Mental Health Problems of HIV Healthcare Providers During the COVID-19 Pandemic: The Interactive Effects of Stressors and Coping

Mi, Tianyue; Yang, Xueying; Sun, Shufang; Li, Xiaoming; Tam, Cheuk Chi; Zhou, Yuejiao; Shen, Zhiyong

doi:10.1007/s10461-020-03073-z

Cited by 31 publications

(32 citation statements)

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“…Fourteen studies identified specific coping mechanisms employed by HCWs during the pandemic (Blanco-Donoso et al ., 2020; Cai, 2020; Chen et al ., 2020; Chew et al ., 2020; Dong et al ., 2020; Giusti et al ., 2020; Labrague & De los Santos, 2020; Maraqa et al ., 2020; Mi et al ., 2020; Nie et al., 2020; Salman et al, 2020; Shechter et al ., 2020; Vagni et al ., 2020; Xiao et al ., 2020). During the pandemic, HCWs utilized both negative and positive coping styles to manage stress.…”

Section: Methodsmentioning

confidence: 99%

“…Nine studies described the interaction between coping skills and mental health in HCWs during the COVID-19 pandemic (Baboe et al ., 2020; Chew et al ., 2020; Di Monte et al ., 2020; Hou et al ., 2020; Maiorano et al ., 2020; Mi et al ., 2020; Nie et al ., 2020; Vagni et al ., 2020; Zhu et al ., 2020;). The use of positive coping mechanisms such as seeking social support, positive thinking, and problem solving were associated with lower levels of traumatic stress, stigma (Chew et al ., 2020), psychological distress (Baboe et al ., 2020), stress symptoms (Nie et al ., 2020), anxiety, and depression (Zhu et al ., 2020; Mi et al ., 2020). On the other hand, utilization of negative coping skills, such as avoidance, were strongly linked with increased levels of emotional stress (Chew et al ., 2020), PTSD symptoms (Hou et al ., 2020), psychological distress (Nei et al ., 2020; Baboe et al ., 2020), and fatigue (Hou et al ., 2020).…”

Section: Methodsmentioning

confidence: 99%

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Psychological resilience, coping behaviours, and social support among healthcare workers during the COVID-19 pandemic: A systematic review of quantitative studies

Labrague

2020

Preprint

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Background: A wide range of evidence has shown that healthcare workers, currently on the frontlines in the fight against COVID-19, are not spared from the psychological and mental health-related consequences of the pandemic. Studies synthesizing the role of coping behaviours, psychological resilience, and social support in safeguarding the mental health of HCWs during the pandemic is largely unknown. Aim (s): To appraise and synthesize studies examining psychological resilience, coping behaviours, and social support among healthcare workers (HWCs) during the coronavirus pandemic. Design: This is a systematic review with a narrative synthesis. Method: Using articles from PubMed, CINAHL, SCOPUS, MEDLINE and PsychINFO, a total of 31 articles were included in the review. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement guidelines. Results: Healthcare workers were found to have moderate to high levels of psychological resilience and utilized both problem-centred coping (e.g., use of social support, praying) and emotion-centred coping (e.g., use of diversionary activities) to manage the stress-associated with the coronavirus pandemic. Coping behaviours, psychological resilience, and social support were associated with positive mental and psychological health outcomes. Conclusion: Substantial evidence supports the effectiveness of coping behaviours, psychological resilience, and social support to preserve psychological and mental health among HCWs during the COVID-19 pandemic. Relevance to Practice: In order to safeguard the mental health and well-being of HCWs during the pandemic, hospital and nursing administrators should focus on building coping skills, psychological resilience, and social support in HWCs through innovative and theory-based interventions, supportive leadership, and fostering a resilient work environment.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Psychological resilience, coping behaviours, and social support among healthcare workers during the COVID-19 pandemic: A systematic review of quantitative studies

Labrague

2020

Preprint

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“…Meanwhile, PLWH faced the risk of ART interruption and disruption in chronic conditions treatment as hospitals were closed and some medical resources were re-purposed for COVID-19 cases [ 17 – 20 ]. Moreover, some PLWH faced pressing psychological problems such as anxiety and depression during the COVID-19 pandemic [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of COVID-19 pandemic on HIV care continuum in Jiangsu, China

Shi

Tang

et al. 2021

BMC Infect Dis

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Background The COVID-19 pandemic seriously threatens general public health services globally. This study aimed to evaluate the impact of the COVID-19 pandemic on the HIV care continuum in Jiangsu province, China. Methods Data on newly diagnosed HIV persons for analysis were retrieved from Chinas’ web-based Comprehensive Response Information Management System (CRIMS) for HIV/AIDS from 2016 to 2020. We recorded data for the first 3 months (January to March, 2020) of strictly implementing COVID-19 measures from publicly available disease databases of the Jiangsu provincial Health Committee. We used seasonal autoregressive integrated moving average (SARIMA) and exponential smoothing in forecasting the parameters. Subgroup differences were accessed using Chi-square tests. Results Compared to the estimated proportions, the HIV testing rates decreased by 49.0% (919,938) in the first three months of implementing COVID-19 measures. Of an estimated 1555 new HIV diagnosis expected in the same period, only 63.0% (980) new diagnoses were recorded. According to actual data recorded during the said period, 980 positively tested persons received confirmatory tests, of which 71.4% (700) were reportedly linked to care. And only 49.5% (235) out of the expected 475 newly diagnosed HIV persons received CD4 cell count testing. Meanwhile 91.6% (208) of newly diagnosed HIV persons who received CD4 count tests reportedly initiated antiretroviral therapy (ART) compared to the 227 expected. Compared to the same period from 2016 to 2019, PLWH less than 30 years old and migrants were more likely to be affected by the COVID-19 policies. Conclusions The COVID-19 pandemic negatively impacted HIV healthcare systems in Jiangsu, China. Further measures that can counter the impact of the pandemic are needed to maintain the HIV care continuum.

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“…We also emailed the authors of 43 articles that missed critical information and were able to get the information to include 10 additional studies. Altogether, the process generated 131 articles for this meta-analysis (An et al, 2020; Ben-Ezra et al; Cai et al; Cao et al, 2020; Chen et al; Chen et al; Chen et al; Chen et al; Chen et al, 2020; Cheng et al; Choi et al; Dai, 2020; Dong et al, 2020; Du et al, 2020; Elhai et al, 2020; Fang et al, 2020; Feng et al, 2020; Fong et al, 2020; Fu et al, 2020; Gao, 2020; Guo et al, 2020; Guo, 2020; Han et al, 2020; Hong et al, 2020; Hou et al, 2020; Hu et al, 2020a; Hu et al, 2020b; Huang et al, 2020a; Huang et al, 2020c; Huang et al, 2020d; Jin et al, 2020; Juan et al, 2020; Lai et al, 2020; Lam et al, 2020; Lei et al, 2020; Leng et al, 2020; Li; Li et al, 2020a; Li et al, 2020b; Li et al, 2020c; Li, 2020a; Li et al, 2020d; Li et al, 2020e; Li, 2020b; Li et al, 2020f; Li et al, 2020g; Liang et al, 2020; Lin et al, 2020a; Lin et al, 2020b; Liu, 2020; Liu, in press; Liu et al, 2020a; Liu et al, 2020b; Liu et al, 2020c; Liu et al, 2020d; Liu et al, 2020e; Liu et al, 2020f; Lu et al, 2020a; Lu et al, 2020b; Lu et al, 2020c; Mi et al, 2020; Ni et al, 2020a; Ni et al, 2020b; Ning et al, 2020; Pan et al, 2020a; Pan et al, 2020b; Qi, 2020; Qian et al, 2020; Qian, 2020; Qiu et al, 2020; Que et al, 2020; Ren et al, 2020b; Shi et al, 2020; Si et al, 2020; Song et al, 2020; Song, 2020; Su et al, 2020; Sun et al, 2020a; Sun, 2020; Sun et al, 2020b; Sun et al, 2020c; Tan et al, 2020; Teng et al, 2020; Tu et al, 2020; Wang et al, 2020a;…”

Section: Resultsmentioning

confidence: 99%

One Year of Evidence on Mental Health Disorders in China during the COVID-19 Crisis - A Systematic Review and Meta-Analysis

Chen¹,

Chen

Zhang³

et al. 2021

Preprint

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Objective: This paper provides a systematic review and meta-analysis on the prevalence rate of mental health issues of the major population, including general population, general healthcare workers (HCWs), and frontline healthcare workers (HCWs), in China over one year of the COVID-19 crisis. Design: A systematic review and meta-analysis. Data sources: articles in PubMed, Embase, Web of Science, and medRxiv up to November 16, 2020, one year after the first publicly known confirmed COVID-19 case. Eligibility criteria and data analysis: any COVID-19 and mental disorders relevant English studies with frontline/general healthcare workers, general adult population sample, using validated scales. We pooled data using random-effects meta-analyses to estimate the prevalence rates of anxiety, depression, distress, general psychological symptoms (GPS), insomnia, and PTSD and ran meta-regression to tease out the heterogeneity. Results: The meta-analysis includes 131 studies and 171 independent samples. The overall prevalence of anxiety, depression, distress, GPS, insomnia, and PTSD are 11%, 13%, 20%, 13%, 19%, and 20%, respectively. The meta-regression results uncovered several predictors of the prevalence rates, including severity (e.g., above severe vs. above moderate, p<0.01; above moderate vs. above mild, p<0.01) and type of mental issues (e.g., depression vs. anxiety, p=0.04; insomnia vs. anxiety p=0.04), population (frontline HCWs vs. general HCWs, p<0.01), sampling location (Wuhan vs. non-Wuhan, p=0.04), and study quality (p=0.04). Limitations: First, we only focus on China population, which may limit the generalizability of the results. Second, 96.2% studies included in this meta-analysis were cross-sectional. Last, since we only included studies published in English, we expect to have a language bias. Conclusion: Our pooled prevalence rates are significantly different from, yet largely between, the findings of previous meta-analyses, suggesting the results of our larger study are consistent with, yet fine-tune, the findings of the smaller, previous meta-analyses. Hence, this meta-analysis not only provides a significant update on the mental health prevalence rates in COVID-19 but also suggests the need to update meta-analyses continuously to provide more accurate estimates of the prevalence of mental illness during this ongoing health crisis. While prior meta-analyses focused on the prevalence rates of mental health disorders based on one level of severity (i.e., above mild), our findings also suggest a need to examine the prevalence rates at varying levels of severity. The one-year cumulative evidence on sampling locations (Wuhan vs. non-Wuhan) corroborates the typhoon eye effect theory. Our finding that the prevalence rates of distress and insomnia and those of frontline healthcare workers are higher suggest future research and interventions should pay more attention to those mental outcomes and populations. Keywords: systematic review; meta-analysis; COVID-19; mental health; epidemic; general population; healthcare workers; frontline healthcare workers

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Mental Health Problems of HIV Healthcare Providers During the COVID-19 Pandemic: The Interactive Effects of Stressors and Coping

Cited by 31 publications

References 32 publications

Psychological resilience, coping behaviours, and social support among healthcare workers during the COVID-19 pandemic: A systematic review of quantitative studies

Psychological resilience, coping behaviours, and social support among healthcare workers during the COVID-19 pandemic: A systematic review of quantitative studies

The impact of COVID-19 pandemic on HIV care continuum in Jiangsu, China

One Year of Evidence on Mental Health Disorders in China during the COVID-19 Crisis - A Systematic Review and Meta-Analysis

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