Younger patients admitted to isolation wards during the pandemic worried more and had more depressive symptoms than older people, a study of more than 130 Covid patients in Abu Dhabi found.
Isolating patients from the general population in hospitals is rare but the practice was widespread in the first months of the Covid-19 pandemic to limit infections.
Research published in this month's Journal of Epidemiology and Global Health assessed the mental health effects on patients confined to isolation units in three Abu Dhabi hospitals in March 2020.
After the first wave, we realised the uncertainty of when it may end was the main problem with managing mental health
Dr Adel Alsisi,
Prime Hospital, Dubai
Psychiatrists and researchers from Abu Dhabi Health Services Company, Zayed University’s Department of Psychology and the Public Health Research Centre of NYU Abu Dhabi evaluated data collected by self-assessment questionnaires and interviews.
Experts measured levels of anxiety, depression and stress, grading them into five categories — normal, mild, moderate, severe and extremely severe.
While most patients experienced normal levels of stress, experts found that length of stay was associated with higher levels of psychological distress.
Data showed those aged 41 to 60 had lower levels of anxiety compared to the 31 to 40 age group.
“To our knowledge, this is the first study to investigate the mental health impact of Covid-19 among Covid-19 inpatients in the UAE,” the study authors said.
“The length of hospital stay was statistically significant. The risk of stress increased as length of hospital stay increased.
“Our results on the psychological impact of Covid-19 among hospitalised patients may help to identify those at risk for psychological distress due to Covid-19 hospitalisation.”
All 132 patients who took part were aged over 18, clinically stable or with vital signs within normal limits, could communicate without difficulty and were cognitively able to comprehend and respond to the questionnaire.
Results showed those with a medical condition had higher levels of psychological distress compared to those without a medical condition.
Better prepared
Dr Saheer Sainalabdeen, a pulmonologist at Medeor Dubai, treated hundreds of isolation cases at the height of the pandemic.
“Normally with an infection, isolation is not usually used so Covid was a first for many people,” he said.
“People were not only away from their families and work, but they could not engage in any activities, which impacted their mental health.
“In March 2020, it was early in the pandemic so the infrastructure around testing was still evolving.
“It took a long time to get the results, so people were isolating for longer periods than would be the case today.”
Often, the only contact patients had was with medics wearing full protective equipment for days, while concern for loved ones contributed to stress.
Regular communication and telephone conversations with psychologists helped those in isolation wards with the added fear of the unknown, Dr Sainalabdeen said.
“We would try to communicate with patients as much as possible and give them a realistic timescale of their recovery,” he said.
“Where possible, we would get them to engage with a psychologist or psychiatrist over the phone. The most effective method was spending time with these patients.
“Because of the pandemic, we are better prepared now and people are more aware of looking after their mental health.
“We saw how it can improve the recovery period during Covid.”
Positive thinking
The UAE’s Behavioural Health Council — operated by the Abu Dhabi Health Services Company (Seha) — evaluated the mental health effects on care staff and patients.
Surveys completed in the first six months of the pandemic showed young, single, female expatriates working in health care were the most affected by stress-related disorders.
Dr Adel Alsisi, a critical care consultant at Prime Hospital in Dubai, said patients with less stress generally slept better on Covid isolation wards and recovered faster with fewer complications.
“Psychiatric care was important for patients and staff,” he said.
“After the first wave, we realised the uncertainty of when it may end was the main problem with managing mental health.
“The spirit of the medical team was important and the positive thinkers who could see light at the end of the tunnel generally fared better than those who could not.
“Once people accepted the reality and did not get overwhelmed, their immune systems generally functioned better and responded well to treatment.”
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Director: Saeed Roustaee
Starring: Parinaz Izadyar, Payman Maadi
Rating: 4/5
GREATEST ROYAL RUMBLE CARD
The line-up as it stands for the Greatest Royal Rumble in Saudi Arabia on April 27
50-man Royal Rumble
Universal Championship
Brock Lesnar (champion) v Roman Reigns
Casket match
The Undertaker v Rusev
Intercontinental Championship
Seth Rollins (champion) v The Miz v Finn Balor v Samoa Joe
SmackDown Tag Team Championship
The Bludgeon Brothers v The Usos
Raw Tag Team Championship
Sheamus and Cesaro v Bray Wyatt and Matt Hardy
United States Championship
Jeff Hardy (champion) v Jinder Mahal
Singles match
Triple H v John Cena
To be confirmed
AJ Styles will defend his WWE World Heavyweight title and Cedric Alexander his Cruiserweight Championship, but matches have yet to be announced
How to watch Ireland v Pakistan in UAE
When: The one-off Test starts on Friday, May 11
What time: Each day’s play is scheduled to start at 2pm UAE time.
TV: The match will be broadcast on OSN Sports Cricket HD. Subscribers to the channel can also stream the action live on OSN Play.
The Transfiguration
Director: Michael O’Shea
Starring: Eric Ruffin, Chloe Levine
Three stars
UAE squad
Esha Oza (captain), Al Maseera Jahangir, Emily Thomas, Heena Hotchandani, Indhuja Nandakumar, Katie Thompson, Lavanya Keny, Mehak Thakur, Michelle Botha, Rinitha Rajith, Samaira Dharnidharka, Siya Gokhale, Sashikala Silva, Suraksha Kotte, Theertha Satish (wicketkeeper) Udeni Kuruppuarachchige, Vaishnave Mahesh.
UAE tour of Zimbabwe
All matches in Bulawayo
Friday, Sept 26 – First ODI
Sunday, Sept 28 – Second ODI
Tuesday, Sept 30 – Third ODI
Thursday, Oct 2 – Fourth ODI
Sunday, Oct 5 – First T20I
Monday, Oct 6 – Second T20I
SCHEDULE FOR SHOW COURTS
Centre Court - from 4pm (UAE time)
Angelique Kerber (1) v Irina Falconi
Martin Klizan v Novak Djokovic (2)
Alexandr Dolgopolov v Roger Federer (3)
Court One - from 4pm
Milos Raonic (6) v Jan-Lennard Struff
Karolina Pliskova (3) v Evgeniya Rodina
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Juan Martin Del Potro (29) v Thanasi Kokkinakis
Agnieszka Radwanska (9) v Jelena Jankovic
Jeremy Chardy v Tomas Berdych (11)
Ons Jabeur v Svetlana Kuznetsova (7)
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The burning issue
The internal combustion engine is facing a watershed moment – major manufacturer Volvo is to stop producing petroleum-powered vehicles by 2021 and countries in Europe, including the UK, have vowed to ban their sale before 2040. The National takes a look at the story of one of the most successful technologies of the last 100 years and how it has impacted life in the UAE.
Read part four: an affection for classic cars lives on
Read part three: the age of the electric vehicle begins
Read part one: how cars came to the UAE
if you go
The flights
Etihad and Emirates fly direct from the UAE to Seoul from Dh3,775 return, including taxes
The package
Ski Safari offers a seven-night ski package to Korea, including five nights at the Dragon Valley Hotel in Yongpyong and two nights at Seoul CenterMark hotel, from £720 (Dh3,488) per person, including transfers, based on two travelling in January
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Visit www.gokorea.co.uk
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Directors: Carol Mansour and Muna Khalidi
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Rating: 4/5
Disability on screen
Empire — neuromuscular disease myasthenia gravis; bipolar disorder; post-traumatic stress disorder (PTSD)
Rosewood and Transparent — heart issues
24: Legacy — PTSD;
Superstore and NCIS: New Orleans — wheelchair-bound
Taken and This Is Us — cancer
Trial & Error — cognitive disorder prosopagnosia (facial blindness and dyslexia)
Grey’s Anatomy — prosthetic leg
Scorpion — obsessive compulsive disorder and anxiety
Switched at Birth — deafness
One Mississippi, Wentworth and Transparent — double mastectomy
Dragons — double amputee
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More on Quran memorisation:
Scores
Bournemouth 0-4 Liverpool
Arsenal 1-0 Huddersfield Town
Burnley 1-0 Brighton
Manchester United 4-1 Fulham
West Ham 3-2 Crystal Palace
Saturday fixtures:
Chelsea v Manchester City, 9.30pm (UAE)
Leicester City v Tottenham Hotspur, 11.45pm (UAE)
TO A LAND UNKNOWN
Director: Mahdi Fleifel
Starring: Mahmoud Bakri, Aram Sabbah, Mohammad Alsurafa
Rating: 4.5/5
THE LIGHT
Director: Tom Tykwer
Starring: Tala Al Deen, Nicolette Krebitz, Lars Eidinger
Rating: 3/5
Tips for newlyweds to better manage finances
All couples are unique and have to create a financial blueprint that is most suitable for their relationship, says Vijay Valecha, chief investment officer at Century Financial. He offers his top five tips for couples to better manage their finances.
Discuss your assets and debts: When married, it’s important to understand each other’s personal financial situation. It’s necessary to know upfront what each party brings to the table, as debts and assets affect spending habits and joint loan qualifications. Discussing all aspects of their finances as a couple prevents anyone from being blindsided later.
Decide on the financial/saving goals: Spouses should independently list their top goals and share their lists with one another to shape a joint plan. Writing down clear goals will help them determine how much to save each month, how much to put aside for short-term goals, and how they will reach their long-term financial goals.
Set a budget: A budget can keep the couple be mindful of their income and expenses. With a monthly budget, couples will know exactly how much they can spend in a category each month, how much they have to work with and what spending areas need to be evaluated.
Decide who manages what: When it comes to handling finances, it’s a good idea to decide who manages what. For example, one person might take on the day-to-day bills, while the other tackles long-term investments and retirement plans.
Money date nights: Talking about money should be a healthy, ongoing conversation and couples should not wait for something to go wrong. They should set time aside every month to talk about future financial decisions and see the progress they’ve made together towards accomplishing their goals.