Mental health burden of COVID-19

Mian, Areeb; Al-Asad, Sima; Khan, Shujhat

doi:10.1093/fampra/cmaa100

Cited by 12 publications

(15 citation statements)

References 18 publications

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“…Fear of infection, anxiety, anger, post-traumatic stress disorder, stigma, avoidant behaviors, boredom, and frustration could contribute to individuals' mental health post COVID. The hypochondriac concerns add to other psychosocial and economic stressors, limited socialization, and isolation problems ( 17 ).…”

Section: Discussionmentioning

confidence: 99%

Emergent Crisis of COVID-19 Pandemic: Mental Health Challenges and Opportunities

et al. 2021

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Mental health is a fundamental human right and is part of the well-being of society. The public health burden of mental health disorders affects people's social and economic status around the world. Coronavirus's (COVID-19) negative impact on the economy and mental health worldwide is concerning. This is a worldwide emergency, and there is an urgent need for research about this topic to prevent long-lasting adverse effects on the population. Unpreparedness and inconsistencies in guidelines, lockdowns, containment strategies, unemployment, financial losses, physical distancing, isolation, chaos, and uncertainty are among factors that lead to a rise in emotional distress, anxiety, and depression. Governments' decisions affect the socioeconomic status of a country and the psychological well-being of the people. COVID-19 pandemic exposed disparities in multiple mental health care systems by having adverse mental health effects in people with pre-existing mental health disorders and previously healthy individuals. Aggregation of concurrent or cumulative comorbid risk factors for COVID-19 disease and its psychosocial sequelae could provide invaluable information for the public health stakeholders. This review aims to address the burden and the psychosocial impact of the COVID-19 pandemic, the challenges and opportunities facing mental health systems, and proposes new strategies to improve the mental health outcomes in the post-COVID era.

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Section: Discussionmentioning

confidence: 99%

Emergent Crisis of COVID-19 Pandemic: Mental Health Challenges and Opportunities

et al. 2021

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“…However, initial technical problems were mostly addressed due to the setting -a large metropolitan center in a high-income country -in contrast to countries and regional areas lacking infrastructure and means (Lakeman & Crighton, 2020;Satalkar, Shrivastava, & De Sousa, 2015;Summers-Gabr, 2020). Continuing this important work in a very vulnerable client group was critical, particularly given the mental health consequences associated with extended social isolation (Hossain, Sultana, & Purohit, 2020;Hoyer et al, 2020;Mian, Al-Asad, & Khan, 2020;Tullio et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Telehealth Psychotherapy for Severe Personality Disorder during COVID-19: Experience of Australian Clinicians

Broadbear¹,

Heidari²,

Dharwadkar³

et al. 2021

GJHS

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OBJECTIVE: Restrictions on social interaction during the COVID-19 pandemic necessitated a rapid transition to telehealth to continue providing psychotherapy to people diagnosed with personality disorder. This naturalistic cross-sectional study evaluated the experiences of clinicians using telehealth for the first time to treat clients diagnosed with a severe personality disorder (complex and/or high risk presentation). METHODS: Thirty clinicians working at a specialist clinic for personality disorders completed an online survey during May-June 2020 in Melbourne, Australia. RESULTS: Despite having some initial technical issues, most participants rapidly and successfully connected with clients via phone and/or video-conference, recommencing individual and group evidence-based psychotherapies. Appointments were kept more reliably than when in-person treatment was offered. Issues around privacy, confidentiality, risk, quality of interaction, and treatment boundaries were raised, highlighting the need for specific guidelines and formal processes. However, clinicians’ awareness of some of the benefits of telehealth was evident, with most looking forward to using telehealth for some aspects of their work with clients and more generally into the future. CONCLUSIONS: This experience with delivering psychotherapy using telehealth during COVID restrictions suggests that it is an acceptable platform that can be managed safely for treating patients with severe mental illness in the short term at least. This outcome encourages the pursuit of efficacy studies to evaluate telehealth as a more equitable and accessible treatment modality.

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“…In both cases, a criterion for determining when to end the isolation phase is needed. Although a longer isolation period may decrease the chance of transmission, it also entails both a higher burden on the mental and physical health of the patient ( Mian et al, 2021 ) and cause higher economic loss ( Ash et al, 2021 ). Scientifically sound guidelines for determining when to end isolation are thus warranted.…”

Section: Introductionmentioning

confidence: 99%

Revisiting the guidelines for ending isolation for COVID-19 patients

Jeong

Ejima

Kim

et al. 2021

eLife

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Since the start of the COVID-19 pandemic, two mainstream guidelines for defining when to end the isolation of SARS-CoV-2-infected individuals have been in use: the one-size-fits-all approach (i.e. patients are isolated for a fixed number of days) and the personalized approach (i.e. based on repeated testing of isolated patients). We use a mathematical framework to model within-host viral dynamics and test different criteria for ending isolation. By considering a fixed time of 10 days since symptom onset as the criterion for ending isolation, we estimated that the risk of releasing an individual who is still infectious is low (0–6.6%). However, this policy entails lengthy unnecessary isolations (4.8–8.3 days). In contrast, by using a personalized strategy, similar low risks can be reached with shorter prolonged isolations. The obtained findings provide a scientific rationale for policies on ending the isolation of SARS-CoV-2-infected individuals.

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Mental health burden of COVID-19

Cited by 12 publications

References 18 publications

Emergent Crisis of COVID-19 Pandemic: Mental Health Challenges and Opportunities

Emergent Crisis of COVID-19 Pandemic: Mental Health Challenges and Opportunities

Telehealth Psychotherapy for Severe Personality Disorder during COVID-19: Experience of Australian Clinicians

Revisiting the guidelines for ending isolation for COVID-19 patients

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