SARS-CoV-2 Positive and Isolated at Home: Stress and Coping Depending on Psychological Burden

Objective: The SARS-CoV-2 pandemic has led to pronounced health changes, especially for those infected and psychologically burdened. This cross-sectional study examined the stress experience and coping strategies during home isolation of SARS-CoV-2 infected individuals and analyzed differences regarding psychological burden.Methods: SARS-CoV-2 infected respondents were recruited by telephone and completed an online survey during their home isolation. This questionnaire assessed sociodemographic aspects, somatic factors, psychological burden (depressive symptoms, anxiety, and somatic symptom disorder), perceived stress and coping behavior during the home isolation.Results: Out of 838 SARS-CoV-2 infected individuals during the study period, 648 were contacted and 224 home-isolated respondents were included in the study. Disgrace, social restrictions, job fear, health concerns, and infectiousness could be explored as stressors during the home isolation. Fifty-four percent experienced psychological burden. SARS-CoV-2 infected and home-isolated individuals with psychological burden perceived significant stressors more strongly (p < 0.001, r = 0.5) and coped significantly less (p < 0.001, r = 0.3) with their infection and home isolation compared to SARS-CoV-2 infected individuals without psychological burden.Conclusion: SARS-CoV-2 infected individuals with psychological burden experienced higher stressors and were unable to cope adaptively with home isolation. Therefore, a general and standardized screening procedure for psychological burden should be established. SARS-CoV-2 infected individuals with psychological burden should receive targeted support with professional help in the areas of stress experience and coping skills during their home isolation and beyond to avoid long-term consequences.

Spatial Environment of Home, Stress Management, and Welfare of Family Living in Two-Level Marginal Regions

This study aims to analyze the home environment, stress management, and families' welfare in marginal areas. The study design was cross-sectional, and samples were selected by random cluster sampling, as many as 126 families consisting of 63 families from the very dense region (VDR> 200 people per Ha) and 63 families from a rather dense region (RDR, 121-160 people per Ha) in Bogor, West Java, Indonesia. The data were collected by interview using a questionnaire in March and April 2014 and analyzed using descriptive and comparison tests. The analysis showed that families in RDR had a lower density but had a higher crowd level than in VDR, so that families in RDR had to try harder to get non-physical privacy. RDR families had a higher source of stress, thus encouraging them to did more coping strategies. The analysis showed that families in RDR had higher objective well-being but lowered subjective welfare than families in VDR. Families in RDR had higher physical welfare and lowered social and psychological welfare than families in VDR. The research findings had implications for the importance of strengthening the family environment and developing research methodologies in the field of family ecology.

Association of work performance and interoceptive awareness of ‘body trusting’ in an occupational setting: a cross-sectional study

ObjectivesWork performance has been known to be influenced by both psychological stress (mind) and physical conditions (body). The aim of this study was to investigate the association between work performance and ‘body trusting’, which is a dimension of interoceptive awareness representing mind–body interactions.MethodsA cross-sectional study was conducted among a sample of workers in an industrial manufacturing company in Japan. Participants were assessed with a self-reported questionnaire including evaluations of work performance, body trusting, psychological distress, pain persistence, workplace and home stressors, and workaholism. Participants’ sociodemographic, health and lifestyle characteristics were collected from their annual health check data. The association between work performance and body trusting was examined using multivariable regression analyses in the overall sample and in a subsample of people with pain.ResultsA total of 349 workers participated in the study. A significant association between work performance and body trusting was observed, with higher body trusting representing higher work performance. The association was significant after controlling for psychological distress, workplace and home stress, workaholism and participants’ characteristics (p<0.001). Compared with people without pain (n=126, 36.1%), people with pain (n=223, 63.9%) showed less body trusting, which was associated with decreased work performance after controlling for pain-related variables (p<0.001).ConclusionsWorkers with higher body trusting showed higher work performance, even after controlling for various influencing factors. Body trusting may be an important target to promote work performance and to prevent loss of performance induced by health problems.

722 Sleep Loss in Healthcare Workers During the COVID-19 Pandemic

Introduction During the pandemic, healthcare workers have shared their stresses on social media, including regarding sleep disturbances. However, an assessment of sleep using validated measures among healthcare workers on social media is lacking. Methods A restricted, self-selection survey was distributed on Facebook, Twitter, and Instagram for 16 days targeting healthcare workers who were clinically active during COVID-19. In addition to demographics and career information, participants completed the Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index. Poor sleep quality was defined as PSQI &gt; 5. Moderate-to-severe insomnia was defined as an ISI &gt; 14. Multivariate logistic regression tested the association between demographics and career characteristics and sleep outcomes. Results Of the 983 who clicked our link, 906 completed the survey. Participants were mostly white (70%), female (75%), physicians (64%). Mean sleep duration was 6.1 (SD1.2) hours. Nearly 90% experienced poor sleep (PSQI). One third reported moderate or severe insomnia. Many (60%) reported sleep disruptions due to device usage or due to bad dreams at least once per week (45%). In multivariable regression, non-physicians (OR 3.5, CI: 2.5, 5.0), Hispanic ethnicity (OR 2.2; CI: 1.44, 3.45), being single (1.5, CI: 1.03, 2.21), and youngest age group (18–24) (OR 9.9; CI: 1.44, 68.09) had increased odds of insomnia. In open-ended comments, sleep disruptions mapped to 5 categories: (1) Work demands (“The volume of calls and messages from my patient and caregiver population is through the roof”); (2) Pandemic related (“I never had sleep issues prior to the COVID-19 pandemic. Suddenly I had issues with sleep initiation.”; (3) Children and family (“COVID plus home stress plus stress over my kids, my job, my marriage.”); (4) Personal health (“Insomnia predating COVID, but worsened with COVID.”); (5) Responses to the pandemic (“I worry about how COVID is being managed by the President...This does keep me awake at night.”). Conclusion During the COVID-19 pandemic, 90% of healthcare workers surveyed on social media reported poor sleep, with over one-third of participants reporting moderate-severe insomnia. Online sleep interventions for healthcare workers are urgently needed. Support (if any):

A Study of Stress Complications among Employees during Covid-19 Pandemic Special References to Chennai City

Nowadays, stress is a common word used in day-to-day life. With the spread of the coronavirus, many states have issued stay-at-home orders. Many companies have mandated that employees work from home to help stop the spread of COVID-19 between members of your staff with other employees and their families. This research finds out employee work from home stress complicates during Covid-19 Lockdown. The primary data were collected through structured questionnaires from 454 respondents using Google form. The majority was 45% of the respondents are male, 43% of the respondents are 21-30 years age group, 40% of the respondents are Diploma/ITI qualified, 35% of the respondents are Rs. 20,001 to Rs. 30,000 income group,% of the respondents are not feeling stressing in accepting all works, 47% of the respondents are not accepted lockdown increase work pressure, majority of the respondents are not doing work from home and it is found that the majority of respondents employed in the private sector and the majority of respondents do not accept normal working days better than this lockdown. Data were processed and analyzed by the Statistical Package for social science. A chi-square test was used to investigate the level of association among variables at the significance level of p<0.05. This study to find out the stress complication among employees during COVID -19 special references to Chennai City.

Social Distancing Compliance under COVID-19 Pandemic and Mental Health Impacts: A Population-Based Study

The success of public health measures for controlling the coronavirus disease 2019 (COVID-19) pandemic relies on population compliance. We analyzed compliance with social distancing and its associations with mental health. The Hong Kong COVID-19 Health Information Survey was conducted from 9–23 April 2020 on 1501 adults randomly sampled for landline telephone interviews (n = 500) and online surveys (n = 1001). Compliance with social distancing and staying-at-home, stress (Perceived Stress Scale-4), anxiety (General Anxiety Disorders-2), and depressive symptoms (Patient Health Questionnaire-2) were collected. The associations between mental health symptoms and compliance were examined by multivariable regression models. Of the 1501 respondents (52.5% female, 72.3% aged 18–59 years), 74.2%, 72.7%, and 59.7% reported avoiding going out, going to crowded places, and attending social gatherings of more than four people, respectively. Most respondents had stayed-at-home for at least four of the past seven days (58.4%; mean 4.12, Standard Deviation 2.05). Adoption, perceived effectiveness, and perceived compliance with social distancing were associated with lower stress levels and less anxiety and depressive symptoms (all p < 0.01). However, more days stayed-at-home were associated with more depressive symptoms (adjusted Odds Ratio 1.09; 95%Confidence Interval 1.00, 1.18). The long-term psychological impact in relation to social distancing and staying-at-home requires further investigation.

Clinical Study of Chronic Heredofamilial Migraine with Aura

Sixteen patients ranging from 19 to 68 years-old were studied with Chronic Heredofamilial Migraine with Aura. The following symptoms were associated to chronic heredofamilial migraine: dizziness, vertigo, syncope, redness eye, photophobia, blurred vision and reduced and loss of vision, scintillant scotomas, dizziness, ears noise, temporospatial disorientation, memory disorders, effort dyspnea, asthenia, son phobia, nausea, vomits, and social, labor and home stress. The followings symptoms were interpreted as migraine auras: Blurred vision and reduced and loss of vision, scintillant scotomas, dizziness, ears noise. The following comorbidities were found: syncope, bradycardia, mitral prolapse and tachycardia, effort dyspnea, asthenia, seizures, environment, labor and home stress, sleep disorders or insomnia and constipation. The followings aspects were discussed: migraine and prodroms, migraine and vascular diseases, migrainous vertigo and dizziness, symptoms related to the visual system in migraine, migraine and sleep disorders, hemiplegic migraine, neural correlates of migraine, histamine and migraine, the calcitonin gene-related peptide in migraine and its role in migraine physiopathology, and migraine genetic

Life satisfaction in Norwegian medical doctors: a 15-year longitudinal study of work-related predictors

Background Despite many recent studies on burn-out and dissatisfaction among American medical doctors, less is known about doctors in the Scandinavian public health service. The aims of this study were to analyse long-term work-related predictors of life satisfaction among established doctors in Norway and to identify predictors in a subgroup of doctors who reported a decline in life satisfaction. Methods Two nationwide cohorts of doctors (n = 1052), who graduated medical school 6 years apart, were surveyed at graduation from medical school (T1, 1993/94 and 1999), and 4 (T2), 10 (T3), and 15 (T4) years later. Work-related predictors of life satisfaction (three items) obtained at T2 to T4 were analysed. Individual and lifestyle confounders were controlled for using mixed-models repeated-measures analyses, and logistic regression analyses were applied to identify predictors of the decrease in life satisfaction. Results Ninety per cent (947/1052) responded at least once, and 42% (450/1052) responded at all four times. Work-related predictors of higher life satisfaction in the adjusted model were work–home stress (β = − 0.20, 95% confidence interval [CI] = − 0.25 to − 0.16, p < 0.001), perceived job demands (β = − 0.10, CI = − 0.15 to − 0.05, p < 0.001), and colleague support (β = 0.05, CI = 0.04 to 0.07, p < 0.001). The new adjusted individual predictors that we identified included female gender, reality weakness trait, and problematic drinking behaviour. Neuroticism trait and low colleague support predicted a decrease in life satisfaction. Conclusions Work–home stress, perceived job demands, and colleague support were the most important predictors of life satisfaction related to doctors’ work. When personality traits were controlled for, female doctors were more satisfied with their life than male doctors. These findings suggest that improving work-related factors with targeted interventions, including a supportive work environment, may increase life satisfaction among doctors.