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1.
Academic Journal of Naval Medical University ; 43(11):1257-1263, 2022.
Article in Chinese | EMBASE | ID: covidwho-20245355

ABSTRACT

Objective To explore the sociodemographic and psychological factors influencing the continuity of treatment of patients with chronic kidney disease under the regular epidemic prevention and control of coronavirus disease 2019 (COVID-19). Methods A total of 277 patients with chronic kidney disease who were admitted to Department of Nephrology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University) from Apr. 2020 to Mar. 2021 were enrolled and divided into 3 groups: non-dialysis group (n=102), hemodialysis (HD) group (n=108), and peritoneal dialysis (PD) group (n=67). All patients were investigated by online and offline questionnaires, including self-designed basic situation questionnaire, self-rating anxiety scale (SAS), and self-rating depression scale (SDS). The general sociodemographic data, anxiety and depression of the 3 groups were compared, and the influence of sociodemographic and psychological factors on the interruption or delay of treatment was analyzed by binary logistic regression model. Results There were significant differences in age distribution, marital status, occupation, medical insurance type, caregiver type, whether there was an urgent need for hospitalization and whether treatment was delayed or interrupted among the 3 groups (all P0.05). The average SAS score of 65 PD patients was 38.15+/-15.83, including 53 (81.5%) patients without anxiety, 7 (10.8%) patients with mild anxiety, and 5 (7.7%) patients with moderate to severe anxiety. The average SAS score of 104 patients in the HD group was 36.86+/-14.03, including 81 (77.9%) patients without anxiety, 18 (17.3%) patients with mild anxiety, and 5 (4.8%) patients with moderate to severe anxiety. There were no significant differences in the mean score of SAS or anxiety severity grading between the 2 groups (both P0.05). The mean SDS scores of 65 PD patients were 53.42+/-13.30, including 22 (33.8%) patients without depression, 21 (32.3%) patients with mild depression, and 22 (33.8%) patients with moderate to severe depression. The mean SDS scores of 104 patients in the HD group were 50.79+/-10.76, including 36 (34.6%) patients without depression, 56 (53.8%) patients with mild depression, and 12 (11.6%) patients with moderate to severe depression. There were no significant differences in mean SDS scores or depression severity grading between the 2 groups (both P0.05). The results of intra-group comparison showed that the incidence and severity of depression were higher than those of anxiety in both groups. Multivariate binary logistic regression analysis showed that high school education level (odds ratio OR=5.618, 95% confidence interval CI) 2.136-14.776, P0.01), and unmarried (OR=6.916, 95% CI 1.441-33.185, P=0.016), divorced (OR= 5.588, 95% CI 1.442-21.664, P=0.013), urgent need for hospitalization (OR=8.655, 95% CI 3.847-19.476, P0.01) could positively promote the continuity of treatment in maintenance dialysis patients under the regular epidemic prevention and control of COVID-19. In the non-dialysis group, no sociodemographic and psychological factors were found to be associated with the interruption or delay of treatment (P0.05). Conclusion Education, marital status, and urgent need for hospitalization are correlated with the continuity of treatment in patients with chronic kidney disease on maintenance dialysis.Copyright © 2022, Second Military Medical University Press. All rights reserved.

2.
Chinese Journal of Psychiatry ; 54(3):239-242, 2021.
Article in Chinese | EMBASE | ID: covidwho-20244986

ABSTRACT

Three patients diagnosed with COVID-19 were all young women in their thirties who have suffered from Internet violence in their personal life after hospitalization. They showed significant emotional distress such as, depression state, acute stress disorder, and dissociative disorder. The current study adopts short-term, individualized and comprehensive psychological interventions, including psychological support, encouragement, listening, safety confirmation, catharsis, psychological suggestion, and stimulation of internal potential to treat patients. The third case was provided with psychological interventions combined with antipsychotic treatment. After timely psychological interventions all three patients achieved sound results.Copyright © 2021 Chinese Medical Journals Publishing House Co.Ltd.

3.
Journal of Mazandaran University of Medical Sciences ; 33(220):66-78, 2023.
Article in Persian | EMBASE | ID: covidwho-20240042

ABSTRACT

Background and purpose: The COVID-19 pandemic have led to some psychological disorders and sleep problems that should be taken into account after recovery. After recovering from COVID-19 people are at risk of sleep disorders, depression, and low quality of life and there is paucity of information about this issue. The present study aimed to compare the effectiveness of mindfulness and aerobic exercise on depressive symptoms, perceived stress, and sleep quality in recovered COVID-19 patients. Material(s) and Method(s): An intervention field research was performed in 60 male and female patients (mean age: 39.52+/-5.82) recovered from COVID-19 in Kermanshah, Iran. Participants were randomly divided into four groups (n=15): 1) attending mindfulness-based stress reduction (MBSR) program, 2) aerobic exercise, 3) combination of MBSR and aerobic exercise, and 4) control group. The study was carried out at four stages: pretest, interventions, post-test, and follow-up test. Dependent variables included depressive symptoms, perceived stress, and sleep quality. Bonferroni Post hoc test in 4*3 mixed ANOVA was used for data analysis. Result(s): In this study, depression and perceived stress reduced in all experimental groups compared to the control group (P= 0.001). Also, sleep quality improved in these groups compared to the control group (P= 0.001). Post hoc tests showed the superiority of combination of MBSR and aerobic exercise compared to other interventions. Conclusion(s): According to current study, combination of MBSR and physical activity shows to be more helpful than mindfulness training and physical activity alone in improving psychological problems and sleep quality after recovering from COVID-19.Copyright © 2023, Mazandaran University of Medical Sciences. All rights reserved.

4.
Academic Journal of Naval Medical University ; 43(11):1257-1263, 2022.
Article in Chinese | EMBASE | ID: covidwho-2327416

ABSTRACT

Objective To explore the sociodemographic and psychological factors influencing the continuity of treatment of patients with chronic kidney disease under the regular epidemic prevention and control of coronavirus disease 2019 (COVID-19). Methods A total of 277 patients with chronic kidney disease who were admitted to Department of Nephrology, The First Affiliated Hospital of Naval Medical University (Second Military Medical University) from Apr. 2020 to Mar. 2021 were enrolled and divided into 3 groups: non-dialysis group (n=102), hemodialysis (HD) group (n=108), and peritoneal dialysis (PD) group (n=67). All patients were investigated by online and offline questionnaires, including self-designed basic situation questionnaire, self-rating anxiety scale (SAS), and self-rating depression scale (SDS). The general sociodemographic data, anxiety and depression of the 3 groups were compared, and the influence of sociodemographic and psychological factors on the interruption or delay of treatment was analyzed by binary logistic regression model. Results There were significant differences in age distribution, marital status, occupation, medical insurance type, caregiver type, whether there was an urgent need for hospitalization and whether treatment was delayed or interrupted among the 3 groups (all P<0.05). The average SAS score of 65 PD patients was 38.15+/-15.83, including 53 (81.5%) patients without anxiety, 7 (10.8%) patients with mild anxiety, and 5 (7.7%) patients with moderate to severe anxiety. The average SAS score of 104 patients in the HD group was 36.86+/-14.03, including 81 (77.9%) patients without anxiety, 18 (17.3%) patients with mild anxiety, and 5 (4.8%) patients with moderate to severe anxiety. There were no significant differences in the mean score of SAS or anxiety severity grading between the 2 groups (both P>0.05). The mean SDS scores of 65 PD patients were 53.42+/-13.30, including 22 (33.8%) patients without depression, 21 (32.3%) patients with mild depression, and 22 (33.8%) patients with moderate to severe depression. The mean SDS scores of 104 patients in the HD group were 50.79+/-10.76, including 36 (34.6%) patients without depression, 56 (53.8%) patients with mild depression, and 12 (11.6%) patients with moderate to severe depression. There were no significant differences in mean SDS scores or depression severity grading between the 2 groups (both P>0.05). The results of intra-group comparison showed that the incidence and severity of depression were higher than those of anxiety in both groups. Multivariate binary logistic regression analysis showed that high school education level (odds ratio [OR]=5.618, 95% confidence interval [CI]) 2.136-14.776, P<0.01), and unmarried (OR=6.916, 95% CI 1.441-33.185, P=0.016), divorced (OR= 5.588, 95% CI 1.442-21.664, P=0.013), urgent need for hospitalization (OR=8.655, 95% CI 3.847-19.476, P<0.01) could positively promote the continuity of treatment in maintenance dialysis patients under the regular epidemic prevention and control of COVID-19. In the non-dialysis group, no sociodemographic and psychological factors were found to be associated with the interruption or delay of treatment (P>0.05). Conclusion Education, marital status, and urgent need for hospitalization are correlated with the continuity of treatment in patients with chronic kidney disease on maintenance dialysis.Copyright © 2022, Second Military Medical University Press. All rights reserved.

5.
Journal of Mazandaran University of Medical Sciences ; 33(220):66-78, 2023.
Article in Persian | EMBASE | ID: covidwho-2325059

ABSTRACT

Background and purpose: The COVID-19 pandemic have led to some psychological disorders and sleep problems that should be taken into account after recovery. After recovering from COVID-19 people are at risk of sleep disorders, depression, and low quality of life and there is paucity of information about this issue. The present study aimed to compare the effectiveness of mindfulness and aerobic exercise on depressive symptoms, perceived stress, and sleep quality in recovered COVID-19 patients. Material(s) and Method(s): An intervention field research was performed in 60 male and female patients (mean age: 39.52+/-5.82) recovered from COVID-19 in Kermanshah, Iran. Participants were randomly divided into four groups (n=15): 1) attending mindfulness-based stress reduction (MBSR) program, 2) aerobic exercise, 3) combination of MBSR and aerobic exercise, and 4) control group. The study was carried out at four stages: pretest, interventions, post-test, and follow-up test. Dependent variables included depressive symptoms, perceived stress, and sleep quality. Bonferroni Post hoc test in 4*3 mixed ANOVA was used for data analysis. Result(s): In this study, depression and perceived stress reduced in all experimental groups compared to the control group (P= 0.001). Also, sleep quality improved in these groups compared to the control group (P= 0.001). Post hoc tests showed the superiority of combination of MBSR and aerobic exercise compared to other interventions. Conclusion(s): According to current study, combination of MBSR and physical activity shows to be more helpful than mindfulness training and physical activity alone in improving psychological problems and sleep quality after recovering from COVID-19.Copyright © 2023, Mazandaran University of Medical Sciences. All rights reserved.

6.
African Health Sciences ; 23(1):44-50, 2023.
Article in English | EMBASE | ID: covidwho-2318057

ABSTRACT

Background: The Covid-19 pandemic seems to have an incessant out-turn on the people in every field in some or the other way. It has been reported that maximum number of deaths in the countries during this pandemic are caused due to a term called death anxiety or phobia. There are certain parameters such as anxiety, apprehension, depression which if influence a person can alter one's well-being. Objective(s): The steadfast intent of this review article is to narrate the psychological impact of this pandemic on dentists. The eloquence and emergence of this topic will alarm all the medicos and paramedics to have a check on this scenario. Method(s): The article consists of detailed study from several articles from PubMed publications. Articles written only in English language were referred. Various keywords such as "Covid-19 pandemic" or "Psychological Impact" were used. Result(s): The Covid-19 Pandemic has adversely affected all of us physically as well as psychologically. This article signifies the psychological impact of this pandemic on dentists. Conclusion(s): The current studies that are carried out till date show an extensive impact on the psychology of the dental professionals. The following review article elaborates the importance of the same.Copyright © 2023 Patil B et al.

7.
Medical Journal of Peking Union Medical College Hospital ; 12(1):54-58, 2021.
Article in Chinese | EMBASE | ID: covidwho-2314223

ABSTRACT

Objective The objective of this study was to investigate the basic needs of medical staff during the coronavirus disease 2019 pandemic in a fever clinic, so as to provide a reference for the global epidemic medical teams. Methods A semi-structured qualitative interview outline was designed, including: (1) work level: Working hours, working intensity, and safety guarantee in a fever clinic;(2)life level: Diet, sleep, and physical comfort;(3)psychological level: Emotion, pressure, coping style, and interpersonal resources. The basic needs of the first batch of the fever clinic in Peking Union Medical College Hospital was studied by open telephone interviews. Results A total of 37 medical staff were interviewed, including 8 males (21.6%) and 29 females (78.4%). Among them, there were 16 doctors (43.2%), 19 nurses (51.4%), and 2 medical technicians (5.4%). In terms of work settings, the ideal continuous working time was 4-6 hours per shift. There should be pro re nata positions during extremely high workload, and sufficient personal protective equipment was the key to safety. In terms of living conditions, providing meals according to different shifts was important for dietary needs, and sleeping pills were temporarily needed for sleep. In terms of psychological reactions, nervousness and worrying were relatively common. Family and colleagues were important resources of support. Sport could help relieve physical and psychological stress, and psychological support from psychologists was helpful in reducing their negative emotions. Conclusions The basic needs of medical staff should be respected so as to keep the efficacy of their work. We suggest that medical staff can rest after each 4-6 h working shift. Personal protective equipment should be sufficient. Psychological support should be noted in all of them and provided when necessary.Copyright © 2021, Peking Union Medical College Hospital. All rights reserved.

8.
Acta Neuropsychologica ; 21(1):21-31, 2023.
Article in English | EMBASE | ID: covidwho-2300413

ABSTRACT

SARS-CoV-2 spread rapidly, infecting people around the globe in-cluding the Iranian population. Among those infected, the highest percentage in infection prevalence was amongstthose aged 60 years and older. The aim of the study was to examine Covid-19 fear and health-related quality of life in older adults. This cross-sectional study was conducted with a total of 205 elderly froman Iranian province.The research data were collected through an online questionnaire consisting of three parts: Personal Information Form, the Fear of COVID-19 Scale (FCS), and the World Health Organization Life Quality Scale-Short Form (WHOQOL-BREF).An independent two-group t-test (Student's t-test), and one-way ANOVA test were used to compare the means of the respective groups. The Pearson correlation coefficient was calculated to deter-mine the level of correlation between two independent continuous variables. This data was analyzed using LISREL through confirma-tory factor analysis. In total, 205 elderly people responded. Participants (n=205) were in the age range of 60-87 with an average age of 67+/-6.83 years in men and 60-92 with an average age of 66+/-6.60 in women.The mean score was obtained for FCS19.5+/-6.6, the mean score was obtained for the WHOQOL-BREF 61.2+/-19.3. The mean score of FCS in men (20.4+/-6.3) was significantly higher than the mean score in women (18.3+/-6.7) (p=0.023). It was found that there were very weak but significant inverse correlations between FCS and the WHOQOL-BREF (r=-0.22;p=0.001). In conclusion, it was found that fear of COVID-19 was below the medium level, while their WHOQOL-BREF was above the medium level.Finally, we also found that, as the score from FCS increased, the scores obtained from WHOQOL-BREF decreased.Copyright © 2023, MEDSPORTPRESS Publishing House. All rights reserved.

9.
Cahiers de Nutrition et de Dietetique ; 58(2):96-110, 2023.
Article in English, French | EMBASE | ID: covidwho-2294510

ABSTRACT

Large-scale observational epidemiological studies provide essential information for the development of prevention policies for chronic diseases such as obesity. Since 2009, the French NutriNet-Sante cohort has been used as the basis for 29 empirical studies on obesity. The aim of this review is to present a summary of the findings of those studies and to deduce the contribution of NutriNet-Sante to the understanding of obesity. Among the 29 studies, 5 analyzed obesity as an exposure variable, 23 - as an outcome, and 1 - as a moderator. When modelled as a determinant (or exposure), obesity was cross-sectionally and positively associated with migraine and functional dyspepsia, respectively. In turn, when modelled as a consequence (or outcome), obesity was positively associated with different dietary factors, such as the proportion of ultra-processed foods in the diet and preference for fatty food. Other factors were inversely associated with obesity, such as following an organic diet. Some psychological factors were positively (e.g. impulsivity) or inversely associated (e.g. optimism) with obesity risk. In NutriNet-Sante, further studies on obesity are underway, dealing with its association with COVID-19 and mental disorders.Copyright © 2022 Societe francaise de nutrition

10.
The Lancet Healthy Longevity ; 2(7):e393-e394, 2021.
Article in English | EMBASE | ID: covidwho-2277144
11.
Osteoarthritis and Cartilage ; 31(Supplement 1):S167-S168, 2023.
Article in English | EMBASE | ID: covidwho-2275008

ABSTRACT

Purpose: Previous evidence suggests that increased mindfulness is associated with lower levels of pain and less psychological stress among chronic musculoskeletal pain patients. However, the impact of the COVID-19 pandemic on knee osteoarthritis outcomes and its correlation to facets of mindfulness has not been clearly delineated. Therefore, we examined the impact of the COVID-19 pandemic on physical and psychological outcomes in knee osteoarthritis (OA) patients and tested whether this relationship is mediated by mindfulness. Method(s): Cross-sectional analysis was performed on baseline data from a randomized trial for knee OA. We measured COVID-19 impact (Epidemic-Pandemic Impacts Inventory [EPII]), mindfulness (Five Facet Mindfulness Questionnaire [FFMQ]), pain and physical function (Western Ontario and McMaster University Index [WOMAC]), and psychological symptoms (Hospital Anxiety and Depression Scale [HADS], Perceived Stress Scale). Pearson's correlation coefficients estimated associations between the COVID-19 pandemic's impact, mindfulness, and physical and psychological factors. We evaluated whether mindfulness mediated associations between the COVID-19 pandemic impacts and psychological health. Result(s): A total of 40 diverse knee OA patients were included in the analysis, age 66+/-8 years;60% women;43% non-white;body mass index 31+/-7 kg/m2. Table 1 summarizes correlations. Higher negative COVID-19 impact was associated with higher anxiety (p<0.05, r=0.41) and depressive symptoms (p<0.05, r=0.38). Mindfulness did not mediate the association, shown in Figure 1. However, higher total mindfulness was associated with lower WOMAC-pain (r=-0.36, p<0.05, r=-0.32, p<0.05), less depressive (p<0.01, r =-0.49) and anxiety symptoms (p<0.05, r = -0.38). Conclusion(s): Higher negative COVID-19 impact is associated with worse psychological wellbeing in knee OA patients. Consistent with our previous findings, higher levels of mindfulness are associated with less pain, depression, and anxiety. This cumulative evidence warrants longitudinal studies exploring how mind-body therapies aiming to cultivate mindfulness may impact the well-being of patients with knee OA. [Formula presented] [Formula presented]Copyright © 2023

12.
Open Public Health Journal ; 16(1), 2023.
Article in English | Scopus | ID: covidwho-2273922

ABSTRACT

Background: It is important to understand HCWs' (healthcare workers) psychological responses to the Coronavirus disease 2019 (COVID-19) pandemic as theare exposed to the virus on a daily basis. This study helps identify some of the challenges they face. Aim: The overall aim of the study was to investigate psychological responses to COVID-19, including vaccinations and stressors, amongst healthcarHCWs in South Africa during the pandemic. Setting: HCWs who worked in private and state hospitals and private practice in Tshwane, South Africa. Methods: A quantitative approach using a cross-sectional survey design was used. Several standardised and validated questionnaires were used in the surveincluding the Coronavirus-19 Fear Scale, the COVID-19-related stigma scale and the COVID-19 stress scale. A purposive sample (N=103) waanalysed using descriptive statistics and chi-square. Results: There were 103 completed questionnaires. Many (76% and 54%) either knew someone close who contracted COVID or died from COVID-19respectively. Most (58%) were in favour of being vaccinated. A significant proportion (42%;p= 0.009) of the HCWs felt uncomfortable whethinking about COVID. Physical reactions such as sweating, or a pounding heart were reported by 17% of the HCWs. A majority of the HCWdisagreed with any form of stigmatization of COVID-19. Most of the HCWs expressed a need for mental health support during the COVID-1pandemic. About three-quarters of the respondents expressed a need to talk to someone about their worries about COVID-19. Conclusion: Most of the respondents either knew someone who either contracted COVID-19 or died because of it. Many experienced anxiety symptoms whethinking about COVID-19. Many HCWs reported anxiety and stress symptoms such as insomnia, palpitations, sweating and difficultconcentrating. An overwhelming majority of the HCWs stated that people should not be discriminated against or stigmatized in any way because oCOVID-19. The majority of the HCWs expressed a need for psychological support during the COVID-19 pandemic. About 20% of the HCWwere against being vaccinated. This is worrisome as they are at high risk. The HCWs clearly expressed a need for more attention and supportowards their mental health during the COVID-19 pandemic. © 2023 Nel et al.

13.
International Journal of Stroke ; 18(1 Supplement):78, 2023.
Article in English | EMBASE | ID: covidwho-2258164

ABSTRACT

Introduction: This multi-professional programme was developed by the stroke team at Chelsea and Westminster Hospital (CWH) to support stroke survivors post discharge into the community. Approximately one third of patients have significant impairments post stroke;physical, cognitive, visual, or speech/language related. Most patients and carers suffer a period of adjustment post discharge. The psychological aspect of stroke can have a huge impact beyond the inpatient setting. Method(s): The programme aims to: - Provide a platform where patients and relatives can meet the stroke team, giving them opportunity to become more informed of their own experience and highlight on-going needs. - Strengthen alliances with community and voluntary services. - Empower patients to seek self-management strategies to monitor and progress their long-term condition. - Sign-post stroke survivors to community stroke help groups and charities. - Increase high quality rehabilitation in-line with the NHS Longterm Plan. - Build a network of stroke survivors that support each other during their recovery. Result(s): The programme was planned face-to-face yet due to the Covid Pandemic, our first session ran virtually on 20/09/21, followed by 4 sessions every 2 months. Further sessions will hopefully be face-to-face. Conclusion(s): Feedback from stroke survivor attendees has been extremely positive (100% recommend it). We presented our innovative programme at a Dragon's Den style Trust event in November 2021. Feedback was very complimentary and we were privileged enough to receive a 10,000 Grant funded by NHS England and CWH Charity. This Grant will go towards development of the programme, support our stroke unit and nurse training.

14.
Indian Journal of Psychiatry ; 65(Supplement 1):S39, 2023.
Article in English | EMBASE | ID: covidwho-2281622

ABSTRACT

The major risk factor for suicide is mostly an untreated and frequently undiagnosed mental disorder. Dr Anitha Gautam will be talking about hidden epidemiology of suicide in India during COVID -19 pandemic. In India, for the past 5 years the number of deaths due to suicide has increased from approximately 1.3 lakhs in 2017 to 1.65 in 2021 (Suicide rate increasing from 9.9 to 12 per 1,00,000 population). Hence, there is need for developing a cost effective module which can address individual specific psychological stressors which are prevailing in Indian context. These psychological aspects can be delivered by non-specialist trained person. Dr.Hemendra Singh will discuss about association of Non- Suicidal Self Injury (NSSI) and suicide attempts among psychiatric patients based on his research and also need of developing a brief suicide prevention module for suicide attempters. As history of past suicide attempt is an important risk factor for future suicide, it is high time that the various factors associated with suicide attempt are to be identified to prevent future suicide. Dr Manaswi Gutam discusses on various strategies for suicide prevention along with highlights on NSSI. Dr Swati C would be discussing her experience of delivering brief intervention module for suicide prevention at a tertiary care hospital. Key Words: Non -Suicidal Self Injury, Suicide attempts, Psychiatric patients, Suicide Prevention.

15.
European Journal of Molecular and Clinical Medicine ; 7(9):2572-2584, 2020.
Article in English | EMBASE | ID: covidwho-2248491

ABSTRACT

Background: Many people are at risk of developing mental health problems due to the current pandemic. However, little has been explored about the magnitude of the risk to psychological factors to gender and their location and designation in the context of the current pandemic. Hence, the purpose of this study was to investigate the psychological impact on the Ethiopian population. Method(s): An online survey using google form with 310 Ethiopian respondents was conducted. The adopted questionnaire covers the participant's sociodemographic information, and three different questionnaires (mental health inventory, self-esteem, and life satisfaction) used to collect data. The data were not distributed normally. The Mann-Whitney U-test was applied to find differences between different categories of mental health, self-esteem, and life satisfaction. Result(s): The results indicate that urban males have higher mental health and self-esteem compared to females, and little difference in mental health appeared between students, academics, government employees, private employees, and business people. Females belonging to the rural area have higher life satisfaction than males. A significant difference in self-esteem and life satisfaction was found between participants belonging to different designations. Conclusion(s): The results of all these psychological factors provide a comprehensive picture of Ethiopianpeoples during the current pandemic. In such stressful situations, the concerned government, hospitals, educational institutions, organizations and individuals need to consider psychological intervention and take necessary action. In addition to educate and prepare individuals for the various mental health issues that they may face during the pandemic period.Copyright © 2020 Ubiquity Press. All rights reserved.

16.
European Respiratory Journal Conference: European Respiratory Society International Congress, ERS ; 60(Supplement 66), 2022.
Article in English | EMBASE | ID: covidwho-2280066

ABSTRACT

Persistent fatigue is a common, debilitating, and poorly understood symptom post-COVID-19. Fatigue post-COVID19 is not associated with disease severity, and therefore not limited to those recovered from severe infection. Using cardiopulmonary exercise testing (CPET), we sought to characterize differences between those with vs. without postCOVID-19 fatigue. 49 individuals were included 3-months post-discharge if hospitalized with COVID-19 or 3-months after their last positive SARS-CoV-2 test. Participants were grouped based on the presence of any persistent fatigue relative to the acute phase of infection (fatigue, n=34) or lack thereof (non-fatigue, n=15). An incremental CPET on a cycle ergometer was performed to symptom limitation. Participants also completed self-administered questionnaires, pulmonary function testing, and a resting echocardiogram. While dyspnoea intensity ratings were elevated in the fatigue group throughout exercise (p=0.04), relative peak oxygen consumption was the only significant betweengroup difference in physiological responses (19.9+/-7.1 fatigue vs. 24.4+/-6.7 ml/kg/min non-fatigue, p=0.04). Anxiety, depression, and distress were higher in those with fatigue vs. without, despite similar resting pulmonary and cardiac function as well as COVID-19 disease severity. Our findings suggest that cardiorespiratory fitness and/or psychological factors may contribute to post-COVID-19 fatigue. It is also possible that a higher psychological burden intensifies symptom perception such as dyspnoea during exercise in those with vs. without fatigue or that fatigue leads to secondary psychological symptoms.

17.
Apunts Sports Medicine ; 58(217), 2023.
Article in English | EMBASE | ID: covidwho-2244623

ABSTRACT

Introduction: the systematic analysis of the relationships between relevant psychological variables for sports performance and injuries is essential to contribute to their prevention in specific sports. Material and methods: a descriptive-correlational and cross-sectional study was carried out in the first category women's national softball championship in Cuba. 88 athletes participated with an average chronological age of 22.91 (SD=6.13) and a sports experience of 10.83 years (SD=4.92). A specific questionnaire, the Competitive Sport Anxiety Inventory and the Psychological Inventory of Sport Execution was applied. Descriptive statistics and Kendall's Tau_b nonparametric correlation coefficient was used for data analysis. Results: A high injury load was verified with a low perception of the role of psychological factors in its etiology, as well as a notable occurrence of new injuries with negative emotional repercussions. Negative correlations of self-confidence, negative coping control, visual-imaginative control, positive coping control, and attitude control with history of injuries were obtained. The high anxiety showed significant relationships with previous injuries and new injuries during the analyzed competition. Conclusions: the findings are especially congruent with previous results in elite softball players, although new and greater relationships between variables were determined. All this means that stimulating psychological skills to control anxiety in competition could contribute to the prevention of injuries. However, longitudinal analyzes are required to confirm the predictive role of these variables before proposing psychological interventions in this regard.

18.
Journal of Hunger and Environmental Nutrition ; 18(1):43831.0, 2023.
Article in English | Scopus | ID: covidwho-2238402

ABSTRACT

During the COVID-19 pandemic, food insecurity increased across the United States, with college students being particularly vulnerable. This study surveyed 1989 undergraduates attending three public colleges before and during the first year of the pandemic. At all times, students' food insecurity was related to worse academic performance, greater housing insecurity, poorer psychological and physical health, and less access to healthcare. Compared to pre-pandemic students, during-pandemic students reported greater use of and fewer barriers to food programs, spending more on and and receiving more government aid for food, experiencing more academic difficulties due to food insecurity, having greater housing insecurity, and enduring less access to healthcare. © 2022 Taylor & Francis Group, LLC.

19.
Alzheimer's and Dementia ; 18(S8) (no pagination), 2022.
Article in English | EMBASE | ID: covidwho-2172389

ABSTRACT

Background: Public health restrictions due to the COVID-19 pandemic have affected care partners of people living with dementia and/or mental health conditions. This qualitative study explores care partners' ability to offer care, and changes and interruptions to care provision during the period of the COVID-19 pandemic (2020) in English-speaking regions worldwide. Method(s): As part of an international cross-sectional online survey, qualitative data were collected from over 1,000 English-speaking care partners of people living with dementia and/or mental health conditions. Responses to an open-ended question about ability to care were coded and analysed thematically. The analysis was undertaken by three independent interdisciplinary coding dyads. Result(s): A number of main themes and subthemes were generated through the analysis. Reduced in-person contact with the person with a brain health condition and restrictions in health and social care services created practical, psychological and emotional impacts for care partners. The lack of adequate information from health/social care services, deterioration in the condition of the person living with a brain health condition, and additional care hours/duties were identified. Care partners also mentioned the fear of virus transmission and increased awareness of public health measures as factors that changed or interrupted their ability to provide care. Conclusion(s): The ability of care partners to provide care was changed or interrupted, and disruption to routines and services available impacted on their well-being. These findings reflect the complexity of the care partner role and highlight the importance of supporting care partners, in particular during periods of service restrictions such as those experienced as a result of the pandemic. Findings will be of interest to policymakers and service providers. Copyright © 2022 the Alzheimer's Association.

20.
European Psychiatry ; 65(Supplement 1):S531, 2022.
Article in English | EMBASE | ID: covidwho-2154080

ABSTRACT

Introduction: COVID-19 pandemic is the most important health emergency of the 21st century. Since the high number of infected people and as there is still no specific therapy worldwide, the pandemic has been countered through the application of prevention measures based on social distancing and home isolation. These elements are known risk factors for the development of various psychiatric conditions. From a forensic point of view, these pathologies are related to a high suicide rate. Objective(s): It is no coincidence that during the previous pandemics that have occurred in history there has been a significant increase in suicides. By this work, we therefore want to highlight the psychological consequencesofapandemicandthe importanceofpreventivestrategies. Method(s): It is important to focus not only on physical well-being but also on the psychological aspects that the pandemic produces in the daily life of each individual Results: If the infecting agent causes the death of millions of people around the world, the socio-economic context that is created indirectly determines as many deaths. Conclusion(s): Therefore it is necessary to underline how it is advisable to implement preventive measures in order to significantly reduce deaths from suicide, a problem with an important impact in the social and forensic fields.

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