Telepsychiatry to Provide Mental Health Support to Healthcare Professionals during the COVID-19 Crisis: A Cross-Sectional Survey among 321 Healthcare Professionals in France

Cormi, Clément; Sanchez, Stéphane; l’Estoile, Valentine de; Ollivier, Laura; Letty, Aude; Berrut, Gilles; Mulin, Emmanuel

doi:10.3390/ijerph181910146

Cited by 7 publications

(11 citation statements)

References 37 publications

(36 reference statements)

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“…Our study shows that the mental stress generated by the crisis was associated with an overall feeling of dissatisfaction regarding the management of the COVID-19 pandemic. This is in line with the findings of several other studies investigating the mental health repercussions of the COVID-19 pandemic in both healthcare workers and the general public [14][15][16][17][18]. Having sufficient supplies of PPE, as well as accurate and up-to-date information were two factors that are essential pre-requisites to a feeling of security and protection.…”

Section: Discussionsupporting

confidence: 89%

Experience of Primary Care Physicians in the Aube Department, France, Regarding the COVID-19 Crisis

et al. 2022

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Background: General practitioners (GPs) played a decisive role during the COVID-19 epidemic, particularly in the identification and care of patients at home. This study aimed to describe the primary care physicians’ perceptions of the COVID-19 crisis and to guide future decisions regarding measures to prolong, abrogate, or improve upon methods for crisis management. Methods: This is a cross-sectional study based on a 30-item questionnaire aiming to investigate how primary care physicians (GPs) working in the rural Aube Department experienced the COVID-19 crisis. Results: Among the 152 respondents, 60.5% were not satisfied with the level of information from authorities during the crisis. By multivariate analysis, a feeling of having been adequately informed (OR 21.87, 95%CI 4.14–115.53) and a feeling that non-COVID-19-related diseases were adequately managed (OR 6.42, 95%CI 1.07–38.51) were both significantly associated with an overall satisfaction with the management of the crisis. Conclusion: This study about rural primary care physicians in Eastern France highlights some of the weaknesses of the French healthcare system in terms of the provision of primary care during the epidemic. A leading cause of dissatisfaction was that the information relayed by the health authorities about the disease and its management largely overlooked the primary care providers, many of whom had to rely on traditional media to obtain information.

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Section: Discussionsupporting

confidence: 89%

Experience of Primary Care Physicians in the Aube Department, France, Regarding the COVID-19 Crisis

et al. 2022

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“…Unfortunately, this study did not include mental health professionals, such as psychiatrists, as they historically have not been on the frontlines when dealing with infectious diseases. Psychiatrists, however, have played a major role in supporting frontline healthcare professionals during the COVID-19 crisis through the provision of support groups and individual mental health services (Viswanathan et al, 2020 ; Cormi et al, 2021 ). The limited relevant data indicate that in the acute phase of the pandemic, levels of mental health symptoms in mental health professionals including psychiatrists tended to be somewhat lower than in the general public in Canada (Brillon et al, 2021 ) and somewhat lower than physicians from other specialties in Croatia (Jokic-Begic et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Depression, Anxiety, Stress, and Their Associations With Quality of Life in a Nationwide Sample of Psychiatrists in China During the COVID-19 Pandemic

Xia

Yang

et al. 2022

Front. Psychol.

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ObjectivesThe COVID-19 pandemic has negatively affected wellbeing. However, the impact on the mental health status of Chinese psychiatrists and their relationship with quality of life (QOL) has not been examined.MethodsThis was a national cross-sectional survey performed between January 11 and March 15, 2021. Demographic and work-related data were collected anonymously using an online questionnaire. Common mental health symptoms and QOL were assessed using the Depression Anxiety Stress Scale-Chinese version and the World Health Organization Quality of Life Schedule-Brief, respectively.ResultsA total of 3,783 psychiatrists completed this questionnaire. The prevalence of depressive, anxious, and stress symptoms were 26.7% (95%CI = 25.3–28.1%), 24.1% (95%CI = 22.8–25.5%), and 11.6% (95%CI = 10–12%), respectively. Moreover, 11.1% of the participants endorsed both depressive and anxious symptoms, and 8% endorsed symptoms in all three domains. Binary logistic regression showed that aged 30–39 years (OR = 1.5, P = 0.03), male gender (OR = 1.2, P = 0.04), single (OR = 1.44, P = 0.01), and having a negative perception of the COVID-19 on healthcare (OR = 2.34, P <0.001) were factors associated with higher levels of depressive symptoms. Participants who were divorced and widowed (OR = 1.56, P = 0.03), worked more than 4 night shifts/month (OR = 1.33, P<0.001) and/or longer working years (OR = 1.71, P < 0.001), and had a negative perceived impact of the COVID-19 on healthcare (OR = 2.05, P < 0.001) were more inclined to experience anxious symptoms. In addition, psychiatrists with high QOL scores had lower odds of experiencing depressive, anxious, and stress symptoms (all P < 0.001). Multivariate analysis showed that the presence of each of the three types of mental health symptoms was independently associated with lower QOL (all P < 0.05). In addition, the depression × anxious × stress interaction was significantly correlated with lower QOL (P < 0.05).ConclusionApproximately one-fourth of psychiatrists in China experienced depressive and anxious symptoms during the COVID-19 pandemic, and more than one-tenth reported stress. Mental health symptoms were significant contributors to lower QOL. The psychological wellbeing of psychiatrists during the pandemic requires more attention, and interventions are needed to improve the psychological wellbeing and QOL of physicians who care for individuals with mental disorders.

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“…A total of 39 studies published between 2004 and 2022 were included in the review, covering wide geographical locations and different types of mental disorders. Nine studies were conducted in the United States of America (USA) [ 17 , 25 – 32 ], seven studies were conducted in Germany [ 33 – 40 ], three studies were conducted in the United Kingdom (UK) [ 41 – 43 ] and Australia [ 15 , 16 , 44 ], two studies were conducted in Netherlands [ 45 , 46 ], France [ 47 , 48 ] and China [ 49 , 50 ], one study in Canada [ 51 ], Austria [ 33 ], Sweden [ 52 ], New Zealand [ 16 ], Portugal [ 53 ], and Estonia [ 54 ]. Studies from Africa included Egypt [ 40 ], Nigeria [ 55 ], Mozambique [ 56 ], and Kenya [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

Acceptability of Tele-mental Health Services Among Users: A Systematic Review and Meta-analysis

Abuyadek,

Hammouda,

Elrewany

et al. 2024

BMC Public Health

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Background Mental disorders are currently a global public health concern, particularly after the coronavirus disease 2019 (COVID-19) pandemic. Mental health services gradually transitioned to teleservices, employing various methods like texting and videoconferencing. This meta-analysis aimed mainly to quantify the acceptability of tele-mental health services among both beneficiaries and providers. Secondary objectives included quantifying the usability of and satisfaction with these services. Methods We conducted a systematic search of the following databases PubMed Central, SAGE, Google Scholar, Scopus, Web of Science, PubMed Medline, and EBSCO according to Preferred Reporting Items of the Systematic Reviews and Meta-Analysis (PRISMA) guidelines until December 2022. Results Out of 3366 search results, 39 studies fully met the inclusion criteria. The pooled acceptability of tele-mental health services among beneficiaries was [71.0% with a 95% confidence interval (CI) of 63.0 − 78.5%, I2 = 98%]. Using meta-regression, four key factors contributed to this heterogeneity (R2 = 99.75%), namely, year of publication, type of mental disorder, participant category, and the quality of included studies. While acceptability among providers was [66.0% (95%CI, 52.0 − 78.0%), I2 = 95%]. The pooled usability of tele-mental health services among participants was [66.0% (95%CI, 50.0 − 80.0%), I2 = 83%]. Subgroup analysis revealed statistically significant results (p = 0.003), indicating that usability was higher among beneficiaries compared to providers. Conclusions The study highlighted a high acceptability of tele-mental health services. These findings suggest a promising outlook for the integration and adoption of tele-mental health services and emphasize the importance of considering user perspectives and addressing provider-specific challenges to enhance overall service delivery and effectiveness.

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Telepsychiatry to Provide Mental Health Support to Healthcare Professionals during the COVID-19 Crisis: A Cross-Sectional Survey among 321 Healthcare Professionals in France

Cited by 7 publications

References 37 publications

Experience of Primary Care Physicians in the Aube Department, France, Regarding the COVID-19 Crisis

Experience of Primary Care Physicians in the Aube Department, France, Regarding the COVID-19 Crisis

Depression, Anxiety, Stress, and Their Associations With Quality of Life in a Nationwide Sample of Psychiatrists in China During the COVID-19 Pandemic

Acceptability of Tele-mental Health Services Among Users: A Systematic Review and Meta-analysis

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