scholarly journals Stress gradation of medical practitioners during the pandemic (covid-19) along with ways to de-stress; a cross sectional study at tertiary care hospitals using Kessler’s 10 psychological distress scale.

2021 ◽  
Vol 28 (09) ◽  
pp. 1239-1244
Author(s):  
Umair Toqueer ◽  
Muhammad Usama Zardad ◽  
Mahwish Toqueer ◽  
Anila Riyaz ◽  
Sana Khan ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Junior Doctors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Tertiary Care Hospitals ◽  
Distress Scale ◽  
The Impact

Objectives: To determine stress grades of doctors working in tertiary care  hospitals by using a standard measuring tool i.e. Kessler 10 psychological distress scale along with finding out different coping methods adopted by doctors during the COVID-19 pandemic. Study Design: Cross Sectional study. Setting: Tertiary Care Hospitals of Khyber Pakhtunkhwa (KPK), Pakistan. Period: 15 March 2020 to 20 June 2020. Material & Methods: A structured questionnaire was sent online to the junior and senior doctors working during the pandemic. The data was automatically collected with the help of Google docs and then analysed using SPSS 26. Results: Of the 219 doctors who completed the questionnaire 142 were males (64.8%) and 77 were females (35.2%). Interestingly, analysis of the score revealed that 38.8% of the doctors were found likely to be well, 16.4% of the doctors were likely to have mild disease and 20.5% were likely to have a moderate disorder while 24.2% were likely to have a severe disorder. Further analysis showed that the mean of  Kessler’s score was greater for junior doctors as  compared to Consultants which was found to be statistically significant (p=0.044). Conclusion: The impact of Corona virus disease (COVID-19) on the stress levels of health workers warrants considerable attention as it was declared a pandemic. Assessing the psychological impact and ways to tackle them will not only help the health care workers during this pandemic but will be beneficial in future pandemics as well.

scholarly journals Is it Just About Physical Health? An Internet -Based Cross-Sectional Study Exploring The Pyschological Impacts of COVID-19 Pandemic On University Students in Jordan Using Kessler Psychological Distress Scale

2020 ◽  
Author(s):  
Ala'a B. Al-Tammemi ◽  
Amal Akour ◽  
Laith Alfalah
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Distance Learning ◽  
University Students ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Distress Scale ◽  
Kessler Psychological Distress Scale

Abstract Background Since the spread of COVID-19 on a global scale, most of efforts at the local, national, and international levels were directed primarily to mitigate the spread of the disease. However, the psychological impacts of COVID-19 on global mental health were not thoroughly investigated yet, and studies that report the mental health risks of COVID-19 are still scarce.Objectives This study aimed to assess the level of psychological distress among university students in Jordan during the COVID-19 pandemic and the associated national measures.Methods A cross-sectional study was conducted using an online self-administered questionnaire, The survey comprised of questions about (i) sociodemographic information, (ii) the 10-item Kessler Psychological Distress Scale (K10), (iii) coping activities , and (iv) the students’ greatest concerns during the COVID-19 pandemic.Results A total of 381 completed questionnaires were included in the analysis. Female participants slightly predominated the sample (n=199, 52.2%). The respondents aged 18-38 years (mean 22.6 years, SD: 3.16). The total K10 distress scores had a mean of 34.2 (SD:9.4). However, the mean of total K10 distress scores had no significant association with gender (P=0.57). Age was negatively associated with total K10 distress score (P=0.0013). Concerning severity, most of respondents were regarded as having severe psychological distress (n=265, 69.5%), and females were found to have a statistically significant higher percentage in mild and severe psychological distress (P= 0.035), (P=0.016); respectively. 209 students (54.9%) reported that they had no motivation for distance learning. There was a statistically significant inverse relationship between severe psychological distress and motivation for distance learning (P<0.0001). The most common coping strategy among students was spending more time on social media (n=269, 70.6%). Besides, 49 students (12.9%) reported the use of medications to cope with COVID-10 related distress, and 209 students (54.9%) reported distance learning was their most serious concern.Conclusion The COVID-19 control measures resulted in a severe disruption of various human life activities, and this could impact the mental health of individuals, including students. A nationwide psychological support program should be incorporated into Jordan’s response strategy in combating the COVID-19, considering students and other vulnerable groups in Jordan.

scholarly journals A cross sectional study to estimate the psychological stress level in medical students during Covid-19 pandemic

2021 ◽  
Vol 8 (1) ◽  
pp. 01-06
Author(s):  
Alia Naaz ◽  
◽  
Mohammad Saad ◽  
Keyword(s):  
Psychological Distress ◽  
Medical Students ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Severe Stress ◽  
Cross Sectional ◽  
Stress Levels ◽  
Psychological Distress Scale ◽  
Question Form ◽  
Distress Scale

Introduction: Stress and anxiety have been a common topic of discussion among the medicalstudents in normal circumstances owing to the burden of immense studies, clinical rotations, regularexams and assessments. Material and methods: A cross sectional study consisting of 330 medicalstudents studying in various medical colleges in various states like Himachal, Karnataka, Haryana,Rajasthan, Bihar, Punjab, Delhi etc. was conducted using online forms that were shared in variousWhatsApp college groups. The questionnaire was a simple 10 question form consisting of theKessler's psychological distress scale questions. The stress levels were defined according to theKessler's psychological distress scale k10. Results: The results of the study showed that 72.5% oftotal participants suffered from mild to moderate levels of stress with 20.6% students suffering frommild stress, 15.5% from moderate stress and significant 36.4% from severe stress. Similarly,various socio-demographic determinants have also been studied for any relation to these high stresslevels. The treatment seeking behaviour among medical students also reflected poorly when it cameto seeking help from health professionals. Conclusion: It was found that during the covid-19lockdown, medical students suffered from severe stress levels which is a topic of concern for theauthorities and calls for a timely intervention to control the situation. The treatment seekingbehaviour is also a topic of concern as medical students being most exposed to the knowledge ofmental health do not themselves prefer to take treatment from a health professional.

scholarly journals COVID-19 outbreak–related psychological distress among healthcare trainees: a cross-sectional study in China

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e041671
Author(s):  
Yue Wang ◽  
Yuchen Li ◽  
Jingwen Jiang ◽  
Yuying Feng ◽  
Donghao Lu ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Medical Technology ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Event Scale ◽  
Medical Trainees ◽  
Distress Scale ◽  
The Impact ◽  
And Training

ObjectivesThe COVID-19 outbreak has caused enormous strain on healthcare systems, and healthcare trainees, which comprise the future healthcare workforce, may be a vulnerable group. It is essential to assess the psychological distress experienced by healthcare trainees during the COVID-19 outbreak.Design, setting and participantsA cross-sectional study with 4184 healthcare trainees at Sichuan University in China was implemented during 7–13 February 2020. Participants were grouped by training programmes (medicine, medical technology and nursing) and training stages (undergraduate, postgraduate and residency).Main outcomesCOVID-19–related psychological distress and acute stress reaction (ASR) were assessed using the Kessler 6-item Psychological Distress Scale and the Impact of Event Scale–Revised, respectively. We estimated the ORs of distress by comparing trainees across programmes and training stages using multivariable logistic regression.ResultsSignificant psychological distress was found in 1150 (30.90%) participants and probable ASR in 403 (10.74%). Compared with the nursing trainees, the medical trainees (OR 1.54, 95% CI 1.22 to 1.95) reported a higher burden of psychological distress during the outbreak, while the medical technology trainees (OR 1.25, 95% CI 0.97 to 1.62) reported similar symptom scores. Postgraduates (OR 1.55, 95% CI 1.16 to 2.08) in medicine had higher levels of distress than their undergraduate counterparts did, whereas the nursing residents (OR 0.38, 95% CI 0.20 to 0.71) reported a lower burden than did nursing undergraduates. A positive association was found between having active clinical duties during the outbreak and distress (OR 1.17, 95% CI 0.98 to 1.39), particularly among the medical trainees (OR 1.85, 95% CI 1.47 to 2.33) and undergraduates (OR 4.20, 95% CI 1.61 to 11.70). No clear risk patterns of ASR symptoms were observed.ConclusionsMedical trainees, particularly postgraduates and those with active clinical duties, were at risk for psychological distress during the COVID-19 outbreak. Stress management may be considered for high-risk healthcare trainees.

scholarly journals Validity and reliability of Kessler Psychological Distress Scale for Brazilian elderly: a cross-sectional study

2021 ◽  
Vol 74 (suppl 2) ◽  
Author(s):  
Gabriella Oliveira de Albuquerque Lins ◽  
Nathália Angel da Silva Lima ◽  
Girliani Silva de Sousa ◽  
Fernanda Jorge Guimarães ◽  
Iracema da Silva Frazão ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Elderly People ◽  
Mental Distress ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Self Reporting Questionnaire ◽  
Distress Scale

ABSTRACT Objective: to verify the validity and reliability of the Psychological Distress Scale for screening mental distress. Methods: a cross-sectional study with 75 elderly people. Psychological Distress scale and Self Reporting Questionnaire were used. Criterion validity was verified using Spearman’s correlation and diagnostic accuracy measures. Cronbach’s alpha coefficient was used to investigate reliability. Results: the total internal consistency of the Psychological Distress Scale was α=0.844. Concurrent validity between this instrument and the Self Reporting Questionnaire was ρ=0.722 (p<0.001). The best cut-off point for screening mental distress among elderly people was a total score greater than 14, with sensitivity equal to 75.47% and specificity equal to 85.0%. Conclusions: the scale was robust for screening mental distress, given its high reliability, in terms of homogeneity, and adequate criterion validity, whose best cut-off point for screening was a score greater than 14.

Compliance and Adherence to Treatment in Hypertensive Patients in different Tertiary Care Hospitals in Lahore

2021 ◽  
Vol 15 (8) ◽  
pp. 1858-1860
Author(s):  
Junaid Mushtaq ◽  
Israr-Ul- Haq ◽  
Waqas Mahmood ◽  
Mujtaba H. Siddiqui ◽  
Atiq Ahmad ◽  
...  
Keyword(s):  
Medical Center ◽  
Tertiary Care ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Hospital Doctors ◽  
Tertiary Care Hospitals

Aim: To determine the factors that affect compliance and adherence to medications of hypertensive patients visiting OPD clinics. Study design: Descriptive-cross sectional study. Place and duration of study: Department of Medicine, Unit 1, Lahore General Hospital, Doctors Hospital & Medical Center and Farooq Hospital Lahore from 1st January 2019 to 31st December 2019. Methodology: One hundred and sixty five patients with hypertension were handed over questionnaire socio-demographic, compliance and adherence were recorded. Results: Patients who maintained BP charting were only 13(7.9%) and those without BP charting were 152(92.1%). Patients taking regular medications were only 20(12.1%). Forgetfulness in taking medications was found in 47.3% of patients. 20.6% of patients were unable to purchase medicines because of financial reasons. Thirty two patients (19.4%) thought that they should not take medicines as they were not having any symptoms. Conclusion: Major causes of non-adherence were expense of medications, lack of symptoms, lack of money, forgetfulness, lack of awareness due to poor educational status and nature of job. Keywords: Compliance, Adherence, Medications, Hypertension, Forgetfulness

scholarly journals Psychometric evaluation of the modified Kessler seven-item version (K7) for measuring psychological distress using Rasch analysis: a cross-sectional study in a rural district of Bangladesh

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034523
Author(s):  
Mohammed Nazim Uddin ◽  
Fakir M Amirul Islam
Keyword(s):  
Psychological Distress ◽  
Rural Population ◽  
Rasch Analysis ◽  
Psychometric Evaluation ◽  
Cross Sectional Study ◽  
P Value ◽  
Financial Instability ◽  
Sectional Study ◽  
Cross Sectional ◽  
Distress Scale

ObjectivesThis investigation expected to validate the psychometric properties of the modified seven-item Kessler psychological distress scale (K7) for measuring psychological distress in healthy rural population of Bangladesh.DesignCross-sectional study.SettingNarail district, Bangladesh.ParticipantsA random sample of 300 adults of age 18–90 years were recruited. Face-to-face interviews were conducted between July and August 2018 using an Android phone installed with a mobile data collection application known as CommCare.Outcome measureValidation of the K7 was the major outcome. Sociodemographic factors were measured to assess for Differential Item Functioning to check if the tool functions equally in different factors. Rasch analysis was carried out for the validation of the K7 scale in the healthy rural population of Bangladesh. RUMM2030 was used for the analyses.ResultsResults showed good overall fit, as indicated by a non-significant item-trait interaction (χ2=44.54, df=28, p=0.0245) compared with a Bonferroni adjusted p value of 0.007. Both item fit (mean=0.30, SD 1.22) and person fit residuals (mean=–0.18, SD 0.85) showed perfect fit. Reliability was very good as indicated by a Person Separation Index=0.85 and Cronbach’s alpha=0.89. All individual items were ordered thresholds. The K7 scale showed adequate reliability, unidimensionality and was free from local dependency. The K7 scale also showed similar functioning for adults and older adults, males and females, no education and any level of education, and at least some financial instability versus no financial instability.ConclusionsValidation of K7 scale confirmed that the tool is suitable for measuring psychological distress among the rural Bangladeshi population. Further research should validate the K7 scale in different rural settings in Bangladesh to determine a valid cut-off score for assessment of severity levels of psychological distress. The K7 scale should also be tested in other developing countries where sociodemographic characteristics are similar to those of Bangladesh.

scholarly journals Maternity handover in Kerala: a cross sectional study

2018 ◽  
Vol 5 (9) ◽  
pp. 3760 ◽  
Author(s):  
Aadil Sheikh ◽  
Jessica Dunphy ◽  
Claire Humphries ◽  
Christina MacArthur ◽  
Semira Manaseki-Holland
Keyword(s):  
Healthcare Provider ◽  
Tertiary Care ◽  
Obstetric Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Community Health Services ◽  
High Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

Background: The objective of the study was to explore the referral system from the community to hospital obstetric care in Kerala, India.Methods: Cross-sectional study. A total of 206 obstetric inpatients in 3 hospitals in Kerala, India completed an orally-administered questionnaire regarding referral and attitudes towards healthcare information.Results: Among 206 respondents, 19 (9%) had been referred from another healthcare provider.  In multivariate analysis, referral was independently associated with being in a tertiary hospital (p<0.001). At total of 17 referred women received a document containing hand-written notes from their previous healthcare provider. Just 3 of the documents available to view were formal referral documents; others were test results and/or hospital notes. A total of 170 (86%) of the 206 women thought that receiving documents such as referral letters was important; mostly because it helped them understand their condition and explain it to others (91%).Conclusions: A high rate of self-referral (91%) was reported by obstetric inpatients. It appears that some women who are referred do not receive a formal referral document. Participants thought that receiving referral documents was important. A strong health system requires transfer of information between primary and secondary/tertiary care services, which India is seeking to develop. Further research is needed into why women are not accessing community health services and the impact of the content of referral documents on patient care. 

scholarly journals COVID-19: Factors associated with psychological distress, fear, and coping strategies among community members across 17 countries

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Muhammad Aziz Rahman ◽  
Sheikh Mohammed Shariful Islam ◽  
Patraporn Tungpunkom ◽  
Farhana Sultana ◽  
Sheikh M. Alif ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Well Being ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Frontline Workers ◽  
Factors Associated ◽  
Psychological Distress Scale ◽  
And Coping ◽  
Distress Scale

Abstract Background The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives We aimed to examine the extent and identify factors associated with psychological distress, fear of COVID-19 and coping. Methods We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale), and coping (Brief Resilient Coping Scale) were assessed. Results A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% self-identified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which was 46% in Thailand and 91% in Egypt. A quarter (24%) had high levels of fear of COVID-19, which was as low as 9% in Libya and as high as 38% in Bangladesh. More than half (57%) exhibited medium to high resilient coping; the lowest prevalence (3%) was reported in Australia and the highest (72%) in Syria. Being female (AOR 1.31 [95% CIs 1.09-1.57]), perceived distress due to change of employment status (1.56 [1.29-1.90]), comorbidity with mental health conditions (3.02 [1.20-7.60]) were associated with higher levels of psychological distress and fear. Doctors had higher psychological distress (1.43 [1.04-1.97]), but low levels of fear of COVID-19 (0.55 [0.41-0.76]); nurses had medium to high resilient coping (1.30 [1.03-1.65]). Conclusions The extent of psychological distress, fear of COVID-19 and coping varied by country; however, we identified few higher risk groups who were more vulnerable than others. There is an urgent need to prioritise health and well-being of those people through well-designed intervention that may need to be tailored to meet country specific requirements.

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