scholarly journals The impact of COVID-19 pandemic on global mental health: From the general public to healthcare workers

2021 ◽  
Vol 50 (3) ◽  
pp. 198-199
Author(s):  
Roger C Ho ◽  
Bach X Tran ◽  
Roger S McIntyre
2020 ◽  
Vol 11 ◽  
Author(s):  
Yang Luo ◽  
Cher Rui Chua ◽  
Zhonghui Xiong ◽  
Roger C. Ho ◽  
Cyrus S. H. Ho

Background: The twenty-first century viral respiratory epidemics have taught us valuable lessons. Our systematic review examined the impact of these epidemics, including coronavirus disease 2019 (COVID-19), on mental health among different population groups, drawing on their insights for recommendations for the current COVID-19 pandemic.Methods: Searches were performed on PubMed, Embase, PsycINFO, Web of Science, Scopus, CINAHL, and Cochrane on April 4, 2020. Studies that had undefined mental health outcomes or did not use a validated scale for measure were excluded. Quality assessment was carried out via the Newcastle–Ottawa Scale.Results: We included 95 studies, most of which were conducted in Hong Kong (31.6%) and China (21.4%). A total of 30 (30.9%) studies are on the general public, 41 (42.2%) on healthcare workers, and 26 (26.6%) on patients and quarantined individuals. Furthermore, 36 (37.1%) of the studies are of high quality, 48 (49.5%) are of moderate quality, and 13 (13.4%) are of low quality. The most significant mental health outcomes reported include anxiety, depression, and post-traumatic stress disorder symptoms. The subgroups identified to have a higher risk of psychiatric symptoms among the general public include females, the elderly, individuals with chronic illness, migrant workers, and students. Long-term mental health impact was reported in some healthcare workers and epidemic patients, even up to 3 years in the former. Interestingly, when compared to non-quarantined groups, quarantine was not significantly associated with worse mental health outcomes.Conclusion: Important implications for the COVID-19 pandemic were highlighted. Respiratory epidemics pose a significant psychological morbidity onto many population groups. Psychological support for vulnerable groups, including healthcare workers and patients, should be implemented to prevent them from spiraling into clinical psychiatric conditions.


2020 ◽  
Author(s):  
Fatih Çölkesen ◽  
Oguzhan Kilincel ◽  
Mehmet Sozen ◽  
Eray Yıldız ◽  
Sengul Beyaz ◽  
...  

BACKGROUND The adverse effects of COVID-19 pandemic on the mental health of high-risk group patients for morbidity and mortality and its impact on public health in the long term have not been clearly determined. OBJECTIVE To determine the level of COVID-19 related transmission fear and anxiety in healthcare workers and patients with primary immunodeficiency disorder (PID), severe asthma, and the ones with other comorbidities. METHODS The healthcare workers and patients with PID, severe asthma (all patients receiving biological agent treatment), malignancy, cardiovascular disease, hypertension (90% of patients receiving ACEI or ARB therapy), diabetes mellitus (42 % of patients receiving DPP-4 inhibitor therapy) were included in the study. A total of 560 participants, 80 individuals in each group, were provided. The hospital anxiety and depression scale ( HADS ) and Fear of illness and virus evaluation (FIVE ) scales were applied to the groups with face to face interview methods. RESULTS The mean age was 49.30 years and 306 (55 %) were female. The FIVE Scale and HADS-A scale scores of health care workers were significantly higher than other groups' scores (p = 0.001 and 0.006). The second-highest scores belonged to patients with PID. There was no significant difference between the groups for the HADS-D score (p=0.07). The lowest score in all scales was observed in patients with hypertension. CONCLUSIONS This study demonstrated that in the pandemic process, patients with primary immunodeficiency, asthma patients, and other comorbid patients, especially healthcare workers, should be referred to the centers for the detection and treatment of mental health conditions.


2021 ◽  
Author(s):  
Bhaskar Thakur ◽  
Mona Pathak

ABSTRACTAimPresent systematic review and meta-analysis examined the burden of psychological reactions predominantly anxiety, depression, stress and insomnia during novel COVID-19 pandemic phase among the frontline healthcare, non-frontline healthcare and general.MethodologyPubMed, EMBASE and SCOPUS were searched for studies between Jan 1, 2020 to May 25, 2020. Brief protocol of the systematic review was registered with the PROSPERO database, (CRD42020186229).Any study that reported the burden of at least one of psychological reactions including anxiety or depression or stress or insomnia was eligible. Heterogeneity was assessed using I2 statistic and results were synthesized using random effect meta-analysis.ResultsOut of 52eligible studies, 43 reported anxiety, 43 reported depression, 20 reported stress and 11 reported insomnia. Overall prevalence for anxiety, depression, stress and insomnia were 26.6%, 26.2%,26.2% and 34.4% respectively. Anxiety and depression were found highest among the COVID-19 patients (43.3% and 51.75 respectively). Apart from COVID-19 patients, prevalence of anxiety, depression, stress and insomnia were found highest among the frontline healthcare (27.2%, 32.1%,55.6% and 34.4% respectively) as compared to general healthcare workers (26.9%, 15.7%, 7.0% and 34.0% respectively) and general population (25.9%, 25.9%,25.4% and 29.4% respectively).ConclusionAnxiety and depression were found highest among the COVID-19 patients. Apart from COVID-19 patients, the anxiety, depression, stress and insomnia were more prevalent among frontline healthcare workers compared to general. Such increased prevalence is prompting towards the global mental health emergency. Therefore a call of urgent attention and pan-region effective mental-health intervention are required to mitigate these psychological reactions.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S258-S258
Author(s):  
Mahfuja Islam ◽  
Philip George ◽  
Sindhu Sankaran ◽  
Janet Leu Su Hui ◽  
Tzun Kit

AimsThe global health system is facing a serious challenge after the recent outbreak of COVID-19 coronavirus infection which was first identified in Wuhan, China in November 2019 and declared as a pandemic in March 2020 by WHO. There is a wide consensus that this pandemic has negative psychosocial consequences as well as unforeseeable provision of mental health care services and just not on physical health alone. The aim of this research study is to determine the prevalence of psychological distress and to identify the sociodemographic variables with the main attributable factors associated with the psychological distress among healthcare workers and suggestions on how to reduce the impact on the mental health of healthcare workers during the COVID-19 pandemic in different regions of the world.MethodWe performed a cross-sectional study from September-November 2020. We used a self-administered survey tool which was distributed electronically to healthcare workers across the globe. The data were stored on an online database with password protected devices where survey responses were restricted to investigators exclusively.Data collected were: 1) Socio-demographic data (age, gender, marital status, ethnicity, religion, role in the healthcare, region of practice); 2) Psychological General Well-Being Index (PGWBI) questionnaire which contains 22 standardized items. This is a subjective assessment to score the degree of psychological well-being by focusing on 6 domains: depression; anxiety; positive-well-being; self-control; vitality and general health; 3) Subjective assessment from respondents of the main attributable factors causing psychological distress and suggested methods to help reduce the impact on mental health on health care workers.ResultMajority out of the 217 respondents were from a younger age group; females and married/domestic partnership, mainly from Western Pacific Region, South East Asian and the African Region. More than half the respondents were moderate-severely psychologically distressed and the three main attributable factors causing psychological distress were: fear of family/friends contracting COVID-19 followed by lack of PPE and discomfort caused by wearing PPE for long hours. Respondents suggested that the distress would be reduced if: more resources were provided in hospital; protocols and guidelines were implemented and counselling facilities with recreational activities were available to frontline workers.ConclusionThis study showed that the COVID-19 pandemic has affected the mental health of healthcare workers and more support or strategies need to come in place to protect frontline workers at the time of crises.


2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Jaspinder Sanghera ◽  
Nikhil Pattani ◽  
Yousuf Hashmi ◽  
Kate F. Varley ◽  
Manikandar Srinivas Cheruvu ◽  
...  

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S258-S259
Author(s):  
Mahfuja Islam ◽  
Philip George ◽  
Sindhu Sankaran ◽  
Janet Leu Su Hui ◽  
Tzun Kit

AimsThe global health system is facing a serious challenge after the recent outbreak of COVID-19 coronavirus infection which was first identified in Wuhan, China in November 2019 and declared as a pandemic in March 2020 by WHO. There is a wide consensus that this pandemic has negative psychosocial consequences as well as unforeseeable provision of mental health care services and just not on physical health alone. The aim of this research study is to determine the prevalence of psychological distress and to identify the sociodemographic variables with the main attributable factors associated with the psychological distress among healthcare workers and suggestions on how to reduce the impact on the mental health of healthcare workers during the COVID-19 pandemic in different regions of the world.MethodWe performed a cross-sectional study from September-November 2020. We used a self-administered survey tool which was distributed electronically to healthcare workers across the globe. The data were stored on an online database with password protected devices where survey responses were restricted to investigators exclusively.Data collected were: 1) Socio-demographic data (age, gender, marital status, ethnicity, religion, role in the healthcare, region of practice); 2) Psychological General Well-Being Index (PGWBI) questionnaire which contains 22 standardized items. This is a subjective assessment to score the degree of psychological well-being by focusing on 6 domains: depression; anxiety; positive-well-being; self-control; vitality and general health; 3) Subjective assessment from respondents of the main attributable factors causing psychological distress and suggested methods to help reduce the impact on mental health on health care workers.ResultMajority out of the 217 respondents were from a younger age group; females and married/domestic partnership, mainly from Western Pacific Region, South East Asian and the African Region. More than half the respondents were moderate-severely psychologically distressed and the three main attributable factors causing psychological distress were: fear of family/friends contracting COVID-19 followed by lack of PPE and discomfort caused by wearing PPE for long hours. Respondents suggested that the distress would be reduced if: more resources were provided in hospital; protocols and guidelines were implemented and counselling facilities with recreational activities were available to frontline workers.ConclusionThis study showed that the COVID-19 pandemic has affected the mental health of healthcare workers and more support or strategies need to come in place to protect frontline workers at the time of crises.


Author(s):  
Jeetika Duggal ◽  
Manu Bhai Gaur

The global pandemic of Coronavirus (COVID-19), also termed as health emergency affecting nearly 210 countries and territories has led to negative emotions of fear and agony in the general population. The healthcare regulators and the governments have imposed emergencies and lockdowns in their countries which has led to an adverse effect on the mental health of general public ultimately leading to a rise in anxiety, depression, and associated mental illness. The fear and rising COVID-19 crisis is putting extreme limitations on our finite resources. This report aims to improve status of mental health altered as a result of pandemic, emphasizing to help the general public, mitigate the negative emotions to improve the general wellbeing in this detached period of isolation. With no standard treatment or vaccine yet, the goal is primarily symptomatic relief for those affected and preventive for those at risk. Most countries have curtailed the spread of COVID-19 through measures such as lockdowns, social distancing and voluntary self-isolation. Although necessary, such measures and the disease itself may have an adverse impact on mental health. In view of research from previous pandemic crisis, it is known that such situations are likely to increase stress levels and have negative psychiatric effects. The impact is likely to be felt by the general public, sufferers of COVID-19, their families and friends, persons with pre-existing mental health conditions and healthcare workers. COVID pandemic related psychological distress in the general public, including symptoms of anxiety and depression, is associated with alterations in immune function, including an elevated risk of viral respiratory tract infection.


2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Mohammad Ali Fardin ◽  
Sophia Khaneghahi

Background: The long-term outbreak of coronavirus (COVID-19), accompanied by high mortality rates, hysteria, and economic pressures, has profound, irreversible psychological effects worldwide. Objectives: This study compared mental health and post-traumatic impacts of the COVID-19 outbreak in the peak period of the pandemic in five regions of Iran. Methods: A web-based cross-sectional survey was carried out at the peak of the pandemic using free Google Forms® software. A snowball sampling method focused on the general public in the north east-west, central part, and south east-west of Iran was utilized from March 24 to 29th of 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale (DASS-21) were applied as data collection tools. Results: The current study included 749 respondents from all provinces in Iran. Most of the participants were from the southeast and the central part of Iran and stayed at home for about 20 to 24 hours during COVID-19 outbreak. The results of MANOVA indicated that there were no significant differences between the means of mental disorders and the impacts of COVID-19 outbreak in these five regions (F = 1.188, Wilks’ Lambda = 0.97, P ≥ 0.05). Nevertheless, one-sample test showed that the IES-R mean score was above the cut-off point, indicating the presence of post-traumatic stress disorder symptoms in all regions of Iran (t = 8.025, P ≤ 0.05, 95% CI: 3.22 to 5.31). Conclusions: As a result of this study that shows the presence of PTSD symptoms in all regions, mental health care is a necessity and should be provided to the general public so that psychologists and mental health teams have to provide psychological services in-person or online method.


2021 ◽  
Vol 11 (9) ◽  
pp. 170-179
Author(s):  
Martyna Nowińska ◽  
Justyna Dziekońska ◽  
Paulina Grabowy ◽  
Martyna Drożak ◽  
Joanna Milanowska

Introduction: The COVID-19 pandemic broke out in Wuhan, China, in December 2019. Coronavirus disease is commonly transmitted through contact transmission and direct contact. Considering the transmission mechanism of the virus, healthcare workers are at high risk of becoming infected. SARS-CoV-2 has became a major stressor for medical staff, that can lead to burnout.The aim of the study: Paying attention to the correlation between COVID-19 pandemic and burnout among healthcare workers.Material and method: The research was done by the usage of the PubMed and Google Scholar articles about the topic of: burnout; healthcare workers, COVID-19 pandemic, mental health, stress.Description of the state of knowledge: According to various studies, the COVID-19 pandemic may have negative impact on the mental health of healthcare workers. Worsening systemic stressors may lead to professional burnout. Latest research has identified associations between burnout and inadequate psychological support, direct contact with infected patients, and working in the nursing profession.Summary: The results from all studies proved that the COVID-19 pandemic has tremendous impact on professional burnout among medical staff. It is essential to pay attention to the psychological wellbeing of healthcare workers.


2021 ◽  
Author(s):  
Honor Scarlett ◽  
Camille Davisse-Paturet ◽  
Cecile Longchamps ◽  
Tarik El Aarbaoui ◽  
Cecile Allaire ◽  
...  

Background: Accumulating evidence suggests that the COVID–19 pandemic has negatively affected global mental health and well–being. However, the impact amongst homeless persons has not been fully evaluated. The ECHO study reports factors associated with depression amongst the homeless population living in shelters in France during the Spring of 2020. Methods: Interview data were collected from 527 participants living in temporary and/or emergency accommodation following France's first lockdown (02/05/20 – 07/06/20), in the metropolitan regions of Paris (74%), Lyon (19%) and Strasbourg (7%). Interviews were conducted in French, English, or with interpreters (33% of participants, ~20 languages). Presence of depression was ascertained using the Patient Health Questionnaire (PHQ–9). Results: Amongst ECHO study participants, 30% had symptoms of moderate to severe depression (PHQ–9≥ 10). Multivariate analysis revealed depression to be associated with being female (aOR: 2.15; CI: 1.26–3.69), being single (aOR: 1.60; CI: 1.01–2.52), having a chronic illness (aOR: 2.32; CI: 1.43–3.78), facing food insecurity (aOR: 2.12; CI: 1.40–3.22) and participants' region of origin. Persons born in African and Eastern Mediterranean regions showed levels of depression comparable to those of French participants (30–33%) but higher than migrants from European countries (14%). Reduced rates of depression were observed amongst participants aged 30–49 (aOR: 0.60; CI: 0.38–0.95) and over 50 (aOR: 0.28; CI: 0.13–0.64), compared to 18–29–year–olds. Conclusions: Our results indicate high levels of depression among homeless persons during the COVID–19 pandemic. The value of these findings extends beyond the health crisis, as predicted future instability and economic repercussions could particularly impact the mental health of this vulnerable group.


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