The Coronavirus disease (COVID-19) pandemic has brought about drastic measures that have significantly altered the norms of daily living. These measures have affected human behaviors in disparate ways. This study seeks to understand the impact of the pandemic on physical activity and dietary behavior among adults living in Kuwait. A cross-sectional survey was conducted between 18 June and 15 July 2020, using a questionnaire disseminated through social media, including WhatsApp and Facebook. The target population was individuals aged 21 years or older living in the State of Kuwait. The study included 679 respondents; 57.9% were females, and 67.7% were Kuwaiti nationals. Both genders reported an increased consumption of vegetables, fruits, and carbohydrates, and a decreased consumption of fish and sugary drinks. Compared to males, females reported eating more during the outbreak than their pre-pandemic eating behaviors (32.3% vs. 35.9%, p < 0.05). Approximately one-third of respondents (33.1%) reported performing less than 30 min of physical activity or exercise in a week, and 36.4% of respondents rated their quality of sleep as ‘poor’ or ‘very poor’. The rate of smoking cigarettes among males was significantly higher than in females (40.6% vs. 5.3%, p < 0.001). Physical activity was positively correlated with vegetable consumption and quality of sleep. Quality of sleep was negatively correlated with the consumption of sweets and snacks, just as the consumption of vegetables was negatively correlated with the consumption of sugary drinks. The overall negative impact of the COVID-19 pandemic in Kuwait necessitates the development of health promotion interventions to support positive physical activity and dietary behaviors using alternative coping strategies among the residents of Kuwait.

The Coronavirus (COVID-19) pandemic in Kuwait led to a nationwide curfew between 22 March and August 2020. The purpose of this study was to evaluate the impact of the COVID-19 curfew during the pandemic on Kuwaiti citizens and residents. A cross-sectional survey was used to collect data from Kuwaiti residents over the age of 21 through an online questionnaire shared via social media, including WhatsApp and Facebook. Data collection occurred between 18 June and 15 July 2020. Data from 679 respondents (57.9% females and 42.1% males; 67.7% Kuwaiti nationals and 32.3% non-Kuwaiti nationals) were analyzed. Symptoms of depression were reported among 59.8% of females and 51.0% of males, and extremely severe depression among 20.4% of females and 13.6% of males. Approximately 42.0% of females and 37.8% of males were under psychological distress, with 15.1% of females and 9.1% of males experiencing severe or extremely severe psychological distress. Over a third of females (34.9%) reported experiencing tensions or violent behaviors from family members, and 22.1% reported verbal or physical abuse. Among males, 26.4% reported experiencing tensions or violent behaviors, and 12.2% reported verbal or physical abuse. Extremely severe depression was associated with being female (2.00 times), aged 21–29 (4.56 times), experiencing tensions or violent behaviors from family members (4.56 times), being physically inactive (1.64 times), smoking cigarettes (3.02 times), and having poor or very poor quality of sleep (1.75 times). Severe or extremely severe psychological distress was associated with being female (3.09 times), aged 21–49 (3.68 times), having ill-health conditions or diseases (1.83 times), experiencing tension or violent behaviors from family members (3.56 times), smoking cigarettes (3.06 times), and having poor or very poor quality of sleep (2.20 times). Findings indicate that people living in Kuwait experienced negative psychological impacts, such as depression and psychological distress, attributable to the pandemic-related restrictions. Unpartnered females aged 21–49 are more mentally vulnerable than partnered males over the age of 50. Findings support an urgent need for targeted interventions to improve health behaviors and social support, including coping mechanisms specific to COVID-19 related stress, family counseling systems, and the provision of accessible and acceptable services using telehealth.

Sexual health concerns after cancer are common and distressing, and mindfulness-based interventions (MBIs) are effective in supporting women experiencing these concerns. The goals of this study were to: (i) systematically adapt and document modifications to a mindfulness-based sexual health intervention for cancer survivors in a community setting and (ii) assess feasibility, appropriateness, and acceptability, and to identify strategies to increase reach for future implementation and dissemination. Following the ADAPT-ITT model, we first conducted key informant interviews with 10 female cancer survivors and four healthcare providers to obtain feedback on perceived need and feasibility of the intervention approach, and preferences for content, structure, and delivery format. This feedback informed initial intervention adaptations, which we then pretested with five female cancer survivors. We tracked and coded intervention adaptations. Key informant cancer survivors and providers confirmed the lack of sexual health services, acceptability of a sexual health MBI, and identified initial adaptations including modifying the intervention for delivery in a community, rather than clinical, setting. Pretest participants (aged 48–57) were survivors of breast (n = 4) and cervical (n = 1) cancer. All participants completed the intervention attending an average of 7.2 of 8 weekly sessions. Qualitative and quantitative results suggest the intervention was feasible, appropriate and acceptable. Engaging stakeholders in the adaptation process is essential for creating a feasible, appropriate, and acceptable intervention. Tracking intervention modifications contributes to our overall understanding of how MBIs can be adapted for new populations and contexts.

In this study, we aimed to evaluate the psychological impact of the COVID-19 pandemic on healthcare workers to determine the prevalence of symptoms of depression, anxiety, and well-being, and to identify the factors associated with adverse psychological effects. This study was conducted 5 months into the COVID-19 pandemic. We used an online questionnaire to collect data from 378 healthcare workers. To examine the psychological impact, three standardized questionnaires were utilized. This includes the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder Scale (GAD-7), and the WHO Well-Being Scale (WHO-5) to measure depression, anxiety, and quality of life, respectively. More than half of the participants (52.9%) exhibited moderate or high levels of depression, and 40.5% reported moderate or high levels of anxiety. Unmarried HCWs reported more severe levels of depression; moderately severe depression (24.0% vs. 16.1%) and severe depression (12.4% vs. 6.8%). Unmarried HCWs also reported more severity of anxiety as well as lower overall wellbeing. Understanding how personal factors such as marital status can influence the degree of psychological distress can allow us to make better investments in supporting the mental health needs of HCWs in Kuwait. Governments and organizations must establish protective measures, such as continually assessing the mental health status of HCWs throughout the pandemic and providing support services for HCWs in need to minimize adverse consequences and ensure optimal health system operation.