The hope and hype of telepsychiatry during the COVID-19 pandemic

Soron, Tanjir Rashid; Islam, Sheikh Mohammed Shariful; Ahmed, Helal Uddin; Ahmed, Syed Ishtiaque

doi:10.1016/s2215-0366(20)30260-1

Cited by 24 publications

(17 citation statements)

References 4 publications

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“…There are a number of reviews that have concluded that mHealth apps have problematic data-sharing and privacy practices [ 8 , 27 , 28 ] and that there may not only be a lack of quality of offered content but even harmful intervention components. In addition, although not specifically reported in included systematic reviews and meta-analyses, the recent surge in the use of popular and freely available platforms (eg, Zoom, Skype) rather than secured platforms to provide online mental health services may be another cause of concern [ 117 ] as these platforms mostly do not comply with national standards for sensitive patient data protection. In order to demonstrate user safety, clinical guidelines should be explicitly taken into account and advice by mental health professionals, learned societies, and IT (information technology) professionals actively incorporated.…”

Section: Discussionmentioning

confidence: 99%

Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review

Rauschenberg¹,

Schick²,

Hirjak³

et al. 2021

J Med Internet Res

159

130

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Background Accumulating evidence suggests the COVID-19 pandemic has negative effects on public mental health. Digital interventions that have been developed and evaluated in recent years may be used to mitigate the negative consequences of the pandemic. However, evidence-based recommendations on the use of existing telemedicine and internet-based (eHealth) and app-based mobile health (mHealth) interventions are lacking. Objective The aim of this study was to investigate the theoretical and empirical base, user perspective, safety, effectiveness, and cost-effectiveness of digital interventions related to public mental health provision (ie, mental health promotion, prevention, and treatment of mental disorders) that may help to reduce the consequences of the COVID-19 pandemic. Methods A rapid meta-review was conducted. The MEDLINE, PsycINFO, and CENTRAL databases were searched on May 11, 2020. Study inclusion criteria were broad and considered systematic reviews and meta-analyses that investigated digital tools for health promotion, prevention, or treatment of mental health conditions and determinants likely affected by the COVID-19 pandemic. Results Overall, 815 peer-reviewed systematic reviews and meta-analyses were identified, of which 83 met the inclusion criteria. Our findings suggest that there is good evidence on the usability, safety, acceptance/satisfaction, and effectiveness of eHealth interventions. Evidence on mHealth apps is promising, especially if social components (eg, blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on process quality, cost-effectiveness, and long-term effects is very limited. Conclusions There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. In times of physical distancing, quarantine, and restrictions on social contacts, decision makers should develop digital strategies for continued mental health care and invest time and efforts in the development and implementation of mental health promotion and prevention programs.

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Section: Discussionmentioning

confidence: 99%

Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review

Rauschenberg¹,

Schick²,

Hirjak³

et al. 2021

J Med Internet Res

159

130

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“…Such interventions may facilitate self-management and patient-provider communication in mental health practice. However, the evidence on the effectiveness of such interventions during this pandemic is not well known [ 111 ]. Previous research suggests a lack of digital mental health interventions in South Asian countries [ 90 ], therefore, conceptualizing and delivering such interventions during this pandemic would involve expert opinions and the evidence available from other contexts.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain

Rahman

Trisha

et al. 2021

Heliyon

Self Cite

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Introduction The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7–48.1, I 2 = 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9–39.4, I 2 = 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity, high publication bias confirmed by Egger's test, and varying prevalence rates across sub-groups. Conclusion South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

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“…Por outro lado, pensa -se que poderá ainda aumentar os custos, dado a necessidade de monitorização e controlo da parte tecnológica. 70,71 A readaptação dos cuidados incide também no apoio atra-vés de linhas telefónicas e articulação com as estruturas comunitárias envolvidas no seguimento/prestação de cuidados a pessoas com doença mental. 28,61,66,68,72 É essencial uma abordagem colaborativa entre serviços de Psiquiatria e Saúde Mental, Saúde Pública, Cuidados de Saúde Primários e entidades legislativas na implementação de programas de prevenção, rastreio e intervenção precoce em saúde mental.…”

Section: Estratégias Organizacionais Nos Serviços De Psiquiatria E Saúde Mentalunclassified

Pandemia COVID‑19 e Perturbação Mental: Breve Revisão da Literatura

Nascimento¹,

Pereira²,

Caldas³

et al. 2020

RPPSM

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A pandemia COVID‑19 foi declarada uma emergência de saúde mundial. Estima‑se que poderá originar um elevado nível de sofrimento, prevendo‑se que o período de crise origine variados desafios na esfera da saúde mental, tanto na população geral como nas pessoas com perturbação mental prévia. O sofrimento psicológico e angústia generalizada devido ao impacto imediato do vírus na saúde, mas também a necessidade de implementar medidas de quarentena, de isolamento físico associado à perda nas atividades educativas e laborais, adivinham o medo da doença, o receio da morte e incerteza quanto ao futuro. Por outro lado, estima‑se que a pandemia COVID‑19 poderá afetar de modo desproporcional populações mais vulneráveis, nomeadamente os profissionais de saúde e aqueles com antecedentes prévios de perturbação mental. Pela ameaça de problemas da saúde mental que a população em geral pode enfrentar e a possível agudização da condição de base nos doentes com perturbação mental prévia éimportante uma avaliação dos vários problemas emergentes. Com efeito, os serviços de saúde mental necessitam de uma adaptação estrutural de modo a lidar com o risco acrescido das morbidades psiquiátricas, desenvolvendo e implementando programas de rastreio e intervenção precoce, que visem não apenas os efeitos agudos, mas também os efeitos a longo prazo ou crónicos desta pandemia. A elaboração deste artigo de revisão tem por objetivo reunir, de forma rigorosa, a informação dispersa em variadas fontes científicas atualmente existentes sobre o impacto da infeção por COVID‑19 na saúde mental, assim como a experiência clínica no terreno. Deste modo, os autores realizaram uma revisão da literatura, pela pesquisa através da PubMed e Medscape usando as palavras‑chave “Pandemic”, “COVID‑19”, “Mental Health”, “Mental Disorder”. O artigo propõe‑se a desenvolver de forma concisa e sumária algumas das problemáticas particulares inerentes à pandemia COVID‑19 e saúde mental, propondo ainda algumas estratégias e intervenções para fazer face à situação de crise vivida. Considera‑se, no entanto, a necessidade futura da contínua realização de estudos e avaliação da experiência prática, de modo a reorientar as políticas e medidas de intervenção na saúde mental.

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The hope and hype of telepsychiatry during the COVID-19 pandemic

Cited by 24 publications

References 4 publications

Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review

Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Pandemia COVID‑19 e Perturbação Mental: Breve Revisão da Literatura

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