COVID-19 Pandemic and Lockdown: Psychological Distress Impact amongst PCL Nursing Students of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal

Introduction: The uncontrolled spread of COVID-19 worldwide has confined millions of people to their homes. In addition to being a public physical health emergency, COVID-19 (Corona Virus Disease 2019) has significantly resulted in a large number of psychological distress and impacts. The career oriented professional students are away from their academic environment. Aims: This study aims to assess the psychological distress impact of the COVID-19 pandemic among the Proficiency Certificate Level Nursing of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal. Methods: The online survey with a link directed to students of Proficiency Certificate Level (PCL) Nursing of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal conducted during lockdown (July 16th –July 21st 2020) which was open for 6 days. Sociodemographic characteristics are the independent variables. Psychological distress was constructed using the Kessler Psychological Distress Scale (K10) Scale as a dependent variables. Data were analyzed using Microsoft Excel. Results: The evidence of the survey showed that in total 80.2, % (severely distressed - 30.7%, moderately distressed -29.7%, mildly distressed- 19.8%) of the Proficiency Certificate Level Nursing students of Nepalgunj Nursing Campus, were having psychological distress during COVID-19 pandemic and lockdown assessed by using K10 scale. Conclusion: The present study showed that Proficiency Certificate Level Nursing students were moderately and severely distressed during lockdown of Covid-19 pandemic.

Evaluating How Mental Health Changed in Australia through the COVID-19 Pandemic: Findings from the ‘Taking the Pulse of the Nation’ (TTPN) Survey

The COVID-19 pandemic has had a significant impact on mental health at the level of the population. The current study adds to the evidence base by examining how the prevalence of psychological distress changed in Australia during the pandemic. The study also assesses the psychometric properties of a new single-item measure of mental distress included in a survey program conducted regularly throughout the pandemic. Data are from 1158 respondents in wave 13 (early July 2020) of the nationally representative Taking the Pulse of the Nation (TTPN) Survey. The questionnaire included the six-item Kessler Psychological Distress Scale (K6) and a new single-item measure of distress. Results show a significant increase in the prevalence of psychological distress in Australia, from 6.3% pre-pandemic to 17.7% in early July 2020 (unadjusted odds ratio = 3.19; 95% CI (confidence interval) = 2.51 to 4.05). The new single-item measure of distress is highly correlated with the K6. This study provides a snapshot at one point in time about how mental health worsened in Australia during the COVID-19 pandemic. However, by demonstrating the accuracy of the new single-item measure of distress, this analysis also provides a basis for further research examining the trajectories and correlates of distress in Australia across the pandemic.

Peran Self-Esteem dan Stress terhadap Harassment Pada Pemain Online Game Dewasa Awal

Tujuan dari penelitian ini adalah untuk menguji korelasi antara self-esteem dan stress terhadap perilaku harassment di online game. Ada 136 responden dewasa awal yang berpartisipasi dalam penelitian ini, mereka semua dipilih menggunakan teknik non-probability sampling. Penelitian ini menggunakan metode kuantitatif. Setiap partisipan diminta menyelesaikan Rosenberg Self-Esteem Scale (RSES), Kessler Psychological Distress Scale, dan skala The Video Game Harassment Scale milik Fox and Tang. Semua skala telah terbukti reliable dimana alpha cronbach untuk RSES adalah 0.856, 0.917 untuk Kessler Psychological Distress Scale, dan 0.806 untuk skala The Video Game Harassment Scale. Hasil menunjukan bahwa ada korelasi yang signifikan antara stress dan harassment (r = 0.197, p = 0.022), dan tidak ada korelasi signifikan antara self-esteem dan harassment (r = -0.062, p = 0.472)

Distress Levels of Parents of Children with Neurodevelopmental Disorders during the COVID-19 Pandemic: A Comparison between Italy and Australia

Parents of children with a neurodevelopmental disorder (NDD) report higher levels of distress compared to those of typically developing children. Distress levels may be heightened by the restrictions associated with the COVID-19 pandemic. However, it is unclear whether distress levels of parents varied by the diagnosis of neurodevelopmental disorder in children during the COVID-19 pandemic. This study aims to investigate whether parental distress was influenced by the type of NDD. Participants were from Australia (N = 196) and Italy (N = 200); the parents of children aged 3–18 were invited to complete an online self-reported survey which included the 6-item Kessler Psychological Distress Scale (K6) to determine parental distress. The results show that intellectual or learning disorder (ILD) is a major contributor to parental distress compared to other NDDs in both Australia and Italy. Moreover, the worsening of symptomatic changes in children with NDDs was significantly associated with parental distress. The differences between the two countries in terms of the pandemic impact, however, were not statistically significant. The results suggest that intervention strategies need to be tailored for individual clinical information and factor in the society’s stringency level of anti-contagion policies to improve parental wellbeing.

The effects of preoperative alcohol, tobacco, and psychological stress on postoperative complications: a prospective observational study

Background Postoperative complications occur frequently, despite progress in anesthetic pharmacology and surgical techniques. Although habits, such as alcohol and tobacco use, and mental health have been studied individually as modifying factors, few studies have examined the relationship between multiple lifestyle choices and postoperative complications in patients undergoing surgery. Hence, this study aimed to investigate the associations between unhealthy lifestyle choices and postoperative complications. Methods We included 730 patients who underwent surgery in our department between March 2015 and April 2016. Participants completed preoperative questionnaires, including the Alcohol Use Disorders Identification Test, Fagerström Test for Nicotine Dependence, and tests for psychological stress (6-item Kessler Psychological Distress Scale; Hospital Anxiety and Depression Scale). Multivariable logistic analysis was used to analyze the association of preoperative drug dependence and psychological stress with postoperative complications. Results Of the 721 cases analyzed, 461 (64%) were women. The median age of patients was 62 years (interquartile range: 48–71). At the time of surgical decision-making, 429 out of 710 respondents (60%) had a drinking habit, and 144 out of 693 respondents (21%) had a smoking habit during the preceding year. Seventy-nine patients had developed complications. Multivariable analysis revealed that old age (p = 0.020), psychological stress (p = 0.041), and longer anesthesia time (p < 0.001) were significantly associated with postoperative complications. Drinking or smoking variables were not associated with postoperative complications. Conclusions Preoperative psychological stress, as evaluated with the 6-item Kessler Psychological Distress Scale, is associated with the risk of postoperative complications.

Association between Having Cancer and Psychological Distress among Family Caregivers Using Three Years of a Nationwide Survey Data in Japan

We aimed to describe the characteristics of caregivers with cancer compared to those without and analyze the association between having cancer and caregivers’ psychological distress in Japan. We used data from the Japanese Comprehensive Survey of Living Conditions in 2010, 2013, and 2016. The participants were 5258 family caregivers aged ≥40 years, caring for only one family member whose information in the dataset was available for all the covariates included in the model. The family caregivers’ psychological distress was defined by the Kessler Psychological Distress Scale (K6) score (K6 ≥ 5). We conducted a Poisson regression analysis to examine the association between having cancer and family caregivers’ distress. The sample of family caregivers consisted of mostly females (69.3%) and people within the 40–64 years age group (51.8%). As a result, family caregivers with cancer increased across the survey periods; a higher number of participants were unemployed. When adjusted for covariates, including the presence of other diseases, having cancer was significantly associated with distress (risk ratio 1.33, 95% confidence interval 1.05–1.69) among family caregivers. Family caregivers with cancer are expected to increase in the future; it is important to provide them with more support in managing both their treatment and caregiving to cope with their distress.

The Effects of Preoperative Alcohol, Tobacco, and Psychological Stress on Postoperative Complications: A Prospective Observational Study

Background: Postoperative complications occur frequently, despite progress in anesthetic pharmacology and surgical techniques. Although habits, such as alcohol and tobacco use, and mental health have been studied individually as modifying factors, few studies have examined the relationship between multiple lifestyle choices and postoperative complications in patients undergoing surgery. Hence, this study aimed to investigate the associations between unhealthy lifestyle choices and postoperative complications.Methods: We included 730 patients who underwent surgery in our department between March 2015 and April 2016. Participants completed preoperative questionnaires, including the Alcohol Use Disorders Identification Test, Fagerström Test for Nicotine Dependence, and tests for psychological stress (6-item Kessler Psychological Distress Scale; Hospital Anxiety and Depression Scale). Multivariable logistic analysis was used to analyze the association of preoperative drug dependence and psychological stress with postoperative complications.Results: Of the 721 cases analyzed, 461 (64%) were women. The median age of patients was 62 years (interquartile range: 48–71). At the time of surgical decision-making, 429 out of 710 respondents (60%) had a drinking habit, and 144 out of 693 respondents (21%) had a smoking habit during the preceding year. Seventy-nine patients had developed complications. Multivariable analysis revealed that old age (p = 0.020), psychological stress (p = 0.041), and longer anesthesia time (p < 0.001) were significantly associated with postoperative complications. Drinking or smoking variables were not associated with postoperative complications.Conclusions: Preoperative psychological stress, as evaluated with the 6-item Kessler Psychological Distress Scale, is associated with the risk of postoperative complications.

A National Study to Assess Validity and Psychometrics of the Short Kessler Psychological Distress Scale (K6)

This study aimed to test the validity and reliability of the Kessler Psychological Distress Scale-6 (K6) with a nationally representative clinical sample with various mental health disorders. The cross-sectional, nationally representative, and publicly available data were extracted from the 2014 Health Center Patient Survey (HCPS), which was sponsored by the Health Resources and Services Administration (HRSA). After excluding certain participants for the purpose of this study, we had a total of 1,863 participants. The highest and lowest psychological distress weighted scores were reported by individuals with bipolar disorder ( M = 17.16) and individuals with schizophrenia ( M = 16.09), respectively, although psychological distress interference was highest in individuals with schizophrenia ( M = 2.44). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) results yielded a unidimensional factor solution for K6 scale in all subgroups. The K6 is a brief, reliable, and valid measure of psychological distress in adults with panic disorder, generalized anxiety disorder, bipolar disorder, and schizophrenia.