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      Fear of COVID-19 Scale for Hospital Staff in Regional Hospitals in Mexico: a Brief Report

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          Abstract

          The presence of COVID-19 has had psychological consequences among health personnel; these include fear, anxiety, and depression. In the current study, we used the Fear of COVID-19 Scale (FCV-19S) to assess the response to fear within health staff in Mexico. This was a cross-sectional survey study in which we administered the Spanish version of the FCV-19S to hospital staff. The FCV-19S is a seven-item questionnaire that assesses the severity of fear caused by COVID-19. A total of 2860 participants—1641 female and 1218 male personnel from three hospitals—were included in the study. The internal reliability of the scale was good, with Cronbach’s alpha of .902. A confirmatory factor analysis (CFA) was conducted on the seven items of the FCV-19S, showing good model fit ( χ 2 (7) = 29.40, p < .001; CFI = .99; TLI = .99; RMSEA = .03; SRMR = .010; AIC = 71.40). We found a global FCV-19S mean score of 19.3 ± 6.9, with a significant difference in scores between women and men. Our survey shows a significantly higher level of fear in nursing and administrative personnel, which may be explained by the nursing staff being in close contact with infected patients and the administrative staff lacking understanding of the possible implications of the infection, compared with nonclinical hospital personnel. Our results are consistent with those of other researchers. We must remember that fear is a reaction and that we must be courageous enough to trust validated infection prevention practices to provide the highest standard of care, in the safest environment that we can, for as long as we can.

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          Clinical Characteristics of Coronavirus Disease 2019 in China

          Abstract Background Since December 2019, when coronavirus disease 2019 (Covid-19) emerged in Wuhan city and rapidly spread throughout China, data have been needed on the clinical characteristics of the affected patients. Methods We extracted data regarding 1099 patients with laboratory-confirmed Covid-19 from 552 hospitals in 30 provinces, autonomous regions, and municipalities in mainland China through January 29, 2020. The primary composite end point was admission to an intensive care unit (ICU), the use of mechanical ventilation, or death. Results The median age of the patients was 47 years; 41.9% of the patients were female. The primary composite end point occurred in 67 patients (6.1%), including 5.0% who were admitted to the ICU, 2.3% who underwent invasive mechanical ventilation, and 1.4% who died. Only 1.9% of the patients had a history of direct contact with wildlife. Among nonresidents of Wuhan, 72.3% had contact with residents of Wuhan, including 31.3% who had visited the city. The most common symptoms were fever (43.8% on admission and 88.7% during hospitalization) and cough (67.8%). Diarrhea was uncommon (3.8%). The median incubation period was 4 days (interquartile range, 2 to 7). On admission, ground-glass opacity was the most common radiologic finding on chest computed tomography (CT) (56.4%). No radiographic or CT abnormality was found in 157 of 877 patients (17.9%) with nonsevere disease and in 5 of 173 patients (2.9%) with severe disease. Lymphocytopenia was present in 83.2% of the patients on admission. Conclusions During the first 2 months of the current outbreak, Covid-19 spread rapidly throughout China and caused varying degrees of illness. Patients often presented without fever, and many did not have abnormal radiologic findings. (Funded by the National Health Commission of China and others.)
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            Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

            Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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              Mental Health and the Covid-19 Pandemic

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                Author and article information

                Contributors
                gabino_guevara@hotmail.com
                Journal
                Int J Ment Health Addict
                Int J Ment Health Addict
                International Journal of Mental Health and Addiction
                Springer US (New York )
                1557-1874
                1557-1882
                4 November 2020
                : 1-12
                Affiliations
                [1 ]GRID grid.412890.6, ISNI 0000 0001 2158 0196, Centro Universitario del Norte, , Universidad de Guadalajara, ; Colotlán, Jalisco Mexico
                [2 ]Sindicato Nacional de Trabajadores del Instituto Mexicano del Seguro Social, Sección III, Guadalajara, Jalisco Mexico
                [3 ]GRID grid.419157.f, ISNI 0000 0001 1091 9430, Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, , Instituto Mexicano del Seguro Social, ; Guadalajara, Jalisco Mexico
                [4 ]GRID grid.412890.6, ISNI 0000 0001 2158 0196, Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, , Universidad de Guadalajara, ; Guadalajara, Jalisco Mexico
                [5 ]GRID grid.416850.e, ISNI 0000 0001 0698 4037, Departamento de Nutrición Clínica, , Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, ; Ciudad de Mexico, Mexico
                [6 ]GRID grid.412890.6, ISNI 0000 0001 2158 0196, Departamento de Bienestar y Desarrollo Sostenible, Centro Universitario del Norte, , Universidad de Guadalajara, ; Km. 191, México 45D No. 23, 46200 Colotlán, Jalisco Mexico
                [7 ]GRID grid.412890.6, ISNI 0000 0001 2158 0196, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, , Universidad de Guadalajara, ; Guadalajara, Jalisco Mexico
                Article
                413
                10.1007/s11469-020-00413-x
                7640993
                33169075
                1a450854-317e-47db-8fe9-65a4338dfe9d
                © Springer Science+Business Media, LLC, part of Springer Nature 2020

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 16 October 2020
                Categories
                Brief Report

                Health & Social care
                covid-19,fear of covid-19 scale,fear,psychological distress,fear assessment
                Health & Social care
                covid-19, fear of covid-19 scale, fear, psychological distress, fear assessment

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