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1.
Artigo em Inglês | MEDLINE | ID: mdl-33143327

RESUMO

The prolonged lockdown imposed to contain the COrona VIrus Disease 19 COVID-19 pandemic prevented many people from direct contact with nature and greenspaces, raising alarms for a possible worsening of mental health. This study investigated the effectiveness of a simple and affordable remedy for improving psychological well-being, based on audio-visual stimuli brought by a short computer video showing forest environments, with an urban video as a control. Randomly selected participants were assigned the forest or urban video, to look at and listen to early in the morning, and questionnaires to fill out. In particular, the State-Trait Anxiety Inventory (STAI) Form Y collected in baseline condition and at the end of the study and the Part II of the Sheehan Patient Rated Anxiety Scale (SPRAS) collected every day immediately before and after watching the video. The virtual exposure to forest environments showed effective to reduce perceived anxiety levels in people forced by lockdown in limited spaces and environmental deprivation. Although significant, the effects were observed only in the short term, highlighting the limitation of the virtual experiences. The reported effects might also represent a benchmark to disentangle the determinants of health effects due to real forest experiences, for example, the inhalation of biogenic volatile organic compounds (BVOC).


Assuntos
Infecções por Coronavirus/psicologia , Florestas , Saúde Mental/estatística & dados numéricos , Pandemias , Quarentena/psicologia , Estresse Psicológico/psicologia , Adulto , Idoso , Ansiedade/epidemiologia , Benchmarking , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Estresse Fisiológico , Estresse Psicológico/epidemiologia , Gravação em Vídeo
2.
Br J Community Nurs ; 25(11): 526-530, 2020 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-33161746

RESUMO

The pandemic caused by Covid-19 has long term ramifications for many, especially those patients who have experienced an intensive care unit (ICU) admission including ventilation and sedation. This paper will explore aspects of care delivery in the ICU regarding the current pandemic and the impact of such on the mental health of some of these patients. Post discharge, patients will be returning to a very different community incorporating social distancing, and in some cases, social isolation and/or shielding. Many may experience a multitude of physical and mental health complications which can ultimately impact upon each other, therefore a bio-psycho-pharmaco-social approach to discharge, case management, risk assessment and positive behavioural support planning is recommended.


Assuntos
Assistência ao Convalescente/psicologia , Infecções por Coronavirus/enfermagem , Infecções por Coronavirus/psicologia , Cuidados Críticos/psicologia , Sedação Profunda/psicologia , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/enfermagem , Pneumonia Viral/psicologia , Respiração Artificial/psicologia , Isolamento Social/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Admissão do Paciente/estatística & dados numéricos
3.
Rev Saude Publica ; 54: 97, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33146302

RESUMO

OBJECTIVE: To identify the prevalence of violence during pregnancy and the association with the socioeconomic, behavioral and clinical characteristics of pregnant women. METHODS: Cross-sectional study in a low-risk maternity hospital in the municipality of Cariacica, Espírito Santo. A total of 330 puerperal women were interviewed from August to October 2017. Information on socioeconomic, behavioral, reproductive and clinical characteristics, as well as life experiences, was collected through a questionnaire. To identify the types of violence, the proper World Health Organization instrument was used. Gross bivariate and multivariate analysis was performed and adjusted for Poisson regression with robust variance. RESULTS: Prevalence was 16.1% (95%CI 2.5-20.4) for psychological violence, 7.6% (95%CI 5.1-11.0) for physical violence and 2.7% (95%CI 1.4-5.2) for sexual violence. Psychological violence remained associated with age, family income, beginning of sexual life, disease in pregnancy, desire to interrupt pregnancy and number of partners. Physical violence was associated with schooling, beginning of sexual life and disease in pregnancy. Sexual violence remained associated with marital status and desire to interrupt pregnancy (p < 0.05). CONCLUSIONS: Psychological violence by an intimate partner was the most prevalent among pregnant women. Women that were younger, had lower income and less schooling, who started their sexual life before the age of 14 and who wished to interrupt pregnancy, experienced violence more frequently during pregnancy.


Assuntos
Violência por Parceiro Íntimo/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Abuso Físico/estatística & dados numéricos , Delitos Sexuais/estatística & dados numéricos , Parceiros Sexuais/psicologia , Maus-Tratos Conjugais/estatística & dados numéricos , Adulto , Brasil/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Violência por Parceiro Íntimo/psicologia , Abuso Físico/psicologia , Gravidez , Prevalência , Fatores de Risco , Delitos Sexuais/psicologia , Fatores Socioeconômicos , Maus-Tratos Conjugais/psicologia
4.
Medicine (Baltimore) ; 99(46): e23203, 2020 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-33181701

RESUMO

Substance use disorder (SUD) is associated with a high risk of physical and mental illness such as anxiety, depression, personality disorders, eating disorders, and abnormal mood changes. During the pandemic, SUD, a significant problem related to Coronavirus disease 2019 (COVID-19), is affecting adolescents. The recent available literature also emphasizes understanding the relationship between mental illness and SUD. Hence, it is essential to evaluate the scientific approach and examine the presented findings of articles published on SUD during the COVID-19 pandemic. A systematic review will be conducted using PubMed, PubMed Central, and Scopus bibliographic databases. The grey literature on the impact of SUD on mental health during the COVID-19 pandemic among adolescents will be identified using scholar google. The dependability and credibility of the findings will be examined using the ConQual approach. The methodologies of the included studies will be compared using ROBIS (risk of bias in systematic reviews tool), a measurement tool to assess systematic reviews (AMSTAR), and the JBI critical appraisal tool. The systematic review will be carried out on published articles, so it is exempt from ethics approval. The Center for Open Science (OSF) will be used as a data repository during the preparation of the protocol and completion of the systematic review. The research findings will be published in a related peer-reviewed journal.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adolescente , Betacoronavirus , Humanos , Pandemias , Projetos de Pesquisa
5.
Epidemiol Psychiatr Sci ; 29: e181, 2020 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-33185174

RESUMO

AIMS: Coronavirus disease 2019 (COVID-19) pandemic is a major public health concern all over the world. Little is known about the impact of COVID-19 pandemic on mental health in the general population. This study aimed to assess the mental health problems and associated factors among a large sample of college students during the COVID-19 outbreak in China. METHODS: This cross-sectional and nation-wide survey of college students was conducted in China from 3 to 10 February 2020. A self-administered questionnaire was used to assess psychosocial factors, COVID-19 epidemic related factors and mental health problems. Acute stress, depressive and anxiety symptoms were measured by the Chinese versions of the impact of event scale-6, Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. Univariate and hierarchical logistic regression analyses were performed to examine factors associated with mental health problems. RESULTS: Among 821 218 students who participated in the survey, 746 217 (90.9%) were included for the analysis. In total, 414 604 (55.6%) of the students were female. About 45% of the participants had mental health problems. The prevalence rates of probable acute stress, depressive and anxiety symptoms were 34.9%, 21.1% and 11.0%, respectively. COVID-19 epidemic factors that were associated with increased risk of mental health problems were having relatives or friends being infected (adjusted odds ratio = 1.72-2.33). Students with exposure to media coverage of the COVID-19 ≥3 h/day were 2.13 times more likely than students with media exposure <1 h/day to have acute stress symptoms. Individuals with low perceived social support were 4.84-5.98 times more likely than individuals with high perceived social support to have anxiety and depressive symptoms. In addition, senior year and prior mental health problems were also significantly associated with anxiety or/and depressive symptoms. CONCLUSIONS: In this large-scale survey of college students in China, acute stress, anxiety and depressive symptoms are prevalent during the COVID-19 pandemic. Multiple epidemic and psychosocial factors, such as family members being infected, massive media exposure, low social support, senior year and prior mental health problems were associated with increased risk of mental health problems. Psychosocial support and mental health services should be provided to those students at risk.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/epidemiologia , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/psicologia , Estresse Psicológico/epidemiologia , Estudantes/psicologia , Adolescente , Adulto , Ansiedade/etiologia , Betacoronavirus , China/epidemiologia , Coronavirus , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Depressão/etiologia , Surtos de Doenças , Feminino , Humanos , Masculino , Pandemias , Questionário de Saúde do Paciente , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Prevalência , Estresse Psicológico/etiologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
6.
Epidemiol Psychiatr Sci ; 29: e178, 2020 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-33148366

RESUMO

employment is critically important in mental health care. Unemployment worsens mental health and gaining employment can improve mental health, even for people with the most serious mental illnesses. In this editorial, we argue for a new treatment paradigm in mental health that emphasises employment, because supported employment is an evidence-based intervention that can help the majority of people with mental health disability to succeed in integrated, competitive employment. Unlike most mental health treatments, employment engenders self-reliance and leads to other valued outcomes, including self-confidence, the respect of others, personal income and community integration. It is not only an effective short-term treatment but also one of the only interventions that lessen dependence on the mental health system over time.


Assuntos
Pessoas com Deficiência/reabilitação , Readaptação ao Emprego/psicologia , Transtornos Mentais/reabilitação , Saúde Mental/estatística & dados numéricos , Adulto , Serviços Comunitários de Saúde Mental/métodos , Prática Clínica Baseada em Evidências , Pesquisa sobre Serviços de Saúde , Humanos , Transtornos Mentais/psicologia , Psicoterapia
7.
Artigo em Inglês | MEDLINE | ID: mdl-33138131

RESUMO

Although social capital has been found to be an important social determinant of mental health in later life, research on social capital in the context of COVID-19 and the interplay among subdimensions of social capital is lacking. The present study examined the mediating role of cognitive social capital on the relationship between structural social capital and mental health among older adults in urban China in the context of the COVID-19 pandemic. Data were collected from the Yangpu district in Shanghai, China, in July-August 2020. A quota sampling approach was used to recruit 472 respondents aged 60 years and older from 23 communities in the Yangpu district. Mental health was measured by depressive symptoms and life satisfaction. Cognitive social capital was assessed through trust and reciprocity, and structural social capital was assessed through organization memberships, and COVID-19 related volunteering and citizenship activity. Structural equation modeling was used to test the mediation model. The results show that cognitive social capital had a full mediation effect on the association between structural social capital and mental health indicators (life satisfaction: b = 0.122, SD = 0.029, p < 0.001; depressive symptoms: b = -0.343, SD = 0.119, p < 0.01). The findings indicate that social capital can play an important role in sustaining and improving mental health in the context of the COVID-19 pandemic. Policy and intervention implications are discussed.


Assuntos
Infecções por Coronavirus/psicologia , Depressão/epidemiologia , Saúde Mental/estatística & dados numéricos , Satisfação Pessoal , Pneumonia Viral/psicologia , Qualidade de Vida/psicologia , Capital Social , Apoio Social , População Urbana/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia
8.
Artigo em Inglês | MEDLINE | ID: mdl-33142745

RESUMO

The paper describes the study design, research questions and methods of a large, international intervention project aimed at improving employee mental health and well-being in SMEs and public organisations. The study is innovative in multiple ways. First, it goes beyond the current debate on whether individual- or organisational-level interventions are most effective in improving employee health and well-being and tests the cumulative effects of multilevel interventions, that is, interventions addressing individual, group, leader and organisational levels. Second, it tailors its interventions to address the aftermaths of the Covid-19 pandemic and develop suitable multilevel interventions for dealing with new ways of working. Third, it uses realist evaluation to explore and identify the working ingredients of and the conditions required for each level of intervention, and their outcomes. Finally, an economic evaluation will assess both the cost-effectiveness analysis and the affordability of the interventions from the employer perspective. The study integrates the training transfer and the organisational process evaluation literature to develop toolkits helping end-users to promote mental health and well-being in the workplace.


Assuntos
Pessoal Administrativo/psicologia , Infecções por Coronavirus/psicologia , Promoção da Saúde/métodos , Saúde Mental/estatística & dados numéricos , Serviços de Saúde do Trabalhador/organização & administração , Pandemias , Pneumonia Viral/psicologia , Local de Trabalho/estatística & dados numéricos , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Serviços de Saúde Mental , Análise Multinível , Pneumonia Viral/epidemiologia
9.
Epidemiol Psychiatr Sci ; 29: e172, 2020 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-33028455

RESUMO

AIMS: To test the impact of using different idioms in epidemiological interviews on the prevalence and correlates of poor mental health and mental health service use. METHODS: We conducted a randomised methodological experiment in a nationally representative sample of the US adult population, comparing a lay idiom, which asked about 'problems with your emotions or nerves' with a more medical idiom, which asked about 'problems with your mental health'. Differences across study arms in the associations of endorsement of problems with the Kessler-6 (a validated assessment of psychological distress), demographic characteristics, self-rated health and mental health service use were examined. RESULTS: Respondents were about half as likely to endorse a problem when asked with the more medical idiom (18.1%) than when asked with the lay idiom (35.1%). The medical idiom had a significantly larger area under the ROC curve when compared against a validated measure of psychological distress than the lay idiom (0.91 v. 0.87, p = 0.012). The proportion of the population who endorsed a problem but did not receive treatment in the past year was less than half as large for the medical idiom (7.90%) than for the lay idiom (20.94%). Endorsement of problems differed in its associations with age, sex, race/ethnicity and self-rated health depending on the question idiom. For instance, the odds of endorsing problems were threefold higher in the youngest than the oldest age group when the medical idiom was used (OR = 3.07; 95% CI 1.47-6.41) but did not differ across age groups when the lay idiom was used (OR = 0.76; 95% CI 0.43-1.36). CONCLUSION: Choice of idiom in epidemiological questionnaires can affect the apparent correlates of poor mental health and service use. Cultural change within populations over time may require changes in instrument wording to maintain consistency in epidemiological measurement of psychiatric conditions.


Assuntos
Transtornos Mentais/epidemiologia , Serviços de Saúde Mental/provisão & distribução , Saúde Mental/estatística & dados numéricos , Adulto , Idoso , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Avaliação de Processos e Resultados em Cuidados de Saúde , Percepção , Estados Unidos/epidemiologia , Adulto Jovem
10.
Artigo em Inglês | MEDLINE | ID: mdl-33036461

RESUMO

Spanish children were locked down for 72 days due to COVID-19, causing severe disruption to their normal life. The threat posed by COVID-19 continues and clinicians, administrators, and families need to know the life conditions associated with more psychological problems to modify them and minimize their effect on mental health. The goal was to study the life conditions of adolescents during lockdown and their association with psychological problems. A total of 226 parents of 117 girls and 109 boys (mean age: 13.9; Standard deviation: 0.28) from the community that were participants in a longitudinal study answered an online questionnaire about life conditions during lockdown and the Strengths and Difficulties Questionnaire (SDQ). Stepwise regression analyses controlling by previous reports of SDQ were performed. Conduct, peer, prosocial, and total problems scores increased after lockdown. After adjusting for previous measures of psychopathology, worse adolescents' mental health during COVID-19 lockdown was associated with unhealthy activities, worsening of the relationships with others, and dysfunctional parenting style. It seems important to mitigate psychological stress in a situation of isolation due to a state of emergency by keeping the adolescent active and maintaining their daily habits and routines in a non-conflictive atmosphere and give support to parents.


Assuntos
Infecções por Coronavirus/psicologia , Coronavirus , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/psicologia , Quarentena/psicologia , Adolescente , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Feminino , Humanos , Estudos Longitudinais , Masculino , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Espanha/epidemiologia
11.
Ann Glob Health ; 86(1): 128, 2020 10 06.
Artigo em Inglês | MEDLINE | ID: mdl-33102148

RESUMO

Background: COVID-19 first appeared in China in December 2019, with a high rate of infectivity and morbidity, which brought tremendous psychological pressure to healthcare workers. Purpose: To understand the psychological health status of healthcare workers during the COVID-19 outbreak and decline, and to provide a theoretical reference for the future establishment of a psychological crisis intervention system. Methods: Healthcare workers were recruited using convenience sampling and snowball sampling methods, and the electronic version of the SCL-90 scale and a sociodemographic questionnaire were administered. In the pretest, a total of 5018 responses were collected; after six weeks, random sampling was performed. The SCL-90 and measures of other epidemic-related problems were administered, with 1570 responses received; then, the final data analysis was performed. Results: After six weeks, the post-test GSI score; SCL-90 total score; and PST, PSDI, O-C, I-S, DEP, ANX, PHOB, PAR, PSY, and HOS scores were significantly lower than the corresponding pretest scores (p < 0.05). The results by occupational category showed that the scores of nursing staff decreased significantly for 12 indexes and that the scores of the doctors and other hospital staff also significantly decreased. There was a significant difference between the pretest (50.78 ± 28.18) and post-test (45.00 ± 28.49) scores for the degree of worry about the epidemic. Healthcare workers believed that the top three aspects of life affected by the epidemic were economic problems (816 people), interpersonal communication problems (731 people), and mental health (728 people). Conclusion: Over the course of the epidemic, the item scores generally declined significantly. Therefore, during an outbreak period, attention should be paid to psychological crisis interventions for healthcare workers; problems caused by psychological pressure, and even other psychological conditions, can be significantly alleviated to reduce the probability of subsequent health problems.


Assuntos
Ansiedade , Infecções por Coronavirus , Intervenção na Crise/métodos , Depressão , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral , Estresse Psicológico , Adulto , Ansiedade/diagnóstico , Ansiedade/etiologia , Betacoronavirus , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/diagnóstico , Depressão/etiologia , Feminino , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Estresse Ocupacional/classificação , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Escalas de Graduação Psiquiátrica , Estresse Psicológico/diagnóstico , Estresse Psicológico/etiologia
12.
Ann Glob Health ; 86(1): 131, 2020 10 08.
Artigo em Inglês | MEDLINE | ID: mdl-33102151

RESUMO

Background: The Covid-19 pandemic created major global health crises, with serious effects on all aspects of life. The pandemic reached the Israeli occupied West Bank of Palestine in early March 2020, and lockdown immediately ensued. Objectives: To assess the prevalence and predictors of distress and insecurity among Birzeit University's community during the COVID-19 pandemic and lockdown. Methods: An online survey completed in March-April 2020 using standardized and previously validated distress and insecurity scales. The survey was placed on the University portal accessed by students, faculty and employees, and was sent by email to faculty and employees. Data were weighted to reflect the University community's distribution. Findings: There were 1,851 participants in the study: 84% were undergraduate students, 10% graduate students, and 6% faculty and employees. Sixty two percent were women. Ages ranged from 17 to 70 years (mean 24 ± 9.7). Prevalence of moderate/high distress and insecurity were 40% and 48% respectively. Multiple logistic regression revealed that women, those under 35 years old and those with worse reported income, had significantly higher odds of distress and insecurity compared to their counterparts. Undergraduate students or living with a person at home with high risk of illness with COVID-19 were associated with higher odds of distress compared to their counterparts (OR = 1.56, 95%CI[1.13-2.15]) and (OR = 1.34, 95%CI[1.11-1.62]) respectively. A COVID-19 worry score was significantly associated with higher odds of distress and insecurity (OR = 1.77, 95%CI[1.46-2.14]) and (OR = 4.3, 95%CI[3.53-5.23]) respectively. Conclusion: This study emphasizes the need to pay attention not only to physical health but also to mental health during the COVID-19 pandemic, especially among young people, women, those with lower economic status, and those living with high risk persons during the pandemic. We hope that this study will inform the policies and interventions of the Palestinian Authority, local non-governmental organization, international groups working in the occupied Palestinian territory, and beyond.


Assuntos
Infecções por Coronavirus , Controle de Infecções , Saúde Mental , Pandemias , Pneumonia Viral , Universidades , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Docentes/psicologia , Feminino , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Masculino , Saúde Mental/estatística & dados numéricos , Saúde Mental/tendências , Oriente Médio/epidemiologia , Determinação de Necessidades de Cuidados de Saúde , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Fatores de Risco , Isolamento Social/psicologia , Fatores Socioeconômicos , Estudantes/psicologia
14.
J Med Internet Res ; 22(10): e22835, 2020 10 30.
Artigo em Inglês | MEDLINE | ID: mdl-33038075

RESUMO

BACKGROUND: Essential workers have been shown to present a higher prevalence of positive screenings for anxiety and depression during the COVID-19 pandemic. Individuals from countries with socioeconomic inequalities may be at increased risk for mental health disorders. OBJECTIVE: We aimed to assess the prevalence and predictors of depression, anxiety, and their comorbidity among essential workers in Brazil and Spain during the COVID-19 pandemic. METHODS: A web survey was conducted between April and May 2020 in both countries. The main outcome was a positive screening for depression only, anxiety only, or both. Lifestyle was measured using a lifestyle multidimensional scale adapted for the COVID-19 pandemic (Short Multidimensional Inventory Lifestyle Evaluation-Confinement). A multinomial logistic regression model was performed to evaluate the factors associated with depression, anxiety, and the presence of both conditions. RESULTS: From the 22,786 individuals included in the web survey, 3745 self-reported to be essential workers. Overall, 8.3% (n=311), 11.6% (n=434), and 27.4% (n=1027) presented positive screenings for depression, anxiety, and both, respectively. After adjusting for confounding factors, the multinomial model showed that an unhealthy lifestyle increased the likelihood of depression (adjusted odds ratio [AOR] 4.00, 95% CI 2.72-5.87), anxiety (AOR 2.39, 95% CI 1.80-3.20), and both anxiety and depression (AOR 8.30, 95% CI 5.90-11.7). Living in Brazil was associated with increased odds of depression (AOR 2.89, 95% CI 2.07-4.06), anxiety (AOR 2.81, 95%CI 2.11-3.74), and both conditions (AOR 5.99, 95% CI 4.53-7.91). CONCLUSIONS: Interventions addressing lifestyle may be useful in dealing with symptoms of common mental disorders during the strain imposed among essential workers by the COVID-19 pandemic. Essential workers who live in middle-income countries with higher rates of inequality may face additional challenges. Ensuring equitable treatment and support may be an important challenge ahead, considering the possible syndemic effect of the social determinants of health.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/epidemiologia , Depressão/epidemiologia , Emprego/economia , Emprego/estatística & dados numéricos , Inquéritos Epidemiológicos , Estilo de Vida , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Adulto , Brasil/epidemiologia , Infecções por Coronavirus/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Pandemias , Pneumonia Viral/psicologia , Prevalência , Autorrelato , Fatores Socioeconômicos , Espanha/epidemiologia
15.
East Mediterr Health J ; 26(10): 1155-1164, 2020 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-33103742

RESUMO

Background: Variable models of care have been adopted in different countries in response to the COVID-19 pandemic. Egypt has assigned certain hospitals specifically for the quarantine of COVID-19 patients, where operational medical teams work continuously for 14 days, after which they are released for self-isolation at home for a similar period. Aims: The study aimed to evaluate and compare perceived adverse psychological symptoms (stress, anxiety, depression), and insomnia by health-care professionals working in quarantine and non-quarantine hospitals during the COVID-19 pandemic in Egypt, and to explore associated factors with adverse psychological symptoms and insomnia. Methods: An online cross-sectional survey was performed in April 2020, using a snowball sampling method. Sociodemographic information perceived general health, healthy lifestyle, insomnia (using Insomnia Severity Index), adverse psychological symptoms (using the Depression, Anxiety and Stress Scale-21), worries and concerns about COVID-19, future perspective about COVID-19, and coping strategies were collected. Results: Five hundred and forty health-care professionals participated; 10.2% (n=55) worked in quarantine hospitals. Younger age (ORa=0.96, 95% CI:0.93-0.99, ORa=0.95; 95% CI:0.92-0.97; ORa=0.96 CI:0.93-0.99), being not ready/sure of readiness to work in quarantine hospital (ORa=1.91, 95% CI:1.22-3.00; ORa=2.01, 95% CI:1.28-3.15; ORa=1.91, 95% CI:1.22-2.98), and insomnia (ORa=5.22, 95% CI:3.38-8.05; ORa=7.58, 95% CI:4.91-11.68; ORa=6.38 95% CI:4.19-9.73) significantly predicted stress, depression and anxiety, respectively. Being female (ORa=1.59, 95% CI:1.04-2.42; ORa=2.09, 95% CI:1.38-3.16) could also significantly predict stress and anxiety. Conclusion: Female and younger age health care professionals were more prone to report adverse psychological symptoms. More and earlier screening for health-care professionals dealing with COVID-19, in addition to providing psychological support, is highly encouraged.


Assuntos
Infecções por Coronavirus/epidemiologia , Saúde Mental/estatística & dados numéricos , Recursos Humanos em Hospital/psicologia , Pneumonia Viral/epidemiologia , Quarentena/psicologia , Adaptação Psicológica , Adulto , Fatores Etários , Idoso , Ansiedade/epidemiologia , Betacoronavirus , Estudos Transversais , Depressão/epidemiologia , Egito/epidemiologia , Feminino , Nível de Saúde , Estilo de Vida Saudável , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Pandemias , Fatores de Risco , Fatores Sexuais , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Adulto Jovem
16.
East Mediterr Health J ; 26(10): 1165-1172, 2020 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-33103743

RESUMO

Background: Jordan implemented a nationwide lockdown and recommended self-quarantine in response to the COVID-19 pandemic. Such measures are expected to have consequences on mental health. Aims: In this study, we aimed to estimate the prevalence of quarantine-related anxiety and its socioeconomic correlates. Methods: An online questionnaire was utilized to collect information about quarantine-related anxiety and related factors from a non-representative sample of Jordanian population in March 2020. The Beck Anxiety Inventory (BAI) was used to ascertain the level of stress. Using STATA 16, multivariable ordinal logistic regression was done to estimate beta-coefficient (ß) and corresponding 95% CI of the anxiety level. Results: Overall, 5274 participants returned the survey. The prevalence of mild, moderate, and severe anxiety was 21.5%, 10.9%, and 6%, respectively. Female gender (ß= 0.47, 95% CI: 0.34 to 0.59) and more members of the household (ß= 0.04, 95% CI: 0.00 to 0.07) were correlated with a higher degree of anxiety, while older age (ß= -0.27, 95% CI: -0.33 to -0.20), having larger social network (ß= -0.17, 95% CI -0.22 to -0.13), social support (ß= -0.28, 95% CI: -0.32 to -0.23), and higher income (>2000 Jordanian Dinars vs reference, ß= -0.52, 95% CI: -0.71 to -0.33) were correlated with lower BAI scores. Conclusion: Our findings showed that approximately four out of every ten participants experienced quarantine-related anxiety. Younger participants, women, and people with poor social support were more likely to experience quarantine-related anxiety. These findings highlight the importance of targeting these groups to mitigate the consequence of home quarantine on public health.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Adolescente , Adulto , Fatores Etários , Ansiedade/epidemiologia , Betacoronavirus , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Jordânia/epidemiologia , Modelos Logísticos , Masculino , Pandemias , Índice de Gravidade de Doença , Fatores Sexuais , Apoio Social , Fatores Socioeconômicos , Estresse Psicológico/epidemiologia , Adulto Jovem
17.
Cancer Cytopathol ; 128(10): 679-680, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33006815
18.
Evid Based Ment Health ; 23(4): 161-166, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32998937

RESUMO

Experiencing continued growth in demand for mental health services among students, colleges are seeking digital solutions to increase access to care as classes shift to remote virtual learning during the COVID-19 pandemic. Using smartphones to capture real-time symptoms and behaviours related to mental illnesses, digital phenotyping offers a practical tool to help colleges remotely monitor and assess mental health and provide more customised and responsive care. This narrative review of 25 digital phenotyping studies with college students explored how this method has been deployed, studied and has impacted mental health outcomes. We found the average duration of studies to be 42 days and the average enrolled to be 81 participants. The most common sensor-based streams collected included location, accelerometer and social information and these were used to inform behaviours such as sleep, exercise and social interactions. 52% of the studies included also collected smartphone survey in some form and these were used to assess mood, anxiety and stress among many other outcomes. The collective focus on data that construct features related to sleep, activity and social interactions indicate that this field is already appropriately attentive to the primary drivers of mental health problems among college students. While the heterogeneity of the methods of these studies presents no reliable target for mobile devices to offer automated help-the feasibility across studies suggests the potential to use these data today towards personalising care. As more unified digital phenotyping research evolves and scales to larger sample sizes, student mental health centres may consider integrating these data into their clinical practice for college students.


Assuntos
Infecções por Coronavirus , Transtornos Mentais/diagnóstico , Transtornos Mentais/genética , Transtornos Mentais/terapia , Pandemias , Pneumonia Viral , Smartphone , Estudantes/psicologia , Telemedicina/métodos , Adulto , Betacoronavirus , Variação Biológica da População , Feminino , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Serviços de Saúde Mental , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
20.
Epidemiol Psychiatr Sci ; 29: e174, 2020 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-33070789

RESUMO

AIMS: Observational studies have shown a relationship between maternal mental health (MMH) and child development, but few studies have evaluated whether MMH interventions improve child-related outcomes, particularly in low- and middle-income countries. The objective of this review is to synthesise findings on the effectiveness of MMH interventions to improve child-related outcomes in low- and middle-income countries (LMICs). METHODS: We searched for randomised controlled trials conducted in LMICs evaluating interventions with a MMH component and reporting children's outcomes. Meta-analysis was performed on outcomes included in at least two trials. RESULTS: We identified 21 trials with 28 284 mother-child dyads. Most trials were conducted in middle-income countries, evaluating home visiting interventions delivered by general health workers, starting in the third trimester of pregnancy. Only ten trials described acceptable methods for blinding outcome assessors. Four trials showed high risk of bias in at least two of the seven domains assessed in this review. Narrative synthesis showed promising but inconclusive findings for child-related outcomes. Meta-analysis identified a sizeable impact of interventions on exclusive breastfeeding (risk ratio = 1.39, 95% confidence interval (CI): 1.13-1.71, ten trials, N = 4749 mother-child dyads, I2 = 61%) and a small effect on child height-for-age at 6-months (std. mean difference = 0.13, 95% CI: 0.02-0.24, three trials, N = 1388, I2 = 0%). Meta-analyses did not identify intervention benefits for child cognitive and other growth outcomes; however, few trials measured these outcomes. CONCLUSIONS: These findings support the importance of MMH to improve child-related outcomes in LMICs, particularly exclusive breastfeeding. Given, the small number of trials and methodological limitations, more rigorous trials should be conducted.


Assuntos
Aleitamento Materno/psicologia , Transtornos Mentais/psicologia , Saúde Mental/estatística & dados numéricos , Relações Mãe-Filho/psicologia , Criança , Filho de Pais Incapacitados , Países em Desenvolvimento , Feminino , Humanos , Masculino , Saúde Materna , Apego ao Objeto , Pobreza
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