European Journal of Molecular & Clinical Medicine

Introduction: Diabetes mellitus being a chronic metabolic disease responds well to self-care practices. Improper self-care and insomnia have been associated with poor glycemic status with its associated micro and macrovascular complications.
Materials and methods: The data regarding self-care and insomnia were collected from 90 consecutive adult patients with type 2 diabetes at a tertiary care teaching hospital, using Diabetes Self-Management Questionnaire and Insomnia Severity Index questionnaire. Glycated haemoglobin was used as a measure of glycemic status.
Results: There was a significant association between poor self-care with insomnia (p=0.001) and glycemic status (p=0.03), but there was no association between insomnia and glycemic status (0.95). Conclusion: Poor self-care is associated with poor glycemic status and insomnia.

Background: Health RelatedQuality of life (HRQoL) describes an individual’s subjective perception of their position in life as evidenced by their physical, psychological, and social functioning. HRQoL has become an increasingly important measure of outcome in child mental health clinical work and research. In adolescence, there are increased environmental demands and it is important to identify factors that may impair psychosocial function and self-worth in the transition from adolescence to young adulthood. Sleep disorders, including insomnia, in adolescents with ADHD is well established and is shown to impair academic performance and self-esteem. This study aims to evaluate Quality of life, Self Esteem and quality of sleep and its corelation in adolescents with ADHD.
Material and Methods: In this cross-sectional study a total of 200 adolescents ranging from 12 to 18 years as per DSM V diagnosed as attention deficit/hyperactivity disorder (ADHD). The patients were divided in two groups i.e., in group I: 100 patients diagnosed with ADHD and in group II 100 healthy adolescents were included.

The percentage of healthcare personnel suffering from anxiety and insomnia increased during the Covid -19 pandemic. The objective of the study is to assess insomnia and anxiety among healthcare personnel involved in the management of the Covid-19 pandemic in Delhi.
Materials and Methods: A cross-sectional study was carried out among healthcare personnel. Residents. 5 tertiary care hospitals were selected purposively in Delhi. 91 respondents were selected for the study. A questionnaire through google forms was distributed and some of the questions required hybrid mode so the interview was conducted in hybrid mode in person or telephonically.
Results: The study revealed an 88% prevalence of definite cases of anxiety and 44.6% of some insomnia. The chi-square test reported a linear-by-linear association of 0.002 between Anxiety, Insomnia, fear of infecting the family members, and feeling of agitation while wearing the PPE kits. The study found that healthcare personnel having direct contact through the treatment of the infected patients experienced an increase in their anxiety scores, compared to HCPs having no direct contact with infected patients.
Conclusion: The results of this survey indicate that mental health symptoms like anxiety and insomnia have increased during the COVID-19 outbreak among healthcare professionals. The study also identified the associated risk factors and causes of mental health problems. Therefore, governments should proactively help in implementing mental health intervention policies in the country for the health professionals at risk, particularly those working in the COVID-ward.

With the rise of covid-19 world saw what was unprecedented, and just when we thought we got things under control second wave of covid-19 virus hit us. No one was left unaffected, either directly or indirectly covid caused disruptions in everyone’s lives and thus left with psychological problems in unforeseen majority. Aim of this study was to measure the psychological impact it had on health care workers and general public. Results showed significant differences between the socio demographic profiles of the two groups. Significant difference was found in scores of stress, anxiety, insomnia and depression. This study highlights the need for specialist guided assistance and action towards betterment of mental health of health care workers as well as general public in post covid era.

Background: The COVID-19 pandemic is a global health threat and is by far the largest outbreak of atypical pneumonia, since the SARS outbreak in 2003. A range of psychiatric morbidities such as persistent depression, anxiety, panic attacks, delirium and suicidality were observed in the post infectious state across the world. Hence, the aim of the study was to understand the psychological status of the patients affected by COVID during their post-COVID follow-up period and to examine the socio-demographic and clinical factors associated with high psychological morbidity.
Materials and Methods: A cross sectional study conducted in the post-COVID follow up clinic, at a tertiary care hospital between the months of July 2021-November 2021, using a semi structured proforma and rating scales such as Patient Health Questionnaire-9 (PHQ-9), Hospital Anxiety and Depression Scale (HADS) and Insomnia Severity Index (ISI) for depression, anxiety and insomnia, respectively.
Results: The study results indicate that the prevalence of depression and anxiety among post-COVID-19 patients was 21.9% and 11.9%, respectively. Insomnia was observed among 21.7% among various socio- demographic and clinical variables examined, it was observed that female gender, patients with ongoing stressors and patients with post-COVID-19 persistent physical symptoms were found to be associated with greater depression and anxiety among the study population.
Conclusion: Persistent physical symptoms and ongoing life stressors are found to be associated with depression and anxiety among post-COVID-19 patients. Hence, periodic screening for individuals with persisting physical symptoms and care for the vulnerable population such as those with ongoing stressors will provide a significant advantage in the follow up of the mental health of the patients affected with COVID-19.