bluuebunny/crossref_metadata_2025 huggingface dataset:
Binge eating disorder and coronavirus outbreak among health care workers in tunisia
Authors: Dhemaid M. , Abbes W. , Tfifha M. , Medhaffer K. , Abbes M. , Ghanmi L.
Published: February 2022

Introduction

COVID19 outbreak had affected physical and mental health of individuals. Different adverse health behaviors had worsened and eating disorders had evolved. Health care workers were not spared.

Objectives

To screen binge eating disorder among health care workers of regional hospital of Gabes (south of Tunisia) and its associated factors.

Methods

We conducted a cross-sectional, descriptive and analytical study, from April 19, 2020, to May 5, 2020 on 289 in Gabes regional Hospital. All healthcare workers were included (n=620). Workers who were on sick leave during the study were excluded. During this period, the total confirmed cases of COVID-19 exceeded 900 cases in Tunisia and around 20 cases in Gabes. We used a self-administered anonymous questionnaire containing sociodemographic and clinical data. DSM-5 diagnostic criteria were used to assess Binge-Eating Disorder.

Results

Of the 289 responding participants, 85 were physicians (29%), 166 nurses (57.4%), 8 ambulance drivers (2.8%) and 30 health-related administrators (10.3%). A total of 100 participants (34.6%) were frontline health care workers directly engaged in diagnosing, treating or caring for patients with coronavirus disease. Nine percent of participants experienced binge eating disorder during the outbreak. Binge eating disorders were associated to past psychiatric history of eating disorder (p=0.001), social isolation (p=0.001), increased consumption of tea and coffee (p=0.02) and the fact of being a frontline care giver (p=0.009).

Conclusions

Binge eating disorders are usually associated with health problems: obesity and consequently severe form of coronavirus disease. Screening those disorders is important to alleviate its physical impact.
What is the role of video feedback in supporting parents experiencing mental health problems?
Authors: Barlow J.
Published: February 2022

Abstract Body

Parental mental health problems have been found to have a significant impact on a range of aspects of parental caregiving during the postnatal period, with significant implications in terms of key aspects of the child’s development. Video feedback is a generic term that refers to the use of videotaped interactions of the parent and child to promote parental sensitivity, and a recent meta‐analysis of 20 studies (1757 parent‐child dyads) found that video feedback can improve parental sensitivity compared with a control or no intervention up to six months’ follow‐up. This paper will examine the ways in which video feedback might contribute to the ability of parents with mental health problems to provide the type of caregiving that will promote the development of a secure attachment in the infant.

Disclosure

No significant relationships.
The digital era and the psychiatric follow up during COVID-19 pandemic– are we ready?
Authors: Andrade G. , Gonçalves M.J. , Sereijo C.
Published: February 2022

Introduction

The pandemic caused by the SARS CoV-2 virus (COVID-19) has a profound effect in the health care system (HCS). The therapeutic effect of communication skills is well known. Psychiatric patients are a vulnerable population and remote care via telephone was one of the first implemented measures during the lockdown.

Objectives

The aim is to highlight the potential benefits and risks of remote follow up, according to the scientific evidence currently available.

Methods

Non-systematic review of the literature with the selection of scientific articles published in the last year. The search was performed in Pubmed database with the following Mesh terms: “COVID-19”, “psychiatry”, and “health communication”. Complementary references were also included.

Results

For those with a stable psychiatric condition, remote appointments may guarantee the adequate follow up in a safe way throughout the COVID-19 pandemic. However, telephonic appointments are associated with a limited ability to perform psychopathological examination. A better assessment can be achieved if video call is used. Also, data protection and the ability of giving informed consent by psychiatric patients should be addressed. Additional training should be considered. A subgroup of patients with severe mental illness may require face-to-face visits.

Conclusions

COVID-19 pandemic is an unprecedented crisis and telemedicine is now emerging as an alternative. Remote consultation has advantages and, in some situations, it may replace or complement the in-person visits. Since social isolation is one of the most effective measures, digital means constitute a window of opportunity for the HCS.
Impact of the COVID-19 pandemic and the lockdown period on the number of hospitalizations for acute mania
Authors: Aissa A. , Ghabi H. , Alaya M. Ben , Ouali U. , Meddouri S. , Nacef F.
Published: February 2022

Introduction

COVID-19 pandemic has affected social interaction and healthcare worldwide especially during the period of lockdown. As a result of this pandemic in Tunisia, the activity of hospital services and all non-emergency acts, in several specialties have been reduced. In psychiatry, such measures have not been taken. In the social zeitgeber hypothesis social rhythm disrupting life events such as eating, activity, and social patterns, may lead to the onset of manic episodes.

Objectives

The objective of this study was to evaluate the impact of the COVID-19 pandemic on the frequency of acute mania in the context of bipolar disorder during the lockdown and post lockdown period compared to the same period during last year in a psychiatric department in Tunisia.

Methods

We assessed the number of hospitalizations in our department for acute mania in the context of bipolar disorder during the lockdown period in our country, (from March 1st and May 30, 2020) and during the two months following it. We compared this frequency to that of the previous year during the same periods.

Results

During the lockdown period, 17 patients were hospitalized for acute mania in the context of bipolar disorder. Sixty-seven patients were hospitalized in 2019 during the same period for acute mania. Nine hospitalizations for acute mania in the post lockdown period (between June and July 2020), were noted compared to 16 hospitalizations in the same period in 2019.

Conclusions

Lockdown seemed to have a protective effect from affective episodes in bipolar disorder. Perceiving increased connectedness among families may explain these findings.
Stress and affective disorders in COVID-19 pandemic: On-line survey of russian respondents in different cities of residence
Authors: Kasyanov E. , Rukavishnikov G. , Sorokin M. , Makarevich O. , Neznanov N. , Lutova N. , Mazo G.
Published: February 2022

Introduction

The psychological stress associated with the COVID-19 pandemic has a complex multifactorial nature.

Objectives

The aim: to evaluate the level of stress during the COVID-19 pandemic in the Russian-speaking population with(-out) affective disorders in different cities of residence.

Methods

The data obtained from an online survey of 4803 Russian-speaking respondents (age over 18) from March 30 to May 18, 2020. The survey included social, demographic and the history of affective disorders data. The anxiety distress level was evaluated with the Psychological Stress Measure (PSM-25).

Results

Individuals from sub-cohort of Russian cities with populations less than one million had higher stress levels (M=135.39) compared to Moscow (M=129.47; p=0.003) or St.-Petersburg (M=126.63; p<0.001). However, stress scores in respondents with a history of affective disorders correspond to the average stress level according to PSM-25. Respondents without affective disorders from St.-Petersburg reported lower stress levels (M=92.88) than respondents from Moscow (M=100.47; p<0.001) and Russian cities with less than one million population (M=98.4; p<0.001). Average stress scores from St.-Petersburg and other Russian cities show a low level of stress on PSM-25, which indicates psychological adaptation. Stress scores from Moscow have borderline values between low and medium levels.

Conclusions

Our study showed that the city of residence and affective disorders status significantly affect stress levels in Russian population. These factors could be further used in individual psychological support strategies.
Web-based tools applied to therapy and counseling during the COVID-19 pandemic
Authors: Dores A.R. , Geraldo A. , Carvalho I. , Barbosa F.
Published: February 2022

Introduction

Web-based tools allowed the provision of psychological counseling and therapy at-distance during the COVID-19 lockdown. Nevertheless, psychologists’ attitudes towards the adoption of these tools and its impact in their professional practices need to be further explored.

Objectives

The objective was to study the use of web-based tools on psychological practices before and during COVID-19 lockdown, trying to identify changes on psychologists’ professional practices related to the pandemic, as well as to explore factors that could have affected such changes.

Methods

One-hundred and eight psychologists filled-in an online survey, developed for the purposes of this study, during mandatory lockdown. The study was disseminated by mailing list, social networks, and by the Portuguese Psychologists Association.

Results

The results have shown that psychologists kept providing their services during lockdown thanks to the adoption of web-based tools. Although psychologists have recognized that additional precautions were needed for at-distance practice in comparison to in-person interventions, the experience of using IC technologies in clinical practice was described as positive, ensuring clients’ adherence with positive results. Additionally, despite psychological services were maintained on a larger scale by psychologists with more years of experience, professionals with average experience stated more favorable attitudes towards the use of web-based tools in counseling and therapy.

Conclusions

Although the implementation of ICT based practice was enforced by current circumstances, the experience that psychologists gathered and shared during the lockdown can guide future professional practice, improving and fostering the replication of best practices at distance.
Stigmatization attitudes of medical staff toward people with respiratory syndromes during COVID-19 pandemic
Authors: Sorokin M. , Kasyanov E. , Rukavishnikov G. , Makarevich O. , Neznanov N. , Mazo G. , Lutova N.
Published: February 2022

Introduction

The health care workers have extremely high risks of adverse psychological reactions from COVID-19 pandemic. On the other hand, patients with respiratory syndromes face stigmatization due to their possible contagiousness of SARS-Cov-2.

Objectives

To study the association of behavior, psychological distress in health care workers, and their stigmatization attitudes to the patients.

Methods

The online-survey of 1800 health care workers performed during different lockdown periods in Russia: the first week and the last (30/Mar-5/Apr/20 and 4-10/May/20). The Psychological stress scale (PSM-25), modified Perceived devaluation-discrimination scale (Cronbach’s α=0.74) were used. Dispersion analysis with p-value=0.05 and Cohen’s d, Cramer’s V calculation (ES) performed.

Results

In the 2nd phase medical stuff more often wore masks (64% vs. 89%; χ2=98.7, p=0.000, df=1; ES=0.23) and gloves (30% vs. 57%; χ2=57.6, p=0.000, df=1; ES=0.18), continued perform hand hygiene (94-95%) and physical distancing (73-74%), but was restricted in most effective protective measure: self-isolation (49% vs. 36%; χ2=16.0, p=0.000, df=1; ES=1.0). The psychological stress levels decreased in the 2nd phase (ES=0.13), while the stigma levels (ES=0.33) increased. Physicians experienced more stress compared with nurses and paramedical personnel (ES=0.34; 0.64) but were less likely to stigmatize SARS-CoV-2 infected individuals (ES=0.43; 0.41). The highest rates of contacts with COVID-19 patients (83%) were reported by physicians (χ2=123.0; p = 0.00, df=4; ES=0.28).

Conclusions

Direct contact with SARS-Cov-2 is associated with a significant increase in stress among medical personnel. However, the stigmatizing reactions are not directly associated with the risks of infection and are most prevalent among nurses and paramedical personnel.
The effects of excessive and compulsive online searching of COVID-19 information (“cyberchondria”) on general and COVID-19-specific anxiety and fear in romantic couples during lockdown
Authors: Stewart S. , King F. , Rodriguez L. , Meier S. , Sherry S. , Abbass A. , Deacon H. , Nogueira-Arjona R. , Hagen A.
Published: February 2022

Introduction

Cyberchondria involves excessive and uncontrollable online searching of information about a perceived illness. This behavior can cause or maintain distress.

Objectives

Little is known about cyberchondria during the COVID-19 pandemic or how cyberchondria in one individual may cause distress in their significant other if they are self-isolating together; our study sought to fill these gaps.

Methods

We conducted a Qualtrics Panel survey with 760 cohabitating Canadian couples; in June 2020, participants retrospectively reported on their cyberchondria behavior, general anxiety, and COVID-19 fears during the month of April 2020, while adhering to stay-at-home advisories. Two separate actor-partner interdependence models (APIMs) used cyberchondria excessiveness and compulsion to predict generalized anxiety and COVID-19 danger/contamination fears in the actor and partner.

Results

Both cyberchondria excessiveness and compulsion were associated with higher general anxiety and higher COVID-19 danger/contamination fears in the individual (actor effects). Partner cyberchondria compulsion was associated with higher general anxiety in the individual whereas partner cyberchondria excessiveness was associated with higher COVID-19 danger/contamination fears in the individual (partner effects).

Conclusions

Findings suggest that excessive and uncontrollable searching of information about COVID-19 on the internet during lockdown may contribute to distress in both the individual engaging in the cyberchondria behavior, and in their romantic partner. Moreover, different aspects of cyberchondria in the partner (compulsion vs. excessiveness) appears to contribute to general vs. COVID-19-specific anxiety/fears in the partner, respectively. Future research should examine mechanisms underlying the observed partner effects (e.g., co-rumination, social contagion) and reasons for the differential partner effects of cyberchondria components.
Practical observations - the COVID-19 influence on latvian early intervention work with first episode psychosis (FEP) patients
Authors: Kokina N. , Sile L. , Butorins B. , Pocopko A. , Lesina A. , Kikuste S. , Sapele I. , Rancans E.
Published: February 2022

Introduction

COVID-19 is a very stressful experience for people with FEP and changed the work routine of the mental health services they have used.

Objectives

In this work, we aim to explore how the restrictions influenced the out-patient visits and rehospitalization rates.

Methods

The Latvian Early intervention programme (Berze et al.,2019) for patients with FEP had started on 1st January, 2019. The 1st group of patients (n=28) finished the programme on 31st December, 2019. The 2nd group of patients were enrolled in programme on 1st January, 2020 (n=12). When on 12th of March in Latvia health care restriction started due the COVID-19 situation, we were forced to change our structure of LAT-EIP.

Results

The average patient age of patients was 29.9 (SD±7.1) years in the 1st group, in 2nd group average age is 26.2 (SD±5.9) accordingly in years. In the 1st group 60.7% of patients visited the psychiatrist 6-10 times vs 8.33% in 2nd group, in the 1st group 32.1 % of patients had 2-5 visits with psychiatrist vs 75% in 2nd group. There were 72 family sessions in 1st group, whereas in 2nd group the family sessions were excluded. During the programme 7% (n=2) of patients in the 1st group were rehospitalized vs 25% (n=3).

Conclusions

The structure of LAT-EIP had change at the time of COVID-19 restrictions, unfortunately our work lack the statistical power. From the descriptive statistics, we can speculate that the rehospitalization rate is higher because of the lack of regular contact with psychiatrist and the lack of psychoeducation with families.
“Covid madness”
Authors: Meseguer C. Capella , Vázquez E. Rodríguez , Cerejeira J. Gonçalves , Carrasco I. Santos , García L. García
Published: February 2022

Introduction

We present the case of a man who, after receiving treatment for Covid-19 pneumonia, suffers a manic episode induced by medication.

Objectives

This case is chosen to present as an example of a psychiatric illness derived from Covid-19, in this case secondary to its treatment.

Methods

We present a manic episode induced by covid medication.

Results

Complementary examinations are carried out in which organic pathology is ruled out, being diagnosed of a manifest episode in probable relation to the treatments used and hospital admission is decided due to the impossibility of home management. Neuroleptic and anxiolytic treatment was started at low doses with a good response, and he was discharged with complete recovery and critiqued of the episode.

Conclusions

It is estimated that between 20-40% of patients with COVID infection have presented neuropsychiatric symptoms. Mania secondary to treatment was reported in 13 (0 · 7%) of 1744 patients with coranavirus included in a study (1). The Spanish Pharmacivigilance System of Medicines for Human Use (SEFV-H) closely monitors the suspected adverse reactions reported with drugs considered potential therapeutic strategies for SARS-CoV-2 infection. 327 cases of adverse reactions have been reported, of which 18 cases include 28 thermal cases of suspected psychiatric adverse reactions. The interest of this case lies in the fact that it illustrates a psychiatric disorder derived from Covid-19, in this case secondary to the treatment used, which causes a manifest episode with a typical evolution in this type of case with rapid improvement at low doses of antipsychotics.
Online psychological therapy for kids during social distancing: A study case in a brazilian clinical setting
Authors: Campos M. , Varanda C.
Published: February 2022

Introduction

In response to the spread of COVID-19, many Brazilian therapists faced the challenge of taking their practices online considering legal and ethical issues, besides learning to handle new technologies in a way the therapeutic setting was maintained. The cooperation of the family is fundamental for the creation and maintenance of an adequate therapeutic setting. Children are not sufficiently mature to speak clearly about what bothers them or to talk about how they feel and why, so, drawing, pretend playing, story telling, playing games are the common tools for children’s communication during therapy.

Objectives

Evaluating if online therapy for children can support therapeutic play tools and be effective in a virtual environment preserving the therapeutic setting.

Methods

Two children aged 6 to 11 attended the psychological sessions that were conducted through video calls.The family should provide a silent and private room for those sessions. The children were free to choose the toy they would like to play with and that was available at home such as board games, comic and story books. Mimicry, drawing, an adaptation of the Winnicott Squiggle Game were used, as well as electronic games through screen sharing.

Results

The emotional conflicts were expressed either through conventional games and play or electronic games. Playing with children online was possible as well as maintaining the therapeutic alliance in order to carry on with the treatment in a proper therapeutic setting.

Conclusions

Online therapy for kids showed to be an effective form of service delivery, under strict measures of social distancing in Brazil.
Impact of covid on riots and associated behaviors in the united states
Authors: Mueller R.
Published: February 2022

Introduction

The racial riots of 2020 in the US, beginning in Minneapolis, had a global impact inciting protests internationally. We look at the impact of COVID, the social isolation and frustration that therefore existed and how this effected the instigation of the riots.

Objectives

--To review the history of racism in the United States and the abolition theories, comparing US and UK. --To consider the impact of international immigration on the cultural tension in the US; Minnesota accepted a large population of Somalis in 1992 as refugees. --To explore how this progress toward racial equality has stagnated under the leadership of President Donald Trump. --To look at how COVID in the context of the above historical factors has served as a unwitting catalyst to racial riots and global protests.

Methods

Literature research including historical accounts of principles of abolition, post-civil war reconstructive political manuevers, 1950’s segregation protests and political supports (US and UK), refugee relief efforts made by the US [specifically related to Somalia], and reports regarding the impact of COVID on the 2020 reaction to racial injustice.

Results

Evidence suggests that across time periods, recourses of politicians [US and global] resulted in negative relations internationally with respect to immigration. The unique situation created by COVID resulted in a crucible effect following the death of George Floyd.

Conclusions

Previous attempts at creating equality have proven unsuccessful and apathetic on the part of those in power. This has lead to a situation where COVID created a perfect storm in order to ignite racial tensions in the US.
Ed accesses severity for intossication and substance abuse during the first pandemic wave of 2019 coronavirus pandemic (COVID-19). experience of a lombardy ed
Authors: Savioli G. , Pesenti S. , Ceresa I. , Oddone E. , Bressan M.A.
Published: February 2022

Introduction

The 2019 coronavirus epidemic (CoViD-19) in Italy originated in Lombardy, on February 21, 2020. The Fondazione IRCCS Policlinico San Matteo di Pavia has been involved in the management of the outbreak since its beginning

Objectives

We evaluated all the population who went to the ED for intossication and substance abuse to assess the severity of cases evaluated as exit code and rate of hospitalization.

Methods

We enrolled all patients accessing our ED for intossication and substance abuse form February 22 to May 1, 2020 and during the same period of the previous year.

Results

We enrolled 142 patients. 41 in the CoViD period and 101 in 2019. The vital parameters, and sex were overlapping. patients during the pandemic were younger (38 vs 46) The priority codes for the medical examination were not different. CoViD pandemic patients have higher codes (yellow and red) for the medical examination (66% vs 59%); discharge severity codes (red) more frequently than in the reference period (2.4% vs 0.9%) and more frequently need hospitalization (26.8% vs 16.8%).

Conclusions

The epidemic has led to a reduction of accesses for intossication and substance abuse. Patients had more frequent hospitalization needs and more severe exit codes. the data may be due to the fact that during the pandemic only the most serious patients access the E.D., but also to the fact that a pandemic has contributed to destabilizing this class of fragile patients.
Personal traits and coping strategies in compliance with COVID-19 preventive measures
Authors: Kiseleva M.
Published: February 2022

Introduction

There is no much data on the psychological predictors of compliance with Covid-19 preventive measures (self-isolation, social distancing, etc.), that are one of the most effective ways to combat the spread of the disease

Objectives

This study is aimed to examine the role of personal traits in compliance with the Covid-19 preventive measures, and to identify the psychological features of those who are unmotivated to comply with quarantine.

Methods

The study involved 256 participants aged from 16 to 73 years from Russia, and was conducted in March-April 2020.The coping strategies questionnaire (COPE), Big five personality questionnaire were used.

Results

Compliance with the coronavirus preventive measures is positively associated with such personality traits as conscientiousness and friendliness, and productive coping strategies (active coping, planning, positive reformulation, acceptance). Another significant predictors of compliance with restrictive measures are explaining the reasons for the spread of coronavirus by lack of responsibility of people and violation of quarantine measures (positive predictor), as well as downplaying the risk of the disease (negative predictor).

Conclusions

Cluster analysis identified two most common motivational profiles: unmotivated and motivated.Unmotivated people are less willing to comply with Covid-19 preventive measures. Unmotivated people trust various sources of information less often, use unproductive coping strategies (denial), and are more likely to believe that the coronavirus is used to hide the presence of other problems in the society and to increase the control over citizens by the state.
Perceived value threat of COVID-19 is related to anxiety symptoms
Authors: Fyodorova E. , Arina G. , Iosifyan M.
Published: February 2022

Introduction

Recent studies showed that stress and anxiety increased during the Covid-19 pandemic (Bäuerle et al., 2020; Salari et al., 2020). It is important to identify factors which are related to this increase.

Objectives

In present study we investigated how perceived value threat of Covid-19 is related to anxiety and depression symptoms in April – May 2020 during the lockdown in Russia.

Methods

Three hundred and four participants were recruited online (Mage=33.18, SD=13.33, 108 males, 194 females). Participants completed the Short Schwartz’s Value Survey (SSVS; Lindeman & Verkasalo, 2010). They were next asked to rate how likely their values could be threatened because of the Covid-19. They also completed the State-Trait Anxiety Inventory (Spielberger, 1983) and Beck Depression Inventory-II (Beck et al., 1996).

Results

A multiple linear regression model was built to assess how own values and values threatened by Covid-19 explain state anxiety during the lockdown. Threat to openness values was positively related to state anxiety (b=1.07, SE=.49, β=.13, p=.032). Threat to conservation values was only marginally related to state anxiety (b=1.03, SE=.58, β=.13, p=.074). The effects of self-enhancement and self-transcendence values were not significant.

Conclusions

When Covid-19 is perceived as a threat to openness to change values – hedonism, stimulation and self-direction – people experience higher level of anxiety symptoms. Interestingly, perceived threat of Covid-19 to security, conformity and tradition was only marginally related to anxiety. Future studies might explore how encouraging people to fulfill their openness to change values in a safe mode might decrease the level of anxiety.
League of psychiatry and mental health of a brazilian university: Promoting mental health in COVID-19 times
Authors: Floriano L. , Oliveira P. , Cardoso B. , Locaste E. , Nabozny N. , Ferreira F.
Published: February 2022

Introduction

Due to the current global background of the COVID-19 pandemic, mental health is an important factor to be promoted. In spite of the subjectivity of the psychological impact brought by this pandemic, the population has undergone several sudden and meaningful changes in psychic integrity. Therefore, the League of Psychiatry and Mental Health of a Brazilian public university emerges with the aim of complementing the curriculum of Psychiatric Medicine, along with promoting mental health inside and outside the university.

Objectives

Hold online events and disseminate informative material to help students, mental health professionals and general community interested in the topic.

Methods

The League did a member recruitment with academics from different health areas, who prepared and published booklets and folders with informations promoting mental health. And also, promoted speeches on online platforms from May 2020 to October 2020 with psychiatrists, psychologists and renowned professionals in Brazil.

Results

Eighteen lectures were held on topics such as “Grief in the pandemic and its implications in mental health”; “Preventing suicide in the pandemic”, among others, that had a relevant role for those who were in a vulnerable emotional state at the time. As for publications, a national reach was possible, which served as a source for the cultivation of a good psychic health to face the pandemic.

Conclusions

More than 13.600 people participated in the promoted proposals, In addition to providing positive feedbacks to the League, with the improvement of knowledge in the field of Psychiatry and Mental Health, reaching the proposed objectives.
Care pathways and healthcare management in a COVID-19 triage psychiatric inpatient ward at south london and maudsley nhs foundation trust
Authors: Rebolledo-Ojeda L. , Tweed J. , Williams R. , Aygeman J. , Khalid O. , Da Costa M. Pinto
Published: February 2022

Introduction

The COVID-19 pandemic has enforced the restructuring of inpatient psychiatric services. In the UK, the South London and Maudsley NHS Foundation Trust has introduced a triage ward system to ensure all patients have a COVID test prior to admission to the general ward with the aim to reduce COVID transmission amongst psychiatric inpatients.

Objectives

To characterise the flow of patients through a COVID-19 psychiatric triage ward and the protocol of assessment and management used.

Methods

Descriptive analysis of patients admitted to a COVID-19 triage ward since its creation.

Results

The caseload of patients admitted to the COVID-19 triage ward since its inception will be presented. This will include the profile of patients admitted, their status (formal/informal) and their acceptance of COVID-19 tests. The protocol followed at this COVID-19 triage ward will be presented, and the challenges faced and suggestions to overcome them will be discussed.

Conclusions

This presentation aims to share the workflow and protocols adopted at a COVID-19 triage ward in the UK, discussing challenges experienced as well as good practices.

Conflict of interest

No significant relationships.
Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in Germany
Authors: Jerg-Bretzke L. , Kempf M. , Jarczok M. , Kilian R. , Weimer K. , Gündel H. , Morawa E. , Hiebel N. , Schmiedgen S. , Albus C. , Beschoner P.
Published: February 2022

Introduction

Epidemics lead to an increase in occupational stress and psychological strain among medical staff (cf. Mulfinger et al. 2020). However, there are no validated questionnaires to measure stress caused by an epidemic such as Covid-19, instead self-constructed questions are used frequently.

Objectives

The aim was to develop items for the assessment of specific workload in epidemics which can be used to obtain longitudinal data.

Methods

A sample of N=8078 persons working in the health care sector in Germany participated in the VOICE, EviPan online survey addressing the burden of Covid-19 pandemic during the 2nd quarter of 2020. We used 15 self-constructed items to examine whether these items can represent Covid-19 specific topics. A total of N=7549 (24% males) had complete data to run a confirmatory factor analysis using SEM procedure in Stata 14.2.

Results

Five factors were identified a priory: Factor (F) 1: Workload due to Covid-19 pandemic (4 items; Cronbachs’ alpha (α))=0.740); F 2: Fear, uncertainty of SarsCoV-2infection (self and others) (3 items; α= 0.741); F 3: Patient safety (3 items; α=0.533; F 4: Perception of protection concepts (2 items; α=0.590); F 5: Dysfunctional coping strategies (3 items; α=0.447). Fit-Indices: χ²(73)= 1373.849, p<.001, CFI=.946, TLI=.923, RMSEA=.0049, SRMR=.037)

Conclusions

We identified 5 factors associated with problems occurring during the Covid-19 pandemic with acceptable to good internal consistency. Most of the constructed items could therefore be used in further surveys to monitor stress, as a basis for recommendations in the area of stress prevention and interventions for medical staff during epidemics.
Paramedics feelings and beliefs about COVID-19
Authors: Kefi H. El , Kefi K. , Bouzouita I. , Kabtni W. , Baatout A. , Krir W. , Brahim C. Bencheikh , Oumaya A.
Published: February 2022

Introduction

The year 2020 was marked by the COVID-19 pandemic. Health services were overwhelmed by the demands for care. Paramedics were both the main actors in the fight and the victims of this pandemic.

Objectives

The objective of our work was to assess paramedics’ feelings and beliefs about COVID-19.

Methods

Descriptive and cross-sectional study including paramedics (nurses, orderlies) from the military hospital of Tunis. Data collection was carried out by a clinical psychologist. we studied paramedics’ feelings and beliefs about COVID-19.

Results

A total of 161 paramedics agreed to answer our questionnaire. The average age was 37.73 years. The average number of years worked was 14.95 years. There were 85 women (52.8%) and 76 men (47.2%). The feelings about COVID-19 were anxiety in 127 (78.9%) paramedics and indifference in 34 (21.1%). The factors that could influence the spread of the pandemic were divine influence (25.5%), the organized fight against viruses (70.2%), our genetics (9.9%), mutations of the virus (6.8%), the BCG vaccine (21.7%), the Tunisian climate (5.6%), our food (13%).

Conclusions

The beliefs and feelings of paramedics regarding COVID-19 are many and varied. These factors must be taken into consideration because they influence the involvement of paramedics in the fight against the virus and their compliance with health and safety rules.
Shaping skills of mental hygiene and psychologically verified behavioral techniques under the situation of the pandemic
Authors: Burlakova N. , Oleshkevich V.
Published: February 2022

Introduction

COVID-related situation has produced multiple challenges in the field of implementation of the restrictions.

Objectives

Russian media, NGOs and sociological institutions collected and processed data on following the COVID-related guidelines in Moscow and in other regions. According to these data, different social groups behave differently in respect to the restrictions.

Methods

The following methods were used: analysis of information in media, interviews with child psychologists and pedagogues, personal involved and non-involved observation.

Results

The COVID-related restrictions are often violated in all the Russian provinces. Observation and interviews demonstrate similar results. Young people aged 13–20 transgress the regulations most often. The reasons for that are not only the insufficient information, but also neurotic reactions and respective behavior: suppression, reaction formations, reactions of denial. Moreover, new behavioral norms (e.g. wearing masks) are insufficiently shaped yet, which makes following the new rules even more difficult. Furthermore, during the introduction of those regulations, their possible pathopsychological consequences were not taken into consideration, e.g. consequences of isolation, maintaining social distance, communication while wearing masks, fears, stress, paranoic reactions.

Conclusions

The pathopsychological consequences of introduced measures should be taken into consideration. Moreover, the phrasing of regulations needs reshaping and implementation of techniques of mental hygiene to prevent the development of mental disorders. Efficient shaping of respective skills might help to increase the percent of people following the guidelines too. However, all those issues require additional research.
The interaction between the perception of danger from coronavirus and the severity of burnout syndrome in medical workers during the COVID-19 pandemic in Russia
Authors: Koniukhovskaia J. , Pervichko E. , Mitina O. , Stepanova O. , Dorokhov E.
Published: February 2022

Introduction

The COVID-19 pandemic has become a major challenge for both the overall health system and the individual ability for health professionals to stress coping.

Objectives

To find the link between the perception of danger from coronavirus and the severity of burnout syndrome in medical workers during the COVID-19 pandemic in Russia.

Methods

We used a socio-demographic questionnaire (20 questions), a Stress Perception Questionnaire (Linville, 1987; Ababkov et al., 2016), a Modified Pandemic Perception Questionnaire (Broadbent et al.,2006;Yaltonsky et al., 2017), and Maslach Burnout Inventory (Maslach et al., 1996; Lozinskaya et a. 2007). 249 medical workers (58 men and 191 women) took part in the online survey between April 27 and October 26 in Russia.

Results

The severity of stress is positively correlated with the perception of pandemic as threatening (r=0.532, p=0.000) and unknown disease (r=0.297, p=0.000). Stress severity also correlates with all burnout parameters: exhaustion (r=0.737, p=0.000), depersonalization (r=0.342, p=0.000), and belief in personal achievement (r=-0.417, p=0.000). The perception of pandemics as threatening events is significantly associated with exhaustionm (r=0.458, p=0.000), depersonalization (r=0.133, p= 0.036), and belief in personal achievement (r=-0.152, p=0.016).The feeling of uncertainty from the pandemic is statistically significantly associated with exhaustion (r=0.242, p=0.000), while the feeling of control over the pandemic is positively associated with belief in personal achievements (r=0.129, p=0.042) and negatively associated with exhaustion (r=-0.161, p=0.011) and depersonalization (r=-0.125, p=0.049).

Conclusions

Uncertainty and a sense of threat from the coronavirus and the pandemic are significant factors of stress and emotional burnout for health workers. To determine the interaction between parameters such as signs of burnout, perception of the COVID-19 pandemic and the severity of stress, further construction of a structural model is required.
The interaction between personality traits and dysfunctional breathing during the COVID-19 pandemic in Russians
Authors: Koniukhovskaia J. , Pervichko E. , Mitina O. , Stepanova O. , Dorokhov E.
Published: February 2022

Introduction

The COVID-19 pandemic situation creates specific conditions for increased anxiety and increased attention to respiratory sensations. This can become a favorable ground for the occurrence of dysfunctional breathing. Dysfunctional breathing is a pattern of breathing that does not meet physiological needs and can lead to respiratory, cardiovascular, digestive disorders and neurological dysfunctions (Chaitow et al.,2014)

Objectives

The aim of the study is to identify “personality predictors” for the occurrence of dysfunctional breathing in the Russian population during the COVID-19 pandemic.

Methods

The author’s socio-demographic questionnaire, the Naimigen Questionnaire (VanDixhoorn, Duivenvoordent, 1984), HEXACO-PI-R (Ashton, Lee, 2017; Egorova, Psrshikova, Mitina, 2019), and The State-Trait Anxiety Inventory (Spielberger, 1983; Leonova, 2013) were used. The study was conducted online from April 27 to May 27. 582 people from all regions of Russia attended it, including 496 women and 86 men aged 18 to 64 years.

Results

Dysfunctional breathing has a direct correlation with personal anxiety (r=0.543, p=0.000) and emotionality (r=0.370,p=0.000), as well as a negative correlation with the personality traits of Honesty/ Humility(r=-0.153, p=0.000), Extraversion (r=-0.247, p=0.000), Agreeableness (r=-0.226, p=0.000), and Conscientiousness (r=-0.128, p=0.002).

Conclusions

Thus, in the COVID-19 pandemic context, dysfunctional breathing was detected in people with increased trait anxiety and pronounced emotionality, as well as in people with hostility and low conscientiousness/organization, as well as in introverts and those who are inclined to demonstrate social status. The occurrence of dysfunctional breathing during a pandemic can be interpreted as a sign of coronavirus disease by those people, which can motivate them to seek medical help, and thus increase the burden on the healthcare system.
Inpatient psychiatry care during coronavirus 2019 pandemic lockdown: Results from a department of psychiatry in northern Portugal
Authors: Vieira A. , Andrade F. , Machado A.S. , Barbosa D. , Sousa A. , Da Costa I. Soares , Silva A.
Published: February 2022

Introduction

COVID-19 pandemic and the consequent containment measures have a negative impact on mental health. Simultaneously, the fear of infection can discourage patients from seeking necessary care.

Objectives

We aim to compare sociodemographic and clinical characteristics of inpatients admitted during the COVID-19 confinement period in Portugal vs. inpatients admitted in the same period the previous year.

Methods

Retrospective observational study of inpatients admitted between March 19th 2020 and May 1st 2020 and the analog period of 2019 in a psychiatry inpatient unit of a tertiary hospital. Descriptive analysis of the results was performed using the SPSS software, version 26.0.

Results

During the lockdown period, there were 30 admissions to the psychiatry inpatient unit, 55.2% less than the same period last year (n=67). The proportion of compulsory admissions and the average length of stay did not differ between the two periods. Regarding sociodemographic characteristics, in the confinement period inpatients were similar to the ones in the same period of 2019. In both periods, the majority of patients had previous psychiatric history (lockdown vs. same period last year: 95.5% and 90.0%) and a similar proportion of readmissions rate (previous year) was similar in the two groups (49.9% vs 47.6%). At discharge, the most frequent diagnostic groups were mood disorders (33.3% (n=10) and 34.3% (n=23)) and schizophrenia, schizotypal and delusional disorders (26,7% (n=8) and 31.3% (n=21)).

Conclusions

Although there was an expressive reduction of admissions to the psychiatry inpatient unit during lockdown, the clinical characteristics of these patients were analogous to the same period in the previous year.
Stress, health and lifestyle behaviours during COVID-19 home confinement in portuguese adults
Authors: Amaral A.P. , Figueiredo J. , Ferreira A. , Seco S. , Loureiro A. , Costa L.S.
Published: February 2022

Introduction

The confinement associated with COVID-19 pandemic was an experience with significant physical and mental health implications, including higher stress levels, decreased sleep quality, pain symptoms and changes in lifestyle behaviours.

Objectives

The main goal of this study was to analyze the relationship between stress and health variables (sleep, health symptoms, health perception, and lifestyle behaviours) in a Portuguese university during COVID-19 home confinement.

Methods

A cross-sectional online survey design was conducted. A sample of 263 Portuguese workers (64.3% females), with mean age of 48.3 years (sd=8.9), filled in the PSS10, answering questions concerning health symptoms (perceived health, pain symptoms and fatigue), lifestyle behaviours (sleep and eating habits, use of alcohol and tobacco) during COVID-19 home confinement. A descriptive statistical analysis, a Pearson correlation analyses and the t Student test, for independent samples, were performed.

Results

The results showed significant correlations between stress and perceived health (r=-.404; p<.0001), arms pain (r=.212; p=.002), legs pain (r=.201; p=.003), back pain (r=.219; p=.001), headache (r=.289; p<.0001) and fatigue (r=.295; p<.0001). Concerning lifestyle behaviours, the results showed significant correlations between stress and sleep (r=-.552; p<.0001) and stress is significantly higher (p<.0001) in individuals who have changed their eating habits.

Conclusions

During the COVID-19 home confinement, higher stress levels are associated with a worse perception of health, more pain symptoms (legs, arms, back, headache), worse sleep quality and more fatigue. Moreover, the individuals with higher levels of stress have changed their eating habits. Lastly, health promotion interventions are needed in order to minimize the impact of home confinement in health.
Facial mask masking tardive dyskinesia
Authors: Ganhao I.
Published: February 2022

Introduction

Facial covering and mask use is generally considered a preventive measure in reducing spread of infectious respiratory illnesses. With the COVID-19 pandemic, covering of the face, except the eyes, has become the norm for the first time for most people. Social interactions and clinical observation rely heavily on non-verbal communication of which facial expression is of utmost importance. While clinicians, especially in mental health settings, are acutely aware of the loss of information transmitted through the lower half of the face, signs of tardive dyskinesia may be forgotten in the list of potentially missed information.

Objectives

To reflect on possible failure to detect orobuccolingual movements of tardive dyskinesia due to use of facial masks.

Methods

Reflection on a clinical case of a patient with a treatment refractory psychosis who presents to an outpatient appointment with a facial mask. After the appointment, a family member transmitted having observed what appeared to be involuntary masticatory movements in the patient.

Results

Facial masks and coverings occult signs that may be visible on the lower half of the face.

Conclusions

Facial masks and coverings are essential in preventing COVID-19 contagion. Clinicians must keep in mind loss of information when part of the face is not visible. Tardive dyskinesia with orobuccolingual movements may be missed behind a mask. Family or other people who cohabit with the patient are essential information providers.
Steroid-induced psychosis in context a SARS-CoV-2 pandemic. about a case
Authors: Villarroel C. Martín , Garcia L. Carpio , García G. Belmonte , Cutanda J. Dominguez , Revuelta M. Sánchez , Matsuura J. , Daza M. Fernández-Torija , García E.
Published: February 2022

Introduction

SARS-CoV-2 is having an important direct impact, and also due to treatments used such as corticosteroids. Among its effects, we have focused on psychosis.

Objectives

The objective of this paper is to study, from following case, incidence of steroid-induced psychosis in context of COVID-19.

Methods

A bibliographic search was performed from different database (Pubmed, TripDatabase) about psychiatric symptoms associated with use of corticosteroids during pandemic. 64-year-old woman with no psychiatric history, who is hospitalized for pneumonia secondary to SARS-Cov2 and treated with antibiotics, bronchodilators, and corticosteroids. At 4 days she began with injury and nihilistic delusions. The corticosteroids were progressively reduced, adding 2.5 mg Risperidone, resolving after ten days.

Results

Corticosteroids are currently being used to treat the systemic inflammatory response associated with COVID-19, but they can produce other effects such as psychiatric symptoms (3-6%): 75% affective (mainly hypomanic symptoms); and 25% psychotic. Steroid-induced psychosis are characterized by confusion, delusions, and hallucinations, and they usually begin 3-4 days after onset, and resolve within a week. They are associated especially with oral systemic steroids and high doses: 1.3% with 40mg of prednisone, and 18% with 80mg; increased this incidence due to the greater use that is being made to treat COVID-19 and the higher doses used in severe cases (up to 120 mg).

Conclusions

To conclude, we need to know characteristics of these episodes in order to be able to prevent and treat them properly (minimum effective dose and less time), since they will probably occur more frequently at this time.