How COVID-19 pandemic period influences on the selected mental health parameters of Polish respondents?

Introduction: There are many different articles about COVID-19 pandemic period and its influence on people and their behavior. Nevertheless, there is little research on the slightly later period of the pandemic, that is, the time when specific adaptation mechanisms in society should start to take place. Methods: Our research was conducted by means of an online survey. Four hundred and eighty five adults participated, including 349 (71.96%) women and 136 (28.04%) men. The Buss-Perry aggression scale, Alcohol Use Disorders Identification Test and Generalized Anxiety Disorder 7 scale were used. The results were statistically processed using Statistica 13.3 software. Results: Within the study population, positive correlations were noted between anxiety and generalized aggression, anger, hostility, physical and psychological aggression. In the female group, anxiety correlates positively with generalized aggression, anger, hostility, verbal and physical aggression. Among male subjects, anxiety correlates positively with aggression, anger, and hostility. Alcohol consumption has a significant association with verbal aggression. Statistically, more women experience anxiety, more men have inflated scores on the AUDIT scale and on verbal and physical aggression. Younger people are more likely than older people to experience anxiety and have inflated scores on hostility. Those with secondary education scored significantly higher on the GAD-7 scale and the aggression scale (and all subscales except anger) compared to respondents with higher education. Discussion: As a result of adaptation to the COVID-19 pandemic, anxiety is no longer a factor in increased evels of alcohol consumption. The pandemic has not affected differences in alcohol consumption between men and women. The presence of a positive correlation between anxiety and aggression and the sociodemographic structure of those characterized by increased aggression are also unchanged. Anxiety directly influences aggressive behavior in a relatively strong way. Appropriate health-promoting measures should be implemented to protect the public from the negative effects of the COVID-19 pandemic.

Psychiatric Rehabilitation Amidst COVID-19: Do Pandemic Restrictions Affect the Therapeutic Efficiency?

Community psychiatry is an effective and increasingly popular form of care for patients with mental disorders. Due to sanitary restrictions imposed by the COVID-19 pandemic, psychiatric rehabilitation programs had to adapt to the highly specific requirements and modify the offer of therapeutic activities for patients. Above all the activities focused on, social interactions were limited. The aim of the study was to assess the effectiveness of the modified rehabilitation program in light of the introduced sanitary restrictions due to COVID-19. This prospective observational single-centered study involved 41 patients diagnosed with organic mental disorders, psychotic disorders, affective disorders and anxiety disorders. The patients participated in a 6-week rehabilitation program which included varied forms of physical exercise, cognitive training, psychological training and Small Group Therapy. The quality-of-life assessment and the intensity of depression and anxiety symptoms were measured using standardized scales: Hospital Scale of Anxiety and Depression (HADS) and Short Form Health Survey (SF-36) at two time points before the initiation of the rehabilitation process and at the end of the program's participation period. Median HADS D before admission to the rehabilitation center was 9 (IQR 6-12), and 5 (IQR 3-9) after 6-week participation (p < 0.05). Median SF-36 at the beginning of rehabilitation was 93 (IQR 80-106) and 73 (IQR 53-95) at the end of the evaluation period (p < 0.05), Median HADS-A at the start of rehabilitation was 11 (IQR 9-14) and 9 (IQR 6-12) after final assessment (p > 0.05). The gender and age of the participants did not influence the results of the utilized standardized evaluation tools (p > 0.05 for both). We observed an improvement in the participants' subjective assessment of the intensity of the depression symptoms and the quality of life after partaking in the available activities. There was no clear benefit regarding the subjective assessment of the intensity of anxiety symptoms among the study participants resulting from the introduction to the program.

Depressive and Anxiety Symptoms and Their Relationships with Ego-Resiliency and Life Satisfaction among Well-Educated, Young Polish Citizens during the COVID-19 Pandemic.

Ego-resiliency is a set of traits that promotes positive adaptation to life's vicissitudes. High ego-resiliency helps in upholding one's personality system when facing adversity and in adjusting it to new environmental demands. Our study aimed at evaluating the connections between ego-resiliency, the severity of anxiety and depressive symptoms as well as life satisfaction during the COVID-19 pandemic in Poland. A total of 604 Polish citizens aged 16 to 69 years participated in the online survey. Ego-resiliency was measured with the Ego Resiliency Scale (ER89-R12), anxiety and depression with the Hospital Anxiety and Depression Scale (HADS), and life satisfaction with the Satisfaction with Life Scale (SWLS). Statistical analyses were performed using the Spearman rank correlation coefficient. The results revealed correlations between the intensity of depressive and anxiety symptoms, life satisfaction, and the intensity of ego-resiliency. Individuals with a high level of ego-resiliency tended to experience a lower intensity of anxiety and depressive symptoms during the COVID-19 pandemic. Moreover, individuals with a high level of ego-resiliency exhibited a higher level of life satisfaction. Our conclusions might assist in better understanding the close link between levels of ego-resiliency, the occurrence of depressive and anxiety symptoms, and satisfaction with life among Polish individuals experiencing crises.

Conspiratorial Beliefs About COVID-19 Pandemic - Can They Pose a Mental Health Risk? The Relationship Between Conspiracy Thinking and the Symptoms of Anxiety and Depression Among Adult Poles.

The aim of the study was to describe the relationship between the tendency to believe in false information about the COVID-19 pandemic, tendency to believe in conspiracy theories and the severity of anxiety and depression symptoms among the surveyed Poles. The study was conducted via the Internet in a group of 700 people aged 24.8 ± 6.3 years (mean ± SD). 585 females and 110 males were involved. Scales such as Generic Conspiracist Beliefs Scale (GCBS), Hospital Anxiety and Depression Scale (HADS) and the original questionnaire COVID-19 Conspiratorial Beliefs Scale (COVID-19 CBS) designed to measure the tendency to believe in false information about COVID-19 pandemic were used. A positive correlation was observed between the tendency to believe in false information about the COVID-19 pandemic (COVID-19 CBS) and the tendency to believe in general conspiracy theories (GCBS) (r = 0.768; p < 0.001). Moreover, both COVID-19 CBS and GCBS positively correlated with the severity of anxiety and depression symptoms in the study group. For COVID-19 CBS, the correlation coefficients were 0.087 (p < 0.021) and.108 (p < 0.004) for depressive and anxiety symptoms, respectively, while for GCBS the coefficients were 0.132 (p < 0.001) and 0.147 (p < 0.001). Regression analysis showed that the increased tendency to believe in false beliefs about the COVID-19 pandemic may be associated with an increase in the severity of anxiety (b = 0.04; p = 0.021) and depression (b = 0.06; p < 0.001) symptoms. It can be hypothesized that the tendency to believe in false information regarding the COVID-19 pandemic is positively associated with the tendency to general belief in conspiracy theories. False beliefs about the COVID-19 pandemic may, at least to some extent, influence the development of anxiety and depression symptoms.

Progress in Personalized Psychiatric Therapy with the Example of Using Intranasal Oxytocin in PTSD Treatment.

Post-traumatic stress disorder (PTSD) is a severe mental disorder that results in the frequent coexistence of other diseases, lowers patients' quality of life, and has a high annual cost of treatment. However, despite the variety of therapeutic approaches that exist, some patients still do not achieve the desired results. In addition, we may soon face an increase in the number of new PTSD cases because of the current global situation-both the COVID-19 pandemic and the ongoing armed conflicts. Hence, in recent years, many publications have sought a new, more personalized treatment approach. One such approach is the administration of intranasal oxytocin (INOXT), which, due to its pleiotropic effects, seems to be a promising therapeutic option. However, the current findings suggest that it might only be helpful for a limited, strictly selected group of patients.

Conspiratorial Beliefs About COVID-19 Pandemic - Can They Pose a Mental Health Risk? The Relationship Between Conspiracy Thinking and the Symptoms of Anxiety and Depression Among Adult Poles

The aim of the study was to describe the relationship between the tendency to believe in false information about the COVID-19 pandemic, tendency to believe in conspiracy theories and the severity of anxiety and depression symptoms among the surveyed Poles. The study was conducted via the Internet in a group of 700 people aged 24.8 ± 6.3 years (mean ± SD). 585 females and 110 males were involved. Scales such as Generic Conspiracist Beliefs Scale (GCBS), Hospital Anxiety and Depression Scale (HADS) and the original questionnaire COVID-19 Conspiratorial Beliefs Scale (COVID-19 CBS) designed to measure the tendency to believe in false information about COVID-19 pandemic were used. A positive correlation was observed between the tendency to believe in false information about the COVID-19 pandemic (COVID-19 CBS) and the tendency to believe in general conspiracy theories (GCBS) (r = 0.768;p < 0.001). Moreover, both COVID-19 CBS and GCBS positively correlated with the severity of anxiety and depression symptoms in the study group. For COVID-19 CBS, the correlation coefficients were 0.087 (p < 0.021) and.108 (p < 0.004) for depressive and anxiety symptoms, respectively, while for GCBS the coefficients were 0.132 (p < 0.001) and 0.147 (p < 0.001). Regression analysis showed that the increased tendency to believe in false beliefs about the COVID-19 pandemic may be associated with an increase in the severity of anxiety (b = 0.04;p = 0.021) and depression (b = 0.06;p < 0.001) symptoms. It can be hypothesized that the tendency to believe in false information regarding the COVID-19 pandemic is positively associated with the tendency to general belief in conspiracy theories. False beliefs about the COVID-19 pandemic may, at least to some extent, influence the development of anxiety and depression symptoms.

The Influence of Sociodemographic Factors on Symptoms of Anxiety, the Level of Aggression and Alcohol Consumption in the Time of the COVID-19 Pandemic among Polish Respondents.

The COVID-19 pandemic has had a significant impact on the mental health of most of the world's population. The authors of this study decided to identify differences in the intensity of anxiety, aggression and alcohol consumption within the study population. The study was conducted via an Internet survey. It uses Polish adaptations of international scales to assess anxiety (GAD-7), aggression (Buss and Perry Aggression Scale) and alcohol consumption (AUDIT test). A total of 538 people were examined. The surveyed group of respondents does not reflect the structure of Polish society. The group of surveyed women scored higher than men in terms of anxiety, as well as anger and hostility. The examined men were characterized by higher results of alcohol consumption and physical aggression. People between 18 and 49 years of age consumed significantly more alcohol than people aged 50 and over. People aged 18-29 obtained statistically significantly higher scores in generalized aggression and hostility. The relationships between the studied parameters do not differ significantly from those presented in other studies. People under the age of 50 are the group most exposed to the harmful effects of alcohol. Women between the ages of 30 and 49 are most vulnerable to the negative mental health effects of the COVID-19 pandemic. There is a need for further research studies in which the studied group will obtain a greater degree of compliance with the structure of Polish society.

Impact of Selected Sociodemographic and Clinical Parameters on Anxiety and Depression Symptoms in Paramedics in the Era of the COVID-19 Pandemic.

INTRODUCTION: The emergence of the SARS-CoV-2 virus, which caused the outbreak of the pandemic declared by the World Health Organization (WHO, World Health Organization) on 11 March 2020, has resulted in the introduction of many restrictions worldwide to contain the rapidly spreading pathogen. A particularly vulnerable professional group are paramedics working in Emergency Medical Teams. AIM: The main aim of this study was to investigate the influence of selected sociodemographic and clinical parameters on anxiety and depression symptoms in paramedics during the COVID-19 pandemic. MATERIALS AND METHODS: The study involved 387 paramedics working in Medical Rescue Teams in Poland. The majority of respondents were male (72.35%). In order to achieve the aim of the study, an online diagnostic survey was conducted using a questionnaire of the author's own design and standardized questionnaires: Hospital Anxiety and Depression Scale (HADS) and General Anxiety Disorders (GAD-7). RESULTS: Significantly higher values were observed for all analysed scales in females compared to males. The main factors influencing the occurrence of anxiety and depression symptoms were gender, seniority at work, family relations, use of sleeping pills. Alcohol consumption increased in this professional group during the pandemic. CONCLUSIONS: Females and users of sleep medication who work in the emergency department during a pandemic are more likely to experience symptoms of depression and anxiety. A longer length of service and satisfying relationships with family are factors in reducing these symptoms. Paramedics who are in informal relationships and single manifest more emotional problems compared to those who are married. Increased alcohol consumption can be considered as a way of coping with stress. However, further studies in this professional group are needed to assess the further impact of the pandemic on psychiatric symptoms among emergency medical workers.

Relationship between the Severity of Anxiety Symptoms, Aggression and Alcohol Consumption during the COVID-19 Pandemic Period.

Background and objectives: There have been many reports of mental health in the pandemic period. The research conducted so far has indicated an increase in the severity of anxiety and aggression and an escalation of alcohol consumption during the COVID-19 pandemic. The aim of this study was to determine the relationship between the severity of anxiety, the amount of alcohol consumed and the severity of aggression. Materials and Methods: A total of 538 Polish residents-413 women (76.77%) and 125 men (23.23%)-participated in the study via an online survey. It included socio-demographic parameters and psychological scales: AUDIT-to determine the model of alcohol consumption, GAD-7-to measure the severity of anxiety and the Buss-Perry Aggression Questionnaire. Results: There was a correlation between the severity of anxiety and generalized aggression, and its two components-anger and hostility-in the entire study group. Moreover, relations were found between the intensity of alcohol consumption and generalized aggression and its components-anger and verbal and physical aggression. Those relationships turned out to be gender specific. The increased anxiety intensity affected the pattern of alcohol consumption and the severity of aggression. Conclusions: Psychotherapeutic and psychoeducational interactions and some elements of psychiatric treatment should aim at reducing the severity of anxiety in society, and thus minimizing the health and social consequences-aggressive behaviour and excessive alcohol consumption.

Is it good to be resilient during the COVID­19 period? The role of ego-resiliency in the intensity of symptoms of anxiety, alcohol use and aggression among Polish people.

OBJECTIVES: The SARS-CoV-2 pandemic has affected the development of negative phenomena such as anxiety symptoms, a tendency to use alcohol and aggressive behaviors. It is postulated to investigate the factors limiting the development of the indicated adverse effects. One of the psychological resources that may have a significant, pro-health character in relation to mental functioning is ego-resiliency (ER). It is described as a personality trait associated with a high ability to adequately regulate self-control, depending on the conditions. There are studies providing information about the prohealth, adaptive nature of ER during the COVID­19 period. The aim of the study was to assess the relationships between ER and anxiety, the tendency to use alcohol and aggression in the group of Polish people in the initial lockdown period in Poland. MATERIAL AND METHODS: Overall, 538 adult Polish people participated in the study. The Ego-Resiliency Scale referred to as ER89-R12, according to Block's concept, was used to measure ER. The other scales used were the General Anxiety Disorder Scale, the Alcohol Use Disorder Identification Test, and the Buss-Perry Aggression Questionnaire. Statistical analyses were performed using Spearman's rank correlation coefficient, the multiple regression procedure, the Mann-Whitney U test and the Kruskal-Wallis rank ANOVA. Cronbach's α coefficients were also assessed. RESULTS: Statistically significant negative relationships between ER and the severity of anxiety symptoms and generalized aggression were found. There was a weak positive relationship between ER and the tendency to use alcohol. Among the surveyed Polish people, higher ER was characteristic of the older respondents (aged >29 years) and people with higher education. CONCLUSIONS: Ego-resiliency in the times of the SARS-CoV-2 pandemic can counteract the development of anxiety and aggression. Optimal regulation seems to play an important role in this relationship. The relationship between resiliency and the tendency to use alcohol requires further observation. Int J Occup Med Environ Health. 2021;34(2):289-300.

The Dark Triad of Personality's Relationship with Compliance towards COVID-19 Pandemic Recommendations along with Anxiety and Depressive Symptoms in Polish Citizens.

The outbreak of the COVID-19 pandemic forced everyone to comply with rules of a sanitary regime and social distancing on a daily basis. The aim of our research was to assess the differences in the levels of Dark Triad traits between people who obeyed and disobeyed the pandemic restrictions. Additionally, we considered the possible correlation between the Dark Triad and the intensity of symptoms of depression and anxiety. A total of 604 Polish participants, whose average age was 28.95 ± 11.27 years, completed an online survey which measured Dark Triad traits using the Polish version of the Dirty Dozen test. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). The results revealed a possible relationship between personality traits and compliance with pandemic restrictions. Individuals with higher levels of psychopathy tended to disobey newly introduced rules. On the other hand, a higher level of subclinical narcissism might have contributed to a better civil compliance. The results showed a significant positive correlation between the intensity of the Dark Triad and the occurrence of depressive symptoms. Furthermore, narcissism was linked to anxiety symptoms. These results can contribute to a better understanding of behavioural patterns during the COVID-19 pandemic within the group of individuals who exhibit the Dark Triad traits. Our conclusions might help to identify individuals who are particularly vulnerable to mental health problems.

Assessment of the Impact of a Daily Rehabilitation Program on Anxiety and Depression Symptoms and the Quality of Life of People with Mental Disorders during the COVID-19 Pandemic.

Community psychiatry is a modern and effective form of care for patients with mental disorders. The aim of the study was to assess the impact of a rehabilitation program at the Mental Health Support Centre in Tarnowskie Góry (Poland) on reducing severity of anxiety and depression symptoms, as well as improving overall quality of life during the COVID-19 pandemic. The study involved 35 patients, examined with an authors' questionnaire on sociodemographic data, the Hospital Scale of Anxiety and Depression (HADS) and the Short Form Health Survey (SF-36). Data was obtained during the first national lockdown and compared to data gathered before the pandemic on the same study group. Imposed restrictions, negative emotional state during lockdown, subjectively assessed higher health risk and a low level of knowledge about the COVID-19 pandemic did not significantly correlate with a severity of depression and anxiety, as well as general quality of life. However, the comparison of the results obtained in HADS and SF-36 scales show a significant improvement in both categories. Rehabilitation activities, including physical training, cognitive exercise and social therapy, reduce the severity of the symptoms and have a positive effect on the overall quality of life in patients suffering from schizophrenia and affective disorders. Therefore, holistic mental health support services may positively affect building an individual resilience. The severity of anxiety symptoms during the COVID-19 pandemic shows a negative correlation with the patient's age.