Depression and anxiety among caregivers of psychiatric patients during the late stage of the COVID-19 pandemic: A perspective from network analysis

Sun, He-Li; Zhao, Yan-Jie; Sha, Sha; Li, Xiao-Hong; Si, Tong Leong; Liu, Yu-Fei; Su, Zhaohui; Cheung, Teris; Chang, Angela; Liu, Zhao-Min; Li, Xinyue; Ng, Chee H.; An, Feng-Rong; Xiang, Yu-Tao

doi:10.1016/j.jad.2023.09.034

Cited by 5 publications

(2 citation statements)

References 59 publications

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“…During the prolonged COVID-19 pandemic, there has been an emerging trend in complications of COVID-19 infection and vaccination, intensifying the psychosocial burdens [5,18,19]. Despite the considerable clinical benefits of the COVID-19 vaccination, it paradoxically made managing psychiatric disorders more challenging due to the contradictory outcomes associated with COVID-19 vaccination [11,[13][14][15][18][19][20][21]. Here, we conducted a populationbased retrospective cohort study for psychiatric AEs after COVID-19 vaccination in Seoul, South Korea.…”

Section: Discussionmentioning

confidence: 99%

“…With their issues, mental health is still an unsolved concern in the post-COVID-19 era [4,6]. Many studies have focused on the correlation between mental health and COVID-19 breakthrough [11]. However, mental illness as a result of the COVID-19 vaccine itself, specifically post-vaccination psychiatric AEs was not well-studied, with scant evidence in the literature, which was documented primarily in the form of case reports and case series [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Psychiatric adverse events following COVID-19 vaccination: a population-based cohort study in Seoul, South Korea

Kim,

Choi

et al. 2024

Mol Psychiatry

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Evidence has suggested an increased risk of psychiatric manifestations following viral infections including coronavirus disease-2019 (COVID-19). However, psychiatric adverse events (AEs) after COVID-19 vaccination, which were documented in case reports and case series, remain unclear. This study is aimed to investigate the psychiatric AEs after COVID-19 vaccination from a large population-based cohort in Seoul, South Korea. We recruited 50% of the Seoul-resident population randomly selected from the Korean National Health Insurance Service (KNHIS) claims database on 1, January, 2021. The included participants (n = 2,027,353) from the Korean National Health Insurance Service claims database were divided into two groups according to COVID-19 vaccination. The cumulative incidences per 10,000 of psychiatric AEs were assessed on one week, two weeks, one month, and three months after COVID-19 vaccination. Hazard ratios (HRs) and 95% Confidence interval (CIs) of psychiatric AEs were measured for the vaccinated population. The cumulative incidence of depression, anxiety, dissociative, stress-related, and somatoform disorders, sleep disorders, and sexual disorders at three months following COVID-19 vaccination were higher in the vaccination group than no vaccination group. However, schizophrenia and bipolar disorders showed lower cumulative incidence in the vaccination group than in the non-vaccinated group. Depression (HR [95% CI] = 1.683 [1.520–1.863]), anxiety, dissociative, stress-related, and somatoform disorders (HR [95% CI] = 1.439 [1.322–1.568]), and sleep disorders (HR [95% CI] = 1.934 [1.738–2.152]) showed increased risks after COVID-19 vaccination, whereas the risks of schizophrenia (HR [95% CI] = 0.231 [0.164–0.326]) and bipolar disorder (HR [95% CI] = 0.672 [0.470–0.962]). COVID-19 vaccination increased the risks of depression, anxiety, dissociative, stress-related, and somatoform disorders, and sleep disorders while reducing the risk of schizophrenia and bipolar disorder. Therefore, special cautions are necessary for administering additional COVID-19 vaccinations to populations vulnerable to psychiatric AEs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychiatric adverse events following COVID-19 vaccination: a population-based cohort study in Seoul, South Korea

Kim,

Choi

et al. 2024

Mol Psychiatry

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Prevalence and network analysis of internet addiction, depression and their associations with sleep quality among commercial airline pilots: A national survey in China

Sun,

Chen,

Zhang

et al. 2024

Journal of Affective Disorders

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Effectiveness of Yoga Pranayama in Reducing Anxiety Levels Among Caregiver of Children With Mental Disorders in Denpasar

Putra,

Ardani,

Sutrisna

et al. 2024

Preprint

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Background: Caregivers of children with mental disorders often face significant psychological challenges, including elevated anxiety levels. This study aimed to assess the effectiveness of yoga pranayama as a non-pharmacological intervention in reducing anxiety among these caregivers in Denpasar. Method: The research employed a pre-experimental design with a one-group pre-post-test approach involving 36 caregivers recruited from the Disability Service Center in Denpasar City. The intervention consisted of 30-minute yoga pranayama sessions conducted once a week for four consecutive weeks. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention period. Results: The results revealed a significant decrease in HARS scores from pre-test (29.5 ± 8.56) to post-test (6.42 ± 3.65), with paired t-test analysis showing a mean difference of 23.083 points (95% CI: 20.205 - 25.962, p < 0.001). Conclusion: These findings demonstrate that yoga pranayama is an effective strategy for reducing anxiety levels among caregivers of children with mental disorders in Denpasar. The substantial and statistically significant reduction in anxiety scores suggests that integrating yoga pranayama into support programs for caregivers could be a valuable approach to improving their mental well-being. This study contributes to the growing evidence supporting mind-body interventions in caregiversupport. It highlights the potential of yoga pranayama as an accessible and beneficial practice for this population.

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Depression and anxiety among caregivers of psychiatric patients during the late stage of the COVID-19 pandemic: A perspective from network analysis

Cited by 5 publications

References 59 publications

Psychiatric adverse events following COVID-19 vaccination: a population-based cohort study in Seoul, South Korea

Psychiatric adverse events following COVID-19 vaccination: a population-based cohort study in Seoul, South Korea

Prevalence and network analysis of internet addiction, depression and their associations with sleep quality among commercial airline pilots: A national survey in China

Effectiveness of Yoga Pranayama in Reducing Anxiety Levels Among Caregiver of Children With Mental Disorders in Denpasar

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