scholarly journals Multiple-time measurements of multidimensional psychiatric states from immediately before the COVID-19 pandemic to one year later: A longitudinal online survey of the Japanese population

2021 ◽  
Author(s):  
Taiki Oka ◽  
Takatomi Kubo ◽  
Nao Kobayashi ◽  
Fumiya Nakai ◽  
Yuka Miyake ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Principal Components ◽  
Japanese Population ◽  
Online Survey ◽  
Psychiatric Symptoms ◽  
Social Withdrawal ◽  
Mitigation Strategies ◽  
Series Data ◽  
Multiple Time ◽  
The Impact

ABSTRACTThe coronavirus disease 2019 (COVID-19) pandemic has profoundly affected the mental health of both infected and uninfected people. Although most psychiatric disorders have highly overlapping genetic and pathogenic backgrounds, most studies investigating the impact of the pandemic have examined only single psychiatric disorders. It is necessary to examine longitudinal trajectories of factors that modulate psychiatric states across multiple dimensions. 2274 Japanese citizens participated in online surveys presented in December 2019 (before the pandemic), August 2020, Dec 2020, and April 2021. These surveys included nine questionnaires on psychiatric symptoms, such as depression and anxiety. Multi-dimensional psychiatric time series data were then decomposed into four principal components. We used generalized linear models to identify modulating factors for effects of the pandemic on these components. The four principal components can be interpreted as general psychiatric burden, social withdrawal, alcohol-related problems, and depression/anxiety. Principal components associated with general psychiatric burden and depression/anxiety peaked during the initial phase of the pandemic. They were further exacerbated by the economic burden of the pandemic. In contrast, principal components associated with social withdrawal showed a delayed peak, with human relationships as an important risk modulating factor. In addition, being elderly and female were risk factors shared across all components. Our results show that COVID-19 has imposed a large and varied burden on the Japanese population since the commencement of the pandemic. Although components related to the general psychiatric burden remained elevated, peak intensities differed between components related to depression/anxiety and those related to social anxiety. These results underline the importance of using flexible monitoring and mitigation strategies for mental problems, according to the phase of the pandemic.

scholarly journals Multiple time measurements of multidimensional psychiatric states from immediately before the COVID-19 pandemic to one year later: a longitudinal online survey of the Japanese population

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Taiki Oka ◽  
Takatomi Kubo ◽  
Nao Kobayashi ◽  
Fumiya Nakai ◽  
Yuka Miyake ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Principal Components ◽  
Japanese Population ◽  
Online Survey ◽  
Psychiatric Symptoms ◽  
Social Withdrawal ◽  
Mitigation Strategies ◽  
Series Data ◽  
Multiple Time ◽  
The Impact

AbstractThe coronavirus disease 2019 (COVID-19) pandemic has profoundly affected the mental health of both infected and uninfected people. Although most psychiatric disorders have highly overlapping genetic and pathogenic backgrounds, most studies investigating the impact of the pandemic have examined only single psychiatric disorders. It is necessary to examine longitudinal trajectories of factors that modulate psychiatric states across multiple dimensions. About 2274 Japanese citizens participated in online surveys presented in December 2019 (before the pandemic), August 2020, Dec 2020, and April 2021. These surveys included nine questionnaires on psychiatric symptoms, such as depression and anxiety. Multidimensional psychiatric time-series data were then decomposed into four principal components. We used generalized linear models to identify modulating factors for the effects of the pandemic on these components. The four principal components can be interpreted as a general psychiatric burden, social withdrawal, alcohol-related problems, and depression/anxiety. Principal components associated with general psychiatric burden and depression/anxiety peaked during the initial phase of the pandemic. They were further exacerbated by the economic burden the pandemic imposed. In contrast, principal components associated with social withdrawal showed a delayed peak, with human relationships as an important risk modulating factor. In addition, being female was a risk factor shared across all components. Our results show that COVID-19 has imposed a large and varied burden on the Japanese population since the commencement of the pandemic. Although components related to the general psychiatric burden remained elevated, peak intensities differed between components related to depression/anxiety and those related to social withdrawal. These results underline the importance of using flexible monitoring and mitigation strategies for mental problems, according to the phase of the pandemic.

scholarly journals The Perceived Impact of Suicide Bereavement on Specific Interpersonal Relationships: A Qualitative Study of Survey Data

2019 ◽  
Vol 16 (10) ◽  
pp. 1801 ◽  
Author(s):  
Valeriya Azorina ◽  
Nicola Morant ◽  
Hedvig Nesse ◽  
Fiona Stevenson ◽  
David Osborn ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Online Survey ◽  
Extended Family ◽  
Social Withdrawal ◽  
Free Text ◽  
Increased Risk ◽  
Suicide Bereavement ◽  
Social Discomfort ◽  
The Uk ◽  
The Impact

People bereaved by suicide have an increased risk of suicide and suicide attempt, yet report receiving less support than people bereaved by other sudden deaths. Reductions in support may contribute to suicide risk, yet their nature is unclear. We explored the impact of suicide bereavement on the interpersonal relationships of young adults in the UK using an online survey to collect qualitative data. We conducted thematic analysis of free-text responses from 499 adults to questions capturing the impact of bereavement on relationships with partners, close friends, close family, extended family, and other contacts. We identified four main themes describing the changes in relationships following the suicide: (1) Social discomfort over the death (stigma and taboo; painfulness for self or others to discuss; socially prescribed grief reactions); (2) social withdrawal (loss of social confidence; withdrawal as a coping mechanism); (3) shared bereavement experience creating closeness and avoidance; (4) attachments influenced by fear of further losses (overprotectiveness towards others; avoiding attachments as protective). These findings contribute to understanding deficits in support and pathways to suicidality after suicide bereavement. Such disrupted attachments add to the burden of grief and could be addressed by public education on how to support those bereaved by suicide.

scholarly journals The Impact of Resilience and Extraversion on Psychological Distress, Loneliness, and Boredom During the COVID-19 Pandemic: A Follow-Up Study Among the General Population of Tyrol, Austria

2021 ◽  
Vol 12 ◽  
Author(s):  
Franziska Tutzer ◽  
Beatrice Frajo-Apor ◽  
Silvia Pardeller ◽  
Barbara Plattner ◽  
Anna Chernova ◽  
...  
Keyword(s):  
Psychological Distress ◽  
General Population ◽  
Online Survey ◽  
Short Form ◽  
Negative Association ◽  
Mitigation Strategies ◽  
Protective Effects ◽  
Resilience Scale ◽  
The Impact

Background: The Covid-19 pandemic and related measures represent an enormous burden on mental health. The aim of this study was to investigate longitudinal changes in psychological distress, loneliness, boredom, and resilience over the course of the pandemic and to examine the associations between resilience and extraversion at baseline (summer 2020) and psychological distress, loneliness, and boredom at 5-month-follow-up.Methods: Residents of Tyrol (≥18a) completed an online survey on psychological distress, loneliness, boredom, resilience, and extraversion by using the Brief-Symptom-Checklist, the Three-Item Loneliness Scale, the Multidimensional State Boredom Scale-Short Form (MSBS-SF), the Resilience Scale, and the Extraversion subscale of the Big Five Inventory.Results: Of the 961 baseline participants, 384 took part in the follow-up survey. The percentage of study participants with striking psychological distress remained the same. Similarly, resilience did not change from baseline to follow-up, whereas the number of those experiencing moderate loneliness increased significantly. In contrast, at follow-up, severe loneliness was detected in significantly less people. Boredom decreased significantly over time. A moderate negative association was detected between baseline resilience and psychological distress, loneliness, and boredom at follow-up, and a weak but still significant negative association between extraversion and these outcomes.Discussion: These findings indicate that a subset of the general population consistently suffers from high levels of psychological distress and point to the protective effects of resilience and extraversion in this context. They reemphasize the importance of prevention and mitigation strategies to address these public health problems.

scholarly journals Psychological Reactance to Mobility Restrictions Due to the COVID-19 Pandemic: A Japanese Population Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Hiroyuki Sakai ◽  
Mariko Shimizu ◽  
Takayoshi Yoshimura ◽  
Eiji Hato
Keyword(s):  
Population Study ◽  
Japanese Population ◽  
Online Survey ◽  
Psychological Reactance ◽  
Online Services ◽  
History Of ◽  
Time Periods ◽  
The Government ◽  
Spread Of Infection ◽  
The Impact

In Japan, mobility restrictions were enforced by the government to abate the spread of COVID-19. The current study examined whether experiences of such mobility restrictions affected motivation for future going-out activities. To this end, we conducted a one-time online survey of 1,000 adults in Tokyo to measure going-out activities in four different time periods at once: before the spread of infection, during and after the emergency declaration, and after the end of the pandemic (future desire). In addition, to examine the impact of preferences for online services that make it easier to stay home, we measured the usage history of online services to obtain food during the mobility restriction period. Results indicated that desire for going-out activities after the end of the pandemic increased compared with those before the pandemic, particularly for leisure-related purposes. In addition, the use of online services to obtain food tended to suppress the increased desire for future going-out activities, although this effect was not significant. In conclusion, mobility restrictions resulted in motivational arousal for going-out activities after the end of the pandemic. Our findings indicate that psychological reactance plays a role in determining going-out activities in the future.

scholarly journals Exploring the Use of Mould Estimation Software in New Zealand Residential Houses

2021 ◽  
Author(s):  
◽  
Jarred Butler
Keyword(s):  
At Risk ◽  
New Zealand ◽  
Health Effects ◽  
Mitigation Strategies ◽  
Series Data ◽  
Research Association ◽  
Adverse Health Effects ◽  
Adverse Health ◽  
House Condition ◽  
The Impact

<p>Regularly being exposed to the types of mould spores that can grow in houses has been shown to lead to adverse health effects such as respiratory diseases, and the exacerbation of asthma. While susceptible groups such as children, the elderly, and atopic persons are more susceptible to these effects, adverse health effects from mould spores have been shown to affect non-topic populations.  The 2015 Building Research Association of New Zealand House Condition Survey found that 46% of owner-occupied properties, and 54% of rented properties in a representative sample of the New Zealand housing stock have some form of mould in them. This means that a large portion of the population could be at risk of suffering from the adverse health effects associated with mould growth in houses. Increased air-tightness in new houses could also be at risk of being under-ventilated, potentially exacerbating this mould issue.  It is unknown whether the current New Zealand Building Code, at the time of writing, provides sufficient ventilation requirements to prevent new houses from being under-ventilated. It also does not consider existing houses, which is where most of the mould in the HCS was found.  This study explored whether data from the House Condition Survey and WuFi-Bio could be used to test mould mitigation strategies in New Zealand residential bathrooms. This was done by modelling a subset of houses from the House Condition Survey in WuFi-Pro, estimating the risk of mould in them with WuFi-Bio, and comparing this to the observations from the House Condition Survey. Parameters in the models were then changed to reflect the impact that strategies would have on the humidity and temperature in the bathrooms. The aim of this was to develop a hierarchy of recommendations that could help home occupiers and designers determine the most appropriate methods they could use to prevent mould from growing in their homes/designs.  However, the results did not align with the observations from the House Condition Survey, and testing the validity of the models by exploring the impact of assumptions showed they had no significant impact. The cause of this misalignment could not be determined, however a lack of internal condition time-series data and information about how observed mould from the House Condition Survey were identified of areas of uncertainty and prevented further exploration.  The exploration that was conducted revealed the importance of having enough data to understand the conditions that lead to any observed mould if an existing bathroom is being assessed using WuFi-Bio. It was concluded that attempting to assess a large number of houses with little data using WuFi-Bio was impractical. A controlled experimental study aimed at understanding a few houses in-depth would be a more appropriate method to test mould mitigation strategies, and help address the mould issue in New Zealand houses.</p>

scholarly journals Exploring the Use of Mould Estimation Software in New Zealand Residential Houses

2021 ◽  
Author(s):  
◽  
Jarred Butler
Keyword(s):  
At Risk ◽  
New Zealand ◽  
Health Effects ◽  
Mitigation Strategies ◽  
Series Data ◽  
Research Association ◽  
Adverse Health Effects ◽  
Adverse Health ◽  
House Condition ◽  
The Impact

<p>Regularly being exposed to the types of mould spores that can grow in houses has been shown to lead to adverse health effects such as respiratory diseases, and the exacerbation of asthma. While susceptible groups such as children, the elderly, and atopic persons are more susceptible to these effects, adverse health effects from mould spores have been shown to affect non-topic populations.  The 2015 Building Research Association of New Zealand House Condition Survey found that 46% of owner-occupied properties, and 54% of rented properties in a representative sample of the New Zealand housing stock have some form of mould in them. This means that a large portion of the population could be at risk of suffering from the adverse health effects associated with mould growth in houses. Increased air-tightness in new houses could also be at risk of being under-ventilated, potentially exacerbating this mould issue.  It is unknown whether the current New Zealand Building Code, at the time of writing, provides sufficient ventilation requirements to prevent new houses from being under-ventilated. It also does not consider existing houses, which is where most of the mould in the HCS was found.  This study explored whether data from the House Condition Survey and WuFi-Bio could be used to test mould mitigation strategies in New Zealand residential bathrooms. This was done by modelling a subset of houses from the House Condition Survey in WuFi-Pro, estimating the risk of mould in them with WuFi-Bio, and comparing this to the observations from the House Condition Survey. Parameters in the models were then changed to reflect the impact that strategies would have on the humidity and temperature in the bathrooms. The aim of this was to develop a hierarchy of recommendations that could help home occupiers and designers determine the most appropriate methods they could use to prevent mould from growing in their homes/designs.  However, the results did not align with the observations from the House Condition Survey, and testing the validity of the models by exploring the impact of assumptions showed they had no significant impact. The cause of this misalignment could not be determined, however a lack of internal condition time-series data and information about how observed mould from the House Condition Survey were identified of areas of uncertainty and prevented further exploration.  The exploration that was conducted revealed the importance of having enough data to understand the conditions that lead to any observed mould if an existing bathroom is being assessed using WuFi-Bio. It was concluded that attempting to assess a large number of houses with little data using WuFi-Bio was impractical. A controlled experimental study aimed at understanding a few houses in-depth would be a more appropriate method to test mould mitigation strategies, and help address the mould issue in New Zealand houses.</p>

scholarly journals Prenatal Exposure to Diethylstilbestrol and Multigenerational Psychiatric Disorders: An Informative Family

2021 ◽  
Vol 18 (19) ◽  
pp. 9965
Author(s):  
Marie-Odile Soyer-Gobillard ◽  
Laura Gaspari ◽  
Françoise Paris ◽  
Nicolas Kalfa ◽  
Samir Hamamah ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Eating Disorders ◽  
Psychiatric Disorders ◽  
Second Generation ◽  
Psychiatric Symptoms ◽  
In Utero ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Informative Family ◽  
The Impact

Background: Psychiatric disorders in children exposed in utero to diethylstilbestrol (DES) are still debated. We report here the impact of DES prescribed to suppress lactation on the children born after such treatment and their progeny, focusing particularly on psychiatric disorders. Case presentation: We report here an informative family in which one or more psychiatric problems (e.g., bipolarity, suicide attempts and suicide, eating disorders) were detected in all children of second-generation (DES-exposed children; n = 9), but for II-2 who died at the age of 26 years due to rupture of a congenital brain aneurysm, and were associated with non-psychiatric disorders (particularly, endometriosis and hypospadias). In the third generation, 10 out of 19 DES-exposed grandchildren had psychiatric disorders (autism spectrum disorder, bipolar disorder, dyspraxia and learning disabilities, mood and behavioral disorders, and eating disorders), often associated with comorbidities. In the fourth generation (7 DES-exposed great-grandchildren, aged between 0 and 18 years), one child had dyspraxia and autism spectrum disorder. The first daughter of the second generation (not exposed to DES) and her children and grandchildren did not have any psychiatric symptoms or comorbidities. Conclusions: To our knowledge, the high prevalence of psychiatric disorders of various severities in two, and likely three generations, including DES-free pregnancies and DES-exposed pregnancies from the same family, has never been reported. This work strengthens the hypothesis that in utero exposure to DES contributes to the pathogenesis of psychiatric disorders. It also highlights a multigenerational, and possibly transgenerational, effect of DES in neurodevelopment and psychiatric disorders.

Alarming levels of psychiatric symptoms and the role of loneliness during the COVID-19 epidemic: A case study of Hong Kong

2020 ◽  
Author(s):  
Ivy Fei Tso ◽  
Sohee Park
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Online Survey ◽  
Psychiatric Symptoms ◽  
Transmission Rate ◽  
Network Size ◽  
Unintended Consequences ◽  
Model Case ◽  
Social Distancing ◽  
The Impact

Public health strategies to curb the spread of the coronavirus involve sheltering at home and social distancing are effective in reducing the transmission rate, but the unintended consequences of prolonged social isolation on mental health have not been investigated. We focused on Hong Kong for its very rapid and comprehensive response to the pandemic and strictly enacted social distancing protocols. Thus, Hong Kong is a model case for the population-wide practice of effective social distancing and provides an opportunity to examine the impact of loneliness on mental health during the COVID-19. We conducted an anonymous online survey of 432 residents in Hong Kong to examine psychological distress in the community. The results indicate a dire situation with respect to mental health. An astonishing 65.6% (95% C.I. = [60.6%, 70.4%]) of the respondents reported clinical levels of depression, anxiety, and/or stress. Moreover, 22.5% (95% C.I. = [18.2%, 27.2%]) of the respondents were showing signs of psychosis risk. Subjective feelings of loneliness, but not social network size, were associated with increased psychiatric symptoms. To mitigate the potential epidemic of mental illness in the near future, there is an urgent need to prepare clinicians, caregivers and stakeholders to focus on loneliness.

scholarly journals Early Psychiatric Impact of COVID-19 Pandemic on the General Population and Healthcare Workers in Italy: A Preliminary Study

2020 ◽  
Vol 11 ◽  
Author(s):  
Benedetta Demartini ◽  
Veronica Nisticò ◽  
Armando D'Agostino ◽  
Alberto Priori ◽  
Orsola Gambini
Keyword(s):  
At Risk ◽  
General Population ◽  
General Public ◽  
Healthcare Workers ◽  
Sleep Disturbances ◽  
Online Survey ◽  
Psychiatric Symptoms ◽  
Maslach Burnout Inventory ◽  
Event Scale ◽  
The Impact

Introduction: Since February 2020, the outbreak of COVID-19 spread to several countries worldwide, including Italy. In this study, we aimed to assess the psychopathological impact of the pandemic across the general population of Lombardy, the most affected Italian region, and to compare the prevalence of psychiatric symptoms between the general public and healthcare workers.Methods: Four hundred and thirty-two participants completed an online survey including: the Depression, Anxiety and Stress Scale−21 items (DASS-21), the Impact of Event Scale—Revised (IES-R) and the Pittsburgh Sleep Quality Index (PQSI). Healthcare workers were also asked to complete the Maslach Burnout Inventory (MBI).Results: At the DASS-21, 33.3% of the responders presented pathological levels of stress, 25.5% of anxiety, and 35.9% of depression. At the IES-R, 13.9% appeared at risk of developing Post-Traumatic Stress Disorder (PTSD). At the PSQI, 57.6% presented sleep disturbances. Female gender and younger age predicted higher scores of distress. Healthcare workers presented higher levels of psychiatric symptoms than the general public. Moreover, working in contact with COVID-19 patients predicted higher scores at the IES-R subscale Intrusion.Conclusion: Our results showed that about a third of our sample presented symptoms of stress, anxiety, and depression during the first month of the COVID-19 pandemic outbreak in Lombardy; more than half of the responders presented sleep disturbances, and 13% appeared at risk of PTSD. Italian authorities should develop specific strategies to guarantee psychological support to the population of Lombardy, with particular attention to women, young people, and healthcare workers exposed to COVID-19 patients.

scholarly journals Pharmacological properties of cannabidiol in the treatment of psychiatric disorders: a critical overview

2018 ◽  
Vol 27 (4) ◽  
pp. 327-335 ◽  
Author(s):  
G. M. Mandolini ◽  
M. Lazzaretti ◽  
A. Pigoni ◽  
L. Oldani ◽  
G. Delvecchio ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Cannabinoid Receptor ◽  
Psychiatric Symptoms ◽  
Wide Spectrum ◽  
Withdrawal Symptoms ◽  
Clinical Effects ◽  
Pharmacological Properties ◽  
Bibliographic Search ◽  
Randomised Controlled ◽  
The Impact

Cannabidiol (CBD) represents a new promising drug due to a wide spectrum of pharmacological actions. In order to relate CBD clinical efficacy to its pharmacological mechanisms of action, we performed a bibliographic search on PUBMED about all clinical studies investigating the use of CBD as a treatment of psychiatric symptoms. Findings to date suggest that (a) CBD may exert antipsychotic effects in schizophrenia mainly through facilitation of endocannabinoid signalling and cannabinoid receptor type 1 antagonism; (b) CBD administration may exhibit acute anxiolytic effects in patients with generalised social anxiety disorder through modification of cerebral blood flow in specific brain sites and serotonin 1A receptor agonism; (c) CBD may reduce withdrawal symptoms and cannabis/tobacco dependence through modulation of endocannabinoid, serotoninergic and glutamatergic systems; (d) the preclinical pro-cognitive effects of CBD still lack significant results in psychiatric disorders. In conclusion, current evidences suggest that CBD has the ability to reduce psychotic, anxiety and withdrawal symptoms by means of several hypothesised pharmacological properties. However, further studies should include larger randomised controlled samples and investigate the impact of CBD on biological measures in order to correlate CBD's clinical effects to potential modifications of neurotransmitters signalling and structural and functional cerebral changes.

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