Responding to mental health needs after terror attacks

Allsopp, Kate; Brewin, Chris R.; Barrett, Alan; Williams, Richard; Hind, Daniel; Chitsabesan, Prathiba; French, Paul

doi:10.1136/bmj.l4828

Cited by 51 publications

(60 citation statements)

References 19 publications

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“…The number of people suffering from mental health impacts after a major event is often greater than the number of people who are physically injured, and mental health effects may last longer. Nonetheless, mental health attracts far fewer personnel for planning and resources (Allsopp et al, 2019). Thus, the Lancet Global Mental Health Commission's observation that the use of nonprofessionals and digital technologies can provide a range of mental health interventions may indicate an opportunity (Patel et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study

Kang

Chen

et al. 2020

Brain, Behavior, and Immunity

1,334

1,287

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Section: Discussionmentioning

confidence: 99%

Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study

Kang

Chen

et al. 2020

Brain, Behavior, and Immunity

1,334

1,287

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“…Psychological distress including depression and anxiety has been reported in the health staff working at the frontline of fighting COVID-19 amid the outbreak [10][11][12][13]. Among health staff, nurses are among the most involved in fighting against the COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: a qualitative study

et al. 2020

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Background COVID-19 infection is a new disease that infects a large number of people, killing a ratio of whom every day in the world. Healthcare staff, especially nurses, experience a great deal of psychological distress during care of COVID-19 patients. Detecting factors that disturb nurses’ mental health during care of these patients can help to reduce their psychological distress. Therefore, this study aimed to explore nurses’ experiences of psychological distress during care of patients with COVID-19. Methods The present qualitative research was performed using the conventional content analysis method in Iran from March to May 2020. Participants in this study included the nurses caring for patients with COVID-19, and they were selected based on the purposeful sampling method. The data was collected through 20 phone call interviews and analyzed based on the method proposed by Lundman and Graneheim. Results Qualitative data analysis revealed 11 categories including death anxiety, anxiety due to the nature of the disease, anxiety caused by corpse burial, fear of infecting the family, distress about time wasting, emotional distress of delivering bad news, fear of being contaminated, the emergence of obsessive thoughts, the bad feeling of wearing personal protective equipment, conflict between fear and conscience, and the public ignorance of preventive measures. Conclusion The data showed that the nurses experienced a variety of psychological distress during care of patients with COVID-19. Through proper planning by authorities, it is possible to manage the risk factors of mental health distress in nurses and improve their mental health status.

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“…When cities are struck by various disasters, the characteristics of psychological health problems that arise can differ in different periods [ 18 , 19 ]. After an emergency, people suffering from impacts on their psychological health often outnumber people who are physically injured, and psychological health impacts may last longer [ 20 ]. The viral pandemic, as a huge negative pressure source, poses great challenges to the psychological health of people, especially medical workers [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Emotional and Cognitive Responses and Behavioral Coping of Chinese Medical Workers and General Population during the Pandemic of COVID-19

Cai

Zheng

Huang

et al. 2020

IJERPH

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Background: The outbreak of Corona Virus Disease 2019 (COVID-19) might affect the psychological health of population, especially medical workers. We aimed to investigate the impact of the COVID-19 pandemic on emotional and cognitive responses and behavioral coping among Chinese residents. Methods: An online investigation was run from February 5 to February 25, 2020, which recruited a total of 616 Chinese residents. Self-designed questionnaires were used to collect demographic information, epidemic knowledge and prevention of COVID-19 and characteristics of medical workers. The emotional and cognitive responses were assessed via the Symptom Check List-30 (SCL-30) and Yale–Brown Obsessive Compulsive Scale (Y-BOCS). Behavioral coping was assessed via Simplified Coping Style Questionnaire (SCSQ). Results: In total, 131 (21.3%) medical workers and 485 (78.7%) members of the general public completed the structured online survey. The structural equation models showed that emotional response interacted with cognitive response, and both emotional response and cognitive response affected the behavioral coping. Multivariate regression showed that positive coping enhanced emotional and cognitive responses, while negative coping reduced emotional and cognitive responses. The emotional response (depression, anxiety and photic anxiety) scores of the participants were higher than the norm (all p < 0.001); in particular, the panic scores of members of the general public were higher than those of medical workers (p < 0.05), as well as the cognitive response (paranoia and compulsion). Both positive and negative coping scores of the participants were lower than the norm (p < 0.001), and the general public had higher negative coping than medical workers (p < 0.05). Conclusion: During the preliminary stage of COVID-19, our study confirmed the significance of emotional and cognitive responses, which were associated with behavioral coping and significantly influenced the medical workers and the general public’s cognition and level of public health emergency preparedness. These results emphasize the importance of psychological health at times of widespread crisis.

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Responding to mental health needs after terror attacks

Abstract: Serious problems identified after the 2005 London Bombings still remain, argue Kate Allsopp and colleagues Mental health responses for people caught up in terror attacks are often inadequate.

Cited by 51 publications

References 19 publications

Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study

Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study

Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: a qualitative study

Emotional and Cognitive Responses and Behavioral Coping of Chinese Medical Workers and General Population during the Pandemic of COVID-19

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