Mental health services during the first wave of the COVID-19 pandemic in Europe: Results from the EPA Ambassadors Survey and implications for clinical practice DOI Creative Commons
Martina Rojnić Kuzman, Simavi Vahip, Andrea Fiorillo

et al.

European Psychiatry, Journal Year: 2021, Volume and Issue: 64(1)

Published: Jan. 1, 2021

Abstract Background The COVID-19 pandemic caused an unprecedented worldwide crisis affecting several sectors, including health, social care, economy and society at large. World Health Organisation has emphasized that mental health care should be considered as one of the core sectors within overall response. By March 2020, recommendations for organization services across Europe have been developed by national international professional associations. Methods European Psychiatric Association (EPA) surveyed a large sample psychiatrists, namely “EPA Ambassadors”, on their clinical experience impact treatment psychiatric patients during month April 2020 in order to: a) identify report views experiences psychiatrists; b) represent share these results with policy makers level. Based issued associations our survey, we identified important organisational aspects peak first wave COVID-19. Results While most followed same principles, significant differences between countries emerged service delivery, mainly relating to referrals outpatients inpatient admission, assessments people disorders. Compared previous months, mean number treated psychiatrists outpatient settings halved 2020. In period, mentally ill tested for, or developing, was low. countries, traditional face-to-face visits were replaced online remote consultations. Conclusions findings recommend: 1) implement guidelines into practice harmonize Europe; 2) monitor outcomes pre-existing disorders; 3) keep active using all available options (for example telepsychiatry); 4) increase communication cooperation different providers.

Language: Английский

The trajectory of loneliness in response to COVID-19. DOI Creative Commons
Martina Luchetti, Ji Hyun Lee, Damaris Aschwanden

et al.

American Psychologist, Journal Year: 2020, Volume and Issue: 75(7), P. 897 - 908

Published: June 22, 2020

Social distancing and "stay-at-home" orders are essential to contain the coronavirus outbreak (COVID-19), but there is concern that these measures will increase feelings of loneliness, particularly in vulnerable groups. The present study examined change loneliness response social restriction taken control spread. A nationwide sample American adults (N = 1,545; 45% women; ages 18 98, M 53.68, SD 15.63) was assessed on three occasions: late January/early February 2020 (before outbreak), March (during President's initial "15 Days Slow Spread" campaign), April policies most states). Contrary expectations, were no significant mean-level changes across assessments (d .04, p > .05). In fact, respondents perceived increased support from others over follow-up period .19, < .01). Older reported less overall compared younger age groups had an during acute phase .14, Their however, leveled off after issuance stay-at-home orders. Individuals living alone those with at least one chronic condition feeling lonelier baseline did not implementation measures. Despite some detrimental impact individuals, sample, large remarkable resilience COVID-19. (PsycInfo Database Record (c) APA, all rights reserved).

Language: Английский

Citations

876

Depression and Anxiety in Hong Kong during COVID-19 DOI Open Access
Edmond Pui Hang Choi, Bryant P. H. Hui, Eric Yuk Fai Wan

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2020, Volume and Issue: 17(10), P. 3740 - 3740

Published: May 25, 2020

It has been three months since the first confirmed case of coronavirus disease 2019 (COVID-19) in Hong Kong, and people now have a more complete picture extent pandemic. Therefore, it is time to evaluate impacts COVID-19 on mental health. The current population-based study aimed depression anxiety Kong during Respondents were randomly recruited asked structured questionnaire, including patient health questionnaire-9 (PHQ-9), generalized disorder-7 (GAD-7), global rating change scale items related COVID-19. Of 500 respondents included study, 19% had (PHQ-9 score ≥ 10) 14% (GAD 10). In addition, 25.4% reported that their deteriorated Multiple logistic regression analysis found not experiencing SARS outbreak 2003, being worried about infected by COVID-19, bothered having enough surgical masks able work from home associated with poorer status. Psychological support, such as brief, home-based psychological interventions, should be provided citizens

Language: Английский

Citations

875

The psychological impact of COVID-19 pandemic lockdowns: a review and meta-analysis of longitudinal studies and natural experiments DOI Creative Commons
Gabriele Prati, Anthony D. Mancini

Psychological Medicine, Journal Year: 2021, Volume and Issue: 51(2), P. 201 - 211

Published: Jan. 1, 2021

Abstract Lockdowns to control the spread of coronavirus disease 2019 (COVID-19) have had profound effects on everyday life worldwide, but their effect mental health remains unclear because available meta-analyses and reviews rely mostly cross-sectional studies. We conducted a rapid review meta-analysis longitudinal studies natural experiments investigating relationship between COVID-19 lockdowns health. A total 25 involving 72 004 participants 58 sizes were analyzed. Using random model, we found that small symptoms, g = 0.17, s.e. 0.05, 95% CI (0.06–0.24), p 0.001, positive psychological functioning, −0.12, 0.11, (−0.33 0.09), 0.27, not significant. Multivariate analysis revealed significant relatively for anxiety depression, while those social support, loneliness, general distress, negative affect, suicide risk The results indicated substantial heterogeneity among studies, meta-regression analyses no moderation mean age, gender, continent, death rate, days lockdown, publication status or study design. impact is in magnitude highly heterogeneous, suggesting do uniformly detrimental most people are psychologically resilient effects.

Language: Английский

Citations

691

Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: an early report on the Italian general population DOI Open Access
Lorenzo Moccia, Delfina Janiri, Maria Pepe

et al.

Brain Behavior and Immunity, Journal Year: 2020, Volume and Issue: 87, P. 75 - 79

Published: April 20, 2020

Language: Английский

Citations

588

Emotional, Behavioral, and Psychological Impact of the COVID-19 Pandemic DOI Creative Commons
Ana Luísa Pedrosa, Letícia Bitencourt, Ana Cláudia Fontoura Fróes

et al.

Frontiers in Psychology, Journal Year: 2020, Volume and Issue: 11

Published: Oct. 2, 2020

The emergence of SARS-CoV-2 in December 2019 prompted consternation many parts the world. Due to its fast dissemination, World Health Organization declared a pandemic March 2020. Aiming contain spread virus, leaders countries restrained social movement, targeting flatten curve contamination with distancing. This review aimed analyze how human behavior has changed throughout this period. We also approached key components emotional reaction pandemic, internal and external factors, such as personality traits, gender, media, economy governmental response, influence perception psychological outcomes current scenario. Moreover, we explored depth groups at increased risk suffering mental health burden secondary these circumstances. These include healthcare professionals, elderly individuals, children, college students, black subjects, latin LGBTQ+ communities, economically disadvantaged groups, homeless, prisoners, rural population psychiatric patients. discussed several measures that might minimize impact derived from It is crucial authorities, government articulate assist vulnerable promote support strategies. it fundamental provided accurate information concerning COVID-19 pandemic.

Language: Английский

Citations

527

Fear of COVID-19, Stress, and Anxiety in University Undergraduate Students: A Predictive Model for Depression DOI Creative Commons
Antonio J. Rodríguez‐Hidalgo,

Yisela Pantaleón,

Irene Dios

et al.

Frontiers in Psychology, Journal Year: 2020, Volume and Issue: 11

Published: Nov. 5, 2020

Depression is a disabling illness which increases the risk of suicide. The Corona Virus Disease 2019 (COVID-19) pandemic has led to rise in fear, anxiety, stress, and depression among population: these, university undergraduates from countries severely affected by COVID-19 are some most vulnerable all, as they face strict lockdown measures have fewer resources cope with it. aim this study was analyze levels fear COVID-19, during Ecuador, test these possible predictors using model taken our scientific literature. A total 640 (72% women) between 18 47 years old (M = 21.69; S.D 4.093) were surveyed. resulting mean found for above considered non-pathological. Women showed higher than men. statistical prediction good fit. This could be related: both directly positively indirectly, result two factors, mediated anxiety. Our concludes highlighting important role that complex relationships anxiety can play development symptoms how into account programs aimed at preventing alleviating disorder. We propose general reducing stress suggest specific designed control overcome undergraduates.

Language: Английский

Citations

391

COVID‐19 and implications for eating disorders DOI Open Access
Fernando Fernández‐Aranda, Miguel Casas, Laurence Claes

et al.

European Eating Disorders Review, Journal Year: 2020, Volume and Issue: 28(3), P. 239 - 245

Published: April 28, 2020

Coronavirus disease 2019 (COVID-19), emerged only a few months ago in China, is now global pandemic (see Figures 1 and 2). The significant medical complications, morbidity the rapid international spread have led to swift adoption of important public health political measures across world. Most countries chosen isolate positive cases those they are close contact with, limit social interactions reduce transmission. overall consequences COVID-19 on health, humanitarian economic domains remain unknown. As April 15, 2020, World Health Organization (WHO) reported 1,914,916 confirmed infection (with 123,010 deaths) extending almost all globe (https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200415-sitrep-86-covid-19.pdf?sfvrsn=c615ea20_2). Besides that this having (Onder, Rezza & Brusaferro, 2020), it stands an impact mental (Fiorillo Gorwood, 2020; Li, Wang, Xue, Zhao, Zhu, Torales et al., including state patients who suffering from infection, family members lost loved ones due disease, professionals, general population had problem before pandemic, seen their symptoms increase and/or treatment disrupted (Duan Kang Xiang Wang 2020). Several studies Asia reporting higher prevalence post-traumatic stress disorders (PTSD) after within (Liu Pan 2020) problems with anxiety depression (Nguyen Qiu Cao Di, Ye Wei, effect eating disorder (ED) remains These at high physical risk [for example, frailty anorexia nervosa (AN), electrolyte disturbances bulimia (BN), cardiovascular binge (BED)], psychological confinement distress caused by uncertainty decrease usual (Dalle Grave, We might anticipate severity ED symptomatology carer burden will increase, as may not be possible readily implement according evidence-based guidelines (Peckmezian Paxton, van den Berg 2019). Concerns about fitness during serve precipitating factor for development vulnerable individuals. Further factors also contribute likelihood developing ED, such increased time spent using social-media toxic influence objectification thin ideal. Isolation loneliness common AN exaggerated imposed quarantine. Problems emotional regulation trigger (binge episodes consequent purging behaviors) (Manasse 2018), while consequence external control reduced food intake (Masheb, Dorflinger, Rolls, Mitchell, Grilo, 2016). Maladaptive reactions under lead aggression fragmentation splitting. In pilot study Unit Department Psychiatry, University Hospital Bellvitge (Barcelona, Spain), we used survey monitor first two weeks confinement. A total 32 [13 AN, 10 BN), 5 other specified feeding or (OSFED) 4 BED], mean age 29.2 years old (range 16–49), most them females (N = 29; 90.6%), took part telephone survey. presented worries uncertainties lives, themselves ones, negative work, treatment. Almost 38% (12 out 32) impairments 56.2% (18 additional symptoms, whom, four noted made difficult grazing behavior eating. context COVID-19, many settings, urgent visits inpatient treatments settings severe provided and—where possible—online (instead face-to-face) been recommended. Restrictions include closure day hospitals outpatient facilities (e.g., Spain, Austria, USA UK). However, countries, there has implementation technological interventions order provide telemedicine counseling online (including psychoeducation), known delays starting appropriate newly referred can worsening symptomatology. This allow treated period. Also, communication between care providers support system (families friends) managed individual group methods telecommunication. latter overcomes confidentiality, general, rather than individual, matters discussed. It allows families get reduces stigma feel. Online- e-health developed tested over 20 worldwide available implementation, but more research necessary (Anastasiadou 2018; Anderson 2017; Barakat 2019; Vollert Zerwas 2017). some aspects assessment challenging without face-to-face form surrogate measure (Keshen McLean 20192019), especially extreme severely underweight, non-suicidal self-injury, self-destructive patients). these cases, hospitalisation necessary, safeguarding patient, professionals following section, describe challenges solutions managing community COVID-19. information comes multifamily chat consisting diagnosis (n 8) carers UK. was anonymous, although patient/carer usernames were labelled P C, respectively. topic focused how coping rapidly changing environment. recognised being negatively associated health. themes Table 1): P1: "I don't like phone video calling… I want see myself, do person I'm talking to. you same level non-verbal communication, which really need. It's going tough!" P2 "Social media unhelpful different adverts popping up comments others. Which makes isolation feel worse […] For reason, won't use try protect my health." P4: "…you filter so people helpful content seen. found great stay connected." C5: "i think thoughts, i concentrate look things are. carer, its easy isolated generally whilst others empathetic, it's hard truly understand. When finding hard, connect pages know help." P4 offering listening ear feeling particularly anxious presently. me little connected when able talk through issues." P5 I've very socially long find fuels depression. joined project help elderly vulnerable" P6: threatened (by C-19 example!), go into 'drive' mode take world everything everyone. Eating usually casualty behaviour." P2: "…I agree challenge struggle lot change days push myself kind maybe watching film." P5: worried if can't any appointments miss weigh ins constantly knowing weight one another hard. Also carrying restaurants etc well come stop… affect recovery." "…My gone virtual. completely understand course action, certainly lack something both terms therapeutic physically etc. accountability seems far lower, ways incentive ensure unsettling (and kids for) weighs opposite direction. time." C2: "My daughter finds cooking reliever she much her hands home question allowing thing does itself become compulsion unhelpful." Balancing needs P3: "…[I]… structure routine whereas husband challenging" P7: plan non-ED activities carer. Hopefully period good bonding experience behaviours safe environment support" "…definitely idea ahead - unknown extremely best times." C8: "Thanks [patient] reminder our appreciate planning keep busy chaotic Handling dramatic shift prompted discussion strategies connected. ambivalent calls. calls heightened awareness bodily self, self-criticism perceived harmful recovery. Some coped modifying what visible accounts sought comfort viewing recovery-focused peer-support accounts. believed safer potentially triggering forms communication. Carers demonstrated strong around issues themselves. resourceful learning sharing ideas remote methods. Helping highlighted providing sense purpose carers. Reaching friends need wider neighborhood) counteract loneliness. recognition among tendency put others' own affected ability manage Strategies self-care relaxing distractions, reading/television/photography) discussed dealing overwhelming feelings sudden daily life. did report family/friends/neighbours/support groups. Fears reduction patients' clinical teams strongly expressed group. prepare panic loss already felt escalation Although access therapy, agreed (i.e., weigh-ins) would require self-management patients. Patients alike feared deterioration There instability reliance thoughts behaviours. particular, potential recovery obsessive exercise cooking) critical home. crucial way preventing boredom, often preoccupations. described role management one's They shared creative creating meal plans undertaking constructing restaurant home). "Stay home" self-isolation resulting dynamics. individuals (for stability) flexibility adjust whole family, children, challenging. evidently balance multiple giving work adjustment, whether working home, employment, workload. Pandemics pose double (Aoun, Joundi, El Gerges, Li Raven, Wurie, Witter, 2018). recent China workers (nurses, physicians) exposed showed distress, depression, insomnia (Lai Symptom pronounced nurses, women frontline Quarantine anger, confusion, suicide. increases duration quarantine persist (Brooks concerns becoming infected themselves, causing units understaffed infecting Self-care, teamwork, networking cooperation crucial. stress: (i) colleagues own/other centers, (ii) team supervision, (iii) appreciation clients/superiors/society (iv) doing meaningful (Binder Finally, situation, where fears involved, disconnect Self-care includes structuring day, healthy lifestyle accessing professional (Counselling Development Centre, Greenberg, Docherty, Gnanapragasam, Wessely, repercussions produce substantial changes diagnostic strategies. highlights core connection pain central sometimes forgotten pre-existing problems. Patients, EDs, poor insight illness social–emotional difficult, delay help-seeking. Likewise, fact even relevant is, addition dual comorbidity pathologies, complicates progression main recommendations S1, supplementary online, translation languages). Necessity, mother invention, again proved step models. Thus, current enforced immersion new widespread efficient effective, mixed connection. Because forced overcome fear novelty uncertainty, choice personalized palette whom. thank CERCA Programme/ Generalitat de Catalunya institutional support. partially supported Instituto Salud Carlos III (PI17/01167 SLT006/17/00246). CIBEROobn CIBERSAM initiatives ISCIII Spain. Dr. Monica Leslie, Isabel Sánchez, Baenas, Nadine Riesco, Paolo PP Machado, Jon Arcelus, Walter Bouman, Jue Chen, Nathalie T. Godart, Anna Keski-Rahkonen, Youl-Ri Kim, Anders Hakansson, Tetyana Ilnytska, Jan Rosenvinge, Daniel Stein, Mikhail F. Borisenkov, Sergey Popov, Ferenc Túry, Brigita Bax Robert Voren, translations suggestions recommended material. S1 STRATEGIES AND RECOMMENDATIONS IN FRONT OF Please note: publisher responsible functionality supporting supplied authors. Any queries (other missing content) should directed corresponding author article.

Language: Английский

Citations

369

Mental health consequences of COVID-19 media coverage: the need for effective crisis communication practices DOI Creative Commons
Zhaohui Su, Dean McDonnell, Jun Wen

et al.

Globalization and Health, Journal Year: 2021, Volume and Issue: 17(1)

Published: Jan. 5, 2021

Abstract During global pandemics, such as coronavirus disease 2019 (COVID-19), crisis communication is indispensable in dispelling fears, uncertainty, and unifying individuals worldwide a collective fight against health threats. Inadequate can bring dire personal economic consequences. Mounting research shows that seemingly endless newsfeeds related to COVID-19 infection death rates could considerably increase the risk of mental problems. Unfortunately, media reports include infodemics regarding influence on may be source adverse psychological effects individuals. Owing partially insufficient practices, news organizations across globe have played minimal roles battling infodemics. Common refrains raging QAnon conspiracies, false misleading “Chinese virus” narrative, use disinfectants “cure” COVID-19. With potential deteriorate health, fueled by kaleidoscopic range misinformation dangerous. there shortage how improve organization channels. This paper identifies ways legacy social media-based result concerns. discusses possible solutions adopt mitigate negative influences health. Emphasizing need for entities forge fact-based, person-centered, collaborative response reporting, this encourages resources focus core issue slow or stop transmission effectively.

Language: Английский

Citations

369

Effects of the lockdown on the mental health of the general population during the COVID-19 pandemic in Italy: Results from the COMET collaborative network DOI Creative Commons
Andrea Fiorillo, Gaia Sampogna,

Vincenzo Giallonardo

et al.

European Psychiatry, Journal Year: 2020, Volume and Issue: 63(1)

Published: Jan. 1, 2020

Abstract Background The Coronavirus disease 2019 (COVID-19) pandemic is an unprecedented traumatic event influencing the healthcare, economic, and social welfare systems worldwide. In order to slow infection rates, lockdown has been implemented almost everywhere. Italy, one of countries most severely affected, entered “lockdown” on March 8, 2020. Methods COvid Mental hEalth Trial (COMET) network includes 10 Italian university sites National Institute Health. whole study three different phases. first phase online survey conducted between May 2020 in population. Recruitment took place through email invitation letters, media, mailing lists universities, national medical associations, associations stakeholders (e.g., users/carers). evaluate impact depressive, anxiety stress symptoms, multivariate linear regression models were performed, weighted for propensity score. Results final sample consisted 20,720 participants. Among them, 12.4% respondents ( N = 2,555) reported severe or extremely levels depressive 17.6% 3,627) symptoms 41.6% 8,619) feel at least moderately stressed by situation DASS-21. According models, significantly worsened from week April 9–15 30 4 p < 0.0001). Moreover, female people with pre-existing mental health problems higher risk developing depression Conclusions Although physical isolation represent essential public measures containing spread COVID-19 pandemic, they are a serious threat well-being general As integral part response, needs should be addressed.

Language: Английский

Citations

356

Mental Health Effects of COVID-19 Pandemia: A Review of Clinical and Psychological Traits DOI Open Access
Konstantinos Kontoangelos, Marina Economou, Charalabos Papageorgiou

et al.

Psychiatry Investigation, Journal Year: 2020, Volume and Issue: 17(6), P. 491 - 505

Published: June 15, 2020

As the coronavirus (COVID-19) pandemic sweeps across world, it is causing widespread concern, fear and stress, all of which are natural normal reactions to changing uncertain situation that everyone finds themselves in.In this general review, we examined literature about psychological effects COVID-19 pandemia. In total 65 papers were reviewed using Medline computer database. Only publications in English selected.Children likely be experiencing worry, anxiety older people also those with underlying health conditions, having been identified as more vulnerable COVID-19, can extremely frightening very fear-inducing. China several other countries took strict isolation measures. Medical staff affiliated healthcare workers (staff) under both physical pressure.The exceptional. Its effect will imprinted on each individual involved. Extensive stressors emerge or become worsened. Many medical harmfully psychologically affected.

Language: Английский

Citations

348