Mental health interventions and supports during COVID- 19 and other medical pandemics: A rapid systematic review of the evidence

Sophie Soklaridis, Elizabeth Lin, Yasmin Lalani, Terri Rodak, Sanjeev Sockalingam, Sophie Soklaridis, Elizabeth Lin, Yasmin Lalani, Terri Rodak, Sanjeev Sockalingam

Abstract

Background: Novel coronavirus pneumonia (COVID-19) is a global reminder of the need to attend to the mental health of patients and health professionals who are suddenly facing this public health crisis. In the last two decades, a number of medical pandemics have yielded insights on the mental health impact of these events. Based on these experiences and given the magnitude of the current pandemic, rates of mental health disorders are expected to increase. Mental health interventions are urgently needed to minimize the psychological sequelae and provide timely care to affected individuals.

Method: We conducted a rapid systematic review of mental health interventions during a medical pandemic, using three electronic databases. Of the 2404 articles identified, 21 primary research studies are included in this review.

Result: We categorized the findings from the research studies using the following questions: What kind of emotional reactions do medical pandemics trigger? Who is most at risk of experiencing mental health sequelae? What works to treat mental health sequelae (psychosocial interventions and implementation of existing or new training programs)? What do we need to consider when designing and implementing mental health interventions (cultural adaptations and mental health workforce)? What still needs to be known?

Conclusion: Various mental health interventions have been developed for medical pandemics, and research on their effectiveness is growing. We offer recommendations for future research based on the evidence for providing mental health interventions and supports to those most in need.

Conflict of interest statement

Declaration of competing interest None.

Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.

Figures

Fig. 1
Fig. 1
Flow diagram.

References

    1. Jalloh M.F., Li W., Bunnell R.E. Impact of Ebola experiences and risk perceptions on mental health in Sierra Leone, July 2015. BMJ Glob Health. 2018;3 doi: 10.1136/bmjgh-2017-000471.
    1. Ho C.S., Chee C.Y., Ho R.C. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann Acad Med Singapore. 2020;49:1–3.
    1. Lu W., Wang H., Lin Y., Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res. 2020;288 doi: 10.1016/j.psychres.2020.112936.
    1. Du J., Dong L., Wang T. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry. April 3 2020 doi: 10.1016/j.genhosppsych.2020.03.011.
    1. Fessell D., Cherniss C. Coronavirus disease 2019 (COVID-19) and beyond: micropractices for burnout prevention and emotional wellness. J Am Coll Radiol. March 24 2020 doi: 10.1016/j.jacr.2020.03.013.
    1. Williamson V., Murphy D., Greenberg N. COVID-19 and experiences of moral injury in front-line key workers. Occup Med (Lond) Apr 2 2020 doi: 10.1093/occmed/kqaa052.
    1. Dewey C., Hingle S., Goelz E., Linzer M. Supporting clinicians during the COVID-19 pandemic. Ann Intern Med. March 20 2020 doi: 10.7326/M20-1033.
    1. Xiang Y.T., Yu X., Ungvari G.S., Correll C.U., Chiu H.F. Outcomes of SARS survivors in China: not only physical and psychiatric co-morbidities. East Asian Arch Psychiatry. 2014;24:37–38.
    1. Shanafelt T., Ripp J., Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. April 07 2020 doi: 10.1001/jama.2020.5893.
    1. Yıldırım M., Arslan G. 2020. Exploring the associations between resilience, dispositional hope, subjective well-being, and psychological health among adults during early stage of COVID-19. [under review]
    1. Maunder R., Hunter J., Vincent L. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168:1245–1251.
    1. Xiang Y.T., Yang Y., Li W. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7:228–229. doi: 10.1016/S2215-0366(20)30046-8.
    1. Moher D., Liberati A., Tetzlaff J., Altman D.G. Preferred reporting items for systematic reviews and metaanalyses: the PRISMA statement. Ann Intern Med. 2009;151:264–269.
    1. Aromataris E., Munn Z. Chapter 1: JBI systematic reviews. In: Aromataris E., Munn Z., editors. Joanna Briggs Institute reviewer’s manual. The Joanna Briggs Institute; 2017. Available from.
    1. International Classification of Health Interventions—ICHI Beta 2017. Available online.
    1. Kmet L.M., Lee R.C., Cook L.S. Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Feb. 1 2004.
    1. Lee S.Y., Fisher J., Wand A.P.F. Developing delirium best practice: a systematic review of education interventions for healthcare professionals working in inpatient settings. Eur Geriatr Med. 2020;11:1–32. doi: 10.1007/s41999-019-00278-x.
    1. Khee K.S., Lee L.B., Chai O.T., Loong C.K., Ming C.W., Kheng T.H. The psychological impact of SARS on health care providers. Crit Care Shock. 2004;7:99–106.
    1. Waterman S., Hunter E.C.M., Cole C.L., Evans L.J., Greenberg G.J., Beck A. Training peers to treat Ebola centre workers with anxiety and depression in Sierra Leone. Int J Soc Psychiatry. 2018;64:156–165. doi: 10.1177/0020764017752021.
    1. Waterman S., Cole C.L., Greenberg N., Rubin G.J., Beck A. A qualitative study assessing the feasibility of implanting a group cognitive-behavioural therapy-based intervention in Sierra Leone. BJPsych Int. 2019;16:31–34. doi: 10.1192/bji.2018.7.
    1. Chen R., Chou K.R., Huang Y.J., Wang T.S., Liu S.Y., Ho L.Y. Effects of a SARS prevention programme in Taiwan on nursing staff’s anxiety, depression and sleep quality: a longitudinal survey. Int J Nurs Stud. 2006;43:215–225. doi: 10.1016/j.ijnurstu.2005.03.006.
    1. Kang L., Ma S., Chen M. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: a cross-sectional study. Brain Behav Immun. 2020 doi: 10.1016/j.bbi.2020.03.028.
    1. Lai J., Ma S., Wang Y. Factors associated with mental health outcomes among health care workers exposed to Coronavirus disease 2019. JAMA Netw Open. 2020;3 doi: 10.1001/jamanetworkopen.2020.3976.
    1. Cole C.L., Waterman S., Hunter E.C.M. Effectiveness of small group cognitive behavioural therapy for anxiety and depression in Ebola treatment centre staff in Sierra Leone. Int Rev Psychiatry. April 17 2020 doi: 10.1080/09540261.2020.1750800.
    1. Wu K., Wei X. Analysis of psychological and sleep status and exercise rehabilitation of front-line clinical staff in the fight against COVID-19 in China. Med Sci Monit Basic Res. 2020;26 doi: 10.12659/MSMBR.924085.
    1. Maunder R.G., Lancee W.J., Mae R. Computer-assisted resilience training to prepare healthcare workers for pandemic influenza: a randomized trial of the optimal dose of training. BMC Health Serv Res. 2010;10:72. doi: 10.1186/1472-6963-10-72.
    1. Giordano F., Scarlata E., Baroni M. Receptive music therapy to reduce stress and improve wellbeing in Italian clinical staff involved in COVID-19 pandemic: a preliminary study. Arts Psychother. 2020;70:1–5. doi: 10.1016/j.aip.2020.101688.
    1. Horn R., O’May F., Esliker R. The myth of the 1-day training: the effectiveness of psychosocial support capacity-building during the Ebola outbreak in West Africa. Glob Ment Health (Camb) 2019;6:e5. doi: 10.1017/gmh.2019.2.
    1. Sijbrandij M., Horn R., Esliker R. The effect of psychological first aid training on knowledge and understanding about psychosocial support principles: a cluster-randomized controlled trial. Int J Environ Res Public Health. 2020;17(2) doi: 10.3390/ijerph17020484.
    1. Geoffroy P.A., Le Goanvic V., Sabbach O. Psychological support system for hospital workers during thre Covid-19 outgreak: rapid design and implementationof the Covid-Psy hotline. Front Psych. 2020;11:11. doi: 10.3389/fpsyt.2020.00511.
    1. Liu K., Chen Y., Wu D., Lin R., Wang Z., Pan L. Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complement Ther Clin Pract. 2020;39 doi: 10.1016/j.ctcp.2020.101132.
    1. Wei N., Huang B., Lu S. Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. J Zhejiang Univ Sci B. 2020;1581:1–5. doi: 10.1631/jzus.B2010013.
    1. Sotoudeh H.G., Alavi S.S., Akbari Z., Jannatifard F., Artounian V. The effect of brief crisis intervention package on improving quality of life and mental health in patients with COVID-19. Iran J Psychiatry. 2020;15:205–212.
    1. Zhou L., Xie R., Yang X., Zhang S., Li D., Zhang Y. Feasibility and preliminary results of effectiveness of social media-based intervention on the psychological well-being of suspected COVID-19 cases during quarantine. Can J Psychiatry. 2020:1–3. doi: 10.1177/0706743720932041.
    1. Decosimo C.A., Hanson J., Quinn M., Badu P., Smith E.G. Playing to live: outcome evaluation of a community-based psychosocial expressive arts program for children during the Liberian Ebola epidemic. Glob Ment Health (Camb) 2019;6:e5. doi: 10.1017/gmh.2019.1.
    1. Li S., Wang Y., Xue J., Zhao N., Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: a study of active Weibo users. Int J Environ Res Public Health. 2020;17:2032. doi: 10.3390/ijerph17062032.
    1. Yang H, Ma J. How an epidemic outbreak impacts happiness: Factors that worsen (vs. protect) emotional well-being during the coronavirus pandemic. Psychiatry Res. 2020;289(113045) doi: 10.1016/j.psychres.2020.113045.
    1. Yoon M.K., Kim S.Y., Ko H.S., Lee M.Y. System effectiveness of detection, brief intervention and refer to treatment for the people with post-traumatic emotional distress by MERS: a case report of community-based proactive intervention in South Korea. Int J Ment Health Syst. 2016;10:51. doi: 10.1186/s13033-016-0083-5.
    1. Lancee W.J., Maunder R.G., Goldbloom D.S. Prevalence of psychiatric disorders among Toronto hospital workers one to two years after the SARS outbreak. Psychiatr Serv. 2008;59:91–95.
    1. Maunder R.G., Leszcz M., Savage D. Applying the lessons of SARS to pandemic influenza: an evidence-based approach to mitigating the stress experienced by healthcare workers. Can J Public Health. 2008;99:486–488.
    1. Wu P., Fang Y., Guan J. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry. 2009;54:302–311.

Source: PubMed

3
Abonnere