Mental Consequences Research Articles

Factors associated with alcohol, smoking, and illicit drug use among university students in Yaoundé, Cameroon

BackgroundSubstance use, including alcohol, tobacco and illicit drugs, is a growing public health problem worldwide. There is a rapid increase in substance use among young adults in many sub-Saharan African countries. This study aimed to assess the factors associated with the use of different psychoactive substances among university students in Yaoundé.MethodsA cross-sectional and analytical study was conducted from September to October 2023 at Yaoundé I University in Cameroon. All eligible students aged 18 years and older who gave written informed consent were included. A convenience nonprobability sampling method was used to recruit consenting students. The collected data were reviewed and checked for completeness before being entered. The data were analyzed using Statistics 4.3.3.ResultsA total of 191 university students were enrolled in the study. Age (p-value = 0.002), level of study (p-value = 0.048), and smoking status (p-value = 0.005) of the participants were significant factors associated with alcohol use on univariate analysis. Multivariate logistic regression showed that students aged 20-25 years were significantly 2.9 times more likely to consume alcohol than those aged less than 20 years (p-value = 0.003). Students who smoke were 2.7 times more at risk to drink alcohol than those who do not smoke (p-value = 0.008). Living situation (p-value = 0.013) and drug use status (p-value < 0.0001) were significant factors associated with smoking on univariate analysis. On multivariate analysis, people who used drugs (cocaine, tramadol, cannabis, amphetamine) were 3.2 times more at risk to smoke than drug non-users (p-value < 0.0001). Drug use was significantly associated with district of residence of consumer on univariate analysis (p-value = 0.024). Living situation (p-value = 0.016), faculty/school (p-value = 0.04), and district of residence (p-value = 0.037) were significantly associated with polysubstance use. Students living in shared accommodation were 3.8 times more at risk to be polysubstance users than those living with their families (p-value = 0.023). Almost all smokers (95.1%) reported being aware of the psychosocial, mental and health consequences of substance use (p-value = 0.021).ConclusionsAge, living situation, district of residence and smoking status have been associated with substance use among college students. These sociodemographic factors can inform the development and implementation of tailored interventions to reduce the risk of subsequent substance dependence and other harmful consequences.

Prevalence of Perceived Stress Among Polypharmacy Patients: A Cross-sectional Study

Background: The concurrent use of 5 or more medications is the most recognized definition of polypharmacy. Many physical and mental consequences could be associated with polypharmacy, and stress is no exception. The objective of the current study is to investigate the prevalence of perceived stress among polypharmacy individuals and its association with sociodemographic factors. Method: A cross-sectional study was carried out between September and December at 6 major hospitals and several private clinics in Iraq. Study participants were required to have at least 2 chronic diseases and be using 5 or more drugs for at least 90 days, aged 50 years or older. Sociodemographic data and the Perceived Stress Scale 10 (PSS-10) were completed by participants. The Mann-Whitney test was used to compare the median PSS-10 scores for different sociodemographic factors. Results: Among the 235 polypharmacy participants, the median PSS-10 score was 20. Moreover, the median PSS-10 score was significantly higher among female participants, those with an increased number of chronic diseases, the presence of adverse effects, and participants with financial issues related to healthcare (P &lt;0.05). Conclusion: The present findings indicate a moderate perceived stress score among polypharmacy participants, highlighting the need for strategies to alleviate stress alongside personalized medication management.

Health Challenges in Conscious Intubated Patients-Concept Review

Patients benefit from maintaining consciousness throughout intubation; but, they may experience a variety of adverse physical and mental consequences, such as pain, dyspnea, and fear, and helplessness, loss of control, speech difficulties, and anxiety. The physical and psychological well-being of cognizant intubated patients is adversely affected by communication difficulties. Health care professionals tackle this matter by utilizing a range of available communication instruments in addition to traditional approaches such as assessing through sign languages and gestures. Enhancing communication between healthcare professionals and conscious intubated patients can be achieved through the use of Augmentative and Alternative Communication (AAC) devices, which are readily available. While there are various communication aids at the disposal of clinical caregivers, they should utilize the most patient-centric communication technologies possible, despite the fact that several alternatives exist.

Feasibility and acceptability of school-based intervention components to promote healthy weight and well-being among 6-11-year-olds in Denmark: mixed methods findings from the Generation Healthy Kids feasibility study.

Overweight and obesity among children is a serious public health challenge worldwide which may lead to a range of negative physical, mental, and social consequences in childhood and later in life. There is a strong need for developing new innovative, integrated approaches and programs which can prevent overweight in children effectively and can be embedded into everyday practices. The Generation Healthy Kids intervention is a multi-component, multi-setting intervention aiming to promote healthy weight and well-being in children aged 6-11 years in Denmark. The present study investigates the feasibility and acceptability of 10 selected school-based intervention components and barriers and facilitators for implementation. A seven-week feasibility study was conducted in January to March 2023 among children in 1st and 2nd grade at a Danish public school, testing the multi-component intervention targeting children's meal-, physical activity-, sleep- and screen habits. Process evaluation data were collected using multiple methods (surveys, logbooks, evaluation sheets, registrations, counts, interviews, and observations) and data sources (parents, school staff, and school leader). Most intervention components were feasible to deliver at the school, but only four components were fully delivered as intended, while the remaining components to some or low degree were delivered as intended. Some components were found acceptable by all/nearly all children (e.g., 40 min of high intensity training three times a week), and others by some or few children (e.g., reusable water bottles and midmorning snack). Intervention activities for the parents and families were found acceptable by all/nearly all participating parents. Parents' acceptability of the intervention activities delivered to their children at school could not be assessed, as only few parents participated in surveys and none in interviews. School staff's acceptability of the intervention tasks they were asked to deliver varied but was overall relatively high. Facilitators and barriers for implementation of intervention components were identified at both individual-, school class-, and school level. The study underlines the importance of conducting feasibility studies as preparation for large trials. The findings will be used to refine intervention components, implementation strategies and data collection procedures before the Generation Healthy Kids main trial.

'Taking it one day at a time' and 'Reaching back out to help someone': How transgender women living with HIV and community stakeholders navigate violence, oppression, and health through coping and advocacy.

Transgender women living with HIV face intersectional oppression resulting in consequences for their mental and physical health. Interventions are needed that center the voices of transgender women living with HIV (TWLWH) and community stakeholders engrossed in work on behalf of the transgender community through advocacy and/or work roles. Through a partnership with a trans led and focused program of a community-based health organization and an academic partner, from October 2020 through October 2021, TWLWH and community stakeholders participated in qualitative interviews on trauma, violence, mental health struggles, HIV stigma, gender discrimination, health behaviors (e.g., medication adherence), and their thoughts and recommendations for a proposed intervention. Using a virtual platform (i.e., Zoom or phone) TWLWH and stakeholders were administered a demographics survey via Research Electronic Data Capture (REDCap) and completed individual interviews that were audio recorded. These interviews were analyzed using thematic content analysis. All TWLWH and 50% of stakeholders were Black. Qualitative findings highlighted the magnitude of violence, stigma, and discrimination faced by TWLWH and the mental, physical, and economic consequences. Also highlighted were the adaptive strategies TWLWH are utilizing to cope, ways in which invested stakeholders (many of lived expertise) are showing up for women, and acceptability and valuable insights for a proposed intervention. TWLWH are navigating a hostile society and multilevel interventions (at the structural, community, interpersonal, and individual levels) centering their voices and those invested in advocating for the community are needed to address the sequelae of oppression they face.

High altitude adaptation, common high-altitude disorders and the effects of high altitude on mental health

Abstract: Introduction: The human brain is a highly oxygen-dependent organ. Low environmental oxygen availability (e.g., hypobaric hypoxia at altitude) is a major challenge to the brain and numerous endogenous cellular and systemic hypoxia responses therefore are in place to mitigate hypoxic stress. When the dose of the hypoxic stress surpasses the adaptive capabilities of the brain, cerebral forms of high-altitude illnesses can develop, the prevalence of which increases with the altitude. Hypoxia can also trigger psychotic symptoms. Despite that, the effects of altitude exposures on people with pre-existing mental disorders are surprisingly scarcely investigated. Methods: In this narrative review we summarize the literature on the brain’s responses to hypoxia and put them in the context of somatic high-altitude illnesses and mental consequences of altitude exposure from an interdisciplinary perspective. Results: We identify knowledge gaps with high clinical relevance related to the safety of altitude exposures, particularly for individuals with mental disorders. Conclusions: Taken together, research into the vulnerability of people with neuropsychiatric disorders and the risk of developing mental symptoms in different populations (diseased, healthy, athletes) at altitude is urgently needed to provide appropriate evidence-based counselling and treatment.

Experiences of access to care, diagnosis and rehabilitation among a multiethnic patient population with long-COVID in Denmark

Abstract Background and aim The aim of the study was to explore the experiences of accessing care, diagnosis, and rehabilitation among patients with long-COVID in a multiethnic population in Denmark. Methods Qualitative research using semi-structured interviews among a purposive sample of 18 people diagnosed with long-COVID, according to the NICE guideline, in the Capital Region of Denmark. Participants were sampled to secure variation in sex, age, ethnicity, migration status and education. Our interview guide was developed using the theoretical framework of candidacy. Interviews were transcribed verbatim, and member checked, and subsequently analyzed using thematic framework analysis and NVivo software. Results The analysis generated four categories: i) living with long-COVID, ii) access to care, iii) experiences in the healthcare system, and iv) experiences with rehabilitation. A main category was identified from these categories: limited knowledge of COVID resulting in uncertainty, which challenged nearly all aspects of access to diagnosis, care and rehabilitation among the informants. In particular, ethnic minorities experienced that their motives for seeking care were questioned or had the experience of differential treatment. In general, participants perceived to be themselves responsible of recovering, while also struggling with the mental, social and work-related consequences of their long-COVID. Conclusions Our study demonstrated how the emergence of a new viral disease with unknown long-term sequelae results in a group of patients who to a great extend carry the burden of getting better themselves. More research into relevant diagnosis, care and support for long-COVID patients is needed, especially among ethnic minorities.

Commuting violence: Social, mental and academic consequences. Is this concept necessary to adopt?

Abstract Introduction Violence has emerged as a pressing public health issue due to its global impact, prompting the need to coin the term ‘commuting violence’ (CV). This term refers to any form of aggression experienced by students traveling from the University to other locations such as their homes or vice versa, considering that this situation could have health and academic consequences for students. Objectives To determine the consequences associated with CV in university students. Methods A cross-sectional and prospective study was conducted, including students from a Medical School in Veracruz, Mexico, from August to December 2023. Invitations to participate were extended to students of medicine, chiropractic, and radiology technology. Results A total of 279 participants with a mean age of 20 (±3.0) years were included. 89.6% of students perceive insecurity on their journey to the university, primarily due to the presence of suspicious individuals (93.9%); 70.6% of participants reported knowing a peer who has experienced CV, leading them to avoid certain streets (92.5%) to avoid it. Insecurity felt on the journey home from school showed a significant association (OR/CI95%) for anxiety due to JV of (7.2/3.2-16), stress due to CV of (11.1/4.74-25.9), and paranoia due to CV of (4.48/2.02-9.92). A total of 140 (50.2%) students reported experiencing CV, with the most frequent manifestations being sexual harassment (79.3%) and verbal harassment (57.8%), as well as two (1.4%) attempted rapes. Experiencing CV was positively associated with students avoiding class schedules before 8:00 a.m. (3.6/1.69-7.63) and after 6:00 p.m. (4.6/1.7-11.94), as well as absenteeism (7.37/2.51-21.67) and thoughts of dropping out (12.9/2.75-60.36) (p &amp;lt; 0.05). Conclusions PV is a relevant situation that exists within the well-being of students, impacting them both in anticipation and when faced with it. The concept of CV should be considered for use in future research. Key messages • We propose the concept of Commuting violence as an element to be taken into account since it has been demonstrated that this situation interferes with the academic activity of the students. • Commuting violence occurs during academic activities, so universities should propose actions to make students feel safe on their daily journey to the university.

Bible reading and human flourishing among U.S. military families

Bible reading and human flourishing among U.S. military families Sung Joon Jang and Byron R. Johnson, inspire us with their research on Bible reading and human flourishing among U.S. military families. Military service can create unique challenges for active and retired members and their families, such as frequent deployments or relocations and family separation. It also brings into their home lives the mental and physical consequences of war after tours of duty and post-combat experiences. Prior research shows that these stressors tend to have lasting, detrimental effects on the well-being of military personnel, veterans, and their families, including mental illness, poor health, post-traumatic stress disorder (PTSD), substance abuse, marital and family problems, suicide, and domestic violence.

Friendships on the stage: co-writing feminist theatrical accounts

ABSTRACT We, as friends, feminists, and Early Career Academics, explore the complex interplay between friendships and the Neoliberal University through an experimental genre blending text: a collaborative performance combining duoethnographic theater, poetry and artistic-academic writings. We offer intimate, embodied insights on friendships – between academics, between academics and non-academics, and between writers and readers. Our work exposes the ambiguity of friendships in the Neoliberal University. Friendship as affective relations without a predefined time frame and purpose is depicted as a danger to be contained, reflecting the denial of relationality in knowledge production. An instrumental framing of friendship is promoted and sustains the normative control of workers and the exploitation of care. Despite these challenges, critical, careful friendships are indispensable for academics to navigate the Neoliberal University's physical and mental consequences. To resist collectively and prefigure alternatives, i.e. for the Caring University to emerge, we need to push the boundaries of friendships.

Post myocardial infarction depression, prevalence, diagnosis, pathophysiologic mechanisms, treatment and management

Background: Myocardial infarction (MI) can have significant physical and mental consequences. Depression is a prevalent psychiatric condition after MI which can reduce the quality of life and increase the mortality rates of patients. The link between depression and poor cardiac outcomes has prompted clinical trials investigating the impact of treating depression on both outcomes. Methods: In this paper, we discussed about post Myocardial infarction depression, its Prevalence, pathophysiologic mechanisms, such as neurobiological mechanisms of post-MI depression, Hypothalamic-pituitary-adrenal axis and autonomic nervous system, environmental factors, like lack of social support, lifestyle changes, economic status and health related anxiety. Results: By 2030, depressive disorders are projected to become the first leading cause of disease burden in high-income countries and the second leading cause globally. Depression is prospectively linked to negative cardiac outcomes, regardless of other cardiovascular risk factors. In individuals who are initially healthy, depression is correlated with a greater likelihood of developing heart disease compared to those without depression. Conclusion: We have concluded that several factors including the dysregulation of the autonomic nervous system and Hypothalamic-pituitary-adrenal axis, various environmental factors, and genetics can be contributed to the correlation between Myocardial infarction and depression. Keywords: Post myocardial infarction, depression, prevalence, diagnosis, pathophysiologic mechanisms, treatment, management

Relationship of Suicidal Tendencies and Drug Dependence: Analysis of Causes and Approaches to Prevention

The relevance of the article is due to the high mortality rate among drug addicts and the severe mental and social consequences of drugs. Understanding the causes and factors that contribute to suicidal behavior among drug addicts is key to developing effective prevention and rehabilitation programs. The author focuses on the alarming aspect of drug addiction — the high risk of suicidal tendencies among drug addicts. Drug addiction is often accompanied by severe mental disorders such as depression, anxiety disorders and post-traumatic stress disorder (PTSD). These disorders, in turn, increase suicidal thoughts and behavior. In the article, the author provides a scientific review of existing research on the relationship between drug addiction and suicidal thoughts and behavior. Based on a study of international experience, the importance of family and community support in preventing suicide attempts is noted. Based on the results obtained, conclusions are formulated based on reviews of psychological, social and biological factors contributing to suicide risk among drug addicts, aimed at evaluating existing suicide prevention programs among drug addicts. The main provisions and conclusions can be used when studying the issue of preserving the institution of family, noting the importance of family and public support in preventing suicide attempts. Drug addiction poses one of the most serious threats to the health and well-being of society.

The Influence of Gender Dysphoria in Social Aspects

Gender dysphoria(GD) is a mental illness that causes distress when the gender identity(GI) of people differs with their physical gender. This article gives a review of GD in social aspects which discusses the internal process and external process as the source of stress and associates the social interactions of individuals with GD in the social context. The social function of people with GD could be affected by misgendering, gendered assumptions and intrusive thoughts about preoccupation with how others perceive them. Discrimination and exclusion was confronted by people with GD and linked to the minority stress model to describe different sources of stress. That will trigger negative mental health outcomes while social support connects to positive mental consequences in individuals with GD. The result of this research provides an understanding of people with GD through the analysis of the interaction in social context and the problems of their situations in society have been described through the data and studies, such as discrimination and stigma. The further research can focus on the solutions that can change their situations and help them in various ways.

The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechanisms as second victims

Obstetrics and gynecology surgery is becoming increasingly complex because of an aging population with increasing rates of medical comorbidities and obesity. Complications are therefore common, and not only impact the patient but can also cause distress to the obstetrics and gynecology surgeon as a "second victim." This study aimed to describe and quantify the range of effects of complications on obstetrics and gynecology surgeons, and assess sociodemographic, clinician, and practice factors associated with such impact. A cross-sectional survey was developed on the basis of interviews with obstetrics and gynecology surgeons and a review of the literature. The survey assessed obstetrics and gynecology surgeons' demographic, clinical, and practice characteristics; estimated the number of complications per year and the impact of complications on distress, physical and mental health, sleep, and relationships; and explored strategies that obstetrics and gynecology surgeons used to cope with complications. Univariate logistic regression analyses were used to determine the association between obstetrics and gynecology surgeons' characteristics and complication consequences. Overall, of 727 survey respondents, 431 (61%) were female, 384 (55%) were aged ≥50 years, almost half had worked as obstetrics and gynecology surgeons for ≥15 years (329 [45%]), and 527 (73%) reported completing <10 surgical procedures per week. Most (568 [78%]) reported <3 surgical complications per year, and most (472 [66%]) thought this was similar or less frequent compared with their colleagues. Complications caused most stress when they resulted in poor patient outcomes (653 [90%]), had severe patient consequences (630 [87%]), or were a result of surgeon error (627 [86%]). Complications impacted most obstetrics and gynecology surgeons' well-being and sleep. A greater proportion of those aged <50 years reported that their mental well-being (32 [10%]; P=.002) and sleep (130 [42%]; P=.03) were affected when a complication occurred. Female participants were also more likely to report that their physical health (14 [3%]; P≤.001), mental health (39 [9%]; P=.01), and sleep (183 [43%]; P≤.001) were affected. Current trainees (11 [10%]) and surgeons with <15 years of experience (25 [9%]) were more likely to experience mental well-being consequences compared with surgeons with ≥15 years of experience (12 [4%]; P=.01). Female participants reported less willingness to interact with colleagues when complications occurred (323 [75%]; P=.006), and surgeons with <15 years of training were less likely to report comfort in talking (221 [74%]; P=.03) and interacting with others (212 [74%]; P=.02). The vast majority of obstetrics and gynecology surgeons experience a major impact on their health and well-being when one of their patients develops a complication. The degree and type of impact reported are similar to those observed in other surgical specialties. Future studies are needed to test interventions that alleviate the substantial impact and to follow obstetrics and gynecology surgeons longitudinally to understand the duration of the impact of complications.

The burden of adverse drug reactions reported by patients in the Dutch ADR monitor: a proof of concept

ABSTRACT Background We aimed to describe the burden of adverse drug reactions (ADRs) reported by patients participating in the Dutch ADR Monitor using a multifactorial burden measurement instrument. Methods The Dutch ADR Monitor is a cohort event monitoring system that collects information on ADR experiences, including burden. This study includes the initial data (November 2022 until May 2023). Patients were asked if experienced ADRs impacted seven domains of burden: appearance, medical treatment, daily life, fatigue, physical consequences, mental consequences, and the course of ADRs. Burden was scored from 0 to 10 on impacted domains. The distributions of these burden scores were demonstrated in Likert plots. The burden between persistent and recurrent ADRs was compared. Results Ninety-two patients reported 199 ADRs. Impacts on the domain fatigue and daily life were experienced most frequently, except for skin and subcutaneous tissue ADRs, where impacts on appearance and mental consequences were experienced most frequently. Fatigue was considered the most burdensome domain. No difference in burden was found between persistent (median = 7, IQR = 4) and recurrent ADRs (median = 6, IQR = 4, p = 0.59). Conclusions This is the first study investigating burden of ADRs on seven domains in patients with chronic diseases. Impact on the domain fatigue was considered most burdensome.

The impact of parental acceptance and childhood maltreatment on mental health and physical pain in Burundian survivors of childhood sexual abuse

BackgroundParental support has been suggested to mitigate mental and physical consequences following childhood sexual abuse (CSA). However, many CSA survivors experience parental rejection post-CSA. ObjectiveWe aimed to understand the impact of abuse-specific parental acceptance on post-traumatic stress disorder (PTSD) and physical pain in Burundian CSA-survivors. We further assessed the significance of parental acceptance among known risk factors for predicting PTSD. Methods, participants, and settingsParticipants (N = 131, 80.9 % female, mean age 16.21 years) were recruited via primary health care centers for survivors of sexual violence which survivors approached post-CSA. Survivors reported on PTSD symptoms, daytime/nighttime pain, and adverse childhood experiences in semi-structured interviews. Parental acceptance levels were categorized (acceptance, no acceptance, no contact) for mothers and fathers separately. Kruskal-Wallis tests assessed group differences. Conditional random forests (CRF) evaluated the significance of parental acceptance in predicting PTSD symptom severity. ResultsNo significant differences regarding PTSD symptoms and physical pain between levels of maternal acceptance were obtained. Pairwise comparisons revealed significant differences in PTSD symptom severity between paternal acceptance and no acceptance (d = 1.04) and paternal acceptance and no contact (d = 0.81). The CRF identified paternal acceptance as important variable for the prediction of PTSD symptom severity. Even though results were less conclusive, medium effect sizes hint at less pain perception within the paternal acceptance group. ConclusionsThe results highlight paternal acceptance as a potential risk or protective factor regarding psychological and possibly physical well-being in the aftermath of CSA, even in the context of other known risk factors.

Impact of distress on the nutritional status of patients with type 2 diabetes mellitus at the National Hospital of Endocrinology in 2022

Diabetes Mellitus (DM), particularly Type 2 Diabetes Mellitus (T2DM), is one of the most prevalent non-communicable chronic diseases and poses significant challenges for the healthcare sector and the community. Distress in patients with T2DM leads to severe physical and mental consequences. This study aims to analyze the relationship between distress and the nutritional status of T2DM patients. A cross-sectional descriptive study was conducted on 203 T2DM patients at the National Hospital of Endocrinology from October to December 2022. Of the participants, 54.2 % were female with an average age of 62.1 (±12.4). The waist circumference (WC) and waist-to-hip ratio (WHR) were significantly different between genders (p < 0.05). The prevalence of overweight/obesity was high at 46.7 %, with females having a 2.3 times higher WC and a 1.5 times higher WHR compared to males. The study identified several factors related to the nutritional status and distress in T2DM patients, including age, gender, residence, family history of T2DM, lifestyle habits, and nutritional status (p < 0.05). Early and comprehensive evaluation of T2DM patients is essential to improve treatment outcomes and quality of life.

Treatment outcomes of obstetrical fistula surgical repair in low- and middle-income countries: A scoping review.

Obstetrical fistula is an abnormal opening between the reproductive tract and lower urinary and/or gastrointestinal tract resulting from obstetrical complications, affecting nearly two million women worldwide. It imposes physical, economic, social, and mental consequences on the affected women. Treatment outcomes vary and, mostly, surgical treatment results in improved quality of life and successful subsequent pregnancy for survivors. The review aimed to chart and examine the treatment outcomes of obstetrical fistula surgical repair in low- and middle-income countries. This is a scoping review study to identify treatment outcomes of obstetrical fistula surgical repair in low- and middle-income countries. The search was conducted from databases (PUBMED, Embase, CINAHL, Scopus, and Web of Science), and gray literature (Google Scholar, Google, and conference proceedings). The eligibility criteria were constructed using a participant, concept, and context framework and included study types of primary research, reviews, and reports. Studies without full text and in languages other than English were excluded. The relevant characteristics of the included studies were extracted on an Excel spreadsheet and analyzed to chart treatment outcomes. The review examined the full text of 57 studies on the treatment outcomes of obstetrical fistula. The findings were grouped into two themes: early and late outcomes. The early outcomes included incontinence, surgical-site infection, urine retention, hemorrhage, and retained catheter. The late outcomes included fistula recurrence, residual incontinence, quality of life, reproductive issues, mental health, family and social support, and financial status. The treatment outcomes of obstetrical fistula can be grouped into short-term and long-term outcomes. Although this review found adequate studies for the analysis, most study designs were poor. Stronger studies are recommended in the future to guide policy and decision-making. We would like to suggest that researchers conduct systematic reviews and meta-analyses independently for short-term and long-term outcomes.

LONG-TERM EFFECTS OF COVID-19

The COVID-19 pandemic has been a defining global event, impacting nearly every aspect of life worldwide. This paper presents a review of the long-term effects of COVID-19, focusing on the impacts on people’s physical and mental health. It synthesizes current knowledge from different studies, articles, analyses, and case reports to provide a comprehensive understanding of the prolonged physical, psychological and socioeconomic consequences of COVID-19. The virus has prolonged effects on various organ systems in human body especially in individuals who experienced severe cases or complications, as well as profound psychological impact. Efforts to address the physical and mental consequences of COVID-19 require a comprehensive approach involving healthcare professionals, mental health providers, policymakers, community organizations, and individuals themselves.

Quality of Life and Clinical Impairment in Spanish Adolescent Anorexia Nervosa Patients.

Eating disorders have serious physical, mental and social consequences that can affect the quality of life of the sufferer. This study aimed to evaluate the relationship between the severity of ED-related psychopathology and clinical impairment in adolescents with anorexia nervosa (AN) as well as their perception of health-related quality of life. Eighty-six Spanish young women with AN completed a set of questionnaires assessing eating disorder pathology, clinical impairment, and quality of life. The set included the following instruments: the Eating Disorder Examination Questionnaire, Clinical Impairment Assessment, Short Form-12 Item Health Survey, and the Eating Disorder-Specific Heath-Related Quality of Life instrument. Descriptive and regression analyses were applied to identify associations between variables. Higher scores on clinical impairment domains were associated with greater impairment of mental and physical health. Moreover, clinical impairment domains and concerns due to ED were related to a lower quality of life. In conclusion, adolescents with AN have a poor quality of life. Moreover, the findings suggest that the clinical features of impairment may serve as severity indicators of quality of life.