Recognizing the impact of COVID-19 on depression and its mitigation (Preprint)

2020 ◽  
Author(s):  
Harshil Bhatt ◽  
Sandeep Singh ◽  
Sijo Sunny
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Large Scale ◽  
Negative Impact ◽  
Healthcare Access ◽  
Care Providers ◽  
Treatment And Prevention ◽  
Increased Risk ◽  
New Guidelines ◽  
The Impact

UNSTRUCTURED Abstract Introduction: COVID-19 pandemic is a rapidly evolving threat to all of humanity and overall global stability. It is evident from history that events like pandemics or large-scale disasters lead to an increased risk of adverse mental health effects. The ongoing pandemic of COVID-19 is presenting unprecedented challenges to all walks of life and is also likely to spark a widespread negative impact on mental health all around the world. Objective: The primary purpose of this article is to review the effect of COVID- 19 pandemic on depression and discussion of possible methods to its recognition and mitigation. Discussion: The onset of the COVID-19 pandemic introduced a widespread panic into individuals from all parts of society. In many respects, it has had a negative domino effect on mental health. The pervasive stay-at-home orders targeted to contain the spread of the infection have led to isolation, which has further reduced outlet avenues for individuals from the difficult aspects of their lives and has planted the seeds for psychological issues. In some cases, preventative measures even have led to the surfacing of pre-existing mental health challenges. The economic hardship and the limitations of healthcare access during the pandemic have further escalated the situation. Cognizance, detection, treatment, and prevention methodologies are needed to combat the impact of COVID-19 pandemic on depression in the population. More research into this field would allow mental health care providers to formulate new guidelines and recommendations to limit the impact of this pandemic on behavioral health.

Organisational impact of the National Disability Insurance Scheme transition on mental health care providers: the experience in the Australian Capital Territory

2018 ◽  
Vol 26 (6) ◽  
pp. 590-594 ◽  
Author(s):  
Mary Anne Furst ◽  
Jose A Salinas-Perez ◽  
Luis Salvador-Carulla
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Service Provision ◽  
Care Providers ◽  
Australian Capital Territory ◽  
Insurance Scheme ◽  
Mental Health Care Providers ◽  
The Impact

Objectives: Concerns raised about the appropriateness of the National Disability Insurance Scheme (NDIS) in Australia for people with mental illness have not been given full weight due to a perceived lack of available evidence. In the Australian Capital Territory (ACT), one of the pilot sites of the Scheme, mental health care providers across all relevant sectors who were interviewed for a local Atlas of Mental Health Care described the impact of the scheme on their service provision. Methods: All mental health care providers from every sector in the ACT were contacted. The participation rate was 92%. We used the Description and Evaluation of Services and Directories for Long Term Care to assess all service provision at the local level. Results: Around one-third of services interviewed lacked funding stability for longer than 12 months. Nine of the 12 services who commented on the impact of the NDIS expressed deep concern over problems in planning and other issues. Conclusions: The transition to NDIS has had a major impact on ACT service providers. The ACT was a best-case scenario as it was one of the NDIS pilot sites.

The Impact of Relationship Stage on the Determinants of Trust in the Pharmacist–Client Relationship: Results from a Social Marketing Campaign

2010 ◽  
Vol 16 (4) ◽  
pp. 18-40 ◽  
Author(s):  
Chiara Maniscalco ◽  
Kim Daniloski ◽  
David Brinberg
Keyword(s):  
Health Care ◽  
Social Marketing ◽  
Health Care Providers ◽  
Large Scale ◽  
Medical Advice ◽  
Care Providers ◽  
Marketing Campaign ◽  
Social Marketing Campaign ◽  
Client Relationship ◽  
The Impact

The relationship between clients and their health care providers has an important impact on health promotion and disease prevention. Perhaps the most important element of patients' relationships with their health care providers is trust. Enhancing clients' trust in their health care provider has been shown to lead to greater adherence to medical advice, continuity of care, and better overall health outcomes. Pharmacists are beginning to take on the role of primary health care providers to meet the increasing need for affordable, quality medical care. As pharmacists begin to dispense medical advice as well as medicine, there is an increased need for research on the determinants of trust in the pharmacist-client relationship. In this article, we conduct in-depth interviews and a large-scale field survey to develop a social marketing campaign to increase clients' trust in their pharmacists. We implement the campaign through a randomized field experiment and find evidence that emphasizing relational benefits in the developing stages of the pharmacist–client relationship increases trust.

Breaking down barriers: A strategic initiative to collect sexual orientation and gender identity information in the oncology patient population.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 128-128
Author(s):  
Georgina T. Rodgers ◽  
Christa Poole ◽  
MaryKay Moore ◽  
Mikayla Baer ◽  
Christina Ferraro ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Health Care Providers ◽  
Comfort Level ◽  
Cancer Center ◽  
Care Providers ◽  
Target Groups ◽  
Oncology Patient ◽  
Increased Risk ◽  
The Impact

128 Background: The LGBT community is a diverse population that crosses race, ethnicity, socioeconomic status, age, and other factors. It is estimated that 8.8 million Americans are part of the community and the number is likely higher due to under reporting. The population is at increased risk for certain cancers, sexually transmitted infections, and is more likely to use alcohol, tobacco, drugs, and suffer from obesity, and behavioral health issues. LGBT patients face barriers to accessing care due to being under-insured, fear of discrimination and lack of access to culturally competent health care providers. Our cancer center embraced the need to collect sexual orientation/gender identity (SOGI) data as a means to identify and address the comprehensive needs of our patients and set a goal to provide an inclusive, patient-centered environment through education of our teams to build a trusted patient-provider relationship. Methods: We implemented a history section in the EHR to assist with data collection including, preferred name, sexual orientation, gender identity, legal sex, and sex assigned at birth. A project team was developed in 2019 to improve utilization of the existing tool and provide education to increase the comfort level of our caregivers. Our target groups consist of advance practice providers, RN care coordinators, social workers and physicians. Educational sessions occurred through multiple modes and “champions” were identified within target groups to keep the momentum going. Results: There was initial hesitation in utilization due to lack of understanding of the impact on patient care and lack of confidence in communication. Training was modified to include communication techniques and the why collection of SOGI data is important. Conclusions: A monthly report was developed to determine utilization of the SOGI fields and as of May 2020 have increased from 1.5% utilization to 17.5% utilization. A survey has been deployed to education attendees to determine pre and post education comfort levels in addressing the SOGI needs of patients and early data is showing a marked improvement in the comfort level of caregivers.

scholarly journals Clinical profile and management of breast cancer in women in a rural based tertiary care hospital our experience

2017 ◽  
Vol 4 (2) ◽  
pp. 697
Author(s):  
Ambikavathy Mohan ◽  
Chandan Kumar
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Breast Carcinoma ◽  
Health Care Providers ◽  
Diagnostic Methods ◽  
Care Hospital ◽  
Care Providers ◽  
Increased Risk ◽  
The Impact ◽  
Women In India

Background: Breast cancer is the second most common cancer among women in India and accounts for 7% of global burden of breast cancer and one-fifth of all cancers among women in India. The risk factors are related to lifestyle, early menarche, nulli parity, prolonged use of oral contraceptive pills, hormone replacement therapy, not breast‑feeding, alcohol, obesity, lack of exercise, and induced abortion. A woman who attains menopause after fifty five years of age has an increased risk of ovarian, breast, and uterine cancers. The risk is greater if a woman also began menstruating before twelve years of age. A longer exposure to estrogen increases a woman’s risk of breast cancers.Methods: This is a prospective observational study, conducted in the department of surgery, between December 2013 and June 2015(2 years). Patients diagnosed as breast carcinoma and admitted in surgical wards were included, Data pertaining to demography, clinical and pathological tumor profile, and treatment details were collected prospectively for each patient based on patient interviews and medical records. To analyse the Prevalence of breast cancer, clinical presentation, risk factors, diagnostic methods, treatment protocols, difference between pre and post‑menopausal breast cancer women regarding risk factors, assess the impact of treatment given and women’s knowledge about breast cancer.Results: A total number of 25 cases of breast carcinoma based on detailed history, clinical examination, Trucut biopsy, ultrasonography breast and axilla, ultrasound abdomen, mammogram and chest x-ray were analysed. All of them received three cycles of anterior chemotherapy consisting of 5- Fluorouracil 500 mg/m2,Adriamycin 50 mg/m2 Cyclophosphamide 80 mg/m2 (FAC regimen) administered intravenously followed by modified radical mastectomy. There were no recurrences seen on follow up till date.Conclusions: Late stage at presentation of breast cancer is a challenge to the health care providers. Cancer awareness programmes, multidisciplinary approach and evidence‑based strategies for early detection and effective management of the disease can go a long way in prevention.

Impact of COVID-19 on Mental Dimension of Health: A Sensitive Issue to be Addressed at the Earliest

2021 ◽  
Vol 16 (3) ◽  
pp. 158-166
Author(s):  
Sunil Nepal ◽  
Sudip Nepal ◽  
Chakrakodi S. Shastry ◽  
Sharad Chand ◽  
U.P. Nandakumar ◽  
...  
Keyword(s):  
Mental Health ◽  
Negative Impact ◽  
Virus Disease ◽  
Global Mental Health ◽  
High Stress ◽  
World Health ◽  
Frontline Workers ◽  
Increased Risk ◽  
The World ◽  
The Impact

Background: The novel coronavirus disease outbreak of 2019 was declared as a public health emergency by the World Health Organization. At present, the virus has spread throughout the world, leading to millions of cases and is further increasing. Objective: The main objective of this study is to review the impact of Corona Virus Disease 2019 (COVID-19) on the mental health of frontline workers, isolated and quarantined people and the general population. Methods: The relevant articles were extracted from PubMed, Web of Science and ScienceDirect database by using the keywords “Mental health”, “COVID-19”, “Impact of COVID-19”, “Frontline workers”, “Quarantine”, “Isolation”, “Immunity” and “Economy”. The retrieved articles were included in the study based on inclusion criteria to perform the review. All the selected scientific articles were critically reviewed and the information is summarized in this narrative review. Results: The majority of the studies stated that frontline health workers were at an increased risk of depression. The infected, suspects and quarantined people were reported with high stress, posttraumatic stress disorder, and suicidal thoughts. The pandemic has devastated the world’s economy, which has severely impacted global mental health. Conclusion: Mental health should be taken into account, and necessary interventional initiatives need to be considered both by the health authorities and the government to minimize the adversity of the consequences. The pandemic may disappear with the discovery of new vaccines or medications, but its negative impact on mental health may persist, particularly among vulnerable populations. Thus, mental health must be a matter of concern in the present scenario.

scholarly journals Psychological impact of managing COVID-19 patients among doctors: A pre- and post-survey study

2021 ◽  
Vol 19 (9) ◽  
pp. 91-97
Author(s):  
Amber Tahir, MBBS, FCPS-I (Psychiatry) ◽  
Anaam Bugti, MBBS, FCPS-I (Psychiatry) ◽  
Ayesha Sarwat, MBBS, MCPS (Psychiatry), FCPS (Psychiatry) ◽  
Azizullah Khan Dhiloo, MBBS, FCPS (Medicine), FCPS (Infectious Diseases) ◽  
Mahnoor Yousif Shaikh, MBBS
Keyword(s):  
Mental Health ◽  
Psychological Health ◽  
Negative Impact ◽  
Psychological Impact ◽  
Survey Study ◽  
Care Providers ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
The Mean ◽  
The Impact

Objective: In any struggling healthcare system, it is always the frontline workers—doctors, nurses, and paramedical staff – that are affected first. This study aimed to assess the psychological impact—anxiety, stress, depression, and post-traumatic stress disorder (PTSD) —among doctors working in COVID-19 wards and the underlying triggers in a public hospital in Karachi. Methods: Pre- and post-survey methodologies were adopted. Post-graduate trainees working in COVID-19 isolation facilities from April till September 2020 were interviewed before starting their one-month rotation and after completing it. The psychological impact was assessed using two standard instruments—Depression Anxiety and Stress 21 (DASS-21) and the Impact of Event Scale-Revised (IES-R). Data were entered and analyzed through SPSS version 22.0. Results: For 100 doctors, the mean score for stress, anxiety, stress, and depression on DASS-21 and PTSD on IES-R significantly increased after the rotation (p 0.01). The mean score of depression and IES-R was higher in younger (28 years) doctors (p ≤ 0.05). Married doctors scored higher on anxiety and IES-R (p ≤ 0.05). Doctors who were not willfully performing their duties scored worse on all measures of DASS-21 and IES-R (p 0.01). Doctors facing family resist­ance scored significantly higher on stress, anxiety, and IES-R (p 0.01). Conclusion: Working in COVID-19 facilities is imparting a negative impact on the psychological health of doctors. Healthcare administration should be aware of this psychological distress and should introduce mental health aid at administrative levels to prevent a mental health epidemic among care providers.

scholarly journals The role of mental health to overcoming the coronavirus disease-19 pandemic

2021 ◽  
Vol 40 (1) ◽  
pp. 69
Author(s):  
Ira Aini Dania ◽  
Nanda Novziransyah
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Social Life ◽  
Health Workers ◽  
Experimental Studies ◽  
Health Sector ◽  
Well Being ◽  
Emotional Reactions ◽  
Care Providers ◽  
Increased Risk

The current coronavirus disease-19 (COVID-19) pandemic has changed the order of social life; the efforts made to tackle this pandemic have sometimes raised various obstacles related to norms, ethics and culture. An increased risk of COVID-19-associated mental disorders is found in many communities, causing excessive emotional reactions such as feelings of pressure, leading to unhealthy behavior. This situation confirms that health care providers have a key role in dealing with emotional disturbances that occur as a form of pandemic response. Public health emergencies can affect the health, safety and well-being of every individual as well as the social stigma in connection with the COVID-19 pandemic. Various mental health studies related to disasters have determined that emotional distress is widespread and can also be found in populations related to COVID-19. There are various kinds of risk factors that have an impact on health workers during the COVID-19 pandemic, including social isolation, lack of support, and concerns about safety of family members. We included published, observational and experimental studies that reported the mental health effects on health workers during the COVID-19 pandemic. Efforts made by policy holders, especially in the health sector, have greatly contributed to the response to the pandemic, but not all of them can run smoothly, several steps and policies in the health sector must involve many stakeholders in order to realize the expected efforts. The main purpose of this review paper was to not only focus on health workers, but include the communities in overcoming the COVID-19 pandemic.

scholarly journals The impact of COVID-19 on health of the older persons in Bangladesh

2021 ◽  
Author(s):  
Mohammad Mainul Islam ◽  
Shafayat Sultan ◽  
Mohammad Bellal Hossain
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Older Persons ◽  
Healthcare Services ◽  
High Morbidity ◽  
Care Providers ◽  
Adverse Health Outcomes ◽  
Psychosocial Wellbeing ◽  
System Functioning ◽  
The Impact

AbstractThe COVID-19 is impacting the health of the population, including older persons. Available evidence shows that older people are highly vulnerable and more likely to have adverse health outcomes. In Bangladesh, the older population is rapidly increasing, living with various disadvantaged socio-economic conditions, including inadequate access and healthcare services. These disparities are likely to increase during the COVID-19, resulting in high morbidity and mortality among them. Thus, we have examined the health vulnerabilities of older persons due to the COVID-19 pandemic using content analysis. We have analyzed 102 content collected from various online and printed articles published in newspapers, journals, and other relevant sources. The study has found increased health risks, deteriorated mental health, and poor health system functioning during the pandemic and its impact on older persons in Bangladesh. Strengthening health systems through an integrated model with capacity development of existing health care providers to deal with elderly health problems, including mental health and psychosocial wellbeing; promoting preventive measures, facilitating access to healthcare is required. Bangladesh can learn the Chinese experience to adopt innovative, specialized, and advanced systems to efficiently fight against the COVID-19.

scholarly journals Psychological Distress Among Health Care Workers in Health Facilities of Mettu Town During COVID-19 Outbreak, South West Ethiopia, 2020

2021 ◽  
Vol 12 ◽  
Author(s):  
Mohammedamin Hajure ◽  
Bekem Dibaba ◽  
Shuayib Shemsu ◽  
Defaru Desalegn ◽  
Mohammed Reshad ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Psychological Distress ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Care Providers ◽  
Event Scale ◽  
Care Workers ◽  
Increased Risk ◽  
The Impact

Background: During any of the infectious disease outbreak, health care workers were at increased risk of being infected, and psychological distress was a common phenomenon. Therefore, the study aimed to assess the psychological distress related to COVID-19 among healthcare workers in Mettu town.Methods: A cross sectional study was conducted from May 1–15, 2020 using convenient sampling techniques among 127 health care providers during COVID-19 pandemic in the Mettu town. Self-administered questionnaire was used to collect information. Depression and anxiety were evaluated as subscales from the Depression Anxiety Stress Scale (DASS-21). Psychological distress related to COVID-19 was measured using the Impact of Event Scale Revised (IES-R). Data analysis were done using SPSS version 24. Chi-square test was used to find the association between the outcome and demographic variables. Multivariable logistic regression analyses were used to evaluate the significance of the association at P-value < 0.05.Result: Using IES-R scale, 40.2% of the participants reported to have the symptoms of psychological distress. The majority of the participants reported mild psychological distress (37%) followed by moderate psychological distress (29%). The multivariate logistic regression analysis revealed that the odds of psychological distress were found to be higher among health care providers who reported to have depressive symptoms, and those who used alcohol, khat and tobacco in the past 3 months shows a significant association with psychological distress.Conclusion: Our findings revealed that the COVID-19 pandemic had exerted major psychological distress on health care providers. So the findings, seek attention for early psychological intervention needed to manage psychological distress in health care providers regarding identified factors.

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