Associations Between COVID-19 Misinformation Exposure and Belief With COVID-19 Knowledge and Preventive Behaviors: Cross-Sectional Online Study

Journal of Medical Internet Research, Год журнала: 2020, Номер 22(11), С. e22205 - e22205

Опубликована: Окт. 8, 2020

Online misinformation proliferation during the COVID-19 pandemic has become a major public health concern.

Язык: Английский

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Stress and coping during COVID-19 pandemic: Result of an online survey

Psychiatry Research, Год журнала: 2020, Номер 295, С. 113598 - 113598

Опубликована: Ноя. 25, 2020

Язык: Английский

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The psychiatric sequelae of the COVID‐19 pandemic in adolescents, adults, and health care workers

Depression and Anxiety, Год журнала: 2020, Номер 38(2), С. 233 - 246

Опубликована: Дек. 28, 2020

Background The COVID-19 pandemic is the most serious global public health crisis since 1918 influenza pandemic. This study first to assess its mental impact across lifespan in United States adolescents, adults, and care workers. Methods We recruited 4909 participants through an online survey advertising on Facebook Instagram exposure psychiatric symptoms from April 27 July 13. also University of Pittsburgh, Pittsburgh Medical Center, other systems around Pittsburgh. primary outcomes were clinically significant depression, anxiety, posttraumatic stress disorder (PTSD) symptoms, suicidal ideation or behavior, grief reactions COVID-19. Results Adolescents significantly more likely report moderate severe depression (55% vs. 29%; χ2 = 122, df 1; p < .001), anxiety (48% 73; PTSD (45% 33%; 12; behavior (38% 16%; 117; sleep problems (69% 57%; 26; .001) compared adults. rates intense among those who lost someone was 55%. Loneliness common predictor higher number hours spent social media about predicted adolescents. Conclusions associated with increased symptoms. could put individuals at risk for onset disorders.

Язык: Английский

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Development of Three Web-Based Computerized Versions of the Kiddie Schedule for Affective Disorders and Schizophrenia Child Psychiatric Diagnostic Interview: Preliminary Validity Data

Journal of the American Academy of Child & Adolescent Psychiatry, Год журнала: 2019, Номер 59(2), С. 309 - 325

Опубликована: Май 18, 2019

Язык: Английский

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Long-term Functional, Psychological, Emotional, and Social Outcomes in Survivors of Firearm Injuries

JAMA Surgery, Год журнала: 2019, Номер 155(1), С. 51 - 51

Опубликована: Ноя. 20, 2019

The outcomes of firearm injuries in the United States are devastating. Although mortality and costs have been investigated, long-term after surviving a gunshot wound (GSW) remain unstudied.

Язык: Английский

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Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice

JAMA Health Forum, Год журнала: 2023, Номер 4(7), С. e231809 - e231809

Опубликована: Июль 7, 2023

Importance Disruptions in the hospital clinical workforce threaten quality and safety of care retention health professionals. It is important to understand which interventions would be well received by clinicians address factors associated with turnover. Objectives To determine well-being turnover rates physicians nurses practice, identify actionable adverse clinician outcomes, patient safety, clinicians’ preferences for interventions. Design, Setting, Participants This was a cross-sectional multicenter survey study conducted 2021 21 050 at 60 nationally distributed US Magnet hospitals. Respondents described their mental well-being, associations between modifiable work environment physician nurse burnout, health, staff turnover, safety. Data were analyzed from February 21, 2022, March 28, 2023. Main Outcomes Measures Clinician outcomes (burnout, job dissatisfaction, intent leave, turnover), (depression, anxiety, work-life balance, health), resources adequacy, improve well-being. Results The sample comprised responses 15 738 (mean [SD] age, 38.4 [11.7] years; 10 887 (69%) women; 8404 [53%] White individuals) practicing hospitals, 5312 44.7 [12.0] 2362 [45%] men; 2768 [52%] 53 same an average 100 262 per overall response rate 26%. High burnout common among (32%) (47%). Nurse higher both physicians. Many (12%) (26%) rated hospitals unfavorably on reported having too few (28% 54%, respectively), poor (20% 34%, lacked confidence management (42% 46%, respectively). Fewer than 10% workplace as joyful. Both delivery more directed improving health. Improving staffing ranked highest (87% 45% physicians). Conclusions Relevance found that characterized unfavorable environments had ratings. Clinicians wanted action insufficient staffing, control over workload, environments; they less interested wellness programs resilience training.

Язык: Английский

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Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health

The Medical Journal of Australia, Год журнала: 2019, Номер 211(S9)

Опубликована: Ноя. 1, 2019

Mood and psychotic syndromes most often emerge during adolescence young adulthood, a period characterised by major physical social change. Consequently, the effects of adolescent-onset mood can have long term consequences. A key clinical challenge for youth mental health is to develop test new systems that align with current evidence comorbid presentations underlying neurobiology, are useful predicting outcomes guiding decisions regarding provision appropriate effective care. Our highly personalised measurement-based care model includes three core concepts: ▶ multidimensional assessment framework includes: occupational function; self-harm, suicidal thoughts behaviour; alcohol or other substance misuse; health; illness trajectory. Clinical stage. Three common subtypes (psychosis, anxious depression, bipolar spectrum) based on proposed pathophysiological mechanisms (neurodevelopmental, hyperarousal, circadian). The explicitly aims prevent progression more complex severe forms better aligned contemporary models patterns emergence psychopathology. Inherent within this approach incorporation evidence-based processes, including real-time as well utilisation multidisciplinary teams professionals. Data-driven local system modelling information technologies provide crucial infrastructure support these processes access to, higher quality, people. CHAPTER 1: MULTIDIMENSIONAL OUTCOMES IN YOUTH MENTAL HEALTH CARE: WHAT MATTERS AND WHY?: present one serious public challenges we face in 21st century. Factors prevalence, age onset, chronicity contribute substantial burden secondary risks such misuse. change; thus, We propose five domains which make up address specific needs people presenting services emerging illness. These include behaviours; type, stage Impairment concurrent morbidity established time they Despite this, professionals tend focus only aspect presentation - trajectory at odds preferences their families. There need disconnect between health, interventions, ensure focuses matter 2: COMBINING CLINICAL STAGE PATHOPHYSIOLOGICAL MECHANISMS TO UNDERSTAND ILLNESS TRAJECTORIES YOUNG PEOPLE WITH EMERGING MOOD PSYCHOTIC SYNDROMES: Traditional diagnostic classification disorders map poorly onto early stages experienced people, purport categorical distinctions not readily supported research into genetic, environmental neurobiological risk factors. presentations, consistent understanding utility This chapter outlines transdiagnostic classifying syndromes, combining two independent but complementary dimensions: staging, mechanisms. staging reflects line concept used general medicine, where advanced associated poorer prognosis intensive interventions risk-to-benefit ratio. neurodevelopmental abnormalities, hyperarousal circadian dysfunction, which, over time, trajectories (or pathways) psychosis, depression spectrum disorders, respectively. has been evaluated clinics University Sydney's Brain Mind Centre, alongside range objective measures. date provides framework, now exploring its application development 3: COMPREHENSIVE ASSESSMENT FRAMEWORK FOR HEALTH: GUIDING HIGHLY PERSONALISED MEASUREMENT-BASED CARE USING OBJECTIVE MEASURES: an urgent improved problems, particular those subthreshold sufficiently meet traditional criteria. New comprehensive frameworks needed capture biopsychosocial profile person drive measures involving domains: Objective include: neuropsychological sleep-wake behaviours rhythms; metabolic immune markers; brain structure function. recommended facilitate picture. help further informative novel insights guide plans. panel standard practice, while others secondarily deeper aim revealing alternative paths targeted treatments matched person. 4: PERSONALISING OPTIONS ASSESSMENT, STAGE, MECHANISMS, INDIVIDUAL GUIDE TREATMENT SELECTION: require be stage, individual trajectories. Narrow syndrome-focused classifications direct attention away from factors functional impairment, self-harm suicidality, misuse, poor health. By contrast, outline treatment selection intervention (ie, active indicated prevention strategies). experiences Centre's manage incorporates ▶A including: ▶Clinical ▶Three concepts mutually exclusive together may through stage-appropriate helps options. Given emphasis also respects fundamental developmental perspective categorising childhood problems (eg, anxiety difficulties) respecting fact biological transition. Based factors, social, psychological pharmacological recommended, balancing personal benefit-to-cost 5: SERVICE DELIVERY MODEL SUPPORT Over past decade, seen growing creating service delivery unique Australians. Recent policy directives Australian Government recommend adoption stepped-care improve appropriateness care, determined severity need. Here, enhances incorporating person's needs. It use quality of,

Язык: Английский

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Cohort Profile: COVIDMENT: COVID-19 cohorts on mental health across six nations

International Journal of Epidemiology, Год журнала: 2021, Номер 51(3), С. e108 - e122

Опубликована: Окт. 21, 2021

Язык: Английский

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Academic Emergency Medicine Physicians' Anxiety Levels, Stressors, and Potential Stress Mitigation Measures During the Acceleration Phase of the COVID‐19 Pandemic

Academic Emergency Medicine, Год журнала: 2020, Номер 27(8), С. 700 - 707

Опубликована: Июнь 22, 2020

The objective was to assess anxiety and burnout levels, home life changes, measures relieve stress of U.S. academic emergency medicine (EM) physicians during the COVID-19 pandemic acceleration phase.

Язык: Английский

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Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations: an observational study

The Lancet Public Health, Год журнала: 2022, Номер 7(5), С. e406 - e416

Опубликована: Март 15, 2022

Summary

Background

Long-term mental and physical health consequences of COVID-19 (long COVID) are a persistent public concern. Little is still known about the long-term non-hospitalised patients with varying illness severities. Our aim was to assess prevalence adverse symptoms among individuals diagnosed in general population by acute infection severity up 16 months after diagnosis.

Methods

This observational follow-up study included seven prospectively planned cohorts across six countries (Denmark, Estonia, Iceland, Norway, Sweden, UK). Participants were recruited from March 27, 2020, Aug 13, 2021. Individuals aged 18 years or older eligible participate. In cross-sectional analysis, we contrasted symptom depression, anxiety, COVID-19-related distress, poor sleep quality (screened validated instruments) without diagnosis at entry, 0–16 cohort further used repeated measures estimate change before

Findings

The analytical consisted 247 249 individuals, 9979 (4·0%) whom during period. Mean 5·65 (SD 4·26). presented overall higher depression (prevalence ratio [PR] 1·18 [95% CI 1·03–1·36]) poorer (1·13 [1·03–1·24]) but not anxiety (0·97 [0·91–1·03]) distress (1·05 [0·93–1·20]) compared Although attenuated time, never bedridden due their consistently lower risk (PR 0·83 0·75–0·91]) (0·77 [0·63–0·94]) than those COVID-19, whereas who for more 7 days persistently 1·61 1·27–2·05]) (1·43 [1·26–1·63]) throughout

Interpretation

Severe illness—indicated extended time bedridden—is associated morbidity recovering population. These findings call increased vigilance development severe disease phase COVID-19.

Funding

Nordforsk, Horizon2020, Wellcome Trust, Estonian Research Council.

Язык: Английский

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