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  1. Article ; Online: Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19

    Jill K. Murphy / Amna Khan / Qiumeng Sun / Harry Minas / Simon Hatcher / Chee H. Ng / Mellissa Withers / Andrew Greenshaw / Erin E. Michalak / Promit Ananyo Chakraborty / Karen Sharmini Sandanasamy / Nurashikin Ibrahim / Arun Ravindran / Jun Chen / Vu Cong Nguyen / Raymond W. Lam

    International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-

    a rapid scoping review

    2021  Volume 22

    Abstract: Abstract Background The COVID-19 pandemic is expected to have profound mental health impact, including in the Asia Pacific Economic Cooperation (APEC) region. Some populations might be at higher risk of experiencing negative mental health impacts and may ...

    Abstract Abstract Background The COVID-19 pandemic is expected to have profound mental health impact, including in the Asia Pacific Economic Cooperation (APEC) region. Some populations might be at higher risk of experiencing negative mental health impacts and may encounter increased barriers to accessing mental health care. The pandemic and related restrictions have led to changes in care delivery, including a rapid shift to the use of e-mental health and digital technologies. It is therefore essential to consider needs and opportunities for equitable mental health care delivery to the most at-risk populations. This rapid scoping review: 1) identifies populations in the APEC region that are at higher risk of the negative mental health impacts of COVID-19, 2) identifies needs and gaps in access to standard and e-mental health care among these populations, and 3) explores the potential of e-mental health to address these needs. Methods We conducted a rapid scoping review following the PRISMA Extension for Scoping Reviews (PRISMA-ScR). We searched Medline, Embase and PsychInfo databases and Google Scholar using a search strategy developed in consultation with a biomedical librarian. We included records related to mental health or psychosocial risk factors and COVID-19 among at-risk groups; that referred to one or more APEC member economies or had a global, thus generalizable, scope; English language papers, and papers with full text available. Results A total of 132 records published between December 2019 and August 2020 were included in the final analysis. Several priority at-risk populations, risk factors, challenges and recommendations for standard and e-mental health care were identified. Results demonstrate that e-mental health care can be a viable option for care delivery but that specific accessibility and acceptability considerations must be considered. Options for in-person, hybrid or “low-tech” care must also remain available. Conclusions The COVID-19 pandemic has highlighted the urgent need for equitable standard ...
    Keywords COVID-19 ; Mental health ; Equity ; Asia Pacific ; E-mental health ; At-risk populations ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Conference proceedings ; Audio / Video ; Online: Methodological Approach in Determining Mental Health Status Among Stable Hospitalized COVID-19 Patients

    Mohd Shaiful Azlan Bin Kassim / Noor Ani Ahmad / Umi Adzlin Silim / Muhammad Najib Bin Abdullah / Norazam Bin Harun / Col. Dr. Siti Nordiana Bt Dollah / Nurashikin Ibrahim / Muhammad Solihin Bin Rezali / Chan Ying Ying / Norhafizah Bt Sahril / Muhd Hafizuddin Taufik Bin Ramli / Nik Adilah Bt Shahein / Nor` Ain Bt Ab Wahab / Fatin Athira Bt Tahir

    2020  

    Abstract: Introduction In any disaster or emergency, mental health has been an important marker for survival. In the case of disaster of pandemic diseases, the prevalence was even higher among vulnerable population i.e. patients who has been infected by pandemic ... ...

    Abstract Introduction In any disaster or emergency, mental health has been an important marker for survival. In the case of disaster of pandemic diseases, the prevalence was even higher among vulnerable population i.e. patients who has been infected by pandemic diseases. For instance, the prevalence of depression among MERS-CoV patients during the outbreak was 40.7% [1]. In Malaysia, the first COVID-19 case was reported on the 24th of January 2020. Since then, over 8000++ cases have been detected [2]. All of the patients admitted to hospital had to undergo the course of 14 days of treatment and isolation. Due to long hospitalization, COVID-19 patients should be monitored in terms of mental health surveillance and provided with psychotherapy services. It is a critical time to understand the effect of COVID-19 on the mental health of each patient contracted with COVID-19. Objective This study aims to determine the prevalence of depression and general anxiety disorders (GAD) of stable hospitalized COVID-19 patients at the main COVID-19 hospitals in Malaysia. Methodology Study design Cross-sectional study design with one point, single-source data collection, with the aid of computer assisted self-interview (CASI) that was conducted among COVID-19 patients hospitalized in Hospital Kuala Lumpur (HKL), Hospital Sungai Buloh (HSgB), Hospital Permai (HPJB) and Quarantine Centre MAEPS from 15th April until 30th June 2020. Sampling design and sample size 1. Target population: The target population was all COVID-19 patients hospitalized in HKL, HSgB, HPJB and Quarantine Centre MAEPS. The sampled population was the proportion of stable COVID-19 patients at these hospitals who were selected via quota sampling technique. 2. Sampling frame: The sampling frame for the study was the list of all the COVID-19 patients admitted to the general ward (non-intensive) in HKL, HSgB, HPJB Quarantine Centre MAEPS who were in a stable condition. 3. Sample size determination: The sample size was calculated using the Sample Size Calculation Formula for prevalence with finite population correction study as per the primary objective. The sample size calculation was based on the reported prevalence in previous study. The calculation is done with margin of error of 0.05 and Type 1 error determined at 5% with a finite population of 500 [2]. The largest sample size obtained was 400 respondents. Multiplying for invalid numbers, nonresponse and those who refuse to participate by 30%, the final sample size was determined to be 400 respondents. Sampling Frame & Selection of respondents All patients who have been diagnosed as COVID-19 were listed in the sampling frame. Eligible criterias: 18 years and above, diagnosed as COVID-19 but in a stable condition, admitted in ward for more than 24 hours, able to read and understand Bahasa Melayu or English, Quota sampling technique was utilized in this study whereby the first 400 eligible patients who responded to the screening were recruited in this study. Study Instruments Structured questionnaires were used to collect data on the scopes of the survey. The questionnaires are in Bahasa Melayu and English, programmed into the google form for data collection. All psychometric measurements (PHQ-9, GAD-7 & Brief COPE) were locally validated beforehand. The estimated duration taken to complete the questionnaire were about 15 minutes. 1st part, Patient Information Sheet and Consent Form. 2nd part, Socio-demographic profile of respondents and factors contributing to mental health. 3rd part, Patient Health Questionnaire (PHQ-9) to assess for probable depression with cut-off score of 10 and above 4th part, Generalised Anxiety Disorder questionnaire (GAD-7) to assess for probable anxiety with cut-off score of 8 and above. 5th part, Brief COPE to assess 14 different type of coping strategies. Field implementation A total of 8 Research Assistant (RA) were hired for this survey. Two RA were in-charged for central team in Institute for Public Health (IPH) and the others were stationed in the psychiatric department with two RA per hospital. See Figure 1. Results A total of 401 stable COVID-19 patients participated in the survey, with overall response rates of 93.5% based on consents. According to the suicidal ideation, PHQ-9 and GAD-7 scoring, 10.7% of respondents were referred within 24 hours to the psychiatrist in-charged for further assessment. See Table 1. The sociodemographic profile of respondents is presented in Table 2. Discussion and Conclusion In a recent study in China, the prevalence of moderate to severe depression was 16.5% and the prevalence of anxiety was 28.8%. Some of them required a psychiatric evaluation and were prescribed medication during their hospital stay. The current study also addresses the factors contributing to mental health issues in COVID-19 patient. Systematic review of 24 studies reported negative psychological effects such as post-traumatic stress symptoms, confusion, and anger. This was due to stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. An assessment of the burden of mental health such as depression and anxiety, their risk factors among vulnerable patients are required especially for early intervention psychiatric care during hospital quarantine.
    Keywords Methodological Approach ; Mental Health ; Status ; Stable ; Hospitalized ; COVID-19 ; Coronavirus ; Patients ; covid19
    Subject code 150
    Language English
    Publishing date 2020-08-27
    Publishing country eu
    Document type Conference proceedings ; Audio / Video ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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