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Journal of Psychosomatic Research ; Conference: 10th annual scientific conference of the European Association of Psychosomatic Medicine (EAPM). Wroclaw Poland. 169 (no pagination), 2023.
Article in English | EMBASE | ID: covidwho-20237039


Aim: Adolescents have experienced disruption in their daily routines, including changes in health behaviors such as an increased sedentary behavior and increased smartphone usage. The aim of this study was to assess the association of health behaviors with mental health problems. Method(s): Five cross-sectional surveys (February 2021 to May 2022) were performed during the pandemic assessing physical activity, smartphone usage, depressive symptoms (Patient Health Questionaire-9 (PHQ-9)), anxiety symptoms (Generalized Anxiety Disorder Scale 7 (GAD-7)), sleep quality (Insomnia Severity Index 7 (ISI-7)), and stress (Perceived Stress Scale 10 (PSS-10)). In total, N = 7201 adolescents (age: 14-20 years ((MW +/- SD): 16.63 +/- 1.49 years);70.2% female, 18.8% migration background) participated. Result(s): A strong increase in mobile phone usage as well as a decrease in physical activity as compared to pre-pandemic data were observed (p < 0.001). Compared to the lowest smartphone user group (<1 h/d), the adjusted odds ratios (aOR) for depressive symptoms increased with increasing smartphone usage to 1.98 (3-4 h/d), 3.30 (5-6 h/d), 4.96 (7-8 h/d), and 6.79 (>8 h/d). High utilizers (>8 h/d) were also more likely to experience clinically relevant anxiety, insomnia, or stress symptoms (aORs 3.23-5.75) compared to those using the smartphone less than 1 h/d. Conclusion(s): Results highlight the need for measures to promote responsible smartphone usage as well as to increase physical activity, so as to promote mental health in adolescence.Copyright © 2023

Psychotherapy and Psychosomatics ; 91:11-12, 2022.
Article in English | Web of Science | ID: covidwho-2207664
Transplant International ; 33(SUPPL 2):17, 2020.
Article in English | EMBASE | ID: covidwho-1093821


Introduction: While COVID-19 pandemic associated with quarantine, social distancing and isolation influenced many aspects of people's lives including stress and mood regulation only little is known about the psychological impact on patients waiting for liver or kidney transplantation. Thus this study was designed to fill this scientific gap. Methods: Twenty-seven wait list patients and 43 healthy controls underwent the Beck Depression Inventory (BDI-2), 12-item Operationalized Psychodynamic Diagnosis Structure Questionnaire (OPD-SQS), Brief Symptom Inventory-18 (BSI18), Pittsburgh Sleep Questionnaire (PSQI), Alcohol Use Identification Test (AUDIT), and a questionnaire to determine cognition, attitude and fear related to COVID-19. Results: Levels of the BSI subscale somatization were increased in wait list patients (F=4.41, p=0.04). There was no difference between patients and healthy controls in the depression scores (BDI) (BDI: F(1,66), p=0.998;3.33±3.92 vs. 3.6±3) and PSQI sleep components (F(7.54)=1.23, p=0.3, Eta=0.137);however, COVID-specific fears (F(3.65)=3.84, p=0.014, Eta=0.151) was different between groups indicating more fear of infecting others with the Coronavirus in controls (F=5.8, p=0.019, Eta=0.08;3.3±3.44 vs. 5.12±2.5). In addition, partial correlation analyses between the emotional distress due to social distancing and the symptom load scales indicated a relationship between somatization and anxiety (r=0.53, p<0.001) in wait list patients. Further depression correlated positively with the items loneliness, boredom, and frustration in patients. Conclusion: Results of our study clearly demonstrates that COVID-19 pandemic significantly increases somatization in wait list patients most likely due to stress while healthy controls experience more COVID-19 associated fears. Thus effective strategies for stress reduction, more information on their illness, medication, skills for emotional regulation and healthy lifestyle are needed.