bluuebunny/crossref_metadata_2025_split huggingface dataset:
Immediate psychological effects of COVID-2019 in Emilia Romagna, Italy
Authors: Piretti I. , Ambrosini F. , Sant’Angelo R. 
Published: February 2022

Introduction

The epidemic caused by the SARS-CoV-2, which began in Wuhan city in December 2019, quickly spread to various countries around the world. On march Italy had already become the second country after China in terms of number of infections and deaths and Emilia Romagna was the second region in Italy by number of cases after Lombardy. On 11th of March 2020 through the “Stay at home” decree, the entire nation was sheltered-in-place (SIP).ObjectivesMain objective is to understand immediate psychological effects on sheltered in place persons living in Emilia Romagna.MethodsThis study is based on a cross-sectional online survey conducted anonymously in the period between the tenth and seventeenth day of SIP. We used Zung Anxiety Self-Assessment Scale, Insomnia Severity Index and Perceived Stress Scale 4. SPSS 21.0 was used for data analysis.Results
We collected data on 651 individuals. About 38% of the sample reported having sleep problems; 31% of the population has a minimal-moderate level of anxiety while 4% marked-severe; finally, 54% of the interviewees perceive a moderate level of stress while 31% high. The MANOVAs showed that anxiety is influenced by gender, age, level of education and occupational status. Greater levels of stress are shown by individuals who declared the fear of contracting the virus and the concern of financial loss.ConclusionsOur results could be used as a “psychological baseline” meanwhile the outbreak of COVID-19 is still ongoing. Despite the few days of SIP, we found the presence of a significant incidence and pervasive prevalence of psychological distress.
COVID-19 pandemic’s burden on healthcare professionals’ mental health
Authors: Khaustova O. , Chaban O. , Assonov D. 
Published: February 2022

Introduction
Healthcare professionals report about anxiety, depression, and fear during pandemic COVID-19 worldwide. Resilience becomes the high-powered important mechanism that reduces stress impact on the emotional state of healthcare professionals.ObjectivesWe suggested that effective resilience is associated with less COVID-19’s fear, as well as less anxiety, and depression; healthcare professionals’ mental health depends on age, gender, as well as involvement in the care of patients with COVID-19.Methods211 healthcare professionals participated in the study and were evaluated with the Connor-Davidson Resilience 10-item scale (CD-RISC-10), Fear of COVID-19 Scale, PHQ-9, GAD-7.Results
A negative correlation between resilience and fear of COVID-19 (p≤0,01), anxiety (p≤0,01), and depression (p≤0,001) was found. Positive correlations were found between depression, anxiety, and fear of COVID-19 (p≤0,001), between age and fear of COVID-19 (p≤0,05). No statistically significant association between age and depression, anxiety, or resilience was found. The significant difference of COVID-19 fear depending on gender – female vs male (p≤0,05) was found. No statistically significant difference in resilience and emotional state in healthcare professionals depending on the involvement in the care of patients with COVID-19 were found.Conclusions
Resilience is associated with better mental health in healthcare professionals during the COVID-19 pandemic. Anxiety and depression are connected with the fear of COVID-19 and highly comorbid in healthcare professionals. The elder age and female gender are among the risk factors for a more deteriorated mental state. Fear of COVID-19, mental state, and resilience are not associated with healthcare professionals’ involvement in the care of patients with COVID-19.
Prevalence of depressive and anxiety symptoms in chronically ill children and adolescents during COVID-19 pandemic and lockdown: Preliminary findings of a pediatric hospital in Italy
Authors: Correale C. , Di Pastena M. , Tondo I. , Milo F. , Santato F. , Amodeo G. , Capitello T. Grimaldi , Vigevano F. , Cappelletti S. 
Published: February 2022

Introduction
Psychological problems are common among the pediatric population suffering from a chronic illness, especially compared to the normal population. Stressful life events, such as social distancing measures implemented to counter the COVID-19 pandemic emergency, can strongly influence their epidemiology.ObjectivesThe aim of this study was to assess the prevalence rate of depressive and anxiety symptoms among an Italian pediatric population affected by chronic illness and already under a Children Hospital psychological follow-up program during COVID-19 lockdown.MethodsWe conducted a cross-sectional study among 54 Italian children and adolescents affected by chronic illness (mean age: 15y; range: 8.9-18y) during the COVID-19 epidemic period. We assessed depressive and anxiety symptoms with the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorders (GAD-7) questionnaire during scheduled follow-up checks or teleconsulting.ResultsPreliminary results showed an elevated prevalence of depressive and anxiety symptoms (51% and 48% respectively) among chronically ill children during the COVID-19 outbreak. When compared with a non-ill pediatric population (Zhou et al. 2020), rates are + 7.3% higher for depression and + 10.6% for anxiety.ConclusionsChronic ill pediatric patients are a vulnerable group and require careful consideration. For this reason, the healthcare system should be able to implement and guarantee adequate mental health support programs and continuity of care. Further research is necessary since the COVID-19 outbreak could be repeated.
Rapid review of decision-making for place of care and death in older people: Lessons for COVID-19
Authors: West E. , Moore K. , Kupeli N. , Sampson E. , Nair P. , Aker N. , Davies N. 
Published: February 2022

IntroductionThe coronavirus pandemic (COVID-19) has affected the functioning and capacity of healthcare systems worldwide. COVID-19 has also disproportionately affected older adults, including those living with dementia. In the context of COVID-19, decision-making surrounding place of care and place of death in this population involves significant new challenges.ObjectivesTo explore key factors that influence place of care and place of death decisions in older adults. A secondary aim was to investigate key factors that influence the process and outcome of these decisions in older adults. To apply findings from current evidence to the context of COVID-19.MethodsRapid review of reviews, undertaken using WHO guidance for rapid reviews. Ten papers were included for full data extraction. These papers were published between 2005-2020. Data extracted was synthesised using narrative synthesis, with thematic analysis and tabulation.ResultsPapers included discussed actual place of death, as well as preferred. Results were divided into papers that explored the process of decision-making, and those that explored decision-making outcomes. Factors such as caregiver capacity, the availability of multidisciplinary teams, cultural appropriateness of care packages and advanced care planning were found to be key.ConclusionsThe process and outcomes of decision-making for older people are affected by many factors – all of which have the potential to influence both patients and caregivers experience of illness and dying. Within the context of COVID-19, such decisions may have to be made rapidly and be reflexive to changing needs of systems and of families and patients.
Experiences with tailoring treatment modules in online versus face-to-face CBT
Authors: Boettcher J. , Wirz C. , Paskuy S. , Böttche M. , Renneberg B. , Wagner B. 
Published: February 2022

Guided self-help interventions are effective in treating symptoms of various mental disorders, including depressive, anxiety, and posttraumatic stress disorders. Research also suggests that these interventions may be effective for refugee populations. However, proportion of drop-out and non-response are substantial, especially in this highly vulnerable group of patients. Tailoring treatments to the individual patient may be an important step towards improving patient-treatment fit and may help to increase success rates. While tailoring can be easily realized in face-to-face treatments, it becomes more complex in Internet-based treatments where treatment sequences are usually defined in advance. In this talk, we will present our theoretical considerations and decisions regarding the tailoring process in a randomized-controlled comparison of transdiagnostic CBT for refugee patients in an online versus face-to-face format. The trial will include N=320 Arabic speaking patients suffering from an emotional disorder. The transdiagnostic treatment includes modules for symptoms of depression, anxiety, substance abuse, post-traumatic stress, aggression, and suicidal ideation. Modules are tailored to the specific patient. We will discuss who or what should inform the tailoring decision (patient, therapist, questionnaire data, diagnostic interview) and when tailoring decisions should be made (prior and/or early and/or later in treatment). We will present options of how tailoring decisions can be standardized and be kept comparable in different treatment formats. We will present our first experiences with tailoring treatment modules to severely impaired and highly comorbid patients.DisclosureNo significant relationships.
Integrated efforts to promote mental health care during the SARS-CoV-2 pandemic: Reflecting on the experience of a university helpline
Authors: Torres A. , Santos I.M. , Rosa C. , Monteiro S. , Rodrigues F. , Figueiredo A. , Santos T. , Ribeiro O. , Queirós A. , Pereira A. , Silva C. 
Published: February 2022

IntroductionThe SARS-CoV-2 pandemic is affecting numerous dimensions of our society since the beginning of the outbreak. A significant increase in emotional distress was expected in the general population, particularly among the high-risk groups such as the oldest, chronic patients, healthcare professionals, and psychopathology vulnerable people. There was an urgent need to adapt and create solutions to promote mental health. Given the recommendations to minimize face-to-face interactions, several helplines were widely developed.ObjectivesIn this work, we aim to reflect on the experience of a university helpline, that integrated efforts with the regional mental health care services.Methods
A University helpline was created to give support to the regional community outside academia. The team was created on an online teamwork platform, to communicate through the chat, carry videoconference meetings, and store useful files. A Manchester screening decision tree was adopted, to define a set of guidelines to provide support to the callers, based mainly on the guidelines defined by the Order of Portuguese Psychologists. Liaison with the mental health care services, including other specific helplines, was established.ResultsNotwithstanding all the efforts, the number of received calls was scarce, similarly to helplines created by other national universities and by other entities.ConclusionsA new approach to psychological intervention in crisis is needed, maintaining integrated efforts, and taking advantage of the opportunity to foster personalized mental health care in the digital era. It is important to continuously assess the value of integrated efforts in patient care and to the healthcare system.
Perception of stress by medical staff during the first wave of the COVID-19 pandemic in russia
Authors: Barabantschikova V. , Vakhantseva O. , Almazova O. , Shaigerova L. , Shilko R. 
Published: February 2022

IntroductionAssessment of mental health in medical staff during the COVID-19 pandemic helps to prevent the delayed negative consequences of work under high risk.ObjectivesThe study compares the perceived stress and coping ability in medical staff caring for patients diagnosed with COVID-19 and in professionals, working with other patients.Methods
Online survey involved 249 doctors and medical staff of a Moscow hospital aged 19 to 60 (80 men and 169 women). 135 people worked directly with COVID-19 patients and 114 specialists did not. The study was conducted with the Perceived Stress Scale (10-items) amidst the first wave of COVID-19 in Russia, in May 2020.ResultsNo significant differences were found in the stress levels between the two groups of healthcare providers. On average, the sample revealed an increased level of stress (15.4 with standard values of 12-13). The general indicator of perceived stress (F = 13.471; p <0.001), stress level (F = 12.333; p = 0.001) and stress resistance (F = 6.003; p = 0.015) in women is significantly higher than in men. In addition, women working with COVID-19 patients have a higher level of stress resistance than women working with other patients (F = 3.432; p = 0.045).Conclusions
The perception of stress by healthcare staff during the COVID-19 pandemic increases independently on whether or not they work with infected patients. Although stress is higher in women, they are better at coping, especially in extreme situations. The reported study was funded by RFBR, project number 20-04-60174.
Innovations in the provision of psychiatric treatment and rehabilitation assistance to the population in the context of the COVID-19 pandemic and their preliminary results
Authors: Belokrylov I. , Munin A. 
Published: February 2022

IntroductionNumerous publications highlight the need to modify mental health services in the stressful environment of the COVID-19 pandemic. The psychiatric service of the city of Moscow undertook some reforms in this regard.Objectives
The measures taken are aimed at reducing the risk of infection of mentally ill patients undergoing treatment in dispensaries and day hospitals, as well as at preventing the exacerbation of psychopathological disorders in patients under the prevailing conditions.MethodsThe frequency of visits to the dispensary by patients in stable condition has been reduced to 1 time per week. At the same time, the frequency of telephone consultations with patients and their relatives increased up to 3 times a week. Face-to-face psychotherapy sessions have been replaced by remote (online) sessions. During the study period, medical documents of 60 patients were studied. The number of hospitalizations of outpatients to the hospital was recorded due to the deterioration of the mental state, as well as in connection with the infection with COVID in the period from 04/15/2020 to 06/09/2020.ResultsThere were no hospitalizations due to mental deterioration. According to this indicator, the situation in 2020 turned out to be better than last year for the same period. There were also no cases of hospitalization of outpatients in connection with Covid-19.ConclusionsThe presented results indicate the effectiveness of organizational innovations introduced in Moscow in the provision of outpatient psychiatric care. However, these data need clarification and objective scientific interpretation.Conflict of interestNo significant relationships.
Comparison of psychiatric emergency service admission rates in an italian COVID-19 hospital during lockdown and last year
Authors: Nastro F. Fiori , Mariano A. , Santini R. , Di Michele F. , Bianchi F. , Niolu C. 
Published: February 2022

IntroductionItaly has been one of the most affected countries by Covid-19 pandemic. Our University General Hospital, Policlinico of “Tor Vergata” (PTV) in Rome, has become a Covid Hub in order to manage the spread of the epidemic. Thus, our Psychiatric Emergency Service (PES)’s access has been partially limited. Direct indicators of PES activity, as admission rates, can be useful for evaluating the psychological impact of Covid epidemic.ObjectivesTo assess psychiatric admittance rates to PES of PTV before and during Covid-19 global pandemic.MethodsData from our PES register have been obtained and analyzed. We compared all the psychiatric access during the trimester March – May 2019 and 2020. All patients have been characterized according to clinical features.ResultsA marked reduction of the number of patients presenting to PES has been observed (76 patients) in the 57-day period (March 11–May 04, 2020) of lockdown compared to the same period in 2019 (266 patients). The cutback was visible for all diagnostic groups, except for “Borderline Personality Disorder” diagnosis which have slightly increased. On the other hand, hospitalization rates in our psychiatric inpatients unit remained steady.ConclusionsAlthough larger study are needed to understand the mental consequences of the lockdown experience, people’s fear of potential infection might explain our results. Interestingly, personality disorder patients represent an exception to it, suggesting the importance of the clinical characteristics of fearless, engagement in dangerous behavior and detachment from reality. These findings might be helpful to improve psychosocial crisis interventions during the pandemic.
Perceived stress level among patients with chronic illness during covid pandemia
Authors: Pawłowski M. , Fila-Witecka K. , Łuc M. , Senczyszyn A. , Rymaszewska J. , Pawłowska E. , Kamińska D. , Poznański P. , Krajewska M. , Stefaniak A. , Szepietowski J. , Pokryszko-Dragan A. , Budrewicz S. , Pawłowski T. , Rymaszewska J. 
Published: February 2022

IntroductionThe emergence of SARS-CoV-2 has enormously impacted healthcare systems around the world. Both patients and health care professionals have been subjected to a novel stressor which affects their everyday life and functioning. This issue is especially important to patients suffering from chronic diseases which had already been exposed to a psychological strain related to their primary diagnosis. As chronically ill patients are depending on the availability of a specific treatment i.e. in need of specific healthcare facilities and have more reasons to worry about their future and hence be more prone to suffer adverse psychological consequences than the general population.ObjectivesIn this study we aimed to examine whether the psychological results of the pandemic affect chronically ill and whether the specific illness and other demographic factors account for any changes in perceived stress levels.MethodsAn online questionnaire has been distributed to 4 groups (n=369): 92 psoriasis patients, 73 dialysis patients, 100 patients after kidney transplantation and 104 multiple sclerosis patients. The study was conducted during the pandemic in Poland (June-July 2020). Perceived stress levels were measured by the Perceived Stress Scale (PSS).ResultsThe preliminary results suggest elevated perceived stress levels among the studied groups. As the data are currently under statistical evaluation specific statistical conclusions are to be expected in November 2020.ConclusionsAs the described study was conducted during the SARS-CoV-2 pandemic in Poland, it stands to reason that the epidemiological situation affected the levels of perceived stress among chronically ill patients.
Perinatal psychiatry and families’ mental health: Evidence from some french graduated and integrated practices
Authors: Sutter-Dallay A.-L. 
Published: February 2022

Abstract BodyThe first years of life represent a crucial period for psycho-affective development - the critical first 1000 days - because the events that happen to infants and babies during this period have psychosocial as well as epigenetic repercussions, with potential consequences throughout life and even for generations to come. The interactive circle that will develop between the skills (and/or vulnerabilities) of infants and parents and the interactive features arising from each triad, must be supported by perinatal mental health policies, of which the joint care of parents and infants in perinatal psychiatry is a pivotal element. It is necessary to develop care pathways, with systems integrated into “usual” care that take into account families from the prenatal or even pre-conceptual period to the postnatal period,Joint care must also be scalable and thus encompass everything from parent-child psychotherapy to joint mother-baby hospitalisation. This intervention will present and discuss an example of a graduated, integrated and coordinated system of care, and will open up the perspective that perinatal clinicians must bear in mind that joint care is above all "a way of doing things", based on the notions of multidisciplinarity and prevention.DisclosureNo significant relationships.
Perceived stress during the COVID-19 pandemic among the tunisian population
Authors: Regaieg N. , Baati I. , Elleuch M. , Hentati S. , Masmoudi J. 
Published: February 2022

IntroductionDocumenting Tunisian’ stress responses to an unprecedented pandemic is essential for mental health interventions and policy-making.ObjectivesTo describe the perceived stress generated by the Covid-19 epidemic and confinement among the Tunisian people.MethodsParticipants had to fill out a questionnaire including epidemiological data and the Perceived Stress Scale 10 (PSS10), which is the most widely used psychological instrument for measuring the stress perception. Individual scores can range from 0 to 40 with higher scores indicating higher perceived stress.Results
Our study included 121 subjects, of which 70.6% were women.They had an average age of 36.52 years and a history of psychiatric disorders in 13.1% of cases, such as anxiety disorders (10.4%), depressive disorders (5.9%) and obsessive compulsive disorders (2.3%). More than one in two participants (61.4%) reported the presence of sleep disorders. Regarding medical history, participants declared having asthma (5%), diabetes (1.8%), high blood pressure (3.6%), and a chronic disease with corticosteroid treatment (5%). The mean PSS score was 16.96. This last was correlated to age (p<0.001), female gender (p<0.001), primary or secondary school level (p=0.03), a history of anxiety (p<0.001) and depressive disorders (p<0.001), and to sleep disorders (p<0.001).Conclusions
The stress level among the Tunisian people during the Covid-19 pandemic was very close to that observed in other countries, deserving special attention especially among vulnerable populations.
Insomnia and anxiety during the COVID-19 pandemic. a retrospective study on anxiety and sleep disorders among psychiatric patients admitted at „elisabeta doamna” hospital galati, romania
Authors: Rădulescu I.D. , Moraru C. , Nechita P. , Ciubară A.B. , Ciubară A. 
Published: February 2022

Introduction
In public mental health there are widespread concerns about the effects of the Covid-19 pandemic on psychiatric patients. Anxiety and sleep disorders are the focal point in admissions for psychiatric care in individuals that are impacted by these changes.ObjectivesThe purpose of this study was to investigate the impact of the COVID-19 pandemic on the prevalence of anxiety and sleep disorders among the patients admitted to our hospital. The state of pandemia was declared on the 11th of March but it had already become a main stream media subject in our country at the beginning of the month.MethodsA retrospective study was performed at the Psychiatric Hospital ‘Elisabeta Doamna’ Galati, using the exact same period, between 01.03 and 30.09, in both 2019 and 2020. ICD-10 criteria were used and pacients with either F41.x or F51.x as discharge diagnosis were included.ResultsIn total, 7638 cases were admitted during the period in 2019, of which 621 (8,13%) had anxiety disorders and 225 (2,94%) sleep disorders. In comparison in 2020 out of 4050 admitted patients, the number had risen to 1003 (24,76%) anxiety disorders and 388 (9,58%) sleep disorders.ConclusionsAnalysis of the data shows a three times increase in the percentage of both classes of disorders among our patients. Even considering the lower admition rates, there is a clear shift in the general profile of our average pacient and this has to be taken into consideration in the long and short term treatment of any psychiatric patient.