Gaps in psychiatric care before and after the COVID-19 pandemic among patients with depression using electronic health records

Psychiatry Research, Год журнала: 2025, Номер 344, С. 116354 - 116354

Опубликована: Янв. 6, 2025

Язык: Английский

---

Balancing Ethics and Opportunities: The Role of AI in Psychotherapy and Counselling

Deleted Journal, Год журнала: 2025, Номер unknown

Опубликована: Март 2, 2025

The integration of artificial intelligence (AI) into psychotherapy and counselling practices presents both significant opportunities ethical challenges. AI applications, such as automated scheduling, AI-assisted note taking, client engagement tools, predictive analytics for needs, are transforming the delivery mental health care. However, considerations surrounding AI’s role in care complex multifaceted, necessitating careful scrutiny. This paper discusses required responsible implementation technologies counselling, focusing on data protection, consent, preservation therapeutic relationship. It argues that professional bodies educational institutions must collaborate to develop dynamic, adaptable guidelines ensure safe effective use tools. Furthermore, it emphasises need robust protection mechanisms safeguard sensitive information proposes strategies balance benefits with human connection

Язык: Английский

---

Access and use of general and mental health services before and during the COVID-19 pandemic: a systematic review and meta-analysis

BMJ Open, Год журнала: 2025, Номер 15(3), С. e091342 - e091342

Опубликована: Март 1, 2025

Objectives To quantify access to health services during the COVID-19 pandemic and measure change in use between prepandemic periods a population with assessment of psychological distress or diagnosis mental disorders. Data sources We developed piloted search syntax adapted it enter following databases from 1 January 2020 31 March 2023: PubMed/MEDLINE, PsycINFO, Web Science, Epistemonikos WHO International Clinical Trials Registry Platform. reran searches end original 3 December 2024. Design systematically screened titles, abstracts full texts retrieved records. Eligibility criteria included observational studies on any populations regions, covering such as doctor visits, hospital admissions, diagnostic examinations, pharmaceutical therapies (MH) services. Only using validated scales assess disorders defined Diagnostic Statistical Manual Mental Disorders were included. extraction synthesis extracted data purposefully designed form evaluated studies’ quality Newcastle-Ottawa Scale. measured incidence rate (IR) IR ratio (IRR) periods. calculated contacts days catchment areas different used random effects DerSimonian-Laird inverse-variance model heterogeneity statistics I² τ². computed pooled IRR tested hypothesis no variation (IRR=1). Results 10 014 records examined text 580 articles. 136 primary which 44 meta-analysed. The was 2.59 contact months per 000 inhabitants (IR=2.592; 95% CI: 1.301 5.164). observed reduction 28.5% negligible differences by age group type (IRR=0.715; 0.651 0.785). significant effect sizes across (τ 2 =5.44; p<0.001 τ =0.090; p<0.001). Conclusion By considering MH, our study provides consolidated evidence quantifies pandemic. PROSPERO registration number CRD42023403778.

Язык: Английский

---

COVID-19 Related Emotional Stress and Bedtime Procrastination Among College Students in China: A Moderated Mediation Model

Nature and Science of Sleep, Год журнала: 2022, Номер Volume 14, С. 1437 - 1447

Опубликована: Авг. 1, 2022

Although bedtime procrastination is prevalent during the COVID-19 pandemic, little known about relationship between related emotional stress and procrastination. Therefore, we investigated correlation examined mediating role of negative affect moderating rumination among Chinese college students.A multicenter, cross-sectional, quantitative research was conducted in China from August 11, 2021, to 27, pandemic. The sampling method used study convenience method. A total 913 students (aged 18-24 years) participated completed online self-reported questionnaires. Their levels stress, affect, rumination, were measured by Coronavirus Stress Measure, Depression Anxiety Scale, Ruminative Responses Bedtime Procrastination respectively. data analyzed using Pearson correlations moderated mediation analysis.COVID-19 positively associated with Meanwhile, association could be mediated (Effect = 0.33, Boot 95% CI [0.26, 0.39]) 0.05, [0.03, 0.07]) through its moderation link affect. This indicated that effect stronger high than those low rumination.The findings this shed light on a Moreover, suggests interventions targeted at alleviating reduce stress.

Язык: Английский

---

Sociodemographic and clinical characteristics of paediatric patients admitted to a neuropsychiatric care hospital in the COVID-19 era

˜The œItalian Journal of Pediatrics/Italian journal of pediatrics, Год журнала: 2022, Номер 48(1)

Опубликована: Фев. 5, 2022

Abstract Background Since the first months of 2020, Italy and world have been facing COVID-19 pandemic. In addition to dangerous potentially deadly effects on physical health, it has caused a radical change in lifestyle population potential danger for mental health too. These events were inserted into context growing epidemiological trend regarding children’s psychiatric disorders past decade. Aim To study patients admitted Neuropsychiatric Hospital Unit North year, comparing them with hospitalised during year immediately before, according sociodemographic clinical variables. Methodology The is an observational retrospective cohort. total, 198 due neuropsychiatric problems from February 2019 March 2021 recruited. Data analysed through mean standard deviation, t-test, percentages, chi square test, Fischer exact test. Results Risk factors associated similar between two years. hospitalisation modality showed decrease scheduled hospitalisations compared urgent ones, among reasons that led there was conspicuous increase eating disorders. More suicidal self-harming behaviours occurred group too, previous year. methods used attempt suicide changed considerably, prevalence attempted within home. Changes pharmacological therapies also occurred, necessary more than 80% inpatients COVID greater use neuroleptics. There alarming data about relapses, which increased 12.2% pre-COVID 35.0% Conclusion shed light policy issues care developmental age. emergency not yet over, its effects, especially will be long-term, implement services activities dedicated both primary secondary prevention diseases adolescent ages.

Язык: Английский

---

The Moderating Effect of Resilience on Mental Health Deterioration among COVID-19 Survivors in a Mexican Sample

Healthcare, Год журнала: 2022, Номер 10(2), С. 305 - 305

Опубликована: Фев. 5, 2022

Resilience has been reported to be a protective psychological variable of mental health; however, little is known about its role in COVID-19 survivors. Thus, this study, we aimed evaluate the levels depression, anxiety, stress, traumatic impact, and resilience associated with COVID-19, as well investigate moderating variable. A sample 253 participants responded an online survey; all were previously diagnosed by nasopharyngeal swab RT-PCR test, older than 18 years, signed informed consent form. Significant negative correlations found between health variables. Higher was significantly related lower impact event, depression when number symptoms low. Only duration short medium or high distress reduced. Moreover, moderated effects on health, even if relapse occurred. The results emphasize need for interdisciplinary interventions at providing patients social resources cope disease, probable relapses.

Язык: Английский

---

A systematic review of evidence-based interventions for child and adolescent mental health problems in low- and middle-income countries

Comprehensive Psychiatry, Год журнала: 2022, Номер 121, С. 152358 - 152358

Опубликована: Дек. 7, 2022

Treatments for mental health problems in childhood and adolescence have advanced the last 15 years. Despite advances research, most of evidence on effective interventions comes from high-income countries, while is scarce low- middle-income countries (LMICs), where 90% world's children adolescents live. The aim this review was to identify evidence-based tested LMICs treat or prevent child adolescent problems. We conducted a systematic seven major electronic databases, January 2007 July 2019. included randomised non-randomised clinical trials that evaluated aged 6 18 years living who had, were at risk developing, one more Results grouped according studied conditions. Due heterogeneity conditions, outcomes, we performed narrative synthesis. registered PROSPERO under number CRD42019129376. Of 127,466 references found through our search strategy, 107 studies synthesis after eligibility verification processes. Nineteen different conditions nine types addressed by review. Over 1/3 superior comparators, with psychoeducation psychotherapy having highest proportion positive results. One-third classified as presenting low bias. This shows been potential close care gap among low-resource settings.

Язык: Английский

---

Outcomes of Delay of Care After the Onset of COVID-19 for Patients Managing Multiple Chronic Conditions

The Journal of the American Board of Family Medicine, Год журнала: 2022, Номер 35(6), С. 1081 - 1091

Опубликована: Ноя. 17, 2022

Purpose:

Many patients delayed health care during COVID-19. We assessed the extent to which managing multiple chronic conditions (MCC) in first months of pandemic, reasons for delay, and impact delay on patient-reported physical behavioral (BH) outcomes.

Methods:

As part a large clinical trial conducted April 2016–June, 2021, primary MCC were surveyed about symptoms functioning. Surveys administered between September 3, 2020, March 16, included questions any medical BH since Multivariable linear regression was used assess outcomes as function status.

Results:

Among who care, 58% more than once. those 63% Participants times tended be younger, female, unmarried, reported food, financial, housing insecurities worse health. The delaying lack availability in-person visits perceived urgency. had significantly nearly every measure mental health, compared with participants once or did not delay.

Conclusions:

Delay substantial. Patients poorer thus need care. Effective strategies reengaging deferred should identified implemented levels.

Trial registration:

ClinicalTrials.gov NCT02868983. Registered August 2016.

Язык: Английский

---

Confirmation of increased and more severe adolescent mental health-related in-patient admissions in the COVID-19 pandemic aftermath: A 2-year follow-up study

Psychiatry Research Communications, Год журнала: 2023, Номер 3(2), С. 100119 - 100119

Опубликована: Март 13, 2023

COVID-19 pandemic may have affected youth's mental wellbeing. Youth admissions for health emergencies over the 2-year period following outbreak (March 2020-February 2022) were compared to those occurring in same of 2018-2020, with reference individual and clinical data. The study identified 30 pre-pandemic 65 (+116.7%) post-pandemic period, latter being younger, less likely a personal psychiatric history, more receive psychopharmacological treatment. A higher likelihood earlier, ex novo manifestations, requiring medication reach stability, post-COVID era, is suggested.

Язык: Английский

---

The effect of smartphone addiction on the relationship between psychological stress reaction and bedtime procrastination in young adults during the COVID-19 pandemic

BMC Psychiatry, Год журнала: 2023, Номер 23(1)

Опубликована: Ноя. 7, 2023

Previous studies on bedtime procrastination mainly focused the influencing factors of stress and draw less attention role family environment.This study aimed to explore effect psychological reaction in young adults, with considering mediating smartphone addiction, moderating cohesion during COVID-19 pandemic.A sample 1217 adults completed scale, Smartphone addiction tendency scale for scale. A moderated mediation model was conducted clarify bad adults.The findings showed that: (1) The individual level positively associated procrastination; (2) mediated (3) Family relationship among reaction, procrastination.This revealed between pandemic, these could provide novel evidence that may serve as a protective factor against negative consequences procrastination.

Язык: Английский

---