Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 35.498
Filtrar
1.
Artigo em Inglês | MEDLINE | ID: mdl-35026875

RESUMO

Objective: To evaluate factors associated with social anxiety disorder among the Lebanese population, construct a new model associating these factors, and compare its uniformity with a theoretical framework.Methods: A total of 789 participants were enrolled in this cross-sectional survey study. The Liebowitz Social Anxiety Scale was used to assess fear and avoidance. The study was conducted from November 2017 to March 2018.Results: Depression (ß = 0.229, P = .013), emotional exhaustion/work fatigue (ß = 0.275, P = .001), and experiencing a divorce (ß = 15.413, P < .001) were significantly associated with higher social phobia. Higher self-esteem (ß = -0.427, P = .048) and higher relationship management (ß = -0.381, P = .001) were significantly associated with lower social phobia.Conclusions: This study provides crucial information about the psychological factors of social anxiety among the Lebanese population. Divorce, depression, and emotional exhaustion/work fatigue were associated with higher social anxiety. Low self-esteem and better relationship management were associated with lower social anxiety. Psychotherapy interventions may be beneficial to reduce depression and work fatigue and improve emotional intelligence and self-esteem.


Assuntos
Sintomas Afetivos , Alcoolismo , Adulto , Ansiedade , Estudos Transversais , Depressão/epidemiologia , Fadiga/epidemiologia , Medo , Humanos
2.
PLoS One ; 17(1): e0261967, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35025910

RESUMO

PURPOSE: Mental health is a significant problem following exposure to a traumatic event. This study aimed to examine quarantine-related experiences, traumatic stress, and coping strategies among adults quarantined in Saudi Arabia due to coronavirus disease 2019 (COVID-19) exposure or travel history. METHODS: Individuals aged ≥ 18 years who were quarantined in Saudi Arabia due to COVID-19 exposure or travel history were included. We used a sequential mixed methods design, using an online survey followed by in-depth individual telephonic interviews. The Impact of Event Scale-Revised (IES-R) was used to measure post-traumatic stress disorder (PTSD) symptoms after the quarantine. To identify factors associated with significant symptoms (IES-R score ≥ 33), prevalence ratios (PR) with 95% confidence intervals were computed using Poisson regression with robust error variance. In the next phase, a subset of the participants (n = 26) were interviewed to elicit their quarantine-related experiences and coping responses. Major themes and subthemes were identified. RESULTS: Of the 111 adults who completed the survey, 32 (28.8% [95% CI, 21.1-38.0%]) had significant PTSD symptoms (IES-R score ≥ 33) and 27 (24.3% [95% CI, 17.2-33.3%]) had severe symptoms (IES-R score > 37). Marital status was the only variable that was significantly associated with significant PTSD symptoms (P = 0.028). Significant symptoms were twice as prevalent in married adults than among other marital groups (PR 2.00, 95% CI, 1.08-3.72). Participants reported negative emotions such as overwhelming fear, helplessness, anxiety, and disgust. Participants utilized both problem-centered coping (e.g., use of social support) and emotion-centered coping (e.g., use of positive diversionary activities) during the quarantine period. CONCLUSION: PTSD symptoms were present in one out of every four quarantined persons. The quarantine experience is viewed negatively. These findings highlight the need for increased awareness about stress-related disorders among quarantined individuals. Efforts are needed to detect and manage these symptoms early while making the quarantine experience more satisfying for the involved individuals and groups.


Assuntos
COVID-19/psicologia , Quarentena/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estresse Psicológico/psicologia , Adulto , Ansiedade/psicologia , Transtornos de Ansiedade/psicologia , Medo/psicologia , Feminino , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Satisfação Pessoal , Prevalência , SARS-CoV-2/patogenicidade , Arábia Saudita , Apoio Social/psicologia , Inquéritos e Questionários
3.
BMC Public Health ; 22(1): 126, 2022 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-35042506

RESUMO

BACKGROUND: Although numerous studies have been published on the predictors of COVID-19 vaccine hesitancy, some possible predictors remain underexplored. In this study, we explored the associations of unwillingness and indecisiveness regarding COVID-19 vaccination with generalized trust, mental health conditions such as depression and generalized anxiety, and fear of COVID-19. METHODS: Data of wave 1 (from October 27 till November 6, 2020) and wave 3 (from April 23 till May 6, 2021) of a longitudinal online study conducted in Japan were used for the analyses. Unvaccinated participants were asked at wave 3 about their willingness to be vaccinated, with possible responses of willing, unwilling, or undecided. These three responses were used as the outcome variable, and multinomial logistic regression analyses were conducted with willingness to be vaccinated as the reference group. Explanatory variables included generalized trust, depression, generalized anxiety, and fear of COVID-19 both at wave 1 and 3, and sociodemographic and health-related variables. RESULTS: Of the 11,846 valid respondents, 209 (1.8%) answered that they had already been vaccinated against COVID-19, 7089 (59.8%) responded that they were willing to be vaccinated, 3498 (29.5%) responded that they were undecided, and 1053 (8.9%) responded that they were unwilling to be vaccinated. After adjusting for covariates, we found that: (1) participants with lower levels of generalized trust at wave 1 and 3 were more likely to be undecided or unwilling at wave 3; (2) respondents with moderately severe or severe depression at wave 1 and 3 were more likely to be undecided at wave 3; (3) participants with moderate or severe levels of generalized anxiety at wave 3 but not at wave 1 were more likely to be unwilling at wave 3; and (4) respondents with high levels of fear of COVID-19 at wave 1 and 3 were less likely to be undecided and unwilling at wave 3. CONCLUSIONS: Generalized trust, mental health conditions such as depression and generalized anxiety, and low level of fear of COVID-19 are associated with unwillingness or indecision regarding being vaccinated against COVID-19.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Ansiedade/epidemiologia , Depressão/epidemiologia , Depressão/prevenção & controle , Medo , Humanos , SARS-CoV-2 , Confiança
4.
J Occup Health ; 64(1): e12314, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35043512

RESUMO

OBJECTIVES: Knowledge is lacking on the interaction between fear of movement (FOM) and work-related physical and psychosocial factors in the development and persistence of musculoskeletal disorders (MSDs). METHODS: In this cross-sectional study, 305 healthcare workers from several Belgian hospitals filled out a questionnaire including sociodemographic factors, work-related factors (social support, autonomy at work, workload, and physical job demands), FOM, and MSDs for different body regions during the past year. Path analysis was performed to investigate (1) the association between the work-related factors, FOM and MSDs, and (2) the moderating role of FOM on the association between the work-related factors and MSDs among healthcare workers. RESULTS: Complaints were most frequently located at the neck-shoulder region (79.5%) and lower back (72.4%). Physical job demands (odds ratio [OR] 2.38 and 95% confidence interval [CI] 1.52-3.74), autonomy at work (OR 1.64 CI [1.07-2.49]) and FOM (OR 1.07 CI [1.01-1.14] and OR 1.12 CI [1.06-1.19]) were positively associated with MSDs. Healthcare workers who experienced high social support at work (OR 0.61 CI [0.39-0.94]) were less likely to have MSDs. Fear of movement interacted negatively with workload (OR 0.92 CI [0.87-0.97]) and autonomy at work (OR 0.94 CI [0.88-1.00]) on MSDs. CONCLUSIONS: Work-related physical and psychosocial factors as well as FOM are related to MSDs in healthcare workers. FOM is an important moderator of this relationship and should be assessed in healthcare workers in addition to work-related physical and psychosocial factors to prevent or address MSDs.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Estudos Transversais , Medo , Pessoal de Saúde , Humanos , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/epidemiologia , Fatores de Risco , Inquéritos e Questionários
5.
Int J Qual Stud Health Well-being ; 17(1): 2018773, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35012434

RESUMO

PURPOSE: The novel coronavirus disease (COVID-19) outbreak has exponentially spread across the globe and formed one of the greatest health threats in history. Pregnant women are vulnerable, and their vulnerability is amplified by the associated containment measures of the pandemic. In this study, we aim to explore and describe expectant mothers' experiences during the lockdown of COVID-19. METHOD: A qualitative descriptive design was used. Eighteen pregnant and postpartum women were recruited through purposive and snowball sampling. Semi-structured phone call interviews were conducted by a female researcher. Braun and Clarke's thematic data analysis was followed. RESULTS: Three main themes are developed: (1) Living with fears and uncertainties amid the COVID-19 pandemic, (2) Lockdown disrupting the normalcy of pregnancy, (3) Trying to control the chaos of life. Five subthemes underlined the three themes. CONCLUSION: Findings portrayed expectant mothers' uncertainties, fears, and the fragility of the healthcare systems in responding to mothers' needs during the COVID-19 pandemic. Although the pandemic has resulted in disruption of the normalcy of pregnancy, mothers sought adaptive means to protect themselves and maintain control. Governmental authorities and healthcare providers are directly responsible to maintain considerate perinatal care services for expectant mothers during lockdown and crises.


Assuntos
COVID-19 , Pandemias , Controle de Doenças Transmissíveis , Medo , Feminino , Humanos , Mães , Gravidez , Pesquisa Qualitativa , SARS-CoV-2
6.
Psicothema ; 34(1): 126-133, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35048904

RESUMO

BACKGROUND: Social anxiety is one of the most prevalent disorders among adolescents (Stein et al., 2017). The main aim of this study was to analyze the equivalence of scores on the Social Anxiety Scale for Adolescents (SAS-A) using structural equation modeling and identify differences in latent means of social anxiety in China, Spain, and the USA. METHOD: Random sampling was used to recruit participants, which included 536 Chinese (46% girls), 1,178 Spanish (55.3% girls) and 866 North American (55.1% girls) adolescents. The participants' ages ranged between 14 and 17 years old. RESULTS: The SAS-A three-factor correlated model of social anxiety remained invariant between the Spanish and North American adolescents, but results could not be replicated in the Chinese adolescents [M2 = ΔS-Bχ² (Δdf, p) = 4732.56 (36, < .01)]. Analyses of latent differences between Spain and the USA showed that Spanish adolescents had higher scores than North Americans for Fear of Negative Evaluation (TS = -9.630; d = .44) and for Social Avoidance and General Anxiety towards people (TS = -2.717; d = .12). CONCLUSIONS: The results are interpreted according to the cultural traits of individualism-collectivism and self-construal, and practical implications are discussed.


Assuntos
Ansiedade , Medo , Adolescente , Ansiedade/epidemiologia , Feminino , Humanos , Análise de Classes Latentes , Masculino , Comportamento Social , Espanha , Estados Unidos
7.
J Pediatr Orthop ; 42(1): 30-34, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34739431

RESUMO

BACKGROUND: The aim of the present study was to evaluate the effectiveness of the Bedside Entertainment and Relaxation Theater (BERT) on fear, anxiety, and pain outcomes in pediatric orthopaedic patients associated with cast removal and/or pin removal in the outpatient clinic setting. METHODS: A total of 66 pediatric patients between the ages of 2 and 6 undergoing clinic procedures were recruited for this study and randomized into the control group or the intervention (BERT) group. Patients in the control group received standard of care during the cast room procedure; patients in the BERT group were given headphones and watched a movie on a projector during the procedure. Fear, anxiety, and pain were measured before and after the procedure. Procedures included cast removal, pin removal, or a combination of the 2. RESULTS: Patients in the BERT group reported less fear and anxiety overall after the procedure than patients in the control group (P=0.009, 0.015). Adjusting for procedure type (ie, pin removal), patients in the BERT group reported a 0.67 point decrease (95% confidence interval: 0.04, 1.30) on the fear scale after the procedure (P=0.039) and a 1.81 point decrease (95% confidence interval: 0.04, 3.59) on the anxiety scale associated with the procedure (P=0.045), compared with the control group. Patients and caregivers reported high satisfaction with BERT. CONCLUSION: This randomized, controlled trial demonstrates an evidence-based distraction tool that can be implemented across medical centers for pediatric patients undergoing office based orthopaedic procedures. BERT can be used to reduce fear and anxiety associated with these procedures, and increase patient and parent satisfaction. LEVEL OF EVIDENCE: Level I.


Assuntos
Ortopedia , Ansiedade/etiologia , Ansiedade/prevenção & controle , Criança , Pré-Escolar , Medo , Humanos , Pacientes Ambulatoriais , Dor
8.
Oral Maxillofac Surg Clin North Am ; 34(1): 147-155, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34602321

RESUMO

Use of topical and local anesthesia (LA) is the workhorse of all aspects of dentistry. There was a time in the past when dentistry was performed without any local pain control. Owing to this there are patients with dental anxiety and fear of a dental office. The media portraying dentistry as being painful, or showing a dentist with needles, enlists fear and distrust of dentists. In contrast, pain is what brings the patient to the dental office and with local pain control measures a dentist is able to alleviate the patient's cause of pain.


Assuntos
Anestesia Dentária , Anestesia Local , Anestésicos Locais , Ansiedade ao Tratamento Odontológico , Medo , Humanos
9.
Support Care Cancer ; 30(1): 177-185, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34245359

RESUMO

PURPOSE: Breast cancer survivors are at increased risk of adverse outcomes, called late effects, years after the completion of active treatment. Late effects can significantly impair physical functioning. The current study aimed to explore breast cancer survivors' experiences of late effects, their emotional responses to existing or potential late effects and their perceived impact. METHODS: A total of 36 women treated for breast cancer in the last 10 years participated in semi-structured telephone interviews. Participant views were sought with respect to knowledge, experience, and perceived longer-term risk. A thematic analysis was conducted. RESULTS: Four themes emerged from the data: (1) late effects awareness, (2) framing and coping, (3) uncertainty and (4) management. There was a range of emotional responses to late effects; however, many participants reported being unaware of their risk of late effects. Participants conceptualised late effects as any long-term effect of treatment regardless of the time of onset. Women reported living with constant uncertainty and feared cancer recurrence. Many were focused on managing long-term treatment side effects, rather than late effects. CONCLUSION: Many women undergo treatment and remain unaware of associated late effect risks. National guidelines recommend patients be informed about late effects; however, the results of this study suggest a gap between policy and practice. Evidence-based interventions are needed to equip women with strategies to physically and emotionally manage late effects.


Assuntos
Neoplasias da Mama , Sobreviventes de Câncer , Neoplasias da Mama/terapia , Medo , Feminino , Humanos , Recidiva Local de Neoplasia , Sobreviventes
10.
Support Care Cancer ; 30(1): 825-833, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34389907

RESUMO

PURPOSE: Ovarian cancer is the leading cause of death from female cancers in Australia with the majority of women presenting with advanced disease. The burden of caregiving is largely borne by male carers; however, little research has examined the challenges male ovarian cancer caregivers (MOCC) experience. This study aimed to explore the psychosocial wellbeing and cancer-related challenges experienced by MOCC. METHODS: A cross-sectional small-scale exploratory online survey study recruited 36 MOCC. The study questionnaire was comprised of the Generalised Anxiety Disorder Scale (GAD-7), Patient Health Questionnaire Depression Module (PHQ-9), Functional Assessment of Cancer Therapy Scale (FACT-G) Family Member, Fear of Cancer Recurrence Scale, Insomnia Severity Index (ISI), Functional Assessment of Chronic Illness Therapy Fatigue Scale (FACTIT-F) and Cancer-Related Challenges Scale (CRCS). RESULTS: The most common challenges ever experienced were worry about the future (91%), fear of metastasis (90%) and feeling worried or uncertain (88%). The most common current challenges were fear of cancer recurrence (75%), fear of metastasis (68%) and changes in sexual relationships (64%). Depression and anxiety were significantly correlated with all psychosocial variables highlighting the relationships between elements of wellbeing for MOCC. Clinical levels of fear of cancer recurrence were reported by 89% of MOCC. CONCLUSIONS: The challenges faced by MOCC are psychosocial in nature. There is a high correlation between anxiety and depression, and this coupled with the fear of disease recurrence indicates a greater need for screening of these issues, appropriate referral and development of support resources for this high-risk group of cancer carers.


Assuntos
Neoplasias Ovarianas , Tristeza , Ansiedade/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Medo , Feminino , Humanos , Masculino , Recidiva Local de Neoplasia , Transtornos Fóbicos , Inquéritos e Questionários
11.
Exp Neurol ; 347: 113896, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34662541

RESUMO

Presenilins (PS) form the active subunit of the gamma-secretase complex, which mediates the proteolytic clearance of a broad variety of type-I plasma membrane proteins. Loss-of-function mutations in PSEN1/2 genes are the leading cause of familial Alzheimer's disease (fAD). However, the PS/gamma-secretase substrates relevant for the neuronal deficits associated with a loss of PS function are not completely known. The members of the neurexin (Nrxn) family of presynaptic plasma membrane proteins are candidates to mediate aspects of the synaptic and memory deficits associated with a loss of PS function. Previous work has shown that fAD-linked PS mutants or inactivation of PS by genetic and pharmacological approaches failed to clear Nrxn C-terminal fragments (NrxnCTF), leading to its abnormal accumulation at presynaptic terminals. Here, we generated transgenic mice that selectively recreate the presynaptic accumulation of NrxnCTF in adult forebrain neurons, leaving unaltered the function of PS/gamma-secretase complex towards other substrates. Behavioral characterization identified selective impairments in NrxnCTF mice, including decreased fear-conditioning memory. Electrophysiological recordings in medial prefrontal cortex-basolateral amygdala (mPFC-BLA) of behaving mice showed normal synaptic transmission and uncovered specific defects in synaptic facilitation. These data functionally link the accumulation of NrxnCTF with defects in associative memory and short-term synaptic plasticity, pointing at impaired clearance of NrxnCTF as a new mediator in AD.


Assuntos
Aprendizagem por Associação/fisiologia , Proteínas de Ligação ao Cálcio/biossíntese , Transtornos da Memória/metabolismo , Moléculas de Adesão de Célula Nervosa/biossíntese , Plasticidade Neuronal/fisiologia , Presenilinas/biossíntese , Prosencéfalo/metabolismo , Fatores Etários , Animais , Proteínas de Ligação ao Cálcio/genética , Medo/fisiologia , Medo/psicologia , Regulação da Expressão Gênica , Humanos , Masculino , Transtornos da Memória/genética , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Camundongos Transgênicos , Moléculas de Adesão de Célula Nervosa/genética , Presenilina-1/biossíntese , Presenilina-1/genética , Presenilina-2/biossíntese , Presenilina-2/genética , Presenilinas/genética , Terminações Pré-Sinápticas/metabolismo
12.
Appetite ; 168: 105715, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34582885

RESUMO

The need to examine the associations between emotion regulation and mental health and well-being among adolescents is increasingly recognized. Adolescence is a critical time characterized by increased vulnerability towards emotional struggles and difficulties, especially related with body image and eating behaviours. Thus, it seems particularly important to analyse the processes and mechanisms underlying the relationships between several risk factors (such as the lack of early affiliative memories) and body and eating-related difficulties, in this specific developmental phase. The current study intended to examine whether early affiliative memories are significantly associated with body and eating-related difficulties (i.e., body image shame and eating psychopathology severity), and whether this association is mediated by lower feelings of social safeness and increased levels of fears of receiving compassion from others. This cross-sectional study was conducted with 231 adolescent girls from the community, aged between 12 and 18, who completed self-report measures. Data were examined through descriptive and correlational statistics, and the adequacy of the model was performed via path analysis. Path analysis results revealed that fears of receiving compassion from others and low feelings of social safeness mediated the relationship between early affiliative memories and body and eating-related difficulties. The path model accounted for the variances in the following way: 27% of feelings of social safeness; 23% of fears of receiving compassion from others; 28% of body-image shame; and 54% of eating psychopathology severity, revealing a very good fit. These findings emphasize the relevance of assessing and working on potential processes underlying the adoption of disordered body and eating attitudes and behaviours, not only but especially in female adolescents with scarce recall of early affiliative experiences with close ones.


Assuntos
Empatia , Transtornos da Alimentação e da Ingestão de Alimentos , Adolescente , Imagem Corporal , Criança , Estudos Transversais , Emoções , Medo , Feminino , Humanos , Autoimagem , Vergonha
13.
Health Soc Care Community ; 30(1): 253-263, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33894087

RESUMO

Falls impose substantial health and economic burdens on older adults. Over half of falls in older adults occur at home, with many involving bathroom areas. Limited information is available on the presence of bathroom modifications for those who experience them. Therefore, we examined factors associated with bathroom modifications among older adults with at least one fall in the United States. We analysed the nationally representative 2016 Medicare Current Beneficiary Survey Public Use File of Medicare beneficiaries aged ≥65 years with ≥1 fall (n = 2,404). A survey-weighted logistic model was used to examine associations between bathroom modifications and factors including socio-demographic characteristics, health-related conditions, and fear of falling. Among Medicare beneficiaries with ≥1 fall, 55.5% had bathroom modifications and 50.1% had repeated falls (≥2 falls). Approximately 40.2% of those with repeated falls had no bathroom modifications. In the adjusted model, non-Hispanic Blacks (odds ratio [OR] = 0.38; p < 0.001) and Hispanics (OR = 0.64; p = 0.039) had lower odds of having bathroom modifications than non-Hispanic Whites. Fear of falling and activities of daily living limitations had incremental impacts on having bathroom modifications. This study highlights the need to improve disparities in bathroom modifications for non-Hispanic Black and Hispanic Medicare beneficiaries, including those with repeated falls. With the aging population and growing number of older minorities in the United States, reducing these disparities is vital for fall prevention efforts and aging-in-place.


Assuntos
Vida Independente , Toaletes , Atividades Cotidianas , Idoso , Estudos Transversais , Medo , Humanos , Medicare , Estados Unidos
14.
Perception ; 51(1): 37-50, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34904869

RESUMO

Face mask is now a common feature in our social environment. Although face covering reduces our ability to recognize other's face identity and facial expressions, little is known about its impact on the formation of first impressions from faces. In two online experiments, we presented unfamiliar faces displaying neutral expressions with and without face masks, and participants rated the perceived approachableness, trustworthiness, attractiveness, and dominance from each face on a 9-point scale. Their anxiety levels were measured by the State-Trait Anxiety Inventory and Social Interaction Anxiety Scale. In comparison with mask-off condition, wearing face masks (mask-on) significantly increased the perceived approachableness and trustworthiness ratings, but showed little impact on increasing attractiveness or decreasing dominance ratings. Furthermore, both trait and state anxiety scores were negatively correlated with approachableness and trustworthiness ratings in both mask-off and mask-on conditions. Social anxiety scores, on the other hand, were negatively correlated with approachableness but not with trustworthiness ratings. It seems that the presence of a face mask can alter our first impressions of strangers. Although the ratings for approachableness, trustworthiness, attractiveness, and dominance were positively correlated, they appeared to be distinct constructs that were differentially influenced by face coverings and participants' anxiety types and levels.


Assuntos
Expressão Facial , Máscaras , Ansiedade , Atitude , Medo , Humanos , Confiança
15.
J Affect Disord ; 299: 483-491, 2022 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-34952107

RESUMO

BACKGROUND: Sustained fear during pregnancy has the potential to increase psychological distress and obstetric risk. This study aimed to (1) identify factors and characteristics associated with fear of COVID-19, (2) investigate the relationship between fear of COVID-19 and maternal anxiety and depression, and (3) determine the relationship between fear of COVID-19 and pregnancy outcomes. METHODS: 9251 pregnant Canadians were recruited between April - December 2020. Participants self-reported (scale of 0-100) the degree of threat they perceived from the SARS-CoV-2 virus in relation to themselves and their unborn baby. RESULTS: Mean fear scores indicated moderate to elevated concern. In multivariable linear regression, fear of COVID-19 was associated with food insecurity, ethnicity, geographic location, history of anxiety prior to pregnancy, having a chronic health condition, pre-pregnancy BMI, parity, and stage of pregnancy at study enrollment. Higher COVID-19 fear was associated with increased odds of depression, adjusted odds ratio (aOR) = 1.75, p < 0.001, 95% CI 1.66-1.85, and anxiety, aOR=2.04, p < 0.001, 95% CI 1.94-2.15). Furthermore, fear of COVID-19 was associated with a 192-gram reduction in infant birthweight, and a 6.1-day reduction in gestational age at birth. LIMITATIONS: The sample has higher education compared to the Canadian population and cannot test causal effects. CONCLUSION: This study suggests that sociodemographic, health, and obstetric factors may contribute to increased fear of COVID-19 and associated adverse psychological and pregnancy outcomes.


Assuntos
COVID-19 , Ansiedade/epidemiologia , Canadá/epidemiologia , Depressão , Medo , Feminino , Humanos , Saúde Mental , Pandemias , Gravidez , Resultado da Gravidez/epidemiologia , SARS-CoV-2 , Estresse Psicológico
16.
Int J Aging Hum Dev ; 94(1): 55-73, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34397293

RESUMO

Using a lifespan perspective, we investigated a neglected aspect of research on religion, namely, whether perceptions of growth from adversity might strengthen religious worldviews, thus accounting for feelings about one's own death in old age. A directed content analysis of in-depth interviews from 16 adults aged 65+ focused on life events, religious worldviews, and death. Findings suggested that participants' religious worldview beliefs were associated with positive reinterpretation of lifespan adversities such that stressors functioned as opportunities for spiritual growth. Participants' views of and beliefs about death were without fear, indicating the potential influence of highly individualized and deeply spiritual religious worldview beliefs on the abatement of death fear.


Assuntos
Religião , Espiritualidade , Medo , Humanos
17.
Holist Nurs Pract ; 36(1): 15-16, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34783696

RESUMO

Through a difficult encounter with a new patient, the author became immersed in the messiness of patient care and learned that goals need to be defined and hard fought. The lesson learned serves as a reminder that compassion for our patients is necessary to help understand their fears and anxieties.


Assuntos
Empatia , Vergonha , Ansiedade , Medo , Humanos
18.
Midwifery ; 104: 103188, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34749123

RESUMO

INTRODUCTION: Fear of childbirth causes significant distress and impact on women's wellbeing. It contributed to the rising trend of non-medically indicated Caesarean births worldwide. The objective of this study was to translate and validate the Chinese version of the Wijma Delivery Expectancy/Experience Questionnaire (Version A) (W-DEQ-A), which is a comprehensive instrument for the assessment of fear of childbirth among antenatal women. METHODS: The translated questionnaire was finalised after back-translation and review by an expert panel. Hong Kong Chinese women at an antenatal clinic completed the translated questionnaire, Edinburgh Postpartum Depression Scale (EPDS), and State-trait Anxiety Inventory (STAI). The reliability of the translated questionnaire was analysed using Cronbach's alpha coefficient and intraclass correlation coefficient. Convergent validity was measured by Pearson's correlation between the W-DEQ-A and STAI or EPDS scores. The subscales of the questionnaire were determined using exploratory factor analysis. RESULTS: One hundred and fifty women completed the study. The Cronbach's alpha coefficient and test-retest reliability of the Chinese version were 0.907 and 0.867, respectively. Convergent validity was demonstrated by the moderate correlation between the translated W-DEQ-A and STAI or EPDS. Exploratory factor analysis of the W-DEQ-A revealed a multi-dimensional structure with four factors: sense of isolation, moment of birth, negative emotion, and lack of positive self-evaluation. Using a standard cut-off of 85, 11.3% of women were found to suffer from fear of childbirth. CONCLUSION: The Chinese version of the Wijma Delivery Expectancy/Experience Questionnaire (Version A) is a reliable and valid instrument to measure antenatal fear of childbirth among Chinese women.


Assuntos
Medo , Parto , China , Feminino , Humanos , Gravidez , Reprodutibilidade dos Testes , Inquéritos e Questionários
19.
J Affect Disord ; 298(Pt A): 316-321, 2022 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-34763031

RESUMO

BACKGROUND: Aversive mental images of contracting or having a severe disease are assumed to contribute to the development and maintenance of health anxiety (HA) via the elicitation of fear, arousal and defensive mobilization. The current COVID-19 pandemic is known to trigger fears of contracting COVID-19. METHODS: In this study, we used an experimental approach to investigate whether COVID-19-related mental images lead to a fearful response and whether this is associated with levels of HA. 139 participants vividly imagined neutral, standard fear and COVID-19 related narrative scenes. RESULTS: Standard fear and COVID-19 scripts prompted higher anxiety, arousal, displeasure and avoidance tendencies as compared to neutral scripts. HA was associated with higher anxiety, arousal, displeasure, imagery vividness and stronger avoidance tendencies during imagery of COVID-19 scenes. No associations were found for anxiety sensitivity, trait anxiety as well as depressive and anxiety symptoms. Moreover, there was no association of HA with emotional responses during imagery of standard fear scenes. LIMITATIONS: Fear responses were assessed via verbal reports. Future studies should also assess behavioral and physiological correlates of fear. CONCLUSIONS: The present results indicate that individuals with high levels of HA are prone to fearful mental imagery of contracting COVID-19 which might be crucial factor contributing to the exacerbation and chronicity of excessive HA in times of a pandemic.


Assuntos
COVID-19 , Ansiedade , Medo , Humanos , Pandemias , SARS-CoV-2
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...