Immediate Effects of COVID-19 Outbreak on Psychiatric Outpatients: Posttraumatic Stress and Influencing Factors

We aimed to investigate the effects of COVID-19 outbreak and public health measures on the psychological well-being of patients with psychiatric disorders. This cross-sectional study assessed 436 outpatients recruited from a tertiary psychiatry clinic in Istanbul, Turkey, nearly one month after the government introduced strict measures of lockdown against the ongoing outbreak. Respondents completed a web-based survey on sociodemographic data, subjective sleep quality, and a range of psychiatric symptoms using the Impact of Events Scale-Revised (IES-R), and Hospital Anxiety and Depression Scale (HADS). Respondents reported high frequencies of clinically significant posttraumatic stress disorder (PTSD) (32.6%, IES-R score equal to or above 33), anxiety (36.4%, HADS anxiety score > 10), and depression (51%, HADS depression score > 10). 20.5% of respondents described that their psychological status worsened during the COVID-19 outbreak, and 12.1% of respondents described poor or very poor sleep in the prior month. Positive predictors of increased PTSD symptoms included the chronic medical diseases, knowing someone in the social vicinity diagnosed with the COVID-19 infection, job loss or being on temporary leave after the outbreak, and increased exposure time to TV or social media. In contrast, male gender, older age, higher educational attainment, and the psychiatric diagnoses of schizophrenia and (to a lesser degree) bipolar disorder were the negative predictors. Our results suggest that patients with psychiatric disorders are prone to substantial psychological distress during the COVID-19 outbreak, and various individual, behavioral, and social factors mediate this effect.

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The Mental Well-Being of Frontline Physicians Working in Civil Wars Under Coronavirus Disease 2019 Pandemic Conditions

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.598720 ◽

2021 ◽

Vol 11 ◽

Author(s):

Muhammed Elhadi ◽

Ahmed Msherghi ◽

Moutaz Elgzairi ◽

Ayiman Alhashimi ◽

Ahmad Bouhuwaish ◽

...

Keyword(s):

Depression Scale ◽

Maslach Burnout Inventory ◽

Well Being ◽

Cross Sectional Study ◽

Stressful Events ◽

Psychological Status ◽

Emergency Physicians ◽

Cross Sectional ◽

Frontline Staff ◽

The Impact

Background and Objective: Emergency medical physicians are regarded as essential frontline staff in combating the coronavirus disease 2019 (COVID-19) pandemic. These health-care workers are faced with significant stressors in addition to the usual stress felt in their regular work. Therefore, this study aimed to examine the prevalence of anxiety, depression, and burnout among emergency physicians on the frontline of the COVID-19 pandemic.Method: Using a cross-sectional study methodology, we surveyed physicians active on April 2020 to study depression and anxiety [using Hospital Anxiety and Depression Scale (HADS)] and burnout [using the Abbreviated Maslach Burnout Inventory (aMBI) scale].Results: A total of 154 emergency physicians completed the survey. We found that about 65.6% of patients were experiencing anxiety (based on a HADS score ≥ 11), and 73.4% were displaying depressive symptoms. For burnout, three subscales indicated that 67.5% endured emotional exhaustion, and 48.1% experienced depersonalization (defined as a score of ≥10 on aMBI). A total of 21.4% of respondents perceived a sense of personal underachievement, defined as a score of <10 via aMBI.Conclusion: Physicians' psychological status is crucial and plays a major role in their well-being, affecting their work satisfaction. Therefore, implementing strategies aimed at decreasing the impact of stressful events is crucial to alleviate the distress experienced by physicians on the frontline of the COVID-19 pandemic.

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The influence of subjective sleep quality on the association between eveningness and depressive symptoms.

10.31234/osf.io/qkrsg ◽

2018 ◽

Author(s):

Charlotte Mary Horne ◽

Ray Norbury

Keyword(s):

Depressive Symptoms ◽

Sleep Quality ◽

Mediation Analysis ◽

Depression Scale ◽

Well Being ◽

Poor Sleep ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Increased Risk ◽

Healthy Participants

Increasing evidence suggests that eveningness is associated with increased risk for depression. Eveningness, however, is also associated with poor sleep quality and the unique role of eveningness in depressive symptomatology remains to be elucidated. The goal of the current study, therefore, was to examine the inter-relationships between eveningness, subjective sleep quality and depressive symptoms in healthy participants free of current or previous depression and sleep disorder. Here, 167 healthy participants (mean age 24.16, 129/38 females/males) completed the reduced Morningness-Eveningness Questionnaire (rMEQ), the Pittsburgh Sleep Quality Index (PSQI) and the Centre for Epidemiological Studies Depression Scale (CES-D). Bootstrap mediation analysis for a simple mediation model including rMEQ, PSQI and CES-D was applied. Eveningness was associated with increased depressive symptoms and mediation analysis showed that this relationship was partly mediated by sleep quality. Our results suggest that indicators of depression observed in evening-type individuals cannot be attributed exclusively to disturbed sleep. We suggest that interventions that target both sleep quality and dysfunctionl cognitive styles would be optimal to promote well-being in evening-type individuals.

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Italians’ Dietary Habits During the COVID-19 Lockdown: Results of the #PRESTOinsieme Study

Current Developments in Nutrition ◽

10.1093/cdn/nzab029_034 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 233-233

Author(s):

Giulia Lorenzoni ◽

Marco Silano ◽

Danila Azzolina ◽

Silvia Gallipoli ◽

Solidea Baldas ◽

...

Keyword(s):

Posttraumatic Stress ◽

Emotional Eating ◽

Dietary Habits ◽

Depression Scale ◽

Well Being ◽

P Value ◽

Depression Symptoms ◽

Psychological Well Being ◽

Event Scale ◽

The Impact

Abstract Objectives To assess dietary habits and psychological well-being during the COVID-19 lockdown in Italy, one of the European countries most severely affected by the first wave of the COVID-19 pandemic. Methods The #PRESTOinsieme project is a web-based survey open to people over 16 years of age that started on the 20th of March 2020 in Italy. Survey respondents underwent a set of validated questionnaires to assess dietary habits and psychological well-being (depression and posttraumatic stress, using the Center for Epidemiologic Studies Depression Scale and the Impact of Event Scale-Revised, respectively) during the lockdown. Results Survey respondents were 5008, with a median age of 38 years. The female gender was the most prevalent (63%). Dietary habits were found to be associated with psychological well-being. People suffering from moderate/severe depression symptoms and posttraumatic stress were found to have more frequently foods high in fat and sugars compared to people with no/mild depressive and posttraumatic stress symptoms (P-value 0.008). Furthermore, subjects with most severe depressive symptoms ate less frequently fruits (P-value < 0.001), vegetables (P-value 0.013), dried fruits (P-value < 0.001), and milk-based products. Conclusions Present results showed a strict relationship between dietary habits and psychological well-being during the COVID-19 lockdown in Italy. Such a relationship could be interpreted as emotional eating, which has been frequently reported during the lockdown, showing that depressed people are more prone to emotional eating habits. Present results claim the need to develop public programs of psychological support for the community during the lockdown and public health strategies targeting diet. Funding Sources N/A

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Well-being in dementia: a cross-sectional dyadic study of the impact of multiple dimensions of strain on persons living with dementia and their family care partners

International Psychogeriatrics ◽

10.1017/s104161021800203x ◽

2019 ◽

Vol 31 (5) ◽

pp. 617-626 ◽

Cited By ~ 2

Author(s):

Lyndsey M. Miller ◽

Jeffrey A. Kaye ◽

Karen S. Lyons ◽

Christopher S. Lee ◽

Carol J. Whitlatch ◽

...

Keyword(s):

Depressive Symptoms ◽

Depression Scale ◽

Family Care ◽

Well Being ◽

Dementia Care ◽

Related Strain ◽

Progressive Dementia ◽

Cross Sectional ◽

Multiple Dimensions ◽

The Impact

ABSTRACTBackground and Purpose:The impact of dementia-related stressors and strains have been examined for their potential to threaten the well-being of either the person with dementia or the family care partner, but rarely have studies considered the dyadic nature of well-being in dementia. The purpose of this study was to examine the dyadic effects of multiple dimensions of strain on the well-being of dementia care dyads.Methods:Using multilevel modeling to account for the inter-relatedness of individual well-being within dementia care dyads, we examined cross-sectional responses collected from 42 dyads comprised of a hospitalized patient diagnosed with a primary progressive dementia (PWD) and their family care partner (CP). Both PWDs and CPs self-reported on their own well-being using measures of quality of life (QOL-Alzheimer’s Disease scale) and depressive symptoms (Center for Epidemiological Studies Depression Scale).Results:In adjusted models, the PWD’s well-being (higher QOL and lower depressive symptoms) was associated with significantly less strain in the dyad’s relationship. The CP’s well-being was associated with significantly less care-related strain and (for QOL scale) less relationship strain.Conclusions:Understanding the impact of dementia on the well-being of PWDs or CPs may require an assessment of both members of the dementia care dyad in order to gain a complete picture of how dementia-related stressors and strains impact individual well-being. These results underscore the need to assess and manage dementia-related strain as a multi-dimensional construct that may include strain related to the progression of the disease, strain from providing care, and strain on the dyad’s relationship quality.

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Assessment of impact of the COVID-19 pandemic from the perspective of patients with rheumatic and musculoskeletal diseases in Europe: results from the REUMAVID study (phase 1)

RMD Open ◽

10.1136/rmdopen-2020-001546 ◽

2021 ◽

Vol 7 (1) ◽

pp. e001546

Author(s):

Marco Garrido-Cumbrera ◽

Helena Marzo-Ortega ◽

Laura Christen ◽

Pedro Plazuelo-Ramos ◽

Dale Webb ◽

...

Keyword(s):

Disease Activity ◽

Online Survey ◽

Musculoskeletal Diseases ◽

Phase 1 ◽

Depression Scale ◽

Well Being ◽

Healthcare Services ◽

Study Phase ◽

Cross Sectional ◽

The Impact

AimTo assess the impact of the COVID-19 pandemic on patients with rheumatic and musculoskeletal diseases (RMDs).MethodsREUMAVID is a cross-sectional study using an online survey developed by an international multidisciplinary patient-led collaboration across seven European countries targeting unselected patients with RMDs. Healthcare access, daily activities, disease activity and function, well-being (WHO Five Well-Being Index (WHO-5)), health status, anxiety/depression (Hospital Anxiety and Depression Scale (HADS)) and access to information were evaluated. Data were collected in April–July 2020 (first phase).ResultsData from the first phase included 1800 patients with 15 different RMDs (37.2% axial spondyloarthritis, 29.2% rheumatoid arthritis, 17.2% osteoarthritis and others). Mean age was 53, 80% female and 49% had undertaken university studies. During the beginning of the pandemic, 58.4% had their rheumatology appointment cancelled and 45.6% reported not having received any information relating to the possible impact of SARS-CoV-2 infection in their RMDs, with the main source being patient organisations (27.6%).Regarding habits, 24.6% increased smoking, 18.2% raised their alcohol consumption, and 45.6% were unable to continue exercising. Self-reported disease activity was high (5.3±2.7) and 75.6% reported elevated pain. Half the patients (49.0%) reported poor well-being (WHO-5) and 46.6% that their health had changed for the worse during lockdown. According to HADS, 57.3% were at risk of anxiety and 45.9% of depression.ConclusionThroughout the first wave of the COVID-19 pandemic, patients with RMDs have experienced disruption in access to healthcare services, poor lifestyle habits and negative effects on their overall health, well-being and mental health. Furthermore, information on COVID-19 has not reached patients appropriately.

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Posttraumatic Stress Disorder, Depression and Fear Of COVID-19 Among Pregnant Women During the Rapid Rise Period of the Coronavirus Pandemic in a Middle Eastern Country: A Cross-Sectional Study

10.21203/rs.3.rs-634028/v1 ◽

2021 ◽

Author(s):

Zainab Barakat ◽

Youssef Fares ◽

Linda Abou-Abbas

Keyword(s):

Posttraumatic Stress Disorder ◽

Pregnant Women ◽

Posttraumatic Stress ◽

Stress Disorder ◽

Psychological Impact ◽

Well Being ◽

Cross Sectional Study ◽

Psychological Status ◽

Sectional Study ◽

Cross Sectional

Abstract Background Coronavirus disease 2019 (COVID-19) is an emerging public health issue. Pregnant women are susceptible to its negative psychological impact. Particularly, pre-natal psychological health is critical as it can affect the well-being of the mothers and their fetuses. The present study aimed to assess the Covid-19 psychological impact on pregnant women, including posttraumatic stress disorder (PTSD), depression, and fear related to COVID-19 as well as to investigate their associated factors. Methods A cross-sectional study was conducted among pregnant women in Lebanon between 17th November 2020 and 27th February 2021. A standardized questionnaire was used to collect data about participants’ baseline characteristics and psychological status, including PTSD, depression as well as fear related to COVID-19. Results Out of the 466 respondents, 28.5% (n = 133) had PTSD related to Covid-19, and 22.1% (n = 133) had depression. The mean score for the fear of Covid-19 was 18.51 ± 5.55. Pregnant women’s depression and fear of Covid-19 were significantly associated with PTSD (adjusted OR = 5.85 with 95% CI of 3.37 to10.16; adjusted OR = 1.19 with 95% CI of 1.13 to 1.26, respectively). Furthermore, smoking during pregnancy and encountering difficulties in accessing healthcare during the pandemic were found to be associated with depression, while practicing home quarantine was found to be associated with the fear of Covid-19. Pregnant women who perceived high risks towards Covid-19 and those who experienced PTSD had high levels of both depression and the fear of Covid-19 compared to their counterparts. Conclusion High levels of PTSD, depression, and fear of Covid-19 were detected among Lebanese pregnant women. This recommends further psychological interventions to mitigate these levels.

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Impact of COVID-19 Pandemic on the Psychological Status of Palestinian Adults in the West Bank, Palestine; A Cross Sectional Study

10.21203/rs.3.rs-87861/v1 ◽

2020 ◽

Author(s):

Imad T Asmar ◽

Nimeh Al-Shami ◽

Areefa A Karsh ◽

Fuad A AlFayyah ◽

Ro’a M Dagher ◽

...

Keyword(s):

Health Care ◽

Well Being ◽

Cross Sectional Study ◽

Psychological Status ◽

Negative Consequences ◽

Sectional Study ◽

Cross Sectional ◽

Negative Effect ◽

On Line ◽

The Impact

Abstract Coronavirus Disease 2019 (COVID-19) caused by a strain of SARS– CoV2. A lot of ministries chose mass lockdown protocol as a way to control the virus spread. One of the lockdown negative consequences is the impact of psychological status which includes a sense of boredom, confusion., psychological stress, anxiety, depression and physical effects. The purpose of this study was to assess and evaluate the effect of COVID-19 pandemic on the psychological status for Palestinian adults, and to establish recommendations in order to promote and maintain psychological well-being during this pandemic. A cross-sectional study was conducted among Palestinian adults, 739 participant with mean age 31.76 filled the on-line questionnaire. Around one-third of respondents revealed having many signs of anxiety and around 42% of respondents expressed having many depression signs. Females were significantly more likely to have many depression signs, while health care workers, those who deal directly with confirmed cases of Covid-19 and who assist in providing health care for a diagnosed Covid-19 patient were significantly less likely to have many depression signs compared to others. Regarding the participants’ income, those with increased income were significantly more likely to have almost no signs of depression compared to others. However, COVID-19 pandemic has a negative effect on the mental status, the majority of participants have signs of anxiety and depression

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Impact of the COVID-19 pandemic and initial period of lockdown on the mental health and well-being of adults in the UK

BJPsych Open ◽

10.1192/bjo.2020.79 ◽

2020 ◽

Vol 6 (5) ◽

Cited By ~ 3

Author(s):

Ross G. White ◽

Catharina Van Der Boor

Keyword(s):

Mental Health ◽

Online Survey ◽

Initial Period ◽

Depression Scale ◽

Well Being ◽

World Health ◽

Cross Sectional ◽

Convenience Sample ◽

The Impact ◽

Health And Well Being

Summary The impact of the COVID-19 pandemic on mental health and well-being were assessed in a convenience sample of 600 UK adults, using a cross-sectional design. Recruited over 2 weeks during the initial phase of lockdown, participants completed an online survey that included COVID-19-related questions, the Hospital Anxiety and Depression Scale, the World Health Organization (Five) Well-Being Index and the Oxford Capabilities Questionnaire for Mental Health. Self-isolating before lockdown, increased feelings of isolation since lockdown and having COVID-19-related livelihood concerns were associated with poorer mental health, well-being and quality of life. Perceiving increased kindness, community connectedness and being an essential worker were associated with better mental health and well-being outcomes.

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The impact of the COVID-19 pandemic on socio-economic and sustainability

Environmental Science and Pollution Research ◽

10.1007/s11356-021-14986-0 ◽

2021 ◽

Author(s):

Xueli Wei ◽

Lijing Li ◽

Fan Zhang

Keyword(s):

World Economy ◽

Social Economy ◽

Secondary Data ◽

Well Being ◽

Cross Sectional ◽

The Social ◽

The World ◽

The Status ◽

Sectional Analysis ◽

The Impact

Pumping elephantThe COVID-19 pandemic has adversely affected the lives of people around the world in millions of ways . Due to this severe epidemic, all countries in the world have been affected by all aspects, mainly economic. It is widely discussed that the COVID-19 outbreak has affected the world economy. When considering this dimension, this study aims to examine the impact of the COVID-19 pandemic on the world economy, socio-economics, and sustainability. In addition, the research focuses on multiple aspects of social well-being during the pandemic, such as employment, poverty, the status of women, food security, and global trade. To this end, the study used time series and cross-sectional analysis of the data. The second-hand data used in this study comes from the websites of major international organizations. From the analysis of secondary data, the conclusion of this article is that the impact of the pandemic is huge. The main finding of the thesis is that the social economy is affected by the pandemic, causing huge losses in terms of economic well-being and social capital.

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