scholarly journals The Mental Health Burden of the COVID-19 Pandemic on Physical Therapists

Author(s):  
Seoyon Yang ◽  
Sang Gyu Kwak ◽  
Eun Jae Ko ◽  
Min Cheol Chang

We evaluated the mental health burden of coronavirus disease (COVID-19) on physical therapists, including their stress and anxiety levels, who were at risk of developing psychological distress and other mental health symptoms. A questionnaire survey was conducted with physical therapists of three university hospitals in South Korea on 10 April 2020. The questionnaires evaluated the presence of anxiety and depression in the respondents. Among the 65 physical therapists who completed our survey, 21 (32.3%) and 12 (18.5%) physical therapists reported having symptoms of anxiety and depression, respectively. If a physical therapist was living with a ≤6-year-old infant or child, the possibility of the presence of anxiety was significantly higher. The risk of depression among those who were in their 30 s and 50 s was significantly higher than among those in their 20 s. Thus, physical therapists living with a ≤6-year-old infant or child and those in their 30 s and 50 s need special attention.

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18515-18515
Author(s):  
F. Torrente ◽  
D. Gercovich ◽  
H. Hirsch ◽  
P. Margiolakis ◽  
E. Gil Deza ◽  
...  

18515 Background: Psychological distress is a widespread phenomenon in cancer patients (pts.) Notwithstanding, its recognition and the threshold criteria for referral to a specialized unit are still problematic in clinical practice. Correspondingly, the aim of this study was to explore how much psychological distress (PD) is expected by the oncologists, how much distress is actually present in these pts., and finally how many of them are detected as having significant problems and referred to the mental health unit (MHU). Methods: Three sources of data were compared for the purpose of this study. Firstly, a survey to the practicing oncologists (n =18) was carried out in order to establish the rate of PD expected by them. Secondly, a consecutive sample of 259 pts. was evaluated in the waiting room with the Hospital Anxiety and Depression Scale (HADS) for establishing an estimation of the actual rate of PD in this population. Finally, 115 pts. from the MHU were studied for determining the rate and the accuracy of the referral made by the oncologists. Results: Sixty one percent of the surveyed oncologists considered that 75% or more of their pts would need psychological assistance. The waiting room sample evaluated with the HADS showed that 74.9% of patients surpassed the cutoff score (11 points) for either anxiety or depression, or both. Despite this, less than 5% of the total population of the clinic was referred to the MHU. From this sample, 38.3% of the pts. scored below the cutoff line. The proportion of pts. who exceeded the cutoff score for depression was significantly higher in the MHU sample. Conclusions: Most of the oncologists expect a high rate of PD in their patients, and even overestimate it. Actual rates of anxiety and depression were also high. On the contrary, the rate of referral to specialized mental health treatment was extremely low and the pts. referred were not necessarily highly disturbed. Depression is probably better recognized than anxiety by oncologists. In conclusion, both quantitative and qualitative problems were detected in the referral to the MHU, regardless the awareness of the oncologists about PD. No significant financial relationships to disclose.


2021 ◽  
Vol 275 ◽  
pp. 03044
Author(s):  
Jianjian Wang ◽  
Guofang Shen ◽  
Zeyu Wang

Contemporary college students face pressures from employment, emotion, and academic work, so the physical and mental health of college students has gradually become the focus of social attention. Through a questionnaire survey, this paper investigates five aspects : college students’sense of physical health, physical exercise, psychological distress, stress resistance and psychological adjustment methods. College students’ physical and mental health has been analyzed from the basic situation, differences in different student groups, main problems and suggestions, trying to objectively reflect the physical and mental health of college students and provide a basis for the development of college students’ideological and political education.


Author(s):  
Rohmah Najihah Misran ◽  
Jamilah Hanum Abdul Khaiyom ◽  
Zul Azlin Razali

Religiosity is a construct that has interesting implications in the mental health issues of youths. This study examines the role of religiosity on anxiety, depression, and stress using 148 Muslim students studying Islamic studies at undergraduate provision in an Islamic University as sample. Results indicated that the level of religiosity among the participants ranged from moderately religious to highly religious. The mean levels of anxiety, depression, and stress among the participants were moderate, and a significant number of students suffered from severe psychological distress. Female students were reported to experience significantly slightly more stress than male students. Furthermore, the relationship between religiosity, anxiety, and depression was significantly negative but not stressful. Further analysis found that religiosity serves as a protective factor for depression. Meanwhile, some religiosity components (i.e., avoidance of sinful acts and frequent conduct of recommended acts) were found to be a significant protective factor against anxiety and depression, respectively. Thus, in retrospect, mental health and religion appear to converge on managing psychological distress. As so to speak, this is a vital point in the emerging mental health services in which the incorporation of religious components into clinical practice may show good promising results in aiding the recovery process of psychological health issues. Likewise, embedding religiosity in one’s life, or being religiously minded, reflected in daily life manifestation, is linked with better mental health outcomes.


2021 ◽  
pp. 207-229
Author(s):  
Ole Jacob Madsen ◽  
Tilmann von Soest

In this chapter we present an overview of the prevalence of and trends in psychological distress among Norwegian adolescents, including self-reported symptoms of anxiety and depression. We specifically highlight Ungdata surveys from 2010 to 2020, which show a gradual increase in mental health problems for both genders and particularly alarming measurements from 2015 onwards. We discuss different explanations for this increase, in particular social media use, school stress and social and economic inequality. Moreover, because psychological distress is assessed primarily via young people’s self-reporting, we inquire – in line with the ideal of reflexivity – whether an increased focus on young people’s mental health can become a self-fulfilling prophecy. Finally, we ask what should be done, and we discuss whether the introduction of the interdisciplinary topic health and life skills in Norwegian schools is in fact helpful. Our conclusion is that this measure may fail to properly address the most likely underlying causes for youths’ increased report of psychological distress, and effective measures will most likely have to involve political and economic resolutions.


Author(s):  
Henrike Schecke ◽  
Madeleine Fink ◽  
Alexander Bäuerle ◽  
Eva-Maria Skoda ◽  
Adam Schweda ◽  
...  

Unlike men, who are disproportionately affected by severe disease progression and mortality from COVID-19, women may be more affected by the economic, social and psychological consequences of the pandemic. Psychological distress and mental health problems are general risk factors for increases in the use of alcohol and other substances as a dysfunctional coping mechanism. Methods: An analysis was carried out of the female subset (n = 2153) of a population-based, cross-sectional online survey (October–December 2020), covering the “second wave” of the COVID-19 pandemic in Germany. Results: Among women, 23% increased their alcohol use, 28.4% increased their nicotine use and 44% increased their illicit substance use during the COVID-19 pandemic. Twenty percent reported major depressive symptoms and 23.4% symptoms of generalized anxiety. Generalized anxiety proved to be a significant predictor of increases in alcohol and nicotine use in logistic regression. Discussion: The mental health burden remained high during the second wave of COVID-19 and alcohol, nicotine and other substance use increased. However, the association between mental health and substance use was weak. Psychological distress does not seem to be the main motivator of substance use.


2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S191-S192
Author(s):  
F Milo ◽  
E F Romeo ◽  
F Rea ◽  
T Grimaldi Capitello ◽  
P De Angelis ◽  
...  

Abstract Background From March 10 to May 3, 2020, Coronavirus disease 2019 (COVID-19) and subsequent enforced lockdown in Italy has led to an increased general psychological distress1. In particular, people with both compromised immune function and pre-existing physical or psychiatric problems are at increased risk of adverse psychosocial outcomes2. The purpose of this study was to compare mental health burden in Inflammatory Bowel Disease (IBD) paediatric patients with and without COVID-19 lockdown exposure. Methods We conducted a retrospective case-control study comparing mental health outcomes of two matched 1:1 IBD paediatric groups: Group 1 - before the exposure (January 2019-September 2019) and Group 2 - after COVID-19 pandemic lockdown (April 2020-December 2020). Matching criteria included gender, age, disease duration, IBD subtype, Body Mass Index and disease activity (remission or active). This study included patients with Crohn Disease (CD) and Ulcerative Colitis (UC), >12 years, attending outpatient visits at Bambino Gesù Children Hospital. Data were collected using the Generalised Anxiety Disorder (GAD-7) for anxiety and the Patient Health Questionnaire (PHQ-9) for depression. We have estimated the prevalence of anxiety and depression between the two groups. Both groups were also compared with respect to the average score of anxiety and depression symptoms. Sociodemographic and clinical data were recorded from patients’ medical chart. Results A total of 108 IBD paediatric patients (62 males, 54 with CD and 54 with UC, mean age=16±2,5 years) was enrolled in this study. Out of these, 54 patients were enrolled in Group 1 and 54 in Group 2. Using a cut-off score ≥10, we found similar prevalence of anxiety (13.0% vs 22.2%, P=.206) and depression (13.0% vs 18.5%, P=.428) among the groups. Average scores were quite similar among the two groups, both for anxiety (5.78 vs 5.96, P=.924) and depression (5.89 vs 5.87, P=. 704). Symptom severity levels were mild (≃6) in both groups, according to standardized instrument cut-offs. No significant associations were found between disease activity and symptoms of anxiety and depression in both groups. Conclusion IBD-related symptoms (i.e. weight loss, persistent diarrhoea, abdominal pain and fatigue) lead to severe psychosocial impairment in paediatric IBD patients. COVID-19 pandemic outbreak and enforced isolation (i.e., lockdown, long distance learning, and social restrictions) limited patients’ stressful social situations engagement and paradoxically prevented a worsening of their mental health. References


2020 ◽  
Author(s):  
Yange Wu ◽  
Xin Xiong ◽  
Xinyi Fang ◽  
Wei Sun ◽  
Yating Yi ◽  
...  

Abstract Background Confronting with the outbreak of COVID-19, this cross-sectional study aimed to assess the differences of psychological status of temporomandibular disorders patients, orthodontic patients and the general population in China during the epidemic. Methods An online anonymous questionnaire was developed in Chinese, including the individual background information, the perception of the epidemic, and level of anxiety and depression through Kessler Psychological Distress Scale (K10). The respondents were divided into Control group, ORTHO group and TMD group. Descriptive analysis and multiple linear regression modelling were performed. Results 1241 valid questionnaires in total were collected, with 587 orthodontic patients and 220 TMD patients. The mean score of K10 was 18.65. When compared with the general population, TMD patients displayed statistically higher level of anxiety and depression (P<0.05), whereas orthodontic patients not (P>0.05). Multiple linear regression model also showed that age, gender, some concerns about the impact of epidemic were correlated with psychological status. Conclusions The overall mental health was severely worsened by the COVID-19 epidemic. TMD patients had higher level of psychological distress than orthodontic patients and the general population. Factors such as younger age, female, concerning about the isolation and psychological barriers and distrust were amongst the associations with a high level of psychological distress. Mental health care should be paid to patients when hospitals and clinics re-open after the COVID-19 epidemic, especially to patients with these relevant characteristics.


2020 ◽  
Vol 100 (7) ◽  
pp. 1132-1141
Author(s):  
Alma Viviana Silva Guerrero ◽  
Jenny Setchell ◽  
Annicke Maujean ◽  
Michele Sterling

Abstract Objectives The study aimed to identify and compare (1) what physical therapists perceive to be the main concerns, fears, and worries that patients with whiplash-associated disorders (WAD) and nontraumatic neck pain (NTNP) have as a result of their condition, and (2) the strategies used by physical therapists to address these fears and concerns. Methods Using convenience sampling, 30 physical therapists completed 2 online open-ended surveys. The responses were analyzed using 2 descriptive analytic methods (thematic analysis and constant comparative analysis), and then themes were examined for areas of convergence and divergence. Results Four similar themes for both neck pain groups were produced from our analysis of the survey responses: (1) interference with daily life, (2) concerns related to pain, (3) psychological distress, and (4) ``When I will recover?'' Subthemes differed between the groups. For example, the theme “psychological distress” had subthemes of anger and thoughts about no resolution for the WAD group, whereas for the NTNP group, subthemes were anxiety and uncertainty. The only divergent theme was (5) fear avoidance, present in the NTNP group only. Analysis of physical therapist strategies identified 3 consistent themes and 5 divergent themes across the 2 groups. Conclusions Physical therapists described a wealth of reassurance strategies for individuals with NTNP and WAD. There were several shared themes but also some discordant ones. Reassurance is multifactorial and needs to be nuanced and not prescriptive. Impact These qualitative findings may be key to inform the differentiated content of training programs for physical therapists delivering reassurance for these 2 populations.


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