A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations

Qiu, Jianyin; Shen, Bin; Zhao, Min; Wang, Zhen; Xie, Bin; Xu, Yifeng

doi:10.1136/gpsych-2020-100213

Cited by 3,812 publications

(4,506 citation statements)

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“…Early identification of populations in the first stages of psychological crisis will allow for the efficient implementation of interventional strategies (National Health Commission of China 2020). The clinical characteristics of psychological distress have not been well established across the populations affected by the COVID-19 pandemic, although a general increased level of mental distress has been reported from both the general public and frontline medical personnel (Kang et al, 2020;Qiu et al, 2020).…”

Section: Correspondencementioning

confidence: 99%

The differential psychological distress of populations affected by the COVID-19 pandemic

Zhang

Zeng

et al. 2020

Brain, Behavior, and Immunity

623

552

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Section: Correspondencementioning

confidence: 99%

The differential psychological distress of populations affected by the COVID-19 pandemic

Zhang

Zeng

et al. 2020

Brain, Behavior, and Immunity

623

552

View full text Add to dashboard Cite

“…(40). Moreover, confinement measures are also associated with depressive, anxious and compulsive symptoms that can favour the relapse/recurrence of psychological disorders (41). A case-management type of remote transitional follow-up could be provided for this high-risk population.…”

Section: Reorganization Of Psychiatric Institutions In the Healthcarementioning

confidence: 99%

Ensuring mental health care during the SARS-CoV-2 epidemic in France: A narrative review

et al. 2020

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Objective: The lack of resources and coordination to face the coronavirus epidemic raises concerns for the health of patients with mental disorders in a country where we still have memories of the dramatic experience of famine in psychiatric hospitals during the Second World War. This article aims to propose guidance to ensure mental health care during the SARS-CoV epidemic in France. Methods: The authors performed a narrative review identifying relevant results in the scientific and medical literature and in local initiatives in France. Results : We identified four types of major vulnerabilities among patients with mental disorders during this pandemic: 1) medical comorbidities that are more frequently found among patients with mental disorders (cardiovascular and pulmonary pathologies, diabetes, obesity, etc.) which are risk factors for severe covid-19 infection; 2) age (the elderly form the population most vulnerable to the coronavirus); 3) cognitive and behavioural disorders, which can hamper compliance with confinement and hygiene measures and finally and 4) psychosocial vulnerability as a result of stigmatization and/or socio-economic difficulties. Furthermore, the mental health healthcare system is more vulnerable than other healthcare systems. Current government plans are poorly suited to psychiatric establishments in a context of major shortages of organizational, material and human resources. In addition, a certain number of structural aspects make the psychiatric institution particularly vulnerable: many beds have been closed, wards have high densities of patients, mental health community facilities are closed, and medical teams are understaffed and poorly trained to face infectious diseases. There are also major issues when referring patients with acute mental disorders to intensive care units. To maintain the continuity of psychiatric care in this pandemic situation, several directions can be considered, in particular with the creation of "COVID+ units". These units are under the dual supervision of a psychiatrist and an internist / infectious disease specialist; all new entrants are placed in quarantine for 14 days; the nursing staff receives specific training, daily medical checkups and close psychological support. Family visits are prohibited and replaced by videoconference. At the end of hospitalization, in particular for the population of patients in compulsory ambulatory care situations, specific case-management are organized with the possibility of home visits, in order to support patients when they get back home and to help them cope with the experience of confinement, which is liable to induce recurrences of mental disorders. The total or partial closure of community mental health facilities is particularly disturbing for patients, but a regular follow-up is possible with telemedicine and should include the monitoring of suicide risk and psycho-education strategies;developing support platforms could also be very helpful in this context. Private practice psychiatrists also have a crucial role...

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“…(40). De plus, les mesures de confinement sont de plus sont pourvoyeuses de symptômes dépressifs, anxieux, compulsifs à même de favoriser la rechute/récidive de troubles psychiques (41). Un suivi de type case-management de transition à distance pourrait être prodigué pour cette population à haut risque.…”

Section: Vulnérabilité De L'organisation Des Soins Psychiatriques à Lunclassified

“…Le moment est venu, en tant que psychiatres, de faire en sorte que non seulement nos patients puissent pleinement intégrer les services de santé, mais d'aller plus loin pour l'avenir, en plaçant la santé mentale au centre même du dispositif sanitaire, de montrer que l'identification précoce de la détresse psychique et que les interventions médico-psycho-sociales opportunes peuvent non seulement prévenir la crise en période de pandémie, mais aussi aider à contenir sa propagation (56). Le soin des personnes souffrant de troubles psychiques dans un contexte où l'épidémie de SARS-CoV-2 exerce d'autres demandes de soins à destination des psychiatres et acteurs de la santé psychique, comme l'a prouvé l'expérience chinoise (41,(54)(55)(56)(57) :…”

Section: Assurer La Continuité Des Soins Pour Les Patients En Consultunclassified

Assurer les soins aux patients souffrant de troubles psychiques en France pendant l’épidémie à SARS-CoV-2

et al. 2020

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§les auteurs ont contribué à part égale à cet article Résumé Objectif: L'absence de préparation du système de soins psychiatriques à l'épidémie de virus SARS-CoV-2 fait redouter fait redouter un scénario pessimiste pour la santé physique et mentale des patients suivis en psychiatrie. L'objectif de cet article est de proposer des éléments de guidance pour réorganiser les soins psychiatriques dans le contexte de pandémie COVID-19. Méthode : Les auteurs ont réalisé une synthèse de la littérature internationale combinée au partage des expériences locales françaises. Résultats : Les patients souffrant de troubles psychiques semblent particulièrement vulnérables à ce virus et à la pandémie : vulnérabilités liées aux comorbidités médicales, à l'âge, aux troubles cognitifs qui peuvent entraver le respect des consignes de confinement, et aux complications psychosociales. Plusieurs initiatives ont été prises pour assurer la continuité des soins et contenir l'épidémie : création en psychiatrie d'unité COVID+ co-supervisée par des médecins généralistes ou internistes, restriction des consultations aux cas sévères et redéploiement des soins en téléconsultation, accompagnement de type case-management pour les sorties précoces ou Page 3 of 21 J o u r n a l P r e -p r o o f 3 management and coping strategies, prevention of addictions, etc. They should also be trained to prevent, detect and treat early warning symptoms of post-traumatic stress disorder, because their prevalence was high in the regions of China most affected by the pandemic. Discussion : French mental healthcare is now in a great and urgent need for reorganization and must also prepare in the coming days and weeks to face an epidemic of emotional disorders due to the containment of the general population.

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A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations

Cited by 3,812 publications

References 5 publications

The differential psychological distress of populations affected by the COVID-19 pandemic

The differential psychological distress of populations affected by the COVID-19 pandemic

Ensuring mental health care during the SARS-CoV-2 epidemic in France: A narrative review

Assurer les soins aux patients souffrant de troubles psychiques en France pendant l’épidémie à SARS-CoV-2

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