Anxiety and depressive symptoms, and positive and negative couple interactions among postpartum mothers and fathers before and during the COVID-19 pandemic.

INTRODUCTION: The negative impact of the COVID-19 pandemic on mental health and couples' relationships may be particularly higher in vulnerable groups, including mothers and fathers during the transition to parenthood. This study compared mental health symptoms and couples' relationship quality among parents who were at 6 months postpartum before or during the COVID-19 pandemic. METHOD: A sample of 109 primiparous mothers and fathers recruited before the COVID-19 pandemic were assessed at 6 months postpartum, before (n = 69) or during the COVID-19 pandemic (n = 40). Participants completed self-reported measures of anxiety and depressive symptoms, and couples' positive and negative interactions. RESULTS: Mothers and fathers assessed at 6 months postpartum during the COVID-19 pandemic reported more depressive symptoms and more couples' negative interactions than mothers and fathers assessed at 6 months postpartum before the COVID-19 pandemic. DISCUSSION: Findings suggested the COVID-19 pandemic may have negatively impacted the adjustment of postpartum parents, but causality cannot be determined from these cross-sectional analyses. The COVID-19 pandemic may be an adverse condition for parents' postnatal mental health and couples' relationships. Findings contribute to the literature on the transition to parenthood by providing evidence on the burden that the COVID-19 pandemic can add to the already stressful experiences associated with the postpartum period. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Clinical features and physiotherapy management for Covid-19 in children.

BACKGROUND: COVID-19 has quickly become a worldwide threat to health, travel, and commerce. Studies adressing the clinical-functional presentation of viral infection and physiotherapy management in children are scarce. The purpose statement was to provide current perspectives on the physiotherapy interventions for managing children based on COVID-19 evidences. METHODS: In this review, databases were searched between 1th January and 26 th March 2020. The following descriptors were considered: (novel coronavirus); (novel corona virus); Coronavirus; (corona vírus); 2019-nCoV; nCovor; COVID-19; SARSCoV-2; in the electronic databases National Library of Medicine (PubMed/Medline), Scientific Electronic Library Online (SciELO) and Physiotherapy Evidence Database (PEDro). The results were described through the International Classification of Functioning, Disability and Health. RESULTS: 16 papers were included in this review. COVID-19 seems to lead to restriction of participation and interfere in tasks, such as recreation and leisure activities, respiratory muscle function and exercise tolerance. Personal protective equipments and contact precautions are important part of treatment. Effective oxygen therapy should be given immediately in presence of hypoxia. Nasal high-flow oxygen therapy, non-invasive ventilation, lung-protective ventilation strategies and prone position, should be undertaken when necessary under appropriate conditions. Airway clearance techniques should be administered only strictly needed and early activities must be encouraged. CONCLUSIONS: Potential physiotherapy interventions for children with COVID-19/SARS-CoV-2 consist on ventilatory management, airway clearance techniques and early activities and mobilization.

Telephone-based psychological crisis intervention: The portuguese experience with covid-19

ABSTRACT Portugal is one of the European countries that implemented early protective measures in the context of the COVID-19 pandemic. Portugal declared a state of emergency on 18 March, and a set of regional and national preventive public health measures was progressively implemented. Studies on the psychological impact of pandemics show evidence of the negative impact on mental health. Of particular concern are individuals with previous fragility (e.g. personal, family or occupational) and those undergoing life transitions. In this paper, we present a telephone-based psychological crisis intervention that was implemented to provide brief, appropriate, and timely psychological help. This intervention follows standard models of crisis intervention and is structured in five phases and five different intervention modules to take into account the impact of the pandemic on the mental health of specific risk groups. With these support services, we hope to help our community better cope with the immediate impact of the pandemic and to contribute to preventing serious mental health problems in the medium and long term. (PsycInfo Database Record (c) 2020 APA, all rights reserved)