Remote mental health care interventions during the COVID-19 pandemic: An umbrella review

Witteveen, Anke B.; Young, Susanne Yvette; Cuijpers, Pim; Ayuso-Mateos, J.L.; Barbui, Corrado; Bertolini, Federico; Cabello, María; Cadorin, Camilla; Downes, Naomi; Franzoi, Daniele; Gasior, Michael Elizabeth; John, Ann; Melchior, Maria; McDaid, David; Purgato, Marianna; Waerden, Judith van der; Wang, S.; Sijbrandij, Marit

doi:10.1016/j.brat.2022.104226

Cited by 34 publications

(28 citation statements)

References 90 publications

(198 reference statements)

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“…Other authors [ 182 , 183 ] express reservations with regard to the consequences remote services might have in perpetuating or alleviating health inequalities. An early position paper by Moreno et al (2020) [ 182 ] recommended that “sustainable adaptations … should be designed to mitigate disparities in healthcare provision”.…”

Section: Review Resultsmentioning

confidence: 99%

“…In an ‘umbrella review’ of remote mental healthcare interventions during the pandemic, Witteveen et al (2022) [ 183 ] suggest that remote counselling and therapy, e.g., by videoconferencing, facilitated access to care because of time efficiency and geographical flexibility—a significant benefit. However, they caution that specific vulnerable populations suffered a lack of accessibility to remote services.…”

Section: Review Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Unintended Consequences of COVID-19 Non-Pharmaceutical Interventions (NPIs) for Population Health and Health Inequalities

ÓhAiseadha

Quinn

Connolly³

et al. 2023

IJERPH

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Since the start of the COVID-19 pandemic in early 2020, governments around the world have adopted an array of measures intended to control the transmission of the SARS-CoV-2 virus, using both pharmaceutical and non-pharmaceutical interventions (NPIs). NPIs are public health interventions that do not rely on vaccines or medicines and include policies such as lockdowns, stay-at-home orders, school closures, and travel restrictions. Although the intention was to slow viral transmission, emerging research indicates that these NPIs have also had unintended consequences for other aspects of public health. Hence, we conducted a narrative review of studies investigating these unintended consequences of NPIs, with a particular emphasis on mental health and on lifestyle risk factors for non-communicable diseases (NCD): physical activity (PA), overweight and obesity, alcohol consumption, and tobacco smoking. We reviewed the scientific literature using combinations of search terms such as ‘COVID-19′, ‘pandemic’, ‘lockdowns’, ‘mental health’, ‘physical activity’, and ‘obesity’. NPIs were found to have considerable adverse consequences for mental health, physical activity, and overweight and obesity. The impacts on alcohol and tobacco consumption varied greatly within and between studies. The variability in consequences for different groups implies increased health inequalities by age, sex/gender, socioeconomic status, pre-existing lifestyle, and place of residence. In conclusion, a proper assessment of the use of NPIs in attempts to control the spread of the pandemic should be weighed against the potential adverse impacts on other aspects of public health. Our findings should also be of relevance for future pandemic preparedness and pandemic response teams.

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Section: Review Resultsmentioning

confidence: 99%

Section: Review Resultsmentioning

confidence: 99%

Unintended Consequences of COVID-19 Non-Pharmaceutical Interventions (NPIs) for Population Health and Health Inequalities

ÓhAiseadha

Quinn

Connolly³

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Coinciding with other studies ( Vahia et al, 2020 , Wilson et al, 2021 ), we showed that age negatively correlated with anxiety and depression among our participants. Finally, as demand for mental health services might be overwhelming during times of crisis and a myriad of stressors ( Tausch et al, 2022 ), the facilitation of remote-therapy during the pandemic may help alleviate this burden and provide adequate support to people in acute distress during shocking events ( James et al, 2022 , Li et al, 2022 , Witteveen et al, 2022 ).This study has several limitations. First, the sampling was not random, but rather a “snowball” recruitment.…”

Section: Discussionmentioning

confidence: 98%

A 16-month longitudinal investigation of risk and protective factors for mental health outcomes throughout three national lockdowns and a mass vaccination campaign: Evidence from a weighted Israeli sample during COVID-19

Hertz‐Palmor

Ruppin

Matalon

et al. 2023

Psychiatry Research

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“…Quarantine appears to have reduced access to health care for PPEPD. In such situations, some countries quickly devised strategies such as the expansion of services through unique health interventions and remote technologies [ 33 , 34 ]. However, in Iran, due to poor coverage and speed of the internet, low skills of people working with social networks, and lack of access to smartphones or the internet, the remote interventions did not spread enough to meet the needs of PPEPD.…”

Section: Discussionmentioning

confidence: 99%

Mental Health System Responsiveness during COVID-19 in People with Pre-Existing Psychiatric Disorders: Experiences from Iran

et al. 2023

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Mental health system responsiveness (MHSR) is one of the important indicators in measuring the performance of mental health systems. Recognizing this function can be effective in responding appropriately to the needs of People with Pre-Existing Psychiatric Disorders (PPEPD). This study aimed to investigate MHSR during the COVID-19 period in PPEPD in Iran. Using stratified random sampling, 142 PPEPD who were admitted to a Psychiatric Hospital in Iran one year before the onset of the COVID-19 pandemic were recruited for this cross-sectional study. Participants completed a demographic and clinical characteristics questionnaire as well as a Mental Health System Responsiveness Questionnaire through telephone interviews. The results show that the indicators of prompt attention, autonomy, and access to care were reported as the worst-performing and the confidentiality indicator as the best-performing. The type of insurance affected the access to care and the quality of basic amenities. MHSR has been reported to be poor in Iran in general and this problem worsened during the COVID-19 pandemic. Considering the prevalence of psychiatric disorders in Iran and the degree of disability of these disorders, structural and functional changes are needed for adequate MHSR.

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Remote mental health care interventions during the COVID-19 pandemic: An umbrella review

Cited by 34 publications

References 90 publications

Unintended Consequences of COVID-19 Non-Pharmaceutical Interventions (NPIs) for Population Health and Health Inequalities

Unintended Consequences of COVID-19 Non-Pharmaceutical Interventions (NPIs) for Population Health and Health Inequalities

A 16-month longitudinal investigation of risk and protective factors for mental health outcomes throughout three national lockdowns and a mass vaccination campaign: Evidence from a weighted Israeli sample during COVID-19

Mental Health System Responsiveness during COVID-19 in People with Pre-Existing Psychiatric Disorders: Experiences from Iran

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