COVID-19 and common mental health symptoms in the early phase of the pandemic: An umbrella review of the evidence

PLoS Medicine, Journal Year: 2023, Volume and Issue: 20(4), P. e1004206 - e1004206

Published: April 25, 2023

Background There remains uncertainty about the impact of Coronavirus Disease 2019 (COVID-19) pandemic on mental health. This umbrella review provides a comprehensive overview association between and common disorders. We qualitatively summarized evidence from reviews with meta-analyses individual study-data in general population, healthcare workers, specific at-risk populations. Methods findings A systematic search was carried out 5 databases for peer-reviewed prevalence depression, anxiety, post-traumatic stress disorder (PTSD) symptoms during published December 31, until August 12, 2022. identified 123 which 7 provided standardized mean differences (SMDs) either longitudinal pre- to or cross-sectional compared matched pre-pandemic data. Methodological quality rated Assessment Multiple Systematic Reviews checklist scores (AMSTAR 2) instrument generally low moderate. Small but significant increases and/or health were reported people preexisting physical conditions, children (3 reviews; SMDs ranged 0.11 0.28). Mental depression significantly increased periods social restrictions (1 review; 0.41 0.83, respectively) anxiety did not (SMD: 0.26). Increases larger longer-lasting 0.16 0.23) than those (2 reviews: 0.12 0.18). Females showed increase males review: SMD 0.15). In disorders, any patient group, adolescents, students, no found SMD’s ranging −0.16 0.48). 116 pooled rates PTSD 9% 48% across Although heterogeneity studies high largely unexplained, assessment tools cut-offs used, age, sex gender, COVID-19 exposure factors be moderators some reviews. The major limitations are inability quantify explain included shortage within-person data multiple studies. Conclusions small consistent deterioration particularly early has been population chronic somatic Also, associations stronger females younger age groups others. Explanatory individual-level, exposure, time-course scarce inconsistencies For policy research, repeated assessments panels including vulnerable individuals recommended respond current future crises.

Language: Английский

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The Future of Healthcare and Patient-Centric Care

Advances in healthcare information systems and administration book series, Journal Year: 2024, Volume and Issue: unknown, P. 240 - 262

Published: Feb. 14, 2024

The future of healthcare is a dynamic landscape characterized by rapid advancements, evolving patient needs, and transformative technologies. This chapter explores key trends predictions shaping the industry. It covers integration AI, telemedicine, genomics, empowerment. These shifts promise ecosystem that more efficient, accessible, personalized than ever before. However, they also present challenges, including data privacy, ethical considerations, equitable access. Navigating this will require thoughtful balance innovation practice, ensuring benefits all segments society. aims to equip stakeholders with insights strategies navigate complex landscape, advocating for prioritizes patient-centricity while embracing technological progress in way inclusive beneficial all.

Language: Английский

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Effectiveness of a mental health stepped-care programme for healthcare workers with psychological distress in crisis settings: a multicentre randomised controlled trial

BMJ Mental Health, Journal Year: 2023, Volume and Issue: 26(1), P. e300697 - e300697

Published: June 1, 2023

Evidence-based mental health interventions to support healthcare workers (HCWs) in crisis settings are scarce.To evaluate the capacity of a intervention reducing anxiety and depression symptoms HCWs, relative enhanced care as usual (eCAU), amidst COVID-19 pandemic.We conducted an analyst-blind, parallel, multicentre, randomised controlled trial. We recruited HCWs with psychological distress from Madrid Catalonia (Spain). The arm received stepped-care programme consisting two WHO-developed adapted for HCWs: Doing What Matters Times Stress (DWM) Problem Management Plus (PM+). Each lasted 5 weeks was delivered remotely by non-specialist providers. reporting after DWM completion were invited continue PM+. primary endpoint self-reported anxiety/depression (Patient Health Questionnaire-Anxiety Depression Scale) at week 21.Between 3 November 2021 31 March 2022, 115 participants stepped 117 eCAU (86% women, mean age 37.5). showed greater decrease compared (baseline-adjusted difference 4.4, 95% CI 2.1 6.7; standardised effect size 0.8, 0.4 1.2). No serious adverse events occurred.Brief reduce during period stress among HCWs.Our results can inform policies actions protect major crises potentially rapidly replicable other where affected global emergencies.NCT04980326.

Language: Английский

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Exploring the Integration of Technology in Art Therapy: Insights From Interviews With Art Therapists

Art Therapy, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 7

Published: Sept. 3, 2024

As technology's role in health grows, its potential application art therapy has also been explored. Existing studies provide broad overviews of technological tools yet lacking a thorough examination their purpose and impact. This brief report, through semi-structured interviews with 20 therapists from the American Art Therapy Association, examines therapists' technology integration into practice. We identify advantages disadvantages using across three key categories: clinical management, session planning, therapeutic interventions. report aims at understanding current practices concluding description contribution this work to field therapy.

Language: Английский

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Unintended Consequences of COVID-19 Non-Pharmaceutical Interventions (NPIs) for Population Health and Health Inequalities

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(7), P. 5223 - 5223

Published: March 23, 2023

Since the start of COVID-19 pandemic in early 2020, governments around world have adopted an array measures intended to control transmission SARS-CoV-2 virus, using both pharmaceutical and non-pharmaceutical interventions (NPIs). NPIs are public health that do not rely on vaccines or medicines include policies such as lockdowns, stay-at-home orders, school closures, travel restrictions. Although intention was slow viral transmission, emerging research indicates these also had unintended consequences for other aspects health. Hence, we conducted a narrative review studies investigating NPIs, with particular emphasis mental lifestyle risk factors non-communicable diseases (NCD): physical activity (PA), overweight obesity, alcohol consumption, tobacco smoking. We reviewed scientific literature combinations search terms ‘COVID-19′, ‘pandemic’, ‘lockdowns’, ‘mental health’, ‘physical activity’, ‘obesity’. were found considerable adverse health, activity, obesity. The impacts consumption varied greatly within between studies. variability different groups implies increased inequalities by age, sex/gender, socioeconomic status, pre-existing lifestyle, place residence. In conclusion, proper assessment use attempts spread should be weighed against potential Our findings relevance future preparedness response teams.

Language: Английский

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Addressing mental health need after COVID-19: a systematic review of remote EMDR therapy studies as an emerging option

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 14

Published: Jan. 4, 2024

Introduction The COVID-19 pandemic has been associated with a substantial rise in mental health challenges, prompting need for accessible and effective therapeutic interventions. This review summarizes the evidence on remote Eye Movement Desensitization Reprocessing (EMDR) therapy delivered response to increased need. Methods A systematic was conducted following Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA) guidelines. Databases including PsychINFO, EMBASE, MEDLINE, Web of Science were searched identify studies assessing efficacy EMDR administered online. Results Sixteen articles meeting inclusion criteria selected, involving 1,231 participants across various age groups. Studies covered individual group sessions self-administered computerized protocols. Findings indicate promising outcomes reducing PTSD symptoms, anxiety, depression. Discussion analysis selected demonstrates feasibility potential online as an option addressing difficulties, particularly during times limited in-person interaction. However, revealed limitations such small sample sizes, absence control groups, reliance self-reported measures. registration: present registered “The International Database Register Your Reviews” (INPLASY) registration number 2023120018 DOI 10.37766/inplasy2023.2.0068 .

Language: Английский

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Mental Health Professionals’ Technology Usage and Attitudes Toward Digital Health for Psychosis: Comparative Cross-Sectional Survey Study

JMIR Mental Health, Journal Year: 2025, Volume and Issue: 12, P. e68362 - e68362

Published: March 31, 2025

Abstract Background Digital health technologies (DHTs) for psychosis have been developed and tested rapidly in recent years. However, research examining mental professionals’ views on the use of DHTs people with is limited. Given increased accessibility availability psychosis, an up-to-date understanding staff perception warranted. Objective In this study, we aimed to investigate usage technology their service users’ usage; toward including concerns; barriers implementing a setting. Methods Two cross-sectional surveys were distributed care who had experience working individuals experiencing United Kingdom. Survey 1 (from April 2018 September 2020) was 3 local UK National Health Service (NHS) trusts Northwest England; survey 2 administered nationally across 31 NHS or boards November 2022 March 2024). The COVID-19 pandemic occurred between periods. Data analyzed descriptively. Results A total 155 352 participants completed 2, respectively. Staff reported high levels ownership both surveys. general, expressed positive regarding psychosis; however, concerns, affordability, digital literacy, potential negative effects health, also reported. We did not find notable changes terms clinical practice over time. Conclusions sampled from broad diverse range consistent optimism about implementation practice, though they noted some concerns safety access. While frequently regarded as catalyst adoption tools, sustainability transition traditional appeared be suboptimal. To address potentially facilitate DHTs, systematic evaluation adverse using dissemination evidence are needed. Organizational support training should offered help increase confidence recommending users.

Language: Английский

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Specialized mental healthcare use for common mental disorders and prescription of antidepressants before and during the COVID-19 pandemic among working-age refugees and Swedish-born individuals – a nationwide register-based study

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 3, 2025

Abstract Background It is known that refugees have an elevated risk of common mental disorders (CMDs, including depression, anxiety, and stress-related disorders). The effect the coronavirus disease pandemic on healthcare use due to CMDs in yet unknown, especially socioeconomically deprived groups. We conducted a population-wide study comparing specialized for antidepressant prescriptions before during Swedish-born, investigated differences by labor market marginalization education. Methods An interrupted time series analysis quarterly cohorts (2018.01.01–2021.12.31) all aged 19 65 was applied. Information outcome measures covariates were linked individually from administrative registers. applied estimated incidence rate ratios (IRR) rates (IR) their corresponding confidence intervals (CI) pandemic. Results A total 4,932,916 individuals, whom 488,299 (9.9%) refugees, included at baseline. observed 3% (95% CI: 1%, 5%) increase trends but no changes Swedish-born individuals. IRRs larger whose position marginalized (IRR: 6%, (3%, 9%)), with low education level 4% (1%, 7%)). There substantial prescription. Conclusion Refugees, those already position, had increased CMD-related Strategies meet health care needs are outmost public importance.

Language: Английский

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The impact of COVID-19 on the de facto behavioral health system in rural Georgia, United States

Discover Health Systems, Journal Year: 2025, Volume and Issue: 4(1)

Published: March 15, 2025

Language: Английский

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Virtual reality enhanced mindfulness and yoga intervention for postpartum depression and anxiety in the post COVID era

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: April 6, 2025

The postpartum period has witnessed increasing rates of depression and anxiety, particularly in the context COVID-19 pandemic, with these conditions often co-occurring being exacerbated by lingering effects long COVID. Traditional interventions, such as mindfulness-based stress reduction (MBSR) yoga, have demonstrated effectiveness alleviating symptoms. However, limitations in-person sessions, especially pandemic-related restrictions, highlight need for accessible, innovative approaches. Integrating Virtual Reality (VR) technology traditional practices presents a novel solution, offering immersive, customizable environments that may enhance engagement therapeutic outcomes. This study evaluates VR-enhanced mindfulness yoga intervention treating anxiety women affected COVID, additional examination underlying physiological markers cognitive control mechanisms. In this randomized controlled trial, 111 were randomly assigned to experimental (VR-enhanced intervention), (traditional sessions), or blank groups using computer-generated randomization. 8-week involved thrice-weekly 60-minute sessions. Outcomes assessed at baseline, post-intervention, 4-week follow-up Edinburgh Postnatal Depression Scale (EPDS), Generalized Anxiety Disorder-7 (GAD-7) scale, salivary cortisol measurements, an emotional Stroop task. group significant improvements both (EPDS: P < 0.001, ηp2 = 0.18) symptoms (GAD-7: 0.17), significantly greater than those observed (P 0.001 comparisons). These strongly correlated (r 0.68, 0.001). Supporting primary outcomes, levels showed decrease 0.13), improved evidenced reduced task conflict effect 0.37). Correlation analysis revealed robust associations between changes short-term long-term demonstrates integrating VR effectively reduces post-COVID era. parallel provide insight into potential mechanisms effects. findings underscore value immersive enhancing approaches addressing post-pandemic context.

Language: Английский

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