Addressing trauma and stress in the COVID-19 pandemic: Challenges and the promise of integrated primary care.

Kanzler, Kathryn E.; Ogbeide, Stacy A.

doi:10.1037/tra0000761

Cited by 29 publications

(28 citation statements)

References 23 publications

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“…As health care systems strain under the weight of the dramatic increases in anxiety and depression ( Dozois, 2020 ), there is a profound need to understand how to allocate resources. Multiple authors have discussed the need for routine screening in primary care ( Kanzler and Ogbeide, 2020 ). Our tentative findings highlight that one form of emotion-related impulsivity could help identify people who are likely to struggle during periods of high stress, and another form of emotion-related impulsivity could predict heightened vulnerability even with less stress present.…”

Section: Discussionmentioning

confidence: 99%

Emotion-related impulsivity predicts increased anxiety and depression during the COVID-19 pandemic

Johnson

Porter

Modavi

et al. 2022

Journal of Affective Disorders

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Introduction Emotion-related impulsivity, defined by poor constraint in the face of emotion, is related to internalizing symptoms, cross-sectionally and longitudinally. Internalizing symptoms, though, are profoundly tied to stress reactivity, and little is known about how emotion-related impulsivity relates to stress reactivity. Method Taking advantage of a sample that had completed measures of depression, anxiety, suicidal ideation, and two forms of emotion-related impulsivity before the pandemic, we asked participants to complete three weekly follow-up internalizing assessments early in the pandemic. Results Among the 150 participants, pre-pandemic emotion-related impulsivity scores predicted higher depression, anxiety, general distress, and suicidal ideation during the COVID-19 pandemic. Controlling for pre-pandemic scores, one form of emotion-related impulsivity (Feelings Trigger Action) predicted increased anxiety and general distress. We also examined how pre-pandemic emotion-related impulsivity was moderated by weekly COVID-related stress. One form of emotion-related impulsivity (Pervasive Influence of Feelings) predicted internalizing symptoms at low stress levels, and a different form (Feelings Trigger Action) predicted internalizing symptoms at higher stress levels. Limitations Limitations include the small sample size, the absence of repeat measures of impulsivity, the attrition of individuals with more internalizing symptoms, and the reliance on self-rated measures. Conclusions Forms of emotion-related impulsivity predict increases in anxiety and distress over time, but the interactions with stress levels appear to vary. Emotion-related impulsivity can be addressed with accessible intervention tools, suggesting promise for broader screening for those at risk for internalizing symptoms during periods of high stress.

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Section: Discussionmentioning

confidence: 99%

Emotion-related impulsivity predicts increased anxiety and depression during the COVID-19 pandemic

Johnson

Porter

Modavi

et al. 2022

Journal of Affective Disorders

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“…The digital divide, or the gap in access to digital technologies and infrastructure, may be greater in at-risk groups [ 12 ], resulting in further health care marginalization of the most vulnerable populations [ 12 , 12 ]. Though there is limited existing literature specific to equity concerns in e-health, earlier contributions published during the pandemic also speak to the risks that the increased use of e-health technologies will exacerbate inequities in care access among marginalized populations [ 13 , 58 , 75 ]. Crawford et al [ 159 ] advance a Digital Health Equity Framework that captures the interconnections of socio-economic and cultural contexts, intermediate health factors (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Papers on people living with existing MNS disorders (Table 3) cover a diverse spectrum of MNS conditions, including common mental disorders like major depressive disorder (MDD) [57,6], Post Traumatic Stress Disorder (PTSD) [20], eating disorders [21,21,23], obsessive-compulsive disorder (OCD) [23], severe mental illness including schizophrenia and bipolar disorder [23,23,29,43,43,45,45,46,46,52], substance use disorders [54,59,60], epilepsy [61], behavioural addictions (e.g. gambling [61], gaming disorder [63], chronic insomnia [66], intellectual and developmental disabilities (IDD) including autism [71], and suicide risk [75,76,77,79], in addition to general considerations for mental health responses to COVID-19 [81,82,83,83,84,89,102,103]. A majority of papers describe considerations for general adult populations, while some focus on children and youth [105,113,121,123,128] and older adults…”

Section: Risk Factors By At-risk Population People With Existing Mental Neurological and Substance Use (Mns) Disordersmentioning

confidence: 99%

“…Access to devices such as smartphones and high-speed Internet and technological literacy are also considerable challenges for some populations [6,29,75] including vulnerable children and youth [25,69,104,58], older people [29] and with MNS disorders [32], people living in rural communities, in poverty [39,56,56], among the most vulnerable PLWH [88], and among people experiencing homelessness [91]. These barriers for people with disabilities or chronic illness and their caregivers [96], suggest that flexibility in delivery options are required [108].…”

Section: Considerations For Standard Mental Health Care and Psychosocial Supportmentioning

confidence: 99%

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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: a rapid scoping review

Murphy

Khan

Sun

et al. 2021

Int J Equity Health

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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 and e-mental health care. It has also highlighted the persistent social and structural inequities that contribute to poor mental health. The APEC region is vast and diverse; findings from the region can guide policy and practice in the delivery of equitable mental health care in the region and beyond.

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“…También nos obligará a considerar lo que hemos perdido de la enseñanza presencial y que no pudimos compensar, durante el proceso de transición y mantención de las clases en línea. Así mismo permitió evidenciar la necesidad de atención psicológica relacionada con el estrés postraumático para las poblaciones vulnerables, así como la necesidad de que los proveedores de estos servicios estén preparados para comenzar a trabajar a través de métodos tradicionales y virtuales (Kanzler, 2020). Finalmente, es importante que las autoridades, académicos, docentes y estudiantes sean comprensivos y pacientes con respecto al impacto cognitivo inevitable de la pandemia y la consiguiente reducción de los niveles de productividad de nuestros estudiantes, colegas y nosotros mismos (Boals & Banks, 2020).…”

Section: Discussionunclassified

Salud mental en estudiantes chilenos durante confinamiento por Covid-19: revisión bibliográfica

Martínez-Líbano

2020

REA

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A raíz de la pandemia, los estudiantes chilenos tuvieron que cambiar de la instrucción presencial a la instrucción en línea para disminuir la propagación del Covid-19. Ante este escenario, es esperado algún grado de afección emocional en ellos. El objetivo de esta investigación fue identificar y analizar publicaciones cuya temática abordase la salud mental en confinamiento de estudiantes chilenos durante el año 2020. El análisis fue documental mixto, con un diseño descriptivo por medio de búsqueda de palabras clave que permitieron identificar temáticas de análisis. El procedimiento para realizar la revisión tuvo tres etapas: (i) identificación de las publicaciones, (ii) selección y (iii) elegibilidad. Debido a que se trata de una temática joven y específica, se realizó la búsqueda vía motor Scholar Google para ampliar los resultados. Se encontró un registro de 16 artículos bajo las temáticas salud mental y estudiantes chilenos en el motor de búsqueda. A través de la matriz de análisis usando los criterios de inclusión, se descartaron 12 artículos, quedando cuatro estudios para la revisión. Al analizar los textos seleccionados de manera íntegra, se mantuvo el mismo número de artículos. Se concluye que faltan investigaciones a nivel nacional de los efectos a la salud mental en los estudiantes en general. Si bien los artículos revisados representan un aporte dado que problematizan y ponen énfasis en las problemáticas vividas por estudiantes, se requiere de estudios descriptivos. Se espera que pasado un año de confinamiento por pandemia se pueda encontrar mayores estudios que permitan conocer el fenómeno en detalle.

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Addressing trauma and stress in the COVID-19 pandemic: Challenges and the promise of integrated primary care.

Cited by 29 publications

References 23 publications

Emotion-related impulsivity predicts increased anxiety and depression during the COVID-19 pandemic

Emotion-related impulsivity predicts increased anxiety and depression during the COVID-19 pandemic

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: a rapid scoping review

Salud mental en estudiantes chilenos durante confinamiento por Covid-19: revisión bibliográfica

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