Mental health and suicidal ideation in US military veterans with histories of COVID-19 infection

INTRODUCTION

There have been reports of increased prevalence in psychiatric conditions in non-veteran survivors of COVID-19. To date, however, no known study has examined the prevalence, risk and protective factors of psychiatric conditions among US military veterans who survived COVID-19.

METHODS

Data were analysed from the 2019 to 2020 National Health and Resilience in Veterans Study, which surveyed a nationally representative, prospective cohort of 3078 US veterans. Prepandemic and 1-year peripandemic risk and protective factors associated with positive screens for peripandemic internalising (major depressive, generalised anxiety and/or posttraumatic stress disorders) and externalising psychiatric disorders (alcohol and/or drug use disorders) and suicidal ideation were examined using bivariate and multivariate logistic regression analyses.

RESULTS

A total of 233 veterans (8.6%) reported having been infected with COVID-19. Relative to veterans who were not infected, veterans who were infected were more likely to screen positive for internalising disorders (20.5% vs 13.9%, p=0.005), externalising disorders (23.2% vs 14.8%, p=0.001) and current suicidal ideation (12.0% vs 7.6%, p=0.015) at peripandemic. Multivariable analyses revealed that greater prepandemic psychiatric symptom severity and COVID-related stressors were the strongest independent predictors of peripandemic internalising disorders, while prepandemic trauma burden was protective. Prepandemic suicidal ideation, greater loneliness and lower household income were the strongest independent predictors of peripandemic suicidal ideation, whereas prepandemic community integration was protective.

CONCLUSION

Psychiatric symptoms and suicidal ideation are prevalent in veterans who have survived COVID-19. Veterans with greater prepandemic psychiatric and substance use problems, COVID-related stressors and fewer psychosocial resources may be at increased risk of these outcomes.

Nanostructure of Poly(Acrylic Acid) Adsorption Layer on the Surface of Activated Carbon Obtained from Residue After Supercritical Extraction of Hops

The nanostructure of poly(acrylic acid) (PAA) adsorption layer on the surface of mesoporous-activated carbon HPA obtained by physical activation of residue after supercritical extraction of hops was characterized. This characterization has been done based on the analysis of determination of adsorbed polymer amount, surface charge density, and zeta potential of solid particles (without and in the PAA presence). The SEM, thermogravimetric, FTIR, and MS techniques have allowed one to examine the solid surface morphology and specify different kinds of HPA surface groups. The effects of solution pH, as well as polymer molecular weight and concentration, were studied. The obtained results indicated that the highest adsorption on the activated carbon surface was exhibited by PAA with lower molecular weight (i.e., 2000 Da) at pH 3. Under such conditions, polymeric adsorption layer is composed of nanosized PAA coils (slightly negatively charged) which are densely packed on the positive surface of HPA. Additionally, the adsorption of polymeric macromolecules into solid pores is possible.

Prediction of winning amateur boxers using pretournament reaction times

AIM

Boxing requires agility and manual dexterity, which is associated with fast reflexes and reaction time. This study evaluated the relation between reaction times on cognitive tasks and competition outcomes in boxers.

METHODS

The design was a prospective cohort study. Participants were collegiate amateur boxers who won at least one bout in a single elimination tournament. Optimal pre-participation performance using a computerized cognitive assessment tool (CCAT, Axon Sports) and no significant deterioration in cognitive performance within 24 hours post-bout was required to compete in future bouts. Winners were assumed to be motivated to perform optimally on testing. Performance on speed and accuracy measures were compared in winning and non-winning boxers. Pre-competition minutes of sparring and tournament seedings were recorded.

RESULTS

There were 96 eligible boxers who won at least one of 160 bouts. The mean age was 21.3 (SD 1.9) years (range 18.5-29.7). A significant improvement in mean reaction times as a function of advancement in the boxing tournament was observed. The 18 winning boxers who advanced to the finals had significantly faster mean reaction times at the baseline assessment before the competition began (speed composite z-score F(1,94)=4.14, P<0.05, effect size 0.54). Winners also had more sparring experience (Mann-Whitney U=302.5, P<0.001) and higher pre-competition rankings (Mann-Whitney U=288.5, P<0.001).

CONCLUSION

In highly motivated amateur boxers, finalists performed significantly faster than those who failed to reach the finals on measures of pre-competition reaction time. These findings suggest that winners of boxing tournaments might be predicted using pre-competition measures of processing speed.