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1.
Breast ; 56:S85, 2021.
Article in English | EMBASE | ID: covidwho-1735083

ABSTRACT

Goals: In a very short period of time, during the first wave of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, the coronavirus disease 2019 (COVID-19) became a great threat worldwide in terms of health, as well as social and economic aspects. From the beginning of the outbreak, patients with cancer were considered a high-risk population with regard to the COVID- 19 infection. Epidemiological measures imposed during the pandemic, such as social distancing and lockdowns, additionally burdened patients with cancer. Psychological distress is common in such patients. The prevalence of distress in patients with breast cancer ranges approximately 20–40%. The aim of this study was to examine the impact of the COVID-19 outbreak on the level of distress among patients with breast cancer in Croatia, during extreme epidemiological measures. We also sought to examine whether disease or socio-demographic characteristics were predictors for distress. Methods: A total of 545 patients with breast cancer were approached to participate in the study;201 patients completed the questionnaire with disease and socio-demographic characteristics. All patients were actively receiving systemic oncological treatment (neoadjuvant, adjuvant, or metastatic setting), with disease stages ranging I–IV. The level of distress was measured using the Distress Thermometer with a cut-off value of 4, followed by a problem list. The study was conducted from April 20, 2020 to May 24, 2020, while all extreme epidemiological measures (lockdown and strict social distancing) were ongoing and equally applied to all regions in Croatia. Results: High distress level was reported in 54.2% of patients. The most prominent problems were worry, fatigue, sleep, nervousness, fear, and child care. Highly distressed patients had more practical problems (child care, housing, and work/school) and emotional problems (depression, fear, nervousness, sadness, worry, and loss of interest for usual activities), than those in the low distress group. None of the socio-demographic or disease characteristics of the patients were linked to the level of distress. Conclusion(s): Even in a country with a favorable epidemiological situation, at the beginning of the COVID-19 pandemic, every second patient with breast cancer had a high level of distress. COVID-19- induced distress should be promptly addressed and additional psychological and social support, targeting specific practical and emotional problems, should be provided for those patients. Conflict of Interest: No significant relationships.

2.
International Journal of Pharmaceutical and Clinical Research ; 13(4):166-174, 2021.
Article in English | EMBASE | ID: covidwho-1733401

ABSTRACT

Aim: The aim of the present study assessment of new-onset depression and anxiety associated with COVID-19. Methods: This analytical, cross-sectional study was done the Department of Psychiatry Adesh Medical College Hospital Ambala Haryana, India for 10 months. By using Google Form platform contained validated online survey among Indian population which includes all adult males and females during or post COVID-19 infection and compared to the non-COVID-19 population as a control group. Results: 38% of participants were male while 62% are females. 26% of participants were married while 70% were single. 60% of participants are students and 38% are employed while 2% are retired. Regarding the COVID-19-positive and COVID-19-negative participants, 25% of participants reported having been diagnosed with COVID-19. Scores of PHQ-9 ranged from 0 to 27 (the mean is and the standard deviation is 6.12). Depression prevalence in our sample was 40%. Scores of GAD-7 ranged from 0 to 21 (the mean of 8.99 and the standard deviation is 5.33). Anxiety prevalence in our sample was 41%. The model shows a significant overall effect of gender [F(489) = 39.02, p<0.001], a non-significant effect of COVID-19 infection [F(489)=1.88, p=0.177] and a trending effect of the interaction between gender and COVID-19 [F(489) = 3.25, p=0.069]. Since the effect is not significant, we did not run any post hoc analyses. Conclusion: Significant levels of depression and anxiety were observed among the study population. The high levels of depression and anxiety may have masked the differences between those with or without COVID-19.

3.
Safety and Health at Work ; 13:S297, 2022.
Article in English | EMBASE | ID: covidwho-1677172

ABSTRACT

Introduction: During the confinement period due to the SARS-CoV2 pandemic, in July 2021, a survey was carried out to study the health and working conditions of postgraduate professors at a public university in Mexico City. Material and methods: All postgraduate professors were invited to participate. The protocol was approved by the bioethics committee. By an electronic questionnaire was obtained information about: personal, work, distance teaching, physical and mental health, and symptoms of depression, and anxiety. The Chi2 test was used. Significant associations are reported. Results: Eighty-nine graduate teachers participated, 50.6% women and 49.4% men. Sixty-three percent were full-time, and 44.9% were hourly teachers. During the pandemic, most received some training in distance learning, 74% had adequate equipment and furniture. Cyberbullying was not reported, and 79% allocated part of their free time to work. Fourteen percent had good physical health and 76% moderate. The most-reported complaints were neck, back, and hand/wrist pain, and sleep disturbances, mainly full-time;45% slept 6 hours or less. Thirty-six percent had good mental health and 41.6% moderate;37% indicated feeling nervous, higher in full-time teachers;7% reported feeling depressed, twice higher in women. Due to academic load, 46% felt overwhelmed, and 31% burnout, higher in full-time and women. Conclusions: During confinement, graduate professors reported moderate symptoms of anxiety and depression and musculoskeletal complaints related in part to their teaching activities, with symptoms being higher in full-time staff and women.

4.
Open Access Macedonian Journal of Medical Sciences ; 9(T6):40-43, 2021.
Article in English | EMBASE | ID: covidwho-1667397

ABSTRACT

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic had an impact on people globally, including mothers living in coastal regions. Therefore, this study aims at identifying the psychological status of single mothers living in the coastal regions of Indonesia. METHODS: A descriptive quantitative cross-sectional design was used with non-probability sampling in coastal regions of West Java, Indonesia. Furthermore, the Zung Self Rating Anxiety Scale was used to assess the anxiety level of single mothers. RESULTS: The anxiety of single mothers during the COVID-19 pandemic was generally moderate (n = 45.77.59%), with 44.83% attributing it to health and the economy. Furthermore, previous results showed that this condition was observed in the elderly (n = 38.65.52%), though it lasted <5 years in the majority of cases (n = 33.56.90%). Symptoms associated with the anxiety of single mothers during the pandemic include an increase in restlessness, nervousness, and anxiety. CONCLUSION: The economy and health of single mothers were the primary sources of anxiety during the COVID-19 pandemic. A high percentage of these women suffer from mild anxiety and require immediate care to prevent the development of other health problems. Therefore, health cadres and community nurses are expected to take action to achieve optimal psychological welfare among single mothers during the pandemic. Further study can be conducted by focusing on the theme of defense mechanisms or resilience.

5.
Cogent Medicine ; 8, 2021.
Article in English | EMBASE | ID: covidwho-1617068

ABSTRACT

Background: The COVID-19 pandemic disrupted the lives of children and adolescents by invading their families, peer groups and school, worsening their prospects and causing anxiety about the future. Due to the threat of COVDI-19, restrictions were imposed worldwide, forcing changes in daily life, social interactions, education and work. There is no doubt that these strict restrictions have contributed immensely to reducing the risk of SARS-CoV-2 virus spread, but at the same time had significantly affected the health of young people in all its dimensions. The main aim of this study is to present changes in health and health behaviours between 2018 and 2021. Method: Data from the Youth and COVID-19 survey conducted in the first quarter of 2021 by the Institute of Mother and Child in Warsaw among adolescents aged 11-17 years (n=1571) as well as data from the Health Behaviour in School-aged Children (HBSC) according to the 2018 survey conducted in the same age groups (n=7701) were analysed. So were analysed indicators of physical development, mental health, subjective complaints and health behaviour. The prevalence of the aforementioned indicators was compared between 2018 and 2021, overall, by gender and age using chi2 test. Results: A significant increase was observed in the percentage of overweight and obese adolescents (according to WHO criteria) evident in the older age groups (15 and 17 years) and the percentage of underweight boys;an increase in the percentage of adolescents negatively assessing their health and well-being (according to the WHO5 scale-score indicating depressive symptoms) in each age group and both genders;frequently experiencing physical and mental health problems-in both genders such as headache, stomach ache, backache, feeling depressed, nervousness, difficulty in falling asleep and dizziness;only in girls-tiredness;in older adolescents-headache, stomach ache, backache, feeling depressed, irritability, nervousness, difficulty in falling asleep and dizziness;in each age group-feeling depressed;only in the youngest-tiredness. There was a significant decrease in the percentage of adolescents undertaking moderate-to-intensive physical activity at the recommended level of 60 minutes per day in both genders and each age group. However, there were positive changes in dietary behaviour: an increase in the percentage of adolescents eating daily with family in each age group, eating vegetables daily in both sexes and each age group, and a decrease in the percentage of adolescents frequently drinking sugary drinks in both sexes and each age group. Furthermore, no change was observed in the rate of frequent consumption of fruit and vegetables. Conclusion: The adverse effects of the pandemic on health and well-being are progressing rapidly, so urgent action is needed to help mitigate the severe effects of the pandemic and safeguard the future of young people.

6.
Pediatric Diabetes ; 22(SUPPL 30):43, 2021.
Article in English | EMBASE | ID: covidwho-1571007

ABSTRACT

Introduction: It is unknown if lifestyles changes forced by SARSCOV- 2 interfere with the treatment in people with T1D. Objectives: To assess the perceptions of lifestyle changes in patients with T1D during the pandemic in Chile. Methods: A specific survey was created and piloted. It was distributed by a national educational NGO during 2020 July and August. The instrument evaluated changes regarding the pre-pandemic habits in alimentation, sleep, physical activity, and emotionality through a Likert questions Results: 776 people with T1D or their parents answered. The median age was 12 years (range 2-68). 44% referred care in child/youth centers. 51% were from public health and 49% from private. The average of last HbA1c recorded was 6.9%. 40% referred economic burden during the pandemic and 30% have participated in diabetes support networks. 36% of surveyed reported they maintain pre-pandemic routine, while 51% generated a new routine. 81% reported practicing less physical activity during the period and 9% more. 35% of people believe that they eat more and 12% less, being less healthy for 26% and healthier for 13%. 41% report they modified their sleep “many times” or “always” and 30% report problems falling asleep;66% refer the change has impacted their treatment. 51% report emotions that interfered with treatment-related behavior. 49% report anger, 46% frustration, 46% sadness and 43% nervousness. Change of routine also generated positives aspects: 46% referred more time with the family, 22% more supervision and 17% restructuring of schedules;14% reported they do not see any positive aspects. Conclusions: People with T1D in Chile changed their lifestyle during the SARS-CoV-2 pandemic. Alimentation, physical activity, and sleep have been disadvantaged aspects. Negative emotions are experienced by half of the respondents, interfering with diabetes care. Despite this, there are positive aspects that have emerged. It must be evaluated whether these factors will condition a change in the metabolic control of these persons.

7.
J Health Psychol ; 26(1): 115-125, 2021 01.
Article in English | MEDLINE | ID: covidwho-1064203

ABSTRACT

Coronavirus pandemics causes systemic and mainly pulmonary changes. We assessed the prevalence of generalized anxiety disorder (GAD) in pandemic survivors and the general population. Papers indexed by MEDLINE/PubMed, The Cochrane, Embase, Lilacs, Scielo, Psycoinfo, and Pepsic databases were searched to April 2020, using GAD and Coronavirus (CoV) infection as keywords. Sixteen studies with 25,779 participants in eight countries were included. A 46% pooled prevalence of anxiety symptoms (95% CI 33.9-58.2%) was found with significant evidence of between-study heterogeneity (Q = 154953, I2 = 99.99%, p < 0.001). Age and sex were not found to be significant moderators for anxiety symptoms. Intervention programs for anxiety symptoms are highly recommended.


Subject(s)
Anxiety Disorders/epidemiology , Anxiety Disorders/psychology , COVID-19/epidemiology , COVID-19/psychology , Adult , Comorbidity , Female , Humans , Internationality , Male , Pandemics , Prevalence , SARS-CoV-2
8.
Surg Obes Relat Dis ; 17(4): 756-764, 2021 04.
Article in English | MEDLINE | ID: covidwho-1005577

ABSTRACT

BACKGROUND: The global coronavirus disease 2019 (COVID-19) pandemic is wreaking havoc on society. Bariatric patients are more prone to severe infection due to their high body mass index (BMI) and are more vulnerable to the effects of isolation, such as depression or disruption of their health habits. OBJECTIVES: To quantify the impact of self-quarantine on bariatric patients and self-quarantine's relationship with weight gain. SETTING: Academic hospital, United States. METHODS: A 30-item survey examining several known contributors to weight regain was distributed among the postoperative bariatric patients of our clinic. Changes in eating habits, exercise, depression, social support, loneliness, and anxiety were studied, among others. RESULTS: A total of 208 patients completed the survey (29.3% response rate). A large percentage of patients reported increases in their depression (44.2%), loneliness (36.2%), nervousness (54.7%), snacking (62.6%), loss of control when eating (48.2%), and binge eating (19.5%) and decreases in their social support (23.2%), healthy food eating (45.5%), and activity (55.2%). Difficulty in accessing vitamins was reported by 13%. Patients more than 18 months out of surgery regained more than 2 kg during an average of 47 days. Risk factors for weight regain were found to be loss of control when eating, increases in snacking and binge eating, reduced consumption of healthy food, and reduced physical activity. CONCLUSION: Bariatric patients are negatively affected by the COVID-19 pandemic and subsequent social isolation on many levels. This patient population is vulnerable to crisis situations; thus, additional intervention is needed to address behaviors that lead to weight regain.


Subject(s)
Adaptation, Psychological , Bariatric Surgery , COVID-19/psychology , Feeding Behavior , Obesity, Morbid/psychology , Weight Gain , Adult , Anxiety , Depression , Exercise , Female , Humans , Loneliness , Male , Middle Aged , Obesity, Morbid/surgery , Pandemics , Risk Factors , Social Isolation , Social Support , United States
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