Mental health consequences of the Coronavirus 2020 Pandemic (COVID-19) in Spain. A longitudinal study.
Abstract
Background: Covid-19 remains a pandemic that most countries in the world are still
dealing with. This is study aims to report the psychological impact of Covid-19 over time
on the Spanish population.
Methods: A longitudinal study (N = 1041) was carried out with two measurements:
after 2 and 5 weeks starting from the declaration of the state of emergency in Spain. The
presence of depressive symptoms, anxiety, and posttraumatic stress disease (PTSD)
was evaluated by means of screening tests. Sociodemographic data, variables about
Covid-19, loneliness, spiritual well-being, social support, discrimination, and a sense of
belonging were collected.
Results: The data showed how depressive symptomatology increased significantly over
time, while anxiety and PTSD did not show statistically significant changes. Spiritual
well-being and loneliness were the main predictors of psychological impact. A younger
age was a significant predictor of depression and anxiety, while female gender was
associated with anxiety and PTSD.
Conclusions: The impact of the pandemic is sustained over time, even increasing in
depression, and vulnerable groups that need greater psychological health support could
be identified.
Starting in the middle of March 2020, various lockdown measures and degrees of confinement were put in place in most European countries as a result of the COVID-19 pandemic. Although this situation meant that more people were likely to experience poorer mental health, largely due to the imposition of social distancing measures, many individuals incorporated music into their coping routines to help improve their psychological well-being. Using a gender perspective, this study analyzes how individuals used music during lockdown and explores the differences between men’s and women’s views on the impact that listening to and making music has on their perceived level of well-being. A questionnaire, MUSIVID19, was administered to a sample of 1868 participants from all the autonomous regions in Spain. The results reveal that in the uses and perceptions of music, the stereotypes underlying the patriarchal system were also reproduced during confinement.
Psychosocial stress, tension, and depression are quite common in many parts of the developed world. Integrative medicine techniques which may potentially increase spiritual and emotional well-being may be useful in combating chronic psychosocial stress, as well as challenges with depression and excessive tension. The present observational study examines the effect of singing-bowl sound healing on emotional and spiritual well-being and particularly examines interrelationships between changes in spiritual well-being with changes in tension and depressed mood post-sound healing. Participants experienced a sound healing environment of vibrational musical instruments such as singing bowls (bell-like instruments), gongs, and other vibrational instruments. Sixty-two participants were examined in an observational study using singing-bowl sound healing. Emotional and spiritual well-being were examined by utilizing standardized questionnaires. Results revealed significant correlations between improvements in scores of spiritual well-being and reductions in scores of tension and depression post-sound healing. Moreover, effects varied by age of the study participants. Specifically, the association between spiritual well-being improvement and depression improvement was strongest for ages 31–40, while spiritual well-being improvement and tension improvement associations were strongest for ages 51–60. Implications for applying sound healing meditations as a potential low-cost, low-technology therapeutic technique are discussed for emotional and spiritual well-being.
Objective
The present study aims to investigate the occurrence of psychiatric and cognitive impairments in a cohort of survivors of moderate or severe forms of COVID-19.
Method
425 adults were assessed 6 to 9 months after hospital discharge with a structured psychiatric interview, psychometric tests and a cognitive battery. A large, multidisciplinary, set of clinical data depicting the acute phase of the disease, along with relevant psychosocial variables, were used to predict psychiatric and cognitive outcomes using the ‘Least Absolute Shrinkage and Selection Operator’ (LASSO) method.
Results
Diagnoses of ‘depression’, ‘generalized anxiety disorder’ and ‘post-traumatic stress disorder’ were established respectively in 8%, 15.5% and 13.6% of the sample. After pandemic onset (i.e., within the previous year), the prevalence of ‘depression’ and ‘generalized anxiety disorder’ were 2.56% and 8.14%, respectively. Memory decline was subjectively reported by 51.1% of the patients. Psychiatric or cognitive outcomes were not associated with any clinical variables related to the severity of acute-phase disease, nor by disease-related psychosocial stressors.
Conclusions
This is the first study to access rates of psychiatric and cognitive morbidity in the long-term outcome after moderate or severe forms of COVID-19 using standardized measures. As a key finding, there was no significant association between clinical severity in the acute-phase of SARS-CoV-2 infection and the neuropsychiatric impairment 6 to 9 months thereafter.
Frontline healthcare workers (HCWs) fighting COVID-19 have been associated with depression and anxiety, but there is limited data to illustrate these changes over time. We aim to quantify the changes in depression and anxiety amongst Emergency Department (ED) HCWs over one year and examine the factors associated with these changes. In this longitudinal single-centre study in Singapore, all ED HCWs were prospectively recruited face-to-face. Paper-based surveys were administered in June 2020 and June 2021. Depression and anxiety were measured using DASS-21. The results of 241 HCWs who had completed both surveys were matched. There was significant improvement in anxiety amongst all HCWs (Mean: 2020: 2.85 (±3.19) vs. 2021: 2.54 (±3.11); Median: 2020: 2 (0-4) vs. 2021: 2 (0-4), p = 0.045). HCWs living with elderly and with concerns about infection risk had higher odds of anxiety; those living with young children had lower odds of anxiety. There was significant worsening depression amongst doctors (Mean: 2020: 2.71 (±4.18) vs. 2021: 3.60 (±4.50); Median: 2020: 1 (0-3) vs. 2021: 3 (0-5), p = 0.018). HCWs ≥ 41 years, living with elderly and with greater concerns about workload had higher odds of depression. HCWs who perceived better workplace support and better social connectedness had lower odds of depression. In summary, our study showed significant improvement in anxiety amongst ED HCWs and significant worsening depression amongst ED doctors over one year. Age, living with elderly, and concerns about workload and infection risk were associated with higher odds of depression and anxiety.
The experience of the COVID-19 Pandemic has varied considerably from individual-to-individual. Little is known about the changes in the level of experience general people went through during the first few months after the coronavirus (COVID-19) was declared as a Pandemic. This longitudinal qualitative study explores the general public’s reports of their experience with the COVID-19 Pandemic during its early stage. An online survey was conducted using a convenience/snowball sampling technique in March and again in May 2020, where North American adults with at least a college-degree, and female majority, shared their experiences with the COVID-19 Pandemic in response to an open-ended question, apart from completing questionnaires assessing transitional impact and psychological well-being. Open responses were first content analyzed to identify themes most commonly reported, and then, the quantitative analysis examined the reliability of the changes of themes between the two-time points. Text-analysis of the open-responses from the two waves identified seven themes, namely emotional response, social contact, virus-infected, financial impact, impact on plans, disease, and non-disease related concern, as well as social-distance. These themes indicated that, (a) people were distressed and having negative affective thoughts; (b) they spoke more about their plans-and-goals that were affected by the Pandemic than their financial condition; (c) people mostly used digital platforms to maintain contact with their social network, although they preferred face-to-face interactions; (d) they spoke more about the infection experienced by people in general than infection experienced by themselves and individuals they know. Surprisingly, (e) people mentioned more about the way the Pandemic had disrupted their day-to-day activities than the disease-related health concern. Finally, (f) most of the respondents approved of the practice of social distancing while some expressed its negative or neutral effect on their social lives. The quantitative measure determined that as time passed, people’s experience with the Pandemic became quite different as people talked more about getting infected, and their affected goals-and-plans. We concluded with a remark that this Pandemic would most likely leave an impression on people’s lives and that these online comment-style responses might provide us with insights into people’s perspectives as the Pandemic unfolds, helping us in understanding the uniqueness of the Pandemic experience of individuals for an effective tailored intervention to protect their well-being during a health-crisis.
Background:
The COVID-19 pandemic has led to significant mental health consequences for frontline health care workers (FHCWs). However, no known study has examined the prevalence, determinants, or correlates of posttraumatic growth (PTG) in this population.
Methods:
Data were analyzed from a prospective cohort of FHCWs at an urban tertiary care hospital in New York City (NYC). Assessments were conducted during the spring 2020 pandemic peak (Wave 1) and seven months later (Wave 2). Multivariable logistic regression analyses were conducted to identify Wave 1 sociodemographic, occupational, and psychosocial factors associated with PTG at Wave 2, and the association between aspects of PTG with burnout and pandemic-related PTSD symptoms at Wave 2.
Results:
A total 76.8% of FHCWs endorsed moderate or greater PTG; the most prevalent domains were increased appreciation of life (67.0%), improved relationships (48.7%), and greater personal strength (44.1%). Non-White race/ethnicity, greater levels of positive emotions, pandemic-related PTSD symptoms, dispositional gratitude, and feelings of inspiration were independently associated with PTG. At Wave 2, endorsement of spiritual growth during the pandemic was associated with 52% and 44% lower odds of screening positive for pandemic-related PTSD symptoms and burnout, respectively; greater improvement in relationships was associated with 36% lower odds of screening positive for burnout.
Limitations:
Single institution study and use of self-report instruments.
Conclusions:
Nearly 4-of-5 FHCWs report pandemic-related PTG, driven largely by salutogenic factors assessed during the pandemic surge. Interventions to bolster these factors may help promote PTG and mitigate risk for burnout and pandemic-related PTSD symptoms in this population.
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