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1.
Malaysian Journal of Nursing ; 14(2):109-116, 2022.
Article in English | Scopus | ID: covidwho-20241525

ABSTRACT

Background: Coronavirus disease (Covid-19) has become an epidemic that creates a psychological burden for nurses who provide nursing care in health services. The psychological condition of nurses who are not good will affect anxiety, coping strategies, and performance when carrying out nursing care. Purpose: This study aims to describe the psychological impact on coping strategies and the performance of nurses in health services. Methods: The research design used observational analytic with a cross sectional approach. The population used were nurses who worked in the COVID-19 isolation room at the Naval Central Hospital Dr. Ramelan Surabaya with 54 nurses. The sampling technique is used with total sampling, that is, the entire population is used as a sample in the study. Results: The results of the Spearman Rho correlation test have a relationship between the psychological impact of anxiety and the nurse's strategy in dealing with COVID-19 patients (ρ-value = 0.001);there is no relationship between the psychological impact of anxiety and the performance of nurses in dealing with covid 19 patients (ρ-value = 0.08);there is no relationship between the psychological impact of depression and the performance of nurses in dealing with covid 19 patients (ρ-value = 0.064). and there is a relationship between the psychological impact of stress and the performance of nurses in dealing with covid 19 patients (ρ-value = 0.0124);and there is a relationship between the psychological impact of stress and the performance of nurses in dealing with covid 19 patients (ρ-value = 0.0124). Conclusion: Psychological impacts do not always affect the performance of nurses, this can happen because nurses have good coping skills, plus nurses have attended seminars and training so that nurses' knowledge and skills have increased. Nurses have also been vaccinated, so nurses' anxiety and fear in treating COVID patients has decreased. © 2022 The authors.

2.
Handbook of Health and Well-Being: Challenges, Strategies and Future Trends ; : 325-355, 2022.
Article in English | Scopus | ID: covidwho-20241054

ABSTRACT

COVID-19 pandemic is a global crisis resulting in significant mortality and morbidity worldwide. Together with the severe acute respiratory syndrome (SARS) coronavirus which became a pandemic in 2002–2003 and the Middle East respiratory syndrome (MERS) which was surfaced in 2012, the current and novel pathogen-novel coronavirus 2019 is the third highly pathogenic human coronavirus that has emerged in the last two decades with rapid transmissibility. The major concern now is to save lives especially of the vulnerable population and also develop herd immunity which will protect the community as a whole. However, this pandemic has a significant impact on mental health and poses a challenge to an individual's psychological resilience. Patients, health professionals, and the general public are under severe psychological pressure which may lead to numerous psychological problems, such as anxiety, fear, depression, and disturbed sleep. The most prominent psychological symptoms seen are anxiety, depression, and stress-related symptoms apart from drug abuse, domestic violence, and higher rates of suicide. The whole population, i.e., those affected with the infection and those not infected, are equally affected with mental health issues. The health care worker who is at high risk to develop the disease has been reported to have disturbed mental health well-being. Various psychological treatments like awareness talk, demonstrating health coping strategies, dealing effectively with stress along with lifestyle modifications have shown to be helpful in such a situation. Psychological crisis intervention will play a pivotal role in the overall deployment of disease control. A mental health helpline which can provide easy access to mental health professionals and serve as a platform for expert counseling facilities for common people, patients, vulnerable population, and students is the need for this hour. It can help to deal with the fear, anxieties related to the infection and also the anxieties related to the uncertainties in the near future. This chapter will focus on the various medical aspects and mental health challenges during COVID-19 pandemic and the various strategies to overcome them efficiently. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Taylor and Francis Pte Ltd. 2022.

3.
Malaysian Journal of Medicine & Health Sciences ; 19(3):28-35, 2023.
Article in English | Academic Search Complete | ID: covidwho-20240154

ABSTRACT

Introduction: The Coronavirus disease pandemic of 2019 (COVID-19) has had psychological implications and altered the public's well-being. In response to the pandemic, mental health practitioners play an essential role in mitigating the adverse psychological effects among the public. However, as the demand for mental health services increases, the responsibilities of mental health professionals are far stretched from what they can handle. Therefore, this research is aimed to explore the psychological impact of the pandemic on the mental health practitioners in Selangor and their coping strategies. Method: A total of 10 mental health practitioners who are clinical psychologists and counselors participated in the one-to-one interview. The collected data were analysed using thematic analysis. Result: The higher client loads, the transition to virtual therapy, burnout, and anxiety were found to have an impact on the mental health practitioners' well-being. Despite the challenging psychological impact, the mental health practitioners expressed a high level of satisfaction with their jobs, which they attributed to the supportive organisational culture and their intrinsic drive for selecting this profession. The mental health practitioners have reported that perceived organisational support, social support, and self-care approaches are effective coping mechanisms. Mindfulness skills such as breathing techniques and meditation are often practiced by the participants to calm the mind and body from a long day of work. Conclusion: The implication of the study contributes to breaking the stigmatisation of help seeking behaviour among the helping professions, as well as urging the policy makers, governments, and foundations to play a part in providing accessible and quality mental healthcare to the society. [ FROM AUTHOR] Copyright of Malaysian Journal of Medicine & Health Sciences is the property of Universiti Putra Malaysia 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.)

4.
BMC Health Serv Res ; 23(1): 602, 2023 Jun 08.
Article in English | MEDLINE | ID: covidwho-20235725

ABSTRACT

BACKGROUND: Contact tracing is a key control measure in the response to the COVID-19 pandemic. While quantitative research has been conducted on the psychological impact of the pandemic on other frontline healthcare workers, none has explored the impact on contact tracing staff. METHODS: A longitudinal study was conducted using two repeated measures with contact tracing staff employed in Ireland during the COVID-19 pandemic using two-tailed independent samples t tests and exploratory linear mixed models. RESULTS: The study sample included 137 contact tracers in March 2021 (T1) and 218 in September 2021 (T3). There was an increase from T1 to T3 in burnout related exhaustion (p < 0·001), post-traumatic stress disorder (PTSD) symptom scores (p < 0·001), mental distress (p < 0·01), perceived stress (p < 0·001) and tension and pressure (p < 0·001). In those aged 18-30, there was an increase in exhaustion related burnout (p < 0·01), PTSD symptoms (p < 0·05), and tension and pressure scores (p < 0·05). Additionally, participants with a background in healthcare showed an increase in PTSD symptom scores by T3 (p < 0·001), reaching mean scores equivalent to those of participants who did not have a background in healthcare. CONCLUSIONS: Contact tracing staff working during the COVID-19 pandemic experienced an increase in adverse psychological outcomes. These findings highlight a need for further research on psychological supports required by contact tracing staff with differing demographic profiles.


Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , Contact Tracing , Longitudinal Studies , Pandemics , Burnout, Psychological , Health Personnel
5.
Front Psychiatry ; 14: 1185369, 2023.
Article in English | MEDLINE | ID: covidwho-20235700

ABSTRACT

[This corrects the article DOI: 10.3389/fpsyt.2022.903946.].

6.
Front Oncol ; 13: 1187714, 2023.
Article in English | MEDLINE | ID: covidwho-20235697

ABSTRACT

[This corrects the article DOI: 10.3389/fonc.2023.1002895.].

7.
Alzheimers Dement ; 2022 Dec 05.
Article in English | MEDLINE | ID: covidwho-20243445

ABSTRACT

INTRODUCTION: The COVID-19 pandemic produced an unprecedented crisis across the world. Long-term cohort studies were stalled, including our longitudinal aging cohort study in rural India. METHODS: We describe approaches undertaken to engage with our cohort (n = 1830) through multiple rounds of calls and how we provided useful services to our subjects during the lockdown period. Consenting subjects also underwent telephonic assessments for depression and anxiety using validated, self-report questionnaires. RESULTS: Subjects reported benefitting from our telephonic engagement strategies, including the COVID-related safety awareness and counselling service. The proportion of subjects with depression increased from 7.42% pre-COVID to 28.97% post-COVID. DISCUSSION: We envisage that such engagement strategies would improve subject rapport and cohort retention, and thus, could be adopted by similar cohort studies across the world. This marginalized, rural Indian community had severe, adverse psychological impact in this pandemic. Urgent public health measures are needed to mitigate this impact and develop appropriate preventive strategies. This article is protected by copyright. All rights reserved.

8.
Kaohsiung J Med Sci ; 2023 Jun 07.
Article in English | MEDLINE | ID: covidwho-20238602

ABSTRACT

The present study aimed to investigate the factors associated with the level of rumination about the war among people living in Poland and Ukraine. This cross-sectional study recruited internet users from advertisements on social media. Levels of rumination, Depression, Anxiety and Stress Scale (DASS), Impact of Event Scale-Revised (IES-R), time spent on news of the war, and related demographic variables were collected. The reliability and construct validity of rumination were estimated. Potential factors associated with the level of rumination were identified using univariate linear regression analysis, and further entered into a stepwise multivariate linear regression model to identify independent factors. Due to the non-normality of distribution, multivariate linear regression with 5000 bootstrap samples was used to verify the results. A total of 1438 participants were included in the analysis, of whom 1053 lived in Poland and 385 lived in Ukraine. The questionnaires on rumination were verified to have satisfactory reliability and validity. After analysis with stepwise and bootstrap regression, older age, female gender, higher DASS and IES-R scores, and longer time spent on news of the war were significantly associated with higher levels of rumination for both people living in Poland and Ukraine. Lower self-rated health status, history of chronic medical illness and coronavirus disease 2019 infection were also positively associated with rumination for people living in Poland. We identified several factors associated with the level of rumination about the Russo-Ukrainian War. Further investigations are warranted to understand how rumination affects individuals' lives during crises such as war.

9.
Healthcare (Basel) ; 11(11)2023 May 25.
Article in English | MEDLINE | ID: covidwho-20237830

ABSTRACT

Migration has become a de facto phenomenon in the contemporary globalized world and India is not untouched. Indian labourers from the states of Bihar and Uttar Pradesh migrated to the UAE in search of better jobs and prospects. They migrated alone and left behind their families. The distance between them and their family can also create mental disorders; therefore, it becomes necessary to analyze the mental health of the migrant workers during the COVID-19 pandemic. The current study is quantitative and based on a sample survey approach. The researchers collected 416 samples through a structured questionnaire and used the snowball sampling technique. Descriptive statistics, Pearson's correlation coefficient, chi-square test and logistic regression were utilized to analyze and interpret the results. The outbreak of coronavirus disturbed their livelihood resulting in a cut to their salary or earnings; in total, 83% of migrants were affected by the COVID-19 outbreak in terms of loss of their income, out of which 76% were affected by less than AED 1000. The respondents' mental health was worrisome, but they were hopeful for the future. In total, 73.5% of respondents felt nervous, 62% felt depressed, 77% felt lonely, 63.4% had a hard time sleeping, and 63% had difficulties concentrating. The findings of the study draw attention to the policymakers to carry out necessary provisions to the targeted psychologically affected community. The findings also suggest creating awareness among the people by using social networking sites and diagnosing mental disorders on an urgent basis.

10.
Bull Natl Res Cent ; 47(1): 73, 2023.
Article in English | MEDLINE | ID: covidwho-20232062

ABSTRACT

Background: COVID-19 affected the world threatening medical, social, economic and community dimensions. Along with the other countries of the world, Saudi Arabia also witnessed critical emergencies leading to serious disaster due mainly to the overcrowding at certain urban residential localities. Nevertheless, the situation handled meticulously not only with measures and combating strategies but also with documentations and researches to build sustainable confrontation systems and lateral programs. Main body of abstract: This attempt is a consolidation of the academic efforts on COVID-19 in the country aiming to contribute to the knowledge base aiding to future planning on preparedness. An online survey of published academic research from peer reviewed journals were carried out during August-December 2022, using COVID-19 in Saudi Arabia as search criteria. Many areas of concern are assessed in the context which are classified into spread and burden, patient statistics, symptoms and other clinical dimensions, vaccinations and vaccine acceptance/hesitance, psychosocial impact, impact on education, impact on health staff, impact on migration, impact on nutrition, and control measures adopted. Short conclusions: A consolidation of these research findings explains the scientific academic community alertness in raising up to the emergency pandemic situation, which facilitated strategy and policy formulations by the Government ministries and other governing bodies. These researches are linked to stagewise programmatic efforts to curtail the epidemic as a mode of accomplishments.

12.
Delineating Health and Health System: Mechanistic Insights into Covid 19 Complications ; : 369-379, 2021.
Article in English | Scopus | ID: covidwho-2323384

ABSTRACT

COVID-19 pandemic has emerged as one of the most dreadful nightmares which humanity had to witness in the recent times. The pandemic has affected every human being in one way or the other. The psychological impact of COVID-19 on general public includes uncontrolled fear and pervasive anxiety of getting infected and getting quarantined or admitted in COVID care facilities alone, leading to disabling loneliness, frustration, and boredom due to reduced socialization, monotonous daily routine, and worries related to income and livelihood. The pandemic has led the healthcare workers to work beyond normal working hours for months together. They have been going through the feelings of anxiety, and fear of getting infection from the patients while discharging their duties. The frontline healthcare workers are also facing issues like remaining isolated during their duty periods, undergoing quarantine for several weeks, remaining away from their families, and staying alone in hotels/accommodation provided by the employers. Similarly the pandemic has led to significant negative impact on the life of women, children and adolescents, elderly, and persons with various illnesses. As the pandemic is about to stay for a while, it is expected that there can be more long-standing mental health effects of the pandemic on human beings in the near future. Therefore, strengthening mental health resources, taking timely mental health support and help from mental health professionals, destigmatizing mental illnesses, and implementing the awareness programs of mental health are the need of the hour. © The Author(s), under exclusive licence to Springer Nature Singapore Pte Ltd. 2021.

13.
European Journal of Molecular and Clinical Medicine ; 7(8):3239-3248, 2020.
Article in English | EMBASE | ID: covidwho-2326245

ABSTRACT

Aim: This study is conducted to know the psychological impact of e learning among the students. Background(s): From the time of very first beginning of civilization to modern days before corona pandemic situation, most of the students of India are very much used to with the offline mode of learning. But now the situation is changed totally. They are getting themselves adapted to the online mode of learning as per need of time. In this changed scenario they are totally disconnected from their usual life with frames schools teachers and society. This situation wreaks havoc to their psychology. Methodology: This study is conducted with primary data in form of online survey. It was conducted with a pre formed questionnaire. 428 responses were collected for the present study. With advanced Excel software statistical analysis done. Outcome(s): Results show that students have shown negative impression on online learning and still they are not ready totally psychologically. Still positive answers show neck to neck result, which signifies increasing interest towards e learning. More practices and awareness required before further implementation.Copyright © 2020 Ubiquity Press. All rights reserved.

14.
Giornale di Neuropsichiatria dell'Eta Evolutiva ; 41(3):162-169, 2021.
Article in Italian | APA PsycInfo | ID: covidwho-2320024

ABSTRACT

Introduction: The COVID-19 outbreak and related confinement measures have disturbed the psychological well-being of young children and adolescents, especially in at-risk groups. Aim of the study was to evaluate the trend and severity of children' and adolescents' neuropsychiatric diseases in the context of a prolonged state of confinement measures. Materials and Methods: Data were retrospectively collected from all subjects aged between 4 and 16 years +/- 6 months, admitted to the Child Neuropsychiatry ward of the Gaslini Children Hospital between 01/01/20 and 30/05/21. Demographic and clinical characteristics were noted for each subject. Subjects were then divided in admitted before or after COVID outbreak, considered as the 9th Match 2020. Data of psychiatric patients about subjects' functioning (Children Global Assessment Scale, C-GAS) and disease severity (Global Impression- Severity, CGI-S) were collected. Results: Of 561 inpatients, 105 were admitted before the COVID-19 outbreak and 456 after, with an absolute increment of 30% for psychiatric diseases compared to neurological ones (33/105, 31.43% before vs. 187/456, 41.0% after;p = .013). For psychiatric diseases, there was an increase in the hospitalization duration (3.91 +/- 4.07 vs. 13.02 +/- 4.25;p = .04), an increase of subjects with previous neuropsychiatric disorders (27.7%, 9/33 vs. 47.7%, 89/187;p = .034), a decrease of CGAS scores (56,24 +/- 13,87 vs. 51,63 +/- 17,797;p = .050) and an increase disease severity worsening (CGI-S 3.76 +/- 1.12 vs. 4. 48 +/- 1.36;p = .006). In the female gender and in the ethnic minorities' subgroup, number of hospitalizations have statistically increased, with CGI-S and CGAS scores more impaired after the COVID-19 outbreak. On multivariate analysis, being female, having a previous psychiatric diagnosis, and belonging to an ethnic minority appeared to influence patients' overall impairment index (p < .005). Conclusions: The COVID-19 outbreak and the measures adopted to contain the virus spread had an impact on the severity of the course of psychiatric admissions, with greater influence on subjects who were already psychologically vulnerable, female, and who belonged to ethnic minorities. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Italian) Introduzione: Lo scoppio della pandemia da COVID-19 e le relative misure di confinamento hanno minato il benessere psicologico della popolazione in eta evolutiva, soprattutto nelle categorie a rischio. Scopo dello studio e stato quello di valutare andamento e gravita dei soggetti accolti per patologia neuropsichiatrica nel contesto di uno stato prolungato di prosecuzione di misure di contenimento del contagio. Materiali e metodi: Sono state retrospettivamente raccolti i dati di tutti i soggetti di eta compresa fra 4 e 16 anni +/- 6 mesi ricoverati presso la UO di Neuropsichiatria Infantile dell'Ospedale Gaslini tra lo 01/01/20 e il 30/05/21. Per ciascun caso sono state annotate le caratteristiche demografiche e cliniche. I soggetti sono stati divisi tra ricoverati prima e dopo l'inizio della pandemia, considerato come data il 9 marzo 2020. Per i casi psichiatrici sono state applicate scale di funzionamento Children Global Assessment Scale (C-GAS) e di gravita Global Imression-Severity (CGI-S). Risultati: Di 561 accessi, 105 sono avvenuti preCOVID e 456 postCOVID, con un incremento assoluto del 30% degli accessi per patologia psichiatrica rispetto a quella neurologica (33/105, 31,4% preCOVID vs 187/456, 41,0% postCOVID;p = ,013). Per la patologia psichiatrica, si e assistito ad un aumento dei giorni di ospedalizzazione (3,91 +/- 4,07 vs 13,02 +/- 4,25;p = ,04), un aumento dei soggetti con precedente diagnosi neuropsichiatrica (27,7%, 9/33 vs 47,7%, 89/187;p = ,034), una diminuzione dei punteggi CGAS (56,24 +/- 13,87 vs 51,63 +/- 17,797;p = ,050) ed un aumento della gravita di patologia (CGI-S 3,76 +/- 1,12 vs 4,48 +/- 1,36;p = ,006). Nel sottogruppo di soggetti di genere femminile e delle minoranze etniche, i ricoveri per patologia psichiatrica sono risultati significativamente aumentati con punteggi CGI-S e CGAS maggiormente compromessi dopo lo scoppio del COVID-19. All'analisi multivariata, il sesso femminile, una pregressa diagnosi psichiatrica e l'appartenenza a minoranze etniche appaiono avere un effetto sull'indice di compromissione globale dei pazienti (p < ,005). Conclusioni: La pandemia da COVID-19 e le misure adottate per contenere il contagio hanno impattato la gravita del decorso dei ricoveri neuropsichiatrici, con maggiore effetto su soggetti gia fragili, di genere femminile ed appartenenti a minoranze etniche. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

15.
Pakistan Armed Forces Medical Journal ; 73(2):553, 2023.
Article in English | ProQuest Central | ID: covidwho-2319782

ABSTRACT

Objective: To analyze the effect of Critical Incident Stress Management on the mental health of nurses during COVID-19. Study Design: Quasi-experimental study. Place and Duration of Study: Combined Military Hospital, Jhelum Pakistan from Mar to Jun 2020. Methodology: Forty-six nurses were consecutively recruited and evaluated regarding Knowledge about COVID-19, thoughts regarding its origin, emotional reactions, and coping mechanisms. The evaluation was followed by the provision of Critical Incident Stress Management sessions in March. Finally, in the second phase conducted in June, the participants were evaluated again to assess the effect of intervention regarding the above parameters. Results: Results indicated a statistically significant shift in Knowledge from Social Media to Academic Resources (p<0.001). Thoughts regarding the origin of COVID-19 showed that ‘Religious Causes' and belief in ‘Religious and Biological Causes both” significantly reduced (p=0.001 and p=0.003, respectively), while opinions regarding ‘Biological Causes' increased in frequency (p< 0.001). Emotionally a significant reduction was seen in Confusion (p<0.001). A significant reduction was observed in Religious Rituals (p=0.002) for Coping Mechanisms. However, observing Safety Precautions and Distraction Strategies were insignificantly affected (p=0.668 and p=1, respectively). Conclusion: Critical Incident Stress Management helped healthcare workers sublimate their emotional reactions and helped them cope with a productive mindset for better management of the pandemic.

16.
Key Topics in Perinatal Mental Health ; : 471-485, 2022.
Article in English | Scopus | ID: covidwho-2317036

ABSTRACT

The novel coronavirus disease 2019 (COVID-19) was declared a global pandemic on March 2020, emerging as a major stressful life event with a significant impact on mental health, particularly in pregnant and postpartum women. Perinatal mental disorders are common health problems during child-bearing period and are associated with adverse maternal and fetal/infant outcomes. Thus, it is important to understand how women experienced their pregnancy and transition to motherhood while dealing with concerns about their health, risk of infection, as well as the social distancing and confinement measures implemented worldwide to contain the spread of the virus. This chapter aims to summarize the evidence available so far regarding changes in perinatal practices and mental health treatment during the COVID-19 pandemic, characterization of the psychological impact assessed in terms of perinatal depression, anxiety and post-traumatic stress disorder symptoms, pregnancy loss, and risk factors that have been associated with greater perinatal psychopathology during COVID-19 pandemic. Finally, we will present the major practical implications of COVID-19 pandemic on perinatal mental health and future steps that need to be undertaken. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022. All rights reserved.

17.
Revista de Psiquiatria Clinica ; 49(2):49-54, 2022.
Article in English | EMBASE | ID: covidwho-2312419

ABSTRACT

Objective: This present study seeks to summarise the psychological impact of COVID-19, address the mental health outcomes during a pandemic, and conduct a meta-analysis to draw conclusions and recommend coping strategies. Methodology: We follow the Preferred Reporting Items guideline for conducting this systematic review analysis (PRISMA). Online resources like PUBMED, ProQuest" and the "Web of Science" database were assessed to assemble the relevant research. A correlation model fixed effect model was used to generate proportions with 95 % confidence intervals (CI) and model fitted weights. Cochrane Q test and I2 tests were performed for measuring heterogeneity. Egger regression asymmetry test and funnel plot were to measure the publication bias. Result(s): Total of 12 articles were included with the main parameters of depression, anxiety, and stress. Out of these 12 articles eight (66.6%), articles were cross-sectional while four (33.3%) were online surveys. Meta-analysis shows 99.4% significant heterogeneity. Eggers test shows the 0.5726 value which indicates that no publication bias was reported. Conclusion(s): The prevalence of depression and anxiety among healthcare professionals was elevated during a pandemic. Female workers especially nurses working in COVID wards show more depression than others due to the unfavourable condition of patients.Copyright © 2022, Universidade de Sao Paulo. Museu de Zoologia. All rights reserved.

18.
Med Pharm Rep ; 96(2): 175-185, 2023 Apr.
Article in English | MEDLINE | ID: covidwho-2313291

ABSTRACT

Background and aims: The COVID-19 lockdowns are reported to have negatively influenced the wellbeing and learning efficacy of students. In this context, we analyzed the psychological impact of the COVID-19 quarantine on healthcare students, a subpopulation experiencing high stress levels. Methods: Our survey-based, cross-sectional study assessed wellbeing indicators, lifestyle and learning behaviors before and during the quarantine for 388 Romanian healthcare students. Results: Our findings included the increase in phone and social media use, at the expense of formal and independent study time; deteriorations in mood, self-organization capacity and learning efficacy, and increased procrastination behaviors. Unexpectedly, our study identified an improvement in sleep quality and duration. The increase in social media use was less severe among rural students. We identified correlations between study time, online activities (including social media), wellbeing indicators and procrastination. Conclusion: Our study draws attention to quarantine-induced deteriorations of wellbeing and learning capacity in an important category of students.

19.
Aust Crit Care ; 2022 Apr 01.
Article in English | MEDLINE | ID: covidwho-2314139

ABSTRACT

INTRODUCTION: In 2020, during the first wave of the COVID-19 pandemic in Melbourne, visitor access to acute hospitals including intensive care units (ICUs) was initially barred, followed by a limit of one person per patient for one hour per day. This study explores the care and communication experienced by family members of ICU patients during this time. METHODS: This qualitative descriptive study was conducted at an Australian quaternary hospital. Semistructured phone interviews were conducted using an aide-memoire designed to understand participants' experiences as family of a patient during this time. Interviews were recorded, transcribed, and thematically analysed. FINDINGS: Twenty family members of patients in the ICU participated. Three major themes were identified: 'impact of restricting visiting procedures', 'family experiences of communication', and 'care and support'. Inflexible visiting restrictions had a momentous impact on families. Participants objected to having to nominate only two people to visit during the admission and the short visiting time limit. Some family members suffered extreme stress and anxiety during their absence from the bedside. Additional challenges were experienced by rural families, visitors with disabilities, and the young children of patients who were excluded. Communication with clinicians varied. Telehealth was valued by some but not universally embraced. The relationship between staff members and families and involvement in decision-making were unaffected. CONCLUSION: Families experienced significant psychological distress from being separated from their critically ill relatives. Patient care and involvement in decision-making appeared to be unchanged, but communication with staff felt to be lacking. Better alternatives to face-to-face communication must be sought to limit the impact of family separation on mental health. Families are a key link between the patient and clinicians and often play a major role in patient support and recovery after discharge. There is an urgent need to support them and facilitate meaningful engagement despite the obstacles.

20.
Andes Pediatrica ; 93(6):815-825, 2022.
Article in English | Web of Science | ID: covidwho-2309655

ABSTRACT

Previous studies have demonstrated that the COVID-19 pandemic has had negative psychological consequences on healthcare professionals, however, specific data on pediatricians are scarce. Ob-jective: To evaluate anxiety among pediatricians after the first COVID-19 wave as well as to identify possible related risk factors. Material and Method: A cross-sectional multicentric survey study was designed and sent to Spanish pediatricians through the Asociacion Espanola de Pediatria's e-mail lists. Demographic, socio-familial, occupational, emotional self-perception, psychosomatic symptoms, smoking, alcohol, and psychotropic drugs use data were collected. The State-Trait Anxiety Scale (STAI) was included, and its association with qualitative and quantitative variables of the sample was studied. Results: 440 surveys were registered. 42.2% of the participants expressed moderate-intense anxiety symptomatology according to the Anxiety-State scale and 26.9% on the Anxiety-Trait scale. Isolation at home was associated with a higher score on both scales. A change in the work situation of the cohabitant resulted in a higher score on the Anxiety-State scale. 41.1% of the respondents clas-sified the psychological impact suffered as mild, 50% as moderate, and 8.9% as severe. Up to 71.8% of the participants manifested some psychosomatic symptoms, with a linear association between the concurrence of symptoms and higher scores on the two scales. Conclusions: After the first pandemic wave, pediatricians have suffered anxiety, causing physical and emotional discomfort. Personal sit-uations were the main source of concern. Likewise, the presence of several somatic symptoms was associated with higher levels of anxiety.

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