Mental Health of Students at Polish Universities after Two Years of the Outbreak of COVID-19.

BACKGROUND: Mental health deterioration in young adults in the aftermath of the COVID-19 pandemic is being increasingly studied. It is clear that the psychological consequences of the pandemic will be evident for many years, especially among the younger generation, who did not have time to acquire adaptive coping strategies before the outbreak of COVID-19. The purpose of this study was to assess the condition of the mental health of students at Polish universities after two years of the pandemic. The types of coping strategies used by the respondents to deal with stress were also evaluated in order to establish which of them could have a beneficial effect on the psyche of young people. METHODS: This study included 721 participants (age [years]: M = 25.7, SD = 5.3; 269 (37.2%) males) recruited using snowball sampling from students at two universities in Lodz, Poland, and full-time doctoral students from across Poland (phase I of the study was conducted in March 2019 (N = 352); phase II of the study was conducted in April 2022 (N = 369)). The following tools were used in this study: The General Health Questionnaire (GHQ-28) by D. Goldberg, the Perceived Stress Scale (PSS-10), and the Inventory for Measuring Coping with Stress (Mini-COPE) by Carver et al. Pearson's chi-square test and multivariate logistic regression were used in the statistical analysis. RESULTS: The results detailing the condition of the mental health of the subjects, as measured using GHQ-28, were significantly worse in the group surveyed after two years of the pandemic than the results of the survey conducted in March 2019 (adjusted odds ratio for GHQ-28 ≥ 5: 3.66, 95%CI 2.12-6.30, p < 0.001). Statistically significant differences were seen for each of the subscales of the GHQ-28 questionnaire. Most often, the subjects complained of anxiety symptoms and sleep disorders, in addition to somatic symptoms. The risk factors for worsening mental health included female (odds ratio 1.70, 95%CI 1.20-2.40, p = 0.003) and professional inactivity (odds ratio 1.55, 95%CI 1.04-2.31, p = 0.031). On the other hand, the ages of the people surveyed, their relationship status, whether they had children, or the type of university they attended all proved to be insignificant. The following coping strategies had a positive impact on the mental health of the respondents: positive reframing (Z = -2.951; p = 0.003) and seeking emotional support (Z = -2.351; p = 0.019). In contrast, strategies such as self-distraction (Z = 2.785; p = 0.005), denial (Z = 2.948; p = 0.003), venting (Z = 2.337; p = 0.019), self-blame (Z = 5.511; p < 0.001) and behavioral disengagement (Z = 4.004; p < 0.001) were associated with poorer mental health among the respondents. CONCLUSIONS: 1. Of the students surveyed, 33% reported elevated stress levels after two years of the COVID-19 pandemic. 2. The overall mental health of students at Polish universities, as measured by GHQ-28, was significantly worse in the group evaluated after two years of the COVID-19 pandemic, mainly in respect of anxiety symptoms and sleep disorders. 3. Female gender and professional inactivity appeared to be risk factors for the students' worsening mental health, which may be an indication of the need for further research and planning of psychotherapeutic interventions.

PSYCHOLOGICAL IMPACT OF COVID-19 PANDEMIC ON HEALTH CARE WORKERS OF TERTIARY CARE HOSPITALS

Healthcare workers (HCWs) are at increased risk of mental health issues when faced with the challenges associated with pandemics. This study was conducted to assess the psychological impact of pandemic o n HCWs working in tertiary care hospitals of Khyber-Pakhtunkhwa province of Pakistan. This cross-sectional study was conducted between April & June 2020. By convenience sampling an electronic form of Goldberg General Health Questionnaire was distributed among HCWs of the private sector and public tertiary care hospitals. Data were analyzed using SPSS version 22. Inferential analysis was done. The significant level was considered at p=< 0. 05. Total of 186 HCWs among which 105 (56.5%) males and 81 (43.5%) females participated in the survey, a mean age of 37.6 +/- 9.28 years. The highest prevalence was found for social dysfunction 184 (97.8%) followed by somatization, 169 (92.8%). Significance of difference was found between age group and anxiety (p=0.018), specialty of HCWs with somatization and social dysfunction (p=0.041 and 0.037 respectively). Pandemic poses a significant risk for the mental health of HCWs. During pandemics at its peak, proper mental health support program, personal and family protection assurance is highly recommended for provision of quality care by HCWs.

The Mental Well-Being of Health Care Workers during the Peak of the COVID-19 Pandemic-A Nationwide Study in Poland.

INTRODUCTION: The current epidemiological situation has quickly led to several changes in the daily functioning of people around the world, especially among medical personnel, who in this difficult period were burdened with new professional duties, which significantly affects their mental health. MATERIALS: This study aims to assess the mental health of health professionals at a critical point in their workload, to compare the results with those the general population, and to explore the potential determinants affecting it. The CAWI survey includes a sociodemographic section, work experience and a standardised psychometric tool (GHQ-28). Data were collected during the second wave of the COVID-19 pandemic in Poland (3-29 November 2020), which had the highest mortality rates and SARS-CoV-2 morbidity rates, as well as during the period of a significant increase in deaths, compared to the corresponding pre-pandemic period. RESULTS: A total of 2150 surveys were eligible for analysis. Among them, 848 (39.4%) were active health professionals. In the analysis of the scores of the GHQ-28 scale and its sub-scales, evaluating anxiety/insomnia and somatic symptoms, medical workers scored significantly higher scores than non-medical professions (p < 0.001). Frontline medical workers (p < 0.001) and those who were forcibly seconded to work with COVID-19-infected patients (p = 0.011) achieved significantly higher GHQ-28 scores. CONCLUSIONS: The COVID-19 pandemic has had a significant impact on mental deterioration among health professionals, especially among those directly working with SARS-CoV-2-infected patients and those who were forcibly seconded to work with such patients. To mitigate the effects of the pandemic, appropriate psychological care for medical personnel needs to be implemented.

Mental Health in the Era of the Second Wave of SARS-CoV-2: A Cross-Sectional Study Based on an Online Survey among Online Respondents in Poland.

The main objective of this study was to assess mental health during the COVID-19 second wave. The study was conducted using a proprietary questionnaire that had been provided via the Internet to online respondents in Poland. The questionnaire questions included a socio-geographic assessment, proprietary questions assessing the respondents' current approach to the COVID-19 pandemic, as well as a standardised psychometric tool-GHQ-28. The study involved 2155 respondents, 99.8% of whom gave their consent for the participation in the study. A mean GHQ score was 29.25 ± 14.94 points. The criterion for minor mental disorders (≥24 points) was met by 1272 (59.2%) respondents. In overall interpretation as well as in each of GHQ-28 subscales, women obtained significantly higher scores than men (p < 0.001). The restriction on earning opportunities during the COVID-19 pandemic is significantly associated with the feeling of anxiety/insomnia severity among the respondents (9.96 vs. 8.82 points; p < 0.001). The COVID-19 pandemic, although it has already been experienced for nearly a year, has had a significant association with the general mental health of the respondents in Poland. There is a strong need to implement special programs that offer psychological support in the era of the COVID-19 pandemic, especially for those who had direct experience with COVID-19 infection.

Mental Health and the SARS-COV-2 Epidemic-Polish Research Study.

Background: The aim of this study was to assess the mental state of Poles in the first weeks of the SARS-COV-2 epidemic. Methods: In the study, the General Health Questionnaire-28 (GHQ-18), The Perceived Stress Scale (PSS-10), and Mini-Cope were used. Results: The study was conducted on a group of 443 individuals, including 348 women (78.6%) and 95 men (21.4%). There were more women (χ2 = 6.42, p = 0.02) in the group of people with high results in the GHQ-28 questionnaire and the differentiating factors between those with sten scores above 7 (significantly deteriorated mental health) and those with average or low results (sten score below 7) turned out to be: treatment for mental disorders before the pandemic (χ2 = 19.57, p < 0.001) and the use of psychotherapy during the pandemic (χ2 = 4.21, p = 0.04) and psychiatric pharmacotherapy (χ2 = 8.31, p = 0.01). The presence of suicidal thoughts since the appearance of the pandemic-related restraints and limitations significantly differentiates the compared groups (χ2 = 38.48, p < 0.001). Conclusions: Every fourth person in the examined group (over 26% of the respondents) recorded results that indicate a high probability of mental functioning disorders. Approximately 10% of the respondents signalled the occurrence of suicidal thoughts since the beginning of the pandemic. The respondents complain mainly about problems in everyday life, lack of satisfaction from one's own activities, tension, trouble sleeping, and feelings of exhaustion. Individuals with significantly reduced mental well-being use non-adaptive coping strategies, such as denying problems, emotional discharge, taking substances, discontinuation of action, and blaming themselves for the situation. The risk factors for the deterioration of the mental state of the respondents during the pandemic include psychiatric treatment before the beginning of the pandemic, the presence of suicidal thoughts during forced isolation, and the use of non-adaptive coping strategies (denial of the existence of problems, emotional discharge, use of psychoactive substances, discontinuation of action, and blaming oneself for the situation).

Status of mental health and its associated factors among the general populace of India during COVID-19 pandemic.

The COVID-19 is an international public health emergency and threatens psychological resilience. Here we assess the general health status of the public in India during the COVID-19 outbreak. A population-based cross-sectional study conducted using a General Health Questionnaire and the relationship between mental health and sociodemographic factors were analyzed. The mean score for the general health of citizens was 24.18. About 40.63% of the elderly and 40.18% of the female population was under severe physiological distress. The prevalence of psychological stress among the general population was higher than expected. Hence, there is a need to intensify awareness about the pandemic and should provide mental health management programs.