Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 50.266
Filtrar
1.
Artigo em Inglês | MEDLINE | ID: mdl-32730915

RESUMO

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.


Assuntos
Infecções por Coronavirus/psicologia , Transtornos Mentais/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Betacoronavirus , Encéfalo/virologia , Infecções por Coronavirus/complicações , Humanos , Transtornos Mentais/complicações , Transtornos Mentais/etiologia , Doenças do Sistema Nervoso/etiologia , Pandemias , Pneumonia Viral/complicações , Resultado do Tratamento
2.
Rev. enferm. UERJ ; 28: 49923, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1097213

RESUMO

Objetivo: refletir sobre as intervenções/ações de cuidado em saúde mental voltados aos profissionais da saúde que prestam assistência ao paciente suspeito ou diagnosticado com COVID-19. Conteúdo: A pandemia de COVID-19 traz o desafio para profissionais da saúde em lidar com sua própria saúde mental e a dos pacientes. É fundamental conhecer e refletir sobre iniciativas que países apresentam para lidar com a manutenção da saúde mental de profissionais da saúde em tempos de pandemia e que contribuem para repensar o planejamento, execução e avaliação de estratégias a serem utilizadas no Brasil. Considerações finais: foi possível elencar ações em saúde mental que têm se mostrado assertivas no cuidado aos trabalhadores de saúde, atuantes na ponta do cuidado, sobretudo as baseadas no esclarecimento da doença, uso adequado de equipamentos de proteção individual, além do mapeamento daqueles profissionais fragilizados emocionalmente e/ou com sofrimento mental anterior à pandemia, além do suporte emocional oferecido por meio de plataformas digitais.


Objective: to reflect on mental health care interventions/actions aimed at health professionals who provide assistance to patients suspected or diagnosed with COVID-19. Content: The COVID-19 pandemic challenges health professionals to lead with their own and patients' mental health. It is essential to know and to reflect about countries' initiatives to deal with health professional's mental health maintenance in times of pandemic, and to help to re-think strategies planning, execution and evaluation to be used in Brazil. Final considerations: it was possible to list actions in mental health that have shown to be assertive in the care of health workers who are in the front line of caring, especially those based on clarifying the disease, appropriate use of individual protective equipment, in addition to mapping those emotionally weakened professionals and or with mental suffering prior to the pandemic, in addition to the emotional support offered through digital platforms.


Objetivo: reflexionar sobre las intervenciones/acciones de atención de salud mental dirigidas a profesionales de la salud que prestan asistencia a pacientes sospechosos o diagnosticados con COVID-19. Contenido: La pandemia COVID-19 desafía a los profesionales de la salud a hacer frente con la salud mental propia y de los pacientes. Es esencial conocer y reflexionar sobre las iniciativas de los países para enfrentar al mantenimiento de la salud mental de los profesionales de la salud en tiempos de pandemia, y para ayudar a repensar la planificación, ejecución y evaluación de estrategias que se utilizarán en Brasil. Consideraciones finales: fue posible enumerar acciones en salud mental que han demostrado ser asertivas en la atención de los trabajadores de salud que trabajan en la primera línea de atención de la salud, especialmente aquellos basados en la aclaración de la enfermedad, el uso apropiado de equipos de protección individual, además de mapear aquellos profesionales debilitados emocionalmente y / o con sufrimiento mental antes de la pandemia, además del apoyo emocional ofrecido a través de plataformas digitales.


Assuntos
Humanos , Masculino , Feminino , Saúde Mental/normas , Pessoal de Saúde/psicologia , Infecções por Coronavirus , Pandemias , Betacoronavirus , Brasil , Saúde do Trabalhador , Disseminação de Informação , Equipamento de Proteção Individual
3.
Rev. bioét. derecho ; (50): 333-352, nov. 2020.
Artigo em Português | IBECS | ID: ibc-191361

RESUMO

Pretende-se mostrar como a pandemia de COVID-19 causada pelo novo coronavírus Sars-CoV-2, afeta a distribuição equitativa de recursos sanitários no Brasil, bem como evidenciar os dilemas e entraves éticos e psicológicos vivenciados pelos profissionais da saúde no contexto de combate à doença. O presente estudo objetivou revisar conhecimentos acerca de questões bioéticas referentes à escassez de recursos e saúde mental. Realizou-se, desse modo, uma análise de protocolos sobre alocação de recursos recém-publicados no Brasil


Se pretende mostrar cómo la pandemia de COVID-19 causada por el nuevo coronavirus Sars-CoV-2, afecta la distribución equitativa de los recursos de salud en Brasil, así como resaltar los dilemas y barreras éticas y psicológicas advertidas por los profesionales de la salud en el contexto de lucha contra la enfermedad. El presente estudio tuvo como objetivo revisar el conocimiento sobre cuestiones bioéticas relacionadas con la escasez de recursos y la salud mental. Así, se realizó un análisis de protocolos sobre la asignación de recursos recientemente publicados en Brasil


Es pretén mostrar com la pandèmia de COVID-19 causada pel nou coronavirus Sars-COV-2, afecta la distribució equitativa dels recursos de salut al Brasil, així com ressaltar els dilemes I les barreres ètiques I psicològiques reconegudes pels professionals de la salut en el context de lluita contra la malaltia. El present estudi va tenir com a objectiu revisar el coneixement sobre qüestions bioètiques relacionades amb l'escassetat de recursos I la salut mental. Així, es va realitzar una anàlisi de protocols sobre l'assignació de recursos recentment publicats al Brasil


It is intended to show how the COVID-19 pandemic caused by the new Sars-CoV-2 coronavirus, affects the equitable distribution of health resources in Brazil, as well as to highlight the ethical and psychological dilemmas and barriers experienced by health professionals in the context of fighting disease. The present study aimed to go through knowledge about bioethical issues related to the scarcity of resources and mental health. Thus, an analysis of protocols on the allocation of newly published resources in Brazil was carried out


Assuntos
Humanos , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Pandemias/ética , Saúde Mental , Bioética , Prioridades em Saúde , Gestão de Recursos , Alocação de Recursos/ética , Brasil/epidemiologia
6.
Artigo em Inglês | MEDLINE | ID: mdl-33019735

RESUMO

A growing body of literature recognises the profound impact of adversity on mental health outcomes for people living in rural and remote areas. With the cumulative effects of persistent drought, record-breaking bushfires, limited access to quality health services, the COVID-19 pandemic and ongoing economic and social challenges, there is much to understand about the impact of adversity on mental health and wellbeing in rural populations. In this conceptual paper, we aim to review and adapt our existing understanding of rural adversity. We undertook a wide-ranging review of the literature, sought insights from multiple disciplines and critically developed our findings with an expert disciplinary group from across Australia. We propose that rural adversity be understood using a rural ecosystem lens to develop greater clarity around the dimensions and experiences of adversity, and to help identify the opportunities for interventions. We put forward a dynamic conceptual model of the impact of rural adversity on mental health and wellbeing, and close with a discussion of the implications for policy and practice. Whilst this paper has been written from an Australian perspective, it has implications for rural communities internationally.


Assuntos
Acesso aos Serviços de Saúde , Saúde Mental , População Rural , Austrália/epidemiologia , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia
7.
Artigo em Inglês | MEDLINE | ID: mdl-33007892

RESUMO

In the wake of COVID-19, unemployment and its potential deleterious consequences have attracted renewed interest. We examined (1) the association between unemployment, occurring upon the coronavirus outbreak, and psychological distress among Israeli young people (20-35-years-old); (2) the associations between various psychological resources/risk factors and psychological distress; and (3) whether these resources and risk factors were moderators in the unemployment-psychological distress link. A real-time survey based on snowball sampling was conducted during the month of April 2020 (N = 390). We employed hierarchical linear models to explore associations between unemployment, psychological resources, risk factors, and psychological distress. Unemployment was independently associated with greater psychological distress. Perceived trust, optimism, and sense of mastery decreased psychological distress, whereas financial strain and loneliness during the crisis increased this distress. The effect of unemployment on psychological distress did not depend on participants' resource and risk factor levels. Policymakers must develop and extend health initiatives aimed at alleviating the mental health consequences of COVID-19-related unemployment and promote labor market interventions to help young job seekers integrate into employment. These measures, which are in line with the UN sustainable development goals, should be seen as an important route to promote public health.


Assuntos
Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Angústia Psicológica , Desemprego , Adulto , Betacoronavirus , Humanos , Israel , Solidão , Saúde Mental , Pandemias , Fatores de Risco , Estresse Psicológico , Adulto Jovem
8.
Artigo em Inglês | MEDLINE | ID: mdl-32998207

RESUMO

The Coronavirus disease 2019 (COVID-19) pandemic and its associated governmental recommendations and restrictions have influenced many aspects of human life, including exercise and mental health. This study aims to explore the influence of COVID-19 on exercise behavior and its impact on mood states, as well as predict changes in exercise behavior during a similar future pandemic in Taiwan. A cross-sectional online survey was conducted between 7 April and 13 May 2020 (n = 1114). Data on exercise behavior pre and during the pandemic and mood states were collected. A cumulative link model was used to predict changes in exercise frequency during a similar future pandemic by exercise frequency during the pandemic. A linear model was used to predict the influence of exercise frequency before and during the pandemic on mood states during the pandemic. A total of 71.2%, 67.3%, and 58.3% of respondents maintained their exercise intensity, frequency, and duration, respectively, during the pandemic. Frequent exercisers are more likely to maintain their exercise frequency during a similar pandemic (p < 0.001). Higher exercise frequencies during the pandemic were associated with better mood states (p < 0.05). Moreover, the effects of prepandemic exercise frequency on mood states are moderated by changes in exercise frequency during the pandemic (p < 0.05). Additionally, maintenance of exercise frequency during a pandemic specifically for frequent exercisers are recommended to preserve mood states. These results may provide evidence for health policies on exercise promotion and mental health before and during a future pandemic.


Assuntos
Afeto , Infecções por Coronavirus/psicologia , Exercício Físico , Pneumonia Viral/psicologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Humanos , Modelos Lineares , Saúde Mental , Pandemias , Pneumonia Viral/epidemiologia , Taiwan/epidemiologia
9.
Psychiatr Serv ; 71(10): 987, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-32998661
10.
Compend Contin Educ Dent ; 41(9): e10-e11, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33001662

RESUMO

Occasionally, a patient may present with an intraoral tattoo, such as the patient in this instance who presented with one on the lower orolabial mucosa. Both extraoral and intraoral tattooing could be considered a potential indicator of risk-taking behaviors and possible increased risk of mental health or sleep disorders in this patient population. This article discusses risks of ornamental tattooing and the role oral healthcare providers can play in early identification of possible systemic diseases.


Assuntos
Boca , Tatuagem , Assistência Odontológica , Humanos , Saúde Mental , Assunção de Riscos
11.
Washington, D.C.; OPS; 2020-10-08. (OPS/NMH/MN/20-0019).
em Francês | PAHO-IRIS | ID: phr-52816

RESUMO

Cette brochure a été élaborée par l'Organisation Panaméricaine de la Santé et la Banque de Développement des Caraïbes comme un outil pour vous aider à prendre soin de vous et de votre communauté durant les situations de crise grâce aux Premiers Secours Phychologiques (PSP). C'est une réponse simple, solidaire et pratique pour apporter le soutine nécessaire à un autre être humain en souffrance.


Assuntos
Saúde Mental , Violência , Infecções por Coronavirus , Coronavirus , Pandemias , Psicologia , Região do Caribe
12.
Washington, D.C.; PAHO; 2020-10-05. (PAHO/NMH/MN/20-0019).
| PAHO-IRIS | ID: phr-52796

RESUMO

This is a revision of an illustrated booklet developed by the Pan American Health Organization and the Caribbean Development Bank. It is meant as a tool to help the general population of the Caribbean care for themselves and their communities during crisis situation. The booklet explains in a simple language, with a simple language with the help of graphics, the main elements of psychological first aid (PFA). The revised edition includes special safety and disease prevention considerations due to the COVID-19 pandemic while providing PFA.


Assuntos
Saúde Mental , Infecções por Coronavirus , Violência , Coronavirus , Infecções por Coronavirus , Psicologia , Região do Caribe
13.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-47872

RESUMO

O Ministério da Saúde divulgou, nesta quarta-feira (09/09), uma pesquisa com dados sobre a influência da Covid-19 na saúde mental dos profissionais que fazem parte da ação estratégica “O Brasil Conta Comigo”, iniciativa que conta com mais de um milhão de profissionais cadastrados para atuar no combate à doença em todo o país


Assuntos
Infecções por Coronavirus/psicologia , Saúde Mental/estatística & dados numéricos , Pessoal de Saúde/psicologia
14.
An. psicol ; 36(2): 242-246, mayo 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-192060

RESUMO

El objetivo de la investigación fue estudiar los hábitos de sueño y la salud psicológica de profesionales del sector sanitario, así como analizar las relaciones entre ambas variables. La muestra contó con 511 trabajadores de hospitales públicos de la Comunidad de Madrid. La salud psicológica fue evaluada con el Cuestionario GHQ-28; los hábitos de sueño a través del Cuestionario CHAS, además, se recogieron datos sociodemográficos como edad, sexo, puesto de trabajo, categoría profesional. Los resultados mostraron diferencias estadísticamente significativas en síntomas somáticos, salud psicológica y estabilidad en hábitos de sueño. Los análisis de regresión indicaron que calidad del sueño y somnolencia diurna son las variables más relacionadas con las dimensiones de salud, especialmente con la ansiedad/insomnio y síntomas somáticos. Estos los resultados ponen de manifiesto las diferencias entre hábitos de sueño y salud percibida en personal de enfermería y facultativos. En conclusión, la población sanitaria presenta mayor prevalencia en malestar psicológico, peor calidad de sueño e inestabilidad en las horas de sueño. Deterioro del sueño, somnolencia y síntomas somáticos son más frecuentes en personal de enfermería que en el resto de profesionales sanitarios


The aim was to study the sleep habits and the psychological health of professionals in the health sector, as well as to analyze the relationships between both variables. The sample consisted of 511 workers from public hospitals in the Community of Madrid. Psychological health was evaluated using the GHQ-28 Questionnaire; and sleep habits with the CHAS Questionnaire. In addition, sociodemographic data were collected, such as age, sex, job position, professional category. The results showed statistically significant differences in somatic symptoms, psychological health and stability in sleep habits. Regression analysis indicated that sleep quality and daytime sleepiness are the variables most related to health dimensions, especially with anxiety/insomnia and somatic symptoms. These results reveal the differences between sleep habits and perceived health in nursing staff and physicians. Finally, the health workers present a higher prevalence of psychological distress, and poor sleep quality and instability in sleep hours. Sleep impairment, somnolence and somatic symptoms are more frequent in nursing staff than in other health professionals


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Higiene do Sono/fisiologia , Pessoal de Saúde/psicologia , Saúde Mental , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia , Inquéritos e Questionários , Análise de Regressão , Recursos Humanos de Enfermagem/psicologia , Recursos Humanos de Enfermagem/estatística & dados numéricos
15.
An. psicol ; 36(2): 247-253, mayo 2020. tab
Artigo em Inglês | IBECS | ID: ibc-192061

RESUMO

OBJECTIVE: The GHQ-12 is one of the most widely used questionnaires in the adult population, but there are not as many studies exploring its applicability in adolescents. The main problem is the diversity of results on its factorial structure, as different studies have shown one, two or three dimensions. The purpose of this study was to explore the GHQ-12 factorial structure for adolescents. METHOD: An observational multicenter cross-sectional descriptive study was designed for schools in the city of Madrid. A random sample of n = 2,171, 14-16-year-olds was stratified by the school's development level and funding (public, private or mixed). Unrestricted factor analysis was applied based on the polychoric or tetrachoric correlations matrix (depending on the test scoring method). RESULTS: The optimized parallel analysis provided an unequivocal one-factor structure, confirmed by unidimensionality assessment. Around 30% of male and 42% of female adolescents were found to be at risk of developing mental health problems. CONCLUSIONS: The GHQ-12 is a one-dimensional test for screening psychological distress, with excellent psychometric properties for its application in an adolescent population. The use of adequate statistical methods can overcome old controversies and promote proper application and interpretation of the results provided by the test


OBJETIVO: El General Health Questionnaire-12 (GHQ-12) es de los cuestionarios más utilizados en la población adulta, pero hay pocos estudios que exploren su aplicabilidad en adolescentes. El principal problema es la diversidad de resultados en su estructura factorial, ya que diferentes estudios han encontrado una, dos o tres dimensiones. El propósito de este estudio fue explorar la estructura factorial del GHQ-12 en adolescentes. MÉTODO: Estudio descriptivo observacional multicéntrico transversal para centros educativos de la ciudad de Madrid. Se estratificó una muestra aleatoria de n = 2171 jóvenes de 14-16 años según el nivel de desarrollo y financiación de la escuela (pública, privada o mixta). Se aplicó un análisis factorial sin restricciones basado en la matriz de correlaciones policóricas o tetracóricas (dependiendo del método de puntuación de la prueba). RESULTADOS: El análisis paralelo optimizado proporcionó una estructura inequívocamente unifactorial. El 30% de los varones y el 42% de las adolescentes presentaban riesgo de mala salud mental. CONCLUSIONES: El GHQ-12 es un test uni-dimensional para el cribado del riesgo de mala salud mental, con excelentes propiedades psicométricas para su aplicación en población adolescente. El uso de métodos estadísticos adecuados puede superar viejas controversias y promover la correcta interpretación de los resultados de la prueba


Assuntos
Humanos , Masculino , Adolescente , Saúde Mental/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Psicologia do Adolescente/estatística & dados numéricos , Análise Fatorial , Estudos Transversais , Diagnóstico Precoce
16.
An. psicol ; 36(2): 340-347, mayo 2020. graf, tab
Artigo em Inglês | IBECS | ID: ibc-192071

RESUMO

This study's goal is the validation of the Portuguese version of the Basic Need Satisfaction General Scale (BNSG-S: Sousa, Pais Ribeiro, Palmeira, Teixeira, & Silva, 2012) in a sample of Portuguese older people, and analyze through a structural equations model the effect of the Portuguese elderly individuals' global perception about the satisfaction of basic psychological needs on subjective well-being. Two samples of Portuguese elderly people aged between 60 and 90 years old were considered in this study. The results reveal that only Model 3 of the BNSG-S (3 factors, 11 items) showed good results of adjustment to the data (Χ2103,16, df=41, SRMR=.05, TLI=.90, CFI=.93, RMSEA=.07, 90% CI=.05-.08). In the second part of the study, we verified that satisfaction of basic psychological needs has a positive effect on subjective well-being in Portuguese elderly people. In the presence of this evidence, we concluded that the Portuguese version of the BNSG-S can be used as a means to evaluate the satisfaction of the basic psychological needs of the older population and their satisfaction has a positive effect on subjective well-being in the Portuguese older population


El objetivo de este estudio es la validación de la versión en portugués de la Escala General de Satisfacción de Necesidades Básicas (BNSG-S) en una muestra de personas mayores portuguesas, y analizar mediante el modelo de ecuaciones estructurales, el efecto de la percepción global de los ancianos portugueses sobre la satisfacción de las necesidades psicológicas básicas en el bienestar subjetivo. En este estudio se emplearon dos muestras de ancianos portugueses de entre 60 y 90 años de edad. Los resultados revelan que solo el Modelo 3 del BNSG-S (tres factores, 11 ítems) mostró buenos resultados de ajuste a los datos ((Χ2 = 103.16, df = 41, SRMR = .05, TLI = .90, CFI = .93, RMSEA = .07, 90% CI = .05-.08). En la segunda parte del estudio verificamos que la satisfacción de las necesidades psicológicas básicas tiene un efecto positivo en el bienestar subjetivo en los ancianos portugueses. En presencia de esta evidencia, llegamos a la conclusión de que la versión portuguesa del BNSG-S puede utilizarse como un medio para evaluar la satisfacción de las necesidades psicológicas básicas de la población de mayor edad y su satisfacción tiene un efecto positivo sobre el bienestar subjetivo en la población portuguesa de más edad


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Necessidades e Demandas de Serviços de Saúde , Idoso/psicologia , Saúde Mental , Satisfação Pessoal , Envelhecimento Saudável/psicologia , Portugal , Inquéritos e Questionários , Modelos Psicológicos
17.
Nat Commun ; 11(1): 4525, 2020 09 10.
Artigo em Inglês | MEDLINE | ID: mdl-32913209

RESUMO

To date we know little about natural emotion word repertoires, and whether or how they are associated with emotional functioning. Principles from linguistics suggest that the richness or diversity of individuals' actively used emotion vocabularies may correspond with their typical emotion experiences. The current investigation measures active emotion vocabularies in participant-generated natural speech and examined their relationships to individual differences in mood, personality, and physical and emotional well-being. Study 1 analyzes stream-of-consciousness essays by 1,567 college students. Study 2 analyzes public blogs written by over 35,000 individuals. The studies yield consistent findings that emotion vocabulary richness corresponds broadly with experience. Larger negative emotion vocabularies correlate with more psychological distress and poorer physical health. Larger positive emotion vocabularies correlate with higher well-being and better physical health. Findings support theories linking language use and development with lived experience and may have future clinical implications pending further research.


Assuntos
Emoções , Saúde Mental , Estudantes/psicologia , Vocabulário , Adolescente , Estado de Consciência , Feminino , Humanos , Masculino , Fatores Sexuais , Fala , Estudantes/estatística & dados numéricos , Redação , Adulto Jovem
18.
Ethn Dis ; 30(4): 695-700, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32989370

RESUMO

The coronavirus pandemic of 2019 (COVID-19) has created unprecedented changes to everyday life for millions of Americans due to job loss, school closures, stay-at-home orders and health and mortality consequences. In turn, physicians, academics, and policymakers have turned their attention to the public mental health toll of COVID-19. This commentary reporting from the field integrates perceptions of academic, community, health system, and policy leaders from state, county, and local levels in commenting on community mental health needs in the COVID-19 pandemic. Stakeholders noted the broad public health scope of mental health challenges while expressing concern about exacerbation of existing disparities in access and adverse social determinants, including for communities with high COVID-19 infection rates, such as African Americans and Latinos. They noted rapid changes toward telehealth and remote care, and the importance of understanding impacts of changes, including who may benefit or have limited access, with implications for future services delivery. Needs for expanded workforce and training in mental health were noted, as well as potential public health value of expanding digital resources tailored to local populations for enhancing resilience to stressors. The COVID-19 pandemic has led to changes in delivery of health care services across populations and systems. Concerns over the mental health impact of COVID-19 has enhanced interest in remote mental care delivery and preventive services, while being mindful of potential for enhanced disparities and needs to address social determinants of health. Ongoing quality improvement across systems can integrate lessons learned to enhance a public mental well-being.


Assuntos
Infecções por Coronavirus , Assistência à Saúde , Necessidades e Demandas de Serviços de Saúde/organização & administração , Saúde Mental/tendências , Pandemias , Pneumonia Viral , Saúde Pública , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Assistência à Saúde/organização & administração , Assistência à Saúde/tendências , Humanos , Inovação Organizacional , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Saúde Pública/métodos , Saúde Pública/tendências , Melhoria de Qualidade , Estados Unidos/epidemiologia
19.
PLoS One ; 15(9): e0239696, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32997683

RESUMO

OBJECTIVE: The COVID-19 pandemic has been a period of upheaval for college students. The objective of this study was to assess the factors associated with the increased levels of mental health burden among a sample of undergraduate college students in Northern New Jersey, the region of the U.S. severely impacted by the outbreak of COVID-19. METHODS: College students (N = 162) enrolled in an introductory core curriculum course completed a cross-sectional survey. The survey collected information on demographics, knowledge levels and sources of COVID-19 information, behavior changes, academic and everyday difficulties, and mental health measurements (depression, anxiety, somatization, and stress). Multivariable regression analysis was performed to identify factors associated with mental health outcomes. RESULTS: Descriptive findings indicate that students have a fundamental knowledge of COVID-19 transmission and common symptoms. Students tend to use and trust the official sources and have changed their behaviors in accordance with public health recommendations (i.e., increased hand washing, wearing mask). However, students reported a number of academic and everyday difficulties and high levels of mental health distress. High levels of depression were associated with difficulties in focusing on academic work and with employment losses, while higher levels of anxiety were more likely to be reported by students other than freshmen and those who spend more than one hour per day looking for information on COVID-19. Inability to focus on academic work and an elevated concern with COVID-19 were more likely to be associated with higher levels of somatization, while trusting news sources was associated with lower levels of somatization. Those with higher levels of perceived stress were more likely to be females, unable to focus on academic work, and report difficulties in obtaining medications and cleaning supplies. CONCLUSIONS: The COVID-19 pandemic is making a significant negative impact on mental health of college students. Proactive efforts to support the mental health and well-being of students are needed.


Assuntos
Infecções por Coronavirus/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Estresse Psicológico/epidemiologia , Estudantes/psicologia , Adolescente , Adulto , Ansiedade , Betacoronavirus , Estudos Transversais , Feminino , Humanos , Masculino , New Jersey , Pandemias , Inquéritos e Questionários , Universidades , Adulto Jovem
20.
PLoS One ; 15(9): e0240008, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32997705

RESUMO

Ecuador has been one of the most affected countries by the Corona Virus Disease 19 (COVID-19) pandemic, by April 2020 this country presented the highest rates of mortality in Latin America. The purpose of the present study was to identify behaviors during confinement and sociodemographic variables associated with the mental health status of confirmed or suspected COVID-19 patients who were part of the epidemiological surveillance program in Ecuador that included mandatory confinement and self-isolation. A cross-sectional study was performed from March 22th to April 18th, 2020 using an online survey. The survey collected socio-demographic information and severity of depressive symptoms using the Patient Health Questionnaire-9 and anxiety symptoms through the Generalized Anxiety Disorder-7. A total of 759 patients completed the questionnaire, 20.3% presented moderate to severe symptoms of depression and 22.5% moderate to severe symptoms of anxiety. Being a woman and from the Coastal region were risk factors. Exercising, maintaining daily routines, and keeping informed about the COVID-19 but limiting to an hour was associated with better mental health. Regression analysis indicated that the mentioned behaviors explained approximately 17% of the variance for depression sum scores and 11.8% of the variance for anxiety sum scores while controlling for gender and region. Understanding the association between sociodemographic variables and psychological states in patients with COVID-19 is relevant to tackle future public mental health problems and to implement health policies that are intended to palliate further psychiatric complications. Promotion of modifiable behaviors such as exercising, maintaining daily routines, and keeping informed about the COVID-19 but limiting to less than an hour is recommended.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/epidemiologia , Pneumonia Viral/psicologia , Atividades Cotidianas , Adolescente , Adulto , Betacoronavirus , Busca de Comunicante , Estudos Transversais , Equador/epidemiologia , Monitoramento Epidemiológico , Exercício Físico , Feminino , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Pandemias , Questionário de Saúde do Paciente , Quarentena , Fatores de Risco , Fatores Socioeconômicos , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA