Psychological Interventions for Healthcare Providers With PTSD in Life-Threatening Pandemic: Systematic Review and Meta-Analysis

Sun, Zeyuan; Yu, Chuan; Zhou, Yue; Liu, Zhenmi

doi:10.3389/fpsyt.2021.697783

Cited by 8 publications

(7 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, there are no studies that have investigated the effectiveness of the UP to decrease symptoms of post-traumatic stress during COVID-19, and these results show that only by applying a brief UP preventive program was a significant reduction in these severe and disabling symptoms achieved. Regarding other psychological interventions to reduce PTSD symptoms due to COVID-19 experiences, a systematic review found that the most feasible and effective treatment program for healthcare professionals with PTSD is still unclear; however, cognitive behavior therapy and mindfulness-based interventions have shown the most significant effects based on current limited evidence [34].…”

Section: Discussionmentioning

confidence: 99%

“…However, no pro-gram effectiveness results were published [31]. Systematic reviews of preliminary studies show that interventions focused on building resilience may decrease perceived stress and burnout [32,33] and that cognitive behavior therapy and mindfulness-based interventions may be effective to treat symptoms of posttraumatic stress disorder (PTSD) due to COVID-19 experiences [34].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of Acceptability and Initial Effectiveness of a Unified Protocol Prevention Program to Train Emotional Regulation Skills in Female Nursing Professionals during the COVID-19 Pandemic

Ferreres-Galán

Haro

Peris‐Baquero

et al. 2022

IJERPH

View full text Add to dashboard Cite

Healthcare professionals, especially women, have shown increases in anxious-depressive symptoms as a consequence of the COVID-19 pandemic. The aim of this pilot study was to evaluate the acceptability and preliminary effectiveness of a Unified Protocol (UP) prevention program to provide emotional regulation skills to cope with stressful situations. The sample consisted of 27 nursing professionals (100% women; mean age: 45.67; SD = 7.71) working in a Spanish public hospital during COVID-19, who were randomized to an immediate treatment group (ITG, n = 13) or to a delayed treatment group (DTG, n = 14, which served as the waiting list control group and received the program 5 weeks after the ITG had received it). The program consisted of five-weekly, two-hour, UP-based group sessions. Variables related to emotional symptomatology, emotional regulation, personality, burnout, and perceived quality of life were evaluated at the following time points: pre- and post-intervention and at 1-, 3-, and 6-month follow-ups. Statistically significant between-group differences showed lower emotional exhaustion and personal accomplishment in favor of the ITG after the intervention. Regarding the effect over time for all participants who received the UP (n = 27), statistically significant reductions were observed in neuroticism, personal accomplishment, and subjective distress caused by traumatic events (−0.23 ≤ d ≤ −0.73). A statistically significant interaction “Time*Condition” was found in anxiety, with increases in the DTG. Participants showed high satisfaction with the UP. These findings show good acceptability and preliminary effectiveness of the UP to reduce the emotional impact of the pandemic in female nursing workers.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of Acceptability and Initial Effectiveness of a Unified Protocol Prevention Program to Train Emotional Regulation Skills in Female Nursing Professionals during the COVID-19 Pandemic

Ferreres-Galán

Haro

Peris‐Baquero

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…All the included studies were systematic literature reviews, with six of them involving metaanalysis (Table 1). Only three reviews included RCTs exclusively (20)(21)(22). The included studies covered 47 countries; 27 of them (57%) were high-income countries (HIC), while 11% were low-income countries (LIC) (Figure 2).…”

Section: Characteristics Of the Included Studymentioning

confidence: 99%

Integrating Mental Health and Psycho-Social Support (MHPSS) into infectious disease outbreak and epidemic response: an umbrella review and operational framework

Alkasaby

Philip

Douba

et al. 2023

Preprint

View full text Add to dashboard Cite

Introduction Infectious disease outbreaks have a substantial impact on people's psychosocial well-being. Yet, mental health and psychosocial support (MHPSS) interventions are not systemically integrated into outbreak and epidemic response. Our review aims to synthesise evidence on the effectiveness of MHPSS interventions in outbreaks and propose a framework for systematically integrating MHPSS into outbreak response. Methods We conducted an umbrella review in accordance with the Joanna Briggs Institute (JBI) methodology for umbrella reviews. Results We identified 23 systematic literature reviews, 6 of which involved meta-analysis, and only 30% (n=7) were of high quality. Most of the available literature was produced during COVID-19 and focused on clinical case management and medical staff well-being, with scarce evidence on the well-being of other outbreak responders and MHPSS in other outbreak response pillars. Conclusion Despite the low quality of the majority of the existing evidence, MHPSS interventions have the potential to improve the psychological well-being of those affected by and those responding to outbreaks. They also can improve the outcomes of the outbreak response activities such as contact tracing, infection prevention and control, and clinical case management. Our proposed framework would facilitate integrating MHPSS into outbreak response and hence mitigate the mental health impact of outbreaks. Review registration PROSPERO CRD42022297138.

show abstract

“…[25][26][27] Only one previous meta-analysis examined the efficacy of psychological interventions for healthcare professionals with PTSD in a life-threatening pandemic. 28 This review paid more attention to the effectiveness of psychological interventions and included only one study in each meta-analysis. Studies of interventions conducted in healthcare professionals focusing on reducing PTSD symptoms are accumulating, especially amid the COVID-19 pandemic.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Only one previous meta-analysis examined the efficacy of psychological interventions for healthcare professionals with PTSD in a life-threatening pandemic 28. This review paid more attention to the effectiveness of psychological interventions and included only one study in each meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

Interventions to reduce post-traumatic stress disorder symptoms in health care professionals from 2011 to 2021: a scoping review

Qian

Wang²,

Sun

et al. 2022

BMJ Open

View full text Add to dashboard Cite

ObjectivesThis scoping review aimed to describe available interventions for decreasing (post-traumatic stress disorder) PTSD symptoms among healthcare professionals in hospital care.MethodA scoping review was conducted following Arksey and O’Malley’s framework. PubMed, EMBASE, Cochrane Library, CINAHL, PsycINFO, Web of Science, Scopus and ProQuest were searched for original research published in English from 2011 to 2021, on 8 July 2021. We included studies that described interventions that focused on reducing the PTSD symptoms of healthcare professionals. A narrative synthesis was adopted to synthesise the data.ResultsA total of eight studies out of 2558 articles were identified. Six used a quantitative study design and two adopted qualitative methods. cognitive behavioural therapy and mindfulness-based interventions were the most commonly adopted. Most studies used a combination of different intervention strategies. Trauma-related knowledge, emotion regulation and relaxation skill training, and psychological support from peers and psychologists were three core intervention components. The duration ranged from 2 weeks to 6 months. Healthcare professionals who participated in training programmes reported both positive experiences and suggestions for the improvement of PTSD-reducing interventions in their qualitative feedback.ConclusionsThe scoping review provides a practical summary of the intervention characteristics for reducing the PTSD symptoms of healthcare professionals. Hospitals and managers could use the overview of interventions to assist healthcare professionals with PTSD symptoms. More research investigating the effects of PTSD symptom-reducing interventions for healthcare professionals with appropriate follow-up assessments is needed in the future.

show abstract

Psychological Interventions for Healthcare Providers With PTSD in Life-Threatening Pandemic: Systematic Review and Meta-Analysis

Cited by 8 publications

References 31 publications

Assessment of Acceptability and Initial Effectiveness of a Unified Protocol Prevention Program to Train Emotional Regulation Skills in Female Nursing Professionals during the COVID-19 Pandemic

Assessment of Acceptability and Initial Effectiveness of a Unified Protocol Prevention Program to Train Emotional Regulation Skills in Female Nursing Professionals during the COVID-19 Pandemic

Integrating Mental Health and Psycho-Social Support (MHPSS) into infectious disease outbreak and epidemic response: an umbrella review and operational framework

Interventions to reduce post-traumatic stress disorder symptoms in health care professionals from 2011 to 2021: a scoping review

Contact Info

Product

Resources

About