Association of internet gaming disorder to depression, anxiety and stress among Filipino adolescents in selected public high schools in Pasay City / The Health Sciences Journal

Introduction@#This study determined the relationship of personal factors and gaming factors with Internet Gaming Disorder (IGD). It aimed to provide information on the association of IGD with depression, anxiety, stress and both depression and anxiety among adolescent gamers.@*Methods@#This was an analytic cross-sectional study among 560 14-18-year-old adolescents from two public high schools in Pasay City that used the Internet Gaming Disorder Scale–Short-Form (IGDS9-SF), Depression, Anxiety and Stress Scale-21 items (DASS-21) and gamer profile questionnaires.@*Results@#The prevalence of Internet Gaming Disorder (IGD) was low at 1.1%, while moderate depression was observed in 67%, stress in 46.8%, both depression and anxiety in 64.8%, and high anxiety in 89.3% among adolescents. Using multiple logistic regression to control the effects of possible confounders, the association of IGD with depression (OR 0.971, 95% CI 0.085-11.084, p-value .981), anxiety (OR 6.0x107, p-value .999), stress (OR 6.135, 95% CI 0.373-100.991, p-value .204) and both depression and anxiety (OR 1.027, 95% CI 0.089-11.846, p-value .983) were not statistically significant. @*Conclusion@#The odds of depression, anxiety, stress and both depression and anxiety were higher among those with IGD as compared to those without IGD. However, it is not statistically significant. This study recommended further validation of the new IGD definition in the local setting and longitudinal studies with a larger population to determine other factors associated with mental disorders.

The Philippine Coronavirus Disease 2019 (COVID-19) profile study: Clinical profile and factors associated with mortality of hospitalized patients

Introduction@#The coronavirus disease 2019 (COVID-19) have spread globally and reached the Philippines in late January 2020. This study is the first local and nationwide research on admitted COVID-19 adult patients: their clinic-demographic profiles, managements, and clinical outcomes. We aim to determine the associated factors with mortality among COVID-19 patients.@*Methods@#This was a retrospective, multicenter, observational cohort study of rt-PCR confirmed and admitted COVID-19 adult patients in 89 hospitals in the Philippines from February to July, 2020. The data on admission of patient’s demographic, clinical, laboratory, pre-hospital and during hospital treatment management and in-hospital clinical outcomes were gathered. The data were described and analyzed using multiple logistic regression analysis.@*Results@#There were 2884 rt-PCR confirmed and admitted COVID-19 adult patients included in the study. Majority were Filipinos (99·4%), with slightly more males (54.4%) than females. 21% were healthcare workers (HCWs). Mortality was higher among non-HCWs at 16% versus 2% among HCWs. 63% of the patients had a co-morbidity, which included hypertension (69%), diabetes mellitus (48%) and chronic kidney disease (26%). The significantly associated factors with mortality in this Philippine cohort were: age >60 years, hypertension as co-morbidity, tachypnea (> 22/minute), WBC count > 10 x 109 /L, and elevated serum lactate dehydrogenase (LDH) (all p<0.05). Elevated serum LDH was the strongest factor associated with mortality (OR of 8.74, p=0.004).@*Conclusion@#This study identified that age, hypertension, tachypnea, elevated WBC count, and elevated serum LDH were associated with mortality among COVID-19 adult patients and results were consistent with results from studies done in other countries. We recommend that early detection and awareness of exposures and symptoms will improve the management and clinical outcomes of COVID-19 adult patients. Also, a long follow-up of the outcomes of COVID-19 to determine the effectiveness of treatment is recommended for further study.