A Key Factor for Psychosomatic Burden of Frontline Medical Staff: Occupational Pressure During the COVID-19 Pandemic in China

The global outbreak of COVID-19 has severely affected the entire population, especially healthcare staff on the frontline, who bear heavy psychosomatic burdens. A cross-sectional study was conducted with 723 participants in China from April 26 to May 9, 2020. We evaluated the psychosomatic status, including depression, anxiety, quality of life, somatic symptoms, stress, sleep disturbances, and posttraumatic stress symptoms in different exposure groups. We explored the risk factors that affect psychosomatic burdens and analyzed the relationship between psychosomatic problems and medical occupations. We found that the psychosomatic burdens of medical staff were significantly greater than those of non-medical staff (p < 0.01) and were positively related with the number of COVID-19 patients they came in contact with. Occupational pressure was a key factor for healthcare staff's psychosomatic problems (p < 0.01 for quality of life, somatic symptoms, anxiety, depression, stress; p = 0.012 for sleep disturbances), and it had a strong canonical correlation (p < 0.01). Workload and time allocation (WTA), one of the subdimensional indicators of occupational pressure, was strongly correlated with psychosomatic indicators. We suggest that rationalization of WTA is a desirable approach for anti-epidemic medical employees to alleviate psychosomatic burdens. Public health interventions should be undertaken to reduce the occupational pressure on this special population, which is critical for mitigation. This study presents results regarding the psychosomatic burdens of the healthcare workforce related to occupational pressure and provides multilevel data with groups of different exposure risks for policymakers to protect medical personnel. These findings draw attention to the working environments of healthcare workers and provide applicable results for clinical practice.

Download Full-text

Impact of Sleep Disturbances on the Quality of Life Among Schizophrenic Out-patients of Jimma University Medical Center, Southwest Ethiopia: Hospital Based Cross-sectional Study

The Open Public Health Journal ◽

10.2174/1874944502013010684 ◽

2020 ◽

Vol 13 (1) ◽

pp. 684-691

Author(s):

Aman Dule ◽

Mustefa Mohammedhussein ◽

Mohammedamin Hajure

Keyword(s):

Quality Of Life ◽

Sleep Disturbances ◽

Medical Center ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Southwest Ethiopia ◽

Schizophrenic Patients ◽

Jimma University

Aim: Current study was aimed to assess the impacts of sleep disturbances on patient’s quality of life. Background: Schizophrenia is a syndrome, which affects sleep. Up to 80% of schizophrenic patients complain of sleep disturbances which affect the quality of life Objectives: To assess the association of sleep disturbances and quality of life and other contributing factors among schizophrenic patients on follow-up treatment at Jimma University Southwest Ethiopia. Methods: A cross-sectional study with a consecutive sampling of 411 out-patients at Jimma University medical center was employed from April 21-June 20, 2019. Sleep disturbances and the quality of life were assessed by Pittsburgh sleep quality index and WHOQOL-BREF, respectively. Epi data version 3.1 and SPSS version 23.0 software was used. Chi-square and independent samples t-test were used for association and P-value < 0.05 was considered for statistical significance. Results: Most participants had sleep disturbances and the mean score of positive scale on PANSS was higher for patients with sleep disturbances. About one-fourth of the patients had very good subjective sleep quality and > 85% of sleep efficiency was reported by 139 participants. More than half (51.1%) of the subjects had used sleep medication and the majority (64.7%) of them were reported daytime dysfunctions in the past month. The social domain (M±SD=3.92±2.51, t=8.46, p= <0.001, eta2=0.15) and overall WHOQOL (M±SD=57.60±16.87, t=9.24, p= < 0.001, eta2= 0.17) score had a large difference of means and about 15% and 17% of the variance in sleep disturbance have been explained. Conclusion: Generally, the finding of the current study was in agreement with most of the previous studies and sleep disturbances respectively moderate to significant effects on the patient’s quality of life.

Download Full-text

Influence of Sleep Disturbances on Quality of Life of Iranian Menopausal Women

Psychiatry Journal ◽

10.1155/2013/907068 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 9

Author(s):

Zohreh Yazdi ◽

Khosro Sadeghniiat-Haghighi ◽

Amir Ziaee ◽

Khadijeh Elmizadeh ◽

Masomeh Ziaeeha

Keyword(s):

Quality Of Life ◽

Daytime Sleepiness ◽

Sleep Disturbances ◽

Negative Impact ◽

Berlin Questionnaire ◽

Life Questionnaire ◽

Cross Sectional ◽

Obstructive Sleep ◽

Menopausal Women

Background. Subjective sleep disturbances increase during menopause. Some problems commonly encountered during menopause, such as hot flushes and sweating at night, can cause women to have difficulty in sleeping. These complaints can influence quality of life of menopausal women.Methods. This cross-sectional study was performed on menopausal women attending health centers in Qazvin for periodic assessments. We measured excessive daytime sleepiness by Epworth sleepiness scale (ESS), obstructive sleep apnea (OSA) by the Berlin questionnaire, and insomnia by the insomnia severity index (ISI). We evaluate quality of life by the Menopause specific quality of life questionnaire (MENQOL).Results. A total of 380 menopausal women entered the study. Mean age of participated women was 57.6 ± 6.02. Mean duration of menopause was 6.3 ± 4.6. The frequency of severe and moderate insomnia was 8.4% (32) and 11.8% (45). Severe daytime sleepiness (ESS ≥ 10) was present in 27.9% (80) of the participants. Multivariate analytic results show that insomnia and daytime sleepiness have independent negative impact on each domain and total score of MENQOL questionnaire.Conclusion. According to our findings, EDS and insomnia are frequent in menopausal women. Both EDS and insomnia have significant quality of life impairment.

Download Full-text

Assessment of Sleep among Patients with Chronic Liver Disease: Association with Quality of Life

Journal of Personalized Medicine ◽

10.3390/jpm11121387 ◽

2021 ◽

Vol 11 (12) ◽

pp. 1387

Author(s):

Oana-Mihaela Plotogea ◽

Gina Gheorghe ◽

Madalina Stan-Ilie ◽

Gabriel Constantinescu ◽

Nicolae Bacalbasa ◽

...

Keyword(s):

Quality Of Life ◽

Liver Disease ◽

Chronic Liver Disease ◽

Sleep Disturbances ◽

Short Form ◽

Chronic Liver ◽

Poor Sleep ◽

Cross Sectional ◽

Sf 36

The present study aims to assess the sleep characteristics and health-related quality of life (HRQOL) among patients with chronic liver diseases (CLDs), as well as the relationship between them. We conducted a prospective cross-sectional study, over a period of eight months, on patients with CLDs. Sleep was assessed by subjective tools (self-reported validated questionnaires), semi-objective methods (actigraphy), and HRQOL by using the 36-Item Short Form Survey (SF-36) and Chronic Liver Disease Questionnaire (CLDQ). The results indicated that 48.21% of patients with CLDs had a mean Pittsburgh Sleep Quality Index (PSQI) score higher than five, suggestive of poor sleep; 39.29% of patients had a mean Epworth Sleepiness Scale (ESS) score ≥11, indicative of daytime sleepiness. Actigraphy monitoring showed that patients with cirrhosis had significantly more delayed bedtime hours and get-up hours, more awakenings, and more reduced sleep efficacy when compared to pre-cirrhotics. The CLDQ and SF-36 questionnaire scores were significantly lower in cirrhotics compared to pre-cirrhotics within each domain. Moreover, we identified significant correlations between the variables from each questionnaire, referring to HRQOL and sleep parameters. In conclusion, sleep disturbances are commonly encountered among patients with CLDs and are associated with impaired HRQOL. This is the first study in Romania that assesses sleep by actigraphy in a cohort of patients with different stages of CLD.

Download Full-text

Reduced sleep quality and depression associate with decreased quality of life in patients with pituitary adenomas

Acta Endocrinologica ◽

10.1530/eje-14-0941 ◽

2015 ◽

Vol 172 (6) ◽

pp. 733-743 ◽

Cited By ~ 14

Author(s):

Sarah M Leistner ◽

Jens Klotsche ◽

Christina Dimopoulou ◽

Anastasia P Athanasoulia ◽

Josefine Roemmler-Zehrer ◽

...

Keyword(s):

Quality Of Life ◽

Sleep Quality ◽

Mixed Models ◽

Pituitary Adenomas ◽

Sleep Disturbances ◽

Clinical Depression ◽

Max Planck ◽

Cross Sectional ◽

Control Subjects

ObjectivesSeveral studies reported decreased quality of life (QoL) and sleep as well as increased rates of depression for patients with pituitary adenomas. Our aim was to explore to what extent differences in depression and sleep quality contribute to differences in QoL between patients with pituitary adenomas and controls.DesignA cross-sectional case–control study.SettingEndocrine Outpatient Unit of the Max Planck Institute of Psychiatry, Munich, Department of Internal Medicine, Ludwig-Maximilians-University, Munich, and the Institute of Clinical Psychology and Psychotherapy, Technical University, Dresden.ParticipantsPatients with pituitary adenomas (n=247) and controls (from the DETECT cohort, a large epidemiological study in primary care patients) matched individually by age and gender (n=757).MeasurementsSleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) and QoL was measured by the generic EQ-5D and calculated by the time trade-off- and VAS-method. Depression was categorized as ‘no depression’, ‘subclinical depression’, and ‘clinical depression’ according to the Beck Depressions Inventory for patients and the Depression Screening Questionnaire for control subjects.Statistical analysesGeneral linear and generalized, logistic mixed models as well as proportional odds mixed models were calculated for analyzing differences in baseline characteristics and in different subgroups.ResultsPatients with pituitary adenomas showed decreased QoL (VAS index: 0.73±0.19) and sleep (PSQI score: 6.75±4.17) as well as increased rates of depression (subclinical or clinical depression: 41.4%) compared with their matched control subjects (VAS index: 0.79±0.18, PSQI score: 5.66±4.31, subclinical or clinical depression: 25.9%). We have shown that a substantial proportion of the reduced QoL (48% respectively 65%) was due to the incidence of depression and reduced sleep quality.ConclusionsThese findings emphasize the importance of diagnosing depressive symptoms and sleep disturbances in patients with pituitary disease, with the ultimate goal to improve QoL in patients with pituitary adenomas.

Download Full-text

Impact of allergic rhinitis on quality of life and main risk factor: a study in Jazan region

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20212335 ◽

2021 ◽

Author(s):

Radeif Shamakhi ◽

Musleh Mubarki

Keyword(s):

Quality Of Life ◽

Allergic Rhinitis ◽

Sleep Disturbances ◽

Negative Impact ◽

Cross Sectional Study ◽

Inflammatory Disorder ◽

Upper Respiratory Tract ◽

Cross Sectional ◽

Present Cross Sectional Study

Background: Allergic rhinitis is a common inflammatory disorder that affects the upper respiratory tract. It affects about one-third of the world’s population. The prevalence of rhinitis varies greatly in various countries and also in various parts of the same country. With this disease, the quality of life which includes sleep disturbances, fatigue, diminished memory, depression is decreased because of the direct impact on the life of the patient.Methods: The present cross-sectional study was conducted on patients over the age of 18 years old who suffered from symptoms of allergic rhinitis between 1 March 2021 to 30 March 2021 in Jizan regionPatients were answered for questionnaires that sent for them online through social media.Results: A total of 37 participants enrolled. According to the ARIA guidelines, patients were divided into four groups: a moderate to severe intermittent group that comprised the majority of the patients 38%, a mild intermittent group 19%, a moderate to severe permanent group 27%, and a mild permanent group 15%. Among the total of 37 patients, the quality of life was mildly affected in 35% and severely influenced in 65% patients.Conclusions: In the patients studied in Saudi Arabia's southern area, allergic rhinitis can have a negative impact on sleep quality, mood, and daily activities.

Download Full-text

Factors related to sleep disturbances for individuals with Parkinson’s disease: a regional perspective

International Psychogeriatrics ◽

10.1017/s1041610219001212 ◽

2019 ◽

Vol 32 (7) ◽

pp. 827-838

Author(s):

Rachael Wade ◽

Nancy A. Pachana ◽

George Mellick ◽

Nadeeka Dissanayaka

Keyword(s):

Quality Of Life ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Sleep Disturbances ◽

Sleep Problems ◽

Cross Sectional ◽

Sleep Dysfunction ◽

Cross Sectional Design ◽

Positive Correlations

ABSTRACTObjectives:Sleep disturbances negatively impact the quality of life of patients with Parkinson’s disease (PD). While persons living in regional areas are at higher risk of PD, PD is poorly managed in regional communities. This study examined factors associated with sleep problems in PD in a regional context.Design:A mixed-methods cross-sectional design was used.Participants:Patients with PD were recruited from the Queensland Parkinson’s Project database.Measurements:Those who agreed to participate were sent a questionnaire assessing aspects of sleep, depression, anxiety, quality of life, and PD severity. Qualitative information was also gathered. Correlations between variables were examined; thematic analyses were performed for qualitative data.Results:All participants (n = 49) reported sleep disturbances, with 73% (n = 36) reporting sleep disturbance to be problematic. Global sleep dysfunction positively correlated with daytime napping (r = .34, p = .01), watching the clock when unable to sleep (r = .38, p = <.01), staying in bed when unable to sleep (r = .43, p = <.01), and going to bed hungry (r = .31, p = .03) and negatively correlated with daytime exercise (r = -.32, p = .02). Positive correlations were observed between global sleep dysfunction and depression (r = .55, p = <.01), anxiety (r = .31, p = .04), and dysfunctional sleep beliefs (r = .39, p = <.01).Conclusion:There is a clear need for identifying factors related to sleep disturbances in PD for effective management.

Download Full-text

The evaluation of the effects of daytime sleepiness, anxiety and depression on the quality of life in 112 emergency medical staff

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.365 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S174-S174 ◽

Cited By ~ 1

Author(s):

S. Cankaya ◽

M. Topbas ◽

N.E. Beyhun ◽

G. Can ◽

P. Kizilay Cankaya

Keyword(s):

Quality Of Life ◽

Medical Staff ◽

Social Life ◽

Emergency Services ◽

Target Population ◽

Anxiety And Depression ◽

Life Questionnaire ◽

Cross Sectional ◽

Emergency Medical

IntroductionOne hundred and twelve emergency medical staff are faced with many physical and mental problems due to the deterioration of their sleep-wake cycle and getting out of their usual work and social life.ObjectivesThe aim of this study was to examine the effects of anxiety, depression, day time sleepiness on the quality of life in 112 emergency medical staff.MethodsTarget population of this cross-sectional study was the 112 emergency medical staff in the province of Rize. We tried to obtain all the universe (n = 154), so the sample was not selected. One hundred and four people (67%) participated in the study. In the data form, Epworth sleepiness scale, Beck Anxiety Inventory, Beck Depression Inventory and the SF-36 quality of life questionnaire were applied.ResultsThe prevalence of pathological sleepiness was 14.4% (n = 15), the prevalence of anxiety was 39,8% (n = 41), the prevalence depression was 20,2% (n = 21), respectively (Table 1).ConclusionBased on high levels of anxiety and depression that reduces quality of life compared to the general population in 112 emergency services workers, motivational programs, coping strategies, psychological counseling services are required. Also, against the psychosocial risk factors forming anxiety and depression in the working life, organizational measures must be taken.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

THE INFLUENCE OF CHILDREN'S DENTAL CARIES ON THE QUALITY OF LIFE IN STUDENTS IN SUB URBAN AND URBAN ENVIRONMENT

Media Kesehatan Politeknik Kesehatan Makassar ◽

10.32382/medkes.v15i2.1666 ◽

2020 ◽

Vol 15 (2) ◽

pp. 303

Author(s):

Ernie Thioritz ◽

Asridiana Asridiana

Keyword(s):

Quality Of Life ◽

Dental Caries ◽

Urban Schools ◽

Sleep Disturbances ◽

Statistical Tests ◽

Cross Sectional ◽

Adequate Diet ◽

Regression Test ◽

Cross Sectional Design

Dental caries is a major problem of dental and oral health which most often occurs in children. If neglected, dental caries can cause pain, infection, premature tooth loss, and chewing disorders which can interfere with the consumption of an adequate diet. Furthermore, this will affect the child's growth and overall contribution to the environment. This can lead to weight loss, sleep disturbances, changes in behavior, and poor school performance, which will have an impact on the quality of life of the child. The purpose of this study was to determine the effect of dental caries in children on the quality of life of students in suburban and urban schools. This research is an analytic observational study with cross-sectional design and involved 257 samples with total sampling method. Dental caries was measured by the DMF-t index and children's quality of life was measured using the Child Perceptions Questionnaire (CPQ8-10). The results showed that in suburban schools, the number of respondents with "high" caries severity had the highest number, namely 47 people, while in urban schools, respondents with "moderate" caries severity level had the highest number, namely 42 people. Based on statistical tests using regression test, it was found that dental caries has a significant effect on the quality of life of students in both suburban and urban schools (p <0.05). It was concluded that dental caries has a significant effect on all quality of life domains. Key words: dental caries, quality of life, age 8-10 years.

Download Full-text

The Burden of Moderate to Severe Atopic Dermatitis in Canadian Children: A Cross-Sectional Survey

Journal of Cutaneous Medicine and Surgery ◽

10.1177/1203475418761859 ◽

2018 ◽

Vol 22 (4) ◽

pp. 443-444 ◽

Cited By ~ 7

Author(s):

Alanna C. Bridgman ◽

Panteha Eshtiaghi ◽

Amanda Cresswell-Melville ◽

Michele Ramien ◽

Aaron M. Drucker

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Disease Management ◽

Sleep Disturbances ◽

Severe Atopic Dermatitis ◽

Health Issues ◽

Cross Sectional Survey ◽

Psychosocial Burden ◽

Cross Sectional

Objectives: Although atopic dermatitis (AD) has significant impacts on quality of life, data from Canada on the subject are limited. This survey aims to assess the burden of moderate to severe AD on quality of life and disease management for pediatric patients and their caregivers in Canada. Methods: The Eczema Society of Canada conducted an online national cross-sectional survey in English and French. We included children with self-reported moderate to severe AD. We present descriptive statistics from the survey. Results: Of all initial respondents (n = 658), 70% (n = 458) were children or caregivers of children who have moderate or severe AD and were therefore eligible. Among them, 27% (123/451) are managed by a dermatologist, with 71% (174/244) waiting more than 3 months to see a dermatologist. Many respondents (85%, 279/330) feel that their child’s AD is not well controlled, and 27% (75/275) have difficulty obtaining treatments for their child’s AD. Impaired quality of life was found in 52% of families (200/381), with most reporting sleep disturbances in both the child (70%, 253/361) and the caregiver (55%, 199/361), as well as mental health issues. Conclusions: This survey demonstrates the medical and psychosocial burden of moderate to severe AD in Canadian children. Quality of life, access to care, and disease management are all areas of concern for patients and their families and warrant attention from individual clinicians and the health care system as a whole.

Download Full-text

Non-Pharmacological Management of Pruritus in Chronic Kidney Disease Patients at Panti Waluya Sawahan Hospital

Journal of Community Service for Health ◽

10.26699/jcsh.v2i2.art.p038-041 ◽

2021 ◽

Vol 2 (2) ◽

pp. 038-041

Author(s):

Pertiwi Perwiraningtyas ◽

Ani Sutriningsih ◽

Wahyu Dini Metrikayanto

Keyword(s):

Quality Of Life ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Health Education ◽

Sleep Disturbances ◽

Rating Scale ◽

Chronic Kidney Failure ◽

Cross Sectional ◽

Pharmacological Management

Patients of chronic kidney disease require long-term hemodialysis therapy. However, this therapy has various complications, one of which is pruritus. Pruritus can interfere with individual activities, cause sleep disturbances, lesions and hyperpigmentation on the skin, to impact the patient's quality of life. So that non-pharmacological management is needed to treat pruritus. The design was cross sectional. The population in this community service was chronic kidney failure patients undergoing hemodialysis therapy in the hemodialysis room. The sample was patients who experience pruritus and undergo hemodialysis therapy at least 1x / week as many as 45 people. The variables were health education related to non-pharmacological management and pruritus. The instruments used leaflets and counseling program units for health education, while for pruritus used the Numeric Rating Scale. The average patient experienced pruritus on a scale of 5, which was a moderate category where itching was felt by frequent scratching. After health education, patients understand how to deal with pruritus with non-pharmacological methods so that the patient's quality of life becomes better.

Download Full-text