The impact of the COVID-19 pandemic on patients with migraine.

Objectives: The aim of our work was to assess the impact of the COVID-19 pandemic and quarantine measures on migraine patients in regards to the activity of the disease, the psycho-emotional background of the patients and their quality of life. Methods: his study included 133 patients with established diagnosis of migraine. All study participants were divided into two clinical groups: A-patients with chronic and episodic forms of migraine, who had a history of positive PCR test for COVID-19, and B-patients with chronic and episodic forms of migraine who did not have a history of coronavirus disease. Results: We detected increase in the number of antimigraine medication (p = 0.04), frequency of headache attacks (p = 0.01), and the psycho-emotional state deterioration (increase in the Hamilton anxiety scale score) (p = 0.002) in patients after recovery from the coronavirus disease. There was no significant difference in the headache's intensity according to the VAS scale (p = 0.51) as well as in the dynamics of the Beck depression scale score (p = 0.09) before and after the COVID-19 infection. Conclusion: Patients with a history of migraine who recovered from COVID-19 showed increased frequency of migraine headache attacks and anxiety.

Dominating mental states of the representatives of individual sports under lockdown and martial law: comparative analysis

The purpose is to compare psychological content parameters of dominating mental states of the representatives of individual sports under forced isolation, caused by the ongoing COVID-19 pandemic and martial law. The sample consisted of the Ukrainian sportsmen (n=98), representing such sports as track and field (n=58), weight lifting (n=27) and freestyle wrestling (n=13). Research methods: valid methods with standardized forms for responses, participant observation, ranking, application of reliability coefficients. Results. It was established that there were no significant differences in the comparison of psychological content parameters under lockdown (Group 1) and martial law (Group 2). The ranking method allowed identifying the key measurements correlating with a respondent's resilience which is a main characteristic in handling difficulties in tough situations. It was established that the ranks are different in the following parameters: "Psychological Well-Being” (PWВ);"General Meaningfulness of an Athlete's Life” (GMAL) at the level р>.01 and at the level р>.05 in the parameters: "Challenge” (Ch);"Hardiness” (Hr);"Control” (Cn);"Commitment” (Cm). Two factor structures of dominating mental states of the representatives of individual sports under lockdown and martial law were created. It was established that the factor structures have different frameworks and dispersions of scattering in similar mental states. It was determined that lockdown for the representatives of individual sports was less stressful than sporting activities under martial law. It is obvious that permanent involvement in information flows concerning the situation with the military aggression, air-raid warnings, changes in training schedules, finishing performance at the time of air-raid warnings and staying in bomb shelters had a considerable impact on the total index of meaning-of-life orientations, self-regulation processes, involvement and control of the representatives of individual sports. Conclusions. The suggested factor structures of dominating mental states and the identified ranking research parameters are of scientific value and can contribute to efficient tactical training in difficult and extreme conditions. © JPES.

Use of Karmolis® DROPS in Comprehensive Rehabilitation after COVID-19

Aim. To evaluate the efficacy and safety of the use of KARMOLIS® DROPS in the rehabilitation of patients after COVID-19 infection. Material and methods. The study included and completed observation of 40 medical staff aged 20 to 60 years who had suffered from COVID-19 in a moderate to severe form. The follow-up period was 21 days. The study participants were divided into two groups. The main group (20 people) received KARMOLIS® DROPS. The control group (20 people) treatment was carried out without the use of KARMOLIS® DROPS. The effectiveness was evaluated according to a set of clinical and functional indicators. Results and discussion. Against the background of taking KARMOLIS® DROPS, reliable positive dynamics of the subjective assessment of shortness of breath (MRC scale) and the subjective assessment of sleep quality (Vane A.M. scale) were recorded in the main group. Subjective efficacy of the studied KARMOLIS ® DROPS was noted by almost all patients who underwent treatment, which is probably due to improved sleep and well-being by reducing autonomic reactions. Taking into account the data obtained during the study, KARMOLIS® DROPS can be used in the recovery process after COVID-19 as a component of comprehensive rehabilitation. Conclusion. The safety of using the herbal medicine KARMOLIS® DROPS was confirmed by the absence of adverse events and cases of decompensation of concomitant diseases during the study. Patients' emotionally positive perception of the drug ensured its high compliance. © 2022 Rostovskii Gosudarstvennyi Meditsinskii Universitet. All rights reserved.

SPECIFICS OF THE WORKLOAD-DEPENDENT DYNAMICS OF PSYCHO-EMOTIONAL EXHAUSTION AMONG MEDICAL STAFF OF A COVID HOSPITAL

In the beginning of 2020 there appeared an urgent need for substantial advancement of the medical and psychological support for medical personnel involved in medical care provided to patients with the new coronavirus infection (COVID-19) in hospital settings. This need originated from the necessity to diagnose the risks of doctors developing mental states that adversely affect their professional performance and, subsequently, lead to disorders. In addition, there are under-researched matters of dependence of the prevalence of destructive mental states on the intensity of workload experienced by doctors in the "red zones", where the risk of patient fatalities is high. This study aimed to investigate the workload-dependent dynamics of psycho-emotional exhaustion among the medical staff of a COVID hospital. We analyzed the psychological tests (MBI, Maslach Burnout Inventory) that 121 people completed during a four-week assignment in the "infectious" zone and two weeks in the observation department. Seventy-nine doctors comprised the heavy workload group and 42 were in the moderate workload group. The study showed that healthcare workers experiencing heavier workloads exhibit high values of the psycho-emotional exhaustion indicators more often. We registered significant differences (р ≤ 0.05) by the Emotional Exhaustion scale at the third and fifth weeks of the study. By the fifth week, i.e., when the assignment in the "infectious zone" was over, heavy workload group had the median of 25 (23.5;27), while in the moderate workload group it was 14 (14;15), which is 56% lower. © 2022 Obstetrics, Gynecology and Reproduction. All rights reserved.

Conmoción Psíquica Por Confinamiento De Covid-19 En Niños Que Cursan El Preescolar En Oaxaca, México

El confinamiento por COVID-19 afectó la vida de miles de infantes que cursan el nivel educación preescolar y trastocó su equilibrio psicológico y emocional. El estudio analiza los efectos del aislamiento prolongado en menores de edad que presentaron cambios en sus conductas de aprendizaje. El estudio asume un método de tipo transversal descriptivo, donde las jefas de familia, con hijos entre 3 y 5 años que cursaron el nivel de educación preescolar en una comunidad oaxaqueña, respondieron cuestionarios sobre los cambios que observaron en sus hijos desde el inicio de la pandemia. Se empleó la teoría de los efectos por confinamiento prolongado apoyada en estimadores estadísticos. Los resultados indicaron que las alteraciones observadas se manifestaron en la aparición de emociones desbordadas, problemas conductuales e hiperactividad. Se resalta que, según avanzó el confinamiento, aumentaron las dificultades psicológicas y emocionales que afectaron a los infantes.Alternate : Confinement by COVID-19 affected the lives of thousands of infants who attend preschool education, upsetting their psychological and emotional balance. The study analyzes the effects of prolonged isolation in minors who presented changes in their learning behaviors. The study assumes a descriptive cross-sectional method, where the heads of families, with children between 3 and 5 years old who attended the preschool level of education in an Oaxacan community, answered questionnaires about the changes they observed in their children since the beginning of the pandemic. The theory of effects by prolonged confinement supported by statistical estimators was used. The results indicated that the observed alterations were manifested in the appearance of overflowing emotions, behavioral problems and hyperactivity. It is highlighted that, as the confinement progressed, the psychological and emotional difficulties that affected the infants increased.

PSYCHOEMOTIONAL DISTRESS AT THE MEDICAL STAFF AFTER ONE YEAR PERIOD PANDEMIC IN A FIRST-LINE COVID-19 HOSPITAL

Humankind is currently facing a pandemic of unimaginable proportions generated by a new strain of coronavirus, SARS-CoV-2, which causes significant public health problems. Material and methods: We employed a cross-sectional survey of 252 healthcare professionals from a frontline University Hospital in the "battle" with the new coronavirus after one-year pandemic. We analyzed the prevalence and associated factors with work-related psychological distress among our study group. Results: The results show that gender, marital status, the workload of treating COVID-19 patients, fear of SARS-CoV-2 infection, depression, and anxiety predicted burnout syndrome. Conclusions: The medical field is one of the most vulnerable areas where the staff is predisposed to psychological distress. This increases the probability of suffering different consequences, including burnout syndrome, depression, anxiety, post-traumatic stress disorder (PTSD).

Personalized Neurophysiological and Neuropsychological Assessment of Patients with Left and Right Hemispheric Damage in Acute Ischemic Stroke.

The leading factors of post-stroke disability are motor disorders and cognitive dysfunctions. The aim of the study was to identify and provide a rationale for the variable early cognitive dysfunction in right and left hemispheric damage in patients with acute stroke. The study included 80 patients diagnosed with ischemic stroke. All patients were assessed for cognitive status, depression, fatigue and anxiety. For objectification, the method of evoked potentials (P300) and neuroimaging were used. Our findings revealed distinguishing features of cognitive dysfunction and identified a combination of the most informative markers characteristic of right and left hemispheric damage in patients with acute ischemic stroke. In patients with damage to the left hemisphere, a predominance of dysregulation syndrome (decrease in executive function and attention) was revealed, accompanied by various disorders such as severe anxiety and fatigue. The causes of this cognitive dysfunction may be directly related to stroke (damage to subcortical structures), as well as to a preexisting reduction in higher mental functions associated with age and vascular conditions. Cognitive impairments in patients with lesions of the right hemisphere were characterized by polymorphism and observed in the mental praxis, speech (with predominant semantic component) and abstract thinking domains. They are closely linked to each other and are more related to the lateralization of the lesion and preexisting neurodegeneration than to the localization of the ischemic lesion. The study of P300-evoked potentials is a good tool for confirming cognitive dysfunction. The latent period of the P300 wave is more sensitive to neurodegeneration, while the amplitude factor characterizes vascular pathology to a greater extent. The results of the study provide a rationale for a comprehensive assessment of lateralization, stroke localization, underlying diseases, neurophysiological parameters and identified cognitive impairments when developing a plan of rehabilitation and neuropsychological measures aimed at cognitive and emotional recovery of patients both in the acute phase of ischemic stroke and when selecting further personalized rehabilitation programs.

Effect of Mindfulness-Based Stress Reduction on the Well-Being, Burnout and Stress of Italian Healthcare Professionals during the COVID-19 Pandemic.

COVID-19 has overwhelmed healthcare systems and increased workload and distress in healthcare professionals (HCPs). The objective of this study was to evaluate baseline distress before and after the pandemic, and the effect of Mindfulness-Based Stress Reduction (MBSR) training on well-being (PGWBI), stress (PSS) and burnout (MBI) in Italian HCPs. Moreover, the "fear of COVID-19" (FCV-19S) questionnaire was administered to HCPs participating in the post-emergency MBSR program. Baseline distress results were moderate in all groups. No differences between baseline distress were observed between the groups of HCPs beginning the MBSR courses in the pre or post pandemic period. Total PGWBI lowered with aging. Additionally, FCV-19S positively correlated with age. MBSR was able to lower distress levels, except for depersonalization, which increased, while emotional exhaustion decreased in the group enrolled in the last post-pandemic MBSR course. Levels of fear of COVID-19 in HCPs significantly decreased after MBSR training. The lack of change in baseline distress over time indicates that it is more influenced by work-related distress than by the pandemic in our HCPs. In view of its beneficial effects on psycho-emotional status, MBSR training may represent an effective strategy to reduce distress in emergency periods as well as an essential part of HCPs' general training.

The Impact of COVID-19 on Behavior and Physical and Mental Health of Romanian College Students.

Background and Objectives: The COVID-19 pandemic caused by SARS-CoV-2 significantly marked people's lives with respect to their behavior, and their physical and mental health. Materials and Methods: This is a cross-sectional study that was conducted in 2021 for a period of 5 months. The study sample included 218 students from the College of Physical Education and Sports of the University of Suceava who filled in a questionnaire on mental, physical and behavioral symptoms caused by the COVID-19 pandemic, as well as the Anxiety Assessment Questionnaire (STAI). Results: The responses indicated increased anxiety, physical symptoms, altered behavior, and increased perception of social restrictions. Regression analyses indicated that the levels of anxiety during the COVID-19 outbreak were strongly correlated with cognitive, physical and behavioral symptoms of the students. These were influenced by the living arrangements, location (urban vs. rural), age group and study year. Conclusions: The results show that first-year students did not exhibit significant physical and cognitive symptoms despite reporting anxiety, probably due to their enthusiasm as beginners. The 3rd year students were prone to anxiety and reported cognitive symptoms, possibly due to the prospects of an uncertain future.

PSYCHOLOGICAL FACTORS AND CONSEQUENCES OF PSYCHOSOCIAL STRESS DURING THE PANDEMIC

OBJECTIVE: The aim: Study of psychological factors and consequences of psychosocial stress which is formed during the COVID-19 pandemic. PATIENTS AND METHODS: Materials and methods: In the research, we used methods: developed a common, assessment of psychosocial stress L. Reeder scale, assessment of distress R.Kessler, assessment of the presence of manifestations of anxiety-depressive response GAD-7, depression self-assessment scale PHQ-9, method of assessing neuropsychological adaptation I. Gurvich, assessment of psychosocial support D. Ziemet, the scale of assessment of family anxiety E. Eidemiller, W. Justickis, strategies for stress-coping behavior E. Heim, methods of assessing the quality of life A.A. Pushkarev, N.G. Arinchina (2000). The current factors of the impact of coronavirus on the mental state of the population have been investigated. The study involved 823 citizens of Ukraine, who filled out the developed Google form. RESULTS: Results: Threats of coronavirus disease, violation of the usual life stereotype, restriction of leisure activity, harmful interest in news about the pandemic, usage of tobacco plays an important role in the mechanisms of distress formation. These conditions raise the risk of increased stress, anxiety and depression. CONCLUSION: Conclusions: The investigations carried out suggested that the quarantine restrictions could be predisposing factors for mental health impairments. Under these conditions, risks of increased stress pressure, anxiety, and depression are rising. Measures on psycho-prevention should be performed on the base of the regularities identified.

Virtual Educational Space and Psychological Problems in a Pandemic

Aims: We aimed to analyze the peculiarities of educational simplicity and psychological problems under pandemic conditions, to conduct an empirical study among the participants of the educational space, to identify correlations between psychological properties of personality and the level of procrastination. Study Design: empirical study among the participants of the educational space, identifying correlations between psychological properties of personality and the level of procrastination. Place and Duration of Study: 320 students and teachers of higher educational institutions in Lviv took part in the survey. Methodology: In our study we used descriptive and empirical methods with application of elements of statistics - Pearson correlation analysis. In the study we also used the following sociological methods: online survey "Detection of socio-psychological problems, procrastination generated by the COVID-19 pandemic in the activity of educational institutions", scales of diagnosing emotional states of personality, "Procrastination Scales" by B. V. Takman and methods of FAM (Feeling-Activity-Mood). Place and duration of the study: Dnipro State Medical University, Institute of Kyiv National Trade and Economic University and Medical Institute Sumy State University, of State mortgage "Lugansk National University of Taras Shevchenko" from April to October 2021. We also followed systemic approach, comparative method, weighting and forecasting method, according to which virtual educational environment also opens new perspectives for teachers and students, providing opportunities of access to multidirectional information, which allows to acquire social knowledge, social experience, formulate life prospects and realize personal potential. Results: It was found that teachers and students during the COVID-19 pandemic had a higher level of positive well-being, activity, a higher level of mood than during the pandemic. It was also determined that teachers and students had an increased level of procrastination during the pandemic. According to the results of correlation analysis in the group of students and teachers' correlation relationships between the indicators: the level of procrastination, mood, well-being was established. It has been established that the crisis has hurt both the country and the population quite badly. Training for pupils and students and teachers changed from full-time to distance learning. This form of learning vividly showed all the difficulties: the motivation of students;their ability to self-education;communication in the learning process;the organization of the learning process. For teaching staff, the main difficulty became mastering digital technology to organize the educational process. Empirically it was confirmed that the emotional state "before" and "during" the pandemic is significantly different. Conclusion: The stressful situation has had its negative impact on the mental health of participants in the educational process, so an important role in this time of crisis is the activity of the psychological service of the educational institution.

What about the Consequences of the Use of Distance Learning during the COVID-19 Pandemic? A Survey on the Psychological Effects in Both Children and Parents.

BACKGROUND: The COVID-19 pandemic implicated many social restrictions, including the use of distance learning (DL). Indeed, parents were obligated to support their children in online lessons and schoolwork. The aim of this study was to investigate the psycho-emotional impact of the COVID-19 pandemic on parents and children submitted to DL. METHODS: One hundred and ninety-two participants (96 parents and 96 children) were enrolled in this study. Parents and children completed an online questionnaire, structured in four sections. RESULTS: The results showed that parents had higher levels of stress and anxiety. In particular, the stress for DL was positively correlated with depression and anxiety. Parents' jobs were negatively correlated with their levels of anxiety and stress. On the other hand, children reported higher levels of depressive symptoms and event-related anxiety, which increased as children got older. The stress and the anxiety in parents were positively correlated with the mood depression and anxiety of their children. CONCLUSIONS: The COVID-19 pandemic had a negative impact on the psychological well-being of children and parents who used DL. Although DL could be an alternative teaching method during pandemics, face-to-face teaching is fundamental and irreplaceable as it encourages dialogue, involvement, and human contact.

Intersecting Vulnerabilities: The Impacts of COVID-19 on the Psycho-emotional Lives of Young People in Low- and Middle-Income Countries.

Across diverse contexts, emerging evidence suggests that the COVID-19 pandemic is increasing levels of anxiety and stress. In calling for greater attention to people's psychosocial and emotional well-being, global actors have paid insufficient attention to the realities of the pandemic in low- and middle-income countries, where millions of people are already exposed to intersecting vulnerabilities. Chronic poverty, protracted violence, conflict and displacement, coupled with weak health, education and protection systems, provide the backdrop of many adolescents' lives. Drawing on qualitative in-country telephone interviews with over 500 adolescents in Ethiopia, Côte d'Ivoire and Lebanon, this article unpacks the age and gendered dimensions of COVID-19 and its response. We conclude by discussing the implications for COVID-19 recovery efforts, arguing that embedding adolescent-centred, inclusive approaches in education, community-based health and social protection responses, has the potential to mitigate the psycho-emotional toll of the pandemic on young people and promote resilience.

De nouvelles données probantes issues de différents contextes suggèrent que la pandémie de COVID-19 augmente le niveau d'anxiété et de stress. En appelant à une plus grande attention au bien-être psychosocial et émotionnel des populations, les acteurs mondiaux ont accordé une attention insuffisante aux réalités de la pandémie dans les pays à revenu faible et intermédiaire, où des millions de personnes sont déjà exposées à des vulnérabilités croisées. La pauvreté chronique, la violence prolongée, les conflits et les déplacements, associés à la faiblesse des systèmes de santé, d'éducation et de protection sociale, sont la toile de fond de la vie de nombreux adolescents et adolescentes. Cet article s'appuie sur des entretiens téléphoniques qualitatifs avec plus de 500 adolescent.e.s et 55 informateurs-trices clés en Éthiopie, en Côte d'Ivoire et au Liban, pour démêler les dimensions sexospécifiques et liées à l'âge de la COVID-19 et de sa réponse. Nous abordons en conclusion ce que cela implique pour les efforts de relance suite à la COVID-19, en faisant valoir que l'intégration d'approches inclusives et centrées sur les adolescent.e.s dans l'éducation, dans les réponses sanitaires et sociales à base communautaire, a le potentiel d'atténuer le bilan psycho-émotionnel de la pandémie sur les jeunes et de promouvoir la résilience.

A Decrease in Psycho-Emotional Health in Middle-Aged Russian Women Associated with Their Lifestyle.

(1) Background: The present study is aimed to determine the predicting role of objective (lifestyle) and subjective factors of middle-aged women's psycho-emotional health such as their relations with parents, attachment and separation types. Women who are overloaded with professional and family roles have high stress level, their indicators of psychological well-being and emotional level decrease when they have to give everyday care to their elderly parents. (2) Methods: The research sample has two empirical groups. Sample of Study 1 includes middle-aged women (n = 61) aged 38-56 (M = 48.1, SD = 3.5); sample of Study 2 includes middle-aged women (n = 85) aged 33-52 (M = 40.6, SD = 3.1): married (70.5%) and divorced (29.5%), having children of 14-28 years old; giving everyday care to elderly parents for more than 1.5 yrs. Some live separately (62.3 %), or have to cohabitate with parents (37.7%). All women evaluate their life situation as difficult and manifest signs of high psycho-emotional stress. We used methods adapted for the Russian-speaking sample: getting socio-demographic information, an interview; The scales of psychological well-being; Attachment style and Interpersonal Guilt Questionnaires (study 1); Psychological Separation Inventory, Purpose-in-Life Test, projective methods (study 2), mathematical statistics. (3) Results: A number of factors and indicators of women's psycho-emotional health decrease in the situation of role overload have been identified. Among the factors there are four main types of women's relationships with parents: Anxious closeness; Ambivalence of feelings; Secondary relationship with parents; Alienation, predicting of psycho-emotional health that are reducing or enhancing their personal resources. Besides, a type of separation of an adult woman from her mother predicts her level of well-being. (4) Conclusions: The study confirms that middle-aged Russian women's psycho-emotional health depends on contextual factors (difficult role-overloaded lifestyle) and factors integrating women's relations towards parents, attachment, guilt and separation. Types of middle-aged women's relationships with parents contribute to their psychoemotional health in a different way.

COVID-19: Reduced Lung Function and Increased Psycho-emotional Stress.

The COVID-19 outbreak causing reduced lung function and increased psycho-emotional stress in the community worldwide. Therefore, it is of interest to document such viral outbreak related emotional stress data in the community with known molecular and patho-physiological parameters of the affected individuals. We provide a concise, coherent, critical, precise, specific and direct narration of such events from a community research viewpoint using known molecular data in this editorial.