scholarly journals COVID-19: Association Between Increase of Behavioral and Psychological Symptoms of Dementia During Lockdown and Caregivers’ Poor Mental Health

2021 ◽  
Vol 80 (4) ◽  
pp. 1713-1721
Author(s):  
Elodie Pongan ◽  
Jean-Michel Dorey ◽  
Céline Borg ◽  
Jean Claude Getenet ◽  
Romain Bachelet ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Psychological Symptoms ◽  
Poor Mental Health ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
People With Dementia ◽  
Care Systems ◽  
Behavioral And Psychological Symptoms ◽  
At Home

Background: From March 2020, the support and care systems for caregivers and people with dementia (PWD) were suspended or dramatically changed due to the lockdown during the world pandemic of COVID-19. Thus, these changes in living conditions have had deleterious consequences on the behavior of PWD and subsequently on their caregivers’ mental health, the two being linked. Objective: Our study aimed to examine changes in behavior among PWD and to look for associations between the evolution of behavioral and psychological symptoms of dementia (BPSD) and caregivers’ mental health in the context of COVID-19. Methods: The study was conducted among caregivers of PWD living at home in France. Caregivers were interviewed via an anonymous cross-sectional online survey during the first lockdown between April 15 and June 15, 2020. Results: Three hundred and eighty-nine caregivers accompanying a relative living at home participated in the study; 43.3%of the PWD presented a worsening of BPSD during the lockdown. With multivariate logistic regressions, a significant association was observed between ”more BPSD” and burden, anxiety and depression, between “BPSD equivalent” and anxiety and depression, and between “emerging BPSD” and only depression. Conclusion: The lockdown seems to have an impact on behavioral disorders in PWD and these disorders are associated with poorer mental health of caregivers. Our findings suggest attention should be given to caregivers of PWD who have BPSD before lockdown and the need for continued consultations and professional help in case of new lockdowns.

scholarly journals Mental Health of People with Dementia During COVID-19 Pandemic: What Have We Learned from the First Wave?

2021 ◽  
pp. 1-11
Author(s):  
Céline Borg ◽  
Isabelle Rouch ◽  
Elodie Pongan ◽  
Jean Claude Getenet ◽  
Romain Bachelet ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Poor Mental Health ◽  
Caregiver Distress ◽  
Cross Sectional ◽  
Factors Influencing ◽  
People With Dementia ◽  
Specific Factors ◽  
Anxiety Depression ◽  
At Home

Background: People with dementia (PWD) and their caregivers are populations highly vulnerable to COVID-19 pandemic and its consequences. A better knowledge of the living conditions during the first lockdown is necessary to prevent the risk of poor mental health (PMH) in this population. Objective: The present study aimed to compare the mental health of caregivers of PWD living at home or in nursing-homes and to identify specific factors influencing their mental health. Methods: We conducted an anonymous cross-sectional online survey in France from March 17 to May 11, 2020. Three hundred and eighty-nine caregivers accompanying a PWD living at home (HC) and 159 accompanying a PWD living in a nursing home (NHC) participated in the study. Caregivers’ mental health including anxiety, depression, stress, and burden was assessed with self-reported standardized scales. Results: Half of the caregivers exhibited PMH, including depression, anxiety, or self-reported stress. Similar PMH rates were provided whatever the PWD place of residence. Regarding HC, our results also highlighted a number of risk factors for PMH, including the fact that caregiver live with PWD, to give increased support to PWD, and to feel more isolated for managing PWD since lockdown. Conclusion: PMH was observed for caregivers of PWD during lockdown, whatever PWD living place, suggesting that concern for PWD may explain more of caregiver distress than increased material tasks. In the future, it will be necessary to pay attention to caregivers after the crisis by estimating the longer-term impact on their mental health.

scholarly journals Mental Health and Psychological Impact during COVID-19 Pandemic: An Online Survey of Portuguese Higher Education Students

2021 ◽  
Vol 19 (1) ◽  
pp. 337
Author(s):  
Carlos Laranjeira ◽  
Maria Anjos Dixe ◽  
Olga Valentim ◽  
Zaida Charepe ◽  
Ana Querido
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Online Survey ◽  
Psychological Impact ◽  
Poor Mental Health ◽  
Assessment Tools ◽  
Vulnerable Groups ◽  
Education Students ◽  
Cross Sectional ◽  
Portuguese Higher Education

The COVID-19 pandemic has had significant psychological impact on vulnerable groups, particularly students. The present study aims to investigate the mental and psychological impact of the COVID-19 pandemic and associated factors in a sample of Portuguese higher education students. An online cross-sectional study was conducted among 1522 higher education students selected by convenience sampling. The survey assessed mental health symptoms as well as sociodemographic variables, health-related perceptions, and psychological factors. Results were fitted to binary and multivariable logistic regression models. The overall prevalences of stress, anxiety, and depression were 35.7%, 36.2%, and 28.5%, respectively. Poor mental health outcomes were related with being female, having no children, living with someone with chronic disease, facing hopelessness, and lacking resilient coping. Future studies focusing on better ways to promote mental health and wellbeing among students are warranted. It is necessary to gather more evidence on the post-pandemic mental health using robust study designs and standardized assessment tools.

scholarly journals Gender-based approach on the social impact and mental health in Spain during COVID-19 lockdown: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e044617
Author(s):  
Constanza Jacques-Aviñó ◽  
Tomàs López-Jiménez ◽  
Laura Medina-Perucha ◽  
Jeroen de Bont ◽  
Alessandra Queiroga Gonçalves ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Social Impact ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Social ◽  
Gender Based

ObjectiveLockdown has impacts on people’s living conditions and mental health. The study aims to assess the relations between social impact and mental health among adults living in Spain during COVID-19 lockdown measures, taking a gender-based approach into account.Design, setting and participantsWe conducted a cross-sectional study among adults living in Spain during the lockdown of COVID-19 with an online survey from 8 April to 28 May 2020. The main variable was mental health measured by Generalized Anxiety Disorder Scale for anxiety and the Patient Health Questionnaire for depression. Sex-stratified multivariate ordinal logistic regression models were constructed to assess the association between social impact variables, anxiety and depression.ResultsA total of 7053 people completed this survey. A total of 31.2% of women and 17.7% of men reported anxiety. Depression levels were reported in 28.5% of women and 16.7% of men. A higher proportion of anxiety and depression levels was found in the younger population (18–35 years), especially in women. Poorer mental health was mainly related to fear of COVID-19 infection, with higher anxiety levels especially in women (adjusted ordinal OR (aOR): 4.23, 95% CI 3.68 to 4.87) and worsened economy with higher levels of depression in women (aOR: 1.51, 95% CI 1.24 to 1.84), and perceived inadequate housing to cope with lockdown was especially associated with anxiety in men (aOR: 2.53, 95% CI 1.93 to 3.44).ConclusionThe social impact of the lockdown is related to gender, age and socioeconomic conditions. Women and young people had worse mental health outcomes during lockdown. It is urgent to establish strategies for public health emergencies that include mental health and its determinants, taking a gender-based approach into account, in order to reduce health inequities.

scholarly journals Back pain, mental health and substance use are associated in adolescents

2019 ◽  
Vol 41 (3) ◽  
pp. 487-493
Author(s):  
S J Kamper ◽  
Z A Michaleff ◽  
P Campbell ◽  
K M Dunn ◽  
T P Yamato ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Back Pain ◽  
Health Risk ◽  
Poor Mental Health ◽  
Anxiety And Depression ◽  
Health Risk Factors ◽  
Cross Sectional ◽  
Pain Frequency ◽  
Healthy Schools

Abstract Background During adolescence, prevalence of pain and health risk factors such as smoking, alcohol use and poor mental health all rise sharply. The aim of this study was to describe the relationship between back pain and health risk factors in adolescents. Methods Cross-sectional data from the Healthy Schools Healthy Futures study, and the Australian Child Wellbeing Project was used, mean age: 14–15 years. Children were stratified according to back pain frequency. Within each strata, the proportion of children that reported drinking alcohol or smoking or that experienced feelings of anxiety or depression was reported. Test-for-trend analyses assessed whether increasing frequency of pain was associated with health risk factors. Results Data was collected from ~2500 and 3900 children. Larger proportions of children smoked or drank alcohol within each strata of increasing pain frequency. The trend with anxiety and depression was less clear, although there was a marked difference between the children that reported no pain, and pain more frequently. Conclusion Two large, independent samples show adolescents that experience back pain more frequently are also more likely to smoke, drink alcohol and report feelings of anxiety and depression. Pain appears to be part of the picture of general health risk in adolescents.

Resilience and anxiety or depression among resettled Bhutanese adults in the United States

2019 ◽  
Vol 65 (6) ◽  
pp. 496-506 ◽  
Author(s):  
Kalpana Poudel-Tandukar ◽  
Genevieve E Chandler ◽  
Cynthia S Jacelon ◽  
Bhuwan Gautam ◽  
Elizabeth R Bertone-Johnson ◽  
...  
Keyword(s):  
Mental Health ◽  
Stressful Life Events ◽  
The United States ◽  
Poor Mental Health ◽  
Anxiety And Depression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Personal Competence ◽  
Hopkins Symptom Checklist ◽  
Resilience Scale

Background: Resilience, or an individual’s positive response in managing life’s adversities, is of increasing interest in addressing the mental health disparities in refugees. Although the link between stressful life events and poor mental health is established, research on the role of resilience on the mental health of refugees is limited. Aims: This study assessed the association between resilience and anxiety or depression in resettled Bhutanese adults in Western Massachusetts. Methods: A cross-sectional survey was conducted among 225 Bhutanese (men: 113, women: 112) refugees aged 20–65 residing in Massachusetts. Resilience was measured with the 25-item Wagnild and Young’s Resilience Scale including two constructs as follows: a 17-item ‘personal competence’ that measures self-reliance, independence, determination, resourcefulness, mastery and perseverance and an 8-item ‘acceptance of self and life’ that measures adaptability, flexibility and a balanced perspective of life. Higher total scores indicate greater resilience. The Hopkins Symptom Checklist-25 was used to measure anxiety (10-item) and depression (15-item) with a cutoff mean score of ⩾1.75 for moderate to severe symptoms. Associations of resilience with anxiety or depression scores were assessed using multiple-linear and logistic regression analyses. Results: The proportion of participants with above threshold anxiety and depression were 34.2% and 24%, respectively. Resilience was inversely associated with both anxiety (beta for 1 unit change in resilience scores: β = −0.026; p = .037) and depression (β = −0.036, p = .041). ‘Personal competence’ resilience was inversely associated with both anxiety (β = −0.041 p = .017) and depression (β = −0.058, p = .019), but ‘acceptance of self and life’ resilience was not. Participants with the highest tertile of resilience scores had a significantly decreased risk of anxiety (ORs (95% CI): 0.13 (0.04–0.40)) and depression (0.16 (0.04–0.60)). Conclusion: Higher resilience was associated with reduced anxiety and depression among Bhutanese with personal competence resilience accounting for most of the effects. These findings suggest the potential targets for mental-health intervention to improve resilience in refugees.

scholarly journals Impact of Changed Use of Greenspace during COVID-19 Pandemic on Depression and Anxiety

2021 ◽  
Vol 18 (11) ◽  
pp. 5842
Author(s):  
Seulkee Heo ◽  
Miraj U. Desai ◽  
Sarah R. Lowe ◽  
Michelle L. Bell
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Low Income ◽  
Online Survey ◽  
Psychological Symptoms ◽  
Poor Mental Health ◽  
Generalized Anxiety ◽  
Patient Health ◽  
Financial Issues

The COVID-19 pandemic has had devastating consequences for health, social, and economic domains, but what has received far less focus is the effect on people’s relationship to vital ecological supports, including access to greenspace. We assessed patterns of greenspace use in relation to individual and environmental factors and their relationship with experiencing psychological symptoms under the pandemic. We conducted an online survey recruiting participants from social media for adults in Korea for September–December 2020. The survey collected data on demographics, patterns of using greenspace during the pandemic, and major depression (MD) and generalized anxiety disorder (GAD) symptoms. The Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 2-item (GAD-2) were applied to identify probable cases of MD and GAD. A logistic regression model assessed the association decreased visits to greenspace after the outbreak compared to 2019 and probable MD and GAD. Among the 322 survey participants, prevalence of probable MD and GAD were 19.3% and 14.9%, respectively. High rates of probable MD (23.3%) and GAD (19.4%) were found among persons currently having job-related and financial issues. Of the total participants, 64.9% reported decreased visits to greenspace after the COVID-19 outbreak. Persons with decreased visits to greenspace had 2.06 higher odds (95% CI: 0.91, 4.67, significant at p < 0.10) of probable MD at the time of the survey than persons whose visits to greenspace increased or did not change. Decreased visits to greenspace were not significantly associated with GAD (OR = 1.45, 95% CI: 0.63, 3.34). Findings suggest that barriers to greenspace use could deprive people of mental health benefits and affect mental health during pandemic; an alternative explanation is that those experiencing poor mental health may be less likely to visit greenspaces during pandemic. This implies the need of adequate interventions on greenspace uses under an outbreak especially focusing on how low-income populations may be more adversely affected by a pandemic and its policy responses.

scholarly journals The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: A nationwide cross-sectional study

2020 ◽  
Author(s):  
Hasan Al Banna ◽  
Abu Sayeed ◽  
Satyajit Kundu ◽  
Enryka Christopher ◽  
M Tasdik Hasan ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Health Interventions ◽  
Cross Sectional ◽  
Logistic Regressions ◽  
Economy And Education ◽  
The Impact

The recent COVID-19 pandemic has imposed threats on both physical andmental health since its outbreak. This study aimed to explore the impactof the COVID-19 pandemic on mental health among a representativesample of home-quarantined Bangladeshi adults. A cross-sectional designwas used with an online survey completed by a convenience samplerecruited via social media. A total of 1,427 respondents were recruited,and their mental health was assessed by the DASS-21 measure. Theprevalence of anxiety symptoms and depressive symptoms was 33.7%and 57.9%, respectively, and 59.7% reported mild to extremely severelevels of stress. Perceptions that the pandemic disrupted life events,affected mental health, jobs, the economy and education, predictions ofa worsening situation, and uncertainty of the health care system capacitieswere significantly associated with poor mental health outcomes.Multivariate logistic regressions showed that sociodemographic factorsand perceptions of COVID-19 significantly predict mental health outcomes.These findings warrant the consideration of easily accessible lowintensitymental health interventions during and beyond this pandemic.

scholarly journals Experiences of the COVID-19 pandemic: cross-sectional analysis of risk perceptions and mental health in a student cohort

2020 ◽  
Author(s):  
Ru Jia ◽  
Holly Knight ◽  
Holly Blake ◽  
Dame Jessica Corner ◽  
Chris Denning ◽  
...  
Keyword(s):  
Mental Health ◽  
University Students ◽  
Perceived Risk ◽  
Risk Perceptions ◽  
Online Survey ◽  
Well Being ◽  
Poor Mental Health ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Sectional Analysis

AbstractObjectiveThis study examined the COVID-19 risk perceptions and mental health of university students on returning to campus in the midst of the COVID-19 pandemic.MethodsAn online survey was completed during the first four weeks of the academic year (October 2020) by 897 university students. The survey included demographics and measures of experiences of COVID-19 testing, self-isolation, shielding, perceived risk, mental health and indices capturing related psychological responses to the pandemic.ResultsWe observed higher levels of depression and anxiety, but not stress, in students compared with pre- pandemic normative data, but lower than levels reported earlier in the pandemic in other similar cohorts. Depression, anxiety and stress were independently associated with greater loneliness and reduced positive mood. Greater worry about COVID-19 was also independently associated with anxiety and stress. Female students and those with pre-existing mental health disorders were at greatest risk of poor mental health outcomes.ConclusionAlthough students perceived themselves at only moderate risk of COVID-19, the prevalence of depression and anxiety among university students should remain a concern. Universities should provide adequate support for students’ mental health during term-time. Interventions to reduced loneliness and worry, and improve mood, may benefit students’ overall mental well-being.

scholarly journals The Prevalence of Psychological Symptoms in Pregnant Healthcare Workers (HCWs) and Pregnant Non-HCWs During the Early Stage of COVID-19 Pandemic in Chongqing, China

2021 ◽  
Vol 12 ◽  
Author(s):  
Min Liu ◽  
Nan Li ◽  
Xianghao Cai ◽  
Xiaoyan Feng ◽  
Rong Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Healthcare Workers ◽  
Online Survey ◽  
Psychological Symptoms ◽  
Early Stage ◽  
Psychological Impact ◽  
Emerging Infectious Diseases ◽  
Obsessive Compulsive ◽  
Cross Sectional

Background: Studies showed that healthcare workers (HCWs) and pregnant women bore the burden of mental problems during the coronavirus disease 2019 (COVID-19) pandemic. While, few studies have focused on the psychological impact of COVID-19 pandemic on pregnant women who work at healthcare settings. This study aimed to investigate and compare the prevalence difference of psychological symptoms between pregnant HCWs and pregnant non-HCWs during the early stage of COVID-19 pandemic in China.Methods: A cross-sectional online survey with anonymous structured questionnaires was conducted from February 15 to March 9, 2020. A total of 205 pregnant women in Chongqing, China were recruited. The mental health status was assessed using symptom checklist-90 (SCL-90).Results: Our sample was composed of 83 pregnant HCWs (mean age = 29.8) and 122 pregnant non-HCWs (mean age = 30.8). The results suggested the prevalence of psychological symptoms (the factor score ≥2) among all pregnant women ranged from 6.83% (psychosis symptoms) to 17.56% (obsessive-compulsive symptoms). Compared with pregnant non-HCWs, pregnant HCWs reported higher prevalence of psychological symptoms in 10 factors of SCL-90. After controlling the confounding variables, multiple logistic regression demonstrated that pregnant HCWs experienced higher prevalence of psychological symptoms of somatization (18.07 vs. 5.74%, p = 0.006, aOR = 4.52), anxiety disorders (16.87 vs. 6.56%, p = 0.016, aOR = 3.54), and hostility (24.10 vs. 10.66%, p = 0.027, aOR = 2.70) than those among pregnant non-HCW.Conclusion: Our study indicated that pregnant HCWs were more likely to suffer from mental health distress than pregnant non-HCWs during the early stage of COVID-19 pandemic. It is vital to implement targeted psychological interventions for pregnant women, especially for pregnant HCWs to cope with distress when facing the emerging infectious diseases.

scholarly journals Common Occupational Trauma: Is There a Relationship with Workers’ Mental Health?

Trauma Care ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 66-74
Author(s):  
Nicola Magnavita ◽  
Ilaria Capitanelli ◽  
Gabriele Arnesano ◽  
Angela Iuliano ◽  
Igor Mauro ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Major Trauma ◽  
Depression Scale ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Anxiety And Depression ◽  
Minor Trauma ◽  
Cross Sectional ◽  
Increased Risk

Exposure to major trauma can have significant consequences for workers’ mental health, but common trauma may also result in poor mental health outcomes. This cross-sectional study retrospectively investigated the occurrence of common physical or psychological workplace trauma in 901 health, social service, and trading company workers and studied these experiences in relation to occupational stress, anxiety, and depression. Stress was measured with the effort/reward imbalance (ERI) model while anxiety and depression were evaluated with the Goldberg Anxiety and Depression Scale (GADS). Healthcare workers reported a high frequency of trauma and significantly higher levels of stress, anxiety, and depression than other workers. Even in the entire population of workers of the various professional categories, verbal violence (harassment and threats), traffic accidents, home injuries, and family bereavement were significantly associated with high levels of stress, anxiety, and depression. Major trauma survivors are known to be at increased risk of mental disorders and require support in the workplace, however, even minor repeated emotional trauma and injuries can affect mental health. During mandatory health surveillance, the occupational physician should systematically collect information on minor trauma and mental health outcomes when assessing the occupational fitness of the workers assigned to him.

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