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1.
JAMA Netw Open ; 4(1): e2033484, 2021 01 04.
Artigo em Inglês | MEDLINE | ID: mdl-33394004

RESUMO

Importance: Violence is a significant public health problem that has become entwined with the coronavirus disease 2019 (COVID-19) pandemic. Objective: To describe individuals' concerns regarding violence in the context of the pandemic, experiences of pandemic-related unfair treatment, prevalence of and reasons for firearm acquisition, and changes in firearm storage practices due to the pandemic. Design, Setting, and Participants: This survey study used data from the 2020 California Safety and Well-being Survey, a probability-based internet survey of California adults conducted from July 14 to 27, 2020. Respondents came from the Ipsos KnowledgePanel, an online research panel with members selected using address-based sampling methods. Responses were weighted to be representative of the adult population of California. Main Outcomes and Measures: Topics included worry about violence for oneself before and during the pandemic; concern about violence for someone else due to a pandemic-related loss; experiences of unfair treatment attributed to the pandemic; firearm and ammunition acquisition due to the pandemic; and changes in firearm storage practices due to the pandemic. Results: Of 5018 invited panel members, 2870 completed the survey (completion rate, 57%). Among respondents (52.3% [95% CI, 49.5%-55.0%] women; mean [SD] age, 47.9 [16.9] years; 41.9% [95% CI, 39.3%-44.6%] White individuals), self-reported worry about violence for oneself was significantly higher during the pandemic for all violence types except mass shootings, ranging from a 2.8 percentage point increase for robbery (from 65.5% [95% CI, 62.8%-68.0%] to 68.2% [95% CI, 65.6%-70.7%]; P = .008) to a 5.6 percentage point increase for stray bullet shootings (from 44.5% [95% CI, 41.7%-47.3%] to 50.0% [47.3%-52.8%]; P < .001). The percentage of respondents concerned that someone they know might intentionally harm themselves was 13.1% (95% CI, 11.5%-15.3%). Of those, 7.5% (95% CI, 4.5%-12.2%) said it was because the other person had experienced a pandemic-related loss. An estimated 110 000 individuals (2.4% [95% CI, 1.1%-5.0%] of firearm owners in the state) acquired a firearm due to the pandemic, including 47 000 new owners (43.0% [95% CI, 14.8%-76.6%] of those who had acquired a firearm). Of owners who stored at least 1 firearm in the least secure way, 6.7% (95% CI, 2.7%-15.6%) said they had adopted this unsecure storage practice in response to the pandemic. Conclusions and Relevance: In this analysis of findings from the 2020 California Safety and Well-being Survey, the COVID-19 pandemic was associated with increases in self-reported worry about violence for oneself and others, increased firearm acquisition, and changes in firearm storage practices. Given the impulsive nature of many types of violence, short-term crisis interventions may be critical for reducing violence-related harm.


Assuntos
Ansiedade/epidemiologia , Discriminação Social/estatística & dados numéricos , Violência/psicologia , Adulto , Afro-Americanos , Ansiedade/psicologia , Americanos Asiáticos , California/epidemiologia , Comércio , Grupo com Ancestrais do Continente Europeu , Medo/psicologia , Feminino , Armas de Fogo/estatística & dados numéricos , Hispano-Americanos , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Propriedade , Polícia , Segurança , Discriminação Social/etnologia , Inquéritos e Questionários
2.
J Patient Saf ; 17(1): e35-e38, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33394882

RESUMO

BACKGROUND: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic led to a worldwide medical crisis, affecting mostly immunocompromised patients, such as cancer patients. Various cancer societies have issued recommendations regarding patients care, but few studies addressed the perception of cancer patients regarding this pandemic. OBJECTIVE: The aim of the study was to assess the perception of cancer patients regarding their health risks during this pandemic and the preventive measures taken. MATERIALS AND METHODS: An anonymous survey was conducted among cancer patients presenting for their treatment, during 10 consecutive working days, at the one-day clinic of Hotel-Dieu de France University hospital in Beirut. We evaluated their state of disease, comorbidities, precautions taken, and their concerns regarding the virus spread. RESULTS: A total of 216 patients responded with a mean age of 60 years. The majority had a good performance status (performance status = 0-1 in 79.6%), 51.4% had metastatic disease, and chemotherapy was the main therapy used (65.7%). A total of 52.3% of patients considered themselves to be at increased risk of contracting the virus. A total of 55.1% were more worried about the coronavirus rather than their disease. The priority was for the treatment of their cancer in 47.7% of the total patients studied. Of note, only 2.8% of planned one-day clinic reservations were canceled or postponed to avoid COVID-19 exposure. CONCLUSIONS: Although cancer is a disease with a high mortality rate, many patients are more concerned about the actual pandemic rather than their disease. Nevertheless, the absenteeism from their treatment sessions during the COVID-19 atmosphere was minimal.


Assuntos
Ansiedade/psicologia , Medo/psicologia , Neoplasias/psicologia , Estresse Psicológico/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Assistência Ambulatorial , Antineoplásicos/uso terapêutico , Estudos Transversais , Assistência à Saúde , Feminino , Humanos , Líbano , Masculino , Pessoa de Meia-Idade , Neoplasias/tratamento farmacológico , Neoplasias/patologia , Segurança do Paciente , Risco , Inquéritos e Questionários , Adulto Jovem
3.
Psychol Trauma ; 13(1): 9-15, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33382329

RESUMO

Objective: The coronavirus (COVID-19) pandemic represents an acute worldwide public health crisis causing an immediate disruption to every demographic group. One group significantly affected both educationally and psychosocially is college students, as they experienced an abrupt cancellation of in-person courses, were forced to leave their dormitories, and witnessed a loss of social activities. Method: This study utilizes survey data from college students in the throes of COVID-19-based home schooling collected for a Belgium-based international study including more than 134,000 participants from 28 countries around the world. Two hundred fifty-seven college students from a U.S. university participated in this study. Results: Results indicate that college students are affected by COVID-19 on several levels, including fear of themselves or others in their social network contracting the virus, apprehension about the changes in coursework delivery and unclear instructional parameters, overall loneliness, compromised motivation, and sleep disturbances, as well as anxious and depressive symptoms. Conclusions: Analyses reveal a positive relationship between academic frustrations and mental health symptoms, the latter also negatively related to trust in the government regarding the preventive measures being implemented. Worries about becoming infected were positively related to mental health symptoms and negatively related to trust in the government. Results and implications are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Desempenho Acadêmico , Saúde Mental , Estudantes/psicologia , Universidades , Adolescente , Adulto , Ansiedade/psicologia , Depressão/psicologia , Emoções/fisiologia , Medo/psicologia , Feminino , Humanos , Solidão/psicologia , Masculino , Motivação/fisiologia , Inquéritos e Questionários , Adulto Jovem
4.
Pediatr Blood Cancer ; 68(2): e28790, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33219739

RESUMO

BACKGROUND: Children with cancer were designated as clinically extremely vulnerable if they were to contract SARS-CoV-2 due to immune suppression in the early phase of the COVID-19 pandemic. Our aim was to explore experiences, information and support needs, and decision making of parents with a child with cancer in response to this phase in the United Kingdom. METHODS: Parents of a child with cancer completed a survey at a time when the UK moved into a period of 'lockdown'. An online survey was developed by the research team to capture parents' experiences, information and support needs, and decision making, using closed statements and open text boxes. Descriptive quantitative analyses and qualitative thematic content analysis were undertaken. FINDINGS: One hundred seventy-one parents/caregivers completed the survey. Eighty-five percent were worried about the virus and they were vigilant about the virus (92%) or cancer symptoms (93.4%). For two-thirds (69.6%), hospital was no longer considered a safe place. Eight overarching themes were identified related to the virus: (a) risk of infection; (b) information, guidance and advice; (c) health care provision; (d) fears and anxieties; or related to lockdown/isolation: (e) psychological and social impact; (f) keeping safe under lockdown; (g) provisions and dependence; and (h) employment and income. CONCLUSIONS: This is the first study, to the best of our knowledge, to report experiences of parents of a child with cancer during the SARS-CoV-2/COVID-19 pandemic. The majority of parents were worried about SARS-CoV-2 and transmitting the virus to their child. Hospital was no longer perceived to be a safe place, and parents were worried about suboptimal cancer care. Parents described fear and anxiety and the psychological, social and economic impact of isolation.


Assuntos
/psicologia , Cuidadores/psicologia , Neoplasias/psicologia , Pais/psicologia , Adolescente , Adulto , Idoso , Ansiedade/psicologia , Criança , Pré-Escolar , Tomada de Decisões , Medo/psicologia , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Isolamento de Pacientes/psicologia , Sistemas de Apoio Psicossocial , Reino Unido , Adulto Jovem
5.
J Psychosom Res ; 140: 110297, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33242703

RESUMO

Covid-19 pandemic, starting from Wuhan, China spread all over the world and Italy was one of the most affected countries, especially in Lombardy, where, on February 20, the first confirmed case was detected. Italian Government ordered a national lockdown on the 9 th March 2020, forcing the population to severe restrictive isolation measures. The burden on mental health of the medical emergency related to COVID19 is progressively been revealed. Takotsubo syndrome (TTS), is estimated to represent 1-3% of patients admitted with suspected STEMI, mostly affecting elderly women with emotional stress and/or acute illness preceding the presentation. Comparing patients hospitalised from February to May 2020 with those of the corresponding period in 2019 we observed a significantly increased number of TTS diagnosis in 2020 (11 patients vs 3 in 2019), especially during the first period of lockdown. The only two males were patients with COVID-19 and were the only two who died in hospital. At psychological examination all patients enrolled report to have lived a particularly stressful experience at IES-R in the last year, without presenting the symptoms of a post-traumatic stress disorder. Most patients were positive to the allostatic overload. Only one patient showed a clinical cut-off for HADS and no one for the Fear COVID-19 scale. We finally concluded that subjects with pre-pandemic psychological distress may have experienced additional psychological overload, opening the door to TTS by a series of physiological alterations as the secretion of cortisol and catecholamines, making the subject more vulnerable to the onset of TTS.


Assuntos
/psicologia , Angústia Psicológica , Cardiomiopatia de Takotsubo/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Alostase , Medo/psicologia , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Itália/epidemiologia , Masculino , Estudos Retrospectivos , Fatores de Risco , Cardiomiopatia de Takotsubo/terapia
6.
Psychol Health Med ; 26(1): 35-43, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32490689

RESUMO

The world has been under the negative effect of the COVID-19 pandemic for the last few months. While people may take many preventive behaviours to minimize the risk, very little is known about the factors that can increase preventive behaviours during the COVID-19 pandemic. This study examined the effects of vulnerability, perceived risk, and fear on preventive behaviours of COVID-19. The study used a sample of 4,536 Turkish adults (M = 30.33 ± 10.95 years) recruited from 17 March through 1 April 2020. Vulnerability, perceived risk, fear, and preventive behaviours were measured with self-rating scales. Participants mostly engaged in avoidance of public transportation and frequent handwashing as preventive behaviours. Women had a significantly higher vulnerability to, perceived risk, and fear of new coronavirus compared to men. Correlation results indicated that age, gender, education level, vulnerability, perceived risk, and fear were related to preventive behaviours. Regression results demonstrated that vulnerability, perceived risk, and fear accounted for a significant amount of variance in preventive behaviours over and above the effects of demographic variables. The results suggest that vulnerability, perceived risk, and fear can significantly increase engagement in preventive behaviours during the novel coronavirus pandemic. The results have important implications for research and practice.


Assuntos
Medo , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Adulto , Medo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Risco , Turquia
7.
PLoS One ; 15(12): e0244631, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33382804

RESUMO

Social distancing measures have been implemented in many countries to limit the spread of COVID-19. Emerging literature reveals that fear of acquiring COVID-19 has detrimental psychological ramifications. However, it seems likely that social distancing will have a further negative impact on well-being. The focus of this study was therefore to investigate whether changes in behaviour as a result of social distancing would predict changes in well-being. Participants (n = 95) rated their level of well-being as it was both during social distancing and retrospectively one month before beginning social distancing. Participants also indicated how much time they spent engaged in various activities both during social distancing and one month before social distancing and nominated how important each of these activities was for them. These measures employed scales created specifically for the present study. In addition, participants completed the Big Five Inventory-2 Extra-Short Form and the nine-item version of the Personal Optimism and Self-Efficacy Optimism Scale. We found that affectivity-both positive and negative-decreased with increased engagement in meaningful activities and that affectivity increased with increased activity in general. While both sorts of activity appear to improve some aspects of well-being, it appears that meaningful activity regulates psychological homeostasis while busyness in general does not.


Assuntos
/prevenção & controle , Medo/psicologia , Comportamento Social , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
8.
Medicine (Baltimore) ; 99(50): e23298, 2020 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-33327257

RESUMO

BACKGROUND: Good communication strategies are essential in times of crisis, such as the coronavirus pandemic. The dissemination of inaccurate information and the need for social isolation to control coronavirus disease 2019 (COVID-19) have shown a negative impact on the population, causing damage to mental health, with the appearance or worsening of symptoms of stress, fear, anxiety, and depression. Thus, the systematic review study is intended to gather evidence on the impact of information about COVID-19 on the mental health of the population. METHODS: This systematic review protocol is conducted using the guidelines of the preferred reporting items for systematic reviews and meta-analyses protocols and the Cochrane Handbook for Systematic Reviews of Interventions. The review aims to include published studies that address the exposure of the general population to information about COVID-19, through observational and experimental studies, which consider the following outcomes: fear, stress, anxiety, and depression. Thus, a comprehensive research strategy will be conducted in the following databases: PubMed / Medline, Scopus, Web of Science, EMBASE, Science Direct, CINAHL, PsycINFO and Cochrane Central Register of Controlled Trials (CENTRAL). Two independent reviewers will perform all procedures, such as study selection, data collection, and methodological evaluation. Disagreements will be forwarded to a third reviewer. RevMan 5.3 software will be used for data analysis. RESULTS: This systematic review will provide evidence of the influence of access to and consumption of media and scientific information about COVID-19 on the mental health of the population. It will consider information about the characterization of the study and the population studied, clinical and epidemiological information on mental health, and data on access to and consumption of media and scientific information. DISCUSSION: The results should inform about the consequences of communication about the new coronavirus on the emergence or worsening of psychological and psychiatric symptoms, allowing to develop strategies to achieve effective communication of information to promote the mental health of the population. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42020182918.


Assuntos
/epidemiologia , Comunicação em Saúde/métodos , Meios de Comunicação de Massa/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Ansiedade/epidemiologia , Depressão/epidemiologia , Medo/psicologia , Humanos , Pandemias , Projetos de Pesquisa , Isolamento Social , Estresse Psicológico/epidemiologia
9.
PLoS One ; 15(12): e0242994, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33301458

RESUMO

The influence of pain catastrophizing, kinesiophobia and fear-avoidance attitudes towards non-specific low-back pain has been scarcely studied in an occupational insurance provider context. The objective of this work is to ascertain the relationship between these psychosocial variables with work absence, its duration and the disability of subjects with work-related low back pain. This is a descriptive observational methodological strategy. All patients with work-related non-specific low back pain who attended to an occupational health hospital during the study period were included consecutively. Clinical variables of kinesiophobia, pain catastrophizing, fear-avoidance attitudes, disability and pain were collected; sociodemographic variables of sex, age, type of work, educational level, occupational status and duration in days of work absence were recorded. Kinesiophobia (b = 1.43, P = 0.011, r = 0.333), fear-avoidance beliefs in its global dimension (b = 0.910, P = 0.014, r = 0.321), fear-avoidance beliefs in its work dimension (b = 1.255, P = 0.016, r = 0.321) and pain catastrophizing (b = 0.997, P = 0.013, r = 0.340) show individual association with the duration of sickness absence. Kinesiophobia (b = 0.821, P = 0.011, r = 0.30) and fear-avoidance beliefs (b = 1.760, P = 0.016, r = 0.28) are associated with disability (Kinesiophobia, b = 0.880, P = 0.045, r = 0.26; Fear-avoidance beliefs, b = 0.724, P = 0.010, r = 0.34). Kinesiophobia, fear-avoidance beliefs and pain catastrophizing are related to an increase in the duration of work absence and disability in patients with back pain in an occupational insurance provider context.


Assuntos
Acidentes de Trabalho/psicologia , Catastrofização/psicologia , Medo/psicologia , Dor Lombar/psicologia , Adulto , Aprendizagem da Esquiva , Avaliação da Deficiência , Pessoas com Deficiência/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Serviços de Saúde do Trabalhador , Licença Médica/estatística & dados numéricos
10.
Asian J Psychiatr ; 54: 102365, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33271687

RESUMO

BACKGROUND: The global suicide occurrences have been aggravated because of COVID-19 crisis-related issues such as fear of infection, the financial crisis, being infected with COVID-19, loneliness, social boycott, etc. Although two studies reported about the seven dyadic suicidality cases (i.e., suicide pacts), child homicide-suicide has not been studied. CASE PRESENTATION: On 14 May, two dead bodies (i.e., a 30-years old Indian woman and her six-month-old baby) were found in a Riyadh apartment complex. The perpetrator (a person who kills the others and later commits suicide) - a trained nurse, was in search of a job. The woman's husband was recently retrenched from his technician job at a company in Madinah Airport. Her husband was admitted to a hospital with symptoms related to the COVID-19 infection four days before the suicide incidence. The 70-year-old mother-in-law alerted the neighbors after finding that the apartment is locked from inside and there was no response on knocking the doors. After this, the neighbors gathered and called the police. Police found two dead-bodies after opening the flat and suspected that the child was killed before the woman committed suicide. CONCLUSIONS: Based on the present findings, further child filicide-suicide possibilities in families with economically distressed and/or positive COVID-19 status are expected. Hence, proper financial supports, providing authentic information (COVID-19), and mental health promotional strategies are suggested for decreasing incidences of COVID-19 related infanticide-suicide cases.


Assuntos
/psicologia , Medo/psicologia , Infanticídio/psicologia , Suicídio/psicologia , Adulto , Feminino , Humanos , Lactente , Pandemias
11.
Asian J Psychiatr ; 54: 102384, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33271693

RESUMO

COVID-19 pandemic, in addition to being a global health emergency, has multiple socioeconomic and psychological ramifications. COVID-19 research and media reports have revealed a rise in fears related to contracting the virus. Though fear is a common psychological outcome during pandemics, the COVID-19 pandemic is a continuously evolving disease outbreak and has unique risk factors. Therefore, fear related to COVID-19 might manifest in not only fear and anxiety related to disease contraction and dying, but also associated sociooccupational stress. We attempt to understand the psychosocial process of the development of coronaphobia and postulate what constitutes coronaphobia, a new emerging phobia specific to COVID-19. We present a conceptual model delineating the risk factors causing coronaphobia and the underlying mechanisms, for a better understanding of its developmental process. From review of relevant research, the factors identified are, an unforeseen reality, unending uncertainties, need of acquiring new practices and avoidance behavior, loss of faith in health infrastructure, contraction of COVID-19 by head of states, cautionary statements from international bodies, and infodemia. These factors are assumed to cause interference with routine life, catastrophizing interpretation of benign symptoms, and social amplification of risk which lead to coronaphobia. The conceptualization of coronaphobia and the model will aid future research in developing psychometric measure of coronaphobia for use in clinical and research settings and design of policies and interventions for mitigating risk factors.


Assuntos
Ansiedade/psicologia , Medo/psicologia , Saúde Mental , Incerteza , Humanos , Pandemias
14.
Psychiatry Res ; 294: 113520, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33142145

RESUMO

The COVID-19 pandemic has affected physical and mental health worldwide, particularly vulnerable populations with lower social and economic status. This study explored the independent and combined effects of the COVID-19 and economy-related variables on stress and anxiety among Lebanese adults in a developing country facing a severe socio-economic crisis and political turmoil. A cross-sectional study was conducted online between May 10 and 20, 2020, using the snowball sampling technique. All individuals over 18 were eligible. The final sample included 502 respondents. Higher stress and anxiety were associated with younger age, female gender, previous higher socio-economic status, having a family member with a chronic disease, fear of not getting access to treatment, fear of COVID-19, and physical violence at home. However, financial wellness and higher family satisfaction were significantly associated with lower stress. The multivariate analysis showed a significant interaction between fear of COVID-19 and financial wellness on estimated marginal means of stress and anxiety. The combined presence of fear of the pandemic and financial hardship is associated with higher stress and anxiety, particularly among women and younger Lebanese adults with difficult home circumstances. Thus, healthcare professionals need to screen for mental health problems among subgroups presenting multiple risk factors.


Assuntos
Ansiedade/psicologia , Depressão/psicologia , Status Econômico , Medo/psicologia , Saúde Mental , Estresse Psicológico/psicologia , Adulto , Fatores Etários , Estudos Transversais , Países em Desenvolvimento , Feminino , Humanos , Masculino , Pandemias , Fatores de Risco , Fatores Sexuais , Fatores Socioeconômicos
15.
Mayo Clin Proc ; 95(11): 2487-2498, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33153636

RESUMO

In light of the coronavirus disease 2019 pandemic, we explore the role of stress, fear, and the impact of positive and negative emotions on health and disease. We then introduce strategies to help mitigate stress within the health care team, and provide a rationale for their efficacy. Additionally, we identify strategies to optimize patient care and explain their heightened importance in today's environment.


Assuntos
Infecções por Coronavirus/psicologia , Medo/psicologia , Pessoal de Saúde/psicologia , Pneumonia Viral/psicologia , Relações Profissional-Paciente , Estresse Psicológico/etiologia , Adaptação Psicológica , Ansiedade/etiologia , Ansiedade/fisiopatologia , Ansiedade/prevenção & controle , Estado Terminal , Medo/fisiologia , Saúde Global , Humanos , Relações Interpessoais , Saúde Mental , Saúde do Trabalhador , Pandemias , Resiliência Psicológica , Estresse Psicológico/fisiopatologia , Estresse Psicológico/prevenção & controle
16.
N Z Med J ; 133(1525): 96-105, 2020 11 20.
Artigo em Inglês | MEDLINE | ID: mdl-33223552

RESUMO

AIM: New Zealand's stated goal of eradicating COVID-19 included the enforcement of a national lockdown. During this time, a perceived decrease in hospital presentations nationwide was noted. This was also the experience of the Department of General Surgery, Bay of Plenty District Health Board (BOPDHB). We sought to quantify this reduction by analysing the frequency and severity of three common acute general surgical presentations; appendicitis, cholecystitis and diverticulitis. METHODS: Data on presentations of patients with appendicitis, cholecystitis and diverticulitis were retrospectively collected for the national lockdown period (25 March 2020-27 April 2020) and the immediate pre-lockdown period (21 February 2020-25 March 2020). Data collected included patient demographics, duration of symptoms, method of diagnosis, treatment, severity of disease, length of stay and complications. RESULTS: A reduction of 62.2% was noted in the frequency of appendicitis during the lockdown period compared to the pre-lockdown period. Patients presented later during lockdown and had a higher complication rate (5.4% versus 42.8%). Similarly, a 39.2% reduction in presentations of cholecystitis during lockdown was found. The lockdown group of patients had a longer length of stay (6.9 versus 4 days) and only one patient (9.1%, 1/11) was managed with laparoscopic cholecystectomy during the lockdown period, compared to 52.9% of patients (9/17) over the pre-lockdown period. No difference in frequency or severity of acute diverticulitis presentations between the two periods was found. CONCLUSIONS: The COVID-19 lockdown led to fewer presentations, but these were often delayed, with more complications and a longer length of stay. This could be partly explained by patient fear around exposure to the virus and reluctance to attend hospital. More research is needed to study the flow-on effects of the COVID-19 lockdown on surgical presentations.


Assuntos
Apendicite , Colecistite Aguda , Serviço Hospitalar de Emergência/estatística & dados numéricos , Admissão do Paciente , Procedimentos Cirúrgicos Operatórios , Apendicite/diagnóstico , Apendicite/epidemiologia , Apendicite/fisiopatologia , /prevenção & controle , Colecistite Aguda/diagnóstico , Colecistite Aguda/epidemiologia , Colecistite Aguda/fisiopatologia , Controle de Doenças Transmissíveis/métodos , Medo/psicologia , Feminino , Humanos , Tempo de Internação/tendências , Masculino , Pessoa de Meia-Idade , Nova Zelândia/epidemiologia , Admissão do Paciente/estatística & dados numéricos , Admissão do Paciente/tendências , Índice de Gravidade de Doença , Procedimentos Cirúrgicos Operatórios/métodos , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos , Tempo para o Tratamento/tendências
17.
Psychiatry Res ; 289: 113100, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-33250092

RESUMO

Mental health clinicians worldwide have been expressing concerns regarding the broad psychological effects of the COVID-19 pandemic. Nonetheless, only a few studies have thus far evaluated the degree of fear of COVID-19, partially due to the lack of validated measures. In this study we evaluated the psychometric properties of the Hebrew version of the Fear of COVID-19 scale (FCV-19S), recently developed to assess different aspects of the fear of the pandemic, in a normative population of participants in Israel. Participants (n = 639) were asked to complete the FCV-19S scale, as well as to report anxiety, depression, and stress levels using validated scales. The results a unidimensional factor structure of the FCV-19S which explained 53.71% of the variance. When forcing a two-factor structure model, the analysis revealed two factors pertaining to emotional fear reactions and symptomatic expressions of fear. Gender, sociodemographic status, chronic illness, being in an at-risk group, and having a family member dying of COVID-19 were positively associated with fear of COVID-19. The measure was associated with anxiety, stress and depression. These results suggest that the FCV-19S has good psychometric properties, and can be utilized in studies assessing the effects of the pandemic on the population's mental health.


Assuntos
Ansiedade/epidemiologia , /psicologia , Medo/psicologia , Saúde Mental/estatística & dados numéricos , Estresse Psicológico/epidemiologia , Adulto , Ansiedade/psicologia , Depressão/epidemiologia , Feminino , Humanos , Israel/epidemiologia , Masculino , Pessoa de Meia-Idade , Pandemias , Psicometria , Reprodutibilidade dos Testes , Fatores de Risco
18.
BMC Public Health ; 20(1): 1707, 2020 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-33198699

RESUMO

BACKGROUND: Despite worldwide calls for precautionary measures to combat COVID-19, the public's preventive intention still varies significantly among different regions. Exploring the influencing factors of the public's preventive intention is very important to curtail the spread of COVID-19. Previous studies have found that fear can effectively improve the public's preventive intention, but they ignore the impact of differences in cultural values. The present study examines the combined effect of fear and collectivism on the public's preventive intention towards COVID-19 through the analysis of social media big data. METHODS: The Sina microblog posts of 108,914 active users from Chinese mainland 31 provinces were downloaded. The data was retrieved from January 11 to February 21, 2020. Afterwards, we conducted a province-level analysis of the contents of downloaded posts. Three lexicons were applied to automatically recognise the scores of fear, collectivism, and preventive intention of 31 provinces. After that, a multiple regression model was established to examine the combined effect of fear and collectivism on the public's preventive intention towards COVID-19. The simple slope test and the Johnson-Neyman technique were used to test the interaction of fear and collectivism on preventive intention. RESULTS: The study reveals that: (a) both fear and collectivism can positively predict people's preventive intention and (b) there is an interaction of fear and collectivism on people's preventive intention, where fear and collectivism reduce each other's positive influence on people's preventive intention. CONCLUSION: The promotion of fear on people's preventive intention may be limited and conditional, and values of collectivism can well compensate for the promotion of fear on preventive intention. These results provide scientific inspiration on how to enhance the public's preventive intention towards COVID-19 effectively.


Assuntos
Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Medo/psicologia , Intenção , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Valores Sociais , Big Data , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia , Mídias Sociais
19.
Rev Bras Enferm ; 73(Suppl 2): e20200551, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33206819

RESUMO

OBJECTIVE: Reflect on how the new coronavirus pandemic triggered or accentuated the fear of childbirth in pregnant women and affected childbirth care practices. METHODS: Reflective analysis of women's pregnancy and childbirth experiences during the current pandemic, supported by the latest scientific evidence and recommendations on the topic. RESULTS: Pregnancy and childbirth are life-changing events for women, but during the new coronavirus pandemic, fear and uncertainty have taken on an unprecedented dimension in the negative way that many pregnant women have anticipated and experienced childbirth. FINAL CONSIDERATIONS: The current period has accentuated a chronic problem: a paternalistic system of health institutions in the approach to childbirth, dense with additional levels of fear in pregnant women. In this context, addressing the fear of childbirth means not giving up the promotion of safe and positive birth experiences for women.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Medo/psicologia , Parto/psicologia , Pneumonia Viral/epidemiologia , Gestantes/psicologia , Infecções por Coronavirus/psicologia , Feminino , Humanos , Tocologia , Obstetrícia , Pandemias , Pneumonia Viral/psicologia , Gravidez
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