Psychological impact of covid19 on out-of-hospital emergency services

This article focuses on how the COVID-19 pandemic affects Emergency Medical Assistant’s (EMA) mental health. In addition, it aims to define which psychological consequences it entails and if they have received postgraduate training on how to face the pandemic by the Health System or organizations that depend on it. This is a qualitative exploratory study of a phenomenological type where a semi- structured ad-hoc interview has been used for data collection, answered by EMA. The results show the psychological impact that COVID-19 has had on the work and personal life of these workers, the lack of psychological resources and the multiple psychological consequences developed as a result of the neglect of their mental health. EMA reaffirm the psychological challenge the COVID-19 pandemic means, creating situation of greater stress and anxiety than implied internal impediments for the job, family and friends. Therefore, they express the necessity for psychological support, being able to develop a diversity of psychological help resources that allow EMA to release the pychological oppression caused by the added stressors of the COVID-19 pandemic.

How Correctional Officers Experience Inmates Suicidal Behavior? – Qualitative Research and Development of The Model of a House

As first responders in prisons, correctional officers are more exposed to suicides than the general population. The aim of the study was to explore how they experience the suicidal behavior of inmates and how they cope with potential psychological consequences of these experiences. We conducted interviews with 11 male correctional officers working in 12-h shifts, and analysed the data using a grounded theory approach. Results were conceptualised in The Model of a House, which consists of five parts representing different aspects of the experience. The model provides an overall understanding of how correctional officers experience the suicidal behavior of inmates.

Death-stricken survivor mother: the lived experience of near miss mothers

Background A Near Miss Mother (NMM) who survives life-threatening conditions, experiences intense physical, emotional, and psychological consequences following the maternal near-miss (MNM) events. The aim of this study was therefore to explore indepth understanding meaning of NMM everyday lived experiences on the social and cultural background of Iran. Methods This qualitative study utilized a hermeneutic phenomenology procedure. The study was conducted in hospitals affiliated with the Educational, Research and Treatment Centerwhich usually handle the NMMs. The sampling was purposeful with a maximum variation of eleven NMMs. Datawere collected using unstructured face-to-face interviews, and thetranscribed data were analyzed using Diekelmann, Allen, and Tanner’s seven-stage thematic analysis approach. Results "Death-stricken survivor mother" was the central emerged theme, and three extracted sub-themes included: "Distorted psyche on a journey to death", "physical destruction due to an ominous event ", and the "vicissitudinous life after reviving ". These sub-themes, in turn, involved 12 sub-themes that emerged from 38 common meanings and 1200 codes. Conclusions Findings demonstrate that the living conditions of NMMs are mixed in all aspects of the MNM event. They need a supportive program that includes additional follow-up visits, psychological support from the time of hospitalization until long-time after discharge, alleviation of social, sexual, and financial worries to return them to the normal life, as well as psychosocial rehabilitation to increase their life quality. Furthermore, post-discharge care in NMMs should be done actively and directly at their homes.

Experiences of families involving a parent with progressive deafblindness

Usher syndrome is a progressive form of deafblindness, which can have significant psychological consequences. This study aimed to get insight in the perceived impact of Usher syndrome type 2 (USH2) on families with a parent affected by this syndrome, and in the experiences of these families with social, professional, and peer support. Participants were 10 parents with USH2 living in the Netherlands, 10 of their co-parents, and 10 of their children. The parents filled in questionnaires and participated in a semi-structured interview. A photo-elicitation interview and a semi-structured interview were administered to the children. Interviews were transcribed and systematically coded, using thematic and open coding. Parents rated the family’s quality of life in general as satisfactory. Both negative and positive consequences were described of USH2 for the family. Parents without USH2 and their children stated to provide support to the parent with USH2, which was often described as self-evident. Some parents without USH2, however, described their family tasks as a burden. Some parents also reported that psychological problems of the parent with USH2 affected the well-being of other family members. Several parents and some children expressed that the syndrome was hardly discussed within the family. Unfulfilled family support needs were mentioned, a lack of involvement of family members in the professional support, as well as a lack of professional and peer support for children and partners. This study revealed that USH2 in a parent has impact on the entire family. Family-centred approaches are recommended for professionals who support parents with Usher syndrome.

Divergent effects of social media use on meaning in life via loneliness and existential isolation during the coronavirus pandemic

Stay-at-home orders issued to combat the growing number of infections during the coronavirus pandemic in 2020 had many psychological consequences for people including elevated stress, anxiety, and difficulty maintaining meaning in their lives. The present studies utilized cross-sectional designs and were conducted to better understand how social media usage related to people’s subjective isolation (i.e., social loneliness, emotional loneliness, and existential isolation) and meaning in life (MIL) during the early months of the pandemic within the United States. Study 1 found that general social media use indirectly predicted higher MIL via lower existential isolation and social isolation. Study 2 replicated these patterns and found that social media use also predicted lower MIL via higher emotional loneliness, and that the aforementioned effects occurred with active, but not passive, social media use. Findings suggest social media use may be a viable means to validate one’s experiences (i.e., reduce existential isolation) during the pandemic but may also lead to intensified feelings concerning missing others (i.e., increased emotional loneliness). This research also helps to identify potential divergent effects of social media on MIL and helps to clarify the relationships among varying types of subjective isolation.

Pattern of Morphological Anomalies of Uterus as Observed by Modern Investigation Techniques

Background: Due to the high prevalence and possible impact on the reproductive health of the of woman, congenital uterine malformation of female genital tract is a challenge for the therapeutic decision-making process. The current study aimed to evaluate the morphological anomalies of the uterus as observed by modern investigation techniques. Methods: This cross-sectional observational study was done in Prathima Institute of Medical Sciences, Nagnoor, Karimnagar, Telangana state. Women who were infertile and anxious to conceive and women were subjected to 2D ultrasound Screening followed by Hysterosalpingography. Those women who were fertile and found to have uterine anomalies and needed reconfirmation of the provisional diagnosis were subjected to Hysterosalpingography. Results: Out of n=300 cases studied n=288 (96%) were with normal uterine anatomy and n=12 (4%) cases were detected with uterine malformations as seen by USG. N=5 (40.5%) had a Bicornuate Uterus. While uterus didelphys and unicornuate uterus were seen in n=2 (16.67%) each. Arcuate uterus, uterine septum, uterine Aplasia/Hypoplasia were seen in n=1(8.33%) women each respectively. Conclusion: Due to the psychological consequences associated with infertility, the effects of uterine anomalies on the life of women are very important. It is critical to know the exact nature of the anomaly, to plan for the most appropriate treatment modality. As most of these anomalies cannot be rectified by medical management, they need surgical correction. For optimal results, it is important to know the exact type of anomaly for surgical correction. The 2D USG can be recommended as the basic modality to evaluate uterine anomalies. HSG/MRI may be used to delineate detail of anomalies if initially detected by the 2D scan.

Psychological consequences and daily life adjustment for victims of intimate partner violence

Introduction Intimate partner violence (IPV) is a distressing reality worldwide. Victims of IPV usually experience long-term mental health disorders and maladjustments in their daily lives. Aims To examine the prevalence of depression, anxiety, and post-traumatic stress disorder in female victims of IPV that participated in a public mental health care program, and to analyze the relationships between the type of IPV exposure, its psychological consequences, and daily life adjustment. Method Up to 164 female victims of IPV referred by their primary care doctors to the Adult Mental Health Casntre of Sant Cugat del Vallès (Barcelona) between 2010 and 2016 were evaluated using several tests (Index of Spouse Abuse - ISA, Beck Depression Inventory - BDI-II, Sate-Trait Anxiety Inventory - STAI, the Maladjustement Scale - MS, and the Severity Symptom Scale for Post-traumatic Stress Disorder - EGS). Results Of the 164 referred women, 102 (62.2%) agreed to participate (mean age 44.98 years, range 19–71) and 73% scored above the cut-off point in the physical IPV dimension (ISA). Moreover, 73% had depression symptoms, 77% trait anxiety, and 87% state anxiety altered scores. Prevalence of post-traumatic stress disorder was also high (87%). IPV interfered significantly in all the aspects of the daily lives of 92% of the sample. Conclusions The participants of the study experienced many psychological symptoms and a high level of interference with all aspects of their daily lives. These consequences were of similar magnitude amongst victims of emotional abuse compared to those who suffered physical violence.

Psychological consequences of firefighters' working conditions: A Qualitative Study

Introduction: A high-risk job, firefighting involves a wide range of tasks. Given the difficult nature of the job with all the responsibilities included, and in addition to the impending physical injuries, firefighters undergo several emergencies which can endanger their psychological health. Therefore, the present study was conducted to investigate the psychological consequences of firefighters' work conditions. Materials and Methods: The research method was qualitative and phenomenological. Using the purposeful sampling method, 16 firefighters were selected from fire stations across the city of Kerman, Iran; saturation criteria were used in the selection of participants. Data were collected using semi-structured interviews and analyzed using Colaizzi’s seven-step method. In this way, first, the interviews were coded, and then based on the similarity of codes, 4 main categories were extracted. Results: results showed that persistent stress (caused by the sound of fire alarms and announcement of fire emergencies, trying to make it to the scene on time, worrying about not being on time, and not finding the address of the incidents, complications, and uncertainties of the incidents), sleep problems (these include sleep disturbances, insomnia, difficulty maintaining sleep, startled waking up, somniloquy), negative emotions reminiscent of painful events, and difficulty in establishing good relationships with family members, are the most important psychological consequences that firefighters faced due to their working conditions. Conclusion: Considering the important role of firefighters in providing services in emergencies, the psychological consequences of this job are risk factors that harm the health and the performance of firefighters. Therefore, appropriate measures and planning need to be taken to manage and reduce ongoing stress and improve the quality of firefighters' sleep. To manage and reduce negative emotions and their family problems, appropriate training should be provided.

‘Wars Begin in the Minds of Men’: Psychiatry and the Cold War Antinuclear Movement

This article analyzes the history of psychiatrists’ entwined efforts to understand the psychological effect of nuclear war’s threat and to disseminate those findings as a contribution to the antinuclear movement. The sub-specialty of ‘nuclear psychiatry’ sought: (1) to expose how avoidance, denial, and dehumanization set the conditions for the arms race and, potentially, nuclear war; (2) to explain the psychological consequences of nuclear war’s threat, particularly on children and adolescents. By enlightening leaders and the public about delusional, distorted thinking on the nuclear question and the rise of nuclear anxiety, psychiatrist-activists hoped to leverage their expertise for political ends. Connecting developments in the United States with those in Great Britain and the Soviet Union, this article draws on previously untapped archival and published materials, including research findings, media coverage, and internal documents from profession-based antinuclear organizations from the 1960s through the 1980s. In the process, it reveals the centrality of psy-disciplines to the history of the antinuclear movement and the Nuclear Age.