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Kostev K, Landré B, Yon DK, Haro JM, Gyasi RM, Hajek A, Jacob L. Psychiatric comorbidity and in-hospital mortality in patients hospitalized for physical conditions in Germany. J Psychiatr Res 2025; 182:489-496. [PMID: 39893786 DOI: 10.1016/j.jpsychires.2025.01.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2024] [Revised: 12/24/2024] [Accepted: 01/23/2025] [Indexed: 02/04/2025]
Abstract
OBJECTIVE To investigate the association between psychiatric comorbidity and in-hospital mortality in patients hospitalized for physical conditions in Germany. METHODS This retrospective study used data from the hospital database of IQVIA (Frankfurt, Germany). Adults with a psychiatric disorder as a secondary diagnosis at hospital admission were matched (1:3) to those without a psychiatric disorder using a propensity score based on age, sex, hospital department, and primary diagnosis. Diagnoses of psychiatric and physical disorders relied on the ICD-10 classification. Associations between psychiatric comorbidity and in-hospital mortality were studied using logistic regression. RESULTS There were 36,796 patients with (mean [SD] age 66.2 [14.7] years; 53.4% men) and 110,388 patients without psychiatric comorbidity included in the study (mean [SD] age 66.1 [15.1] years; 51.9% men). Overall, no statistical association was observed between psychiatric comorbidity and in-hospital mortality (OR = 1.00, 95% CI = 0.95-1.05). However, there was a positive and significant relationship in people aged ≤70 years and men, whereas a negative association was observed for those aged >80 years and women. CONCLUSIONS Psychiatric comorbidity was associated with increased in-hospital mortality in patients aged ≤70 years and men in hospitals in Germany. Further research is warranted to corroborate these findings in other countries.
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Affiliation(s)
| | - Benjamin Landré
- Université Paris Cité, Inserm, U1153, Epidemiology of Ageing and Neurodegenerative Diseases (EpiAgeing), Paris, France
| | - Dong Keon Yon
- Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea; Department of Regulatory Science, Kyung Hee University, Seoul, South Korea; Department of Pediatrics, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, South Korea
| | - Josep Maria Haro
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain
| | - Razak M Gyasi
- African Population and Health Research Center, Nairobi, Kenya; National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia
| | - André Hajek
- Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Louis Jacob
- Université Paris Cité, Inserm, U1153, Epidemiology of Ageing and Neurodegenerative Diseases (EpiAgeing), Paris, France; Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain; AP-HP, Université Paris Cité, Lariboisière-Fernand Widal Hospital, Department of Physical Medicine and Rehabilitation, Paris, France.
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Mamede T, Lordêlo P. Mental health in the virtual world: Are we ready for the metaverse era? World J Methodol 2024; 14:95064. [PMID: 39712569 PMCID: PMC11287544 DOI: 10.5662/wjm.v14.i4.95064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2024] [Revised: 06/14/2024] [Accepted: 06/28/2024] [Indexed: 07/26/2024] Open
Abstract
The advent of the metaverse, including virtual reality, augmented reality, and artificial intelligence, is an undeniable issue that health care scientists need to update. It influences all fields of knowledge, interpersonal relationships, and health. Regarding mental health since the post-coronavirus disease 2019 pandemic, it is necessary to consider and understand the potential, possibilities, weaknesses, and consequences arising from and provided by this new scenario. Due to the increasing need for mental health monitoring and care, mental health treatments require in-depth training and preparation to achieve the maximum use of the metaverse advantages and possibilities. Currently, very little is known about the effectiveness of remote mental health treatment, but it is certainly suggested that accessibility and the characteristics associated with the use of metaverse technologies may represent new horizons for accessibility and approach tools, as long as more studies are carried out and more evidence is collected to develop accurate guidelines, safe training, solve ethical concerns, and overcome limitations.
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Affiliation(s)
- Tuffy Mamede
- Post Graduation in Medicine and Human Health, Bahiana School of Medicine and Public Health, Salvador 40290-000, Brazil
| | - Patrícia Lordêlo
- Pelvic Floor Care Center and Postgraduate, Patricia Lordelo Institute, Bahiana School of Medicine and Public Health, Salvador 40290-000, Brazil
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López del Hoyo Y, Elices M, Garcia-Campayo J. Mental health in the virtual world: Challenges and opportunities in the metaverse era. World J Clin Cases 2024; 12:2939-2945. [PMID: 38898837 PMCID: PMC11185398 DOI: 10.12998/wjcc.v12.i17.2939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2023] [Revised: 01/24/2024] [Accepted: 02/29/2024] [Indexed: 06/04/2024] Open
Abstract
Current rates of mental illness are worrisome. Mental illness mainly affects females and younger age groups. The use of the internet to deliver mental health care has been growing since 2020 and includes the implementation of novel mental health treatments using virtual reality, augmented reality, and artificial intelligence. A new three dimensional digital environment, known as the metaverse, has emerged as the next version of the Internet. Artificial intelligence, augmented reality, and virtual reality will create fully immersive, experiential, and interactive online environments in the metaverse. People will use a unique avatar to do anything they do in their "real" lives, including seeking and receiving mental health care. In this opinion review, we reflect on how the metaverse could reshape how we deliver mental health treatment, its opportunities, and its challenges.
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Affiliation(s)
| | - Matilde Elices
- Mental Health Research Group, Hospital del Mar Medical Research Institute, Barcelona 08003, Spain
| | - Javier Garcia-Campayo
- Department of Psychiatry, Miguel Servet Hospital, Aragon Institute for Health Research, University of Zaragoza, Zaragoza 50009, Spain
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Brown MI, Heck PR, Chabris CF. The Social Shapes Test as a Self-Administered, Online Measure of Social Intelligence: Two Studies with Typically Developing Adults and Adults with Autism Spectrum Disorder. J Autism Dev Disord 2024; 54:1804-1819. [PMID: 36757539 PMCID: PMC9909157 DOI: 10.1007/s10803-023-05901-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2023] [Indexed: 02/10/2023]
Abstract
The Social Shapes Test (SST) is a measure of social intelligence which does not use human faces or rely on extensive verbal ability. The SST has shown promising validity among adults without autism spectrum disorder (ASD), but it is uncertain whether it is suitable for adults with ASD. We find measurement invariance between adults with (n = 229) or without ASD (n = 1,049) on the 23-item SST. We also find that adults without ASD score higher on the SST than adults with ASD (d = 0.21). We also provide two, 14-item versions which demonstrated good parallel test-retest reliability and are positively related to scores on the Frith-Happé task. The SST is suitable for remote, online research studies.
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Affiliation(s)
- Matt I Brown
- Geisinger Health System, Lewisburg, PA, USA.
- Human Resources Research Organization, 66 Canal Center Plaza, Suite 700, 22314, Alexandria, VA, USA.
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Li F, Gu H, Tokac U, Werner K, Fish AF, Lou Q. A Multisample Path Analysis Including a Novel Psychological Indicator, Attitude Toward Life, After the First Wave of COVID-19. SAGE Open Nurs 2024; 10:23779608231215580. [PMID: 38204585 PMCID: PMC10777797 DOI: 10.1177/23779608231215580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 09/04/2023] [Accepted: 11/05/2023] [Indexed: 01/12/2024] Open
Abstract
Introduction During the COVID-19 outbreak, China applied a unique volunteerism system in which nurses and physicians traveled to the epicenter to care for patients. During the same period, another group, nurse and physician nonvolunteers, stayed at their home hospitals outside of the epicenter and cared for patients without COVID-19. Yet only one Chinese study examined psychological responses comparing these groups. Objective To explore whether relationships among compassion satisfaction, general health, attitude toward life, satisfaction with life, perceived stress, and posttraumatic stress disorder (PTSD) symptomatology differ between volunteers and nonvolunteers. Attitude toward life is examined for the first time in COVID-19 research. Methods A cross-sectional study was conducted (259 nurse and physician volunteers, 330 nurse and physician nonvolunteers). Online survey data were analyzed using multisample path analysis. Results There was no significant difference between volunteer and nonvolunteer models. In the volunteer model, paths significantly related to PTSD symptomatology included compassion satisfaction (total effect, β = -0.12), general health (total effect, β = -0.09), attitude toward life (direct effect, β = -0.30; total effect, β = -0.30), and perceived stress (direct effect, β = 0.30; total effect, β = 0.30), and in nonvolunteers included general health (direct effect, β = -0.11; total effect, β = -0.11) and attitude toward life (direct effect, β = -0.47; total effect, β = -0.47). Conclusion No significant difference between models means both groups could benefit from psychological intervention. Within each model, significant paths were identified. For volunteers, counselors might focus on compassion satisfaction and perceived stress and, for both volunteers and nonvolunteers, on health and attitude toward life. Delivering counseling based on key indicators in China may help prevent or mitigate PTSD. Globally, researchers could identify factors to target and determine to whom long-term counseling might be directed. Findings about attitude toward life lay the groundwork for future research.
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Affiliation(s)
- Fan Li
- College of Nursing, University of Missouri-St. Louis, St. Louis, MO, USA
| | - Haiping Gu
- Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
| | - Umit Tokac
- College of Nursing, University of Missouri-St. Louis, St. Louis, MO, USA
| | - Kimberly Werner
- College of Nursing, University of Missouri-St. Louis, St. Louis, MO, USA
| | - Anne F. Fish
- College of Nursing, University of Missouri-St. Louis, St. Louis, MO, USA
| | - Qingqing Lou
- The First Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China
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Zhao N, Zhao YJ, An F, Zhang Q, Sha S, Su Z, Cheung T, Jackson T, Zang YF, Xiang YT. Network analysis of comorbid insomnia and depressive symptoms among psychiatric practitioners during the COVID-19 pandemic. J Clin Sleep Med 2023; 19:1271-1279. [PMID: 36988299 PMCID: PMC10315603 DOI: 10.5664/jcsm.10586] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 03/06/2023] [Accepted: 03/07/2023] [Indexed: 03/30/2023]
Abstract
STUDY OBJECTIVES Insomnia and depression are common mental health problems reported by mental health professionals during the COVID-19 pandemic. Network analysis is a fine-grained approach used to examine associations between psychiatric syndromes at a symptom level. This study was designed to elucidate central symptoms and bridge symptoms of a depression-insomnia network among psychiatric practitioners in China. The identification of particularly important symptoms via network analysis provides an empirical foundation for targeting specific symptoms when developing treatments for comorbid insomnia and depression within this population. METHODS A total of 10,516 psychiatric practitioners were included in this study. The Insomnia Severity Index (ISI) and 9-item Patient Health Questionnaire (PHQ-9) were used to estimate prevalence rates of insomnia and depressive symptoms, respectively. Analyses also generated a network model of insomnia and depression symptoms in the sample. RESULTS Prevalence rates of insomnia (ISI total score ≥8), depression (PHQ-9 total score ≥5) and comorbid insomnia and depression were 22.2% (95% confidence interval: 21.4-22.9%), 28.5% (95% confidence interval: 27.6-29.4%), and 16.0% (95% confidence interval: 15.3-16.7%), respectively. Network analysis revealed that "Distress caused by sleep difficulties" (ISI7) and "Sleep maintenance" (ISI2) had the highest strength centrality, followed by "Motor dysfunction" (PHQ8) and "Sad mood" (PHQ2). Furthermore, the nodes "Sleep dissatisfaction" (ISI4), "Fatigue" (PHQ4), and "Motor dysfunction" (PHQ8) had the highest bridge strengths in linking depression and insomnia communities. CONCLUSIONS Both central and bridge symptoms (ie, Distress caused by sleep difficulties, Sleep maintenance, Motor dysfunction, Sad mood, Sleep dissatisfaction, and Fatigue) should be prioritized when testing preventive measures and specific treatments to address comorbid insomnia and depression among psychiatric practitioners during the COVID-19 pandemic. CITATION Zhao N, Zhao Y-J, An F, et al. Network analysis of comorbid insomnia and depressive symptoms among psychiatric practitioners during the COVID-19 pandemic. J Clin Sleep Med. 2023;19(7):1271-1279.
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Affiliation(s)
- Na Zhao
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao Special Administrative Region (SAR), China
- Center for Cognition and Brain Disorders, Institutes of Psychological Sciences, Hangzhou Normal University, Hangzhou, China
| | - Yan-Jie Zhao
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao Special Administrative Region (SAR), China
- Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China
- Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
| | - Fengrong An
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University & Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Qinge Zhang
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University & Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Sha Sha
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University & Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Zhaohui Su
- School of Public Health, Southeast University, Nanjing, China
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Todd Jackson
- Department of Psychology, University of Macau, Macao SAR, China
| | - Yu-Feng Zang
- Center for Cognition and Brain Disorders, Institutes of Psychological Sciences, Hangzhou Normal University, Hangzhou, China
| | - Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao Special Administrative Region (SAR), China
- Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China
- Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
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YÜCE Z, ŞİMŞEK N. Psychosocial Support Programs and Telepsychiatry Services Implemented in the World and Türkiye during the Pandemic. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2023. [DOI: 10.18863/pgy.1079919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
In this study, which addresses the psychosocial dimension of the COVID-19 pandemic, it is seen that the pandemic has increased the frequency of anxiety, anxiety, fear, and depression in the society. In this process in the world and in Türkiye, the majority of psychosocial support programs and mental health services are provided on online platforms and the frequency of use of telepsychiatry services has increased. In this study, Google Scholar and Pub Med were scanned and relevant domestic and international studies were examined. The aim of this article was to draw attention to the innovations brought about by the epidemic in the provision of mental health services to people and suggestions were made in order to contribute to the relevant literature.
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Sajjadi NB, Howard C, Papa C, Mashigian E, Vassar M, Hartwell M. The impact of COVID-19 on psychiatry research: A cross-sectional analysis of discontinued clinical trials for depressive disorders. Psychiatry Res 2023; 319:114999. [PMID: 36495618 PMCID: PMC9721472 DOI: 10.1016/j.psychres.2022.114999] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 12/01/2022] [Accepted: 12/02/2022] [Indexed: 12/12/2022]
Affiliation(s)
- Nicholas B Sajjadi
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
| | - Conner Howard
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States
| | - Colton Papa
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States
| | - Evan Mashigian
- Oklahoma State University Center for Health Sciences, Department of Psychiatry and Behavioral Sciences, Tulsa, Oklahoma, United States
| | - Matt Vassar
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States; Oklahoma State University Center for Health Sciences, Department of Psychiatry and Behavioral Sciences, Tulsa, Oklahoma, United States
| | - Micah Hartwell
- Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States; Oklahoma State University Center for Health Sciences, Department of Psychiatry and Behavioral Sciences, Tulsa, Oklahoma, United States
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Kimhi S, Marciano H, Eshel Y, Adini B. Do we cope similarly with different adversities? COVID-19 versus armed conflict. BMC Public Health 2022; 22:2151. [PMID: 36419033 PMCID: PMC9684926 DOI: 10.1186/s12889-022-14572-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 11/08/2022] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Varied populations may react differently to similar crises, depending on their social, cultural, and personal backgrounds; conversely, the same populations may respond differently to varied adversities. The current study aimed to examine three types of resilience (individual, community, and societal resilience) predicting six coping mechanisms (sense of danger, anxiety and depressive symptoms, well-being, hope, and morale) among the same sample of people that faced across two different adversities-COVID-19 and an armed conflict. METHODS Two repeated measurements of the same Israeli sample (N = 593) were employed, through an internet panel. The research variables were examined through a structured, quantitative questionnaire that consisted of nine scales, based on validated and reliable questionnaires. RESULTS Results indicated that: (a) respondents reported more difficulties in coping with the COVID-19 crisis, compared to the armed conflict, in all variables but morale. (b) similar patterns of correlations among the study variables were found in both measurements. (c) path's analysis indicated similar patterns of prediction of distress and well-being by individual and societal resilience. Use of the coping mechanism varied depending on the perception of the threat: COVID -19 is perceived as a less familiar and predictable adversity, which is harder to cope with, compared with the more familiar risk - an armed conflict, which is a recurrent threat in Israel. The correlations between the investigated psychological responses and the impacts of resilience on the coping and distress mechanism were similar in both adversities. CONCLUSIONS The results indicate that respondents tend to react in a similar pattern of associations among resilience, distress, and well-being across different adversities, such as COVID and armed conflict. However, individuals tend to regard unfamiliar, less predictable adversities as more complex to cope with, compared to better-known crises. Furthermore, respondents tend to underestimate the risks of potential familiar adversities. Healthcare professionals must be aware of and understand the coping mechanisms of individuals during adversities, to appropriately design policies for the provision of medical and psychological care during varied emergencies.
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Affiliation(s)
- Shaul Kimhi
- grid.12136.370000 0004 1937 0546ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel ,grid.443193.80000 0001 2107 842XStress and Resilience Research Center, Tel-Hai College, Tel–Hai, Israel
| | - Hadas Marciano
- grid.443193.80000 0001 2107 842XStress and Resilience Research Center, Tel-Hai College, Tel–Hai, Israel ,grid.18098.380000 0004 1937 0562The Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | - Yohanan Eshel
- grid.443193.80000 0001 2107 842XStress and Resilience Research Center, Tel-Hai College, Tel–Hai, Israel ,grid.18098.380000 0004 1937 0562The Psychology Department, University of Haifa, Haifa, Israel
| | - Bruria Adini
- grid.12136.370000 0004 1937 0546ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel ,grid.12136.370000 0004 1937 0546Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Changes in psychiatric services dynamics during the COVID-19 pandemic: Recognizing the need for resources shift. Psychiatry Res 2022; 317:114778. [PMID: 36029568 PMCID: PMC9364920 DOI: 10.1016/j.psychres.2022.114778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 08/08/2022] [Accepted: 08/09/2022] [Indexed: 11/20/2022]
Abstract
With the significant impact of COVID-19 pandemic on the health, and the functioning of health care system, it has become increasingly important to understand changes in the ways health services were utilized and the factors influencing it. Drop in psychiatric admissions was seen during the pandemic, but also an increase in acute hospitalizations and emergency visits. Our aim was to analyze changes in out- and in-patient services utilization in the largest Croatian psychiatric institution during the first year of the pandemic, observed through the lens of the stringency index, and compare it to the pre-pandemic year. Along with an overall drop in hospitalizations, but a unit-specific rise in hospitalization, we have observed a non-significant overall drop in regular outpatient visits, and a significant drop coinciding with strictest epidemiological measures. There was also a significant increase in emergency visits coinciding with epidemiological measures that failed to return to pre-pandemic values, pointing to an expected significant and prolonged burden on emergency services. Simultaneous analysis of changing dynamics of mental health care service utilization during the pandemic helps us identify specific points of increased burden, and help us plan for early and flexible resources shift in order to adequately respond to evolving challenges.
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Parker MM, Dailey SF, Emmanuel AD, Campbell A. Psychological impact of coronavirus disease 2019 (COVID-19) social distancing mandates on trauma survivors. GLOBAL HEALTH JOURNAL 2022; 6:174-179. [PMID: 35847474 PMCID: PMC9270776 DOI: 10.1016/j.glohj.2022.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 03/22/2022] [Accepted: 06/30/2022] [Indexed: 11/15/2022] Open
Abstract
Objective Despite recognition that coronavirus disease 2019 (COVID-19) pandemic created an unprecedented impact on global mental health, information on the psychological health among trauma survivors during the COVID-19 pandemic is rare. We sought to examine psychological outcomes among individuals with preexisting traumatic experiences during COVID-19. Methods We sampled 1 242 adults in the mid-Atlantic region of the United States under a state-issued Phase 1 stay-at-home mandate to examine associations between pre-pandemic trauma exposure as measured by the Brief Trauma Questionnaire (BTQ) and anxiety and depression, as measured by the Patient Reported Outcome Scale Anxiety and Depression (PROMIS-A and PROMIS-D). Results Pre-pandemic trauma exposure among the sample was reported, with 281 (22.6%) participants identifying as experiencing one trauma, 209 (16.8%) reporting two, and 468 (37.7%) reporting three or more. As reported experiences of trauma increased, so did participant anxiety and depressive symptomatology. One-way Analysis of Variance indicated that reported trauma was significantly positively correlated with anxiety (P < 0.01) and depressive symptomatology (P < 0.01). Conclusion Findings highlight the immense psychological toll of the COVID-19 pandemic, specifically with individuals who were previously exposed to trauma. Public health officials can encourage physicians, employers, and universities to screen patients, employees, and students to assess previous trauma, psychological functioning, and risk factors. Collaboration between physicians and mental health providers including psychiatrists, psychologists, counselors, and social workers to provide evidence informed rapid coordination of care can better meet the global mental health crisis that is arising as a result of this unprecedented global trauma.
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Shoib S, Armiya'u AY, Das N, Hussaini SS, Ahmed EMS, Chandradasa M. Suicide in the context of infodemic during COVID-19 pandemic: A global perspective. Ann Med Surg (Lond) 2022; 80:104070. [PMID: 35879948 PMCID: PMC9299974 DOI: 10.1016/j.amsu.2022.104070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Revised: 06/13/2022] [Accepted: 06/22/2022] [Indexed: 10/29/2022] Open
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Holmes J, Lau T, Saylor R, Fernández-Novel N, Hersey M, Keen D, Hampel L, Horschitz S, Ladewig J, Parke B, Reed MC, Nijhout HF, Best J, Koch P, Hashemi P. Voltammetric Approach for Characterizing the Biophysical and Chemical Functionality of Human Induced Pluripotent Stem Cell-Derived Serotonin Neurons. Anal Chem 2022; 94:8847-8856. [PMID: 35713335 DOI: 10.1021/acs.analchem.1c05082] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Depression is quickly becoming one of the world's most pressing public health crises, and there is an urgent need for better diagnostics and therapeutics. Behavioral models in animals and humans have not adequately addressed the diagnosis and treatment of depression, and biomarkers of mental illnesses remain ill-defined. It has been very difficult to identify biomarkers of depression because of in vivo measurement challenges. While our group has made important strides in developing in vivo tools to measure such biomarkers (e.g., serotonin) in mice using voltammetry, these tools cannot be easily applied for depression diagnosis and drug screening in humans due to the inaccessibility of the human brain. In this work, we take a chemical approach, ex vivo, to introduce a human-derived system to investigate brain serotonin. We utilize human induced pluripotent stem cells differentiated into serotonin neurons and establish a new ex vivo model of real-time serotonin neurotransmission measurements. We show that evoked serotonin release responds to stimulation intensity and tryptophan preloading, and that serotonin release and reuptake kinetics resemble those found in vivo in rodents. Finally, after selective serotonin reuptake inhibitor (SSRI) exposure, we find dose-dependent internalization of the serotonin reuptake transporters (a signature of the in vivo response to SSRI). Our new human-derived chemical model has great potential to provide an ex vivo chemical platform as a translational tool for in vivo neuropsychopharmacology.
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Affiliation(s)
- Jordan Holmes
- Department of Chemistry and Biochemistry, University of South Carolina, Columbia, South Carolina 29208, United States
| | - Thorsten Lau
- Department of Translational Brain Research, Central Institute of Mental Health, University of Heidelberg, Medical Faculty Mannheim, 68159 Mannheim, Germany.,German Cancer Research Center, 69120 Heidelberg, Germany.,HITBR Hector Institute for Translational Brain Research gGmbH, 68159 Mannheim, Germany
| | - Rachel Saylor
- Department of Chemistry and Biochemistry, University of South Carolina, Columbia, South Carolina 29208, United States
| | - Nadine Fernández-Novel
- Department of Translational Brain Research, Central Institute of Mental Health, University of Heidelberg, Medical Faculty Mannheim, 68159 Mannheim, Germany.,German Cancer Research Center, 69120 Heidelberg, Germany.,HITBR Hector Institute for Translational Brain Research gGmbH, 68159 Mannheim, Germany
| | - Melinda Hersey
- Department of Chemistry and Biochemistry, University of South Carolina, Columbia, South Carolina 29208, United States.,Department of Pharmacology, Physiology, & Neuroscience, University of South Carolina, Columbia, South Carolina 29209, United States
| | - Deanna Keen
- Department of Chemistry and Biochemistry, University of South Carolina, Columbia, South Carolina 29208, United States
| | - Lena Hampel
- Department of Translational Brain Research, Central Institute of Mental Health, University of Heidelberg, Medical Faculty Mannheim, 68159 Mannheim, Germany.,German Cancer Research Center, 69120 Heidelberg, Germany.,HITBR Hector Institute for Translational Brain Research gGmbH, 68159 Mannheim, Germany
| | - Sandra Horschitz
- Department of Translational Brain Research, Central Institute of Mental Health, University of Heidelberg, Medical Faculty Mannheim, 68159 Mannheim, Germany.,German Cancer Research Center, 69120 Heidelberg, Germany.,HITBR Hector Institute for Translational Brain Research gGmbH, 68159 Mannheim, Germany
| | - Julia Ladewig
- Department of Translational Brain Research, Central Institute of Mental Health, University of Heidelberg, Medical Faculty Mannheim, 68159 Mannheim, Germany.,German Cancer Research Center, 69120 Heidelberg, Germany.,HITBR Hector Institute for Translational Brain Research gGmbH, 68159 Mannheim, Germany
| | - Brenna Parke
- Department of Bioengineering, Imperial College London, London SW7 2AZ, U.K
| | - Michael C Reed
- Department of Mathematics, Duke University, Durham, North Carolina 27708, United States
| | - H Frederik Nijhout
- Department of Biology, Duke University, Durham, North Carolina 27708, United States
| | - Janet Best
- Department of Mathematics, The Ohio State University, Columbus, Ohio 43210, United States
| | - Philipp Koch
- Department of Translational Brain Research, Central Institute of Mental Health, University of Heidelberg, Medical Faculty Mannheim, 68159 Mannheim, Germany.,German Cancer Research Center, 69120 Heidelberg, Germany.,HITBR Hector Institute for Translational Brain Research gGmbH, 68159 Mannheim, Germany
| | - Parastoo Hashemi
- Department of Chemistry and Biochemistry, University of South Carolina, Columbia, South Carolina 29208, United States.,Department of Bioengineering, Imperial College London, London SW7 2AZ, U.K
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14
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Costa ACDS, Menon V, Phadke R, Dapke K, Miranda AV, Ahmad S, Essar MY, Hashim HT. Mental health in the post COVID-19 era: future perspectives. EINSTEIN-SAO PAULO 2022; 20:eCE6760. [PMID: 35584448 PMCID: PMC9060646 DOI: 10.31744/einstein_journal/2022ce6760] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Accepted: 07/02/2021] [Indexed: 01/06/2023] Open
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15
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Cannon JA, Strathman AR, Warner S, Flignor J, Beck NS. Assessing the impact of COVID-19 on psychiatric clinical trials. J Psychiatr Res 2022; 148:127-130. [PMID: 35123324 PMCID: PMC8760184 DOI: 10.1016/j.jpsychires.2022.01.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 01/02/2022] [Accepted: 01/09/2022] [Indexed: 11/25/2022]
Abstract
OBJECTIVE COVID-19 and associated measures to control the spread of the COVID-19 has significantly impacted clinical research. This study aimed to determine the impact COVID-19 has had on psychiatric clinical trials and to assess whether certain trial areas or trial types were differentially affected. METHODS We used information from ClinicalTrials.gov, the largest online database of clinical trial information, to examine changes in psychiatric clinical trials from January 2010-December 2020. RESULTS Clinical trial initiation decreased in 2020, with a year-on-year percent change in trial initiation of -5.4% versus an expected percent change based on forecasting observed trends from 2010 to 2019 of 8.6%. When broken down by disease area, the distribution of trials observed in 2020 was significantly different from the predicted distribution (p < 0.00001). The greatest decrease in trial initiation was seen in Schizophrenia-specific trials, with an observed percent change of -29.2% versus an expected percent change of 3.2%. Conversely, anxiety trials saw a significant increase in trial initiation during 2020, with an observed percent change of 24.6% versus an expected percent change of 16.0%. When assessing interventional versus observational studies, data showed a significant increase in initiation of observational psychiatric clinical trials (p < 0.05), and a significant decrease in initiation of interventional psychiatric clinical trials (p < 0.01). When data was analyzed on a month-by-month time scale, 7/12 months in 2020 showed significant decreases when compared to initiation during matching months over prior years, and a single month, June, showed a significant increase. CONCLUSION COVID-19 has had significant impacts on the initiation of psychiatric clinical trials over 2020, and this decrease in trial initiation may have long-term impacts on the development and assessment of psychiatric treatments and therapeutics.
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Affiliation(s)
- Julie A. Cannon
- Stanford University School of Medicine, Department of Psychiatry, USA
| | | | - Seth Warner
- Carleton College, Department of Biology, USA
| | - Jacob Flignor
- Carleton College, Department of Mathematics and Statistics, USA
| | - Nataly S. Beck
- Stanford University School of Medicine, Department of Psychiatry, USA,Corresponding author
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16
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Lavigne KM, Sauvé G, Raucher-Chéné D, Guimond S, Lecomte T, Bowie CR, Menon M, Lal S, Woodward TS, Bodnar MD, Lepage M. Remote cognitive assessment in severe mental illness: a scoping review. SCHIZOPHRENIA (HEIDELBERG, GERMANY) 2022; 8:14. [PMID: 35249112 PMCID: PMC8897553 DOI: 10.1038/s41537-022-00219-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 12/16/2021] [Indexed: 11/16/2022]
Abstract
Many individuals living with severe mental illness, such as schizophrenia, present cognitive deficits and reasoning biases negatively impacting clinical and functional trajectories. Remote cognitive assessment presents many opportunities for advancing research and treatment but has yet to be widely used in psychiatric populations. We conducted a scoping review of remote cognitive assessment in severe mental illness to provide an overview of available measures and guide best practices. Overall, 34 studies (n = 20,813 clinical participants) were reviewed and remote measures, psychometrics, facilitators, barriers, and future directions were synthesized using a logic model. We identified 82 measures assessing cognition in severe mental illness across 11 cognitive domains and four device platforms. Remote measures were generally comparable to traditional versions, though psychometric properties were infrequently reported. Facilitators included standardized procedures and wider recruitment, whereas barriers included imprecise measure adaptations, technology inaccessibility, low patient engagement, and poor digital literacy. Our review identified several remote cognitive measures in psychiatry across all cognitive domains. However, there is a need for more rigorous validation of these measures and consideration of potentially influential factors, such as sex and gender. We provide recommendations for conducting remote cognitive assessment in psychiatry and fostering high-quality research using digital technologies.
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Affiliation(s)
- Katie M Lavigne
- Department of psychiatry, McGill University, Montreal, QC, Canada
| | - Geneviève Sauvé
- Department of psychology, University of Quebec in Montreal, Montreal, QC, Canada
| | - Delphine Raucher-Chéné
- Department of psychiatry, McGill University, Montreal, QC, Canada
- Department of psychiatry, University Hospital of Reims, EPSM Marne, Reims, France
- Cognition, Health, and Society Laboratory (EA 6291), University of Reims Champagne-Ardenne, Reims, France
| | - Synthia Guimond
- Department of psychiatry, University of Ottawa, The Royal's Institute of Mental Health Research, Ottawa, ON, Canada
- Department of psychoeducation and psychology, University of Quebec in Outaouais, Gatineau, QC, Canada
| | - Tania Lecomte
- Department of psychology, University of Montreal, Montreal, QC, Canada
| | | | - Mahesh Menon
- Department of psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Shalini Lal
- School of Rehabilitation, University of Montreal, Montreal, QC, Canada
| | - Todd S Woodward
- Department of psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Michael D Bodnar
- Department of psychiatry, University of Ottawa, The Royal's Institute of Mental Health Research, Ottawa, ON, Canada
| | - Martin Lepage
- Department of psychiatry, McGill University, Montreal, QC, Canada.
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17
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Duncan MH, Erickson JM, Chang D, Toor R, Ratzliff ADH. Psychiatry's Expanded Integration into Primary Care. Psychiatr Clin North Am 2022; 45:71-80. [PMID: 35219443 DOI: 10.1016/j.psc.2021.11.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Integrated behavioral care, and in particular, the collaborative care model, has been working to improve access and treatment for people with mental health disorders. Integrated care allows for adaptable, scalable, and sustainable practice that addresses the mental health needs of the public. During the pandemic several challenges emerged to delivering integrated care. This disruption happened at a systems level, team-based care level, scope of care level, and patient access level. This article looks through the lens of those various levels to identify and some of the lessons learned to help build a more resilient and flexible integrated care program.
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Affiliation(s)
- Mark H Duncan
- Department of Psychiatry and Behavioral Sciences, University of Washington, 4225 Roosevelt Way Northeast, Street 306, Seattle, WA 98105, USA.
| | - Jennifer M Erickson
- Department of Psychiatry and Behavioral Sciences, University of Washington, 4225 Roosevelt Way Northeast, Street 306, Seattle, WA 98105, USA
| | - Denise Chang
- Department of Psychiatry and Behavioral Sciences, University of Washington, 4225 Roosevelt Way Northeast, Street 306, Seattle, WA 98105, USA
| | - Ramanpreet Toor
- Department of Psychiatry and Behavioral Sciences, University of Washington, 4225 Roosevelt Way Northeast, Street 306, Seattle, WA 98105, USA
| | - Anna D H Ratzliff
- Department of Psychiatry and Behavioral Sciences, University of Washington, 4225 Roosevelt Way Northeast, Street 306, Seattle, WA 98105, USA
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18
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Li F, Tokac U, Werner K, Fish AF, Lou Q. Determination of Key Inflection Points for Maladaptive Responses in US Nurses During the Pandemic: A Network Analysis. SAGE Open Nurs 2022; 8:23779608221140719. [PMID: 36518630 PMCID: PMC9742704 DOI: 10.1177/23779608221140719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 10/29/2022] [Accepted: 11/06/2022] [Indexed: 12/13/2022] Open
Abstract
Introduction During the pandemic, the nursing workforce is experiencing overwhelming workloads that carry a heavy psychological burden. A wide variety of psychological responses to the COVID-19 pandemic have been studied in nurses globally, but many are not studied or understudied in US nurses. Theoretical underpinnings of the current study are based on the disaster component of the Middle-Range Theory of Nurses' Psychological Trauma. Objective To explore the associations of psychological responses (life satisfaction, perceived stress, posttraumatic stress disorder [PTSD] symptomatology, attitude toward life, and compassion satisfaction), years of experience, and general health in US nurses during the COVID-19 pandemic using network analysis. Methods A cross-sectional study was conducted using an online survey from October to November 2020 in US nurses. Network analysis was used to model the data and analyze the centrality indices of betweenness, closeness, and strength. Data were reported according to the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) checklist. Results In 128 nurses, 19.35% of nurses had probable PTSD. Network analysis showed strong significant correlations between life satisfaction and perceived stress (negative), between perceived stress and PTSD symptomatology (positive), and between attitude toward life and compassion satisfaction (positive). Conclusion Low life satisfaction, high perceived stress, and low attitude toward life are key inflection points that signal the need for psychological intervention in the US nursing workforce during the continued pandemic. Based on 2021 Tri-Council of Nursing COVID-19 Report and the 2022 International Council of Nurses guideline, healthcare should implement scalable, system-level interventions to reduce psychological burden during the pandemic. The current study suggests targets for such intervention, which may promote a healthier, more effective US nursing workforce.
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Affiliation(s)
- Fan Li
- College of Nursing, University of Missouri-St. Louis, St. Louis, USA
| | - Umit Tokac
- College of Nursing, University of Missouri-St. Louis, St. Louis, USA
| | - Kimberly Werner
- College of Nursing, University of Missouri-St. Louis, St. Louis, USA
| | - Anne F. Fish
- College of Nursing, University of Missouri-St. Louis, St. Louis, USA
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19
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Feng T, Ren L, Liu C, Li K, Wu L, Wei X, Yuan S, Cui LB, Yang X, Li D, Yang W, Li Y, Wang B, Wang H, Liu X. The relations between different components of intolerance of uncertainty and symptoms of depression during the COVID-19 pandemic: A network analysis. Front Psychiatry 2022; 13:993814. [PMID: 36311506 PMCID: PMC9613443 DOI: 10.3389/fpsyt.2022.993814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 09/09/2022] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND The relations between depression and intolerance of uncertainty (IU) have been extensively investigated during the COVID-19 pandemic. However, there is a lack of understanding on how each component of IU may differentially affect depression symptoms and vice versa. The current study used a network approach to reveal the component-to-symptom interplay between IU and depression and identify intervention targets for depression during the COVID-19 pandemic. METHODS A total of 624 college students participated in the current study. An IU-Depression network was estimated using items from the 12-item Intolerance of Uncertainty Scale and the Patient Health Questionnaire-9. We examined the network structure, node centrality, and node bridge centrality to identify component-to-symptom pathways, central nodes, and bridge nodes within the IU-Depression network. RESULTS Several distinct pathways (e.g., "Frustration when facing uncertainty" and "Feelings of worthlessness") emerged between IU and Depression. "Fatigue" and "Frustration when facing uncertainty" were identified as the central nodes in the estimated network. "Frustration when facing uncertainty," "Psychomotor agitation/retardation," and "Depressed or sad mood" were identified as bridging nodes between the IU and Depression communities. CONCLUSION By delineating specific pathways between IU and depression and highlighting the influential role of "Frustration when facing uncertainty" in maintaining the IU-Depression co-occurrence, current findings may inform targeted prevention and interventions for depression during the COVID-19 pandemic.
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Affiliation(s)
- Tingwei Feng
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Lei Ren
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Chang Liu
- BrainPark, Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, VIC, Australia
| | - Kuiliang Li
- School of Psychology, Army Medical University, Chongqing, China
| | - Lin Wu
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Xinyi Wei
- Department of Psychology, Renmin University of China, Beijing, China
| | - Shangqing Yuan
- School of Psychology, Capital Normal University, Beijing, China
| | - Long-Biao Cui
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Xi Yang
- Department of Health Economy Management, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Danyang Li
- College of Education Science, Changji University, Changji, China
| | - Wei Yang
- Psychological Counseling Center, Xijing University, Xi'an, China
| | - Ye Li
- Psychological Counseling Center, Xijing University, Xi'an, China
| | - Buyao Wang
- Clinical and Psychological Counseling, DongFang College, Beijing University of Chinese Medicine, Langfang, China
| | - Hui Wang
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Xufeng Liu
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
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20
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Ponnam HB, Akondi BR. Psychotherapy in the Management of the Upcoming Storm of Post-COVID Spectrum of Psychological Disorders. ASIAN JOURNAL OF PHARMACEUTICAL RESEARCH AND HEALTH CARE 2021. [DOI: 10.18311/ajprhc/2021/28947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
No Abstract.
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21
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Colledani D, Anselmi P, Robusto E. COVID-19 emergency: the influence of implicit attitudes, information sources, and individual characteristics on psychological distress, intentions to get vaccinated, and compliance with restrictive rules. HEALTH PSYCHOLOGY REPORT 2021; 10:1-12. [PMID: 38084370 PMCID: PMC10681833 DOI: 10.5114/hpr.2021.111292] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 10/11/2021] [Accepted: 11/08/2021] [Indexed: 10/15/2024] Open
Abstract
BACKGROUND To limit the spread of the COVID-19 emergency, a massive vaccination program was implemented and restrictive measures were imposed on the population. However, the propensity to adhere to the vaccination program has struggled to take off. Moreover, complying with the restrictive rules and maintaining social distancing have been highly distressing for many individuals. PARTICIPANTS AND PROCEDURE Italian participants (N = 140, females = 65%, mean age = 29.50, SD = 10.80) were presented with an online survey consisting of multiple-choice questions and two single-category implicit association tests (SC-IATs). One SC-IAT evaluated the tendency of participants to automatically associate personal protective equipment (PPE) and vaccines with safety or danger; the other evaluated their tendency to automatically associate social situations with good or bad. Multiple-choice questions explored individual, social, and environmental factors that were expected to contribute to vaccine propensity, compliance with restrictive rules, and feelings of distress. RESULTS Using scientific information sources was related to implicitly associating PPE and vaccines with safety, which in turn was associated with the propensity to get the vaccine. Moreover, being female, young, unsatisfied with social relationships, having suffered health and economic consequences due to the pandemic, and having negative implicit attitudes toward social situations contributed to increasing feelings of distress. CONCLUSIONS Communication may contribute to individuals' behavior and preferences and it can also be associated with implicit attitudes, becoming consequently one of the main leverages to reduce vaccine hesitancy. Recovery programs should prioritize the development of interventions aimed at fostering psychological well-being through the enhancement of social contacts.
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22
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Sycińska-Dziarnowska M, Szyszka-Sommerfeld L, Kłoda K, Simeone M, Woźniak K, Spagnuolo G. Mental Health Interest and Its Prediction during the COVID-19 Pandemic Using Google Trends. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312369. [PMID: 34886094 PMCID: PMC8656476 DOI: 10.3390/ijerph182312369] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Revised: 11/20/2021] [Accepted: 11/23/2021] [Indexed: 11/29/2022]
Abstract
This study aimed to analyze and predict interest in mental health-related queries created in Google Trends (GT) during the COVID-19 pandemic. The Google Trends tool collected data on the Google search engine interest and provided real-time surveillance. Five key phrases: “depression”, “insomnia”, ”loneliness”, “psychologist”, and “psychiatrist”, were studied for the period from 25 September 2016 to 19 September 2021. The predictions for the upcoming trend were carried out for the period from September 2021 to September 2023 and were estimated by a hybrid five-component model. The results show a decrease of interest in the search queries “depression” and “loneliness” by 15.3% and 7.2%, respectively. Compared to the period under review, an increase of 5.2% in “insomnia” expression and 8.4% in the “psychiatrist” phrase were predicted. The expression “psychologist” is expected to show an almost unchanged interest. The upcoming changes in the expressions connected with mental health might be explained by vaccination and the gradual removal of social distancing rules. Finally, the analysis of GT can provide a timely insight into the mental health interest of a population and give a forecast for a short period trend.
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Affiliation(s)
- Magdalena Sycińska-Dziarnowska
- Department of Orthodontics, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland; (M.S.-D.); (L.S.-S.); (K.W.)
| | - Liliana Szyszka-Sommerfeld
- Department of Orthodontics, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland; (M.S.-D.); (L.S.-S.); (K.W.)
| | | | - Michele Simeone
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Napoli, Italy;
| | - Krzysztof Woźniak
- Department of Orthodontics, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland; (M.S.-D.); (L.S.-S.); (K.W.)
| | - Gianrico Spagnuolo
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Napoli, Italy;
- Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, 119435 Moscow, Russia
- Correspondence:
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23
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Oka T, Kubo T, Kobayashi N, Nakai F, Miyake Y, Hamamura T, Honjo M, Toda H, Boku S, Kanazawa T, Nagamine M, Cortese A, Takebayashi M, Kawato M, Chiba T. Multiple time measurements of multidimensional psychiatric states from immediately before the COVID-19 pandemic to one year later: a longitudinal online survey of the Japanese population. Transl Psychiatry 2021; 11:573. [PMID: 34759293 PMCID: PMC8581018 DOI: 10.1038/s41398-021-01696-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 10/13/2021] [Accepted: 10/19/2021] [Indexed: 01/01/2023] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has profoundly affected the mental health of both infected and uninfected people. Although most psychiatric disorders have highly overlapping genetic and pathogenic backgrounds, most studies investigating the impact of the pandemic have examined only single psychiatric disorders. It is necessary to examine longitudinal trajectories of factors that modulate psychiatric states across multiple dimensions. About 2274 Japanese citizens participated in online surveys presented in December 2019 (before the pandemic), August 2020, Dec 2020, and April 2021. These surveys included nine questionnaires on psychiatric symptoms, such as depression and anxiety. Multidimensional psychiatric time-series data were then decomposed into four principal components. We used generalized linear models to identify modulating factors for the effects of the pandemic on these components. The four principal components can be interpreted as a general psychiatric burden, social withdrawal, alcohol-related problems, and depression/anxiety. Principal components associated with general psychiatric burden and depression/anxiety peaked during the initial phase of the pandemic. They were further exacerbated by the economic burden the pandemic imposed. In contrast, principal components associated with social withdrawal showed a delayed peak, with human relationships as an important risk modulating factor. In addition, being female was a risk factor shared across all components. Our results show that COVID-19 has imposed a large and varied burden on the Japanese population since the commencement of the pandemic. Although components related to the general psychiatric burden remained elevated, peak intensities differed between components related to depression/anxiety and those related to social withdrawal. These results underline the importance of using flexible monitoring and mitigation strategies for mental problems, according to the phase of the pandemic.
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Affiliation(s)
- Taiki Oka
- The Department of Decoded Neurofeedback, Computational Neuroscience Laboratories, Advanced Telecommunications Research Institute International, Kyoto, Japan
- Department of Neuropsychiatry, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan
| | - Takatomi Kubo
- The Department of Brain robot interface, Computational Neuroscience Laboratories, Advanced Telecommunications Research Institute International, Kyoto, Japan
| | - Nao Kobayashi
- Collaborative AI Laboratory, KDDI Research, Inc., Fujimino, Japan
| | - Fumiya Nakai
- The Department of Computational Brain Imaging, Computational Neuroscience Laboratories, Advanced Telecommunications Research Institute International, Kyoto, Japan
- Mathematical Informatics Laboratory, Nara Institute of Science and Technology (NAIST), Kyoto, Japan
| | - Yuka Miyake
- Technology Affairs Department, Technology Strategy Division, KDDI CORPORATION, Tokyo, Japan
| | - Toshitaka Hamamura
- Healthcare Medical Group, Future Design Division 2, KDDI Research Atelier, KDDI Research, Inc., Fujimino, Japan
- Japan Society for the Promotion of Science, Tokyo, Japan
| | - Masaru Honjo
- Healthcare Medical Group, Future Design Division 2, KDDI Research Atelier, KDDI Research, Inc., Fujimino, Japan
| | - Hiroyuki Toda
- The Department of Psychiatry, National Defense Medical College, Tokorozawa, Japan
| | - Shuken Boku
- Department of Neuropsychiatry, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan
| | - Tetsufumi Kanazawa
- The Department of Neuropsychiatry, Osaka Medical and Pharmaceutical University, Osaka, Japan
- The Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australia
| | - Masanori Nagamine
- Division of Behavioral Science, National Defense Medical College Research Institute, Tokorozawa, Japan
| | - Aurelio Cortese
- The Department of Decoded Neurofeedback, Computational Neuroscience Laboratories, Advanced Telecommunications Research Institute International, Kyoto, Japan
| | - Minoru Takebayashi
- Department of Neuropsychiatry, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan
| | - Mitsuo Kawato
- The Department of Decoded Neurofeedback, Computational Neuroscience Laboratories, Advanced Telecommunications Research Institute International, Kyoto, Japan
| | - Toshinori Chiba
- The Department of Decoded Neurofeedback, Computational Neuroscience Laboratories, Advanced Telecommunications Research Institute International, Kyoto, Japan.
- The Department of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.
- The Department of Psychiatry, Self-Defense Forces Hanshin Hospital, Kawanishi, Japan.
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24
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Byrne A, Barber R, Lim CH. Impact of the
COVID
‐19 pandemic – a mental health service perspective. PROGRESS IN NEUROLOGY AND PSYCHIATRY 2021. [DOI: 10.1002/pnp.708] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Andrew Byrne
- Dr Byrne and Dr Barber are both Consultant Old Age Psychiatrists, and Dr Lim is a Foundation Year 1 Doctor in Old Age Psychiatry, all at Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
| | - Robert Barber
- Dr Byrne and Dr Barber are both Consultant Old Age Psychiatrists, and Dr Lim is a Foundation Year 1 Doctor in Old Age Psychiatry, all at Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
| | - Chee Hwai Lim
- Dr Byrne and Dr Barber are both Consultant Old Age Psychiatrists, and Dr Lim is a Foundation Year 1 Doctor in Old Age Psychiatry, all at Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
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25
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Gallo LMH, Giampietro V, Zunszain PA, Tan KS. Covid-19 and Mental Health: Could Visual Art Exposure Help? Front Psychol 2021; 12:650314. [PMID: 33995207 PMCID: PMC8119628 DOI: 10.3389/fpsyg.2021.650314] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 04/01/2021] [Indexed: 01/03/2023] Open
Abstract
A worldwidemental health crisis is expected, as millions worldwide fear death and disease while being forced into repeated isolation. Thus, there is a need for new proactive approaches to improve mental resilience and prevent mental health conditions. Since the 1990s, art has emerged as an alternative mental health therapy in the United States and Europe, becoming part of the social care agenda. This article focuses on how visual esthetic experiences can create similar patterns of neuronal activity as those observed when the reward system is activated. The activation of the reward structures could have a stress buffering effect, given the interdependence observed between the reward and stress systems. Therefore, could visual esthetic experiences stimulate mental resilience? And if this were the case, could art-based interventions be offered for mental health in the context of COVID-19 and beyond?
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Affiliation(s)
- Laura M. H. Gallo
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
| | - Vincent Giampietro
- Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
| | - Patricia A. Zunszain
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
| | - Kai Syng Tan
- Manchester School of Art, Manchester Metropolitan University, Manchester, United Kingdom
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Roche GC, Fung P, Ransing R, Noor IM, Shalbafan M, El Hayek S, Koh EBY, Gupta AK, Kudva KG. The state of psychiatric research in the Asia Pacific region. Asia Pac Psychiatry 2021; 13:e12432. [PMID: 33145988 DOI: 10.1111/appy.12432] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Accepted: 10/10/2020] [Indexed: 12/18/2022]
Abstract
INTRODUCTION This study aims to review recent scientific publications and research output in the field of psychiatry, from a series of countries in the Asia-Pacific region (Australia, India, Indonesia, Iran, Lebanon, Malaysia, and Nepal), with a view to identify themes and similarities across regions, as well as to examine the barriers and challenges in mental health research faced by countries in the region. METHODS Seven psychiatrists from seven countries reviewed recent published and ongoing research in psychiatry in their respective nations, with respect to themes, as well as any barriers or challenges faced by mental health researchers. RESULTS While the seven nations included in this review vary in terms of research capabilities and economic development level, they share many similarities both in terms of research direction, and with regards to challenges faced. Limitations in the form of sociocultural differences from the West, and a lack of funding were some of the barriers identified. DISCUSSION Mental health research in the region has been progressing well. However, more varied research in the form of qualitative or economic studies are lacking, as are multi-center studies. The similar issues that nations face with regards to research could perhaps benefit from collaborative efforts and initiatives for the furtherance of research in the region.
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Affiliation(s)
- Glen Cedric Roche
- Department of Psychological Medicine, Changi General Hospital, Singapore
| | - Paul Fung
- Paramatta Mission, Parramatta, New South Wales, Australia.,Health Education and Training Institute Higher Education, North Paramatta, New South Wales, Australia
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India
| | - Isa Multazam Noor
- Department of Psychiatry, Dr. Soeharto Heerdjan Mental Hospital, Jakarta, Indonesia
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Eugene Boon Yau Koh
- Department of Psychiatry, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
| | | | - Kundadak Ganesh Kudva
- Early Psychosis Intervention Programme and East Region, Institute of Mental Health, Singapore
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Banerjee D, Vaishnav M, Rao TSS, Raju MSVK, Dalal P, Javed A, Saha G, Mishra KK, Kumar V, Jagiwala MP. Impact of the COVID-19 pandemic on psychosocial health and well-being in South-Asian (World Psychiatric Association zone 16) countries: A systematic and advocacy review from the Indian Psychiatric Society. Indian J Psychiatry 2020; 62:S343-S353. [PMID: 33227049 PMCID: PMC7659771 DOI: 10.4103/psychiatry.indianjpsychiatry_1002_20] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 08/25/2020] [Accepted: 08/31/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) has emerged as a global health threat. The South-Asian (SA) countries have witnessed both the initial brunt of the outbreak as well as the ongoing rise of cases. Their unique challenges in relation to mental health during the pandemic are worth exploring. MATERIALS AND METHODS A systematic review was conducted for all the original studies on the impact of COVID-19 and lockdown on psychological health/well-being in the SA countries of the World Psychiatric Association Zone 16. PubMed, Google Scholar, PSYCHINFO, EMBASE, and SCOPUS were searched till June 2020. Studies conducted in the age group of 18-60 years with a minimum sample size of 10, and statistically significant results were included. RESULTS Thirteen studies were included in the review. They showed increase prevalence in nonpsychotic depression, preanxiety, somatic concerns, alcohol-related disorders, and insomnia in the general population. Psychological symptoms correlated more with physical complaints of fatigue and pain in older adults and were directly related to social media use, misinformation, xenophobia, and social distancing. Frontline workers reported guilt, stigma, anxiety, and poor sleep quality, which were related to the lack of availability of adequate personal protective equipment, increased workload, and discrimination. One study validated the Coronavirus anxiety scale in the Indian population while another explored gaming as a double-edged sword during the lockdown in adolescents. Another study from Bangladesh explored psychosexual health during lockdown. Most studies were cross-sectional online surveys, used screening tools and had limited accessibility. CONCLUSION The ongoing COVID-19 crisis and its impact serve as an important period for adequate mental healthcare, promotion, research, and holistic biopsychosocial management of psychiatric disorders, especially in vulnerable groups. Mental healthcare and research strategies during the pandemic and preparedness for postpandemic aftermath are advocated subsequently.
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Affiliation(s)
- Debanjan Banerjee
- Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
| | - Mrugesh Vaishnav
- Samvedna Group of Hospitals and Research Centre, Ahmedabad, Gujarat, India
| | - TS Sathyanarayana Rao
- Department of Psychiatry, JSS Medical College and JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
| | - MSVK Raju
- Department of Psychiatry, Peoples College of Medical Sciences, Bhopal, Madhya Pradesh, India
- Adjunct Professor of Research, Interactive Research School of Health Affairs (IRSHA), Pune, Maharashtra, India
- Board Member and Zone 16 Representative, World Psychiatric Association, Lucknow, Uttar Pradesh, India
| | - P.K. Dalal
- Department of Psychiatry, K.G. Medical University, Lucknow, Uttar Pradesh, India
- President, Indian Psychiatric Society, Pakistan
| | - Afzal Javed
- Chairman Pakistan Psychiatric Research Centre, Fountain House Lahore, Pakistan
- President Elect World Psychiatric Association, Sevagram, Maharashtra, India
| | - Gautam Saha
- Brain Neuropsychiatric Institute and Research Center, Vice President cum President Elect, Indian Psychiatric Society, Sevagram, Maharashtra, India
| | | | - Vinay Kumar
- Consultant Psychiatrist, Manoved Mind Hospital, Patna, Bihar, India
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