bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of the COVID-19 virus and confinement on the mental health of the tunisian population: Anxiety and depression
Authors: Regaieg N. , Elleuch M. , Hentati S. , Masmoudi J. 
Published: February 2022

IntroductionThe 2019 Coronavirus disease epidemic is a public health emergency of international concern and poses a challenge to psychological resilience.ObjectivesTo study the psychological repercussions in terms of anxiety and depression of the Coronavirus pandemic on the Tunisian population.MethodsThis was a cross-sectional, descriptive and analytical study. We used an online questionnaire on Facebook, on June 2020. The heteroquestionnaire included epidemiological data and two scales: the State-Trait Anxiety Inventory (STAI Form Y-1) to evaluate the anxiety level at the time of the study, and the Patient Health Questionnaire (PHQ 9) to detect a characterized depressive episode.ResultsWe included 121 participants. They had an average age of 36.52 years with a sex ratio (M/F) of 0.41. The mean STAI score was 43.12 while the PHQ score was 7.46, indicating that 30.8% of the participants suffered from depression. Both scores were correlated to female sex (p=0.01 for STAI and p=0.02 for PHQ), a history of anxiety (p<0.001) and depressive disorders (p<0.001) and to poor sleep quality (p<0.001). The STAI score was also associated with a family history of high blood pressure (p=0.004), while the PHQ score was correlated to a family history of diabetes (p=0.02), a widowed or divorced marital status (p<0.001) and to a single lifestyle (p=0.03). Furthermore, the two scores (STAI-Y and PHQ 9) were also associated (p<0.001; r=0.67).ConclusionsThe psychological impact of Coronavirus epidemic seems not negligible requiring psychological interventions to improve the mental health of vulnerable groups.
Personnel well-being and potentially traumatic COVID-19 pandemic related events (PTES) in the hus helsinki university hospital – baseline results
Authors: Laukkala T. , Haravuori H. , Tuisku K. , Junttila K. , Haapa T. , Kujala A. , Pukkala E. , Suvisaari J. , Rosenström T. , Jylhä P. 
Published: February 2022

IntroductionA majority of the Finnish COVID-19 pandemic patients have been cared for in the HUS Helsinki University Hospital since March 2020.ObjectivesJune 2020 baseline results of an ongoing prospective cohort study are reported.MethodsAn electronic survey was created to assess potentially traumatic COVID-19 pandemic related events (PTEs) of the HUS personnel.Results
The survey was sent to 25494 HUS employees, and 4804 (19%) answered. Out of the respondents, 62% were nursing staff, 9% medical doctors, and the rest special employees or other personnel. Mean age was 44 years, 88% were female. PTEs were more common in the personnel directly caring for COVID-19 patients than other personnel (p< 0.001). PTEs predicted psychological distress among all personnel (OR 5.05; 95%CI 4.26–6.00). Table. Potentially traumatic events (PTEs) among HUS personnel, June 2020. One respondent may have one or more PTEs.
In direct care of COVID-19 patients
PTE11
PTE22
PTE33
PTE44RespondentsYes (N; %)325 (26.6%)358 (29.3%)46 (3.8%)9 (0.7%)532No (N; %)281 (8.2%)574 (16.6%)88 (2.5%)30 (0.9%)7601Has your work with COVID-19 patients or suspected patients included exceptionally disturbing or distressing assignments? 2Have you had strong anxiety due to your own or close one’s risk of contracting serious illness for your work with COVID-19 patients or suspected patients? 3Have you or your close one contracted a hospital care requiring serious COVID-19? 4Has a close one to you died of COVID-19?ConclusionsOur data highlight the need to ensure psychosocial support services to HUS personnel with PTEs.Conflict of interestNo significant relationships.
Impact of the COVID-19 pandemic on the mental health of health care workers in CYPRUS
Authors: Chatzittofis A. , Karanikola M. , Michailidou K. , Constantinidou A. 
Published: February 2022

Introduction
The coronavirus disease 2019 (COVID-19) has a great impact on health care workers (HCWs) who are exposed to high levels of stress and trauma leading to negative mental health outcomes, including stress-related symptoms and depressive symptoms.ObjectivesThe aim of this study was to investigate the prevalence of depressive symptoms, anxiety and post traumatic stress symptoms related to to the COVID 19 pandemic in Cyprus.MethodsIn this cross-sectional study, we report on mental health outcomes among HCWs in Cyprus. Data were collected between May 3rd and May 27th, 2020, using an online questionnaire that included demographics, the 9-item Patient Health Questionnaire (PHQ-9), assessing depressive symptoms, the Impact of Events Scale Revised (IES-R) measuring PTSD symptoms and the 10 item Perceived Stress Scale (PSS) measuring stress.Results424 Health Care Workers (HCWs) participated in the study. 79 HCWs (18,6%) scored in PHQ-9 above the cut-off for depression while 62 HCWs (14,6%) scored high enough in IES-R indicating a diagnosis of post-traumatic stress disorder. The prevalence of depression and PTSD symptoms were significantly higher among nurses compared to doctors and other HCWs. (20.7% versus 10.8%; adjusted prevalence ratio, 1.70 [95% CI, 1.06 to 2.73]), after adjustment for age and sex.ConclusionsEven in countries like Cyprus with minimum impact of the COVID-19 pandemic, the impact on the mental health of HCWs is substantial with nurses being more vulnerable.
The mental health impact of the COVID-19 epidemic on hong kong youth: Preliminary results from the hong kong youth mental health epidemiological study (HKYES)
Authors: Chung T.H. , Yuen A.S. , Wong C.S. , Hui C.L. , Chan S.K. , Chang W. , Lee E.H. , Chen E.Y. 
Published: February 2022

IntroductionThe 2019 coronavirus disease (COVID-19) is a global health crisis that originated in China. As an adjacent city to the origin of COVID-19, Hong Kong has been facing different public health challenges raised by the epidemic.ObjectivesThis paper examined the prevalence of common physical symptoms, psychological symptoms, somatic symptoms, and health anxiety among the Hong Kong youth population.MethodsHKYES is an on-going territory-wide epidemiological study collecting youth mental health data with randomly stratified sampling. Participants aged 15-24 years were to complete a physical symptom checklist, Depression, Anxiety and Stress Scale (DASS-21), Insomnia Severity Index (ISI), Patient Health Questionnaire-15 (PHQ-15), and Short Health Anxiety Inventory (SHAI).ResultsA total of 594 participants have completed the survey since April 2020. The three most common physical symptoms were headache (n=106, 17.8%), fever (n=94, 15.8%) and fatigue (n=78, 13.1%). The mean scores of DASS depression, anxiety and stress subscales were 7.98 (SD 8.14), 5.81 (SD 6.32), and 8.83 (SD 7.93) respectively. Among all, 135 (22.8%) participants reported moderate to severe levels of depressive symptoms, 133 (22.4%) reported moderate to severe levels of anxiety symptoms, and 71 (12%) reported moderate to severe levels of stress. There were 40 (6.7%) and 60 (10.1%) participants showing significant levels of insomnia and somatic symptoms, while around one-third of the participants reported a high level of health anxiety.ConclusionsYouth is at risk of severe psychological impact during the coronavirus. Monitoring the mental health trajectory for youth should become routine practice during times of crisis.
Psychological and behavioral impact of the COVID-19 pandemic and containment among the general tunisian population
Authors: Gdoura D. , Charfeddine F. , Ktari G. , Chamseddine A. , Bouattour O. , Aloulou J. 
Published: February 2022

IntroductionSince COVID19 pandemic emergence, containment measure have been taken by the Tunisian government imposing a new lifestyle resulting in psychological repercussions and a change in behavior.ObjectivesHighlighting changes of behavior and lifestyle of the general public secondary to the COVID19 pandemic and to confinement and to assess their levels of psychological.Methods
This is a qualitative, descriptive and analytical cross-sectional study realized between April and May 2020 with the general public using an anonymous online questionnaire covering: socio-demographic data; behavior during confinement; epidemic psychological impact; Mental health status was measured using Depression, Anxiety and Stress Scale(DASS-21). Anger level was assessed by STAXI-10 items.Results132 responses were received: 68.2% were women; the average age 32.01(±11.10); half were single; 77.3% were at higher education level; 41.7% were healthcare professionnels. Consumption increased by 26.5% in coffee, 8.3% tobacco and 1.5% alcohol. 33.3% of participants increased their religious practice. 56.1% experienced sleep disorder mostly women(p<0.05). 91.7% followed COVID19 evolution through media essentially Facebook. Partners relationship was deteriorated in1.7% and improved in 25%. Child abuse increased by 13.7%. During confinement: 15.9%depression (0.8%severe depression), 12.9%anxiety (0.8%severe anxiety), 5.3% stress and 27.3%feelings of anger. Depression, anxiety and anger were related to younger age(p<0.05). Stress wasn’t age related. Depression was observed in participants without children (p<0.05). No association founded between psychological impact and gender, profession and civil status.ConclusionsThe COVID19 pandemic and the containment had consequences on individuals behavior and mental health. A psychological listening unit was launched during the period of confinement to overcome psychological impact.
The prevalence of psychopathological symptoms in population during the COVID-19 pandemic
Authors: Belokrylov I. , Lineva T. , Batyrev Y. , Bocharnikova A. , Okuneva A. 
Published: February 2022

IntroductionThe COVID-19 pandemic has caused significant lifestyle changes for the world’s population. The infection poses a threat to mental health due to direct invasion of the central nervous system of SARS-CoV-2, as well as as a source of mental stress associated, in particular, with the deformation of the structure of interpersonal communications under quarantine conditions.ObjectivesThe study was conducted to comparatively study the phenomenology and severity of psychopathological manifestations in quarantined and non-quarantined people during the COVID-19 pandemic.MethodsFrom April 18 to June 15, 2020, an online questionnaire “Symptom List 90” (SCL-90) was conducted among 837 adults in Russia, Kazakhstan, Belarus and other countries. 426 respondents were in strict home quarantine; 302 observed social distancing, but could go to work; 109 were not socially isolated.ResultsThere was a significant difference in the overall severity index (GSI) between strictly quarantine and non-quarantine groups with GSI values of 0.51 (0.24; 0.99) and 0.33 (0.16; 0.75), respectively (p = 0.001). Indicators of anxiety, depression, somatization, obsessive-compulsive symptoms, phobic anxiety, hostility and psychoticism were also significantly higher in quarantined individuals than in non-quarantined individuals (p <0.05).ConclusionsThe results of the analysis indicate that in a pandemic, the most susceptible to psychopathological disorders are those living in the most severe quarantine, while the contingent whose lifestyle changes little under these conditions shows the best indicators of mental health. These data indicate the need to optimize the system of psychiatric preventive and curative care for the population in a pandemic.Conflict of interestNo significant relationships.
How COVID-19 lockdown measures could impact patients with bulimia nervosa: Exploratory results from an ongoing experience sampling method study
Authors: Leenaerts N. , Vaessen T. , Ceccarini J. , Vrieze E. 
Published: February 2022

IntroductionPreliminary results indicate that COVID-19 lockdown measures could lead to an increase in eating disorder pathology. However, some patients could be more vulnerable to experience such an increase than others. The reason why some patients are more susceptible to the impact of lockdown measures is still not known.ObjectivesTo analyze the impact of the Belgian COVID-19 lockdown measures on the surroundings, social context, negative affect (NA), positive affect (PA) and binge eating frequency of patients with bulimia nervosa (BN).Methods
The data of 15 female patients with BN from an ongoing experience sampling method study were analyzed. Mixed effects models compared surroundings, social context, NA, PA and binge eating before and after the implementation of the lockdown measures.Results
After the implementation of the lockdown measures, significant changes in surroundings and social context were found as well as an increase in NA (p < 0.001) and decrease in PA (p = 0.015). Patients who experienced an increase in binge eating frequency also experienced a stronger increase in NA (p = 0.012) and decrease in PA (p = 0.026) after the lockdown measures were implemented.ConclusionsFuture research should also look at changes in surroundings, social context, affect and how these interact with factors such as personality traits and coping styles when investigating why some patients are more susceptible to the negative effects of lockdown measures than others.
Depression in quarantined patients during the COVID-19 pandemic
Authors: Guermazi A. , Thabet J. Ben , Zouari A. , Aloulou J. , Hammami R. , Ayed H. Ben , Sallemi A. , Marrekchi C. , Hdiji S. , Gargouri I. , Kassis M. , Turki M. , Kammoun S. , Masmoudi M. Larbi 
Published: February 2022

IntroductionQuarantine for suspected patients of being infected by the COVID-19 can lead to negative consequences for mental health and the appearance of depressive symptoms.ObjectivesTo assess the prevalence of depression in quarantined patients, and to analyze the associated factors.MethodsThis was a descriptive and analytical survey, carried out from April 4 to May 30, 2020, with 149 patients consulting the COVID-19 sorting box at the Hedi Chaker CHU in Sfax. Suspected COVID-19 patients were contacted by phone during their quarantine and invited to participate in our study. The Patient Health Questionnaire (PHQ-9) scale was used to assess the severity of depression. Cutoffs of 5, 10, 15, and 20 represent minimal, mild, moderate, moderately severe, and severe levels of depression based on PHQ-9 scores. A cutoff score of 10 determines major depression.Results
The results showed a prevalence of major depression of 10.7%. Of all patients, 89.3% had minimal to mild depression; 10% had moderate to moderately severe depression and 0.7% had severe depression. The PHQ-9 score was statistically correlated with travel to a suspect area during the 14 days preceding the consultation (p = 0.008), contact with a subject confirmed COVID-19 (p = 0.01), previous follow-up in psychiatry (p = 0.047), the change of residence during quarantine (p = 0.045), the fear of transmitting the disease to relatives (p = 0.00) and the positive result of the nasopharyngeal swab (p = 0.00).ConclusionsPsychological distress was felt in our patients. We recommend that necessary measures should be taken to combat depression.
The spectrum and severity of psychopathological symptoms in previously healthy individuals who have had severe COVID-19 pneumonia
Authors: Belokrylov I. , Kotovskaya N. , Deryugina N. , Izyumov A. , Eruslanova K. , Balaeva M. 
Published: February 2022

IntroductionThe medical novelty of COVID-19 requires a comprehensive study of its impact on various areas of human health, including mental health.ObjectivesTo study the spectrum and severity of psychopathological disorders in previously healthy patients of different age groups who have had moderate and severe COVID-19 pneumonia.MethodsImmediately after stabilization of the physical condition, patients completed the Symptom Checklist-90-R, designed to assess 11 parameters: somatization (SOM), obsessive-compulsive (OS), interpersonal sensitivity (INT), depression (DEP), anxiety (ANX), hostility (HOS), phobic anxiety (PHOB), paranoid ideas (PAR), psychoticism (PSY). Patients with cognitive impairment were excluded.Results
The study involved 148 patients aged from 26 to 84 years. In the general sample, psychopathological symptoms were detected mainly on the SOM, DEP, ANX, HOS scales. To a lesser extent - on the INT and PAR scales; were practically not determined on the PSY and PHOB scales. Most of the symptoms are significantly more intense in patients over 46 years old (n = 129) compared with the younger population (<46 years old, n = 19). Older patients according to SOM revealed 1.23 points (IQR 0.5) versus 0.85 (IQR 0.7) among young people, DEP - 0.88 (IQR 0.44) vs. 0.47 (IQR 0.44), ANX - 0.66 (IQR 0.44) vs. 0.43 (IQR 0.29), OS - 0.55 (IQR 0.5) vs. 0.31 (IQR 0.25) and HOS - 0.46 (IQR 0.34) vs. 0.29 (IQR 0.09).Conclusions
Patients recovering from severe COVID-19 pneumonia require psychiatric evaluation and subsequent differentiated psychotherapeutic rehabilitation, especially for the age group over 46.Conflict of interestNo significant relationships.
Anxiety on the lockdown resolution
Authors: Ajmi S. , Hentati S. , Masmoudi R. , Sellami R. , Baati I. , Feki I. , Masmoudi J. 
Published: February 2022

IntroductionLockdown due to the management of infectious diseases such as corona virus disease affect mental health. We would think that with the end of the lockdown due to the corona virus pandemic, the feeling of regaining freedom and movement would be good for our morale.Objectives
Through this servery, we examine the prevalence of anxiety symptoms in the Tunisian population face to the end of lockdown.Methods
The survey was conducted using the online anonymous questionnaires and distributed through social networks from 24 April to 23 May 2020(which was considered the end of the lockdown in Tunisia). It included socio-demographic questions and participants’ experience of SARS-CoV-2related stressful events (A member of your family was suspected of having Corona virus /someone you know had Corona virus‘s symptoms /You were quarantined). Anxiety symptoms were evaluated with the Hospital anxiety and depression scale-anxiety (HADS-A)Results
Our study included 80 participants: 71.3% female and 42.5% married. The mean age of the participants was 29.30 years (SD = 8.72). The mean HADS-A score was 8.03 (SD=2.938) (maximum=16 minimum=1). Two-thirds of the participants exhibited anxiety symptoms (66.3%) with 1.3 % reported moderate severe anxiety symptoms. Anxiety was correlated with age and gender (p=0.013, p=0.027).ConclusionsOur results suggest that in this early phase of the COVID-19 lockdown resolution we can already observe its fundamental impact on anxiety.
Development and efficacy of a psychoeducational family intervention for perinatal depression
Authors: Fiorillo A. 
Published: February 2022

Abstract BodyThe perinatal period represents an at-risk period for mental health consequences, which has been overlooked for long time. Perinatal mental health problems constitute a relevant threat for long-term mental health, not only for the direct impact on the affected women, but also for the considerable foetal/infant morbidity and mortality. Perinatal mental disorders are associated with negative outcomes in the newborn, including an increased risk of premature delivery and infant mortality, as well as a higher prevalence of mental disorders in the offspring (e.g., attention deficit or anxiety disorders). Depressive disorders represent the most common disorder during the perinatal period. For the adequate, appropriate and complete management of women with perinatal depression, there is the need for integrated interventions, following a comprehensive global assessment of women’s mental health. In particular, the management of depression during perinatal period requires special attention, even considering the problems and limitations in prescribing pharmacological drugs. In this context, psychoeducational interventions are effective in reducing affective symptoms and the levels of stress, with low costs for the mental health department.DisclosureNo significant relationships.
COVID-19 mental health helpline: A tool for a rural population
Authors: Jesus B. , Ramos S. Freitas , Vaz Soares M.I. Fonseca Marinho , Correia J. Martins , Cruz E Sousa D. , Caetano S. 
Published: February 2022

IntroductionCoronavirus disease 2019 (COVID-19) pandemic has had a negative impact for mental health. ULS-Guarda in cooperation with Portugal National Health Service, provided the population of the district of Guarda with a mental health helpline (MHHL).ObjectivesProvide a descriptive data analysis of the MHHL calls received between April 1st and September 20th of 2020.MethodsThe data was obtained through the filling out of questionnaires. It included fields for gender, age, the type of service provided, relation to COVID-19, symptoms displayed and the number calls made per patient. For the statistical analysis, Microsoft Excel TM was utilized.ResultsMHHL received 191 calls. The largest volume was received during April, which saw 116 instances of patients seeking the MHHL. The number of calls then tapered progressively throughout the following months. The services provided were split between psychiatric assistance, psychologic assistance, and the renovation of medical prescriptions, in 44%, 31% and 19% of the cases, respectively. The 101 patients who resorted to the MHHL were unevenly distributed in gender, being 74 female and 27 male individuals. Their ages were mostly between 50 and 69 years old. The most common symptoms were anxiety, depressed humor and insomnia, in 35%, 16% and 11% of the cases, respectively.ConclusionsThe largest influx of calls coincides with the home confinement period, and decreased alongside the relaxation of the confinement measures held. The MHHL had enough adherence to warrant consideration of it being an alternative means of healthcare access, especially in situations where physical access to healthcare is restricted.
Mental health challenges faced by young medical residents fighting COVID-19 in tunisia
Authors: Dhemaid M. , Abbes W. , Ellough F. , Bezzaouia A. , Hafi S. , Ghanmi L. 
Published: February 2022

IntroductionCOVID-19 pandemic affected not only physical health of individuals, and communities but also their mental health worldwide. Young physicians, who were providing care for patients during the outbreak in a global atmosphere of stress, anxiety and depression, were not spared.ObjectivesTo assess anxiety and depression among young medical resident exposed to COVID-19 in Tunisia and its associated factorsMethods
It was a cross-sectional, descriptive and analytical online-based survey, from April 19, 2020, to May 5, 2020 on 180 medical residents in training, via a Google-Form link. We used a self-administered anonymous questionnaire containing sociodemographic and clinical data. Hospital Anxiety and Depression Scale (HAD) validated in the Tunisian dialectal version was used to assess anxiety and depression.Results
Among 180 young doctors included, 70.2% were female, 16% were married, 81.8% worked in a university Hospital and 51.1% were frontline caregivers involved in primary screening. Our study revealed that 66.1% of young medical residents were suffering from anxiety (severe anxiety: 28.9 %) and 61.7% of them from depression (severe depression: 29.1%). Anxiety disorder was correlated to female gender (p=0.008), being married (0.001), worse quality of sleep (p<10-3) and increased consumption of tea and coffee (p=0.012). Depression was associated to worse quality of sleep (p<10-3), lack of physical activity (p<10-3), shortage of personal protective equipment (p=0,027) and anxiety disorder (p<10-3).ConclusionsOur study indicated a high proportion of anxiety and depression among young doctors in training, needing systematic screening in order to prevent them.