Progression of Mental Health Services during the COVID-19 Outbreak in China

Wen, Li; Yang, Yuan; Liu, Zi Han; Zhao, Yan; Zhang, Qinge; Zhang, Ling; Cheung, Teris; Xiang, Yu Tao

doi:10.7150/ijbs.45120

Cited by 1,039 publications

(1,095 citation statements)

References 12 publications

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“…5 The outbreak of communicable diseases is widely perceived as a traumatic event leading to a significant increase in anxiety, depression and fear levels. 6,7 During the outbreak of the Severe Acute Respiratory Syndrome (SARS) 8 and the Middle Eastern Respiratory Syndrome (MERS) 9 , the quarantined individuals had more negative emotions like anxiety and anger which are consistent with the findings from isolated mice experiments. 10 Hu et al found that the type of quarantine can affect the level of anxiety during the COVID-19 outbreak in China.…”

supporting

confidence: 71%

“…11 Mass quarantine restrictions on non-emergency health services including psychiatric care may adversely affect the access of vulnerable populations to mental health care which cannot be provided by health professionals in isolation units and hospitals due to a lack of specialized training. 7,12 Posttraumatic stress disorder (PTSD) is a mental health condition characterized by heightened anxiety that can also occur in response to diseases outbreaks. The immediate increase of posttraumatic stress symptoms (PTSS) among patients, healthcare workers, and general population following outbreaks of the SARS, MERS, Ebola, and Zika -had been studied longitudinally in order to evaluate the long-term consequences of these diseases' outbreaks.…”

mentioning

confidence: 99%

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COVID-19 Induced Anxiety and Protective Behaviors During COVID-19 Outbreak: Scale Development and Validation

Riad

Huang

Zheng

et al. 2020

Preprint

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Background: The outbreak of communicable diseases increases community anxiety levels; however, it demands protective behavioral changes with adjacent awareness of the emerging epidemic. This work aims to develop valid instruments to evaluate COVID-19 induced anxiety, protective behaviors, and knowledge towards COVID-19, and to explore the relationship between the three constructs. Methods: A total sample of 215 university students were recruited to participate in an online self-administered questionnaire. The e-survey consisted of three instruments: COVID-19 Induced Anxiety Scale (CIAS) with 10 items, Protective Behaviors towards COVID-19 Scale (PBCS) with 14 items, and COVID-19 Related Knowledge Scale (CRKS) with 12 items. Results: Item-total analysis and CFA models indicated that CIAS items no. 1, 2, 5, and 8 should be removed to achieve adequate internal consistency (Cronbach alpha=0.78) and structural validity. The protective behaviors towards COVID-19 can be estimated from 3 dimensions: Routine Protective Behaviors (RPB), Post-exposure Protective Behaviors (PPB), and Post-exposure Risky Behaviors (PRB). Meanwhile, PBCS showed good internal consistency (Cronbach alpha=0.85). Although the sample was unbalanced on gender, gender explained 5% of the variance in protective behaviors with females being more inclined to engage in protective behaviors. Structural Equation Model (SEM) implied that an individual's COVID-19 related knowledge was associated with the three dimensions of protective behaviors (RPB, PPB, and PRB) positively. However, the level of COVID-19 induced anxiety was linked to RPB and PPB positively but negatively to PRB. Conclusion: The 6-item version of CIAS and the 14-item version of PBCS are promising tools for measuring COVID-19 induced anxiety and protective behaviors and can be adopted for future use during early phases of communicable diseases outbreaks. Knowledge is a key indicator for protective behavior; therefore, awareness strategies need to suppress infodemic impact. Severe stress must be monitored during early phases of outbreaks as it significantly increases the probability of risk behavior engagement.

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supporting

confidence: 71%

mentioning

confidence: 99%

COVID-19 Induced Anxiety and Protective Behaviors During COVID-19 Outbreak: Scale Development and Validation

Riad

Huang

Zheng

et al. 2020

Preprint

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“…The suspected and/or confirmed COVID-19 persons largely experience fear regarding the high contagiousness and fatality (Wang et al 2020a;Li et al 2020…”

Section: Among Covid-19 Casesmentioning

confidence: 99%

Coping with Mental Health Challenges During COVID-19

Kar

Arafat²,

Kabir

et al. 2020

Medical Virology: From Pathogenesis to Disease Control

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The ongoing pandemic of COVID-19 is a global challenge which resulted in significant morbidity and mortality worldwide. It has also adversely affected the economy and social integrity. There is rising concern about the mental health challenges of the general population, COVID-19-infected patients, close contacts, elderly, children and health professionals. This chapter focusses on various mental health challenges during the COVID-19 pandemic.

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“…24,25 China has now widely launched online psychological intervention services, including psychological counseling via telephone hotlines and intervention platforms. 26 Considering that the current epidemic of Covid-19 has spread worldwide, the psychological problems of the public might persist or further develop for a long period. It would remain a problem worthy of consideration and attention that how to better allocate limited medical resources to provide psychophysiological support for patients with chronic diseases and rare diseases, such as SAPHO syndrome.…”

Section: ) Discussionmentioning

confidence: 99%

Concerns about disease management and psychological stress in SAPHO patients during the COVID-19 epidemic

Zhang

Cao

et al. 2020

Preprint

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Objectives The coronavirus disease 2019 (COVID-19) epidemic brings potentially impact on the care of patients with rheumatic diseases, including SAPHO syndrome. We aimed to investigate the disease status, concerns about management, and psychological stress in SAPHO patients during the COVID-19 epidemic. Method A structured questionnaire was distributed online to patients with SAPHO syndrome enrolled in a Chinese cohort study on March 3rd, 2020. Patients were ask about the current treatments, disease status, and concerns about disease management during the epidemic. Psychologic stress (scored from 0 to 10 points) and psychological problems were reported by the patients. Results A total of 157 patients (mean age 38.4 ± 12.3 years, 66.9% females) were included in the study. None of the patients were diagnosed with COVID-19. Sixty-five (41.4%) patients worried about their disease conditions during the epidemic with concerns including medication shortage (73.8%), delay of consultation (46.2%), and disease aggravation (61.5%). Sixty-seven (42.7%) patients had medication withdrawal or dose reduction due to lack of drugs, irregular daily schedule or subjective reasons. The most common psychological problems reported was little interest or pleasure in doing things (66.2%). Patients with progressive disease condition were more distressed and disturbed by the epidemic. Patients with nail involvement felt more worried about their disease conditions than patients without (59.6% vs 31.0%, p =0. 001). Conclusions The COVID-19 epidemic imposes a negative impact on the disease management and psychological stress in SAPHO patients. Patients' access to specialty care and medication well as mental stress is of great concern.

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Progression of Mental Health Services during the COVID-19 Outbreak in China

Abstract: The novel coronavirus disease

Cited by 1,039 publications

References 12 publications

COVID-19 Induced Anxiety and Protective Behaviors During COVID-19 Outbreak: Scale Development and Validation

COVID-19 Induced Anxiety and Protective Behaviors During COVID-19 Outbreak: Scale Development and Validation

Coping with Mental Health Challenges During COVID-19

Concerns about disease management and psychological stress in SAPHO patients during the COVID-19 epidemic

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