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1.
Int. J. Biol. Sci. ; 13(16): 2265-2270, 2020.
Article in English | ELSEVIER | ID: covidwho-689141

ABSTRACT

The 2019 novel coronavirus disease (COVID-19) epidemic in China has presented substantial challenges to traditional forms of mental health service delivery. This review summarizes the expert consensus on the mental health treatment and services for severe psychiatric disorders during the COVID-19 outbreak developed by the Chinese Society of Psychiatry and other academic associations. The Expert Recommendations on Managing Patients with Mental Disorders during a Serious Infectious Disease Outbreak (COVID-19) outline the appropriate measures for psychiatric hospitals or psychiatric units in general hospitals, including the delivery of outpatient, inpatient, and community mental health services. The Expert Recommendations on Internet and Telehealth in Psychiatry during Major Public Health Crises (COVID-19) describe the assessment and treatment issues of internet-based mental health services during the COVID-19 outbreak. The expert consensus recommendations provide guidance for mental health professionals in managing psychiatric services during the COVID-19 outbreak in China. The experiences from China in addressing the challenges in the management of major psychiatric disorders may be useful and relevant to other countries who are combating the COVID-19 pandemic.

2.
J. Affective Disord. ; (276): 312-315, 20201101.
Article in English | ELSEVIER | ID: covidwho-653701

ABSTRACT

Background: Frontline medical staff exposed to the novel coronavirus disease (COVID-19) could be psychologically and mentally exhausted. This study examined the prevalence of depressive symptoms (depression hereafter) and their correlates and the association between depression and quality of life (QOL) in Emergency Department (ED) nurses during the COVID-19 pandemic in China. Methods: This national, cross-sectional online survey was conducted between March 15 and March 20, 2020 in China. Depression and QOL were measured using the 9-item Patient Health Questionnaire, and the World Health Organization Quality of Life Questionnaire-Brief Version, respectively. Results: The overall prevalence of depression in 1103 ED nurses was 43.61% (95% CI=40.68–46.54%). Multiple logistic regression analysis revealed that working in tertiary hospitals (OR=1.647, P=0.009), direct patient care of COVID-19 patients (OR=1.421, P=0.018), and current smokers (OR=3.843, P<0.001) were significantly associated with depression. After controlling for covariates, nurses with depression had an overall lower QOL compared to those without (F (1,1103)=423.83, P<0.001). Conclusion: Depression was common among ED nurses during the COVID-19 pandemic. Considering the negative impact of depression on quality of patient care and nurses’ QOL, a heightened awareness of, and early treatment for depression for frontline ED nurses should be provided.

3.
J Affect Disord ; 275: 145-148, 2020 10 01.
Article in English | MEDLINE | ID: covidwho-627108

ABSTRACT

INTRODUCTION: High risk of mental health problems is associated with Coronavirus Disease 2019 (COVID-19). This study explored the prevalence of depressive symptoms (depression hereafter) and its relationship with quality of life (QOL) in clinically stable patients with COVID-19. METHODS: This was an online survey conducted in COVID-19 patients across five designated isolation hospitals for COVID-19 in Hubei province, China. Depression and QOL were assessed with standardized instruments. RESULTS: A total of 770 participants were included. The prevalence of depression was 43.1% (95%CI: 39.6%-46.6%). Binary logistic regression analysis found that having a family member infected with COVID-19 (OR=1.51, P = 0.01), suffering from severe COVID-19 infection (OR=1.67, P = 0.03), male gender (OR=0.53, P<0.01), and frequent social media use to obtain COVID-19 related information (OR=0.65, P<0.01) were independently associated with depression. Patients with depression had lower QOL than those without. CONCLUSION: Depression is highly prevalent in clinically stable patients with COVID-19. Regular screening and appropriate treatment of depression are urgently warranted for this population.

7.
J Psychiatr Ment Health Nurs ; 2020 Apr 20.
Article in English | MEDLINE | ID: covidwho-88419
9.
Int J Biol Sci ; 16(10): 1741-1744, 2020.
Article in English | MEDLINE | ID: covidwho-24913

ABSTRACT

Recently, more than 300 Chinese patients with psychiatric disorders were diagnosed with the 2019 novel coronavirus disease (COVID-19). Possible reasons quoted in the report were the lack of caution regarding the COVID-19 outbreak in January and insufficient supplies of protective gear. We outlined major challenges for patients with psychiatric disorders and mental health professionals during the COVID-19 outbreak, and also discussed how to manage these challenges through further mental health service reform in China.


Subject(s)
Betacoronavirus , Coronavirus Infections/psychology , Mental Disorders/complications , Mental Health Services/organization & administration , Mental Health Services/supply & distribution , Pneumonia, Viral/psychology , China/epidemiology , Coronavirus Infections/complications , Disease Outbreaks , Health Care Reform , Hospitals, Psychiatric , Humans , Pandemics , Pneumonia, Viral/complications , Psychiatry , Quarantine/psychology
10.
Int J Biol Sci ; 16(10): 1739-1740, 2020.
Article in English | MEDLINE | ID: covidwho-24912

ABSTRACT

The health authorities reported that 3,019 Chinese health workers were infected with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), of whom, ten died. This article explored relevant reasons and offered suggestions to reduce the risk of infection and provide emergency psychological response for this population.


Subject(s)
Betacoronavirus , Coronavirus Infections/epidemiology , Health Personnel , Pneumonia, Viral/epidemiology , China/epidemiology , Coronavirus Infections/diagnosis , Coronavirus Infections/mortality , Disease Outbreaks , Health Knowledge, Attitudes, Practice , Humans , Pandemics , Personal Protective Equipment/supply & distribution , Pneumonia, Viral/diagnosis , Pneumonia, Viral/mortality
11.
Int J Biol Sci ; 16(10): 1732-1738, 2020.
Article in English | MEDLINE | ID: covidwho-24910

ABSTRACT

The novel coronavirus disease (COVID-19) has been rapidly transmitted in China, Macau, Hong Kong, and other Asian and European counterparts. This COVID-19 epidemic has aroused increasing attention nationwide. Patients, health professionals, and the general public are under insurmountable psychological pressure which may lead to various psychological problems, such as anxiety, fear, depression, and insomnia. Psychological crisis intervention plays a pivotal role in the overall deployment of the disease control. The National Health Commission of China has summoned a call for emergency psychological crisis intervention and thus, various mental health associations and organizations have established expert teams to compile guidelines and public health educational articles/videos for mental health professionals and the general public alongside with online mental health services. In addition, mental health professionals and expert groups are stationed in designated isolation hospitals to provide on-site services. Experts have reached a consensus on the admission of patients with severe mental illness during the COVID-19 outbreak in mental health institutions. Nevertheless, the rapid transmission of the COVID-19 has emerged to mount a serious challenge to the mental health service in China.


Subject(s)
Betacoronavirus , Coronavirus Infections/psychology , Mental Health Services/organization & administration , Mental Health , Pneumonia, Viral/psychology , Anxiety , China/epidemiology , Coronavirus Infections/epidemiology , Depression , Disease Outbreaks , Fear , Humans , Pandemics , Practice Guidelines as Topic , Sleep Initiation and Maintenance Disorders
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