Mental health services for children in China during the COVID-19 pandemic: results of an expert-based national survey among child and adolescent psychiatric hospitals

Cui, Yonghua; Li, Ying; Zheng, Yi

doi:10.1007/s00787-020-01548-x

Cited by 75 publications

(77 citation statements)

References 20 publications

(19 reference statements)

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“…The reason why anxiety would result in these attitudes is that people with anxiety may, in an attempt to avoid experiencing further distress and fear, seek to avoid reports in the news and on the Internet regarding the epidemic, which would result in these people being less informed regarding the virus and its characteristics. Businesses should be aware of the employees' mental-health status before they return to work, and should provide psychological consultation services if necessary [23]. Further, false information on the Internet regarding COVID-19 can cause panic [28]; therefore, in the short term, it is necessary to strengthen the management of online information and support scienti c, in-depth, and continuous reporting by o cial media channels, which would serve to guide the direction of public opinion [24]; in the long term, public health literacy should be greatly improved [25].…”

Section: Discussionmentioning

confidence: 99%

Compliance with COVID-19-Preventive Behaviours among Employees Returning to Work in the Post-Epidemic Period

Liu

Tong

et al. 2020

Preprint

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Background The emergence of the new coronavirus disease (COVID-19) as a global pandemic has had an impact on the lifestyle of people worldwide. Government measures aimed at containing the spread of the virus have been successful in many places, leading to a relaxation of these measures. To prevent the return of an outbreak in these places, people returning to the workforce are expected to follow proper health behaviours. Therefore, this study investigated COVID-19 related knowledge, attitudes, and behaviours of employees who are returning to work during the COVID-19 prevention and control period as well as their compliance with recommended COVID-19 preventive behaviours. Methods A cross-sectional study design was used. Data were gathered using an online questionnaire survey from March to May 2020 among 1,300 returning employees in China. Questionnaire items concerned participants’ COVID-19-related knowledge, compliance with recommended preventive behaviours, and levels of depression and anxiety. Univariate and multi-factor methods were used to analyse the data and identify factors influencing behaviour compliance. Results Six hundred and ninety-eight (53.7%) participants showed high compliance, and 602 (46.3%) showed low compliance. High education level (odds ratio [OR] = 5.598, 95% confidence interval [CI]: 1.846–16.976), white-collar occupation (OR = 1.992, 95% CI: 1.331–2.983), high knowledge of COVID-19 (OR = 1.704, 95% CI: 1.303–2.229), no anxiety (OR = 0.646, 95% CI: 0.463–0.901), and quarantining (OR = 1.320, 95% CI: 1.039–1.676) predicted better compliance with preventive behaviours (p < 0.05). Conclusion Factors such as educational background, occupation, isolation, COVID-19 knowledge level, and psychological anxiety have an impact on the health behaviour of employees returning to work. For employees returning to work during the post-COVID-19-epidemic period, compliance with recommended health behaviours requires improvement. The provision of health education and psychological counselling and the continuance of a strict isolation policy could enhance such compliance.

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Section: Discussionmentioning

confidence: 99%

Compliance with COVID-19-Preventive Behaviours among Employees Returning to Work in the Post-Epidemic Period

Liu

Tong

et al. 2020

Preprint

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“…For example, patients in psychiatric intensive care units may experience an increased threat of a group infection (5). The psychosocial impact on children and adolescents treated in inpatient psychiatric units may be even more critical (19).…”

Section: Introductionmentioning

confidence: 99%

Perceptions, emotional reactions and needs of adolescent psychiatric inpatients during the COVID-19 pandemic: A qualitative analysis of in-depth interviews

Giannakopoulos

Mylona

Zisimopoulou

et al. 2020

Preprint

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Background: The new coronavirus pandemic (COVID-19) has been accompanied by great psychological pressure on the entire population. However, little is known about how this pandemic could affect the more vulnerable population with severe mental illness.Aims: To explore adolescent psychiatric inpatients' perceptions, emotional reactions and needs during the first wave of the COVID-19 pandemic.Methods: Individual in-depth interviews were conducted with nine psychiatric inpatients aged 12-17 years. Five themes were initiated by interviewers through open-ended questions: (1) knowledge about the coronavirus pandemic, (2) changes in everyday routine, (3) feelings about the pandemic, (4) helpful thoughts and behaviors, and (5) practices of helping adolescents with their difficulties concerning the pandemic. A thematic analysis was conducted using line-by-line open coding.Results: Regarding their knowledge about the impact of the current pandemic, almost all adolescents focused on information about the nature of coronavirus and existing crisis management practices. Nearly all patients identified mainly negative changes due to the quarantine state, such as restrictions on social life and personal freedom, and excessive contact with family members during home isolation. With regard to their feelings, they acknowledged anxiety about harm to self and beloved ones, mood changes within the family nucleus, the unknown, and the management of the pandemic in other countries. Avoiding thought rumination about the coronavirus and its consequences, focusing on the positive, and looking into and towards the future were reported as helpful strategies for coping with difficult feelings. Additionally, a sense of belongingness insofar as they are not alone and share a common experience, seems central to the adolescents' arsenal of coping strategies. Confidence in the authorities and the community was another particularly interesting point that emerged during the interviews. Last, our findings indicated adolescents' benefit from receiving balanced health messaging, in addition to balanced thinking within their social and family environment.Conclusions: Better comprehension of possible mediating psychological pathways is needed in order to help clinicians, researchers and decision-makers develop psychosocial support interventions, to prevent the deterioration of mental disorders and overall functioning, as well as additional stress-related disorders.

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“…Restrictions set to ensure minimum spreading of SARS-Cov-2 entailed considerable changes in many aspects of daily life, including clinical work. First observations of the COVID-19-pandemic suggest disproportional consequences for psychiatric patients (1)(2)(3)(4), even a potentially increased suicide risk (5,6). Following the need to continuously serve patients, a lot of effort went into provision of care through other means not including physical contact, such as teletherapeutic offers (7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

“Bridge over troubled water”: A first look at adolescent psychiatric outpatients transited from regular care to teletherapy during the COVID-19 outbreak using quantitative and qualitative analyses.

Huscsava

Scharinger

Plener

et al. 2020

Preprint

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Abstract BackgroundAdolescents suffering from psychiatric disorders are at risk of disproportionally suffering from the current COVID-19-pandemic. We aimed to assess their specific needs and to evaluate factors influencing a successful transition into teletherapy.MethodsThirty adolescent psychiatric outpatients participated in a series of interviews. The primary outcome was the level of psychosocial functioning. Secondary outcome were potential changes in differential symptom domains. Additionally, answers to open questions were analysed qualitatively.ResultsWithin-group effect size estimates revealed a significant decrease in the level of functioning within the first two months after transition from face-to-face therapy (M = 2·7, SD = 1·258) to teletherapy (M = 3·0, SD = 1·245) (T29 = -2·536, p = 0·017, d = 0·46). Qualitative analysis revealed a marked difference in the level of perceived social support in the subgroup of patients who deteriorated in their level of functioning. Those patients also showed a lower degree of verbal differentiation concerning emotions and affect, as well as a higher degree of introspection and rumination. ConclusionsDespite an overall deterioration, in absolute numbers most patients showed a stagnation in their level of functioning, even if difficulties were expressed. The most prominent difference in the subgroup who showed a decreased level of functioning, was the lack of perceived social support. Provision of strategies to enhance verbalisation and differentiation of emotions and affect might be beneficial.

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Mental health services for children in China during the COVID-19 pandemic: results of an expert-based national survey among child and adolescent psychiatric hospitals

Cited by 75 publications

References 20 publications

Compliance with COVID-19-Preventive Behaviours among Employees Returning to Work in the Post-Epidemic Period

Compliance with COVID-19-Preventive Behaviours among Employees Returning to Work in the Post-Epidemic Period

Perceptions, emotional reactions and needs of adolescent psychiatric inpatients during the COVID-19 pandemic: A qualitative analysis of in-depth interviews

“Bridge over troubled water”: A first look at adolescent psychiatric outpatients transited from regular care to teletherapy during the COVID-19 outbreak using quantitative and qualitative analyses.

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Mental health services for children in China during the COVID-19 pandemic: results of an expert-based national survey among child and adolescent psychiatric hospitals

Cited by 75 publications

References 20 publications

Compliance with COVID-19-Preventive Behaviours among&nbsp;Employees Returning to Work in the Post-Epidemic Period

Compliance with COVID-19-Preventive Behaviours among&nbsp;Employees Returning to Work in the Post-Epidemic Period

Perceptions, emotional reactions and needs of adolescent psychiatric inpatients during the COVID-19 pandemic: A qualitative analysis of in-depth interviews

“Bridge over troubled water”: A first look at adolescent psychiatric outpatients transited from regular care to teletherapy during the COVID-19 outbreak using quantitative and qualitative analyses.

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Product

Resources

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Compliance with COVID-19-Preventive Behaviours among Employees Returning to Work in the Post-Epidemic Period

Compliance with COVID-19-Preventive Behaviours among Employees Returning to Work in the Post-Epidemic Period