Burden of COVID-19 on Mental Health of Resident Doctors in Poland
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BACKGROUND:The study aim was to assess the prevalence of depression, anxiety, stress, and insomnia among resident doctors in Poland during the COVID-19 pandemic. MATERIAL AND METHODS:The online anonymous survey was conducted among Polish resident doctors attending obligatory specialization courses organized by the Center of Postgraduate Medical Education between 2020 and 2021. The psychological impact of COVID-19 was measured using the Depression, Anxiety, and Stress Scale (DASS-21). The sleep problems were assessed using the Insomnia Severity Index (ISI). RESULTS:Among 767 resident doctors participating in the study there were substantial levels of depression (14.7% mild, 26.2% moderate, 10.8% severe, and 9.5% extremely severe), anxiety (9.0% mild, 20.6% moderate, 8.3% severe, and 11.5% extremely severe), and stress (16.4% mild, 20.9% moderate, 15.7% severe, and 5.7% extremely severe), as well as substantial incidence of insomnia (58.0%), (38.3% subthreshold, 17.9% clinically moderate, and 1.7% clinically severe). Female doctors, physicians working directly with COVID-19 patients, and those who had COVID-19 themselves were at higher risk of depression, stress, and anxiety. Sleep disorders were more prevalent among doctors in surgical specializations, as well as those working directly with COVID-19 patients. CONCLUSIONS:The COVID-19 pandemic in Poland appears to have negatively affected doctors' mental health. High levels of depression, anxiety, stress, and insomnia indicate that systemic solutions are needed. A spectrum of interventions should be explored to mitigate further strain on the physicians' psychological health in the post-pandemic work environment. It is necessary to focus on groups at particular risk, such as women, front-line doctors, doctors in health crisis, and residents in selected fields of medicine.Keywords:
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Pandemic
AIM:To study the clinical efficacy of Helicia tablets and sleep health conducting on insomnia.METHODS:Thirty-five outclinic patients with insomnia received Helicia tablets and sleep health conducting for a course of 6 weeks and the improvement of sleep was assessed by Athens Insomnia Scale (AIS).RESULTS:The scores on the scale of AIS decreased from (8.9±s 2.5) to (5.6±1.5) by the end of wk 6 after the treatment,especially with conspicuous reduction at wk 3 showing very significant difference (P0.01).More satisfactory sleep rate would be calculated out through scores on the scale of AIS6.From the beginning of treatment,the rate of satisfaction about sleep increased from 0% at the baseline to 46% by the end.Twenty-eight of the 35 patients completed the 6-week clinical study.CONCLUSION:Helicia tablets and sleep health conducting can improve sleep of patients with insomnia.
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Insomnia is difficulty falling asleep or staying asleep, even when a person has the chance to do so. People with insomnia can feel dissatisfied with their sleep and usually experience one or more of the symptoms like fatigue, low energy, difficulty concentrating, mood disturbances, and decreased performance in work. Insomnia may be characterized based on its duration. Acute insomnia is brief and often happens because of life circumstances. Many people might have experienced this type of passing sleep disruption, and it tends to resolve without any treatment. Chronic insomnia is disrupted sleep that occurs at least three nights per week and lasts at least three months. Chronic insomnia disorders can have many causes. Insomnia results due to an imbalance between sleep inducing neurotransmitters. There are few methods and indexes reported to study about the sleep disorders in insomnia patients like Insomnia Severity Index, Pittsburgh Sleep Quality Index. The treatment includes many drugs like Anti-Depressants, Benzodiazepines and also intake of Melatonin rich milk was also found to be effective.
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This study is about the factors that contribute to insomnia among UiTM students in Kelantan. The purposes of this study are to find out the occurrence of insomnia among students, to identify the association of Insomnia and Gender and to determine which factors significantly contribute to insomnia among UiTM Kelantan students. The variables that involve in this study are Insomnia as the dependent variable and independent variables are Depression, Anxiety, Stress and Life Habit. Factors that contribute to Insomnia among students are important. Mostly the students are not aware about insomnia. The appropriate sample size for this study is 255 out of 752 of UiTM Kelantan students determined by using sample size calculator Raosoft. Inc. However, only 228 respondents give cooperation for this study by answering the questionnaire. This means the response rate is 89.41 percent which is acceptable and considering good. For analysis purpose, SPSS software was used. The methodologies that involve in this study were Logistic Regression and Chi-Squared Test. As overall result, it was found that only Depression that contribute to Insomnia. For the other three which are Anxiety, Stress and Life Habit did not contribute significantly to Insomnia among students in UiTM Kelantan
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Insomnia is the inability to fall or stay asleep, even when one has the opportunity to do so. People who suffer from insomnia may be unsatisfied with their sleep and exhibit one or more of the following symptoms: weariness, low energy, problems concentrating, mood swings, and poor work performance. Insomnia can be classified based on how long it lasts. Acute insomnia is a type of insomnia that lasts only a few hours and is caused by a variety of factors. Many people have had this form of temporary sleep disruption, which usually goes away without medication. Chronic insomnia is defined as sleep disruption that lasts at least three months and occurs at least three evenings per week. Insomnia can be caused by a variety of factors. Insomnia is caused by a misalignment of sleep-inducing neurotransmitters. The Insomnia Severity Index and the Pittsburgh Sleep Quality Index are two methodologies and indices that have been used to research sleep disturbances in insomnia sufferers. Many medicines, such as antidepressants and benzodiazepines, are used in the treatment, and drinking Melatonin-rich milk has also been found to be useful.
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The primary aim of the present study was to estimate the incidence per annum of acute insomnia and to what extent those that develop acute insomnia recover good sleep or develop chronic insomnia. Unlike prior studies, a dense-sampling approach was used here (i.e. daily diaries) and this allowed for a more precise detection of acute insomnia and the follow-on states (the transitions to either recovery or chronic insomnia).
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Abstract Symptoms of insomnia are associated with symptoms of depression and anxiety in older adults, yet less is known about the impact of specific forms of insomnia (i.e. onset, maintenance, and terminal insomnia). We explored how insomnia type predicted symptoms of anxiety and depression in older adults (n = 133; mean age 69, range 65-89). We hypothesized that onset and maintenance insomnia would have stronger relations to depression and anxiety than terminal insomnia. Regression analyses indicated that onset insomnia was the only significant predictor of anxiety symptoms, and maintenance was the only significant predictor of depressive symptoms. Thus, our findings suggest that despite overlap between depression and anxiety, insomnia may have different mechanisms of affecting each disorder. Implications for the treatment of anxiety and depressive symptoms by addressing insomnia problems will be discussed.
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Purpose: The purpose of this article is to investigate how age-related macular degeneration (AMD) is associated with anxiety and depression. Methods: An online repository of deidentified patient data was queried to identify and retrospectively analyze patients with AMD, depression, or anxiety via ICD-9 and ICD-10 codes. Odds ratios were calculated between AMD and anxiety and depression, respectively. Results: Of the 51 019 patients analyzed in this study, 11 681 (22.9%) had depression, 8727 (17.1%) had anxiety, and 2752 (5.4%) had AMD. The prevalence of anxiety among AMD patients was 18.2%, and the prevalence of depression among AMD patients was 25.0%. The odds of a patient with AMD carrying a diagnosis of anxiety are 1.3 (95% CI 1.2, 1.5) times higher than a patient without AMD, and the odds of carrying a diagnosis of depression are also 1.3 (95% CI 1.1, 1.4) times more likely. Conclusions: Patients with AMD have increased odds of suffering from comorbid anxiety and depression. Ophthalmologists should consider mental health screens and appropriate referrals as new diagnoses of AMD are made or as the disease progresses.
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Objective To investigate the incidence of type 2 diabetic inpatients' anxiety and depression,and discuss the treatment effect of health education.Methods We investigated the anxiety and depression of type 2 diabetic inpatients between January 2009 and May 2012,gave health education to the anxious and depressed patients,and reevaluation was carried out when the patients were discharged from the hospital.Results The result showed that 22.45% of the type 2 diabetic inpatients had anxiety,and 11.37% of them had depression.After the health education,the number of anxious patients was markedly reduced(P 0.05),especially in patients with mild and moderate anxiety,but it had no distinct improvement in severely anxious patients.To all the depressed patients,health education had bad curative effect,especially in those with moderate and serious depression.Conclusion Anxiety and depression have high incidence in type 2 diabetic inpatients,and health education is an effective treatment for patients with mild and moderate anxiety.
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Insomnia is a broad term for sleep disturbances that may include difficulty getting to sleep (sleep onset insomnia), difficulty staying asleep (sleep maintenance insomnia), or having non-restorative sleep. To be diagnosed with insomnia the symptoms should have been present for at least four weeks and be associated with impaired daytime functioning.
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