COVID-19 Psychological Implications: The Role of Shame and Guilt

Cavalera, Cesare

doi:10.3389/fpsyg.2020.571828

Cited by 63 publications

(57 citation statements)

References 33 publications

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“…In addition, a more recent network analysis ( 65 ) revealed that self-worthlessness was the most central symptom in depression model. In the context of living at the epicenter of China's pandemic, we speculate that depressive experiences of Wuhan residents are characterized more strongly by feelings of guilt related to witnessing illness or death from the COVID-19 outbreak or, possibly, from surviving the epidemic while others have perished as a result of its spread ( 1 , 66 , 67 ).…”

Section: Discussionmentioning

confidence: 99%

Network Analysis of Depressive Symptoms Among Residents of Wuhan in the Later Stage of the COVID-19 Pandemic

Zhao

Zhang

et al. 2021

Front. Psychiatry

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Background: Depression has been a common mental health problem during the COVID-19 epidemic. From a network perspective, depression can be conceptualized as the result of mutual interactions among individual symptoms, an approach that may elucidate the structure and mechanisms underlying this disorder. This study aimed to examine the structure of depression among residents in Wuhan, the epicenter of the COVID-19 outbreak in China, in the later stage of the COVID-19 pandemic.Methods: A total of 2,515 participants were recruited from the community via snowball sampling. The Patient Health Questionnaire was used to assess self-reported depressive symptoms with the QuestionnaireStar program. The network structure and relevant centrality indices of depression were examined in this sample.Results: Network analysis revealed Fatigue, Sad mood, Guilt and Motor disturbances as the most central symptoms, while Suicide and Sleep problems had the lowest centrality. No significant differences were found between women and men regarding network structure (maximum difference = 0.11, p = 0.44) and global strength (global strength difference = 0.04; female vs. male: 3.78 vs. 3.83, p = 0.51), a finding that suggests there are no gender differences in the structure or centrality of depressive symptoms.Limitations: Due to the cross-sectional study design, causal relationships between these depressive symptoms or dynamic changes in networks over time could not be established.Conclusions: Fatigue, Sad mood, Guilt, and Motor disturbances should be prioritized as targets in interventions and prevention efforts to reduce depression among residents in Wuhan, in the later stage of the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Network Analysis of Depressive Symptoms Among Residents of Wuhan in the Later Stage of the COVID-19 Pandemic

Zhao

Zhang

et al. 2021

Front. Psychiatry

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“…Por otro lado, los informantes comentan una serie de reacciones psicológicas detonadas por el diagnóstico de COVID-19, incluyendo sentimientos de culpa. Tal hallazgo es coherente con lo expuesto en estudios previos, en donde dicha culpa se identifica como un factor de riesgo para la salud mental (Cavalera, 2020). Además de esto, los entrevistados manifiestan preocupación por la salud propia y de terceros, una reacción encontrada también en la población general (Vásquez, et al, 2020).…”

Section: Discussionunclassified

Reacciones psicológicas ante el diagnóstico de COVID-19: un estudio cualitativo

Landa-Blanco¹,

Ea²,

Vásquez³

et al. 2021

Preprint

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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.

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“…As parental presence in pediatric wards is important for the hospitalized child's health and recovery, a main challenge of the healthcare staff is striking a balance between preventing harm from visiting restrictions and maintaining the benefits of protecting the child, the family and the caregivers (Virani et al, 2020). As Covid-19 infection necessitates forced quarantine that requires social distancing and an impromptu change of domestic habits, resulting in shameful feelings induced by social rejection by friends or neighbors, health care providers may be able to assist in dealing with these emotions of shame by utilizing therapeutic approaches that help develop positive self-perceptions or engage in healing behaviors (Cavalera, 2020). Such interventions may be implemented by shared groups for parents, in which they can share their feelings and ways of coping with each other, under professional guidance.…”

Section: Practice Implicationsmentioning

confidence: 99%

When a child is hospitalized in a Covid-19 ward: An emotional roller coaster for parents

Shteinbuk

Moskovich

Shemesh-Mileguir

et al. 2022

Journal of Pediatric Nursing

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To examine the emotions demonstrated by parents of children hospitalized in a pediatric Covid-19 ward. Background: Although Covid-19 is mostly a mild disease in children, a small proportion develop severe disease requiring prolonged intensive care support. Methods: On October 1st, 2020, a unique ward for children with Covid-19 was established in a large hospital in Israel. Interviews were conducted with parents of children who had been hospitalized in a pediatric Covid-19 ward. Findings: A total of 22 parents of children aged 3 weeks to18 years were interviewed. Three themes emerged: Theme 1: Recognizing their child needed hospitalization in the Covid-19 ward, caused parents anxiety and fear of the unknown. Theme 2: Their child's hospitalization in the Covid-19 ward caused fear and worry at their child's condition, parental stress, shame, boredom, and acceptance. Theme 3: Parents initially felt emotional loneliness towards the healthcare staff in the Covid-19 ward, as well as loss of control, later replaced by feelings of confidence. Conclusion: Parents have diverse emotions in response to needing to accompany their children who are hospitalized and isolated in a closed ward due to Covid-19. Practical implications: Health care professionals are immensely important in providing support for parents and for their children suffering from Covid-19. A national plan should be established to address inpatient childcare during an epidemic. Nurses can encourage parents and family to be involved in the child's care and communicate effectively to reduce both the parents' and the child's uncertainty, shame, fear and stress.

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COVID-19 Psychological Implications: The Role of Shame and Guilt

Cited by 63 publications

References 33 publications

Network Analysis of Depressive Symptoms Among Residents of Wuhan in the Later Stage of the COVID-19 Pandemic

Network Analysis of Depressive Symptoms Among Residents of Wuhan in the Later Stage of the COVID-19 Pandemic

Reacciones psicológicas ante el diagnóstico de COVID-19: un estudio cualitativo

When a child is hospitalized in a Covid-19 ward: An emotional roller coaster for parents

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