Corpus overview


MeSH Disease

Human Phenotype


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    Depressive, Anxiety HP, and Burnout Symptoms on Health Care Personnel at a Month After COVID-19 Outbreak in Indonesia: A Documentary Research Using Rasch Model Analysis

    Authors: Deni Kurniadi Sunjaya; Dewi Marhaeni Diah Herawati; Adiatma YM Siregar

    doi:10.21203/ Date: 2020-07-18 Source: ResearchSquare

    Background: Health personnel who demonstrated close contact TRANS with patients with COVID-19, might experience a higher risk of infection TRANS risk of infection TRANS infection MESHD and psychological problems. This study aims to explore depressive, anxiety HP, and burnout symptoms among health care personnel with a higher risk for psychological trauma.Methods: This study was a cross-sectional study using secondary data from an online assessment, which was conducted one month after the COVID-19 outbreak. A total of 544 respondents from 21 provinces in Indonesia were included. Data on depressive, anxiety HP, and burnout symptoms were transformed using the Rasch model. Data from health professionals in the higher risk group and the lower risk group were analyzed.Results: A higher percentage of health professionals experiencing depressive symptoms (22.8%), anxiety HP (28.1%), and burnout (26.8%) are found in the higher risk group. The chance for the higher risk group’s personnel to present with moderate and severe depressive symptoms, anxiety HP, and burnout are 5.3 (p < 0.05), 1.36 (p > 0.05), and 3.92 (p < 0.05) times higher, respectively. The probability for patient-induced burnout is 2.13 (p < 0.05) times higher and highest among the other burn MESHD out dimensions. The depressive symptoms complained were similar between groups: loneliness, sleep disturbances HP, difficulty concentrating, and inability to initiate activities. Loneliness demonstrates the highest logit value among the symptoms.Conclusions: Health professionals with direct contact and responsibility to treat COVID-19 patients exhibit a higher risk to experience depressive symptoms and burnout. Communication with peers and staying in contact with family needs to be encouraged. Physiological well-being should be considered for high-risk health personnel. Incentive or insurance guaranteed by the government or institution is essential as a reward and compensation during this period.

    Sleep Disorders, Perceived Stress and Family Support Among Nursing Staff During the Pandemic Crisis

    Authors: Athanasios Tselebis; Dimitra Lekka; Christos Sikaras; Effrosyni Tsomaka; Athanasios Tassopoulos; Ioannis Ilias; Dionisios Bratis; Argyro Pachi

    doi:10.21203/ Date: 2020-07-17 Source: ResearchSquare

    Background: The covid-19 pandemic is likely to cause mental health issues, especially for healthcare professionals. The aim of this study is to investigate levels of perceived stress, sleep disturbances HP and sense of family support among nurses in pandemic conditions. Methods: Athens Insomnia HP Scale (AIS), Perceived Stress Scale (PSS) and Family Support Scale (FSS) were administered in a sample of 150 nurses from different hospital departments during the COVID-19 pandemic. Individual and demographic data were recorded. Results: 120 women and 30 men completed the study questionnaires. Almost half of participants (49.7%) reported the presence of sleep difficulties and more than half (50.3%) experienced increased stress levels. Scores on AIS scale correlated positively with PSS scores (P<0.01), and nega­tively with FSS scores (P<0.01). A significantly negative correlation was observed between the PSS scores and the FSS scores (p<0.01). Regression model showed ‘scores on PSS scale’ and ‘years of work experience’ were significant predictors of ‘scores on AIS scale’, each explaining 43.6% and 2.3% of the variance. Scores on AIS scale’ and ‘scores on FSS scale’ were significant predictors of PSS explaining 43.7% and 9,2% of the variance .  Conclusion: The study confirmed that working with COVID-19 patients has a negative effect on the sleep of nurses, possibly mediated by increased levels of stress. Family support, as a protective factor, appears to moderate the deleterious consequences of stress.

    Negative impact of the COVID-19 pandemic on sleep quantitative parameters, quality, and circadian alignment: Implications for psychological well-being and emotional regulation

    Authors: Mohammad Ali Salehinejad; Maryam Majidinezhad; Elham Ghanavati; Sahar Kouestanian; Carmelo M. Vicario; Michael A. Nitsche; Vahid Nejati

    doi:10.1101/2020.07.09.20149138 Date: 2020-07-11 Source: medRxiv

    Background The COVID-19 pandemic has spread worldwide, affecting millions of people and exposing them to home quarantine, isolation, and social distancing. While recent reports showed increased distress and depressive/ anxiety HP state related to COVID-19 crisis, we investigated how home quarantine affected sleep parameters in healthy individuals. Methods 160 healthy individuals who were in home quarantine in April 2020 for at least one month participated in this study. Participants rated and compared their quantitative sleep parameters (time to go to bed, sleep duration, getting-up time) and sleep quality factors, pre-and during home quarantine due to the COVID-19 pandemic. Furthermore, participants chronotype was determined to see if sleep parameters are differentially affected in different chronotypes. Results The time to fall HP asleep and get-up in the morning were significantly delayed in all participants, indicating a significant circadian misalignment. Sleep quality was reported to be significantly poorer in all participants and chronotypes, and included more daily disturbances (more sleep disturbances HP, higher daily dysfunctions due to low quality of sleep) and less perceived sleep quality (lower subjective sleep quality, longer time taken to fall HP asleep at night, more use of sleep medication for improving sleep quality) during home quarantine. Conclusions Home quarantine due to COVID-19 pandemic has a detrimental impact on sleep quality. Online interventions including self-help sleep programs, stress management, relaxation practices, stimulus control, sleep hygiene, and mindfulness training are available interventions in the current situation.

    Sleep quality, mental health and circadian rhythms during COVID lockdown: Results from the SleepQuest Study

    Authors: Neil Carrigan; Alfie R Wearn; Saba Meky; James Selwood; Hugh Piggins; Nicholas Turner; Rosemary Greenwood; Elizabeth Coulthard

    doi:10.1101/2020.07.08.20148171 Date: 2020-07-10 Source: medRxiv

    Behavioural responses to COVID19 lockdown will define the long-term impact of psychological stressors on sleep and brain health. Here we tease apart factors that help protect against sleep disturbance HP. We capitalise on the unique restrictions during COVID19 to understand how time of day of daylight exposure and outside exercise interact with chronotype and sleep quality. 3474 people from the UK (median age TRANS 62, range 18 to 91) completed our online 'SleepQuest' Study between 29th April and 13th May 2020 - a set of validated questionnaires probing sleep quality, depression, anxiety HP and attitudes to sleep alongside bespoke questions on the effect of COVID19 lockdown on sleep, time spent outside and exercising and self-help sleep measures. Significantly more people (n=1252) reported worsened than improved sleep (n=562) during lockdown (p<0.0001). Factors significantly associated with worsened sleep included low mood (p<0.001), anxiety HP (p<0.001) and suspected, proven or at risk of COVID19 symptoms (all p<0.03). Sleep improvement was related to the increased length of time spent outside (P<0.01). Older people's sleep quality was less affected than younger people by COVID19 lockdown (p<0.001). Better sleep quality was associated with going outside and exercising earlier, rather than later, in the day. However, the benefit of being outside early is driven by improved sleep in 'owl' (p=0.0002) and not 'lark' (p=0.27) chronotype, whereas, the benefit of early exercise (inside or outside) did not depend on chronotype. Defining the interaction between chronotype, mental health and behaviour will be critical for targeted lifestyle adaptations to protect brain health through current and future crises.

    A Model of Care for Delivering Supports to Childcare Providers during the COVID-19 Pandemic

    Authors: Ruby Natale; Bridget Davidson; Malaika Woody; Ellen Kolomeyer; Farah D. Mahmoud; Victoria Valledor; Tatiana Hidalgo-Ferrer; Maite Schenker; Ana Robleto; Rachel Spector

    doi:10.21203/ Date: 2020-06-29 Source: ResearchSquare

    Objectives: The COVID-19 pandemic is a life-changing crisis that has pervasive effects on our society, but perhaps the forgotten are the childcare programs serving the youngest children TRANS who are in out-of-home care while their parents TRANS are on the frontlines. The purpose of the Jump Start initiative was to develop a model of care to support childcare providers during the pandemic.Method: The Inter-Agency Standing Committee reference group for Mental Health and Psychosocial Support (MHPSS) in Emergency MESHD Settings was used as a guideline to implement a 3-phase comprehensive tiered system of care.Results: In Phase 1, Workforce Development, 26 Mental Health Consultants were trained in trauma-informed care. 91 childcare providers completed Phase 2, Assessment of Needs through the Risk and Resiliency COVID-19 survey. Anxiety HP (72.6%), sleep disturbance HP (52.7%), and sadness/depression (39.6%) were reported impacts of the pandemic on providers. Accessing on-line services was the number one need identified. Phase 3, Resource Provision, established a 6-tiered model of care. There was a range of participation with 75% of providers participating in Tier 1 on-line supports to 40% receiving Tier 6 intensive mental health consultation.Conclusions: There is a distinct need to provide support for childcare providers especially given their role as a protective factor for children TRANS. Implementing a tiered mental health support system can potentially mitigate negative outcomes to improve the functioning of childcare settings. Understanding and addressing mental health and psychosocial considerations is the key to preventing the risk of long-term repercussion on the population’s wellbeing.

    The inevitability of Covid-19 related distress among healthcare workers: findings from a low caseload country under lockdown

    Authors: Feras Ibrahim Hawari; Nour A Obeidat; Yasmeen I Dodin; Asma S Albtoosh; Rasha M Manasrah; Ibrahim O Alaqeel; Asem H Mansour

    doi:10.1101/2020.06.14.20130724 Date: 2020-06-16 Source: medRxiv

    Objectives: To characterize psychological distress and factors associated with distress in healthcare practitioners working during a stringent lockdown in a country (Jordan) with one of the lowest incidence rates of Covid-19 globally. Methods: A cross-sectional online survey sent to physicians, nurses and technicians, and pharmacists working in various hospitals and community pharmacies. Demographic, professional and psychological characteristics (distress using Kessler-6 questionnaire, anxiety HP, depression, burnout, sleep issues, exhaustion) were measured as were potential sources of fear. Descriptive and multivariable statistics were performed using level of distress as the key outcome. Results: We surveyed 1,006 practitioners (55.3% females TRANS). Approximately 63%, 13%, 17% and 7% were nurses/technicians, physicians, pharmacists, and other nonmedical personnel (respectively). 32% suffered from high distress while 20% suffered from severe distress. Exhaustion, anxiety HP, depression, and sleep disturbances HP were reported (in past seven days) by approximately 34%, 34%, 19%, and 29% of subjects (respectively). Being older or male TRANS, perception of effective protective institutional measures, and being satisfied at work, were significantly associated with lower distress. Conversely, suffering burnout; reporting sleep-related functional problems; exhaustion; being a pharmacist (relative to a physician) and working in a cancer center; harboring fear about virus spreading; fear that the virus threatened life; fear of alienation from family/ friends TRANS; and fear of workload increases, were significantly associated with higher distress. Conclusion: Despite low caseloads, Jordanian practitioners still experienced high levels of distress. Identified demographic, professional and psychological factors influencing distress should inform interventions to improve medical professional resilience and distress likelihood, regardless of the variable Covid-19 situation.

    A Survey on Mental Health Impact Caused by COVID-19 Pandemic in Italian Pediatric Healthcare Workers.

    Authors: Paola Di Filippo; Marina Attanasi; Giulia Dodi; Annamaria Porreca; Massimiliano Raso; Sabrina Di Pillo; Francesco Chiarelli

    doi:10.21203/ Date: 2020-06-12 Source: ResearchSquare

    Background: Few studies investigated COVID-19 pandemic psychological effects on pediatric healthcare staff. The aim of this study was to evaluate sleep quality and psychological effects of pediatric healthcare workers during COVID-19 epidemic in Italy and to evaluate potential differences between Primary and Secondary Care operators. Methods: Pediatric healthcare workers were involved in an online survey aimed to characterize responders and to define their clinical expertise in the management of suspected or confirmed COVID-19 patients during pandemic. Using validated scores, the online questionnaire assessed sleep quality, stress and anxiety HP level, self-efficacy and social support in pediatric healthcare workers. Results: During COVID-19 outbreak, 67.43% of our population were suffering sleep disturbance HP, and we found a positive correlation between sleep disturbances HP with stress and anxiety HP. Furthermore, 19.42% of subjects were suffering anxiety HP and 53% were at risk of developing an acute stress disorder. Stress resulted inversely correlated with self-efficacy and social support.Secondary care operators were more affected than family pediatricians by sleep disturbances HP, stress but especially by anxiety HP. Social support was considerably higher in secondary care operators compared to family pediatricians.Conclusions: Despite the less exposure and the less infection MESHD probability, much of pediatric healthcare workers were suffered sleep disturbance HP, anxiety HP and potential stress disorder. In the Pediatric Units, these psychological effects could be related to other factors compared to frontline departments, such as the early confused situation, the difficulties in workplaces managing and in finding personal protective equipment, as well as the subsequent sense of helplessness and frustration.

    Does Sars-Cov-2 threaten our dreams? Effect of Quarantine on Sleep Quality and Body Mass Index

    Authors: Luigi Barrea; Gabriella Pugliese; Lydia Framondi; Rossana Di Matteo; Daniela Laudisio; Silvia Savastano; Annamaria Colao; Giovanna Muscogiuri

    doi:10.21203/ Date: 2020-06-02 Source: ResearchSquare

    Background: COVID 19- related quarantine led to a sudden and radical lifestyle changes, in particular in eating habits. Objectives of the study were to investigate the effect of quarantine on sleep quality (SQ) and body mass index (BMI), and if change in SQ was related to working modalities.Materials: We enrolled 121 adults TRANS ( age TRANS 44.9±13.3 years and 35.5% males TRANS). Anthropometric parameters, working modalities and physical activity were studied. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) questionnaire. At baseline, the enrolled subjects were assessed in outpatient clinic and after 40 days of quarantine/lockdown by phone interview. Results: Overall, 49.6% of the subjects were good sleepers (PSQI < 5) at the baseline and significantly decreased after quarantine (p<0.001). In detail, sleep onset latency (p<0.001), sleep efficiency (p=0.03), sleep disturbances HP (p<0.001), and daytime dysfunction (p<0.001) significantly worsened. There was also a significant increase in BMI values in normal weight (p=0.023), in subjects grade I (p=0.027) and II obesity MESHD obesity HP (p=0.020). In all cohort, physical activity was significantly decreased (p=0.004). However, analyzing the data according gender TRANS difference, males TRANS significantly decreased physical activity as well as females TRANS in which there was only a trend without reaching statistical significance (53.5% vs 25.6%; p=0.015 and 50.0% vs 35.9%, p=0.106; in males TRANS and females TRANS, respectively). In addition, smart working activity resulted in a significant worsening of SQ, particularly in males TRANS (p<0.001). Conclusions: Quarantine was associated to a worsening of SQ, particularly in males TRANS doing smart working, and to an increase in BMI values. 

    Knowledge, attitude and practice of Sari Birth Cohort members during early weeks of COVID-19 outbreak in Iran

    Authors: Leila Shahbaznejad; Mohammad Reza Navaifar; Mohsen Arabi; Faeze Sadat Movahedi; Fatemeh Hosseinzadeh; Seyed Alireza Fahimzad; Zahra Serati Shirazi; Mohammad Sadegh Rezai

    doi:10.21203/ Date: 2020-05-29 Source: ResearchSquare

    Background It has been determined that the coronavirus disease MESHD 2019 (COVID-19) pandemic needs social distancing and proper measures to prevent its spreading. This study aimed to determine COVID-19 knowledge, attitude, and practice among Sari Birth Cohort (SBC) members.Methods In this cross-sectional study linked to the SBC in north of Iran, mothers living in Sari and its suburbs from March 28 to April 8, 2020 were evaluated. The measurement tool was an online researcher-made, self-reported knowledge, attitude, and practice questionnaire related to COVID-19.Results In total, 1449 mothers with a mean age TRANS of 31.51 ± 5.73 years participated. Of them, 82.4% had good knowledge (98.6% in healthcare workers and 79.2% in housewives, p = 0.000). Most of them were worried about spread of the disease TRANS disease MESHD in the country (97.4%) and agreed that COVID-19 will finally be successfully controlled around the world (72.2%). Sleep disturbance HP was reported in 42.7% of mothers. Eighty-eight percent of cases wore masks and gloves when leaving the house, 99.4% washed their hands frequently while 12.9% went to any crowded places. People with better knowledge followed safer practices (p = 0.000) and were more worried about the spread of the disease TRANS disease MESHD in the country and infection MESHD (among themselves and their first-degree relatives) (p = 0.000).Conclusions Most of the SBC members had a good level of knowledge about COVID-19 but were worried about a long-term pandemic period. They also had good practices regarding the prevention of the disease MESHD.

    Anxiety HP, depression, attitudes, and internet addiction during the initial phase of the 2019 coronavirus disease MESHD (COVID-19) epidemic: A cross-sectional study in Mexico.

    Authors: Bryan Adrian Garcia-Priego; Arturo Triana-Romero; Samanta Mayanini Pinto-Galvez; Cristina Duran-Ramos; Omar Salas-Nolasco; Marisol Manriquez Reyes; Antonio Ramos de la Medina; Jose Maria Remes Troche

    doi:10.1101/2020.05.10.20095844 Date: 2020-05-15 Source: medRxiv

    Abstract Objectives: To describe the prevalence SERO and distribution of anxiety HP and depression among Mexican population, and to examine its association with internet addiction during the COVID-19 outbreak. Design: A web-based cross-sectional study. Setting: General population in Mexico. Participants: 561 subjects were recruited (71% female TRANS, mean age TRANS of was 30.7 {+/-} 10.6 years). Interventions: An online survey to assess personal attitudes and perceptions towards COVID-19, sleep-disorders related, the Mexican version of the Hospital Anxiety HP and Depression Scale (HADS) and the Internet Addiction Test (IAT) was applied. Primary and secondary outcome measures: Prevalence SERO of anxiety HP, depression, internet addiction and sleep disorders and associated factors. Also, prevalence SERO for anxiety HP and depression were compared to an historic control group. Results: During the initial phase of the COVID-19 pandemic the prevalence SERO for anxiety HP and depression was 50% (95% CI, 45.6% to 54.1%) and 27.6%, (95% CI 23.8% to 31.4%), respectively. We found a 51% (33% to 50%) increase in anxiety HP and up to 86% increase in depression uring the initial weeks of the lock-down compared to the control group. According to the IAT questionnaire, 62.7% (95% CI 58.6% to 68.8%) of our population had some degree of internet addiction. Odds ratio for development of anxiety HP symptoms was 2.02 (95% CI1.56-2.1, p=0.0001) and for depression was 2.15 (95% CI 1.59-2.9, p=0.0001). In the multivariate analysis, younger age TRANS (p=0.006), sleep problems (p=0.000), and internet addiction ( p=0.000) were associated with anxiety HP and depression. Conclusions: Our study provides valuable information on the psychological impact that the COVID-19 pandemic has had on the Mexican population. As in other parts of the globe, in Mexico, fear of SARS-CoV-2 infection MESHD has had devastating consequences on mental health, such as anxiety HP, depression and sleeping disturbances HP. Internet abuse and the consequent overexposure to rapidly spreading misinformation (infodemia) are associated to anxiety HP and depression.

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MeSH Disease
Human Phenotype

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