Anxiety and depression in spinocerebellar ataxia patients during the COVID-19 pandemic in China: A cross-sectional study

Gong, Yiqing; Chen, Zhao; Liu, Mingjie; Wan, Linlin; Wang, Chunrong; Peng, Hongxia; Shi, Yuting; Peng, Yun; Xia, Kun; Qiu, Rong; Tang, Beisha; Jiang, Hong

doi:10.1016/j.jocn.2021.03.004

Cited by 8 publications

(3 citation statements)

References 28 publications

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“…These rates of anxiety (17%) and depression (20%) are not too dissimilar to those reported prior to the COVID-19 pandemic for 253 individuals with multiple sclerosis (58). While this is encouraging, studies in patients with spinocerebellar and cerebellar ataxia have implied greater levels of anxiety and depression relative to controls during the COVID-19 pandemic (45,59). Therefore, cultivating healthy coping strategies and resilience during periods of uncertainty in individuals with neurological conditions are essential to improve psychological well-being.…”

Section: Psychological Well-beingmentioning

confidence: 59%

Physical Activity and Health-Related Quality of Life in Adults With a Neurologically-Related Mobility Disability During the COVID-19 Pandemic: An Exploratory Analysis

et al. 2021

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Background: During the coronavirus-19 (COVID-19) pandemic various containment strategies were employed. Their impact on individuals with neurological conditions, considered vulnerable to COVID-19 complications, remains to be determined.Objective: To investigate associations between physical activity and health-related quality of life outcomes in individuals with a neurological condition during government mandated COVID-19 restrictions.Methods: An e-survey assessing fear of COVID-19, physical activity level and health-related quality of life outcomes (functional disability and pain, anxiety and depression, loneliness, fatigue, and vitality) was distributed to individuals with a neurologically-related mobility disability living in the United Kingdom. Open-ended questions were also included to contextualize barriers and facilitators to engage in physical activity during the COVID-19 pandemic. Gamma-weighted generalized linear models and tree-structured regression models were employed to determine the associations between physical activity and health-related quality of life.Results: Of 199 responses, 69% reported performing less physical activity compared to pre-pandemic. Tree-structured regression models revealed that lower leisure-time physical activity was significantly associated (p ≤ 0.009) with higher depression and fatigue, but lower vitality. The closure of leisure facilities and organized sport (27%) was the most commonly cited barrier to engage in physical activity, while 31% of participants mentioned concerns around their physical and mental health as a facilitator.Conclusion: Our analysis identified homogenous subgroups for depression, fatigue, and vitality based specifically on leisure-time physical activity cut points, irrespective of additional demographic or situational characteristics. Findings highlight the importance of and need to safely promote leisure-time physical activity during the COVID-19 pandemic in this at-risk population to help support health-related quality of life.

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Section: Psychological Well-beingmentioning

confidence: 59%

Physical Activity and Health-Related Quality of Life in Adults With a Neurologically-Related Mobility Disability During the COVID-19 Pandemic: An Exploratory Analysis

et al. 2021

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“…Observational Indexes. (1) Psychological status: SAS [8] and SDS [9] scores were compared between the two groups before and after intervention. Both scales had 20 items, with the total score of 80 points.…”

Section: Methodsmentioning

confidence: 99%

Application Effect of Cluster-Based Care in Patients with Hypertensive Disorders of Pregnancy and Osteoarthritis

Ye¹,

Chen³

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the application effect of cluster-based care in patients with hypertensive disorders of pregnancy and osteoarthritis. Methods. The clinical data of 60 patients with hypertensive disorders of pregnancy and osteoarthritis in our hospital were retrospectively analyzed, among which those receiving routine care from January 2020 to December 2020 were grouped into the control group (30 patients), and those receiving cluster-based care from January 2021 to January 2022 were grouped into the research group (30 patients). Psychological status, care satisfaction, and pregnancy outcomes were compared between the two groups. Results. After intervention, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores in the research group were lower than those in the control group ( P < 0.05 ). There was no statistical significance in the difference of the modes of delivery between the two groups ( χ 2 = 1.763 , P > 0.05 ). Patients in the research group had a lower incidence of perinatal complications than those in the control group ( χ 2 = 5.689 , P < 0.05 ). And the satisfaction rate of care in the research group (93.33% vs 70%) was higher than that in the control group ( χ 2 = 4.238 , P < 0.05 ). Conclusion. Cluster-based care can reduce patients’ negative mood, increase their satisfaction, and improve the maternal and infant outcomes. This type of care offers better quality care measures for patients with pregnancy hypertension and osteoarthritis, and has a wide clinical application prospect.

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“…The physical and mental health of patients with chronic cerebellar disorder was also at greater risk due to prevailing uncertainty, anxiety, and depression due to lack of social interaction during the lockdown. Online questionnaires surveying SCA patients for self-rating of anxiety, depression, and overall baseline morbidity due to their ataxia revealed a significant increase in anxiety to 34.9% and depression to 56.7% [27].…”

mentioning

confidence: 99%

2 Years into the Pandemic: What Did We Learn About the COVID-19 and Cerebellum?

2022

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Highly contagious pandemic due to novel coronavirus SARS-CoV-2, COVID-19 has significantly affected humankind. At the onset of the pandemic, it was believed that it primarily affects the respiratory and hematological system, and has minimal influence on the human brain, even less so on the cerebellum. It was thought that the effects of a pandemic on cerebellar disorders would be the same as it would affect any other chronic neurological disease. It turned out that our understanding of the effects of COVID-19 on the cerebellar system was premature. Over the last 2 years, we appreciated many diverse and direct effects of COVID-19 on cerebellar function. SARS-CoV-2 affects the cerebellum via direct viral invasion, but even more so through its effects on immune, hematological, and metabolic pathways. Increasing evidence suggested the indirect effects of COVID-19 on preexisting chronic cerebellar disease due to lack of in-person care and social isolation. This editorial concisely summarizes critical literature on COVID-19 and the cerebellum published over the last 2 years.

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Anxiety and depression in spinocerebellar ataxia patients during the COVID-19 pandemic in China: A cross-sectional study

Cited by 8 publications

References 28 publications

Physical Activity and Health-Related Quality of Life in Adults With a Neurologically-Related Mobility Disability During the COVID-19 Pandemic: An Exploratory Analysis

Physical Activity and Health-Related Quality of Life in Adults With a Neurologically-Related Mobility Disability During the COVID-19 Pandemic: An Exploratory Analysis

Application Effect of Cluster-Based Care in Patients with Hypertensive Disorders of Pregnancy and Osteoarthritis

2 Years into the Pandemic: What Did We Learn About the COVID-19 and Cerebellum?

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