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Article ; Online: Interventions to address mental health issues in healthcare workers during infectious disease outbreaks: A systematic review.

Zaçe, D / Hoxhaj, I / Orfino, A / Viteritti, A M / Janiri, L / Di Pietro, M L

2021 Volume 136, Page(s) 319–333

Abstract: ... in healthcare workers (HCWs) during pandemics, we conducted a systematic review, aiming to identify and ... Considering the importance of evidence on interventions to tackle mental health problems ... summarize the implemented interventions to deal with mental health issues of HCWs during ...

Abstract	Considering the importance of evidence on interventions to tackle mental health problems in healthcare workers (HCWs) during pandemics, we conducted a systematic review, aiming to identify and summarize the implemented interventions to deal with mental health issues of HCWs during infectious disease outbreaks and report their effectiveness. Web of Science, PubMed, Cochrane, Scopus, CINAHL and PsycInfo electronic databases were searched until October 2nd, 2020. Primary-data articles, describing any implemented interventions and their effectiveness were considered pertinent. Studies were screened according to the inclusion/exclusion criteria and subsequently data extraction was performed. Twenty-four articles, referring to SARS, Ebola, Influenza AH1N1 and COVID-19 were included. Interventions addressing mental health issues in HCWs during pandemics/epidemics were grouped into four categories: 1) informational support (training, guidelines, prevention programs), 2) instrumental support (personal protective equipment, protection protocols); 3) organizational support (manpower allocation, working hours, re-organization of facilities/structures, provision of rest areas); 4) emotional and psychological support (psychoeducation and training, mental health support team, peer-support and counselling, therapy, digital platforms and tele-support). These results might be helpful for researchers, stakeholders, and policymakers to develop evidence-based sustainable interventions and guidelines, aiming to prevent or reduce the immediate and long-term effect of pandemics on mental health status of HCWs.
MeSH term(s)	COVID-19/epidemiology ; Cohort Studies ; Cross-Sectional Studies ; Disease Outbreaks/statistics & numerical data ; Health Personnel/psychology ; Health Personnel/statistics & numerical data ; Hemorrhagic Fever, Ebola/epidemiology ; Humans ; Infections/epidemiology ; Influenza, Human/epidemiology ; Mental Health/statistics & numerical data ; Severe Acute Respiratory Syndrome/epidemiology
Language	English
Publishing date	2021-02-13
Publishing country	England
Document type	Journal Article ; Systematic Review
ZDB-ID	3148-3
ISSN	1879-1379 ; 0022-3956
ISSN (online)	1879-1379
ISSN	0022-3956
DOI	10.1016/j.jpsychires.2021.02.019
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Mental health interventions in healthcare workers in infectious disease outbreak-A systematic review

Zace, D / Hoxhaj, I / Orfino, A / Viteritti, A M / Silvetti, L / Di Pietro, M L

European Journal of Public Health

2020 Volume 30, Issue Supplement_5

Abstract: ... Key messages During infectious disease outbreaks healthcare workers are faced with mental health ... in healthcare workers during an infectious disease outbreak, of any study design were included. The quality ... issues in healthcare workers during infectious disease outbreaks. Methods PubMed, Cochrane, Scopus and ...

Abstract	Abstract Background Extended evidence has established that healthcare workers face several mental health problems during a disease outbreak, which could have a long-term impact. To address these issues, elaboration and implementation of psychological/psychiatric interventions or strategies is of utmost importance. In this context, this systematic review aimed at identifying strategies to manage mental health issues in healthcare workers during infectious disease outbreaks. Methods PubMed, Cochrane, Scopus and Web of Science were searched to retrieve pertinent articles published in English until May 2020. Articles reporting measures, interventions, strategies, or recommendations to manage mental health problems in healthcare workers during an infectious disease outbreak, of any study design were included. The quality assessment was performed according to the study design of the included articles. Results Our search strategy produced a total of 2358 articles. After the screening process 33 articles met the inclusion criteria, addressing COVID-19 (40%), followed by SARS (21%) and Ebola Virus (15%). The findings emphasized that organisations should follow an evidence-based approach and establish comprehensive programs to assist hospital staff during disease outbreaks. The preliminary results show that the creation of a psychological response team, training, e-learning, courses, psychosocial counselling, screening instruments and telemedicine activities could improve the capacity of response and coping, and reduce mental health issues in healthcare workers. Conclusions To minimize the psychological impact of future infectious disease outbreaks, evidence-based intervention strategies should be implemented to retain mental health among healthcare workers. Our results may provide the necessary insights that could be applied during the COVID-19 pandemic. Key messages During infectious disease outbreaks healthcare workers are faced with mental health issues, that need to be addressed through tailored interventions offering coping strategies and increase resilience. Mental health related interventions or strategies include the implementation of professional training, psychosocial counselling, courses, and the creation of a psychological response team.
Keywords	Public Health, Environmental and Occupational Health ; covid19
Language	English
Publisher	Oxford University Press (OUP)
Publishing country	uk
Document type	Article ; Online
ZDB-ID	1129243-x
ISSN	1464-360X ; 1101-1262
ISSN (online)	1464-360X
ISSN	1101-1262
DOI	10.1093/eurpub/ckaa165.569
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Mental health interventions in healthcare workers in infectious disease outbreak-A systematic review

Zace, D. / Hoxhaj, I. / Orfino, A. / Viteritti, A. M. / Silvetti, L. / Di Pietro, M. L.

European Journal of Public Health

Abstract: ... Key messages During infectious disease outbreaks healthcare workers are faced with mental health ... in healthcare workers during an infectious disease outbreak, of any study design were included The quality ... issues in healthcare workers during infectious disease outbreaks Methods PubMed, Cochrane, Scopus and Web ...

Abstract	Background Extended evidence has established that healthcare workers face several mental health problems during a disease outbreak, which could have a long-term impact To address these issues, elaboration and implementation of psychological/psychiatric interventions or strategies is of utmost importance In this context, this systematic review aimed at identifying strategies to manage mental health issues in healthcare workers during infectious disease outbreaks Methods PubMed, Cochrane, Scopus and Web of Science were searched to retrieve pertinent articles published in English until May 2020 Articles reporting measures, interventions, strategies, or recommendations to manage mental health problems in healthcare workers during an infectious disease outbreak, of any study design were included The quality assessment was performed according to the study design of the included articles Results Our search strategy produced a total of 2358 articles After the screening process 33 articles met the inclusion criteria, addressing COVID-19 (40%), followed by SARS (21%) and Ebola Virus (15%) The findings emphasized that organisations should follow an evidence-based approach and establish comprehensive programs to assist hospital staff during disease outbreaks The preliminary results show that the creation of a psychological response team, training, e-learning, courses, psychosocial counselling, screening instruments and telemedicine activities could improve the capacity of response and coping, and reduce mental health issues in healthcare workers Conclusions To minimize the psychological impact of future infectious disease outbreaks, evidence-based intervention strategies should be implemented to retain mental health among healthcare workers Our results may provide the necessary insights that could be applied during the COVID-19 pandemic Key messages During infectious disease outbreaks healthcare workers are faced with mental health issues, that need to be addressed through tailored interventions offering coping strategies and increase resilience Mental health related interventions or strategies include the implementation of professional training, psychosocial counselling, courses, and the creation of a psychological response team
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #814138
Database	COVID19

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Article ; Online: Mental health of healthcare workers during the COVID-19 outbreak: A rapid scoping review to inform provincial guidelines in South Africa.

Robertson, L J / Maposa, I / Somaroo, H / Johnson, O

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde

2020 Volume 110, Issue 10, Page(s) 1010–1019

Abstract: ... of healthcare workers exposed to infectious disease outbreaks; 19 primary studies and 13 opinion pieces were ... among healthcare workers, which may impact negatively on workplace functioning. To understand which mental health ... among healthcare workers exposed to COVID-19 and other outbreaks. Although no effectiveness studies were identified ...

Abstract	COVID-19 is prevalent in sub-Saharan Africa. The healthcare response to the pandemic depends upon a mentally and physically healthy workforce. Infectious disease outbreaks cause high psychosocial stress among healthcare workers, which may impact negatively on workplace functioning. To understand which mental health conditions may occur and which interventions could be considered, we conducted a rapid scoping review. Using a 2018 systematic review as the starting point, PubMed, Cochrane, Web of Science and MEDLINE databases were searched for any type of evidence published in English between 2014 and 2020 on mental health of healthcare workers exposed to infectious disease outbreaks; 19 primary studies and 13 opinion pieces were included. Depression, anxiety, post-traumatic stress, and other mental health conditions were noted among healthcare workers exposed to COVID-19 and other outbreaks. Although no effectiveness studies were identified, certain proposed interventions may be implemented by healthcare leaders. Further research is recommended.
MeSH term(s)	Anxiety ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Depression ; Health Personnel/psychology ; Humans ; Mental Health ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Risk Factors ; SARS-CoV-2 ; Social Support ; South Africa/epidemiology ; Stress Disorders, Post-Traumatic/epidemiology ; Stress, Psychological
Keywords	covid19
Language	English
Publishing date	2020-09-30
Publishing country	South Africa
Document type	Journal Article ; Review
ZDB-ID	390968-2
ISSN	2078-5135 ; 0038-2469 ; 0256-9574
ISSN (online)	2078-5135
ISSN	0038-2469 ; 0256-9574
DOI	10.7196/SAMJ.2020.v110i10.15022
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Article ; Online: Mental health of healthcare workers during the COVID-19 outbreak

Robertson, L J / Maposa, I / Somaroo, H / Johnson, O

South African Medical Journal; Vol 110, No; 1010-1019 ; 2078-5135 ; 0256-9574

A rapid scoping review to inform provincial guidelines in South Africa

2020 Volume 10

Abstract	COVID-19 is prevalent in sub-Saharan Africa. The healthcare response to the pandemic depends upon a mentally and physically healthy workforce. Infectious disease outbreaks cause high psychosocial stress among healthcare workers, which may impact negatively on workplace functioning. To understand which mental health conditions may occur and which interventions could be considered, we conducted a rapid scoping review. Using a 2018 systematic review as the starting point, PubMed, Cochrane, Web of Science and MEDLINE databases were searched for any type of evidence published in English between 2014 and 2020 on mental health of healthcare workers exposed to infectious disease outbreaks; 19 primary studies and 13 opinion pieces were included. Depression, anxiety, post-traumatic stress, and other mental health conditions were noted among healthcare workers exposed to COVID-19 and other outbreaks. Although no effectiveness studies were identified, certain proposed interventions may be implemented by healthcare leaders. Further research is recommended.
Keywords	Mental health ; Healthcare workers ; COVID-19 ; Infectious disease outbreaks ; Pandemic ; covid19
Language	English
Publishing date	2020-09-30
Publisher	South African Medical Association
Publishing country	za
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Mental health among healthcare workers and other vulnerable groups during the COVID-19 pandemic and other coronavirus outbreaks: A rapid systematic review.

Uphoff, Eleonora P / Lombardo, Chiara / Johnston, Gordon / Weeks, Lauren / Rodgers, Mark / Dawson, Sarah / Seymour, Catherine / Kousoulis, Antonis A / Churchill, Rachel

PloS one

2021 Volume 16, Issue 8, Page(s) e0254821

Abstract: ... for the burden of symptoms of mental health problems among acute healthcare workers, COVID-19 patients ... of the pandemic on mental health than others. The aim of this systematic review was to synthesise evidence ... and protective factors, mostly for healthcare workers, showed the importance of personal factors ...

Abstract	Introduction: Although most countries and healthcare systems worldwide have been affected by the COVID-19 pandemic, some groups of the population may be more vulnerable to detrimental effects of the pandemic on mental health than others. The aim of this systematic review was to synthesise evidence currently available from systematic reviews on the impact of COVID-19 and other coronavirus outbreaks on mental health for groups of the population thought to be at increased risk of detrimental mental health impacts. Materials and methods: We conducted a systematic review of reviews on adults and children residing in a country affected by a coronavirus outbreak and belonging to a group considered to be at risk of experiencing mental health inequalities. Data were collected on symptoms or diagnoses of any mental health condition, quality of life, suicide or attempted suicide. The protocol for this systematic review was registered in the online PROSPERO database prior to commencing the review (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=194264). Results: We included 25 systematic reviews. Most reviews included primary studies of hospital workers from multiple countries. Reviews reported variable estimates for the burden of symptoms of mental health problems among acute healthcare workers, COVID-19 patients with physical comorbidities, and children and adolescents. No evaluations of interventions were identified. Risk- and protective factors, mostly for healthcare workers, showed the importance of personal factors, the work environment, and social networks for mental health. Conclusions: This review of reviews based on primary studies conducted in the early months of the COVID-19 pandemic shows a lack of evidence on mental health interventions and mental health impacts on vulnerable groups in the population.
MeSH term(s)	Adolescent ; Adult ; COVID-19/epidemiology ; COVID-19/psychology ; Child ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Disease Outbreaks ; Health Personnel/psychology ; Health Personnel/statistics & numerical data ; Humans ; Mental Disorders/epidemiology ; Mental Disorders/etiology ; Mental Health/statistics & numerical data ; Pandemics ; SARS-CoV-2/physiology ; Socioeconomic Factors ; Vulnerable Populations/psychology ; Vulnerable Populations/statistics & numerical data
Language	English
Publishing date	2021-08-04
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0254821
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Mental health and psychosocial support strategies in highly contagious emerging disease outbreaks of substantial public concern: A systematic scoping review.

Kunzler, Angela M / Stoffers-Winterling, Jutta / Stoll, Marlene / Mancini, Alexander L / Lehmann, Sophie / Blessin, Manpreet / Gilan, Donya / Helmreich, Isabella / Hufert, Frank / Lieb, Klaus

PloS one

2021 Volume 16, Issue 2, Page(s) e0244748

Abstract: ... to-face, focused on healthcare workers and crisis personnel, and combined psychoeducation with training ... factors (e.g. positive cognitive appraisal) and professional attitudes of healthcare workers, with mixed ... interventions before, during, and after outbreaks of highly contagious emerging infectious diseases ...

Abstract	Background: Acute disease outbreaks such as the COVID-19 pandemic cause a high burden of psychological distress in people worldwide. Interventions to enable people to better cope with such distress should be based on the best available evidence. We therefore performed a scoping review to systematically identify and summarize the available literature of interventions that target the distress of people in the face of highly contagious disease outbreaks. Methods: MEDLINE, Cochrane CENTRAL, Web of Science (January 2000 to May 7, 2020), and reference lists were systematically searched and screened by two independent reviewers. Quantitative and qualitative studies investigating the effects of psychological interventions before, during, and after outbreaks of highly contagious emerging infectious diseases, such as SARS, MERS, Ebola, or COVID-19 were included. Study effects were grouped (e.g. for healthcare professionals, community members, people at risk) and intervention contents at the individual and organizational level summarized. We assessed the level of evidence using a modified scheme from the Oxford Centre for Evidence-based Medicine and the Australian National Health and Medical Research Council. Results: Of 4030 records found, 19 studies were included (two RCTs). Most interventions were delivered during-exposure and face-to-face, focused on healthcare workers and crisis personnel, and combined psychoeducation with training of coping strategies. Based on two high-quality studies, beneficial effects were reported for resilience factors (e.g. positive cognitive appraisal) and professional attitudes of healthcare workers, with mixed findings for mental health (e.g. depression). Across all studies, there was positive qualitative feedback from participants and facilitators. We identified seven ongoing studies mostly using online- and mobile-based deliveries. Conclusions: There is preliminary evidence for beneficial effects of interventions to enable people to better cope with the distress of highly contagious emerging disease outbreaks. Besides the need for more high-quality studies, the summarized evidence may inform decision makers to plan interventions during the current pandemic and to develop pandemic preparedness plans.
MeSH term(s)	Adaptation, Psychological ; COVID-19/epidemiology ; COVID-19/pathology ; COVID-19/virology ; Disease Outbreaks ; Health Personnel/psychology ; Humans ; Mental Health ; Psychosocial Support Systems ; Resilience, Psychological ; SARS-CoV-2/isolation & purification
Language	English
Publishing date	2021-02-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0244748
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Mental health and psychosocial support strategies in highly contagious emerging disease outbreaks of substantial public concern

Angela M Kunzler / Jutta Stoffers-Winterling / Marlene Stoll / Alexander L Mancini / Sophie Lehmann / Manpreet Blessin / Donya Gilan / Isabella Helmreich / Frank Hufert / Klaus Lieb

PLoS ONE, Vol 16, Iss 2, p e

A systematic scoping review.

2021 Volume 0244748

Abstract: ... focused on healthcare workers and crisis personnel, and combined psychoeducation with training of coping ... positive cognitive appraisal) and professional attitudes of healthcare workers, with mixed findings ... before, during, and after outbreaks of highly contagious emerging infectious diseases, such as SARS, MERS, Ebola ...

Abstract	Background Acute disease outbreaks such as the COVID-19 pandemic cause a high burden of psychological distress in people worldwide. Interventions to enable people to better cope with such distress should be based on the best available evidence. We therefore performed a scoping review to systematically identify and summarize the available literature of interventions that target the distress of people in the face of highly contagious disease outbreaks. Methods MEDLINE, Cochrane CENTRAL, Web of Science (January 2000 to May 7, 2020), and reference lists were systematically searched and screened by two independent reviewers. Quantitative and qualitative studies investigating the effects of psychological interventions before, during, and after outbreaks of highly contagious emerging infectious diseases, such as SARS, MERS, Ebola, or COVID-19 were included. Study effects were grouped (e.g. for healthcare professionals, community members, people at risk) and intervention contents at the individual and organizational level summarized. We assessed the level of evidence using a modified scheme from the Oxford Centre for Evidence-based Medicine and the Australian National Health and Medical Research Council. Results Of 4030 records found, 19 studies were included (two RCTs). Most interventions were delivered during-exposure and face-to-face, focused on healthcare workers and crisis personnel, and combined psychoeducation with training of coping strategies. Based on two high-quality studies, beneficial effects were reported for resilience factors (e.g. positive cognitive appraisal) and professional attitudes of healthcare workers, with mixed findings for mental health (e.g. depression). Across all studies, there was positive qualitative feedback from participants and facilitators. We identified seven ongoing studies mostly using online- and mobile-based deliveries. Conclusions There is preliminary evidence for beneficial effects of interventions to enable people to better cope with the distress of highly contagious emerging ...
Keywords	Medicine ; R ; Science ; Q
Subject code	306
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Factors affecting mental health of health care workers during coronavirus disease outbreaks (SARS, MERS & COVID-19): A rapid systematic review.

De Brier, Niels / Stroobants, Stijn / Vandekerckhove, Philippe / De Buck, Emmy

PloS one

2020 Volume 15, Issue 12, Page(s) e0244052

Abstract: Introduction: The novel Coronavirus Disease (COVID-19) outbreak currently puts health care workers ... infectious disease outbreaks should not be treated as a separate mental health intervention strategy, but could benefit ... protective factors for mental health outcomes in health care workers during coronavirus epidemics.: Methods ...

Abstract	Introduction: The novel Coronavirus Disease (COVID-19) outbreak currently puts health care workers at high risk of both physical and mental health problems. This study aimed to identify the risk and protective factors for mental health outcomes in health care workers during coronavirus epidemics. Methods: A rapid systematic review was performed in three databases (March 24, 2020) and a current COVID-19 resource (May 28, 2020). Following study selection, study characteristics and effect measures were tabulated, and data were synthesized by using vote counting. Meta-analysis was not possible because of high variation in risk factors, outcomes and effect measures. Risk of bias of each study was assessed and the certainty of evidence was appraised according to the GRADE methodology. Results: Out of 2605 references, 33 observational studies were selected and the identified risk and protective factors were categorized in ten thematic categories. Most of these studies (n = 23) were performed during the SARS outbreak, seven during the current COVID-19 pandemic and three during the MERS outbreak. The level of disease exposure and health fear were significantly associated with worse mental health outcomes. There was evidence that clear communication and support from the organization, social support and personal sense of control are protective factors. The evidence was of very low certainty, because of risk of bias and imprecision. Conclusion: Safeguarding mental health of health care workers during infectious disease outbreaks should not be treated as a separate mental health intervention strategy, but could benefit from a protective approach. This study suggests that embedding mental health support in a safe and efficient working environment which promotes collegial social support and personal sense of control could help to maximize resilience of health care workers. Low quality cross-sectional studies currently provide the best possible evidence, and further research is warranted to confirm causality.
MeSH term(s)	COVID-19/complications ; COVID-19/epidemiology ; COVID-19/virology ; Coronavirus/pathogenicity ; Coronavirus Infections/complications ; Coronavirus Infections/epidemiology ; Coronavirus Infections/virology ; Cross-Sectional Studies ; Disease Outbreaks ; Health Personnel ; Humans ; Mental Health ; Middle East Respiratory Syndrome Coronavirus/pathogenicity ; Pandemics ; SARS-CoV-2/pathogenicity ; Severe Acute Respiratory Syndrome/complications ; Severe Acute Respiratory Syndrome/epidemiology ; Severe Acute Respiratory Syndrome/virology
Language	English
Publishing date	2020-12-15
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0244052
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Mental health and psychosocial support strategies in highly contagious emerging disease outbreaks of substantial public concern

Kunzler, Angela M. / Stoffers-Winterling, Jutta / Stoll, Marlene / Mancini, Alexander L. / Lehmann, Sophie / Blessin, Manpreet / Gilan, Donya / Helmreich, Isabella / Hufert, Frank / Lieb, Klaus

PLoS ONE

A systematic scoping review

2021 Volume 16, Issue 2, Page(s) No

Title translation	Psychische Gesundheit und psychosoziale Unterstützungsstrategien bei hochansteckenden, neu auftretenden Krankheitsausbrüchen von erheblicher öffentlicher Bedeutung: Ein systematischer Scoping-Review
Abstract	Background: Acute disease outbreaks such as the COVID-19 pandemic cause a high burden of psychological distress in people worldwide. Interventions to enable people to better cope with such distress should be based on the best available evidence. We therefore performed a scoping review to systematically identify and summarize the available literature of interventions that target the distress of people in the face of highly contagious disease outbreaks. Methods: MEDLINE, Cochrane CENTRAL, Web of Science (January 2000 to May 7, 2020), and reference lists were systematically searched and screened by two independent reviewers. Quantitative and qualitative studies investigating the effects of psychological interventions before, during, and after outbreaks of highly contagious emerging infectious diseases, such as SARS, MERS, Ebola, or COVID-19 were included. Study effects were grouped (e.g. for healthcare professionals, community members, people at risk) and intervention contents at the individual and organizational level were summarized. We assessed the level of evidence using a modified scheme from the Oxford Centre for Evidence-based Medicine and the Australian National Health and Medical Research Council. Results: Of 4,030 records found, 19 studies were included (two RCTs). Most interventions were delivered during exposure and face-to-face, focused on healthcare workers and crisis personnel, and combined psychoeducation with training of coping strategies. Based on two high-quality studies, beneficial effects were reported for resilience factors (e.g. positive cognitive appraisal) and professional attitudes of healthcare workers, with mixed findings for mental health (e. g. depression). Across all studies, there was positive qualitative feedback from participants and facilitators. We identified seven ongoing studies mostly using online- and mobile-based deliveries. Conclusions: There is preliminary evidence for beneficial effects of interventions to enable people to better cope with the distress of highly contagious emerging disease outbreaks. Besides the need for more high-quality studies, the summarized evidence may inform decision makers to plan interventions during the current pandemic and to develop pandemic preparedness plans.
Keywords	Bewältigungsverhalten ; COVID-19 ; Coping Behavior ; Disease Outbreaks ; Distress ; Emotionale Belastung ; Infectious Disorders ; Infektionskrankheiten ; Intervention ; Krankheitsausbrüche ; Mental Health ; Middle East Respiratory Syndrome ; Pandemics ; Pandemie ; Psychische Gesundheit ; Resilience (Psychological) ; Resilienz ; Severe Acute Respiratory Syndrome ; Therapieergebnisse ; Treatment Outcomes
Language	English
Document type	Article
DOI	10.1371/journal.pone.0244748
Database	PSYNDEX

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