Este estudio cualitativo explora significados y experiencias de la preocupación por la COVID-19, el confinamiento y su relación con la salud mental. Incluyó 20 entrevistas semiestructuradas realizadas a 10 hombres y 10 mujeres. Se halló que hay personas preocupadas por la salud propia y la de sus seres significativos. Esto puede detonar reacciones psicosomáticas y ansiedad. Otras personas devalúan la gravedad del COVID-19 porque no se consideran vulnerables. Exponerse recurrentemente a información mediática resulta estresante, así que algunos evitan hacerlo. Otra preocupación es económica: reducción del acceso al mercado laboral y suspensión o disminución del ingreso. Algunos participantes experimentan alteraciones en los hábitos alimenticios y de sueño. Finalmente, aunque el confinamiento limita la recreación, los informantes han realizado actividades de ocio individuales y familiares.
Studying Flourishing is important to understand wellbeing. The current study aimed to determine the psychometric properties of the Spanish version of the Flourishing Scale (FS) in the Honduran population. The primary sample consisted of 422 residents of the Central District of Honduras; this included 275 (65.17%) women and 147 men (34.83%). Their average age was 28.18 years (SD = 10.58). Findings from the Exploratory Factor Analysis and Confirmatory Factor Analysis support a unidimensional factor structure. The FS achieved a high internal consistency with McDonald’s ω = 0.89, 95% CI [0.86, 0.91]. The average inter-item correlation was 0.48, 95% CI [0.43, 0.53]. Using Student’s t-test for paired samples, results indicate that none of the FS items varied significantly between baseline and post-test. Additionally, Spearman’s rho was used to correlate test–retest scores; this yielded a statistically significant correlation coefficient of 0.66. The Flourishing Scale had adequate convergent validity with the Subjective Happiness Scale (r = 0.70) and the PANAS-Positive Affect Subscale (r = 0.70) (p < 0.001). In contrast, it correlates inversely with the PANAS-Negative Affect Subscale (r = −0.34) and the PHQ-9 (r = −0.51). Strict measurement invariance for sex was supported. The results indicate that the Flourishing Scale has robust psychometric properties for the Honduran population. Practical implications for public policy are discussed.
El presente estudio tuvo como objetivo conocer las experiencias y reacciones psicológicas asociadas al diagnóstico de COVID-19 en población hondureña. La metodología utilizada se enmarca en un enfoque cualitativo, con un diseño narrativo. La información fue recolectada por medio de entrevistas realizadas a un total de 35 sujetos adultos que hubiesen sido diagnosticados con COVID-19. Adicionalmente, como punto de triangulación, se incluyeron 5 entrevistas a personal médico trabajando en primera línea contra el COVID-19. Entre los temas prevalentes en el discurso de los informantes se evidencia que el diagnóstico positivo de COVID-19 tuvo efectos en el desarrollo cotidiano del sujeto, específicamente en lo referente a aspectos laborales, económicos y académicos. Además, los informantes comentan una serie de reacciones psicológicas, incluyendo sentimientos de culpa, ansiedad, depresión, preocupación por la salud propia y de los seres queridos, deterioro en la calidad de sueño, incertidumbre, temor y distintas actitudes hacia la búsqueda de atención psicológica. También se menciona la importancia de las redes de apoyo, puntualmente en lo referente a la familia, amistades y compañeros de trabajo. En ocasiones los entrevistados reportaron sentimientos de soledad y ser víctimas de estigmatización. Estos resultados se discuten a la luz de los antecedentes y sus implicaciones prácticas.
Introduction A new national survey has been carried out by the Italian Centers for Cognitive Disorders and Dementias (CCDDs). The aim of this new national survey is to provide a comprehensive description of the characteristics, organizational aspects of the CCDDs, and experiences during the COVID-19 pandemic. Methods A list of all national CCDDs was requested from the delegates of each Italian region. The online questionnaire is divided in two main sections: a profile section, containing information on location and accessibility, and a data collection form covering organization, services, treatments, activities, and any service interruptions caused by the COVID-19 outbreak. Results In total, 511 out of 534 (96%) facilities completed the profile section, while 450 out of 534 (84%) CCDDs also completed the data collection form. Almost half of the CCDDs (55.1%) operated for 3 or fewer days a week. About one-third of the facilities had at least two professional figures among neurologists, geriatricians and psychiatrists. In 2020, only a third of facilities were open all the time, but in 2021, two-thirds of the facilities were open. Conclusion This paper provides an update on the current status of CCDDs in Italy, which still shows considerable heterogeneity. The survey revealed a modest improvement in the functioning of CCDDs, although substantial efforts are still required to ensure the diagnosis and care of patients with dementia.
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