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Background: Social support and anxiety are essential for patients with chronic diseases such as multiple sclerosis (MS). During coronavirus disease 2019 (COVID-19) pandemic, the psychological well-being of subjects with MS was an important issue, and we designed this study to assess anxiety, resilience, and social support in these patients during COVID-19 pandemic stage. Methods: We used convenience sampling for this study. Inclusion criteria were definite diagnosis of MS based on McDonald criteria and age more than 18 years. Two hundred patients with MS were enrolled. Subjects were asked to fill out valid and reliable Persian versions of Connor-Davidson Resilience Scale (CD-RISC), Beck Anxiety Inventory (BAI), and Perceived Social Support Scale. We also collected demographic data (age, sex, marital status, and occupation), disease duration, and disability level [Expanded Disability Status Scale (EDSS)]. Continuous variables were presented as mean ± standard deviation (SD) (except for EDSS, as its distribution was not normal), and categorical variables were presented as frequencies. Correlation coefficients were calculated. We did a subgroup analysis and compared patients with BAI less than 30 and more than 30 (severe anxiety). A P-value less than 0.05 was considered significant. Results: Mean age and mean duration of the disease were 36.5 ± 9.3 and 6.2 ± 5.4 years, respectively. Mean BAI, social support, and resilience scores were 33.8 ± 11.4, 65.7 ± 16.7, and 62.5 ± 19.4, respectively. resilience and social support scales (r = 0.44, P < 0.001), and also a significant negative correlation between resilience and BAI (r = -0.31, P < 0.001). Patients with severe anxiety (BAI > 30) had lower social support scores and resilience (social support: 70.3 ± 13.1 vs. 61.5 ± 18.6, P < 0.001; resilience: 57.3 ± 17.0 vs. 68.2 ± 19.6, P < 0.001) compared to patients with BAI ≤ 30. By considering resilience score as the dependent variable and other variables as independent variables, we found that BAI and social support scores were independent predictors. Conclusion: Social support and anxiety are independent predictors of resilience during COVID-19 pandemic in patients with MS.
Background: Social support and anxiety are essential for patients with chronic diseases such as multiple sclerosis (MS). During coronavirus disease 2019 (COVID-19) pandemic, the psychological well-being of subjects with MS was an important issue, and we designed this study to assess anxiety, resilience, and social support in these patients during COVID-19 pandemic stage. Methods: We used convenience sampling for this study. Inclusion criteria were definite diagnosis of MS based on McDonald criteria and age more than 18 years. Two hundred patients with MS were enrolled. Subjects were asked to fill out valid and reliable Persian versions of Connor-Davidson Resilience Scale (CD-RISC), Beck Anxiety Inventory (BAI), and Perceived Social Support Scale. We also collected demographic data (age, sex, marital status, and occupation), disease duration, and disability level [Expanded Disability Status Scale (EDSS)]. Continuous variables were presented as mean ± standard deviation (SD) (except for EDSS, as its distribution was not normal), and categorical variables were presented as frequencies. Correlation coefficients were calculated. We did a subgroup analysis and compared patients with BAI less than 30 and more than 30 (severe anxiety). A P-value less than 0.05 was considered significant. Results: Mean age and mean duration of the disease were 36.5 ± 9.3 and 6.2 ± 5.4 years, respectively. Mean BAI, social support, and resilience scores were 33.8 ± 11.4, 65.7 ± 16.7, and 62.5 ± 19.4, respectively. resilience and social support scales (r = 0.44, P < 0.001), and also a significant negative correlation between resilience and BAI (r = -0.31, P < 0.001). Patients with severe anxiety (BAI > 30) had lower social support scores and resilience (social support: 70.3 ± 13.1 vs. 61.5 ± 18.6, P < 0.001; resilience: 57.3 ± 17.0 vs. 68.2 ± 19.6, P < 0.001) compared to patients with BAI ≤ 30. By considering resilience score as the dependent variable and other variables as independent variables, we found that BAI and social support scores were independent predictors. Conclusion: Social support and anxiety are independent predictors of resilience during COVID-19 pandemic in patients with MS.
Abstrak: Selama pandemi ibu hamil termasuk kelompok rentan terhadap COVID-19 karena mengalami penurunan sistem imun sehingga diperlukan upaya pencegahan COVID-19 dengan olahraga melakukan prenatal gentle yoga dan meningkatkan kualitas tidur. Hasil survei kasus COVID-19 pertama ditemukan di Puskesmas Kabila sehingga menyebabkan ibu hamil yang ada di Puskesmas Kabila mengalami kecemasan (1). Penyebabnya karena kurangnya pengetahuan tentang COVID-19. Selama pandemi kelas prenatal ditiadakan dan juga Puskesmas Kabila belum pernah melakukan kelas prenatal secara virtual sehingga ibu hamil tidak bisa melakukan olahraga. Ibu hamil di Puskesmas Kabila juga belum mengetahui tentang prenatal gentle yoga. Tujuannya untuk mengurangi kecemasan selama pandemi dengan meningkatkan pengetahuan ibu hamil tentang COVID-19 dan meningkatkan imunitas melalui prenatal gentle yoga (2). Metodenya dengan pemberian materi dan praktik melalui kelas prenatal virtual pada 70 ibu hamil. Pencegahan COVID-19 juga dilakukan dengan memberikan masker, handshop, handsanitizer dan termometer digital (3). Hasil yang didapat berdasarkan evaluasi kuesioner tentang pengetahuan dan kualitas tidur 93% ibu hamil mempunyai pengetahuan yang baik tentang COVID-19 dan 97% ibu hamil mempunyai kualitas istirahat dengan waktu yang cukup (4).Abstract: During the pandemic, pregnant women are among the vulnerable groups to COVID-19 because they experience a decrease in the immune system, so efforts to prevent COVID-19 by doing gentle prenatal yoga and improving sleep quality are needed. The results of the first COVID-19 case survey were found at the Kabila Health Center, causing pregnant women in the Kabila Health Center to experience anxiety (1). The cause is due to lack of knowledge about COVID-19. During the pandemic, prenatal classes were abolished and also the Kabila Health Center had never conducted prenatal classes virtually so that pregnant women could not do sports. Pregnant women at the Kabila Health Center also do not know about prenatal gentle yoga. The goal is to reduce anxiety during the pandemic by increasing pregnant women's knowledge about COVID-19 and increasing immunity through gentle prenatal yoga (2). The method is by providing material and practice through virtual prenatal classes for 70 pregnant women. Prevention of COVID-19 is also carried out by providing masks, hand shops, hand sanitisers and digital thermometers (3). The results obtained based on the evaluation of the questionnaire about knowledge and sleep quality 93% of pregnant women have good knowledge about COVID-19 and 97% of pregnant women have quality rest with sufficient time (4).
Purpose Psychiatric patients’ post-treatment identities are one of the potent indicators reflecting the efficacy of the medical intervention. This study aims to explore how psychiatric patients construct their post-treatment social identities through a gender lens. Design/methodology/approach This study used a descriptive phenomenological approach, and in-depth interviews were undertaken on 29 informants with experience of psychiatric treatment for at least one year and who are in the remission stage. The lived experience of each informant was scrutinised, which covered how psychiatric post-treatment affects and alters their personal life, work and social relationships. Data collected were then analysed using thematic analysis. Findings The result found two mutually reinforced identities, namely, self-empowerment and resilience emerged from their experience with psychiatric post-treatment. Firstly, self-empowerment themes include acceptance of the disorders, meaningful choices, assertiveness and helping others. Such self-empowerment attributes enabled them to negotiate with the doctors during the treatment and also with their family members and partners. Secondly, psychiatric post-treatment allows them to be resilient; their good feeling of being liberated from the symptoms while allowing them to partake in a normal lifestyle. Meanwhile, gender differences were found to have diverse meaning-making that positively impacted their lives, particularly among female informants. Research limitations/implications Firstly, the data collection was only made in two states in North Peninsular Malaysia; hence, it would be biased in this sense to generalize to a larger population. At the same time, a prevalent study could be undertaken to view the pervasiveness of mental illness among Malaysians. Secondly, the study did not investigate the social institutions that are linked to the relief of psychiatric patients in the country. Thus, there is a grey area on how at the systemic level aid is given to the patients and the impact of such action. Practical implications A rigour campaign on promoting mental health should be undertaken to create an inclusive environment for the patients. This is consistent with the aspiration of deinstitutionalization and the Shared Prosperity Vision 2030 agenda by the Malaysian government. This is a call for an allotment in special education, training, and funding, employment, housing and other aspects that are significant for their livelihood. Social implications The findings discovered that their social environment primarily caused the depression suffered by the patients. The remark is particularly true for female informants who had very little control over their lives and bodies. Hence, health professionals should consider practicing cultural and gender-sensitive treatment for these patients. Such treatments are to avoid re-discriminating, or re-victimisation feelings to occur during the treatment. Originality/value Patients’ post-treatment social identity construction is seldom reported systematically through a gender lens. This study is one of the early efforts on gender lens that allow one to understand how it influences social structures and institutions, especially in the Malaysian realm.
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