Higher Levels Of Fear Research Articles

The role of perceived threat and self-efficacy in the use of Insecticide Treated Bednets (ITNs) to prevent malaria among pregnant women in Tororo District, Uganda.

Despite increased coverage of Insecticide Treated Nets (ITNs) due to free distribution programs, ITN use in Uganda remains sub optimal among pregnant women. This study explored the relationship between constructs of a theoretical framework and Net use. The study examined the role of constructs from the Extended Parallel Process Model (EPPM) in determining ITN use amongst pregnant women 15-49 years in Tororo district, Uganda. A cross-sectional study using a systematic sample was conducted among 230 pregnant women attending antenatal care. The questionnaire was administered by trained research assistants. Analysis was conducted to establish the relationship between ITN use and perceived susceptibility, severity, self-efficacy and response efficacy. Over three-quarters (78.6%) reported using ITNs the night before the study while 49.78% reported consistent Net use. High self-efficacy (AOR 9.48 95%CI 3.34-26.91) was associated with ITN use the previous night and consistent use. High perceived threat was associated with consistent ITN use (AOR 2.78, 95%CI 1.16-6.67) but not with Net use the previous night. Self-efficacy was an important predictor of ITN use, as well as high levels of fear, as measured through perceived threat, which was associated with consistent ITN use, but not ITN use the previous night. Social and behavior change communication interventions should focus on improving self-efficacy to use ITNs.

How fear of intimacy affects infertile men's neuropsychological functioning through mental toughness.

There is a significant need in Pakistan to investigate the psychological effects of infertility on the mental health of infertile men. The current study examined how fear of intimacy affects neuropsychological impairment and evaluated its relationship to other variables including quality of life and mental toughness. An analytical cross-sectional study was carried out on infertile male patients in various healthcare settings in Punjab, Pakistan. The participants were recruited using a non-probability (purposive) sampling strategy. The sample size was 120 infertile. SPSS 26 was used to analyze the data. Fear of intimacy was found significant impact on neuropsychological impairment (r = 0.40; ***p < 0.001), as well as fear of intimacy, significantly associated with emotional problems (r = 0.48; **p < 0.01), learning problems (r = 0.33; **p < 0.01), sensory and motor problem (r = 0.55; **p < 0.01), concentration problem (r = 0.21; **p < 0.01), mental & physical in coordination (r = 0.37; **p < 0.01) and depression (r = 0.22; **p < 0.01). Fear of intimacy has negative impact on QoL (r = -0.25; *p > 0.05). Similarly, neuropsychological impairment was found to be negatively associated with QoL (r = -0.52; **p > 0.01). The relationship between fear of intimacy and neuropsychological impairment was found to be significantly mediated by QoL. Furthermore, the findings revealed that mental toughness significantly moderated the relationship between fear of intimacy and neuropsychological impairment. Overall, infertile men in Pakistan had relatively high levels of fear of intimacy, which largely caused neuropsychological impairment. This study can help neuropsychological researchers, mental health professionals, as well as policymakers in improving clinical mental health practices for infertile patients.

Fear of Falling and its Relationship With Frailty in Older Adults

Objectives Fear of falling affects the daily performance of older adults, exacerbates the frailty syndrome, and ultimately reduces their independence. This study aims to investigate the relationship between fear of falling and frailty in older adults in Bushehr, Iran. Methods &amp; Materials This descriptive-analytical study with a cross-sectional design was conducted on 215 older adults aged ≥60 years referred to urban comprehensive health centers in Bushehr, Iran in 2021 who were selected by a cluster sampling method. A demographic/clinical form, falls efficacy scale international (FES-I), and Fried’s frailty scale were used for collecting data. Data were analyzed using chi-square test, and logistic regression analysis in SPSS software, version 24. Results The mean age of the participants was 68.81±8.31 years. They included 56.7% female (n=122) and 43.3% male (n=93). The chance of developing frailty syndrome in people with high level of fear of falling was 6 times that of people with low fear of falling (OR=6.37, 95% CI, 1.44%-28.08%). The fear of falling was significantly higher in those with younger age, low education level, low income, those who were widower/widow, housekeeper or retired, and those with a history of falling in the last year, and frailty (P&lt;0.001). Conclusion Fear of falling can cause frailty and thus increase the dependence of older adults; therefore, timely screening and intervention are recommended to reduce its negative effects

A Study of Secondary School Students’ Attitude Towards Mathematics in Tehsil Taxila

Students' progress in mathematics is determined by their attitude toward Mathematics. A positive attitude toward a subject is a prerequisite for success in any subject. This is also true in mathematics, particularly when girls are compared to boys. This study was based on a survey of secondary school students about their attitudes towards Mathematics. This research was conducted to investigate the secondary school students’ attitude towards Mathematics. The population included the (N= 1562) students of both genders. This study was conducted on the sample of 368 students (Male=184 &amp; Female = 184) of secondary schools from tehsil Taxila. Mathematics Attitude scale was used to collect the data. The attitude scale consists of 19 items based on 4 factors. The overall reliability of questionnaire ( =0.7452) was found appropriate. A gender wise analysis of Mathematics attitude comparison showed that female students have high anxiety and fear level as compared to male students. Finally, the current study found that females at secondary level have a lower attitude toward mathematics as compared to than males.&#x0D; Keywords: Mathematics Education, Students Attitude, STEM Education, Mathematics Anxiety

Perioperative anxiety and depression among adults undergoing elective surgery: a cross-sectional survey

Introduction: Perioperative anxiety and depression are common disorders worldwide. They are not only associated with significant surgical and anaesthetic morbidity, but also mortality. We aim to determine the prevalence and risk factors associated with perioperative anxiety and depression in a single-study centre. Methods: This cross-sectional study was conducted from April 1 to August 31 2022, among patients undergoing elective surgery in Hospital Tuanku Fauziah, Perlis. Patients scheduled for perioperative assessment in the Anaesthesiology clinic were invited to participate. The validated Hospital Anxiety and Depression Scale (M-HADS) was used to assess anxiety and depression symptoms before the scheduled surgery. Multiple logistic regression was performed to determine the associated factors to perioperative anxiety and depression. Results: A total of 340 participants were included in analysis: 15.6% scored significant perioperative depression and 17.4% scored significant perioperative anxiety. High levels of self-rated fear were significantly associated with both anxiety (adjusted OR: 27.46, 95% CI: 5.37, 140.38) and depression (adjusted OR: 2.81, 95% CI: 1.08, 7.27). Otherwise, there were no demographic risk factors associated with perioperative anxiety, while male gender was found to be predictive of perioperative depression (adjusted OR: 2.08, 95% CI: 0.36, 12.15). Conclusions: We found that 1 in every 6 patients undergoing surgery suffers from perioperative anxiety or depression. Self-rated fear was the independent risk factor for perioperative anxiety, while gender and self-rated fear were independent risk factors for perioperative depression. Effective screening strategies to detect patients at risk of perioperative anxiety or depression are essential for appropriate risk stratification and intervention.

Evacuation decision making and risk perception: flooded rural communities in Pakistan

ABSTRACT Evacuation is considered an essential aspect of flood risk reduction. It is important to identify the factors affecting the decision-making process during evacuation. The purpose of this study was to examine the factors that influence evacuation decision-making in flood-prone rural communities along the Indus River in Dera Ismail Khan. A total of 465 household surveys were conducted in high flood-risk areas along the river to gather data on evacuation characteristics and risk perception. Pearson's correlation technique was utilised to determine the relationship between flood risk perception indicators and the likelihood of evacuation, while a binary logistic regression test was implemented to identify the socio-economic factors that influence evacuation. The results of the study indicated that socio-economic conditions and risk perceptions can have a direct or indirect effect on evacuation decisions. It was found that those living in closer to the river tended to have a lower risk perception. However, respondents in the study reported experiencing high levels of fear in regard to floods. Age and proximity to hazards were identified as significant factors that impact willingness to evacuate. These findings suggest the need for urgent implementation of awareness campaigns in settlements located near the river in order to promote evacuation.

Sport Anxiety, Fear of Negative Evaluation, Stress and Coping as Predictors of Athlete's Sensitivity to the Behavior of Supporters.

The aim of the study was to find predictors of athlete sensitivity to the positive or negative behaviors of supporters and determine a relationship between athletes' sensitivity to the positive and negative behaviors of supporters and traits such as anxiety and stress or the strategies used to cope with stress. The sample consisted of 171 professional athletes. The study determined three variables that are predictors of athlete sensitivity to the positive behavior of supporters (SPS), i.e., strategies of coping with stress, such as high levels of coachability, confidence and achievement motivation and low levels of freedom from worry (change R2 = 0.15, F of change = 9.78, p of change < 0.001). The predictors of sensitivity to the negative behavior of supporters (SNS) are as follows: a low level of freedom from worry and a high level of fear of negative evaluation (change R2 = 0.31, F of change = 38.56, p of change < 0.001). In the context of the athlete's position, the predictors of SPS for midfielders are as follows: high level of susceptibility to stress and two strategies of coping with stress, i.e., peaking under pressure and concentration. For forwarders they are as follows: high level of worry and coping with stress via goal-setting, while for defenders, the ways of coping with stress are confidence and achievement motivation. In terms of SNS, for defenders, the predictors are low levels of freedom from worry, coachability, and a high level of fear of negative evaluation. Forwarders, who are sensitive to the negative behavior of supporters, are characterized by a fear of negative evaluation.

Psychometric Performance of the Fear of COVID-19 Scale (FCV-19S) and Its Validation in Czechia

The COVID-19 pandemic has brought significant changes to people’s lives, causing high levels of anxiety, distress, and fear. In response, the “Fear of COVID-19” scale (FCV-19S) was developed in 2020 to measure the severity of fears related to COVID-19. This study assessed the psychometric properties of the Czech version of the FCV-19S, which was administered to a representative sample of 1372 participants, and confirmatory factor analysis (CFA) was conducted. The sample reflects the structure of a theoretical population aged 15–74 years and is composed of 50% males and 50% females. Moreover, univariate statistics were calculated, internal consistency was tested, and uni-dimensionality based on principal component analysis was performed. In addition, univariate statistical analyses were performed, internal consistency was tested, and univariate consistency was also assessed using principal component analysis. CFA indicated that the scale demonstrated very good standard indices; FCV-19S showed a high level of internal consistency, and it adequately differentiated the levels of fear among diverse subpopulations. The findings suggest that the Czech version of the FCV-19S is a valid and reliable instrument that has robust psychometric properties and can, therefore, be recommended for use in research. The availability of the Czech version of the FCV-19S will contribute to assessments of the impact of the COVID-19 pandemic on the Czech population, providing valuable information in guiding interventions aimed at reducing the negative psychological impacts of the pandemic.

COVID-19-Related Fear and Mental Distress Among Tunisian Primary, Middle and High School Teachers: Prevalence and Predictive Factors.

This study aimed to determine the prevalence and predictive factors of fear of COVID-19 and serious mental distress among teachers in public schools of Southern Tunisia. This was a cross sectional study among a representative sample of 525 teachers. The level of Fear was assessed using the Fear of COVID-19 Scale (FCV-19S). A high level was defined as an FCV-19S ≥ 22. Kessler 6 (K6) was performed to predict serious mental distress. Serious mental distress was defined as a K6 score ≥ 13. The prevalence rates of high level of fear of COVID-19 and serious mental distress were 32.8% and 63.8%, respectively. Independent factors associated with a high level of fear of COVID-19 were female gender (Adjusted odds ratio (AOR)=1.6 [1.1-2.5]), chronic disease (AOR=1.6 [1.1-2.4]), home-living children (AOR=3.3 [1.4-7.8]), and poor material working conditions (AOR=1.5 [1.2-2.1]). The high level of fear of COVID-19 (AOR=3.1 [1.8-5.1]) was independently associated with serious mental distress. Living in a rural area (AOR=0.4 [0.3-0.8]), previous COVID-19 infection (AOR=0.5 [0.4-0.8]) and going to school on foot (AOR=0.3 [0.2-0.51]) were independently associated with a lower prevalence of serious mental distress.

Psychological Impact and Coping Strategies of Hispanic Parents of Children with Cancer: A Qualitative Study.

Throughout the cancer trajectory, parents of childhood cancer survivors (CCSs) may experience mental and social challenges requiring continual adaptation to cancer-induced stress. Using Lazarus and Folkman's Transactional Model of Stress and Coping framework, this qualitative study aimed to describe Hispanic parents' psychological health and explore their coping strategies. Purposive sampling was used to recruit 15 Hispanic caregivers from a safety-net hospital in Los Angeles County. To be eligible, participants had to be: the primary caregiver of a CCS who had completed active treatment, the primary caregiver or child self-identified as Hispanic, and proficient in English or Spanish. The interviews lasted approximately 60 min, were audio-recorded (in English and Spanish), and professionally transcribed. Data were analyzed following a thematic content analysis with deductive and inductive approaches on Dedoose. Participants described high levels of stress and fear when their child was diagnosed with cancer. They also shared experiencing symptoms of social anxiety, post-traumatic stress disorder, and depression. Participants' coping strategies were encompassed by three major themes: problem-focused, emotion-focused, and avoidant coping strategies. Problem-focused coping strategies included self-efficacy, behavioral change, and social support. Emotion-focused coping strategies included religious practices and positive reframing. Avoidant coping strategies included denial and self-distraction. Despite the evident disparities in psychological health for Hispanic parents of CCSs, gaps remain in designing a culturally tailored program to help alleviate the caregiver burden. This study provides insights regarding coping strategies that Hispanic caregivers use to deal with the psychological impact of their child's cancer diagnosis. Our findings also delve into the contextual and cultural factors that impact psychological adjustment.

The Impact of Fear of External Threats on Unethical Pro-Organizational Behavior

Within the context of the current global economic crisis, employees generally have a high level of fear that may lead them to use unethical pro-organizational behavior (UPB) to increase their sense of control. We used self-control theory to explore the mechanisms and boundary conditions of employees' fear of external threats and how this affects their levels of UPB. We conducted a twowave survey of 544 finance personnel in China. The results indicated that fear of external threats was positively correlated with UPB and that sense of control mediated this relationship. Perceived ethical climate reinforced the negative relationship between sense of control and UPB, which, in turn, weakened the positive effect of participants' sense of control, whereas fear of external threats increased the incidence of UPB. Implications are discussed.

Potential mechanisms between psychotic-like experiences and suicidal ideation in the context of COVID-19: A longitudinal study.

Although many studies have found an association between psychotic-like experiences (PLEs) and suicidal ideation (SI), the underlying psychological mechanisms have not been well established. Therefore, we conducted a longitudinal study in technical secondary school and college students to explore the role of fear-response to the COVID-19 and depression in the association between PLEs and SI in the context of the COVID-19 pandemic. PLEs were assessed using the 15-item Positive Subscale of the Community Assessment of Psychic Experiences (CAPE-P15). Depression, fear, and SI were assessed using the Psychological Questionnaire for Public Health Emergency (PQPHE). PLEs were evaluated before the pandemic (T1), and fear, depression, and SI were measured during the pandemic (T2). A total of 938 students completed both waves of the survey through electronic questionnaires. PLEs, fear, depression, and SI were all correlated with each other (all p<0.01). T2 depression partly (58.2%) mediated the relationship between T1 PLEs and T2 SI (b=0.15, 95%CI=0.10, 0.22). T2 Fear moderated the relationship between T1 PLEs and T2 depression (b=0.05, 95%CI=0.01, 0.09) and the relationship between T1 PLEs and T2 SI (b=0.11, 95%CI=0.06, 0.16). PLEs are both directly and indirectly related to SI. Depression can result from PLEs and lead to the subsequent SI. Additionally, high levels of fear during the COVID-19 pandemic can aggravate the adverse impact of PLEs on mental health problems. These findings provide potential targets for future suicide prevention.

Patients’ and Caregivers’ Perception of Safety and Accessibility of Cancer Care During the COVID-19 Pandemic: A Survey in a Tertiary Academic Cancer Center in the Philippines

Background: The COVID-19 pandemic has caused a global public health emergency. High levels of fear and limited access to cancer treatment may jeopardize the delivery of optimal oncologic care, potentially influencing treatment outcomes. This study aimed to identify patients’ and their caregivers’ perception of safety and accessibility of cancer care during the COVID-19 pandemic. Methods: A cross-sectional survey of patients and caregivers at the Benavides Cancer Institute, University of Santo Tomas Hospital was performed from August to October 2020 using a 20-item investigator-developed questionnaire. Results: A total of 207 participants answered the survey. Frequency of hospital visits varied from none to more than ten times in the previous month; but having multiple postponements were uncommon. Eighty-two percent, 77%, 62%, and 55% of participants reported being afraid of contracting COVID-19 from other patients, hospital surroundings, hospital staff, and doctors, respectively. Twenty-six percent and 12% had difficulty finding transportation and passing through checkpoints, respectively. Twenty-eight percent strongly expressed financial limitations in prioritizing cancer care. Participants were amenable to the use of telemedicine and stringent protocols to reduce in-hospital transmission risk, but had some reluctance to spend out of their pockets for screening tests. Conclusion: The perceived safety of cancer care was influenced by fears of contracting COVID-19; and accessibility was influenced by limited transportation and financial constraints. Despite these, multiple postponements and cancelled hospital visits were uncommon. Institutional approaches targeting these concerns will be crucial to ensure safe and timely delivery of cancer care during the COVID-19 pandemic and further mitigate its impact on oncologic outcomes. Key words: cancer care, COVID-19 pandemic, safety, accessibility

G-FORCE: the effectiveness of group psychotherapy for Cluster-C personality disorders: protocol of a pragmatic RCT comparing psychodynamic and two forms of schema group therapy

BackgroundCluster-C personality disorders (PDs), characterized by a high level of fear and anxiety, are related to high levels of distress, societal dysfunctioning and chronicity of various mental health disorders. Evidence for the optimal treatment is extremely scarce. Nevertheless, the need to treat these patients is eminent. In clinical practice, group therapy is one of the frequently offered approaches, with two important frameworks: schema therapy and psychodynamic therapy. These two frameworks suggest different mechanisms of change, but until now, this has not yet been explored. The purpose of the present G-FORCE trial is to find evidence on the differential (cost)effectiveness of two forms of schema group therapy and psychodynamic group therapy in the routine clinical setting of an outpatient clinic and to investigate the underlying working mechanisms and predictors of outcome of these therapies.MethodsIn this mono-centre pragmatic randomized clinical trial, 290 patients with Cluster-C PDs or other specified PD with predominantly Cluster-C traits, will be randomized to one of three treatment conditions: group schema therapy for Cluster-C (GST-C, 1 year), schema-focused group therapy (SFGT, 1.5 year) or psychodynamic group therapy (PG, 2 years). Randomization will be pre-stratified on the type of PD. Change in severity of PD (APD-IV) over 24 months will be the primary outcome measure. Secondary outcome measures are personality functioning, psychiatric symptoms and quality of life. Potential predictors and mediators are selected and measured repeatedly. Also, a cost-effectiveness study will be performed, primarily based on a societal perspective, using both clinical effects and quality-adjusted life years. The time-points of assessment are at baseline, start of treatment and after 1, 3, 6, 9, 12, 18, 24 and 36 months.DiscussionThis study is designed to evaluate the effectiveness and cost-effectiveness of three formats of group psychotherapy for Cluster-C PDs. Additionally, predictors, procedure and process variables are analysed to investigate the working mechanisms of the therapies. This is the first large RCT on group therapy for Cluster-C PDs and will contribute improving the care of this neglected patient group. The absence of a control group can be considered as a limitation.Trial registrationCCMO, NL72826.029.20. Registered on 31 August 2020, first participant included on 18 October 2020.

Impact of the COVID-19 pandemic on the quality of life and accessing rehabilitation services among patients with spinal cord injury and their fear of COVID-19

BackgroundThe unanticipated coronavirus disease (COVID-19) had a negative effect on the quality of life (QoL) of patients with spinal cord injury (SCI) and made significant changes in their daily routine. Patients with SCI face additional health risks, especially mental, behavioral, and physical. Without regular physiotherapy sessions, patients' psychological and functional abilities can deteriorate, and complications can occur. There is little information available about the impact of COVID-19 on the quality of life of patients with SCI, and their access to rehabilitation services during the pandemic.ObjectiveThis study was designed to examine the effects of the COVID-19 pandemic on the quality of life of patients with SCI and also their fear of COVID-19. The pandemic’s impact on the accessibility of rehabilitation services and attendance at physiotherapy sessions in one Chinese hospital were also documented.DesignAn observational study based on an online survey.SettingOutpatients clinic at the rehabilitation department of Wuhan's Tongji Hospital.ParticipantsPeople who had been diagnosed with a spinal cord injury (SCI) and who were receiving regular medical monitoring as outpatients at the rehabilitation department were invited to participate in our study (n = 127).InterventionNot applicable.Outcome measuresA 12-Item Short-Form Health Survey (SF-12) designed to measure participants' quality of life before and during the pandemic. Their fear of COVID-19 was quantified using the Fear of COVID-19 Scale (FCV-19S). Demographic and medical status information was extracted from their medical records. Their use of rehabilitation services and attendance at physical therapy sessions was also documented.ResultsSeventy-nine patients with SCI completed the SF-12 and FCV-19 scale. The mental and physical aspects of the participants’ quality of life declined significantly, during the epidemic compared to the pre-epidemic period. More than half of the participants have experienced fear of COVID-19 based on FCV-19S. Most received only irregular physical therapy during routine checkups. Worry about virus transmission was the most common cause cited for not attending regular physical therapy sessions.ConclusionsThe quality of life of these Chinese patients with SCI declined during the pandemic. Most of the participants were shown a high level of fear of COVID-19 and were classified as having an intense fear of COVID-19, in addition to the impact of the pandemic on their access to rehabilitation services and attendance at physical therapy sessions.

COVID-19: Factors Associated with the Psychological Distress, Fear and Resilient Coping Strategies among Community Members in Saudi Arabia.

(1) Background: COVID-19 caused the worst international public health crisis, accompanied by major global economic downturns and mass-scale job losses, which impacted the psychosocial wellbeing of the worldwide population, including Saudi Arabia. Evidence of the high-risk groups impacted by the pandemic has been non-existent in Saudi Arabia. Therefore, this study examined factors associated with psychosocial distress, fear of COVID-19 and coping strategies among the general population in Saudi Arabia. (2) Methods: A cross-sectional study was conducted in healthcare and community settings in the Saudi Arabia using an anonymous online questionnaire. The Kessler Psychological Distress Scale (K-10), Fear of COVID-19 Scale (FCV-19S) and Brief Resilient Coping Scale (BRCS) were used to assess psychological distress, fear and coping strategies, respectively. Multivariate logistic regressions were used, and an Adjusted Odds Ratio (AOR) with 95% Confidence Intervals (CIs) was reported. (3) Results: Among 803 participants, 70% (n = 556) were females, and the median age was 27 years; 35% (n = 278) were frontline or essential service workers; and 24% (n = 195) reported comorbid conditions including mental health illness. Of the respondents, 175 (21.8%) and 207 (25.8%) reported high and very high psychological distress, respectively. Factors associated with moderate to high levels of psychological distress were: youth, females, non-Saudi nationals, those experiencing a change in employment or a negative financial impact, having comorbidities, and current smoking. A high level of fear was reported by 89 participants (11.1%), and this was associated with being ex-smokers (3.72, 1.14-12.14, 0.029) and changes in employment (3.42, 1.91-6.11, 0.000). A high resilience was reported by 115 participants (14.3%), and 333 participants (41.5%) had medium resilience. Financial impact and contact with known/suspected cases (1.63, 1.12-2.38, 0.011) were associated with low, medium, to high resilient coping. (4) Conclusions: People in Saudi Arabia were at a higher risk of psychosocial distress along with medium-high resilience during the COVID-19 pandemic, warranting urgent attention from healthcare providers and policymakers to provide specific mental health support strategies for their current wellbeing and to avoid a post-pandemic mental health crisis.

The association between fear of future workplace violence and depressive symptoms among nurses based on different experiences of workplace violence: a cross-sectional study

BackgroundFear of future workplace violence (FFWV) has a negative impact on individuals’ health. However, no study has investigated the association between FFWV and depressive symptoms. Nurses with different experiences of workplace violence may have different levels of FFWV and differences in mental health. This study explored the association between FFWV and depressive symptoms among Chinese nurses with different experiences of workplace violence.MethodsA cross-sectional study was conducted involving 1888 Chinese nurses from 12 tertiary hospitals in Shandong Province. The Fear of Future Violence at Work scale was used to measure FFWV. Depressive symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression scale. Multiple logistic regression analysis was used to examine the association between FFWV and depressive symptoms.ResultsThe prevalence of depressive symptoms was 45.9% (no aggression group: 24.3%; non-physical violence group: 46.1%; physical violence group: 63.7%), and 72.8% of nurses had high levels of fear of future workplace violence (no aggression group: 60.2%; non-physical violence group: 75.6%; physical violence group: 70.8%). Compared with low levels of FFWV, high levels of FFWV were associated with more depressive symptoms among nurses in the no aggression group (odds ratio [OR] = 3.269, 95% confidence interval [CI]: 1.102–9.695) and in the non-physical violence group (OR = 2.338, 95% CI: 1.385–3.945).ConclusionNurses who had experienced physical violence had the most depressive symptoms and nurses with experience of non-physical violence had the greatest FFWV. Our findings suggested that there was a significant association between FFWV and depressive symptoms among Chinese nurses in the no aggression and non-physical violence groups. Hospital administrators need to address FFWV needs when developing strategies to reduce depressive symptoms among nurses.

The health professionals and SARS-Cov-2 pandemic. Occupational performance and mental health

Introduction: World Health Organization has designated 2021 as the International Year of Health Care Workers, recognizing the impact of the pandemic on their mental and physical health. Purpose: Investigating the impact of Covid-19 pandemic on mental health and professional performance of Greek National Health System health professionals. Material and Method: Online non-experimental quantitative cross-sectional study of 203 health care workers with a questionnaire that included a) the Health Worker’s Perception Survey on Covid-19 b) the Fear of Covid-19 questionnaire and c) the e-health questionnaire. Statistical analysis was carried out by SPSS – version 25, parametric t-test and one-way ANOVA tests were used while the level of statistical significance was set at 0.05. Results: Continuous information and the provision of Personal Protective Equipment had significant role in the performance of health professionals. The results did not show high levels of stress (M.T.=1.40) and fear (M.T.=1.14). Women presented higher levels of stress and fear compared to men (p =0.001), while health professionals who deal exclusively with the care of Covid-19 patients, had higher levels of stress (p=0.039). Also, respondents with ≥10 years of work showed greater levels of fear (p=0.014) and stress (p=0.044) than those with ≤10 years. Conclusions: Information, availability of Personal Protective Equipment and the observance of protection measures, are some important factors that during pandemic, have a decisive effect on health care workers’ efficiency and levels of fear and stress.

Psychological distress in patients with cancer at the Kenyatta National Hospital in Nairobi, Kenya, during the COVID-19 pandemic

Abstract Background: Psychosocial care for oncology patients is now recognized as a critical aspect of care because it has a positive impact on patient outcomes. Various screening tools have been validated to objectively measure the levels of distress, such as the National Comprehensive Cancer Network distress thermometer. However, there is little evidence of its use in sub-Saharan Africa, where the cancer burden continues to increase. This study sought to evaluate the levels of psychological distress in patients with cancer and the impact of the COVID-19 pandemic. Methods: This was a single-center cross-sectional study among patients with a histological diagnosis of cancer attending the hemato-oncology and radio-oncology units at the Kenyatta National Hospital, a referral tertiary center. We used the National Comprehensive Cancer Network Distress Thermometer and Problem Checklist to define psychological distress, fear of COVID-19 scale, and Corona Anxiety Score to determine the level of fear and anxiety caused by COVID-19 given the study happened during the pandemic, and the Eastern Cooperative Oncology Group (ECOG) to assess the performance status. Results: Of the 361 patients, the median age was 54 years (interquartile range, 43–63), and most were female (70%). The leading cancer diagnosis was breast cancer (26%), followed by cervical cancer (24%), with most of the patients having advanced disease and 28% having ECOG 3. Most (80%) patients were able to continue with their treatment despite the COVID-19 pandemic; however, 71% had a high level of fear of COVID-19 but minimal anxiety symptoms based on Corona Anxiety Score. The mean distress thermometer score was 2.7 (SD, 2.6), with 30% having a high level of distress (4 or above). ECOG status was the only variable significantly associated with high levels of distress, with the strongest association observed in the highest ECOG status (ECOG 4: OR, 6.8 [95% CI, 2.8–16.6] P &lt; .001). Transportation was the main problem in the practical domain (62%) while fears and worries in the emotional domain (46% and 49%, respectively), and pain (65%) were the main physical problems. Conclusions: One-third of patients experienced high levels of distress. These patients reported significant concerns, such as transportation, fears, worry, and pain, in the problem checklist. There is a need to incorporate screening for distress into our patient population to help identify these patients and institute appropriate interventions.

COVID-19: Psychological distress, fear, and coping strategies among community members across the United Arab Emirates.

The COVID-19 pandemic impacted the psychosocial well-being of the United Arab Emirates [UAE] population like other communities internationally. We aimed to identify the factors associated with psychological distress, fear, and coping amongst community members across the UAE. We conducted a cross-sectional online survey across the UAE during November 2020. Adults aged ≥18 years, living in the UAE who were able to respond to an online questionnaire in English or Arabic were considered eligible to participate in the study. We used standard validated tools to measure psychological distress, fear and coping. Kessler Psychological Distress Scale [K10] was used to assess psychological distress, Fear of COVID-19 Scale [FCV-19S] was used to assess the level of fear, and Brief Resilient Coping Scale [BRCS] was used to assess the coping strategies. A total of 417 individuals participated in this study with a mean age of 29 [± 10.7] years. More than half of the participants experienced high to very high levels of psychological distress [55%] and a quarter experienced high levels of fear of COVID-19 [23.3%] with almost a third of them [36.2%] having low resilient coping. About 37.4% of the participants had work-related mental health impacts and 32.4% were perceived to have moderate to a great deal of distress due to a change of employment status during the pandemic. One in ten participants [9.4%] reported increased smoking. Increased smoking [AOR 8.66, 95% CIs 1.08-69.1,], increased alcohol drinking [AOR 2.39, 95% CIs 1.05-5.47] and higher levels of fear of COVID-19 [AOR 2.93, 95% CIs 1.83-4.67] were associated with moderate to very high levels of psychological distress. Being female [AOR 1.82, p = 0.030], having a pre-existing mental health condition [AOR 9.88, 95% p = 0.027], engaging in high-risk behaviors such as increased smoking [AOR 21.14, p = 0.003], increased alcohol drinking [AOR 1.48, p = 0.359] in the previous four weeks, and higher levels of fear of COVID-19 [AOR 4.18, p <0.001] were associated with moderate to very high levels of psychological distress. Also, being a smoker [AOR, 0.840, p = 0.011], and having a high level of fear [AOR 0.372, p = 0.001] were found to be associated with low resilient coping. Community members in the UAE are at a higher risk of psychosocial distress and fear during the COVID-19 pandemic. Thus, healthcare providers and policymakers would need to be more alert to provide specific mental health support strategies for their wellbeing.