1
|
Elaidy AM, Hammoud MS, N. Albatineh A, Ridha FM, Hammoud SM, Elsadek HM, Rahman MA. Coping strategies to overcome psychological distress and fear during COVID-19 pandemic in Kuwait. Middle East Curr Psychiatry 2023; 30:12. [PMCID: PMC9891193 DOI: 10.1186/s43045-023-00285-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Background The COVID-19 pandemic has detrimental effects on both physical and psychological well-being of community people worldwide. The purpose of this research was to determine coping strategies and the factors associated with psychological distress and fear among adults in Kuwait during the COVID-19 pandemic. Results Participants with good-excellent mental health perception had significantly lower prevalence of reporting high psychological distress, while those identified as patients as used health services in the past 4 weeks had significantly higher prevalence of reporting high psychological distress. On the other hand, individuals born in the same country of residence, whose financial situation was impacted by COVID-19 had significantly lower prevalence of reporting high levels of fear from COVID-19. Those with an income source, with co-morbidities, tested negative to COVID-19, being frontline or essential worker, reported medium to high psychological distress and had significantly higher prevalence of high levels of fear of COVID-19. Conclusions Mental health services should be provided in addition to the existing services in primary healthcare settings, so that the impact of ongoing pandemic on psychological wellbeing of people in Kuwait can be addressed.
Collapse
Affiliation(s)
- Asmaa M. Elaidy
- grid.411303.40000 0001 2155 6022Faculty of Medicine for Girls, Department of Psychiatry, Al-Azhar University, Cairo, Egypt ,grid.415706.10000 0004 0637 2112Kuwait Centre for Mental Health (KCMH), MOH, Kuwait City, Kuwait
| | - Majeda S. Hammoud
- grid.411196.a0000 0001 1240 3921Faculty of Medicine, Department of Pediatrics, Kuwait University, Kuwait City, Kuwait
| | - Ahmed N. Albatineh
- grid.411196.a0000 0001 1240 3921Faculty of Medicine, Department of Community Medicine and Behavioral Sciences, Kuwait University, Kuwait City, Kuwait
| | - Fatma Mustafa Ridha
- grid.415706.10000 0004 0637 2112Sheikh Jaber Al Ahmed Al Jaber Al Sabah Hospital, MOH, Kuwait City, Kuwait
| | - Sabri M. Hammoud
- grid.415706.10000 0004 0637 2112Sheikh Jaber Al Ahmed Al Jaber Al Sabah Hospital, MOH, Kuwait City, Kuwait
| | - Hala M. Elsadek
- grid.411303.40000 0001 2155 6022Faculty of Medicine for Girls, Department of Dermatology and Venereology, Al-Azhar University, Cairo, Egypt
| | - Muhammad Aziz Rahman
- grid.1040.50000 0001 1091 4859Institute of Health and Wellbeing, Federation University Australia, Berwick, VIC 3806 Australia ,grid.440745.60000 0001 0152 762XFaculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
| |
Collapse
|
2
|
Rahman MA, Islam SMS, Tungpunkom P, Sultana F, Alif SM, Banik B, Salehin M, Joseph B, Lam L, Watts MC, Khan SJ, Ghozy S, Chair SY, Chien WT, Schönfeldt-Lecuona C, El-Khazragy N, Mahmud I, Al Mawali AH, Al Maskari TS, Alharbi RJ, Hamza A, Keblawi MA, Hammoud M, Elaidy AM, Susanto AD, Bahar Moni AS, AlQurashi AA, Ali A, Wazib A, Sanluang CS, Elsori DH, Yasmin F, Taufik FF, Al Kloub M, Ruiz MG, Elsayed M, Eltewacy NK, Al Laham N, Oli N, Abdelnaby R, Dweik R, Thongyu R, Almustanyir S, Rahman S, Nitayawan S, Al-Madhoun S, Inthong S, Alharbi TA, Bahar T, Ginting TT, Cross WM. COVID-19: Factors associated with psychological distress, fear, and coping strategies among community members across 17 countries. Global Health 2021; 17:117. [PMID: 34598720 PMCID: PMC8485312 DOI: 10.1186/s12992-021-00768-3] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 09/20/2021] [Indexed: 02/03/2023] Open
Abstract
Background The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives We aimed to examine the extent and identify factors associated with psychological distress, fear of COVID-19 and coping. Methods We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale), and coping (Brief Resilient Coping Scale) were assessed. Results A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% self-identified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which was 46% in Thailand and 91% in Egypt. A quarter (24%) had high levels of fear of COVID-19, which was as low as 9% in Libya and as high as 38% in Bangladesh. More than half (57%) exhibited medium to high resilient coping; the lowest prevalence (3%) was reported in Australia and the highest (72%) in Syria. Being female (AOR 1.31 [95% CIs 1.09-1.57]), perceived distress due to change of employment status (1.56 [1.29-1.90]), comorbidity with mental health conditions (3.02 [1.20-7.60]) were associated with higher levels of psychological distress and fear. Doctors had higher psychological distress (1.43 [1.04-1.97]), but low levels of fear of COVID-19 (0.55 [0.41-0.76]); nurses had medium to high resilient coping (1.30 [1.03-1.65]). Conclusions The extent of psychological distress, fear of COVID-19 and coping varied by country; however, we identified few higher risk groups who were more vulnerable than others. There is an urgent need to prioritise health and well-being of those people through well-designed intervention that may need to be tailored to meet country specific requirements. Supplementary Information The online version contains supplementary material available at 10.1186/s12992-021-00768-3.
Collapse
Affiliation(s)
- Muhammad Aziz Rahman
- School of Health, Federation University Australia, Berwick, Victoria, Australia. .,Australia Institute for Primary Care and Ageing (AIPCA), La Trobe University, Melbourne, Victoria, Australia. .,Department of Noncommunicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Bangladesh.
| | | | | | | | | | - Biswajit Banik
- School of Health, Federation University Australia, Berwick, Victoria, Australia
| | - Masudus Salehin
- School of Health, Federation University Australia, Berwick, Victoria, Australia
| | - Bindu Joseph
- School of Health, Federation University Australia, Berwick, Victoria, Australia
| | - Louisa Lam
- School of Health, Federation University Australia, Berwick, Victoria, Australia
| | | | | | - Sherief Ghozy
- Neurovascular Research Lab, Radiology Department, Mayo Clinic, Rochester, MN, USA
| | - Sek Ying Chair
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong
| | - Wai Tong Chien
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong
| | | | | | - Ilias Mahmud
- Department of Public Health, College of Public Health and Health Informatics, Qassim University, Al Bukairiyah, Kingdom of Saudi Arabia
| | | | | | - Rayan Jafnan Alharbi
- Department of Emergency Medical Service, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Amr Hamza
- Faculty of Medicine, University of Aleppo, Aleppo, Syria
| | | | - Majeda Hammoud
- Faculty of Medicine, Kuwait University, Kuwait City, Kuwait
| | - Asmaa M Elaidy
- Faculty of Medicine for Girls, Al-azhar University, Cairo, Egypt
| | - Agus Dwi Susanto
- Department of Pulmonology and Respiratory Medicine, Universitas Indonesia, Jakarta, Indonesia
| | | | | | | | - Amit Wazib
- Enam Medical College & Hospital, Dhaka, Bangladesh
| | | | | | | | - Feni Fitrani Taufik
- Department of Pulmonology and Respiratory Medicine, Universitas Indonesia, Jakarta, Indonesia
| | | | - Mara Gerbabe Ruiz
- Oman College of Health Sciences-South Sharquiya, Sur, Sultanate of Oman
| | - Mohamed Elsayed
- Department of Psychiatry and Psychotherapy, University of Ulm, Ulm, Germany
| | | | | | | | - Ramy Abdelnaby
- Department of Neurology, RWTH Aachen University, Aachen, Germany
| | - Rania Dweik
- Abu Dhabi University, Abu Dhabi, United Arab Emirates
| | | | | | | | | | | | - Suwit Inthong
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Talal Ali Alharbi
- King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Tamanna Bahar
- National Institute of Cancer Research and Hospital, Dhaka, Bangladesh
| | | | - Wendy M Cross
- School of Health, Federation University Australia, Berwick, Victoria, Australia
| |
Collapse
|
3
|
Rahman MA, Islam SMS, Tungpunkom P, Sultana F, Alif SM, Banik B, Salehin M, Joseph B, Lam L, Watts MC, Khan SJ, Ghozy S, Chair SY, Chien WT, Schoenfeldt-lecuona C, El-khazragy N, Mahmud I, Mawali AHA, Maskari TSA, Alharbi RJ, Hamza A, Keblawi MA, Hammoud M, Elaidy AM, Susanto AD, Moni ASB, Alqurashi AA, Ali A, Wazib A, Sanluang CS, Elsori DH, Yasmin F, Taufik FF, Kloub MA, Ruiz MG, Elsayed M, Eltewacy NK, Laham NA, Oli N, Abdelnaby R, Dweik R, Thongyu R, Almustanyir S, Rahman S, Nitayawan S, Al-madhoun S, Inthong S, Alharbi TA, Bahar T, Ginting TT, Cross WM. COVID-19: Factors Associated with Psychological Distress, Fear, and Coping Strategies among Community Members Across 17 Countries.. [DOI: 10.21203/rs.3.rs-654989/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
Abstract
Background: The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives: We aimed to examine the extent and identify associated factors of psychological distress, fear of COVID-19, and coping.Methods: We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale), and coping (Brief Resilient Coping Scale) were assessed. Results: A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% self-identified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which was 46% in Thailand and 91% in Egypt. A quarter (24%) had high levels of fear of COVID-19, which was as low as 9% in Libya and as high as 38% in Bangladesh. More than half (57%) exhibited medium to high resilient coping; the lowest prevalence (3%) was reported in Australia and the highest (72%) in Syria. Being female (AOR 1.31 [95% CIs 1.09-1.57]), perceived distress due to change of employment status (1.56 [1.29-1.90]), comorbidity with mental health conditions (3.02 [1.20-7.60]) were associated with higher levels of psychological distress and fear. Doctors had higher psychological distress (1.43 [1.04-1.97]), but low levels of fear of COVID-19 (0.55 [0.41-0.76]); nurses had medium to high resilient coping (1.30 [1.03-1.65]). Conclusions: The extent of psychological distress, fear of COVID and coping varied by country; however, some groups were more vulnerable than others. There is an urgent need to prioritise health and well-being of these people through well-designed intervention that may need to be tailored to meet country specific requirements.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Ramy Abdelnaby
- RWTH Aachen University Medical Faculty: Rheinisch-Westfalische Technische Hochschule Aachen Medizinische Fakultat
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
5
|
Basha MAA, Eldib DB, Aly SA, Azmy TM, Mahmoud NEM, Ghandour TM, Aly T, Mostafa S, Elaidy AM, Algazzar HY. Diagnostic accuracy of ultrasonography in the assessment of anterior knee pain. Insights Imaging 2020; 11:107. [PMID: 33000350 PMCID: PMC7527384 DOI: 10.1186/s13244-020-00914-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 09/16/2020] [Indexed: 11/10/2022] Open
Abstract
Background Anterior knee pain (AKP) is a problematic complaint, considered to be the most frequent cause of orthopedic consultancy for knee problems. This study aimed to highlight diagnostic accuracy of ultrasonography as a fast imaging technique in assessment of patients with AKP. Methods and results A prospective study was conducted on 143 patients with clinically confirmed AKP. All patients underwent ultrasonography and MRI examinations of the knee. The diagnostic accuracy of ultrasonography compared to MRI for evaluating different findings of possible causes of AKP were analyzed using receiver operating characteristic (ROC) curve and judged by area under curve (AUC). A total of 155 knees were included in the study; 26 knees showed no abnormalities, 19 knees showed positive MRI only, and 110 knees showed positive ultrasonography and MRI. Ultrasonography and MRI reported 11 different findings of possible causes of AKP or related to it. Joint effusion was the most common finding (38%) followed by trochlear cartilage defect (20.6%) and superficial infrapatellar subcutaneous edema (20%). The overall accuracy of ultrasonography was 85.3% sensitivity and 100% specificity. The ultrasonography provided the highest sensitivity (100%) in detecting bipartite patella, followed by 91.5% for joint effusion, and 87.5% for quadriceps tendinopathy. The ROC curve analysis of overall accuracy of ultrasonography showed an AUC of 0.93. The overall Kappa agreement between ultrasonography and MRI was good (k = 0.66). Conclusion Ultrasonography can be used to make a swift screening and assessment of painful anterior knee and as an alternative to MRI when it is unavailable or contraindicated.
Collapse
Affiliation(s)
| | - Diaa Bakry Eldib
- Department of Radiodiagnosis, Faculty of Human Medicine, Benha University, Benha, Egypt
| | - Sameh Abdelaziz Aly
- Department of Radiodiagnosis, Faculty of Human Medicine, Benha University, Benha, Egypt
| | - Taghreed M Azmy
- Department of Radiodiagnosis, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt
| | - Nader E M Mahmoud
- Department of Radiodiagnosis, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt
| | - Tarek Mohamed Ghandour
- Department of Orthopaedic Surgery, Faculty of Human Medicine, Ain Shams University, Cairo, Egypt
| | - Tarek Aly
- Department of Orthopaedic Surgery, Faculty of Human Medicine, Tanta University, Tanta, Egypt
| | - Shimaa Mostafa
- Department of Rheumatology and Rehabilitation, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt
| | - Asmaa M Elaidy
- Department of Psychiatry, Faculty of Human Medicine for Girls, Al-Azhar University, Zagazig, Egypt
| | | |
Collapse
|
6
|
Khalifa MKA, Salem HA, Shawky SM, Eassa HA, Elaidy AM. Enhancement of zaleplon oral bioavailability using optimized self-nano emulsifying drug delivery systems and its effect on sleep quality among a sample of psychiatric patients. Drug Deliv 2020; 26:1243-1253. [PMID: 31752566 PMCID: PMC6882476 DOI: 10.1080/10717544.2019.1687613] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
The aim of this work is to develop self-nano emulsifying drug delivery system (SNEDDS) to enhance the oral bioavailability of zaleplon (Zal) as a poorly water-soluble drug. Moreover, the bioavailability and the effect on the quality of sleep among a sample of psychiatric patients is to be assessed. D-optimal mixture design was used for optimization. Optimized SNEDDS formulation was evaluated for droplet size, transmission electron microscope (TEM) and in-vitro dissolution test. Zal bioavailability was evaluated by determining its serum concentration and pharmacokinetic parameters in 8 patients after oral administration. Effect on sleep quality was assessed among 40 psychiatric patients. Patients’ sleep quality was assessed in 40 psychiatric patients before and after medication using the Arabic version of the Pittsburgh Sleep Quality Index (PSQI). Zal- SNEDDS appeared as nano-sized spherical vesicles. Moreover, Zal was completely dissolved from optimized formulation after 45 min indicating improved dissolution rate. Zal-SNEDDS showed significantly higher Cmax, Tmax and AUC0→∞ compared to commercial product after oral administration. Zal-SNEDDS significantly improved the total score of PSQIs (p < .001) with higher subjective sleep quality, reduced sleep latency, improved day time function and sleep disturbance (p < .001). Using sleep medication was reduced significantly (p = .027). However, it did not modify sleep duration or sleep efficiency. SNEDDS have improved Zal solubility and enhanced its bioavailability. Furthermore, Zal-SNEDDS have improved the total score of PSQIs and may be considered a good choice to enhance the quality of sleep among psychiatric patients.
Collapse
Affiliation(s)
- Maha K A Khalifa
- Department of Pharmaceutics and industrial Pharmacy, Faculty of Pharmacy, Al-Azhar University, Nasr City, Egypt
| | - Hoda A Salem
- Department of Clinical Pharmacy, Faculty of Pharmacy, Al-Azhar University, Nasr City, Egypt
| | - Seham M Shawky
- Department of Pharmaceutics and industrial Pharmacy, Faculty of Pharmacy, Al-Azhar University, Nasr City, Egypt
| | - Heba A Eassa
- Department of Pharmaceutics and industrial Pharmacy, Faculty of Pharmacy, Al-Azhar University, Nasr City, Egypt
| | - Asmaa M Elaidy
- Department of Psychiatry, Faculty of Medicine for girls, Al-Azhar University, Nasr City, Egypt
| |
Collapse
|