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1.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(6): 641-648, 2020 Jun 28.
Article in English, Chinese | MEDLINE | ID: covidwho-745314

ABSTRACT

OBJECTIVES: To understand the psychological status of the staff in a general hospital during the coronavirus disease 2019 and its influential factors, and to provide references for the mental health services to hospital staff. METHODS: Using star platform of questionnaire, the staff in the general hospital were investigated via Depression, Anxiety, Stress Scale (DASS-21), Social Support Rating Scale (SSRS) and Simplified Coping Style Questionnaire (SCSQ). The influential factors were discussed by descriptive analysis, rank sum test, single factor analysis, correlation analysis and multiple factors binary logistic regression analysis. RESULTS: A total of 2 060 valid questionnaires were collected. The negative emotions of nurses and cleaners were the most obvious. The depression scores, anxiety scores and stress scores for nurses and cleaners were 5.06±7.47, 6.36±7.84, 9.75±8.65, and 6.72±8.84, 4.51±6.56, 9.69±9.56, respectively. Multivariate binary logistic regression analysis showed that staff types, education levels, job status, economic situation and concerns on the supplies of protective goods were the main influential factors for depression; staff types, contacting status with infected patients, economic situation, concerns on the supplies of protective goods, history of disease were the main influential factors for anxiety; contacting status with infected patients, economic situation, concerns on the supplies of protective goods were the main influential factors for stress. CONCLUSIONS: There are differences in psychological characteristics among different groups of staff in the general hospital under the outbreak. Thus psychological protection and intervention measures should be formulated according to different groups and work status.


Subject(s)
Coronavirus Infections/psychology , Personnel, Hospital/psychology , Pneumonia, Viral/psychology , Stress, Psychological , Adaptation, Psychological , Anxiety/diagnosis , Betacoronavirus , China , Cross-Sectional Studies , Depression/diagnosis , Disease Outbreaks , Hospitals, General , Humans , Pandemics , Surveys and Questionnaires
2.
Z Psychosom Med Psychother ; 66(3): 220-242, 2020 Sep.
Article in German | MEDLINE | ID: covidwho-740596

ABSTRACT

Psychological stress caused by epidemics among health care workers and implications for coping with the corona crisis: a literature review Objectives: COVID-19 has significantly changed the working and living conditions within a short period. Despite the milder course of the disease in comparison to other countries, employees in the German health care system are particularly affected by the massive impact of the disease on their professional and private lives. From a scientific point of view, summarized empirical evidence made during other epidemics and at the beginning of the COVID-19-pandemic is largely missing. Methods: Narrative review article, literature search on PubMed database. Results: A total of 56 studies were included, 35 of them on the SARS epidemic and seven on COVID-19; included studies reported overall increased stress levels, anxiety and PTSD symptoms due to health care work during various epidemics. Direct contact with patients, quarantine experiences and perceived health risks were further stress factors in epidemics. Participation in intervention studies enabled better management of epidemic-related situations. Conclusions: Healthcare workers are exposed to high workloads because of epidemics, which can have a variety of adverse effects. Recommendations are made for dealing with periods of high exposure during the COVID-19-pandemic.


Subject(s)
Adaptation, Psychological , Coronavirus Infections/epidemiology , Health Personnel/psychology , Health Personnel/statistics & numerical data , Pneumonia, Viral/epidemiology , Stress, Psychological/epidemiology , Betacoronavirus , Humans , Pandemics
3.
Cien Saude Colet ; 25(9): 3465-3474, 2020 Sep.
Article in English, Portuguese | MEDLINE | ID: covidwho-740435

ABSTRACT

This work aims to systematize a set of scientific evidence presented in international papers that identify the main problems affecting health professionals directly involved in coping with the COVID-19 pandemic and point out actions and strategies for the protection and healthcare of these professionals. The risk of infection is the main issue and has led to absence from work, illness, death, and intense psychological distress, expressed in generalized anxiety and sleep disorders, fear of becoming ill and infecting colleagues and relatives. In the Brazilian reality, this work revives the analysis of the chronic problems affecting health workers, resulting from the underfinancing of the Brazilian Unified Health System (SUS), the sector's spending freeze, the deterioration of services and workforce's insecurity, and points out the acute challenges of work management and staff training, given the expanded hospital bed infrastructure and reorganization of the work process in primary care to face the pandemic, emphasizing the necessary measures for the protection and promotion of the physical and mental health of health professionals and workers.


Subject(s)
Coronavirus Infections/epidemiology , Health Personnel/psychology , Mental Disorders/epidemiology , Pneumonia, Viral/epidemiology , Adaptation, Psychological , Brazil/epidemiology , Coronavirus Infections/psychology , Coronavirus Infections/therapy , Humans , Mental Health , National Health Programs/organization & administration , Pandemics , Pneumonia, Viral/psychology , Pneumonia, Viral/therapy , Stress, Psychological/epidemiology
4.
Cien Saude Colet ; 25(9): 3481-3491, 2020 Sep.
Article in English, Portuguese | MEDLINE | ID: covidwho-740433

ABSTRACT

OBJECTIVE: to understand how men's feelings and emotions contribute to the Covid-19 framing in Brazil. METHOD: Asocial-historical, qualitative study, carried out with 200 men resident in Brazil, through online search on digital platform.The grasped data were analyzed by the Collective Subject Discourse method in the light of the reference of epidemic disease proposed by Charles Rosemberg. RESULTS: Negative feelings and anxiety prevailed due to the knowledge about the growing number of hospitalized patients and deaths from the pandemic conveyed in the news. For men, the optimism is necessary to encourage attitudes with responsibility and trust that the crisis will be overcome.Subsequently, men present a set of attitudes and behaviors for coping with the pandemic.Moreover,the acceptance signals the emergence of the fourth dramaturgical act of the Covid-19framing. CONCLUSION: Men's feelings and emotions, in this historic context, pervade three of the four acts of the Covid-19 framingin Brazil.


Subject(s)
Adaptation, Psychological , Coronavirus Infections/psychology , Men/psychology , Pneumonia, Viral/psychology , Adolescent , Adult , Aged , Anxiety/epidemiology , Attitude to Health , Brazil , Coronavirus Infections/epidemiology , Emotions , Humans , Male , Middle Aged , Pandemics , Pneumonia, Viral/epidemiology , Surveys and Questionnaires , Young Adult
5.
BMC Psychiatry ; 20(1): 426, 2020 08 27.
Article in English | MEDLINE | ID: covidwho-733045

ABSTRACT

BACKGROUND: The purpose of this study was to investigate the psychological status of the general population in mainland China during the outbreak of coronavirus disease 2019 (COVID-19), and to explore the factors influencing psychological distress, in order to provide the basis for further psychological intervention programs. METHODS: We administered three questionnaires on-line to a convenience sample of the general population from different regions of mainland China from February 1 to February 4, 2020. We used the Mandarin versions of the six-item Kessler psychological distress scale (K6), the Simplified Coping Style Questionnaire (SCSQ), and the Social Support Rating Scale (SSRS). We also collected demographic data and other information related to the COVID-19 outbreak. Multivariate binary logistic regression analysis was used to identify factors influencing psychological distress. RESULTS: Of 1607 respondents, 1588 returned valid questionnaires and were included in the analysis. Nearly one quarter (22.8%) had high levels of psychological distress (K6 score ≥ 13). Individuals with higher psychological distress were more likely to be unmarried, spend more than 6 h per day searching for information about COVID-19, more frequently adopt a passive coping style, and report less social support than those with lower psychological distress. CONCLUSIONS: The COVID-19 outbreak in China has a great impact on the mental health status of the general population. Active coping strategies and increased social support are significantly correlated with decreased psychological distress, and may serve as the basis for psychological interventions.


Subject(s)
Adaptation, Psychological , Coronavirus Infections , Pandemics , Pneumonia, Viral , Psychological Distress , Social Support , Adult , Betacoronavirus , China/epidemiology , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Female , Humans , Male , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Public Health/methods , Surveys and Questionnaires
6.
Front Health Serv Manage ; 37(1): 14-19, 2020.
Article in English | MEDLINE | ID: covidwho-730516

ABSTRACT

As the CEO of a firm that helps organizations improve performance through culture and learning, and as someone who has spent the past 12 years coaching thousands of individual leaders, staff members, and physicians at hundreds of hospitals and health systems, I have seen both the positive effects of resilience and the negative effects of a lack of resilience. During the COVID-19 pandemic, I and my team have worked with organizations to find ways to help their distressed employees take better care of themselves and, in turn, help their patients as our collective recovery continues.


Subject(s)
Adaptation, Psychological , Coronavirus Infections/psychology , Coronavirus Infections/therapy , Health Personnel/psychology , Pneumonia, Viral/psychology , Pneumonia, Viral/therapy , Resilience, Psychological , Stress, Psychological/prevention & control , Adult , Betacoronavirus , Connecticut , Female , Humans , Male , Middle Aged , Pandemics , United States , Workforce
7.
Front Health Serv Manage ; 37(1): 45-48, 2020.
Article in English | MEDLINE | ID: covidwho-730512

ABSTRACT

For populations experiencing the preexisting conditions of poverty and all its related social inequalities, the COVID-19 pandemic further complicates the delivery of healthcare. Two members of the American College of Healthcare Executives-Tim Egan, president and CEO of Roseland Community Hospital on the South Side of Chicago, Illinois, and Lynette Bonar, RN, FACHE, CEO of Tuba City Regional Health Care Corporation on the Navajo and Hopi reservations in Arizona-deal with those complications daily. Presented here together, their perspectives show resilience, cultural sensitivity, and commitment to protect the well-being of their diverse communities.


Subject(s)
Adaptation, Psychological , Coronavirus Infections/diagnosis , Coronavirus Infections/psychology , Coronavirus Infections/therapy , Delivery of Health Care/organization & administration , Delivery of Health Care/statistics & numerical data , Health Personnel/psychology , Pneumonia, Viral/diagnosis , Pneumonia, Viral/psychology , Pneumonia, Viral/therapy , Adult , Arizona , Attitude of Health Personnel , Betacoronavirus , Chicago , Cities/statistics & numerical data , Female , Humans , Indians, North American , Male , Middle Aged , Pandemics/prevention & control , Pandemics/statistics & numerical data , Rural Population , Urban Population
8.
BMC Psychiatry ; 20(1): 417, 2020 08 24.
Article in English | MEDLINE | ID: covidwho-727269

ABSTRACT

BACKGROUND: To investigate the resilience of non-local medical workers sent to support local medical workers in treating the outbreak of 2019 novel coronavirus disease (COVID-19). METHODS: In February 2020, non-local medical workers who had been sent to Wuhan as support staff to respond to the COVID-19 outbreak were asked to complete an online survey composed of the Connor Davidson Resilience Scale (CD-RISC), Hospital Anxiety Depression Scale (HADS) and Simplified Coping Style Questionnaire (SCSQ). RESULTS: Survey responses from 114 non-local medical workers were analyzed. CD-RISC scores were high (67.03 ± 13.22). The resilience level was highest for physicians (73.48 ± 11.49), followed by support staff, including health care assistants, technicians (67.78 ± 12.43) and nurses (64.86 ± 13.46). Respondents differed significantly in the levels of education, training/support provided by the respondent's permanent hospital (where he or she normally works), and in their feelings of being adequately prepared and confident to complete tasks (P < 0.05). Resilience correlated negatively with anxiety (r = -.498, P < 0.01) and depression (r = -.471, P < 0.01) but positively with active coping styles (r = .733, P < 0.01). Multiple regression analysis showed that active coping (ß = 1.314, p < 0.05), depression (ß = -.806, p < 0.05), anxiety (ß = - 1.091, p < 0.05), and training/support provided by the respondent's permanent hospital (ß = 3.510, p < 0.05) were significant associated with resilience. CONCLUSION: Our data show that active coping, depression, anxiety, and training/support provided by the respondent's permanent hospital are associated with resilience. Managers of medical staff should use these data to develop psychosocial interventions aimed at reinforcing the resilience of medical workers during highly stressful and prolonged medical emergencies, as seen during the COVID-19 outbreak.


Subject(s)
Adaptation, Psychological , Anxiety/epidemiology , Betacoronavirus , Coronavirus Infections/psychology , Depression/epidemiology , Health Personnel/psychology , Pneumonia, Viral/psychology , Resilience, Psychological , Adult , Anxiety/psychology , China/epidemiology , Coronavirus Infections/therapy , Cross-Sectional Studies , Depression/psychology , Disease Outbreaks , Female , Health Personnel/statistics & numerical data , Humans , Male , Pandemics , Pneumonia, Viral/therapy , Surveys and Questionnaires
9.
Pflege ; 33(4): 237-245, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-724668

ABSTRACT

Health behaviours and needs of people with COPD during COVID-19 pandemic: a document analysis Abstract. Background: The government's guidelines affected people with COPD on different levels during the COVID-19 pandemic. In addition to belonging to a group of particularly vulnerable persons, they had to adapt their health behaviours, in particular physical activity, to recommendations provided in order to prevent negative effects on disease progression. There is little knowledge regarding how this group of patients coped with these challenges during the COVID-19 pandemic. OBJECTIVE: To describe the health behaviours and needs people with COPD convey during nursing phone consultations and which nursing interventions have been carried out. METHODS: A document analysis of 50 nursing phone consultations was performed. The data were summarised descriptively and analysed thematically. RESULTS: The main topics were the adaptation of physical activity, the implementation of the recommendations to the individual life situation, the detection of a COVID-19 infection and questions concerning the planning of medical appointments. CONCLUSION: The COVID-19 pandemic poses additional challenges to the disease management of people with COPD. The increased need for care brought on by the pandemic was able to be met by the knowledge provided in the nursing phone consultations. What remains to be established is what role the consultations play in a sustainable change in behaviour and in dealing with negative emotions.


Subject(s)
Coronavirus Infections/epidemiology , Pandemics , Pneumonia, Viral/epidemiology , Pulmonary Disease, Chronic Obstructive/therapy , Self Care/psychology , Adaptation, Psychological , Health Behavior , Health Services Needs and Demand , Humans , Pulmonary Disease, Chronic Obstructive/nursing
10.
Healthc Manage Forum ; 33(5): 190-194, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-724220

ABSTRACT

The inspiration for The American Nurse Project, Dr. Rhonda Collins, DNP, RN, FAAN, is Chief Nursing Officer for Vocera Communications. Every year around Nurses Week, Dr. Collins publishes a report examining important issues that impact the nursing profession worldwide. Her 2020 CNO report looks at many of the challenges impacting nurses before, during, and after COVID-19-highlighting the mental anguish and physical burdens that COVID-19 has placed on nurses and other frontline healthcare workers as they put themselves in harm's way to protect others. Dr. Collins examines the foundation of cognitive science and outlines a three-point strategy to guide hospital and nurse leaders moving forward as they strive to support staff members: lightening clinicians' cognitive load by addressing the difference between documentation and communication, relieving the burden of adapting to multiple systems by giving clinicians control over how they communicate, and providing clinicians with clear, contextual, just-in-time information-using software to enhance workflow, not distract from it. During these unprecedented times, health leaders can honour nurses by providing them with the tools to help strengthen resiliency and healing from this crisis.


Subject(s)
Coronavirus Infections/nursing , Nurses/psychology , Pneumonia, Viral/nursing , Adaptation, Psychological , Betacoronavirus , Burnout, Professional , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Executive Function , Humans , Memory, Short-Term , Nurse Administrators/psychology , Nursing Diagnosis , Pandemics , Pneumonia, Viral/diagnosis , Pneumonia, Viral/epidemiology , Resilience, Psychological , United States/epidemiology
12.
Int J Environ Res Public Health ; 17(17)2020 08 20.
Article in English | MEDLINE | ID: covidwho-724202

ABSTRACT

The current study examined the predictive ability of discrimination-related variables, coping mechanisms, and sociodemographic factors on the psychological distress level of Korean immigrants in the U.S. amid the COVID-19 pandemic. Korean immigrants (both foreign-born and U.S.-born) in the U.S. above the age of 18 were invited to participate in an online survey through purposive sampling. In order to verify the variables predicting the level of psychological distress on the final sample from 42 states (n = 790), the Artificial Neural Network (ANN) analysis, which is able to examine complex non-linear interactions among variables, was conducted. The most critical predicting variables in the neural network were a person's resilience, experiences of everyday discrimination, and perception that racial discrimination toward Asians has increased in the U.S. since the beginning of the COVID-19 pandemic.


Subject(s)
Adaptation, Psychological , Betacoronavirus/isolation & purification , Coronavirus Infections/psychology , Emigrants and Immigrants , Machine Learning , Pneumonia, Viral/psychology , Stress, Psychological/psychology , Adult , Coronavirus Infections/epidemiology , Coronavirus Infections/virology , Female , Humans , Male , Middle Aged , Pandemics , Pneumonia, Viral/epidemiology , Pneumonia, Viral/virology , Racism , Republic of Korea/ethnology , United States/epidemiology
13.
Psychol Trauma ; 12(6): 569-571, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-724075

ABSTRACT

In the 1st trimester of 2020, there were mixed feelings among Haitians about the spread of the COVID-19 pandemic. In effect, many of the concerns emanating from the relatively weak health infrastructure in Haiti were analyzed from a resilience perspective. Many professionals living in Haiti with whom we have conversed believe that Haitians were better prepared to cope with the social distancing and mental health outcomes associated with the pandemic because of their 3-month exposure to the effects of Peyi Lòk ("country in lockdown") as well as previous major natural disasters. In that regard, previous traumatic exposures may serve as a buffer against the debilitating effects of the COVID-19 pandemic among Haitians. For the past 3 months, Haitians have naturally adopted a practical posture to cope with the pandemic where only school buildings are closed. Consequently, we remain convinced that from a psychological perspective, individuals from high-income countries that are severely affected by the COVID-19 pandemic could learn from the Haitian way of coping with large-scale disasters. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Adaptation, Psychological , Attitude to Health , Betacoronavirus , Coronavirus Infections/psychology , Pneumonia, Viral/psychology , Resilience, Psychological , Haiti , Humans , Pandemics
14.
Pflege ; 33(4): 189-197, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-723697

ABSTRACT

The life situation of people with dementia and family carers during the coronavirus pandemic - A qualitative study Abstract. Background: The measures initiated as a result of the coronavirus pandemic have far-reaching consequences for the everyday life of people with dementia and their family carers. Both are usually among those who are the most vulnerable and thus are subject to rigorous restrictions. Their everyday life is made more difficult because care and respite services are currently suspended. In addition, people with dementia have difficulty understanding and implementing the restrictions and hygiene rules. AIMS: This study aims to describe the current life situation of family carers and people with dementia. METHODS: For this purpose, 21 telephone interviews with both family carers and people with dementia have been conducted twice during the spring of 2020 and were subsequently evaluated by a content analysis. RESULTS: The interviewees experienced the situation differently. Especially the social isolation, the higher amount of care, the uncertainty of the situation and the increase in psychological symptoms are described as being stressful. With regard to coping with the situation, discussions are taking place about the support from the social environment, alternative ways of communication, experiences with comparable crises, the stability of formal care and the handling of information. CONCLUSIONS: Family carers and people with dementia feel stressed due to the coronavirus pandemic, but many of them have coping strategies for this special situation. Informal support is a particularly important support mechanism.


Subject(s)
Caregivers/psychology , Coronavirus Infections/psychology , Dementia/therapy , Pandemics , Pneumonia, Viral/psychology , Adaptation, Psychological , Coronavirus Infections/epidemiology , Humans , Pneumonia, Viral/epidemiology , Qualitative Research , Stress, Psychological/psychology
15.
Pflege ; 33(4): 237-245, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-722575

ABSTRACT

Health behaviours and needs of people with COPD during COVID-19 pandemic: a document analysis Abstract. Background: The government's guidelines affected people with COPD on different levels during the COVID-19 pandemic. In addition to belonging to a group of particularly vulnerable persons, they had to adapt their health behaviours, in particular physical activity, to recommendations provided in order to prevent negative effects on disease progression. There is little knowledge regarding how this group of patients coped with these challenges during the COVID-19 pandemic. OBJECTIVE: To describe the health behaviours and needs people with COPD convey during nursing phone consultations and which nursing interventions have been carried out. METHODS: A document analysis of 50 nursing phone consultations was performed. The data were summarised descriptively and analysed thematically. RESULTS: The main topics were the adaptation of physical activity, the implementation of the recommendations to the individual life situation, the detection of a COVID-19 infection and questions concerning the planning of medical appointments. CONCLUSION: The COVID-19 pandemic poses additional challenges to the disease management of people with COPD. The increased need for care brought on by the pandemic was able to be met by the knowledge provided in the nursing phone consultations. What remains to be established is what role the consultations play in a sustainable change in behaviour and in dealing with negative emotions.


Subject(s)
Coronavirus Infections/epidemiology , Pandemics , Pneumonia, Viral/epidemiology , Pulmonary Disease, Chronic Obstructive/therapy , Self Care/psychology , Adaptation, Psychological , Health Behavior , Health Services Needs and Demand , Humans , Pulmonary Disease, Chronic Obstructive/nursing
16.
BMJ Open ; 10(8): e039646, 2020 08 13.
Article in English | MEDLINE | ID: covidwho-721207

ABSTRACT

INTRODUCTION: The SARS-CoV-2 (COVID-19) pandemic poses immense challenges for national and international healthcare systems. Especially in times of social isolation and governmental restrictions, mental health should not be neglected. Innovative approaches are required to support psychologically burdened people. The e-mental health intervention 'CoPE It' has been developed to offer manualised and evidence-based psychotherapeutic support adapted to COVID-19-related issues in order to overcome psychological distress. In our study, we aim to assess the efficacy of the e-mental health intervention 'CoPE It' in terms of reducing distress (primary outcome), depression and anxiety symptoms as well as improving self-efficacy, quality of life and mindfulness (secondary outcomes). Furthermore, we want to evaluate the programme's usability, feasibility and participants' satisfaction with 'CoPE It' (tertiary outcome). METHODS AND ANALYSIS: The e-mental health intervention 'CoPE It' consists of four 30 min modules, conducted every other day, involving psychotherapeutic techniques of mindfulness-based stress reduction and cognitive-behavioural therapy. The widely applied and previously established content has been adapted to the context of the COVID-19 pandemic by experts in psychosomatic medicine and stress prevention. In our longitudinal study, adult participants-with adequate German language and computer skills, and who have provided informed consent-will be recruited via emergency support hotlines in Germany. Flyers will be distributed, and online channels will be used. Participants will complete a baseline assessment (T0), a postintervention assessment (T1) and assessments 1 and 3 months later (T2 and T3, respectively). We will perform repeated measures analysis of covariance, mixed linear models, standard analyses of variance and regression, and correlation coefficients. In case of binary outcome variables, either mixed logistic regression or χ² tests will be used. ETHICS AND DISSEMINATION: The Ethics Committees of the University of Duisburg-Essen (20-9243-BO) and University of Tübingen (469/2020BO) approved the study. Results will be published in peer-reviewed journals and conference presentations. TRIAL REGISTRATION NUMBER: DRKS00021301.


Subject(s)
Adaptation, Psychological , Cognitive Behavioral Therapy/methods , Coronavirus Infections/psychology , Distance Counseling/methods , Mindfulness/methods , Pneumonia, Viral/psychology , Stress, Psychological/therapy , Anxiety/prevention & control , Anxiety/therapy , Betacoronavirus , Depression/prevention & control , Depression/therapy , Humans , Pandemics , Patient Satisfaction , Quality of Life , Self Efficacy , Stress, Psychological/prevention & control
17.
Psychiatr Danub ; 32(2): 287-293, 2020.
Article in English | MEDLINE | ID: covidwho-717859

ABSTRACT

BACKGROUND: Since the declaration of the coronavirus 2019 (COVID-19) outbreak as pandemic, health workers have shown an incredible commitment to their patients, sometimes in apocalyptic conditions. We explored ways to deal with the coronavirus stressor and psychological outcomes among physicians and nurses. SUBJECTS AND METHODS: 124 healthcare workers in General Hospital Nasice (Croatia) were invited to participate in a study by performing within the period of March 26 to April 6 2020 questionnaire collected information on socio-demographic characteristics and living conditions that may be risk factors for covid-19 concern, Short form health survey-36, Depression Anxiety Stress Scales (DASS-21) and Ways of Coping Questionnaire (WOC; consisting of 8 subscales: Confrontive Coping, Distancing, Self-Controlling, Seeking Social Support, Accepting Responsibility, Escape-Avoidance, Planful Problem Solving, Positive Reappraisal). RESULTS: 11% healthworkers reports moderate to very-severe depression, 17% moderate to extremely-severe anxiety and 10% for moderate to extremely-severe stress. 67% of medical staff are worried. No statistically significant differences in the scales of depression, anxiety, and stress were found between nurses and physicians, but differences were found on Escape-Avoidance and Positive Reappraisal subscales. Nurses use significantly more avoiding coping style and positive reappraisal than doctors. Seeking social support is more pronounced in those over 40 years old, while those under 40 use more avoidable stress management techniques. CONCLUSIONS: Monitoring and ensuring the mental health of coronavirus care staff is crucial for global health. The education of medical staff in the field of stress management is a conditio sine qua non of the issue of an adequate relationship with the COVID-19 pandemic.


Subject(s)
Adaptation, Psychological , Coronavirus Infections/psychology , Health Surveys , Mental Health/statistics & numerical data , Nurses/psychology , Physicians/psychology , Pneumonia, Viral/psychology , Stress, Psychological , Adult , Child , Coronavirus Infections/epidemiology , Croatia/epidemiology , Humans , Middle Aged , Pandemics , Pneumonia, Viral/epidemiology
18.
Psychiatr Danub ; 32(2): 262-265, 2020.
Article in English | MEDLINE | ID: covidwho-717855

ABSTRACT

Catastrophic Pandemics have been adversely impacted the globe throughout human history. As a consequence psychiatrist, psychologist and mental health practitioners performed their role to mitigate the adverse impacts through its scientific and clinical lenses. It was observed that due to advance nature of COVI-19 pandemic, more advance approach of psychological aid is required. This work gives an overview of the multi-dimensional and trans-disciplinary techniques, which can be helpful to cope up with the crises that emerged from the threat of COVID-19 Outbreak for victims, survivors, health care practitioners and community.


Subject(s)
Adaptation, Psychological , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Mental Health/statistics & numerical data , Pandemics , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Stress, Psychological , Humans
19.
Int J Environ Res Public Health ; 17(16)2020 08 13.
Article in English | MEDLINE | ID: covidwho-717735

ABSTRACT

It is known that the elderly population has weak immune functioning and is a susceptible and high-risk group with respect to the current coronavirus disease 2019 (COVID-19) epidemic. In this study, to understand the influencing factors of COVID-19-related risks and coping behaviors of elderly individuals with respect to COVID-19 and to provide a basis for taking corresponding protective measures, a questionnaire survey was applied to an elderly population. One-way analysis of variance (ANOVA) and linear regression analysis were used to explore the influencing factors of the level of understanding of COVID-19 risks among the elderly population. Additionally, the chi-square test and logistic regression analysis were used to explore the influencing factors of the elderly population's protective behaviors against COVID-19. This study found: (1) The sex, age, and self-care ability of elderly individuals were significantly correlated with their level of understanding of COVID-19, and that those who were female, were of a younger age, or had better self-care ability had higher levels of understanding; (2) The sex, place of residence, and level of understanding of COVID-19 among the elderly individuals were significantly correlated with their protective behaviors, e.g., those who were women, had high levels of understanding, and lived in cities were more likely to have good behaviors; (3) Elderly individuals' assessments of COVID-19 information provided by the government were significantly correlated with their protective behaviors-those who had a positive evaluation of relevant information provided by the government were more likely to develop protective behavior. The conclusions of this study show that it is crucial to implement COVID-19 prevention and control measures in the elderly population. Society, communities, and families need to increase their concerns about the health and risk awareness of the elderly individuals.


Subject(s)
Adaptation, Psychological , Betacoronavirus/isolation & purification , Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Aged , Coronavirus Infections/psychology , Coronavirus Infections/virology , Female , Humans , Male , Middle Aged , Pandemics , Pneumonia, Viral/psychology , Pneumonia, Viral/virology , Risk Factors , Surveys and Questionnaires
20.
Infect Dis Poverty ; 9(1): 113, 2020 Aug 12.
Article in English | MEDLINE | ID: covidwho-714236

ABSTRACT

BACKGROUND: Medical care workers experienced unprecedented levels of workload and pressure since the outbreak of coronavirus disease 2019 (COVID-19). Little is known about its exact impact on medical care workers and related factors in China. This study aims to identify the psychological impact of COVID-19 on medical care workers in China. METHODS: From February 23 to March 5, 2020, a cross-sectional survey was conducted among 863 medical care workers from seven provinces in China using standard questionnaires measuring adverse psychological outcomes including Impact of Event Scale-6 (IES-6), Depression, Anxiety and Stress Scale(DASS)and related psychosocial factors like perceived threat, social support and coping strategies. Exploratory Factor analysis was performed to identify the dimensions of perceived threat by study participants. Multivariate regression was used to examine the determinants of adverse psychological outcomes. RESULTS: Posttraumatic stress (PTS) were prevalent in this sample of health care professionals, and 40.2% indicated positive screens for significant posttraumatic stress disorder symptoms. The proportion of having mild to extremely severe symptoms of depression, anxiety and stress were 13.6, 13.9 and 8.6%, respectively. Perceived threat and passive coping strategies were positively correlated to PTS and DASS scores, while perceived social support and active coping strategies were negatively correlated to DASS scores. Nurses were more likely to be anxious than others among medical care workers during the COVID-19 epidemic. CONCLUSIONS: Adverse psychological symptoms were prevalent among medical care workers in China during the COVID-19 epidemic. Screening for adverse psychological outcomes and developing corresponding preventive measures would be beneficial in decreasing negative psychological outcomes.


Subject(s)
Anxiety/etiology , Coronavirus Infections/psychology , Depression/etiology , Health Personnel/psychology , Pneumonia, Viral/psychology , Stress Disorders, Post-Traumatic/etiology , Adaptation, Psychological , Adult , Anxiety/prevention & control , China , Cross-Sectional Studies , Depression/prevention & control , Female , Humans , Male , Middle Aged , Nurses/psychology , Pandemics , Psychological Tests , Psychometrics , Social Support , Stress Disorders, Post-Traumatic/prevention & control , Surveys and Questionnaires , Workload/psychology
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