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1.
Psychol Addict Behav ; 35(4): 377-390, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34096760

RESUMO

Objective: The COVID-19 pandemic has been an unprecedented event for the entire world. Stay-at-home orders, many children being taught at home, health anxieties, and the subsequent economic downturn have collectively resulted in significant stress. Recent work has established that some individuals report drinking more in response to experiencing pandemic-related stress, but data has largely been limited to individuals and to psychological stress. Methods: This research investigated how own (actor) and partner psychological and financial stress about the pandemic were associated with alcohol consumption, high-intensity drinking frequency, coping motives, and alcohol-related problems in a sample of 118 couples during the month of July 2020. We also explored whether own (actor) and partner effects were moderated by gender. Results: Results using indistinguishable Actor-partner interdependence models (APIMs) demonstrated that own psychological stress was associated with higher scores on all drinking indices, and own financial stress was associated with higher coping motives and alcohol-related problems. Partner psychological and financial stress was related to own greater endorsement of coping motives, and partner financial stress was related to own greater endorsement of alcohol-related problems. In APIMs with mixed-sex couples, men's psychological and financial stress were positively related to both his own and his partner's drinks per week, high-intensity drinking, and coping motives. Men's financial stress was also positively related to his own and his partner's alcohol-related problems. Conclusions: Results provide considerable insight into couple dynamics related to pandemic stress and have direct implications for alcohol prevention and treatment efforts as we navigate this serious crisis. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Consumo de Bebidas Alcoólicas/psicologia , COVID-19 , Estresse Financeiro/psicologia , Relações Interpessoais , Pandemias , Parceiros Sexuais/psicologia , Estresse Psicológico/psicologia , Adaptação Psicológica , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos Relacionados ao Uso de Álcool/psicologia , Ansiedade/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Poder Familiar/psicologia , Adulto Jovem
2.
J Appl Psychol ; 106(5): 657-673, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34096740

RESUMO

New labor market entrants face significant hurdles when searching for a job, with these stressors likely amplified during the COVID-19 pandemic. Here, we consider how COVID-induced job search anxiety-feeling anxious about one's job search due to issues imposed by the pandemic-has the potential to affect adaptive, goal-directed efforts, and maladaptive, goal-avoidant reactions. We theorize that this anxiety can prompt job seekers to engage in problem-solving pondering and affect-focused rumination, with these experiences relating to whether job seekers engage in various forms of search-related efforts the following week. In particular, we consider whether job seekers are engaging in dream job search effort (i.e., effort toward pursuing one's dream job), as well as focused (i.e., effort toward a selection of carefully screened jobs), exploratory (i.e., effort toward a wide swath of jobs in a broad manner), and haphazard (i.e., effort toward applying for any job without a clear plan) job search effort. Further, we consider how stable beliefs relevant to the pandemic (i.e., belief in conspiracy theories; belief in COVID-19 being a public health crisis) affect the aforementioned relationships. Using a weekly study of 162 new labor market entrants, results indicated that COVID-induced job search anxiety positively related to problem-solving pondering and affect-focused rumination; problem-solving pondering promoted dream, focused, and exploratory job search effort the following week, whereas affect-focused rumination hindered dream job search effort. Finally, the detrimental effects of COVID-induced job search anxiety via affect-focused rumination were amplified for those who held higher levels of conspiracy theory beliefs. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Ansiedade/etiologia , COVID-19/psicologia , Candidatura a Emprego , Ansiedade/epidemiologia , Ansiedade/psicologia , COVID-19/epidemiologia , Emprego/psicologia , Feminino , Humanos , Masculino , Resolução de Problemas , Testes Psicológicos , Ruminação Cognitiva , Inquéritos e Questionários , Adulto Jovem
3.
Curr Oncol ; 28(3): 1867-1878, 2021 05 13.
Artigo em Inglês | MEDLINE | ID: mdl-34068441

RESUMO

Cancer causes substantial emotional and psychosocial distress, which may be exacerbated by delays in treatment. The COVID-19 pandemic has resulted in increased wait times for many patients with cancer. In this study, the psychosocial distress associated with waiting for cancer surgery during the pandemic was investigated. This cross-sectional, convergent mixed-methods study included patients with lower priority disease during the first wave of COVID-19 at an academic, tertiary care hospital in eastern Canada. Participants underwent semi-structured interviews and completed two questionnaires: Hospital Anxiety and Depression Scale (HADS) and Perceived Stress Scale (PSS). Qualitative analysis was completed through a thematic analysis approach, with integration achieved through triangulation. Fourteen participants were recruited, with cancer sites including thyroid, kidney, breast, prostate, and a gynecological disorder. Increased anxiety symptoms were found in 36% of patients and depressive symptoms in 14%. Similarly, 64% of patients experienced moderate or high stress. Six key themes were identified, including uncertainty, life changes, coping strategies, communication, experience, and health services. Participants discussed substantial distress associated with lifestyle changes and uncertain treatment timelines. Participants identified quality communication with their healthcare team and individualized coping strategies as being partially protective against such symptoms. Delays in surgery for patients with cancer during the COVID-19 pandemic resulted in extensive psychosocial distress. Patients may be able to mitigate these symptoms partially through various coping mechanisms and improved communication with their healthcare teams.


Assuntos
Ansiedade/epidemiologia , COVID-19/prevenção & controle , Depressão/epidemiologia , Neoplasias/cirurgia , Tempo para o Tratamento , Adaptação Psicológica , Adulto , Idoso , Ansiedade/diagnóstico , Ansiedade/etiologia , Ansiedade/psicologia , COVID-19/epidemiologia , COVID-19/transmissão , Controle de Doenças Transmissíveis/normas , Estudos Transversais , Depressão/diagnóstico , Depressão/etiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/psicologia , Nova Escócia/epidemiologia , Pandemias/prevenção & controle , Angústia Psicológica , Psicometria/estatística & dados numéricos , Pesquisa Qualitativa , Autorrelato/estatística & dados numéricos , Triagem/normas , Incerteza
4.
Evol Psychol ; 19(2): 14747049211021524, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34112018

RESUMO

Prior research has indicated that disease threat and disgust are associated with harsher moral condemnation. We investigated the role of a specific, highly salient health concern, namely the spread of the coronavirus, and associated COVID-19 disease, on moral disapproval. We hypothesized that individuals who report greater subjective worry about COVID-19 would be more sensitive to moral transgressions. Across three studies (N = 913), conducted March-May 2020 as the pandemic started to unfold in the United States, we found that individuals who were worried about contracting the infectious disease made harsher moral judgments than those who were relatively less worried. This effect was not restricted to transgressions involving purity, but extended to transgressions involving harm, fairness, authority, and loyalty, and remained when controlling for political orientation. Furthermore, for Studies 1 and 2 the effect also was robust when taking into account the contamination subscale of the Disgust Scale-Revised. These findings add to the growing literature that concrete threats to health can play a role in abstract moral considerations, supporting the notion that judgments of wrongdoing are not based on rational thought alone.


Assuntos
Ansiedade/psicologia , COVID-19 , Asco , Princípios Morais , Percepção Social , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Teoria Psicológica , Estados Unidos , Adulto Jovem
5.
Nutrients ; 13(6)2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34071870

RESUMO

The COVID-19 pandemic has been present for many months, influencing diets such as the gluten-free diet (GFD), which implies daily challenges even in non-pandemic conditions. Persons following the GFD were invited to answer online ad hoc and validated questionnaires characterizing self-perceptions of the pandemic, current clinical condition, dietary characteristics, adherence to GFD, anxiety, and depression. Of 331 participants, 87% experienced shortage and higher cost of food and 14.8% lost their jobs. Symptoms increased in 29% and 36.6% failed to obtain medical help. Although 52.3% increased food preparation at home and purchased alternative foodstuffs, 53.8% had consumed gluten-containing foods. The Health Eating Index was intermediate/"needs improvement" (mean 65.6 ± 13.3 points); in 49.9% (perception) and 44.4% (questionnaire), adherence was "bad". Anxiety and depression scores were above the cutoff in 28% and 40.4%, respectively. Adherence and mental health were strongly related. The likelihood of poor adherence was 2.3 times higher (p < 0.004) in participants declaring that pandemic altered GFD. Those suffering depressive symptoms were 1.3 times more likely to have poor adherence (p < 0.000). Depression and faulty GFD (mandatory for treatment) appear, affecting a high proportion of participants, suggesting that support measures aimed at these aspects would help improve the health condition of people that maintain GFD. Comparisons of data currently appearing in the literature available should be cautious because not only cultural aspects but conditions and timing of data collection are most variable.


Assuntos
/prevenção & controle , Doença Celíaca/psicologia , Dieta Livre de Glúten/psicologia , Cooperação do Paciente/psicologia , Quarentena/psicologia , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Doença Celíaca/dietoterapia , Depressão/epidemiologia , Depressão/psicologia , Dieta Livre de Glúten/estatística & dados numéricos , Dieta Saudável , Feminino , Abastecimento de Alimentos/estatística & dados numéricos , Humanos , Masculino , Cooperação do Paciente/estatística & dados numéricos , Quarentena/estatística & dados numéricos , Inquéritos e Questionários
6.
Nutrients ; 13(6)2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34072039

RESUMO

During the COVID-19 pandemic, breastfeeding women have experienced restricted access to support, placing them at increased risk of mental health concerns and limited breastfeeding assistance. This study investigated the effect of the pandemic on feeding choices and maternal wellbeing amongst breastfeeding mothers living in Australian and New Zealand. We conducted a cross-sectional online survey that examined feeding methods, maternal mental wellbeing, worries, challenges, and positive experiences during the pandemic. Most women were exclusively breastfeeding (82%). Partial breastfeeding was associated with perceived low milk supply and longer pregnancy duration during the pandemic. Reduced mental health and wellbeing was associated with lower levels of family functioning, increased perceived stress, and perinatal anxiety. Longer pregnancy duration during the pandemic was associated with lower mental health wellbeing scores, while higher perceived stress scores were reported for regions with higher COVID-19 infection rates and women with perceived low milk supply. Women reported that the pandemic resulted in less pressure and more time for family bonding, while worries about the pandemic, family health, and parenting challenges were also cited. Mental health concerns of breastfeeding women appear to be exacerbated by COVID-19, highlighting a critical need for access to mental health and broader family support during the pandemic.


Assuntos
Aleitamento Materno/psicologia , Saúde Mental/estatística & dados numéricos , Mães/psicologia , Quarentena/psicologia , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Austrália/epidemiologia , Estudos Transversais , Feminino , Humanos , Lactente , Recém-Nascido , Nova Zelândia/epidemiologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia
7.
PLoS One ; 16(5): e0250770, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33999924

RESUMO

BACKGROUND & AIM: The coronavirus disease 2019 (COVID-19) pandemic has affected the life and work of people worldwide. The present study aimed to evaluate the rhythm disruptions of life, work, and entertainment, and their associations with the psychological impacts during the initial phase of the COVID-19 pandemic. METHOD: A cross-sectional study was conducted from the 10th to 17th March 2020 in China. A structured e-questionnaire containing general information, the Chinese version of Brief Social Rhythm Scale, and Zung's self-rating scales of depression and anxiety (SDS and SAS) was posted and collected online through a public media (i.e. EQxiu online questionnaire platform). Scores in sleeping, getting up, and socializing (SGS) rhythm and eating, physical practice, and entertainment (EPE) rhythm were compared among and between participants with different sociodemographic backgrounds including gender, age, education, current occupation, annual income, health status, and chronic disease status. Correlations of SDS and SAS with SGS-scale and EPE-scale were also analyzed. RESULTS: Overall, 5854 participants were included. There were significant differences in the scores of SGS-scale and EPE-scale among people with different sociodemographic backgrounds. The scores were significantly higher in the groups with female gender, low education level, lower or higher than average income, poor health status, ages of 26-30 years or older than 61 years, nurses and subjects with divorce or widow status. There were also significant differences in SAS and SDS scores among people with different sociodemographic backgrounds (all P< 0.05). The overall prevalence of depression and anxiety was 24.3% and 12.6%, respectively, with nurses having the highest rates of depression (32.94%) and anxiety (18.98%) among the different occupational groups. SGS-scale was moderately correlated with SDS and SAS, and disruption of SGS rhythm was an independent risk factor for depression and anxiety. CONCLUSION: Social rhythm disruption was independently associated with depression and anxiety. Interventions should be applied to people vulnerable to the rhythm disruption during the COVID-19 pandemic.


Assuntos
/epidemiologia , Estilo de Vida , Pandemias , Classe Social , Desempenho Profissional , Adolescente , Adulto , Ansiedade/psicologia , /virologia , China/epidemiologia , Estudos Transversais , Depressão/psicologia , Escolaridade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
8.
Medicine (Baltimore) ; 100(21): e24763, 2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34032691

RESUMO

BACKGROUND: We carried out a randomized trial of an emergency department (ED)-based nursing intervention to evaluate the impact of an ED nursing intervention on ED revisits, patient perceptions of continuity of care, illness perceptions, self-care capacities and psychological symptoms. METHOD: We conducted a randomized controlled trial to compare the ED-based intervention with usual care. The protocol was reviewed and approved by the Research Ethics Board of the Huzhou Central Hospital & Affiliated Central Hospital Huzhou University (K901923-021), each participant signed a written consent before participating, and SPIRIT guidelines were followed throughout. To be eligible, patients ready for discharge from the ED had to be at risk for ED return based on 2 criteria: at least one ED visit during the year prior to the initial visit, and current treatment with at least 6 medications. Exclusion criteria included cognitive problems (e.g., dementia) that would preclude provision of informed consent either noted in the medical chart or identified based on the clinical judgment of the project nurse. To avoid multiple interveners for the same patient, we also excluded patients already receiving other regular follow-up (e.g., at a specialized clinic in the hospital or from external resources). The major outcomes were assessed with the Heart Continuity of Care Questionnaire, the Illness Perception Questionnaire-Revised, the Therapeutic Self-Care Tool, the Hospital Anxiety and Depression Scale, and the Self-Reported Medication-Taking Scale. RESULTS: Two hundred patients who met the inclusion criteria were included in our study, Table 1 showed the effects of nursing intervention on measures of clinical outcomes. DISCUSSION: The ED is a major entry point into the health care system of many countries. Unnecessary ED revisits may result in overcrowding, increased waiting time, and failure to provide appropriate emergency care. The ED-based interventions literature focuses primarily on service use and ways to reduce ED revisits, with very little focus on impacting secondary outcomes. Because of their potential link with health service utilization, secondary outcomes such as perceived continuity of care, illness perceptions, self-care capacities, psychological symptoms and medication adherence might influence ED revisits. Future research was needed to better understand the complex relationship between ED utilization and a variety of intermediary factors in order to develop interventions that will optimize ED utilization.


Assuntos
Enfermagem em Emergência/métodos , Serviço Hospitalar de Emergência/organização & administração , Pacientes Internados/psicologia , Alta do Paciente , Autocuidado , Adulto , Ansiedade/diagnóstico , Ansiedade/prevenção & controle , Ansiedade/psicologia , Continuidade da Assistência ao Paciente/organização & administração , Depressão/diagnóstico , Depressão/prevenção & controle , Depressão/psicologia , Feminino , Humanos , Masculino , Questionário de Saúde do Paciente/estatística & dados numéricos , Readmissão do Paciente/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde , Resultado do Tratamento
9.
Medicine (Baltimore) ; 100(21): e25945, 2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34032703

RESUMO

ABSTRACT: To investigate the prevalence of anxiety and depressive symptoms and the associated risk factors among first-line medical staff in Wuhan during the coronavirus disease 2019 (COVID-19) epidemic.From March 5 to 15, 2020, the Hamilton Anxiety Scale and Hamilton Depression scale were used to investigate the anxiety and depression status of medical staff in Wuhan Cabin Hospital (a Hospital). Two hundred seventy-six questionnaires were received from 96 doctors and 180 nurses, including 79 males and 197 females.During the COVID-19 epidemic, the prevalence rate of anxiety and depression was 27.9% and 18.1%, respectively, among 276 front-line medical staff in Wuhan. The prevalence rate of anxiety and depression among doctors was 19.8% and 11.5%, respectively, and the prevalence rate of anxiety and depression among nurses was 32.2% and 21.7%, respectively. Females recorded higher total scores for anxiety and depression than males, and nurses recorded higher scores for anxiety and depression than doctors.During the COVID-19 epidemic, some first-line medical staff experienced mental health problems such as depression and anxiety. Nurses were more prone to anxiety and depression than doctors. Effective strategies toward to improving the mental health should be provided to first-line medical staff, especially female medical staff and nurses.


Assuntos
Ansiedade/epidemiologia , COVID-19/epidemiologia , Depressão/epidemiologia , Corpo Clínico/psicologia , Unidades Móveis de Saúde/estatística & dados numéricos , Adulto , Ansiedade/psicologia , COVID-19/diagnóstico , COVID-19/terapia , COVID-19/transmissão , China/epidemiologia , Estudos Transversais , Depressão/psicologia , Medo , Feminino , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional , Masculino , Corpo Clínico/estatística & dados numéricos , Pessoa de Meia-Idade , Pandemias , Prevalência , Fatores de Risco , SARS-CoV-2/isolamento & purificação , SARS-CoV-2/patogenicidade , Autorrelato/estatística & dados numéricos , Fatores Sexuais , Carga de Trabalho/psicologia
10.
Turk J Ophthalmol ; 51(2): 95-101, 2021 04 29.
Artigo em Inglês | MEDLINE | ID: mdl-33951897

RESUMO

Objectives: To assess the effects of the coronavirus disease-2019 (COVID-19) pandemic on Turkish ophthalmologists. Materials and Methods: In this survey study, an online questionnaire consisting of 40 questions was directed to actively working ophthalmologists. The questions asked about demographic characteristics, working conditions and schedule, follow-up of ophthalmology patients, and levels of knowledge and anxiety about the pandemic. Results: This study included 161 ophthalmologists (78 women and 83 men). They were predominantly consultant ophthalmologists (71%), with 128 living in metropolitan areas. More than half (54.4%) reported decreased weekly working hours, 52.5% were attending routine outpatient clinics, 52.8% were working in COVID-19-related units, 67.1% were performing only emergency operations, and 52% reported disrupted follow-up of chronic eye patients. Sixty-four percent thought that ophthalmologists were in the high-risk group, and nearly all participants used masks while working (99%). Additionally, 91% expressed high anxiety regarding the pandemic, most commonly due to the risk of transmitting the disease to family (83%), and 12.5% considered their level of knowledge about the pandemic to be insufficient. Forty-six percent of the participants thought that daily life conditions would normalize in 2 to 5 months. Conclusion: Close proximity during patient examination causes ophthalmologists concern about their risk. The increasing number of COVID-19 cases resulted in a proportional decrease in the number of patients and surgeries in ophthalmology clinics in our country. As a result, ophthalmologists are unwillingly appointed to high-risk units. The COVID-19 pandemic has caused a substantial increase in anxiety levels among Turkish ophthalmologists.


Assuntos
Ansiedade/psicologia , Controle de Doenças Transmissíveis/métodos , Conhecimentos, Atitudes e Prática em Saúde , Oftalmologistas/psicologia , Adulto , Idoso , Feminino , Inquéritos Epidemiológicos , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Turquia/epidemiologia
11.
Medicine (Baltimore) ; 100(18): e25391, 2021 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-33950923

RESUMO

BACKGROUND: Coronavirus disease 2019 (COVID-19) patients suffer from anxiety, depression, and sleep disorder due to isolation treatment and other reasons. Whether life interventions can be an alternative therapy for COVID-19 patients, accompanied with anxiety, depression, and sleep disorder, is controversial. Therefore, we conducted a meta-analysis and systematic review to evaluate the effects of life interventions on anxiety, depression, and sleep disorder in COVID-19 patients to provide some guidance for clinical application. METHODS: The randomized controlled trials related to the life intervention and COVID-19 from inception to February 2021 will be searched. The following databases are our focused areas: the Cochrane Central Register of Controlled Trials, PubMed, MEDLINE, EMBASE, Web of Science, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, and Wan Fang Database. Two investigators would independently screen the literature according to the inclusion and exclusion criteria, extract data, and evaluate the risk of bias in the included studies. Meta-analysis was performed with RevMan 5.3 software. RESULTS: The results will provide a high-quality synthesis of current evidence for researchers in this subject area. CONCLUSION: The conclusion of our study will provide evidence for the judgment of whether life intervention is an effective intervention on COVID-19 patients. PROSPERO REGISTRATION NUMBER: CRD42020199802.


Assuntos
Ansiedade/prevenção & controle , Depressão/prevenção & controle , Qualidade de Vida , Projetos de Pesquisa , Transtornos do Sono-Vigília/prevenção & controle , Ansiedade/psicologia , Depressão/psicologia , Humanos , Metanálise como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Transtornos do Sono-Vigília/psicologia , Revisões Sistemáticas como Assunto
12.
Horm Metab Res ; 53(5): 301-310, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33962477

RESUMO

This study examined the associations between diabetes and self-reported/familial COVID-19 infection and investigated health-related outcomes among those with diabetes during China's nationwide quarantine. The 2020 China COVID-19 Survey was administered anonymously via social media (WeChat). It was completed by 10 545 adults in all of mainland China's 31 provinces. The survey consisted of 74 items covering sociodemographic characteristics, preventive measures for COVID-19, lifestyle behaviors, and health-related outcomes during the period of quarantine. Regression models examined associations among study variables. Diabetes was associated with a six-fold increased risk of reporting COVID-19 infection among respondents or their family members. Among people with diabetes, individuals who rarely wore masks had double the risk of suspected COVID-19 infection compared with those who always wore masks, with an inverse J-shaped relationship between face mask wearing and suspected COVID-19 infection. People with diabetes tended to have both poor knowledge of COVID-19 and poor compliance with preventive measures, despite perceiving a high risk of personal infection (40.0% among respondents reporting diabetes and 8.0% without diabetes). Only 54-55% of these respondents claimed to consistently practice preventive measures, including wearing face masks. Almost 60% of those with diabetes experienced food or medication shortages during the quarantine period, which was much higher than those without diabetes. Importantly, respondents who experienced medication shortages reported a 63% higher COVID-19 infection rate. Diabetes was associated with an increased risk of self-reported personal and family member COVID-19 infection, which is mitigated by consistent use of face masks.


Assuntos
/complicações , Complicações do Diabetes/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/etiologia , Ansiedade/psicologia , /prevenção & controle , China/epidemiologia , Estudos Transversais , Complicações do Diabetes/prevenção & controle , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Estilo de Vida , Masculino , Máscaras , Pessoa de Meia-Idade , Cooperação do Paciente , Equipamento de Proteção Individual , Preparações Farmacêuticas/provisão & distribuição , Quarentena , Fatores Socioeconômicos , Inquéritos e Questionários , Resultado do Tratamento , Adulto Jovem
13.
Prof Case Manag ; 26(4): 175-176, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34021099

RESUMO

Although accurate secondary statistics may never be known, the COVID-19 pandemic has certainly been a major contributor to several health care issues: social isolation/loneliness, behavioral sequelae (anxiety, drug overdoses, and suicide), delays in treating preventive care that lead to late-stage diagnoses, and even a resurgence of drug-resistant infections.


Assuntos
Ansiedade/psicologia , Overdose de Drogas/psicologia , Solidão/psicologia , Saúde Mental/estatística & dados numéricos , Pandemias/estatística & dados numéricos , Isolamento Social/psicologia , Suicídio/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/epidemiologia , Overdose de Drogas/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos/epidemiologia
15.
J Nerv Ment Dis ; 209(6): 443-448, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-34037551

RESUMO

ABSTRACT: In this study, we evaluated whether levels of receptive arts engagement (visiting museums/concerts/the theater/the cinema) during the year preceding the COVID-19 outbreak may have served as a psychological resource for older adults that mitigated the association between resilience levels and COVID-19 anxiety when the pandemic broke out. Data were collected after the enactment of the first emergency regulations (between March 15 and April 1, 2020) via the Qualtrics Survey Software link that was sent out through social media platforms. In total, 205 participants aged 65 to 92 (mean age, 72.32; SD, 5.63) reported general anxiety symptom levels (GAD-7) (Spitzer et al., 2006), resilience (Connor-Davidson Resilience Scale), frequency of receptive arts engagement in the previous year, health status, exposure to risk situations, and behavioral changes due to the pandemic. Our hypothesis that receptive arts would moderate the resilience-COVID-19 anxiety link was examined by a multiple hierarchical regression analysis and with the PROCESS computational tool. Findings show that resilience was associated with COVID-19 anxiety and that this association was moderated by levels of receptive arts engagement. The findings show that high levels of prior art engagement constituted a potent buffer against subsequent COVID-19 anxiety. Policy makers may benefit older adults by encouraging their engagement in arts activities, even during social distancing.


Assuntos
Ansiedade/psicologia , Museus , Música/psicologia , Resiliência Psicológica , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Israel/epidemiologia , Masculino , Pandemias , Inquéritos e Questionários
16.
PLoS One ; 16(5): e0251670, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34048434

RESUMO

BACKGROUND: The occurrence of the Coronavirus Disease 2019 (COVID-19) affects the mental health situation of almost everyone, including University students who spent most of their time at home due to the closure of the Universities. Therefore, this study aimed at assessing depression, anxiety, stress and identifying their associated factors among university students in Ethiopia during the early stage of the COVID-19 pandemic. METHODS: We invited students to complete an online survey using Google forms comprising consent, socio-demographic characteristics, and the standard validated depression, anxiety, and stress scale (DASS-21) questionnaire. After completion of the survey from June 30 to July 30, 2020, we exported the data into SPSS 22. Both descriptive and analytical statistics were computed. Associated factors were identified using binary logistic regression and variables with a p-value <0.05 were declared as statistically significant factors with the outcome variables. RESULTS: A total of 423 students completed the online survey. The prevalence of depression, anxiety, and stress in this study was 46.3%, 52%, and 28.6%, respectively. In the multivariable model, female sex, poor self-efficacy to prevent COVID-19, those who do not read any material about COVID-19 prevention, lack of access to reading materials about their profession, and lack of access to uninterrupted internet access were significantly associated with depression. Female sex, lower ages, students with non-health-related departments, those who do not think that COVID-19 is preventable, and those who do not read any materials about COVID-19 prevention were significantly associated with anxiety. Whereas, being female, students attending 1st and 2nd years, those who do not think that COVID-19 is preventable, presence of confirmed COVID-19 patient at the town they are living in, and lack of access to reading materials about their profession were significantly associated with stress. CONCLUSIONS: Depression, anxiety, and stress level among University students calls for addressing these problems by controlling the modifiable factors identified and promoting psychological wellbeing of students.


Assuntos
Ansiedade , COVID-19 , Depressão , Pandemias , SARS-CoV-2 , Estresse Psicológico , Estudantes , Adolescente , Adulto , Ansiedade/epidemiologia , Ansiedade/etiologia , Ansiedade/psicologia , COVID-19/complicações , COVID-19/epidemiologia , COVID-19/psicologia , Estudos Transversais , Depressão/epidemiologia , Depressão/etiologia , Depressão/psicologia , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , Universidades
17.
Medicine (Baltimore) ; 100(20): e25988, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011090

RESUMO

BACKGROUND: Long term insomnia and low sleep quality often lead to depression, anxiety and other negative emotions, and often interact with each other. Many studies have confirmed the effectiveness of acupuncture in the treatment of insomnia comorbid with emotional disorders, but its specific mechanism needs to be further explored. Resting-state functional magnetic resonance (rsfMRI) is an important means to study the changes of brain activity. However, the results are inconsistent and lack of systematic evaluation and analysis. METHODS: Nine databases will be searched, including PubMed, EMBASE, EBSCOhost-medline, Web of Science, Cochrane Library, China National Knowledge Infrastructure, VIP Database and Wan-Fang Database, Chinese Biomedical Literature Database from inception to January 2021. And screening clinical registration platform related research, in order to obtain more relevant studies. The outcomes include the change of rs-fMRI, sleep quality, depression, and anxiety. Quality assessment of the included studies will be performed according to the Cochrane Risk of Bias tool. Evidence quality will be assessed by using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method. RevMan software (Version 5.3) and stata13.1will be used for statistical analyses. Subgroup analysis will be performed if necessary. If the data is insufficient, qualitative synthesis will be conducted instead of quantitative synthesis. RESULTS: This study will analyze the effect of acupuncture on the brain activity changes, improvement of sleep quality and clinical symptoms of anxiety and depression with insomnia comorbid with emotional disorders. CONCLUSION: This study used meta-analysis method to explore the characteristics of acupuncture on brain activity changes in insomnia comorbid with emotional disorders, so as to provide effective evidence for clarifying its pathogenesis.


Assuntos
Terapia por Acupuntura , Ansiedade/terapia , Encéfalo/diagnóstico por imagem , Depressão/terapia , Distúrbios do Início e da Manutenção do Sono/terapia , Ansiedade/epidemiologia , Ansiedade/fisiopatologia , Ansiedade/psicologia , Encéfalo/fisiopatologia , Comorbidade , Depressão/epidemiologia , Depressão/fisiopatologia , Depressão/psicologia , Humanos , Imageamento por Ressonância Magnética , Metanálise como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Descanso/fisiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Distúrbios do Início e da Manutenção do Sono/fisiopatologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Revisões Sistemáticas como Assunto , Resultado do Tratamento
18.
Medicine (Baltimore) ; 100(20): e26018, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011104

RESUMO

ABSTRACT: Despite the benefits related to ambulatory surgery such as cost reduction due to lack of accommodation and patient satisfaction due to early home return, it may not lead to these expected benefits. Indeed, this kind of practice can increase responsibility for the person being treated and his or her relatives. It is therefore essential to inform them as well as possible to obtain their adherence to the proposed care protocol. Nevertheless, patients' failures to comply with preoperative instructions or the non-attendance of the patient may result in late cancellation of the scheduled surgery. In order to reduce this kind of dysfunction, the Assistance Publique-Hôpitaux de Paris (APHP) uses a reminder system by Short Message Service (SMS).This study is a descriptive cross-sectional multicenter study that focuses on outpatients' lived experiences of their preoperative preparation and information. It aims to collect patients' perceptions of their ability to follow preoperative instructions received by SMS the day before an operation performed for ambulatory surgery, according to their level of health literacy (HL) and preoperative anxiety. Indeed, poor communication between patients and doctors can contribute to preoperative anxiety, while low health literacy (LHL) can lead to poor understanding of preoperative preparation instructions. Therefore, it seems important to take these 2 criteria into account in this study. This research is designed to interview outpatients undergoing ambulatory surgery in the establishments of APHP. A self-questionnaire will be used for this purpose. The choice of this institution is justified by its decision to use in all care units the reminder of preoperative instructions by SMS.The main outcome is the perception of outpatients with LHL skills regarding preoperative information provided by doctors.French ethics review committee (Comité d'Ethique de la Recherche) of the University of Paris has approved the study protocol (IRB 00012020-14). Results from this study will be disseminated through oral communications and a scientific article in an international peer-reviewed journal.This protocol is registered on researchregistry.com (researchregistry5834). This version number is 1.1 Protocol dated July 22, 2020.


Assuntos
Procedimentos Cirúrgicos Ambulatórios , Ansiedade/diagnóstico , Letramento em Saúde , Autoimagem , Adulto , Ansiedade/etiologia , Ansiedade/psicologia , Estudos Transversais , Feminino , França , Humanos , Masculino , Estudos Prospectivos
19.
Cancer Med ; 10(10): 3288-3298, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33932097

RESUMO

BACKGROUND: Given excellent survival outcomes in breast cancer, there is interest in de-escalating the amount of chemotherapy delivered to patients. This approach may be of even greater importance in the setting of the COVID-19 pandemic. METHODS: This concurrent mixed methods study included (1) interviews with patients and patient advocates and (2) a cross-sectional survey of women with breast cancer served by a charitable nonprofit organization. Questions evaluated interest in de-escalation trial participation, perceived barriers/facilitators to participation, and language describing de-escalation. RESULTS: Sixteen patient advocates and 24 patients were interviewed. Key barriers to de-escalation included fear of recurrence, worry about decision regret, lack of clinical trial interest, and dislike for focus on less treatment. Facilitators included trust in physician recommendation, toxicity avoidance, monitoring for progression, perception of good prognosis, and impact on daily life. Participants reported that the COVID-19 pandemic made them more likely to avoid chemotherapy if possible. Of 91 survey respondents, many (43%) patients would have been unwilling to participation in a de-escalation clinical trial. The most commonly reported barrier to participation was fear of recurrence (85%). Few patients (19%) considered clinical trials themselves as a barrier to de-escalation trial participation. The most popular terminology describing chemotherapy de-escalation was "lowest effective chemotherapy dose" (53%); no patients preferred the term "de-escalation." CONCLUSIONS: Fear of recurrence is a common concern among breast cancer survivors and patient advocates, contributing to resistance to de-escalation clinical trial participation. Additional research is needed to understand how to engage patients in de-escalation trials.


Assuntos
Neoplasias da Mama/tratamento farmacológico , /isolamento & purificação , Inquéritos e Questionários , Adulto , Idoso , Ansiedade/psicologia , Neoplasias da Mama/psicologia , /virologia , Estudos Transversais , Medo/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Pandemias , Pesquisa Qualitativa , /fisiologia
20.
J Occup Environ Med ; 63(6): e330-e334, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-33950042

RESUMO

OBJECTIVE: To describe the mental health situation and job stress levels of Funeral Service Workers (FSW) during the first months of the pandemic. METHODS: We conducted a cross-sectional study in Canada between May and July 2020. Funeral service professional organizations were asked to spread a questionnaire to their members including job description, assessment of anxiety (GAD-7), depression (PHQ-8), and job stress (effort-reward imbalance questionnaire). RESULTS: Fifty-eight FSW completed a questionnaire, 32% reported anxiety symptoms (GAD-7 > 10), 29% reported depressive symptoms (PHQ-8 > 10), 31% reported job stress. Women were more likely to report overcommitment (66.7% vs. 31.8%, P = 0.015). CONCLUSIONS: Levels of anxiety and depression identified in Canadian FSW were higher than those identified in other occupational groups during the first few months of the pandemic.


Assuntos
COVID-19/epidemiologia , COVID-19/psicologia , Pessoal de Saúde/psicologia , Saúde Mental/estatística & dados numéricos , Práticas Mortuárias/estatística & dados numéricos , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Canadá/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , SARS-CoV-2 , Inquéritos e Questionários
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