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Journal ArticleDOI

2019-nCoV epidemic: address mental health care to empower society.

Yanping Bao1, Yankun Sun1, Shi-Qiu Meng1, Jie Shi1, Lin Lu 
22 Feb 2020-The Lancet (Elsevier)-Vol. 395, Iss: 10224
About: This article is published in The Lancet.The article was published on 2020-02-22 and is currently open access. It has received 1341 citations till now. The article focuses on the topics: Mental health & Global health.
Citations
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Journal ArticleDOI
TL;DR: Having relatives or acquaintances infected with COVID-19 was a risk factor for increasing the anxiety of college students and economic effects, and effects on daily life, as well as delays in academic activities, were positively associated with anxiety symptoms.
Abstract: A COVID-19 epidemic has been spreading in China and other parts of the world since December 2019. The epidemic has brought not only the risk of death from infection but also unbearable psychological pressure. We sampled college students from Changzhi medical college by using cluster sampling. They responded to a questionnaire packet that included the 7-item Generalized Anxiety Disorder Scale (GAD-7) and those inquiring the participants' basic information. We received 7,143 responses. Results indicated that 0.9% of the respondents were experiencing severe anxiety, 2.7% moderate anxiety, and 21.3% mild anxiety. Moreover, living in urban areas (OR = 0.810, 95% CI = 0.709 - 0.925), family income stability (OR = 0.726, 95% CI = 0.645 - 0.817) and living with parents (OR = 0.752, 95% CI = 0.596 - 0.950) were protective factors against anxiety. Moreover, having relatives or acquaintances infected with COVID-19 was a risk factor for increasing the anxiety of college students (OR = 3.007, 95% CI = 2.377 - 3.804). Results of correlation analysis indicated that economic effects, and effects on daily life, as well as delays in academic activities, were positively associated with anxiety symptoms (P < .001). However, social support was negatively correlated with the level of anxiety (P < .001). It is suggested that the mental health of college students should be monitored during epidemics.

3,460 citations


Cites background from "2019-nCoV epidemic: address mental ..."

  • ...The novel coronavirus (COVID-2019) has spread very rapidly all over China and several other countries, causing an outbreak of acute infectious pneumonia (Bao et al., 2020)....

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  • ...It has been indicated that the increasing number of patients and suspected cases, as well as the increasing number of provinces and countries affected by the outbreak, have elicited public worry about being infected in this outbreak, which has increased anxiety (Bao et al., 2020)....

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Journal ArticleDOI
TL;DR: Preliminary evidence suggests that symptoms of anxiety and depression and self-reported stress are common psychological reactions to the COVID-19 pandemic, and may be associated with disturbed sleep.

2,359 citations


Cites background from "2019-nCoV epidemic: address mental ..."

  • ...Widespread outbreaks of infectious disease, such as COVID-19, are associated with psychological distress and symptoms of mental illness (Bao et al., 2020) ....

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  • ...In contrast, Bao et al....

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Journal ArticleDOI
TL;DR: Early evidence suggests that a considerable proportion of HCWs experience mood and sleep disturbances during this outbreak, stressing the need to establish ways to mitigate mental health risks and adjust interventions under pandemic conditions.
Abstract: Background COVID-19 pandemic has the potential to significantly affect the mental health of healthcare workers (HCWs), who stand in the frontline of this crisis. It is, therefore, an immediate priority to monitor rates of mood, sleep and other mental health issues in order to understand mediating factors and inform tailored interventions. The aim of this review is to synthesize and analyze existing evidence on the prevalence of depression, anxiety and insomnia among HCWs during the Covid-19 outbreak. Methods A systematic search of literature databases was conducted up to April 17th, 2020. Two reviewers independently assessed full-text articles according to predefined criteria. Risk of bias for each individual study was assessed and data pooled using random-effects meta-analyses to estimate the prevalence of specific mental health problems. The review protocol is registered in PROSPERO and is available online. Findings Thirteen studies were included in the analysis with a combined total of 33,062 participants. Anxiety was assessed in 12 studies, with a pooled prevalence of 23·2% and depression in 10 studies, with a prevalence rate of 22·8%. A subgroup analysis revealed gender and occupational differences with female HCPs and nurses exhibiting higher rates of affective symptoms compared to male and medical staff respectively. Finally, insomnia prevalence was estimated at 38·9% across 5 studies. Interpretation Early evidence suggests that a considerable proportion of HCWs experience mood and sleep disturbances during this outbreak, stressing the need to establish ways to mitigate mental health risks and adjust interventions under pandemic conditions.

2,306 citations

Journal ArticleDOI
TL;DR: This systematic review and meta-analysis of existing research works and findings in relation to the prevalence of stress, anxiety and depression in the general population during the COVID-19 pandemic found that it is essential to preserve the mental health of individuals and to develop psychological interventions that can improve themental health of vulnerable groups during the pandemic.
Abstract: The COVID-19 pandemic has had a significant impact on public mental health Therefore, monitoring and oversight of the population mental health during crises such as a panedmic is an immediate priority The aim of this study is to analyze the existing research works and findings in relation to the prevalence of stress, anxiety and depression in the general population during the COVID-19 pandemic In this systematic review and meta-analysis, articles that have focused on stress and anxiety prevalence among the general population during the COVID-19 pandemic were searched in the Science Direct, Embase, Scopus, PubMed, Web of Science (ISI) and Google Scholar databases, without a lower time limit and until May 2020 In order to perform a meta-analysis of the collected studies, the random effects model was used, and the heterogeneity of studies was investigated using the I2 index Moreover data analysis was conducted using the Comprehensive Meta-Analysis (CMA) software The prevalence of stress in 5 studies with a total sample size of 9074 is obtained as 296% (95% confidence limit: 243–354), the prevalence of anxiety in 17 studies with a sample size of 63,439 as 319% (95% confidence interval: 275–367), and the prevalence of depression in 14 studies with a sample size of 44,531 people as 337% (95% confidence interval: 275–406) COVID-19 not only causes physical health concerns but also results in a number of psychological disorders The spread of the new coronavirus can impact the mental health of people in different communities Thus, it is essential to preserve the mental health of individuals and to develop psychological interventions that can improve the mental health of vulnerable groups during the COVID-19 pandemic

2,133 citations


Cites background from "2019-nCoV epidemic: address mental ..."

  • ...Due to the pathogenicity of the virus, the rate of spread, the resulting high mortality rate, COVID-19 may affect the mental health of individuals at several layers of society, ranging from the infected patients, and health care workers, to families, children, students, patients with mental illness, and even workers in other sectors [17-19]....

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Journal ArticleDOI
16 Apr 2020-PLOS ONE
TL;DR: There are high prevalence of mental health problems, which positively associated with frequently SME during the COVID-19 outbreak, and the government need pay more attention to mental health issues among general population and combating with “infodemic” while combating during public health emergency.
Abstract: Huge citizens expose to social media during a novel coronavirus disease (COVID-19) outbroke in Wuhan, China. We assess the prevalence of mental health problems and examine their association with social media exposure. A cross-sectional study among Chinese citizens aged≥18 years old was conducted during Jan 31 to Feb 2, 2020. Online survey was used to do rapid assessment. Total of 4872 participants from 31 provinces and autonomous regions were involved in the current study. Besides demographics and social media exposure (SME), depression was assessed by The Chinese version of WHO-Five Well-Being Index (WHO-5) and anxiety was assessed by Chinese version of generalized anxiety disorder scale (GAD-7). multivariable logistic regressions were used to identify associations between social media exposure with mental health problems after controlling for covariates. The prevalence of depression, anxiety and combination of depression and anxiety (CDA) was 48.3% (95%CI: 46.9%-49.7%), 22.6% (95%CI: 21.4%-23.8%) and 19.4% (95%CI: 18.3%-20.6%) during COVID-19 outbroke in Wuhan, China. More than 80% (95%CI:80.9%-83.1%) of participants reported frequently exposed to social media. After controlling for covariates, frequently SME was positively associated with high odds of anxiety (OR = 1.72, 95%CI: 1.31-2.26) and CDA (OR = 1.91, 95%CI: 1.52-2.41) compared with less SME. Our findings show there are high prevalence of mental health problems, which positively associated with frequently SME during the COVID-19 outbreak. These findings implicated the government need pay more attention to mental health problems, especially depression and anxiety among general population and combating with "infodemic" while combating during public health emergency.

1,661 citations

References
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Journal ArticleDOI
10 Feb 2015-JAMA
TL;DR: The Roadmap includes few recommendations toalleviate fear behaviors and address mental health needs inEbola-affectedcommunities.
Abstract: citingsymptomaticpatientsescap-ing from treatment units, families concealing sick rela-tives at home, preferential use of traditional healers,andphysicalcontactwithinfectiouscorpses.Neverthe-less, the Roadmap includes few recommendations toalleviate fear behaviors and address mental healthneedsinEbola-affectedcommunities.InWestAfrica,Ebolavirusdiseasearousesfearbe-haviors, in part because many have witnessed thegraphic hemorrhagic manifestations of those infectedandthebodiesofthosewhohavedied.Thecorpsesandbeddingofpatientswhohavediedposeinfectionhaz-ardstohealthcareworkersandfamilymembers.AsofDecember14,2014,649front-linehealthcareworkershavebecomeilland365havedied.

270 citations


"2019-nCoV epidemic: address mental ..." refers background in this paper

  • ...The challenges and stress they experience could trigger common mental disorders, including anxiety and depressive disorders, and posttraumatic stress disorder, 5 which in turn could result in hazards that exceed the consequences of the 2019-nCoV epidemic itself....

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