ABSTRACT
Objective Given the ongoing COVID-19 pandemic and future disease threats, a profound comprehension of the impact of epidemics and pandemics on healthcare providers' mental health is needed to address these current and future global health challenges, Thus, aim of this study was to quantify psychological and psychosomatic symptoms among healthcare staff working on the frontlines of SARS-CoV-1, H1N1, Ebola, MERS, and SARS-CoV-2. Methods We systematically searched four databases and additional literature, including daily search alerts. Two reviewers independently performed all methodological steps, involving a third reviewer in case of dissent We pooled the overall symptom prevalence rates applying random effects modeling and calculated the 12 to account for statistical heterogeneity. Results Of 1995 retrieved records, we assessed 417 full texts for eligibility, and included 86 studies. Frontline providers suffered from various symptoms, like concern about transmitting the virus to family (60.39%, 95% CI 42.53-76.96) and concern about own health (45.97%, 95% CI 31.08-61.23), sleep disturbances (39.88%, 95% CI 27.70-52.72), burnout (31.81%, 95% CI 13.32-53.89), depression (25.72%. 95% CI 18.34-33.86), anxiety (25.36%, 95% CI 17.90-33.64), posttraumatic stress disorder (24.51%, 95% CI 18.16-31.46), and somatization (14.68%, 95% CI 10.67-19.18). Conclusion Our findings, based on information from 75,991 participants, highlight the severe psychological effects of epidemics and pandemics on frontline staff. As another COVID-19 wave, driven by Delta and, Omicron, puts even more strain on an already exhausted ' medical system and healthcare providers face aggression and threats from anti-vaccine activists, providing tailored psychological support for the healthcare workforce becomes all the more important.
ABSTRACT
Background: The health emergency caused by the SarS-Cov-2 pandemic has been strongly impacting on oncological patients’ (pts). The purpose of this study was to explore the emotional impact and perception of cancer pts who received the vaccine against COVID-19 at the University Hospital and Trust of Verona (Italy). Methods: After the first dose of COVID-19 vaccine an anonymously questionnaire was proposed to cancer pts (March-May 2021). The survey investigated anxiety and depression levels using the Hospital Anxiety and Depression Scale (HADS), psychological distress with the Distress Thermometer (DT). Additionally, four specific items regarding the awareness about: i) infection risks, ii) interference with chemotherapy treatment, and iii) adverse effects, were developed. Descriptive analyses were performed. Results: A total of 736 patients (mean age 63 yrs) completed the questionnaire. Breast (23%) and gastrointestinal (40%) were the most represented cancer sites. The majority of pts (65%) reported mild levels of distress (DT ≤4), while moderate (DT 5-7) and severe (DT ≥8) levels were identified in 26% and 9% of participants, respectively. A total of 11% and 8% of pts experienced clinically significant symptoms of anxiety and depression (HADS ≥11), whereas 15% were borderline (HADS score 8-10). Two thirds of pts (67%) thought that the vaccination may reduce the infection risks and 56% felt safer. Overall, 59% of pts did not believe that vaccine-related side effects may interfere with the oncological treatment and 49% considered the vaccination safe. Conclusions: Most cancer pts undergoing COVID-19 vaccination presented mild levels of anxiety, depression and distress. Oncological pts undergoing vaccination felt safe and judged the benefits of COVID-19 vaccination to overweight the potential side effects. Legal entity responsible for the study: The authors. Funding: Has not received any funding. Disclosure: All authors have declared no conflicts of interest.
ABSTRACT
Background: The health emergency caused by the SarS-Cov-2 pandemic has a strong impact on oncological patients' (pts) life. The purpose of this study is to explore the emotional impact and pts' perception experienced who accessed to our Oncology section at University Hospital and Trust of Verona (Italy) regarding these rules. Method(s): An questionnaire was designed by our Psycho-Oncology service and administered to all pts accessing to our outpatient facilities during a 21-days period (April 9th - April 30th, 2020). Two main areas were investigated: i) organizational aspects and ii) awareness about infection risks, protective strategies, and new rules adopted (14 items, plus demographic data). Percentage of relevant answers to questionnaire items are reported with 95% confidence intervals (95% CI). Result(s): Among 241 respondents, fear of accessing hospital facilities and that chemotherapy treatment could increase the infection risk was reported to be quite high or high in 34% (95% CI: 29-41%) and 27% (95% CI: 21-33%), respectively. Awareness of disease-related risks of infection and strategies to reduce them was "very clear" or "fairly clear" [83% (95% CI: 78-88%) and 93% (95% CI: 90-96%), respectively]. Availability of medical personnel to be contacted while not in hospital was perceived as "very high". Almost all pts felt that organizational measures were clearly expressed (98%, 95% CI: 96-100%) and mainly obtained through the information received at the triage (73%, 95% CI: 67-79%). Overall acceptance of these measures was very high (>70%). Of note, the acceptance of phone-based follow-up and visits were perceived as "not very adequate" or "absolutely not adequate" by 17% (95% CI: 12-22 %) and 18% (95% CI: 13-23%) of respondents, respectively. Conclusion(s): Herein, we report among the first real-life experiences about oncological pts' perception of infection risks and their level of acceptance of protective measures during SarS-Cov-2 pandemic. A timely and thoughtful measures adoption, the coordinated efforts of all figures involved in cancer care and an effective communication strategy to share the necessary risks and sacrifices with pts/caregivers, can lead to effective protection of oncological pts. Legal entity responsible for the study: The authors. Funding(s): Has not received any funding. Disclosure: All authors have declared no conflicts of interest.Copyright © 2020
ABSTRACT
The COVID-19 outbreak has impacted the wellbeing of people worldwide, potentially increasing maladaptive psychological responses of vulnerable populations. Although young adults with multiple sclerosis (yawMS) might be at greater risk of developing psychological distress linked to the pandemic, they might also be able to adapt to stress and find meaning in adverse life events. The aim of the present study was to explore benefit finding in response to the pandemic in a sample of yawMS. As part of a larger project, data were collected using a cross-sectional, web-based survey. Benefit finding was analysed using a qualitative thematic approach;descriptive and inferential statistics were performed to describe the sample and compare sub-groups. Out of 247 respondents with mostly relapsing-remitting MS, 199 (31.9 +/- 6.97 years) reported at least one benefit. Qualitative analysis showed that during the pandemic yawMS found benefits related to three themes: personal growth, relational growth, and existential growth. No differences in benefit finding were found between age sub-groups (18-30 vs. 31-45). Participants reported a wide range of benefits, some of which seem to be specific to MS or the pandemic. Results have been transformed into tips to be introduced in clinical practice to promote resilience in yawMS through meaning making.
ABSTRACT
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is giving rise to a relevant impact on the wellbeing and mental health of several Health Care Providers (HCPs). Among HCPs, those who work in the field of obstetrics repre-sent a particular group of HCPs who are susceptible to stressful events, given the stress derived from a physically, emotionally, and intellectually demanding work, the difficulty in reschedul-ing and postponing daily activities during a health emergency, and the special ability to develop personal resilience. Based on this background, the aim of the present study is to assess the acute psychological and professional impact of the SARS-CoV-2 outbreak on this group of HCPs at four University Hospitals in Italy (Verona, Roma Policlinico Gemelli, Varese, Brescia). For this purpose, a 104-items survey named Impatto PSicologico Covid in Ostetricia (IPSICO) has been developed and administered with a web-based platform. This survey, divided into four sections, will collect demographic data and information about past personal and mental health history, the impact of the epidemic on the personal and professional life, and the outcomes of this health care emergency. The results of this survey will help to plan effective strategies in order to face the psychological consequences of possible future new health care emergencies of this type.