Psychosocial Aspects of Gestational Grief in Women Undergoing Infertility Treatment: A Systematic Review of Qualitative and Quantitative Evidence

Women undergoing assisted reproduction treatment without being able to become pregnant, and experiencing pregnancy loss after assisted reproduction, are triggering factors for prolonged grief and mourning. This review aims to investigate the psychosocial aspects of gestational grief among women who have undergone infertility treatment. We searched the databases of MEDLINE/PubMed, EMBASE, CINAHL, Scopus, ScienceDirect, and Lilacs for works published up to 5 March 2021. The outcomes analyzed were negative and positive psychosocial responses to gestational grief among women suffering from infertility and undergoing assisted human reproduction treatment. Eleven studies were included, which yielded 316 women experiencing infertility who were undergoing treatment. The most frequently reported negative psychosocial manifestations of grief response were depression (6/11, 54.5%), despair or loss of hope/guilt/anger (5/11, 45.5%), anxiety (4/11, 36.4%), frustration (3/11, 27.3%), and anguish/shock/suicidal thoughts/isolation (2/11, 18.2%). Positive psychosocial manifestations included the hope of becoming pregnant (4/6, 66.6%) and acceptance of infertility after attempting infertility treatment (2/6, 33.3%). We identified several negative and positive psychosocial responses to gestational grief in women experiencing infertility. Psychological support before, during, and after assisted human reproduction treatment is crucial for the management of psychosocial aspects that characterize the grief process of women experiencing infertility who become pregnant and who lose their pregnancy. Our results may help raise awareness of the area of grief among infertile women and promote policy development for the mental health of bereaved women.

Strategies to evaluate outcomes in long-COVID-19 and post-COVID survivors

SARS-CoV-2 infection can impact the physical, cognitive, mental health of patients, especially in those recovered in intensive care units. Moreover, it was proved that the effects of the virus may persist for weeks or months. The term long-COVID or post-COVID syndrome is commonly used for indicating a variety of physical and psychological symptoms that continue after the resolution of the acute phase. This narrative review is aimed at providing an updated overview of the impact of physical, cognitive, and psychological health disorders in COVID-19 survivors, by summarizing the data already published in literature in the last year. Studies cited were found through PubMed searches. We also presented an overview of the post-COVID-19 health consequences on three important aspects: nutritional status, neurological disorders, and physical health. Moreover, to activate a correct health planning policy, a multidisciplinary approach for addressing the post- COVID-19 issue, has been proposed. Finally, the involvement of health professionals is necessary even after the pandemic, to reduce expected post-pandemic psychosocial responses and mental health disorders.

Psychosocial Problems among Nurses in Patient’s Care of COVID-19: A Literature Review

Coronavirus Disease 2019 (COVID-19) had an impact on a health crisis, thus posing a major threat to the health of nurses. Nurses was at risk for psychosocial problems while caring for COVID-19 patients. The aims of this study was to analyzed the psychosocial aspects that occured to nurses when caring for COVID-19 patients during the pandemic. Searching articles used five databases such as Google Scholar, Proquest, ScienceDirect, PubMed, and Taylor & Francis Online. Research designs used cross-sectional and qualitative. The findings in this study were divided into two themes, namely the form of nurses psychosocial responses when caring for COVID-19 patients such as viral contamination, abnormal separation, decreased immunity, social pressure, and uncertainty and strategies for nurses' psychosocial handling efforts when caring for patients COVID-19 such as social support, participation in training, support groups, calming activities, and improving the quality ofresources. The condition of psychosocial problems experienced by nurses when caring for COVID19 patients will be expected to be able to carry out effective coping strategies such as promotive, preventive, curative, and rehabilitative so that nurses are able to adapt during pandemic to improve the quality of effective services.

Vulnerable Groups and COVID-19 Pandemic; How Appropriate Are Psychosocial Responses?

Covid-19 pandemic has had adverse health, economic and social consequences on different communities, groups and individuals. Vulnerable groups are more likely to contract the infection and suffer from mental disorders particularly anxiety due to lack of access to health and social resources, lower income and less awareness etc. In this chapter, in addition to a description of the psychological and social conditions of vulnerable groups including women, children, the elderly, and minority groups during the pandemic, the factors influencing the success of psychosocial interventions provided for these groups and the weak points and upcoming challenges will be addressed. Finally, the conclusion will offer some recommendation for coping with the future circumstances.

COPING STRATEGIES FOR COVID-19 IN THE MOROCCAN POPULATION

Background: The coronavirus infection is pandemic emerging infectious disease caused by the coronavirus SARS-CoV-2. This pandemic has had serious social and economic consequences due to the confinment and curfew applied in various countries around the world. The psychosocial responses to this pandemic are variable and depend on the coping strategies of each individual which can mitigate and moderate the impact of these psychosocial responses. Objective: To identify the different coping strategies implemented by the Moroccan population. Methods: We conducted an online survey from April 23 to May 23, 2020, through a questionnaire published on social networks using Google Forms. The assessment of coping strategies was carried out through the Brief Cope scale. Results: 404 individuals participated in the study. The mean age was 36.86 years, 65.6% were female, 14.1% had a psychiatric history, 28% had a medical-surgical history and 30.2% had a substance use disorder. Study participants showed a maximum level acceptance as a strategy of adaptation (6.22 ± 1.69) followed by positive reframing (5.72 ± 1.71) then religion (5.45 ± 1.8). The least used strategies were substance use (2.29 ± 0.91) and denial (3.05 ± 1.42). Problem-focused coping was more used in our sample (4.34 +/- 1.22) compared to emotion-focused coping (4.21 +/- 0.64). Conclusions: The pandemic of Covid-19 had a significant negative impact on the mental health of populations including the Moroccan. The most frequently adopted coping strategies are acceptance, positive reframing, and religion. Psychological support remains necessary in order to safeguard mental health in the face of stressful situations.