Objectives Long-term health consequences of coronavirus disease (COVID-19), also known as “long COVID,” has become a global health concern. In this systematic review, we aimed to synthesize the qualitative evidence on lived experiences of people living with long COVID that may inform health policymaking and practice. Methods We searched six major databases and additional sources and systematically retrieved relevant qualitative studies and conducted a meta-synthesis of key findings using the Joanna Briggs Institute (JBI) guidelines and reporting standards of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Results We found 15 articles representing 12 studies out of 619 citations from different sources. These studies provided 133 findings that were categorized into 55 categories. All categories were aggregated to the following synthesized findings: living with complex physical health problems, psychosocial crises of long COVID, slow recovery and rehabilitation, digital resources and information management, changes in social support, and experiences with healthcare providers, services, and systems. Ten studies were from the UK, and others were from Denmark and Italy, which highlights a critical lack of evidence from other countries. Conclusions More representative research is needed to understand long COVID-related experiences from diverse communities and populations. The available evidence informs a high burden of biopsychosocial challenges among people with long COVID that would require multilevel interventions such as strengthening health and social policies and services, engaging patients and caregivers in making decisions and developing resources, and addressing health and socioeconomic disparities associated with long COVID through evidence-based practice.
The Rohingya population are being exiled form Myanmar during several humanitarian crises since 1978 with a recent spike in 2017. Reportedly, the violence, persecution and trauma have posed grievous impacts on the mental health of these forcibly displaced people. This scoping review aims to synthesize the evidence regarding overall epidemiologic burden of psychological problems of Rohingya refugees with their associated factors. We evaluated five major databases and additional sources till 08/05/2022 and included articles according to the eligibility criteria following the Joanna Briggs Institute (JBI) guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Out of 331 citations retrieved from multiple sources, we included 24 articles in this review. Most of the articles reported high prevalence of different psychological symptoms of Rohingya refugees, such as, depression, anxiety, post-traumatic stress disorder, persistent complex bereavement disorder, feeling of afraid etc. Several correlates of mental health problems were reported, including older age, female, illiteracy, experiences of torture, sexual violence, unemployment, food insecurity, statelessness, separation from family, lack of healthcare access, overcrowded and unhygienic campsites, preexisting health problems etc. There is huge gaps in community level intervention studies, however, Group Integrated Adapt Therapy (IAT-G) and Mental Health and Psychosocial Support (MHPSS) services are widely used. The available evidence suggests a huge burden of mental health disorders with several biopsychosocial factors that may assist in better policymaking and implementation of multilayered approaches like improving healthcare access, training healthcare providers, more community-based intervention studies, and introducing tele-mental health services for Rohingya refugees.
Mental health problems among children and adolescents are increasingly reported amidst the coronavirus disease (COVID-19) pandemic. In this umbrella review, we aimed to synthesize global evidence on the epidemiologic burden and correlates of child and adolescent mental health (CAMH) problems during this pandemic from existing systematic reviews and meta-analyses. We evaluated 422 citations and identified 17 eligible reviews on the epidemiology of CAMH in the context of COVID-19. Most of the reviews reported a high prevalence of anxiety, depression, sleep disorders, suicidal behavior, stress-related disorders, attention-deficit/hyperactivity disorder, and other mental health problems. Also, factors associated with CAMH such as age, gender, place of residence, educational attainment, household income, sedentary lifestyle, social media and internet use, comorbidities, family relationships, parents’ psychosocial conditions, COVID-19 related experiences, closure of schools, online learning, and social support were reported across reviews. As most studies were cross-sectional and used nonrepresentative samples, future research on representative samples adopting longitudinal and intervention designs is needed. Lastly, multipronged psychosocial care services, policies, and programs are needed to alleviate the burden of CAMH problems during and after this pandemic.
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