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1.
BMC Psychol ; 9(1): 91, 2021 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-34078453

RESUMO

BACKGROUND: Work-related stress shows steadily increasing prevalence rates and has tangible consequences for individual workers, their organizations, and society as a whole. One mechanism that may help offset the negative outcomes of work-related stress on employees' well-being is recovery. Recovery refers to the experience of unwinding from one's job when not at work. However, employees who experience high levels of work-related stress and are thus particularly in need of recovery tend to struggle to switch-off. Due to the detrimental effects of this prolonged and sustained mental representation of job stressors, interventions promoting recovery may contribute to improvements in employees' mental health. METHODS: In this randomized, waitlist controlled trial, we will investigate the effectiveness of two 6-week online training programs (cognitive behavioral and mindfulness-based). The sample will include employees working at least part-time during regular work hours. Besides the pre-post-follow-up assessments, the trial will include measurement bursts with the goal of examining the underlying mechanisms. We expect that both interventions will reduce work-related perseverative thinking (PT) compared with the waitlist control groups (primary outcome). Also, we expect that both interventions will result in similar improvements, but the underlying mechanisms will differ (process outcomes). In the cognitive-behavioral intervention group, we expect that the main mechanism responsible for lower PT levels will be an increase in recovery experiences across time. In the mindfulness-based group, we expect that the main mechanism responsible for lower PT levels will be an increase in facets of mindfulness across time. DISCUSSION: In the present study, we will investigate mechanisms underlying assumed changes in work-related PT in great detail. Besides evaluating the overall effectiveness of the two interventions in terms of pre-post-follow-up changes, we will look at the underlying processes at different levels-that is, within days, within weeks, across weeks, and between individuals. Accordingly, our study will offer a fine-grained approach to investigating potential determinants, mediators, and moderators of the processes that may, in the end, be responsible for work-related strain. From a public health perspective, if effective, the online training programs may offer valuable, low-threshold, and low-intensity interventions for a broad range of occupations. Trial registration German Clinical Trials Registration: DRKS00024933. Registered prospectively 7 April 2021. https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00024933.


Assuntos
Terapia Cognitivo-Comportamental , Transtornos Mentais , Atenção Plena , Saúde do Trabalhador , Humanos , Saúde Mental , Ensaios Clínicos Controlados Aleatórios como Assunto
2.
BMC Psychol ; 9(1): 90, 2021 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-34078469

RESUMO

BACKGROUND: The WHO has raised concerns about the psychological consequences of the current COVID-19 pandemic, negatively affecting health across societies, cultures and age-groups. METHODS: This online survey study investigated mental health, subjective experience, and behaviour (health, learning/teaching) among university students studying in Egypt or Germany shortly after the first pandemic lockdown in May 2020. Psychological assessment included stable personality traits, self-concept and state-like psychological variables related to (a) mental health (depression, anxiety), (b) pandemic threat perception (feelings during the pandemic, perceived difficulties in describing, identifying, expressing emotions), (c) health (e.g., worries about health, bodily symptoms) and behaviour including perceived difficulties in learning. Assessment methods comprised self-report questions, standardized psychological scales, psychological questionnaires, and linguistic self-report measures. Data analysis comprised descriptive analysis of mental health, linguistic analysis of self-concept, personality and feelings, as well as correlational analysis and machine learning. N = 220 (107 women, 112 men, 1 = other) studying in Egypt or Germany provided answers to all psychological questionnaires and survey items. RESULTS: Mean state and trait anxiety scores were significantly above the cut off scores that distinguish between high versus low anxious subjects. Depressive symptoms were reported by 51.82% of the student sample, the mean score was significantly above the screening cut off score for risk of depression. Worries about health (mental and physical health) and perceived difficulties in identifying feelings, and difficulties in learning behaviour relative to before the pandemic were also significant. No negative self-concept was found in the linguistic descriptions of the participants, whereas linguistic descriptions of feelings during the pandemic revealed a negativity bias in emotion perception. Machine learning (exploratory) predicted personality from the self-report data suggesting relations between personality and subjective experience that were not captured by descriptive or correlative data analytics alone. CONCLUSION: Despite small sample sizes, this multimethod survey provides important insight into mental health of university students studying in Egypt or Germany and how they perceived the first COVID-19 pandemic lockdown in May 2020. The results should be continued with larger samples to help develop psychological interventions that support university students across countries and cultures to stay psychologically resilient during the pandemic.


Assuntos
Pandemias , Ansiedade/epidemiologia , Controle de Doenças Transmissíveis , Autoavaliação Diagnóstica , Egito/epidemiologia , Emoções , Feminino , Alemanha , Humanos , Linguística , Aprendizado de Máquina , Masculino , Saúde Mental , Autorrelato , Estudantes , Inquéritos e Questionários , Universidades
3.
Wiad Lek ; 74(5): 1147-1151, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34090281

RESUMO

OBJECTIVE: The aim: The aim of research was to determine of socio-hygienic and psychophysiological characteristics of adolescents with different levels of professional readiness at the beginning of professional education. PATIENTS AND METHODS: Materials and methods: Among 451 adolescents aged 15-18 who start vocational training were studied vocational readiness, quality of life related to health, social characteristics, self-assessment of individual psychological and physiological characteristics and needs. RESULTS: Results: Students of vocational schools have a lower (p <0.05) level of readiness to make decisions and plan future professional activities. Medical students had the highest levels of professional readiness. It was found that (57.5 ± 4.3)% of the studied adolescents did not have a clearly defined hierarchy of life spheres and terminal values. There are no significant differences in the quality of life related to health among students of different educational institutions. The highest indicators of satisfaction of basic needs were observed among students of vocational schools. The level of professional readiness of adolescents who studied in the pedagogical field had a greater impact on their physical functioning and mental health; аmong medical students - social and physical functioning, general and psychological health. CONCLUSION: Conclusions:The professional orientation of young students has a significant impact on their health-related quality of life and health-promoting behavior. Students whose behavior depends on external circumstances are a risk group for healthy lifestyle disorders, and their health-preserving behavior is more dependent on the positive impact of the educational environment.


Assuntos
Saúde do Adolescente , Educação Profissionalizante , Adolescente , Humanos , Saúde Mental , Qualidade de Vida , Instituições Acadêmicas
4.
Wiad Lek ; 74(5): 1169-1173, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34090285

RESUMO

OBJECTIVE: The aim: Scientific substantiation of the method of screening assessment of the degree of risk of prenosological changes in the state of the mental health of school-age pupils in the context of the analysis of behavioral aspects of public health. PATIENTS AND METHODS: Materials and methods: The level of neuroticism of young women and men was assessed based on the use of the Eysenck рersonality questionnaire, the level of state, trait and school anxiety - according to the Spielberger State-Trait Personality inventory and Phillips school anxiety questionnaire, the level of emotional burnout - based on the use Boiko questionnaire, the level of aggressive manifestations - according to data Bassa-Darkness questionnaire, the level of depression - based on the use data of Zung self-rating depression scale. RESULTS: Results: The method of screening the degree of risk of prenosological changes in the mental health of school-age pupils involves determining the degree of expression of neuroticism, state, trait and school anxiety, emotional burnout, aggression and depression. The obtained data are evaluated in standardized scores, which are used to calculate the integrated indicator of mental health and the integrated indicator of dynamic changes in mental health, on the basis of which the person is classified as minimal, low, moderate or high risk of mental health abnormalities. CONCLUSION: Conclusions: The proposed method is a simple and easy to use, highly informative tool for identifying adverse prenosological changes in mental health of school-age pupils in the context of analyzing the behavioral aspects of public health.


Assuntos
Saúde Mental , Saúde Pública , Ansiedade/diagnóstico , Transtornos de Ansiedade , Feminino , Humanos , Masculino , Instituições Acadêmicas
5.
BMC Psychiatry ; 21(1): 276, 2021 05 31.
Artigo em Inglês | MEDLINE | ID: mdl-34059033

RESUMO

BACKGROUND: This study aimed to compare prevalence and risk factors of somatization (SOM) between health care workers and non-health care workers during COVID-19 outbreak in China. METHODS: From 14 February to 29 March 2020, an online survey was performed in both 605 health care workers and 1151 non-health care workers. Based on the somatization dimension score of the Symptom Checklist-90, participants were divided into non-SOM group and SOM group. RESULTS: Health care workers had higher prevalence rate of SOM (p < 0.001) than non-health care workers, with an OR of 1.70 (95% CI, 1.22-2.36, p = 0.002). Multiple logistic regression analysis revealed that in non-health care workers, the risk factors of SOM included other ethnicities, insomnia, and suicide, while in health care workers, the risk factors included working 6-8 h per day, and working ≥10 h per day during COVID-19 outbreak. CONCLUSIONS: Our research suggests that both non-health care workers and health care workers have a relatively high prevalence of somatization. However, the related factors for somatization in both groups are significantly different, showing that medical service-related factors are associated with somatization in health care workers, while demographic and clinical factors are associated with somatization in non-health care workers.


Assuntos
Ansiedade , China/epidemiologia , Estudos Transversais , Depressão , Surtos de Doenças , Pessoal de Saúde , Humanos , Saúde Mental , Prevalência , Fatores de Risco , Inquéritos e Questionários
6.
BMJ Open ; 11(5): e047240, 2021 05 31.
Artigo em Inglês | MEDLINE | ID: mdl-34059514

RESUMO

INTRODUCTION: Goal planning is widely recognised as an integral part of mental health service delivery and an important element in supporting recovery. Goal planning identifies priorities for treatment through discussion and negotiation between service users and health practitioners. Goal planning enhances motivation, directs effort, and focuses the development of strategies and treatment options to improve recovery outcomes and promote service users' ownership of the recovery process. While goal planning is a common practice in mental health settings, evidence regarding its impact on treatment outcomes is lacking. This paper outlines a protocol for a systematic review that aims to explore the types of goals planned, experiences of service users and practitioners, and the effectiveness of goal planning as a mental health intervention. METHODS AND ANALYSIS: A systematic search will be conducted during March 2021 by searching Medline, CINAHL, Embase, Scopus and PsycINFO electronic databases to answer the following questions: (1) What types of goals are being developed within mental healthcare?; (2) What is the evidence for the effectiveness of goal planning on health and well-being for mental health service users?; (3) What are the experiences of mental health service users and their treating healthcare practitioners in relation to goal planning?; and (4) What are the barriers and facilitators to effective goal planning in mental health settings? Two independent researchers will screen the articles, selecting literature that meets criteria. All literature, regardless of study design that involves adult participants, with a mental illness and reporting on goal planning will be considered for inclusion. Data will be extracted from all eligible articles regardless of study design and summarised in a table. Appropriate quality assessment and data synthesis methods will be determined based on included study designs. ETHICS AND DISSEMINATION: No ethics approval is required. The results will be disseminated through peer-reviewed publications and conference presentations. PROSPERO REGISTRATION NUMBER: CRD42020220595.


Assuntos
Transtornos Mentais , Serviços de Saúde Mental , Adulto , Objetivos , Humanos , Transtornos Mentais/terapia , Saúde Mental , Motivação , Projetos de Pesquisa
7.
Artigo em Inglês | MEDLINE | ID: mdl-34064973

RESUMO

Despite older adults' extremely high vulnerability to COVID-19 complications and death, few studies have examined how personal characteristics and the COVID-19 pandemic have impacted the mental health of older adults at the global level. The purpose of this study was to examine the relationships among demographics, COVID-19 life impacts, and depression and anxiety in adults aged 60 and older from 33 countries. A sample of 823 older adults aged 60-94 and residing in 33 countries completed a 10-min online survey following recruitment from mailing lists and social media. Being separated from and having conflicts with loved ones predicted both anxiety and depression, as did residing in a country with higher income. Getting medical treatment for severe symptoms of COVID-19 and having decreased work responsibilities predicted depression, but adjustment to working from home and younger age predicted both depression and anxiety. Participants from Europe and Central Asia reported higher depression than those from all other regions and higher anxiety than those from Latin America and the Caribbean. The COVID-19 pandemic has had serious deleterious effects on the mental health of older adults worldwide. The current findings have direct implications for mental health services that may be delivered to older adults to help facilitate healthy psychological adjustment.


Assuntos
Pandemias , Idoso , Ansiedade/epidemiologia , Região do Caribe , Estudos Transversais , Depressão/epidemiologia , Europa (Continente) , Humanos , Saúde Mental , Pessoa de Meia-Idade
8.
Artigo em Inglês | MEDLINE | ID: mdl-34065093

RESUMO

After a decrease in detected cases in the summer, Europe faced the emergence of a second wave of coronavirus disease 19 (COVID-19). Few studies have investigated adolescents, who may constitute a target group with possible lower compliance to public health measures, particularly the social distancing measures. A total sample of 492 participants was included in the study, and the ages of the participants ranged from 18-24 years. According to the hypothesis of our study, the sample was divided into two groups: those who experienced COVID-19 symptoms and those who did not experience COVID-19 symptoms. Demographic characteristics, knowledge, perceptions, and behaviors related to COVID-19 were investigated with ad hoc items; in addition, mood disorders, self-efficacy, and social connectedness were explored. Our results showed significant differences in the variables of risk perception, self-efficacy, and measures of belongingness among older adolescents who did or did not experience COVID-19 symptoms. In this period, adolescents experienced unprecedented disruptions in their daily lives, leading them to isolation and loneliness. Compliance with restrictive measures is considered both a proactive behavior and a social responsibility, especially if supported by prosocial reasons to prevent others from getting sick; therefore, this must be the focus of raising awareness of anti-COVID-19 compliance among adolescents.


Assuntos
Saúde Mental , Adolescente , Adulto , Europa (Continente) , Humanos , Percepção , Isolamento Social , Adulto Jovem
9.
Sensors (Basel) ; 21(10)2021 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-34065620

RESUMO

Recently, there has been an increase in the production of devices to monitor mental health and stress as means for expediting detection, and subsequent management of these conditions. The objective of this review is to identify and critically appraise the most recent smart devices and wearable technologies used to identify depression, anxiety, and stress, and the physiological process(es) linked to their detection. The MEDLINE, CINAHL, Cochrane Central, and PsycINFO databases were used to identify studies which utilised smart devices and wearable technologies to detect or monitor anxiety, depression, or stress. The included articles that assessed stress and anxiety unanimously used heart rate variability (HRV) parameters for detection of anxiety and stress, with the latter better detected by HRV and electroencephalogram (EGG) together. Electrodermal activity was used in recent studies, with high accuracy for stress detection; however, with questionable reliability. Depression was found to be largely detected using specific EEG signatures; however, devices detecting depression using EEG are not currently available on the market. This systematic review highlights that average heart rate used by many commercially available smart devices is not as accurate in the detection of stress and anxiety compared with heart rate variability, electrodermal activity, and possibly respiratory rate.


Assuntos
Saúde Mental , Dispositivos Eletrônicos Vestíveis , Frequência Cardíaca , Monitorização Fisiológica , Reprodutibilidade dos Testes
10.
Artigo em Inglês | MEDLINE | ID: mdl-34067315

RESUMO

The purpose of this study was to examine the severity of post-traumatic stress disorder (PTSD) symptoms related to the COVID-19 pandemic in people with no diagnosis of mental illness, as well as in people who were diagnosed with depression or anxiety. Moreover, this study aimed to investigate the interplay between PTSD symptoms and self-assessed mental health associated with well-being. The 210 participants were divided into 3 groups: mentally healthy, participants with diagnosed depression, and participants with anxiety disorders. To evaluate the subjective well-being of the participants, the Polish adaptation of the Mental Health Continuum-Short Form (MHC-SF) was applied. The Impact Event Scale-Revised (IES-R) was used to measure the severity of PTSD symptoms. At least a moderate worsening of PTSD symptoms was observed in participants of all groups. The results were as follows: healthy participants M = 37.35 (SD = 18.46); participants with depression M = 36.05 (SD = 18.02); participants with anxiety M = 44.52 (SD = 18.08). The participants diagnosed with depression showed the lowest level of mental well-being M = 41.58 (SD = 15.02). Conclusion: People diagnosed with depression had both the lowest level of well-being and the lowest severity of symptoms specific to PTSD. In all three groups, lower emotional well-being was linked to greater PTSD symptoms.


Assuntos
Transtornos de Estresse Pós-Traumáticos , Ansiedade/epidemiologia , Transtornos de Ansiedade/epidemiologia , Depressão/epidemiologia , Humanos , Saúde Mental , Pandemias , Polônia/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia
11.
Artigo em Inglês | MEDLINE | ID: mdl-34073187

RESUMO

COVID-19 and subsequent social distancing guidelines have changed many aspects of people's daily lives including the way that they interact within their social environment. Pandemics are inherently social phenomena, and public health measures intended to curtail transmission of COVID-19 (e.g., quarantine and social distancing) have consequences for individuals with anxiety and depression. Using qualitative methods, respondents with previously diagnosed anxiety or depression identified ways in which COVID-19 affected their symptoms at multiple levels of the social ecological model (SEM). Key themes reported were organized following the SEM. Emergent themes at the individual level are isolation/loneliness, fear of contracting COVID-19, and uncertainty about the future. Themes at the interpersonal level are: fears of family contracting COVID-19, separation from family members, and domestic relationships. Themes at the level of community and societal stressors are: employment, community and societal systems, media, and the COVID-19 pandemic. Our findings demonstrate the ways that mental health, physical health/safety, and social environments are interrelated in the experience of COVID-19 for individuals diagnosed with anxiety or depression. These findings make a significant contribution to the literature as this is the first article to document mental health stressors related to the COVID-19 pandemic among individuals with diagnosed anxiety and depressive disorders.


Assuntos
Pandemias , Ansiedade/epidemiologia , Depressão/epidemiologia , Humanos , Saúde Mental
12.
Zh Nevrol Psikhiatr Im S S Korsakova ; 121(4. Vyp. 2): 49-54, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34078860

RESUMO

PURPOSE OF THE STUDY: To study the prevalence of anxiety-depressive disorders and sleep disorders in their structure among patients hospitalized in connection with COVID-19, as well as to develop differentiated recommendations for their therapy in patients with new coronavirus infection. MATERIAL AND METHODS: In this publication, the authors present preliminary results of their own observations of psychoemotional disorders and sleep disorders in their structure in patients with a new coronavirus infection. We analyzed the data of 119 patients (aged 47 to 69 years, male and female), conducted a detailed interview, including using telemedicine technologies, and assessed the scales: The hospital Anxiety and Depression Scale (HADS), subjective the asthenia rating scale (MFI-20, Multidimensional Fatigue Inventory) and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. RESULTS: According to the results of the HADS questionnaire, clinically pronounced anxiety-depressive symptoms were observed in 33 (28%) patients of 119 hospitalized in connection with the diagnosis of COVID-19. Of them, only clinically significant anxiety was recorded in 11% of cases (n=13), in 5 (4%) patients - clinically significant depression, an increase in both subscales of anxiety and depression - in 13% (n=15). An increase in the MFI-20 scale (more than 20 points) was found in 87 (73%) patients, sleep disorders in accordance with the PSQI questionnaire was recorded in 32 (27%) patients. CONCLUSION: According to the results of the study, it was noted that in most patients with COVID-19, along with a depressive symptom complex, anxiety and hypochondriacal disorders, an asthenic symptom complex, sleep disturbances with difficulty falling asleep, and dissatisfaction with the quality of sleep are recorded. Differentiated recommendations for the treatment of the studied conditions have been developed, taking into account the side effects of the prescribed drugs, drug interactions and the characteristics of the somatic status of patients. The choice of the drug should be based on the severity of the violations identified.


Assuntos
Transtornos do Sono-Vigília , Ansiedade/epidemiologia , Depressão/diagnóstico , Depressão/epidemiologia , Feminino , Humanos , Masculino , Saúde Mental , Sono , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/epidemiologia
13.
Dan Med J ; 68(6)2021 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-34060459

RESUMO

INTRODUCTION: During the first wave of the COVID-19 pandemic, it was established that otorhinolaryngologists were at a high risk of contracting the infection due to examinations of the upper airways. The aim of this study was to evaluate the impact of the COVID-19 pandemic on mental health among healthcare workers (HCWs) in primary ear-nose-throat (ENT) practices. METHODS: This was a cross-sectional questionnaire study among HCWs assessing symptoms of anxiety (Generalized Anxiety Disorder, ten-item scale) and depression (Patients Health Questionnaire, nine-item scale). The survey targeted otolaryngologists and staff in primary private practices in the Capital Region of Denmark during the COVID-19 lock-down in May 2020. RESULTS: For 30% of the participants, signs were observed of depressive symptoms and 13% had signs of anxiety symptoms. Seventy percent felt sufficiently protected by their available personal protective equipment. Fifty-two percent worried about becoming infected in relation to their work and 56% feared infecting their families. CONCLUSIONS: HCWs in Danish primary ENT practices did not display extraordinary stress reactions during the first wave of the pandemic. Noticeably, participants were concerned about acquiring the infection or transmitting it to their household. FUNDING: none. TRIAL REGISTRATION: not relevant.


Assuntos
/psicologia , Pessoal de Saúde/psicologia , Saúde Mental , Otolaringologia , Pessoal Administrativo/psicologia , Instituições de Assistência Ambulatorial , Ansiedade/etiologia , Estudos Transversais , Depressão/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Otorrinolaringologistas/psicologia , Equipamento de Proteção Individual , Prática Privada , Escalas de Graduação Psiquiátrica , Inquéritos e Questionários
14.
Artigo em Inglês | MEDLINE | ID: mdl-34063421

RESUMO

During the last year, the COVID-19 outbreak put all the healthcare workers around the world at risk of physical and psychological sequelae. The general purpose of the present study was to assess the mental health of Italian healthcare workers during the COVID-19 outbreak and to identify high-risk groups. Here, we present results from the baseline assessment of the "Healthcare workers' wellbeing (Benessere Operatori)" project on a sample of 1055 healthcare workers. Participants completed the Depression Anxiety Stress Scale-21, the Insomnia Severity Index, the Impact of Event Scale-Revised, the State-Trait Anger Expression Inventory-2, and the Maslach Burnout Inventory. Healthcare workers who worked in COVID wards reported higher levels of anxiety, insomnia, post-traumatic stress, anger, and burnout, compared to those reported by the healthcare workers who worked in non-COVID wards. Moreover, nurses, both in COVID and non-COVID wards, were at higher risk of experiencing psychological distress compared to other groups of healthcare workers. These findings highlight the importance of implementing targeted psychological interventions for healthcare workers operating in COVID wards and nurses, who seem to be the most vulnerable categories.


Assuntos
Pandemias , Ansiedade , Depressão , Pessoal de Saúde , Humanos , Itália/epidemiologia , Saúde Mental
15.
Artigo em Inglês | MEDLINE | ID: mdl-34063442

RESUMO

The COVID-19 pandemic has had a major impact on the mental health of refugees and migrants. This study aimed to assess refugee clinician perspectives on mental health care during the COVID-19 pandemic, specifically access to and delivery of community mental health care services. We utilized a mixed methods design. We surveyed members of a national network of Canadian clinicians caring for refugees and migrants. Seventy-seven clinicians with experience caring for refugee populations, representing an 84% response rate, participated in the online survey, 11 of whom also participated in semi-structured interviews. We report three major themes: exacerbation of mental health issues and inequities in social determinants of health, and decreased access to integrated primary care and community migrant services. Clinicians reported major challenges delivering care during the first 6 months of the pandemic related to access to care and providing virtual care. Clinicians described perspectives on improving the management of refugee mental health, including increasing access to community resources and virtual care. The majority of clinicians reported that technology-assisted psychotherapy appears feasible to arrange, acceptable and may increase health equity for their refugee patients. However, major limitations of virtual care included technological barriers, communication and global mental health issues, and privacy concerns. In summary, the COVID-19 pandemic has exacerbated social and health inequities within refugee and migrant populations in Canada and challenged the way mental health care is traditionally delivered. However, the pandemic has provided new avenues for the delivery of care virtually, albeit not without additional and unique barriers.


Assuntos
Refugiados , Canadá/epidemiologia , Acesso aos Serviços de Saúde , Humanos , Saúde Mental , Pandemias
16.
Artigo em Inglês | MEDLINE | ID: mdl-34070331

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic is widely understood to have contributed to mental health problems. In Australia, young people (18-24 years) have been disproportionately affected. To date, research has predominantly focused on the presence or absence of mental illness symptoms, while aspects of mental well-being have been overlooked. We aimed to explore associations between potential risk and protective factors and mental health more comprehensively, using the Complete State Model of Mental Health. An online survey of 1004 young Australians (55% female; M age = 21.23) was undertaken. Assessment of both mental illness and mental well-being enabled participants to be cross-classified into four mental health states. Those with 'Floundering' (13%) or 'Struggling' (47.5%) mental health reported symptoms of mental illness; a 'Languishing' group (25.5%) did not report symptoms of mental illness but mental well-being was compromised relative to those who were 'Flourishing' (14%) with high mental well-being. Multinomial logistic regressions were used to examine associations, adjusting for socio-demographic confounders. Protective factors associated with Flourishing mental health included being in secure employment, using screen time to connect with others, and reporting high levels of hope. Both incidental and purposive contact with nature were also associated with Flourishing, while a lack of green/bluespace within walking distance was associated with Languishing, absence of outdoor residential space was associated with Floundering, and lower neighbourhood greenness was associated with all three suboptimal mental health states. Precarious employment, financial stress, living alone, reporting decreased screen time during lockdowns, lower levels of hope, and high disruption of core beliefs were also associated with Struggling and Floundering mental health. Those who were Languishing reported somewhat less hardship and little disruption to core beliefs, but lower levels of hope compared to young people who were Flourishing. This study highlights that young adults require dedicated mental health services to deal with current burden, but should also be supported through a range of preventive strategies which target mental health risk factors, like precarious employment, and enhance protective factors, such as urban green infrastructure.


Assuntos
Pandemias , Adolescente , Adulto , Austrália/epidemiologia , Controle de Doenças Transmissíveis , Emprego , Feminino , Humanos , Masculino , Saúde Mental , Tempo de Tela , Adulto Jovem
17.
Artigo em Inglês | MEDLINE | ID: mdl-34070782

RESUMO

Studies have shown individuals with chronic illnesses tend to experience poorer mental health compared to their counterparts without a chronic illness under the COVID-19 pandemic. The pervasive disruption on daily lifestyles due to social distancing could be a contributing factor. In this study, we collaborated with local patient support groups to explore the psychological adjustment among a group of community-dwelling individuals with chronic illnesses under the COVID-19 pandemic in Hong Kong. We collected responses from 408 adults with one or more chronic illnesses using an online survey. Results show that about one in four participants experienced moderate to high levels of depression (26.0%), anxiety (26.2%) and stress (20.1%) symptoms measured by the Depression, Anxiety and Stress Scale and the World Health Organisation-Five Well-Being Index. While 62.3% (gatherings) to 91.9% (contact with others) of participants reported changes in their daily lifestyles, these changes-both an increase and a decrease-were related to poorer mental health. The relationship was mediated by psychological resilience, measured by the Connor-Davidson Resilience Scale, with an estimate of indirect effect of -0.28 (95% confidence interval -0.44 to -0.10). In light of our findings, we urge social and healthcare professionals to support chronic illness patients to continue their daily lifestyles such as exercises and social contacts as much as possible by educating the public on feasible and practical preventive measures and enhance the psychological resilience of community-dwelling patients with scalable and efficacious psychological interventions.


Assuntos
Resiliência Psicológica , Adulto , Ansiedade , Doença Crônica , Depressão/epidemiologia , Hong Kong/epidemiologia , Humanos , Estilo de Vida , Saúde Mental , Pandemias , Estresse Psicológico
18.
Nutrients ; 13(6)2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34072039

RESUMO

During the COVID-19 pandemic, breastfeeding women have experienced restricted access to support, placing them at increased risk of mental health concerns and limited breastfeeding assistance. This study investigated the effect of the pandemic on feeding choices and maternal wellbeing amongst breastfeeding mothers living in Australian and New Zealand. We conducted a cross-sectional online survey that examined feeding methods, maternal mental wellbeing, worries, challenges, and positive experiences during the pandemic. Most women were exclusively breastfeeding (82%). Partial breastfeeding was associated with perceived low milk supply and longer pregnancy duration during the pandemic. Reduced mental health and wellbeing was associated with lower levels of family functioning, increased perceived stress, and perinatal anxiety. Longer pregnancy duration during the pandemic was associated with lower mental health wellbeing scores, while higher perceived stress scores were reported for regions with higher COVID-19 infection rates and women with perceived low milk supply. Women reported that the pandemic resulted in less pressure and more time for family bonding, while worries about the pandemic, family health, and parenting challenges were also cited. Mental health concerns of breastfeeding women appear to be exacerbated by COVID-19, highlighting a critical need for access to mental health and broader family support during the pandemic.


Assuntos
Aleitamento Materno/psicologia , Saúde Mental/estatística & dados numéricos , Mães/psicologia , Quarentena/psicologia , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Austrália/epidemiologia , Estudos Transversais , Feminino , Humanos , Lactente , Recém-Nascido , Nova Zelândia/epidemiologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia
20.
Rev. SPAGESP ; 22(1): 67-82, ene.-jun. 2021.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1155515

RESUMO

Visando analisar as concepções sobre a saúde mental infantojuvenil de enfermeiros da Estratégia Saúde da Família, este estudo, de natureza descritivo qualitativa, foi realizado com 47 enfermeiras, nas Unidades de Saúde da Família de João Pessoa PB, e partiu dos pressupostos das Políticas Públicas de Atenção à Saúde Mental para crianças e adol escentes Para coletar os dados utilizaram se um questionário sociodemográfico e entrevistas semiestruturadas, analisadas por meio da Análise Categorial Temática de Bardin, das quais emergiram uma classe temática, três categorias e sete subcategorias. Os resultados apontaram que as concepções sobre a SMI se pautam no modelo biomédico, sem ênfase na promoção da saúde e com pouca especificidade e familiaridade com questões relativas à saúde mental dessa população.


In order to analyze Family Health Strategy nurses' conceptions of child adolescent mental health, this descriptive qualitative study was conducted with 47 nurses, in the Family Health Units of João Pessoa PB, and started from the assumptions of the Public Policies of Mental Health Care for children and adolescents. Data were collected using a questionnaire, which captured the sociodemographic data, and semi structured interviews were analyzed through Bardin's Thematic Categorical Analysis, which originated a thematic class, three categories and seven subcategories. The results showed that the conceptions a re based on the biomedical model, with no emphasis on health promotion and with little specificity and familiarity with issues related to the mental healt h of this population.


Con el fin de analizar las concepciones sobre la salud mental de niños y adolescentes en las enfermer í as de la Estrategia de Salud Familiar, este estudio descriptivo cualitativo se llevó a cabo con 47 enfermeras, en Unidades de Salud Familiar de Joao Pesso a PB, a partir de los supuestos de las Políticas Públicas de Atención de Salud Mental para niños y adolescentes. Para recopilar los datos, se utilizó un cuestionario, que capturó los datos sociodemográficos, y entrevistas semiestructuradas, analizadas a tr avés del Análisis Categórico Temático de Bardin, de la que surgieron una clase temática, tres categorías y siete subcategorías. Los resultados mostraron que las concepciones sobre SMNA se basan en el modelo biomédico, sin énfasis en la promoción de la salu d y con poca especificidad y familiaridad con los temas relacionados con la salud mental de esta población.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Saúde Mental , Saúde da Família , Reconhecimento Psicológico , Estratégia Saúde da Família , Atenção à Saúde , Promoção da Saúde , Enfermeiras e Enfermeiros
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