Perceived Stress in Dentists and Dental Students of Latin America and the Caribbean during the Mandatory Social Isolation Measures for the COVID-19 Pandemic: A Cross-Sectional Study

This study aims to determine the impact of the COVID-19 pandemic, specifically considering the mandatory social isolation measures implemented, on the perceived stress of a sample of dentists and dental students from Latin America and the Caribbean, as well as the associated sociodemographic and pandemic-related variables. A cross-sectional survey was conducted with a sample of 2036 dentists and dental students (1433 women). For the main outcome, the 14-item Perceived Stress Scale (PSS-14) was used. The survey also questioned sociodemographic aspects, questions on the COVID-19 pandemic, health variables, and habits. Descriptive, bivariate, and multivariate analyses (linear regression) were applied to observe the factors associated with perceived stress. The PSS-14 mean score was 24.76 (±11.76). Hierarchical regression models showed significant variables associated with the PSS-14 scores: income level during mandatory social isolation, having older adults under care during mandatory social isolation, self-perceived level of concern regarding COVID-19, self-perceived health, Coffee consumption during mandatory social isolation. In general terms, the pandemic has influenced the personal, social, labor, and everyday life of dental staff and affected the mental health of this population specifically when perceived stress is considered. Public policies, strategies, and mental health surveillance systems are required for this population.

Download Full-text

Insight into the Tunisian Dental Residents’ Mental Wellness and Coping Mechanism during Covid-19 Pandemic: A Cross-Sectional Study

European Journal of Dental and Oral Health ◽

10.24018/ejdent.2021.2.6.113 ◽

2021 ◽

Vol 2 (6) ◽

pp. 20-24

Author(s):

D. Touil ◽

N. Aouni ◽

F. Hannachi ◽

L. Oualha ◽

N. Douki

Keyword(s):

Mental Health ◽

Perceived Stress ◽

Mental Health Problems ◽

Health And Safety ◽

Dental Students ◽

Coping Mechanism ◽

Cross Sectional ◽

Mental Wellness ◽

And Coping ◽

The Impact

Introduction: Recently, the covid-19 pandemic has dramatically affected dental students and residents worldwide. The aim of this study was to focus on the impact of the pandemic on the perceived stress, the mental health, and the coping mechanisms of the residents of the dental faculty of Monastir. Tunisia. Materials and methods: a voluntary and anonymous survey targeting the dental residents of the Dental faculty of Monastir Tunisia, was conducted between June the 1st to June the 30t2021. The questionnaire was divided into five sections: demographics, perceived stress during the pandemic, mental health, and coping mechanism. Yes /no questions as well as Likert scales were used. Results: Out of the 107 residents that were contacted, 52 responded. Sex ratio was 0.48. Among the respondents, 45.1% found that during the last 6 months, their days were “extremely stressful. A correlation between gender and daily stress was found (p=0.046); concerns about the family wellbeing as well as own health and safety were ranked first when it came to evaluating the stressors during that period. Twenty-three residents (45%) said they have had mental health problems during the last 6 months, 78% (40) of the participants felt sad, upset, and depressed for days during the last 6 months and 31 (62%) residents think they had become more irritable and in a bad mood these past few months. Talking to family and friends was the most reported coping mechanism.

Download Full-text

How is the COVID-19 lockdown impacting the mental health of parents of school-age children in the UK? A cross-sectional online survey

BMJ Open ◽

10.1136/bmjopen-2020-043397 ◽

2021 ◽

Vol 11 (5) ◽

pp. e043397

Author(s):

Austen El-Osta ◽

Aos Alaa ◽

Iman Webber ◽

Eva Riboli Sasco ◽

Emmanouil Bagkeris ◽

...

Keyword(s):

Mental Health ◽

Physical Activity ◽

Social Isolation ◽

Online Survey ◽

Female Gender ◽

School Age Children ◽

School Age ◽

Cross Sectional ◽

The Uk ◽

The Impact

ObjectiveInvestigate the impact of the COVID-19 lockdown on feelings of loneliness and social isolation in parents of school-age children.DesignCross-sectional online survey of parents of primary and secondary school-age children.SettingCommunity setting.Participants1214 parents of school-age children in the UK.MethodsAn online survey explored the impact of lockdown on the mental health of parents with school-age children, and in particular about feelings of social isolation and loneliness. Associations between the UCLA Three-Item Loneliness Scale (UCLATILS), the Direct Measure of Loneliness (DMOL) and the characteristics of the study participants were assessed using ordinal logistic regression models.Main outcome measuresSelf-reported measures of social isolation and loneliness using UCLATILS and DMOL.ResultsHalf of respondents felt they lacked companionship, 45% had feelings of being left out, 58% felt isolated and 46% felt lonely during the first 100 days of lockdown. The factors that were associated with higher levels of loneliness on UCLATILS were female gender, parenting a child with special needs, lack of a dedicated space for distance learning, disruption of sleep patterns and low levels of physical activity during the lockdown. Factors associated with a higher DMOL were female gender, single parenting, parenting a child with special needs, unemployment, low physical activity, lack of a dedicated study space and disruption of sleep patterns during the lockdown.ConclusionsThe COVID-19 lockdown has increased feelings of social isolation and loneliness among parents of school-age children. The sustained adoption of two modifiable health-seeking lifestyle behaviours (increased levels of physical activity and the maintenance of good sleep hygiene practices) wmay help reduce feelings of social isolation and loneliness during lockdown.

Download Full-text

Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic

Annals of Intensive Care ◽

10.1186/s13613-021-00880-y ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Alexandra Laurent ◽

Alicia Fournier ◽

Florent Lheureux ◽

Guillaume Louis ◽

Saad Nseir ◽

...

Keyword(s):

Mental Health ◽

Intensive Care ◽

Perceived Stress ◽

High Intensity ◽

General Health Questionnaire ◽

Positive Thinking ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mediation Analyses ◽

The Impact

Abstract Background We investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France. Methods This cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses. Results In total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08–0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09–0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02–0.20). Perceived stress mediated the impact of the crisis context on mental health (B = 0.23, 95%-CI = 0.05, 0.41) and the impact of stress on mental health was moderated by positive thinking, b = − 0.32, 95% CI = − 0.54, − 0.11. Conclusion COVID-19 negatively impacted the mental health of ICU professionals. Professionals working in zones where the epidemic was of high intensity were significantly more affected, with higher levels of perceived stress. This study is supported by a grant from the French Ministry of Health (PHRC-COVID 2020).

Download Full-text

Impact of COVID-19 lockdown on mental health in Germany: longitudinal observation of different mental health trajectories and protective factors

Translational Psychiatry ◽

10.1038/s41398-021-01508-2 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

K. F. Ahrens ◽

R. J. Neumann ◽

B. Kollmann ◽

J. Brokelmann ◽

N. M. von Werthern ◽

...

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Perceived Stress ◽

Multilevel Models ◽

Daily Hassles ◽

Mental Health Outcomes ◽

Psychological State ◽

Cognitive Emotion Regulation ◽

Cross Sectional ◽

The Impact

AbstractThe COVID-19 pandemic and resulting measures can be regarded as a global stressor. Cross-sectional studies showed rather negative impacts on people’s mental health, while longitudinal studies considering pre-lockdown data are still scarce. The present study investigated the impact of COVID-19 related lockdown measures in a longitudinal German sample, assessed since 2017. During lockdown, 523 participants completed additional weekly online questionnaires on e.g., mental health, COVID-19-related and general stressor exposure. Predictors for and distinct trajectories of mental health outcomes were determined, using multilevel models and latent growth mixture models, respectively. Positive pandemic appraisal, social support, and adaptive cognitive emotion regulation were positively, whereas perceived stress, daily hassles, and feeling lonely negatively related to mental health outcomes in the entire sample. Three subgroups (“recovered,” 9.0%; “resilient,” 82.6%; “delayed dysfunction,” 8.4%) with different mental health responses to initial lockdown measures were identified. Subgroups differed in perceived stress and COVID-19-specific positive appraisal. Although most participants remained mentally healthy, as observed in the resilient group, we also observed inter-individual differences. Participants’ psychological state deteriorated over time in the delayed dysfunction group, putting them at risk for mental disorder development. Consequently, health services should especially identify and allocate resources to vulnerable individuals.

Download Full-text

Seroprevalence and lethality by SARS-CoV-2 in indigenous populations of Latin America and the Caribbean: a systematic review

PeerJ ◽

10.7717/peerj.12552 ◽

2021 ◽

Vol 9 ◽

pp. e12552

Author(s):

Akram Hernández-Vásquez ◽

Fabian Chavez-Ecos ◽

Antonio Barrenechea-Pulache ◽

Daniel Comandé ◽

Guido Bendezu-Quispe

Keyword(s):

Systematic Review ◽

Latin America ◽

Assessment Tool ◽

Hospital Setting ◽

Indigenous Communities ◽

Indigenous Populations ◽

Qualitative Synthesis ◽

Cross Sectional ◽

The Caribbean ◽

The Impact

Background Latin America and the Caribbean (LAC) has presented some of the highest numbers of cases and deaths due to COVID-19 in the world. Even though indigenous communities represent 8% of the total population in this region, the impact of COVID-19 on this historically vulnerable population has only been briefly explored. Thus, this study aimed to estimate the seroprevalence and lethality attributable to SARS-CoV-2 in the indigenous population of LAC. Methods A systematic review was conducted utilizing multiple databases (registry PROSPERO: CRD42020207862). Studies published in English, Spanish or Portuguese were selected between December 1st, 2019, and April 14th, 2021. The evaluation of the quality of the study was carried out utilizing the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. A qualitative synthesis of the data analyzed was conducted following the MOOSE and PRISMA declarations. Results Fifteen studies met the inclusion criteria. Eleven studies were carried out in a Brazilian population, three in a Mexican population, and one in a Colombian population. Four studies reported data about the seroprevalence of SARS-CoV-2 in indigenous populations of Brazil (range: 4.2–81.65%). Twelve studies reported lethality in indigenous people (eight in Brazil, three in Mexico, and one in Colombia). In Brazil, a lethality of 53.30% was described in a hospital setting and between 1.83% and 4.03% in community studies. In Mexico, the lethality of COVID-19 ranged between 16.5% and 19.9%. Meanwhile, in Colombia, a lethality of 3.41% was reported. Most studies were deemed to be of good quality. Conclusions Despite COVID-19 affecting indigenous populations of LAC, there is limited evidence of the seroprevalence and lethality of the infection by SARS-CoV-2 in this population. Future investigations should ensure standardized methods that allow comparability among studies and ensure the precision of the results obtained.

Download Full-text

Well-Being and Perceived Stress of Adolescent Young Carers: A Cross-Sectional Comparative Study

Journal of Child and Family Studies ◽

10.1007/s10826-021-02097-w ◽

2021 ◽

Author(s):

Hannah Wepf ◽

Agnes Leu

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Perceived Stress ◽

Mental Health Problems ◽

Well Being ◽

Health Problems ◽

Mental Health Outcomes ◽

Young Carers ◽

Cross Sectional ◽

The Impact

AbstractAdolescent young carers have been described as a hidden group at risk of mental health problems. However, research has not yet clarified the effect of caring when considering the related family situation. We aimed to examine the impact of a caring role on adolescents’ mental health and to gain knowledge about adolescent young carers’ specific needs. We collected cross-sectional data from adolescents (15–21 years, N = 2525) recruited through educational institutions in German-speaking Switzerland. Based on self-reported answers regarding the presence or absence of a family member with health problems and youth’s caring activities, the participants were grouped into three subsamples. We compared mental health outcomes (well-being and perceived stress) in current carers and their peers, and we conducted multiple regression analyses for predicting these outcomes among all adolescents and the subsample of carers. Adolescent young carers had lower levels of well-being and higher levels of perceived stress than their peers. However, when controlling for background variables, well-being levels were lower only when carers were compared to adolescents from a healthy family background. Indicators of family instability predicted mental health outcomes independently of being a carer. More recognition for the caring role predicted better well-being and perceived stress outcomes, and more support in caring predicted better well-being but not perceived stress outcomes. The findings suggest that a caring role is not necessarily related to decreased well-being in adolescents, but it is associated with higher levels of perceived stress. The way professionals and services respond to young carers’ specific needs should be improved.

Download Full-text

Impact of Social Isolation on Mental Health Amid COVID-19 Pandemic: A Nationwide Survey

10.21203/rs.3.rs-442918/v1 ◽

2021 ◽

Author(s):

Md Ashrafur Rahman ◽

Richa Tambi ◽

Tarif Mahmud ◽

Atiqur Rahman ◽

Mehedi Hasan ◽

...

Keyword(s):

Mental Health ◽

Young Adults ◽

Old Age ◽

Social Isolation ◽

Mental Stress ◽

Middle Age ◽

Age Groups ◽

Cross Sectional ◽

Negative Perception ◽

The Impact

Abstract Background: Although social isolation is known to limit the spread of a pandemic, the impact of mental health for such measures is yet unknown. In this cross-sectional study, we investigated the impact on mental health among different age groups due to social isolation during the ongoing COVID-19 pandemic in Dhaka, Bangladesh. Methods: We conducted a carefully designed cross sectional survey on mental health that was disseminated widely by way of email, personal contact and social media to subjects aged between 11 and >70 years. For our analysis we stratified data into three distinct groups: children/young adults (11-40), middle age (40-60) and older adult age (> 60) groups. 3214 respondents answered the survey. Bonferroni corrected Chi-square tests were used to find significant relationships between the demographic groups and mental health related variables. Results: We observed a high percentage of insomnia (79%) in old age respondants compared to children/young adults (61%) and middle age (66%) groups, suggesting that ‘age’ is significantly associated (p= 3.8 X 10-06; odds ratio (OR) = 2.34) with ‘insomnia’. Respondents who were retired also reported a higher prevalence (73%) of insomnia (p = 2.79 X 10-8) compare to employed individuals. A higher level of mental stress (84%) was observed in middle aged respondents followed by old adult (71%) respondents (p=0.001). Significantly higher rates (p = 5.08 X 10-27; OR = 2.06) of mental stress were detected in people with preexisting comorbidities compared with the healthy group. The old age participants were less familiar with the concept of social isolation and 54% of old age participants had a negative perception towards social isolation compared to children/young adults (12%) and middle-aged (7%) respondents. Conclusion: Our results indicate an association between age and mental stress concomitant on the COVID-19 social isolation policy in Bangladesh. Social isolation increased insomnia and mental stress, particularly in old age and middle age group. Moreover, these older age groups also tended to have a negative perception of the COVID-19 isolation policy. Therefore, providing mental healthcare services and policy related education in developing countries should target these older age groups to ensure maintenance of their mental wellbeing and adherence to safe practice.

Download Full-text

Alcohol use during the COVID-19 pandemic in Latin America and the Caribbean

Revista Panamericana de Salud Pública ◽

10.26633/rpsp.2021.52 ◽

2021 ◽

Vol 45 ◽

pp. 1

Author(s):

Rodrigo Garcia-Cerde ◽

Juliana Y. Valente ◽

Ivneet Sohi ◽

Rachael Falade ◽

Zila M. Sanchez ◽

...

Keyword(s):

Mental Health ◽

Latin America ◽

Alcohol Consumption ◽

Online Survey ◽

Drinking Behavior ◽

Anxiety Symptoms ◽

Heavy Episodic Drinking ◽

Cross Sectional ◽

Drinking Behaviors ◽

The Caribbean

Objective. To assess the association between drinking behaviors during the COVID-19 pandemic and quarantine, anxiety symptoms, and sociodemographic characteristics in Latin America and the Caribbean (LAC). Method. Data was collected through a cross-sectional online survey (non-probabilistic sample) conducted by the Pan American Health Organization between May 22 and June 30, 2020, in 33 countries and two territories of LAC. Participants were 18 years of age or older and must not have traveled outside of their country since March 15, 2020 (n= 12 328, M age= 38.1 years, 65% female). Four drinking behaviors (online socializing drinking [OSD], drinking with child present [DCP], drinking before 5 p.m. [DB5]), heavy episodic drinking [HED]) were response variables, and quarantining, anxiety symptoms and sociodemographic covariables were explanatory variables. Results. Quarantine was positively associated with a higher frequency of OSD and with DCP, but negatively associated with a higher frequency of HED. Anxiety symptoms were associated with a higher frequency of HED, more OSD, and DB5. Higher incomes seemed to be more associated with all the studied drinking behaviors. Women tended to report less DB5 and less HED during the pandemic. Conclusions. Quarantine during the COVID-19 pandemic seems to affect drinking behavior and mental health indicators like anxiety symptoms. This study is the first effort to measure the consequences of the quarantine on alcohol consumption and mental health in LAC during the COVID-19 pandemic. Considering the associations found, screenings and brief interventions targeting alcohol consumption and mental health are recommended.

Download Full-text

COVID-19 - The invisible enemy: impacts on students' mental health and coping strategies

Research Society and Development ◽

10.33448/rsd-v10i1.12144 ◽

2021 ◽

Vol 10 (1) ◽

pp. e59110112144

Author(s):

Ana Lúcia Basilio Carneiro ◽

Semírames Cartonilho de Souza Ramos ◽

Arthur Willian de Lima Brasil ◽

Lindair Alves da Silva ◽

Gleydson Grangeiro de Lima ◽

...

Keyword(s):

Mental Health ◽

Coping Strategies ◽

Social Isolation ◽

Social Relations ◽

Economic Losses ◽

Historical Event ◽

Cross Sectional ◽

Digital Platforms ◽

Mental Nature ◽

The Impact

The COVID-19 pandemic is an unexpected historical event with an impact on all aspects of life - especially those of an occupational and mental nature. In a few months, it has altered daily life and social relations and, in addition to social distancing, isolation or quarantine, the world's population has to live with fear, insecurity and human and economic losses. Young people, particularly young women with a psychiatric history and no social support, are more vulnerable to the psycho-emotional consequences of the pandemic. The objective of this study was to observe the impact of COVID-19 on the mental health of students and their coping strategies. This was an observational study with a quantitative and cross-sectional method. The sample consisted of health students from a public university in the state of Paraíba, Brazil. Participants were recruited from the digital platforms in June 2020, a period of social isolation. The link to the Google forms questionnaire was made available on Instagram and WhatsApp. A total of 56 students, most of them women, answered the questionnaire. The most prevalent symptoms during social isolation were anxiety (76.8%), concern (71.4%), fear (62.5%), insomnia (60.7%) and sadness (55.4%). Anxiety, depression, and hopelessness symptoms were more prevalent in younger female students with negative health perception. Complementary therapies and conversations with friends and family stand out as coping strategies. Mental health demands a convergence of efforts and institutional actions are needed to manage the psycho-emotional and neurobiological impact of COVID-19 in an integrated and integral way.

Download Full-text

Post-Lockdown Effects on Students’ Mental Health in Romania: Perceived Stress – The Impact of Missing Daily Social Interactions and Boredom Proneness

10.20944/preprints202107.0473.v1 ◽

2021 ◽

Author(s):

Liliana Dumitrache ◽

Elena Stănculescu ◽

Mariana Nae ◽

Daniela Dumbrăveanu ◽

Gabriel Simion ◽

...

Keyword(s):

Mental Health ◽

University Students ◽

Path Analysis ◽

Social Interactions ◽

Perceived Stress ◽

Mediation Model ◽

Multiple Mediation ◽

Cross Sectional ◽

Boredom Proneness ◽

The Impact

The rapid spread of COVID-19 worldwide was accompanied by intense fears, confusion, worries, anger and stress threatening people’s mental health. Unprecedented measures to slow down and prevent the transmission of COVID-19 have had various impacts on the population’s health behaviour and mental health. The main purpose of the present study is to investigate the lockdown’s effects on university students’ mental health in Romania. Based on a cross-sectional design, the survey data were collected from a sample of 722 participants (247 males; M = 21.1 years; SD ± 1.73). A path analysis was performed to verify the hypothesised direct and indirect effects included in the multiple mediation model. The findings showed a positive association between stress and boredom proneness, missing daily social interactions, spending more time on phone conversations and the increasing interest in following news about the pandemic. The path analysis revealed an excellent fit between the proposed multiple mediation model and the sample data. Boredom proneness and missing daily social interactions both affected stress, directly and indirectly, through more time spent on phone conversations. In addition, it was found that the increased interest in following news about the pan-demic mediated the relationship between boredom proneness and perceived stress. In terms of gender differences, our findings revealed that female students experienced significantly higher stress levels than male students, perceived to a greater extent the lack of daily social interactions and spent more time on phone conversations. Overall, the findings further extend the empirical evidence on university students’ mental health in the context of the COVID-19 pandemic. Therefore, universities need to organise support programmes focused on developing university students’ coping strategies to maintain their mental health even in adverse contexts.

Download Full-text