A living meta-ecological study of the consequences of the COVID-19 pandemic on mental health

Leucht, Stefan; Cipriani, Andrea; Furukawa, Toshi A; Peter, Natalie; Papakonstantinou, Theodoros; Holloway, Alexander; Salanti, Georgia

doi:10.1007/s00406-021-01242-2

Cited by 12 publications

(21 citation statements)

References 9 publications

(6 reference statements)

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“…Adverse effects of containment strategies are established especially for psychosocially vulnerable individuals with mental disorders [ 8 , 129 ]. The increased risk of adverse mental health effects for individuals with such disorders persisted even after correction for levels of psychological outcomes at baseline [ 139 , 140 ].…”

Section: Social Isolation and Discrimination In Humansmentioning

confidence: 99%

“…Stress-related symptoms can persist over years, but more longitudinal studies are needed to elucidate effects persisting beyond weeks to months [ 8 ]. It has been debated whether adult individuals who are socioeconomically less vulnerable (e.g., not lacking financial and social resources) might in the short-term experience even reduced social stress through quarantine measures, but more research is required to assess predictors of positive outcomes [ 129 ].…”

Section: Social Isolation and Discrimination In Humansmentioning

confidence: 99%

“…Vulnerable groups such as individuals with mental disorders require special attention including continued access to psychiatric care and other mental health services [ 98 ]. Large-scale research strategies are currently being implemented with the aim of comprehensively assessing the rapidly growing research data related to the COVID-19 pandemic such as meta-ecological approaches and crowdsourcing [ 129 , 130 ], which may further improve the evidence of mental health effects associated with the pandemic and social isolation.…”

Section: Social Isolation and Discrimination In Humansmentioning

confidence: 99%

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The effects of social isolation stress and discrimination on mental health

et al. 2022

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Social isolation and discrimination are growing public health concerns associated with poor physical and mental health. They are risk factors for increased morbidity and mortality and reduced quality of life. Despite their detrimental effects on health, there is a lack of knowledge regarding translation across the domains of experimental research, clinical studies, and real-life applications. Here, we review and synthesize evidence from basic research in animals and humans to clinical translation and interventions. Animal models indicate that social separation stress, particularly in early life, activates the hypothalamic-pituitary-adrenal axis and interacts with monoaminergic, glutamatergic, and GABAergic neurotransmitter systems, inducing long-lasting reductions in serotonin turnover and alterations in dopamine receptor sensitivity. These findings are of particular importance for human social isolation stress, as effects of social isolation stress on the same neurotransmitter systems have been implicated in addictive, psychotic, and affective disorders. Children may be particularly vulnerable due to lasting effects of social isolation and discrimination stress on the developing brain. The effects of social isolation and loneliness are pronounced in the context of social exclusion due to discrimination and racism, during widespread infectious disease related containment strategies such as quarantine, and in older persons due to sociodemographic changes. This highlights the importance of new strategies for social inclusion and outreach, including gender, culture, and socially sensitive telemedicine and digital interventions for mental health care.

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Section: Social Isolation and Discrimination In Humansmentioning

confidence: 99%

Section: Social Isolation and Discrimination In Humansmentioning

confidence: 99%

Section: Social Isolation and Discrimination In Humansmentioning

confidence: 99%

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The effects of social isolation stress and discrimination on mental health

et al. 2022

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“…The COVID-19 pandemic impacted on mental health [54] and mental healthcare. It leads to decreases of in-person consultations and increases of remote mental healthcare consultations [55•].…”

Section: The Covid-19 Pandemic: a Game Changer For Apps In Mental Hea...mentioning

confidence: 99%

Adapting and Implementing Apps for Mental Healthcare

Zielasek

Reinhardt

Schmidt

2022

Curr Psychiatry Rep

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Purpose of ReviewTo describe examples of adapting apps for use in mental healthcare and to formulate recommendations for successful adaptation in mental healthcare settings. Recent FindingsInternational examples are given to explore implementation procedures to address this multitude of challenges. Summary There are only few published examples of adapting apps for use in mental healthcare. From these examples and from results of studies in implementation science in general clinical settings, it can be concluded that the process of adapting apps for mental healthcare needs to address clinician training and information needs, user needs which include cultural adaptation and go beyond mere translation, and organizational needs for blending app use into everyday clinical mental healthcare workflows.

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“…Due to the limited availability of data, the consequences of the COVID-19 pandemic in LMICs have received less attention in the academic literature and policy dialogues. Limited pre-COVID-19 period data also makes it more challenging to track changes in the prevalence of mental health issues in LMICs post-pandemic (Kola et al, 2021; Leucht et al, 2021). During the pandemic, stress may have been more acute in LMICs’ populations due to more profound economic crises that resulted in widespread food insecurity (Egger et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

The Effect of the COVID-19 Pandemic on Mental Health in Low and Middle Income Countries

Aksunger

Vernot

Littman

et al. 2022

Preprint

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We track the effects of the COVID-19 pandemic on mental health in eight Low and Middle Income Countries (LMICs) in Asia, Africa, and South America utilizing repeated surveys of 21,162 individuals. Many respondents were interviewed over multiple rounds pre- and post-pandemic, allowing us to control for time trends and within-year seasonal variation in mental health. We demonstrate how mental health fluctuates with agricultural crop cycles, deteriorating during pre-harvest "lean" periods. Ignoring this seasonal variation leads to unreliable inferences about the effects of the pandemic. Controlling for seasonality, we document a large, significant, negative impact of the pandemic on mental health, especially during the early months of lockdown. In a random effects aggregation across samples, depression symptoms increased by around 0.3 standard deviations in the four months following the onset of the pandemic. The pandemic could leave a lasting legacy of depression. Absent policy interventions, this could have adverse long-term consequences, particularly in settings with limited mental health support services, which is characteristic of many LMICs.

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A living meta-ecological study of the consequences of the COVID-19 pandemic on mental health

Cited by 12 publications

References 9 publications

The effects of social isolation stress and discrimination on mental health

The effects of social isolation stress and discrimination on mental health

Adapting and Implementing Apps for Mental Healthcare

The Effect of the COVID-19 Pandemic on Mental Health in Low and Middle Income Countries

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