bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Same Day on Repeat: A Unique Case of Persistent Déjà Vu Phenomenon as a Long COVID Symptom in an Older Adult
Authors: Jileaeva I. , Bakre S. , Huff L. , Ratnakaran B. 
Published: August 2023

IntroductionDéjà vu is a condition characterized by the experience of recognizing a current situation as familiar with the awareness that the recognition is inappropriate (Pasic et al. Psychiatria Danubina; 30, 21–25). This phenomenon has been well described in temporal lobe epilepsy, and is thought to be caused by abnormal synchronization in the corticolimbic network. While the etiology of neuropsychiatric symptoms in long COVID is still not well demarcated, studies have found that the virus attacks the temporal lobe and limbic system; therefore, we suggest that the ongoing symptoms of déjà vu, in this case, may be a manifestation of long COVID.ObjectivesTo illustrate a unique case of persistent déjà vu after severe infection with COVID-19 virus.MethodsThe patient is a 79-year-old female with a pertinent past medical history of generalized anxiety disorder, major depressive disorder, and prior hospitalization for delirium who presented with a chief complaint of being tired of living the same day. The patient was hospitalized eight months prior for a severe COVID-19 infection that now requires continuous oxygen therapy. Since leaving the hospital, the patient began to develop episodic confusion, memory impairment, and tinnitus which gradually improved. However, the patient developed severe distress due to a constant feeling of déjà vu characterized by a sense of familiarity with events in her daily life. There was no history of loss of consciousness, abnormal involuntary movements, or other semiology related to seizures. Due to distress caused by the déjà vu symptoms, the patient also endorsed depression, anxiety, and insomnia, with deterioration of quality of life.ResultsMRI showed mild volume loss and multifocal regions, including bilateral temporal lobes, of subcortical and periventricular high T2/FLAIR signal abnormality consistent with chronic white matter microangiopathy. MOCA score was 24/30, and the dissociative experiences scale score was 15.36/100. The patient continues to be treated for her depression, insomnia and anxiety with escitalopram 10mg daily and mirtazapine 7.5mg at night as a neuropsychological assessment and electroencephalogram are done.ConclusionsThe incidence of neurological symptoms is more than 80% in severe cases of COVID-19 (Douaud et al. Nature; 604,697–707). This patient was likely predisposed to developing these symptoms due to her age and psychiatric history. Déjà vu occurs in temporal lobe epilepsy, schizophrenia, and depersonalization disorders, all of which affect the limbic-temporal lobe networks (Pasic et al. Psychiatria Danubina; 30, 21–25). Signal abnormalities in the medial temporal lobe are one of the findings seen on MRI in patients with neuropsychiatric symptoms after severe COVID-19 infection. We propose that the persistent déjà vu phenomenon along with cognitive impairments described in this case are manifestations of long COVID.Disclosure of InterestNone Declared
The association between the well-being and workability among university staff during the COVID‑19 pandemic
Authors: Sellami I. , Abbes A. , Haddar A. , Kotti N. , Masmoudi M. L. , Jmal Hammami K. , Hajjaji M. 
Published: August 2023

IntroductionThe coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact on educational systems and the well-being of the university staff. The mental health of university staff can affect their ability to work.ObjectivesOur study aimed to assess the association between the well-being of university staff and their workability during the COVID-19 pandemic.MethodsWe conducted a cross-sectional study among university staff in Sfax, Tunisia. We collected data between September and October 2021 using a self-administered questionnaire including socio-professional characteristics, the Work Ability Score (WAS) and the Arabic version of the Mental Health Continuum-Short form.ResultsOur sample was composed of 62 university staff. The respondents’ mean age was 51.4±6.7 years and 67.7% were female. The average job tenure was 17.9 ± 8 years. The mean score of WAS was 7.5±1.8. The mean scores of emotional well-being, social well-being and psychological well-being were 8.5±4.2, 12.6±6.1, and 19.9±7.3, respectively. Sixty-one per cent of participants reported languishing to moderate mental health, and 39% % were flourishing. The workability of participants was significantly associated with their well-being (p = 0.04).ConclusionsHaving good mental health improves the worker’s ability to work. Taking care of mental health is crucial to guarantee better efficacy at work.Disclosure of InterestNone Declared
Clinical correlates of COVID-19 disease in psychiatric outpatients
Authors: Gassab L. , jabeur M. , Ben Mbarek M. , Ben Mohamed B. , Amamou B. , Zaafrane F. , Gaha L. 
Published: August 2023

IntroductionPatients suffering from psychiatric illness represent a population that is particularly vulnerable to the SARS-CoV-2 virus and to the pandemic situation due to several factors.ObjectivesWe aimed in our study to determine the rate of COVID-19 infection and to identify its correlated factors in outpatients of the psychiatry department of Monastir, Tunisia.MethodsThis is a descriptive and analytical cross-sectional study conducted on 178 outpatients at the department of psychiatry (Monastir, Tunisia) over a period of one month (from March 2022 to April 2022). Data was collected via a questionnaire focused on two main attributes: (1) sociodemographic and clinical characteristics; (2) questions about the COVID-19 personal and family history.ResultsThe mean age of our population was 44.9±13.7 years. The majority of them (81.5%) had a chronic evolution of their psychiatric disorder (> 2 years) and 68.7% were hospitalized at least once in psychiatry. Psychosis was the most represented disorder with 57.3% compared to mood disorders and anxiety disorders. Among our population, thirty seven patients (21%) had a SARS-CoV-2 infection and 3.1% required hospital care. The infection by the virus of a family member was reported by 46% of cases and 2.5% had intrafamilial death due to COVID-19 disease. Patients with depressive disorder were the most affected (55%). COVID-19 infection was significantly associated with gender (p=0.02), marital status (p=0.016), diagnosis (p=0.001), treatment (p=0.02) and intrafamilial spread of the disease (p<10-3).ConclusionsPatients with psychiatric disorders experience a distinct burden of the COVID-19 disease. Awareness of the vulnerability of this population and psychiatric institutions is necessary in order to adapt mental health care planning and implement preventive measures during potential subsequent pandemics.Disclosure of InterestNone Declared
The relationship between anxiety, productivity and self-compassion of healthcare professionals in COVID19 time
Authors: Cornea M. , Bacila C. 
Published: August 2023

IntroductionDuring the Corona virus pandemic, anxiety was one of the most felt emotions. Anxiety can lead to maladaptive coping behaviors, including decreased productivity at work. There are some mechanisms that buffer the devastaing effect that anxiety can have, and one of them is self-compassion. The impact on mental health during the pandemic has increased, especially among healthcare professionals, and needs further explorationObjectivesThis study aims to investigate the relationships between anxiety, productivity and self-compassion at work among healthcare professionals, as well as, the possibility of self-compassion playing the role of a relationship’s moderator, in a pandemic context.MethodsThe study gathers the result from 202 participants, who completed a questionnaire on an online platform. We examined the link between anxiety, respectively COVID-19 anxiety, productivity and self-compassion, as well as the link between self-compassion and productivity among healthcare workers in a pandemic context. In order to emphasize the objectives, the validated BAI, CAS, SPS-SV and SCS-SV scales were used.ResultsIn terms of results, significant negative correlations were identified in the relationships between anxiety, COVID-19 anxiety, productivity and self-compassion, and a significantly positive correlation in the self-compassion-productivity relationship. Also, we studied if self-compassion could be a relationship moderator. As the results show, the study identified a statistically insignificant effect of self-compassion on the relationships anxiety-productivity and anxiety of COVID-19-productivity, among health workers.ConclusionsThe present study has achieved its proposed objectives, so that through future research, anxiety, productivity and self-compassion can be explored not only in a pandemic context, but also in a normal context of professional activity in the medical field, and it can also contribute to the identification of other moderators of the anxiety-productivity relationship.Disclosure of InterestNone Declared
Peculiarities of the initial psychopathological manifestations after the transferred coronavirus disease COVID-19
Authors: Maruta N. O. , Fedchenko V. Y. , Yavdak I. O. , Lapinska O. R. 
Published: August 2023

IntroductionThe pathogenesis of mental disorders occurring during the coronavirus pandemic 2 (SARS-COV-2) includes biological and psychosocial factors. Psychopathological consequences associated with the coronavirus disease COVID-19 may occur in different groups of individuals, including patients with a history of COVID-19 and patients with psychiatric disorders preceding COVID-19.ObjectivesTo investigate the peculiarities of the initial psychopathological manifestations in patients with newly diagnosed mental disorders who suffered from COVID-19 and were exposed to the stressors of the SARS-CoV-2 pandemic.MethodsThe study involved 97 patients with newly diagnosed mental disorders who suffered from COVID-19 and were exposed to the stressors of the SARS-CoV-2 pandemic (F 32.0-32.2 – 34 patients, F 40-45 – 32 patients, F 06.3-06.6 – 31 patient). The average age of the examined group was 44.82 ± 5.64 years. Clinico-psychopathological, psychodiagnostic, statistical methods were used.ResultsIn the structure of initial psychopathological manifestations detected in patients, the following prevailed: with depressive episodes - weakness and fatigue / asthenia ((87.50 ± 5.94) %), low mood / depression ((71.88 ± 8.07) %) and sleep disturbances ((65.63 ± 8.53) %); with neurotic, stress-related and somatoform disorders – weakness and fatigue / asthenia ((72.73 ± 7.87) %), decreased concentration of attention, memory / cognitive disorders ((66.67 ± 8.33 ) %) and feeling of inner tension ((60.61 ± 8.64) %); with mental disorders of organic genesis – a feeling of internal tension ((75.00 ± 7.78) %), anxiety ((62.50 ± 8.70) %) and weakness and fatigue / asthenia ((59.38 ± 8 .82) %).In patients with depressive episodes, initial psychopathological manifestations in the form of asthenia, low mood, cognitive disorders, and sleep disorders were detected in a significantly greater number of cases compared to patients with mental disorders of organic genesis (р < 0,05). In the examined subjects of this subgroup, initial psychopathological manifestations in the form of a decrease in mood were recorded in a significantly greater number of cases compared to patients with neurotic, stress-related and somatoform disorders (р < 0,05). In patients with neurotic, stress-related and somatoform disorders, initial psychopathological manifestations in the form of anxiety, fears and obsessions were noted in a significantly smaller number of cases compared to those examined with mental disorders of organic genesis (р < 0,05).ConclusionsThe obtained data will make it possible to improve the effectiveness of diagnosis and therapy of mental disorders, the formation, course and clinical picture of which were affected by the coronavirus disease COVID-19.Disclosure of InterestNone Declared
The Psychosocial effects of the covid-19 lockdown`s on school-age childrens: A literature review
Authors: Da Silva O. A. , Babani H. , Sarubi G. D. O. , Campos A. M. S. , Campos A. L. S. , Pontes J. G. A. , Ferreira J. A. 
Published: August 2023

IntroductionHome confinement was implemented worldwide as a response to the covid-19 pandemic. Therefore, almost all school-age children started to receive home-schooling from the beginning of 2020, it was necessary due to the length of the lockdowns. Being quarantined at home imposed an increase in psychological burden and the situation was aggravated because of school closure, lack of outdoor activity, aberrant dietary and sleeping habits, disrupting children’s usual lifestyle and promoting monotony, distress, impatience, annoyance, and varied neuropsychiatric manifestations.ObjectivesThis study aims to understand the correlation between quarantine and psychosocial effects on school-age children.MethodsAn integrative literature review was developed in 3 steps: Development of the research question, search for scientific articles in the Pubmed database, and critical analysis of included articles. The search was conducted in September 2022, and articles between 2019 and 2022 were selected, for a total of 510 articles, of which 28 were used.ResultsThe confinement caused by the coronavirus imposed an immediate and lingering psychosocial impact on children due to drastic changes in their physical activity, lifestyle, and mental excursions. Even a short-term shutdown of educational institutions and home confinement is indeed troublesome and anticipated to have detrimental effects on children’s physical and mental health and shatter the sense of normalcy that schools used to provide. Another important factor to note is that some children`s had to be detached from their parents due to several factors, this juncture caused ever-lasting psychiatric consequences including post-traumatic stress disorder, anxiety, psychosis, depression, delinquency, and even suicidal tendency.ConclusionsThus, frontline physicians must be aware of the psychosocial needs of the quarantined children. Hospital authorities need to make arrangements for children to communicate with parents via audiovisual devices. Government should invest in operational strategies to provide mental healthcare for the quarantined children.Disclosure of InterestNone Declared
Decisional conflict among health care workers regarding the covid 19 vaccine
Authors: Dhakouani S. , Lansari R. , Hamrouni N. , Larnaout A. , melki W. 
Published: August 2023

IntroductionThe introduction of the covid 19 vaccine was a long-awaited event. However, many concerns accompanied this vaccine and the decision to be vaccinated was conflicting, especially among the most vulnerable population at that time, the health care workers.ObjectivesEvaluate the decisional conflict among health care workers concerning the launch of the covid19 vaccination campaign.MethodsThis is a descriptive study conducted by a questionnaire posted on social networks using Google Forms targeting groups of health professionals before the launch of the vaccination campaign in Tunisia from January 16, 2021 to March 6, 2021.We collected sociodemographic data and the attitudes of health care workers about COVID 19 vaccination. We used SURE score to screen the decisional conflict related to COVID 19 vaccine.ResultsOur study included 168 health care workers represented mainly by medical personnel (81% of the respondents). The average age was 34 ±10 years and sex ratio was 0.22.Sixty percent (60%) of population were hesitant about the COVID 19 vaccine. Scientific sources were consulted by 61% and non-scientific sources were referred to by 19%. Seven percent (7%) did not use any information source.The SURE decisional conflict score: the mean was 2.26 ± 1.35. The majority of our population (74.4%) had SURE scores in favour of a decisional conflict. We found that decisional conflict was significantly related to information sources. This conflict was highest amoung health care workers who did not use scientific information sources to inquire about the vaccine.ConclusionsThe announcement of the covid 19 vaccination campaigns raised a significant decisional conflict among the health care workers. Screening for decisional conflict among this population is important. Specific interventions to reduce this conflict are recommended by incorporating decision support tools (Decison Aids) and the shared decision making approach.Disclosure of InterestNone Declared
Distance and Psychoanalysis: Negotiating with the Virtual World
Authors: Gairola V. 
Published: August 2023

IntroductionEarlier ways of being in touch with each other have been turned into nostalgia the way COVID-19 did and continues to shake the world. There has been an enormous move under COVID-19 to move towards zoom, telephones, etc. to do online psychoanalysis and psychotherapy. Audio and video have taken exceptional agential forms by replacing physical hearing and seeing. Physical touch is replaced by a virtual touch. The virtual has extended the meaning of the body, feelings, sensations, and relations.ObjectivesThe aim of this paper lies in understanding, demystifying, and de-alienating the relationship between distance and psychoanalysis. It is to understand what ‘virtual turn’ entails in therapy. This paper theorizes the ‘and’ between distance and psychoanalysis.MethodsThis research used primary sources like books and articles to elucidate the possibilities and challenges of distance therapy.ResultsIn-office analysis, analysis with the video, and telephone analysis bring their own unique ways of communication and understanding. “Talking cure” and “chimney sweeping” come closest to the domain of telephone analysis where voice again becomes the foreground. Technology and distance therapy’s relation to the analytic position is understood critically as what they mean for both the therapist and the patient in such times of shared social crisis.ConclusionsInternational Psychoanalytic Association (IPA) has authorized telephone and virtual analysis, which is a commendable step as this makes analysis far more accessible than it has ever been to people who live outside major cities along with breaking the hierarchy between the patient and the analyst.Disclosure of InterestNone Declared
Unreliable conspiracies: survey results about COVID-19 conspiracy theories lack temporal stability
Authors: Pisl V. , Volavka J. , Vevera J. 
Published: August 2023

IntroductionConspiracy theories complicating public reaction to the COVID-19 pandemic inspired quantitative research on conspiracy theories, mostly using survey-based, correlational designs. Data from similar studies may, however, be unreliable due to low temporal stability (Graham, 2021).ObjectivesWe examine the temporal stability of a popular survey measure of COVID-19 conspiracy beliefs (CCBs).MethodsCCBs were measured by a popular set of items developed in the first months of the pandemic, addressing the beliefs that COVID-19 was a hoax (CCH) and that it was artificially created for evil purposes (CCC) (Imhoff & Lamberty, 2020), in 179 students of medicine. In March 2022, CCBs were measured twice using the same set of questions presented once with a numeric (N1 measure) and once with a Lickertian (L1 measure) scale, with filler questions in between. The same Lickertian items were presented to the same sample in May 2022 (L2 measure).ResultsThe mean agreement with CCBs did not differ between March and May 2022 and previous survey on a similar sample in January 2021. The temporal stability of CCBs expressed as the correlation between the L1 and L2 measurement was poor (r = .57 for CCC, r = .67, for CCH). The difference between L1 and L2 was positively correlated with agreement with CCBs (r =.21, p < .01 for CCH; r = .44; p < .001 for CCC). Out of 18 respondents reporting agreement with CCC in March and 5 respondents reporting agreement with CCH, only 8 still reported agreement with CCC and 1 reported agreement with CCH in May.Finally, participants were split based on their L1 CCC score into groups of “mainstreamers”, “undecided”, and “conspirators”. For “mainstreamers”, there was no difference between their CCC score recorded in N1, L1, and L2. For “undecided”, there was a difference between L1 versus N1=L2, suggesting random effects (regression to the mean). For “conspirators”, the scores recorded in March were equal, while their agreement with CCC was lower in May, suggesting that the scores recorded in March were not random and the difference between March and May is better explained by situational factors.ConclusionsTemporal stability of survey-reported CCBs is low, particularly among those reporting agreement with CCBs: When a respondent reports agreement with a CCB in a survey, they are more likely to disagree than agree with the same CCB two months later. The low temporal stability seems to be affected not only by incorrect or random answers, but also by situational factors. Implications: First, survey measures of CCBs may inflate the spread of conspiracy theories in population. Second, correlations of CCBs with other variables measured by surveys may be inflated via common method bias, distorting our understanding of the predictors and consequences of CCB.Disclosure of InterestNone Declared
Psychological impact of telework during the COVID-19 pandemic in Tunisia
Authors: Ayed W. , Aissa I. , Chebbi S. , Ayadi A. , Magroun I. 
Published: August 2023

IntroductionTelework is a work organization in which a task that could have been performed on the employer’s worksite is performed by an employee outside of these offices, using information and communication technologies. COVID-19 pandemic has strengthened digitalization as the result of social distancing and lockdown. However, teleworking can lead to different risks for employees mental health.ObjectivesEvaluation of the psychosocial impact of telework during the first wave of the COVID-19 pandemic in TunisiaMethodsDescriptive cross-sectional study carried out from17 to 22 May 2021. It included workers who teleworked during the first lockdown. The data collection was performed with a self-administered online questionnaire specifying the socio-medical, occupational and psychosocial characteristics.Results
A total of 612 teleworkers were included. The mean age was 33±6.9 years. Sex ratio (M/F) was 0.32. The main sectors of activity were telecommunications and information technology (31.6%), legal and financial services (19%) and administration and organizations (16.5%). The teleworkers were operating in the private sector in 91.6% of the cases. Teleworking had been practiced before the health confinement by 55.6% of the cases and 86.3% had never received teleworking training. Psychosocial repercussions were noticed among 92.2%. During confinement, teleworkers reported a mood sadness in 36.4%, persistent anxiety in 27.8% and constant exhaustion in 43.3%. Sleep disorders were reported by 65.5%. They were difficulty in getting to sleep in 42.5% and a difficult morning awakening in 51.8%. The absence of work organization was significantly correlated with mood sadness (p<0.001), chronic anxiety (p=0.01), sleep disorders (p=0.03), and constant exhaustion (p=0.001). Spending breaks in front of the television and on social networks was significantly correlated with sadness of mood (p=0.04), anxiety (p=0.009), and sleep disorders (p=0.04).ConclusionsPsychological impact of teleworking during health confinement at the COVID-19 pandemic was significant. Therefore, the role of the occupational physician is important in the detection and the prevention of health consequences.Disclosure of InterestNone Declared