ABSTRACT
Background: Fatigue is a common problem in pregnancy and is associated with negative outcomes. Objective(s): This study aimed to determine the predictors of fatigue in pregnant women. Method(s): This cross-sectional study was conducted on 150 pregnant women with a gestational age of 12-18 weeks visiting the healthcare centers in Mahabad-Iran, 2021. Fatigue was assessed via the modified Multidimensional Assessment of Fatigue (MAF) checklist, depression via the Edinburgh Postnatal Depression Scale (EPDS), stress and anxiety via Depression, Anxiety and Stress Scale-21 (DASS-21), well-being via WHO-5, and positive and negative affect via International Positive and Negative Affect Schedule-Short Form (I-PANAS-SF). The general linear model was used to esti-mate the degree of the effect of each independent variable (sociodemographic characteristics, de-pression, stress, anxiety, positive and negative affect, and well-being) on the dependent variable (early pregnancy fatigue). Result(s): The mean (SD) fatigue score was 21.91 (7.07), within the 0-50 possible range. The majori-ty of pregnant women (87.3%) suffered from fatigue. Based on the Pearson or Spearman correlation analysis, a significant correlation was observed between fatigue and depression (r= 0.334, P<0.001), anxiety (r= 0.327, P<0.001), stress (r=0.329, P< 0.001), well-being (r=-0.279, P<0.001), and negative affect (r= 0.308, P<0.001). Based on the adjusted general linear model, the education, stress and negative affect variables were predictors of fatigue. Conclusion(s): The education, stress and negative affect predict fatigue in pregnant women, and their identification contributes to the designation of interventions to mitigate fatigue in this group. More studies are required to identify the causes of fatigue during pregnancy. Copyright © 2023 Bentham Science Publishers.
ABSTRACT
Introduction: The aim of this paper is to analyse the impact of SARS - CoV 2 on Menthal Health. Based on the studies pacients infected with COVID-19 manifest severe menthal health problems during or after infection. Objective(s): How do different people face the acute phase of SARSCoV-2 infection? How do menthal health problems influence the disease's trajectory? What kind of the menthal health disorder occur in people status post Covid? Methods: We have used a regular, clinical strategy involving adults aged 21-61 years infected with SARS-CoV-2. The research was conducted over the period July-December 2020, in 5 patients (3 males and 2 females) hospitalized in the Psychiatric Hospital Ali Mihali Vlora. The assessment on the diagnosis was made conforming to the diagnostic criteria of DSM-5 based on structured clinical interview (information from family, friends, etc.) and examination of mental status Results: According to the studies SARS CoV2 affects with serious problems the Menthal Health. Some of them are: Sleep disorder. Anxiety disorder. Major Depressive Disorder. Bipolar disorder Psychotic disorder Conclusion(s): Patients infected with SARS-CoV-2 must be provided with a family physician psychological evaluation during the acute and post-COVID-19 phase. All individs status post COVID-19 who have lost their daily functioning and pose a risk to themselves and others must be recommended to CMHC for multidisciplinary treatment All COVID hospitals and wards must be equipped with multidisciplinary teams (psychiatrist, psychologist, social worker, mental health nurse) and each clinical record must have current mental status assessment and follow-up in case dynamics.
ABSTRACT
Background: The psychological impact of breast cancer diagnosis and management are well known, and the COVID-19 pandemic may have exacerbated this distressing experience for these patients. Objective(s): We aimed to assess the supportive care outcomes and level of psychological distress experienced by breast cancer patients in our regional survivorship clinic during the COVID pandemic, in comparison to a pre-pandemic population. We also sought to determine whether using telehealth during the pandemic was preferred by oncology patients. Method(s): All 49 patients who attended the breast cancer survivorship clinic in 2019, and 50 patients who attended in 2021, were included in this study. Deidentified data was collected from the end of treatment care plan.We also collected self-reported scores on The National Comprehensive CancerNetwork Distress Thermometer (DT). Patients with a self-reported DT score >4 were asked to complete the Kessler Psychological Distress Scale questionnaire as a secondary assessment of depression and anxiety. Result(s): Breast cancer patients in the 2021 pandemic cohort recorded higher levels of distress (4.2/10) on the Distress Thermometer compared to the 2019 pre-pandemic cohort (2.4/10) (p = 0.0007). In the pandemic cohort, 38% of breast cancer patients reported a K10 score >16 indicating a moderate-to-high or threefold population risk of having a current anxiety or depressive disorder, compared with 12% of the patients in the pre-pandemic cohort. Patients in the prepandemic group most commonly identified physical concerns including fatigue (61%), poor sleep (43%), pain (33%) and neuropathy (31%). The key concerns of patients in the 2021 group were fatigue, anxiety, depression and fear of recurrence. This study demonstrated the use of supportive care tools to identify breast cancer patients who are vulnerable to increased psychological distress during the COVID pandemic. It also highlights the need to address the limited access to psychological support services for cancer patients in Gippsland.