Mental health outcomes in patients discharged after COVID-19 hospitalization: the case report of a male nurse in the context of occupational surveillance program of health care workers

This case study draws attention on mental health sequelae that emerged in the context of the COVID-19 outbreak after recovery from hospitalization, even in subjects without personal psychiatric history. The case involves a 65-year-old male shift nurse who took SARS-COV-2 infection through a co-worker and that had been hospitalized for interstitial pneumonia from April 6 to April 17. After recovery, he developed psychiatric symptoms overlapping between different dimensions of psychiatric disorders and started to be followed by the Occupational Health Department of a Major University Hospital in central Italy. He reported a score of 28 at the Peritraumatic Distress Inventory and of 39 at the Self-Rating Anxiety State. He was treated with a combination therapy of SSRI and NaSSA antidepressants with clinical remission. In this case study, authors discuss the possible overlapping role of post-traumatic stress and anxiety symptoms in patients discharged after COVID-19 hospitalization that may deserve appropriate classification, treatment and follow up with the future goal to refine clinical management of post and long COVID syndromes of subjects who present low abnormalities in other specialty investigations.Copyright © 2022 EDIZIONI MINERVA MEDICA.

Simultaneous Individual Complicated Grief Treatment With a Couple

Persistent complex bereavement/complicated grief occurs when, after a period of 12 months following a death, there remains an ongoing intense yearning and sorrow for the deceased, preoccupation with the death and its circumstances, difficulty accepting its reality, and disruption in personal identity. This case study illustrates the successful application of Complicated Grief Treatment (CGT), a manualized research-supported intervention, with a husband and wife each receiving individual therapy simultaneously with separate clinicians. The core of CGT involves graded completion of imaginal and situational revisiting (i.e., exposure) exercises. To target maladaptive rumination and counterfactual thinking more explicitly, strategies from a research-based treatment for trauma, Cognitive Processing Therapy, were also incorporated for one member of the couple. To our knowledge, CGT has not been examined with couples receiving individual therapy delivered simultaneously. As such, practitioners have little information about how to proceed with cases where multiple members of the same family are experiencing complicated grief. We will detail the treatment provided, outlining the course of care for each member of the couple, highlighting unique adjustments made to tailor implementation to each individual and to deliver the intervention simultaneously. Quantitative and qualitative data show the effects of treatment on symptoms of complicated grief, depression, and relationship satisfaction.Copyright © The Author(s) 2022.

Depressive and anxious symptomatology in a Lebanese sample during the COVID-19 outbreak

This study explores the correlates of depressive and anxious symptomatology in a Lebanese sample during the COVID-19 outbreak. A convenience sample of 191 respondents participated in a cross-sectional survey and completed measures of fear of COVID-19, rumination about COVID-19, job insecurity, political trust, depression, and generalized anxiety. Results indicated that political trust was associated with greater wellbeing (manifested as decreased job insecurity, fear of COVID-19, depression, and anxiety). Respondents who reported no compliance with self-isolation measures reported less rumination about COVID-19 and less fear of COVID-19 than those who did. Multiple regression analyses showed that fear of, and rumination about, COVID-19 predicted depressive and anxious symptomatology while political trust was protective against depressive symptomatology only. This study provides a novel perspective on mental health in Lebanon, by focusing on its social and psychological predictors during the COVID-19 pandemic. Due to political and economic instability in Lebanon, the COVID-19 crisis may have deleterious effects on mental health in the Lebanese population. Internet-based cognitive behavioral therapy is an evidence-based and cost-effective approach to enhancing mental health during the pandemic and may be beneficial in the Lebanese context.Copyright © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.