos de Adaptación/epidemiología , Trastornos de Adaptación/etiología , Adulto , Anciano , Ansiedad/epidemiología , Ansiedad/etiología , Infecciones por Coronavirus/transmisión , Estudios Transversales , Depresión/epidemiología , Depresión/etiología , Familia , Miedo , Femenino , Humanos , Masculino , Cuerpo Médico , Persona de Mediana Edad , Pruebas Neuropsicológicas , Neumonía Viral/transmisión , Estrés Psicológico/epidemiología , Estrés Psicológico/etiología , Suiza/epidemiología
13.
Med Sci Monit ; 26: e926008, 2020 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-32710536

RESUMEN

BACKGROUND During the outbreak of COVID-19, health care workers in the radiology department frequently interact with suspected patients and face a higher risk of infection and sudden surges in workload. High anxiety levels seriously harm physical and mental health and affect work efficiency and patient safety. Therefore, it is critical to determine anxiety levels of health care workers and explore its risk factors. MATERIAL AND METHODS Self-Rating Anxiety Scale and Connor-Davidson Resilience Scale were used to evaluate the anxiety and resilience of 364 health care workers with high exposure risk from the radiology departments of 32 public hospitals in Sichuan Province, China. Multivariate linear regression was used to analyze factors related to anxiety. RESULTS The mean anxiety score was 44.28±8.93 and 23.4% of our study participants reported mild (n=63), moderate (n=19), or severe (n=3) anxiety. Multiple linear regression analysis showed that age, job position, availability of protective materials, signs of suspected symptoms, and susceptibility to emotions and behaviors of people around them were identified as risk factors for anxiety, whereas psychological resilience was identified as a protective factor. CONCLUSIONS Our study suggests that the anxiety level of health care workers in the radiology department with a high exposure risk to COVID-19 was high in the early stage of the outbreak, although the majority remained within normal limits. Timely assessment and effective intervention measures can improve the mental health of these at-risk populations.


Asunto(s)
Ansiedad/etiología , Betacoronavirus , Infecciones por Coronavirus/psicología , Personal de Salud/psicología , Exposición Profesional , Pandemias , Neumonía Viral/psicología , Servicio de Radiología en Hospital , Resiliencia Psicológica , Adulto , Ansiedad/epidemiología , Ansiedad/psicología , China/epidemiología , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Autoevaluación Diagnóstica , Miedo , Femenino , Hospitales Públicos , Humanos , Masculino , Persona de Mediana Edad , Neumonía Viral/epidemiología , Factores de Riesgo , Muestreo , Índice de Severidad de la Enfermedad , Factores Socioeconómicos , Estrés Psicológico , Carga de Trabajo
14.
J Korean Med Sci ; 35(28): e255, 2020 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-32686372

RESUMEN

Quarantine often provokes negative psychological consequences. Thus, we aimed to identify the psychological and behavioral responses and stressors of caregivers quarantined with young patients after a close contact to a coronavirus disease 2019 case at a children's hospital. More than 90% of the caregivers reported feelings of worry and nervousness, while some of them reported suicidal ideations (4.2%), and/or homicidal ideations (1.4%). Fear of infection of the patient (91.7%) and/or oneself (86.1%) were most frequently reported stressors. A multidisciplinary team including infection control team, pediatrician, psychiatrist, nursing staff and legal department provided supplies and services to reduce caregiver's psychological distress. Psychotropic medication was needed in five (6.9%), one of whom was admitted to the psychiatry department due to suicidality. Quarantine at a children's hospital makes notable psychological impacts on the caregivers and a multidisciplinary approach is required.


Asunto(s)
Cuidadores/psicología , Infecciones por Coronavirus/psicología , Neumonía Viral/psicología , Cuarentena/psicología , Estrés Psicológico/psicología , Ansiedad/psicología , Infecciones por Coronavirus/transmisión , Transmisión de Enfermedad Infecciosa/prevención & control , Hospitales Pediátricos , Humanos , Pandemias , Neumonía Viral/transmisión
15.
J Int Med Res ; 48(7): 300060520939337, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32674650

RESUMEN

OBJECTIVE: This study aimed to describe the emergency responses to coronavirus disease 2019 (COVID-19) for pregnant patients at our hospital and their effect on hospital operations and patients' outcomes. METHODS: We developed strategies to prevent hospital-associated transmission of COVID-19 in obstetric care. Infrastructure, including the fever clinic and wards, were modified. Outpatient volume was controlled and screening processes were strictly performed. Verification of the virus was compulsory for non-surgery and non-emergency patients. Emergency operations were performed in a negative pressure theater with surgeons fully protected. Outcomes were analyzed and the patients' characteristics were evaluated. The effect of intervention on depressed and anxious patients was assessed. Data from the first 2 months of 2019 and 2020 were compared. RESULTS: No in-hospital COVID-19 infections occurred in our unit. During the epidemic, patient volume significantly decreased. While major characteristics of patients were similar, a higher prevalence of gestational hypertension was found in 2020 than in 2019. Psychological interventions showed optimistic effects in ameliorating depression and anxiety at the beginning of the COVID-19 pandemic. CONCLUSIONS: Our strategies were effective in preventing in-hospital infection of COVID-19 and reassuring women about the safety of pregnancy. Monitoring and managing psychological issues were necessary during this critical period.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Infección Hospitalaria/prevención & control , Control de Infecciones , Obstetricia/métodos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Complicaciones Infecciosas del Embarazo/prevención & control , Adulto , Ansiedad/complicaciones , Temperatura Corporal , China/epidemiología , Infecciones por Coronavirus/psicología , Depresión/complicaciones , Femenino , Hospitales , Humanos , Recién Nacido , Obstetricia/tendencias , Evaluación de Resultado en la Atención de Salud , Pacientes Ambulatorios , Neumonía Viral/psicología , Embarazo , Complicaciones Infecciosas del Embarazo/psicología , Telemedicina/tendencias , Adulto Joven
16.
J Prim Care Community Health ; 11: 2150132720944074, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32674654

RESUMEN

Introduction/Objectives: National guidelines underscore the need for improvement in the detection and treatment of mood disorders in the perinatal period. Exposure to disasters can amplify perinatal mood disorders and even have intergenerational impacts. The primary aim of this pilot study was to use mixed-methods to better understand the mental health and well-being effects of the coronavirus disease 2019 (COVID-19) pandemic, as well as sources of resilience, among women during the perinatal period. Methods: The study team used a simultaneous exploratory mixed-methods design to investigate the primary objective. Thirty-one pregnant and postpartum women participated in phone interviews and were invited to complete an online survey which included validated mental health and well-being measures. Results: Approximately 12% of the sample reported high depressive symptomatology and 60% reported moderate or severe anxiety. Forty percent of the sample reported being lonely. The primary themes related to stress were uncertainty surrounding perinatal care, exposure risk for both mother and baby, inconsistent messaging from information sources and lack of support networks. Participants identified various sources of resilience, including the use of virtual communication platforms, engaging in self-care behaviors (eg, adequate sleep, physical activity, and healthy eating), partner emotional support, being outdoors, gratitude, and adhering to structures and routines. Conclusions: Since the onset of COVID-19, many pregnant and postpartum women report struggling with stress, depression, and anxiety symptomatology. Findings from this pilot study begin to inform future intervention work to best support this highly vulnerable population.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Periodo Posparto/psicología , Mujeres Embarazadas/psicología , Adulto , Ansiedad/epidemiología , Depresión/epidemiología , Femenino , Encuestas Epidemiológicas , Humanos , Persona de Mediana Edad , Proyectos Piloto , Embarazo , Investigación Cualitativa , Resiliencia Psicológica , Medición de Riesgo , Estrés Psicológico/epidemiología , Estados Unidos/epidemiología , Adulto Joven
17.
J Prim Care Community Health ; 11: 2150132720943328, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32686566

RESUMEN

In times of the coronavirus pandemic caused by SARS-CoV-2 psychological support needs to meet certain requirements. Due to the lockdown in many countries of the world, the every-day activities of millions of people are reduced to a minimum. This may cause increased psychosomatic symptoms in persons with pre-existing mental illnesses, and additionally raises new challenges for the general population. As a result of the current contact restrictions, access to psychotherapy is further complicated. To guarantee the best possible care under the given conditions, we developed the CoPE (Coping with Corona: Extended Psychosomatic care in Essen) concept. CoPE is delivered by telephone or video calls as well as online contents. The materials presented at our webpage www.cope-corona.de aim to easily reach citizens affected by symptoms such as worries, depression or anger and let them receive readily understandable expert knowledge and training in basic self-help methods.


Asunto(s)
Servicios Comunitarios de Salud Mental/métodos , Infecciones por Coronavirus/psicología , Trastornos Mentales/prevención & control , Pandemias , Neumonía Viral/psicología , Apoyo Social , Adaptación Psicológica , Infecciones por Coronavirus/epidemiología , Humanos , Neumonía Viral/epidemiología , Automanejo , Telemedicina
18.
Braz Oral Res ; 34: e84, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32609145

RESUMEN

The present study sought to evaluate the impact of quarantine resulting from the coronavirus disease 2019 (COVID-19) pandemic on dental appointments and patients' positions and concerns regarding their ongoing dental treatment. Patients from private dental clinics answered an online questionnaire anonymously regarding their treatment, availability and willingness to attend dental appointments, and concerns about contamination. Descriptive statistics of the responses were performed with percentages and responses were compared between sexes, regions, and other aspects using the chi-squared test. Five hundred ninety-five patients (412 females and 183 males; mean age: 38.21 years) answered the questionnaire. Most patients reported they were receiving dental treatment (orthodontics) and would attend to a dental appointment; meanwhile, those patients not receiving treatment would not attend or would visit only in the case of an emergency. Males reported to be calmer than females, who were more anxious and afraid; as such, males reported more willing to go a dental appointment while, in general, females were not worried about how quarantine could affect dental treatment. Patients actively undergoing treatment and orthodontic patients were more concerned about a delay in treatment. There was a significant association between feelings about the COVID-19 pandemic and the level of willingness to attend a dental appointment. The quarantine recommended due to the COVID-19 pandemic was shown to have an impact on dental appointments and the anxiety levels of patients, since there was a significant association between patients' feelings and their willingness to attend a dental appointment. Overall, patients undergoing dental treatment and orthodontics were more willing to attend an appointment and were more concerned about an increase in treatment duration.


Asunto(s)
Ansiedad , Citas y Horarios , Infecciones por Coronavirus/psicología , Odontología , Neumonía Viral/psicología , Cuarentena , Adulto , Betacoronavirus , Femenino , Humanos , Masculino , Pandemias , Encuestas y Cuestionarios
19.
Tex Med ; 116(6): 16-18, 2020 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-32645184

RESUMEN

Texas medical students struggle to fight the pandemic in their own way while adjusting to a lot of uncertainty.


Asunto(s)
Infecciones por Coronavirus/psicología , Neumonía Viral/psicología , Estudiantes de Medicina/psicología , Incertidumbre , Betacoronavirus , Humanos , Pandemias , Texas
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