scholarly journals Space at home and psychological distress during the Covid-19 lockdown in Italy

Author(s):  
Ferdinando Fornara ◽  
Oriana Mosca ◽  
Andrea Bosco ◽  
Alessandro O. Caffò ◽  
Antonella Lopez ◽  
...  
Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Sarah Diaddigo ◽  
Michelle Chee ◽  
David Roh ◽  
Soojin Park ◽  
Jan Claassen ◽  
...  

Introduction: We have shown that cardiac arrest-induced psychological distress is associated with an increased risk of cardiovascular disease (CVD) events and death. Low physical activity (PA) is a known risk factor for recurrent CVD events. We hypothesize that aversive cognitions about PA due to fear of trauma-related bodily sensations may lead to poor engagement in PA after cardiac arrest (CA). Methods: We prospectively enrolled 58 adults with a return of spontaneous circulation after in-hospital or out-of-hospital CA between 9/2015-8/2018 at a high-volume, major academic center. We studied 58 patients who survived CA and were discharged from Columbia University. Aversive cognitions about PA were measured with the following items: 1) “I am anxious when I think about doing PA at home;” 2) “I worry that doing PA at home will trigger another cardiac event;” 3) “I fear that I won’t know what is and isn’t safe;” 4) “I worry that I will die.” Patients responded using a 4-point Likert scale and “extremely” or “moderately” responses were classified as having aversive cognitions for each item. Items were adapted from the Anxiety Sensitivity Index. Results: Of 58 patients included (50% women, 52% minorities, average age 55±17 years) greater than 2/3 of the respondents reported at least one of the concerns about PA both at discharge and 12 months after discharge. Many (62% at discharge and 65% at 12 months) are not engaged in recommended levels of physical activity. Patients who reported at least 1 concern were almost 4 times more likely to have NOT engaged in PA at home (vs those who reported no concerns) since the CA event (OR= 4 (1.3-14) P=0.01), after adjusting for age, sex, and time since the event. Fear of death was independently associated with low engagement after adjusting for age, sex, and time since the event (OR 1.9 (1-3.7) P=0.05). Of all 58 participants, 71% at discharge and 76% at 12 months reported feeling that any PA done at home without medical supervision was either “not safe at all” or “only somewhat safe.” Conclusion: Survivors of CA frequently experience PA-induced anxiety and avoid PA because of the fear of recurrence or death. PA avoidance as an underlying mechanism by which psychological distress worsens prognosis in CA patients should be tested prospectively.


2009 ◽  
Vol 13 (3) ◽  
pp. 319-327 ◽  
Author(s):  
Elin Thygesen ◽  
Hans Inge Saevareid ◽  
Torill Christine Lindstrom ◽  
Knut Engedal

Author(s):  
◽  
DEBORAH BUCK ◽  
BARBARA A. GREGSON ◽  
CLAIRE H. BAMFORD ◽  
PAUL McNAMEE ◽  
...  

2015 ◽  
Vol 50 ◽  
pp. 84-88 ◽  
Author(s):  
Montse Ballbè ◽  
Jose M. Martínez-Sánchez ◽  
Antoni Gual ◽  
Cristina Martínez ◽  
Marcela Fu ◽  
...  

Author(s):  
Michel Préville ◽  
Réjean Hébert ◽  
Gina Bravo ◽  
Richard Boyer

ABSTRACTA sample of frail older adults (65 years and over) living at home or institutionalized (n = 664) with a significant functional limitation was used to document predisposing and facilitating factors of severe psychological distress among frail elderly adults. Our results indicated that 48.2 per cent of the older adults living at home presented severe psychological distress symptoms, compared to 34.3 per cent of elderly adults living in institutions. The probability of reporting a severe level of psychological distress was associated with the respondents' social support, cognitive and functional status. When the respondents' cognitive and functional status were controlled, no evidence of a significant association was found between the respondents' age, gender, marital status, education or income and the level of their psychological distress symptoms. Our results showed that 77.9 per cent of the respondents with severe psychological distress symptoms were still severely distressed 12 months after their first interview. Findings suggest that severe psychological distress represents an important challenge for practitioners in gerontology and geriatrics. It is suggested that other studies focusing on the consequences of psychological distress on older adults' quality of life, functional decline, institutionalization and mortality may help document the gravity of this symptomatology in the elderly population.


2007 ◽  
Vol 41 (8) ◽  
pp. 688-696 ◽  
Author(s):  
Susan Shur-Fen Gau

Objective: The present study aimed to examine the association between attention-deficit–hyperactivity disorder (ADHD) and maternal psychological distress, parenting style and perceived family support, and the child's interaction with parents and behavioural problems at home in Taiwan. Methods: The sample included 375 medicated pediatric patients with DSM-IV ADHD, and 750 school controls selected based on the age and gender structures of the ADHD group. Mothers reported on the Chinese Health Questionnaire, the Chinese versions of the Parental Bonding Instrument, the Family Adaptation, Partnership, Growth, Affection, and Resolve, and the Home Behaviours of the Social Adjustment Inventory for Children and Adolescents. Results: Mothers of children with ADHD reported greater psychological distress and perceived less support from their families than did mothers of controls. Moreover, mothers of children with ADHD were less affectionate and more overprotective and controlling toward their children than were mothers of controls. This difference was more apparent in boys than in girls. Children with ADHD were less likely to interact with their parents, yet demonstrated more severe behavioural problems at home. Conclusions: Although the Taiwanese children with ADHD were under treatment with methylphenidate, they and their families still encountered a variety of difficulties in interaction, support, and communication with each other. Therefore, the parental approach should be integrated into the medication treatment for ADHD in Taiwan.


Author(s):  
Andrés Losada-Baltar ◽  
Lucía Jiménez-Gonzalo ◽  
Laura Gallego-Alberto ◽  
María del Sequeros Pedroso-Chaparro ◽  
José Fernandes-Pires ◽  
...  

Abstract Objectives Families are going through a very stressful time because of the COVID-19 outbreak, with age being a risk factor for this illness. Negative self-perceptions of aging, among other personal and relational variables, may be associated with loneliness and distress caused by the pandemic crisis. Method Participants are 1,310 Spanish people (age range: 18–88 years) during a lock-down period at home. In addition to specific questions about risk for COVID-19, self-perceptions of aging, family and personal resources, loneliness, and psychological distress were measured. Hierarchical regression analyses were done for assessing the correlates of loneliness and psychological distress. Results The measured variables allow for an explanation of 48% and 33% of the variance of distress and loneliness, respectively. Being female, younger, having negative self-perceptions about aging, more time exposed to news about COVID-19, more contact with relatives different to those that co-reside, fewer positive emotions, less perceived self-efficacy, lower quality of sleep, higher expressed emotion, and higher loneliness were associated with higher distress. Being female, younger, having negative self-perceptions about aging, more time exposed to news about COVID-19, lower contact with relatives, higher self-perception as a burden, fewer positive emotions, lower resources for entertaining oneself, lower quality of sleep, and higher expressed emotion were associated with higher loneliness. Discussion Having negative self-perceptions of aging and lower chronological age, together with other measured family and personal resources, are associated with loneliness and psychological distress. Older adults with positive self-perceptions of aging seem to be more resilient during the COVID-19 outbreak.


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