scholarly journals POS1191 COVID-19 STRESS: DOES IT AUGMENT PAIN IN PEOPLE WITH FIBROMYALGIA AND MIGHT PSYCHOLOGICAL FLEXIBILITY PROTECT AGAINST THIS INFLUENCE?

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 878.1-878
Author(s):  
T. Koppert ◽  
J. W. G. Jacobs ◽  
M. Lumley ◽  
R. Geenen
Keyword(s):  
Psychological Impact ◽  
Psychological Flexibility ◽  
Well Being ◽  
Pain Severity ◽  
Inflammatory Rheumatic Diseases ◽  
Regression Analyses ◽  
Cross Sectional ◽  
Negative State ◽  
Stress Levels ◽  
The Impact

Background:Stress might augment pain in people with fibromyalgia, possibly through sensitization of the central nervous system. The COVID-19 pandemic offers a unique opportunity to examine this mechanism. If it holds, the link between COVID-19 stress and pain would be stronger in people with fibromyalgia than in people without it. Additionally, psychological flexibility might act as a resilience factor, reducing pain severity. If psychological flexibility buffers the impact of stress on pain in people with fibromyalgia, then enhancing psychological flexibility may be of value.Objectives:To determine the association between COVID-19 stress and pain severity in people with fibromyalgia, as compared to people without fibromyalgia, and whether psychological flexibility buffers the impact of stress on pain severity.Methods:In a repeated cross-sectional design, we analysed questionnaire data from two independent surveys. The data collection has been described in a previous study of mental well-being in people with inflammatory rheumatic diseases.[1] The current study analysed data from people with and without fibromyalgia. Data were collected before the COVID-19 pandemic (2018; fibromyalgia: n=145, no fibromyalgia: n=386) and at the first peak of the pandemic in the Netherlands (2020; fibromyalgia: n=270, no fibromyalgia: n=1259). Stress due to the pandemic, psychological flexibility, and pain were subjected to regression analyses. Two operationalisations of stress were analysed: self-reported stress levels during the peak of the pandemic in 2020, and a comparison of assessments in 2018 and 2020 (assuming higher stress levels during the pandemic peak in 2020).Results:In regression analyses, stress during the pandemic (p<.001), having fibromyalgia (p<.001), and lower psychological flexibility (p<.001) were all associated with more severe pain, but the interactions showed that the strength of the association of stress with pain was not different in people with fibromyalgia compared to people without fibromyalgia (p=.76 and p=.28 for the two operationalization of stress, respectively). Another interaction indicated that psychological flexibility was a potential buffer against the association between self-reported stress and pain in the first operationalisation of stress (p=.04), but not in the second (p=.44). The significant but small interaction is shown in the Figure 1. It suggests that pain is higher in people with low psychological flexibility and higher stress levels during the pandemic. This effect was not specific to fibromyalgia.Conclusion:Overall, the significant main effects show that negative states, such as stress related to the pandemic and low psychological flexibility, are associated with another negative state: pain. A small interaction effect suggests that psychological flexibility may protect against the impact of COVID-19 stress on pain, both in people with and without fibromyalgia. However, the analyses reject our hypothesis that COVID-19 stress would augment pain especially in people with fibromyalgia.References:[1]Koppert TY, Jacobs JWG, Geenen R. The psychological impact of the COVID-19 pandemic on Dutch people with and without an inflammatory rheumatic disease. Rheumatology (Oxford) 2020; keaa842. doi: 10.1093/rheumatology/keaa842.Pain (standard deviation from the norm) as a function of low (-1 SD) and high (+1 SD) psychological flexibility and low (-1 SD) and high (-1 SD) self-reported stress levels during the first peak of the pandemic in 2020, while controlling for gender, age, education level, and number of diseases.Disclosure of Interests:Tim Koppert: None declared, Johannes W.G. Jacobs: None declared, Mark Lumley Consultant of: Paid research consultant to Cognifisense, LLP, which studies virtual reality treatments for chronic pain., Rinie Geenen Speakers bureau: Sanofi Genzyme paid for a lecture and worshop on depression and fatigue in RA.

The Role of Helplessness in the Appraisal of Illness Uncertainty in Women With Fibromyalgia

2020 ◽  
Vol 33 (4) ◽  
pp. 346-352
Author(s):  
Melody D. Reibel ◽  
Marianne H. Hutti
Keyword(s):  
Survey Design ◽  
Well Being ◽  
Subjective Well Being ◽  
Regression Analyses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Illness Uncertainty ◽  
High Level ◽  
The Impact

Fibromyalgia is a chronic pain disorder characterized by uncertainty in etiology, symptomatology, diagnosis, treatment, and outcome. The high level of illness uncertainty that results from fibromyalgia is a risk factor for maladjustment to illness. A cross-sectional survey design was used to examine the relationships among illness uncertainty, helplessness, and subjective well-being in 138 women with fibromyalgia. Multiple regression analyses were conducted to examine a predictive model for mediation. We found illness uncertainty is negatively associated with subjective well-being and that helplessness strongly influences the impact of illness uncertainty on subjective well-being in women with fibromyalgia.

scholarly journals Impact of the Coronavirus Pandemic (COVID-19) Lockdown on Mental Health and Well-Being in the United Arab Emirates

2021 ◽  
Vol 12 ◽  
Author(s):  
Leila Cheikh Ismail ◽  
Maysm N. Mohamad ◽  
Mo'ath F. Bataineh ◽  
Abir Ajab ◽  
Amina M. Al-Marzouqi ◽  
...  
Keyword(s):  
Mental Health ◽  
United Arab Emirates ◽  
Psychological Impact ◽  
Well Being ◽  
Vulnerable Groups ◽  
University Graduates ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Event Scale ◽  
The Impact

United Arab Emirates (UAE) has taken unprecedented precautionary measures including complete lockdowns against COVID-19 to control its spread and ensure the well-being of individuals. This study investigated the impact of COVID-19 and societal lockdown measures on the mental health of adults in the UAE. A cross-sectional study was conducted using an English and Arabic online questionnaire between May and June 2020. The psychological impact was assessed by the Impact of Event Scale-Revised (IES-R), and the social and family support impact was evaluated using questions from the Perceived Support Scale (PSS). A total of 4,426 participants (3,325 females and 1,101 males) completed the questionnaire. The mean IES-R score was 28.0 ± 14.6, reflecting a mild stressful impact with 27.3% reporting severe psychological impact. Over 36% reported increased stress from work, home and financial matters. Also, 43–63% of the participants felt horrified, apprehensive or helpless due to COVID-19. Females, younger participants, part-timers, and college or University graduates were more likely to have a high IES-R score (p &lt; 0.05). The majority of participants reported receiving increased support from family members, paying more attention to their mental health, and spending more time to rest and relax. The results of this study demonstrate the impact of the COVID-19 pandemic on mental health among the UAE residents and highlight the need to adopt culturally appropriate interventions for the general population and vulnerable groups, such as females and younger adults.

scholarly journals COVID-19 Impact Among Spine Surgeons in Latin America

2020 ◽  
pp. 219256822092803 ◽  
Author(s):  
Alfredo Guiroy ◽  
Martín Gagliardi ◽  
Nicolas Coombes ◽  
Federico Landriel ◽  
Carlos Zanardi ◽  
...  
Keyword(s):  
Latin America ◽  
Latin American ◽  
Health Care Providers ◽  
Psychological Impact ◽  
Well Being ◽  
Care Providers ◽  
Cross Sectional ◽  
Financial Situation ◽  
Emergency Procedures ◽  
The Impact

Study Design: Cross-sectional study. Objective: The aim of this study was to evaluate the impact of the COVID-19 outbreak in spine surgeons in Latin America. Methods: A questionnaire was sent to Latin American spine surgeons from April 4 to 6, 2020. Surgeon characteristics were recorded. The impact of COVID-19 on economic well-being, work, and mental health were also determined. All variables were compared and analyzed. Results: Two hundred four surgeons answered the complete survey; most of them were male (96.6%), the average age was 47.7 years; 58.8% (n = 120) were orthopedic surgeons and 41.2% (n = 84) were neurosurgeons. The majority of the respondents were from Argentina (59.8%, n = 122), followed by Brazil (17.2%, n = 35), Chile (6.4%, n = 13), and Mexico (5.9%, n = 12). Most of the surgeons reported performing emergency procedures only during the pandemic (76.5%, n = 156). Half used telemedicine or online consultation modalities (54.4%, n = 111). The average concern about the financial situation due to the pandemic was 7.53 in a scale of 1 to 10 (10 being the worst scenario). Twenty-two percent (n = 45) of the surgeons had a score over 10 in the Patient Health Questionnaire (PHQ-9; scores higher than 10 needs referral to confirm depression diagnosis). Young age and neurosurgery as a specialty were associated with higher PHQ-9 scores. Conclusions: COVID-19 has an impact in the daily working practice and financial situation of spine surgeons in Latin America. The long-term psychological impact should be taken into consideration to avoid a heavier burden for health care providers.

scholarly journals The Psychological Impact of the COVID-19 Pandemic on Jordanian Healthcare Workers

2022 ◽  
Vol 11 (3) ◽  
pp. 0-0
Keyword(s):  
Healthcare Workers ◽  
Online Survey ◽  
Early Stage ◽  
Psychological Impact ◽  
Well Being ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Care Workers ◽  
Cross Sectional Design ◽  
The Impact

Introduction: Healthcare workers face incomparable work and psychological demands that are amplified throughout the COVID-19 pandemic. Aim: This study aimed to investigate the psychological impact of the COVID-19 pandemic on health care workers in Jordan. Method: A cross-sectional design was used. Data was collected using an online survey during the outbreak of COVID-19. Results: Overall, of the 312 healthcare workers, almost 38% and 36% presented with moderate to severe anxiety and depression consecutively. Nurses reported more severe symptoms than other healthcare workers. And both anxiety and depression were negatively correlated with well-being. Getting infected was not an immediate worry among healthcare workers; however, they were worried about carrying the virus to their families. Implications for Practice: Stakeholders must understand the impact of COVID-19 on healthcare workers and plan to provide them with the required psychological support and interventions at an early stage.

scholarly journals Stress and psychological impact of the COVID-19 outbreak on the healthcare staff at the fever clinic of a tertiary general hospital in Beijing: a cross-sectional study

BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Xia Hong ◽  
Jinya Cao ◽  
Jing Wei ◽  
Yanping Duan ◽  
Xiaohui Zhao ◽  
...  
Keyword(s):  
General Hospital ◽  
Psychological Impact ◽  
Psychosocial Interventions ◽  
Well Being ◽  
Psychological Support ◽  
Healthcare Staff ◽  
Cross Sectional ◽  
Event Scale ◽  
Management Procedures ◽  
The Impact

Background It is important to maintain the psychological well-being of front-line healthcare staff during the coronavirus disease 2019 (COVID-19) pandemic. Aims To examine COVID-19-related stress and its immediate psychological impact on healthcare staff. Method All healthcare staff working in the fever clinic, from 20 January 2020 to 26 March 2020, of a tertiary general hospital were enrolled. Stress management procedures were in place to alleviate concerns about the respondents’ own health and the health of their families, to help them adjust their work and to provide psychological support via a hotline. Qualitative interviews were undertaken and the Sources of Distress and the Impact of Event Scale-Revised (IES-R) were administered. Results Among the 102 participants (25 males; median age 30 years, interquartile range (IQR) = 27–36), the median IES-R total score was 3 (IQR = 0–8), and 6 participants (6.0%) scored above the cut-off on the IES-R (≥20). Safety and security were acceptable or better for 92 (90.2%) participants. The top four sources of distress were worry about the health of one's family/others at 0.88 (IQR = 0.25–1.25), worry about the virus spread at 0.50 (IQR = 0.00–1.00), worry about changes in work at 0.50 (IQR = 0.00–1.00) and worry about one's own health at 0.25 (IQR = 0.25–0.75). There was a moderate correlation between the IES-R score and the Sources of Distress score (rho = 0.501, P = 0.001). Conclusions The stress levels of healthcare staff in the fever clinic during the COVID-19 epidemic were not elevated. Physio-psychosocial interventions, including fulfilment of basic needs, activation of self-efficacy and psychological support, are helpful and worth recommending in fighting COVID-19.

scholarly journals The Impact of Psychological Flexibility on Psychological Well-Being in Adults With Obesity

2021 ◽  
Vol 12 ◽  
Author(s):  
Anna Guerrini Usubini ◽  
Giorgia Varallo ◽  
Valentina Granese ◽  
Roberto Cattivelli ◽  
Simone Consoli ◽  
...  
Keyword(s):  
Psychological Health ◽  
Psychological Flexibility ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Physical And Psychological Health ◽  
The Impact ◽  
Health And Well Being

Obesity is a global health problem that affects both physical and psychological health and well-being. Psychological flexibility is one of the key components related to psychological health. This cross-sectional study aims to investigate the impact of psychological flexibility on psychological well-being in a sample of 220 individuals with obesity. Multivariate analysis was performed to investigate the role of psychological flexibility in explaining psychological well-being, controlling for confounding factors (sex, age, and Body Mass Index). According to the results, psychological flexibility significantly explained psychological well-being. Our study provides additional evidence of the impact of psychological flexibility on psychological well-being. It also provides further support for the importance of integrating psychological flexibility in the psychological interventions for obesity.

scholarly journals Sleep Disruption and Depression, Stress and Anxiety Levels in Women With Polycystic Ovary Syndrome (PCOS) During the Lockdown Measures for COVID-19 in the UK

2021 ◽  
Vol 2 ◽  
Author(s):  
Chris Kite ◽  
Lou Atkinson ◽  
Gordon McGregor ◽  
Cain C. T. Clark ◽  
James E. Brown ◽  
...  
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Negative Impact ◽  
Polycystic Ovary ◽  
Well Being ◽  
Ovary Syndrome ◽  
Cross Sectional ◽  
Comorbidity Burden ◽  
Stress Levels ◽  
The Uk ◽  
The Impact

Background: Lockdown measures have been enforced globally in response to the COVID-19 pandemic. Given the comorbidity burden in women with polycystic ovary syndrome (PCOS), these lockdown measures may have a particularly negative impact on sleep health, quality of life (QoL), and depression/stress levels in this population. The aim of this study was to explore whether such potential problems were present in women with PCOS during the COVID-19 lockdown in the UK.Methods: UK women with PCOS were recruited through social media into a cross-sectional study during the COVID-19 lockdown. The study survey was delivered online, and included demographic and COVID-19 relevant questions, as well as validated questionnaires/scales, namely the Insomnia Severity Index (ISI), Depression Anxiety and Stress Scale (DASS-21), and PCOSQOL questionnaire.Results: Three hundred and thirty-three women with PCOS [median age: 30.0 (9.0) years] were recruited. Participants were dichotomized based on responses regarding the impact of COVID-19 restrictions on their sleep [negative (N = 242) vs. no/positive (N = 91) impact]. No differences were noted between groups regarding age, time since PCOS diagnosis, body mass index, or number of comorbidities. Based on the ISI, 44.2% of participants reporting a negative impact on sleep exhibited at least moderately severe clinical insomnia. Compared to those who reported no/positive effect on sleep, the participants reporting a negative impact on sleep also reported poorer QoL, based on the total PCOSQOL score, with a greater impact of PCOS and poorer mood in the corresponding PCOSQOL domains. Based on the DASS-21, the latter also had statistically higher depression and stress levels compared to the former. Finally, for this cohort significant inverse correlations were noted between the ISI and PCOSQOL scores (total and domain scores), whilst the DASS-21 and ISI scores were positively correlated (all p-values &lt;0.001).Conclusion: The majority of recruited UK women with PCOS reported that the COVID-19 lockdown had a negative impact on their sleep, which was also associated with impaired QoL and higher depression/stress levels. Whilst further research is required, women with PCOS should be considered a vulnerable population that may experience an adverse impact on sleep, QoL and mental health well-being due to lockdown measures during the COVID-19 pandemic.

scholarly journals Mental health symptoms among the nurses of Bangladesh during the COVID-19 pandemic

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Saifur Rahman Chowdhury ◽  
Tachlima Chowdhury Sunna ◽  
Dipak Chandra Das ◽  
Humayun Kabir ◽  
Ahmed Hossain ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Abuse ◽  
Psychological Impact ◽  
Well Being ◽  
Mental Health Symptoms ◽  
Cross Sectional ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Health Symptoms ◽  
The Impact

Abstract Background The coronavirus disease-19 (COVID-19) pandemic has wreaked havoc on healthcare staff and caused serious psychological distress. We aimed to determine the effects of the COVID-19 pandemic on the mental health of Bangladeshi nurses, as well as the relationship between occupational factors and mental health symptoms. We conducted a cross-sectional study among registered nurses in Bangladesh. We used the Depression, Anxiety and Stress Scale-21 (DASS-21) and the Impact of Event Scale-Revised (IES-R) to assess mental health symptoms. Results Among the 547 nurses included in the study, the prevalence of mild to extremely severe depression, anxiety, and stress was 50.5%, 51.8%, and 41.7% respectively, and 61.9% of the respondents reported mild to severe psychological impact for COVID-19. Psychological symptoms were more prevalent among female nurses than male nurses (p <0.05). Linear regression revealed that having complete personal protective equipment (PPE) during working was significantly associated with lower levels of depression, anxiety, and stress (p <0.05). Facing any emotional abuse working in the COVID-19 pandemic situation was significantly associated with higher levels of depression, anxiety, and stress and greater psychological impact of the outbreak (p <0.05). Conclusions A high prevalence of mental health symptoms was observed in nurses. We recommend the implementation of mental well-being interventions and ensuring a proper work environment for nurses during the pandemic.

scholarly journals Psychological impact in the time of COVID-19: A cross-sectional population survey study during confinement

2021 ◽  
pp. 135910532098558
Author(s):  
Carmina Castellano-Tejedor ◽  
María Torres-Serrano ◽  
Andrés Cencerrado
Keyword(s):  
Chronic Conditions ◽  
Population Survey ◽  
Psychological Impact ◽  
Survey Study ◽  
Psychological Interventions ◽  
Community Based ◽  
Cross Sectional ◽  
Young Females ◽  
The World ◽  
The Impact

The transformation that COVID-19 has brought upon the world is unparalleled. The impact on mental health is equally unprecedented and yet unexplored in depth. An online-based survey was administered to 413 community-based adults during COVID-19 confinement to explore psychological impact and identify high risk profiles. Young females concerned about the future, expressing high COVID-related distress, already following psychological therapy and suffering from pre-existing chronic conditions, were those at highest risk of psychological impact due to the COVID-19 situation. Findings could be employed to design tailored psychological interventions in the early stages of the outbreak to avoid the onset/exacerbation of psychopathology.

scholarly journals COVID-19 Psychological Impact on Health Care Workers in Saudi Arabia

2021 ◽  
Vol 18 (11) ◽  
pp. 6076
Author(s):  
Hasan S. Alamri ◽  
Wesam F. Mousa ◽  
Abdullah Algarni ◽  
Shehata F. Megahid ◽  
Ali Al Bshabshe ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Workers ◽  
Psychological Impact ◽  
Psychological Outcomes ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Care Workers ◽  
The Impact

Objective: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. Methods: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. Results: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). Conclusions: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.

Sign in / Sign up

Export Citation Format

Share Document