Efeitos da pandemia de covid-19 na qualidade de vida e saúde mental de indivíduos com transtorno bipolar

• Autor(a) principal: Fonseca, Kadydja Rosely Varela da
• Data de Publicação: 2022
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações do UNIOESTE
• Texto Completo: https://tede.unioeste.br/handle/tede/6566
• topic: Transtorno bipolar; Pandemia; COVID-19; Saúde mental; Qualidade de vida; Bipolar disorder; Pandemic; COVID-19; Mental health; Quality of life; Trastorno bipolar; Pandemia; COVID-19; Salud mental; Calidad de vida; OUTROS::CIENCIAS SOCIAIS

The pandemic of COVID-19 represents a global health crisis. Individuals with bipolar disorder (TB) constitute a particularly vulnerable group. The course of TB is sensitive to factors that can unbalance biological and social rhythms. This is a cross-sectional, descriptive and quantitative study, with the objective of knowing about the effect of the pandemic of COVID-19 on the quality of life and mental health of individuals with bipolar disorder, evaluating the indicators of stress, depression, anxiety and quality of life. To this end, we used a questionnaire with sociodemographic and health variables and effects of the COVID-19 pandemic, in addition to 2 self-administered scales to measure quality of life (The World Health Organization Quality of Life); depression, anxiety, and stress (Depression Anxiety Stress Scale - Short Form). Data collection occurred from February to April 2022, after approval by the UNIOESTE's Ethics Committee for Research with Human Beings. The invitation to participate in the research occurred via social networks (Instagram, WhatsApp, Facebook) and by electronic mail (E-mail), containing invitation and link to access the research. Descriptive and inferential statistics were performed (significance level p<0.05). Scales and subscales obtained satisfactory reliability (Crombach's alpha ≥0.7) and presented non-normal distribution by the Kolmogorov-Smirnov test. The sample consisted of 186 participants: 89.8% female; 40.9% 18 to 24 years old; 48.4% family income 1 to 3 minimum wages; 81.2% nonsmokers; 45.2% had COVID-19; 68.8% lived with those who had COVID-19; all participants were vaccinated for COVID-19; 91.4% did social isolation; 53.3% were very affected by social isolation measures; 50.0% had reduced family income in the pandemic. The aspects most negatively affected by the pandemic were: Mental health (75.3%), Social interaction (68.3%), Financial (50.5%), Sleep (48.4%), Food (47.3%), Physical health (43.4%) and Leisure activity (47.9%). 67.2% experienced stressful experiences in the pandemic; 40.9% had difficulty balancing routines and sleep patterns. High scores were verified in the sample for Stress (78.0%), Anxiety (83.3%), Depression (87.2%). With emphasis on the frequency of Anxiety in the "extremely severe" score, with 50.5%. All 4 quality of life domains showed high scores for the response "needs improvement": Psychological (73.1%), Physical (64.0%), Social Relations (59.7%) and Environment (47.9%). In Spearman's correlation test all correlations between the subscales of the DASS-21 were negative in relation to all dimensions of Quality of Life. In the bivariate logistic regression model for Stress, Anxiety and Depression, the following predictors stood out: age between 18 and 24 years (younger); no leisure; difficult access to medical services in the mental health area during the pandemic; poorer quality of sleep during the pandemic; and lower levels of all domains of quality of life (Physical, Psychological, Social Relationships and Environment domains).