Living Under the Constant Threat of Ebola

Matua, Gerald Amandu; Wal, D.M. Van der

doi:10.1097/jnr.0000000000000116

Cited by 49 publications

(17 citation statements)

References 10 publications

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“…Early, continuous, and professional psychological interventions can prevent physical and mental harm. Patients endure stress during an epidemic and may experience physical and mental reactions ( Matua and Van der Wal, 2015 ; Mohammed et al., 2015 ). The stressors of the patients noted in this study were the disease itself, the treatment regimens in quarantine, and concerns regarding family health, resulting in changes in mood, diet, sleep, and behavior.…”

Section: Discussionmentioning

confidence: 99%

Qualitative study of the psychological experience of COVID-19 patients during hospitalization

Sun

Wei

Wang

et al. 2021

Journal of Affective Disorders

139

211

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Highlights COVID-19 patients display negative emotions during the early stages of the disease. As COVID-19 develops, a mixture of positive and negative emotions manifest. Timely psychological interventions can prevent physical and mental harm. Culture affects both mental and social coping strategies. Active guidance of psychological growth can promote patient recovery.

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Section: Discussionmentioning

confidence: 99%

Qualitative study of the psychological experience of COVID-19 patients during hospitalization

Sun

Wei

Wang

et al. 2021

Journal of Affective Disorders

139

211

View full text Add to dashboard Cite

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“…23 However, healthcare workers displaying physical symptoms may face a sense of fear, stigmatisation and ostracism from co-workers, which may exacerbate the psychological pain. 24 – 26 …”

Section: Discussionmentioning

confidence: 99%

Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic

et al. 2020

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Background The coronavirus disease 2019 (COVID-19) pandemic has led to significant strain on front-line healthcare workers. Aims In this multicentre study, we compared the psychological outcomes during the COVID-19 pandemic in various countries in the Asia-Pacific region and identified factors associated with adverse psychological outcomes. Method From 29 April to 4 June 2020, the study recruited healthcare workers from major healthcare institutions in five countries in the Asia-Pacific region. A self-administrated survey that collected information on prior medical conditions, presence of symptoms, and scores on the Depression Anxiety Stress Scales and the Impact of Events Scale-Revised were used. The prevalence of depression, anxiety, stress and post-traumatic stress disorder (PTSD) relating to COVID-19 was compared, and multivariable logistic regression identified independent factors associated with adverse psychological outcomes within each country. Results A total of 1146 participants from India, Indonesia, Singapore, Malaysia and Vietnam were studied. Despite having the lowest volume of cases, Vietnam displayed the highest prevalence of PTSD. In contrast, Singapore reported the highest case volume, but had a lower prevalence of depression and anxiety. In the multivariable analysis, we found that non-medically trained personnel, the presence of physical symptoms and presence of prior medical conditions were independent predictors across the participating countries. Conclusions This study highlights that the varied prevalence of psychological adversity among healthcare workers is independent of the burden of COVID-19 cases within each country. Early psychological interventions may be beneficial for the vulnerable groups of healthcare workers with presence of physical symptoms, prior medical conditions and those who are not medically trained.

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“…Our study indicates that close to a quarter (24.9%) of survivors exhibited a possible case of anxiety which is slightly higher than those reported by Nanyonga et al [ 31 ] and Mohamed et al [ 44 ] in Kenema, Eastern Sierra Leone. Although studies from East Africa [ 45 – 47 ] and in Guinea [ 28 ], Nigeria [ 48 ] Liberia [ 49 ] and within Sierra Leone [ 30 , 50 – 52 ] using quantitative and qualitative research designs have reported that psychological harm is common among Ebola survivors, it has failed to assess anxiety among Ebola survivors specifically, and this makes comparison among studies to be difficult. For instance, a study by Ji et al in Sierra Leone, anxiety was part of positive symptom distress index (PSDI) that was used to evaluate psychological distress among Ebola survivors, medical personnel and logistics workers [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of anxiety, depression and post-traumatic stress disorder among Ebola survivors in northern Sierra Leone: a cross-sectional study

et al. 2020

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Background There is limited data available on the long-term mental health impact of Ebola virus disease (EVD) on survivors despite the disease experience of survivors meeting the criteria of a traumatic event as defined in the Diagnostic and Statistical Manual of Mental Disorders version IV (DSM IV). This study aimed to assess the prevalence and predictive factors of anxiety, depression and posttraumatic stress disorder among EVD survivors, approximately 2 years after discharge from the Ebola treatment centre (ETC). Methods We conducted a cross-sectional study between May and August 2017 among 197 adults Ebola survivors in Bombali district, Northern Sierra Leone. We collected information about demographics, mental health status and possible predictive factors. The HAD scale was used to measure anxiety and depression. PTSD was measured using the PTSD-checklist (PCL). Chi-square test or Fisher exact two-tailed tests were used to test for associations and the multiple logistic regressions model to determine factors that were independently associated with the outcome variables. Results The mean anxiety, depression and PTSD scores were (5.0 ± 3.9), (7.1 ± 3.8) and (39.5 ± 6.4) respectively. Based on cut-off scores, the prevalence of anxiety (HADs score ≥ 8), depression (HADs score ≥ 8) and PTSD (PCL ≥ 45) among Ebola survivors were (n = 49, 24.9%), (n = 93, 47.2%) and (n = 43, 21.8%) respectively. Older Ebola survivors (≥30 years) were more likely to show symptoms of depression (AOR = 8.5, 95% CI: 2.68–27.01, p = 0.001) and anxiety (AOR = 3.04; 95%CI: 1.2–7.7, p = 0.019) compared to younger ones (< 30 years). In addition, Ebola survivors who experienced a decreased level of exercise post-ETC discharge were more likely to show symptoms of depression (AOR = 2.63; 95%CI: 1.25–5.54, p = 0.011) and anxiety (AOR = 3.60; 95%CI: 1.33–9.72, p = 0.012) compared to those whose exercise remained the same post-ETC discharge. Conclusion Our findings show that anxiety, depression and PTSD are common among the Ebola survivors in Bombali district, Northern Sierra Leone, and that underscores the need to diagnose and manage mental health morbidities among Ebola survivors long after their recovery from Ebola virus disease. Cognitive Behaviour Therapy (CBT) and Interpersonal Therapy (IPT) need to be explored as part of overall mental healthcare package interventions.

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Living Under the Constant Threat of Ebola

Cited by 49 publications

References 10 publications

Qualitative study of the psychological experience of COVID-19 patients during hospitalization

Qualitative study of the psychological experience of COVID-19 patients during hospitalization

Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic

Prevalence of anxiety, depression and post-traumatic stress disorder among Ebola survivors in northern Sierra Leone: a cross-sectional study

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