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2.
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
6.
Med. U.P.B ; 39(2): 24-33, 21/10/2020. tab, Ilus
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1123563

RESUMO

Objetivo: Realizar una revisión sistemática de la tendencia de investigación sobre síntomas de trastornos mentales durante la pandemia por COVID-19. Métodos: Se recuperaron artículos publicados entre el 31 de diciembre 2019 y el 3 de mayo 2020, en Pubmed, SCOPUS, EBSCO, PsycINFO, Science Direct, Redalyc y Web of Science, seleccionando, conforme a la metodología PRISMA, un total de 16 artículos, al descartarse duplicados o estudios no empíricos. Resultados: La mayoría se realizaron en China, el tamaño de la muestra osciló entre 20 y 7236 participantes, en su mayoría adolescentes y adultos, entre 12 a 80 años, con muestreo no probabilístico por conveniencia. La tendencia de los síntomas y trastornos más estudiados fueron ansiedad (28%), depresión (23%), estrés (15.3%), trastorno del sueño-vigilia (9.6%) y trastorno por estrés postraumático (5.7%), asociados con el consumo de sustancias psicoactivas, bajo rendimiento académico, pérdida de trabajo, calidad del sueño, bajo autocuidado y baja percepción del estado de salud durante la pandemia. Conclusiones: Los síntomas y trastornos de ansiedad, depresión y estrés son los más frecuentes. Algunas limitaciones son la ausencia de medición previa a la pandemia o cuarentena y el uso de muestreo no aleatorio, para hacer generalización de resultados. Es necesario formular investigaciones de intervención para mitigar el impacto psicológico. Los sistemas de salud deben ofrecer programas de prevención y de promoción de la salud, que consideren factores psicosociales dirigidos a la población general, pacientes y personal sanitario, para disminuir la prevalencia de estas dificultades, en particular, para Iberoamérica, en donde es escasa la producción científica al respecto.


Objective: To carry out a systematic review of the research trend on mental disorders symptoms during the COVID -19 pandemic. Methods: Articles published between December 31, 2019 and May 3, 2020 were retrieved in Pubmed, SCOPUS, EBSCO, PsycINFO, Science Direct, Redalyc, and Web of Science, selected according to the PRISMA methodology, a total of 16 articles by ruling out duplicates or non-empirical studies. Results: Most were carried out in China, the sample size ranged between 20 and 7236 participants, mostly adolescents and adults, between 12 and 80 years old, with non-probability sampling for convenience. The most studied symptoms and disorders were anxiety (28%), depression (23%), stress (15.3%), sleep-wake disorder (9.6%) and post-traumatic stress disorder (5.7%), associated with psychoactive substance use, low academic performance, job loss, sleep quality, low self-care, and low perception of health status during the pandemic. Conclusions: The symptoms and disorders of anxiety, depression, and stress are the most frequent. Some limitations are the absence of pre-pandemic or quarantine measurement and the use of non-random sampling to generalize the results. Intervention research needs to be formulated to mitigate the psychological impact. Health systems must offer prevention and health promotion programs that consider psychosocial factors aimed at the general population, patients, and health personnel, to decrease the prevalence of these difficulties, particularly for Latin America where about scientific production is scarce.


Objetivo: Realizar uma revisão sistemática da tendência de investigação sobre sintomas de transtornos mentais durante a pandemia por COVID-19. Métodos: Se recuperaram artigos publicados entre 31 de dezembro 2019 e 3 de maio 2020, em Pubmed, SCOPUS, EBSCO, PsycINFO, Science Direct, Redalyc e Web of Science, selecionando, conforme à metodologia PRISMA, um total de 16 artigos, ao descartar-se duplicados ou estudos não empíricos. Resultados: A maioria se realizaram na China, o tamanho da amostra oscilou entre 20 e 7236 participantes, na sua maioria adolescentes e adultos, entre 12 a 80 anos, com amostragem não probabilístico por conveniência. A tendência dos sintomas e transtornos mais estudados foram ansiedade (28%), depressão (23%), estresse (15.3%), transtorno do sono-vigília (9.6%) e transtorno por estresse pós-traumático (5.7%), associados com o consumo de substâncias psicoativas, sob rendimento acadêmico, perda de trabalho, qualidade do sono, baixo autocuidado e baixa percepção do estado de saúde durante a pandemia. Conclusões: Os sintomas e transtornos de ansiedade, depressão e estresse são os mais frequentes. Algumas limitações são a ausência de medição prévia à pandemia ou quarentena e o uso de amostragem não aleatório, para fazer generalização de resultados. É necessário formular investigações de intervenção para mitigar o impacto psicológico. Os sistemas de saúde devem oferecer programas de prevenção e de promoção da saúde, que considerem fatores psicossociais dirigidos à população geral, pacientes e pessoal sanitário, para diminuir a prevalência destas dificuldades, em particular, para Ibero América, onde é escassa a produção científica ao respeito.


Assuntos
Humanos , Infecções por Coronavirus , Ansiedade , Psicologia , Luto , Quarentena , Pessoal de Saúde , Depressão , Pandemias , Angústia Psicológica , Necessidades e Demandas de Serviços de Saúde , Transtornos Mentais
7.
PLoS One ; 15(9): e0237021, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915800

RESUMO

The recent introduction of prolonged grief disorder (PGD) as a diagnostic category may cause negative social reactions (i.e. public stigma). Vignette experiments demonstrate that persons with both PGD symptoms and a PGD diagnosis elicit more public stigma than persons who experience integrated grief. However, the strength of the influence of the diagnosis itself remains unclear: We aimed to clarify if the diagnostic label PGD produces additional public stigma beyond PGD symptoms. We further compared whether public stigma varies between the label PGD and the label major depressive episode (MDE) (when PGD symptoms are present) and if gender of the bereaved person influences public stigma or moderates the aforementioned effects. Eight-hundred fifty-two participants (77% female; Mage = 32.6 years, SD = 13.3) were randomly assigned to read online one of eight vignettes describing either a bereaved male or female, with PGD symptoms and PGD diagnosis; PGD symptoms and MDE diagnosis; PGD symptoms and no diagnosis, or no PGD symptoms and no diagnosis (i.e., integrated grief). Following the vignettes, participants indicated which negative characteristics they ascribed to the person, their emotional reactions, and preferred social distance from the person. People with PGD symptoms and PGD (or MDE) diagnosis were attributed more negative characteristics, and elicited more negative emotions and a stronger desire for social distance than people with integrated grief. However, public stigma did not differ for people with both PGD symptoms and diagnosis compared to people only experiencing PGD symptoms. Gender of the bereaved only had an influence on desired social distance, which was larger towards men. Helping severely distressed bereaved people (regardless of diagnostic status) cope with negative social reactions may help them adapt to bereavement. Results demonstrate that the experience of severe grief reactions, yet not a diagnostic label per se, causes public stigma.


Assuntos
Transtornos de Adaptação/psicologia , Pesar , Estigma Social , Adulto , Feminino , Humanos , Masculino
8.
Psychodyn Psychiatry ; 48(3): 234-258, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32996853

RESUMO

Near the beginning of the COVID-19 pandemic, on April 13, 2020, about 50 members of the American Academy of Psychodynamic Psychiatry and Psychoanalysis convened through Zoom to talk about the impact of the pandemic on their practices, their patients, and themselves.* They offer their reflections through oral and written comments. Participants were encouraged to organize their contributions around the dimensions of administrative psychiatry, the structure of clinical care, the content of clinical care, the patients' reported personal experiences, and the psychiatrists' reported personal experiences. Themes identified and discussed are paradoxical separateness, seeking an optimal interpersonal distance, finding new idioms, reality and symbolism, and loss, mourning, and isolation. The views are noted to touch on only one point early in the arc of the pandemic. A significant body of personal commentary provides an understanding of the roots of themes likely to evolve as the pandemic progresses.


Assuntos
Infecções por Coronavirus , Pandemias , Pneumonia Viral , Psiquiatria , Psicoterapia , Telemedicina , Adulto , Betacoronavirus , Pesar , Humanos , Isolamento Social
9.
J Pain Symptom Manage ; 60(5): e15-e20, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32889042

RESUMO

CONTEXT: Coronavirus disease 2019 (COVID-19) has impacted most elements of daily life, including the provision of support after a child's death and the experience of parental bereavement. OBJECTIVES: This study aims to examine ways in which COVID-19 has affected the bereavement experiences of parents whose children died of cancer before the pandemic. METHODS: Parents who participated in a survey-based study examining the early grief experience were invited to complete a semistructured interview. During the interview, which focused on examining the current support for parents and other family members within the first several years after the child's death, participants were asked how COVID-19 has impacted their life and bereavement. RESULTS: Fifteen of 33 eligible parents completed the interview; 14 were white and non-Hispanic, five were males. Parents participated an average of 19 (range 12-34) months after their child's death. COVID-19 was addressed in 13 interviews. Eleven codes were used to describe interview segments; the most commonly used codes were change in support, no effect, familiarity with uncertainty/ability to cope, and change in contact with care/research team. CONCLUSION: Parents identified multiple and variable ways-both positive, negative, and neutral-how COVID-19 has affected their bereavement. Many parents commented on feeling more isolated because of the inability to connect with family or attend in-person support groups, whereas others acknowledged their experience has made them uniquely positioned to cope with the uncertainty of the current situation. Clinicians must find innovative ways to connect with and support bereaved parents during this unique time.


Assuntos
Atitude Frente a Morte , Luto , Infecções por Coronavirus/psicologia , Neoplasias , Pais/psicologia , Pneumonia Viral/psicologia , Adaptação Psicológica/fisiologia , Feminino , Humanos , Masculino , Pandemias
10.
JAMA ; 324(10): 941-942, 2020 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-32897349
12.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(6): 627-632, 2020 Jun 28.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-32879118

RESUMO

OBJECTIVES: To investigate the attitudes and skills of grief counseling in the front-line medical workers from coronavirus disease 2019 (COVID-19) designated hospitals in Wuhan for the bereaved family members and to provide the basis for proper hospital management strategies. METHODS: The convenience sampling method was applied to select 422 medical workers who kept touch with the bereaved family members in five COVID-19 designated hospitals in Wuhan from January to February 2020. Questionnaire regarding grief counseling attitudes and questionnaire regarding grief counseling skills were used to evaluate the attitudes and skills of grief counseling in medical workers. The scores of grief counseling attitudes and skills in group of different characteristics were further compared. Pearson correlation was used to analyze the attitudes and skills of grief counseling in medical workers. RESULTS: The scores of grief counseling attitudes in medical workers were 15-46 (33.00±9.31). Length of service, professional title, whether or not receiving relevant training, frequency of contact with bereaved family members contributed to impacting the medical workers' attitudes of grief counseling (all P<0.05). The scores of grief counseling skills in medical workers were 9-30 (19.30±4.42). Length of service, professional title, religion, whether or not receiving relevant training, frequency of contact with bereaved family members contributed to impacting the medical workers' skills of grief counseling (all P<0.05). There was a significant positive correlation between the attitudes and skills of grief counseling in the medical workers (r=0.608, P<0.01). CONCLUSIONS: The attitudes and skills of grief counseling in the medical workers from COVID-19 designated hospitals in Wuhan still need to be improved. Grief counseling group and a long-term, comprehensive training system are recommended.


Assuntos
Infecções por Coronavirus/psicologia , Aconselhamento , Pesar , Pessoal de Saúde/psicologia , Pneumonia Viral/psicologia , Atitude do Pessoal de Saúde , Betacoronavirus , China , Hospitais , Humanos , Pandemias
14.
Rev Infirm ; 69(263): 24-25, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32993899

RESUMO

Illness and grieving the loss of a healthy body. Grief is a phenomenon which is part of the normal and the pathological. In the case of illness, it is felt for a body which is lost, different, becoming something other. This article studies the notions of grief, body schema and body image.


Assuntos
Pesar , Nível de Saúde , Corpo Humano , Humanos , Autoimagem
15.
Prax Kinderpsychol Kinderpsychiatr ; 69(6): 524-540, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32988302

RESUMO

"If One Feels Better Like That …". Adolescent Sibling Relationship in the Context of Transgender Development A transgender development in youth can influence the relationship of concerned youth and their siblings. While in most surveys, the focus lies on transgender adolescents, both sides shall be interviewed here to capture the situation of siblings and to relate the results. For this purpose, guide interviews with ten transgender adolescents and twelve of their siblings were analysed in accordance to Grounded Theory. In most cases, participants were satisfied with the sibling relationship. After the coming-out of the transgender adolescent they showed both positive and negative reactions that, however, changed to respect and acceptance by time without exception. Doubt, compassion and grief were short lived and often replaced by joy for the transgender adolescent. Transgender youth were mostly satisfied with the reaction of their sibling though the amount of support varied. The time of coming-out and transition often led to an improvement in sibling relationship, more closeness and family cohesion. In general, siblings seem to be immediately concerned by transgenderism in adolescence. In clinical practice, they should thus be included from the beginning. By taking into account their situation, negative developments can be prevented, and the sibling relationship become usable as a resource.


Assuntos
Relações entre Irmãos , Irmãos/psicologia , Pessoas Transgênero/psicologia , Adolescente , Pesar , Humanos , Inquéritos e Questionários
16.
Rev Lat Am Enfermagem ; 28: e3361, 2020 Sep 07.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-32901773

RESUMO

OBJECTIVE: amidst the greatest health crisis in history triggered by COVID-19, this documental study was intended to understand the meanings individuals who have lost loved ones in this context assign to the phenomenon of suppressed funeral rituals. METHOD: based on the theory of grief, the corpus of this study was composed of documents published in digital media containing personal writings and reports of experiences freely and easily available to the public. Two researchers with expertise in the field used inductive thematic analysis to interpret data. RESULTS: the experiences shared in the reports reflect the suffering experienced by the sudden death of a significant person, which is amplified by the absence or impediment to performing familial farewell rituals. The suppression or abbreviation of funeral rituals is a traumatic experience because family members are prevented from fulfilling their last homage to the loved one who has suddenly passed away, causing feelings of disbelief and indignation. CONCLUSION: alternatives and new ways to celebrate passage rituals in emergencies of strong social commotion such as a pandemic are needed to provide support and comfort to family members, friends, and relatives. These rituals help survivors to overcome the critical moment, decreasing the risk of developing complicated grief.


Assuntos
Luto , Infecções por Coronavirus/psicologia , Rituais Fúnebres , Pneumonia Viral/psicologia , Betacoronavirus , Humanos , Internet , Pandemias
17.
J Bras Nefrol ; 42(2 suppl 1): 44-46, 2020 Aug 26.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32877499

RESUMO

INTRODUCTION: Palliative care is an approach aimed at relieving suffering, controlling symptoms and seeking to improve quality of life. It must be offered in conjunction with standard treatment for any disease that threatens the continuation of life, such as a Covid-19 infection. DISCUSSION: The bioethical principles and strategies used by palliative medicine can assist nephrologists in the care of patients with renal dysfunction, who face the difficulties of isolation at the beginning and follow-up of dialysis in outpatient treatment, and those who are at risk for a more serious disease progress. Some of them: - a Shared decision making, which enables the patient and family to participate as facilitators in the systematization of the team's reasoning, in addition to respecting the principle of autonomy; - Symptom Management: which should be a priority to ensure relief of suffering even in times of social isolation; - Communication skills: making it possible to alleviate suffering in announcing bad news or complex decisions through communication techniques;; - Bereavement assistance: which in acute situations such as the pandemic, causing unexpected losses, the importance of sympathy from healthcare professionals becomes even greater. CONCLUSION: The principles of palliative care are essential to face the challenges of a planet-wide crisis, which raises human suffering in all dimensions, and which requires the construction of strategies that can keep patients assisted, comfortable and with measures proportional to their clinical condition and preferences.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Cuidados Paliativos/métodos , Pneumonia Viral/epidemiologia , Terapia de Substituição Renal/normas , Luto , Comunicação , Tomada de Decisão Compartilhada , Humanos , Nefrologia/normas , Pandemias , Terapia de Substituição Renal/métodos , Avaliação de Sintomas/métodos
18.
Women Birth ; 33(6): 540-543, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32798066

RESUMO

BACKGROUND: Rapid changes to how maternity health care is delivered has occurred in many countries across the globe in response to the COVID-19 pandemic. Maternity care provisions have been challenged attempting to balance the needs and safety of pregnant women and their care providers. Women experiencing a pregnancy after loss (PAL) during these times face particularly difficult circumstances. AIM: In this paper we highlight the situation in three high income countries (Australia, Ireland and USA) and point to the need to remember the unique and challenging circumstances of these PAL families. We suggest new practices may be deviating from established evidence-based guidelines and outline the potential ramifications of these changes. FINDINGS: Recommendations for health care providers are suggested to bridge the gap between the necessary safety requirements due to the pandemic, the role of the health care provider, and the needs of families experiencing a pregnancy after loss. DISCUSSION: Changes to practices i.e. limiting the number of antenatal appointments and access to a support person may have detrimental effects on both mother, baby, and their family. However, new guidelines in maternity care practices developed to account for the pandemic have not necessarily considered women experiencing pregnancy after loss. CONCLUSION: Bereaved mothers and their families experiencing a pregnancy after loss should continue to be supported during the COVID-19 pandemic to limit unintended consequences.


Assuntos
Luto , Infecções por Coronavirus/prevenção & controle , Serviços de Saúde Materna/organização & administração , Mães/psicologia , Pneumonia Viral/prevenção & controle , Guias de Prática Clínica como Assunto , Gestantes/psicologia , Natimorto/psicologia , Aborto Espontâneo , Austrália , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Feminino , Humanos , Irlanda , Pandemias , Morte Perinatal , Pneumonia Viral/epidemiologia , Gravidez , Estados Unidos
19.
JAMA ; 324(9): 843-844, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32761163
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