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1.
J Occup Environ Med ; 62(10): 783-787, 2020 10.
Artículo en Inglés | MEDLINE | ID: covidwho-1105012

RESUMEN

OBJECTIVE: To describe nurses' mental health status during the Covid-19 outbreak and to explore the factors that might accentuate the negative consequences on their mental health. METHODS: We conducted an online survey to evaluate demographic variables, working conditions, family dynamics, and mental health variables in nurses working in healthcare settings, in Portugal, during the Covid-19 outbreak. RESULTS: Portuguese nurses presented higher depression, anxiety and stress levels, when compared to the Portuguese general population, during the outbreak. Overall, nurses who did not consider the quantity and quality of personal protective equipment as adequate presented significantly higher levels of depression, anxiety, and stress. CONCLUSIONS: Our results suggest that nurses' mental health status seems to be particularly affected by the Covid-19 outbreak and that some modifiable elements might accentuate the impacts on their mental health.


Asunto(s)
Infecciones por Coronavirus/enfermería , Brotes de Enfermedades/estadística & datos numéricos , Salud Mental , Personal de Enfermería en Hospital/psicología , Estrés Laboral/epidemiología , Neumonía Viral/enfermería , Factores de Edad , Ansiedad/epidemiología , Ansiedad/fisiopatología , Infecciones por Coronavirus/epidemiología , Estudios Transversales , Depresión/epidemiología , Depresión/fisiopatología , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Estrés Laboral/prevención & control , Pandemias , Neumonía Viral/epidemiología , Portugal , Prevalencia , Factores Sexuales
2.
PLoS One ; 16(2): e0247280, 2021.
Artículo en Inglés | MEDLINE | ID: covidwho-1102383

RESUMEN

BACKGROUND: The long-term clinical and physiological consequences of COVID-19 infection remain unclear. While fatigue has emerged as a common symptom following infection, little is known about its links with autonomic dysfunction. SARS-CoV-2 is known to infect endothelial cells in acute infection, resulting in autonomic dysfunction. Here we set out to test the hypothesis that this results in persistent autonomic dysfunction and is associated with post-COVID fatigue in convalescent patients. METHODS: We recruited 20 fatigued and 20 non-fatigued post-COVID patients (median age 44.5 years, 36/40 (90%) female, median time to follow up 166.5 days). Fatigue was assessed using the Chalder Fatigue Scale. These underwent the Ewing's autonomic function test battery, including deep breathing, active standing, Valsalva manoeuvre and cold-pressor testing, with continuous electrocardiogram and blood pressure monitoring, as well as near-infrared spectroscopy-based cerebral oxygenation. 24-hour ambulatory blood pressure monitoring was also conducted, and patients completed the generalised anxiety disorder-7 questionnaire. We assessed between-group differences in autonomic function test results and used unadjusted and adjusted linear regression to investigate the relationship between fatigue, anxiety, and autonomic test results. RESULTS: We found no pathological differences between fatigued and non-fatigued patients on autonomic testing or on 24-hour blood pressure monitoring. Symptoms of orthostatic intolerance were reported by 70% of the fatigued cohort at the time of active standing, with no associated physiological abnormality detected. Fatigue was strongly associated with increased anxiety (p <0.001), with no patients having a pre-existing diagnosis of anxiety. CONCLUSIONS: These results demonstrate the significant burden of fatigue, symptoms of autonomic dysfunction and anxiety in the aftermath of COVID-19 infection, but reassuringly do not demonstrate pathological findings on autonomic testing.


Asunto(s)
/patología , Ansiedad/fisiopatología , Sistema Nervioso Autónomo/patología , Presión Sanguínea , /psicología , Electrocardiografía , Fatiga/fisiopatología , Frecuencia Cardíaca , Humanos , Persona de Mediana Edad
3.
Arch Pediatr ; 28(2): 136-140, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: covidwho-1064842

RESUMEN

OBJECTIVES: Besides infectious pneumonia and death risks, the COVID-19 pandemic has prompted negative psychological impacts on communities, especially on people with chronic diseases. We aimed to evaluate COVID-19 and sickle cell disease (SCD)-related experiences, and the clinical course during the outbreak, to measure anxiety levels of adolescent and young adult patients with homozygous SCD, to analyze the correlations between their COVID-19 experiences and anxiety levels and painful episodes. METHODS: In this cross-sectional study, 47 patients aged between 14 and 24 years responded to a descriptive instrument and the State-Trait Anxiety Inventory. Clinical features requiring hospitalization for the same period (between March 10 and May 10) of two sequential years were compared. RESULTS: Sixty-six percent of the patients had at least one negative COVID-19 experience of dizziness, sleep disturbance, tonic immobility, appetite loss or nausea/abdominal distress. The number of negative COVID-19 experiences was correlated with the state anxiety score, the trait anxiety score, and the number of painful episodes (ρ=0.552, P<0.001; ρ=0.529, P<0.001; ρ=0.448, P=0.002, respectively). Both median state anxiety and trait anxiety scores were below the cut-off scores indicating significant clinical symptoms. The number of hospitalizations requiring vaso-occlusive crisis management and blood/exchange transfusion were similar for the same period of two sequential years, 2019 and 2020. CONCLUSION: These descriptive and correlation findings are the first reported on COVID-19-related anxiety in SCD patients. To develop screening and support strategies for mental health needs in pandemic times, further SCD studies should be conducted.


Asunto(s)
Anemia de Células Falciformes/psicología , Ansiedad/etiología , /psicología , Adolescente , Anemia de Células Falciformes/fisiopatología , Ansiedad/diagnóstico , Ansiedad/fisiopatología , Estudios Transversales , Progresión de la Enfermedad , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Escalas de Valoración Psiquiátrica , Turquia , Adulto Joven
4.
Soc Work Public Health ; 36(2): 194-204, 2021 02 17.
Artículo en Inglés | MEDLINE | ID: covidwho-1015143

RESUMEN

This study aims to determine the effect on depression of elderly people's anxiety levels in quarantine during the COVID-19 pandemic. This is a descriptive study, in which data were collected using the online survey method, an introductory information form, a semistructured data form for COVID-19, the Trait Anxiety Inventory, and the Geriatric Depression Scale. Data were collected during the period when a curfew was imposed for the elderly. Data were analyzed using a structural equation model. According to the structural equation model, anxiety was determined as a predictor of depression. The anxiety levels of the elderly who were 65-74 years old, female, single; had insufficient knowledge about the pandemic; and had not encountered a similar outbreak before considered that family relationships were affected negatively so they became lonely and reported that they became bored, exhausted, and distressed during the pandemic, which increased their depression levels. Anxiety affects depression in the elderly. Therefore, it is recommended to provide them with appropriate psychological support interventions and understandable information about the pandemic so that their anxiety and depression levels can be reduced during the pandemic.


Asunto(s)
Ansiedad/fisiopatología , Ansiedad/psicología , Depresión , Cuarentena/psicología , Anciano , Bases de Datos Factuales , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Salud Mental , Pandemias , Índice de Severidad de la Enfermedad , Distribución por Sexo
5.
Epilepsy Behav ; 112: 107396, 2020 11.
Artículo en Inglés | MEDLINE | ID: covidwho-745902

RESUMEN

BACKGROUND: The aim of this study was to have a better understanding of the influence of the coronavirus disease 2019 (COVID-19) pandemic in people with epilepsy (PWE) and to assess whether there have been changes in seizure control during the current COVID-19 outbreak, exploring the possible causes thereof. METHODS: This is an observational, retrospective study based on prospective data collection of 100 successive patients who attended an epilepsy outpatient clinic either face-to-face or telephonically during the months of the COVID-19 outbreak and national state of emergency. RESULTS: One hundred patients were included, 52% women, mean age 42.4 years. During the COVID-19 period, 27% of the patients presented an increase of >50% of seizure frequency. An increase of stress/anxiety (odds ratios (OR): 5.78; p = 0.008) and a prior higher seizure frequency (OR: 12.4; p = 0.001) were associated with worsening of seizures. Other risk factors were exacerbation of depression, sleep deprivation, less physical activity, and history of epilepsy surgery. Three patients had status epilepticus (SE) and one a cluster of seizures. Likewise, 9% of patients improved their seizure control. Reduction in stress/anxiety (OR: 0.05; p = 0.03) and recent adjustment of antiepileptics (OR: 0.07; p = 0.01) acted as protecting factors. CONCLUSIONS: A high proportion of PWE suffered a significant worsening of their seizure control during the months of the COVID-19 pandemic. Emotional distress due to home confinement was the main factor for the change in seizure control. Promoting physical activity and adequate sleep may minimize the potential impact of the pandemic in PWE. Ensuring correct follow-up can prevent decompensation in those PWE at high risk.


Asunto(s)
Anticonvulsivantes/uso terapéutico , Ansiedad/fisiopatología , Infecciones por Coronavirus , Epilepsia/fisiopatología , Pandemias , Neumonía Viral , Estrés Psicológico/fisiopatología , Adolescente , Adulto , Ansiedad/psicología , Betacoronavirus , Depresión/fisiopatología , Depresión/psicología , Progresión de la Enfermedad , Epilepsia/tratamiento farmacológico , Epilepsia/psicología , Ejercicio Físico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Recurrencia , Sistema de Registros , Estudios Retrospectivos , Factores de Riesgo , Convulsiones/fisiopatología , Privación de Sueño/fisiopatología , España , Estado Epiléptico/fisiopatología , Estrés Psicológico/psicología
6.
Thorac Cancer ; 11(10): 2983-2986, 2020 10.
Artículo en Inglés | MEDLINE | ID: covidwho-713354

RESUMEN

The current coronavirus disease 2019 (COVID-19) pandemic is associated with a heavy burden on the mental and physical health of patients, regional healthcare resources, and global economic activity. Many patients with lung cancer are thought to be affected by this situation. Therefore, in this study, we aimed to evaluate the impact of COVID-19 pandemic on lung cancer treatment scheduling. We retrospectively reviewed the medical records of lung cancer patients who were undergoing anticancer treatment at the National Hospital Organization Kyoto Medical Center (600 beds) in Kyoto, Japan, between 1 March 2020 and 31 May 2020. After the medical records were reviewed, the patients were assigned to one of two groups, depending on whether their lung cancer treatment schedule was delayed. We assessed the characteristics, types of histopathology and treatment, and the reason for the delay. A total 15 (9.1%) patients experienced a delay in lung cancer treatment during the COVID-19 pandemic. Patients with a treatment delay received significantly more immune checkpoint inhibitor (ICI) monotherapy than patients without a treatment delay (P = 0.0057). On the contrary, no patients receiving molecular targeted agents experienced a treatment delay during the COVID-19 pandemic period (P = 0.0027). The treatments of most of the patients were delayed at their request. We determined that 9.1% lung cancer patients suffered anxiety and requested a treatment delay during the COVID-19 pandemic. Oncologists should bear in mind that patients with cancer have more anxiety than expected under unprecedented circumstances such as the COVID-19 pandemic.


Asunto(s)
Ansiedad/psicología , Infecciones por Coronavirus/psicología , Neoplasias Pulmonares/psicología , Neumonía Viral/psicología , Tiempo de Tratamiento , Anciano , Anciano de 80 o más Años , Ansiedad/fisiopatología , Betacoronavirus/patogenicidad , Protocolos Clínicos , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/fisiopatología , Infecciones por Coronavirus/virología , Femenino , Investigación sobre Servicios de Salud , Humanos , Japón , Pulmón/fisiopatología , Pulmón/virología , Neoplasias Pulmonares/complicaciones , Neoplasias Pulmonares/fisiopatología , Neoplasias Pulmonares/virología , Masculino , Registros Médicos , Pandemias , Neumonía Viral/complicaciones , Neumonía Viral/fisiopatología , Neumonía Viral/virología , Estudios Retrospectivos
7.
Chronobiol Int ; 37(8): 1191-1200, 2020 08.
Artículo en Inglés | MEDLINE | ID: covidwho-651385

RESUMEN

COVID-19 has brought the world into uncharted waters. Many countries are under lockdown, the economy has ground to a halt, and almost everyone is afraid of dire consequences. The unprecedented changes that came on so quickly due to the pandemic and stay-at-home confinement to accomplish social distancing and mitigate risk for infection pose many challenges. These include compromised health, well-being, and sleep as a consequence of disruption of the daily life routine, anxiety, worry, isolation, greater family and work stress, and excessive screen time. Our study of 203 corporate sector professionals performing '9-5' work from home during this phase of the pandemic and of 325 undergraduate and postgraduate university students substantiates, relative to the before lockdown condition, more extensive feelings of sleepiness, with significantly (p < .05) increased daytime nap duration, and depressive symptomatology (p < .001) that is a matter of concern. Moreover, the chronic stress of living through a pandemic led to a host of physical symptoms, like headaches, insomnia, digestive problems, hormonal imbalances, and fatigue.


Asunto(s)
Ansiedad/fisiopatología , Betacoronavirus , Ritmo Circadiano/fisiología , Infecciones por Coronavirus/fisiopatología , Depresión/etiología , Dolor Nociceptivo/fisiopatología , Dolor/etiología , Neumonía Viral/fisiopatología , Trastornos del Sueño-Vigilia/etiología , Betacoronavirus/patogenicidad , Infecciones por Coronavirus/virología , Femenino , Humanos , India , Masculino , Pandemias , Neumonía Viral/virología , Sueño/fisiología , Estudiantes
8.
J Intensive Care Med ; 35(8): 818-824, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: covidwho-634271

RESUMEN

It has been well known for decades that prone positioning (PP) improves oxygenation. However, it has gained widespread acceptance only in the last few years since studies have shown significant survival benefit. Many centers have established prone ventilation in their treatment algorithm for mechanically ventilated patients with severe acute respiratory distress syndrome (ARDS). Physiologically, PP should also benefit awake, non-intubated patients with acute hypoxemic respiratory failure. However, proning in non-intubated (PINI) patients did not gain any momentum until a few months ago when the Coronavirus disease 2019 (COVID-19) pandemic surged. A large number of sick patients overwhelmed the health care system, and many centers faced a dearth of ventilators. In addition, outcomes of patients placed on mechanical ventilation because of COVID-19 infection have been highly variable and often dismal. Hence, increased focus has shifted to using various strategies to prevent intubation, such as PINI. There is accumulating evidence that PINI is a low-risk intervention that can be performed even outside intensive care unit with minimal assistance and may prevent intubation in certain patients with ARDS. It can also be performed safely at smaller centers and, therefore, may reduce the patient transfer to larger institutions that are overwhelmed in the current crisis. We present a case series of 2 patients with acute hypoxemic respiratory failure who experienced significant improvements in oxygenation with PP. In addition, the physiology of PP is described, and concerns such as proning in obese and patient's anxiety are addressed; an educational pamphlet that may be useful for both patients and health care providers is provided.


Asunto(s)
Ansiedad , Infecciones por Coronavirus , Obesidad , Pandemias , Posicionamiento del Paciente/métodos , Neumonía Viral , Posición Prona/fisiología , Insuficiencia Respiratoria , Adulto , Ansiedad/fisiopatología , Ansiedad/prevención & control , Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/metabolismo , Infecciones por Coronavirus/fisiopatología , Infecciones por Coronavirus/terapia , Humanos , Hipoxia/etiología , Hipoxia/terapia , Masculino , Obesidad/epidemiología , Obesidad/fisiopatología , Consumo de Oxígeno , Terapia por Inhalación de Oxígeno/métodos , Neumonía Viral/diagnóstico por imagen , Neumonía Viral/epidemiología , Neumonía Viral/etiología , Neumonía Viral/metabolismo , Neumonía Viral/fisiopatología , Neumonía Viral/psicología , Neumonía Viral/terapia , Respiración Artificial/métodos , Insuficiencia Respiratoria/etiología , Insuficiencia Respiratoria/fisiopatología , Insuficiencia Respiratoria/psicología , Insuficiencia Respiratoria/terapia , Resultado del Tratamiento
9.
JAMA Netw Open ; 3(7): e2014053, 2020 07 01.
Artículo en Inglés | MEDLINE | ID: covidwho-627105

RESUMEN

Importance: People exposed to coronavirus disease 2019 (COVID-19) and a series of imperative containment measures could be psychologically stressed, yet the burden of and factors associated with mental health symptoms remain unclear. Objective: To investigate the prevalence of and risk factors associated with mental health symptoms in the general population in China during the COVID-19 pandemic. Design, Setting, and Participants: This large-sample, cross-sectional, population-based, online survey study was conducted from February 28, 2020, to March 11, 2020. It involved all 34 province-level regions in China and included participants aged 18 years and older. Data analysis was performed from March to May 2020. Main Outcomes and Measures: The prevalence of symptoms of depression, anxiety, insomnia, and acute stress among the general population in China during the COVID-19 pandemic was evaluated using the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Insomnia Severity Index, and Acute Stress Disorder Scale. Logistic regression analyses were used to explore demographic and COVID-19-related risk factors. Results: Of 71 227 individuals who clicked on the survey link, 56 932 submitted the questionnaires, for a participation rate of 79.9%. After excluding the invalid questionnaires, 56 679 participants (mean [SD] age, 35.97 [8.22] years; 27 149 men [47.9%]) were included in the study; 39 468 respondents (69.6%) were aged 18 to 39 years. During the COVID-19 pandemic, the rates of mental health symptoms among the survey respondents were 27.9% (95% CI, 27.5%-28.2%) for depression, 31.6% (95% CI, 31.2%-32.0%) for anxiety, 29.2% (95% CI, 28.8%-29.6%) for insomnia, and 24.4% (95% CI, 24.0%-24.7%) for acute stress. Participants with confirmed or suspected COVID-19 and their family members or friends had a high risk for symptoms of depression (adjusted odds ratios [ORs], 3.27 [95% CI, 1.84-5.80] for patients; 1.53 [95% CI, 1.26-1.85] for family or friends), anxiety (adjusted ORs, 2.48 [95% CI, 1.43-4.31] for patients; 1.53 [95% CI, 1.27-1.84] for family or friends), insomnia (adjusted ORs, 3.06 [95% CI, 1.73-5.43] for patients; 1.62 [95% CI, 1.35-1.96] for family or friends), and acute stress (adjusted ORs, 3.50 [95% CI, 2.02-6.07] for patients; 1.77 [95% CI, 1.46-2.15] for family or friends). Moreover, people with occupational exposure risks and residents in Hubei province had increased odds of symptoms of depression (adjusted ORs, 1.96 [95% CI, 1.77-2.17] for occupational exposure; 1.42 [95% CI, 1.19-1.68] for Hubei residence), anxiety (adjusted ORs, 1.93 [95% CI, 1.75-2.13] for occupational exposure; 1.54 [95% CI, 1.30-1.82] for Hubei residence), insomnia (adjusted ORs, 1.60 [95% CI, 1.45-1.77] for occupational exposure; 1.20 [95% CI, 1.01-1.42] for Hubei residence), and acute stress (adjusted ORs, 1.98 [95% CI, 1.79-2.20] for occupational exposure; 1.49 [95% CI, 1.25-1.79] for Hubei residence). Both centralized quarantine (adjusted ORs, 1.33 [95% CI, 1.10-1.61] for depression; 1.46 [95% CI, 1.22-1.75] for anxiety; 1.63 [95% CI, 1.36-1.95] for insomnia; 1.46 [95% CI, 1.21-1.77] for acute stress) and home quarantine (adjusted ORs, 1.30 [95% CI, 1.25-1.36] for depression; 1.28 [95% CI, 1.23-1.34] for anxiety; 1.24 [95% CI, 1.19-1.30] for insomnia; 1.29 [95% CI, 1.24-1.35] for acute stress) were associated with the 4 negative mental health outcomes. Being at work was associated with lower risks of depression (adjusted OR, 0.85 [95% CI, 0.79-0.91]), anxiety (adjusted OR, 0.92 [95% CI, 0.86-0.99]), and insomnia (adjusted OR, 0.87 [95% CI, 0.81-0.94]). Conclusions and Relevance: The results of this survey indicate that mental health symptoms may have been common during the COVID-19 outbreak among the general population in China, especially among infected individuals, people with suspected infection, and people who might have contact with patients with COVID-19. Some measures, such as quarantine and delays in returning to work, were also associated with mental health among the public. These findings identify populations at risk for mental health problems during the COVID-19 pandemic and may help in implementing mental health intervention policies in other countries and regions.


Asunto(s)
Ansiedad , Infecciones por Coronavirus , Depresión , Pandemias , Neumonía Viral , Trastornos del Inicio y del Mantenimiento del Sueño , Estrés Psicológico , Adulto , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/fisiopatología , Betacoronavirus/aislamiento & purificación , China/epidemiología , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Depresión/diagnóstico , Depresión/epidemiología , Depresión/fisiopatología , Femenino , Humanos , Masculino , Salud Mental/estadística & datos numéricos , Escala del Estado Mental/estadística & datos numéricos , Neumonía Viral/diagnóstico , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Prevalencia , Cuarentena/psicología , Reinserción al Trabajo/psicología , Factores de Riesgo , Trastornos del Inicio y del Mantenimiento del Sueño/diagnóstico , Trastornos del Inicio y del Mantenimiento del Sueño/epidemiología , Trastornos del Inicio y del Mantenimiento del Sueño/fisiopatología , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología , Estrés Psicológico/fisiopatología
10.
Acta Obstet Gynecol Scand ; 99(7): 848-855, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-589406

RESUMEN

INTRODUCTION: Prenatal maternal distress has a negative impact on the course of pregnancy, fetal development, offspring development, and later psychopathologies. The study aimed to determine the extent to which the coronavirus disease 2019 (COVID-19) pandemic may aggravate the prenatal distress and psychiatric symptomatology of pregnant women. MATERIAL AND METHODS: Two cohorts of pregnant volunteer women were evaluated, one that was recruited before the COVID-19 pandemic (n = 496) through advertisements in prenatal clinics in Quebec, Canada, from April 2018 to March 2020; the other (n = 1258) was recruited online during the pandemic from 2 April to 13 April 2020. Prenatal distress and psychiatric symptomatology were measured with the Kessler Distress Scale (K10), Post-traumatic Checklist for DSM-5 (PCL-5), Dissociative Experiences Scale (DES-II), and Positive and Negative Affect Schedule (PANAS). RESULTS: The 1754 pregnant women (Mage  = 29.27, SD = 4.23) were between 4 and 41 gestational weeks (M = 24.80, SD = 9.42), were generally educated (91.3% had post-high-school training), and financially well-resourced (85.3% were above the low-income cut-off). A multivariate analysis of covariance controlling for age, gestational age, household income, education, and lifetime psychiatric disorders showed a large effect size (ES) in the difference between the two cohorts on psychiatric symptoms (Wilks' λ = 0.68, F6,1400  = 108.50, P < .001, partial η2  = 0.32). According to post-hoc analyses of covariance, the COVID-19 women reported higher levels of depressive and anxiety symptoms (ES = 0.57), dissociative symptoms (ES = 0.22 and ES = 0.25), symptoms of post-traumatic stress disorder (ES = 0.19), and negative affectivity (ES = 0.96), and less positive affectivity (ES = 0.95) than the pre-COVID-19 cohort. Women from the COVID-19 cohort were more likely than pre-COVID-19 women to present clinically significant levels of depressive and anxiety symptoms (OR = 1.94, χ2 [1] = 10.05, P = .002). Multiple regression analyses indicated that pregnant women in the COVID-19 cohort having a previous psychiatric diagnosis or low income would be more prone to elevated distress and psychiatric symptoms. CONCLUSIONS: Pregnant women assessed during the COVID-19 pandemic reported more distress and psychiatric symptoms than pregnant women assessed before the pandemic, mainly in the form of depression and anxiety symptoms. Given the harmful consequences of prenatal distress on mothers and offspring, the presently observed upsurge of symptoms in pregnant women calls for special means of clinical surveillance.


Asunto(s)
Ansiedad , Infecciones por Coronavirus , Depresión , Pandemias , Neumonía Viral , Complicaciones del Embarazo , Mujeres Embarazadas/psicología , Estrés Psicológico , Adulto , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/etiología , Ansiedad/fisiopatología , Betacoronavirus/aislamiento & purificación , Canadá/epidemiología , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Depresión/diagnóstico , Depresión/epidemiología , Depresión/etiología , Depresión/fisiopatología , Femenino , Humanos , Neumonía Viral/diagnóstico , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Embarazo , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/epidemiología , Complicaciones del Embarazo/fisiopatología , Complicaciones del Embarazo/psicología , Escalas de Valoración Psiquiátrica , Trastornos por Estrés Postraumático/etiología , Trastornos por Estrés Postraumático/prevención & control , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología , Estrés Psicológico/etiología , Estrés Psicológico/fisiopatología
11.
Psychol Trauma ; 12(S1): S255-S257, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: covidwho-401603

RESUMEN

In this commentary we discuss a downstream consequence of increases in stress and anxiety during the COVID-19 pandemic. Stress and anxiety can lead to mind wandering, which in turn competes for limited cognitive resources. We encourage researchers to be understanding and patient concerning the inevitable cognitive impact of the pandemic and subsequent reduced productivity levels from our students, colleagues, and ourselves. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Ansiedad/fisiopatología , Atención/fisiología , Disfunción Cognitiva/fisiopatología , Infecciones por Coronavirus , Función Ejecutiva/fisiología , Pandemias , Neumonía Viral , Psicoterapia , Estrés Psicológico/fisiopatología , Adulto , Eficiencia , Humanos , Atención Plena , Estudiantes , Universidades , Adulto Joven
15.
Int J Soc Psychiatry ; 66(5): 504-511, 2020 08.
Artículo en Inglés | MEDLINE | ID: covidwho-209474

RESUMEN

BACKGROUND: The COVID-19 pandemic is having negative effects on societies' mental health. Both the pandemic and the measures taken to combat it can affect individuals' mental health. AIMS: The purpose of this study was to evaluate the levels of depression, anxiety and health anxiety in Turkish society during the COVID-19 pandemic, and to examine the factors affecting these. METHOD: The study was performed using an online questionnaire. Participants were asked to complete a sociodemographic data form, the Hospital Anxiety and Depression Scale (HADS) and the Health Anxiety Inventory (HAI). The effects on depression, anxiety and health anxiety levels of factors such as age, sex, marital status, living with an individual aged above 60, the presence of a new Coronavirus+ patient among friends or relatives, previous and current psychiatric illness and presence of accompanying chronic disease were then investigated. RESULTS: In terms of HADS cut-off points, 23.6% (n = 81) of the population scored above the depression cut-off point, and 45.1% (n = 155) scored above the cut-off point for anxiety. In regression analysis, female gender, living in urban areas and previous psychiatric illness history were found as risk factors for anxiety; living in urban areas was found as risk factor for depression; and female gender, accompanying chronic disease and previous psychiatric history were found as risk factors for health anxiety. CONCLUSION: The results of this cross-sectional study suggest that the groups most psychologically affected by the COVID-19 pandemic are women, individuals with previous psychiatric illness, individuals living in urban areas and those with an accompanying chronic disease. Priority might therefore be attached to these in future psychiatric planning.


Asunto(s)
Ansiedad , Infecciones por Coronavirus , Depresión , Trastornos Mentales/epidemiología , Pandemias , Neumonía Viral , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/fisiopatología , Actitud Frente a la Salud , Betacoronavirus , Causalidad , Comorbilidad , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Estudios Transversales , Depresión/diagnóstico , Depresión/epidemiología , Depresión/fisiopatología , Femenino , Humanos , Masculino , Salud Mental/estadística & datos numéricos , Persona de Mediana Edad , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Factores de Riesgo , Autoevaluación , Factores Sexuales , Factores Socioeconómicos , Encuestas y Cuestionarios , Turquia/epidemiología , Población Urbana
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