International Journal of Environmental Research and Public Health,
Journal Year:
2023,
Volume and Issue:
20(2), P. 1410 - 1410
Published: Jan. 12, 2023
COVID-19
has
challenged
the
health
workforce
worldwide.
In
this
cross-sectional
study
with
a
retrospective
assessment,
we
explored
impact
of
pandemic
on
mental
and
sleep
among
sample
Italian
nurses
medical
doctors.
A
total
287
healthcare
workers
(212
75
physicians)
completed
web
survey
socio-demographic,
psychological,
sleep-related
aspects
referring
to
period
before
present
February
June
2022.
Comparisons
between
physicians
revealed
that
former
had
greater
distress
in
response
pandemic.
Consistently,
multivariate
analysis
covariance
showed
even
if
both
groups
were
negatively
impacted
by
pandemic,
presented
worsening
over
time
regarding
several
psychological
symptoms.
Furthermore,
observed
working
frontline
represented
an
additional
risk
factor
for
nurses.
line
previous
evidence,
also
found
personal
experiences
are
significant
predictors
current
status.
Our
results
underscore
urgent
need
preventive
programs
operators
increase
their
coping
skills
prevent
long-term
consequences
chronic
stress,
especially
high-risk
professionals.
Specific
attention
should
be
devoted
improve
quality
reduce
traumatic
Frontiers in Public Health,
Journal Year:
2021,
Volume and Issue:
9
Published: Oct. 29, 2021
In
the
current
period
of
global
public
health
crisis
due
to
COVID-19,
healthcare
workers
are
more
exposed
physical
and
mental
exhaustion
–
burnout
for
torment
difficult
decisions,
pain
losing
patients
colleagues,
risk
infection,
themselves
their
families.
The
very
high
number
cases
deaths,
probable
future
“waves”
raise
awareness
these
challenging
working
conditions
need
address
by
identifying
possible
solutions.
Measures
have
been
suggested
prevent
or
reduce
at
individual
level
(physical
activity,
balanced
diet,
good
sleep
hygiene,
family
support,
meaningful
relationships,
reflective
practices
small
group
discussions),
organizational
(blame-free
environments
sharing
experiences
advices,
broad
involvement
in
management
multi-disciplinary
psychosocial
support
teams,
safe
areas
withdraw
quickly
from
stressful
situations,
adequate
time
planning,
social
support),
cultural
(involvement
development,
implementation,
testing,
evaluation
measures
against
burnout).
Although
some
progress
has
made
removing
barrier
psychological
cope
with
work-related
stress,
a
change
is
still
needed
stigma
associated
illness.
key
recommendation
challenges
that
emergency
poses
aggregate
health,
well-being
behavioral
science
expertise
through
long
term
researches
rigorous
planning
reporting
drive
necessary
improvement
systems.
International Journal of Environmental Research and Public Health,
Journal Year:
2021,
Volume and Issue:
18(15), P. 8172 - 8172
Published: Aug. 2, 2021
The
primary
aim
was
to
evaluate
the
burnout
prevalence
among
healthcare
workers
(HCWs)
in
intensive
care
units
(ICUs)
and
emergency
departments
(EDs)
during
COVID-19
pandemic.
secondary
identify
factors
associated
with
this
population.
A
systematic
review
conducted
following
PRISMA
guidelines
by
searching
PubMed,
Embase,
PsychINFO,
Scopus
from
1
January
24
November
2020.
Studies
information
about
prevalence/level
pandemic
regarding
ICU/ED
HCWs
were
eligible.
total
of
927
records
identified.
selection
resulted
11
studies.
Most
studies
April/May
Samples
ranged
15
12,596
participants.
overall
49.3%
58%.
Nurses
seemed
be
at
higher
risk.
Both
socio-demographic
work-related
features
burnout.
Many
pandemic-related
variables
burnout,
e.g.,
shortage
resources,
worry
COVID-19,
stigma.
This
highlighted
a
substantial
HCWs.
However,
population
has
presented
high
for
long
time,
there
is
not
sufficient
evidence
understand
if
such
currently
increased.
It
also
outlined
modifiable
need
improve
preparedness
both
an
individual
structural
level.
Frontiers in Psychology,
Journal Year:
2021,
Volume and Issue:
12
Published: Sept. 21, 2021
Background:
Mental
health
burden
has
been
massively
reported
during
the
COVID-19
pandemic
period.
Aiming
to
summarise
these
data,
we
present
a
meta-review
of
meta-analyses
that
evaluated
impact
on
anxiety,
depressive
and
stress
symptoms,
psychological
distress,
post-traumatic
disorder/symptoms
(PTSD),
sleep
disturbance,
reporting
its
prevalence
general
public
(GP)
care
workers
(HCW).
Methods:
A
search
was
performed
in
PubMed,
EMBASE,
Web
Science.
Sleep
disturbances,
stress,
burnout
were
grouped
as
"Psychophysiological
stress,"
depression,
PTSD
"Psychopathology."
random-effects
model,
calculating
pooled
together
with
95%
confidence
interval
for
each
domain.
Subgroup
analyses
population
type
(GP
HCW)
mental
outcome.
For
anxiety
subgroup
analysis
performed.
Heterogeneity
is
I2.
Publication
bias
assessed
through
visual
inspection
funnel
plot,
further
tested
by
Egger's
test
trim
fill
analyses.
Results:
total
18
included.
The
psychophysiological
31.99%
(CI:
26.88-37.58,
I2
=
99.9%).
HCW
showed
higher
(37.74%,
CI:
33.26-42.45,
99.7%)
than
GP
(20.67%,
15.07-27.66,
overall
insomnia,
were,
respectively,
32.34%
25.65-39.84),
28.25%
18.12-41.20),
36%
29.31-43.54).
Psychopathology
at
26.45%
24.22-28.79,
99.9%)
sample,
similar
estimates
(HCW
26.14%,
23.37-29.12,
99.9%;
GP:
26.99%,
23.41-30.9,
27.77%
24.47-31.32),
26.93%
23.92-30.17),
20%
15.54-24.37),
respectively.
Similar
proportions
between
populations
found
27.5%,
23.78-31.55;
28.33%,
22.1-35.5)
depression
27.05%,
23.14-31.36;
26.7%,
22.32-31.59).
Asymmetry
plot
found,
slight
increase
estimate
psychopathology
(29.08%,
26.42-31.89)
after
analysis.
Conclusions:
problems
ranged
from
20
36%.
presented
population.
Systematic
Review
Registration:https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=252221,
identifier:
CRD42021252221.
International Journal of Nursing Studies,
Journal Year:
2022,
Volume and Issue:
131, P. 104272 - 104272
Published: April 28, 2022
Hospital
staff
is
at
high
risk
of
developing
mental
health
issues
during
the
coronavirus
(COVID-19)
pandemic.
However,
literature
lacks
an
overall
and
inclusive
picture
problems
with
comprehensive
analysis
among
hospital
COVID-19
To
ascertain
prevalence
anxiety,
depression
other
outcomes
as
reported
in
original
articles
A
PRISMA
2020
MOOSE
2000
compliant
umbrella
review
published
meta-analyses
observational
studies
evaluating
Systematic
searches
were
conducted
PubMed/Medline,
CINAHL,
EMBASE,
PsycINFO
from
December
1st,
2019,
until
August
13th
2021.
The
random
effects
model
was
used
for
meta-analysis,
I2
index
employed
to
assess
between-study
heterogeneity.
Publication
bias
using
Egger
test
LFK
examined.
Data
analyzed
STATA
17.0
software.
AMSTAR-2
applied
quality
assessment
systematic
reviews,
while
we
GRADE
rate
evidence.
Forty-four
1298
individual
included
final
analysis,
encompassing
16
symptoms.
One-third
workers
anxiety
(Prevalence:
29.9%,
95%
CI:27.1%
32.7%)
28.4%,
CI:25.5%
31.3%)
symptomatology,
about
40%
(95%
CI:
36.9%
42.0%)
suffered
sleeping
disorders.
Fear-related
symptoms,
reduced
well-being,
poor
life,
acute
stress
symptoms
had
highest
staff.
evidence
these
areas
varied
low
very
low.
Nurses
more
often
sleep
than
doctors,
whereas
doctors
a
higher
post-traumatic
burden
depression,
disorders
female
employees
their
male
counterparts.
Remarkably,
insomnia
affected
half
first-line
medical
pandemic
generally
high,
representing
most
robust
based
on
large
dataset
meta-analyses.
there
no
strong
confidence
body
each
outcome
assessed.
Not
registered.
having
major
impact
need
support
must
be
different
nurses
@eldi12345.
BMJ Open,
Journal Year:
2021,
Volume and Issue:
11(9), P. e054528 - e054528
Published: Sept. 1, 2021
Objectives
To
summarise
the
evidence
relating
to
prevalence
of
anxiety
and
depression
among
healthcare
workers
(HCWs)
during
COVID-19
pandemic.
Design
An
umbrella
review
systematic
reviews
was
undertaken
using
Joanna
Briggs
Institute
(JBI)
methods.
Data
sources
The
Cochrane
database
reviews,
JBI
Evidence
Synthesis,
MEDLINE,
Web
Science,
PsycINFO,
Embase
CINAHL
were
searched
in
March
2021
for
published
English.
Eligibility
criteria
Systematic
reporting
HCWs
Two
researchers
screened
each
abstract
independently
reviewed
full
text
articles.
Study
quality
assessed
critical
appraisal
tool
degree
overlap
primary
studies
calculated.
Results
Ten
(100
unique
studies),
including
169
157
from
35
countries
included.
all
ranged
22.2%
(95%
CI
21.3%
23.1%)
33.0%
31.9%
34.1%).
physicians
(n=5820)
reported
be
between
17%
19.8%
nurses
(n=14
938)
22.8%
27%.
17.9%
17.1%
18.8%)
36%
34.9%
37.1%).
(n=643)
(n=8063)
40.4%
28%,
respectively.
Conclusions
There
is
wide
variation
evident
presence
HCWs.
In
particular,
high.
Strategies
reduce
incidence
are
urgently
required.
PROSPERO
registration
number
CRD42021238960.
BMC Psychology,
Journal Year:
2023,
Volume and Issue:
11(1)
Published: April 11, 2023
The
COVID-19
pandemic
affected
everyone
around
the
globe.
Depending
on
country,
there
have
been
different
restrictive
epidemiologic
measures
and
also
long-term
repercussions.
Morbidity
mortality
of
mental
state
every
human
being.
However,
social
separation
isolation
due
to
considerably
increased
this
impact.
According
World
Health
Organization
(WHO),
anxiety
depression
prevalence
by
25%
globally.
In
study,
we
aimed
examine
lasting
effects
general
population.A
cross-sectional
study
using
an
anonymous
online-based
45-question
online
survey
was
conducted
at
Comenius
University
in
Bratislava.
questionnaire
comprised
five
questions
two
assessment
tools
Zung
Self-Rating
Anxiety
Scale
(SAS)
Depression
(SDS).
results
Scales
were
statistically
examined
association
with
sex,
age,
level
education.A
total
205
subjects
participated
no
responses
excluded.
group,
78
(38.05%)
participants
male,
127
(61.69%)
female.
A
higher
tendency
exhibited
female
(p
=
0.012)
age
group
under
30
years
0.042).
education
has
identified
as
a
significant
factor
for
changes
state,
levels
tended
be
worse
0.006).Summarizing
pandemic,
people
feel
worse,
while
females
younger
adults
felt
more
anxiety.
Current Neuropharmacology,
Journal Year:
2023,
Volume and Issue:
22(4), P. 557 - 635
Published: May 3, 2023
Abstract:
This
narrative
state-of-the-art
review
paper
describes
the
progress
in
understanding
and
treatment
of
Posttraumatic
Stress
Disorder
(PTSD).
Over
last
four
decades,
scientific
landscape
has
matured,
with
many
interdisciplinary
contributions
to
its
diagnosis,
etiology,
epidemiology.
Advances
genetics,
neurobiology,
stress
pathophysiology,
brain
imaging
have
made
it
apparent
that
chronic
PTSD
is
a
systemic
disorder
high
allostatic
load.
The
current
state
includes
wide
variety
pharmacological
psychotherapeutic
approaches,
which
are
evidence-based.
However,
myriad
challenges
inherent
disorder,
such
as
individual
barriers
good
outcome,
comorbidity,
emotional
dysregulation,
suicidality,
dissociation,
substance
use,
trauma-related
guilt
shame,
often
render
response
suboptimal.
These
discussed
drivers
for
emerging
novel
including
early
interventions
Golden
Hours,
interventions,
medication
augmentation
use
psychedelics,
well
targeting
nervous
system.
All
this
aims
improve
symptom
relief
clinical
outcomes.
Finally,
phase
orientation
recognized
tool
strategize
position
step
progression
pathophysiology.
Revisions
guidelines
systems
care
will
be
needed
incorporate
innovative
treatments
evidence
emerges
they
become
mainstream.
generation
well-positioned
address
devastating
disabling
impact
traumatic
events
through
holistic,
cutting-edge
efforts
research.