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J Cardiovasc Nurs ; 2022 Mar 24.
Article in English | MEDLINE | ID: covidwho-1758898


BACKGROUND: The COVID-19 pandemic raised concerns about the effects of stress on sleep and mental health, particularly among people with chronic conditions, including people with heart failure (HF). OBJECTIVE: The aim of this study was to examine changes in sleep, sleep-related cognitions, stress, anxiety, and depression among people with HF who participated in a randomized controlled trial of cognitive behavioral therapy for insomnia before the COVID-19 pandemic. METHODS: Participants self-reported sleep characteristics, symptoms, mood, and stress at baseline, 6 months after cognitive behavioral therapy for insomnia or HF self-management education (attention control), and during the pandemic. RESULTS: The sample included 112 participants (mean age, 63 ± 12.9 years; 47% women; 13% Black; 68% New York Heart Association class II or III). Statistically significant improvements in sleep, stress, mood, and symptoms that occurred 6 months post treatment were sustained during the pandemic. CONCLUSIONS: Improving sleep and symptoms among people with HF may improve coping during stressful events, and cognitive behavioral therapy for insomnia may be protective.

Journal of Rural Mental Health ; 46(1):28-39, 2022.
Article in English | APA PsycInfo | ID: covidwho-1592661


This study presents data on psychological functioning, stress, concerns, and attitudes related to Coronovirus disease (COVID-19) during the early phases of the pandemic in a rural Midwestern state. From March 24 to April 14, 2020, South Dakota residents (n = 4,761) reported on their psychological symptoms, pandemic-related stressful experiences, top concerns regarding the pandemic, attitudes toward COVID-19, and social distancing behaviors. Most participants were engaging in at least some social distancing and indicated at least moderate concern about COVID-19. Across age groups, getting sick from the coronavirus was the most frequently endorsed concern. Younger adults endorsed concerns about not being able to work, whereas older adults endorsed concerns about accessing medical care. Greater mental health problems were found for younger adults, racial minorities, and women. Anxiety was prominent among participants concerned about getting sick, whereas both anxiety and depression were relevant for participants with employment concerns. Concerns about health and employment (as well as other concerns) each predicted mental health functioning, even when controlling for other relevant variables. These data provide insight into the specific challenges experienced in a rural state during the early phase of the pandemic. (PsycInfo Database Record (c) 2021 APA, all rights reserved) Impact Statement This study provides information about stress, attitudes, top concerns, and mental health functioning of adults during the early phase of the pandemic in South Dakota. Mental health symptoms are related to pandemic-related concerns. (PsycInfo Database Record (c) 2021 APA, all rights reserved)