Current Healthcare Policy and Environmental Status of Digital Health Medical Devices in South Korea

Objectives: COVID 19 and increasing unmet needs of health technology had accelerated an adoption of digital health globally and the major categories are mobile-health, health information technology, telemedicine. Digital health interventions have various benefit on clinical efficacy, quality of care and reducing healthcare costs. The objective of the study is to identify new reimbursement policy trend of digital health medical devices in South Korea. Method(s): Official announcements published in national bodies and supplementary secondary research were used to capture policies, frameworks and currently approved products since 2019. Result(s): With policy development, several digital health devices and AI software have been introduced as non-reimbursement by utilizing new Health Technology Assessment (nHTA) pathway including grace period of nHTA and innovative medical devices integrated assessment pathway. AI based cardiac arrest risk management software (DeepCARS) and electroceutical device for major depressive disorders (MINDD STIM) have been approved as non-reimbursement use for about 3 years. Two digital therapeutics for insomnia and AI software for diagnosis of cerebral infarction were approved as the first innovative medical devices under new integrated assessment system, and they could be treated in the market. In addition, there is remote patient monitoring (RPM) reimbursement service fee. Continuous glucose monitoring devices have been reimbursed for type 1 diabetes patients by the National Health Insurance Service (NHIS) since January 2019. Homecare RPM service for peritoneal dialysis patients with cloud platform (Sharesource) has been reimbursed since December 2019, and long-term continuous ECG monitoring service fee for wearable ECG monitoring devices (ATpatch, MEMO) became reimbursement since January 2022. Conclusion(s): Although Korean government has been developed guidelines for digital health actively, only few products had been reimbursed. To introduce new technologies for improved patient centric treatment, novel value-based assessment and new pricing guideline of digital health medical devices are quite required.Copyright © 2023

The roles of suicide-related rumination and COVID-19 in suicidal ideation and behaviours: Data from a large-scale youth epidemiological sample in Hong Kong

Suicide remains to be one of the leading causes of death amongst young people worldwide. Help-seeking, however, remains disproportionately suboptimal in the youth population. Identifying more effective and less stigmatizing markers of suicidal ideation and behaviours can be important for improving early engagement and intervention work. We therefore examined the prevalence of suicidal ideation, plan, and attempt in a large epidemiological youth sample in Hong Kong (n = 2540) during the period of 2019-2021, as well as the factors associated with each of these outcomes using separate multivariable logistic regression models. In this sample, the 12-month prevalence of suicidal ideation, plan, and attempt was 20.0%, 4.6%, and 1.3%, respectively. In particular, we found 'suicide-related rumination' to be amongst the only factor that was significant for all three outcomes (p < .010). Using a two-stage approach (i.e., selecting only those with suicidal ideation), we found that suicide-related rumination, poorer cognitive ability, and 12-month major depressive episode were specifically associated with 12-month suicide plan, while environmental factors, including COVID-19 stressors, personal life stressors, poorer family relationships, as well as non-suicidal selfharm, were specifically associated with 12-month suicide attempt. A two-stage approach should be considered in future interventions targeting youth suicide. Suicide-related rumination may be an important marker of overall suicidal risk. The role of environmental stressors in addition to intrinsic vulnerability also need to be emphasized to best support young people at risk.

Child, adolescent, and parent mental health in general population during a year of COVID-19 pandemic in belgium: a cross-sectional study

Background: This study aims to evaluate the mental health status of children, adolescents and their parents during the first year of COVID-19 pandemic in Belgium. Method(s): Analysis compared results before and during the second national lockdown, which started on November 2nd 2020. A cross-sectional online survey was conducted between May 2020 and April 2021. Result(s): Two hundred and eighteen adults and 273 children fully completed the survey. Almost one in five children (17.9%) presented moderate-to-severe scores of depression. Adolescents presented a higher level of depression than children (p = 0.007). The rate of moderate-to-severe depression scores (10.8% to 21%, p = 0.007) and internalized symptoms increased during the second lockdown (p < 0.001). Parents' depression (p < 0.001) and anxiety (p = 0.027) levels also increased during the second lockdown. Logistic regression showed that the use of psychotropic medication in parents and parents' depression scores were risk factors for children to have worse depression scores. Conclusion(s): The second lockdown appears to worsen the effects of the pandemic on children's and parents' mental health. There is a need to implement specific interventions targeting both children/adolescents and their parents to support them during lockdown periods and improve mental health outcomes.Copyright © 2022, The Author(s).

HOLISTIC APPROACH IN THE ASSESSMENT OF THE RELAPSE OF DEPRESSIVE AND ANXIETY DISORDERS DURING COVID-19.

The aim of the current study was to assess the influence of the first wave of COVID-19 (March- June 2020) on individuals with depression and anxiety, evaluating the impact of different groups of factors in a complex (holistic) manner. Material(s) and Method(s): The study is cross-sectional, including outpatients with depressive and anxiety disorders in remission (n = 60), outpatients in relapse (n = 65), a group of healthy controls (n = 30), and a control group with relatives of the patients with depression and anxiety (n = 30) for the period July-October 2020. Socio-demographic factors, the presence of somatic comorbidity and risk factors related to it, and the need for medical care during the first COVID wave were analyzed. Result(s): Patients with deteriorated anxiety disorders have a significantly lower educational status (p < 0.001) in comparison to the other groups. Individuals with deteriorated major depressive disorder and controls-relatives have significantly more somatic comorbidity compared to healthy controls (p < 0.05). Individuals with anxiety disorders do not differ from healthy controls on this measure. Visits to medical specialists in those with worsening depression increased during the analyzed period but were comparable to the control groups. In persons with anxiety - worsened or in remission, there is a significant increase in this indicator compared to healthy controls (p < 0.05). Conclusion(s): In the conditions of the first COVIDwave, individuals with worsened depression, as well as relatives of anxious and depressed patients have significantly more somatic problems compared to healthy controls. However, individuals with anxiety but not depression seek significantly more healthcare consultations, despite the isolation. The holistic approach implies a complex assessment of somatic and mental comorbidity and the need for additional knowledge and resources in the service of persons with anxiety and depression, although there is relatively easy access to consultation care in our country.Copyright © 2023, Central Medical Library Medical University - Sofia. All rights reserved.

Validation of CES-D8 among Czech university students during COVID-19 pandemic

Objectives: Due to the rise of depressive symptomatology especially among vulnerable populations such as young adults during the COVID-19 outbreak, a reliable measuring tool is needed. Because of the lack of such studies, the authors decided to validate the 8-item Center for Epidemiologic Studies Depression Scale (CES-D 8) among Czech university students capturing the beginning of lockdown experience. Statistical analyses: Confirmatory factor analysis was conducted and structural equation modelling with diagonally weighted least squares estimation using lavaan was employed. Different hypotheses about the dimensionality of the CES-D 8 scale were tested. The authors assessed the measurement equivalence of the CES-D 8 scale according to gender using multigroup confirmatory factor analysis. The effect of socio-demographic and COVID-19 issues variables on depression was examined. Results: One dimensional model with correlated errors showed sufficient validity and therefore, the best fit. Multigroup confirmatory factor analysis results revealed that the factor structure is invariant across gender. Women and those who reported financial distress and academic stress showed a higher level of depressive symptomatology. On the other hand, relationships proved to have a protective effect. Limitations: The sample came from an online survey, respondents were self-selected. There was a gender imbalance in the sample that cannot be explained by a higher number of women in the Czech university environment. Conclusions: The CES-D 8 proved to be a useful instrument for measuring depressed mood that opens further possibilities for depression research in the university environment and during pandemic situations. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Czech) Cile: Vzhledem k narustu depresivni sympto-matologie behem pandemie covid-19 zejmena u zranitelnych skupin, jako jsou mladi dospeli, narostla potrebnost spolehliveho nastroje na mereni depresivity. Z duvodu chybejici validizace se autori rozhodli overit osmipolozkovou skalu Center for Epidemiologic Studies Depression Scale (CES-D 8) u ceskych vysokoskolskych studentu v dobe sameho pocatku pandemie. Statisticke analyzy: Byla provedena konfirmacni faktorova analyza za pouziti strukturniho modelovani metodou DWLS (diagonally weighted least squares) pomoci baliku laavan. Byly testovany ruzne hypotezy o dimenzionalite skaly CES-D 8. Pomoci MCFA (multigroup confirmatory factor analysis) autori posuzovali ekvivalenci mereni skaly CES-D 8 podle pohlavi. Byl zkouman vliv sociodemografickych promennych a promennych tykajicich se problematiky covid-19 na depresivni symptoma-tologii. Vysledky: Jednodimenzionalni model s korelo-vanymi rezidualnimi rozptyly u dvou polozek prokazal dostatecnou validitu a nejlepe odpovidal datum. Vysledky MCFA ukazaly, ze faktorova struktura zvoleneho modelu byla invariantni vzhledem k pohlavi. Zeny a osoby, ktere byly ve financni nouzi nebo prozivaly zvyseny stres ze studia, vykazovaly vyssi uroven depresivni symptomatologie. Naopak partnersky vztah se ukazal mit protektivni efekt. Limity prace: Vzorek pochazi z online pruzku-mu, respondenti byli vybrani samovyberem. Nadreprezentaci zen-studentek v datech nelze zduvodnit vyssim podilem zen na ceskych univerzitach. Zaver: CES-D 8 se ukazal byt uzitecnym nastro-jem pro mereni depresivity, jenz otevira dalsi moznosti pro vyzkum deprese v univerzitnim prostredi a behem pandemickych situaci. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Difficulty in work practices and depression due to the COVID-19 pandemic

The COVID-19 pandemic has increased the incidence of serious social mental health problems such as depression. Changes to the way we work, such as telework, are potential factors for mental health problems. This study's aim was to investigate the relationship between difficulties adjusting to new work styles and depression among job workers during the first wave of the COVID-19 pandemic. We conducted a web-questionnaire survey of 919 Japanese workers (May 2020) using the snowball sampling method. A hierarchical logistic regression analysis using a dependent variable (depression), an independent variable (difficulty in work practices), and adjustment variables (gender, age, working practices, and coping) found that those who had difficulty "communicating with boss, colleagues, and subordinates" and "switching on and off" were more likely to be depressed. This study shows that there was a relationship between difficulty in work practices and depression during the pandemic. Given this study's limitations, it is hoped that the influence of region and occupation on depression will be examined by recruiting a wide range of participants in the future. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Innovative angles from a youth epidemiological study: Data from the HK-YES in Hong Kong

There are few specific epidemiological studies focusing on youth mental health in a non-western population. In particular, studies which are designed to include a broad range of youth-relevant potential risk and protective factors during the COVID-19 period are scarce. Such data are important for formulating programs to enhance healthy coping, as well as to facilitate the screening of risk factors. We present data from a comprehensive youth epidemiological study in Hong Kong from innovative angles which extend beyond conventional prevalence reporting. For example we investigated the change in major depressive episode states in a cohort with longitudinal data, which provide us with insight into what determines the persistence of depression. We also look into suicidal ideation and the role of rumination in this population. We also report the use of a recently identified marker for brain inhibition/excitation balance (visual stress) as a predictor associated with mental health outcomes. Finally, we studied the role of personality in mediating mental health outcomes.

Telemedicine and the Utilization of Outpatient Mental Health Services By Patients with Incident Major Depressive Disorder during the COVID-19 Pandemic

Objectives: To examine the role of telemedicine in providing access to outpatient psychotherapy for children and young adults with incident major depressive disorder (MDD) before and during the COVID-19 pandemic, overall and by race and ethnicity. Method(s): Medical claims from a large, national insurer were retrospectively analyzed to identify two cohorts of individuals aged 10-26 years old, based on incident diagnosis ("index") date of MDD (pre-COVID: March-December 2018, COVID: March-December 2020). We tracked health care utilization, utilization by site of care, modality of care, and psychotherapy Results: The majority of patients in the two cohorts (pre-COVID: N=7,758, COVID: N=8,517) were White (78.9% and 78.8%, respectively), followed by Hispanic (11.5% and 10.9%), Black (6.6% and 7.1%), and Asian (3.0% and 3.2%). While pre-index utilization was similar between cohorts, the COVID cohort had 919 psychotherapy visits per 1,000 patients compared to 735 for the pre-COVID cohort in the month post-index. The increase in visits is largely attributable to an increase in telemedicine visits for the COVID cohort. Similarly, psychotherapy visits increased for all racial and ethnic groups in the COVID cohort compared to the pre-COVID cohort in the month post-index: 22.3% for Whites (931 visits per 1,000 patients in COVID cohort vs. 759 in pre-COVID cohort), 45.0% for Asians (951 vs. 656), 20.5% for Blacks (792 vs. 657) and 46.5% for Hispanics (860 vs. 587). Conclusion(s): Telemedicine increased access to mental health services during the pandemic across races and ethnicities, but racial and ethnic disparities persisted. Health systems should capitalize on the telehealth infrastructure developed during the pandemic to sustain this increased access to care while continuing work to reduce disparities.Copyright © 2023

NEI 2022 Abstracts

The proceedings contain 96 papers. The topics discussed include: practical pharmacotherapy for opioid use disorder in the age of fentanyl;can COVID-19 cause acute psychosis in pediatric patients? a case report;a survey of bullying experiences in a child and adolescent psychiatric clinic population;acute emergence of suicidal thoughts following Lemborexant initiation: an adverse reaction case report;assessing the unmet clinical need and opportunity for digital therapeutic intervention in schizophrenia: perspective from people with schizophrenia;rapid antidepressant effects and MADRS item improvements with AXS-05 (DEXTROMETHORPHAN-BUPROPION), an oral NMDA receptor antagonist in major depressive disorder: results from two randomized double-blind, controlled trials;targeting lncRNA NEAT1 impedes Alzheimers disease progression via MicroRNA-193a mediated CREB/BDNF and NRF2/NQO1 pathways;and impact of AXS-05 (DEXTROMETHORPHAN-BUPROPION), an Oral NMDA receptor antagonist, on Anhedonic symptoms in major depressive disorder.

Prevention and early treatment of depression through the life course

This book presents current evidence of new perspectives for the prevention and appropriate management of depression in people across the life course. Special attention has been dedicated to facilitating factors for the development of health system capacity and the effectiveness of the different types of interventions. The first part of the book reviews the innovations in global prevention and non-pharmacological treatments for children, adolescents, and youths. The second part reviews interventions for adults across the lifespan, including older adults and caregivers. Despite the efforts to tackle depression, the COVID-19 pandemic directly or indirectly affected the mental health of the population, including an increase in the incidence of depressive disorders, which are underdiagnosed and undertreated in young and older people. Because of the characteristics of adolescence and older adulthood, people can consider depression signs and symptoms as natural, neglecting a proper diagnosis. To address these challenges in the clinical management of depression, Prevention and Early Treatment of Depression Through the Life Course presents a life course perspective on the analysis and treatment of depression to help clinical psychologists, psychiatrists and other mental health professionals understand the mechanisms associated with the onset of depression and identify/develop proper evidence-based treatments for different ages and in different circumstances. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Gen Z in crisis: Blending EMDR and art therapy for a more robust therapeutic experience

This chapter presents a model for combining Eye Movement Desensitization and Reprocessing (EMDR) and art therapy for the Gen Z population (young people born in the United States between 1997 and 2007). Adolescents and young adults have increased rates of depression, anxiety, addiction, reports of loneliness, and suicide attempts compared to previous generations. The COVID-19 pandemic has exacerbated these worrisome trends. The chapter offers techniques for enhancing eight phases of EMDR through a variety of art therapy directives identified in multiple case studies. Art prompts, scripts, and case studies for art directives offer readers a comprehensive understanding for creative case conceptualization using EMDR with adolescents and young adults. When EMDR and art therapy are combined, these two disciplines can be incredibly effective and transformative, serving as a new avenue to meet specific needs of young people. Newer research revealing the unique stage of brain development during adolescence reinforces the need to enhance EMDR protocols for adolescents and young adults with the creative interventions of art therapy. This comprehensive model includes a conceptual framework to understand this generation and to provide ideas and directives. Each creative intervention is designed to be replicated by clinicians to help young people. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Portuguese adolescents' perception of the Covid-19 pandemic: Gender differences and relation with psychopathological symptoms

The Covid-19 pandemic is having a great impact on people's mental health all over the world. Adolescents have been facing several potential stressors. The aim of this study was to explore how Portuguese adolescents were perceiving the Covid-19 outbreak and the relationship between the perceived impact of the pandemic and mental health. Participants were 130 adolescents (97 girls) who completed online questionnaires about the Covid-19 pandemic and the DASS-21. Around 73% of the adolescents agreed that the Covid-19 pandemic affected their lives and 45% felt emotionally affected. Feeling uncomfortable around family during quarantine was correlated with depression (r = .39), anxiety (r = .44), and stress symptoms (r = .37), and feeling capable to deal with the pandemic was negatively correlated with psychopathological symptoms. Girls seemed to be more emotionally affected. Results revealed the negative effect of the Covid-19 pandemic on Portuguese adolescents' mental health. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Portuguese) A pandemia de Covid-19 esta a ter um grande impacto na saude mental das pessoas em todo o mundo. Os adolescentes tem enfrentado diversos potenciais stressores. O objectivo deste estudo foi explorar como os adolescentes portugueses percecionaram o surto do Covid-19 e a relacao entre o impacto percebido da pandemia e a saude mental. Os participantes foram 130 adolescentes (97 do sexo feminino) que responderam a questionarios online sobre a pandemia de Covid-19 e DASS-21. Cerca de 73% dos adolescentes concordaram que a pandemia afectou as suas vidas e 45% sentiu-se emocionalmente afectado. Sentir-se desconfortavel perto da familia durante a quarentena mostrou-se correlacionado com sintomas de depressao (r = .39), ansiedade (r = .44) e stress (r = .37) e sentir-se capaz de lidar com a pandemia esteve negativamente correlacionado com sintomas psicopatologicos. Adolescentes do sexo feminino pareceram ficar mais emocionalmente afectadas. Esses resultados apontam para o efeito negativo da pandemia de Covid-19 na saude mental dos adolescentes portugueses. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) La pandemia de Covid-19 esta teniendo un gran impacto en la salud mental de las personas. Los adolescentes se han enfrentado a varios posibles estresores. El objetivo de este estudio fue explorar como los adolescentes portugueses percibieron el brote de Covid-19 y la relacion entre el impacto percibido de la pandemia y la salud mental. Los participantes fueron 130 adolescentes (97 mujeres) que respondieron cuestionarios online sobre la pandemia Covid-19 y DASS-21. 73% de los adolescentes estuvo de acuerdo en que la pandemia de Covid-19 afecto sus vidas y el 45% se sintio emocionalmente afectado. Sentirse incomodo con la familia durante la cuarentena se correlaciono con sintomas de depresion (r = .39), ansiedad (r = .44) y estres (r = .37), y sentirse capaz de lidiar con la pandemia se correlaciono negativamente con los sintomas psicopatologicos. Las adolescentes parecian estar mas emocionalmente afectadas. Estos resultados apuntan al efecto negativo de la pandemia Covid-19 en la salud mental de los adolescentes portugueses. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Comprehensive medication management services provided via telehealth or hybrid models: A scoping review

Comprehensive medication management (CMM) is increasingly provided by health care teams through telehealth or hybrid modalities. The purpose of this scoping literature review was to assess the published literature and examine the economic, clinical, and humanistic outcomes of CMM services provided by pharmacists via telehealth or hybrid modalities. This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. Randomized controlled trials (RCTs) and observational studies were included if they: reported on economic, clinical, or humanistic outcomes;were conducted via telehealth or hybrid modalities;included a pharmacist on their interprofessional team;and evaluated CMM services. The search was conducted between January 1, 2000, and September 28, 2021. The search strategy was adapted for use in Medline (PubMed);Embase;Cochrane;Cumulative Index to Nursing and Allied Health Literature;PsychINFO;International Pharmaceutical s;Scopus;and grey literature. Four reviewers extracted data using a screening tool developed for this study and reviewed for risk of bias. Authors screened 3500 articles, from which 11 studies met the inclusion criteria (9 observational studies, 2 RCTs). In seven studies, clinical outcomes improved with telehealth CMM interventions compared to either usual care, face-to-face CMM, or educational controls, as shown by the statistically significant changes in chronic disease clinical outcomes. Two studies evaluated and found increased patient and provider satisfaction. One study described a source of revenue for a telehealth CMM service. Overall, study results indicate that telehealth CMM services, in select cases, may be associated with improved clinical outcomes, but the methods of the included studies were not homogenous enough to conclude that telehealth or hybrid modalities were superior to in-person CMM. To understand the full impact on the Quadruple Aim, additional research is needed to investigate the financial outcomes of CMM conducted using telehealth or hybrid technologies.Copyright © 2022 Pharmacotherapy Publications, Inc.

Child abuse during the COVID-19 pandemic-Prospect, risk and factors: A narrative review

This narrative review focuses on the risk of child abuse, the determinants of child maltreatment during the Covid-19 outbreak and the conceivable psycho-social impact of child abuse. Literature was retrieved from Scopus, PubMed, PsycINFO, Web of Science along with Google Scholar, and reports from various sources with no time and context restrictions. The narrative analysis of all pertinent records shows that the risk of abuse towards children has spiked during the Covid-19 outbreak, especially sexual abuse and neglect. Prolonged living inside of homes, school closures, limited contact, unemployment, domestic violence, poor access to health care, and related social stressors have impacted on the rates of child abuse during the Covid-19 outbreak. These maltreated children may experience poor interpersonal relationships, problematic coping behaviours, and depressive disorders across their life span. These findings point to context-specific outcomes and protective measures that could assist prospective researches and guide policies. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

COVID-19: Predictors of depression and anxiety among high school students

Although it is thought that Coronavirus Disease 2019 (COVID-19) infection does not clinically affect children as severely as adults, the short and long-term psychological effects on adolescents during the COVID-19 pandemic are quite significant. The aim of the present study is to determine the prevalence of anxiety and depression and related factors in high school students during the COVID-19 pandemic. In June and July 2020, 506 high school students from two different provinces were included in the present study. A questionnaire form including sociodemographic characteristics, 'Child Depression Scale' and 'State-Trait Anxiety Scale' were applied online. Univariate and multivariate analyzes were used in data analysis, and p<0.05 was accepted as significance level. Depression prevalence was 22.9 %, median trait anxiety score was 44, and median state anxiety score was 39. Low-income level, think of themselves or the household was at risk, using information sources other than health professionals, high screen time, high mother coronavirus stress score and low family communication score were shown to increase depression. Higher school grades, not regularly exercising, think of themselves or the household were at risk, staying alone at home, high mother's and father's coronavirus stress scores and low family communication score were shown to increase state anxiety. Adolescents highly suffer from psychological outcomes of the COVID-19 pandemic. It is essential to involve the family in planning and implementing early mental health interventions during the pandemic, especially as parent-related factors affect children's psychological state. During the social isolation period, it is recommended to organize indoor exercise programs for children and adolescents, limit the time spent in front of the screen, and improve communication with family members. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Turkish) Koronavirus Hastaligi 2019 (COVID-19) klinik olarak cocuklari eriskin bireyler kadar etkilemese de COVID-19 pandemisinin adolesanlar uzerindeki kisa ve uzun donem etkileri oldukca onemlidir. Bu calismanin amaci COVID- 19 pandemisinde lise ogrencilerinin depresyon ve anksiyete sikligi ile etkileyen faktorlerin belirlenmesidir. Calismaya Haziran-Temmuz 2020 tarihlerinde 2 farkli ilden 506 lise ogrencisi dahil edilmistir ve sosyodemografik ozellikleri iceren bir soru formu, 'Cocuk Depresyon Olcegi' ve 'Durumluk-Surekli Anksiyete Olcegi' online olarak uygulanmistir. Veri analizinde tek degiskenli ve cok degiskenli analizler uygulanmis olup p<0.05 anlamlilik duzeyi olarak kabul edilmistir. Depresyon sikligi %22.9, surekli anksiyete olcek puani ortanca degeri 44, durumluk anksiyete olcek ortanca degeri 39 olarak bulunmustur. Dusuk gelir duzeyi, kendinin ya da ayni evde yasadigi kisilerin risk altinda oldugunu dusunme, bilgi kaynagi olarak saglik profesyonelleri disindaki kaynaklarin kullanilmasi, uzamis ekran suresi, koronavirusle ilgili anne stres puaninin yuksek olmasi, aile ici iletisim puaninin dusuk olmasinin depresyon sikligini artirdigi gosterilmistir. Daha yuksek okul sinifi, duzenli egzersiz yapmama, kendinin ya da ayni evde yasadigi kisilerin risk altinda oldugunu dusunme, evde yalniz kalma, koronavirusle ilgili anne ve baba stres puaninin yuksek olmasi ve aile ici iletisim puaninin dusuk olmasinin anksiyete puanini artirdigi gosterilmistir. Adolesanlar COVID-19 pandemisinin psikolojik sonuclarindan oldukca muzdariptir. Ozellikle ebeveyn iliskili faktorlerin cocuklarin psikolojik durumunu etkiledigi goruldugunden, pandemide erken ruh sagligi mudahalelerinin planlanmasi ve uygulanmasinda ailenin dahil edilmesi onemlidir. Sosyal izolasyon doneminde cocuk ve ergenler icin ev ici egzersiz programlarinin duzenlenmesi, ekran basinda gecen surenin kisitlanmasi, aile bireyleri ile iletisimin iyilestirilmesi onerilmektedir. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

School and community reforms that help navigate the COVID-19 crisis

Twenty-five percent of high school students have reported emotional and mental health issues during the pandemic. Many students have had to face illness, loss, food insecurity, and economic hardship resulting from the pandemic. They have experienced anxiety, fear, and depression attributable to long-term school closures, isolation, quarantines, and stay-at-home orders. School-based mental health (SMH) can be viewed as an emerging need in response to this increasing national health crisis. This chapter discusses the importance of SMH services for children in schools, highlights the use of tiered systems to prevent and respond to mental health concerns of students and provides specific considerations for school and community for creating integrated systems. Evidence-based practices (EBPs) have a strong scientific basis for their use, as they are supported by high-quality research that offers empirical demonstrations of effectiveness. As a response, schools across the United States are adopting tiered systems of support, consisting of EBPs, to address systematically the growing diversity of students' needs, particularly in light of Covid-19's effects on students' academic, behavioral, and social-emotional well-being. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

The relationship between online class environments and economic burden and mental health among university students during the COVID-19 pandemic

This study examined the relationship between online class environments and the economic burden and mental health among university students at the onset of the COVID-19 pandemic. The survey participants were 909 undergraduate students, and graduate students in Hokkaido who responded to the first wave of the two-wave panel survey. The survey was conducted from July to September 2020. This study used K6 and GAD-7 as indicators of mental health. The results showed that students with both a high economic burden and a high burden of on-demand online classes after the onset of the COVID-19 pandemic had a high probability of exceeding the cutoff points (indicating severe depression and anxiety) for K6 (above 13 points) and GAD-7 (above 10 points). The number of live online classes predicted lower depression. The discussion focused on the characteristics of online classes and discussed why they were associated with mental health and how to reduce the sense of burden in classes. In addition, we pointed out the importance of economic support for university students, since economic burdens were related to mental health. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Insomnia, distress tolerance, and mental health during the COVID-19 pandemic

Mental health problems, which are associated with sleep difficulties during stressful events, have increased during the coronavirus (COVID-19) pandemic. Insomnia is an important sleep phenomenon that predicts development of depressive and anxiety disorders, though mechanisms explaining this relationship remain unclear. Distress tolerance, the ability to withstand aversive affective experiences, is a transdiagnostic construct that may influence this relationship. It was hypothesized that greater psychological distress would predict more severe insomnia. Further, it was hypothesized that more severe insomnia and poorer distress tolerance would be associated with greater depression and anxiety. Depressive and anxiety symptoms were hypothesized to predict diagnoses of Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD). Lastly, distress tolerance was hypothesized to mediate the relationship between insomnia and diagnosis of MDD and GAD. Data were obtained from a prospective observational study with three nested samples. The first sample was 5,547 college students who completed a survey study in March-April 2020, the second was 615 college students who completed a survey study in September-October 2020, and the final sample was 100 college students recruited for a clinical interview study between October 2020 and April 2021. Measures included the Kessler Screening Scale for Psychological Distress, Insomnia Severity Index, Distress Tolerance Scale, Patient Health Questionnaire-9, PROMIS Emotional Distress Short Form -- Anxiety, and the Structured Clinical Interview for DSM-5 Disorders. Greater psychological distress predicted more severe insomnia (beta = .29, p < .001). Greater insomnia severity (beta = .49, p < .001) and poorer distress tolerance (beta = .15, p < .001) predicted higher levels of depression but not anxiety. Anxiety symptoms predicted diagnosis of MDD, while both depressive and anxiety symptoms predicted diagnosis of GAD. Distress tolerance did not mediate the relationship between insomnia and diagnosis of MDD or GAD. Longitudinal studies are needed to further clarify the course of insomnia, distress tolerance, and mental health diagnoses, and to explore distress tolerance as a moderating variable. These results imply that it could be beneficial for healthcare providers to treat insomnia when comorbid with depression, which may improve depressed mood more so than improving distress tolerance, though intervention studies are needed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Determination of symptoms of depressive, anxiety and somatic and perceived threat of Covid-19 among health care workers

This study aimed to determine symptoms of depressive, anxiety and somatic and perceived threat of coronavirus disease among health care workers. The study was conducted in Istanbul. 315 health care workers who completed the online questionnaire included in the study. Measurement tools consisted of a questionnaire including items to define perceived level of coronavirus disease of participants and questions about demographic characteristics and Patient Health Questionnare-9, Generalized Anxiety Disorder-7, and Patient Health Questionnaire-15. It was determined that somatic symptoms were clinically significantly high in 37.8% of the healthcare workers and it is followed by depression symptoms in 34% and anxiety symptoms in 23.5% respectively. The results showed that 77.8% of participants felt coronavirus disease as a life-threatening situation and 95.6% of them worried about being infected. Although worrying about being infected by coronavirus affected symptoms of depressive, anxiety and somatic, feeling life-threatening of coronavirus disease affected symptoms of anxiety and somatic. The factors associated with depression were following;females (OR, 3.85, p= 0.001), being married (OR, 2.35, P=0.049), and no physical exercise (OR, 3.02, p=0.008). As to somatic symptoms, being female (OR, 2.63, p= 0.013), living alone (OR, 2.66, p=0.016), having chronic diseases (OR, 4.31, p= 0.000), and no physical exercise (OR, 2.33, p=0.025) were found as the risk factors. Early psychosocial and psychotherapeutic interventions to these groups that have risk factors in terms of psychiatric symptoms might be beneficial in preventing the development of psychiatric symptoms in healthcare workers during outbreak. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Turkish) Bu calismanin amaci, saglik calisanlarinda depresif, anksiyete ve somatik belirtiler ile algilanan koronavirus tehdidini arastirmaktir. Calisma Istanbul'da yapilmistir. Calismaya cevrimici anketi dolduran 315 saglik calisani dahil edilmistir. Calismada olcme araci olarak katilimcilarin algilanan koronavirus hastaligi tehdit duzeyini tanimlayan maddeler ve demografik ozellikleri icern anket formu ile Hasta Saglik Anketi-9, Genellestirilmis Anksiyete Bozuklugu-7 ve Hasta Sagligi Anketi-15 kullanilmistir. Saglik calisanlarinin% 37,8'inde somatik belirtilerin klinik olarak anlamli derecede yuksek oldugu ve bunu sirasiyla% 34'inda depresyon ve % 23,5'inde anksiyete belirtilerinin izledigi tespit edilmistir. Bu calisma sonucuna gore, katilimcilarin% 77,8'inin koronavirus hastaligini yasami tehdit eden bir durum olarak hissettigini ve % 95,6'si enfekte olmaktan endise duydugunu saptanmistir. Koraviruse yakalanma endisesi depresif, anksiyete ve somatik semptomlari etkilese de, koronavirus hastaliginin yasami tehdit etmesi hissi anksiyete ve somatik semptomlari etkilemektedir. Depresyonla iliskili faktorler kadin olma (OR, 3,85, p = 0.001), evli olma (OR, 2,35, P = 0.049) ve fiziksel egzersiz yapma (OR, 3.02, p = 0.008) olarak tanimlanmistir. Somatik belirtiler icin de kadin olmak (OR, 2,63, p = 0,013), yalniz yasamak (OR, 2,66, p = 0,016), kronik hastaligi olmak (OR, 4,31, p = 0,000) ve fiziksel egzersiz yapmamak (OR, 2,33, p = 0,025) risk faktoru olarak bulunmustur. Psikiyatrik belirtiler acisindan risk faktorleri olan bu gruplara erken donem psikososyal ve psikoterapotik mudahaleler, salgin sirasinda saglik calisanlarinda psikiyatrik belirti gelisimini onlemede faydali olabilecegi dusunulmektedir. (PsycInfo Database Record (c) 2023 APA, all rights reserved)