The Efficacy of Computerized Cognitive Behavioral Therapy for Depressive and Anxiety Symptoms in Patients With COVID-19: Randomized Controlled Trial

Journal of Medical Internet Research, Journal Year: 2021, Volume and Issue: 23(5), P. e26883 - e26883

Published: April 26, 2021

Background The prevalence of depressive and anxiety symptoms in patients with COVID-19 is higher than usual. Previous studies have shown that there are drug-to-drug interactions between antiretroviral drugs antidepressants. Therefore, an effective safe treatment method was needed. Cognitive behavioral therapy (CBT) the first-line psychological clinical treatment. Computerized CBT (cCBT) proven to be alternative does not require face-to-face a therapist patient, which suited pandemic response. Objective This study aims evaluate efficacy cCBT program we developed improving among COVID-19. Methods We customized focused on COVID-19, then, assessed its effectiveness. Screening based depression or for who scored ≥7 Hamilton Depression Rating Scale (HAMD17) Anxiety (HAMA). A total 252 at five sites were randomized into two groups: + as usual (TAU; n=126) TAU without (n=126). group received intervention 1 week. primary measures HAMD17 HAMA scores. secondary outcome Self-Rating (SDS), (SAS), Athens Insomnia (AIS). Assessments carried out pre- postintervention. patients’ one centers again within month after postintervention assessment. Results displayed significantly decreased score HAMD17, HAMA, SDS, SAS, AIS compared (all P<.001). mixed-effects repeated model revealed significant improvement (HAMD17 SDS scores, both P<.001), (HAMA SAS insomnia (AIS score, P=.002) during follow-up periods group. Additionally, females (P=.14) those middle school education (P=.48) showed no differences when Conclusions findings this suggest nonpharmacological anxiety, depression, Further research warranted investigate long-term effects Trial Registration Chinese Clinical Registry ChiCTR2000030084; http://www.chictr.org.cn/showprojen.aspx?proj=49952

Language: Английский

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Depression and Anxiety During the COVID-19 Pandemic: Epidemiology, Mechanism, and Treatment

Neuroscience Bulletin, Journal Year: 2022, Volume and Issue: 39(4), P. 675 - 684

Published: Nov. 21, 2022

Abstract The Coronavirus Disease 2019 (COVID-19) pandemic has had an adverse impact on the physical and mental health of public worldwide. In addition to illness in patients with COVID-19, isolated people general population have experienced problems due social distancing policies, mandatory lockdown, other psychosocial factors, prevalence depression anxiety significantly increased during pandemic. purpose this review is elucidate epidemiology, contributing pathogenesis anxiety. These findings indicate that physicians psychiatrists should pay more attention identify those a high risk for problems, such as females, younger people, unmarried low educational level. addition, researchers focus identifying neural neuroimmune mechanisms involved anxiety, assess intestinal microbiome effective biomarkers. We also provide overview various intervention methods, including pharmacological treatment, psychological therapy, physiotherapy, reference different populations guide development optimized methods.

Language: Английский

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A global meta-analysis of depression, anxiety, and stress before and during COVID-19.

Health Psychology, Journal Year: 2023, Volume and Issue: 42(2), P. 124 - 138

Published: Feb. 1, 2023

This meta-analysis compared negative emotions (NEs) as depression, anxiety, and stress, from before the pandemic to during pandemic.A total of 59 studies (19 before, 37 during-pandemic, 3 that included both) using Depression, Anxiety Stress Scale (DASS) were included. A random effects model estimated means NEs pandemic.Studies 47 countries involving 193,337 participants Globally, increased pandemic, depression had largest elevation. In Asia, stress elevated, whereas in Europe, only increased, America, no differences between observed. The later time phase was associated with lower globally, anxiety Europe. Being younger more being older higher Asia. Students all three aspects Europe general population. COVID-19 infection rate During females reported levels males, most pronounced Europe.NEs student populations, Asians having highest elevations. (PsycInfo Database Record (c) 2023 APA, rights reserved).

Language: Английский

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Could Cognitive Behavioural Therapy Be an Effective Treatment for Long COVID and Post COVID-19 Fatigue Syndrome? Lessons from the Qure Study for Q-Fever Fatigue Syndrome

Healthcare, Journal Year: 2020, Volume and Issue: 8(4), P. 552 - 552

Published: Dec. 11, 2020

An increasing number of young and previously fit healthy people who did not require hospitalisation continue to have symptoms months after mild cases COVID-19. Rehabilitation clinics are already offering cognitive behavioural therapy (CBT) as an effective treatment for long COVID post-COVID-19 fatigue syndrome based on the claims that it is myalgic encephalomyelitis/chronic (ME/CFS)—the most common post-infectious syndrome—as no study into efficacy CBT has been published. Re-analyses these studies, however, showed lead objective improvements in heterogeneous groups ME/CFS patients, nor restore ability work. The group patients with syndrome, other hand, homogeneous. We therefore analysed Dutch Qure study, studied a homogeneous developed Q-fever syndrome—which affects up 30% patients—after largest reported outbreak Q-fever, see if might potentially be long-haulers COVID-19 infection. Our reanalysis found suffered from many serious methodological problems, which included relying one subjective primary outcome without control non-blinded group, using post hoc definition improvement, waiting 2 years before publishing their actometer results ignoring null effect said results. Moreover, only 10% participants achieved clinically meaningful improvement result according study’s own figures. Consequently, nine out every ten treated it. Additionally, was matched by disability, even though disability related researchers. On top this, physical performance. Therefore, cannot either. It seems unlikely will reduce or syndrome.

Language: Английский

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The effect of online multimedia psychoeducational interventions on the resilience and perceived stress of hospitalized patients with COVID-19: a pilot cluster randomized parallel-controlled trial

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: Feb. 11, 2021

Abstract Background There is evidence suggesting that quarantine might have undesirable psychological impacts on the patients. Therefore, it important to seek for ways increase resilience and alleviate pressure of patients who are quarantined due infection with COVID-19. The present study was conducted assess an online multimedia psychoeducational intervention regarding feasibility, adherence, patient satisfaction effectiveness perceived stress hospitalized confirmed Method This a pilot cluster randomized parallel-controlled trial hospital wards as units randomization. Participants in this fully were 50 consecutive 2 hospitals Shiraz, after being diagnosed Before beginning intervention, four inpatient inside two randomly assigned either or control conditions. All eligible participants allocated condition received interventions during weeks, whilst offered opportunity receive telephone-based counseling if needed. Psychoeducational mainly included cognitive–behavioural techniques, management mindfulness-based reduction positive psychotherapy. assessed at baseline weeks. Results Of 27 starting interventions, 26 (96.29%) completed post-assessments. A high level adherence (80.76%) (Mean = 29.42; SD 4.18) found. Compared group, used reported greater 81.74; Mean 72.86; adjusted t (46) 2.10; p 0.04; CI: 0.39 17.38; dppc2 0.83) fewer interventio n 22.15; 29.45; 2.66; 0.01; − 12.81 1.78; 0.77) Discussion findings provided successful first attempt implementing feasible promote mitigate among results could help mental health professionals determine which techniques should be emphasized patients’ context COVID-19 disease. Trial registration Iranian Registry Clinical Trials, IRCT20201001048893N1 . Retrospectively registered, 29 Jan 2021.

Language: Английский

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Non-Pharmacological Therapies for Post-Viral Syndromes, Including Long COVID: A Systematic Review

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(4), P. 3477 - 3477

Published: Feb. 16, 2023

Background: Post-viral syndromes (PVS), including Long COVID, are symptoms sustained from weeks to years following an acute viral infection. Non-pharmacological treatments for these poorly understood. This review summarises the evidence effectiveness of non-pharmacological PVS. Methods: We conducted a systematic evaluate interventions PVS, as compared either standard care, alternative therapy, or placebo. The outcomes interest were changes in symptoms, exercise capacity, quality life (including mental health and wellbeing), work capability. searched five databases (Embase, MEDLINE, PsycINFO, CINAHL, MedRxiv) randomised controlled trials (RCTs) published between 1 January 2001 29 October 2021. relevant outcome data extracted, study was appraised using Cochrane risk-of-bias tool, findings synthesised narratively. Findings: Overall, studies different (Pilates, music telerehabilitation, resistance exercise, neuromodulation) met inclusion criteria. Aside music-based intervention, all other selected demonstrated some support management PVS patients. Interpretation: In this study, we observed lack robust evaluating COVID. Considering prevalence prolonged infections, there is urgent need clinical cost-effectiveness patients with Registration: protocol registered PROSPERO [CRD42021282074] 2021 BMJ Open 2022.

Language: Английский

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Effectiveness of Functional or Aerobic Exercise Combined With Breathing Techniques in Telerehabilitation for Patients With Long COVID: A Randomized Controlled Trial

Physical Therapy, Journal Year: 2023, Volume and Issue: 103(11)

Published: Sept. 2, 2023

The aim of this study was to compare the short-term clinical effects 2 telerehabilitation programs, functional versus aerobic exercises (AEs), both combined with breathing techniques, regarding improvement long coronavirus disease 2019 (COVID-19) symptoms.A randomized controlled trial conducted. participants were assigned randomly either exercise (FE) group or AE group, including techniques. interventions lasted for 8 weeks 3 sessions per week, and they conducted through Fisiotrack mobile phone application. Assessments performed at baseline after treatment, testing fatigue (Fatigue Assessment Scale), dyspnea (London Chest Activity Daily Living performance (30 Seconds Standing Test), perceived stress (Perceived Stress anxiety depression (Hospital Anxiety Depression Questionnaire), quality life (European Quality Life Scale). change treatment (Patient Global Impression Change usability application (System Usability adherence also examined treatment.In total, 43 (FE n = 21; 22; mean age 42.4 [SD 6.5] years) completed study. In intragroup comparison, FE showed improved (-6.7 points; 95% CI -11.9 -1.3), capacity (2.6 repetitions; 0.3 4.9), (-4.9 -9.1 0.8), while (-6.2 -10.3 -2.1). No significant differences in intergroup effect identified studied variables. Significant observed Patient Scale favor compared reached minimal clinically important difference groups. ease use tool rated excellent groups.Both modalities are effective improving symptoms patients COVID-19. For performance, shows more promising results.FE may be recommended depending on patients' symptoms, improve Telerehabilitation an optimal intervention modality prescription physical

Language: Английский

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The Psychological Experience and Intervention in Post-Acute COVID-19 Inpatients

Neuropsychiatric Disease and Treatment, Journal Year: 2021, Volume and Issue: Volume 17, P. 413 - 422

Published: Feb. 1, 2021

COVID-19 patients faced first-hand the life-threatening consequences of disease, oftentimes involving prolonged hospitalization in isolation from family and friends. This study aimed at describing psychological intervention to address difficulties issues encountered by hospitalized post-acute a rehabilitation setting.

Language: Английский

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The effect of the COVID‐19 pandemic on health anxiety and cyberchondria levels of university students

Perspectives In Psychiatric Care, Journal Year: 2021, Volume and Issue: 58(1), P. 132 - 140

Published: May 20, 2021

Objective Our study hypothesizes that the fear and panic of COVID-19 triggers cyberchondria (CYB) in students thus increasing health anxiety. In this way, we aim to determine effect belief previously having had not on anxiety CYB levels university students. Methods is a descriptive cross-sectional study. The target population our consisted 950 who were continuing their education Vocational School Health Services, an associate degree program university, samples 794 (85.5%) filled out questionnaire (n = 794). form included information regarding sociodemographic characteristics symptoms COVID-19, obtained data electronically collected altogether with Cyberchondria Scale (CS) Anxiety Inventory. Findings mean scores significantly higher people lived alone, chronic disease, searched for online, took herbal supplements against (p < 0.05). total Inventory, CS, Anxiety-Increasing Factors Subscale believe they have lower compared those COVID-19. Nevertheless, women living alone cities high CS Conclusion increase infodemia can be prevented services offered by specialists through mental helpline or websites levels, especially women, urban areas.

Language: Английский

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Depression, stress, anxiety among jordanian people during COVID-19 pandemic: A survey-based study

Informatics in Medicine Unlocked, Journal Year: 2022, Volume and Issue: 30, P. 100936 - 100936

Published: Jan. 1, 2022

COVID-19 pandemic is associated with negative impacts on mental health. The study investigated health measures that include depression, stress, and anxiety, their correlation gender age among Jordanians in the era. This investigation adopted a quantitative, cross-sectional, descriptive design included 1587 subjects recruited through convenient sampling approach. (≥18 years old) were study. total DASS score of whole sample was 32.7 ± 0.67. scale showed significantly high scores for depression groups perceived moderate-high probability infection (P < 0.05). stress greater 0.001) men (11.39 0.469) compared to women (10.74 0.33). On other hand, anxiety higher than (8.13 0.25, 12.71 0.30 respectively). Finally, decreased increasing participants 0.001). Many experienced moderate severe during Such experience sex subjects. results this will benefit decision-makers establishing plan prevent consequences these disorders pandemics.

Language: Английский

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