Interdisciplinary Treatment and Complex Rehabilitation of Internally Displaced Persons in University Clinic

IntroductionOver 1,5 million of them are Ukrainians who were forced to leave their home after Crimea annexation and military conflict in the East of Ukraine.ObjectivesBy 2015, the University Clinic asked 156 people displaced from Lugansk and Donetsk regions. Reasons treatment: all patients were somatic complaints. In screening: using the scale hospital, all patients were found higher rates of anxiety and depression. Overall, 48% of patients abandoned psychiatric examination, even 24% of psychological counseling.AimsScreening of IDPs’ mental health who sought medical help in somatic clinic (University clinic KhNMU) and estimation of efficiency of interdisciplinary treatment and complex rehabilitation.MethodsPsychodiagnostical, clinical-psychological, clinical-psychopathological.ResultsClinical examination during the period of acute stress reactions was observed, dominated by anxiety disorders, prolonged depressive reaction. Anxiety disorders were found in 56.5%, prolonged depressive reaction in 32.0%, post-traumatic stress disorder in 10.5% of patients. The treatment of the underlying disease, complex psychological and physical rehabilitation. Psychological rehabilitation included CBT, relaxation, art therapy. Physical rehabilitation includes kinesiotherapy and TRE. A set of measures of physical rehabilitation led to reduction of anxiety to physiological levels in all mentally healthy patients, reduce the severity of psychosomatic symptoms in the structure of the underlying disease, increased satisfaction with the results of treatment by 28.5%.ConclusionsAnalysis of mental health study of IDPs and evaluation of comprehensive rehabilitation in terms of the University Clinic show the need for screening mental state when applying for medical assistance and the desirability of psychological and physical rehabilitation of patients during hospital stay somatic profile.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Victimes d’actes criminels : une intervention professionnelle

Criminologie ◽

10.7202/017292ar ◽

2005 ◽

Vol 23 (2) ◽

pp. 5-22 ◽

Cited By ~ 1

Author(s):

Frema Engel

Keyword(s):

Mental Health ◽

Mental Health Professionals ◽

Traumatic Stress ◽

Health Professionals ◽

Acute Stress ◽

Crime Victims ◽

Post Traumatic Stress ◽

Stress Syndrome ◽

Post Traumatic ◽

Victims Of Crime

Victims of crime suffer tremendous psychological damage as a result of the trauma that they experience. The effects can be totally debilitating and can destroy their lives. The author discusses the reactions, symptoms of acute stress and stages of recovery of crime victims. She also discusses post-traumatic stress syndrome (PTSD), and the kind of help victims need to recover from their injuries. Finally, she suggests how mental health professionals in particular and society in general could better respond to crime victims.

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The mental health burden of COVID-19 on cardiac healthcare workers and their patients

British Journal of Cardiac Nursing ◽

10.12968/bjca.2020.0129 ◽

2020 ◽

Vol 15 (10) ◽

pp. 1-8

Author(s):

Barbara M Murphy ◽

Rosemary O Higgins ◽

Alun C Jackson

Keyword(s):

Mental Health ◽

Health Professionals ◽

Healthcare Workers ◽

Acute Stress ◽

Cardiac Patients ◽

Post Traumatic Stress ◽

Early Recovery ◽

Stress Symptoms ◽

Post Traumatic ◽

Mental Health Effects

The COVID-19 pandemic is taking a toll on the healthcare workforce across the world and, with many health professionals experiencing high levels of exposure to the coronavirus, the rate of infection among healthcare workers is high. Documented mental health effects on these workers are also concerning, with higher-than-usual levels of acute stress, post-traumatic stress symptoms, anxiety, depression and sleep disorders, particularly insomnia. Cardiac patients are particularly vulnerable, and health professionals caring for this group face additional stresses. This article provides an overview of the mental health impacts of the pandemic on healthcare workers, with an emphasis on those working in hospital settings and in cardiac care, as well as on the patients for whom they care. The specific impacts of COVID-19 are also discussed, as well as associated social restrictions on cardiac patients, both during hospitalisation and early recovery, and in terms of long-term risks. Strategies are proposed that healthcare workers can adopt to help preserve and improve their coping and enhance their resilience as they work through this unprecedented and unpredictable pandemic.

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Desenvolvimento de cartilha sobre os benefícios da alimentação para reduzir a ansiedade em tempos de COVID-19: Relato de experiência

REVISTA BRASILEIRA DE EXTENSÃO UNIVERSITÁRIA ◽

10.36661/2358-0399.2021v12i2.12306 ◽

2021 ◽

Vol 12 (2) ◽

pp. 257-267

Author(s):

Fernanda Da Fonseca Freitas ◽

Jéssyca Camila Carvalho Santos ◽

Anna Cecília Queiroz De Medeiros ◽

Fívia De Araújo Lopes

Keyword(s):

Mental Health ◽

Anxiety Disorders ◽

Health Anxiety ◽

Rio Grande ◽

Health Sciences ◽

Active Voice ◽

Academic Communities ◽

And Behavior ◽

The University ◽

Pdf Format

Este artigo possui como objetivo relatar o desenvolvimento de uma cartilha sobre os benefícios da alimentação para reduzir a ansiedade em tempos de COVID-19. O desenvolvimento do material foi realizado por discentes e docentes da Faculdade de Ciências da Saúde do Trairi e do Departamento de Fisiologia e Comportamento, ambos pertencentes à Universidade Federal do Rio Grande do Norte. O material pretendeu abranger a comunidade acadêmica e não acadêmica. As pesquisas que fundamentaram o conteúdo da cartilha foram realizadas nas bases de dados Pubmed, Science Direct, Scopus, Lilacs e PsycINFO e o material foi dividido em três seções. A cartilha foi finalizada e compartilhada no mês de abril de 2020, em formato pdf, e possui 18 páginas. A linguagem utilizada foi coloquial, e partes do texto estão na voz ativa. O projeto de extensão universitária aqui relatado possivelmente auxiliou na promoção da saúde nesse período de pandemia, pois facilitou a disseminação de conhecimentos para a população. Nesse sentido, em tempos de pandemia, ações de extensão realizadas através do desenvolvimento de cartilhas podem ser consideradas uma estratégia benéfica, segura e acessível para a população. Palavras-chave: Saúde Mental; Transtornos de Ansiedade; Coronavírus; Dieta Development of a booklet on the benefits of food to reduce anxiety in times of COVID-19: Experience report Abstract: his article aimed to report the development of a booklet on food benefits to reduce anxiety in times of COVID-19. Students and professors carried out the development of the material at the Faculty of Health Sciences of Trairi and the Department of Physiology and Behavior, both belonging to the Federal University of Rio Grande do Norte, Brazil. The material was intended to reach the academic and non-academic communities. The research that substantiated the booklet's content was obtained in the databases Pubmed, Science Direct, Scopus, Lilacs, and PsycINFO, and the material was divided into three sections. The booklet was finalized and shared in April 2020, is in pdf format with 18 pages. The language used was colloquial, and parts of the text are in the active voice. The university extension project reported here possibly helped promote health in this pandemic period, as it facilitated disseminating knowledge to the population. In this sense, in times of pandemic, extension actions carried out through the development of booklets can be considered a beneficial, safe, and accessible strategy for the population. Keywords: Mental Health; Anxiety Disorders; Coronavirus; Diet

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Mental health consequences of COVID-19: a nationally representative cross-sectional study of pandemic-related stressors and anxiety disorders in the USA

BMJ Open ◽

10.1136/bmjopen-2020-044125 ◽

2021 ◽

Vol 11 (8) ◽

pp. e044125

Author(s):

Salma M Abdalla ◽

Catherine K Ettman ◽

Gregory H Cohen ◽

Sandro Galea

Keyword(s):

Mental Health ◽

Anxiety Disorders ◽

Traumatic Stress ◽

Cross Sectional Study ◽

Post Traumatic Stress ◽

Cross Sectional ◽

The Usa ◽

Post Traumatic ◽

Nationally Representative ◽

Sectional Analysis

ObjectiveTo document the prevalence of anxiety disorders in the USA during the COVID-19 pandemic.DesignA cross-sectional analysis.SettingA nationally representative sample in the USA between 31 March and 13 April 2020.Participants1450 English-speaking adult participants in the AmeriSpeak Panel. AmeriSpeak is a probability-based panel designed to be representative of households in the USA.Main outcome measuresPrevalence of probable generalised anxiety disorder (GAD) using the GAD-7 and post-traumatic stress symptoms (PTSS) using the four-item PTSD (post-traumatic stress disorder) checklist. Both outcomes were stratified by demographics and COVID-19-related stressors.ResultsThe majority of participants were female (51.8%), non-Hispanic white (62.9%) and reported a household saving of $5000 or more. Those between 18 and 29 years old were the largest age group (38.1%) compared with 40–59 years (32.0%) and 60 years or more (29.9%). The prevalence of probable GAD was 10.9% (95% CI 9.1% to 13.2%) and the prevalence of PTSS was 21.7% (95% CI 19.1% to 24.6%). Among participants reporting five or more COVID-19-related stressors, the prevalence of probable GAD was 20.5% (95% CI 16.1% to 25.8%) and the prevalence of PTSS was 35.7% (95% CI 30.2% to 41.6%). Experiencing five or more COVID-19-related stressors was a predictor of both probable GAD (OR=4.5, 95% CI 2.3 to 8.8) and PTSS (OR=3.3, 95% CI 2.1 to 5.1).ConclusionsThe prevalence of probable anxiety disorders in the USA, as the COVID-19 pandemic and policies implemented to tackle it unfolded, is higher than estimates reported prior to the pandemic and estimates reported following other mass traumatic events. Exposure to COVID-19-related stressors is associated with higher prevalence of both probable GAD and PTSS, highlighting the role these stressors play in increasing the risk of developing anxiety disorders in the USA. Mitigation and recovery policies should take into account the mental health toll the pandemic had on the USA population.

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Anxiety Disorders and PTSD in Palestine: Litreture review

10.21203/rs.3.rs-15819/v3 ◽

2020 ◽

Author(s):

Mohammad Mohammad-Zeyad Marie ◽

Sana SaadAdeen ◽

Maher Battat

Keyword(s):

Mental Health ◽

Mental Disorders ◽

Anxiety Disorders ◽

Political Violence ◽

Common Mental Disorders ◽

Significant Proportion ◽

Continuous Exposure ◽

Post Traumatic Stress ◽

West Bank And Gaza ◽

Study Type

Abstract Background The WHO reports that anxiety disorders are the most common mental disorders worldwide. Most people who experience such events recover from it; however, people with post-traumatic stress disorder (PTSD) continue to be severely depressed and anxious for several months or even years following the event. Palestinians are particularly at a higher risk for developing anxiety disorders and PTSD due to the continuous exposure to political violence, prolonged displacement, and other limitation on professional, educational, financial opportunities, and mental health services. This paper aims to provide a systematic review of the literature and established studies concerning Anxiety disorders besides PTSD in Palestine.Methods PubMed, Science Direct, Google Scholar was used to search for materials for the critical analysis of empirical articles. The following aspects were taken into consideration: study type, sample, and key findings.Results In this review, we included about twenty-four studies from Palestine (West Bank and Gaza). Five studies relate to children, five relate to adolescents, three relate to women, three relate to physical diseases, and four relate to gender and age differences. Results show that anxiety disorders and PTSD are one of the most common mental disorders in Palestine. Anxiety and PTSD develop from a complex set of risk factors, including genetics, personality, and life events. They are mostly associated with low quality of life and disability. The results indicate that a significant proportion of Palestinian experiencing serious issues that deal with several challenges, distinct barriers including; inconsistent availability of medications, absence of multidisciplinary teamwork, insufficient specialists, fragmented mental health system, and occupation.Conclusion As primary prevention, the occupation has to have considered as the main source of anxiety and other mental health disorders in Palestine. Besides, there is a need to implement a mental health care system through multidisciplinary work and raising awareness regarding the prevalence of mental disorders.

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Anxiety disorders and PTSD in Palestine: a literature review

BMC Psychiatry ◽

10.1186/s12888-020-02911-7 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Mohammad Marie ◽

Sana SaadAdeen ◽

Maher Battat

Keyword(s):

Mental Health ◽

Mental Disorders ◽

Anxiety Disorders ◽

Political Violence ◽

Common Mental Disorders ◽

Significant Proportion ◽

Continuous Exposure ◽

Post Traumatic Stress ◽

West Bank And Gaza ◽

Study Type

Abstract Background The WHO reports that anxiety disorders are the most common mental disorders worldwide. Most people who experience such events recover from it; however, people with post-traumatic stress disorder (PTSD) continue to be severely depressed and anxious for several months or even years following the event. Palestinians are particularly at a higher risk for developing anxiety disorders and PTSD due to the continuous exposure to political violence, prolonged displacement, and other limitation on professional, educational, financial opportunities, and mental health services. This paper aims to provide a systematic review of the literature and established studies concerning Anxiety disorders besides PTSD in Palestine. Methods PubMed, Science Direct, Google Scholar was used to search for materials for the critical analysis of empirical articles. The following aspects were taken into consideration: study type, sample, and key findings. Results In this review, we included about twenty-four studies from Palestine (West Bank and Gaza). Five studies relate to children, five relate to adolescents, three relate to women, three relate to physical diseases, and four relate to gender and age differences. Results show that anxiety disorders and PTSD are one of the most common mental disorders in Palestine. Anxiety and PTSD develop from a complex set of risk factors, including genetics, personality, and life events. They are mostly associated with low quality of life and disability. The results indicate that a significant proportion of Palestinian experiencing serious issues that deal with several challenges, distinct barriers including; inconsistent availability of medications, absence of multidisciplinary teamwork, insufficient specialists, fragmented mental health system, and occupation. Conclusion As primary prevention, the occupation has to have considered as the main source of anxiety and other mental health disorders in Palestine. Besides, there is a need to implement a mental health care system through multidisciplinary work and raising awareness regarding the prevalence of mental disorders.

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REACT study protocol: resilience after the COVID-19 threat (REACT) in adolescents

BMJ Open ◽

10.1136/bmjopen-2020-042824 ◽

2021 ◽

Vol 11 (1) ◽

pp. e042824

Author(s):

Alicia Joanne Smith ◽

Laura Moreno-López ◽

Eugenia Davidson ◽

Maria Dauvermann ◽

Sofia Orellana ◽

...

Keyword(s):

Mental Health ◽

Emotion Regulation ◽

Social Isolation ◽

Stress Responses ◽

Acute Stress ◽

Multilevel Modelling ◽

Post Traumatic Stress ◽

Populations At Risk ◽

The Impact ◽

React Study

IntroductionCOVID-19-related social isolation and stress may have significant mental health effects, including post-traumatic stress, anxiety and depression. These factors are thought to disproportionately affect populations at risk of psychopathology, such as adolescents with a history of childhood adversity (CA). Therefore, examining which factors may buffer the impact of COVID-19-related stress and isolation in vulnerable adolescents is critical. The Resilience After the COVID-19 Threat (REACT) study assesses whether emotion regulation capacity, inflammation and neuroimmune responses to stress induced in the laboratory prior to the pandemic predict responses to COVID-19-related social isolation and stress in adolescents with CA. We aim to elucidate the mechanisms that enable vulnerable adolescents to maintain or regain good mental health when confronted with COVID-19.Methods and analysisWe recruited 79 adolescents aged 16–26 with CA experiences from the Resilience After Individual Stress Exposure study in which we assessed emotion regulation, neural and immune stress responses to an acute stress task. Our sample completed questionnaires at the start of the UK lockdown (‘baseline’; April 2020) and three (July 2020) and 6 months later (October 2020) providing crucial longitudinal information across phases of the pandemic progression and government response. The questionnaires assess (1) mental health, (2) number and severity of life events, (3) physical health, (4) stress perception and (5) loneliness and friendship support. We will use multilevel modelling to examine whether individual differences at baseline are associated with responses to COVID-19-related social isolation and stress.Ethics and disseminationThis study has been approved by the Cambridge Psychology Research Ethics Committee (PRE.2020.037). Results of the REACT study will be disseminated in publications in scientific peer-reviewed journals, presentations at scientific conferences and meetings, publications and presentations for the general public, and through social media.

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Psychological burden of quarantine in children and adolescents: A rapid systematic review and proposed solutions

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.36.5.3088 ◽

2020 ◽

Vol 36 (5) ◽

Cited By ~ 6

Author(s):

Nazish Imran ◽

Irum Aamer ◽

Muhammad Imran Sharif ◽

Zubair Hassan Bodla ◽

Sadiq Naveed

Keyword(s):

Mental Health ◽

Systematic Review ◽

Children And Adolescents ◽

Stress Disorder ◽

Acute Stress ◽

Adjustment Disorder ◽

Rapid Review ◽

Post Traumatic Stress ◽

Psychological Burden ◽

The Impact

As COVID-19 grips the world, many people are quarantined or isolated resulting in adverse consequences for the mental health of youth. This rapid review takes into account the impact of quarantine on mental health of children and adolescents, and proposes measures to improve psychological outcomes of isolation. Three electronic databases including PubMed, Scopus, and ISI Web of Science were searched. Two independent reviewers performed title and abstract screening followed by full-text screening. This review article included 10 studies. The seven studies before onset of COVID 19 about psychological impact of quarantine in children have reported isolation, social exclusion stigma and fear among the children. The most common diagnoses were acute stress disorder, adjustment disorder, grief, and post-traumatic stress disorder. Three studies during the COVID-19 pandemic reported restlessness, irritability, anxiety, clinginess and inattention with increased screen time in children during quarantine. These adverse consequences can be tackled through carefully formulated multilevel interventions. doi: https://doi.org/10.12669/pjms.36.5.3088 How to cite this:Imran N, Aamer I, Sharif MI, Bodla ZH, Naveed S. Psychological burden of quarantine in children and adolescents: A rapid systematic review and proposed solutions. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.3088 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Incidence of Post-Traumatic Stress Disorder after Coronavirus Disease

Healthcare ◽

10.3390/healthcare8040373 ◽

2020 ◽

Vol 8 (4) ◽

pp. 373 ◽

Cited By ~ 3

Author(s):

Min Cheol Chang ◽

Donghwi Park

Keyword(s):

Mental Health ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

University Hospital ◽

Post Traumatic Stress ◽

Chi Square ◽

Telephone Interviews ◽

Post Traumatic ◽

The University

Background: The coronavirus disease (COVID-19) emerged from China and rapidly spread to many other countries. In this study, we investigated the prevalence of post-traumatic stress disorder (PTSD) among patients with COVID-19 who were treated and discharged from a university hospital in Daegu, Korea. Methods: In total, 64 patients who were diagnosed with COVID-19 and then hospitalized, treated and discharged from the university hospital between February and April 2020 participated in our study. We conducted telephone interviews with the participants and evaluated the presence of PTSD using the Post-Traumatic Stress Disorder Checklist-5 (PCL-5) based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; score range: 0–80). If a score of ≥33 was obtained, then a diagnosis of PTSD was made. We analyzed the association between PTSD and demographic and clinical characteristics using the Mann–Whitney U and chi-square tests. Results: In total, 13 patients had a PCL-5 score of ≥33, which indicated that 20.3% (n = 64) of the patients had PTSD. No significant differences were observed in demographic characteristics, including, sex, age, hospitalization time and duration after discharge, between patients with PTSD and those without PTSD. Conclusions: The prevalence rate of PTSD was 20.3% in patients with COVID-19 who had been hospitalized, treated and discharged. Accordingly, clinicians should be aware of the high possibility of PTSD among COVID-19 patients. Mental health interventions supporting the mental health of patients should be provided to affected patients.

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