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1.
Lancet ; 398(10317): 2145, 2021 12 11.
Article in English | MEDLINE | ID: covidwho-1637341
2.
Lancet ; 398(10317): 2145-2146, 2021 12 11.
Article in English | MEDLINE | ID: covidwho-1635670
3.
BMJ Open ; 12(1): e056655, 2022 01 03.
Article in English | MEDLINE | ID: covidwho-1603934

ABSTRACT

INTRODUCTION: While all research-oriented faculty face the pressures of academia, female faculty in fields including science, engineering, medicine and nursing, are especially susceptible to burnout. Nursing is unique in that it remains a predominantly female-dominated profession, which implies that there is a critical mass of females who are disproportionately affected and/or at higher risk of burnout. To date, little is known about the experiences of nursing faculty especially, new and early career researchers and the factors that influence their retention. This study aims to understand the work-life (the intersection of work with personal life) experiences of nursing faculty in Canadian academic settings and the factors that influence their retention. METHODS AND ANALYSIS: A mixed-method design will be used in this study. For the quantitative study, a sample of approximately 1500 new and early career nursing faculty across Canadian academic institutions will be surveyed. Eligible participants will be invited to complete a web-based structured questionnaire in both French and English language. Data will be evaluated using generalised linear regression model and structural equation modelling. Given the complexities of work-life issues in Canada, qualitative focus group interviews with about 20-25 participants will also be conducted. Emerging themes will be integrated with the survey findings and used to enrich the interpretation of the quantitative data. ETHICS AND DISSEMINATION: This study has received ethical approval from the Hamilton Integrated Research Ethics Board (#1477). Prior to obtaining informed consent, participants will be provided with information about study risks and benefits and strategies undertaken to ensure confidentiality and anonymity. The study findings will be disseminated to academics and non-academic stakeholders through national and international conference presentations and peer-reviewed open-access journals. A user-friendly report will be shared with professional nursing associations such as the Canadian Associations of Schools of Nursing, and through public electronic forums (e.g., Twitter). Evidence from this study will also be shared with stakeholders including senior academic leaders and health practitioners, government, and health service policy-makers, to raise the profile of discourses on the nursing workforce shortages; and women's work-life balance, a public policy issue often overlooked at the national level. Such discussion is especially pertinent in light of the disproportionate impact of COVID-19 on women, and female academics. The findings will be used to inform policy options for improving nursing faculty retention in Canada and globally.


Subject(s)
COVID-19 , Faculty, Nursing , Canada , Female , Health Services , Humans , Life Change Events , SARS-CoV-2
4.
Am J Epidemiol ; 190(11): 2262-2274, 2021 11 02.
Article in English | MEDLINE | ID: covidwho-1517822

ABSTRACT

The prevalence of mental health problems represents a significant burden on school and community health resources as early as preschool. Reducing this burden requires a better understanding of the developmental mechanisms linking children's early vulnerabilities with mental health after the transition to formal schooling. The 3D-Transition Study (2017-2021) follows 939 participants from a pregnancy cohort in the province of Québec, Canada, as they transition to kindergarten and first grade to examine these mechanisms. Biannual assessments include completed questionnaires from 2 parents as well as teachers, parent-child observations, anthropometric measurements, and age-sensitive cognitive assessments. Saliva is also collected on 11 days over a 16-month period in a subsample of 384 participants to examine possible changes in child salivary cortisol levels across the school transition and their role in difficulties observed during the transition. A combination of planned missing-data designs is being implemented to reduce participant burden, where incomplete data are collected without introducing bias after the use of multiple imputation. The 3D-Transition Study will contribute to an evidence-based developmental framework of child mental health from pregnancy to school age. In turn, this framework can help inform prevention programs delivered in health-care settings during pregnancy and in child-care centers, preschools, and schools.


Subject(s)
Epidemiologic Research Design , Mental Health , Prenatal Exposure Delayed Effects , Schools , Stress, Psychological , Adverse Childhood Experiences , Child Development , Child, Preschool , Female , Humans , Hydrocortisone/metabolism , Infant , Life Change Events , Longitudinal Studies , Male , Pregnancy
5.
PLoS One ; 16(10): e0258133, 2021.
Article in English | MEDLINE | ID: covidwho-1463310

ABSTRACT

The conducted qualitative research was aimed at capturing the biggest challenges related to the beginning of the COVID-19 pandemic. The interviews were carried out in March-June (five stages of the research) and in October (the 6th stage of the research). A total of 115 in-depth individual interviews were conducted online with 20 respondents, in 6 stages. The results of the analysis showed that for all respondents the greatest challenges and the source of the greatest suffering were: a) limitation of direct contact with people; b) restrictions on movement and travel; c) necessary changes in active lifestyle; d) boredom and monotony; and e) uncertainty about the future.


Subject(s)
Boredom , COVID-19/epidemiology , COVID-19/psychology , Life Change Events , Pandemics , SARS-CoV-2 , Social Isolation/psychology , Travel/psychology , Uncertainty , Adaptation, Psychological , Adult , COVID-19/virology , Female , Humans , Longitudinal Studies , Male , Middle Aged , Poland/epidemiology , Qualitative Research
6.
J Nerv Ment Dis ; 209(10): 727-733, 2021 10 01.
Article in English | MEDLINE | ID: covidwho-1440682

ABSTRACT

ABSTRACT: The aim of this study was to determine the frequency of anxiety, depression, and irritability symptoms in children during the COVID-19 outbreak and to investigate the associated factors of these symptoms. This study was conducted with 1071 children aged 6 to 17. Results showed that 49.9% of the participants had anxiety symptoms, 29.5% had depression symptoms, and 51.4% had irritability symptoms. Low age was a potential risk factor for anxiety symptoms. Female sex was a potential risk factor for anxiety and depression symptoms. A COVID-19 death in the family or environment was a potential risk factor for depression and irritability symptoms. Exposure to COVID-19 information on television and on the internet was a potential risk factor for anxiety, depression, and irritability symptoms. In conclusion, this study revealed that the COVID-19 outbreak may have serious effects on the mental health of children, and the study highlighted potential risk factors.


Subject(s)
Anxiety/epidemiology , Depression/epidemiology , Irritable Mood , Adolescent , Anxiety/psychology , COVID-19/epidemiology , Child , Cross-Sectional Studies , Depression/psychology , Female , Humans , Internet , Life Change Events , Male , Mass Media , Pandemics , Risk Factors , SARS-CoV-2 , Surveys and Questionnaires , Turkey/epidemiology
7.
Int J Environ Res Public Health ; 18(18)2021 Sep 20.
Article in English | MEDLINE | ID: covidwho-1430873

ABSTRACT

The purpose of this study is to examine the first-year students' experience in college during the COVID-19 pandemic to provide a better understanding of their daily life. Using inductive content analysis, this study examined the characteristics and experiences of students who started college during the COVID-19 period in South Korea. We analyzed 623 pieces of content, using data presented by a total of 81 study subjects. From this analysis, we derived 22 primary keywords, which we divided into eight categories, and then reclassified into three general topics: self-awareness (i.e., self-reflection), activities (i.e., engagement in activities), and resources (i.e., creating relationships or producing results). The results showed that, although first-year college students experienced difficulties in adapting to the COVID-19 situation, they tried to cope with them. Our findings shed light on the experiences of college students who experienced psychological problems during the COVID-19 pandemic and overcame related challenges.


Subject(s)
COVID-19 , Humans , Life Change Events , Pandemics , Republic of Korea , SARS-CoV-2 , Students
8.
Lancet Psychiatry ; 8(10): 929-936, 2021 10.
Article in English | MEDLINE | ID: covidwho-1415873

ABSTRACT

Informal (unpaid) carers are an integral part of all societies and the health and social care systems in the UK depend on them. Despite the valuable contributions and key worker status of informal carers, their lived experiences, wellbeing, and needs have been neglected during the COVID-19 pandemic. In this Health Policy, we bring together a broad range of clinicians, researchers, and people with lived experience as informal carers to share their thoughts on the impact of the COVID-19 pandemic on UK carers, many of whom have felt abandoned as services closed. We focus on the carers of children and young people and adults and older adults with mental health diagnoses, and carers of people with intellectual disability or neurodevelopmental conditions across different care settings over the lifespan. We provide policy recommendations with the aim of improving outcomes for all carers.


Subject(s)
COVID-19/psychology , Caregivers/psychology , Health Policy/legislation & jurisprudence , Health Services Needs and Demand/legislation & jurisprudence , Adolescent , Adult , Aged , Aged, 80 and over , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/virology , Caregivers/economics , Child , Child, Preschool , Female , Health Services Needs and Demand/trends , Humans , Intellectual Disability/epidemiology , Intellectual Disability/psychology , Life Change Events , Male , Mental Disorders/epidemiology , Mental Disorders/psychology , Morbidity/trends , Neurodevelopmental Disorders/epidemiology , Neurodevelopmental Disorders/psychology , SARS-CoV-2/genetics , Social Support , United Kingdom/epidemiology , Young Adult
12.
Disabil Health J ; 14(4): 101120, 2021 10.
Article in English | MEDLINE | ID: covidwho-1240277

ABSTRACT

BACKGROUND: The COVID-19 pandemic has had a significant impact on adults with intellectual disabilities who are dependent on community services. OBJECTIVE: This study explored the experiences of adults with intellectual disabilities from their perspective during the COVID-19 pandemic in South Korea, where most community-based services were suspended. METHODS: We conducted in-depth interviews with 15 adults with intellectual disabilities who lost access to services during COVID-19 pandemic. Inductive thematic analysis was conducted. RESULTS: Five overarching themes emerged: changes in (a) daily life, (b) health behaviors, (c) family relationships, (d) social relationships, and (e) social participation. Most participants experienced the loss of daily routines and healthy behaviors, family conflicts, and social isolation, but they also developed new ways of adapting and finding a new normal. CONCLUSIONS: The findings offer valuable evidence of ways to develop and stabilize community-based services during a pandemic, with insights into the experiences of people with intellectual disabilities.


Subject(s)
COVID-19 , Disabled Persons , Intellectual Disability , Adult , Humans , Life Change Events , Pandemics , Republic of Korea , SARS-CoV-2
13.
BMC Psychol ; 9(1): 83, 2021 May 18.
Article in English | MEDLINE | ID: covidwho-1234565

ABSTRACT

BACKGROUND: The COVID-19 pandemic is a crisis unprecedented in its size and scope. Yet studies of resilience suggest most individuals will successfully negotiate this challenge and some may even experience growth and positive change. Some evidence suggests that the capacity to enact positive change in the face of adversity may be shaped by early life experiences. METHODS: In a subset of 374 participants (57% female, mean age = 29 years) in the Study of Early Child Care and Youth Development (SECCYD), a longitudinal, birth cohort, prospective models were tested to determine whether early life adversities in family and neighborhood contexts predict positive change events in response to the COVID-19 pandemic. Childhood family and neighborhood contexts were assessed using a combination of self-report questionnaires and US Census data. Adulthood positive change events (e.g., becoming more appreciative of things usually taken for granted) were assessed using the Epidemic-Pandemic Impacts Inventory (EPII). RESULTS: In regression analyses, neighborhood disadvantage in childhood, measured both by objective and subjective assessments, predicted a higher number of positive change events in response to the COVID-19 pandemic (ß = .18, p = .004 and ß = .15, p = .006, respectively). Examination of the positive change event subscales showed neighborhood disadvantage in childhood predicted increases in events related to 'perspective taking and charitable giving' (ß = .20, p = .022 and ß = .17, p = .002, respectively) and improved 'social relationships' (ß = .18, p = .004 and ß = .13, p = .020, respectively), but not to positive 'health behaviors' (ps > .05). All associations were independent of sociodemographic factors and childhood family dysfunction. CONCLUSIONS: Findings suggest that neighborhood disadvantage in childhood may shape prosocial responses to stress in adulthood, potentially through early life adaptions to stress that are protective when facing adversity. There are several notable implications of the study findings. Although adversity in early life has clear negative impacts, it is possible that adversity experiences may also provide opportunities to develop adaptive strategies that foster resilience and growth when facing stress. Intervention efforts should consider leveraging such stress-adapted strengths to reduce the many negative impacts of early life adversity.


Subject(s)
COVID-19 , Pandemics , Adolescent , Adult , Child , Female , Humans , Interpersonal Relations , Life Change Events , Male , Prospective Studies , SARS-CoV-2
14.
Can J Psychiatry ; 66(6): 577-585, 2021 06.
Article in English | MEDLINE | ID: covidwho-1231204

ABSTRACT

OBJECTIVES: The co-occurrence of different classes of population-level stressors, such as social unrest and public health crises, is common in contemporary societies. Yet, few studies explored their combined mental health impact. The aim of this study was to examine the impact of repeated exposure to social unrest-related traumatic events (TEs), coronavirus disease 2019 (COVID-19) pandemic-related events (PEs), and stressful life events (SLEs) on post-traumatic stress disorder (PTSD) and depressive symptoms, and the potential mediating role of event-based rumination (rumination of TEs-related anger, injustice, guilt, and insecurity) between TEs and PTSD symptoms. METHODS: Community members in Hong Kong who had utilized a screening tool for PTSD and depressive symptoms were invited to complete a survey on exposure to stressful events and event-based rumination. RESULTS: A total of 10,110 individuals completed the survey. Hierarchical regression analysis showed that rumination, TEs, and SLEs were among the significant predictors for PTSD symptoms (all P < 0.001), accounting for 32% of the variance. For depression, rumination, SLEs, and PEs were among the significant predictors (all P < 0.001), explaining 24.9% of the variance. Two-way analysis of variance of different recent and prior TEs showed significant dose-effect relationships. The effect of recent TEs on PTSD symptoms was potentiated by prior TEs (P = 0.005). COVID-19 PEs and prior TEs additively contributed to PTSD symptoms, with no significant interaction (P = 0.94). Meanwhile, recent TEs were also potentiated by SLEs (P = 0.002). The effects of TEs on PTSD symptoms were mediated by rumination (ß = 0.38, standard error = 0.01, 95% confidence interval: 0.36 to 0.41), with 40.4% of the total effect explained. All 4 rumination subtypes were significant mediators. CONCLUSIONS: Prior and ongoing TEs, PEs, and SLEs cumulatively exacerbated PTSD and depressive symptoms. The role of event-based rumination and their interventions should be prioritized for future research.


Subject(s)
COVID-19 , Depression , Rumination, Cognitive/classification , Stress Disorders, Post-Traumatic , Stress, Psychological , Adult , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19/psychology , Communicable Disease Control/methods , Depression/diagnosis , Depression/epidemiology , Depression/etiology , Female , Hong Kong/epidemiology , Humans , Life Change Events , Male , Mass Screening/methods , Mental Health , Psychological Techniques , Public Health , Risk Assessment , SARS-CoV-2 , Sociological Factors , Stress Disorders, Post-Traumatic/diagnosis , Stress Disorders, Post-Traumatic/epidemiology , Stress Disorders, Post-Traumatic/etiology , Stress, Psychological/epidemiology , Stress, Psychological/etiology , Surveys and Questionnaires
17.
Int J Environ Res Public Health ; 18(9)2021 04 24.
Article in English | MEDLINE | ID: covidwho-1201813

ABSTRACT

This study aimed to explore health risk perceptions, changes in health-related behaviors, and life experiences of mothers with school-age children during the early coronavirus disease (COVID-19) pandemic. Data were collected between 16 July and 10 September 2020, by individual interviews and analyzed through qualitative content analysis. After the twelve participants' experiences were analyzed, four themes and ten sub-themes were derived. The four themes were: "Struggling to identify the substance of COVID-19," "Taking the initiative to protect the health of the family," "Frustrated by the brutal reality of no end in sight," and "Trying to adjust wisely to an inevitable new lifestyle." The findings suggest that while the world remains in an ongoing battle with COVID-19, national health institutions should prepare a health education system for specific infection prevention methods that can be practiced by individuals in daily life.


Subject(s)
COVID-19 , Pandemics , Child , Female , Health Behavior , Humans , Life Change Events , Mothers , Perception , SARS-CoV-2 , Schools
18.
J Trauma Stress ; 33(5): 864-865, 2020 10.
Article in English | MEDLINE | ID: covidwho-1196547

ABSTRACT

A recent study published in the Journal of Traumatic Stress demonstrated that posttraumatic stress disorder (PTSD) rates in Ireland are as high as 17.7% and that this could be related to the COVID-19 pandemic (Karatzias et al., 2020). However, this number is probably skewed, as the fundamental requirement for a PTSD diagnosis-namely, a life-threatening or severely stressful event-was not fulfilled. In this comment, the consideration of COVID-19-related PTSD to represent a diagnosis is questioned based on the definitions of PTSD in the ICD-11 and DSM-5.


Subject(s)
Coronavirus Infections , Pandemics , Pneumonia, Viral , Stress Disorders, Post-Traumatic , Betacoronavirus , COVID-19 , Comorbidity , Humans , Ireland , Life Change Events , SARS-CoV-2 , Stress Disorders, Post-Traumatic/diagnosis , Stress Disorders, Post-Traumatic/epidemiology
20.
Psychiatriki ; 32(1): 79-82, 2021 Apr 19.
Article in English | MEDLINE | ID: covidwho-1148406

ABSTRACT

The COVID-19 outbreak has affected millions of people globally and it also has a huge psychological impact. The objective of this case report is to outline the possible effect of the COVID-19 pandemic to the content of delusions in patients with psychosis. Α 34-year-old male with no history of mental disorder, involuntarily hospitalized due to agitation and aggression towards others, experienced grandiose delusions, referential delusions and delusions of passivity. The content of all his delusions was related to the COVID-19 pandemic. His symptoms were not proven to be caused by any physical condition or substance use disorder. He was prescribed olanzapine 10mg bd and lorazepam 2,5mg td and demonstrated significant improvement with a complete subsidence of his symptoms within a week. He was discharged after a total of 13 days with an ICD-10 diagnosis of brief psychotic disorder. At his 6 months follow-up, he reported no psychiatric symptoms. Existing literature indicates a strong relationship between life experiences and the content of delusions. This case report highlights how the stressful life event of the COVID-19 outbreak affected the content of our patient's delusions.


Subject(s)
COVID-19/psychology , Delusions/psychology , Pandemics , Psychotic Disorders/psychology , Adult , Aggression , Anti-Anxiety Agents/therapeutic use , Antipsychotic Agents/therapeutic use , Delusions/drug therapy , Humans , Involuntary Commitment , Life Change Events , Lorazepam/therapeutic use , Male , Olanzapine/therapeutic use , Psychomotor Agitation , Psychotic Disorders/drug therapy , Stress, Psychological/complications , Stress, Psychological/psychology
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