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2.
Epidemiol Psychiatr Sci ; 29: e181, 2020 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-33185174

RESUMO

AIMS: Coronavirus disease 2019 (COVID-19) pandemic is a major public health concern all over the world. Little is known about the impact of COVID-19 pandemic on mental health in the general population. This study aimed to assess the mental health problems and associated factors among a large sample of college students during the COVID-19 outbreak in China. METHODS: This cross-sectional and nation-wide survey of college students was conducted in China from 3 to 10 February 2020. A self-administered questionnaire was used to assess psychosocial factors, COVID-19 epidemic related factors and mental health problems. Acute stress, depressive and anxiety symptoms were measured by the Chinese versions of the impact of event scale-6, Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. Univariate and hierarchical logistic regression analyses were performed to examine factors associated with mental health problems. RESULTS: Among 821 218 students who participated in the survey, 746 217 (90.9%) were included for the analysis. In total, 414 604 (55.6%) of the students were female. About 45% of the participants had mental health problems. The prevalence rates of probable acute stress, depressive and anxiety symptoms were 34.9%, 21.1% and 11.0%, respectively. COVID-19 epidemic factors that were associated with increased risk of mental health problems were having relatives or friends being infected (adjusted odds ratio = 1.72-2.33). Students with exposure to media coverage of the COVID-19 ≥3 h/day were 2.13 times more likely than students with media exposure <1 h/day to have acute stress symptoms. Individuals with low perceived social support were 4.84-5.98 times more likely than individuals with high perceived social support to have anxiety and depressive symptoms. In addition, senior year and prior mental health problems were also significantly associated with anxiety or/and depressive symptoms. CONCLUSIONS: In this large-scale survey of college students in China, acute stress, anxiety and depressive symptoms are prevalent during the COVID-19 pandemic. Multiple epidemic and psychosocial factors, such as family members being infected, massive media exposure, low social support, senior year and prior mental health problems were associated with increased risk of mental health problems. Psychosocial support and mental health services should be provided to those students at risk.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/epidemiologia , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/psicologia , Estresse Psicológico/epidemiologia , Estudantes/psicologia , Adolescente , Adulto , Ansiedade/etiologia , Betacoronavirus , China/epidemiologia , Coronavirus , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Depressão/etiologia , Surtos de Doenças , Feminino , Humanos , Masculino , Pandemias , Questionário de Saúde do Paciente , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Prevalência , Estresse Psicológico/etiologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
3.
Psicothema ; 32(4): 490-500, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33073754

RESUMO

BACKGROUND: The World Health Organization has highlighted the importance of studying the consequences of the COVID-19 pandemic on mental health. The aim of this study is to examine the role of age in the early psychological responses to the pandemic in a Spanish community sample, focusing on how different generations coped with it. METHOD: An online survey was conducted during the early stages of the quarantine. Sociodemographic, health and behavioral variables were compared for five age groups. Mental health was assessed by the Depression, Anxiety and Stress Scale (DASS-21) and psychological impacts were assessed by the Impact of Event Scale-Revised (IES-R). RESULTS: 3,524 participants were included (Mage = 39.24, SDage = 12.00). Participants aged between 18 and 33 years old showed more hyperactivation and evitation, were more depressed, anxious and stressed. Those aged between 26 and 33 years old showed more intrusion. Those aged between 18 and 25 years old suffered more sleep disturbances, claustrophobia and somatization and maintained worse routines. Elderly people showed better psychological responses in general. CONCLUSIONS: This study provides initial evidence that the negative psychological impact of COVID-19 pandemic hits young people harder. These results should be taken into account when developing specific evidence-based strategies.


Assuntos
Adaptação Psicológica , Envelhecimento/psicologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/psicologia , Adolescente , Adulto , Idoso , Ansiedade/etiologia , Atitude Frente a Saúde , Estudos Transversais , Depressão/etiologia , Feminino , Hábitos , Comportamentos Relacionados com a Saúde , Humanos , Acontecimentos que Mudam a Vida , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Amostragem , Índice de Gravidade de Doença , Fatores Socioeconômicos , Espanha , Estresse Psicológico/etiologia , Inquéritos e Questionários , Adulto Jovem
4.
BMJ Open ; 10(10): e041671, 2020 10 20.
Artigo em Inglês | MEDLINE | ID: mdl-33082197

RESUMO

OBJECTIVES: The COVID-19 outbreak has caused enormous strain on healthcare systems, and healthcare trainees, which comprise the future healthcare workforce, may be a vulnerable group. It is essential to assess the psychological distress experienced by healthcare trainees during the COVID-19 outbreak. DESIGN, SETTING AND PARTICIPANTS: A cross-sectional study with 4184 healthcare trainees at Sichuan University in China was implemented during 7-13 February 2020. Participants were grouped by training programmes (medicine, medical technology and nursing) and training stages (undergraduate, postgraduate and residency). MAIN OUTCOMES: COVID-19-related psychological distress and acute stress reaction (ASR) were assessed using the Kessler 6-item Psychological Distress Scale and the Impact of Event Scale-Revised, respectively. We estimated the ORs of distress by comparing trainees across programmes and training stages using multivariable logistic regression. RESULTS: Significant psychological distress was found in 1150 (30.90%) participants and probable ASR in 403 (10.74%). Compared with the nursing trainees, the medical trainees (OR 1.54, 95% CI 1.22 to 1.95) reported a higher burden of psychological distress during the outbreak, while the medical technology trainees (OR 1.25, 95% CI 0.97 to 1.62) reported similar symptom scores. Postgraduates (OR 1.55, 95% CI 1.16 to 2.08) in medicine had higher levels of distress than their undergraduate counterparts did, whereas the nursing residents (OR 0.38, 95% CI 0.20 to 0.71) reported a lower burden than did nursing undergraduates. A positive association was found between having active clinical duties during the outbreak and distress (OR 1.17, 95% CI 0.98 to 1.39), particularly among the medical trainees (OR 1.85, 95% CI 1.47 to 2.33) and undergraduates (OR 4.20, 95% CI 1.61 to 11.70). No clear risk patterns of ASR symptoms were observed. CONCLUSIONS: Medical trainees, particularly postgraduates and those with active clinical duties, were at risk for psychological distress during the COVID-19 outbreak. Stress management may be considered for high-risk healthcare trainees.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Angústia Psicológica , Estresse Psicológico/epidemiologia , Adulto , China/epidemiologia , Infecções por Coronavirus/complicações , Infecções por Coronavirus/psicologia , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Pneumonia Viral/complicações , Pneumonia Viral/psicologia , Estresse Psicológico/etiologia , Adulto Jovem
5.
JAMA Netw Open ; 3(10): e2025591, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33095252

RESUMO

Importance: The coronavirus disease 2019 (COVID-19) pandemic and quarantine measures have raised concerns regarding their psychological effects on populations. Among the general population, university students appear to be particularly susceptible to experiencing mental health problems. Objectives: To measure the prevalence of self-reported mental health symptoms, to identify associated factors, and to assess care seeking among university students who experienced the COVID-19 quarantine in France. Design, Setting, and Participants: This survey study collected data from April 17 to May 4, 2020, from 69 054 students living in France during the COVID-19 quarantine. All French universities were asked to send an email to their students asking them to complete an online questionnaire. The targeted population was approximately 1 600 000 students. Exposure: Living in France during the COVID-19 quarantine. Main Outcomes and Measures: The rates of self-reported suicidal thoughts, severe distress, stress, anxiety, and depression were assessed using the 22-item Impact of Events Scale-Revised, the 10-item Perceived Stress Scale, the 20-item State-Trait Anxiety Inventory (State subscale), and the 13-item Beck Depression Inventory, respectively. Covariates were sociodemographic characteristics, precariousness indicators (ie, loss of income or poor quality housing), health-related data, information on the social environment, and media consumption. Data pertaining to care seeking were also collected. Multivariable logistic regression analyses were performed to identify risk factors. Results: A total of 69 054 students completed the survey (response rate, 4.3%). The median (interquartile range) age was 20 (18-22) years. The sample was mainly composed of women (50 251 [72.8%]) and first-year students (32 424 [47.0%]). The prevalence of suicidal thoughts, severe distress, high level of perceived stress, severe depression, and high level of anxiety were 11.4% (7891 students), 22.4% (15 463 students), 24.7% (17 093 students), 16.1% (11 133 students), and 27.5% (18 970 students), respectively, with 29 564 students (42.8%) reporting at least 1 outcome, among whom 3675 (12.4%) reported seeing a health professional. Among risk factors identified, reporting at least 1 mental health outcome was associated with female gender (odds ratio [OR], 2.10; 95% CI, 2.02-2.19; P < .001) or nonbinary gender (OR, 3.57; 95% CI, 2.99-4.27; P < .001), precariousness (loss of income: OR, 1.28; 95% CI, 1.22-1.33; P < .001; low-quality housing: OR, 2.30; 95% CI, 2.06-2.57; P < .001), history of psychiatric follow-up (OR, 3.28; 95% CI, 3.09-3.48; P < .001), symptoms compatible with COVID-19 (OR, 1.55; 95% CI, 1.49-1.61; P < .001), social isolation (weak sense of integration: OR, 3.63; 95% CI, 3.35-3.92; P < .001; low quality of social relations: OR, 2.62; 95% CI, 2.49-2.75; P < .001), and low quality of the information received (OR, 1.56; 95% CI, 1.49-1.64; P < .001). Conclusions and Relevance: The results of this survey study suggest a high prevalence of mental health issues among students who experienced quarantine, underlining the need to reinforce prevention, surveillance, and access to care.


Assuntos
Infecções por Coronavirus/psicologia , Transtornos Mentais/etiologia , Pandemias , Pneumonia Viral/psicologia , Isolamento Social/psicologia , Estudantes/psicologia , Ideação Suicida , Universidades , Adolescente , Adulto , Ansiedade/epidemiologia , Ansiedade/etiologia , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/etiologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Depressão/epidemiologia , Depressão/etiologia , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/etiologia , Feminino , Humanos , Masculino , Transtornos Mentais/epidemiologia , Razão de Chances , Aceitação pelo Paciente de Cuidados de Saúde , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Prevalência , Quarentena , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Inquéritos e Questionários , Adulto Jovem
6.
PLoS One ; 15(10): e0240876, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33108374

RESUMO

Many different countries have been under lockdown or extreme social distancing measures to control the spread of COVID-19. The potentially far-reaching side effects of these measures have not yet been fully understood. In this study we analyse the results of a multi-country survey conducted in Italy (N = 3,504), Spain (N = 3,524) and the United Kingdom (N = 3,523), with two separate analyses. In the first analysis, we examine the elicitation of citizens' concerns over the downplaying of the economic consequences of the lockdown during the COVID-19 pandemic. We control for Social Desirability Bias through a list experiment included in the survey. In the second analysis, we examine the data from the same survey to predict the level of stress, anxiety and depression associated with being economically vulnerable and having been affected by a negative economic shock. To accomplish this, we have used a prediction algorithm based on machine learning techniques. To quantify the size of this affected population, we compare its magnitude with the number of people affected by COVID-19 using measures of susceptibility, vulnerability and behavioural change collected in the same questionnaire. We find that the concern for the economy and for "the way out" of the lockdown is diffuse and there is evidence of minor underreporting. Additionally, we estimate that around 42.8% of the populations in the three countries are at high risk of stress, anxiety, and depression, based on their level of economic vulnerability and their exposure to a negative economic shock.


Assuntos
Betacoronavirus , Infecções por Coronavirus/economia , Recessão Econômica , Transtornos Mentais/etiologia , Pandemias/economia , Pneumonia Viral/economia , Adolescente , Adulto , Idoso , Ansiedade/epidemiologia , Ansiedade/etiologia , Controle de Doenças Transmissíveis/economia , Controle de Doenças Transmissíveis/métodos , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Depressão/epidemiologia , Depressão/etiologia , Feminino , Humanos , Itália/epidemiologia , Masculino , Transtornos Mentais/economia , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Análise de Componente Principal , Quarentena/economia , Espanha/epidemiologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Inquéritos e Questionários , Reino Unido/epidemiologia , Adulto Jovem
7.
BMJ Open ; 10(10): e042030, 2020 10 10.
Artigo em Inglês | MEDLINE | ID: mdl-33040019

RESUMO

OBJECTIVE: This study aims to assess and compare demographic and psychological factors and sleep status of frontline healthcare workers (HCWs) in relation to non-frontline HCWs. DESIGN, SETTINGS, PARTICIPANTS AND OUTCOMES: This cross-sectional study was conducted from 8 April 2020 to 17 April 2020 using an online survey across varied healthcare settings in Oman accruing 1139 HCWs.The primary and secondary outcomes were mental health status and sociodemographic data, respectively. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), and insomnia was evaluated by the Insomnia Severity Index. Samples were categorised into the frontline and non-frontline groups. χ2 and t-tests were used to compare groups by demographic data. The Mantel-Haenszel OR was used to compare groups by mental health outcomes adjusted by all sociodemographic factors. RESULTS: This study included 1139 HCWs working in Oman. While working during the pandemic period, a total of 368 (32.3%), 388 (34.1%), 271 (23.8%) and 211 (18.5%) respondents were reported to have depression, anxiety, stress and insomnia, respectively. HCWs in the frontline group were 1.5 times more likely to report anxiety (OR=1.557, p=0.004), stress (OR=1.506, p=0.016) and insomnia (OR=1.586, p=0.013) as compared with those in the non-frontline group. No significant differences in depression status were found between the frontline and non-frontline groups (p=0.201). CONCLUSIONS: To our knowledge, this is the first study to explore the differential impacts of the COVID-19 pandemic on different grades of HCWs. This study suggests that frontline HCWs are disproportionally affected compared to non-frontline HCWs, with managing sleep-wake cycles and anxiety symptoms being highly endorsed among frontline HCWs. As psychosocial interventions are likely to be constrained owing to the pandemic, mental healthcare must first be directed to frontline HCWs.


Assuntos
Ansiedade/etiologia , Infecções por Coronavirus , Depressão/etiologia , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral , Distúrbios do Início e da Manutenção do Sono/etiologia , Estresse Psicológico/etiologia , Adulto , Ansiedade/epidemiologia , Transtornos de Ansiedade/etiologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Nível de Saúde , Humanos , Masculino , Saúde Mental , Razão de Chances , Omã , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Sono , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
8.
Ann Glob Health ; 86(1): 128, 2020 10 06.
Artigo em Inglês | MEDLINE | ID: mdl-33102148

RESUMO

Background: COVID-19 first appeared in China in December 2019, with a high rate of infectivity and morbidity, which brought tremendous psychological pressure to healthcare workers. Purpose: To understand the psychological health status of healthcare workers during the COVID-19 outbreak and decline, and to provide a theoretical reference for the future establishment of a psychological crisis intervention system. Methods: Healthcare workers were recruited using convenience sampling and snowball sampling methods, and the electronic version of the SCL-90 scale and a sociodemographic questionnaire were administered. In the pretest, a total of 5018 responses were collected; after six weeks, random sampling was performed. The SCL-90 and measures of other epidemic-related problems were administered, with 1570 responses received; then, the final data analysis was performed. Results: After six weeks, the post-test GSI score; SCL-90 total score; and PST, PSDI, O-C, I-S, DEP, ANX, PHOB, PAR, PSY, and HOS scores were significantly lower than the corresponding pretest scores (p < 0.05). The results by occupational category showed that the scores of nursing staff decreased significantly for 12 indexes and that the scores of the doctors and other hospital staff also significantly decreased. There was a significant difference between the pretest (50.78 ± 28.18) and post-test (45.00 ± 28.49) scores for the degree of worry about the epidemic. Healthcare workers believed that the top three aspects of life affected by the epidemic were economic problems (816 people), interpersonal communication problems (731 people), and mental health (728 people). Conclusion: Over the course of the epidemic, the item scores generally declined significantly. Therefore, during an outbreak period, attention should be paid to psychological crisis interventions for healthcare workers; problems caused by psychological pressure, and even other psychological conditions, can be significantly alleviated to reduce the probability of subsequent health problems.


Assuntos
Ansiedade , Infecções por Coronavirus , Intervenção na Crise/métodos , Depressão , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral , Estresse Psicológico , Adulto , Ansiedade/diagnóstico , Ansiedade/etiologia , Betacoronavirus , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/diagnóstico , Depressão/etiologia , Feminino , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Estresse Ocupacional/classificação , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Escalas de Graduação Psiquiátrica , Estresse Psicológico/diagnóstico , Estresse Psicológico/etiologia
9.
Ann Cardiol Angeiol (Paris) ; 69(5): 227-232, 2020 Nov.
Artigo em Francês | MEDLINE | ID: mdl-33059875

RESUMO

The COVID-19 pandemic has swept through our hospitals which have had to adapt as a matter of urgency. We are aware that a health crisis of this magnitude is likely to generate mental disorders particularly affecting exposed healthcare workers. Being so brutal and global, this one-of the kind pandemic has been impacting the staff in their professional sphere but also within their private circle. The COV IMPACT study is an early assessment survey conducted for 2 weeks in May 2020, of the perception by all hospital workers of the changes induced in their professional activity by the pandemic. The study was carried out by a survey sent to the hospital staff of Béziers and Montfermeil. The readjusted working conditions were source of increased physical fatigue for 62 % of the respondents. Moral exhaustion was reported by 36 %. It was related to the stress of contracting the infection (72 %) but above all of transmitting it to relatives (89 %) with a broad perception of a vital risk (41 %). This stress affected all socio-professional categories (CSP) and was independent of exposure to COVID. Change in organisation, lack of information and protective gear and equipment were major factors of insecurity at the start of the epidemic. Work on supportive measures is necessary. It should focus on the spread of information, particularly towards the youngest, as well as bringing more psychological support and a larger amount of medical equipment, beyond healthcare workers and the COVID sectors.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Recursos Humanos em Hospital/psicologia , Pneumonia Viral/epidemiologia , Estresse Psicológico/etiologia , Adulto , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/transmissão , Família , Fadiga/etiologia , Fadiga/psicologia , França/epidemiologia , Inquéritos Epidemiológicos , Humanos , Disseminação de Informação , Pessoa de Meia-Idade , Moral , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Inovação Organizacional , Pandemias , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/psicologia , Pneumonia Viral/transmissão , Estresse Psicológico/psicologia , Adulto Jovem
10.
Rev Esp Salud Publica ; 942020 Oct 14.
Artigo em Espanhol | MEDLINE | ID: mdl-33056957

RESUMO

Between March and May 2020, the Spanish Ministry of Health and the Spanish Psychological Association created the Psychological First Care Service (Servicio de Primera Ayuda Psicológica-SPAP), a national helpline designed to provide early psychological intervention to those people affected by COVID-19. This service attended more than 15,000 calls and carried out more than 11,000 interventions and 9,500 follow-ups with the general population, healthcare and other essential professionals and the patients and relatives of the sick or deceased. Results show that the majority of calls (45.7%) came from the Autonomous Community of Madrid, that women significantly used this service in a higher proportion than men (73.5%) and that the commonest age range among users was 40-59. 75.9% of consultations were related to psychological problems linked to anxiety and depressive symptoms. However, grief symptoms also stood out among the patients or relatives of the sick and deceased and, to a lesser extent, stress symptoms were prevalent in the group of professionals. These data show the usefulness of this early psychological care service and the need for similar resources to be implemented in coordination with or within the National Health System.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Intervenção na Crise/métodos , Utilização de Instalações e Serviços/estatística & dados numéricos , Serviços de Saúde Mental/estatística & dados numéricos , Pneumonia Viral/psicologia , Telemedicina/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/epidemiologia , Ansiedade/etiologia , Ansiedade/terapia , Criança , Infecções por Coronavirus/terapia , Intervenção na Crise/organização & administração , Intervenção na Crise/estatística & dados numéricos , Depressão/epidemiologia , Depressão/etiologia , Depressão/terapia , Feminino , Pesar , Humanos , Masculino , Serviços de Saúde Mental/organização & administração , Pessoa de Meia-Idade , Programas Nacionais de Saúde , Pandemias , Pneumonia Viral/terapia , Prevalência , Espanha/epidemiologia , Estresse Psicológico/diagnóstico , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Telemedicina/organização & administração , Telemedicina/estatística & dados numéricos , Telefone , Adulto Jovem
11.
Cir Cir ; 88(5): 562-568, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33064695

RESUMO

Objective: The objective of the study was to determine the state of anxiety, depression, and stress present in the society during the development of the 2019 coronavirus pandemic. Methods: Mixed methods study; a three-section questionnaire was developed which included sociodemographic, perceptions, emotions, and behaviors related to the 2019 coronavirus pandemic, and two emotional assessment psychometric tests. The proportions and confidence intervals of the variables were calculated and compared using the Chi-square test. Results: More than 40% of the subjects presented some degree of anxiety and 41.3% depression; the proportion of stress was < 30%. Of the subjects who experienced anxiety, 18.6% also had moderate-to-very severe depression or stress. Conclusion: There are emotional indicators derived from the 2019 coronavirus pandemic in almost half of the study population. The identification and timely treatment of these states could lessen the psychological impact due to 2019 coronavirus.


Assuntos
Ansiedade/etiologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Depressão/etiologia , Pandemias , Pneumonia Viral/psicologia , Estresse Psicológico/etiologia , Adulto , Ansiedade/epidemiologia , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/etiologia , Infecções por Coronavirus/epidemiologia , Depressão/epidemiologia , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/etiologia , Emoções , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino , México , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Psicometria , Assunção de Riscos , Índice de Gravidade de Doença , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
12.
Rev Neurol ; 71(8): 285-291, 2020 10 16.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33034366

RESUMO

INTRODUCTION: Children with autism spectrum disorder (ASD) often experience changing routines as a major challenge. For that reason, the need for adaptation during COVID-19 pandemic may have brought major problems to families with children with this pathology. AIM: To explore how children with ASD and their parents experienced the social isolation during COVID-19 outbreak period. SUBJECTS AND METHODS: We conducted an observational, cross-sectional and analytical study. We applied an anonymous questionnaire that included children's demographic and clinical characteristics, along with the impact of the COVID-19 outbreak in different aspects of family's daily life. RESULTS: Out of 99 questionnaires obtained, 43 were related to children with ASD and 56 to control group. Children with ASD predominantly had changes in behavior, while children from control group mostly found no changes. The majority of parents of ASD children reported a negative impact in emotion management against those in control group reporting mostly positive or no impact. Caregivers reported higher mean scores of anxiety levels in themselves than in their children. ASD children and their parents had higher levels of anxiety than healthy ones. In the group with ASD, children that did not maintain routines had higher mean levels of anxiety than children that maintained routines. CONCLUSION: Our results show a potential important psychological impact of the COVID-19 pandemic not only in children with neurodevelopmental disorders but in their caregivers as well. Physicians must be prepared for the post-pandemic surveillance of mental disorders among families.


Assuntos
Transtorno do Espectro Autista/psicologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/psicologia , Adaptação Psicológica , Adolescente , Ansiedade/etiologia , Cuidadores/psicologia , Criança , Estudos Transversais , Emoções , Feminino , Humanos , Aprendizagem , Masculino , Pais/psicologia , Quarentena/psicologia , Estresse Psicológico/etiologia , Inquéritos e Questionários
13.
Ann Pharm Fr ; 78(6): 459-463, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33038309

RESUMO

OBJECTIVES: COVID-19 outbreak can impact mental health including health care workers. The aim of this study was to assess the psychological impact of COVID-19 in French community pharmacists. MATERIAL AND METHODS: We carried out a postal-based survey to assess the psychological impact of COVID-19 in French owner community pharmacists based on three validated self-report questionnaires: Perceived Stress scale, Impact of Event Scale-revised and Maslach Burnout Inventory. RESULTS: The sample consists of 135 community pharmacists. Twenty-three pharmacists reported significant post-traumatic stress symptoms (17%). High burnout symptoms were found in 33 (25%), 46 (34.9%) and 4 (3%) participants. Females scored higher than males for all questionnaires (P=0.01). CONCLUSIONS: This study is the first study which showed the psychological impact of COVID-19 in community pharmacists. Based on validated self-report questionnaires, up to 35% of pharmacists reported psychological disturbances. Interventions to promote psychological well-being of healthcare workers need to be developing.


Assuntos
Betacoronavirus , Esgotamento Profissional/etiologia , Infecções por Coronavirus/psicologia , Estresse Ocupacional/etiologia , Farmacêuticos/psicologia , Pneumonia Viral/psicologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Estresse Psicológico/etiologia , Adulto , Idoso , Esgotamento Profissional/epidemiologia , Serviços Comunitários de Farmácia , Infecções por Coronavirus/epidemiologia , Despersonalização/epidemiologia , Despersonalização/etiologia , Emoções , Feminino , França/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Autorrelato , Índice de Gravidade de Doença , Distribuição por Sexo , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
14.
J Alzheimers Dis ; 78(2): 847-852, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33044186

RESUMO

BACKGROUND/OBJECTIVE: The COVID-19 crisis has been increasing the burden of healthcare workers in acute care geriatric facilities. These workers have been dealing with drastic changes in the care they provide to their residents including cancelation of group activities and communal dining and even restrictions of activities outside rooms. Healthcare workers have also been devoting more time and energy to perform COVID-related medical duties. Geriatric facilities have been facing shortages in equipment and supplies, as well as staffing shortages. Finally, healthcare workers have been facing challenges regarding their personal safety and that of their families. Consequently, we hypothesized the presence of high levels of burnout among healthcare workers during the COVID-19 crisis. METHODS: To evaluate burnout in healthcare workers in French acute care geriatric facilities, we used an online survey based on the Oldenburg Burnout Inventory. Eighty-four healthcare workers answered the survey, during April of 2020. RESULTS: Analysis demonstrated that they were experiencing medium levels of burnout, exhaustion, and disengagement. CONCLUSION: This level of burnout reflected their fatigue, loss of energy, and/or feelings of being overextended and exhausted. Considering the expected cumulative impact of various stressors, the medium level of burnout observed has come as a surprise to us and might actually be considered as relatively good news. Nevertheless, no level of burnout is negligible and has wide ranging negative consequences.


Assuntos
Esgotamento Profissional/epidemiologia , Infecções por Coronavirus , Serviços de Saúde para Idosos , Pandemias , Pneumonia Viral , Adulto , Feminino , França/epidemiologia , Pessoal de Saúde , Humanos , Masculino , Fadiga Mental/epidemiologia , Segurança , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Inquéritos e Questionários
15.
Rev. neurol. (Ed. impr.) ; 71(8): 285-291, 16 oct., 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-194287

RESUMO

INTRODUCCIÓN: Los niños con trastorno del espectro autista (TEA) a menudo experimentan el cambio de rutinas como un desafío importante. La necesidad de adaptación durante la pandemia por la COVID-19 puede haber causado problemas a estos niños. OBJETIVO: Conocer cómo vivieron los niños con TEA y sus familias el aislamiento social durante la cuarentena. Sujetos y métodos. Se realizó un estudio observacional, transversal y analítico. Se aplicó un cuestionario anónimo que incluía las características demográficas y clínicas de los niños, junto con el impacto que tuvo la pandemia en diferentes aspectos de la vida diaria de las familias. RESULTADOS: De los 99 cuestionarios obtenidos, 43 eran niños con TEA y 56 niños del grupo control. Los niños con TEA tuvieron predominantemente cambios en el comportamiento, a diferencia de los del grupo control. La mayoría de los niños con TEA tuvo un impacto negativo en el manejo de las emociones frente a los del grupo control, que expresaron un impacto mayoritariamente positivo/nulo. Los cuidadores puntuaron niveles de ansiedad más altos en ellos mismos que en sus hijos. Los niños con TEA y sus padres tenían niveles más altos de ansiedad que los controles. En el grupo con TEA, los niños que no mantuvieron las rutinas tuvieron niveles de ansiedad más altos. CONCLUSIÓN: Los resultados muestran un potencial impacto psicológico de la pandemia de la COVID-19 no sólo en los niños con trastornos del neurodesarrollo, sino también en sus cuidadores. Debe estarse preparado para la vigilancia de los trastornos mentales en las familias tras la pandemia de la COVID-19


INTRODUCTION. Children with autism spectrum disorder (ASD) often experience changing routines as a major challenge. For that reason, the need for adaptation during COVID-19 pandemic may have brought major problems to families with children with this pathology. AIM. To explore how children with ASD and their parents experienced the social isolation during COVID-19 outbreak period. SUBJECTS AND METHODS. We conducted an observational, cross-sectional and analytical study. We applied an anonymous questionnaire that included children’s demographic and clinical characteristics, along with the impact of the COVID-19 outbreak in different aspects of family’s daily life. RESULTS. Out of 99 questionnaires obtained, 43 were related to children with ASD and 56 to control group. Children with ASD predominantly had changes in behavior, while children from control group mostly found no changes. The majority of parents of ASD children reported a negative impact in emotion management against those in control group reporting mostly positive or no impact. Caregivers reported higher mean scores of anxiety levels in themselves than in their children. ASD children and their parents had higher levels of anxiety than healthy ones. In the group with ASD, children that did not maintain routines had higher mean levels of anxiety than children that maintained routines. CONCLUSION. Our results show a potential important psychological impact of the COVID-19 pandemic not only in children with neurodevelopmental disorders but in their caregivers as well. Physicians must be prepared for the post-pandemic surveillance of mental disorders among families


Assuntos
Humanos , Masculino , Feminino , Criança , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Pandemias , Transtorno do Espectro Autista/psicologia , Inquéritos e Questionários , Estresse Psicológico/etiologia , Quarentena/psicologia , Pais/psicologia , Emoções , Estudos Transversais , Cuidadores/psicologia , Adaptação Psicológica , Ansiedade/psicologia
16.
Psychiatry Res ; 291: 113272, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32886958

RESUMO

Nurses are acknowledged for their care and expertise on the front line of pandemics over the last century. The recent global impact of COVID-19 has been unprecedented and a parallel battle has also been fought by increasing numbers of nurses for their workplace mental health. Factors associated with nurses mental stress and consequence of suicide were identified from a retrospective analysis of six non-representative media case-reports in high and low resource countries. The need for a structured model of nursing workforce mental health preparation, monitoring, support and health care is essential to inform advocacy and timely intervention in pandemic response.


Assuntos
Infecções por Coronavirus/psicologia , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/mortalidade , Pneumonia Viral/psicologia , Estresse Psicológico/mortalidade , Suicídio/estatística & dados numéricos , Local de Trabalho/psicologia , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Saúde Mental , Pandemias , Pneumonia Viral/epidemiologia , Estudos Retrospectivos , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , Suicídio/psicologia
17.
Med Sci Monit ; 26: e924994, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32869770

RESUMO

BACKGROUND The aim of this study was to explore the emotional resilience of middle school students learning at home in February and March 2020 during the COVID-19 pandemic, and the impact of this resilience on students' learning management skills. The results could provide a basis for psychological health education of middle school students during major life events. MATERIAL AND METHODS This study used a survey to explore emotional resilience and learning management abilities in middle school students (N=896) from February 10, 2020, to March 22, 2020. Students used online e-learning during this period due to the COVID-19 pandemic. Data were analyzed using t-testing, Pearson's correlation, and multivariate linear regression. RESULTS The results indicate that emotional resilience was significantly lower in eighth grade students than in seventh grade students (t=1.98, P<0.05) and negative emotional recovery increased during the study period. Emotional resilience was positively correlated with learning management skills (r=0.498, P<0.01), and positive emotional ability predicted learning management skills. CONCLUSIONS The study findings indicate that in the face of major life events, emotional resilience is an important factor for the mental health of adolescents and improves coping ability. Cultivating positive emotions can improve learning efficiency.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Educação a Distância , Emoções , Pandemias , Pneumonia Viral/psicologia , Resiliência Psicológica , Estresse Psicológico/etiologia , Estudantes/psicologia , Habilidades para Realização de Testes , Adaptação Psicológica , Adolescente , Criança , China , Feminino , Humanos , Masculino , Estresse Psicológico/psicologia , Inquéritos e Questionários
19.
Tex Med ; 116(8): 34, 2020 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-32866275

RESUMO

Medical schools typically have predictable schedules. The timing of lectures, clerkships, exams, and even extracurricular activities tend to follow in the same grooves year after year. Students can reliably block out even minor events months ahead of time and be confident they'll take place. All that changed with COVID-19. Since March, when the pandemic began closing down schools, businesses, and other institutions across the state, figuring out what comes next in medical school has been anything but predictable.


Assuntos
Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Faculdades de Medicina , Estresse Psicológico/etiologia , Estudantes de Medicina/psicologia , Betacoronavirus , Esgotamento Psicológico/psicologia , Competência Clínica , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Transmissão de Doença Infecciosa/prevenção & controle , Humanos , Inovação Organizacional , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Faculdades de Medicina/ética , Faculdades de Medicina/organização & administração , Faculdades de Medicina/tendências , Ensino/ética , Ensino/psicologia , Texas/epidemiologia , Incerteza
20.
Cuad Bioet ; 31(102): 139-149, 2020.
Artigo em Espanhol | MEDLINE | ID: mdl-32910668

RESUMO

The crisis of COVID-19 leaves us a teaching in the form of reminiscence. We do not learn anything new from it, but it reminds us of something we knew and forgot. It shows us in a new light our vulnerability, the impossibility of protecting ourselves perfectly through prediction and control. The sciences do not predict with certainty and the technologies do not manage to have everything under control, although the former and the latter have many other and worthwhile functions. Ideologies do not see the future, no matter how much they pretend to do so. However, we are not without reliable guidance in deciding our actions. This orientation must be sought in being, not in the future. It is fidelity to our common human nature that must advise us. It is the full realization of our personal being, of our peculiar vocation, that guides us. So, the means for self-realization consists in the development of a virtuous character. The same character that has mitigated the ravages of the pandemic, given that, to some degree, it was already present in many of our fellow citizens. The same that would have alleviated the suffering even more if it had been available in more people and to a greater degree.


Assuntos
Atitude Frente a Saúde , Betacoronavirus , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Suscetibilidade a Doenças , Previsões , Características Humanas , Humanos , Pandemias/ética , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Resiliência Psicológica , Responsabilidade Social , Estresse Psicológico/etiologia , Virtudes , Populações Vulneráveis
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