Evaluating burnout among health workers routinely screened for SARS-CoV-2.

Abstract Background: Healthcare workers (HW) are a vulnerable group to develop burnout during the COVID-19 pandemic. The aims of this study were to evaluate the perception of HW about the antibody test, and, secondarily, the prevalence of burnout and factors associated with burnout among HW who took the test.Methods: In this cross-sectional study, we evaluated burnout among HW in a 600-bed building entirely dedicated to COVID-19 inpatients care at Hospital das Clinicas (HC), located in São Paulo, Brazil. The HW answered an online questionnaire that included questions on burnout, a single-item scale based on the Maslach Burnout Inventory; demographic data, professional category, type of Protective Personal Equipment (PPE) used, distancing from social support; and emotional reactions to their serology result. Bivariate and multivariate analyses were done to evaluate the risk of burnout.Outcomes: Among 4,417 HW tested, 528 (12.0%) were positive for SARS-CoV-2 and 1,945 answered the questionnaire. Burnout was reported by 308 (15.8%); anxiety, tenseness, and depression associated with COVID-19 were reported by 344 (17.7%); 292 (15.1%); and 181(9.3%) of the participants, respectively. The risk factors for burnout were: being a physician [adjOR:1.604;(95%CI 1.604-1.080;p=0.019)]; a physiotherapist [adjOR:2.047;(95%CI:1.285–3.261;p=0.003)]; perceiving a decrease in public safety[adjOR:1.983;(95%CI:1.229–3.199;p=0.005)]; anxiety [adjOR:2.721;(95%CI:1.812–4.085;p=<0.001)], and depression associated with COVID-19[adjOR:2.071;(95%CI:1.308–3.279;p=0.002)]; and having negative feeling towards had a previously negative SARS-CoV-2 serology[adjOR:1,989;(95%CI:1.484-2.664; p<0.001)].Interpretation: Routine serological testing was one of the strategies used in our hospital to promote the well-being of HW. We observed that those who had negative feeling regarding testing negative to COVID-19 in previous serologies were at higher risk of burnout, suggesting that the risk of contracting the disease is a major stressor for HW.

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Impact on Mental Health Due to COVID-19 Pandemic: Cross-Sectional Study in Portugal and Brazil

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186794 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6794 ◽

Cited By ~ 3

Author(s):

Lígia Passos ◽

Filipe Prazeres ◽

Andreia Teixeira ◽

Carlos Martins

Keyword(s):

Mental Health ◽

Satisfaction With Life ◽

Demographic Data ◽

Adult Population ◽

Well Being ◽

Cross Sectional Study ◽

Poor Mental Health ◽

Satisfaction With Life Scale ◽

Online Questionnaire ◽

Cross Sectional

Mental health effects secondary to the COVID-19 pandemic were till recently considered less important or were neglected. Portugal and Brazil are facing the pandemic in quite different ways. This study aimed to describe the mental health status of the general adult population in Portugal and Brazil during the COVID-19 pandemic and analyze the differences between the two countries. A cross-sectional quantitative study was based on an online questionnaire. Socio-demographic data were collected in addition to four validated scales: CAGE (acronym cut-annoyed-guilty-eye) Questionnaire, Satisfaction with Life Scale, Generalized Anxiety Disorder-7 and Patient Health Questionnaire-2. For each outcome, a multiple linear regression was performed. Five hundred and fifty people answered the questionnaire (435 women). The median age was 38 (Q1, Q3: 30, 47) years, 52.5% resided in Brazil and 47.5% in Portugal. The prevalence of anxiety was 71.3% (mild anxiety was present in 43.1%), the prevalence of depression was 24.7% and 23.8% of the sample had both depression and anxiety. Isolation was a significant factor for depression but not for anxiety. Well-being was below average. Mental illness was considerably higher than pre-COVID-19 levels. Portugal and Brazil will have to be prepared for future consequences of poor mental health and contribute immediate psychological support to their adult populations.

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Factors associated with the stigma-discrimination complex towards healthcare workers among university students during the coronavirus pandemic in Mexico

10.1101/2021.03.14.21253547 ◽

2021 ◽

Author(s):

Carlos Arturo Cassiani-Miranda ◽

Isabel Álvarez-Solorza ◽

Adalberto Campo-Arias ◽

Yinneth Andrea Arismendy-López ◽

Andrés Felipe Tirado-Otálvaro ◽

...

Keyword(s):

Healthcare Workers ◽

Health Workers ◽

Well Being ◽

Cross Sectional Study ◽

Demographic Variables ◽

Online Questionnaire ◽

Cross Sectional ◽

Probabilistic Sampling ◽

Related Stigma ◽

Prevalence Ratios

AbstractThe COVID-19-related stigma towards healthcare workers negatively influences their performance and job satisfaction, and well-being. The frequency of COVID-19-related stigma towards healthcare workers and its associated factors has not been sufficiently investigated. The objective was to determine the frequency and variables associated with COVID-19-related stigmatisation towards health workers in emerging-age university adults in Mexico. Analytical and cross-sectional study using an online questionnaire in 1,054 students between 18 and 29 years of age. Demographic variables, religiosity, fear of COVID-19 and stigma-discrimination related to COVID-19 towards healthcare workers were analysed. The latter was set as the dependent variable, while demographic variables, religiosity and high fear of COVID-19 were the independent variables. For the association between the variables, a binomial and logarithmic generalised linear model was designed to calculate the adjusted prevalence ratios. The proportion of high stigma-discrimination was 12.4%, and this was associated with a high fear of COVID-19 (APR 1.51, 95% CI 1.06 to 2.23). The main limitations were the cross-sectional nature, social desirability bias, non-probabilistic sampling. The results highlight the importance of establishing programmes to reduce COVID-19-related stigmatisation towards healthcare workers.

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Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094457 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4457

Author(s):

Sofia Pappa ◽

Joshua Barnett ◽

Ines Berges ◽

Nikolaos Sakkas

Keyword(s):

Mental Health ◽

Emotional Exhaustion ◽

Organizational Support ◽

Sleep Problems ◽

Health Workers ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Mental Health Workers ◽

Sectional Study ◽

Cross Sectional

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

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COVID-19 KNOWLEDGE, ATTITUDE, AND PRACTICES BETWEEN PAKISTANI MEDICAL AND NON-MEDICAL STUDENTS

Journal of University Medical & Dental College ◽

10.37723/jumdc.v12i3.641 ◽

2021 ◽

Vol 12 (3) ◽

pp. 169-176

Author(s):

Bushra Suhail ◽

Ayesha Masood ◽

Javaria Baig ◽

Sara Mukhtar ◽

Sarah Aftab ◽

...

Keyword(s):

Medical Students ◽

Conceptual Knowledge ◽

Demographic Data ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Age Group ◽

Online Questionnaire ◽

Cross Sectional ◽

Contagious Nature ◽

Positive Attitudes

BACKGROUND & OBJECTIVE: This study investigated medical and non-medical students’ knowledge, attitude, and preparedness regarding COVID-19 pandemic, to groom volunteers and future healthcare providers in a better way. METHODOLOGY: This cross-sectional study was completed from April to May 2020 during the first wave of COVID-19. An online questionnaire was distributed using internet and social media (SM). The questionnaire was composed of several parts concerning to demographic data, knowledge, attitude, and practices. RESULTS: This study included 1851 students [1041(56.54% medical, 810(43.46%) non-medical students)]. Medical students had significantly better knowledge about the contagious nature, spread and treatment of coronavirus. Non-medical students showed more risky behavior compared to medical students (p = 0.005). The use of masks and the frequency of handwashing was better among medical students as compared to non-medical students (p< 0.001; p< 0.014, respectively). The odds ratio indicates that students of the age group 21-25 years (45%) and medical students (75%) were more likely to have a positive attitude. CONCLUSION: This study revealed good knowledge, positive attitudes, and good practices towards COVID-19 among medical students. Still, a minority of participants from both groups revealed misconceptions and relatively poor conceptual knowledge regarding the disease.

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IMPACT OF THE COVID-19 PANDEMIC ON PSYCHOLOGICAL HEALTH STATUS DURING LOCKDOWN PERIOD: A CROSS-SECTIONAL STUDY

Romanian Journal of Neurology ◽

10.37897/rjn.2021.2.14 ◽

2021 ◽

Vol 20 (2) ◽

pp. 217-223

Author(s):

Sonu Punia ◽

◽

Mohini Mohini ◽

Shailja Sharma ◽

Varun Singh ◽

...

Keyword(s):

Health Status ◽

Rural Community ◽

Psychological Health ◽

Online Survey ◽

Demographic Data ◽

Psychosocial Health ◽

Cross Sectional Study ◽

Online Questionnaire ◽

Cross Sectional ◽

Prevention Measure

Objective. The aim of this research was access the effect of lockdown on the psychological health status of people. Methods. This was an online questionnaire survey developed and circulated among people using snow-ball sampling techniques from April to mid of June 2020. The online survey collected information on demographic data and psychosocial health elements. Results. This study included 604 peoples (59.1% were female and 40.8% were females) of Haryana. Of the total respondents, 57.6% were in age group of 18-30 years, 40.8% were in 31-45 years and 1.5% was in 45-60 years group. 90% of people have normal self- reported BMI, 6.5% were overweight, 3% were underweight and 0.5% people have obesity. 74% respondents were graduate, 11.5% postgraduate, 3.2% were PhD, and 9.2% were 12th pass. 31.8% were unemployed, 35.9% were student, 15.8% regular government employee, 4.7% were self- employed and 2.5% were adhoc/contract employee. 79.5% people reside in urban community and 16% in rural community and 4.5% in semi-urban area. Most of the respondents have agree with the statement that lockdown induced constant sense of insecurity (72.9%); anxiety (58.7%),psychological stress (66.4%); work & financial stress (52.4%), phobia of infection (50.9%); stigma towards symptomatic people, which might be because of simple flu (55.2%); stress from watching & listening COVID-19 news (38.6%); stress from practice of prevention measure (31.9%). Most of people also agree with that behavior-change modification (follow preventive regulations) can improve mental stress (53.2%). Conclusion. Majority of people has realized the lockdown have significant impact on psychological health status of people.

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Stigmatisation associated with COVID-19 in the general Colombian population

International Journal of Social Psychiatry ◽

10.1177/0020764020972445 ◽

2020 ◽

pp. 002076402097244

Author(s):

Carlos Arturo Cassiani-Miranda ◽

Adalberto Campo-Arias ◽

Andrés Felipe Tirado-Otálvaro ◽

Luz Adriana Botero-Tobón ◽

Luz Dary Upegui-Arango ◽

...

Keyword(s):

General Population ◽

Research Team ◽

Health Workers ◽

Cross Sectional Study ◽

Sectional Study ◽

Online Questionnaire ◽

Cross Sectional ◽

Additional Problem ◽

The Difference ◽

High Level

Background: As the COVID-19 pandemic progresses, the fear of infection increases and, with it, the stigma-discrimination, which makes it an additional problem of the epidemic. However, studies about stigma associated with coronavirus are scarce worldwide. Aims: To determine the association between stigmatisation and fear of COVID-19 in the general population of Colombia. Method: A cross-sectional study was carried out. A total of 1,687 adults between 18 and 76 years old ( M = 36.3; SD = 12.5), 41.1% health workers, filled out an online questionnaire on Stigma-Discrimination and the COVID-5 Fear Scale, adapted by the research team. Results: The proportion of high fear of COVID-19 was 34.1%; When comparing the affirmative answers to the questionnaire on stigma-discrimination towards COVID-19, it was found that the difference was significantly higher in the general population compared to health workers in most of the questions evaluated, which indicates a high level of stigmatisation in that group. An association between high fear of COVID-19 and stigma was evidenced in 63.6% of the questions in the questionnaire. Conclusion: Stigma-discrimination towards COVID-19 is frequent in the Colombian population and is associated with high levels of fear towards said disease, mainly people who are not health workers.

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Correlates of above-average cognitive performance among older adults: the SABE study

Cadernos de Saúde Pública ◽

10.1590/0102-311x00131913 ◽

2014 ◽

Vol 30 (9) ◽

pp. 1977-1986 ◽

Cited By ~ 3

Author(s):

Henrique Salmazo da Silva ◽

Yeda Aparecida de Oliveira Duarte ◽

Fabíola Bof de Andrade ◽

Ana Teresa de Abreu Ramos Cerqueira ◽

Jair Lício Ferreira Santos ◽

...

Keyword(s):

Older Adults ◽

Cognitive Performance ◽

Demographic Data ◽

Well Being ◽

Cross Sectional Study ◽

Community Dwelling ◽

Cross Sectional ◽

Sabe Study ◽

Younger Age ◽

Community Dwelling Older Adults

This study aimed to identify factors associated with optimal global cognitive performance among older adults in the city of Sao Paulo, Brazil. A cross-sectional study was carried out with a sample of community-dwelling older adults who participated in the SABE Study (Health, Well-Being and Ageing) in 2006. The dependent variable was cognitive performance, categorized as “normal” or “optimal”. The independent variables were socio-demographic data, lifestyle and health conditions. Data analysis involved descriptive statistics, followed by multiple logistic regression (significance set at 5%). Optimal cognitive performance was found in 28.4% of the sample, representing 730,051 older adults. Optimal performance was associated with a younger age, a report of no difficulties regarding instrumental activities of daily living, non-abusive alcohol intake, self-rated income sufficient to meet one’s daily needs and contact with family and friends. Optimal cognitive performance among older adults is associated with conditions favoring participation and independence.

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Anxiety and Spiritual Well-Being in Nursing Students: A Cross-Sectional Study

Journal of Holistic Nursing ◽

10.1177/0898010116655004 ◽

2016 ◽

Vol 35 (3) ◽

pp. 261-270 ◽

Cited By ~ 5

Author(s):

Jéssika Leão Fabbris ◽

Ana Cláudia Mesquita ◽

Sílvia Caldeira ◽

Ana Maria Pimenta Carvalho ◽

Emilia Campos de Carvalho

Keyword(s):

Nursing Students ◽

Survey Design ◽

Design Method ◽

Demographic Data ◽

Well Being ◽

Cross Sectional Study ◽

Lower Probability ◽

Cross Sectional ◽

Spiritual Well Being ◽

The Mean

Purpose: To analyze the relation between anxiety and spiritual well-being in undergraduate nursing students. Design: Cross sectional, correlational, and survey design. Method: A total of 169 students from a Brazilian Nursing School completed three instruments: demographic data, Spiritual Well-Being Scale (SWBS), and Beck Anxiety Inventory (BAI). Findings: The mean score of SWBS was high, and the mean score of BAI was low. When experiencing anxiety, there was lower probability of experiencing high spiritual well-being. For those students considering religiosity very important, the score of SWBS was high. Students scoring lower in SWBS had more probability of experiencing moderate/high anxiety. Conclusions: Higher scores of SWBS and importance given to religiosity were related to lower scores of BAI. Also, the performance and score of spiritual well-being were related to anxiety scores. Further research is worthy to identify and validate which educational aspects could promote spiritual well-being and reduce anxiety as well as research to analyze the relation between spiritual well-being score and learning outcomes.

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Participation in Physical Activity is Associated with Well-being in European University Students

Montenegrin Journal of Sports Science and Medicine ◽

10.26773/mjssm.210906 ◽

2021 ◽

Vol 10 (2) ◽

pp. 41-46

Author(s):

Miguel Peralta ◽

◽

João Santos ◽

Joana Bordado ◽

Duarte Henriques-Neto ◽

...

Keyword(s):

Physical Activity ◽

University Students ◽

Demographic Data ◽

Positive Association ◽

Well Being ◽

Cross Sectional Study ◽

European Social Survey ◽

Health Perception ◽

Cross Sectional ◽

European University

This study’s objective was to analyse the associations between physical activity (PA) and well-being in a rep- resentative sample of European university students. This cross-sectional study was based on data from the European Social Survey round 6, 2012, comprising 3,143 European university students (1456 men and 1687 women) from 27 countries, with a mean age of 21.3±2.9 years. Socio-demographic data, PA, health perception, and the six dimensions of well-being were self-reported. Men reported practising PA more often than women did (4.4±2.2 versus 4.1 ± 2.2, p<0.001) and had better health perception (4.2±0.7 versus 4.1 ± 0.8, p<0.001) and total well-being score (5.5±1.2 versus 5.2 ± 1.3, p<0.001). PA frequency was linearly associated with health perception (p<0.001) as well as the overall well-being score (p<0.001). There is a positive association between PA and the well-being of European university students. This emphasizes the importance of PA in the university students’ lifestyle and the need to develop programmes that reduce physical inactivity.

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Quality of life among elderly population

Mental Health: Global Challenges Journal ◽

10.32437/mhgcj-2019(2).60 ◽

2019 ◽

Vol 2 (2) ◽

Author(s):

Ioanna V. Papathanasiou ◽

Anna Rammogianni ◽

Dimitros Papagiannis ◽

Konstantinos Tsaras ◽

Foteini Kaberi ◽

...

Keyword(s):

Quality Of Life ◽

Elderly Population ◽

Demographic Data ◽

Well Being ◽

Cross Sectional Study ◽

Cross Sectional ◽

Number Of Children ◽

Health Factors ◽

The Mean

Introduction: Quality of Life (QoL) among elderly is an important issue that reflects the status of well-being of this vulnerable population. Aim: This study aims to assess quality of life among elderly population and to examine possible correlations with associated demographic, social and health factors. Material and Method: A cross sectional study was conducted, in which 257 elderlies from Greece were participated. For the data collection the WHOQOL-BREF (30-items Greek version) questionnaire was used as well as a questionnaire with questions about demographic data, social & health factors. Descriptive statistics such as frequencies, means, percentages and standard deviations have been utilized. Inferential statistics such as t-test and pearson r correlation have been used to determined correlations between relevant variables. Level of significance accepted is p < 0.05. Results: From the total 257 elderlies 55.6% (n=143) were women and 44.4% (n=114) were men with a mean age 75.12±8.39. The mean score of overall QoL is 14.14±2.87 and the mean of each factor of WHOQOL-BREF is 13.56±2.79 for physical health, 13.61±2.74 for mental health, 13.72±2.60 for social relationships and 13.70±1.96 for environment. Age, marital status, number of children, level of education, residence area, lifestyle, chronic diseases and serious illnesses are the factors that affects levels of QoL among Greek elderly population Conclusions: Results indicates that levels of QoL between elderly are moderate and many demographic, social and health factors are correlated with QoL status.

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