The coronavirus pandemic affects the lifestyle, mental and physical health of people, especially those at direct risk of becoming infected with SARS-CoV-2. In the period from November 2020 to February 2021, data were collected from 296 healthcare workers through the GAD-7 generalized anxiety questionnaire, as well as through self-assessment of their physical and mental health status, and the degree of perceiving the coronavirus as a threat. The results show that about one-third of the participating healthcare workers experienced mild generalized anxiety, and about one-fifth of them, moderate or severe symptoms of anxiety. Health professionals with the highest generalized anxiety were younger, with deteriorated physical and mental health (not only subjectively estimated by the participants but also objectively diagnosed health workers with coronavirus), less religious, having an intimate partner. More perceived threat of coronavirus was associated with increased generalized anxiety in healthcare professionals. Healthcare workers with a higher level of generalized anxiety were more likely to have difficulties doing their jobs, taking care of things at home, or getting along with other people. The anxiety experienced is of immense importance for the functioning of the individual. It is recommendable for healthcare specialists to feel that they receive social support to reduce their anxiety levels and to better balance their work and personal life, having more free time to take care of themselves and their close relationships.
AbstractPost-communist Bulgaria has experienced the full impact of a socioeconomic disaster. Under prolonged and powerful stress the human body may exhaust its adaptive potential and a variety of pathophysiological symptoms may occur. The cardiovascular system is most vulnerable to stress. The aim of this study is to analyze the role of psychological factors correlating with Acute Myocardial Infarction (AMI) during the transition period in post-communist Bulgaria. A case-control epidemiological study was performed. 306 cases of acute myocardial infarction (AMI) and 210 controls were studied. Analysis of patients’ records was made and a direct face-to-face interview was carried out. The study covers a 15-year transition period lasting from 1989 until 2005. The interview questions are based on W. Zung’s standardized self-evaluation tests of anxiety and depression (Self Rating Depression Scale — SDS, 1965, SAS-Self Rating Anxiety Scale, 1976) and on a test of aggression, as a part of the Minnesota Multiphase personality inventory, adapted from A.A. Krilov and F. Korozi’s FPI test. Average levels of anxiety and depression appear to be higher among patients suffering from coronary heart diseases than in control group members. Levels of aggression do not show a direct correlation with coronary heart disease. Both groups demonstrate symptoms of psychological disturbances caused, most probably, by the socio-economic instability of the transition period. In conclusion, certain socioeconomic factors significantly increase the level of anxiety and depression in the respondents. The AMI patients are considerably more anxious and depressed than the controls. The results provide evidence that high levels of anxiety and depression may correlate to and be interpreted as a potential risk factor for coronary heart disease.
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