ABSTRACT
The coronavirus pandemic is a global health emergency which has had widespread unforeseen mental health consequences. Those with borderline personality disorder are predisposed to poor coping strategies to manage such stress and require intense psychological input which was not widely available during the peak of the pandemic. It is likely that the coronavirus outbreak has had a significant impact on the mental stability of such patients aggravating deliberate self-harm behaviours. A 20-year old psychiatric in-patient with borderline personality disorder, held under Section III of the mental health act, presented to the adult plastic surgery team in Bristol with localised infection of her right forearm. Foreign bodies were easily palpable and imaging revealed linear metal objects. The patient reported that she had removed metal strips from her collection of face masks and inserted them into her forearm as an act of deliberate self-harm. The patient was taken to operating theatre for removal of these foreign bodies under general anaesthetic. After twenty-four hours of antibiotics she was discharged safely back to the psychiatric ward. Despite the epilogue of the COVID-19 pandemic facemasks are still mandatory within the hospital setting. Clinicians need to be aware of these unusual circumstances where a form of protective equipment was deconstructed to cause actual bodily harm. The purpose of this report is to promote awareness of this type of injury especially in those suffering from mental illness. The authors would suggest an alternative mask without any form of metal.
ABSTRACT
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ABSTRACT
The pandemic increased the stress levels of frontline healthcare providers in every country across the globe, and continues to do so. Health care providers in the rural regions of the U.S. were more vulnerable to the impact of COVID-19 due to the lack of resources and the population they serve. A qualitative study of 25 rural healthcare providers in a western U.S. state was conducted during 2020. In this report, Linguistic Inquiry and Word Count (LIWC) was used to compare the use of emotion and reward words in 12 providers interviewed before the onset of COVID-19 on March 11, 2020, to 13 interviews conducted after COVID-19 onset. Results indicated that providers used fewer positive emotion words after COVID-19 onset compared to before COVID. Negative emotion words also decreased. Words related to the rewarding aspects of their work increased after COVID-19, but differed among the pre- and post-COVID groups. Positive emotion words was more strongly related to rewards in the post-COVID group. Providers reported concerns about access to care for those unable to be treated for the increased depression, anxiety and suicide ideation related to the pandemic. The rural health care system needs policies directed at improving patient access to care and greater funding.
ABSTRACT
COVID-19 limitation strategies have led to widespread school closures around the world. The present study reports children's mental health and associated factors during the COVID-19 school closure in France in the spring of 2020. We conducted a cross-sectional analysis using data from the SAPRIS project set up during the COVID-19 pandemic in France. Using multinomial logistic regression models, we estimated associations between children's mental health, children's health behaviors, schooling, and socioeconomic characteristics of the children's families. The sample consisted of 5702 children aged 8-9 years, including 50.2% girls. In multivariate logistic regression models, children's sleeping difficulties were associated with children's abnormal symptoms of both hyperactivity-inattention (adjusted Odds Ratio (aOR) 2.05;95% Confidence Interval 1.70-2.47) and emotional symptoms (aOR 5.34;95% CI 4.16-6.86). Factors specifically associated with abnormal hyperactivity/inattention were: male sex (aOR 2.29;95% CI 1.90-2.76), access to specialized care prior to the pandemic and its suspension during school closure (aOR 1.51;95% CI 1.21-1.88), abnormal emotional symptoms (aOR 4.06;95% CI 3.11-5.29), being unschooled or schooled with assistance before lockdown (aOR 2.13;95% CI 1.43-3.17), and tutoring with difficulties or absence of a tutor (aOR 3.25;95% CI 2.64-3.99;aOR 2.47;95% CI 1.48-4.11, respectively). Factors associated with children's emotional symptoms were the following: being born pre-term (aOR 1.34;95% CI 1.03-1.73), COVID-19 cases among household members (aOR 1.72;95% CI 1.08-2.73), abnormal symptoms of hyperactivity/inattention (aOR 4.18;95% CI 3.27-5.34) and modest income (aOR 1.45;95% CI 1.07-1.96;aOR 1.36;95% CI 1.01-1.84). Multiple characteristics were associated with elevated levels of symptoms of hyperactivity-inattention and emotional symptoms in children during the period of school closure due to COVID-19. Further studies are needed to help policymakers to balance the pros and cons of closing schools, taking into consideration the educational and psychological consequences for children.
ABSTRACT
Introduction: Considering the COVID-19 pandemic and its severe effects on life, there is no doubt that an analysis of the components and drivers of abnormal behaviors can facilitate the emergence of moral behaviors. Therefore, we conducted this study in order to investigate the drivers of abnormal behaviors from the perspective of health managers during the COVID-19 pandemic.