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  1. Article ; Online: A Qualitative Analysis of the Impact of Preoperative Mindfulness-Based Stress Reduction on Total Knee Arthroplasty Surgical Experiences.

    Reynolds, Kristin A / Sommer, Jordana L / Roy, Rachel / Kornelsen, Jennifer / Mackenzie, Corey S / El-Gabalawy, Renée

    Pain management nursing : official journal of the American Society of Pain Management Nurses

    2024  

    Abstract: We qualitatively explored the impact of preoperative mindfulness-based stress reduction (MBSR) on total knee arthroplasty (TKA) experiences. Participants (n = 10) who received MBSR prior to TKA participated in semi-structured interviews concerning their ... ...

    Abstract We qualitatively explored the impact of preoperative mindfulness-based stress reduction (MBSR) on total knee arthroplasty (TKA) experiences. Participants (n = 10) who received MBSR prior to TKA participated in semi-structured interviews concerning their experiences with MBSR and its perceived impact on surgery. We analyzed interviews according to reflexive thematic analysis, and coded data into three main themes: 1) Impact of MBSR on surgery experiences; 2) Contributors to change; and 3) Motivations for participation. Participants noted they were able to relax, feel more confident, and cope more effectively during the preoperative period, and that others in their lives noticed positive changes following their participation in MBSR. Participants' openness to mindfulness and health-related beliefs and may have contributed to the positive impacts they experienced from MBSR. Participants described being motivated to participate in MBSR to help them prepare for their surgery and to learn new coping strategies. Participants described a strong level of commitment to the intervention. With further research, integration of MBSR into prehabilitation for TKA may be appropriate.
    Language English
    Publishing date 2024-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2213260-0
    ISSN 1532-8635 ; 1524-9042
    ISSN (online) 1532-8635
    ISSN 1524-9042
    DOI 10.1016/j.pmn.2024.04.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Sleep disturbance during COVID-19: Correlates and predictive ability for mental health symptomatology in a Canadian online sample.

    Kowall, Sarah M / Sommer, Jordana L / Reynolds, Kristin A / Mota, Natalie / El-Gabalawy, Renée

    General hospital psychiatry

    2023  Volume 80, Page(s) 48–53

    Abstract: Background: Sleep disturbance is associated with mental health symptomatology, but this impact is understudied during COVID-19. The aims of this study are to: 1) examine correlates of sleep disturbance, and 2) examine the longitudinal relationship ... ...

    Abstract Background: Sleep disturbance is associated with mental health symptomatology, but this impact is understudied during COVID-19. The aims of this study are to: 1) examine correlates of sleep disturbance, and 2) examine the longitudinal relationship between sleep disturbance and mental health symptoms 6 months later, during the pandemic.
    Methods: Data were analyzed from COVID-19 Survey Canada conducted between May 2020 (T1) and November 2021 (T2) (n = 489). We examined COVID-related baseline correlates of sleep disturbance at T1, and used multivariable regressions to examine the relationship between T1 sleep disturbance and T2 post-traumatic stress (PTS), health anxiety, generalized anxiety, and depressive symptoms, controlling for baseline mental health symptoms and sociodemographics.
    Results: Females, ages 30-49, and those with an annual household income <$50,000, showed a higher prevalence of clinically significant sleep disturbance. After adjustment, compared to those without sleep disturbance at baseline, those with sleep disturbance showed a significant increase in PTS symptoms at 6 months (b = 11.80, 95% CI = [8.21-15.38], p < 0.001).
    Limitations: Results are not nationally representative. Data may be subject to response biases due to self-report methods and we are unable to determine causality.
    Conclusion: Being able to predict adverse mental health implications of sleep disturbance will help clinicians be equipped to target future impacts of the COVID-19 pandemic as well as any future potential pandemics or traumas. This study emphasizes the importance of screening individuals for sleep disturbance.
    MeSH term(s) Female ; Humans ; Adult ; Middle Aged ; COVID-19/epidemiology ; Mental Health ; SARS-CoV-2 ; Pandemics ; Depression/diagnosis ; Canada/epidemiology ; Anxiety/psychology ; Sleep Wake Disorders/epidemiology ; Sleep
    Language English
    Publishing date 2023-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392299-6
    ISSN 1873-7714 ; 0163-8343
    ISSN (online) 1873-7714
    ISSN 0163-8343
    DOI 10.1016/j.genhosppsych.2023.01.002
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  3. Article ; Online: Evaluating the mental health status, help-seeking behaviors, and coping strategies of Canadian essential workers versus non-essential workers during COVID-19: a longitudinal study.

    Muthumuni, Nisali / Sommer, Jordana L / El-Gabalawy, Renée / Reynolds, Kristin A / Mota, Natalie P

    Anxiety, stress, and coping

    2023  Volume 37, Issue 3, Page(s) 334–347

    Abstract: Objective: This study examined mental health symptoms, help-seeking, and coping differences between Canadian essential workers (EWs) versus non-EWs, as well as common COVID-related concerns and longitudinal predictors of mental health symptoms among EWs ...

    Abstract Objective: This study examined mental health symptoms, help-seeking, and coping differences between Canadian essential workers (EWs) versus non-EWs, as well as common COVID-related concerns and longitudinal predictors of mental health symptoms among EWs only.
    Design: An online, longitudinal survey (
    Methods: Cross tabulations and chi-square analyses examined sociodemographic, mental health, and coping differences between EWs and non-EWs. Frequencies evaluated common COVID-related concerns. Linear regression analyses examined associations between baseline measures with mental health symptoms six months later amongst EWs.
    Results: EWs reported fewer mental health symptoms and avoidance coping than non-EWs, and were most concerned with transmitting COVID-19. Both groups reported similar patterns of help-seeking. Longitudinal correlates of anxiety and perceived stress symptoms among EWs included age, marital status, household income, accessing a psychologist, avoidant coping, and higher COVID-19-related distress.
    Conclusions: COVID-19 has had a substantial impact on the mental health of Canadian EWs. This research identifies which EWs are at greater risk of developing mental disorders, and may further guide the development of pandemic-related interventions for these workers.
    MeSH term(s) Adult ; Humans ; Coping Skills ; Longitudinal Studies ; Help-Seeking Behavior ; COVID-19/epidemiology ; Canada/epidemiology ; Health Status ; Adaptation, Psychological
    Language English
    Publishing date 2023-07-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 1115932-7
    ISSN 1477-2205 ; 1061-5806
    ISSN (online) 1477-2205
    ISSN 1061-5806
    DOI 10.1080/10615806.2023.2235294
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  4. Article ; Online: "We Are at Risk Too": The Disparate Mental Health Impacts of the Pandemic on Younger Generations: Nous Sommes Aussi à Risque: Les Effets Disparates de la Pandémie Sur la Santé Mentale des Générations Plus Jeunes.

    El-Gabalawy, Renée / Sommer, Jordana L

    Canadian journal of psychiatry. Revue canadienne de psychiatrie

    2021  Volume 66, Issue 7, Page(s) 634–644

    Abstract: Objectives: The coronavirus 2019 (COVID-19) pandemic has resulted in profound global impact, with older adults at greater risk of serious physical health outcomes. It is essential to also understand generational differences in psychosocial impacts to ... ...

    Abstract Objectives: The coronavirus 2019 (COVID-19) pandemic has resulted in profound global impact, with older adults at greater risk of serious physical health outcomes. It is essential to also understand generational differences in psychosocial impacts to identify appropriate prevention and intervention targets. Across generational groups, this study examined: (1) rates of precautions and adaptive and maladaptive health behaviors, (2) differences in levels of anxiety, and (3) rates of COVID-related concerns during Wave 1 of COVID-19 in Canada.
    Participants: We analyzed data from 2 Canadian population-based data sets: the Canadian Perspective Survey Series: Impact of COVID-19 survey (
    Measures: We categorized generational age group. Participants self-reported changes in behaviors and COVID-related concerns, and a validated measure assessed anxiety symptoms.
    Results: There are generational differences in behavioral responses to the pandemic. Adaptive health habits (e.g., exercise) were comparable across groups, while changes in maladaptive health habits (e.g., substance use) were highest among younger age groups, particularly Millennials (15 to 34 years old). COVID-related precautions were also highest among the younger generations, with Generation X (35 to 54 years old) exhibiting the highest rate of precautionary behavior. Results also revealed that the highest rate of clinically significant anxiety is among Millennials (36.0%; severe anxiety = 15.7%), and the younger generations have the highest rates of COVID-related concerns.
    Conclusion: These early data are essential in understanding at-risk groups given the unpredictable nature of the pandemic and its potential long-term implications.
    MeSH term(s) Adolescent ; Adult ; Age Distribution ; Age Factors ; Aged ; Aged, 80 and over ; Anxiety/epidemiology ; Anxiety/psychology ; COVID-19/epidemiology ; Canada/epidemiology ; Female ; Health Behavior ; Humans ; Male ; Mental Health/statistics & numerical data ; Middle Aged ; Pandemics ; Population Surveillance ; SARS-CoV-2 ; Young Adult
    Language English
    Publishing date 2021-02-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 304227-3
    ISSN 1497-0015 ; 0008-4824 ; 0706-7437
    ISSN (online) 1497-0015
    ISSN 0008-4824 ; 0706-7437
    DOI 10.1177/0706743721989162
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  5. Article ; Online: Usual presence and intensity of pain are differentially associated with suicidality across chronic pain conditions: A population-based study.

    Grocott, Bronwen / Sommer, Jordana L / El-Gabalawy, Renée

    Journal of psychosomatic research

    2021  Volume 148, Page(s) 110557

    Abstract: Objectives: This study examined the prevalence of suicidality and associations with pain characteristics (i.e., presence of usual pain/discomfort, pain intensity) among those with chronic pain conditions (i.e., arthritis, migraine, back pain).: ... ...

    Abstract Objectives: This study examined the prevalence of suicidality and associations with pain characteristics (i.e., presence of usual pain/discomfort, pain intensity) among those with chronic pain conditions (i.e., arthritis, migraine, back pain).
    Methods: We analyzed data from the 2012 Canadian Community Health Survey-Mental Health supplement (N = 25,113), including self-reported pain characteristics and suicidality. Weighted cross-tabulations described suicidality prevalence estimates according to pain characteristics among each chronic pain condition. Multiple logistic regressions evaluated associations between the presence of usual pain/discomfort and suicidality across pain conditions. Post-hoc analyses examined pain intensity in significant associations.
    Results: Across pain conditions, rates of suicidality were greater in those usually in pain and with more severe pain, compared to mild or moderate pain. After adjustment, usual pain/discomfort was associated with increased odds of suicide ideation (AOR = 1.79, 95% CI [1.19-2.68], p < .05) and attempts (AOR = 2.49, 95% CI [1.25-4.98], p < .05) among those with migraines, and plans (AOR = 1.55, 95% CI [1.04-2.31], p < .05) in those with back pain (reference = absence of usual pain). Usual pain/discomfort was not associated with suicidality in those with arthritis after adjusting for sociodemographics and psychiatric comorbidity. Post-hoc analyses showed that severe pain was associated with elevated odds of suicide ideation (AOR = 2.19, 95% CI [1.07-4.48], p < .05) in migraines and plans (AOR = 3.11, 95% CI [1.42-6.80], p < .01) in back pain (reference = mild pain).
    Conclusion: Our findings may facilitate a more targeted approach to screening for suicidality among chronic pain populations.
    MeSH term(s) Canada/epidemiology ; Chronic Pain/epidemiology ; Health Surveys ; Humans ; Risk Factors ; Suicidal Ideation ; Suicide
    Language English
    Publishing date 2021-06-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80166-5
    ISSN 1879-1360 ; 0022-3999
    ISSN (online) 1879-1360
    ISSN 0022-3999
    DOI 10.1016/j.jpsychores.2021.110557
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  6. Article ; Online: COVID-19 as a traumatic stressor is an indicator of mental health symptomatology.

    Sommer, Jordana L / Mota, Natalie / Reynolds, Kristin / El-Gabalawy, Renée

    Psychiatry research

    2021  Volume 300, Page(s) 113936

    Abstract: The mental health impacts of the COVID-19 pandemic are gaining attention. While many are experiencing increased stress due to COVID-19, some perceive the pandemic as traumatic. This preliminary study identified respondents who endorsed a COVID-19-related ...

    Abstract The mental health impacts of the COVID-19 pandemic are gaining attention. While many are experiencing increased stress due to COVID-19, some perceive the pandemic as traumatic. This preliminary study identified respondents who endorsed a COVID-19-related trauma as their most stressful traumatic experience (i.e., index trauma). We analyzed data from an online Canadian survey (May-July 2020; N =1,018). Nearly 3% of participants endorsed a COVID-19-related index trauma. These individuals had increased posttraumatic stress, anxiety, and depressive symptoms compared to the remaining sample. Results may inform targeted screening to identify those who may be at greater risk for COVID-19-related mental health sequelae.
    MeSH term(s) Adolescent ; Adult ; Anxiety/psychology ; COVID-19/psychology ; Canada ; Depression/psychology ; Female ; Health Surveys ; Humans ; Male ; Mental Health ; Middle Aged ; Pandemics ; Stress, Psychological/psychology ; Young Adult
    Language English
    Publishing date 2021-04-20
    Publishing country Ireland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.psychres.2021.113936
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  7. Article ; Online: Can self-reported cognitive difficulties predict postoperative delirium?

    El-Gabalawy, Renée / Sommer, Jordana L / Mutch, W Alan C / Jacobsohn, Eric

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2021  Volume 68, Issue 4, Page(s) 593–595

    MeSH term(s) Cognition ; Cognition Disorders ; Delirium/diagnosis ; Delirium/etiology ; Humans ; Postoperative Complications/etiology ; Risk Factors ; Self Report
    Language English
    Publishing date 2021-01-28
    Publishing country United States
    Document type Letter
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-021-01919-1
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  8. Article ; Online: Preoperative Virtual Reality to Expose Patients With Breast Cancer to the Operating Room Environment: Feasibility and Pilot Case Series Study.

    Sommer, Jordana L / Reynolds, Kristin / Hebbard, Pamela / Smith, Michael S D / Mota, Natalie / Mutch, W Alan C / Maples-Keller, Jessica / Roos, Leslie / El-Gabalawy, Renée

    JMIR formative research

    2024  Volume 8, Page(s) e46367

    Abstract: Background: Clinically elevated preoperative distress and anxiety are common among patients undergoing cancer surgery. Preoperative interventions have been developed to mitigate this distress and anxiety but are inconsistent in efficacy and feasibility ... ...

    Abstract Background: Clinically elevated preoperative distress and anxiety are common among patients undergoing cancer surgery. Preoperative interventions have been developed to mitigate this distress and anxiety but are inconsistent in efficacy and feasibility for broad implementation.
    Objective: This preliminary pilot study aims to assess the feasibility and utility of a newly developed virtual reality (VR) intervention to expose patients awaiting breast cancer surgery to the operating room environment and a simulation of anesthetic induction.
    Methods: Patients undergoing breast cancer surgery (N=7) were assigned to the VR intervention or control (treatment as usual) group and completed self-report measures of distress and anxiety before surgery, on the day of surgery, and after surgery (5 and 30 d postoperatively). Those in the intervention group trialed the VR simulation 1 to 2 weeks preoperatively and provided qualitative and quantitative feedback. We assessed the feasibility of recruitment capability and study design and evaluated participants' impressions of the intervention using self-report rating scales and open-ended questions. We also descriptively examined distress and anxiety levels throughout the duration of the study.
    Results: Recruitment occurred between December 2021 and December 2022 and progressed slowly (rate: 1 participant/7 wk on average; some hesitancy because of stress and being overwhelmed). All participants who consented to participate completed the entire study. All participants were female and aged 56 (SD 10.56) years on average. In total, 57% (4/7) of the participants were assigned to the intervention group. On average, intervention participants spent 12 minutes engaged in the VR simulation. In general, the intervention was rated favorably (eg, clear information, enjoyable, and attractive presentation; mean
    Conclusions: This preoperative VR intervention demonstrated preliminary feasibility among a sample of patients undergoing breast cancer surgery. Results and participant feedback will inform modifications to the VR intervention and the study design of a large-scale randomized controlled trial to examine the efficacy of this intervention.
    Trial registration: ClinicalTrials.gov NCT04544618; https://clinicaltrials.gov/study/NCT04544618.
    Language English
    Publishing date 2024-01-17
    Publishing country Canada
    Document type Journal Article
    ISSN 2561-326X
    ISSN (online) 2561-326X
    DOI 10.2196/46367
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  9. Article ; Online: Impacts of elective surgical cancellations and postponements in Canada.

    Sommer, Jordana L / Jacobsohn, Eric / El-Gabalawy, Renée

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2020  Volume 68, Issue 3, Page(s) 315–323

    Abstract: Purpose: Worldwide, patients experience difficulties accessing elective surgical care. This study examined the perceived health, social, and functional impacts of elective surgical cancellations and postponements in Canada.: Methods: We analyzed a ... ...

    Title translation Impacts des annulations et des reports des chirurgies non urgentes au Canada.
    Abstract Purpose: Worldwide, patients experience difficulties accessing elective surgical care. This study examined the perceived health, social, and functional impacts of elective surgical cancellations and postponements in Canada.
    Methods: We analyzed a subset of aggregate data from the Canadian Community Health Survey (CCHS) annual components from 2005 to 2014. Multivariable logistic regressions examined associations between past-year non-emergency surgical cancellations/postponements and perceived impacts of waiting for surgery (e.g., worry/stress/anxiety, pain, loss of work, loss of income, deterioration of health, relationships suffered).
    Results: Among those who experienced a cancellation or postponement of a past-year non-emergency surgery (weighted n = 256,836; 11.8%), 23.5% (weighted n = 60,345) indicated their life was affected by waiting for surgery. After adjusting for type of surgery, year, and sociodemographics, those who experienced a surgical cancellation or postponement had increased odds of reporting their life was affected by waiting for surgery (adjusted odds ratio [aOR], 2.67; 99% confidence interval [CI], 1.41 to 5.1); in particular, they reported greater deterioration of their health (aOR, 3.47; 99% CI, 1.05 to 11.4) and increased dependence on relatives/friends (aOR, 2.53; 99% CI, 1.01 to 6.3) than those who did not have a cancellation or postponement.
    Conclusion: Results highlight the multifaceted perceived impacts of surgical cancellations/postponements. These findings suggest there is a need for improvements in reducing elective surgical cancellations and postponements. Results may also inform the development of targeted interventions to improve patients' health and quality of life while waiting for surgery.
    MeSH term(s) Canada ; Elective Surgical Procedures ; Humans ; Quality of Life
    Keywords covid19
    Language English
    Publishing date 2020-10-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-020-01824-z
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  10. Article ; Online: Dr Mota and Colleagues Reply.

    Mota, Natalie / Braun, Joel / Pietrzak, Robert H / El-Gabalawy, Renée / Sommer, Jordana L / Mitchell, Karen

    The Journal of clinical psychiatry

    2020  Volume 81, Issue 2

    MeSH term(s) Binge-Eating Disorder ; Humans ; Stress Disorders, Post-Traumatic
    Language English
    Publishing date 2020-02-11
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 716287-x
    ISSN 1555-2101 ; 0160-6689
    ISSN (online) 1555-2101
    ISSN 0160-6689
    DOI 10.4088/JCP.19lr13157a
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