Pregnancy-Specific Concerns and Psychological Impact of COVID-19 on Antenatal Women

OBJECTIVE: The ongoing COVID-19 pandemic is causing widespread concern, fear, stress, anxiety, and depression throughout the population worldwide. Pregnant women, being a vulnerable group, are grossly affected by these changing environmental scenarios. The spread of Corona Virus infection itself and the subsequent nation-wide lockdown in India, just like many other countries, has caused a serious impact on antenatal patients. The objective of this study was to bring out the specific concerns of pregnant women during the ongoing COVID-19 pandemic and also to assess the prevalence of Depression and Anxiety Disorder owing to the pandemic. STUDY DESIGN: This cross-sectional survey among antenatal patients was conducted in the outpatient department of a tertiary care obstetric center which is also a designated COVID hospital. Prevalidated questionnaires, Personal Health Questionnaire-9 & Generalized Anxiety Disorder questionnaire-7 were used for data collection. A semi-structured questionnaire was used to evaluate pregnancy-specific concerns of the patients with respect to the COVID-19 pandemic. RESULTS: The overall prevalence of moderate to severe depression in the survey was found to be 13.2% (n=66). The prevalence of moderate to severe anxiety disorder was found to be 9.8% (n=49). CONCLUSION: This study has brought out the need for urgent attention to the psychological impact of COVID-19 on pregnant women. Pregnant women being a vulnerable group, especially during this pandemic, need special attention to their psychological wellbeing as well.

Download Full-text

Mental Health Status of University Healthcare Workers During the COVID-19 Pandemic: A Post-Movement Lockdown Assessment

10.20944/preprints202011.0422.v1 ◽

2020 ◽

Author(s):

Luke Sy-Cherng Woon ◽

Hatta Sidi ◽

Nik Ruzyanei Nik Jaafar ◽

Mohammad Farris Iman Leong Bin Abdullah

Keyword(s):

Social Support ◽

Healthcare Workers ◽

Perceived Social Support ◽

Severe Depression ◽

Depression And Anxiety ◽

University Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Prevalence Of Depression ◽

The Government

This study investigated the prevalence and severity of depression, anxiety, and stress and determined the association between various factors, social support, and depression and anxiety among university healthcare workers in Malaysia after the government lifted the movement control order (MCO) put in place to curb the coronavirus disease 2019 (COVID-19) pandemic. This online, cross-sectional survey recruited 399 participants from two university hospitals, and they were administered a self-reported questionnaire on demographic, personal, and clinical characteristics; COVID-19-related stressors; and coping. In addition, they completed the Multidimensional Scale of Perceived Social Support (MSPSS) to measure perceived social support, as well as the 21-item Depression, Anxiety, and Stress Scale (DASS-21) to assess depression, anxiety, and stress. We found that the prevalence of depression, anxiety, and stress were 21.8%, 31.6%, and 29.1%, respectively. Participants with moderate to extremely severe depression, anxiety, and stress made up 13.3%, 25.8%, and 8.1% of the sample, respectively. Being single or divorced, fear of frequent exposure to COVID-19 patients, those who agreed that their area of living had a high prevalence of COVID-19 cases, and uncertainty regarding the prevalence of COVID-19 cases in the area of living were associated with higher odds of depression and anxiety. Conversely, having more than three children and greater perceived friend support were associated with lower odds of depression and anxiety. The prevalence of depression, anxiety, and stress remained elevated even after the MCO was lifted.

Download Full-text

Prevalence of Depression, Anxiety and Stress in Medical Students, interns and residents in Pakistan

10.53350/pjmhs211592333 ◽

2021 ◽

Vol 15 (9) ◽

pp. 2333-2336

Author(s):

Anum Arif ◽

Minahil Iram ◽

Sabih Nofal ◽

Aima Sohail ◽

Bismah Riaz ◽

...

Keyword(s):

Mental Health ◽

Medical Students ◽

Severe Depression ◽

Poor Mental Health ◽

Military Hospital ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Interns And Residents ◽

The Mean

Aim: To assess prevalence of Depression, Anxiety, Stress in medical students, interns, and residents in Pakistan Study design: Cross-sectional Survey (Questionnaire) based study. Place and duration of study: This study was conducted at Combined Military Hospital Lahore Medical College from March 2020 to May 2020. Results: 104 participants were included in the study. There was female predominance 58(55.8%), and the mean age was 23.55±1.42. The overall mean score of depression and anxiety was 21.2±12.67 and 15.7±10.67 respectively and most prevalent in third and fourth-year residents. The mean stress score was 13.7, 10. 27. Twenty-eight (26.9%) of the overall participants had extremely severe depression, 36 (34.6 %) had extremely severe anxiety and 13(12.5%) had severe stress. Doctors studying and practicing in the private sector have a higher DASS21 score (p = < 0.006) Conclusion: Multiple factors have been found to contribute to the poor mental health of health care workers, including financial trouble, sleep deprivation, abuse from colleagues, high expectations, female gender, broken relationships, and substance misuse. Keywords: Anxiety Disorders, Depression, Medical, Mental Health Problem Solving, Psychological Distress,

Download Full-text

Prevalence of Depression Symptoms and Associated Sociodemographic and Clinical Correlates Among Syrian Refugees in Lebanon

10.21203/rs.3.rs-62968/v1 ◽

2020 ◽

Author(s):

Hady Naal ◽

Dana Nabulsi ◽

Nour El Arnaout ◽

Lina Abdouni ◽

Hani Dimassi ◽

...

Keyword(s):

Mental Health ◽

Large Scale ◽

Severe Depression ◽

Depression Symptoms ◽

Syrian Refugees ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Clinical Correlates ◽

Syrian Refugee ◽

Prevalence Of Depression

Abstract Background: Since the outbreak of the Syrian war in 2011, close to 6 million Syrian refugees have escaped to Syria’s neighbouring countries, including Lebanon. Evidence suggests rising levels of mental health disorders among Syrian refugee populations. Yet, to the best of our knowledge, large-scale studies addressing the mental health of adult Syrian refugees in Lebanon are lacking. Aims: We examined the prevalence of depression symptoms, which represent a common and debilitating mental health disorder among Syrian refugee populations in Lebanon, along with their sociodemographic and clinical correlates.Methods: A cross-sectional survey design was conducted as part of a collaborative project-“Sijilli”- led by the Global Health Institute at the American University of Beirut (Beirut, Lebanon) across 4 informal tented settlements for refugees (Beirut, Bekaa, North, South) in Lebanon among adult Syrian refugees (≥18), over a period extending from 2018 to 2020. The survey inquired about participants’ sociodemographic and clinical characteristics, and screened participants for symptoms of depression through sequential methodology using the Patient Health Questionnaire (PHQ-2 and PHQ-9). Results: A total of 3255 adult Syrian refugees were enrolled in the study. Of those refugees, only 51.6% (n=1678) screened positive on the PHQ-2 and were therefore eligible to complete the PHQ-9. The PHQ-9 analysis revealed high prevalence (25%) of moderate to severe depression in the total sample, suggestive of high probability for major depression disorder (MDD). Further analyses indicate that being ≥45 years of age (OR 1.70, 95% CI 1.22-2.36), a woman (OR 1.35, 95% CI 1.07-1.69), divorced/separated (OR 3.32, 95% CI 1.57-7.01), reporting a neurological (OR 1.77, 95% CI 1.20-2.61) or a mental health condition (OR 5.30, 95% CI 2.40-11.66) are major risk factors for MDD.Conclusion: Our study suggests that one in four Syrian refugees in Lebanon have probable MDD, and our findings have important public health and clinical implications on refugee health. There is a need to enhance screening efforts, to improve access and referral to mental health services, and to improve post-migration factors among Syrian refugees in Lebanon.

Download Full-text

Mexican pregnant women show higher depression and anxiety with rising age and in the case of being single

Acta medica Lituanica ◽

10.6001/actamedica.v26i4.4208 ◽

2020 ◽

Vol 26 (4) ◽

pp. 227-236

Author(s):

Irma Visoso Salgado ◽

Jayson Leonel Moncada Mendoza ◽

Hugo Mendieta Zerón

Keyword(s):

Pregnant Women ◽

Severe Depression ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Mild Depression ◽

Cross Sectional ◽

Psychology Service ◽

First Time ◽

Severe Anxiety

Background. Pregnancy is an important predisposition period to develop anxiety and depression, with a direct impact on the woman’s offspring. The aim of this study was to report the correlation between depression and anxiety in pregnant women and its association with the marital status and age. Materials. A descriptive, retrospective and cross-sectional study was conducted in the outpatient care of the Psychology Service at the “Mónica Pretelini Sáenz” Maternal Perinatal Hospital (HMPMPS), Toluca, Mexico, from June 2012 to March 2019. As routine, the Beck Depression Inventory (BDI-II) and the Beck Anxiety Inventory-Trait (BAIT), were applied to all women seeking attention at the HMPMPS. Only pregnant patients were selected for this study, with the women referred for the first time to the external Psychology Clinic as inclusion criteria. Pearson’s correlation coefficient and the frequency of cases for age, BDI-II, and BAIT were obtained using the IBM SPSS Statistics ® v.23 software. Results. The study included 2947 pregnant patients with a mean age of 28.6 ± 6.9 years. Of these, 2616 (88.8%) presented with mild anxiety, 269 (9.1%) with moderate, and 62 (2.1%) with severe anxiety. On the other hand, 2149 (72.9%) patients presented with minimal depression, 341 (11.6%) mild depression, 268 (9.1%) moderate depression, and 189 (6.4%) had severe depression. The correlations between age and BDI-II was –0.026 (P = 0.152), between age and BAI was –0.038 (P = 0.037), and between BAIT and BDI-II 0.650 (P ≤ 0.001). Conclusions. The age group with the highest frequency of depression and anxiety was from 20 to 29 years. The absence of a stable partner represented an important risk factor for anxiety and depression during pregnancy.

Download Full-text

Prevalence of Depression, Anxiety and Stress in Medical Students, interns and residents in Pakistan

10.53350/pjmhs211592215 ◽

2021 ◽

Vol 15 (9) ◽

pp. 2215-2218

Author(s):

Anum Arif ◽

Minahil Iram ◽

Sabih Nofal ◽

Aima Sohail ◽

Bismah Riaz ◽

...

Keyword(s):

Mental Health ◽

Medical Students ◽

Severe Depression ◽

Poor Mental Health ◽

Military Hospital ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Interns And Residents ◽

The Mean

Aim: To assess prevalence of depression, anxiety, stress in medical students, interns and residents in Pakistan Study design: Cross-sectional Survey (Questionnaire) based study. Place and duration of study: This study was conducted at Combined Military Hospital Lahore Medical College from March 2020 to May 2020. Results: 104 participants were included in the study. There was female predominance 58(55.8%), and the mean age was 23.55±1.42. The overall mean score of depression and anxiety was 21.2±12.67 and 15.7±10.67 respectively and most prevalent in third and fourth-year residents. The mean stress score was 13.7, 10. 27. Twenty-eight (26.9%) of the overall participants had extremely severe depression, 36 (34.6 %) had extremely severe anxiety and 13(12.5%) had severe stress. Conclusion: Multiple factors have been found to contribute to the poor mental health of health care workers, including financial trouble, sleep deprivation, abuse from colleagues, high expectations, female gender, broken relationships, and substance misuse. The prevalence of depression, anxiety, and stress in common in medical students. This calls for the development of strategies, workshops, and programs to identify modifiable stressors, encourage students to reach out to their family members and their teachers to verbalize their issues, and make psychiatric consultation accessible to them. Keywords: Anxiety Disorders, Depression, Medical, Mental Health Problem Solving, Psychological Distress,

Download Full-text

Loneliness, Depression, and Anxiety Experienced by the Israeli Population During the First COVID-19 Lockdown: A Cross-sectional Survey

Rambam Maimonides Medical Journal ◽

10.5041/rmmj.10449 ◽

2021 ◽

Author(s):

Jason Brafman ◽

◽

Robert Lubin ◽

Revital Naor-Ziv ◽

Sarah Rosenberg ◽

...

Keyword(s):

Social Contact ◽

Electronic Media ◽

Depression And Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Younger Adults ◽

Symptoms Of Depression ◽

Israeli Population ◽

Prevalence Of Depression ◽

Younger Generation

This research letter presents our study, which sought to evaluate the differences in the prevalence of self-reported symptoms of depression, anxiety, and loneliness between younger and older generations at the time of the COVID-19 pandemic. Since the younger generation is generally less accustomed to facing and dealing with adversity and illness, we hypothesized that adolescents and younger adults would have a higher prevalence of depression, anxiety, and loneliness as compared to the older generation. It must be emphasized that this survey was conducted during the first COVID-19 lockdown that occurred in Israel from mid-March 2020 to early May 2020. This was a time when businesses were closed, individuals and families were isolated at home with very limited social contact, and feelings of fear and panic were fueled by the electronic media.

Download Full-text

dePression, ANxiety, and acaDEMImiC performance in COVID- 19: The PANDEMIC study: A cross-sectional survey study

10.21203/rs.3.rs-353928/v1 ◽

2021 ◽

Author(s):

Francisco José Barbosa-Camacho ◽

Olaya Moramay Romero-Limón ◽

Juan Carlos Ibarrola-Peña ◽

Yolanda Lorelei Almanza-Mena ◽

Kevin Josue Pintor-Belmontes ◽

...

Keyword(s):

Anxiety Disorder ◽

Self Concept ◽

Depression And Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

General Anxiety Disorder ◽

General Anxiety ◽

Scale Scores ◽

Patient Health ◽

Screening Scale

Abstract BackgroundAfter almost nine months of social isolation, the high incidence of depression and anxiety is understandable. However, depression and anxiety can adversely affect the quality of life. One of the biggest challenges in this global pandemic is providing education within public and private academic institutes.MethodsThis study was a cross-sectional survey distributed online from April to June 2020. We used the Patient Health Questionnaire-9 depression screening scale and the General Anxiety Disorder-7 screening scale to identify the presence of mental health disorders such as depression or anxiety in undergraduate and graduate students. We used the Academic Self-Concept Scale to determine whether these disorders altered students' perception of their academic performance.ResultsA total of 610 students answered the survey: 386 female (63.3%) and 224 male (36.7%). Most students (71.5%) had not participated in online courses before. When asked about their class preferences, 581 students (95.2%) preferred to be taught in classes. The average Academic Self-Concept Scale score was 2.76 ± 0.35. The Academic Self-Concept Scale scores were divided into Confidence and Effort categories, and their respective mean scores were 2.71 ± 0.37 and 2.82 ± 0.45. The total mean Patient Health Questionnarie-9 scores were 11.94 ± 6.90, and the mean General Anxiety Disorder-7 score was 10.30 ± 5.66. There were significant effects of the severity of depression and anxiety on the Academic Self-Concept Scale scores (p < 0.001 and p < 0.05, respectively).ConclusionsThe findings suggest that changing from classroom-based teaching to online delivery is not a challenge for students in the normal situation. However, being quarantined can be stressful and frustrating, which may challenge effective learning.Trial registrationThe study protocol was submitted to ClinicalTrials.gov and registered with the identifier: NCT04420416.

Download Full-text

PSYCHOLOGICAL EXPERIENCE OF CLIENTS DIAGNOSED WITH GLAUCOMA IN TWO SELECTED EYE CLINICS IN ACCRA, GHANA

International Journal of Research -GRANTHAALAYAH ◽

10.29121/granthaalayah.v5.i9.2017.2198 ◽

2017 ◽

Vol 5 (9) ◽

pp. 52-67

Author(s):

Daniel Bruce ◽

V. Mawuli Eshun

Keyword(s):

Survey Design ◽

Pearson Correlation ◽

Psychosocial Care ◽

Severe Depression ◽

Psychosocial Distress ◽

Depression And Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Stress Levels ◽

Anxiety Levels

The aim of this study was to find out the prevalence of psychosocial problems among persons living with glaucoma and also find out whether socio-demographic characteristics of glaucoma patients significantly affect their levels of psychosocial distress. The cross-sectional survey design was chosen. One hundred (100) patients with glaucoma were selected from two Eye clinics in Accra as the sampled population. One-Way ANOVA, independent t-test and Pearson correlation were used for data analysis. Results from the analysis showed that 99% of the patients reported mild to extremely severe depression. One percent (1%) of the sample reported normal depression levels. It was also observed from the analysis that 75% of the patients reported mild to extremely severe anxiety levels and, 25% reported normal anxiety levels. On stress levels, 45% of glaucoma patients reported mild to severe stress levels whilst 55% of reported normal stress levels. Further analysis showed that female glaucoma patients reported higher depression, anxiety and stress levels than male glaucoma patients, younger glaucoma patients reported higher depression, anxiety and stress levels than older glaucoma patients. However, no statistically significant differences exist among Glaucoma patients who are employed, unemployed and self-employed in their depression and anxiety levels but differed significantly on their stress levels. No statistically significant differences exist among Glaucoma patients who are single, married, widowed and divorced in their depression and anxiety levels but differed significantly on their stress levels. Additionally, there is a significant positive relationship between patients’ social distress and emotional distress (DASS). It is concluded that there is substantial level of psychosocial distress among patients with glaucoma. Patients’ age, sex and marital status significantly affecting their psychosocial distress and therefore, psychosocial care should be included in the healthcare of these patients.

Download Full-text

Mental Health, Potential Minority Stressors And Resilience: Evidence From A Cross-Sectional Survey Of Gay, Bisexual And Other Men Who Have Sex With Men Within The Celtic Nations

10.21203/rs.3.rs-87687/v1 ◽

2020 ◽

Author(s):

Arlene McGarty ◽

Lisa McDaid ◽

Paul Flowers ◽

Julie Riddell ◽

John Pachankis ◽

...

Keyword(s):

Mental Health ◽

Protective Effect ◽

Severe Depression ◽

Anxiety And Depression ◽

Future Research ◽

Depression And Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Sex With Men ◽

Severe Anxiety

Abstract Background: Gay, bisexual and other men who have sex with men (GBMSM) are at a greater risk of mental health problems, such as anxiety and depression, than heterosexual adults. Numerous factors and stressors have been reported to impact men’s mental health, although it has been suggested that resilience could have a protective effect. The aim of this study is to explore mental health, minority stressors, and resilience among a large online cross-sectional survey of GBMSM in the Celtic nations. Methods: Data for this cross-sectional study were collected from the Social Media, GBMSM and Sexual and Holistic Health (SMMASH2) self-report online survey. Participants (n=3077) were recruited via gay sociosexual media in Scotland, Wales, Northern Ireland, and the Republic of Ireland. Binary logistic regression analyses were conducted to identify factors that increased the odds of moderate-to-severe anxiety and depression. Potentially relevant variables (p<0.05) were carried forward in hierarchal logistic regression analyses. Results: The prevalence of moderate-to-severe anxiety and depression was 19.9% and 14.4%, respectively. Having a disability (OR = 1.73) and having financial worries sometimes/all of the time (OR = 1.93) increased the odds of having moderate-to-severe depression and anxiety, respectively. No minority stressors were associated with depression, whereas experiencing any form of relationship abuse in the last 12 months significantly increased the odds of anxiety (OR = 1.50). Resilience, namely a sense of coherence, had a protective effect and significantly reduced the odds of moderate-to-severe depression (OR = 0.85) and anxiety (OR = 0.89). Discussion: Disability and financial worries were associated with increased depression and anxiety, respectively, while resilience had a protective effect for GBMSM in the SMMASH2 study. Future research is needed to better understand the role of resilience and the challenges and stresses of everyday life and intersecting health problems. Future research is also needed that incorporates the perspectives of those most affected by mental ill-health to co-develop effective solutions that respond to their contextual surroundings.

Download Full-text

Frequency of Depression, Anxiety and Stress among Gynae Residents during Covid Pandemic

10.53350/pjmhs211571894 ◽

2021 ◽

Vol 15 (7) ◽

pp. 1894-1897

Author(s):

Imran Khan ◽

Muhammad Zaman Afridi ◽

Zahra Wasim ◽

Nadia Khan Jawad ◽

Zubaida Khanum Wazir ◽

...

Keyword(s):

Tertiary Care ◽

Psychological Impact ◽

Moderate Level ◽

Teaching Hospitals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Post Graduate ◽

Ethical Approval ◽

Community Data ◽

Tertiary Care Hospitals

Objective: To find the frequency of depression, anxiety and stress among Gynae residents during covid pandemic. Methodology: This Cross-sectional survey was carried out in different Teaching Hospitals of Khyber Pakhtunkhwa during the period of six months i.e from August 2020 to January 2021. After the ethical approval from the research community, data was collected from Post Graduate Gynae Residents of Teaching Hospitals. Sample size for the study was 405 participants. Depression, anxiety and gross scale shorten version DASS-21 containing 21 items was standard research to use in study i.e. depression, anxiety and stress was identified on the basis of their cutoff scores i.e. normal scores were ≥10, ≥8 and ≥15 for depression, anxiety and stress respectively. Result: In depression, 136 (34%) participants were normal followed by moderate level having frequency 121 (30.25%). In the anxiety category, 116 (29%) participants were normal followed by moderate level having frequency 101 (25.5). In the category of stress, 179 (44.75%) participants were normal followed by mild levels having frequency 106 (26.50%). Only COVID positive status was statistically significant with depression, anxiety and stress as their P-valve was 0.02 less than 0.05. Conclusion: Considerable number of post graduate Gynae trainees working in different tertiary care hospitals have varying degrees of depression, anxiety and stress due to COVID-19 pandemic. Keywords: COVID-19, Pandemic, Post graduate, Psychological impact, Trainee doctors, Gynae residents, Mental health, Obstetrics, Gynaecology.

Download Full-text