The Impact of the COVID-19 Pandemic on Psychological Health and Insomnia among People with Chronic Diseases

Wańkowicz, Paweł; Szylińska, Aleksandra; Rotter, Iwona

doi:10.3390/jcm10061206

Cited by 31 publications

(34 citation statements)

References 33 publications

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“…For healthcare professionals, sleep is an indicator of stress and burnout and these factors are the main cause of professional mistakes especially among doctors who are working in the frontline and under permanent pressure. Many studies have proven that sleep quality was closely related to addictive behaviors, burnout, malpractice complaints, poor communication with patients, low level of medical practice and suicide [ 53 , 54 , 55 , 56 , 57 , 58 ]. Due to the fact that fear of infection is an important cause of stress for dentists that is added to the overloaded activity during the pandemic period, dentists ’mental health must be an extremely important priority for hospitals and clinics.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Fear of Infection and Insomnia among Dentists from Oradea Metropolitan Area during the Outbreak of Sars-CoV-2 Pandemic

Iorga

Iurcov

Pop

2021

JCM

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Various studies have shown the impact of COVID-19 pandemic on mental health, identifying that people with a strong fear of getting infected are more prone to become stressed, depressed, anxious and to experience sleeping disturbance. The present study focuses on the impact of fear of COVID-19 and its relationship with insomnia among dentists. 83 dentists from public and private clinics were included in the research. A questionnaire was especially constructed for this study, consisting of three parts: the first part gathered socio-demographic and medical data, and a succession of self-rated items collected opinions about lockdown and preventive behaviors; the second part evaluated the level of fear of infection with Coronavirus-19 using the Fear of Covid 19 Scale; the third part investigated the presence of insomnia using the Athens Insomnia Scale. Collected data were processed using SPSS (v. 25). The total scores for fear of COVID 19 and insomnia were assessed. A strong positive correlation was identified between the total score of AIS and the total score of FCV-19S. The fear of COVID-19 had a significant positive correlation with the practice of several preventive behaviors. Dentists with chronic diseases were found to be more prone to suffer from insomnia than healthy dentists. Significant differences between women and men in terms of night symptoms were discussed. The findings are useful for dentists and policy makers to evaluate the impact of fear of infection on mental health status.

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Section: Discussionmentioning

confidence: 99%

The Relationship between Fear of Infection and Insomnia among Dentists from Oradea Metropolitan Area during the Outbreak of Sars-CoV-2 Pandemic

Iorga

Iurcov

Pop

2021

JCM

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“…The PHQ-9 (range, 0-27) was used to assess depression symptoms with the total scores categorized as follows: controls (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), and severe (15-27) (35). The GAD-7 (range, 0-21) was used to assess anxiety symptoms with the total scores categorized as follows: controls (0-4), mild (5)(6)(7)(8)(9), moderate (10)(11)(12)(13)(14), and severe (15-21) (36). The IES-R (range, 0-88) was used to assess subjective distress (excessive panic and anxiety) caused by traumatic events including traumarelated distressing memories and persistent negative emotions resulting from the pandemic, which is composed of three subscales to measure the avoidance, intrusion, and hyper-arousal.…”

Section: Assessment Of Mental Healthmentioning

confidence: 99%

“…There are many reports of increased prevalence and severity of mental health problems including those of depression, anxiety, and distress during the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic in the general population, medical health care workers (1)(2)(3)(4)(5)(6)(7)(8)(9), and persons with chronic diseases (10,11). Several studies reported that cancer patients experienced mental health problems or worse healthrelated quality of life (HRQoL) (12)(13)(14)(15)(16)(17)(18)(19)(20)(21), which were associated with delay in cancer care or reduced therapy intensity.…”

Section: Introductionmentioning

confidence: 99%

Mental Health in Persons With Chronic Myeloid Leukemia During the SARS-CoV-2 Pandemic: The Need for Increased Access to Health Care Services

et al. 2021

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Mental health problems in the general population have been reported during the SARS-CoV-2 pandemic; however, there were rare data in persons with chronic myeloid leukemia (CML). Therefore, we performed a cross-sectional study on mental health evaluated using the 9-item Patient Health Questionnaire (PHQ-9; depression), the 7-item Generalized Anxiety Disorder (GAD-7; anxiety), and the 22-item Impact of Event Scale—Revised (IES-R; distress), including subscales of avoidance, intrusion, and hyper-arousal in persons with CML, non-cancer persons, and immediate family members of persons with cancer as controls (≥16 years) by an online survey. Data from 3,197 persons with CML and 7,256 controls were collected. In multivariate analyses, CML was significantly associated with moderate to severe depression (OR = 1.6; 95% Confidence Interval [CI], 1.4, 1.9; p < 0.001), anxiety (OR = 1.4 [1.1, 1.7]; p = 0.001), distress (OR = 1.3 [1.1, 1.5]; p < 0.001), and hyper-arousal (OR = 1.5 [1.3, 1.6]; p < 0.001). Moreover, delay in regular monitoring was significantly associated with depression (OR 1.3 [1.0, 1.7]; p = 0.024), anxiety (OR = 1.3 [1.0, 1.8]; p = 0.044), avoidance (OR = 1.2 [1.0, 1.4]; p = 0.017), and intrusion (OR = 1.2 [1.0, 1.4]; p = 0.057); tyrosine kinase-inhibitor dose reduction or discontinuation, depression (OR = 1.9 [1.3, 2.8]; p = 0.001), distress (OR = 2.0 [1.4, 2.8]; p < 0.001), avoidance (OR = 1.6 [1.2, 2.1]; p = 0.004), intrusion (OR = 1.6 [1.1, 2.1]; p = 0.006), and hyper-arousal (OR = 1.3 [1.0, 1.8]; p = 0.088). We concluded that persons with CML during the SARS-CoV-2 pandemic have worse mental health including depression, anxiety, and distress symptoms. Decreasing or stopping monitoring or dose resulted in adverse mental health consequences.

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“…A significant percentage of older Europeans and Americans suffer from one or more of these chronic diseases that put them at an increased risk of infection. Chronic diseases that lead to a severe course of COVID-19 have been classified by the Centers for Disease Control and Prevention and include cancer, chronic kidney disease, chronic lung diseases, dementia, diabetes, Down syndrome, heart conditions, obesity, sickle cell anemia, diabetes, immune-weakening conditions, and immune system disorders [9]. The disruption of health services in most countries during the pandemic has posed challenges for older adults suffering from chronic diseases [10].…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Emergency on Life Activities and Delivery of Healthcare Services in the Elderly Population

Agrawal

Makuch

Dróżdż

et al. 2021

JCM

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Due to the prevailing pandemic of the coronavirus disease COVID-19, we are experiencing emotional and social isolation, which negatively affects mental and physical health, particularly among the elderly population. In this study, we performed a cross-sectional analysis based on computer-assisted telephone interviews of 500 Polish adults aged 60 years or older in order to determine the impact of the SARS-CoV-2 pandemic on the older population’s behavior, life activity, and delivery of healthcare services. According to our study, COVID-19 infection entailed a substantial change in older people’s behavior. Over 50%, nearly 80%, and more than 25% of the surveyed participants reduced their social, recreational, and professional activities, respectively. The most significant change in senior’s behavior due to the fear of COVID-19 infection was observed in patients (1) with cardiac and pulmonary problems, (2) being on multi-drug therapy, (3) vaccinated against influenza, and (4) with several mental difficulties including loneliness, social isolation, and depression. Furthermore, we demonstrated that 10% of participants canceled planned hospitalization due to the fear of COVID-19 infection. This was observed primarily in patients suffering from chronic heart and lung diseases, vaccinated against influenza, exhibiting the reluctance to carry out more complex daily activities, and with a higher level of anxiety, social loneliness, and malnutrition. Thus, these groups of seniors require more attention; hence, we propose telemedicine as a strategy directed to them that provides clinical healthcare and information regarding measurements, control, and protection against SARS-CoV-2 during the prevailing COVID-19 pandemic. We believe this strategy may improve treatment outcomes, reduce comorbidities-related complications and unnecessary hospitalizations.

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The Impact of the COVID-19 Pandemic on Psychological Health and Insomnia among People with Chronic Diseases

Cited by 31 publications

References 33 publications

The Relationship between Fear of Infection and Insomnia among Dentists from Oradea Metropolitan Area during the Outbreak of Sars-CoV-2 Pandemic

The Relationship between Fear of Infection and Insomnia among Dentists from Oradea Metropolitan Area during the Outbreak of Sars-CoV-2 Pandemic

Mental Health in Persons With Chronic Myeloid Leukemia During the SARS-CoV-2 Pandemic: The Need for Increased Access to Health Care Services

The Impact of the COVID-19 Emergency on Life Activities and Delivery of Healthcare Services in the Elderly Population

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