bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of COVID 19 on sleep quality: a study of 154 patients
Authors: Halouani N. , Gdoura D. , Guermazi A. , Turki M. , Moussa N. , Ellouze S. , Aloulou J. 
Published: August 2023

IntroductionIn addition to psychological distress, neurological and neurocognitive manifestations, the COVID19 pandemic and its medium- and long-term consequences combine other risk factors to alter sleep.ObjectivesTo screen for COVID19 sleep disorders and to identify epidemiological and clinical factors correlated with this disorder in post COVID19 patients.MethodsThis is a descriptive and analytical cross-sectional study that took place during the period from the 1rst of March to the 15th of May 2021 with 154 patients who were hospitalized at the COVID unit19 at the Hedi Chaker Hospital in Sfax Tunisia.The sleep evaluation, made by telephone, was performed using the “Insomnia Severity Index” scale.ResultsThe mean age was 66.62 ± 13.34 years. Male patients represented 60.4% of the study population.In our study, the prevalence of anxiety, depression and post-traumatic stress disorder was 24.7%, 11% and 13.6% respectively.The mean score of the sleep disorder severity index was 3.94 with extremes of score ranging from zero to 24. Thirty-six patients (23.4%) had insomnia, which was severe in 2.6% of patients.We found a significant association between gender and sleep disorders. Thus, women were more likely to have insomnia.A significant association was found between insomnia, anxiety-depressive disorders and post-traumatic stress disorder.No significant association was found between disease characteristics and sleep disorders.ConclusionsIn post COVID, patients suffer from an important sleep disorder. Indeed, the management of these sleep disorders in post Covid-19 is essential to improve the quality of life of these people.Disclosure of InterestNone Declared
“We weren’t used to seeing our colleagues hospitalized”: A clinical-qualitative study on reports from an intensivist clinical team at a Brazilian university public hospital
Authors: Turato E. R. , Santos F. S. , Guerra L. M. , Gasparotto A.-P. D.-C. , Aoki R. N. , Cavalcante J. M. 
Published: August 2023

IntroductionThe care relationships of physicians and nurses with patients with Covid-19 had pointed to a scenario explorable from a psychological point of view due to the peculiarities of this pandemic. How do clinicians feel, when caring for their co-workers, in a context that was not so common to see colleagues occupy the patient’s place? What emotional experiences arise from this reality? The results of the present study sought to point out how to handle this caring relationship, in an exceptional context.ObjectivesTo interpret emotional meanings reported by physicians and nurses on their experiences of working at COVID-19 intensive care units during the height of the pandemic.MethodsClinical-qualitative design of Turato. Data collection with semi-directed interviews with open-ended questions in-depth applied to a sample of six professionals, closed by theoretical information saturation according to Fontanella, in a Brazilian university general hospital. Trigger question: “Talk about the psychological meanings of your experience in face of management of patients with COVID-19 at ICU”. Data treatment by the Seven Steps of the Clinical-Qualitative Content Analysis of Faria-Schützer. Theoretical framework from Medical Psychology using Balintian concepts.ResultsWe raised initially 4 categories. Three categories were presented preliminarily in this congress, version last year. In this opportunity, we show this special category of analysis that emerged during the deepened discussion of the final results: “The feeling of insecurity: from technique to affective dimension”.ConclusionsThe care relationships between the health professional and the patient hospitalized in the Covid-19 ICU pointed to peculiar transference and countertransference psychodynamic mechanisms between both. Before the pandemic, the care relationship seemed pragmatic and protocolar. During the pandemic, this relationship seemed “more subjective”, building a strongly emotional dimension, as health professionals also began to care for their colleagues in the profession. The egoic defense mechanisms, such as projective and introjective identification were reported as intense.Disclosure of InterestNone Declared
The prevalence and associated factors of moderate to severe depression symptoms among Fort McMurray residents during the COVID-19 Pandemic
Authors: Obuobi-Donkor G. , Eboreime E. , Shalaby R. , Agyapong B. , Owusu E. , Adu M. , Mao W. , Agyapong V. I. O. 
Published: August 2023

IntroductionThe Coronavirus disease (COVID-19) pandemic affected the mental health of many individuals, especially vulnerable communities, who have experienced multiple traumas.ObjectivesTo examine the prevalence and associated factors of likely major depressive disorder (MDD) among inhabitants of Fort McMurray.MethodsA study adopted a cross-sectional design, and questionnaires were distributed online. Sociodemographic, COVID-19-related, and clinical data were obtained. The Patient Health Questionnaire (PHQ-9) scale was used to assess likely MDD. SPSS version 25 used employed to analyze the data.ResultsThe prevalence of likely MDD among participants was 45%. Participants who desire mental health counselling are more likely to exhibit depression symptoms during the COVID-19 pandemic (OR = 5.48; 95% CI: 1.95–15.40). History of depression (OR = 4.64; 95% CI: 1.49–14.44) and hypnotics (OR = 5.72; 95% CI: 1.08–30.30) were more likely to experience depression symptoms during the pandemic than other participants without a history. Participants who received absolute support from the employer (OR = 3.50; 95% CI: 1.24–9.82) were protective against depression symptoms amid the pandemic.ConclusionsClinical factors and employer support are associated with depression symptoms during the pandemic. Communities that have experienced multiple traumas need to reduce any psychopathology, and governmental bodies need to implement holistic policies to increase support to individuals during traumatic eras like the CVID-19 pandemic.Disclosure of InterestNone Declared
The dermatology life quality index among healthcare workers during the COVID-19 pandemic
Authors: Sellami I. , Abbes A. , Aicha H. , Halweni H. , Feki A. , Masmoudi M. L. , Jmal Hammami K. , Hajjaji M. 
Published: August 2023

IntroductionDuring the COVID-19 pandemic, there has been a peak of occupational dermatoses associated with Personal Protective Equipment (PPE) among healthcare workers (HCWs). The resulting dermatological damage might have an impact on the quality of life.ObjectivesWe aimed to evaluate the dermatological life quality of the HCWs due to PPE use.MethodsThe study was conducted in a group of HCWs from Hedi Chaker hospital in Sfax, Tunisia. Data were gathered between march and may 2021 using a self-administered questionnaire including socio-professional characteristics, evaluation of skin lesions, evaluation of the infection-prevention practices and the Arabic version of the Dermatology Life Quality Index (DLQI).ResultsOur sample was composed of 190 HCWs. The respondents’ mean age was 32.5 ± 6.5 years and 54.7% were female. The average job tenure was 6.6 ± 5.8 years. Doctors represented 22.1 %, nurses 13.6% and cleaning staff 64.3 % of participants. The prevalence of skin lesions due to PPE among HCWs was 51.6%. The mean time of mask use was 15.4 ± 9.1 hours. The daily hand washing frequency was >10 times/day in 85.3 % of participants. The mean DLQI score was 3.3 ± 4.3. According to this index, it was found that these skin lesions had no effect, small effects, moderate effects and very large effects on the lives of 43.9%, 34.7%, 12.2%, and 9.2% of participants, respectively. The DLQI was correlated with hand washing frequency (p = 0.014, r = 0.204) and the time of mask use ( p = 0.038, r = 0.172).ConclusionsSkin lesions among HCWs are frequent during the covid-19 pandemic. These lesions influence the quality of life of the HCWs. This risk gets higher with excessive preventive measures. It is critical to provide training on the prevention of skin lesions associated with PPE wearing and hand hygiene before and during the period of use of preventive measures.Disclosure of InterestNone Declared
Comparison of Glycated Hemoglobin Levels in Diabetic Psychiatric Patients, Before and During the Covid-19 Pandemic
Authors: Anagnostaki M. E. , Anagnostaki I. , Papaspiropoulou G. 
Published: August 2023

IntroductionThe current SARS Covid-19 pandemic has negatively affected primary care and health system services provided to chronically ill patients, such as patients with Diabetes MellitusObjectivesThe comparison of glycemic regulation as demonstrated by the levels of glycated hemoglobin HbA1c % in Psychiatric patients monitored at the Psychiatric Hospital of Attica before the pandemic (9/2018 -2/2020) and during its progression (3/2020-2/2022)MethodsThe study was done retrospectively and included 543 diabetic patients who were examined in Outpatient Clinics during the aforementioned time intervals. HbA1c % levels were measured in peripheral blood and at least two measurements were averaged for each patient. The statistical method used to compare the mean value of HbA1c % was the paired t-test and the level of significance was p<0.05.ResultsThe mean of the mean values of HbA1c % before the pandemic was 7.22% while (sd 6.6-7.9) while during the pandemic period it was 8.56% (sd 7.1-9.9). The t score was calculated as 3.3 with a significance level of p=0.0165 (p<0.05).Conclusionsn the present study, a statistically significant increase in the HbA1c % of the Diabetic patients of the Psychiatric Hospital over the last two years is found, which indicates a worsening of the glycemic control of this particular group of patients. It is worth noting that 24 out of 543 (4.4%) missed a scheduled follow-up visit, while the greater variation in HbA1c % values during the second period indicates the varied way the pandemic affected the behavior of psychiatric patientsDisclosure of InterestNone Declared
Hospital architecture matters – rethinking the role of mixed sex wards and family rooms in psychiatric hospitals
Authors: Jovanovic N. 
Published: August 2023

AbstractHospital built environment can affect patient clinical outcomes, patient satisfaction with care and treatment, staff performance and wellbeing, and carers/visitors’ engagement with services. Little is known about which urban planning, architecture and interior design characteristics can make environments therapeutic or detrimental for users.We hope that the audience attending this presentation will i) get a good understanding of the impact of the hospital-built environment on patients, staff and visitors/carers and ii) understand which design elements can improve patient satisfaction with care.As hospitals are among the most expensive facilities to build, their design should be guided by research evidence. In this presentation, we will review existing research evidence in this field and present our study of 18 psychiatric hospitals in Italy and the United Kingdom. Our findings indicate that out of several hospital built environment characteristics, two have the power to increase patient satisfaction with care.These are (availability of
) mixed-sex wards and rooms to meet family off wards.We will show vignettes to further explore the role of mixed-sex wards and family rooms and discuss how to implement them when renovating, adapting or building mental health care facilities.Disclosure of InterestNone Declared
THE ASSOCIATION BETWEEN COVID-19 ANXIETY AND WELLBEING AMONG UNIVERSITY STUDENTS IN BOSNIA AND HERZEGOVINA
Authors: Ünal Aydın P. , Trtkovic S. , Aydın O. , Ulus I. S. , Ürek E. , Yağmur K. S. , Kılavuz B. Ç. 
Published: August 2023

IntroductionAs of September 2022, over 600 million COVID-19 cases have been reported worldwide. Implemented measures and novelty caused by the epidemic caused wellbeing complaints, including depression and anxiety. One particularly inflicted group are students, who were switched to online education. Many universities have decided to start with face-to-face lecturing again, but as the pandemic is still ongoing, the fear of potentially catching COVID and risking one’s wellbeing are still high.ObjectivesThe study’s aim is to explore the influence of COVID-19 anxiety on wellbeing among university students.MethodsA total of 844 university students participated in a 5-minute paper-pen survey, completing self-report scales including a sociodemographic form assessing relevant information regarding COVID-19, The Covid-19 Anxiety Syndrome Scale (C-19ASS) and the Short Warwick-Edinburg Mental Wellbeing Scale (SWEMWBS). Bivariate correlation and multiple linear regression analyses were performed to assess the associations between the variables.ResultsA negative moderate association was found between COVID-19 anxiety and wellbeing, indicating that presence of anxiety related to COVID-19 may predict a lack of wellbeing among university students.ConclusionsAs a negative association between COVID-19 anxiety and wellbeing was found, we can speculate that the existence of anxiety related to COVID-19 may predict student’s wellbeing. Knowing this, different psychological/wellbeing interventions, trainings and techniques, may be utilized to improve the wellbeing of the student population during and after these trying times, to try and minimize the negative effects of the pandemic on the student population.Disclosure of InterestNone Declared
Post-COVID syndrome or persistent COVID and depression
Authors: Castelao-Almodovar S. , Ojea Quintana R. , Arrieta Artigas A. , Arce de la Riva A. , Tejero Soriano B. 
Published: August 2023

IntroductionSince the start of the COVID19 pandemic, numerous patients have exhibited symptoms related to the viral infection once the acute phase has resolved. The most frequent are fatigue or weakness, cognitive difficulties, insomnia, and anxiety or depression. It has been observed that the persistence of these symptoms is more common in cases of severe infections.ObjectivesWe expose a case that exemplifies it; A 60-year-old man suffering from severe COVID19 infection during 2021, with bilateral pneumonia and secondary pneumothorax. Three months after the acute episode, he continues to present related symptoms, such as dyspnea, asthenia, arthromyalgia, nausea, hyporexia, memory lapses, anxiety and depressive mood with apathy, anhedonia and suicidal ideas.MethodsThe patient starts follow-up in Mental Health and antidepressant treatment with Vortioxetine 10mg. In the following months he presented significant improvement consisting in decrease of the asthenia, dyspnea, arthromyalgia and especially in anxious symptoms and depressive mood, disappearing the apathy, anhedonia and suicidal ideation. However, the persistence of memory failures draws attention, which remain in a similar degree or with slight subjective improvement.The exploration and complementary test were the following:
-Chest CT: Hydropneumothorax, parenchymal infiltrates, alveolar consolidations, left lamellar pneumothorax.-Head CT, complete analysis, microbiological and cytological studies without relevant resolution.-Assessment by the Rehabilitation and Neurology service.ResultsThis case exposes the existence of a post-COVID syndrome, where the symptoms related to the infection persist, including anxious-depressive symptoms of moderate-severe intensity. The different diagnoses that were considered were the following: Post-COVID syndrome, Adjustment disorder with mixed anxious-depressive symptomatology, Depressive episode.ConclusionsWe consider that in this case and in others that are similar, which are increasingly common in routine clinical practice, the etiopathogenesis of the syndrome is of interest. We found that it is difficult to discern the origin of the symptoms, not being able to differentiate an adaptive difficulty to the infection situation (added to the COVID pandemic context), versus a more organic affectation that improves when receiving pharmacological treatment, as in this case with antidepressants.Disclosure of InterestNone Declared
REPATRIATION OF A PSYCHIATRIC PATIENT FROM BRAZIL TO CHINA
Authors: Bragatto A. S. , Vourlis V. M. , Moesch J. , Timmermann F. , Brito J. , Reis B. 
Published: August 2023

IntroductionDeveloping or presenting with a serious mental illness whilst working offshore may result in substantial barriers to treatment, rehabilitation and repatriation to one’s home country, especially amid changes in border control practices over the COVID-19 pandemic. Further difficulties arise arise in relation to language and cultural barriers.ObjectivesOur aim was to explore the experience of providing safe and effective treatment for a psychiatric patient from another country, culture and language using a non-medical interpreter.MethodsIn this report, we describe the case of a 26-year-old Chinese citizen, a cargo ship crew member, who docked at the Port of Santos-Brazil in june 2021 with severe psychiatric disturbance.ResultsFollowing the hospital assessment, the patient was admitted in the psychiatric ward and started the diagnostic research and treatment. After stabilization of the psychopathological condition, he was repatriated to his country of origin uneventfully. This case shows that treating and communicating with people who do not share the same language is challenging, in particular in a psychiatric context. The use of an interpreter is essential in the assessment process, but there are challenges in accessing and using these services.ConclusionsWith a detailed multi-disciplinary rehabilitation plan a patient with serious mental illness can be rehabilitated in order to facilitate the repatriation in humanized ways and respecting all health protocols of COVID-19 pandemic.Disclosure of InterestNone Declared
Community-based participatory research initiative to assess the scope of alcohol use within the community of refugees from Burma in the greater Denver area
Authors: Franks A. , Arlas N. , Harrison M. , Officer L. , Fuller B. , Le D. , Hunt D. 
Published: August 2023

Introduction
For over fifty years, minorities in Burma have faced severe persecution and violence, forcing them to flee their homeland. In the past ten years there has been an influx in the number of refugees resettled in Denver, Colorado. Refugees often struggle to navigate the complexities of the American health care system and adapt to life in a foreign culture. The development of programs and partnerships to assist refugees in their pursuit of health and integration is essential to building stronger communities.Objectives
This community based participatory research (CBPR) project was developed in collaboration with the refugee community from Burma living in the Denver area. After regular meetings with a group of motivated teenagers and young adults from this community to form our Youth Advisory Board (YAB), they identified alcohol use and misuse as a health concern within their community. With this identified issue, the project aimed to gather data from community members that could be leveraged to create, implement, and evaluate a culturally competent intervention to effectively address risky alcohol use in this community.MethodsData collection involved formal one-on-one, semi-structured, audio-recorded interviews with community members. Participants were recruited voluntarily at health information nights held by the student researchers at their local apartment complex. The interviews were conducted by one medical student researcher with one translator present and were transcribed afterward. The interview data was analyzed using Immersion Crystallization methodology.ResultsInitial results from the community meetings with the YAB, local organizations, formative community surveys, and key informant interviews highlighted the vulnerability of the refugee population, scarcity of culturally appropriate resources for alcohol abuse, and urgency of addressing problematic alcohol use. The analysis of the ten audio-recorded surveys showed several themes including negative consequences of alcohol use, specifically negative impacts on familial relationships, employment, and financial resources, and a perceived personal responsibility for managing one’s own alcohol consumption.ConclusionsThis project corroborates current literature regarding the scope and breadth of hazardous alcohol use within the community of refugees from Burma. Our data has expanded our understanding of the values of community members including the influence of religion and family on behaviors, and the negative impact on employment as the most impactful negative consequence. These findings need to be shared with the community to move forward in mapping the most effective and appropriate interventions.Disclosure of InterestNone Declared
Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practice
Authors: Jesus S. , Costa A. R. , Simões G. , Gomes A. I. , Tarelho A. , Garrido P. 
Published: August 2023

IntroductionExisting as an emerging topic in the field and undergoing constant evolution, Transcultural Psychiatry addresses how social and cultural factors influence mental illness. During the second half of the twentieth century, phenomena such as globalization, massive migrations and immigration, occurring in ever increasing frequency, continue to bring this topic to the forefront of discussion as challenges in the treatment of patients from varying cultural backgrounds emerge. Viewed from the biopsychosocial perspective, culture delineates a framework for the evaluation of various expressions of emotion and behaviour as well as defining the limits of what counts as disorder. As border restrictions are lifted, cases which present with these particularities are bound to increase, necessitating an increased attention to the influence that cultural and social factors play in the psychopathological clinical pictures which may present to the practitioner.ObjectivesThe authors aim to briefly explore the concept of transcultural psychiatry and its importance in clinical presentation and practice with recourse to various clinical cases of international patients hospitalized in a Portuguese Psychiatry ward during a two-year period.MethodsA brief non-systematized literature review was performed based on works most pertinent to the topic discussed. As compliment to the topic, a discussion of various clinical cases of hospitalized international patients is presented.Results
Culture has been demonstrated to contribute to psychopathological presentations in a variety of forms, solidifying the old adage that ‘no man is an island’ and giving reason to the biopsychosocial approach applied in clinical practice. The impact of sociocultural factors is such that the DSM-5-TR includes in its classification culture-specific syndromes. The cases discussed demonstrate the various nuances necessary not only in exploring psychopathology, but also in implementing appropriate standards of care.ConclusionsTranscultural psychiatry rises as a relatively recent topic as well as raising important philosophical, theoretical and technical challenges for mental health practitioners. Although existing as a subspecialty, each mental health practitioner should strive to be transcultural, taking into consideration the influence that these factors exert on mental illness. The patient should be evaluated with consideration to their cultural background, as well as not neglecting how the culture of the practitioner may influence the interpretation of psychopathological presentation.Disclosure of InterestNone Declared