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1.
Artigo em Inglês | MEDLINE | ID: mdl-32777327

RESUMO

BACKGROUND: Health professionals are key personnel to containing infectious diseases like COVID-19. In the face of long work shifts (that reach 16 h per day on average), the risk of getting infected by a high-infectious disease and the lack of enough biological protection measures, mental suffering among health professionals suddenly became evident. METHOD: We carried out an updated meta-analysis to investigate the psychiatric impacts on health professionals in the face of the physical and psychological conditions to which they are subjected due to the high demands of the COVID-19 pandemic. Papers were researched in four databases from December 2019 to April 2020. In total, eight papers were included in the study. RESULTS: Health professionals working to fight COVID-19 are being more severely affected by psychiatric disorders associated with depression, anxiety, distress and insomnia, stress, and indirect traumatization than other occupational groups. No significant differences were observed in the publication bias. CONCLUSION: There is a strong association between health professionals and COVID-19 in terms of psychiatric repercussions. Our meta-analysis showed that health professionals have a higher level of indirect traumatization, in which the level of damage exceeds psychological and emotional tolerance and indirectly results in psychological abnormalities. The incidence of obsessive-compulsive traces and somatizations was higher in situations involving front-line professionals.


Assuntos
Infecções por Coronavirus , Transtornos Mentais/etiologia , Transtornos Mentais/psicologia , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Pandemias , Pneumonia Viral , Ansiedade/etiologia , Ansiedade/psicologia , Depressão/etiologia , Depressão/psicologia , Pessoal de Saúde , Humanos , Angústia Psicológica , Distúrbios do Início e da Manutenção do Sono/etiologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Estresse Psicológico/epidemiologia
2.
Int. j. clin. health psychol. (Internet) ; 20(3): 183-191, sept.-dic. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-190835

RESUMO

BACKGROUND/OBJECTIVE: The outbreak of COVID-19 and the lack of vaccine made extraordinary actions such as social distancing necessary. While some individuals experience the restrictions on daily life as a heavy burden, others adapt to the situation and try to make the best of it. The present longitudinal study investigated the extent and predictors of the burden induced by the outbreak of COVID-19 in Germany. METHOD: Data were assessed in October 2019 using the DASS-21 and the PMH-Scale, and in March 2020 adding a six-item measure of burden and a 2-item rating of sense of control. RESULTS: In a sample of 436 participants, about 28% stayed in self-quarantine, 22 persons had relevant symptoms and one person was positively tested for COVID-19. Most participants experienced medium to high levels of burden but tried to make the best of it. Stress symptoms in 2019 predicted a higher level of burden and PMH predicted a lower level of burden in March 2020. Remarkably, depression and anxiety symptoms did not significantly predict burden. The protective effect of PMH and the negative impact of stress symptoms were mediated by perceived sense of control. CONCLUSIONS: The results emphasize the protective effect of PMH in extraordinary situations such as the current outbreak of COVID-19


ANTECEDENTES/OBJETIVO: El brote COVID-19 y la falta de vacuna hicieron necesarias acciones extraordinarias como la distancia social. Algunas personas experimentan las restricciones en la vida diaria como sobrecarga emocional y otras se adaptan a la situación, tratando de sacar lo mejor de ella. Se investigó el alcance y predictores de sobrecarga emocional inducida por el COVID-19 en Alemania. MÉTODO: Se evaluaron niveles de estrés y salud mental positiva en octubre de 2019 con DASS-21 y Escala-PMH, y en marzo de 2020, agregando medidas de sobrecarga emocional y percepción de control. RESULTADOS: En una muestra de 436 participantes, el 28% permaneció en cuarentena, 22 personas tuvieron síntomas relevantes y una dio positivo en COVID-19. La mayoría experimentaron niveles de sobrecarga emocional medio-alto, aunque trataron de sobrellevar la situación lo mejor posible. Los síntomas de estrés en octubre 2019 predijeron un nivel de sobrecarga más elevado en marzo 2020 y, contrariamente, los niveles de salud mental positiva en octubre 2019 predijeron un menor nivel de sobrecarga emocional en marzo 2020. Sorprendentemente, los síntomas de depresión y ansiedad no predijeron la sensación de sobrecarga posterior. El efecto protector de la salud mental positiva y el impacto negativo de los síntomas de estrés fueron mediados por la percepción de control. CONCLUSIONES: Se resalta el efecto protector de la salud mental positiva en situaciones extraordinarias como el brote COVID-19


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Pandemias , Quarentena/psicologia , Adaptação Psicológica , Estresse Psicológico/psicologia , Depressão/psicologia , Ansiedade/psicologia , Estudos Longitudinais , Estudos Prospectivos , Alemanha Ocidental/epidemiologia
3.
PLoS One ; 15(10): e0239697, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33007020

RESUMO

OBJECTIVE: The objective of this study was to define the threatened perception types of pregnant women during the COVID-19 pandemic and determine the correlations between the perception types and their demographic factors, their preventive knowledge of COVID-19 and their mental status in order to provide suggestions for pregnant women during pandemic. METHODS: Latent class analysis were used to explore the optimal numbers of clusters. Multinomial logistic regression and multiple correspondence analysis were used to analyze the demographic variables of the latent categories. MANOVA was used to analyze the difference of knowledge of COVID-19 obtained among clusters and their psychological status, and chi-square test was used determine the relationship between the latent clusters and the participant's COVID-19 worry level. RESULTS: Five clusters were found: the first cluster (n = 120, 39%) was unthreatened and confident. Cluster 2(n = 84, 28%) was unthreatened but not confident. Cluster 3 (n = 49, 17%) was threatened but confident. Cluster 4 (n = 25, 9%) was threaten, not confident and knowledgeable, and Cluster 5 (n = 20, 7%) was threatened, not confident and lacking knowledge. Three demographic variables were shown an effect on the classification, they were support from work, family support and intrapartum and postpartum complications. CONCLUSION: This study can help assess the mental health risks of pregnant women during an epidemic. The results could be helpful for families, work units, communities and medical institutions to make targeted intervention decisions for pregnant women.


Assuntos
Ansiedade/psicologia , Infecções por Coronavirus/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Gestantes/psicologia , Adulto , Infecções por Coronavirus/epidemiologia , Feminino , Humanos , Análise de Classes Latentes , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Gravidez , Complicações Infecciosas na Gravidez/psicologia , Complicações Infecciosas na Gravidez/virologia , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
4.
Sci Rep ; 10(1): 16476, 2020 10 05.
Artigo em Inglês | MEDLINE | ID: mdl-33020567

RESUMO

After the COVID-19 worldwide spread, evidence suggested a vast diffusion of negative consequences on people's mental health. Together with depression and sleep difficulties, anxiety symptoms seem to be the most diffused clinical outcome. The current contribution aimed to examine attentional bias for virus-related stimuli in people varying in their degree of health anxiety (HA). Consistent with previous literature, it was hypothesized that higher HA would predict attentional bias, tested using a visual dot-probe task, to virus-related stimuli. Participants were 132 Italian individuals that participated in the study during the lockdown phase in Italy. Results indicated that the HA level predicts attentional bias toward virus-related objects. This relationship is double mediated by the belief of contagion and by the consequences of contagion as assessed through a recent questionnaire developed to measure the fear for COVID-19. These findings are discussed in the context of cognitive-behavioral conceptualizations of anxiety suggesting a risk for a loop effect. Future research directions are outlined.


Assuntos
Ansiedade/epidemiologia , Atenção , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Adulto , Ansiedade/psicologia , Infecções por Coronavirus/epidemiologia , Medo , Feminino , Humanos , Itália , Masculino , Pandemias , Pneumonia Viral/epidemiologia , Testes Psicológicos/estatística & dados numéricos
5.
JCO Glob Oncol ; 6: 1494-1509, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33017179

RESUMO

PURPOSE: The coronavirus disease 2019 (COVID-19) pandemic has had a global impact, and Singapore has seen 33,000 confirmed cases. Patients with cancer, their caregivers, and health care workers (HCWs) need to balance the challenges associated with COVID-19 while ensuring that cancer care is not compromised. This study aimed to evaluate the psychological effect of COVID-19 on these groups and the prevalence of burnout among HCWs. METHODS: A cross-sectional survey of patients, caregivers, and HCWs at the National Cancer Centre Singapore was performed over 17 days during the lockdown. The Generalized Anxiety Disorder-7 and Maslach Burnout Inventory were used to assess for anxiety and burnout, respectively. Self-reported fears related to COVID-19 were collected. RESULTS: A total of 624 patients, 408 caregivers, and 421 HCWs participated in the study, with a response rate of 84%, 88%, and 92% respectively. Sixty-six percent of patients, 72.8% of caregivers, and 41.6% of HCWs reported a high level of fear from COVID-19. The top concern of patients was the wide community spread of COVID-19. Caregivers were primarily worried about patients dying alone. HCWs were most worried about the relatively mild symptoms of COVID-19. The prevalence of anxiety was 19.1%, 22.5%, and 14.0% for patients, caregivers, and HCWs, respectively. Patients who were nongraduates and married, and caregivers who were married were more anxious. The prevalence of burnout in HCWs was 43.5%, with more anxious and fearful HCWs reporting higher burnout rates. CONCLUSION: Fears and anxiety related to COVID-19 are high. Burnout among HCWs is similar to rates reported prepandemic. An individualized approach to target the specific fears of each group will be crucial to maintain the well-being of these vulnerable groups and prevent burnout of HCWs.


Assuntos
Ansiedade/epidemiologia , Esgotamento Profissional/epidemiologia , Cuidadores/psicologia , Infecções por Coronavirus/psicologia , Neoplasias/psicologia , Pneumonia Viral/psicologia , Adulto , Idoso , Ansiedade/diagnóstico , Ansiedade/psicologia , Betacoronavirus/patogenicidade , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Institutos de Câncer/organização & administração , Institutos de Câncer/normas , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Estudos Transversais , Medo/psicologia , Feminino , Pessoal de Saúde/psicologia , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/normas , Humanos , Controle de Infecções/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Masculino , Oncologia/organização & administração , Oncologia/normas , Pessoa de Meia-Idade , Neoplasias/terapia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Prevalência , Singapura/epidemiologia , Carga de Trabalho/psicologia
6.
Cancer Cytopathol ; 128(10): 679-680, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33006815
7.
An. psicol ; 36(2): 262-270, mayo 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-192063

RESUMO

Many previous studies have discussed the influence of extrinsic factors (e.g. living environment) on academic achievement of children from western China. The present study focused on four non-cognitive factors, self-educational aspiration, self-efficacy, instrumental motivation, and anxiety, which could affect mathematics achievement. The purpose of this study was to investigate the mechanisms how these four non-cognitive factors affected mathematics achievement. 5774 primary school students from 4th and 5th grade in western China participated in this study. A moderated chained mediation model was constructed. The results showed that self-educational aspiration could positively predict mathematics achievement. However, instrumental motivation and anxiety formed chained mediation between self-educational aspiration and mathematics achievement, and negatively predicted mathematics achievement. Besides, self-efficacy played a moderated role in the relationship between self-educational aspiration and anxiety


Muchos estudios previos han discutido la influencia de factores extrínsecos (por ejemplo, entorno vital) en el logro académico de los niños de China occidental. El presente estudio se centró en cuatro factores no cognitivos, la aspiración autoeducativa, la autoeficacia, la motivación instrumental y la ansiedad, los cuales podrían afectar el logro matemático. El propósito de este estudio fue investigar los mecanismos por los cuales estos cuatro factores no cognitivos afectaron el logro matemático. Un total de 5774 estudiantes de primaria de 4º y 5º grado en el oeste de China participaron en este estudio. Se construyó un modelo de mediación encadenado moderado. Los resultados mostraron que la aspiración autoeducativa podría predecir positivamente el logro matemático. Sin embargo, la motivación instrumental y la ansiedad formaron una mediación encadenada entre la aspiración autoeducativa y el logro matemático, y predijeron negativamente el logro matemático. Además, la autoeficacia desempeñó un papel moderado en la relación entre la aspiración autoeducativa y la ansiedad


Assuntos
Humanos , Masculino , Feminino , Criança , Autoeficácia , Modelos Psicológicos , Matemática/educação , Estudantes/psicologia , Aspirações Psicológicas , Ansiedade/psicologia , Estudantes/estatística & dados numéricos , Motivação , Inquéritos e Questionários , Sucesso Acadêmico
8.
Z Psychosom Med Psychother ; 66(3): 243-258, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32876552

RESUMO

Objectives: Addressing the lack of population-based data, the purpose of this representative study was to assess sex- and age-specific associations of maternal and paternal rearing behavior with depressiveness and anxiety controlling for sociodemographic and somatic variables. Methods: 8,175 subjects participating in a population-based study completed standardized questionnaires measuring Recalled Parental Rearing Behavior and distress. Results: Women recalled their fathers as more controlling and warmer, and their mothers as more rejecting than men. Comparisons between age groups (≤ 60 vs. > 60 years) revealed that younger participants recalled more parental control and emotional warmth. In addition to sociodemographic and somatic risk factors, paternal rejection and maternal control were associated with depressiveness and anxiety both for women and men (OR 1.58-1.96; OR 1.37-1.66). Maternal warmth was negatively related to distress (OR 0.66-0.69). Conclusions: Findings suggested sex- and age-specific differences in recalled maternal and paternal rearing behavior. The current results highlighted the important role of recalled parental rearing behavior besides sociodemographic factors and somatic diseases for the occurrence of depression and anxiety symptoms across the age groups.


Assuntos
Ansiedade/psicologia , Educação Infantil , Depressão/psicologia , Rememoração Mental , Mães/psicologia , Inquéritos e Questionários , Adulto , Fatores Etários , Transtornos de Ansiedade/psicologia , Criança , Transtorno Depressivo/psicologia , Pai/psicologia , Feminino , Humanos , Masculino , Características de Residência , Fatores Sexuais
9.
J Affect Disord ; 276: 446-452, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-32871676

RESUMO

BACKGROUND: COVID-19 outbreak happened last December in China and is still continuing. Here, we reported effects of COVID-19 outbreak on the mood of general public and ascertained impacts of psychosocial factors on the plague-related emotional measures. METHODS: During Feb. 4-6, 2020, a self-reported questionnaire Beck Anxiety Inventory (BAI) was disseminated to general public via Wechat, along with a sociodemographic information sheet. BAI score and incidences of moderate and severe anxiety in subgroups of respondents were compared. Multiple linear and logistic regressions were done for correlation analysis and to identify factors predictive of anxiety. RESULTS: Averaged BAI score of all respondents is higher than those of general public in two previous studies. The people quarantined for probable COVID-19 infection presented higher BAI score and incidences of moderate and severe anxiety relative to non-quarantined respondents. People in high epidemic area showed higher BAI score and incidences of moderate and severe anxiety compared to those in low epidemic area. Significant associations existed between anxiety level of the respondents and each of the investigated factors, except for gender. Quarantine was the predictor with a highest OR, followed by divorced/widow. The other factors showed smaller but significant effects on the anxiety level of respondents. LIMITATIONS: This cross-sectional study was unable to track the emotional changes in the respondents over time. It had a relatively small sample and involved some of emotional measures only. CONCLUSION: These data are of help in planning psychological interventions for the different subpopulations in general public during and after COVID-19 outbreak.


Assuntos
Ansiedade/epidemiologia , Betacoronavirus , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Adolescente , Adulto , Ansiedade/psicologia , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Surtos de Doenças , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Quarentena , Inquéritos e Questionários , Adulto Jovem
10.
J Affect Disord ; 276: 555-561, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-32871686

RESUMO

BACKGROUND: There was an outbreak of COVID-19 towards the end of 2019 in China, which spread all over the world rapidly. The Chinese healthcare system is facing a big challenge where hospital workers are experiencing enormous psychological pressure. This study aimed to (1) investigate the psychological status of hospital workers and (2) provide references for psychological crisis intervention in the future. METHOD: An online survey was conducted to collect sociodemographic features, epidemic-related factors, results of PHQ-9, GAD-7, PHQ-15, suicidal and self-harm ideation (SSI), and the score of stress and support scales. Chi-square test, t-test, non-parametric, and logistic regression analysis were used to detect the risk factors to psychological effect and SSI. RESULTS: 8817 hospital workers participated in this online survey. The prevalence of depression, anxiety, somatic symptoms, and SSI were 30.2%, 20.7%, 46.2%, and 6.5%, respectively. Logistic regression analysis showed that female, single, Tujia minority, educational background of junior or below, designated or county hospital, need for psychological assistance before or during the epidemic, unconfident about defeating COVID-19, ignorance about the epidemic, willingness of attending parties, and poor self-rated health condition were independent factors associated with high-level depression, somatic symptom, and SSI among hospital workers (P<0.05). LIMITATIONS: This cross-sectional study cannot reveal the causality, and voluntary participation could be prone to selection bias. A modified epidemic-related stress and support scale without standardization was used. The number of hospital workers in each hospital was unavailable. CONCLUSION: There were a high level of psychological impact and SSI among hospital workers, which needed to be addressed. County hospital workers were more severe and easier to be neglected. More studies on cognitive and behavioral subsequence after a public health disaster among hospital workers are needed.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral , Ansiedade/psicologia , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Depressão/psicologia , Epidemias , Feminino , Humanos , Masculino , Questionário de Saúde do Paciente , Pneumonia Viral/epidemiologia , Prevalência , Ideação Suicida
11.
Middle East Afr J Ophthalmol ; 27(2): 79-85, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32874039

RESUMO

PURPOSE: To assess the psychological impact and mental health outcomes including depression, anxiety, and insomnia during COVID-19 crisis among ophthalmologists. METHODS: This was a simple random study in which ophthalmologists practicing in Saudi Arabia were asked to fill in a self-administered online survey during the period from March 28, 2020, to April 04, 2020. Four validated psychiatric assessment tools were used to detect symptoms of depression, anxiety, insomnia, and stress perception. RESULTS: One hundred and seven participants successfully completed the survey with a response rate of 30.6%. Males constituted 56.1% (n = 60). Ophthalmology residents constituted the majority (n = 66, 61.7%). About half of the physicians exhibited symptoms of depression (n = 56, 50.5%), anxiety (n = 50, 46.7%), and insomnia (n = 48, 44.9%). Symptoms of stress ranged between low (28%), moderate (68.2%), and high (3.7%). According to the cutoff values for severe symptoms, 29% were identified as having depression, 38.3% had anxiety, and 15% had insomnia.Depression was found to be more common among female ophthalmologists (P = 0.06), those living with an elderly (P = 0.003), and fellows (P = 0.006). Female ophthalmologists suffering from anxiety were significantly more than male ophthalmologists (P = 0.046). There was a trend toward suffering from anxiety in frontline health-care providers (P = 0.139) and in ophthalmologists who are living with an elderly (P = 0.149). Female participants exhibited significantly more moderate-to-high symptoms of stress (P = 0.018). CONCLUSIONS: Ophthalmologists' psychological needs, females in particular, should be addressed appropriately during the COVID-19 pandemic. Establishing psychological support units, especially for high-risk individuals, should be considered to minimize psychological adverse effects.


Assuntos
Ansiedade/psicologia , Infecções por Coronavirus/epidemiologia , Depressão/psicologia , Oftalmologistas/psicologia , Pneumonia Viral/epidemiologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Estresse Psicológico/psicologia , Adulto , Ansiedade/epidemiologia , Betacoronavirus , Coronavirus , Depressão/epidemiologia , Feminino , Pessoal de Saúde , Humanos , Masculino , Determinação de Necessidades de Cuidados de Saúde , Oftalmologistas/estatística & dados numéricos , Pandemias , Arábia Saudita/epidemiologia , Fatores Sexuais , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Estresse Psicológico/epidemiologia , Inquéritos e Questionários , Adulto Jovem
12.
Artigo em Inglês | MEDLINE | ID: mdl-32911826

RESUMO

Due to discrimination and media literacy, middle-aged and elderly individuals have been easily reduced to marginalized groups in the identification of rumours during a public health crisis and can easily spread rumours repeatedly, which has a negative impact on pandemic prevention and social psychology. To further clarify the factors influencing their behaviours, this study used a questionnaire to survey a sample of 556 individuals in China and used multiple linear regression and analysis of variance to explore influencing factors during the coronavirus disease 2019 (COVID-19) pandemic. We found that, first, in the COVID-19 pandemic, middle-aged and elderly adults' willingness to re-spread rumours is positively related to their degree of believing rumours and to personal anxiety and is negatively related to their rumour-discrimination ability and to their perception of serious consequences to rumour spreading. Second, the degree of believing rumours plays an intermediary role in the willingness to re-spread rumours. It plays a partial mediating role in the path of anxiety's influence on behaviour, suggesting that an anxious person will spread a rumour even if he or she does not have a strong belief in the rumour. Third, interpersonal communication has a greater credibility and a greater willingness to re-spread than does mass communication. This suggests the importance of increasing public knowledge expertise and of reducing public panic. This also has important implications for the future design of public health policies.


Assuntos
Ansiedade/psicologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Decepção , Disseminação de Informação , Pneumonia Viral/psicologia , Idoso , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Propaganda , Saúde Pública
13.
BMJ Open ; 10(9): e040620, 2020 09 15.
Artigo em Inglês | MEDLINE | ID: mdl-32933965

RESUMO

OBJECTIVES: Previous pandemics have resulted in significant consequences for mental health. Here, we report the mental health sequelae of the COVID-19 pandemic in a UK cohort and examine modifiable and non-modifiable explanatory factors associated with mental health outcomes. We focus on the first wave of data collection, which examined short-term consequences for mental health, as reported during the first 4-6 weeks of social distancing measures being introduced. DESIGN: Cross-sectional online survey. SETTING: Community cohort study. PARTICIPANTS: N=3097 adults aged ≥18 years were recruited through a mainstream and social media campaign between 3 April 2020 and 30 April 2020. The cohort was predominantly female (n=2618); mean age 44 years; 10% (n=296) from minority ethnic groups; 50% (n=1559) described themselves as key workers and 20% (n=649) identified as having clinical risk factors putting them at increased risk of COVID-19. MAIN OUTCOME MEASURES: Depression, anxiety and stress scores. RESULTS: Mean scores for depression ([Formula: see text] =7.69, SD=6.0), stress ([Formula: see text] =6.48, SD=3.3) and anxiety ([Formula: see text] = 6.48, SD=3.3) significantly exceeded population norms (all p<0.0001). Analysis of non-modifiable factors hypothesised to be associated with mental health outcomes indicated that being younger, female and in a recognised COVID-19 risk group were associated with increased stress, anxiety and depression, with the final multivariable models accounting for 7%-14% of variance. When adding modifiable factors, significant independent effects emerged for positive mood, perceived loneliness and worry about getting COVID-19 for all outcomes, with the final multivariable models accounting for 54%-57% of total variance. CONCLUSIONS: Increased psychological morbidity was evident in this UK sample and found to be more common in younger people, women and in individuals who identified as being in recognised COVID-19 risk groups. Public health and mental health interventions able to ameliorate perceptions of risk of COVID-19, worry about COVID-19 loneliness and boost positive mood may be effective.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/epidemiologia , Depressão/epidemiologia , Emprego , Pneumonia Viral/epidemiologia , Estresse Psicológico/epidemiologia , Adolescente , Adulto , Afeto , Fatores Etários , Idoso , Ansiedade/psicologia , Betacoronavirus , Estudos de Coortes , Depressão/psicologia , Grupos Étnicos , Feminino , Humanos , Solidão/psicologia , Masculino , Pessoa de Meia-Idade , Grupos Minoritários , Pandemias , Fatores de Risco , Fatores Sexuais , Estresse Psicológico/psicologia , Inquéritos e Questionários , Reino Unido/epidemiologia , Adulto Jovem
14.
Nutrients ; 12(10)2020 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-32987773

RESUMO

Emotional eating (EE) is prevalent among women and is associated with obesity. The coronavirus 2019 (COVID-19) pandemic and mandatory quarantine increased the risk of mental symptoms and, inferentially, emotional eating (EE). We investigated the EE prevalence and predictors during this pandemic. Overall, 638 women, ages 18-39, completed an online survey incorporating the Emotional Eating Scale, Perceived Stress Scale, Generalized Anxiety Disorder-7 Scale, Patient Health Questionnaire-9, Pittsburgh Sleep Quality Index, and Global Physical Activity Questionnaire. We asked about nutrition and collected data on weight, height, and pandemic responses. Most respondents (47.2%) reported low EE; 40.4% were "moderate" and 12.4% "high" emotional eaters; 42.8% reported depression, 27% anxiety, 71% moderate stress, and 12.5% severe stress. The main EE indicators/predictors were fat intake (ß = 0.192, p = 0.004), number of meals (ß = 0.187, p < 0.001), sugar consumption (ß = 0.150, p < 0.001), body mass index (ß = 0.149, p < 0.001), stress (ß = 0.143, p = 0.004), energy intake (ß = 0.134, p = 0.04), and fast food intake frequency (ß = 0.111, p < 0.01). EE score correlated negatively with increased family income (ß = -0.081, p = 0.049). Higher stress correlated with worse sleep, less sleep, and less physical activity. Emotional eating is common among young Saudi women during the pandemic. We recommend healthy food choices and increased physical activity to improve sleep and mitigate stress.


Assuntos
Infecções por Coronavirus/prevenção & controle , Dieta Saudável/psicologia , Emoções , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Quarentena/psicologia , Adolescente , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Betacoronavirus , Inquéritos sobre Dietas , Ingestão de Alimentos/psicologia , Comportamento Alimentar/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Prevalência , Fatores de Risco , Arábia Saudita/epidemiologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Adulto Jovem
15.
Am J Alzheimers Dis Other Demen ; 35: 1533317520960875, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32969235

RESUMO

We present a case report to showcase that behavioral, cognitive, and functional decline may be associated with COVID-19 stay-home guidance among older adults with pre-existent cognitive impairment. In a functionally independent and physically active older adult with Mild Cognitive Impairment, there was worsening in depression and anxiety symptoms associated with the restrictions of COVID-19. Functional decline was also noted as assessed by Instrumental Activities of Daily Living. We discuss solutions to mitigate the effects of COVID-19 restrictions in this vulnerable population.


Assuntos
Atividades Cotidianas , Ansiedade/psicologia , Disfunção Cognitiva/psicologia , Infecções por Coronavirus , Depressão/psicologia , Transtorno Depressivo/psicologia , Pandemias , Pneumonia Viral , Isolamento Social/psicologia , Idoso , Antidepressivos/uso terapêutico , Betacoronavirus , Disfunção Cognitiva/fisiopatologia , Transtorno Depressivo/tratamento farmacológico , Exercício Físico , Humanos , Vida Independente , Corrida Moderada , Solidão , Masculino , Mirtazapina/uso terapêutico , Distúrbios do Início e da Manutenção do Sono/tratamento farmacológico , Distúrbios do Início e da Manutenção do Sono/fisiopatologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Telemedicina , Trazodona/uso terapêutico
16.
J Headache Pain ; 21(1): 115, 2020 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-32972360

RESUMO

BACKGROUND: Since the declaration COVID-19 as a pandemic, healthcare systems around the world have faced a huge challenge in managing patients with chronic diseases. Patients with migraine were specifically vulnerable to inadequate medical care. We aimed to investigate the "real-world" impact of COVID-19 pandemic on migraine patients, and to identify risk factors for poor outcome. METHODS: We administered an online, self-reported survey that included demographic, migraine-related, COVID-19-specific and overall psychosocial variables between July 15 and July 30, 2020. We recruited a sample of patients with migraine from headache clinic registry and via social media to complete an anonymous survey. Outcomes included demographic variables, change in migraine frequency and severity during the lockdown period, communication with treating physician, compliance to migraine treatment, difficulty in getting medications, medication overuse, symptoms of anxiety and/or depression, sleep and eating habits disturbance, screen time exposure, work during pandemic, use of traditional medicine, effect of Botox injection cancellation, and overall worries and concerns during pandemic. RESULTS: A total of 1018 patients completed the survey. Of the respondents, 859 (84.3%) were females; 733 (71.9%) were aged 20 to 40 years, 630 (61.8%) were married, and 466 (45.7%) reported working during the pandemic. In comparison to pre-pandemic period, 607 respondents (59.6%) reported increase in migraine frequency, 163 (16%) reported decrease in frequency, and 105 (10.3%) transformed to chronic migraine. Severity was reported to increase by 653 (64.1%) respondents. The majority of respondents; 626 (61.5%) did not communicate with their neurologists, 477 (46.9%) reported compliance to treatment, and 597 (58.7%) reported overuse of analgesics. Botox injections cancellation had a negative impact on 150 respondents (66.1%) from those receiving it. Forty-one respondents (4%) were infected with COVID-19; 26 (63.4%) reported worsening of their headaches amid infection period. Sleep disturbance was reported by 794 (78.1%) of respondents, and 809 (79.5%) reported having symptoms of anxiety and/or depression. CONCLUSIONS AND RELEVANCE: COVID-19 pandemic had an overall negative impact on patients with migraine. Several risk factors for poor outcome were identified. Long-term strategies should be validated and implemented to deliver quality care for patients with migraine, with emphasis on psychosocial well-being.


Assuntos
Infecções por Coronavirus/epidemiologia , Transtornos de Enxaqueca/fisiopatologia , Pneumonia Viral/epidemiologia , Uso Excessivo de Medicamentos Prescritos/estatística & dados numéricos , Adulto , Analgésicos/uso terapêutico , Ansiedade/psicologia , Betacoronavirus , Toxinas Botulínicas Tipo A/uso terapêutico , Comunicação , Depressão/psicologia , Feminino , Acesso aos Serviços de Saúde , Humanos , Internet , Kuweit/epidemiologia , Masculino , Pessoa de Meia-Idade , Transtornos de Enxaqueca/tratamento farmacológico , Transtornos de Enxaqueca/prevenção & controle , Transtornos de Enxaqueca/psicologia , Fármacos Neuromusculares/uso terapêutico , Pandemias , Relações Médico-Paciente , Fatores de Risco , Sono , Distúrbios do Início e da Manutenção do Sono/fisiopatologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Inquéritos e Questionários , Adulto Jovem
17.
Eur J Obstet Gynecol Reprod Biol ; 253: 148-153, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32866858

RESUMO

OBJECTIVE(S): to evaluate the impact of the COVID-19 pandemic on infertile couples' emotions, anxiety and future plans. STUDY DESIGN: An observational study was perfomed by Italian ART centers and online forums. In this study, infertile couples candidate to ART and whose treatment was blocked due to the COVID-19 lockdown were enrolled through an online survey. The psychological impact of COVID-19 was measured by Impact of Event Scale-Revised (IES-R) and by a short form of the Spielberger State-Trait Anxiety Inventory (STAI); Self-perceived anxiety related either to pregnancy safety and to economic crisis measured by VAS scale. RESULTS: 627 patients completed the survey. The COVID-19 lock-down had a moderate/severe psychological impact on infertile patients (mean IES-R score 36.4 ± 16.6). The mean STAI score was 49.8 ± 15.3, with an overall incidence of STAI > 36 of 71 %. The mean VAS scale for anxiety perception was 45.3 ± 15.3. Women were more emotionally distressed, anxious and depressed than men (36.8 ± 16.4 vs 31.0 ± 18.4 for IES-R, respectively; p = 0.03). Notwithstanding the uncertainty about pregnancy safety, 64.6 % of respondents chose to maintain their reproductive programme. Economic crisis induced 11.5 % of the surveyed patients to give up their ART program. Respondents who had at least one relative affected by COVID-19 had a significantly higher IES-R score and anxiety VAS, but not higher STAI scores, than patients belonging to unaffected families. CONCLUSION(S): COVID-19 pandemic itself and the recommendation to stop ART program generated higher distress levels in infertile couples. The psychological impact of COVID-19 pandemic in infertility patients should not be underestimated, and a specific psychological support should be planned.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/psicologia , Infertilidade/psicologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Estresse Psicológico/epidemiologia , Adulto , Ansiedade/psicologia , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Emoções , Feminino , Nível de Saúde , Humanos , Itália/epidemiologia , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Gravidez , Complicações Infecciosas na Gravidez/prevenção & controle , Complicações Infecciosas na Gravidez/psicologia , Complicações Infecciosas na Gravidez/virologia , Técnicas de Reprodução Assistida/psicologia , Estresse Psicológico/psicologia , Inquéritos e Questionários
18.
Work ; 66(4): 731-737, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32925134

RESUMO

BACKGROUND: The COVID-19 pandemic has become a major cause of stress and anxiety worldwide. Due to the global lockdown, work, employment, businesses and the economic climate have been severely affected. It has generated stress among people from all sections of society, especially to workers who have been assigned to cater to healthcare service or those constrained to secure daily essential items. It is widely perceived that elderly or those affected by diabetes, hypertension and other cardiovascular diseases are prone to COVID-19. As per an ongoing survey, the initial data shows that the above-mentioned anxiety and stress cause insomnia, and has the considerable potential to weaken the immune system, the sole protection against the virus. OBJECTIVE: This study focuses on the need of Yoga practice at work places and at home during the global lockdown due to the COVID-19 pandemic. METHODS: Literature was searched using PubMed and Google Scholar for COVID-19-related stress and anxiety at work and society due to the worldwide lockdown. The predisposing comorbidities, viral mechanism of action and treatment regimen were also searched. Yoga-based intervention studies and online programs were also searched. RESULTS: As the lockdown cannot last forever and workplaces will have to be functional soon, there is an increased possibility of recurrent infection. Therefore, Yoga can provide the necessary tool for risk reduction, amelioration of stress and anxiety and strengthening of the immune function. The online platforms provide a good media for Yoga training at work places and homes. CONCLUSION: Due to social distancing norms, the availability of Yoga trainers has become restricted. Yoga practice is actively sought to achieve reduced anxiety and stress so that improved sleep may positively impact immunity. As a consequence, there is a spurt in social media, catering to daily online Yoga sessions which apparently prove useful in providing accessible means to achieve mental as well as physical well-being.


Assuntos
Infecções por Coronavirus/psicologia , Sistema Imunitário/fisiologia , Pneumonia Viral/psicologia , Distúrbios do Início e da Manutenção do Sono/prevenção & controle , Telecomunicações , Ioga , Ansiedade/complicações , Ansiedade/psicologia , Ansiedade/reabilitação , Betacoronavirus/imunologia , Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/imunologia , Infecções por Coronavirus/prevenção & controle , Humanos , Controle de Infecções/normas , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/imunologia , Pneumonia Viral/prevenção & controle , Distúrbios do Início e da Manutenção do Sono/imunologia , Distúrbios do Início e da Manutenção do Sono/fisiopatologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Distância Social , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Estresse Psicológico/reabilitação , Local de Trabalho/psicologia
19.
Artigo em Inglês | MEDLINE | ID: mdl-32957702

RESUMO

Mental health effects secondary to the COVID-19 pandemic were till recently considered less important or were neglected. Portugal and Brazil are facing the pandemic in quite different ways. This study aimed to describe the mental health status of the general adult population in Portugal and Brazil during the COVID-19 pandemic and analyze the differences between the two countries. A cross-sectional quantitative study was based on an online questionnaire. Socio-demographic data were collected in addition to four validated scales: CAGE (acronym cut-annoyed-guilty-eye) Questionnaire, Satisfaction with Life Scale, Generalized Anxiety Disorder-7 and Patient Health Questionnaire-2. For each outcome, a multiple linear regression was performed. Five hundred and fifty people answered the questionnaire (435 women). The median age was 38 (Q1, Q3: 30, 47) years, 52.5% resided in Brazil and 47.5% in Portugal. The prevalence of anxiety was 71.3% (mild anxiety was present in 43.1%), the prevalence of depression was 24.7% and 23.8% of the sample had both depression and anxiety. Isolation was a significant factor for depression but not for anxiety. Well-being was below average. Mental illness was considerably higher than pre-COVID-19 levels. Portugal and Brazil will have to be prepared for future consequences of poor mental health and contribute immediate psychological support to their adult populations.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/epidemiologia , Depressão/epidemiologia , Saúde Mental/estatística & dados numéricos , Pandemias , Pneumonia Viral/epidemiologia , Estresse Psicológico/epidemiologia , Adulto , Ansiedade/psicologia , Betacoronavirus , Brasil/epidemiologia , Infecções por Coronavirus/psicologia , Estudos Transversais , Depressão/psicologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/psicologia , Portugal/epidemiologia
20.
J Med Internet Res ; 22(9): e22227, 2020 09 04.
Artigo em Inglês | MEDLINE | ID: mdl-32886066

RESUMO

BACKGROUND: The COVID-19 pandemic has recently spread dramatically worldwide, raising considerable concerns and resulting in detrimental effects on the psychological health of people who are vulnerable to the disease. Therefore, assessment of depression in members of the general public and their psychological and behavioral responses is essential for the maintenance of health. OBJECTIVE: This study aimed to assess the prevalence of depression and the associated factors among the general public during the early stages of the COVID-19 pandemic in China. METHODS: A cross-sectional survey with convenience sampling was conducted from February 11 to 16, 2020, in the early stages of the COVID-19 outbreak in China. A self-administrated smartphone questionnaire based on the Patient Health Questionnaire-9 (PHQ-9) and psychological and behavioral responses was distributed to the general public. Hierarchical multiple regression analysis and multivariate logistic regression analysis were conducted to explore the associated factors of depression.aA cross-sectional survey with convenience sampling was conducted from February 11 to 16, 2020, in the early stages of the COVID-19 outbreak in China. A self-administrated smartphone questionnaire based on the Patient Health Questionnaire-9 (PHQ-9) and psychological and behavioral responses was distributed to the general public. Hierarchical multiple regression analysis and multivariate logistic regression analysis were conducted to explore the associated factors of depression. RESULTS: The prevalence of depression (PHQ-9 score ≥10) among the general public during the COVID-19 pandemic was 182/1342 (13.6%). Regression analysis indicated that feeling stressed, feeling helpless, persistently being worried even with support, never feeling clean after disinfecting, scrubbing hands and items repeatedly, hoarding food, medicine, or daily supplies, and being distracted from work or study were positively associated with depression, while social support and being calm were negatively associated with depression. CONCLUSIONS: The general public suffered from high levels of depression during the early stages of the COVID-19 pandemic. Thus, COVID-19-related mood management and social support should be provided to attenuate depression in the general public.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/epidemiologia , Depressão/epidemiologia , Inquéritos Epidemiológicos , Saúde Mental/estatística & dados numéricos , Pandemias , Pneumonia Viral/epidemiologia , Estresse Psicológico/epidemiologia , Adulto , Ansiedade/psicologia , Betacoronavirus , China/epidemiologia , Infecções por Coronavirus/psicologia , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Pneumonia Viral/psicologia , Prevalência , Autorrelato , Smartphone
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