Anxiety and work overload perception levels of primary healthcare professionals during the COVID-19 pandemic.

BACKGROUND: The coronavirus disease (COVID-19) has greatly affected healthcare workers at the physical and psychosocial level. In this process, primary healthcare workers have taken the most active role by taking part in the filiation groups. OBJECTIVE: This study aimed to determine the anxiety and workload perception level of primary healthcare workers during the COVID-19 pandemic. METHODS: This was a cross-sectional study. An online survey was conducted among 197 healthcare workers. Personal Information Form, the Coronavirus Anxiety Scale and Work Overload Scale were used as data collection tools in the research. Independent Two-Sample T-Test, One-Way Analysis of Variance, Mann-Whitney U test and Kruskal Wallis test were used to evaluate the data. Moreover, the relationships between the scales were evaluated with Pearson correlation analysis and simple regression analysis. RESULTS: The median total score of the Coronavirus Anxiety Scale of healthcare workers was 3.0, and the mean score of the Work Overload Scale was 37.89±7.47. It was found that there was a correlation between the Coronavirus Anxiety and the Work Overload Scales and 21.0% of the variance changes in the Work Overload Scale were affected by coronavirus anxiety. CONCLUSION: It was determined that the level of coronavirus anxiety affects the perception of workload. Therefore, it is recommended that work plans should be made considering this situation.

Coronavirus Anxiety Level and COVID-19 Vaccine Attitude Among Patients With Hematological Malignancies.

INTRODUCTION: The COVID-19 vaccine is the most essential tool for altering the pandemic's trajectory. The pandemic's control is complicated by society's unwillingness to vaccinate. The aim of this cross-sectional study was to assess patients with hematological malignancies and their attitudes regarding COVID-19 immunization and to investigate COVID-19 anxiety in this susceptible population. METHODS: In this cross-sectional study, 165 patients with hematological malignancies were included. COVID-19 anxiety was evaluated with the coronavirus anxiety scale (CAS), and COVID-19 vaccine attitude was evaluated with the Vaccine Attitudes Review (VAX) scale. RESULTS: The mean CAS score was 2.42 (0-17). There were 22 (13%) participants with a mean CAS score of ≥ 9. Half of the participants had a CAS score of 0. The CAS score was higher in females (p = 0.023). Similarly, it was significantly higher in patients who were not in remission for hematological malignancy and who received active chemotherapy (p = 0.010). The mean VAX score was 49.07 ± 8.76 (27-72). Most of the participants (64%) had a neutral attitude toward the COVID-19 vaccination. In a survey of 165 patients, 55% said that they were skeptical about vaccination safety, and 58% said that they were concerned about unintended side effects. In addition, 90% expressed moderate concerns about commercial profiteering. Natural immunity was preferred by 30% of the participants. There was no statistically significant correlation between CAS scores and the Vaccine Attitudes Review (VAX) scale. CONCLUSION: This study draws attention to the level of anxiety in patients with hematological malignancies during the COVID-19 pandemic. Negative attitudes toward the COVID-19 vaccine are worrisome for at-risk patient groups. We think that patients with hematological malignancies should be informed to eliminate their hesitations about COVID-19 vaccines.

Health anxiety, death anxiety and coronaphobia: Predictors of postpartum depression symptomatology during the COVID-19 pandemic.

OBJECTIVE: To determine levels of postpartum depression symptoms and possible relevant predictors, such as death anxiety, health anxiety, and coronavirus-related anxiety. DESIGN: Cross-sectional web-based survey using quantitative methods. SETTING: Exclusively online recruiting via social media and unpaid cross-posting conducted during the third wave of the COVID-19 pandemic in Romania. PARTICIPANTS: Women were eligible to take part in the study if they were mothers over the age of 18 and had a baby aged between 4 weeks - 12 months of age; 1024 women were included in the final sample. MEASUREMENTS AND FINDINGS: Health anxiety, death anxiety, coronavirus-related anxiety, and postpartum depression symptoms were measured using validated instruments. Current depression symptomatology was 67.6%, 26.7% scored above the cut-off for high health anxiety, 1% for coronavirus-related anxiety, and 62.7% for death anxiety. Significant predictors for depressive symptomatology were breastfeeding, history of depression, family income, number of children, health anxiety, death anxiety, and coronavirus anxiety. Further, hierarchical multiple regression analysis indicated that death anxiety, health anxiety, and coronavirus anxiety predicted postpartum depression symptoms over and above socio-demographic factors. KEY CONCLUSIONS: Supported by previous studies, our results suggest that postpartum depression symptomatology levels during the COVID-19 pandemic are high and that they are predicted by health and death anxiety, which are also increased during the pandemic. IMPLICATION FOR PRACTICE: The findings provide information to identify the risk for depression symptoms in postpartum mothers during acute public health situations.

HEALTH-RELATED ANXIETY, GENERALIZED ANXIETY, OBSESSIVE COMPULSIVE TENDENCIES, AND COVID-19 ANXIETY AMONG VACCINATED AND NON-VACCINATED ADULTS DURING PANDEMIC

The objectives of the present study were two-folded: first, to examine the predictive association of health-related anxiety with generalized anxiety, obsessive compulsive tendencies and COVID-19 anxiety;second, to examine the differences between vaccinated and non-vaccinated adults on health-related anxiety, generalized anxiety, obsessive compulsive tendencies and COVID-19 anxiety. A purposive sample of 350 adults falling between ages of 25-55 years (Mage = 21.58, SD= 2.45) were administered Health Anxiety Inventory, Yale-Brown Obsessive-Compulsive Scale, Generalized Anxiety Disorders Scale and Coronavirus Anxiety Scale. Results of linear regression analysis reveal health-related anxiety as significant predictor of generalized anxiety, obsessive compulsive tendencies and COVID-19 anxiety. Further, independent t-test reveals that vaccinated adults scored significantly lower than non-vaccinated adults on health-related anxiety, obsessive compulsive tendencies, generalized anxiety and COVID anxiety. The implications and future directions are proposed.

Help-seeking intention during the COVID-19 pandemic: sociodemographic factors, anxiety, and fear as predictors

BACKGROUND: Despite existing research on mental health problems during the COVID-19 pandemic, studies related to help-seeking intention for mental health, particularly in Indonesia, are limited. During this unprecedented crisis, it is important to determine help-seeking intention, to allow providers of mental health services to deliver the appropriate intervention and so as to avoid the worst scenario. The aim of this study was to determine factors predicting help-seeking intention during the COVID-19 pandemic. METHOD(S): A cross-sectional approach using questionnaires were employed. Items on sociodemographic factors were asked. Several instruments were also administered: the Fear of COVID-19 Scale, the Coronavirus Anxiety Scale, and the General Help-seeking Questionnaire. Online questionnaires were distributed via email, WhatsApp Messenger, and Facebook Messenger during the period August 11-21, 2020, yielding responses from 1340 participants (females = 971, males = 369). The data were analyzed using descriptive analysis and multiple linear regression analysis. RESULT(S): The results showed that age, education, occupation, living in an infected area, and fear were statistically significant predictors of help-seeking intention. CONCLUSION(S): Mental health services need to be equitably available for people of various sociodemographic backgrounds during the COVID-19 pandemic. To improve and strengthen help-seeking intention, providers of mental health services should consider providing appropriate services based on age, education, and occupation. They also need to take into consideration special emphasis for those who are living in infected areas, leading to them being in a state of heightened fear, which is also a predictor.Copyright © 2021 EDIZIONI MINERVA MEDICA.

Sleep Disorders and Associated Factors in Children Who Admitted to the Child and Adolescent Psychiatry Outpatient Clinics During the Pandemic

Objective: This study determined whether children have sleep disorders during the Coronavirus disease-2019 (COVID-19) pandemic restriction process, and if they do, to determine in which areas they have problems with sleep, as well as to examine the relationship of sleep disorder with chronotype and coronavirus anxiety.Materials and Methods: In April-November 2020, 98 patients attending Kocaeli University Child Psychiatry clinics and attending primary school 1-4th grade were recruited. "Sociodemographic Form", "Child Sleep Habits Questionnaire", and "Children's Chronotype Questionnaire" were applied to the parents. The short form of the "Coronavirus Anxiety Scale" and the information form about the pandemic process were applied to the children.Results: According to the sleep habits questionnaire, 70.4% of the group had clinically significant sleep problems. The most common sleep disorders observed in our study;are bedtime resistance, delayed falling asleep, and nighttime awakenings. A significant relationship was found between physical illness in the family (p=0.019), smoking (p=0.032), sleep pattern change during the pandemic (p=0.002), sleep change of the mother (p=0.006) and/or father (p=0.035), change in appetite (p=0.010), and sleep disorder. According to the chronotype scale, 66 children were morning and children's anxiety toward coronavirus was low.Conclusion: Our study shows that sleep disturbance in children is marked during the pandemic period, but this is due to changes in sleep patterns and parents' sleep rather than problems related to anxiety or chronotype associated with the pandemic. It will be useful to question these factors and make arrangements in this direction when evaluating the sleep-related problems of patients who apply to outpatient clinics.

Anxiety and Sleep Quality in Healthcare Professionals During the Covid-19 Pandemic Process

Objective: The aim of this study is to evaluate the effects of the Covid-19 pandemic on anxiety and sleep quality in a tertiary hospital healthcare workers. Method: The design of this study was cross-sectional and prospective and it was carried out between February-April 2021 in a tertiary hospital. By online survey method Pittsburg Sleep Quality Index (PSQI), Coronavirus Anxiety Scale (CAS) and a questionnaire created by the researchers were used for collecting the data. Results: A total of 291 healthcare professionals, participated in the study. The mean PSQI score of patients who were detected to have coronavirus anxiety was found to be significantly higher than patients without coronavirus anxiety (p=0,005). Men's average sleep duration was found to be higher than women's (p=0,002). The mean sleep latency score was found to be higher in singles than in married people (p<0,001), and in those who did not have children (p<0,001). The sleep disorder sub-score was higher in thoose who had active night duty (p=0.028). Conclusion: This study discovered that there is a significant relationship between sleep quality and anxiety as a result of the Covid-19 pandemic, and that healthcare workers' sleep quality suffered during this time. In order to be prepared for similar challenging conditions, health workers' physical and mental health must be protected. It is suggested that strategies for improving adverse conditions be advanced.

The psychological impact of the COVID-19 pandemic in remote learning in higher education

Stressful events can cause a significant impact on education;however, it is not yet clear how the interplay between anxiety, work, and social dysfunction relates to learning impairments. In this study, we investigated the impact of the COVID-19 pandemic on students' learning and mental health. This study was conducted during four modules of a remote Psychopharmacology course between 5 October and 20 December 2020. We collected data from 28 Psychology undergraduate students at the University of Sao Paulo, Brazil. We used pre- and post-test multiple-choice questions to obtain a quantitative measure of learning. Students completed an online survey to report demographic information, functional impairment (Work and Social Adjustment scale;WSAS), generalized anxiety (Generalized Anxiety Disorder scale;GAD-7), coronavirus anxiety (Brazilian adapted version of the Coronavirus Anxiety Scale;CAS-BR), and self-perception with the remote lectures' methodology. In our sample, 42.9% of respondents experienced symptoms of generalized anxiety disorders (GAD-7 >= 15), and 53.6% had moderate to severe functional impairment (WSAS > 20). We also observed an overlapping profile of highly anxious and dysfunctional students. A chi-square test of independence revealed a relation between pairs of multiple-choice questions answers and GAD-7 scores, indicating that less anxious students were more likely to perform better in pairs of pre- and post-tests. Intriguingly, the correlational analysis suggested that students with moderate to severe functional impairment (WSAS scores > 20) were less likely to change from an incorrect to a correct answer to pairs of pre- and post-tests. This data suggests that psychological distress and anxiety states might influence students' ability to coordinate social and work activities and performance during remote learning. Although this study evaluated a small sample of students, our data highlights the importance of investigating anxiety and functional impairment measures as part of the remote-learning curriculum. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Effect of the COVID-19 Pandemic on the Psychological Health of Patients Who Underwent Liver Transplantation Due to Hepatocellular Carcinoma.

BACKGROUND: The primary aim of this study was to compare liver transplant (LT) recipients with and without hepatocellular carcinoma (HCC) in terms of COVID-19-related depression, anxiety, and stress. METHOD: A total of 504 LT recipients with (HCC group; n = 252) and without HCC (non-HCC group; n = 252) were included in the present case-control study. Depression Anxiety Stress Scales (DASS-21) and Coronavirus Anxiety Scale (CAS) were used to evaluate the depression, stress, and anxiety levels of LT patients. DASS-21 total and CAS-SF scores were determined as the primary outcomes of the study. Poisson regression and negative binomial regression models were used to predict the DASS and CAS scores. The incidence rate ratio (IRR) was used as a coefficient. Both groups were also compared in terms of awareness of the COVID-19 vaccine. RESULTS: Poisson regression and negative binomial regression analyses for DASS-21 total and CAS-SF scales showed that the negative binomial regression method was the appropriate model for both scales. According to this model, it was determined that the following independent variables increased the DASS-21 total score: non-HCC (IRR: 1.26; p = 0.031), female gender (IRR: 1.29; p = 0.036), presence of chronic disease (IRR: 1.65; p < 0.001), exposure to COVID-19 (IRR: 1.63; p < 0.001), and nonvaccination (IRR: 1.50; p = 0.002). On the other hand, it was determined that the following independent variables increased the CAS score: female gender (IRR:1.75; p = 0.014) and exposure to COVID-19 (IRR: 1.51; p = 0.048). Significant differences were found between the HCC and non-HCC groups in terms of median DASS-21 total (p < 0.001) and CAS-SF (p = 0.002) scores. Cronbach's alpha internal consistency coefficients of DASS-21 total and CAS-SF scales were calculated to be 0.823 and 0.783, respectively. CONCLUSION: This study showed that the variables including patients without HCC, female gender, having a chronic disease, being exposed to COVID-19, and not being vaccinated against COVID-19 increased anxiety, depression, and stress. High internal consistency coefficients obtained from both scales indicate that these results are reliable.

Evaluation of Coronavirus Anxiety Levels and Coping Strategies of Major Depressive Disorder, Generalized Anxiety Disorder, and Panic Disorder Patients During the Covid-19 Pandemic.

Objectives: This study aims to compare patients with major depressive disorder (MDD), generalized anxiety disorder (GAD), and panic disorder (PD), whom we have frequently seen in our hospital practice during the pandemic, with healthy controls (HC) in terms of coronavirus anxiety levels and coping strategies. Methods: In this study, the Sociodemographic Data Form, Coronavirus Anxiety Scale (CAS), Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, and Coping Orientation to Problems Experienced (COPE) scale were applied to the participants. 30 MDD patients, 32 GAD patients, 31 PD patients and 38 HCs, totaling 131 participants, constituted the sample of the study. Results: Evaluation of the CAS scores of the participants revealed that HC scored 3.306 (p=0.002) points lower than GAD patients and 3.014 (p=0.005) points lower than PD patients, while HC and major depression patients were not statistically different in terms of CAS scores (p=0.880). In the comparison of coping strategies, HC scored 3.151 (p<0.001) points higher than MDD patients and 2.059 (p=0.004) points higher than GAD patients in terms of "active coping." In terms of "planning," HC scored 2.726 (p<0.001) points higher than MDD patients, 2.589 (p=0.001) points higher than GAD patients, and 2.171 (p=0.006) points higher than PD patients. Conclusion: This study found higher coronavirus anxiety levels in GAD and PD patients but no difference in MDD patients compared to HC during the COVID-19 pandemic, which may indicate that MDD patients can COPE better with coronavirus anxiety. Determining the coping strategies that individuals use to COPE with coronavirus anxiety during the COVID-19 pandemic may help mental health professionals to control disease-related stressors and contribute to the treatment process.

The coronavirus anxiety in the elderly: The role of coping styles with stress and meta-worry

Coronavirus symptoms have more severe physical and psychological clinical manifestations in the elderly. Accordingly, the elderly seem to be one of the main groups at risk for Coronavirus disease. The aim of this study was to predict Coronavirus anxiety based on coping styles with stress and meta-worry. The research design was correlational. The statistical population included all the elderly living in Ahvaz, among whom 300 were selected as the study sample using online convenience sampling method. The research instruments included Alizadeh et al.'s Corona Anxiety, Lazarus and Falkman's Coping Styles, and Wells's meta-worry Inventory. Used to analyze the data was a multiple regression method. The results indicated that problem-oriented coping style (r = -0.401) had a negative and significant relationship with corona anxiety in the elderly and emotion-centered coping style (r = 0.281) and meta-worry (r = 0.429) have a positive and significant relationship with corona anxiety (P < 0.01). Besides, the variables of problem-oriented coping style, emotion-centered coping style and meta-worry were able to predict 31.5% of the changes in corona anxiety in the elderly, which the share of meta-worry was more than other variables (P < 0.01). Considering the capability of coping style and meta-worry in predicting Coronavirus anxiety in the elderly, training programs can be designed and represented through virtual workshops to increase problem-oriented coping style and to decrease emotion-centered coping style and meta-worry, in order to reduce Coronavirus anxiety. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

The causal model of Coronavirus anxiety in the elderly based on perceived stress and sense of cohesion: The mediating role of perceived social support

The spread of the Coronavirus is a challenge for healthcare systems all around the world. The elderly are at high risk for complications from Coronavirus due to low immune system function and underlying diseases. Therefore, the aim of this study was to investigate the causal modeling of Corona anxiety in the elderly based on perceived stress and sense of cohesion with the mediating role of perceived social support. The research method was descriptive, of structural equations type. The statistical population included all the elderly living in nursing homes in Ardabil in 2020, from which 160 were selected using purposive sampling. Used to collect data were Alipour et al.'s Corona Anxiety Scale, Sense of Coherence- 13 scale of Antonovsky, Calhoun et al.'s Perceived Stress Scale, and Zimet et al.'s Multidimensional Scale of Perceived Social Support. Data were analyzed by structural equation modeling using SPSS-23 and Lisrel 8.8 software. Based on the obtained results, the causal model confirmed the relationship between perceived stress, sense of cohesion, perceived social support and corona anxiety in the elderly based on different fitness indices (P < 0.05). Perceived stress, sense of cohesion, and perceived social support had a direct effect on corona anxiety in the elderly. Besides, perceived stress and sense of cohesion had an indirect effect on corona anxiety in the elderly through perceived social support (P < 0.05). Thus, in the context of the Covid-19 epidemic, it is possible to play an important role in reducing coronary anxiety in the elderly by informing and applying measures to empower the elderly in the areas of perceived stress, sense of cohesion, and perceived social support. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Changes in couples sexual behavior during the lockdown due to COVID-19 in Puerto Rico

The coronavirus (COVID-19) pandemic has brought adverse consequences in several areas of a person's functioning, including economic, work, family, and academic. One area that has been little investigated in Puerto Rico is the effect of confinement on couples' sexual behavior. The objectives of the present study were: (1) analyze whether there are statistically significant differences between the sexual satisfaction of the participants before and during quarantine;(2) examine whether there have been significant changes in the quality of intimate relationships during the quarantine;and (3) evaluate whether anxiety and COVID-19 anxiety significantly predict participants' sexual satisfaction during quarantine. The sample consisted of 392 adults, primarily women (87.5%). The main results reflected a decrease in the quality of the couple's relationship and sexual satisfaction during the quarantine. In addition, the relationship between COVID-19 anxiety and sexual satisfaction during quarantine was low and negative. Although some differences turned out to be statistically significant, a look at these differences highlights that the differences were minimal at a practical and clinical level. Recommendations and practical implications are discussed from a clinical and counseling angle. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) La pandemia por coronavirus (COVID-19) trajo secuelas adversas en varias areas del funcionamiento de las personas, entre ellas economicas, laborales, familiares y academicas. Un area que no se ha investigado en Puerto Rico es el efecto de los encierros en la conducta sexual de las parejas. Los objetivos del presente estudio fueron: (1) analizar si existen diferencias estadisticamente significativas entre la satisfaccion sexual de las personas participantes antes y durante la cuarentena;(2) examinar si se han producido cambios significativos en la calidad de las relaciones de pareja durante la cuarentena;y (3) evaluar si la ansiedad y la ansiedad por COVID-19 predicen la satisfaccion sexual de las personas participantes durante la cuarentena. La muestra consistio de 392 personas adultas en su mayoria mujeres (87.5%). Los resultados reflejaron una disminucion en la calidad de la relacion de pareja y en la satisfaccion sexual durante la cuarentena. La relacion entre ansiedad por COVID-19 y satisfaccion sexual durante la cuarentena fue significativa, baja y negativa. A pesar que algunas diferencias resultaron ser estadisticamente significativas, una mirada a dichas diferencias resalta que a nivel practico y clinico las diferencias fueron minimas. Se discuten recomendaciones e implicaciones para la clinica y consejeria. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Sleep Disorders and Associated Factors in Children Who Admitted to the Child and Adolescent Psychiatry Outpatient Clinics During the Pandemic.

Objective: This study determined whether children have sleep disorders during the Coronavirus disease-2019 (COVID-19) pandemic restriction process, and if they do, to determine in which areas they have problems with sleep, as well as to examine the relationship of sleep disorder with chronotype and coronavirus anxiety. Materials and Methods: In April-November 2020, 98 patients attending Kocaeli University Child Psychiatry clinics and attending primary school 1-4th grade were recruited. "Sociodemographic Form", "Child Sleep Habits Questionnaire", and "Children's Chronotype Questionnaire" were applied to the parents. The short form of the "Coronavirus Anxiety Scale" and the information form about the pandemic process were applied to the children. Results: According to the sleep habits questionnaire, 70.4% of the group had clinically significant sleep problems. The most common sleep disorders observed in our study;are bedtime resistance, delayed falling asleep, and nighttime awakenings. A significant relationship was found between physical illness in the family (p=0.019), smoking (p=0.032), sleep pattern change during the pandemic (p=0.002), sleep change of the mother (p=0.006) and/or father (p=0.035), change in appetite (p=0.010), and sleep disorder. According to the chronotype scale, 66 children were morning and children's anxiety toward coronavirus was low. Conclusion: Our study shows that sleep disturbance in children is marked during the pandemic period, but this is due to changes in sleep patterns and parents' sleep rather than problems related to anxiety or chronotype associated with the pandemic. It will be useful to question these factors and make arrangements in this direction when evaluating the sleep-related problems of patients who apply to outpatient clinics. (English) [ FROM AUTHOR] Amaç: Bu çalışmada, Koronavirüs hastalığı-2019 (COVID-19) pandemisi kısıtlama sürecinde çocukların uyku bozukluğu yaşayıp yaşamadığının, eğer yaşıyorlarsa uyku ile ilgili hangi alanlarda sorun yaşadıklarının saptanması, ayrıca uyku bozukluğunun kronotip ve Koronavirüs anksiyetesi ile ilişkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Nisan-Kasım 2020 tarihleri arasında Kocaeli Üniversitesi Çocuk ve Ergen Psikiyatri polikliniklerine başvuran;ilkokul 1-4. sınıfa giden 98 hasta çalışmaya dahil edilmiştir. Ebeveynlere "Sosyodemografik Bilgi Formu", "Çocuk Uyku Alışkanlıkları Anketi", "Çocukluk Dönemi Kronotip Anketi";çocuklara ise "Koronavirus Anksiyete Ölçeği Kısa Formu" ve pandemi süreci ile ilgili beş maddeden oluşan bilgi formu uygulanmıştır. Bulgular: Uyku alışkanlıkları anketi toplam puanına bakıldığında, grubun %70,4'ünün klinik olarak anlamlı düzeyde uyku sorunu yaşadığı saptanmıştır. Çalışmamızda gözlenen en yaygın uyku bozuklukları;yatma zamanı direnci, uykuya dalmanın gecikmesi ve gece uyanmalarıdır. Ailede fiziksel hastalık (p=0,019), sigara kullanımı (p=0,032), pandemide uyku düzen değişikliği (p=0,002), annenin uyku değişimi (p=0,006), babanın uyku değişimi (p=0,035), ve iştah değişimi (p=0,010) ile uyku bozukluğu arasında anlamlı ilişki saptanmıştır. Kronotip ölçeğine göre 66 çocuğun sabahçı, 31 çocuğun ara form, bir çocuğun ise akşamcı olduğu gözlenmiştir. Çocukların Koronavirüse yönelik anksiyetesinin düşük olduğu saptanmıştır. Sonuç: Çalışmamız, çocuklarda pandemi döneminde uyku bozukluğunun belirgin düzeyde olduğunu ancak bu durumun pandemi ile ilişkili anksiyete ya da kronotip ile ilgili sorunlardan çok, uyku düzenlerindeki değişiklik ve ebeveynlerin uykusundaki değişimlerden kaynaklandığını göstermektedir. Polikliniklere başvuran hastaların uyku ile ilgili sorunları değerlendirilirken bu faktörlerin sorgulanması ve bu yönde düzenlemeler yapılması yararlı olacaktır. (Turkish) [ FROM AUTHOR] Copyright of Journal of Turkish Sleep Medicine is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Sleep Disorders and Associated Factors in Children Who Admitted to the Child and Adolescent Psychiatry Outpatient Clinics During the Pandemic

Objective: This study determined whether children have sleep disorders during the Coronavirus disease-2019 (COVID-19) pandemic restriction process, and if they do, to determine in which areas they have problems with sleep, as well as to examine the relationship of sleep disorder with chronotype and coronavirus anxiety. Materials and Methods: In April-November 2020, 98 patients attending Kocaeli University Child Psychiatry clinics and attending primary school 1-4th grade were recruited. "Sociodemographic Form", "Child Sleep Habits Questionnaire", and "Children's Chronotype Questionnaire" were applied to the parents. The short form of the "Coronavirus Anxiety Scale" and the information form about the pandemic process were applied to the children. Results: According to the sleep habits questionnaire, 70.4% of the group had clinically significant sleep problems. The most common sleep disorders observed in our study;are bedtime resistance, delayed falling asleep, and nighttime awakenings. A significant relationship was found between physical illness in the family (p=0.019), smoking (p=0.032), sleep pattern change during the pandemic (p=0.002), sleep change of the mother (p=0.006) and/or father (p=0.035), change in appetite (p=0.010), and sleep disorder. According to the chronotype scale, 66 children were morning and children's anxiety toward coronavirus was low. Conclusion: Our study shows that sleep disturbance in children is marked during the pandemic period, but this is due to changes in sleep patterns and parents' sleep rather than problems related to anxiety or chronotype associated with the pandemic. It will be useful to question these factors and make arrangements in this direction when evaluating the sleep-related problems of patients who apply to outpatient clinics. (English) [ FROM AUTHOR] Amaç: Bu çalışmada, Koronavirüs hastalığı-2019 (COVID-19) pandemisi kısıtlama sürecinde çocukların uyku bozukluğu yaşayıp yaşamadığının, eğer yaşıyorlarsa uyku ile ilgili hangi alanlarda sorun yaşadıklarının saptanması, ayrıca uyku bozukluğunun kronotip ve Koronavirüs anksiyetesi ile ilişkisinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Nisan-Kasım 2020 tarihleri arasında Kocaeli Üniversitesi Çocuk ve Ergen Psikiyatri polikliniklerine başvuran;ilkokul 1-4. sınıfa giden 98 hasta çalışmaya dahil edilmiştir. Ebeveynlere "Sosyodemografik Bilgi Formu", "Çocuk Uyku Alışkanlıkları Anketi", "Çocukluk Dönemi Kronotip Anketi";çocuklara ise "Koronavirus Anksiyete Ölçeği Kısa Formu" ve pandemi süreci ile ilgili beş maddeden oluşan bilgi formu uygulanmıştır. Bulgular: Uyku alışkanlıkları anketi toplam puanına bakıldığında, grubun %70,4'ünün klinik olarak anlamlı düzeyde uyku sorunu yaşadığı saptanmıştır. Çalışmamızda gözlenen en yaygın uyku bozuklukları;yatma zamanı direnci, uykuya dalmanın gecikmesi ve gece uyanmalarıdır. Ailede fiziksel hastalık (p=0,019), sigara kullanımı (p=0,032), pandemide uyku düzen değişikliği (p=0,002), annenin uyku değişimi (p=0,006), babanın uyku değişimi (p=0,035), ve iştah değişimi (p=0,010) ile uyku bozukluğu arasında anlamlı ilişki saptanmıştır. Kronotip ölçeğine göre 66 çocuğun sabahçı, 31 çocuğun ara form, bir çocuğun ise akşamcı olduğu gözlenmiştir. Çocukların Koronavirüse yönelik anksiyetesinin düşük olduğu saptanmıştır. Sonuç: Çalışmamız, çocuklarda pandemi döneminde uyku bozukluğunun belirgin düzeyde olduğunu ancak bu durumun pandemi ile ilişkili anksiyete ya da kronotip ile ilgili sorunlardan çok, uyku düzenlerindeki değişiklik ve ebeveynlerin uykusundaki değişimlerden kaynaklandığını göstermektedir. Polikliniklere başvuran hastaların uyku ile ilgili sorunları değerlendirilirken bu faktörlerin sorgulanması ve bu yönde düzenlemeler yapılması yararlı olacaktır. (Turkish) [ FROM AUTHOR] Copyright of Journal of Turkish Sleep Medicine is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Fatigue And Dyspnea In Young Adults Recovered From COVID-19

Background: Fatigue and dyspnea are the most common long-COVID symptoms in people who recovered from COVID-19. It is important to understand related factors with fatigue and dyspnea in young adults for early detection of the existing or future chronic disease risk and secondary prevention. Objective(s): To investigate the relationship between fatigue, dyspnea, respiratory functions, functional exercise capacity, physical activity, and anxiety in young adults who recovered from COVID-19. Method(s): Twenty-seven individuals (4 male, 23 female) aged 18-25/years (mean age=21.4+/-1.8/years), diagnosed with COVID-19 and at least 12 weeks passed after diagnosis (mean 231.84+/-118.1/days) were included in the study. Dyspnea-12 and Fatigue Severity Scale (FSS) were used to evaluate dyspnea and fatigue. Respiratory functions and respiratory muscle strength (maximal inspiratory pressure-MIP, maximal expiratory pressure-MEP) were assessed using spirometry and intraoral pressure gauge. Functional exercise capacity was evaluated with the "6-minute walking test (6MWT)". International Physical Activity Questionnaire-Short Form (IPAQ-SF) and Coronavirus Anxiety Scale (CAS) were used to evaluate physical activity and anxiety Results: Of the subjects, %63 reported fatigue and 37% reported dyspnea. None of the subjects were treated at the hospital during the disease. There were significant moderate negative correlations between Dyspnea-12 and %peak expiratory flow-PEF (p=0.020), and FSS and MEP (p=0.009). Time after PCR, age, 6MWT, IPAQ-SF, and CAS were not correlated with FSS or Dyspnea-12. Conclusion(s): Our results showed that fatigue and dyspnea are related with expiratory muscle strength and PEF in young adults who recovered from COVID-19.

To Compare The Coping Strategies, Emotional Reactions, Burnout And Resilience In Doctors Caring And Not Caring For Covid19 Patients

Background: Rapid transmission of novel coronavirus (COVID-19) causing severe acute respiratory syndrome coronavirus 2 (SARSCoV- 2) occurred all across the world in few months causing a pandemic. Frontline medical staff as a result of heavy workload, insufficient protective equipment, a lack of information of the pathogen, and direct contact with patients faced the fear of getting infected themselves and their family. Anxiety, stress, and other negative emotions have led to a series of psychological crises in them. Aim(s): To compare the coping strategies, emotional reactions, burnout and resilience in doctors caring and not caring for COVID19 patients. Materials And Methods: Total 304 Doctors in tertiary care hospitals out of which 163 were caring and 141 were not caring for COVID19 patients participated in our study. Both groups were assessing and compared using The Fear of COVID-19 Scale, the coronavirus anxiety scale (CAS), Patient Health Questionnaire-2 (PHQ-2), Primary Care PTSD Screen for DSM-5 (PC-PTSD-5), Brief COPE, Connor-Davidson Resilience Scale abbreviated, Abbreviated Maslach Burnout Inventory, Two-Item Conjoint Screen (TICS) Results: All participants those who did COVID duty and those who did not do it showed high level of resilience though on comparison no significant different was found between two groups. Those who did not do COVID duty were scored higher in emotion focused coping strategies whereas who did not do COVID duty scored higher in avoidant coping strategies. Abbreviated version of Maslach Burnout Inventory indicated a great personal accomplishment, less depersonalization and low emotional exhaustion in all the participants irrespective of their duty status. Conclusion(s): On comparing those who did COVID duties against those who haven't, it was found that those who did not do COVID duty used more emotion-focused ways to cope and those who were doing COVID duties were using harmful avoidant coping to manage their daily chores. All the doctors participating in study showed high resilience irrespective of whether they did COVID duty or not.Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.

Eco-anxiety and pandemic distress: Psychological perspectives on resilience and interconnectedness

Through much of 2020 and into 2021, nations throughout the world locked down because of the COVID- 19 pandemic. Before then, the most pressing global anxiety for many people was climate anxiety. However, these phenomena are in many ways interconnected. Many of the elements in the global economic and logistical systems cause both ecological problems and vulnerability to pandemics. When pandemics happen, they influence ecological problems. In turn, ecological dynamics shape pandemics. This book focuses on deeper aspect of interconnectedness: the psychological and social dimensions of both pandemics and the ecological crisis. The chapters that follow explore various ways in which pandemics and the ecological crisis threaten health and well-being. The main focus is on humans, but these phenomena also affect other creatures and ecosystems, indeed the whole planetary ecosystem. The book examines both coronavirus anxiety and climate anxiety as part of the broader categories of eco-anxiety. "Eco-anxiety" is the general term for anxiety caused by all kinds of ecological problems, while "climate anxiety" refers especially to those forms of eco-anxiety that are significantly shaped by climate change. In historical perspective, eco-anxiety, climate anxiety, and coronavirus anxiety are all instances of global factors causing anxiety, whether or not there are already significant physical impacts. These have been called "macrosocial worries", and they could also be called global anxieties. The book explicates various dimensions of coronavirus anxiety and climate anxiety by comparing their occurrence and phases. The chapters explore climate anxiety, coronavirus anxiety, and the various ways in which people and societies can better cope with them. Coping is closely connected with resilience, the ability to maintain functioning in the midst of changing circumstances. We live in unusual times, with pandemics and vast ecological threats, but these crises have also sparked new understanding about the need for connection and resilience. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Analyzing the psychological effects of the COVID-19 pandemic on Turkish dental professionals.

BACKGROUND: Due to the working conditions, while performing dental procedures, dental professionals may experience a sense fear and anxiety about coronavirus disease 2019 (COVID-19). OBJECTIVES: The aim of this study was to assess the levels of fear and anxiety about COVID-19 among dental professionals by using the Turkish version of the Fear of COVID-19 Scale (FCV-19S) and the Coronavirus Anxiety Scale (CAS), and to explore the risk factors associated with the intensity of fear and anxiety. MATERIAL AND METHODS: This cross-sectional study was conducted between October 16 and October 23, 2020, during the normalization process, by sending an online survey to 813 dental professionals working in public and university hospitals in Turkey. The questionnaire contained questions about socio-demographic characteristics as well as epidemic-related questions. The levels of fear and anxiety were assessed by means of FCV-19S and CAS, respectively. RESULTS: The sample's mean scores were 18.48 ±5.47 for FCV-19S and 2.17 ±3.08 for CAS. Female participants expressed higher levels of fear of COVID-19 than male participants (p < 0.05). CONCLUSIONS: The fear and anxiety levels in dentists during the COVID-19 pandemic were found to be high.

Anxiety and Stress During the COVID-19 Lockdown Among the General Population in Perambalur: A Cross-Sectional Study.

Background The coronavirus disease 2019 (COVID-19) pandemic and lockdown had a significant impact on mental health during the last two years. However, the majority of studies do not concentrate on the risk and protective factors that influence the relationship between COVID-19 and subjective well-being. Therefore, the present study aims to identify such stressful experiences and the influence of COVID-19 and various stressors. Methodology We have conducted this community-based, cross-sectional, analytical study in the Perambalur district of Tamil Nadu for four months. After obtaining approval from the Institutional Ethics Committee, we gathered data for the study. Two field practice areas were involved in data collection. A convenient sampling procedure was used to select 291 households for the study. The lead investigator interviewed one individual from each household, preferably the head of the family. A semi-structured questionnaire was used to collect the pertinent information. The Coronavirus Anxiety Scale (CAS), Perceived Stress Scale (PSS), and Generalized Anxiety Disorder (GAD) scale were used to assess anxiety and stress. All collected data were entered into Microsoft Excel (Microsoft Corporation, Redmond, WA), and SPSS software version 21 (IBM Corp., Armonk, NY) was used to analyze the results. Results Among the participants, 34% had a history of COVID-19 infection, and 58.4% of the families had at least one chronic comorbidity among the family members. The CAS score was significantly associated with the residence (p = 0.049), marital status (p = 0.001), and previous history of COVID-19 (p = 0.016) of the study participants. The study found that gender was the only factor associated with both the PSS score (p = 0.022) and the GAD scale score (p = 0.010) of the study participants. Conclusions Even though doctors can treat many mental health illnesses for a comparatively minimal cost, there is still a wide disparity between those who require care and those who have access to it. Governmental programs and regulations that conduct routine surveys to identify anxiety and stress can lead to successful preventative strategies.