Relations between anxiety sensitivity's cognitive concerns and anxiety severity: brooding and reflection as serial multiple mediators.

The outbreak of COVID-19 has caused a major impact on productivity and life functioning, and also led to adverse emotional reactions. In the face of this public health event, increased anxiety is one of the most common emotional reactions. Previous studies have shown that anxiety sensitivity, rumination and anxiety are closely related. Various dimensions of anxiety sensitivity have different effects on anxiety. Also, rumination can be divided into brooding and reflection. To explore the relationships among anxiety sensitivity's cognitive concerns, anxiety and different types of rumination, we conducted an online survey during the outbreak of coronavirus (February 17-25, 2020), using the Anxiety Sensitivity Scale-3 (ASI-3), Ruminative Responses Scale (RSS), and Depression Anxiety Stress Scale-21 (DASS-21). The results showed significant positive correlations among anxiety sensitivity's cognitive concerns, anxiety, brooding and reflection. Furthermore, brooding and reflection had a chain mediation effect between cognitive concerns and anxiety, and the mediation effect of reflection was even stronger. Results suggest that anxiety sensitivity's cognitive concerns may not only affect anxiety directly, but also affect anxiety through rumination, especially reflection.

It's all about control: Sense of control mediates the relationship between physical activity and mental health during the COVID-19 pandemic in Germany.

COVID-19-related burden has a significant impact on mental health and has led to an increase of depression, anxiety, and stress symptoms. Physical activity has been suggested to mitigate the negative effects of the pandemic and to foster mental health. The present study aimed to investigate, whether sense of control might mediate the supposed beneficial effects of physical activity on positive (PMH) and negative mental health (NMH) in unpredictable extraordinary situations. Data were assessed in a sample of 568 students (M age = 19.90, SD age = 4.52) from Germany via an online survey in fall 2020. Mediation analyses revealed that sense of control mediated the relation between physical activity and PMH as well as depression, anxiety, and stress symptoms, respectively. The findings indicate that physical activity may be a promising strategy for fostering sense of control and thus mental health. Due to its practical implications and practicability, engagement in physical activity could be an effective way to reduce the NMH consequences of the current COVID-19 situation, and therefore should be addressed in actions for long-term prevention and intervention.

Not a matter of quantity: quality of relationships and personal interests predict university students' resilience to anxiety during CoViD-19.

During the CoViD-19 pandemic, University students may have suffered from increased anxiety due to interferences in their relationships and in academic requirements, as didactic activities have moved to distance learning systems. However, being surrounded by supportive relationships and being motivated to cultivate personal interests might have decreased anxiety. In this pilot study, we collected the responses of 174 students from Italian University merit colleges to an online questionnaire, investigating their perceived anxiety, the quality of surrounding relationships, whether they were cultivating any personal interests and whether they had spent the period of lockdown in college or at home. Regression analyses indicated that both quality of relationships and personal interests predicted low levels of anxiety (p < 0.001). However, simple slope analyses showed that personal interests were negatively related to anxiety only at medium and high quality of relationships (p < 0.001), while no association was found at low quality of relationships. No differences were found between students who stayed in college or at home. These results suggest that Universities should promote accessibility to relationships and cultivation of personal interests to protect students' mental health during mass emergencies such as the current pandemic, in the perspective of improving community resilience.

How personality affects reaction. A mental health behavioral insight review during the Pandemic.

The fear caused by the Covid-19 pandemic is changing our psychology and behavior. This ongoing negative event, imposing restrictions such as home isolation and social distancing, can result in heightened anxiety, depression and a sense of loneliness, with immediate effects on mental health. This study investigates adolescents' reaction to the pandemic, by analyzing the behavioral mental health trends of depression, anxiety and sense of loneliness, in relation to personality traits. After controlling for demographics and family background, our results reveal strong relationships between several personality traits and psychological health indicators, during the pandemic in Greece. A total of 419 secondary school students (aged 12-18) were administered the State-Trait Anxiety Inventory for Children (STAIC), the Child Depression Inventory (CDI), the Big Five Inventory for measuring personality (BFI) and the Children's Loneliness Questionnaire (CLS) during two time periods within pandemic. Overall, it appears that depression increased significantly in line with the escalation of the pandemic, while anxiety decreased, with the strongest predictors being the personality variables of extraversion, neuroticism and openness. Surprisingly, the study also revealed that the level of extraversion has a positive effect on changes in anxiety, while a negative one on changes in depression. On the other hand, neuroticism and openness seem to negatively correlate with anxiety changes and positively with depression changes. These findings highlight the importance of considering these variables in addressing individuals' mental health behavior during the Covid-19 pandemic and elucidate the literature by offering a deeper understanding of the strong relationship between personality, depression and anxiety.

Emotions in Covid-19 Twitter discourse following the introduction of social contact restrictions in Central Europe.

AIM: Non-pharmaceutical interventions such as lockdowns have played a critical role in preventing the spread of the Covid-19 pandemic, but may increase psychological burden. This study sought to examine emotions reflected in social media discourse following the introduction of social contact restrictions in Central Europe. SUBJECTS AND METHODS: German-language Twitter posts containing '#corona' and '#covid-19' were collected between 2020/03/18 - 2020/04/24. A total of 79,760 tweets were included in the final analysis. Rates of expressions of positive emotion, anxiety, sadness and anger were compared over time. Bi-term topic models were applied to extract topics of discussion and examine association with emotions. RESULTS: Rates of anxiety, sadness and positive emotion decreased in the period following the introduction of social contact restrictions. A total of 16 topics were associated with emotions, which related to four general themes: social contact restrictions, life during lockdown, infection-related issues, and impact of the pandemic on public and private life. Several unique patterns of association between topics and emotions emerged. CONCLUSION: Results suggest decreasing polarity of emotions among the public following the introduction of social contact restrictions. Monitoring of social media activity may prove beneficial for an adaptive understanding of changing public concerns during the Covid-19 pandemic.

The role of social support, detachment, and depressive and anxiety symptoms in suicidal thoughts and behaviours during the Covid-19 lockdown: Potential pathways.

During the COVID-19 pandemic, anxiety and depressive symptoms, as well as problems related to social relationships, such as available social support and feelings of detachment from others, have worsened. These factors are strongly associated with suicidal thoughts and behaviours (STB). The effects of feelings of detachment on mental health and on STB have been scarcely studied, together with the relation that it may have with available social support. Therefore, the aim of the present study was to assess potential pathways connecting these conditions. A nationally representative sample of Spanish adults (N = 3305) was interviewed during the COVID-19 pandemic (June 2020). STB, social support, and depressive and anxiety symptoms were measured with the C-SSRS (modified version), OSSS-3, PHQ-8, and GAD-7 scales, respectively. Multivariable logistic regression models and mediation analyses were performed. Social support and some of its components (i.e., social network size and relations of reciprocity) were associated with lower odds of STB. Detachment significantly mediated (22% to 25%) these associations. Symptoms of emotional disorders significantly mediated the association between social support components (29% to 38%) - but not neighbourhood support - with STB, as well as the association between detachment and higher odds of STB (47% to 57%). In both cases, depressive symptoms were slightly stronger mediating factors when compared to anxiety symptoms. Our findings suggest that interventions aimed at lowering depressive and anxiety symptoms, and STB should provide social support and help tackle the feeling of detachment in a complementary way.

The relationship between individuals' sources of information, perceptions, and anxiety regarding the COVID-19 pandemic in Turkey.

The Coronavirus Disease 2019 (COVID-19) pandemic has led individuals to experience psychological distress as a result of their perceptions of the disease. This study aimed to determine the factors associated with these perceptions, the sources of information about the pandemic that may have contributed to them, and the level anxiety felt by adults living in Turkey in the initial phase of COVID-19, with a primary focus on generalized anxiety. The study had a web-based cross-sectional survey design 482 (327 female, 155 male) Turkish responders completed the Generalized Anxiety Disorder-7 (GAD-7) self-reported questionnaire, a measurement tool related to their perceptions of COVID-19 and questions about their sources of information about the pandemic between 3 and 19 April, 2020. Women experienced higher levels of anxiety than men. Those with severe symptoms of generalized anxiety disorder (GAD) believed that the COVID-19 pandemic would have a long duration, stated that the risk of transmission had had serious effects on their lives, felt little personal control with regard to the risk of transmission and did not believe that existing treatments would be effective against the risk of transmission. Moreover, those with severe GAD symptoms had little comprehension of how the disease was transmitted. Finally, it was concluded that those with severe GAD symptoms used the internet and, in particular, Instagram as their main sources of information about the pandemic. Although the anxiety levels were found to be moderate in general, women were more vulnerable. Using the internet and, in particular, Instagram as sources of information affected individuals' perceptions of the pandemic, and led to psychological distress.

Assessment of Knowledge, Attitude, and Practices Toward Coronavirus Disease 2019 and the Risks of Severe Acute Respiratory Syndrome Coronavirus 2 Infection Among Iranian Emergency Medical Services Workers: An Online Cross-Sectional Survey

Objective: Coronavirus disease 2019 (COVID-19), a severe acute respiratory infection, has spread rapidly around the world. To expand and enhance knowledge regarding virus prevention/transmission, this study aimed to evaluate the knowledge, attitudes, and practices of emergency medical services (EMS) workers as a part of the health care system because of their essential role in the front lines of the COVID-19 outbreak. Method(s): An online cross-sectional survey was conducted on EMS workers to assess their knowledge, attitudes, and practices toward COVID-19. The questionnaire included 5 topics: demographic information, knowledge and attitude questions, professional behavior of employees during the epidemic, and anxiety score. Result(s): A total of 86 EMS workers answered the questionnaire, and 55.63% of the respondents answered the knowledge questions correctly;knowledge appeared to have no correlation to their education, age, or experience. In addition, there was no apparent correlation between the infection rate and exposure to an infected or suspected patient. Conclusion(s): The findings of the present study indicate that more than half of the EMS workers have good knowledge about the epidemic, and the level of knowledge was not related to their demographic characteristics. The results of professional behaviors showed a high level of compliance with the principles and guidelines by workers, and the absence of a relationship between employees' contamination and exposure to infected patients supports the awareness and legality of EMS workers.Copyright © 2023 Air Medical Journal Associates

Government emergency aid and perceived financial security in COVID-19: evidence from a sample of vulnerable women in Brazil

PurposeThe purpose of this study is to examine if public policy satisfaction is related with perceived financial security. The public policy examined is an emergency income policy in Brazil.Design/methodology/approachThe authors used a questionnaire to interview a random sample of 235 single-parent women who received Emergency Aid (EA) resources in Brazil during the pandemic. The questionnaire included measures of financial security, financial anxiety, financial resilience and profile aspects. The authors applied a multiple regression approach to identify the determinants of financial security during the pandemic.FindingsOur findings show that factors such as satisfaction with the emerging income policy and financial resilience are positively related to perceived financial security. Financial anxiety, financial fragility and job loss in the pandemic are negatively related with perceived financial security.Research limitations/implicationsWhile our results correspond to a random probabilistic sample of women residing in southern Brazil, they may not be generalizable to Brazil as a whole.Practical implicationsThis study provides evidence of the financial situation in the pandemic for the lives of economically vulnerable women. The research encourages government and financial institutions to understand the unique challenges faced by vulnerable populations during the pandemic and analyzes the direct results of EA. The study contributes to the establishment of policies to support vulnerable populations, encouraging security and financial resilience.Originality/valueThis research is innovative in its analysis of women's financial situations during the pandemic, taking into consideration both behavioral aspects and profiles. Our focus on a specific case of emergency income policy adds to the understanding of the relation of such policies on vulnerable populations.

The clinical trial of patients improved from COVID-19: the effectiveness of mindfulness-based cognitive therapy on mental health and life expectancy (single-subject study)

Background & Aims: In early January 2020, a new corona virus called corona was identified as an infectious agent by the World Health Organization and caused a viral pneumonia outbreak, the first of which was reported in Wuhan, China in December 2019. The virus has so far infected most countries in the world and has become a global problem. By this time in December 2021, about 265 million people in the world have been infected with this virus and 5 million 270 thousand people have died from this disease. According to the World Health Organization, the incidence of this disease is still increasing and will become the third leading cause of death in the world by 2030. This disease has a special complexity and has multiple dimensions and consequences that have caused many problems in the field of health, social and economic as well as psychological for people. The emergence of this disease is now a public health crisis. According to this research, exposure to news and restrictions caused by this disease can lead to many mental health problems. In fact, one of the situations that puts a lot of stress on people during the outbreak of covid 19 disease is the inability to predict and uncertainty about the control and end of the disease. Mental health is defined as a harmonious and harmonious behavior with society, recognizing and accepting social realities, the power to adapt to them and meeting one's balanced needs and is an important factor for the health of society. The prevalence of the disease can also increase feelings of loneliness, decrease social support, feelings of fear and anxiety to clinical stress and anxiety, obsessive-compulsive disorder associated with the disease, and decreased life expectancy. One of the hopeful factors is health and the disease can cause despair, fear and even despair of the patient. The outbreak of a disease has a much deeper and wider impact and affects not only the affected community and relatives, but the entire community. Because everyone finds themselves at risk, and therefore people's feel of safe and healthy changes, and this situation causes people to despair. Hope is the capacity to imagine the ability to create paths to desirable goals and to imagine the motivation to move in those paths. Hope predicts physical and mental health such as positive response to medical interventions, mental health, effective getting along, and health-promoting behaviors. Covid 19 disease can also lead to psychological problems due to its infectious nature and unpredictable nature. In this regard, various researchers consider the implementation of public health policies, including areas related to individual and collective mental health in accordance with the different stages of the epidemic of this disease is very necessary. Mindfulness can be an effective tool for achieving peace of mind and body that helps people become aware of their current feelings. Mindfulness-based interventions are considered as one of the third generation or third wave cognitive-behavioral therapies. Mindfulness is a form of meditation rooted in Eastern religious teachings and rituals, especially Buddhism. Segal has defined mindfulness as paying attention to specific and purposeful ways, in the present time, without judgment or prejudice. Linhan stressed for the first time the need to pay attention to mindfulness as one of the essential components of psychological therapy. Mindfulness requires the development of three components: judgment avoidance, purposeful awareness, and focus on the present moment. Focusing on the present and processing all aspects of the above experience makes one aware of the daily activities and automatic functioning of the mind in the past and future world and he controls emotions, thoughts, and physical states through moment-to-moment awareness of thoughts. As a result, it is released from the everyday and automatic mind focused on the past and the future. Although general vaccination has reduced the virus in some countries, including Iran, and reduced the number of infected people, a large num

Wellness in Physicians in the Era of the COVID-19 Pandemic

As the COVID-19 pandemic approaches its second year, wellness of healthcare workers has become increasingly important as we acknowledge the chronicity of the current situation. It has become essential as staff shortages fostered by burnout play a key role in dealing with the overwhelmed healthcare system. It is increasingly recognized that the finite collective mental health reserves of our providers is as important as the physical challenges such as hospital beds and ventilators in dealing with the pandemic. Physicians with preexisting burnout were suddenly exposed to a sudden surge of rapidly deteriorating patients compounded by a lack of capacity and supplies. This chapter explores those stressors and efforts to mitigate them. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Psychosocial predictors of trajectories of mental health distress during the COVID-19 pandemic: a four-wave panel study

Previous research suggested that during the COVID-19 pandemic, mental distress did not affect all people equally. This longitudinal study aims to examine joint trajectories of depressive, anxiety, and stress symptoms in a sample of Italian adults during the pandemic, and to identify psychosocial predictors of distress states. We analyzed four-wave panel data from 3,931 adults who had received assessments of depressive, anxiety and stress symptoms between April 2020 and May 2021. Trajectories of individual psychological distress were identified by Latent Class Growth Analysis (LCGA) with parallel processes, and multinomial regression models were conducted to identify baseline predictors. Parallel process LCGA identified three joint trajectory classes for depression, anxiety and stress symptoms. Most individuals (54%) showed a resilient trajectory. However, two subgroups showed vulnerable joint trajectories for depression, anxiety and stress. Expressive suppression, intolerance to uncertainty, and fear of COVID-19 were risk characteristics associated with vulnerable trajectories for mental health distress. Moreover, vulnerability to mental health distress was higher in females, younger age groups and those unemployed during the first lockdown. Findings support the fact that group heterogeneity could be detected in the trajectories of mental health distress during the pandemic and it may help to identify subgroups at risk of worsening states.

How and why is the COVID-19 crisis impacting trust in institutions? A two-wave longitudinal study in Italy

Using a quota panel of the adult Italian population (N = 1,192), we conducted a two-wave longitudinal study to analyse how and why the COVID-19 crisis affected Italians' trust in institutions. Between May-June 2019 (before COVID-19) and April 2020 (the peak of the pandemic), trust in political institutions (political parties, parliament, and local administrations) and in super partes national institutions (the President of the Republic, the judiciary, and the police) increased, whereas trust in international institutions (the European Union and the United Nations) decreased. A mediation model showed that anxiety and collective angst were positively associated with seeking information about COVID-19 from institutional and relational sources. In turn, seeking information from institutional sources further increased trust in institutions, whereas seeking information from social media and friends did not. The same pattern held for trust in epistemic authorities (the national health care system, civil protection and scientists), which was measured only in the second wave. These results suggest that it is extremely important to pay attention to public communication strategies, as they play a crucial role in transforming individual and collective distress in times of crisis into trust in institutions, even net of the effect of information from relational sources. The strengths and limitations of the study are discussed, and directions for possible future research are suggested.

Portuguese adolescents' perception of the Covid-19 pandemic: Gender differences and relation with psychopathological symptoms

The Covid-19 pandemic is having a great impact on people's mental health all over the world. Adolescents have been facing several potential stressors. The aim of this study was to explore how Portuguese adolescents were perceiving the Covid-19 outbreak and the relationship between the perceived impact of the pandemic and mental health. Participants were 130 adolescents (97 girls) who completed online questionnaires about the Covid-19 pandemic and the DASS-21. Around 73% of the adolescents agreed that the Covid-19 pandemic affected their lives and 45% felt emotionally affected. Feeling uncomfortable around family during quarantine was correlated with depression (r = .39), anxiety (r = .44), and stress symptoms (r = .37), and feeling capable to deal with the pandemic was negatively correlated with psychopathological symptoms. Girls seemed to be more emotionally affected. Results revealed the negative effect of the Covid-19 pandemic on Portuguese adolescents' mental health. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Portuguese) A pandemia de Covid-19 esta a ter um grande impacto na saude mental das pessoas em todo o mundo. Os adolescentes tem enfrentado diversos potenciais stressores. O objectivo deste estudo foi explorar como os adolescentes portugueses percecionaram o surto do Covid-19 e a relacao entre o impacto percebido da pandemia e a saude mental. Os participantes foram 130 adolescentes (97 do sexo feminino) que responderam a questionarios online sobre a pandemia de Covid-19 e DASS-21. Cerca de 73% dos adolescentes concordaram que a pandemia afectou as suas vidas e 45% sentiu-se emocionalmente afectado. Sentir-se desconfortavel perto da familia durante a quarentena mostrou-se correlacionado com sintomas de depressao (r = .39), ansiedade (r = .44) e stress (r = .37) e sentir-se capaz de lidar com a pandemia esteve negativamente correlacionado com sintomas psicopatologicos. Adolescentes do sexo feminino pareceram ficar mais emocionalmente afectadas. Esses resultados apontam para o efeito negativo da pandemia de Covid-19 na saude mental dos adolescentes portugueses. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) La pandemia de Covid-19 esta teniendo un gran impacto en la salud mental de las personas. Los adolescentes se han enfrentado a varios posibles estresores. El objetivo de este estudio fue explorar como los adolescentes portugueses percibieron el brote de Covid-19 y la relacion entre el impacto percibido de la pandemia y la salud mental. Los participantes fueron 130 adolescentes (97 mujeres) que respondieron cuestionarios online sobre la pandemia Covid-19 y DASS-21. 73% de los adolescentes estuvo de acuerdo en que la pandemia de Covid-19 afecto sus vidas y el 45% se sintio emocionalmente afectado. Sentirse incomodo con la familia durante la cuarentena se correlaciono con sintomas de depresion (r = .39), ansiedad (r = .44) y estres (r = .37), y sentirse capaz de lidiar con la pandemia se correlaciono negativamente con los sintomas psicopatologicos. Las adolescentes parecian estar mas emocionalmente afectadas. Estos resultados apuntan al efecto negativo de la pandemia Covid-19 en la salud mental de los adolescentes portugueses. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

As Time goes by: A Longitudinal Study on the Mental Health of Argentinians during the COVID-19 Pandemic

COVID-19 mitigation measures such as lockdown and social distancing could have a negative impact on mental health. Understanding their impact is essential to minimize adverse effects on individuals, families, and communities. This longitudinal study aimed to evaluate the emotional impact of the COVID-19 pandemic and social isolation in the Argentinian population over time. An online survey evaluating anxiety and depression symptoms, positive affect, and negative affect, was completed by 3,833 people at three different time points: immediately after the lockdown began, 12–15 days after the first assessment, and after 47–51 days. Various socio-demographic factors were considered. A series of mixed repeated-measures ANOVAs were performed, with results showing significant increases over time (with small effect sizes) in anxiety, depression, negative affect, and a decrease in positive affect. Some socio-demographic factors such as age, gender, number of children, and educational level differentially affected these changes. These results suggest that mental health and quality of life were negatively affected, making it essential to monitor emotional distress and other mental health problems in the population and encourage the implementation of support and containment devices to cope with these adverse effects. © 2023, Associação Brasileira de Psicologia.

An analysis of COVID-19 disease perceptions and metaphors of nurses working in COVID-19 intensive care units

Objectives: Coronavirus disease 2019 (COVID-19) is seen not only as a disease, but it is also defined by a series of met- aphors: mysterious, evil, an invisible enemy, an insidious danger, and a democratic virus. This study was conducted to analyze the nurses' perceptions of COVID-19 through metaphors.Methods: This qualitative research was planned as a descriptive phenomenological approach. Twenty-eight nurses working in the COVID-19 intensive care unit (ICU) participated in the study. The metaphor-based data collection pro- cess was carried out with five open-ended questions. The data were analyzed through a thematic analysis. The Consol- idated Criteria for Reporting Qualitative Research Checklist was used to analyze this study.Results: Most military and fatigue related to the time nurses work in intensive care;Hero and nightmare of patient care with COVID-19;distance and restlessness in family relationships;their mental health darkroom and fatigue;COVID-19 as an insidious enemy and infinity. A total of 128 metaphors were produced.Conclusion: Working during the COVID-19 epidemic, COVID-19 ICU nurses exhibit unfavorable approaches toward their jobs, family relationships, and mental health. Improving the working conditions of ICU nurses and considering their desires will help contribute to a favorable direction.

Hepatotoxicity From Marijuana Gummies

Introduction: We report a case of drug-induced liver injury (DILI) induced by cannabis gummies containing Corydalis Rhizome. Case Description/Methods: A 37-year-old female presented to her primary care clinic with recurrent fevers, night sweats, and myalgias for 7 weeks accompanied by eye redness, brain fog, headache, nausea, and abdominal pain. She denied rashes, tick-bites, cough, dyspnea, chest pain, joint swelling, or genitourinary symptoms. Past medical history was notable for IBS, migraines, and anxiety. She reported edible marijuana use four times a week, rare alcohol use, and denied tobacco use. She denied a family history of liver disease. Physical exam was notable for tachycardia to 110 and scleral injection with the remainder of vitals and exam unremarkable. Initial labs were notable for AST 61, ALT 44 and CRP of 12. CBC, BMP, urinalysis, ESR, blood cultures, blood smear for parasite screen, tests for Lyme disease, Babesia, Tularemia, Anaplasma, Ehrlichia, Rickettsia, EBV, HIV, RPR, ANA, CMV, parvovirus B19, and chest x-ray were all negative. The patient was referred to infectious disease with further testing for West Nile, Leptospira, lymphocytic choriomeningitis virus, and COVID-19 returning negative. Repeat LFTs showed worsening transaminitis with ALT 979 and AST 712, alkaline phosphatase 88, total bilirubin 0.7, and albumin 4.9. Hepatitis workup including hepatitis A, B, and C, HSV, EBV, VZV serologies, AMA, ASMA, antiLKM Ab, acetaminophen level, INR, iron panel, CPK, TSH, and abdominal ultrasound were all normal. It was later discovered that her marijuana gummies contained Corydalis rhizome extract known to be hepatotoxic. Cessation of this drug was strongly advised. She was discharged with hepatology follow-up and underwent a liver biopsy showing patchy periportal and lobular inflammation with extension across the limiting plate, hepatocyte injury and apoptosis, and increased lipofuscin for age compatible with mild to moderate hepatitis. She had complete recovery after cessation of Corydalis-containing gummies. (Figure) Discussion: Our patient consumed '1906 Midnight', an American cannabis brand containing Corydalis rhizopus 100 mg, advertised to improve sleep, pain, and have a liver protective effect. A Korean systematic review on herbal-induced liver injury reported that Corydalis was the 3rd most frequent causative herb, with 36 cases. Although there are several personal accounts on social networking sites and other websites, there are no American-based publications reported on DILI from Corydalis. (Table Presented).

Best practices for prescribing medication

Anxiety and depression were relatively common in children and adolescents before the COVID-19 pandemic1;not surprisingly, study findings suggest that these conditions' prevalence has increased.2 Typical support systems for children and adolescents-friends, family, school, and extracurricular activities-look much different during the current pandemic. There are many misconceptions about psychotropic medications and stigmas because of mental health problems in general. National organizations such as the American Academy of Pediatrics and the American Association of Child and Adolescent Psychiatry have developed resources to help pediatricians feel more comfortable with offering mental health care, and groups such as The REACH Institute offer postgraduate training programs that provide education and ongoing support.

Kinesiophobia, physical activity, depression, anxiety and stress levels in post COVID-19 individuals: a cross-sectional study

Objective: Kinesiophobia, inactivity and mood disturbances in post-COVID-19 individuals are poorly investigated. Therefore, the aim of this study was to compare measures of kinesiophobia, physical activity, depression, anxiety and stress in post-COVID-19 individuals and healthy individuals. Methods: This cross-sectional study was conducted between 25 November 2021 and 30 December 2021. The individuals were recruited from the general community. Kinesiophobia was assessed with the Tampa Scale of Kinesiophobia, physical activity levels with the International Physical Activity Questionnaire Short-Form, and mood (depression, anxiety, and stress) with the Depression Anxiety Stress-21 Scale in all individuals. Results: There were 29 volunteer individuals who had COVID-19 with a mean age of 33.41+or-7.95 years. Healthy controls consisted of 20 volunteers with a mean age of 31.3+or-7.81 years. Anxiety (55.2% versus 20%) and stress (34.5% versus 5%) were observed more frequently in the post-COVID-19 group. The scores for kinesiophobia and anxiety were significantly higher in post-COVID-19 individuals than healthy individuals (p< 0.05). The scores for physical activity, depression and stress were similar between groups (p >0.05). Significant correlations were found among post-COVID-19 individuals for (i) the scores for kinesiophobia and stress, and (ii) the scores for physical activity, stress, and depression (p< 0.05). There was no relationship between kinesiophobia and other outcomes in healthy individuals (p >0.05). Conclusion: Although a high degree of kinesiophobia is observed in both post-COVID-19 and healthy individuals, kinesiophobia, anxiety and stress measures were higher in people exposed to COVID-19 than others. In post-COVID-19 individuals, kinesiophobia increased as stress increased, and physical activities decreased while stress and depression increased. Hence, exercises, physical activities and psychological counseling should be recommended to individuals exposed to COVID-19.

Language Anxiety of Older Adults in an Online and In-class EFL Course: Results of a Pilot Study

As recent meta-analyses reveal, language anxiety (LA) is one of the most important determinants of success in foreign language (FL) learning, next to aptitude, motivation, and working memory. Although studies on LA have been carried out for a few decades, exploring its nature, causes, correlates and influence on FL achievements, there are still several questions to be answered. One of such under-researched areas is LA experienced by older adults (60+), who nowadays constitute an important group of FL learners in Poland. A few years ago, their attempts to master English as a FL were affected by the Covid-19 pandemic, which brought several limitations and changes, forcing them to switch from learning in a classroom setting to an online mode. The main objective of this chapter is to report the outcomes of a mixed-method pilot study, aimed at measuring the level of LA of older adults (OAs) in the in-class and online modes, exploring its causes, and identifying the most anxiety-provoking skills. Data were collected among six OAs via a questionnaire, draw-a-picture technique, and semi-structured interviews. The results indicate that there is a complex interrelated network of external and internal factors of LA, which should be taken into account when teaching this age group. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.