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Pediatr Ann ; 49(10): e405-e406, 2020 10 01.
Article in English | MEDLINE | ID: covidwho-854245
Br J Psychiatry ; 217(4): 540-542, 2020 10.
Article in English | MEDLINE | ID: covidwho-853428


The effects of the COVID-19 pandemic on population mental health are unknown. We need to understand the scale of any such impact in different sections of the population, who is most affected and how best to mitigate, prevent and treat any excess morbidity. We propose a coordinated and interdisciplinary mental health science response.

Coronavirus Infections , Mental Disorders , Pandemics , Pneumonia, Viral , Preventive Psychiatry/methods , Psychosocial Support Systems , Public Health/methods , Betacoronavirus/pathogenicity , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Coronavirus Infections/therapy , Humans , Mental Disorders/epidemiology , Mental Disorders/prevention & control , Mental Disorders/virology , Mental Health , Mental Health Services/organization & administration , Mental Health Services/standards , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Pneumonia, Viral/therapy , Quality Improvement , Research Design , Risk Assessment/methods
Curr Psychiatry Rep ; 22(12): 66, 2020 10 08.
Article in English | MEDLINE | ID: covidwho-841782


PURPOSE OF REVIEW: The ability to effectively prepare for and respond to the psychological fallout from large-scale disasters is a core competency of military mental health providers, as well as civilian emergency response teams. Disaster planning should be situation specific and data driven; vague, broad-spectrum planning can contribute to unprepared mental health teams and underserved patient populations. Herein, we review data on mental health sequelae from the twenty-first century pandemics, including SARS-CoV2 (COVID-19), and offer explanations for observed trends, insights regarding anticipated needs, and recommendations for preliminary planning on how to best allocate limited mental health resources. RECENT FINDINGS: Anxiety and distress, often attributed to isolation, were the most prominent mental health complaints during previous pandemics and with COVID-19. Additionally, post-traumatic stress was surprisingly common and possibly more enduring than depression, insomnia, and alcohol misuse. Predictions regarding COVID-19's economic impact suggest that depression and suicide rates may increase over time. Available data suggest that the mental health sequelae of COVID-19 will mirror those of previous pandemics. Clinicians and mental health leaders should focus planning efforts on the negative effects of isolation, particularly anxiety and distress, as well as post-traumatic stress symptoms.

Coronavirus Infections/psychology , Health Services Needs and Demand , Mental Health , Pneumonia, Viral/psychology , Anxiety , Betacoronavirus , Coronavirus Infections/epidemiology , Humans , Pandemics , Pneumonia, Viral/epidemiology , Psychological Distress , Stress Disorders, Post-Traumatic
Cancer Cytopathol ; 128(10): 679-680, 2020 10.
Article in English | MEDLINE | ID: covidwho-840101
Rev. enferm. UERJ ; 28: 49923, jan.-dez. 2020.
Article in English, Portuguese | LILACS (Americas) | ID: covidwho-830860


Objetivo: refletir sobre as intervenções/ações de cuidado em saúde mental voltados aos profissionais da saúde que prestam assistência ao paciente suspeito ou diagnosticado com COVID-19. Conteúdo: A pandemia de COVID-19 traz o desafio para profissionais da saúde em lidar com sua própria saúde mental e a dos pacientes. É fundamental conhecer e refletir sobre iniciativas que países apresentam para lidar com a manutenção da saúde mental de profissionais da saúde em tempos de pandemia e que contribuem para repensar o planejamento, execução e avaliação de estratégias a serem utilizadas no Brasil. Considerações finais: foi possível elencar ações em saúde mental que têm se mostrado assertivas no cuidado aos trabalhadores de saúde, atuantes na ponta do cuidado, sobretudo as baseadas no esclarecimento da doença, uso adequado de equipamentos de proteção individual, além do mapeamento daqueles profissionais fragilizados emocionalmente e/ou com sofrimento mental anterior à pandemia, além do suporte emocional oferecido por meio de plataformas digitais.

Objective: to reflect on mental health care interventions/actions aimed at health professionals who provide assistance to patients suspected or diagnosed with COVID-19. Content: The COVID-19 pandemic challenges health professionals to lead with their own and patients' mental health. It is essential to know and to reflect about countries' initiatives to deal with health professional's mental health maintenance in times of pandemic, and to help to re-think strategies planning, execution and evaluation to be used in Brazil. Final considerations: it was possible to list actions in mental health that have shown to be assertive in the care of health workers who are in the front line of caring, especially those based on clarifying the disease, appropriate use of individual protective equipment, in addition to mapping those emotionally weakened professionals and or with mental suffering prior to the pandemic, in addition to the emotional support offered through digital platforms.

Objetivo: reflexionar sobre las intervenciones/acciones de atención de salud mental dirigidas a profesionales de la salud que prestan asistencia a pacientes sospechosos o diagnosticados con COVID-19. Contenido: La pandemia COVID-19 desafía a los profesionales de la salud a hacer frente con la salud mental propia y de los pacientes. Es esencial conocer y reflexionar sobre las iniciativas de los países para enfrentar al mantenimiento de la salud mental de los profesionales de la salud en tiempos de pandemia, y para ayudar a repensar la planificación, ejecución y evaluación de estrategias que se utilizarán en Brasil. Consideraciones finales: fue posible enumerar acciones en salud mental que han demostrado ser asertivas en la atención de los trabajadores de salud que trabajan en la primera línea de atención de la salud, especialmente aquellos basados en la aclaración de la enfermedad, el uso apropiado de equipos de protección individual, además de mapear aquellos profesionales debilitados emocionalmente y / o con sufrimiento mental antes de la pandemia, además del apoyo emocional ofrecido a través de plataformas digitales.

Humans , Male , Female , Mental Health/standards , Health Personnel/psychology , Coronavirus Infections , Pandemics , Betacoronavirus , Brazil , Occupational Health , Information Dissemination , Personal Protective Equipment
Transl Psychiatry ; 10(1): 339, 2020 10 06.
Article in English | MEDLINE | ID: covidwho-834866


There were several studies about the psychiatric and mental health issues related to the severe adult respiratory syndrome (SARS) outbreak in 2003, however, the association between SARS and the overall risk of psychiatric disorders and suicides has, as yet, to be studied in Taiwan. The aim of this study is to examine as to whether SARS is associated with the risk of psychiatric disorders and suicide. A total of 285 patients with SARS and 2850 controls without SARS (1:10) matched for sex, age, insurance premium, comorbidities, residential regions, level of medical care, and index date were selected between February 25 and June 15, 2003 from the Inpatient Database Taiwan's National Health Insurance Research Database. During the 12-year follow-up, in which 79 in the SARS cohort and 340 in the control group developed psychiatric disorders or suicide (4047.41 vs. 1535.32 per 100,000 person-years). Fine and Gray's survival analysis revealed that the SARS cohort was associated with an increased risk of psychiatric disorders and suicide, and the adjusted subdistribution HR (sHR) was 2.805 (95% CI: 2.182-3.605, p < 0.001) for psychiatric disorders and suicide. The SARS cohort was associated with anxiety, depression, sleep disorders, posttraumatic stress disorder/acute stress disorder (PTSD/ASD), and suicide. The sensitivity analysis revealed that the SARS group was associated with anxiety, depression, sleep disorders, PTSD/ASD, and suicide after the individuals with a diagnosis of psychiatric disorders and suicide were excluded within the first year, and with anxiety, depression, and sleep disorders, while those in the first five years were excluded. In conclusion, SARS was associated with the increased risk of psychiatric disorders and suicide.

Coronavirus Infections , Mental Disorders , Mental Health/statistics & numerical data , Pandemics , Pneumonia, Viral , Severe Acute Respiratory Syndrome , Suicide/statistics & numerical data , Betacoronavirus , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Databases, Factual , Female , Humans , Inpatients/statistics & numerical data , Male , Mental Disorders/diagnosis , Mental Disorders/epidemiology , Mental Disorders/virology , Middle Aged , Pandemics/prevention & control , Pandemics/statistics & numerical data , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Risk Assessment , Risk Factors , Severe Acute Respiratory Syndrome/epidemiology , Severe Acute Respiratory Syndrome/psychology , Severe Acute Respiratory Syndrome/therapy , Taiwan/epidemiology
Cancer Cytopathol ; 128(10): 679-680, 2020 10.
Article in English | MEDLINE | ID: covidwho-812963
Can J Surg ; 63(5): E393-E394, 2020.
Article in English | MEDLINE | ID: covidwho-812955


SUMMARY: The impact of waiting for surgery on the mental health of patients usually receives little attention. Because of the coronavirus disease 2019 (COVID-19) pandemic, the waits for elective surgery have been lengthening, potentially inducing or exacerbating mental health burdens. Provinces' health systems need to provide better support to assess not only patients' physical health, but also their mental health, and provide them with timely access to care based on need. A stepped care approach is needed to mitigate negative mental health effects associated with prolonged waits for elective operations. To provide the best care possible, we need to recognize and address both the physical and mental health problems of our waiting patients.

Coronavirus Infections/prevention & control , Elective Surgical Procedures/psychology , Infection Control/standards , Mental Health , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Preoperative Care/methods , Betacoronavirus/pathogenicity , Canada/epidemiology , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Coronavirus Infections/virology , Elective Surgical Procedures/standards , Health Services Accessibility/standards , Humans , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Time Factors , Time-to-Treatment , Waiting Lists
Cancer Cytopathol ; 128(10): 679-680, 2020 10.
Article in English | MEDLINE | ID: covidwho-812771
J Occup Health ; 62(1): e12169, 2020 Jan.
Article in English | MEDLINE | ID: covidwho-810864


In this Opinion, we synthesize recent evidence regarding the mental health impacts of the pandemic with an emphasis on health care workers. Departing from the literature that has already been published on this topic, we focus on health care workers with mental health concerns that preexisted the pandemic and discuss evidence suggesting that this population has suffered disproportionately from pandemic conditions.

Coronavirus Infections/epidemiology , Health Personnel/psychology , Mental Health/standards , Occupational Stress/epidemiology , Pneumonia, Viral/epidemiology , Attitude of Health Personnel , Betacoronavirus , Humans , Pandemics
PLoS One ; 15(10): e0239697, 2020.
Article in English | MEDLINE | ID: covidwho-810216


OBJECTIVE: The objective of this study was to define the threatened perception types of pregnant women during the COVID-19 pandemic and determine the correlations between the perception types and their demographic factors, their preventive knowledge of COVID-19 and their mental status in order to provide suggestions for pregnant women during pandemic. METHODS: Latent class analysis were used to explore the optimal numbers of clusters. Multinomial logistic regression and multiple correspondence analysis were used to analyze the demographic variables of the latent categories. MANOVA was used to analyze the difference of knowledge of COVID-19 obtained among clusters and their psychological status, and chi-square test was used determine the relationship between the latent clusters and the participant's COVID-19 worry level. RESULTS: Five clusters were found: the first cluster (n = 120, 39%) was unthreatened and confident. Cluster 2(n = 84, 28%) was unthreatened but not confident. Cluster 3 (n = 49, 17%) was threatened but confident. Cluster 4 (n = 25, 9%) was threaten, not confident and knowledgeable, and Cluster 5 (n = 20, 7%) was threatened, not confident and lacking knowledge. Three demographic variables were shown an effect on the classification, they were support from work, family support and intrapartum and postpartum complications. CONCLUSION: This study can help assess the mental health risks of pregnant women during an epidemic. The results could be helpful for families, work units, communities and medical institutions to make targeted intervention decisions for pregnant women.

Anxiety/psychology , Coronavirus Infections/psychology , Mental Health , Pneumonia, Viral/psychology , Pregnant Women/psychology , Adult , Coronavirus Infections/epidemiology , Female , Humans , Latent Class Analysis , Middle Aged , Pandemics , Pneumonia, Viral/epidemiology , Pregnancy , Pregnancy Complications, Infectious/psychology , Pregnancy Complications, Infectious/virology , Socioeconomic Factors , Surveys and Questionnaires , Young Adult
PLoS One ; 15(9): e0240008, 2020.
Article in English | MEDLINE | ID: covidwho-807110


Ecuador has been one of the most affected countries by the Corona Virus Disease 19 (COVID-19) pandemic, by April 2020 this country presented the highest rates of mortality in Latin America. The purpose of the present study was to identify behaviors during confinement and sociodemographic variables associated with the mental health status of confirmed or suspected COVID-19 patients who were part of the epidemiological surveillance program in Ecuador that included mandatory confinement and self-isolation. A cross-sectional study was performed from March 22th to April 18th, 2020 using an online survey. The survey collected socio-demographic information and severity of depressive symptoms using the Patient Health Questionnaire-9 and anxiety symptoms through the Generalized Anxiety Disorder-7. A total of 759 patients completed the questionnaire, 20.3% presented moderate to severe symptoms of depression and 22.5% moderate to severe symptoms of anxiety. Being a woman and from the Coastal region were risk factors. Exercising, maintaining daily routines, and keeping informed about the COVID-19 but limiting to an hour was associated with better mental health. Regression analysis indicated that the mentioned behaviors explained approximately 17% of the variance for depression sum scores and 11.8% of the variance for anxiety sum scores while controlling for gender and region. Understanding the association between sociodemographic variables and psychological states in patients with COVID-19 is relevant to tackle future public mental health problems and to implement health policies that are intended to palliate further psychiatric complications. Promotion of modifiable behaviors such as exercising, maintaining daily routines, and keeping informed about the COVID-19 but limiting to less than an hour is recommended.

Anxiety/epidemiology , Coronavirus Infections/psychology , Depression/epidemiology , Pneumonia, Viral/psychology , Activities of Daily Living , Adolescent , Adult , Betacoronavirus , Contact Tracing , Cross-Sectional Studies , Ecuador/epidemiology , Epidemiological Monitoring , Exercise , Female , Humans , Male , Mental Health , Middle Aged , Pandemics , Patient Health Questionnaire , Quarantine , Risk Factors , Socioeconomic Factors , Young Adult