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1

Frierson, Robert, and Steven Lippmann. "COVID-19-Related Stress on Physicians." Southern Medical Journal 114, no. 11 (November 2021): 727–31. http://dx.doi.org/10.14423/smj.0000000000001313.

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Kalin, Ned H. "COVID-19 and Stress-Related Disorders." American Journal of Psychiatry 178, no. 6 (June 2021): 471–74. http://dx.doi.org/10.1176/appi.ajp.2021.21040371.

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Kotova, O. V., V. E. Medvedev, E. S. Akarachkova, and A. A. Belyaev. "COVID-19 and stress-related disorders." Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 121, no. 5 (2021): 122. http://dx.doi.org/10.17116/jnevro2021121052122.

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Budiartini, Ni Nyoman. "Effect of Covid-19 related Stress on Marital Quality during Covid-19 Pandemic." Psychological Research and Intervention 4, no. 1 (August 27, 2021): 9–18. http://dx.doi.org/10.21831/pri.v4i1.43287.

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This research aimed to understand the effect of stress during the pandemic on marital quality in Bali. This research used a quantitative approach. Subjects involved in this research were 242 people who had been married for at least five years, with intact family conditions, and lived in Denpasar City, Bali. The instruments in this research were the COVID Stress Scale from Taylor (2020) and the Marital Quality scale arranged by Nurhayati (2017). The validity of this research used content validity by expert judgment. Reliability in the scale of this research used the Cronbach Alpha reliability coefficient. The COVID stress variable has a reliability of 0.934, while the variable of marital quality has a reliability of 0.889. As for the data analysis, descriptive analysis and simple linear regression analysis were used. Based on the data analysis, the regression coefficient was 0.028 and sig. 0.307, with the value of R square = 0.004. The results showed that COVID stress does not affect the marital quality in Bali.
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Akarachkova, Elena S., Anton A. Beliaev, Dmitrii V. Blinov, Evgenii V. Bugorskii, Lidiya R. Kadyrova, Olga V. Kotova, Jinna I. Lebedeva, et al. "COVID-19 pandemic. Effects of stress." Clinical review for general practice 1, no. 2 (November 11, 2020): 16–24. http://dx.doi.org/10.47407/kr2020.1.2.00013.

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World Health Organization declared COVID-19 outbreak a pandemic on March 11, 2020. Fear of illness, self-isolation/quarantine, and reduced quality of life dramatically increased the prevalence of stress-related disorders in the population. Therefore, it is necessary to implement the preventive health-care measures aimed at short-term and long-term COVID-19 pandemic consequences reduction and promotion of social stability.
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Devito Dabbs, A. J., J. Keeling, M. L. Vendetti, D. Ren, P. Sanchez, and M. R. Morrell. "COVID-19 Related Stress among Lung Transplant Recipients." Journal of Heart and Lung Transplantation 40, no. 4 (April 2021): S142—S143. http://dx.doi.org/10.1016/j.healun.2021.01.439.

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Jeanblanc, Alexandra, Megan Dolbin-MacNab, Carol Musil, and Gregory Smith. "Predictors of COVID-19 Related Stress Among Custodial Grandmothers." Innovation in Aging 5, Supplement_1 (December 1, 2021): 83. http://dx.doi.org/10.1093/geroni/igab046.317.

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Abstract This paper examined predictors of COVID-19 stressors among 316 custodial grandmothers raising school-aged grandchildren using regression. Grandmothers, who were participants in two nationwide behavioral RCTs, completed an online questionnaire in Spring 2020. Predictors included grandmother demographics, depressive symptoms, perceived caregiving stress and reward, stress management strategies, and grandchild factors. Outcomes included grandmothers’ stress related to using bad coping habits (r2=.24), grandchildren’s remote learning(r2=.39), household conflict (r2=.29), COVID-19 fear and uncertainty (r2=.28), and finances(r2=.24). Regression results indicated that grandmothers’ pre-existing depressive symptoms predicted all outcomes except remote learning stress. Higher caregiving stress was associated with all outcomes, except concerns about using bad coping habits. Grandmothers with less perceived access to care reported greater concern about bad coping habits and remote learning stress, while minority grandmothers reported more financial stress and COVID-19 fear and uncertainty. Findings suggest that the COVID-19 pandemic has compounded the stress experienced by already burdened custodial grandmothers.
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Pinchuk, Irina, Vitaliy Pishel, Marina Polyvіanaia, Stanislav Chumak, Tetiana Ilnytska, Nataliia Stepanova, Natalia Filimonova, et al. "PROGNOSTIC ASSESSMENT OF STRESS-RELATED FACTORS IN HEALTHCARE WORKERS DURING THE COVID-19 PANDEMIC." PSYCHIATRIA DANUBINA 34, no. 3 (October 17, 2022): 572–77. http://dx.doi.org/10.24869/psyd.2022.572.

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Minihan, Elisha, Dimitrios Adamis, Michele Dunleavy, Angela Martin, Blanaid Gavin, and Fiona McNicholas. "COVID-19 related occupational stress in teachers in Ireland." International Journal of Educational Research Open 3 (2022): 100114. http://dx.doi.org/10.1016/j.ijedro.2021.100114.

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Khan, Azam, Leslie Terrell, and Muhammad Ali Javed. "101: COVID-19-Related Perceived Stress in Healthcare Workers." Critical Care Medicine 49, no. 1 (December 11, 2020): 34. http://dx.doi.org/10.1097/01.ccm.0000726292.18727.28.

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Hire, Veronica, Casey Thurmon, Hope Snyder, Ryan Harra, Jamie Walker, and Ivan Vargas. "653 Are Daily Variations in Sleep Quality and Quantity Related to General Stress and COVID-19-Related Anxiety?" Sleep 44, Supplement_2 (May 1, 2021): A255—A256. http://dx.doi.org/10.1093/sleep/zsab072.651.

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Abstract Introduction Sleep modulates a number of psychological and cognitive processes, such as emotion regulation, executive control, and coping with stress. It is therefore not surprising that insufficient sleep quality or quantity are associated with greater self-reported stress levels. The COVID-19 pandemic has led to a particularly stressful and unprecedented time in history. While stress has been undoubtedly high during the past year, it’s less clear to what extent sleep has affected people’s perceived stress on a daily basis. The aim of this research was to estimate whether daily variations in sleep quality and duration were associated with general stress and/or stress related to COVID-19. Methods The study used a nationally representative sample to assess daily variations in sleep and stress for a period of two weeks during the COVID-19 pandemic. Morning assessments were conducted using online sleep diaries. These diaries were used to estimate sleep duration (in minutes) and sleep quality (subjective rating on a 5-point Likert scale). Evening assessments were also completed online and prompted participants to rate (0 to 100) their current “general” stress level, as well as their current anxiety in relation to COVID-19. Separate mixed effects models were conducted with days (Level 1) nested within participants (Level 2). Stress variables were lagged by a day to estimate the association between sleep (AM assessment) and stress (PM assessment). TST and SQ were entered as fixed effects and intercepts were allowed to vary randomly. Results 4,048 participants (Mage = 46.3 years; 78% women) were included as part of the analyses. The results supported that lower self-reported sleep quality predicted greater general stress levels (b = -1.43, p < 0.001). Lower self-reported sleep quality also predicted greater COVID-19 related anxiety (b = -0.543, p < 0.001). In contrast, sleep duration was not significantly related to general stress or COVID-19 anxiety after controlling for sleep quality. Conclusion The present data supports that daily variations in sleep quality are related to a person’s overall stress levels and COVID-19 anxiety. These findings may have implications for the role of good sleep in mitigating the increases in stress that have resulted from the COVID-19 pandemic. Support (if any) Vargas: K23HL141581
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Sharma, Swati, and Jyoti Gaur. "COVID- 19 AND STRESS IN TEACHING EMPLOYEES." International Journal of Advanced Research 9, no. 02 (February 28, 2021): 831–35. http://dx.doi.org/10.21474/ijar01/12521.

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The corona virus outbreak came to light on December 31, 2019 when China informed the World Health Organization of a cluster of cases of pneumonia of an unknown cause in Wuhan City in Hubei Province. Subsequently the disease spread to more Provinces in China, and to the rest of the world and finally, World Health Organization (WHO) declared it as pandemic. The virus has been named SARS-CoV-2 and the disease is now called COVID-19.Symptoms of corona virus include, fever, dry cough, shortness of breath, runny nose, sore throat and persistent pain or pressure in the chest. In extreme cases, pneumonia, severe acute respiratory syndrome and kidney failure occurs. In few it has been found to be fatal. As a result, a panic created in the world population, when the outspread and deaths could not be controlled. COVID-19 pandemic, forced the governments to shut down not only the offices and markets but also all the educational centers like primary schools, higher secondary schools, colleges, institutes and universities to protect the students and faculty members from corona virus and community spread of the disease. This created a hurdle in face to face learning, a regular practice of education. Teachers and students were compelled to adopt Information and Communication Technology (ICT) techniques, into their teaching- learning process, as a result of lockdown and to make the effortsof continuing education, successful. Other than untrained staff, mental unpreparedness of the students, there were many technical issues in this project, theincompatible devices, slow network and remote residences caused problems in connectivity and communication issues, not only for the students but for the teachers too. Although, the institutions declared work from home for the employees, this work from home situation created psychological trifles between the employers and employees too. The employees who were quite naïve with the IT usage, online activities and record keeping of online activities, faced difficult time in compilation of data. Objectives-This study highlights the stress faced by teaching employees due to the unexpected and unprepared changesin schedule and practices of teaching methods. Tools- A self -structured Assessment scale of Stress Assessment was used on 72 teaching faculties who were working from home during lockdown period due to COVID- 19. Analysis- The average and percentage of scores was calculated to assess the results. The results show that High level of stress was observed in the teaching faculties. Conclusions-The researches concludes that such sudden changes may cause stress, anxiety and psychological disturbances. High level of stress was observed in the teaching staff due to coping mechanism. It was related to Waking and Sleep related Stress, Work duration related Stress, Rights related Stress, Insecurity related Stress, Blood pressure related Stress, Increased Risk Behavior such as smoking and drinking and Stomach related problems, high Perceived Stress and Stress Busters.
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Campione‐Barr, Nicole, Wendy Rote, Sarah E. Killoren, and Amanda J. Rose. "Adolescent Adjustment During COVID‐19: The Role of Close Relationships and COVID‐19‐related Stress." Journal of Research on Adolescence 31, no. 3 (August 26, 2021): 608–22. http://dx.doi.org/10.1111/jora.12647.

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Guo, PhD, LRT/CTRS, Lei, and Ruixia Yan, PhD, CCC-SLP. "Stress coping models and COVID-19." American Journal of Recreation Therapy 20, no. 4 (October 1, 2021): 41–52. http://dx.doi.org/10.5055/ajrt.2021.0245.

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COVID-19 has negatively affected community life and resulted in a significant increase in mental health problems and decreased general well-being. Stress related to COVID-19 worsens mental health problems, especially for those with preexistent conditions. Studies found that people used coping strategies such as hoping for the best, distraction, solving the problem, or seeking emotional and social support during this stressful situation. Stress models including response model, stimulus model, and transactional model from previous studies were introduced to provide more insight on how to cope with stress for the pandemic. Two unique leisure stress coping models, leisure buffering model and hierarchical dimensions model of leisure stress coping were explained as well.
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Guo, PhD, LRT/CTRS, Lei, and Ruixia Yan, PhD, CCC-SLP. "Stress coping models and COVID-19." American Journal of Recreation Therapy 19, no. 4 (December 20, 2021): 41–52. http://dx.doi.org/10.5055/ajrt.2020.0226.

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COVID-19 has negatively affected community life and resulted in a significant increase in mental health problems and decreased general well-being. Stress related to COVID-19 worsens mental health problems, especially for those with preexistent conditions. Studies found that people used coping strategies such as hoping for the best, distraction, solving the problem, or seeking emotional and social support during this stressful situation. Stress models including response model, stimulus model, and transactional model from previous studies were introduced to provide more insight on how to cope with stress for the pandemic. Two unique leisure stress coping models, leisure buffering model and hierarchical dimensions model of leisure stress coping were explained as well.
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Casey, Erin, Jill C. Hoxmeier, Claire Willey-Sthapit, and Juliana Carlson. "Psychosocial Impacts of the COVID-19 Pandemic." International Journal of Mens Social and Community Health 5, no. 2 (November 3, 2022): e5-e17. http://dx.doi.org/10.22374/ijmsch.v5i2.79.

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Background and objective: Globally, men are at greater risk of mortality and serious physical consequences from COVID-19 infection than women, but are less impacted by the pandemic’s impact on labor force participation and increased childcare responsibilities. Outside of gender identity, however, it is unclear whether men’s beliefs about gender may be related to the kinds of COVID-19-related impacts they report. This study sought to describe the employment, income, and household responsibility-related impacts of the pandemic on a sample of young men in the U.S. and to examine relationships between the men’s gender ideologies andattitudes toward gender equity with self-reported stress impacts of the pandemic. Methods: The data are from an online survey of 481 young men from across the U.S. Measures included scales assessing masculinity ideology, modern sexism, support for traditional divisions of labor by gender, and attitudes toward gender equity. New items developed for this study assessed COVID-19-related changes in employment, household responsibilities, and childcare duties as well as levels of stress. Hierarchical regression examined the relative roles of demographic characteristics, changes in employment and household work, and gender-related attitudes on COVID-related stress. Results: Descriptive findings showed that under 50% of the men in the sample experienced negative COVID-related impacts on employment, but that a majority of the men reported at least some COVID-related stress. Results of the hierarchical regression suggest that higher levels of stress were predicted by having a minori-tized sexual identity, less religiosity, experiencing employment or household responsibility-related changes, and not endorsing modern sexism or a traditional, gendered division of labor. Conclusions: Experiencing COVID-19-related stress was normative in this sample of young men. However, endorsing traditional notions of a gendered division of labor was slightly protective against higher levels of COVID-related stress. These findings add to existing evidence that gender analysis must be a central compo-nent of ongoing COVID-related policy and programming development.
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Han, Kuem Sun, Soo Yeon Lee, Ji Eun Kim, and Youn Jung Jang. "Stress Management among Health Professional during COVID-19." STRESS 30, no. 2 (June 30, 2022): 53–59. http://dx.doi.org/10.17547/kjsr.2022.30.2.53.

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Stress and its management among health professionals during the coronavirus disease 2019 (COVID-19) pandemic is a social issue. Stress in health professionals is caused not only by personal events but also by managing patients with COVID-19. The present study aimed to find effective interventions for managing stress related to COVID-19 among health professionals. As a result of a literature search, there were five studies related to interventions for managing stress related to COVID-19 among health professionals between 2020 and 2022. These interventions included mobile phone-based cognitive behavior therapy, music therapy, emotional freedom techniques, and safety group programs for stress management. These interventions were identified as being effective in managing stress related to COVID-19 among health professionals.
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Field, Tiffany. "Stress and Sleep Disturbances During a COVID-19 Lockdown April 2020." Psychology and Mental Health Care 4, no. 5 (August 8, 2020): 01–05. http://dx.doi.org/10.31579/2637-8892/092.

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A COVID-19 related Stress Scale was developed for this study to address the specific stressors related to the pandemic lockdown experience. Based on a Survey Monkey study on 260 healthy individuals (18-82 years), the stress scale scores and its individual items were significantly correlated with scores on scales for health, media use, mood states including anxiety and depression, posttraumatic stress symptoms, fatigue and sleep disturbances. Stepwise regression analysis suggested that depression, media use and fatigue scale scores contributed to 52% of the variance on the stress scale scores. In turn, the stress scale scores and items were significantly correlated with sleep disturbances, as were health, anxiety, depression, fatigue and PTSD symptoms. Stepwise regression analysis revealed that 52% of the variance on the sleep scale scores was explained by fatigue and posttraumatic stress scale scores. These data suggest that individuals experiencing COVID-19 lockdowns are experiencing psychological symptoms and lockdown-related stressors that are contributing to sleep disturbances that highlight the need for interventions during lockdowns. Stress and Sleep Disturbances During a COVID-19 Lockdown April 2020
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Liu, Tianyin, Dara Kiu, Yi Leung, Wen Zhang, Wai-wai Kwok, Lesley Sze, Edwin Wong, Gloria H. Y. Wong, and Terry Lum. "ASSOCIATIONS BETWEEN COVID-19 RELATED STRESS, COVID-19 EXPERIENCES, AND MENTAL HEALTH RISKS IN OLDER PEOPLE." Innovation in Aging 6, Supplement_1 (November 1, 2022): 834. http://dx.doi.org/10.1093/geroni/igac059.2993.

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Abstract There is increasing recognition of the need to understand the mechanism of psychological impact brought by COVID-19. The present research used the Delphi technique to develop a COVID-19-Related Stress Scale for older people in Hong Kong (CSS-old) (study one) and examined its associations with COVID-19 experiences and mental health risks (study two). In study one, 17 helping professionals and 20 service users co-developed an 8-item CSS-old through four rounds of Delphi. In study two, a cross-sectional telephone survey was conducted between April and June 2022 among 4,921 older people (age≥60) recruited through community centres. Respondents were assessed using Patient Health Questionnaire-2 (PHQ-2), Generalized Anxiety Disorder 2-item (GAD-2), and CSS-old; their experiences with COVID-19 (infection, close friend/family infection) and demographical information were collected. A three-factor solution of CSS-old was identified after dropping one item (X2(df) = 83.53(11), CFI=0.996, TLI=0.993, RMSEA=0.037): (1) disruption to routines; (2) fear of infecting families/friends; and (3) concern for the community’s health. Structural equation modelling analyses revealed that being female (B=0.45), having close friend/family infected (B=1.10) and having a pre-existing mental health condition (B=1.87) were positively associated with COVID-19-related stress. Infection of COVID-19 (BPHQ=0.22; BGAD=0.24) and a pre-existing mental health condition (BPHQ=0.71; BGAD=0.59) had direct associations with depressive and anxiety symptoms; COVID-19-related stress mediated the relationship between close friend/family infection with depressive (B=0.20) and anxiety symptoms (B=0.21, all p < 0.05). These results suggest that older people’s COVID-19-related stress is beyond infection of the disease, and different experiences with COVID-19 may increase depression and anxiety risks through different pathways.
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Buwana, Sudibyo Aji Narendra, Fendy Suhariadi, and L. Rini Sugiarti. "Sumber Stres dan Coping Stress Pekerja dalam Masa Pandemi Covid-19." Jurnal Psikologi : Jurnal Ilmiah Fakultas Psikologi Universitas Yudharta Pasuruan 9, no. 1 (March 29, 2022): 12–25. http://dx.doi.org/10.35891/jip.v9i1.2643.

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The problem behind this is the source of stress and stress coping carried out during the pandemic of Covid-19. The purpose of this study is to explore the factors that are a source of stress and stress coping for workers during the pandemic of Covid-19. The method used in this study is a qualitative method. The subjects in this study were 7 workers as informant who worked in the National Strategic Project with characteristics that matched the criteria. The source of data and at the same time the method of data collection comes from primary data, namely data obtained from research subjects/informants through the results of questionnaires, interviews, and observations. In this study using research instruments in the form of questionnaires, observations and interviews. Data validation is done by doing triangulation. Data analysis techniques were carried out by means of data reduction, data presentation, and drawing conclusions. This qualitative research succeeded in answering the research objectives, namely successfully exploring the factors that became a source of stress and at the same time knowing the stress coping. The results obtained after the factors that are sources of stress are classified into two categories, namely sources of work-related stress and sources of stress that are not related to work. Researchers managed to explore 7 informant of stress related to work, 16 sources of stress that are not related to work and 12 coping stress. The conclusion of the study is to answer the research objective, namely to successfully explore the factors that are a source of stress and at the same time find out how to coping with stress.
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Birditt, Kira, Angela Turkelson, Karen Fingerman, Courtney Polenick, and Akari Oya. "Age Differences in COVID-19 Stress and Social Ties during the COVID-19 Pandemic: Implications for Well-being." Innovation in Aging 4, Supplement_1 (December 1, 2020): 963. http://dx.doi.org/10.1093/geroni/igaa057.3520.

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Abstract The experience of the COVID-19 (coronavirus) pandemic and its implications for well-being may vary widely by age group across the adult lifespan. The purpose of this study was to examine age differences in stress related to the pandemic and social ties, and whether those experiences are linked to well-being. Participants included a total of 645 adults (43% women) ages 18 to 97 (M = 50.8; SD = 17.7) from the May 2020 nationally representative Survey of Consumers. Participants reported the extent to which they felt stress related to the pandemic in the last month as well as social isolation, negative relationship quality, positive relationship quality, and frequent depression, anxiety and rumination in the past week. Results showed that older people reported less COVID-19 related stress, less social isolation, and lower negative relationship quality than younger people. Greater stress, social isolation, and negative relationship quality were associated with poorer well-being and greater social isolation, and negative quality ties exacerbated the effects of stress on well-being. Although many researchers have indicated that older adults may be more vulnerable to COVID-19 related stress and social isolation, this study indicates that young adults may be relatively more vulnerable. Because isolation and negative relationship quality appear to exacerbate the effects of stress, reducing social isolation and negative relations are potential targets for intervention.
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Wieczfinska, Joanna, Paulina Kleniewska, and Rafal Pawliczak. "Oxidative Stress-Related Mechanisms in SARS-CoV-2 Infections." Oxidative Medicine and Cellular Longevity 2022 (March 8, 2022): 1–15. http://dx.doi.org/10.1155/2022/5589089.

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The COVID-19 pandemic caused relatively high mortality in patients, especially in those with concomitant diseases (i.e., diabetes, hypertension, and chronic obstructive pulmonary disease (COPD)). In most of aforementioned comorbidities, the oxidative stress appears to be an important player in their pathogenesis. The direct cause of death in critically ill patients with COVID-19 is still far from being elucidated. Although some preliminary data suggests that the lung vasculature injury and the loss of the functioning part of pulmonary alveolar population are crucial, the precise mechanism is still unclear. On the other hand, at least two classes of medications used with some clinical benefits in COVID-19 treatment seem to have a major influence on ROS (reactive oxygen species) and RNS (reactive nitrogen species) production. However, oxidative stress is one of the important mechanisms in the antiviral immune response and innate immunity. Therefore, it would be of interest to summarize the data regarding the oxidative stress in severe COVID-19. In this review, we discuss the role of oxidative and antioxidant mechanisms in severe COVID-19 based on available studies. We also present the role of ROS and RNS in other viral infections in humans and in animal models. Although reactive oxygen and nitrogen species play an important role in the innate antiviral immune response, in some situations, they might have a deleterious effect, e.g., in some coronaviral infections. The understanding of the redox mechanisms in severe COVID-19 disease may have an impact on its treatment.
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Dymecka, Joanna, Anna Machnik-Czerwik, and Jakub Filipkowski. "Fear of COVID-19, Risk Perception and Stress Level in Polish Nurses During COVID-19 Outbreak." Journal of Neurological and Neurosurgical Nursing 10, no. 1 (May 19, 2021): 3–9. http://dx.doi.org/10.15225/pnn.2021.10.1.1.

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Introduction. The outbreak of COVID-19 disease causes severe stress in health care workers, especially nurses. Nurses are at high risk of contracting the disease, as well as an increased risk of developing mental health symptoms such as fear, anxiety and work-related stress. Aim. The aim of the study was to determine the relationship between fear of COVID-19, risk perception, perceived threat and stress in Polish nurses during COVID-19 outbreak. Material and Methods. 106 nurses participated in the study. Perceived Stress Scale (PSS-10), Fear of COVID-19 Scale (FOC-6), Risk of Contracting COVID-19 Scale and Perceived Threat of COVID-19 Scale were used in the study. Results. It has been shown that perceived stress, fear of COVID-19, perceived risk and threat are at high level. All the variables related to the perception of COVID-19 threat were significantly correlated with the perceived stress. The strongest relationship was between the risk of infection and perceived stress. Risk perception was statistically significant predictor of perceived stress. Conclusions. Polish nurses experience severe stress and perceive COVID-19 as a significant threat for their health and safety. In addition to protecting medical personnel from infection, nurses experiencing the highest levels of stress should be given psychological care and support, which could prevent the negative impact of the COVID-19 pandemic on their mental health. (JNNN 2021;10(1):3–9)
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Dehelean, Liana, Ion Papava, Madalina Iuliana Musat, Mariana Bondrescu, Felix Bratosin, Bianca Oana Bucatos, Ana-Maria Cristina Bortun, et al. "Coping Strategies and Stress Related Disorders in Patients with COVID-19." Brain Sciences 11, no. 10 (September 28, 2021): 1287. http://dx.doi.org/10.3390/brainsci11101287.

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Patients with severe COVID-19 experience high-stress levels and thus are at risk for developing acute stress disorder (ASD) and/or post-traumatic stress disorder (PTSD). The present study aims to search for correlations between psychiatric response to stress and coping strategies among individuals with acute vs. remitted COVID-19. Ninety subjects with COVID-19 were included in the study, divided into two samples by disease category. Our focus was analysing the perceived stress intensity according to NSESSS and PCL-C-17 scales, and coping strategies with COPE-60. High NSESSS scores were found in 40% of acute patients, and 15.6% of remitted patients had high PCL-C-17 scores fulfilling the criteria for PTSD. We found a negative correlation between stress level and disease category. Acute patients used significantly more engagement and emotion-focused coping methods, but less disengagement types of coping than patients in the remitted phase. Remitted patients under high stress levels are prone to use disengagement and emotion-focused coping strategies. In conclusion, remitted COVID-19 patients experience lower levels of stress and use less emotion-focused strategies, except among those who developed PTSD post-COVID-19 infection, presenting with high-stress levels and using more disengagement and emotion-focused types of coping strategies.
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Kim, Jiyoung. "The Effect of Covid-19 related Stress on Health Promotion Behavior in Upper-grade Elementary School Students: The Mediating Effect of Self Efficacy." Korean Association For Learner-Centered Curriculum And Instruction 22, no. 18 (September 30, 2022): 205–13. http://dx.doi.org/10.22251/jlcci.2022.22.18.205.

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Objectives The purpose of this study was to identify the effect of self efficacy as a parameter in the relationship between Covid-19 related stress and health promotion behavior of elementary school students in the 5th and 6th grades. Methods The covid-19 stress scale, self efficacy scale, and health promotion behavior scale were measured from data collected from surveys conducted on 152 students in the 5th and 6th grades recruited from an elementary school in G province. Data was analyzed using the SPSS/WIN 28.0 program. Results The children’s health promoting behavior was negatively associated with covid-19 related stress. Also self efficagy had absolute mediation effects between covid-19 related stress and health promotion behavior. Conclusions Efforts to boost self efficacy is necessary in order to improve health promotion behavior among upper grade elementary school students experiencing covid-19 related stress.
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Smith, Kimberly R., Elena Jansen, Gita Thapaliya, Anahys H. Aghababian, Liuyi Chen, Jennifer R. Sadler, and Susan Carnell. "The influence of COVID-19-related stress on food motivation." Appetite 163 (August 2021): 105233. http://dx.doi.org/10.1016/j.appet.2021.105233.

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Uvais, Nalakath A., Feroz Aziz, and Benil Hafeeq. "COVID-19-related stigma and perceived stress among dialysis staff." Journal of Nephrology 33, no. 6 (August 17, 2020): 1121–22. http://dx.doi.org/10.1007/s40620-020-00833-x.

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Alonzi, Sarah, Jae eun Park, Angélica Pagán, Courtney Saulsman, and Madison W. Silverstein. "An Examination of COVID-19-Related Stressors among Parents." European Journal of Investigation in Health, Psychology and Education 11, no. 3 (August 6, 2021): 838–48. http://dx.doi.org/10.3390/ejihpe11030061.

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The circumstances of the COVID-19 pandemic have taken a psychological toll on parents. Thus, understanding the impact of these contextual stressors on parents is important to help inform the development of family-based health promotion interventions. The present study examined parents’ perception of various sources of stress resulting from the COVID-19 pandemic. Participants (N = 294) completed an open-ended question about their primary source of stress during the pandemic, which we coded into one or more of the following categories: family, work, health, and finance. We used chi-square tests to determine whether gender, marital status, financial strain, and education level were significantly related to each of the four primary sources of stress. We found that female, married, and financially strained participants were more likely to report family-related stressors. Further, we found that participants who expressed concern over health-related stressors were more likely to have pre-existing health conditions. Finally, we found that single participants were more likely to express concerns over financial stressors. Our findings shed light on parental concerns following the pandemic and inform new research directions, clinical approaches, and policy issues at the individual, community, and societal levels.
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Anggraini, Novita. "MENGATASI STRESS DI MASA PANDEMI COVID 19." Khidmah 4, no. 1 (May 17, 2022): 494–500. http://dx.doi.org/10.52523/khidmah.v4i1.383.

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Covid-19 is a disease caused by the corona virus and was discovered in 2019 and then reported to the WHO. Covid-19 has spread to various countries in the world, including Indonesia. The outbreak of this epidemic has also increased the number of positive cases of Covid-19. As a result, the whole world, including Indonesia, is experiencing the impact of the health and economic crisis. People's lives seem to have stopped because of restrictions, including schools, work, health services, and so on. This can cause panic, fear and anxiety in the community. So, it is necessary to carry out activities for the community to manage stress during this pandemic. Purpose: to overcome stress during the COVID-19 pandemic, prevent the occurrence of risky behavior on health in RT 006 RW 002 residents who want to implement healthy and clean living behaviors. Method: provide counseling and discuss with residents of RT 006 RW 002 Sukajaya Palembang. In community service which was carried out on 30 people, before conducting counseling the community service team conducted oral interviews with participants. All participants (100%) who took part in the activity felt stressed because of the covid 19 pandemic, especially with the news related to covid 19 which was increasing every day being affected by covid 19, they were afraid of being affected too. The Community Service Team conducted counseling related to "Overcoming stress during the covid pandemic. 19". The counseling went smoothly, all participants followed the counseling until it was finished. After the counseling, the community service team conducted an oral evaluation of the participants regarding the topic. After the counseling, most of the 24 participants (80%) said they understood and understood how to deal with stress but were still afraid and worried about the spread of the COVID-19 disease.
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Erdei, Carmina, Natalie Feldman, Amanda Koire, Leena Mittal, and Cindy Hsin Ju Liu. "COVID-19 Pandemic Experiences and Maternal Stress in Neonatal Intensive Care Units." Children 9, no. 2 (February 13, 2022): 251. http://dx.doi.org/10.3390/children9020251.

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COVID-19 compounds the already high levels of psychological distress experienced by NICU mothers. We aimed to describe the rates of NICU-related maternal stress during the COVID-19 pandemic and to determine how COVID-19 experiences correlate with high levels of stress experienced by NICU mothers. We conducted a cross-sectional analysis based on responses to a nationwide online survey to understand the relationship between COVID-19-related experiences and the stress experienced by mothers of infants admitted to U.S. NICUs (n = 108) during the pandemic. Results indicate that 61.9% of surveyed mothers reported experiencing high levels of stress on the Parental Stressor Scale: NICU. COVID-19-related grief was significantly associated with higher levels of maternal stress, as it related to seeing the baby’s appearance and behavior in the NICU and exposure to sights and sounds within the NICU environment. No significant associations were noted between parental stress and COVID-19-related health worries or worries about resources. Of note, our recruitment relied on convenience sampling, limiting the generalizability of study results. In conclusion, mothers who experience COVID-19-related grief appear to be more vulnerable to NICU-related stress. Prioritizing parent involvement and enhancing psychosocial support are essential strategies to mitigate the long-term consequences of heightened stress for NICU families.
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Kennedy, Kathryn, Azizi Seixas, Giardin Jean-Louis, William Killgore, Chloe Wills, and Michael Grandner. "211 Pandemic-Related Sleep Changes Associated with COVID-Related General, Financial, Food, Housing, Family and Relationship Stress." Sleep 44, Supplement_2 (May 1, 2021): A85. http://dx.doi.org/10.1093/sleep/zsab072.210.

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Abstract Introduction The COVID-19 pandemic has caused widespread disruption and stress for people of all ages and circumstances around the world. This study investigates the relationship between general and specific stressors and various dimensions of sleep health. Methods A sample of N=419 US adults completed online surveys about sleep and COVID-19 experiences. Participants were asked whether they experienced increased general, financial, food, housing, family and relationship stress due to the COVID-19 pandemic. They were also asked whether they experienced a more regular schedule, improved sleep, worsened sleep, more early insomnia, more middle-of-the-night insomnia, more daytime sleepiness, and more naps due to the COVID-19 pandemic. Ordinal logistic regressions with sleep change as outcome and stress variable as predictor were adjusted for age, sex, and race/ethnicity. Results COVID-19-related general, financial, food, housing, family, and relationship stress were all associated with a decreased likelihood of maintaining a more regular schedule (oOR=0.52-0.67, all p<0.001) and improved sleep (oOR=0.56-0.67, all p<0.001). They were also all associated with a greater likelihood of worsened sleep (oOR=1.48-2.41, all p<0.001), early insomnia (oOR=1.63-1.85, all p<0.001), middle-of-the-night insomnia (oOR=1.40-2.00, all p<0.001), and daytime sleepiness (oOR=1.58-2.07, all p<0.001). Increased napping was also associated with more COVID-related financial, food, and housing stress (oOR=1.33-1.55, all p<0.005). Conclusion Regular sleep schedules can be disrupted by stressors directly, or by the anxiety that so often accompanies stress. Stressed individuals may experience increased difficulty falling asleep, or more nighttime arousals, or find themselves waking up earlier than usual, all as a result of ruminating thoughts, stress-induced nightmares, or outside disturbances. Disruption to sleep at night often results in increased daytime sleepiness and fatigue, with a higher chance of napping. This study reports the significant association of some of these with COVID-19 pandemic-related stress. More individuals now find themselves working from home with greater flexibility in their schedules, but this has not necessarily led to better sleep. The impact of the pandemic on various health outcomes as a result of stress is still to be revealed. Support (if any):
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Abdul Latif, Nurul Ilani, Nor Azlin Mohamed Ismail, Sweet Yi Esther Loh, Abdul Ghani Nur Azurah, Marhani Midin, Shamsul Azhar Shah, and Aida Kalok. "Psychological Distress and COVID-19 Related Anxiety among Malaysian Women during the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 19, no. 8 (April 11, 2022): 4590. http://dx.doi.org/10.3390/ijerph19084590.

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The combination of COVID-19 outbreaks and nationwide lockdown led to an increased prevalence of psychological distress among the population, especially women, as they have to cope with greater family and work demands. We aimed to identify the factors contributing to psychological distress among Malaysian women during the COVID-19 pandemic. A cross-sectional study was conducted between October 2020 and April 2021, in a teaching hospital in Kuala Lumpur, Malaysia. A self-administered questionnaire was distributed among women, which consisted of (1) Participant’s demographics, (2) COVID-19 knowledge and awareness, (3) Depression, Anxiety, Stress Scale-21 (DASS-21), and (4) COVID-19-related anxiety. Chi-square test and univariate analysis were performed to determine the significant factors associated with psychological distress. The mean scores for knowledge, COVID-19 anxiety, and DASS-21 subcomponents were compared using the Mann–Whitney U test. A total of three hundred and thirty-eight women completed the survey. The majority of respondents demonstrated adequate knowledge (95.6%) on COVID-19. The proportion of our women who reported symptoms of depression, anxiety, and stress were 17.2%, 25.1%, and 0.9%, respectively, resulting in a prevalence of psychological distress of 27.8%. Low education level (p = 0.017), unemployment (p = 0.028), loss of income (p = 0.033), and hospital admission for surgical procedures (p = 0.021) were significantly associated with a higher psychological burden. A greater level of COVID-19 anxiety was found among Malays (p = 0.027), pregnant women (p = 0.013), and those who suffered a loss of income (p = 0.038) during this pandemic. The COVID-19 pandemic had a negative effect on women’s psychological wellbeing, especially those from the lower socio-economic background. Therefore, adequate information, as well as support, must be provided to the vulnerable groups during the ongoing pandemic, to lessen their psychological burden.
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Adjaottor, Emma Sethina, Frimpong-Manso Addo, Florence Aninniwaa Ahorsu, Hsin-Pao Chen, and Daniel Kwasi Ahorsu. "Predictors of COVID-19 Stress and COVID-19 Vaccination Acceptance among Adolescents in Ghana." International Journal of Environmental Research and Public Health 19, no. 13 (June 27, 2022): 7871. http://dx.doi.org/10.3390/ijerph19137871.

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Coronavirus disease 2019 (COVID-19) continues to ravage world economies, and with its recent mutations, countries worldwide are finding ways of ramping up their vaccination programmes. This cross-sectional design study, therefore, examined the predictors of COVID-19 stress and COVID-19 vaccination acceptance among adolescents in Ghana. A total of 817 participants were conveniently selected to respond to measures on fear of COVID-19, perceived stigma from COVID-19, self-stigma from COVID-19, believing COVID-19 information, COVID-19 infection prevention behaviours, COVID-19 stress, and COVID-19 vaccination acceptance. It was found that females believed COVID-19 information and accepted COVID-19 vaccination more than males did. Moreover, there were significant relationships between the majority of the COVID-19-related variables. Furthermore, fear of COVID-19, self-stigma from COVID-19, and COVID-19 infection prevention behaviours were found to be significant predictors of COVID-19 stress. Additionally, believing COVID-19 information, danger and contamination fears (a subscale of COVID-19 stress), and traumatic stress (a subscale of COVID-19 stress) were significant predictors of COVID-19 vaccination acceptance. These findings imply that different factors influence different COVID-19 variable. Therefore, careful considerations and research should be employed by health authorities and policymakers in preparing COVID-19 information to target different age groups and for different COVID-19 purposes.
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Ehsanifar, Mojtaba, and Melika Jameie. "The Association Between Stress-Related of COVID-19 Pandemic and Mental Health." Journal of Biomedical Research & Environmental Sciences 3, no. 9 (October 2022): 1035–38. http://dx.doi.org/10.37871/jbres1550.

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Research has shown that young adults were more vulnerable to mental health issues during the COVID-19 pandemic. However, the mechanism of the effect of COVID-19-related stress on mental health outcomes among young adults is still unclear. In general, COVID-19-associated anxiety and depression have been reported in adults. The aim of this study was to investigate the effects of stress associated with COVID-19 pandemic and mental health outcomes. Studies show that the direct effects of stress due to social distance problems on anxiety and depression are much greater than the stress caused by fear of infection and anger compared to others. The results indicate that interventions to increase social support and resilience can be effective strategies to reduce the risks of anxiety and depression among young people with stress caused by social distancing problems.
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Marinho, G., J. Peta, J. Pereira, and M. Marguilho. "COVID-19 stigma." European Psychiatry 64, S1 (April 2021): S267. http://dx.doi.org/10.1192/j.eurpsy.2021.716.

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Introduction‘Health‐related stigma’ is typically known as social rejection or exclusion of individuals and populations suffering from specific health problems. Results on previous infectious diseases showed that stigma can be experienced by survivors but also by health‐care workers (HCW). Several factors contribute to stigma associated with infectious diseases, such as people’s knowledge, myths and stories transmitted by the mass and social media and psychosocial variables, such as risk perception and fear of being infected. COVID‐19 is a new disease with many unknown aspects and, naturally, people are afraid of the unknown.ObjectivesTo reflect on infectious diseases and social stigma during covid-19 pandemics.MethodsPubmed and Google Scholar search.Results Stigmatization can considerably increase psychosomatic distress and disturbance and can negatively affect people with infection and those at risk of infection in seeking medical care. HCWs and volunteers working in the field may also become stigmatized, leading to higher rates of distress, stress, and burnout When people avoid groups or geographic areas related to infectious diseases, this can pose significant economic losses. Thus, stigma is more than a mere negative outcome of infectious diseases; it is both a factor that contributes to the epidemics and pandemics and a disease in itself.ConclusionsAnticipating disease‐related stigma during the COVID‐19 pandemic enables policy‐makers to address it, restricting its adverse effects. The hidden burden caused by this stigma can cause severe consequences for patients, HCW, and public health measures, so, coordinated psychological interventions to overcome this crisis seems essential.
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Cannon, Clare E. B., Regardt Ferreira, Frederick Buttell, and Jennifer First. "COVID-19, Intimate Partner Violence, and Communication Ecologies." American Behavioral Scientist 65, no. 7 (February 6, 2021): 992–1013. http://dx.doi.org/10.1177/0002764221992826.

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The purpose of this research is to identify important predictors, related to the ongoing COVID-19 pandemic, of intimate partner violence (IPV) and to provide insight into communication ecologies that can address IPV in disaster contexts. This study uses a cross-sectional design, with purposive snowball sampling, for primary survey data collected over 10 weeks starting the first week in April 2020. A total of 374 adults participated in the study. Logistic binary regression was used to identify key predictors among sociodemographic characteristics, stress related to COVID-19, and perceived stress of group membership for those who reported IPV experiences. A t test was used to statistically differentiate between IPV-reporters and non-IPV reporters based on perceived stress measured by the Perceived Stress Scale. Results indicated that respondents who reported renting, lost income due to COVID-19, and increased nutritional stress were all more likely to belong to the IPV-reporters group. These findings provide insight into additional stressors related to the ongoing pandemic, such as stress due to income loss, nutritional stress, and renting, and their likelihood of increasing IPV victimization. Taken together, these results indicate that additional communication resources are needed for those affected by IPV. Additional findings and implications are further discussed.
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Spányik, András, Dávid Simon, Adrien Rigó, Mark D. Griffiths, and Zsolt Demetrovics. "Subjective COVID-19-related work factors predict stress, burnout, and depression among healthcare workers during the COVID-19 pandemic but not objective factors." PLOS ONE 17, no. 8 (August 12, 2022): e0270156. http://dx.doi.org/10.1371/journal.pone.0270156.

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Background Work-related stress is significantly higher among healthcare workers (HCWs) than in the general population. Elevated occupational stress has been linked to burnout syndrome and depression. Moreover, medical professionals working during infectious disease outbreaks are at especially high risk for these problems. The aim of the present study was to examine the mental health status of HCWs and possible predictors of mental health status related to the COVID-19 outbreak utilizing a complex comprehensive model. Methods In a countrywide cross-sectional survey among HCWs (N = 2087), work-related stress, COVID-19 -related objective work factors (displacement, frontline working) and subjective work factors (insecurity, unpredictability, workload), perceived stress, work-related stress, burnout and depression were assessed between the second and third wave of COVID-19 pandemic in Hungary. Results COVID-19-related objective factors did not predict directly stress, burnout, and depression, whereas feelings of insecurity and unpredictability in relation to the COVID-19 situation at work had a significant medium-sized total effect (also considering the indirect effect via stress) on burnout and depression. Conclusions In order to prevent subsequent mental health problems during crisis situations, such as the COVID-19 pandemic, healthcare management should create a more predictable work environment and a safer work experience for healthcare workers and provide mental health support.
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Umucu, Emre, Timothy N. Tansey, Jessica Brooks, and Beatrice Lee. "The Protective Role of Character Strengths in COVID-19 Stress and Well-Being in Individuals With Chronic Conditions and Disabilities: An Exploratory Study." Rehabilitation Counseling Bulletin 64, no. 2 (October 26, 2020): 67–74. http://dx.doi.org/10.1177/0034355220967093.

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Individuals with chronic conditions and disabilities, in response to stress associated with COVID-19, may experience a decrease in their overall well-being beyond that experienced by otherwise healthy individuals. Therefore, it is imperative to identify internal resources (e.g., character strengths) that can help them better manage COVID-19-related stress and enhance well-being in spite of COVID-19. This study explored the potential protective role of character strengths and virtues in moderating the negative effects of COVID-19 on stress and well-being. A cross-sectional study design was implemented. Participants included 269 individuals with self-reported chronic conditions and disabilities. After controlling for demographic and clinical characteristics, we examined whether character strengths and virtues acted as independent moderators between COVID-19-related stress and well-being. A higher degree of multiple character strengths significantly and independently moderated the relationship between COVID-19-related stress and well-being. Findings suggested the importance of promoting more character strengths overall in people with chronic conditions and disabilities to help them better manage COVID-19-related stress and enhance well-being.
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Czepczor-Bernat, Kamila, Viren Swami, Adriana Modrzejewska, and Justyna Modrzejewska. "COVID-19-Related Stress and Anxiety, Body Mass Index, Eating Disorder Symptomatology, and Body Image in Women from Poland: A Cluster Analysis Approach." Nutrients 13, no. 4 (April 20, 2021): 1384. http://dx.doi.org/10.3390/nu13041384.

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To limit the spread of the novel coronavirus (COVID-19), many countries have introduced mandated lockdown or social distancing measures. Although these measures may be successful against COVID-19 transmission, the pandemic and attendant restrictions are a source of chronic and severe stress and anxiety which may contribute to the emergence or worsening of symptoms of eating disorders and the development of negative body image. Therefore, in this study, we aimed to: (1) classify different conditions associated with COVID-19-related stress, COVID-19-related anxiety, and weight status; and (2) analyze and compare the severity of dimensions typically related to eating disorders symptomatology and body image in individuals with different COVID-19-related stress, COVID-19-related anxiety, and weight status. Polish women (N = 671, Mage = 32.50 ± 11.38) completed measures of COVID-19-related stress and anxiety along with body dissatisfaction, drive for thinness, and bulimia symptomatology subscales of the Eating Disorders Inventory, and the appearance evaluation, overweight preoccupation, and body areas satisfaction subscales of the Multidimensional Body-Self Relations Questionnaire. The following four clusters were identified through cluster analysis: (a) Cluster 1 (N = 269), healthy body weight and low COVID-related stress (M = 3.06) and anxiety (M = 2.96); (b) Cluster 2 (N = 154), healthy body weight and high COVID-related stress (M = 5.43) and anxiety (M = 5.29); (c) Cluster 3 (N = 127), excess body weight and high COVID-related stress (M = 5.23) and anxiety (M = 5.35); (d) Cluster 4 (N = 121), excess body weight and low COVID-related stress (M = 2.69) and anxiety (M = 2.83). Our results showed that Clusters 3 and 4 had significantly greater body dissatisfaction and lower appearance evaluation and body areas satisfaction than Clusters 1 and 2. Cluster 3 also had a significantly higher level of drive for thinness, bulimia, and overweight preoccupation than Clusters 1 and 2. These preliminary findings may mean that the COVID-19 pandemic and attendant anxiety and stress caused by the pandemic are exacerbating symptoms of eating disorders and negative body image, with women with excess weight particularly at risk.
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Boyraz, Güler, Dominique N. Legros, and Ashley Tigershtrom. "COVID-19 and traumatic stress: The role of perceived vulnerability, COVID-19-related worries, and social isolation." Journal of Anxiety Disorders 76 (December 2020): 102307. http://dx.doi.org/10.1016/j.janxdis.2020.102307.

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Tetteh-Quarcoo, Patience B., Emmanuel Afutu, Madonna Wiafe-Ansong, Fleischer C. N. Kotey, Nicholas T. K. D. Dayie, Eric S. Donkor, John Ahenkorah, et al. "Contrasting Hygiene-Related Gastrointestinal Infections and Stress-Related Diseases at a Primary Health Care Facility within a Sub-Saharan African City: Before and during the COVID-19 Pandemic." Diseases 11, no. 1 (December 22, 2022): 2. http://dx.doi.org/10.3390/diseases11010002.

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Background: With the advent of the COVID-19 pandemic caused by SARS-CoV-2, protocols such as social distancing and upscaling of hygiene practices were implemented to limit the spread of the disease. Meanwhile, along with COVID-19 came stress due to restrictions on movement, trade and transport, and closure of schools, among others. Aim: This study compared the prevalence of hygiene-related gastrointestinal infections and stress-related diseases before (March 2019–February 2020) and during (March 2020–February 2021) the COVID-19 pandemic. Methodology: This was a retrospective single-center review of deidentified patient data from the Korle Bu Polyclinic, Accra, Ghana. Results: Comparing the pre-COVID-19 era to the COVID-19 era, there was a statistically nonsignificant change in the number of cases and prevalence of gastroenteritis and enteric fever (p = 0.084 and 0.081, respectively), although for gastroenteritis, the prevalence was higher for the pre-COVID-19 era compared to during COVID-19 by 1.8 per 1000 cases, while that of enteric fever was higher during the COVID-19 era compared to the pre-COVID-19 era by 1.0 per 1000 cases. Of the stress-related diseases, statistically significant increases in the prevalence of anxiety disorders (p = 0.028), insomnia (p = 0.001), and headache (p = 0.010), were noted, with 2.3, 5.5, and 2.4 per 1000 cases, respectively. There were more female cases than male cases recorded for depression (p = 0.001), headache (p = 0.010), and hypertension (p = 0.001) during the pandemic, and these were statistically significant. Conclusion: During the pandemic, a significant increase in the prevalence of stress-related diseases was observed. However, a statistically nonsignificant change was recorded for gastrointestinal infections, with females reporting more of these disorders. Consequently, it is important to strengthen the capacity for managing stress-related conditions alongside diseases that cause pandemics when they arise.
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Green, Jennifer, Jennifer Huberty, Megan Puzia, and Chad Stecher. "The Effect of Meditation and Physical Activity on the Mental Health Impact of COVID-19–Related Stress and Attention to News Among Mobile App Users in the United States: Cross-sectional Survey." JMIR Mental Health 8, no. 4 (April 13, 2021): e28479. http://dx.doi.org/10.2196/28479.

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Background The COVID-19 pandemic has been declared an international public health emergency, and it may have long-lasting effects on people’s mental health. There is a need to identify effective health behaviors to mitigate the negative mental health impact of COVID-19. Objective The objectives of this study were to (1) examine the regional differences in mental health and COVID-19–related worry, attention to news, and stress, in light of the state-level prevalence of COVID-19 cases; (2) estimate the associations between mental health and COVID-19–related worry, attention to news, and stress and health behavior engagement (ie, physical activity, mindfulness meditation); and (3) explore the mediating effect of health behavior engagement on the associations between mental health and COVID-19–related worry, attention to news, and stress. Methods A cross-sectional survey was distributed to a sample of US adult paying subscribers to the Calm app (data were collected from April 22 to June 3, 2020). The survey assessed COVID-19–related worry, attention to news, and stress; health behavior engagement; and mental health (ie, perceived stress, posttraumatic stress disorder, and anxiety and depression). Statistical analyses were performed using R software. Differences in COVID-19–related worry, attention to news, and stress and mental health by location were assessed using t tests and chi-square tests. Logistic and ordinary least squares models were used to regress mental health and health behavior on COVID-19–related worry, attention to news, and stress; moreover, causal mediation analysis was used to estimate the significance of the mediation effects. Results The median age of the respondents (N=8392) was 47 years (SD 13.8). Participants in the Mid-Atlantic region (New Jersey, New York, and Pennsylvania) reported higher levels of stress, more severe depression symptoms, greater worry about COVID-19, paying more attention to COVID-19–related news, and more stress related to social distancing recommendations than participants living in other regions. The association between worry about COVID-19 and perceived stress was significantly mediated by changes in physical activity (P<.001), strength of meditation habit (P<.001), and stopping meditation (P=.046). The association between worry about COVID-19 and posttraumatic stress disorder symptoms was significantly mediated by changes in physical activity (P<.001) and strength of meditation habit (P<.001). Conclusions Our findings describe the mental health impact of COVID-19 and outline how continued participation in health behaviors such as physical activity and mindfulness meditation reduce worsening of mental health due to the COVID-19 pandemic. These data have important implications for public health agencies and health organizations to promote the maintenance of health habits to reduce the residual mental health burden of the COVID-19 pandemic.
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Keenan-Devlin, Lauren S., Janedelie Romero, Britney P. Smart, Nikolina Docheva, and Ann Borders. "863 COVID-19-related perinatal stress associated with increased depression risk." American Journal of Obstetrics and Gynecology 224, no. 2 (February 2021): S536—S537. http://dx.doi.org/10.1016/j.ajog.2020.12.886.

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Zhang, Linhao, Zehua Cui, Jeri Sasser, and Assaf Oshri. "222 COVID-19 Related Stress Intensify the Impact of Child Maltreatment on Sleep Quality." Sleep 44, Supplement_2 (May 1, 2021): A89. http://dx.doi.org/10.1093/sleep/zsab072.221.

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Abstract Introduction Child maltreatment (CM) is a significant stressor that is associated with sleep problems in children and adolescents. The COVID-19 pandemic introduces new psychosocial stressors, which may be particularly harmful to youth already experiencing stress in the home environment. Using multi-dimensional (threat vs deprivation) assessments of CM, the present study aimed to test whether COVID-19 related stress intensified the association between maltreatment (abuse vs neglect) and sleep problems among youth. Methods This study utilized data from a longitudinal sample of youth (N=126; Mage at T1=12.9) assessed between January 2019 and March 2020 (T1) and after the beginning of the COVID-19 pandemic (May 2020; T2). Latent factors for COVID-19 related stress included three questions asking about negative changes, uncertainty about the future, and stress-induced by disruptions. CM at T1 was measured with the Childhood Trauma Questionnaire (CTQ). Multidimensional aspects of CM included a threat factor (sum of Emotional, Physical, and Sexual Abuse) and a deprivation factor (sum of Emotional and Physical Neglect). Sleep-related problems at both T1 and T2 were assessed using the Pittsburgh Sleep Quality Index (PSQI) global score. Structural equation modeling was conducted in Mplus 8.1 to test direct and interaction effects of CM and COVID-19 related stress on sleep problems at T2 while controlling for sleep problems at T1 and demographic covariates. Results Threat-related abuse was significantly associated with increased sleep problems at T2 (β =.43, p &lt; .01) but neglect was not (β =.03, p = .85). Additionally, COVID-19 related stress significantly intensified the link between abuse and sleep problems (β =.14, p &lt; .05) as well as between neglect and sleep problems (β =.43, p &lt; .01) at T2. Among youth who experienced higher levels of CM, increased COVID-19 related stress exacerbated sleep problems. Conclusion These results bolster extant research on the negative impact CM bears on youth sleep health and indicates that COVID-19 stress may exacerbate sleep problems. Our findings inform future prevention and intervention efforts that aim to reduce sleep problems among youth who experience CM during the COVID-19 pandemic. Support (if any) NIH/NIDA K Grant 1K01DA045219-01
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Miri, Minoo, Mojtaba Firuzinezhad, Mahboobeh Maleki, and Mohammadd Khosravitanak. "The Role of Spiritual Capital and Mindfulness in Predicting COVID-19-Related Stress in College Students." Health, Spirituality and Medical Ethics 9, no. 2 (January 1, 2022): 91–98. http://dx.doi.org/10.32598/hsmej.9.2.2.

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Background and Objectives: The stress related to Coronavirus disease 2019 (COVID-19) can be a risk factor for other psychological disorders in society. The present study aims to investigate the role of spiritual capital and mindfulness in predicting COVID-19-related stress in college students. Methods: This is a descriptive-correlational study. The study population consist of all male and female students of Farhangian University in Birjand, Iran during 2021-2022. Of these, 242 eligible students were selected using a web-based non-probabilistic sampling method. They completed the Spiritual Capital Scale of Golparvar et al. (2015), the Southampton Mindfulness Questionnaire of Chadwick et al. (2008), and the Corona Stress Scale of Salimi (2015). For data analysis, Pearson’s correlation test and multiple regression analysis were used in SPSS software, version 22. The significance level was set at 0.05. Results: The relationship between spiritual capital and COVID-19-related stress (r=-0.585, P<0.01), and between mindfulness and COVID-19-related stress (r=-0.4569, P<0.01) was negative and significant. The spiritual capital explained 34.2% of the variance and the mindfulness explained 19.9% of the variance in COVID-19-related stress. Conclusion: Spiritual capital and mindfulness can predict the COVID-19-related stress among college students. This indicates the need for planning to improve individual, social, and spiritual abilities of students during the pandemic.
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Jomli, R., H. Jemli, U. Ouali, A. Maktouf, Y. Zgueb, and A. Aissa. "Medical residents and COVID-19." European Psychiatry 65, S1 (June 2022): S393—S394. http://dx.doi.org/10.1192/j.eurpsy.2022.995.

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Introduction The covid-19 pandemic is a difficult global phenomenon that causes a lot of anxiety and uncertainty. This situation has involved reactions of fear. Healthcare professionals are necessarily in contact with patients, but may find themselves torn between the duty to care and the duty to protect themselves and their relatives. Objectives To assess perceived stress among medical residents in Tunisia Methods We conducted a descriptive study among a representative sample of residents working at a teaching hospital in Tunis during the first half of 2021 in different departments. We prepared a questionnaire for the study divided in two parts: socio-demographic data; professional data (function, practice setting); data related to contact with covid-19 patients ; questions on fear of covid-19 contamination and the Perceived stress scale (10items) Results Our sample consists of 100 residents in 10 different specialties, including 70 in services with direct contact with Covid-19 patients. Stress management is rated good for 30 residents, average for 40 residents and poor for 30 residents. This management depends on the number of guards, the number of patients examined, the technical platform available and especially the period of the pandemic. Conclusions Medical residents are in the front line in university hospitals in tunisia. The stress to which they are subjected depends on the working conditions and coping skills of each of them. Disclosure No significant relationships.
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47

Yu, Meng-Hsuan, and Shiau-Fang Chao. "Community environment and COVID-19 related stress among older adults with disabilities in Taiwan." Innovation in Aging 4, Supplement_1 (December 1, 2020): 936. http://dx.doi.org/10.1093/geroni/igaa057.3429.

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Abstract The outbreak of the COVID-19 pandemic at the beginning of 2020 forced many countries to implement social distancing policies such as the suspension of activities and gathering. Taiwan is the leading country which took active epidemic prevention measures in local communities, including closing the community centers and programs for older adults. Older adults with chronic health conditions are particularly vulnerable to the COVID-19 pandemic because they have disproportionally been affected by it. This study examined the associations between community environment and COVID-19 related stress of community-dwelling older adults with disabilities. Data were collected from a sample of 547 community-dwelling older adults aged 65 and over with disabilities in Taiwan between April and July, 2020. Multiple Regression Analysis was applied to test the hypothesized relationships. The analytic results suggested that: First, participants who were younger and with better cognitive functioning had higher levels of COVID-19 related stress. Second, as the confirmed case number dropped by month, participants interviewed in the later months expressed lower levels of COVID-19 related stress. Third, older adults who perceived more obstacles in their environment reported higher levels of COVID-19 related stress. In conclusion, although restrictions during the pandemic is inevitable to secure the safety of the public, programs should be designed for older adults with disabilities to remove the obstacles and to make information, policies and services more accessible in the communities to mitigate their COVID-19 related stress.
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48

Han, Jee Hoon, and Hye Ji Sa. "Leisure attitude, stress-related growth, and quality of life during COVID-19-related social distancing." Social Behavior and Personality: an international journal 50, no. 2 (February 9, 2022): 1–16. http://dx.doi.org/10.2224/sbp.11015.

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The coronavirus disease 2019 (COVID-19) pandemic and related restrictive measures have impacted on leisure activities globally; South Korea is no exception. In this cross-sectional study we identified the need to increase leisure opportunities during social distancing and respond to changes in leisure activities post-COVID-19. The leisure attitude, stress-related growth, and quality of life of 260 participants were examined via an online survey. Data were analyzed through structural equation modeling. Results show that during social distancing, leisure attitude was positively associated with stress-related growth, leisure attitude was not significantly associated with quality of life, and stress-related growth was positively associated with quality of life. From a long-term perspective, as leisure activities can improve stress-related growth and quality of life, education and related discussions must continue to ensure that people hold a positive attitude toward leisure participation.
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Otrofanowei, Erere, and Obianuju Ozoh. "Does prolonged stress enhance coping? Nigerian healthcare providers and COVID-19-related stress management." Journal of the Pan African Thoracic Society 3 (May 2, 2022): 63–64. http://dx.doi.org/10.25259/jpats_22_2022.

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50

Hadar-Shoval, Dorit, Michal Alon-Tirosh, Kfir Asraf, Lubna Tannous-Haddad, and Orna Tzischinsky. "Lifestyle Changes, Emotional Eating, Gender, and Stress during COVID-19 Lockdown." Nutrients 14, no. 18 (September 18, 2022): 3868. http://dx.doi.org/10.3390/nu14183868.

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Emotional eating poses health risks. It is associated with adverse weight gain and a higher body mass index and is frequently triggered by stressful situations such as pandemics. The COVID-19 pandemic was found to cause stress as well as lifestyle changes of different magnitudes. This study examined the relationship between lifestyle changes and emotional eating by focusing on the moderating effect of gender and COVID-19-related stressors. A total of 1969 respondents completed online questionnaires during the first COVID-19 lockdown in Israel. The questionnaires assessed COVID-19-related lifestyle changes concerning eating habits, alcohol consumption, sleep quality, physical activity, and cigarette smoking, COVID-19-related stressors, and emotional eating (Dutch Eating Behavior Questionnaire). People with positive and negative COVID-19-related lifestyle changes demonstrated higher emotional eating compared to people with no lifestyle changes. The relationship between lifestyle changes and emotional eating was moderated by gender and COVID-19-related stressors. In conclusion, health officials should consider recommendations about lifestyle changes given to the public in times of unpredictable changes, with special attention to populations at risk of emotional eating. As emotional eating is related to poor emotional regulation skills, public nutrition recommendations should focus on improving these skills rather than adopting better diets.
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