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1.
Eur Rev Med Pharmacol Sci ; 25(2): 1087-1096, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33577065

RESUMO

OBJECTIVE: Patients with Coronavirus Disease 2019 (COVID-19) suffer from anxiety, depression and sleep disorders due to isolation treatment, among other reasons. Whether non-drug interventions can be alternative therapies for COVID-19 patients with anxiety, depression and sleep disorders is controversial. Therefore, we conducted a meta-analysis and systematic review to evaluate the effects of non-drug interventions on anxiety, depression and sleep in patients with COVID-19 to provide guidance for clinical application. MATERIALS AND METHODS: We searched the following databases for randomized controlled trials (RCTs) from December 2019 to July 2020: China Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Chongqing VIP Chinese Science and Technology Periodical Database (VIP), Wanfang, Cochrane Library, Web of Science, PubMed, MEDLINE and Embase. Two investigators independently screened the literature according to the inclusion and exclusion criteria, extracted data and evaluated the risk of bias in the included studies. Meta-analysis was performed using RevMan5.3 software. RESULTS: A total of 5 articles with 768 subjects were included. Meta-analysis results indicated that non-drug interventions can reduce anxiety [SMD=-1.40, 95% CI (-1.62, -1.17), p<0.00001] and depression [SMD=-1.22, 95% CI (-2.01, -0.43), p=0.002] scores in patients with COVID-19. Descriptive analysis indicated that non-drug interventions can improve the sleep status of COVID-19 patients. Sensitivity analysis indicated that the meta-analysis results were stable. Egger's test and Begg's test showed no publication bias. CONCLUSIONS: This meta-analysis found that non-drug interventions can reduce the anxiety and depression scores of patients with COVID-19. Due to the limitations of this study, more high-quality studies are needed to verify the findings, especially the effect of non-drug interventions on improving the sleep status of COVID-19 patients.


Assuntos
Ansiedade/terapia , Depressão/terapia , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Transtornos do Sono-Vigília/terapia , Ansiedade/epidemiologia , Ansiedade/psicologia , /psicologia , Depressão/epidemiologia , Depressão/psicologia , Intervenção Médica Precoce/métodos , Humanos , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia , Resultado do Tratamento
2.
Psychol Health Med ; 26(1): 119-130, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33314964

RESUMO

The study aimed to explore the effect of perceived stress of healthcare workers on anxiety and sleep level in intensive care units during corona virus pandemic. The research was conducted in descriptive and cross-sectional types. The study was conducted between April 2020 and July 2020 at Atatürk University Research Hospital and Erzurum Regional Training and Research Hospital. In the research, it was aimed to reach all the healthcare professionals (260) working in intensive care units without selecting a sample. The data was collected by using the personal information form prepared by the researchers in line with the literature, Perceived Stress Scale, State-Trait Anxiety Inventory, and Visual Analog Sleep Scale. Of the 210 participants, 75.4% were female, and 88.1% were nurses. The mean age of the participants was 27.04 ± 5.71 years, and 51.9% of the participants were 20-25 years old. The mean perceived stress, state anxiety, trait anxiety, and visual analog sleep scores were moderate and found as 29.9 ± 6.83, 43.09 ± 5.55, 46.15 ± 5.3, and 503.79 ± 134.24, respectively. In conclusion, a general picture of the psychological state of healthcare professionals in Turkey during the COVID-19 pandemic has been presented.


Assuntos
Ansiedade/psicologia , Unidades de Terapia Intensiva , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/psicologia , Transtornos do Sono-Vigília/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Turquia , Adulto Jovem
4.
Biol Sex Differ ; 11(1): 56, 2020 10 13.
Artigo em Inglês | MEDLINE | ID: mdl-33050941

RESUMO

BACKGROUND: COVID-19 and home isolation has impacted quality of life, but the perceived impact on anxiety and sleep remains equivocal. The purpose of this study was to assess the impact of COVID-19 and stay-at-home orders on self-report anxiety and sleep quality, with a focus on sex differences. We hypothesized that the COVID-19 pandemic would be associated with increased anxiety and decreased sleep quality, with stronger associations in women. METHODS: One hundred three participants (61 female, 38 ± 1 years) reported perceived changes in anxiety and sleep quality due to stay-at-home orders during the COVID-19 pandemic and were administered the Spielberger State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Insomnia Severity Index (ISI). Chi-square and T test analyses were utilized to assess sex differences in reported anxiety and sleep. Analysis of covariance was used to compare the associations between reported impact of COVID-19 and anxiety/sleep parameters. RESULTS: Women (80.3%) reported higher prevalence of increased general anxiety due to COVID-19 when compared to men (50%; p = 0.001) and elevated STAI state anxiety compared to men (43 ± 1 vs. 38 ± 1 a.u., p = 0.007). Despite these differences in anxiety, the perceived impact of COVID-19 on PSQI was not different between sexes. However, when stratified by perceived changes in anxiety due to COVID-19, participants with higher anxiety responses to COVID-19 had higher ISI compared to those with no perceived changes in anxiety (9 ± 1 vs. 5 ± 1 a.u., p = 0.003). Additionally, participants who reported reduced sleep quality due to COVID-19 reported higher state anxiety (45 ± 1 a.u.) compared to those that perceived no change (36 ± 2 a.u., p = 0.002) or increased (36 ± 2 a.u., p < 0.001) sleep quality. CONCLUSION: COVID-19 and state-ordered home isolation was associated with higher anxiety and reduced sleep quality, with a stronger association in women with respect to anxiety.


Assuntos
Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia , Adolescente , Adulto , Idoso , Transtornos de Ansiedade/etiologia , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Feminino , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Prevalência , Qualidade de Vida , Autorrelato , Fatores Sexuais , Transtornos do Sono-Vigília/etiologia , Transtornos do Sono-Vigília/virologia , Estados Unidos/epidemiologia , Adulto Jovem
5.
BMC Res Notes ; 13(1): 493, 2020 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-33087166

RESUMO

OBJECTIVES: To assess prevalence and related factors of sleep disturbances among Saudi physicians during COVID-19 pandemic. Data were collected through a questionnaire including items about demographic characters, knowledge about covid-19 and items to assess sleep quality that were extracted from Pittsburgh Sleep Quality Index (PSQI) scale. RESULTS: Prevalence of sleep disorders was 43.9%, doctors in the age group of 31-40 years, associate consultants had a significant higher prevalence of sleep disorders. Medical interns and laboratory/pathology/microbiology doctors had a significant more difficulty in fall asleep during COVID-19, and internists and surgeons had a significant higher percent of those who used sleeping pills. Resident doctors had a significant higher percent of having trouble in staying awake, and residents and consultants had a significant higher percent of those who suffered decreased sleep duration. Sleep quality during COVID-19 was very good, fair good and very bad in 23.4%, 60% and 3.5% of HCW respectively. The study observed a negative impact of COVID-19 pandemic on HCW sleep quality. Hospitals administrations should provide optimal working hours with enough break and employ more doctors during the pandemic. Doctors experiencing sleep problems should have mandatory leaves.


Assuntos
Infecções por Coronavirus/psicologia , Estresse Ocupacional/etiologia , Pandemias , Médicos/psicologia , Pneumonia Viral/psicologia , Transtornos do Sono-Vigília/etiologia , Adulto , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Prevalência , Arábia Saudita/epidemiologia , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia , Inquéritos e Questionários
6.
Artigo em Inglês | MEDLINE | ID: mdl-33120930

RESUMO

The Coronavirus Disease 2019 (COVID-19) pandemic has deeply altered social and working environments in several ways. Social distancing policies, mandatory lockdowns, isolation periods, and anxiety of getting sick, along with the suspension of productive activity, loss of income, and fear of the future, jointly influence the mental health of citizens and workers. Workplace aspects can play a crucial role on moderating or worsening mental health of people facing this pandemic scenario. The purpose of this literature review is to deepen the psychological aspects linked to workplace factors, following the epidemic rise of COVID-19, in order to address upcoming psychological critical issues in the workplaces. We performed a literature search using Google Scholar, PubMed, and Scopus, selecting papers focusing on workers' psychological problems that can be related to the workplace during the pandemic. Thirty-five articles were included. Mental issues related to the health emergency, such as anxiety, depression, post-traumatic stress disorder (PTSD), and sleep disorders are more likely to affect healthcare workers, especially those on the frontline, migrant workers, and workers in contact with the public. Job insecurity, long periods of isolation, and uncertainty of the future worsen the psychological condition, especially in younger people and in those with a higher educational background. Multiple organizational and work-related interventions can mitigate this scenario, such as the improvement of workplace infrastructures, the adoption of correct and shared anti-contagion measures, including regular personal protective equipment (PPE) supply, and the implementation of resilience training programs. This review sets the basis for a better understanding of the psychological conditions of workers during the pandemic, integrating individual and social perspectives, and providing insight into possible individual, social, and occupational approaches to this "psychological pandemic".


Assuntos
Infecções por Coronavirus/psicologia , Coronavirus , Pessoal de Saúde/psicologia , Saúde Mental/estatística & dados numéricos , Saúde do Trabalhador/estatística & dados numéricos , Pneumonia Viral/psicologia , Angústia Psicológica , Local de Trabalho/psicologia , Ansiedade/psicologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Transtornos do Sono-Vigília/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia
7.
West J Emerg Med ; 21(5): 1059-1066, 2020 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-32970555

RESUMO

At the heart of the unparalleled crisis of COVID-19, healthcare workers (HCWs) face several challenges treating patients with COVID-19: reducing the spread of infection; developing suitable short-term strategies; and formulating long-term plans. The psychological burden and overall wellness of HCWs has received heightened awareness in news and research publications. The purpose of this study was to provide a review on current publications measuring the effects of COVID-19 on wellness of healthcare providers to inform interventional strategies. Between April 6-May 17, 2020, we conducted systematic searches using combinations of these keywords and synonyms in conjunction with the controlled vocabulary of the database: "physician," "wellness, "wellbeing," "stress," "burnout," "COVID-19," and "SARS-CoV-2." We excluded articles without original data, research studies regarding the wellness of non-healthcare occupations or the general public exclusively, other outbreaks, or wellness as an epidemic. A total of 37 studies were included in this review. The review of literature revealed consistent reports of stress, anxiety, and depressive symptoms in HCWs as a result of COVID-19. We describe published data on HCW distress and burnout but urge future research on strategies to enhance HCW well-being.


Assuntos
Ansiedade/etiologia , Betacoronavirus , Esgotamento Profissional/etiologia , Infecções por Coronavirus , Depressão/etiologia , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral , Transtornos do Sono-Vigília/etiologia , Ansiedade/epidemiologia , Ansiedade/prevenção & controle , Ansiedade/psicologia , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/terapia , Efeitos Psicossociais da Doença , Depressão/epidemiologia , Depressão/prevenção & controle , Depressão/psicologia , Saúde Global/estatística & dados numéricos , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Pneumonia Viral/terapia , Fatores de Risco , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/prevenção & controle , Transtornos do Sono-Vigília/psicologia
8.
Lancet Neurol ; 19(10): 849-859, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32949545

RESUMO

Dreams are experiences that occur during sleep, while we are disconnected from the environment. Thanks to recent progress in neuroimaging techniques, it is now becoming possible to relate dream features to specific patterns of brain activity. Some conditions occurring in patients with neurological disorders, such as lucid dreams and parasomnias, not only have diagnostic value, but also offer a window into the dream process. They show that dreaming is reflected in physiological signals, behaviours, and brain activity patterns, and that the body can enact dream content. Yet, the dream body can also be distinct from the real body; in their dreams, patients with congenital paraplegia can walk, those with sleep apnoea rarely suffocate, and phantom limb pain can disappear. These conditions provide valuable models for future studies investigating the mechanisms that underlie oneiric experiences.


Assuntos
Sonhos/fisiologia , Doenças do Sistema Nervoso/fisiopatologia , Fases do Sono/fisiologia , Transtornos do Sono-Vigília/fisiopatologia , Adulto , Sonhos/psicologia , Humanos , Doenças do Sistema Nervoso/epidemiologia , Doenças do Sistema Nervoso/psicologia , Sono/fisiologia , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia
9.
PLoS One ; 15(9): e0239040, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915911

RESUMO

BACKGROUND: Individuals with Down syndrome are predisposed to a number of chronic health conditions, but the relationship between these conditions and cognitive ability is not clear. The primary objective of this systematic review is to assess this relationship by evaluating studies that measure cognitive performance in the context of Down syndrome-associated chronic health conditions. METHODS: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Studies included in this review (1) included children, adolescent, and young adult participants with Down syndrome and one or more co-occurring health conditions; (2) were quantitative; and (3) reported outcomes related to both chronic health conditions and cognitive performance. A set of predetermined chronic health conditions that are common in Down syndrome (e.g. sleep disorders, congenital heart disease, thyroid disease, seizure disorders, and pulmonary hypertension) were selected based on prevalence rates in Down syndrome. RESULTS: Fifteen studies met inclusion criteria. The majority these of studies assessed cognitive performance in association with sleep disorders (47%) and congenital heart disease (47%). Fewer studies reported on the effect of thyroid disease (7%) and seizure disorders (7%) on cognitive ability. None of the studies reported cognitive outcomes related to pulmonary hypertension. Of the chronic health conditions evaluated, associations between sleep disorders and cognitive dysfunction were most common among individuals with Down syndrome. CONCLUSIONS: Individuals with Down syndrome exhibit deficits in cognitive ability, particularly related to attention, executive function and verbal processing. These deficits may be further exacerbated by the presence of chronic health conditions, particularly sleep disorders. Individuals with Down syndrome and co-occurring sleep disorders may benefit from early interventions to mitigate their risk for adverse cognitive outcomes.


Assuntos
Transtornos Cognitivos/complicações , Síndrome de Down/complicações , Síndrome de Down/psicologia , Adolescente , Doenças Cardiovasculares/complicações , Criança , Doença Crônica , Transtornos Cognitivos/psicologia , Epilepsia/complicações , Feminino , Humanos , Pneumopatias/complicações , Masculino , Transtornos do Sono-Vigília/complicações , Transtornos do Sono-Vigília/psicologia , Doenças da Glândula Tireoide/complicações , Adulto Jovem
10.
Med. intensiva (Madr., Ed. impr.) ; 44(6): 344-350, ago.-sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-194813

RESUMO

OBJETIVO: Evaluar las características psicométricas del cuestionario Freedman modificado para la valoración del sueño en el paciente crítico. DISEÑO: Estudio psicométrico. Se exploró la validez de contenido mediante un grupo de expertos y la consistencia interna fue evaluada mediante el coeficiente alfa de Cronbach. Se realizó un análisis factorial para evaluar la validez de constructo; la estabilidad fue medida con análisis test-retest mediante el índice de correlación intraclases. Ámbito: Servicio de Medicina Intensiva de un hospital de referencia. PARTICIPANTES: Pacientes ingresados entre el 23 de febrero de 2016 y el 20 de diciembre de 2017. INTERVENCIONES: Administración de un cuestionario. VARIABLES: Ítems del cuestionario Freedman modificado. RESULTADOS: La pertinencia de los ítems y su definición obtuvieron valores superiores a 3, en una escala tipo Likert con valor máximo de 4 puntos. El alfa de Cronbach indicó un valor global de 0,933. El índice de correlación intraclases obtuvo valores superiores a 0,75 en la mayoría de los ítems del cuestionario. El análisis factorial obtuvo asociación entre las variables analizadas y los 4 factores. CONCLUSIONES: El cuestionario Freedman modificado presentó unas buenas características psicométricas. Puede resultar un instrumento fiable para evaluar la calidad del sueño en el paciente crítico, así como los factores ambientales relacionados


AIM: A study was made of the psychometric characteristics of the modified Freedman questionnaire to assess sleep in critical patients. DESIGN: A psychometric study was carried out, with content validity being explored by a group of experts, and internal consistency based on Cronbach's alpha coefficient. Factor analysis was performed to explore construct validity, and stability was assessed by test-retest analysis. SETTING: The Department of Intensive Care Medicine of a reference hospital. PARTICIPANTS: Patients admitted between 23 February 2016 and 20 December 2017. INTERVENTIONS: Questionnaire administration. VARIABLES: Items of the modified Freedman questionnaire. RESULTS: Item relevance and definition yielded scores > 3 (Likert scale maximum = 4). Cronbach's alpha showed a global value of 0.933. The intraclass correlation index was > 0.75 for most of the items of the questionnaire. Factor analysis allowed the detection of specific associations between the studied variables and the four factors. CONCLUSIONS: The modified Freedman questionnaire showed good psychometric characteristics. It may be a reliable instrument for assessing the quality of sleep in critically ill patients, as well as the environmental factors


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Psicometria/métodos , Cuidados Críticos/psicologia , Transtornos do Sono-Vigília/psicologia , Transtornos do Sono-Vigília/diagnóstico , Inquéritos e Questionários , Análise Fatorial , Privação do Sono/psicologia
11.
Rev. psicol. clín. niños adolesc ; 7(3): 27-34, sept. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-195036

RESUMO

El confinamiento por la COVID-19 y el estrés asociado pueden afectar al bienestar infantil. Debido a lo reciente de esta situación, son limitados los estudios relacionados. Este trabajo tuvo como objetivo principal describir en qué medida la situación de confinamiento afectó a los niños en su conducta, problemas de sueño y bienestar emocional. Un segundo objetivo fue identificar variables protectoras que puedan servir para paliar posibles efectos negativos por la situación en los niños. Un tercer objetivo fue estudiar la posible relación entre la percepción de gravedad y controlabilidad de los padres y las reacciones negativas en sus hijos. La muestra estuvo compuesta por 113 participantes españoles (70.5% mujeres) con hijos entre 3 y 12 años (51.8% niños). Los padres respondieron a un cuestionario online sobre las rutinas de los hijos durante la cuarentena, su bienestar emocional, problemas de sueño y su conducta. El 69.6% de los padres informaron que, durante el confinamiento, sus hijos presentaron reacciones emocionales negativas, el 31.3% problemas en el sueño y el 24.1% problemas de conducta. Los niños que invertían menos tiempo en el ejercicio físico y hacían mayor uso de pantallas presentaron un mayor número de reacciones negativas. Los niños con padres que hacían mayor uso de medidas de seguridad presentaron menos reacciones negativas. La percepción de riesgo y la gravedad de la situación por la COVID-19 no se relacionaron con las reacciones de los niños. Los datos sugieren que realizar ejercicio físico regular y limitar el uso diario de pantallas puede beneficiar a la salud mental infantil en situaciones de aislamiento


Due to the recent nature of this situation, related studies are limited. The main objective of this paper was to describe the extent to which the confinement situation affected children's behavior, sleep problems and emotional well-being. A second objective was to identify protective variables that could serve to mitigate possible negative effects of the situation on children. A third objective was to study the possible relationship between parents' perception of severity and controllability and negative reactions in their children. The sample was composed of 113 Spanish participants (70.5% women) with children between 3 and 12 years old (51.8% children). The parents answered an online questionnaire about their children's routines during quarantine, their emotional well-being, sleep problems and their behavioral. The 69.6% of the parents reported that, during confinement, their children presented negative emotional reactions, 31.3% sleep problems and 24.1% behavioral problems. Children who invested less time in physical exercise and made more use of screens had a greater number of negative reactions. Children with parents who made greater use of safety measures presented fewer negative reactions. The perception of risk and the seriousness of the situation due to COVID-19 were not related to the reactions of the children. The data suggest that regular physical exercise and limiting daily screen use may benefit children's mental health in situations of isolation


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Infecções por Coronavirus/psicologia , Quarentena/psicologia , Sintomas Afetivos/psicologia , Ansiedade/psicologia , Depressão/psicologia , Estresse Psicológico/psicologia , Transtornos do Sono-Vigília/psicologia , Pandemias/estatística & dados numéricos , Distância Social , Transmissão de Doença Infecciosa , Relações Familiares/psicologia , Psicometria/estatística & dados numéricos , Estudos Transversais
12.
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
13.
Health Psychol ; 39(9): 776-784, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32833479

RESUMO

OBJECTIVE: Anxiety is associated with sleep disturbance and insomnia. Mindfulness-based interventions, such as mindfulness-based stress reduction, have shown consistent anxiety reduction. Mindfulness training has been theorized to affect reinforcement learning, affecting habitual behaviors such as smoking and overeating, but a direct mechanistic link between the use of mindfulness training for anxiety reduction and improvement in sleep has not been studied. Moreover, the mechanisms by which mindfulness might affect worry and subsequent sleep disturbances have not been elucidated. This study protocol evaluates the impact an app-based mindfulness training program for anxiety might have on decreasing worry and improvement in sleep. METHOD: A randomized controlled study will be conducted in approximately 80 adults with worry that interferes with their sleep. Participants will be randomly allocated (1:1) to two groups: treatment-as-usual (TAU) or TAU + App-Based Mindfulness Training (Unwinding Anxiety app). The primary outcomes will be the non-reactivity subscale of the Five Facet Mindfulness Questionnaire and Patient-Reported Outcomes Measurement Information System sleep quality measures (Baer et al., 2008; Yu et al., 2011). Secondary outcomes will include the Penn State Worry Questionnaire, Generalized Anxiety Disorder-7, and Multidimensional Assessment of Interoceptive Awareness Scale (Mehling et al., 2012; Meyer, Miller, Metzger, & Borkovec, 1990; Spitzer, Kroenke, Williams, & Löwe, 2006). DISCUSSION: This study will be the first to test the mechanism of app-based mindfulness training on worry and sleep disturbance. Testing the mechanistic effects of mindfulness training using the science of behavior change framework will help move the field forward both in further elucidation of potential mechanisms of mindfulness (e.g., targeting reinforcement learning) and determining whether such a platform might be a viable method for delivering high-fidelity treatment at scale and for a low cost. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Ansiedade/psicologia , Transtornos do Sono-Vigília/psicologia , Feminino , Humanos , Masculino , Atenção Plena/métodos , Mídias Sociais , Inquéritos e Questionários
14.
Sleep Med ; 74: 39-47, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32836185

RESUMO

OBJECTIVE: To assess the prevalence and sociodemographic correlates of insomnia symptoms among Chinese adolescents and young adults affected by the outbreak of coronavirus disease-2019 (COVID-19). METHODS: This cross-sectional study included Chinese adolescents and young adults 12-29 years of age during part of the COVID-19 epidemic period. An online survey was used to collect demographic data, and to assess recognition of COVID-19, insomnia, depression, and anxiety symptoms using the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder (GAD-7) questionnaires, respectively. The Social Support Rate Scale was used to assess social support. RESULTS: Among 11,835 adolescents and young adults included in the study, the prevalence of insomnia symptoms during part of the COVID-19 epidemic period was 23.2%. Binomial logistic regression analysis revealed that female sex and residing in the city were greater risk factors for insomnia symptoms. Depression or anxiety were risk factors for insomnia symptoms; however, social support, both subjective and objective, was protective factors against insomnia symptoms. Furthermore, anxiety and depression symptoms were mediators of social support and insomnia symptoms. CONCLUSIONS: Results of this study revealed a high prevalence of sleep problems among adolescents and young adults during the COVID-19 epidemic, especially senior high school and college students, which were negatively associated with students' projections of trends in COVID-19. The adverse impact of COVID-19 was a risk factor for insomnia symptoms; as such, the government must devote more attention to sleep disorders in this patient population while combating COVID-19.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia , Adolescente , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/psicologia , Criança , China/epidemiologia , Infecções por Coronavirus/diagnóstico , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pneumonia Viral/diagnóstico , Transtornos do Sono-Vigília/diagnóstico , Apoio Social , Inquéritos e Questionários , Adulto Jovem
15.
Sleep Med ; 74: 199-203, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32861011

RESUMO

OBJECTIVES: Sleep status can affect the body's immune status and mental health. This study aims to investigate the sleep status of Chinese residents during the outbreak of Coronavirus Disease 2019 (COVID-19) and to evaluate its related risk factors. METHODS: This research carried out a cross-sectional survey in February 2020 (during the COVID-19 outbreak) to investigate the sleep status of residents nationwide in the form of an online questionnaire. Of the 8151 respondents, 6437 were eventually included in the analysis. Logistic regression is applied to analyze the associated factors affecting residents' sleep quality. RESULTS: During the COVID-19 outbreak, the incidence of sleep disturbances in residents was 17.65%. Increased risk of sleep disturbances was found to be associated with older age, female gender, and poor self-reported health status. Moreover, the odds ratios (ORs) were 1.42 (95% CI: 1.1-2.64), 1.35 (95% CI: 1.16-1.59), 5.59 (95% CI: 4.32-7.23), respectively. Those residents who believed COVID-19 had caused a high number of deaths or who thought COVID-19 was not easy to cure were more likely to experience sleep disorders, and the ORs were 1.73 (95% CI: 1.43-2.09), 1.57 (95% CI: 1.29-1.91), respectively. Regular exercise was a protective factor for sleep disturbances, OR = 0.77 (95% CI: 0.63-0.93). CONCLUSIONS: During the outbreak of COVID-19, nearly one-fifth of participants had sleep disorders. It is necessary to pay more attention to people at high risk for sleep disturbances during the outbreak, adopt effective risk communication methods, enhance residents' rational understanding of COVID-19, and develop practical indoor exercise programs for general public to improve sleep quality.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Surtos de Doenças , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia , Adulto , Conscientização/fisiologia , China/epidemiologia , Estudos Transversais , Surtos de Doenças/prevenção & controle , Exercício Físico/fisiologia , Exercício Físico/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Inquéritos e Questionários , Adulto Jovem
16.
Sleep Med ; 74: 248-253, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32862008

RESUMO

BACKGROUND: The lockdown of COVID-19 (Coronavirus Disease 2019) is associated with several stressful factors that can negatively affect peoples' sleep quality and mental health. OBJECTIVES: We conducted this study to evaluate sleep disorders and psychological impact associated with the spread of the COVID-19 and the lockdown on the Moroccan population. We also aimed to study the effects of respondents' beliefs and attitudes about sleep on sleep disorders, anxiety-related symptoms, and depressive symptoms. MATERIAL AND METHODS: We used a questionnaire enclosing respondents' sociodemographic information, five psychological and behavioral tests including Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16), Athens Insomnia Scale (AIS), Epworth Sleepiness Scale (ESS), Hamilton Anxiety Rating Scale (HARS) and Beck Depression Inventory (BDI) test. RESULTS: Our results highlighted widespread false beliefs about sleep and the prevalence of sleep disorders, anxiety, and depression-related symptoms within the Moroccan population. Nearly 82.3% of respondents revealed false beliefs about sleep. Furthermore, we confirmed a strong positive correlation between knowledge and attitudes about sleep and the prevalence of sleep disorders, anxiety, and depression-related symptoms. However, we found no significant difference in the prevalence of sleep and psychological disorders, between healthcare workers and other professions workers. CONCLUSION: Our study revealed a high prevalence of sleep disorders, anxiety, and depressive symptoms in the Moroccan population during the COVID-19 lockdown period. Moreover, false beliefs on sleep understanding were prevalent and were presenting a risk factor leading to sleep disorders, anxiety, and depressive symptoms.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Saúde Mental/tendências , Pandemias , Pneumonia Viral/psicologia , Transtornos do Sono-Vigília/psicologia , Isolamento Social , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Marrocos/epidemiologia , Pneumonia Viral/epidemiologia , Transtornos do Sono-Vigília/epidemiologia , Inquéritos e Questionários
17.
IEEE Pulse ; 11(4): 8-13, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32841113

RESUMO

One of the most pernicious side effects of the COVID-19 pandemic is a steep rise in stress and mental health problems. According to a poll by the Kaiser Family Foundation, nearly half of American adults say that worry and stress about the pandemic is hurting their mental health [1]. There are plenty of factors feeding into this phenomenon. People are anxious about getting sick, grieving lost loved ones, and experiencing financial stress, parental stress, and loneliness. The pandemic places additional burdens on essential workers and people of color, both of whom are at greater risk of dying from the disease. COVID-19 itself has been linked to neurological problems as well as anxiety, depression, and sleep disorders [2].


Assuntos
Betacoronavirus , Infecções por Coronavirus , Depressão , Saúde Mental , Pandemias , Pneumonia Viral , Transtornos do Sono-Vigília , Estresse Psicológico , Adulto , Infecções por Coronavirus/economia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/fisiopatologia , Infecções por Coronavirus/psicologia , Depressão/economia , Depressão/epidemiologia , Depressão/fisiopatologia , Depressão/psicologia , Humanos , Pandemias/economia , Pneumonia Viral/economia , Pneumonia Viral/epidemiologia , Pneumonia Viral/fisiopatologia , Pneumonia Viral/psicologia , Transtornos do Sono-Vigília/economia , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/fisiopatologia , Transtornos do Sono-Vigília/psicologia , Estresse Psicológico/economia , Estresse Psicológico/epidemiologia , Estresse Psicológico/fisiopatologia , Estresse Psicológico/psicologia
18.
Med Arch ; 74(3): 210-215, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32801438

RESUMO

Introduction: Several research studies have started to investigate the health conditions of medical doctors and nurses in order to find a relationship if any between their work environment, their usually heavy duties and the result of these two parametric on patients' health. Aim: The present research study is an effort to investigate the relationship between the physical activity and sleep disorders among health care professionals, particularly among medical doctors and nurses. Methods: Participants of the study were asked to fill a questionnaire which was a mixture of other internationally accredited questionnaires regarding physical activity level as well as sleeping functions. Data were collected among 204 physicians and nurses. The statistical analysis revealed a correlation between physical activity and some aspects of sleep disorders. Results: A total number of 204 questionnaires have been distributed to medical doctors and nurses working in public hospitals in Athens Greece from the middle of February until the middle of April 2020. The hospitals were assigned by the health authorities to the fight of the pandemic of COVID 19. The majority of the participants were women 71,3% and 28,7% were men. From a total of 204 half of them were medical doctors and half of them were nurses. 43% were married, 49% were single and 8% were divorced and there were no widows. Regarding the participant nurses, 43% had a university degree and 38,4% had a technological education degree. The results of the statistical analysis showed that there are positive correlations between the level of physical activity during the daily work and the free time of the participants with parameters that are related to sleep disorders. Conclusion: The sample of the study was not a large one but nevertheless a stressful situation such as is the epidemic of COVID19 can provide useful information in order to better understand the relationship between physical activity and sleeping disorders in such working conditions.


Assuntos
Infecções por Coronavirus/epidemiologia , Exercício Físico , Médicos Hospitalares , Recursos Humanos de Enfermagem no Hospital , Estresse Ocupacional , Pneumonia Viral/epidemiologia , Transtornos do Sono-Vigília , Adulto , Atitude do Pessoal de Saúde , Betacoronavirus , Exercício Físico/fisiologia , Exercício Físico/psicologia , Feminino , Grécia/epidemiologia , Médicos Hospitalares/psicologia , Médicos Hospitalares/estatística & dados numéricos , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Estresse Ocupacional/etiologia , Estresse Ocupacional/fisiopatologia , Pandemias , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/fisiopatologia , Transtornos do Sono-Vigília/psicologia , Inquéritos e Questionários , Equilíbrio Trabalho-Vida , Carga de Trabalho
19.
Epilepsy Behav ; 112: 107323, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32712565

RESUMO

OBJECTIVES: The objective of the study was to assess if patients with epilepsy (PWE) experienced an increase in seizure frequency and self-reported stress during the COVID-19 pandemic. METHODS: This is a cross-sectional study conducted in Saudi Arabia in April 2020. An electronic self-administered questionnaire was distributed to PWE via their treating neurologist. The variables included were demographic and baseline clinical characteristics (age, gender, living situation, occupational status, type of epilepsy, duration of epilepsy, number of antiepileptic medications (AEDs), presence of known psychiatric illness, and use of psychiatric medications), their seizure control in the month prior to the pandemic, perceived stress during this period of time, sleep changes, compliance changes, and change in seizure control during the pandemic. RESULTS: A total of 156 patients completed the questionnaire, with 29.5% reporting an increase in seizure frequency. Additionally, 59.4% reported an increase in self-reported stress and 71.2% experienced a significant change in their sleep during this period. Higher baseline seizure frequency, more AEDs, noncompliance, increase in self-reported stress, and sleep changes are the significant factors associated with increase in seizure frequency during the pandemic. CONCLUSION: Identifying high-risk patients for seizure recurrence is important in order to provide them with adequate support to reduce such risk.


Assuntos
Anticonvulsivantes/uso terapêutico , Infecções por Coronavirus , Epilepsia/tratamento farmacológico , Pandemias , Pneumonia Viral , Transtornos do Sono-Vigília/epidemiologia , Estresse Psicológico/epidemiologia , Adulto , Betacoronavirus , Estudos Transversais , Emprego , Epilepsia/fisiopatologia , Epilepsia/psicologia , Feminino , Humanos , Masculino , Transtornos Mentais/tratamento farmacológico , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Psicotrópicos/uso terapêutico , Recidiva , Arábia Saudita/epidemiologia , Convulsões/tratamento farmacológico , Autorrelato , Sono , Transtornos do Sono-Vigília/psicologia , Estresse Psicológico/psicologia , Estudantes , Inquéritos e Questionários , Resultado do Tratamento , Adulto Jovem
20.
Health Qual Life Outcomes ; 18(1): 227, 2020 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-32660579

RESUMO

BACKGROUND: Poor sleep quality negatively affects the readiness of military operations and is also associated with the development of mental health disorders and decreased quality of life. The purpose of this study was to investigate the sleep quality of military personnel from remote boundaries of China and its relationship with coping strategies, anxiety, and health-related quality of life (HRQoL). METHODS: A cross-sectional survey was performed among military officers and soldiers from a frontier defence department and an extreme cold environment. The participants were surveyed using the Pittsburgh Sleep Quality Index (PSQI), Trait Coping Style Questionnaire (TCSQ), Self-rating Anxiety Scale (SAS), and Short Form Health Survey (SF-36). RESULTS: A total of 489 military officers and soldiers were included. The participants had a mean age of 22.29 years. The median overall PSQI score was 7.0 (IQR, 4.0 ~ 9.0), with 40.9% (200/489) of the subjects reporting poor sleep quality. The difficulties with sleep were mainly related to daytime dysfunction due to disrupted sleep, sleep latency, and subjective sleep quality. The median score of the SF-36 physical component was 83.5 (IQR, 73.0 ~ 90.5), and the median score of the mental component was 74.1 (IQR, 60.4 ~ 85.1). Significant correlations were found between the PSQI and SF-36 (r = - 0.435, P <  0.01). Anxiety symptoms, marital status, educational background, and global PSQI score were demonstrated as predictors of a low SF-36 physical component by multiple regression analysis (F = 17.06, P <  0.001, R2 = 0.117). CONCLUSIONS: Sleep difficulty is a prevalent and underestimated problem in the military that negatively influences HRQoL, especially in physical and social functioning. Evaluation of and education on pain were recommended because of body pain and its negative impacts on sleep quality, coping strategies, anxious emotions and HRQoL.


Assuntos
Adaptação Psicológica , Tempo Frio Extremo/efeitos adversos , Militares/psicologia , Qualidade de Vida/psicologia , Distúrbios do Início e da Manutenção do Sono/fisiopatologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Transtornos do Sono-Vigília/psicologia , Adolescente , Adulto , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Militares/estatística & dados numéricos , Prevalência , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Transtornos do Sono-Vigília/epidemiologia , Inquéritos e Questionários , Adulto Jovem
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