bluuebunny/crossref_metadata_2025 huggingface dataset:
Emotional experiences of elderly patients with Chronic Obstructive Pulmonary Disease using extended home oxygen therapy: A qualitative study on reports at a university specialized outpatient clinic in Brazil
Authors: Turato E. , Bueno G. , Valadão L. , Paschoal I. , Campos C.J. , Martins L.C.
Published: September 2022

Introduction

What do patients talk during a clinic evaluation? What do they report besides referring physical complaints? It is crucial to value ’hidden’ symbolic issues under a conversation between patient and his/her doctors and nurses. Elderly people are at increased risk of developing Chronic Obstructive Pulmonary Disease (COPD) that requires the management of associated emotions. In advanced stages, they need to use Long-term Home Oxygen Therapy (LTOT) as part of treatment. Patients perceive difficulties with its use, generating anguish.

Objectives

To explore meanings of emotional experiences as reported by patients regarding LTOT, seen in a public university outpatient service.

Methods

Qualitative design. Semi-directed interviews with open-ended questions were carried out with seven elderly patients at Pulmonology Outpatient Clinic at General Hospital at University of Campinas, diagnosed with COPD and using LTOT in period 2019 to 2020. Data were analyzed using Content Analysis with the support of Webqda software. COREQ checklist was used.

Results

Three categories emerged from interviews: (1) Changes of self-image perception with great dissatisfaction in not recognizing their selves physically. (2) Sadness with social isolation and feelings of awkwardness regarding themselves. (3) Affective aspects bringing the need to re-mean old family supports.

Conclusions

Simply listening to reports of emotional complaints implies only a description of a clinical condition of the psychic sphere. Elderly patients with COPD bring psychological representations of their clinical condition that call for a symbolic interpretation. If such patients become aware of hidden meanings, they can better manage their fears and other uncomfortable feelings.

Disclosure

No significant relationships.
COVID-19 related sleep disorders and the mental health
Authors: Kryzhanovskiy S. , Samushia M. , Berishvili T. , Chorbinskaya S. , Shmirev V.
Published: September 2022

Introduction

COVID-19 affects nervous system and the mental health of patients.

Objectives

The aim of the study was to determine the prevalence of depression, anxiety, and insomnia among patients hospitalized with COVID-19 in order to understand mediating factors and inform tailored intervention.

Methods

To the study patients with mild and moderate COVID -19 were included. It was no included patients with diagnosed psychiatric disorders. It was conducted an interview, including using telemedicine technologies, assessed HADS, MFI-20, Pittsburgh Sleep Quality Index (PSQI) questionnaire.

Results

It was analyzed the data of 119 patients, 34% patients was female, mean age 58,7±11,1 range 47 to 69 years. Anxiety-depressive symptoms were observed in 33/119 (28%) patients by HADS scale. Clinically significant anxiety and depression were seen in 11% and 4% of the patients, respectively. In 13% patients was observed as anxiety as depression. An increase in the MFI-20 scale (more than 20 points) was found in 87 (73.0%) patients, sleep disorders in accordance with the PSQI questionnaire was recorded in 32 (27.0%) patients. Sleep disorders were manifested by dissatisfaction with sleep quantity or quality that is associated with difficulty falling asleep. All patients have asthenic symptom.

Conclusions

It was noted that in most patients with COVID-19, along with a depressive and anxiety disorders, an asthenic symptom complex, sleep disturbances are recorded. The choice of the medical intervention should be based on the severity of the violations identified taking into account the side effects of the prescribed drugs, drug interactions and somatic status of patients

Disclosure

No significant relationships.
Prevalence and socio-demographic correlates of psychological health problems in inhabitants of the West Pomeranian Voivodeship during the COVID-19 outbreak
Authors: Cybulska A. , Rachubińska K. , Schneider-Matyka D. , Grochans E.
Published: September 2022

Introduction

Psychological health problems, especially emotional disorders, have become an important topic of considerations for many scientists, because the epidemiology of these disorders is strongly influenced by stressful events, such as the SARS-CoV-2 coronavirus pandemic.

Objectives

The aim of this study was to evaluate selected parameters of psychosocial functioning as well as socio-demographic correlates of depression, anxiety, sleep disorders and perceived stress among the residents of the West Pomeranian Voivodeship.

Methods

An online questionnaire was completed by 323 participants, in whom the parameters of psychosocial functioning were assessed: symptoms of depression (PHQ-9), anxiety (GAD-7), severity of sleep disorders (AIS) and perceived stress (Perceived Stress Scale).

Results

The majority of the respondents (75.2%) scored high on the Perceived Stress Scale, almost half of the respondents (47.1%) had sleep disorders and 26% of the participants had no depressive symptoms. Age statistically significantly correlated with the severity of depressive symptoms and sleep disorders. Parental status statistically significantly correlated with the severity of depressive symptoms. There was a strong correlation between the severity of depression and anxiety and a strong correlation between depression and sleep disorders.

Conclusions

Age and parental status contributed to the severity of depressive symptoms and the occurrence of sleep disorders among the residents of the West Pomeranian Voivodeship during the SARS-CoV-2 pandemic. Some of the residents of the West Pomeranian Voivodeship showed high levels of stress or insomnia. The severity of depressive symptoms significantly influenced the levels of anxiety and perceived stress, as well as the occurrence of sleep disorders.

Disclosure

No significant relationships.
Cognitive and emotional factors of the subjective readiness to vaccination against coronavirus in Russia
Authors: Tkhostov A. , Rasskazova E. , Tikhomandritskaya O.
Published: September 2022

Introduction

Low vaccination rate against coronavirus in Russia demands for studies of psychological factors affecting decision to vaccinate. Readiness for vaccination is related to perceptions of risk, concerns and trust in the source of the recommendations (Chung, Thone, Kwon, 2021, Flanagan et al., 2020).

Objectives

To study the subjective readiness for vaccination against coronavirus and its relationship with pandemic anxiety and attitudes towards vaccination.

Methods

525 people aged 18 to 65 appraised their readiness to vaccination (Cronbach’s alpha .89-.90), filled out Anxiety Regarding Pandemic Scale (Tkhostov, Rasskazova, 2020), modified version Beliefs About Medication Questionnaire (Horne, 2002) that was reformulated to measure beliefs about vaccination in December 2020.

Results

13.2% -17.0% participants reported readiness to be vaccinated. Low readiness rate was due to doubts and mistrust (59.0% -60.4%). Having more friends experienced coronavirus as well as severe or fatal cases of coronavirus illness among personal acquaintances were associated with higher rates of pandemic anxiety but not readiness to vaccinate. Readiness to vaccinate asap was predicted by belief in the effectiveness and lower concern about vaccination (R²=34,6%) and anxiety regarding risks and side effects of the vaccination (ΔR²=1,5%). Decision to refuse was predicted by belief that there are better alternatives of prophylaxis, doubts in effectiveness and concerns about necessity (R²=56,0%).

Conclusions

Decision to vaccinate is based both on cognitive confidence in the importance and effectiveness of vaccination, and on less pronounced anxiety about risks and side effects. Research is supported by the Russian Foundation for Basic Research, project No. 20-04-60072.

Disclosure

Research is supported by the Russian Foundation for Basic Research, project No. 20-04-60072.
Coping with emotions in pandemic as a factor of somatic complaints during lockdown
Authors: Chernetsova Y. , Emelin V. , Rasskazova E. , Tkhostov A.
Published: September 2022

Introduction

Increase in affective and somatic complaints during pandemic is considered as related to experienced stress (Wang et al., 2020, Roy et al., 2020, Robillard et al., 2020). Expression or suppression of emotions related to pandemic could affect the vulnerability of people to stressful situations (Gross, Thompson, 2007, Roberts et al., 2008).

Objectives

The aim was to reveal a role of suppression / expression emotions regarding pandemic in the changes in somatic and affective complaints in people without coronavirus during lockdown.

Methods

In May 2020 110 people 18-65 years old (61.2% females) without coronavirus appraised their strategy of dealing with different emotions regarding pandemic on the 1-5 scale from emotional expression to hiding and suppression (Cronbach’s alphas) and 26 somatic and emotional symptoms including sleep-related symptoms, daytime functioning, affective symptoms, general physical condition (Cronbach’s alphas .81-.90). In December 2020 they reappraised 26 complaints.

Results

There were no statistically significant changes in somatic and affective complaints during May-December 2020 (p>.20). Increase in sleep-related complaints (β=.23, p<.05, ΔR2=5.0%) and complaints regarding general physical condition (β=.32, p<.05, ΔR2=10.0%) were more pronounced in those reporting higher expression of emotions related to COVID.

Conclusions

People with higher emotional reactivity to pandemic situation tend to report increase in sleep-related problems and general worsening of their physical condition during lockdown. Research is supported by the Russian Foundation for Basic Research, project No. 20-013-00799.

Disclosure

Research is supported by the Russian Foundation for Basic Research, project No. 20-013-00799
Impact of the COVID19 pandemic on patients followed in psychiatry
Authors: Razki K. , Zgueb Y. , Aissa A. , Ouali U. , Jomli R.
Published: September 2022

Introduction

In the literature, some studies consider psychiatric patients to be vulnerable to COVID-19, in contrast to other studies that find them rather protected.

Objectives

To determine the impact of the COVID 19 pandemic on patients undergoing psychiatric care.

Methods

This is a descriptive and cross-sectional study that took place in the psychiatry department A at Razi hospital in Tunisia. We conducted a comparison of patient follow-up between the period of March 2018-2019 and March 2020-2021. For this we used a form including socio demographic data, data concerning the COVID-19 situation, clinical data while comparing the follow-up of patients (hospitalizations, mode of relapses, consultations in the emergency room…)

Results

100 patients were included, 60% were men, mean age 44 years (+/- 11 years) [19-65 years]. Ninety-seven percent of patients had no personal history of COVID-19 infection. Comparing the pre-pandemic year (2018-2019) and the pandemic year (2020-2021), we note an increase in the rate of emergency room visits of (17.5%) as well as a relapse rate requiring hospitalization in our department in 48%, this figure was 30% in 2019. A statistically significant increase was noted for depressive and anxiety relapses (p=0.04; r=0.7). Fear of catching the virus while attending hospital facilities (17.6%), geographical isolation (17.6%), unavailability of treatment (17%) and poor insight (41.2%) were the primary causes of poor adherence.

Conclusions

The patients followed in our department have presented during this COVID-19 pandemic several relapses of their psychiatric pathologies compared to the previous year.

Disclosure

No significant relationships.
Perceived social support as a factor in mental health during the COVID-19 pandemic
Authors: Shaigerova L. , Dolgikh A. , Almazova O. , Vakhantseva O. , Shilko R.
Published: September 2022

Introduction

Support from a different sources can have a critical impact on a person’s mental health in a stressful situation. In situations of prolonged stress, it is necessary to identify the links between specific sources of support and mental health.

Objectives

To identify the connections between different sources of social support and mental health indicators in different periods during the COVID-19 pandemic.

Methods

DASS (Lovibond, Lovibond, 1995) and MSPSS (Zimet et al., 1988) were applied. The study involved 855 people aged from 18 to 60 years (M=32.9; SD=13.88). The study was conducted online in the spring of 2020 (N=426) and in the winter of 2021 (N=429).

Results

Post Hoc Scheffe revealed that perceived peer support in spring 2020 was significantly lower than in winter 2021 (p<0.05). With Pearson correlation coefficient, we tested the connections between perceived social support from family, friends, and significant others and the level of depression, anxiety, and stress. In spring 2020, all mental health indicators were associated with the perceived social support from all three sources (friends, family, and significant others). In the winter of 2021, depression levels were still associated with the perceived social support from all three sources, while the levels of anxiety and stress were associated only with perceived family support.

Conclusions

Thus, the study has revealed the dynamics in dependence of mental health indicators on the perceived social support from various sources at different stages of the COVID-19 pandemic. The reported study was funded by RFBR, project number 20-04-60174.

Disclosure

No significant relationships.
COVID-19 Pandemic: Another Source of Stress for Medical Students
Authors: Pereira A.T. , Cabacos C. , Araújo A. , Soares M.J. , Brito M.J. , Carvalho F. , Mota D. , Bajouco M. , Madeira N. , Carneiro M. , Macedo A.
Published: September 2022

Introduction

The COVID-19 pandemic has completely changed the experience of higher education with potentially negative consequences for students’ wellbeing.

Objectives

To compare medicine/dentistry students’ depression/anxiety/stress levels before versus during the pandemic and to analyse the role of COVID-19-related stressors in their psychological distress.

Methods

Students from the Faculty of Medicine University of Coimbra answered socio-demographic and personality questionnaires and the Depression, Anxiety and Stress Scale/DASS before (academic years 2016-2017-2018-2019 - SAMPLE1; n=1000) and during (September-December 2020 and January-March 2021 - SAMPLE2; n=650) the COVID-19 pandemic. Mean age (21.12±3.75), personality traits scores, and gender proportions (»75% girls) did not significantly differ between samples. SAMPLE2 also filled in the Fear of COVID-19 Scale and a new version of the Inventory of Sources of Stress During Medical Education/ISSDME, containing a COVID-19 -related dimension (restrictions on training and on socializing with friends/colleagues).

Results

SAMPLE2 presented significantly higher mean scores of depression (3.89±3.55vs.3.33±3.34), anxiety (3.27±4.08vs.2.86±3.29), stress (7.07±5.72vs.6.18±4.59) and total DASS (12.28±10.55vs.13.65±11.13) than SAMPLE1 (all p<.05). Fear of COVID-19 was a significant predictor of DASS score (adjusted R2=2.9%, p<.001). COVID-19-related stressors continued explaining significant increments of DASS variance after controlling for each of the ISSDME dimensions: Course demands (R2 Change=1.8%), Human demands (2.5%), Lifestyle (2.3%), Academic competition (5.5%), and Academic adjustment (5.2%) (all p<.001).

Conclusions

This study adds to the evidence of the negative impact of COVID-19 on students and emphasizes its pernicious role on medical students’ psychological distress, which is already higher due to the individual and academic stressors to which they are more exposed.

Disclosure

No significant relationships.
Changes in Inpatient and Day Patient Treatment during the COVID-19 Pandemic: Insights and Outlook Results of a Study in an Adult Psychiatry Clinic in Germany
Authors: Barth T. , Voigtländer B.
Published: September 2022

Introduction

Possible effects of pandemic-related restrictions and adjustments in psychiatric treatment are currently the focus of interest. This article addresses developments in this respect in our clinic.

Objectives

Changes in clinical practice that occurred during the COVID-19 pandemic are to be analysed with regard to possible risks for affected patients.

Methods

A clinic-internal analysis was carried out, focusing on comparing a period during the COVID-19 pandemic (01.11.2020-30.04.2021) and a pre-pandemic reference period (01.11.2018-30.04.2019).

Results

Following trends were observed during the pandemic period: a. Day patient treatment: - The treatment volume fell to 44%. Notable reductions in the number of treatment cases with main diagnoses [ICD-10] F10.- and F30-F39 by >65% were measured. b. Inpatient treatment: - no significant changes regarding socio-demographic patient data and concerning the type of admission and discharge, - detection of coronavirus SARS-CoV-2 by PCR test in 4.7% of the cases, - a decline in the treatment volume to 87% due to 8% decrease in the number of cases and 5% decrease in the ALOS, with patients with the main diagnosis [ICD-10] F10.- were most affected, - increases regarding the percentage of cases with the main diagnosis [ICD-10] F40-F48 (p<0.05) and in the ALOS of this patient group (by 31%), - a significant rise (p< 0.01) in the ratio of restrained treatment cases.

Conclusions

Related to the decrease in treatment volume, the increase in psychiatric intensive treatment and possible risks in terms of the care situation for patients with the main diagnoses [ICD-10] F10.-, F30-F39 and F40-F48 should be discussed in particular.

Disclosure

No significant relationships.
Negative emotions associated with self-growth among older adults during the COVID-19 pandemic
Authors: Von Humboldt S. , Mendoza-Ruvalcaba N.M. , Arias-Merino E.D. , Ribeiro-Gonçalves J.A. , Cabras E. , Low G. , Leal I.
Published: September 2022

Introduction

The Covid-19 pandemic appeared globally (1), thus affecting the self-growth of the older population (2).

Objectives

The aim of this study is to identify and analyze the negative emotions felt during the pandemic, as well as their impact on self-growth of 226 older individuals of four nationalities: Mexican, Italian, Portuguese and Spanish.

Methods

Thus, a transnational qualitative survey was carried out. A content analysis was performed.

Results

Seven negative emotions were reported, namely: fear, sadness, anger, grief, annoyance, loneliness and shame. These emotions were considerably associated with the following themes: (1) Sharing experiences; (2) Availability of the partner; (3) Spirituality and religion; (4) Be active; (5) Interest in new projects; (6) Civic participation; (7) Sexual activity. Older participants with Mexican and Italian nationality reported that sharing experiences as the most relevant topic, while for the Portuguese and Spanish participants, having a partner available was more important.

Conclusions

This study demonstrated that negative emotions cooperated with the self-growth of older individuals during the Covid-19 pandemic. The heterogeneity of experiences lived by each culture was highlighted, underlining the positive side of negative emotions and their strong connection with the self-growth of the older people. 1.von Humboldt S et al. Smart technology and the meaning in life of older adults during the Covid-19 public health emergency period: A cross-cultural qualitative study. Int Rev Psychiatry, 2020; 1-10. 2. von Humboldt S et al. Does spirituality really matter? - A study on the potential of spirituality to older adult’s adjustment to aging. Jpn Psychol Res, 56;114-125.

Disclosure

No significant relationships.
Outcomes of COVID-19 in Patients with Mental Disorders
Authors: Petrova N. , Sivashova M. , Pashkovsky V. , Prokopovich G. , Gvozdetckii A.
Published: September 2022

Introduction

Clinical practice has shown that SARS-CoV-2 viral infection increases the likelihood of developing mental disorders.Clinical practice has shown that SARS-CoV-2 viral infection increases the likelihood of developing mental disorders.

Objectives

To analyze clinical indicators of patients with COVID-19 with mental disorders and to identify predictors of adverse outcomes associated with mental state on its basis.

Methods

The study included 97 patients, 41 men and 56 women (62.3±15.3 years of age). During the observation period, 26 people died and 71 people recovered. Data collection was carried out using a questionnaire (109 variables). Binary logistic regression and Cox proportional hazards regression were used.

Results

In the study group, death occurred on average after 11.5 days. In this group, the mental state of patients was more severe with a predominance of cases of delirium. With age, the probability of a fatal outcome increased by 1.03 with each year of life. The severity of mental disorder had a greater impact on the risk of death compared to age (p=0.003). Improvement of the mental state of patients during psychotropic therapy was associated with a reduction in the risk of an unfavorable outcome of coronavirus infection by 11.11 times. The greatest contribution to the unfavorable outcome was made by the severity of infection: the risk of death increased by 33.17 times.

Conclusions

A severe or extremely severe mental state increased the risk of death by 4.55 times. The most significant factor in predicting mortality was associated with the severity of the underlying disease.

Disclosure

No significant relationships.
Pregnancy and dysfunctional anxiety in women recovered from Covid-19
Authors: Lagha M. , Hamdi G. , Dhaouadi N. , Chebli S. , Ridha R.
Published: September 2022

Introduction

Studies have shown an increasing prevalence of mental health issues in the general population during the COVID-19 pandemic. Among them, pregnant women are a specific population at particular mental risk.

Objectives

The objectives of our study were to assess dysfunctional anxiety in women recovered from COVID-19 and to identify the impact of pregnancy on coronavirus-related dysfunctional anxiety.

Methods

This was a cross-sectional case-control study.

The women in the case group have been infected with Sars-Cov 2, with a benign or pauci-symptomatic clinical form, and cured for one to two months at the time of the study without any post-COVID complications. Women included in the control group have not been infected with Sars-Cov 2 .Anxiety was assessed by the Coronavirus Anxiety Scale (CAS).

Results

In total, we recruited 30 women in the case group and 30 women in the control group.The average age of the case group was 35.8 ±6.8 years versus an average age of 35.3 ± 6.33 years in the control group. In each group, four women were pregnant (13.3%). Nearly one-third of the patients in the case group had a CAS score indicating dysfunctional anxiety probably related to coronavirus (33.3%), with a significant difference with the control group (p=0.026). In the case group, pregnancy was a risk factor for dysfunctional anxiety with p=0.036, OR=19.46 and CI95% = [1.21-314.00].

Conclusions

COVID-19 has a negative impact on perinatal mental health. Specific support for pregnant women is recommanded during the COVID-19 pandemic.

Disclosure

No significant relationships.
“Protect, test, vaccinate”: dealing with Covid-19 in outpatient psychiatric care
Authors: Psota G. , Schuett S. , Vyssoki B.
Published: September 2022

Introduction

Curbing the spread of the coronavirus and stabilizing the overall psychosocial situation requires compliance with preventive measures: “Protect, test, vaccinate”.

Objectives

Population groups with psychosocial problems which are difficult to reach and have a high risk of infection, morbidity and mortality as well as unfavorable help-seeking behavior and generally lower vaccination rates need support.

Methods

In the outpatient psychiatric facilities of the Psychosocial Services in Vienna (PSD-Wien), specific concepts to support “protect, test, vaccinate” were implemented to protect patients and employees. Information about the benefits and risks of vaccination, relieving fears and support in registering and attending vaccination appointments were of special significance.

Results

Analyzes of selected data from 1,319 patients at PSD-Wien show (period: 1st half of 2021) that these measures made it possible to achieve a significantly higher vaccination willingness in people with severe mental illnesses (84 %) than in the general Austrian population (based on the date of examination, currently approximately 60 %). The same applies to vaccination rates: at least 47 % have received a partial vaccination, of which about half have already received both partial vaccinations.

Conclusions

High vaccination willingness and rates as well as the necessary protection (wearing masks, keeping distance, complying with hygiene rules) and regular testing must not be a phenomenon of privileged population groups. Psychosocial support is needed so that the trilogy “Protect, test, vaccinate” becomes possible for everyone, including people with severe mental illnesses. Social psychiatry is not just about mental health, but also about physical health care and prevention.

Disclosure

No significant relationships.
The COVID-19 pandemic impact on prenatal depression : A Cross-sectional comparative study
Authors: Maatouk O. , Khelifa E. , Nourchene K. , Abassi B. , Bouguerra I. , Amdouni F. , Ben Amor A. , Mnif L.
Published: September 2022

Introduction

Coronavirus disease 2019 (COVID-19) is the current world issue, with huge impact on mental health. More specifically,we expect that it will have a naocif effect on the pregnant women’s mental health and their well being, since they are more likely to be hospitalized and require more intensive care units admission than non-
pregnant women.

Objectives

The aim of this work was to evaluate the evolution of depression symptoms in the time of pandemic and their associated factors.

Methods

In the current work, we conducted a comparative in field cross-sectional study. We compared depressive scores and prevalences before and after the COVID-19 outbreak in Tunisia in pregnant women.The sampling period was outside the lockdown period to avoid quarantine bias. The sampling period was from September to October 2020.

Results

showed a significantly higher prevalence of depressive symptoms in expecting mothers during the pandemic. Multivariate analysis showed that the pandemic multiplied by 3 the risk of severe depression symptoms. The impact of the COVID-19 period on depression was independent of sociodemographic and obstetric changes related to the pandemic.

Conclusions

These results highlighted the emergency of preparing strategies to avoid post-partum psychiatric disorders and to enable a healthy development of born. Screening the post-partum depression and assessing the mother-children early interactions should be considered in the up-coming births.

Disclosure

No significant relationships.
The intensity of coronavirus anxiety and its associations with depressive symptoms and burnout among Polish nurses and firefighters: a preliminary cross-sectional study
Authors: Sienkiewicz-Jarosz H. , Mokros Ł. , Januszczak J. , Baka Ł. , Świtaj P.
Published: September 2022

Introduction

Nurses and firefighters are professions characterized by exposure to high occupational stress.

Objectives

The purpose of the present study was to investigate the intensity of coronavirus anxiety and its associations with depressive symptoms and burnout in samples of Polish nurses and firefighters during the COVID-19 pandemic.

Methods

Fifty nurses and 55 firefighters were recruited for the study. Respondents were administered the Coronavirus Anxiety Scale (CAS), the Center for Epidemiologic Studies Depression Scale-Revised (CESD-R) and the Oldenburg Burnout Inventory (OLBI). Descriptive statistics, Pearson product-moment correlations and one-way ANOVA were used to analyze the data.

Results

Nurses scored significantly higher than firefighters on the CAS (M = 2.76, SD = 4.18 vs. M = 1.15, SD = 2.24; p < 0.05), the CESD-R (M = 11.64, SD = 10.80 vs. M = 5.85, SD = 7.34; p < 0.01) and both dimensions of the OLBI, i.e. exhaustion (M = 2.38, SD = 0.56 vs. M = 1.91, SD = 0.55; p < 0.001) and disengagement from work (M = 2.28, SD = 0.48 vs. M = 1.93, SD = 0.43; p < 0.001). In the both study groups coronavirus anxiety significantly correlated with depressive symptoms and exhaustion, and only in nurses also with disengagement from work.

Conclusions

This study demonstrated that coronavirus anxiety was more pronounced in nurses than in firefighters. The findings provide preliminary evidence for the positive associations of coronavirus anxiety with depressive symptoms and burnout in both groups.

Disclosure

The study was supported by the grant of the National Centre for Research and Development (NCBR) No. I.PB.08 “Occupational burnout and depression in professions with exposure to high levels of occupational stress: determinants, prevalence, interrelations a
Coping strategies among medical and paramedic frontline healthcare workers during the coronavirus pandemic
Authors: Kammoun I. , Maatouk O. , Kammoun R. , Shiri M. , Nefzi H. , Ben Salah K. , Karoui M. , Ellouz F.
Published: September 2022

Introduction

The epidemic of COVID-19 has affected the psychological health of people, especially frontline medical and paramedical staff. Several coping strategies have been used to combat the impact of this virus on their lives.

Objectives

Describe the impact of coronavirus on mental health and identify coping strategies

Methods

We carried out a cross-sectional, descriptive and analytical study, conducted over a period of two months ( september and october 2020), in 22 hospitals in Tunisia, including frontline medical and paramedical staff. To evaluate anxiety and depression, we used the Beck Inventory. To identify coping strategies, we used the Brief COPE.

Results

We collected 78 professionals. The mean age was 29.86+-5.4. The majority were medical residents (67.9%) working in covid units in 39.7% of cases. The rythm of work was daily in almost half of the cases, giving direct care to the patients tested positive in 76.9%. More than half had not received adequate training, and protective equipment was available in only 50% of cases. We found 35.9% of the staff who had to move for fear of infecting their families. More than half of the frontline staff were victims of stigma (57.7%). Depression and anxiety were tested minor in 40%. The most used coping strategy in the face of this distressing virus was social support (64.1%) followed by emotion-focused mechanisms (53,8%). Social support strategy was significantly correlated with prevention of anxiety (p=0.048)

Conclusions

Participants practiced and recommended various coping strategies to deal with stress, depression and anxiety emerging from COVID-19 pandemic.

Disclosure

No significant relationships.
The relationship between burnout and self-regulation resources in teachers during COVID-19 pandemic
Authors: Titova M. , Nakhmedova S.
Published: September 2022

Introduction

Burnout is understood as a stable professional and personal deformation, which can be typical for teachers (Maslach, Schaufeli, 1993). Multilevel structure of burnout that include physiological, affective-cognitive, and behavioral dimensions was described (Perlman, Hartman, 1998). С. Maslach proposes a three-dimensional burnout model, including emotional exhaustion, depersonalization and reduction of personal achievements (Maslach, 2000; Schaufeli, Enzman, 1998). It is especially important to prevent burnout by effective using of self-regulation resources during the COVID-19 pandemic, when the level of stress increases (Samanta et al., 2020; Pascale, 2020).

Objectives

The study was held in 50 teachers, who worked remotely during the self-isolation due to COVID-19 pandemic, and aimed to estimate the relationship between psychological resources of self-regulation and signs of reduced professional burnout in teachers during the COVID-19 pandemic.

Methods

. The assessment methods included: 1) Maddi’s “Hardiness survey”; 2) Hobfoll”s “SACS”; 3) Maslach’s “Burnout inventory”.

Results

The results revealed that the teachers with high and medium burnout differ in terms of engagement as a component of hardiness (p=0,002). The teachers with less pronounced burnout syndrome have more developed involvement, which means that these teachers enjoy their own activities and, perhaps, this is what becomes a psychological resource and allows to overcome emotional exhaustion. There is an inverse relationship between such a sign of professional burnout as emotional exhaustion and involvement as a component of hardiness (r=- 0,521, p=0).

Conclusions

The results of the study can be applied to develop programs to improve the psychological well-being and performance of teachers working under stress due to COVID-19 pandemic.

Disclosure

No significant relationships.
The double penalty of the coronavirus: Decidedly this virus has not yet revealed all its secrets!
Authors: Jomli R. , Jemli H. , Ghabi H. , Ouali U. , Zgueb Y.
Published: September 2022

Introduction

The direct and indirect effects of the COVID-19 pandemic on the mental health of the population have become a concern in the field of research in psychiatry. First psychotic episodes following infection with SARS cov2 have been reported.

Objectives

Through a clinical case, we will illustrate the association of psychiatric symptoms with SARS cov2 infection.

Methods

We discussed , through a clinical case, the association of psychiatric symptoms with infection by the coronavirus 19.

Results

L.R, Tunisian 52-year-old, diabetic (type 2) women, with no personal or family psychiatric history and no toxic habits. she did not receive receive covid 19 vaccination. Twenty days before her admission to the psychiatry departement, she had fever, cough, myalgia, and anosmia .The diagnosis of a SARS COv2 infection was retained by her general practitioner. Two weeks later she suddenly presented a persecutory delirium, distressing auditory hallucinations, and attempted rat poison suicide. On admission, The patient had a delirium of persecution towards her entourage and an auditory hallucinatory syndrome with distressing content. She was put on 1 mg of Risperidone with restitution ad integrum after 7 days. COVID-19 serology test detected IgM antibodies which allowed us to conclude that the symptomatology was related to the infection by this virus. For the etiological research, we performed a serology that confirmed the recent exposure to SARS COV2 and. The diagnosis retained is a brief psychotic disorder post-Sars Cov2.

Conclusions

The advanced hypothesis that infection with SARS CoV-2 could be the cause of the psychiatric manifestations remains unclear to this day.

Disclosure

No significant relationships.
Involuntary Admissions and Patient Autonomy - How do they Fit Together
Authors: Schouler-Ocak M.
Published: September 2022

The United Nations Convention on the Rights of Persons with Disabilities Article 12 General Commentary, explicitly states that persons with mental illnesses must always have full exercise of their legal rights in all their aspects. Assistants or support persons must not substitute or have undue influence on the decisions of persons with disabilities, including the expression of their consent. Rationales behind the concept include increased patient autonomy, promotion of coping skills, early help-seeking, avoidance of power struggles, establishment of an asylum function, reduced time spent in inpatient care and prevention of coercive measures. Quantitative data points toward a dramatic reduction of total time spent in inpatient care and of involuntary admissions in patients with previously high inpatient care consumption, whereas qualitative data indicates that the concept increases patient autonomy, responsibility and confidence in daily life. Patient-controlled admission is a promising novel approach to inpatient care in psychiatry. However, available studies are small and quality of evidence is generally low. In this talk an overview of literature review on involuntary admissions and patient autonomy as well as ethical aspects will be given and discussed.

Disclosure

No significant relationships.
« A reason why » : Suicide attempt after Coronavirus infection
Authors: Jomli R. , Jemli H. , Ghabi H. , Aissa A. , Ouali U.
Published: September 2022

Introduction

COVID19 pandemic had an important emotional and psychological impact due to the higher rates of boredom, fear, stress, anxiety, depression, etc. (Brooks et al., 2020). Cases of suicide during the COVID-19 pandemic are increasingly reported. According to an Indian study, the main cause of suicide was fear or anticipation of COVID-19 infection.

Objectives

To illustrate a case of suicide attempt after COVID-19 infection.

Methods

We report the case of a Tunisian man who did a suicide attempt after his infection with the coronavirus.

Results

A 35-year-old Tunisian man, married, an official, with no medical or psychiatric history who was admitted in the Oto-rhino-laryngology department, after a suicide attempt by strangulation, five days after the diagnosis of COVID-19 infection. In fact, the patient was very stressed about his infection and feared transmitting the virus to his family. During his quarantine, he became anxious, had insomnia and suicidal thoughts. He was isolated in his room, and prohibit his family to approach his room. He told us that he could not support this anxiety and he decided to suicide to end this situation and save his family.

Conclusions

The COVID-19 pandemic may increase suicide rates. Psychological consequences of this pandemic including suicide may continue to incur later than this actual worldwide crisis. Mental health promotion is the key to prevent and mitigate such mental health consequences.

Disclosure

No significant relationships.
COVID-19 infection could be a risk factor for dementia?
Authors: Costa P. , Pinto I. , Branco P.
Published: September 2022

Introduction

Since the COVID-19 pandemic start in early 2020, there have been reports of a high prevalence of neuropsychiatric symptoms. Cognitive impairment is being increasingly recognized as an acute and possibly long-term sequel of the disease. According to recent data, limited evidence point to SARS-CoV-2 having a preferential neurotropism for the frontal lobes, as suggested by behavioral and dysexecutive symptoms, frontotemporal hypoperfusion on MRI, EEG slowing in frontal regions, and frontal hypometabolism on 18F-FDG-PET. Nevertheless, there isn’t a specific biomarker.

Objectives

Brief literature review about the relationship between COVID-19, cognitive impairement onset and risk for dementia.

Methods

Non-systematic review through PubMed research using the terms “COVID-19”, “SARS-CoV-2”, “pandemics”, “cognitive impairement”, “dementia” and “risk factor”.

Results

Direct neuronal infection via angiotensin-converting enzyme 2 receptor (ACE2R), hyperinflammation, brain ischemia related to respiratory failure or thromboembolic strokes, and severe psychological stress are the mechanisms more associated with a deleterious effect on cognition. The relation between SARS-CoV-2 infection and neurodegenerative diseases is still unclear. However, the high expression of the ACE2R in the brain, may explain the acute brain damage and could also be the basis for later neurodegenerative changes. The potentially long-term nature of the deficits makes it important to do an early identification, management, rehabilitation and follow-up of the patients exhibiting cognitive symptoms.

Conclusions

Given the reports of brain damage by SARS-CoV-2, there are concerns that this damage may substantially increase the incidence of neurodegenerative diseases and promote dementia. Further long-term studies may be required to identify the relationships between SARS-CoV-2 infection and risk for dementia.

Disclosure

No significant relationships.
How did the Covid-19 Pandemic Impact the Life of Patients with Schizophrenia Spectrum Disorders?
Authors: Nombora O. , Certo A. , Rodrigues J. , Venâncio Â.
Published: September 2022

Introduction

Since the first outbreak, the Covid-19 pandemic has had and still has several implications worldwide, particularly in severe mentally ill patients, leading to multiple challenges in their management.

Objectives

We aim to assess the impact and implications of the Covid-19 pandemic on patients with Schizophrenia Spectrum Disorders (SSD) and the treatment recommendations available.

Methods

We conduct an integrative review using PubMed database. Search terms included: “psychosis” AND “COVID-19 pandemic”, “schizophrenia and COVID-19”, “severe mental illness” AND “COVID-19”. The search period was between 1st January 2020 and 31th July 2021.

Results

Studies postulated that people with SSD are at a higher risk of COVID-19 infection with a poorer medical and social outcome which is attributed to factors such as higher rates of disadvantageous lifestyle behaviours, medical comorbidities, antipsychotic medication metabolic effects, psychosocial adversities, smaller social networks and poor engagement with general health services. The Covid-19 pandemic also demanded adjustments in treatment guidelines and monitoring, particularly in patients with SSD on Clozapine. Many studies address the importance of psychiatric care and treatment during the pandemic. They emphasize rapid implementation of measures to decrease the risk of COVID-19 transmission and maintain continuity care and research. An individualized and flexible approach is needed to promote safety of SSD patients.

Conclusions

Particular attention is required by clinicians to help SSD patients face the current pandemic situation. Future epidemiological studies are needed in order to better understand the impact of the COVID-19 pandemic in this population and provide proper care.

Disclosure

No significant relationships.
Post Traumatic Growth as a way of mastering COViD-19 Peritraumatic Distress Inde[ (in Russian sample)
Authors: Kvasova O. , Magomed-Eminov M. , Savina O. , Karacheva E. , Magomed-Eminova O.
Published: September 2022

Introduction

COVID-19 pandemic reality raise multiple problems that need effective ways of coping. Not only for people experienced contracting COVID-19 but those who did not the positive ways of coping are important way to overcome distress associated with COVID-19. Post-traumatic Growth of personality may be effective coping factor. To test this hypothesis we used several instruments: one of them - Peritraumatic Distress Index (CPDI) for assessing the level of distress specific to Covid-19

Objectives

463 participants (including 66 patients in COVID-19 clinics)

Methods

Russian version of Covid-19 Peritraumatic Distress Index (CPDI) validated in Psychological Helping and resocialization Department Moscow State University; Impact of Event Scale (Horowitz), Post-Traumatic Growth Inventory – PTGI (Tadeshi & Calhoun) adapted by M. Magomed-Eminov

Results

Russian version of CPDI has high reliability-consistency (Cronbach’s α -0.87). We obtained from our data: significant correlation between CPDI and PTG for people experienced COVID-19 contamination. Content analysis of narratives and incomplete sentences showed: those who had higher scores on PTG and CPDI have differences in personal meaning of their traumatic experience.

Conclusions

CPDI is presented in research as brief effective tool to identify COVID-19 related distress and plan helping strategies and psychiatric interventions for various people suffering by continuing pandemic crisis. Correlation between CPDI and COVID-19 contamination: could suggest more severe distress is associated with higher PTG. And PTG could be considered as positive factor coping with distress. We suggest cultural-activity approach to personality work with stressful experience of individual to confront distress, existential evaluation of life situation taking into account also resilience, growth .

Disclosure

No significant relationships.
Anxiety, depression and post-traumatic stress symptoms among COVID-19 survivors in Tunis
Authors: Ajmi S. , Masmoudi R. , Sallemi R. , Feki I. , Masmoudi J.
Published: September 2022

Introduction

In addition to physical problems, patients with COVID-19 suffer from considerable stress throughout the disease crisis and could present psychiatric consequences even after their remission.

Objectives

To assess anxiety, depression and post-traumatic stress symptoms among patients who had recovered from the acute COVID-19 infection in Tunisia.

Methods

A cross-sectional design included 50Tunisian adults who survived COVID-19 virus infection.Participants have been screened with a telephone interview 1 to 3 months after a diagnosis of COVID-19. We used a questionnaire including socio-psychological variables,presence of close relatives being infected, bereavement due to COVID-19 and post infection physical discomforts.The Impact of Event Scale-Revised (IES-R) was used to investigate post-traumatic stress disorder (PTSD). Depression and anxiety were measured using The Hospital Anxiety and Depression Scales (HADS).

Results

The age of the participants ranged from 19 to 86 years.38%were female. Twelve percent (12%) of patients required hospitalization during COVID-19 infection. After a mean of 86.60 days (SD = 23) following the diagnosis, 28 % of patients reported clinically significant PTSD. The rates of depression and anxiety disorders in our population are 20% and 30%, respectively. Seventy percent of patients (70%) reported one or more post infection physical discomforts that the most common symptoms included Difficulty breathing and anosmia. Patients with PTSD, depression or anxiety had a more frequent history of a relative diagnosed positive for corona virus, a longer duration of infection, and more frequently post-infection physical discomfort

Conclusions

Long-term psychological impact of COVID19 should not be ignored and mental health care could play an important role in rehabilitation.

Disclosure

No significant relationships.
“Second victims” in Covid-19 pandemic: A cross-sectional study among medical doctors of the Catanzaro Hospital
Authors: Zibetti A. , Scalise C. , Sacco M.A. , Ricci P. , Aquila I.
Published: September 2022

Introduction

Medical errors are a serious public health problem. The COVID-19 pandemic has caused further stress to doctors with the increase in patient mortality, the lack of definite guideline and growing work demands. In this scenario, the patient is not the only victim of the medical error. The “second victim” (SV) is defined as a health worker who was involved in an unforeseen and negative event for the patient, who suffers physically and psychologically, because he was traumatized by his own mistake and/or by the injuries caused to the patient. The SV phenomenon prevalence varies from 10.4% up to 43.3%.

Objectives

The aim of this study is to evaluate the second victim phenomenon during the COVID-19 pandemic among medical doctors of the Catanzaro University Hospital (Italy).

Methods

A cross-sectional study will be conducted by administering an anonymous questionnaire to the Catanzaro University Hospital medical doctors using SurveyMonkey software. Descriptive analysis will be performed.

Results

The data collection is ongoing. Currently, 300 subjects are included in the sample.

Conclusions

The second victim phenomenon has a negative impact on doctors, colleagues and patients. It is important to aid health workers involved in an adverse event by activating support networks and adopting appropriate strategies in order that the event is a source of learning and not of demotivation.

Disclosure

No significant relationships.