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1.
J Nerv Ment Dis ; 209(4): 244-245, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: covidwho-1150029

RESUMEN

ABSTRACT: The outbreak of the coronavirus is becoming an international crisis these days, overshadowing everything. The outbreak of this disease in different countries, including Iran, has caused a lot of concern. In addition to the dangers it poses to human health, the spread of the virus has become a major challenge and a stressful test, putting additional pressure on these countries. Every step in the coming school year offers an opportunity for an ongoing two-way conversation with your child. Listen carefully to what they say and be careful not to burden them with your fears. Giving voice to concerns means sharing them so no one is holding their worries alone, and remember, kids' development is fluid and many kids can make up for lost time, academically and socially. Humans are resilient. Therefore, if schools do not open - or close their doors - it is important to be hopeful and positive about the future, despite everything that is currently being missed or delayed, whether academic or social.


Asunto(s)
Ansiedad/prevención & control , Instituciones Académicas , Estrés Psicológico/prevención & control , Ansiedad/psicología , Niño , Brotes de Enfermedades , Humanos , Irán/epidemiología , Relaciones Padres-Hijo , Estrés Psicológico/psicología
2.
BMC Pregnancy Childbirth ; 21(1): 208, 2021 Mar 15.
Artículo en Inglés | MEDLINE | ID: covidwho-1136217

RESUMEN

BACKGROUND: Pregnancy is a risk factor for coronavirus disease 2019 (COVID-19). Pregnant women suffer from varying levels of pregnancy-related anxiety (PRA) which can negatively affect pregnancy outcomes. The aim of this study was to assess PRA and its associated factors during the COVID-19 pandemic. METHODS: This web-based cross-sectional study was conducted in 2020 on 318 pregnant women purposively recruited from primary healthcare centers in Sari and Amol, Iran. Data were collected using questionnaires (PRAQ, Edinburg, KAP of COVID-19, CDA-Q and Demographic questionnaire), which were provided to participants through the social media or were completed for them over telephone. Data were analyzed with the linear regression and the logistic regression analysis, at the significance level of 0.05 using the SPSS software (v. 21). RESULTS: Around 21% of participants had PRA, 42.1% had depression, and 4.4% had COVID-19 anxiety. The significant predictors of PRA were number of pregnancies (P = 0.008), practice regarding COVID-19 (P < 0.001), COVID-19 anxiety (P < 0.001), depression (P < 0.001), and social support (P = 0.025) which explained 19% of the total variance. Depression and COVID-19 anxiety increased the odds of PRA by respectively four times and 13%, while good practice regarding COVID-19 decreased the odds by 62%. CONCLUSION: Around 21% of pregnant women suffer from PRA during the COVID-19 pandemic and the significant predictors of PRA during the pandemic include number of pregnancies, practice regarding COVID-19, COVID-19 anxiety, depression, and social support. These findings can be used to develop appropriate strategies for the management of mental health problems during pregnancy in the COVID-19 pandemic.


Asunto(s)
Ansiedad , Complicaciones del Embarazo , Atención Primaria de Salud , Apoyo Social , Adulto , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/prevención & control , /prevención & control , Estudios Transversales , Depresión/diagnóstico , Depresión/epidemiología , Femenino , Humanos , Irán/epidemiología , Evaluación de Necesidades , Embarazo , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/epidemiología , Complicaciones del Embarazo/prevención & control , Complicaciones del Embarazo/psicología , Mujeres Embarazadas/psicología , Atención Primaria de Salud/métodos , Atención Primaria de Salud/normas , Atención Primaria de Salud/tendencias , Factores de Riesgo , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología
3.
Eur Psychiatry ; 64(1): e20, 2021 03 09.
Artículo en Inglés | MEDLINE | ID: covidwho-1123674

RESUMEN

BACKGROUND: Public health measures to curb SARS-CoV-2 transmission rates may have negative psychosocial consequences in youth. Digital interventions may help to mitigate these effects. We investigated the associations between social isolation, COVID-19-related cognitive preoccupation, worries, and anxiety, objective social risk indicators, and psychological distress, as well as use of, and attitude toward, mobile health (mHealth) interventions in youth. METHODS: Data were collected as part of the "Mental Health And Innovation During COVID-19 Survey"-a cross-sectional panel study including a representative sample of individuals aged 16-25 years (N = 666; Mage = 21.3; assessment period: May 5, 2020 to May 16, 2020). RESULTS: Overall, 38% of youth met criteria for moderate or severe psychological distress. Social isolation worries and anxiety, and objective risk indicators were associated with psychological distress, with evidence of dose-response relationships for some of these associations. For instance, psychological distress was progressively more likely to occur as levels of social isolation increased (reporting "never" as reference group: "occasionally": adjusted odds ratio [aOR] 9.1, 95% confidence interval [CI] 4.3-19.1, p < 0.001; "often": aOR 22.2, CI 9.8-50.2, p < 0.001; "very often": aOR 42.3, CI 14.1-126.8, p < 0.001). There was evidence that psychological distress, worries, and anxiety were associated with a positive attitude toward using mHealth interventions, whereas psychological distress, worries, and anxiety were associated with actual use. CONCLUSIONS: Public health measures during pandemics may be associated with poor mental health outcomes in youth. Evidence-based digital interventions may help mitigate the negative psychosocial impact without risk of viral infection given there is an objective need and subjective demand.


Asunto(s)
Intervención basada en la Internet/estadística & datos numéricos , Salud Mental , Cuarentena , Aislamiento Social/psicología , Estrés Psicológico , Ansiedad/prevención & control , Ansiedad/psicología , /prevención & control , Estudios Transversales , Femenino , Alemania/epidemiología , Humanos , Masculino , Cuarentena/métodos , Cuarentena/psicología , Estrés Psicológico/etiología , Estrés Psicológico/prevención & control , Telemedicina/métodos , Adulto Joven
5.
J Nurs Adm ; 51(3): 156-161, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: covidwho-1078884

RESUMEN

OBJECTIVE: The purpose of this study was to test the effectiveness of a daylong resilience retreat on healthcare professionals' anxiety levels, intention to engage in mindfulness practices, and self-efficacy around mindfulness. BACKGROUND: Caregiver burnout is a concern that needs to be addressed at the organizational level so that professionals can reduce their risk of psychological injury while providing high-quality care. The COVID-19 (novel coronavirus) pandemic has exacerbated symptoms of burnout among nurses nationally. METHODS: Ten sessions of daylong resilience retreats were delivered to independent groups of nurses, nurse practitioners, and other healthcare professionals. Preretreat and postretreat assessments were completed using a 19-item survey developed by the research team to assess state anxiety, intention to engage in mindfulness practices, and self-efficacy around mindfulness. RESULTS: One hundred six healthcare professionals completed the resilience retreats. There was a statistically significant decrease in state anxiety scores following the retreat. The majority of the participants reported high intentions to engage in mindfulness practices and felt confident about incorporating mindfulness in their lives. CONCLUSIONS: Brief resilience retreats endorsed by nurse leadership can reduce perceived anxiety and facilitate engagement in contemplative practices, which are associated with a decrease in the risk of burnout.


Asunto(s)
Ansiedad/prevención & control , Agotamiento Profesional/psicología , /psicología , Atención Plena , Atención de Enfermería/psicología , Personal de Enfermería en Hospital/psicología , Adulto , Agotamiento Profesional/prevención & control , Femenino , Humanos , Liderazgo , Masculino , Persona de Mediana Edad , Enfermeras Administradoras/psicología , Pandemias , Resiliencia Psicológica , Estados Unidos
6.
BMC Pregnancy Childbirth ; 21(1): 80, 2021 Jan 25.
Artículo en Inglés | MEDLINE | ID: covidwho-1067204

RESUMEN

BACKGROUND: Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context. METHODS: Pregnant subjects' KAP towards COVID-19 and their sociodemographics and pregnancy information were collected using questionnaires. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Factors associated with the level of prenatal anxiety were analyzed by Pearson's chi-square test and multivariable logistic regression analyses. RESULTS: The prenatal anxiety prevalence in this population was 20.8%. The mean score of knowledge was 13.2 ± 1.1 on a 0 ~ 14 scale. The attitudes and practices data showed that 580/ 817 (71.0%) were very concerned about the news of COVID-19, 455/817 (55.7%) considered the official media to be the most reliable information source for COVID-19, and 681/817 (83.4%) were anxious about the possibility of being infected by COVID-19. However, only 83/817 (10.2%) worried about contracting COVID-19 infection through the ultrasound transducer during a routing morphology scan. About two-thirds 528/817 (64.6%) delayed or canceled the antenatal visits. Approximately half of them 410/817 (50.2%) used two kinds of personal protection equipments (PPEs) during hospital visits. Logistic regression analysis revealed that the influential factors for prenatal anxiety included previous children in the family, knowledge score, media trust, worry of contracting the COVID-19 infection and worry about getting infected with COVID-19 from the ultrasound probe antenatal care (ANC) schedule. CONCLUSION: Prenatal anxiety was prevalent among pregnant women in Wuhan during the outbreak of COVID-19. The current findings identified factors associated with the level of prenatal anxiety that could be targeted for psychological care.


Asunto(s)
Ansiedad/psicología , Conocimientos, Actitudes y Práctica en Salud , Complicaciones Infecciosas del Embarazo/psicología , Adulto , Ansiedad/epidemiología , Ansiedad/prevención & control , /prevención & control , China/epidemiología , Estudios Transversales , Parto Obstétrico/psicología , Femenino , Humanos , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , Complicaciones Infecciosas del Embarazo/prevención & control , Atención Prenatal/psicología
7.
Eur Rev Med Pharmacol Sci ; 25(1): 498-502, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: covidwho-1052576

RESUMEN

OBJECTIVE: The study aimed to explore the effects of psychological intervention on alleviating anxiety in patients in novel coronavirus (2019-nCoV) isolation wards. PATIENTS AND METHODS: Between January 24th, 2020 and March 5th, 2020, 103 patients were studied. Among these, 32 were patients in the isolation ward of the Infectious Disease Department in Baoding Second Hospital with suspected 2019-nCoV, and 71 patients diagnosed with 2019-nCoV were in the Tangshan Infectious Disease Hospital. Of the 103 patients included, 97 cases were observed in isolation. Using a self-control study design, each patient's anxiety was scored on a self-rating anxiety scale before receiving the psychological intervention (on the 7th day of isolation) and after receiving the intervention (on the 14th day of isolation). The severity of anxiety was evaluated based on the anxiety score before receiving the intervention. The anxiety scores before and after receiving the intervention were then compared using the paired t-test, and p<0.05 was considered statistically significant. RESULTS: After receiving the psychological intervention once or twice a week, the anxiety of the patients improved significantly after one week. CONCLUSIONS: The anxiety of patients with 2019-nCoV in isolation wards can be alleviated through psychological intervention. By alleviating patient anxiety, this intervention also helps patients maintain their psychological wellbeing, which promotes rehabilitation and helps with the control of 2019-nCoV.


Asunto(s)
Ansiedad/prevención & control , Hospitales de Aislamiento , Calidad de Vida/psicología , Adaptación Psicológica , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Ansiedad/psicología , China , Autoevaluación Diagnóstica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Encuestas y Cuestionarios , Adulto Joven
8.
PLoS One ; 16(1): e0245865, 2021.
Artículo en Inglés | MEDLINE | ID: covidwho-1050492

RESUMEN

The COVID-19 pandemic, the accompanying lockdown measures, and their possible long-term effects have made mental health a pressing public health concern. Acts that focus on benefiting others-known as prosocial behaviors-offer one promising intervention that is both flexible and low cost. However, neither the range of emotional states prosocial acts impact nor the size of those effects is currently clear, both of which directly influence its attractiveness as a treatment option. Using a large online sample from Canada and the United States, we will examine the effect of a three-week prosocial intervention on two indicators of emotional well-being (happiness and the belief that one's life is valuable) and mental health (anxiety and depression). Respondents will be randomly assigned to perform prosocial, self-focused, or neutral behaviors each week. Two weeks after the intervention, a final survey will assess whether the intervention has a lasting effect on mental health and emotional well-being. Our results will illuminate whether prosocial interventions are a viable approach to addressing mental health needs during the current COVID-19 pandemic, as well for those who face emotional challenges during normal times.


Asunto(s)
Altruismo , /psicología , Ansiedad/epidemiología , Ansiedad/prevención & control , /prevención & control , Canadá/epidemiología , Depresión/epidemiología , Depresión/prevención & control , Emociones , Femenino , Felicidad , Humanos , Masculino , Salud Mental , /patogenicidad , Estados Unidos/epidemiología
9.
J Anxiety Disord ; 78: 102364, 2021 03.
Artículo en Inglés | MEDLINE | ID: covidwho-1046338

RESUMEN

Pandemics are associated with panic buying (PB) of groceries and other supplies. During the COVID-19 pandemic, community leaders expressed frustration and bewilderment about PB. Psychological explanatory concepts, including those from social learning theory and the concept of the behavioral immune system, along with recent research, suggests the following account of pandemic-related PB. PB arises when people are told to go into self-isolation as part of pandemic containment interventions. Empirically, episodes of PB typically last 7-10 days and are likely initiated by highly fearful people. PB by an anxious minority of shoppers leads to fear contagion among other shoppers, amplified by widespread dissemination, via social media, of images and videos of PB and empty shelves in stores. Thus, a snow-balling effect arises where fear of scarcity creates real but short-term scarcity. People who are highly frightened of infection tend to have heightened disgust proneness. Toilet paper is a means of escaping disgust stimuli, and for this and other reasons, toilet paper became a target of PB for people frightened of contracting COVID-19. Exploitative or selfish over-purchasing also occurred, motivated by "dark" (e.g., psychopathic) personality traits. "Don't panic!" messages from community leaders were ineffective or counter-productive. Alternative forms of messaging are discussed.


Asunto(s)
Ansiedad/prevención & control , Ansiedad/psicología , /psicología , Comunicación , Comportamiento del Consumidor/estadística & datos numéricos , Pánico , Humanos , Pandemias , Opinión Pública , Medios de Comunicación Sociales
10.
Midwifery ; 92: 102877, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: covidwho-1023716

RESUMEN

AIM: This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. METHOD: The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a "Personal Information Form", the "Revised Prenatal Distress Questionnaire (NuPDQ)" and the "Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2)". An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. RESULTS: The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75±5.10 and 11.50±4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of "fear of giving birth" and "worries of bearing a physically or mentally handicapped child" was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. CONCLUSION: The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.


Asunto(s)
Ansiedad/psicología , Parto/psicología , Complicaciones del Embarazo/psicología , Mujeres Embarazadas/psicología , Telemedicina/métodos , Adulto , Ansiedad/prevención & control , Estudios de Casos y Controles , Femenino , Humanos , Embarazo , Complicaciones del Embarazo/prevención & control , Encuestas y Cuestionarios , Turquia
11.
Lancet Planet Health ; 4(4): e124, 2020 04.
Artículo en Inglés | MEDLINE | ID: covidwho-1017037
12.
PLoS One ; 16(1): e0244873, 2021.
Artículo en Inglés | MEDLINE | ID: covidwho-1007115

RESUMEN

BACKGROUND: Multiple studies have highlighted the negative impact of COVID-19 and its particular effects on vulnerable sub-populations. Complementing this work, here, we report on the social patterning of self-reported positive changes experienced during COVID-19 national lockdown in Scotland. METHODS: The CATALYST study collected data from 3342 adults in Scotland during weeks 9-12 of a national lockdown. Using a cross-sectional design, participants completed an online questionnaire providing data on key sociodemographic and health variables, and completed a measure of positive change. The positive change measure spanned diverse domains (e.g., more quality time with family, developing new hobbies, more physical activity, and better quality of sleep). We used univariate analysis and stepwise regression to examine the contribution of a range of sociodemographic factors (e.g., age, gender, ethnicity, educational attainment, and employment status) in explaining positive change. RESULTS: There were clear sociodemographic differences across positive change scores. Those reporting higher levels of positive change were female, from younger age groups, married or living with their partner, employed, and in better health. CONCLUSION: Overall our results highlight the social patterning of positive changes during lockdown in Scotland. These findings begin to illuminate the complexity of the unanticipated effects of national lockdown and will be used to support future intervention development work sharing lessons learned from lockdown to increase positive health change amongst those who may benefit.


Asunto(s)
/psicología , Cuarentena/psicología , Aislamiento Social/psicología , Adulto , Ansiedad/epidemiología , Ansiedad/prevención & control , /prevención & control , Control de Enfermedades Transmisibles/métodos , Estudios Transversales , Ejercicio Físico/psicología , Familia/psicología , Femenino , Humanos , Masculino , Escocia/epidemiología , Sueño/fisiología , Higiene del Sueño , Estrés Psicológico/prevención & control , Estrés Psicológico/psicología , Encuestas y Cuestionarios
13.
J Drugs Dermatol ; 20(1): 112-113, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: covidwho-1006681

RESUMEN

The coronavirus disease 2019 pandemic has quickly and abruptly altered workflow and education across medical specialties. As the health crisis persists in the United States, change will be the norm for the foreseeable future. Dermatology residents report high levels of anxiety, with concerns ranging from redeployment to career prospects.1.


Asunto(s)
Ansiedad/prevención & control , Competencia Clínica , Dermatología/educación , Dermatología/métodos , Educación a Distancia/métodos , Internado y Residencia/métodos , Ansiedad/psicología , Competencia Clínica/normas , Dermatología/normas , Humanos , Internado y Residencia/normas
14.
Int J Environ Res Public Health ; 17(24)2020 12 16.
Artículo en Inglés | MEDLINE | ID: covidwho-993546

RESUMEN

The increasing prevalence of mental health disorders and psychosocial distress among young people exceeds the capacity of mental health services. Social and systemic factors determine mental health as much as individual factors. To determine how best to address multi-level risk factors, we must first understand the distribution of risk. Previously, we have used psychometric methods applied to two epidemiologically-principled samples of people aged 14-24 to establish a robust, latent common mental distress (CMD) factor of depression and anxiety normally distributed across the population. This was linearly associated with suicidal thoughts and non-suicidal self-harm such that effective interventions to reduce CMD across the whole population could have a greater total benefit than those that focus on the minority with the most severe scores. In a randomised trial of mindfulness interventions in university students (the Mindful Student Study), we demonstrated a population-shift effect whereby the intervention group appeared resilient to a universal stressor. Given these findings, and in light of the COVID-19 pandemic, we argue that population-based interventions to reduce CMD are urgently required. To target all types of mental health determinants, these interventions must be multi-level. Careful design and evaluation, interdisciplinary work, and extensive local stakeholder involvement are crucial for these interventions to be effective.


Asunto(s)
Trastornos Mentales/prevención & control , Prevención Primaria , Adolescente , Adulto , Ansiedad/epidemiología , Ansiedad/prevención & control , Depresión/epidemiología , Depresión/prevención & control , Humanos , Trastornos Mentales/epidemiología , Pandemias , Conducta Autodestructiva/prevención & control , Ideación Suicida , Adulto Joven
15.
Med Sci Monit ; 26: e930340, 2020 Dec 16.
Artículo en Inglés | MEDLINE | ID: covidwho-979224

RESUMEN

Alterations in complex behavioral patterns during the extended period of the COVID-19 pandemic are predicted to promote a variety of psychiatric disease symptoms due to enforced social isolation and self-quarantine. Accordingly, multifaceted mental health problems will continue to increase, thereby creating a challenge for society and the health care system in general. Recent studies show that COVID-19 can directly or indirectly influence the central nervous system, potentially causing neurological pathologies such as Alzheimer disease and Parkinson disease. Thus, chronic COVID-19-related disease processes have the potential to cause serious mental illnesses, including depression, anxiety, and sleep disorders. Importantly, mental health problems can foster systemic changes in functionally-linked neuroendocrine conditions that heighten a person's susceptibility to COVID-19 infection. These altered defense mechanisms may include compromised "self-control" and "self-care", as well as a "lack of insight" into the danger posed by the virus. These consequences may have serious social impacts on the future of COVID-19 survivors. Compounding the functionally related issues of altered mental health parameters and viral susceptibility are the potential effects of compromised immunity on the establishment of functional herd immunity. Within this context, mental health takes on added importance, particularly in terms of the need to increase support for mental health research and community-based initiatives. Thus, COVID-19 infections continue to reveal mental health targets, a process we must now be prepared to deal with.


Asunto(s)
/complicaciones , Salud Mental , Sobrevivientes/psicología , Enfermedad de Alzheimer/epidemiología , Enfermedad de Alzheimer/prevención & control , Enfermedad de Alzheimer/virología , Ansiedad/epidemiología , Ansiedad/prevención & control , Ansiedad/psicología , /psicología , Depresión/epidemiología , Depresión/prevención & control , Depresión/psicología , Susceptibilidad a Enfermedades/psicología , Humanos , Pandemias , Enfermedad de Parkinson/epidemiología , Enfermedad de Parkinson/prevención & control , Enfermedad de Parkinson/virología , Autocuidado/psicología , Autocontrol/psicología , Aislamiento Social/psicología
17.
Eur Rev Med Pharmacol Sci ; 24(21): 11381-11385, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: covidwho-937844

RESUMEN

OBJECTIVE: This study aims to discuss the effects of simulation training on improving the pre-examination, triage, prevention, and control of coronavirus disease 2019 (COVID-19), explain the psychological states of pre-examination and triage staff in general hospitals during the COVID-19 epidemic, and analyze relevant influencing factors. This study may serve as a reference of psychological consultation services to medical staff. SUBJECTS AND METHODS: This study included 60 nurses assigned in the pre-examination department, fever clinics, and isolation wards of a general hospital from January 26th to February 1st, 2020. Before assuming the posts, the nurses received simulation training on the clinical reception of suspected patients with COVID-19. Operation skills of the nurses before and after the training were assessed. RESULTS: The percent of passing significantly increased from 65% before the training to 98.33% after training (p<0.05). Training also significantly relieved the anxiety and depression of the nurses (p<0.05). CONCLUSIONS: Scenario-simulation training can increase the emergency abilities of pediatric nurses in the prevention and control of the COVID-19 epidemic and relieve the anxiety of nurses.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Control de Infecciones/organización & administración , Enfermeras Pediátricas/psicología , Estrés Laboral/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Entrenamiento Simulado/organización & administración , Adulto , Ansiedad/prevención & control , Ansiedad/psicología , Betacoronavirus/patogenicidad , Competencia Clínica , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Depresión/prevención & control , Depresión/psicología , Servicio de Urgencia en Hospital/organización & administración , Femenino , Hospitales Pediátricos/organización & administración , Humanos , Control de Infecciones/instrumentación , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Enfermeras Pediátricas/organización & administración , Exposición Profesional/efectos adversos , Estrés Laboral/psicología , Equipo de Protección Personal , Neumonía Viral/diagnóstico , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Carga de Trabajo/psicología , Adulto Joven
18.
Trials ; 21(1): 929, 2020 Nov 17.
Artículo en Inglés | MEDLINE | ID: covidwho-925459

RESUMEN

OBJECTIVES: Primary Objective: To determine the feasibility of delivering a protocolised, remote, online, Eye Movement Desensitisation and Reprocessing (EMDR) intervention, within 12-weeks of hospital discharge, for adult survivors of Covid-19 related critical illness. Secondary objectives: To investigate whether remotely delivered EMDR can improve psychological outcome following Covid-19 related critical illness, specifically Post-Traumatic Stress Disorder (PTSD), anxiety and depression. TRIAL DESIGN: This is a single centre, randomised controlled cohort feasibility trial. PARTICIPANTS: Participants will be recruited following discharge from the Intensive Care Unit at University Hospital Southampton, United Kingdom. Eligible patients will have received mechanical ventilation for a minimum of 24 hours, tested Covid-19 positive by polymerase chain reaction, will be over the age of 18 years and have the capacity to provide informed consent. Patients will be excluded if they have pre-existing cognitive impairment, pre-existing psychotic diagnosis or are not expected to survive post-hospital discharge. INTERVENTION AND COMPARATOR: Group one: patients in the control arm will receive their standard package of prescribed care, following discharge home from hospital. If they experience any adverse physical or psychological health-conditions, they will access care through the usual available channels. Group two: patients randomly allocated to the intervention arm will receive their standard package of prescribed care, following discharge home from hospital. In addition, they will be referred to the Intensive Psychological Therapies Service in Poole, United Kingdom. They will receive an online appointment within 12-weeks of discharge home from hospital. They will receive a maximum of eight, weekly sessions of EMDR, delivered by a trained psychological therapist, following the Recent Traumatic Episode Protocol (R-TEP). Appendices 1 and 2 of the attached trial protocol contain a detailed description of the R-TEP intervention, written in accordance with the Template for Intervention Description and Replication (TIDieR) checklist and guide. MAIN OUTCOMES: The primary outcome from this trial will be feasibility. Feasibility will be determined by recruitment rates, expressed as a percentage of eligible patients approached, completion of the EMDR intervention, completion of final assessment at 6-months, incidence of attributable adverse events and protocol adherence by the psychological therapists. Secondary, exploratory outcomes will be assessed by comparison between the control and intervention groups at 6-months post-hospital discharge. Psychometric evaluation will consist of the PTSD Checklist-Civilian Version and Hospital Anxiety and Depression Scale. In addition, we will assess health-related quality of life using the EQ5D-5L, physical activity using wrist worn activity monitors and nutritional state using the Council of Nutrition Appetite Questionnaire. RANDOMISATION: Consenting participants will be randomly allocated to intervention or usual care using an internet-based system (ALEATM). Participants will be randomly assigned, on a 1:1 ratio, to receive either standard care (control) or the standard care plus online EMDR R-TEP (Intervention) BLINDING (MASKING): Due to the nature of the intervention, participants cannot be blinded to group allocation. 6-month patient reported outcome measures will be completed using an online, electronic case report form. Group allocation will be masked during data analysis. NUMBERS TO BE RANDOMISED (SAMPLE SIZE): This is a feasibility study, the results of which will be used to power a definitive study if appropriate. We anticipate a 25% mortality /loss to follow-up. A total of 26 patients will be recruited to this study, 13 patients in each arm. TRIAL STATUS: CovEMERALD opened to recruitment on 23rd September 2020 with an anticipated recruitment period of 6-months. We are using protocol version number 1.2 (1st June 2020) TRIAL REGISTRATION: CovEMERALD was registered on clinicaltrials.gov NCT04455360 on 2nd July 2020 FULL PROTOCOL: The full protocol is attached as an additional file, accessible from the Trials website (Additional file 1). In the interest in expediting dissemination of this material, the familiar formatting has been eliminated; this letter serves as a summary of the key elements of the full protocol. The study protocol has been reported in accordance with the Standard Protocol Items: Recommendations for Clinical Interventional Trials (SPIRIT) guidelines (Additional file 2).


Asunto(s)
Ansiedad , Infecciones por Coronavirus , Depresión , Desensibilización y Reprocesamiento del Movimiento Ocular/métodos , Pandemias , Neumonía Viral , Calidad de Vida , Trastornos por Estrés Postraumático , Adulto , Ansiedad/etiología , Ansiedad/prevención & control , Betacoronavirus , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/psicología , Infecciones por Coronavirus/terapia , Enfermedad Crítica/psicología , Enfermedad Crítica/rehabilitación , Depresión/etiología , Depresión/prevención & control , Estudios de Factibilidad , Femenino , Servicios de Atención a Domicilio Provisto por Hospital , Humanos , Intervención basada en la Internet , Masculino , Neumonía Viral/diagnóstico , Neumonía Viral/psicología , Neumonía Viral/terapia , Técnicas Psicológicas , Ensayos Clínicos Controlados Aleatorios como Asunto , Trastornos por Estrés Postraumático/etiología , Trastornos por Estrés Postraumático/prevención & control
20.
Cancer Cytopathol ; 128(10): 679-680, 2020 10.
Artículo en Inglés | MEDLINE | ID: covidwho-840101
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