Lessons learned from 9/11: Mental health perspectives on the COVID-19 pandemic

DePierro, Jonathan; Lowe, Sandra; Katz, Craig L.

doi:10.1016/j.psychres.2020.113024

Cited by 100 publications

(91 citation statements)

References 4 publications

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“…These can lead to mental health damage and long-term consequences ( 31 ). Such experiences are exacerbated by the spread of infectious diseases associated with increased mortality or short-term or long-term disability ( 5 ). This is also the case with the potential long-term consequences of viral disease pandemics and can be associated with worrying consequences for mental health ( 32 ) and medical condition ( 33 ).…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the severe stress that HCWs face in hospital settings, they are also prone to posttraumatic stress symptoms (PTSS). Death of patients, the lack of relevant facilities and ethical issues, and the persistence of these problems, along with the lack of action to receive mental health services by HCWs for a variety of reasons, including stigma, denial, conflicting time demands, and the like can lead to chronic disorders ( 5 ). In fact, stigma, in the form of a negative attitude toward people with certain conditions or illnesses ( 6 ), may prevent HCWs from pursue diagnostic and therapeutic measures related to psychiatric symptoms.…”

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confidence: 99%

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Prevalence and Associated Factors of Posttraumatic Stress Symptoms and Stigma among Health Care Workers in Contact with COVID-19 Patients

Zandifar¹,

Badrfam

Khonsari

et al. 2020

IJPS

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Objective: The global spread of COVID-19 has caused great psychological stress in health care workers (HCWs). This study aims to assess the prevalence and associated factors of posttraumatic stress symptoms (PTSS) and stigma among health care workers (HCWs) who are involved in treating COVID-19 patients. This study was conducted as part of studies related to assessing the mental health status of HCWs in Iran during the COVID-19 pandemic. Method: Overall, in this cross sectional study, 894 HCWs working in 9 general hospitals in Alborz province, Iran, in the field of diagnostic and treatment care of patients with COVID-19 were selected using multistage sampling method. PTSS and its subscales, including intrusion, avoidance, and hyper vigilance were obtained based on the Posttraumatic Stress Disorder-8 Item validated questionnaire. Information on Stigma's perception among HCWs was also obtained based on a questionnaire adopted from the HIV Stigma Scale. Predictors of PTSS and Stigma's perception among HCWs were assessed using multivariate logistic regression analysis. Results: Overall, 71.4% of the participants were women and 46.9% were front line staff. The prevalence of intrusion, avoidance, and hyper vigilance symptoms was 44.2% (95% CI: 40.8-47.6), 31. 8% (95% CI: 28.8-35.0), and 37.7% (95% CI: 34.5-41.0), respectively. A strong and positive significant correlation was found between stigma score with PTSD total score (coefficient: 0.83) and its components. In multivariate logistic regression model, female gender was associated with intrusion (OR: 1.46, 95% CI: 1.03-2.06) and avoidance (OR: 1.66, 95% CI: 1.147-2.417) and working in frontline increased the odds of intrusion (OR: 1.45, 95% CI: 1.06-1.97) and hyper vigilance (OR: 1.41, 95% CI: 1.03-1.91). Conclusion: The prevalence of PTSS is high among HCWs during COVID-19 pandemic and it is associated with some demographic characteristics of HCWs. This situation should be considered by health policymakers so that while trying to control the disease, the mental health status of this group of personnel should be given much attention.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Prevalence and Associated Factors of Posttraumatic Stress Symptoms and Stigma among Health Care Workers in Contact with COVID-19 Patients

Zandifar¹,

Badrfam

Khonsari

et al. 2020

IJPS

View full text Add to dashboard Cite

show abstract

“…Increased rates of post-traumatic stress disorder (PTSD), depression and anxiety are expected in the general population, and even more in COVID-19 survivors, following the pandemic [ 65 – 68 ]. A parallel can be drawn between the psychological consequences of COVID-19 and those coming from similar disasters, such as the 9/11 attacks [ 69 ] or earthquakes [ 70 ], and similar short- and long-term treatment strategies are, therefore, needed to provide adequate care. Confinement and the illness in itself are both causes of stress; while only a minority of individuals might be more vulnerable to psychological trauma, there is no doubt that most people would experience some degree of emotional distress following isolation, social distancing, loss of relatives and friends, difficulties in securing medications, as well as the obvious economic consequences of lockdown.…”

Section: Introductionmentioning

confidence: 99%

Addressing male sexual and reproductive health in the wake of COVID-19 outbreak

Sansone

Mollaioli

Ciocca

et al. 2020

J Endocrinol Invest

131

147

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Purpose The COVID-19 pandemic, caused by the SARS-CoV-2, represents an unprecedented challenge for healthcare. COVID-19 features a state of hyperinflammation resulting in a "cytokine storm", which leads to severe complications, such as the development of micro-thrombosis and disseminated intravascular coagulation (DIC). Despite isolation measures, the number of affected patients is growing daily: as of June 12th, over 7.5 million cases have been confirmed worldwide, with more than 420,000 global deaths. Over 3.5 million patients have recovered from COVID-19; although this number is increasing by the day, great attention should be directed towards the possible long-term outcomes of the disease. Despite being a trivial matter for patients in intensive care units (ICUs), erectile dysfunction (ED) is a likely consequence of COVID-19 for survivors, and considering the high transmissibility of the infection and the higher contagion rates among elderly men, a worrying phenomenon for a large part of affected patients. Methods A literature research on the possible mechanisms involved in the development of ED in COVID-19 survivors was performed. Results Endothelial dysfunction, subclinical hypogonadism, psychological distress and impaired pulmonary hemodynamics all contribute to the potential onset of ED. Additionally, COVID-19 might exacerbate cardiovascular conditions; therefore, further increasing the risk of ED. Testicular function in COVID-19 patients requires careful investigation for the unclear association with testosterone deficiency and the possible consequences for reproductive health. Treatment with phosphodiesterase-5 (PDE5) inhibitors might be beneficial for both COVID-19 and ED. Conclusion COVID-19 survivors might develop sexual and reproductive health issues. Andrological assessment and tailored treatments should be considered in the follow-up.

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“…Mental interventions that decrease anxiety and progress sleep period that can be prioritized in the most affected areas (Wang et al, 2020). Mental health monitoring, early identification of at-risk individuals and handling regardless of financial constraints are essential to explanatory chronic crises (DePierroa et al, 2020). This study aimed to establish the prevalence of PTSD and depression symptoms among the quarantined population.…”

Section: Introductionmentioning

confidence: 99%