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Paediatr Respir Rev ; 39: 16-21, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34229965


The disruption of daily life resulting from COVID-19 and its precautions has taken an enormous emotional toll on children and families. The consequences of disrupted schooling, changed social interactions and altered family dynamics has had some unanticipated positives such as improved on-line educational upskilling and personal resilience. However, the potential longer term implications for educational outcomes, economic impacts of job loss and prolonged financial insecurity, physical wellbeing and mental health remain unclear. The potential for post-traumatic stress disorders from what is experienced by children with imposed isolation from friends and extended family, domestic violence and death of relatives remains concerning. Confronting images and stories relayed through social media and the popular press will challenge children's views of safety, security, trust and potentially rob them of much of the innocence of youth. In an overwhelming global response to the "adult" problems of the COVID-19 pandemic, this article reflects on the consequences of trauma, loss and grief through the perspective of children and how they may alter their view of the world.

Luto , COVID-19/psicologia , Pesar , Pneumonia Viral/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adaptação Psicológica , Adolescente , COVID-19/epidemiologia , Criança , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Quarentena/psicologia , Resiliência Psicológica , SARS-CoV-2
Healthc Policy ; 16(4): 17-24, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34129475


Increased alcohol consumption among Canadians during the COVID-19 pandemic will impact our health systems in the short and longer term, through increased hospitalizations due to alcohol-related illness, addiction, violence and accidents. The increased stress due to involuntary unemployment, confinement and boredom during the pandemic has led to an escalation in alcohol use. It is imperative that policy makers recognize and address the inherently conflicting roles of provincial/territorial governments as regulators/retailers of alcohol and funders of healthcare and prioritize the development and implementation of an evidence-based framework to mitigate the increased population health risks of alcohol-related harms.

Consumo de Bebidas Alcoólicas/epidemiologia , Consumo de Bebidas Alcoólicas/psicologia , COVID-19/epidemiologia , COVID-19/psicologia , Política de Saúde , Liderança , Fatores Etários , Canadá/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Pneumonia Viral/virologia , Fatores de Risco , SARS-CoV-2 , Fatores Sexuais
Soc Work Public Health ; 36(4): 474-485, 2021 05 19.
Artigo em Inglês | MEDLINE | ID: mdl-33866952


This study explores the risk perceptions and behavioral responses of university academics and students toward the COVID-19 pandemic. All universities in Iraqi Kurdistan were invited to take part in a self-administered online survey; 976 individuals ultimately completed it. The survey included eight main questions about personal risk perception and behavioral response to COVID-19 based on a five- or nine-point ordinal scale. A high percentage of the respondents perceived it as highly unlikely they were at risk of getting infection (26.9%), serious illness (29.7%), and death (41.7%). The percentage of the respondents who applied protective measures frequently or always was high for most protective behavior types, except for wearing masks, wearing gloves, and avoiding touching the face. There was a significant (P < .001) weak positive correlation between risk perception and protective behaviors. The respondents followed protective behavior measures reasonably, but the frequency of undertaking some important protective behaviors was relatively low.

COVID-19/prevenção & controle , COVID-19/psicologia , Docentes/psicologia , Comportamentos Relacionados com a Saúde , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Estudantes/psicologia , Adulto , COVID-19/epidemiologia , Feminino , Humanos , Iraque/epidemiologia , Masculino , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , SARS-CoV-2 , Inquéritos e Questionários , Universidades
Artigo em Espanhol | IBECS | ID: ibc-202164


En el presente artículo se realiza una reflexión sobre las dife­rentes miradas que se han puesto sobre la adolescencia en tiempos de pandemia, desde un enfoque contextual amplio, abordando aspectos psicológicos, emocionales, relacionales y culturales, poniendo el protagonismo en la vivencia del cuerpo en la era digital. Observar la adolescencia implica utilizar un gran angular para entender lo que hay en juego en las interrelaciones con el mundo adulto y cómo ambos mundos -el adolescente y el adulto- se influyen y se superponen en un juego de espejos. Una realidad que interpela a los adultos a posicionarse de forma adecuada para dar paso a una generación que necesita de alguna referencia estable para un buen desa­rrollo psíquico y emocional

This article reflects on the different views on adolescence in times of pandemic, from a broad contextual approach, addressing psychological, emotional, relational, and cultural aspects, focusing on the experience of t00 he body in the digital era. Observing adolescence implies using a wide-angle lens to understand what is at stake in interrelations with the adult world and how both worlds - the adolescent and the adult - influence, and overlap in a game of mirrors. A reality that challenges adults to position themselves appropriately to give way to a generation that needs some stable reference for a good psychic and emotional development

En el present article, es realitza una reflexió sobre les diferents mirades que s'han posat sobre l'adolescència en temps de pandèmia, des d'un enfocament contextual ampli, abordant aspectes psicològics, emocionals, relacionals I culturals I posant protagonisme en la vivència del cos en l'era digital. Observar l'adolescència implica utilitzar un gran angular per entendre el que hi ha en joc en les interrelacions amb el món adult I com tots dos mons -l'adolescent I l'adult- s'influeixen I se superposen en un joc de miralls. Una realitat que interpel·la els adults a posicionar-se de forma adequada per donar pas a una genera­ció que necessita d'alguna referència estable per a un bon desenvolupament psíquic I emocional

Humanos , Adolescente , Comportamento do Adolescente/psicologia , Pandemias , Corpo Humano , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Betacoronavirus , Quarentena/psicologia
Int. j. clin. health psychol. (Internet) ; 21(1): 196-196, ene.-abr. 2021. graf, tab
Artigo em Inglês | IBECS | ID: ibc-194177


INTRODUCTION: COVID-19 pandemic, declared on March 11, 2020, constitute an extraordinary health, social and economic global challenge. The impact on people's mental health is expected to be high. This paper sought to systematically review community-based studies on depression conducted during the COVID-19 and estimate the pooled prevalence of depression. METHOD: We searched for cross-sectional, community-based studies listed on PubMed or Web of Science from January 1, 2020 to May 8, 2020 that reported prevalence of depression. A random effect model was used to estimate the pooled proportion of depression. RESULTS: A total of 12 studies were included in the meta-analysis, with prevalence rates of depression ranging from 7.45% to 48.30%. The pooled prevalence of depression was 25% (95% CI: 18%−33%), with significant heterogeneity between studies (I2=99.60%, p<.001). CONCLUSIONS: Compared with a global estimated prevalence of depression of 3.44% in 2017, our pooled prevalence of 25% appears to be 7 times higher, thus suggesting an important impact of the COVID-19 outbreak on people's mental health. Addressing mental health during and after this global health crisis should be placed into the international and national public health agenda to improve citizens' wellbeing

INTRODUCCIÓN: La pandemia de COVID-19, declarada el 11 de marzo de 2020, representa un reto global extraordinario a nivel sanitario, social y económico. Se espera un impacto alto en la salud mental de las personas. Este artículo tiene como objetivo realizar una revisión sistemática de estudios transversales basados en muestras comunitarias que proporcionaban la prevalencia de depresión durante la crisis del COVID-19. MÉTODO: Se realizó una búsqueda de estudios comunitarios publicados en Pubmed y Web of Science desde el 1 de enero del 2020 al 8 de mayo del 2020 y que informaron sobre la prevalencia de depresión. Se usó un modelo de efectos aleatorios para estimar la proporción agrupada de depresión. RESULTADOS: Un total de 12 estudios fueron incluidos en el meta-análisis, con prevalencias de depresión que oscilaban entre 7,45% y 48,30%. La prevalencia agrupada de depresión fue de 25% (95% CI: 18%-33%), con heterogeneidad significativa entre estudios (I2 = 99,60%, p < 0,001). CONCLUSIONES: En comparación con una estimación global de depresión en 2017 del 3,44%, nuestra prevalencia agrupada del 25% es 7 veces mayor, sugiriendo un impacto importante del brote de COVID-19 en la salud mental de las personas. El abordaje de la salud mental durante y después de esta crisis global sanitaria debe ser parte de las agendas de salud pública nacionales e internacionales para mejorar el bienestar de los ciudadanos

Humanos , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Depressão/psicologia , Depressão/epidemiologia , Pandemias , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Prevalência
Int. j. clin. health psychol. (Internet) ; 21(1): 198-198, ene.-abr. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-194909


BACKGROUND/OBJECTIVE: The objective of the study was to elucidate the underlying mechanism through which basic personality dimensions predict indicators of psychological functioning during the COVID-19 pandemic, including subjective well-being and perceived stress. As a personality characteristic highly contextualized in stressful circumstances, resilience was expected to have a mediating role in this relationship. METHOD: A sample of 2,722 Slovene adults, aged from 18 to 82 years filled in the Big Five Inventory, the Connor-Davidson Resilience Scale, the Perceived Stress Scale, and the Mental Health Continuum. A path analysis with the Bootstrap estimation procedure was performed to evaluate the mediating effect of resilience in the relationship between personality and psychological functioning. RESULTS: Resilience fully or partially mediated the relationships between all the Big Five but extraversion with subjective well-being and stress experienced at the beginning of the COVID-19 outburst. Neuroticism was the strongest predictor of less adaptive psychological functioning both directly and through diminished resilience. CONCLUSIONS: Resilience may be a major protective factor required for an adaptive response of an individual in stressful situations such as pandemic and the associated lockdown

ANTECEDENTES/OBJETIVO: El objetivo fue dilucidar el mecanismo subyacente a través del cual las dimensiones básicas de la personalidad predicen indicadores del funcionamiento psicológico durante la pandemia de COVID-19, incluido el bienestar subjetivo y el estrés percibido. Como característica de la personalidad altamente contextualizada en circunstancias estresantes, se esperaba que la resiliencia tuviera un papel mediador en esta relación. MÉTODO: Una muestra de 2.722 adultos eslovenos (18-82 años), completó el Big Five Inventory, la Connor-Davidson Resilience Scale, la Perceived Stress Scale y el Mental Health Continuum. Se realizó un análisis de ruta con el procedimiento de estimación Bootstrap para evaluar el efecto mediador de la resiliencia en la relación entre la personalidad y el funcionamiento psicológico. RESULTADOS: La resiliencia medió total o parcialmente las relaciones entre los Cinco Grandes, y la extraversión con bienestar subjetivo y el estrés experimentado, al comienzo del estallido de COVID-19. El neuroticismo fue el predictor más fuerte de un funcionamiento psicológico menos adaptativo, tanto directamente como a través de la disminución de la capacidad de resiliencia. CONCLUSIONES: La resiliencia puede ser un factor de protección importante y requerido para una respuesta adaptativa de un individuo en situaciones estresantes como la pandemia y el confinamiento asociado

Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Resiliência Psicológica , Personalidade/fisiologia , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Pandemias , Inventário de Personalidade/normas , Psicometria/métodos , Neuroticismo/fisiologia
Multimedia | Recursos Multimídia | ID: multimedia-8397


Conheça a Plataforma Cidades Contra COVID-19​​, com peças de comunicação que reforçam a importância de medidas de prevenção contra a doença e a relevância da vacinação. O material pode ser usado livremente:​​

Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Saúde Mental , Pandemias/prevenção & controle
BMJ Glob Health ; 6(3)2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33753401


BACKGROUND: We characterised the impact of COVID-19 on the socioeconomic conditions, access to gender affirmation services and mental health outcomes in a sample of global transgender (trans) and non-binary populations. METHODS: Between 16 April 2020 and 3 August 2020, we conducted a cross-sectional survey with a global sample of trans and non-binary people (n=849) through an online social networking app. We conducted structural equational modelling procedures to determine direct, indirect and overall effects between poor mental health (ie, depression and anxiety) and latent variables across socioecological levels: social (ie, reduction in gender affirming services, socioeconomic loss impact) and environmental factors (ie, COVID-19 pandemic environment). RESULTS: Anxiety (45.82%) and depression (50.88%) in this sample were prevalent and directly linked to COVID-19 pandemic environment. Adjusted for gender identity, age, migrant status, region, education and level of socioeconomic status, our final model showed significant positive associations between relationships of (1) COVID-19 pandemic environment and socioeconomic loss impact (ß=0.62, p<0.001), (2) socioeconomic loss impact and reduction in gender affirming services (ß=0.24, p<0.05) and (3) reduction in gender affirming services and poor mental health (ß=0.19, p<0.05). Moreover, socioeconomic loss impact and reduction in gender affirming services were found to be partial mediators in this model. CONCLUSION: The study results supported the importance of bolstering access to gender affirming services and strengthening socioeconomic opportunities and programmatic support to buffer the impact of COVID-19 pandemic environment on poor mental health among trans and non-binary communities globally.

COVID-19/economia , COVID-19/psicologia , Transtornos Mentais/epidemiologia , Pandemias/economia , Pessoas Transgênero/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Análise de Classes Latentes , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/economia , Pneumonia Viral/psicologia , Pneumonia Viral/virologia , Prevalência , SARS-CoV-2 , Mídias Sociais , Fatores Socioeconômicos
Psicothema (Oviedo) ; 33(1): 125-130, feb. 2021. tab
Artigo em Inglês | IBECS | ID: ibc-196951


BACKGROUND: Despite being necessary to delay the spread of COVID-19, home confinement could have affected the emotional well-being of children and adolescents. Knowing which variables are involved in anxiety and depressive symptoms could help to prevent young people's psychological problems related to lockdown as early as possible. This cross-sectional study aims to examine anxiety and depressive symptomatology in Italian, Spanish, and Portuguese children and adolescents in order to determine which variables are related to poorer well-being during the pandemic. METHOD: The parents of 515 children, aged 3-18 years old, completed an online survey. Children's anxiety symptoms were assessed using the Spence Children's Anxiety Scale-Parent Version, and depressive symptoms were measured with the Short Mood and Feelings Questionnaire-Parent Version. RESULTS: We found differences in anxiety and depression between countries, with higher anxiety scores in Spanish children, and higher depression scores in Spanish and Italian children compared to the Portuguese. Anxiety and depressive symptoms were more likely in children whose parents reported higher levels of stress. CONCLUSIONS: These findings are discussed in the light of detecting and supporting affected children as early as possible

ANTECEDENTES: a pesar de ser necesario para retrasar la propagación del COVID-19, el confinamiento podría haber afectado al bienestar emocional de niños y adolescentes. Conocer qué variables están involucradas en la ansiedad y depresión podría ayudar a prevenir en los niños los problemas psicológicos asociados al confinamiento lo antes posible. Este estudio transversal tiene como objetivo examinar la sintomatología ansiosa y depresiva en niños y adolescentes italianos, españoles y portugueses, para detectar qué variables están relacionadas con un peor bienestar durante la pandemia. MÉTODO: los padres de 515 niños de 3 a 18 años completaron una evaluación online. Los síntomas de ansiedad de los niños se evaluaron con la Spence Children's Anxiety Scale-Parent Version, y los síntomas depresivos con el Short Mood and Feelings Questionnaire-Parent Version. RESULTADOS: se hallaron diferencias en la ansiedad y la depresión entre países, con mayor ansiedad en los niños españoles, y mayor sintomatología depresiva en los niños españoles e italianos, en comparación con los portugueses. Los síntomas de ansiedad y depresión eran más probables en niños cuyos padres informaron de un mayor nivel de estrés. CONCLUSIONES: estos hallazgos se discuten con el propósito de detectar y apoyar a los niños afectados lo antes posible

Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Pandemias , Ansiedade/psicologia , Depressão/psicologia , Quarentena/psicologia , Comparação Transcultural , Inquéritos e Questionários
Psicothema (Oviedo) ; 33(1): 111-117, feb. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-196952


BACKGROUND: In March 2020, the Spanish government established an official lockdown across the country in response to the COVID-19 pandemic and confined the population to their homes, restricting their mobility. The objectives of the study are twofold: a) to examine dose-response relationships between physical activity (PA) components (volume, intensity, frequency, duration) and depressive symptoms of the population during confinement, and b) to identify the optimal levels of PA to mitigate notable depressive symptoms (NDS). METHODS: 4,811 (2,952 women) Spanish citizens, age range 16-92 years, completed an online questionnaire (snowball sampling) to measure their levels of depressive symptoms, PA, and various anthropometric and sociometric variables. Volume (METs-min/week), frequency (days/week), and duration (hours) were examined using logistic regressions with restricted cubic splines. RESULTS: The PA components were inversely associated with NDS. Performing at least 477 METs-min/week was associated with a 33% decrease in probability of NDS, and reaching 3,000 METs-min/week was associated with the lowest risk of NDS (47%). As for frequency, with 10 times/week the probability of NDS was 56% lower. At 10 hours of weekly practice, the probability of NDS was 39% lower. CONCLUSIONS: A range and optimal amount of PA is suggested to reduce the appearance of SDN during confinement

ANTECEDENTES: en marzo de 2020 el gobierno español decretó el estado de alarma debido a la pandemia por COVID-19 y confinó a la población. Los objetivos son dos: a) examinar las relaciones dosis-respuesta entre los componentes de actividad física (AF: volumen, intensidad, frecuencia y duración) y los síntomas depresivos de la población durante el confinamiento, y b) identificar los niveles óptimos de AF para mitigar los síntomas depresivos notables (SDN). MÉTODO: 4.811 (2.952 mujeres) ciudadanos de España, de 16 a 92 años respondieron a un cuestionario on line (muestreo de bola de nieve) para medir sus niveles de síntomas depresivos, AF, y variables antropométricas y sociométricas. El volumen (METs-min/sem), la frecuencia (días/sem) y la duración (horas) se examinaron mediante regresiones logísticas con splines cúbicas restringidas. RESULTADOS: los componentes de AF se asociaron inversamente con las probabilidades de SDN. La realización de 477 METs-min/sem se asoció con una disminución del 33% en las probabilidades de SDN, y alcanzar 3.000 METs-min/sem se asoció con el menor riesgo de SDN (47%). En cuanto a frecuencia, con 10 días/sem las probabilidades de SDN fueron un 56% más bajas. A las 10 horas de práctica semanal, las probabilidades de SDN fueron un 39% más bajas. CONCLUSIONES: se sugiere un rango y cantidad óptima de AF para reducir la aparición de SDN en confinamiento

Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Pandemias , Quarentena/psicologia , Isolamento Social/psicologia , Atividade Motora , Depressão/prevenção & controle , Inquéritos e Questionários , Espanha
Farm. comunitarios (Internet) ; 13(1): 7-16, ene. 2021. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-196949


OBJETIVOS: evaluar la percepción de los usuarios de las farmacias sobre la repercusión de la COVID-19 en su salud al final del confinamiento y comparar los resultados con los obtenidos al inicio. MATERIAL Y MÉTODOS: estudio observacional transversal aleatorizado, en farmacias de Pontevedra y Ourense, del 10 al 25 de junio de 2020. SUJETOS: ≥ 18 años que acuden en demanda de medicamentos y/o material de protección. Procedimiento: el usuario cumplimentaba un cuestionario anónimo, depositándolo en una bandeja desinfectada diariamente. RESULTADOS: 839 encuestas. 492 (58,6 %) mujeres, edad media 54,6 (DE =1 7,4 años). 144 (17,2 %) viven solos. 771 (91,9 %) creen que la COVID-19 es más peligrosa que la gripe, 233 (27,7 %) desconocen estar en algún grupo de riesgo. 137 (16,4 %) dicen sentirse mal/muy mal con el aislamiento. Aspectos más afectados: familiar 429 (51,1 %) y emocional 377 (44,9 %). La afectación de los aspectos físico 210 (25,0 %) y laboral 183 (21,8 %) mejoraron significativamente en fase final. En 2020/21 piensan vacunarse de la gripe 376 (44,4 %), en 2019/20 lo hicieron 243 (34,4 %). 541 (64,5 %) se vacunarán frente a la COVID-19 cuando exista vacuna. Aumentan los que se vacunarán, aunque no esté financiada: 511 (60,9 %) / 280 (39,7 %). CONCLUSIONES: no ha variado significativamente la percepción sobre la peligrosidad de la COVID-19 y la repercusión en su salud. Los aspectos del bienestar más afectados siguen siendo el familiar y el emocional. Aumenta el número de los que se sintieron mal/muy mal con el confinamiento y el de mayores afectados por la soledad. Aumenta la intención de vacunarse del SARS-CoV-2, aunque no sea financiada

AIM: Assess the perception of pharmacy users about the impact of COVID-19 on their health at the end of confinement and compare the results with those obtained at the beginning. MATERIAL AND METHODS: Randomized cross-sectional observational study, in pharmacies in Pontevedra and Ourense, from 10 to 25 June 2020.Subjects: 18 years of age who come on demand for medicines and/or protective material. PROCEDURE: the user completed an anonymous questionnaire, depositing it in a daily dis-infected tray. RESULTS: 839 surveys. 492 (58,6%) women, an average age of 54.6 (DE-17.4) years. 144 (17,2%) they live alone. 771 (91,9%) COVID-19 is more dangerous than influenza, 233 (27.7%) they don't know how to be in some risk group. 137 (16,4%) say they feel bad/very bad with isolation. Most affected aspects: family 429 (51.1%) emotionally 377 (44.9%). Affecting physical aspects 210 (25.0%) 183 (21.8%) significantly improved in the final phase. In 2020/21 they plan to be vaccinated with influenza 376 (44.4%), in 2019/20 they did so 243 (34.4%). COVID-19 will be vaccinated when there is a vaccine. Those who will be vaccinated increase even if 511(60.9%)/280 (39.7%) is not funded. CONCLUSIONS: The perception of the danger of COVID-19 and the impact on its health has not changed significantly. The aspects of well-being that are most affected remain familiar and emotional. Increases the number of those who felt bad/very bad with confinement and that of adults affected by loneliness. It increases the intention to get vaccinated from SARS-CoV-2, even if it is not funded

Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Atitude Frente a Saúde , Infecções por Coronavirus , Pneumonia Viral , Pandemias , Farmácias , Percepção , Estudos Transversais , Inquéritos e Questionários , Fatores de Risco , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Quarentena , Vacinação
Aten. prim. (Barc., Ed. impr.) ; 53(1): 89-101, ene. 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-191342


En el trabajo se hace una aproximación a las características psicológicas y psicosociales que está adquiriendo la pandemia de la COVID-19 en los países de nuestro medio socio-cultural. Se discute la escasez de investigaciones al respecto y la necesaria aceptación de la incertidumbre para enfrentar la situación, tanto a nivel social, como sanitario y personal. En consecuencia, se proponen una serie de reflexiones y recomendaciones para los cuidados psicológicos de la población, los trabajadores sanitarios y la organización social basándose en: 1) La existencia de investigaciones psicológicas y psicosociales sobre temas conectados con estos y 2) En las nuevas perspectivas neurocientíficas sobre las emociones y su elaboración en situaciones de crisis

An approach is made to the psychological and psychosocial characteristics that the COVID-19 pandemic is acquiring in the countries of our socio-cultural environment. The scarcity of research in this regard and the necessary acceptance of uncertainty to face the situation, both socially, as well as health and psychological, are discussed. Consequently, a series of reflections and recommendations are proposed for the psychological care of the population, health workers and social organization based on: 1) The existence of psychological and psychosocial research into connected fields and 2) In the new neuroscientific perspectives on emotions and their elaboration in crisis situations

Humanos , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Pandemias , Atenção Primária à Saúde , Impacto Psicossocial , Sistemas de Apoio Psicossocial , Espanha/epidemiologia , Grupos de Risco , Saúde Mental
Artigo em Inglês | MEDLINE | ID: mdl-32730915


In December 2019, the first case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) infection was reported. In only few weeks it has caused a global pandemic, with mortality reaching 3.4%, mostly due to a severe pneumonia. However, the impact of SARS-CoV-2 virus on the central nervous system (CNS) and mental health outcomes remains unclear. Previous studies have demonstrated the presence of other types of coronaviruses in the brain, especially in the brainstem. There is evidence that the novel coronavirus can penetrate CNS through the olfactory or circulatory route as well as it can have an indirect impact on the brain by causing cytokine storm. There are also first reports of neurological signs in patients infected by the SARS-Cov-2. They show that COVID-19 patients have neurologic manifestations like acute cerebrovascular disease, conscious disturbance, taste and olfactory disturbances. In addition, there are studies showing that certain psychopathological symptoms might appear in infected patients, including those related to mood and psychotic disorders as well as post-traumatic stress disorder. Accumulating evidence also indicates that the pandemic might have a great impact on mental health from the global perspective, with medical workers being particularly vulnerable. In this article, we provide a review of studies investigating the impact of the SARS-CoV-2 on the CNS and mental health outcomes. We describe neurobiology of the virus, highlighting the relevance to mental disorders. Furthermore, this article summarizes the impact of the SARS-CoV-2 from the public health perspective. Finally, we present a critical appraisal of evidence and indicate future directions for studies in this field.

Infecções por Coronavirus/psicologia , Transtornos Mentais/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Betacoronavirus , Encéfalo/virologia , COVID-19 , Infecções por Coronavirus/complicações , Humanos , Transtornos Mentais/complicações , Transtornos Mentais/etiologia , Doenças do Sistema Nervoso/etiologia , Pandemias , Pneumonia Viral/complicações , SARS-CoV-2 , Resultado do Tratamento
Artigo em Espanhol | IBECS | ID: ibc-196556


OBJETIVO: Conocer las repercusiones del confinamiento por la pandemia de COVID-19 en los autocuidados de personas con enfermedades crónicas y en su salud percibida, e identificar factores para el manejo y la gestión de su enfermedad en situaciones de emergencia. MÉTODO: Estudio cualitativo realizado en marzo-abril de 2020, durante el confinamiento por la pandemia de COVID-19, en Andalucía (España), mediante grupos focales virtuales usando la herramienta telemática Zoom. Se realizaron tres grupos con 34 pacientes (17 hombres y 17 mujeres) con enfermedades crónicas: artritis, diabetes, enfermedad cardiovascular, enfermedad inflamatoria intestinal, cáncer de mama y fibromialgia. RESULTADOS: Las personas con enfermedades crónicas refirieron repercusiones del confinamiento en relación con su vivencia emocional, sus recursos de afrontamiento, la información recibida, las dificultades para el autocuidado y el contacto/acceso a los servicios sanitarios, además de sugerir aprendizajes para el futuro. Más y mejor información, formación de pacientes, colaboración directa con asociaciones de pacientes por parte de los gestores y una mejora de la accesibilidad telemática a los servicios sanitarios destacan como las principales líneas de mejora para minimizar el impacto de futuros confinamientos en el autocuidado y en la salud de las personas con enfermedades crónicas. CONCLUSIONES: Durante el confinamiento, las personas con enfermedades crónicas experimentaron dificultades más allá del riesgo de contagio: interferencias en el cuidado y en la atención sanitaria recibida. Es necesaria mayor información y más formación a los/las pacientes y mejoras en la accesibilidad a los servicios sanitarios en situaciones de crisis sanitaria

OBJECTIVE: To understand the consequences of the COVID-19 pandemic lockdown on the self-care of people living with chronic diseases and on their self-perceived health, and to identify factors that may influence the management of their disease in emergency situations. METHOD: A qualitative study conducted in 2020 (March and April) in Andalusia (Spain) during the COVID-19 pandemic lockdown, through virtual focus groups, using the Zoom telematics tool. Three virtual focus groups were conducted, including 34 patients from Andalusia with different chronic conditions such as arthritis, diabetes, cardiovascular disease, inflammatory bowel disease, breast cancer and fibromyalgia. RESULTS: People with chronic diseases reported effects of the lockdown in relation to their emotional experience, their coping resources, the information they received, the difficulties to manage self-care, and the contact or access to health services. They also suggested some lessons learned for the future. The need for more and better information, patient training, involving patient associations, and improving telematics access to health services are the main areas for improvement to minimize the impact of future quarantines on the self-care and the health of people with chronic diseases. CONCLUSIONS: Besides the risk of contracting COVID-19, the difficulties encountered by people with chronic diseases during the lockdown include interferences in the self-care and the health care received. Health crisis situations demand more information, training for patients and improvements in the health services accessibility for patients with chronic conditions

Humanos , Masculino , Feminino , Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Pandemias , Isolamento Social/psicologia , Quarentena/psicologia , Doença Crônica/psicologia , Espanha/epidemiologia , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Pesquisa Qualitativa