Treating the mental health effects of COVID-19: The need for at-home neurotherapeutics is now

Caulfield, Kevin A.; George, Mark S.

doi:10.1016/j.brs.2020.04.005

Cited by 31 publications

(29 citation statements)

References 8 publications

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“…It has long been acknowledged by mental health practitioners that there is a need to activate all possible opportunities to offer help, including through teleassistance, to patients [ 8 ]. At-home, mental health treatments are mostly limited to telehealth, where providers remotely communicate with patients over the phone or using video [ 9 ]. Telemental health services are perfectly suited to pandemic situations, with people being given access to mental health assistance without increasing the risk of contracting infections [ 10 ].…”

Section: Mental Well-being Online Assessments and Automated Analysis mentioning

confidence: 99%

An Integrated Blueprint for Digital Mental Health Services Amidst COVID-19

Balcombe¹,

Leo²

2020

JMIR Ment Health

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In-person traditional approaches to mental health care services are facing difficulties amidst the coronavirus disease (COVID-19) crisis. The recent implementation of social distancing has redirected attention to nontraditional mental health care delivery to overcome hindrances to essential services. Telehealth has been established for several decades but has only been able to play a small role in health service delivery. Mobile and teledigital health solutions for mental health are well poised to respond to the upsurge in COVID-19 cases. Screening and tracking with real-time automation and machine learning are useful for both assisting psychological first-aid resources and targeting interventions. However, rigorous evaluation of these new opportunities is needed in terms of quality of interventions, effectiveness, and confidentiality. Service delivery could be broadened to include trained, unlicensed professionals, who may help health care services in delivering evidence-based strategies. Digital mental health services emerged during the pandemic as complementary ways of assisting community members with stress and transitioning to new ways of living and working. As part of a hybrid model of care, technologies (mobile and online platforms) require consolidated and consistent guidelines as well as consensus, expert, and position statements on the screening and tracking (with real-time automation and machine learning) of mental health in general populations as well as considerations and initiatives for underserved and vulnerable subpopulations.

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Section: Mental Well-being Online Assessments and Automated Analysis mentioning

confidence: 99%

An Integrated Blueprint for Digital Mental Health Services Amidst COVID-19

Balcombe¹,

Leo²

2020

JMIR Ment Health

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“…Mental healthcare during this pandemic involves services reaching out actively to the community, providing rapid access to appropriate mental health and wellbeing services that provide a range of contact options (e.g. telephone hotlines, telehealth services, or face-to-face contact if required) during and after the COVID-19 crisis (86). There is a clear need for coordination of differently governed and funded services around an integrated mental health service provision for those in need of, or currently receiving, mental health care (25,35,82).…”

Section: Dong and Bouey (78) Have Raised Concerns About The National mentioning

confidence: 99%

“…Caulfield and George (86) have also proposed that non-invasive neurotherapeutics, such as at-home brain stimulation devices, can be used to treat depression at home. In particular, the repetitive transcranial magnetic stimulation (rTMS), both the low (1 Hz) and high (>5Hz) frequency versions, are promising in reducing symptoms of resistant depression (and are US Food and Drug Administration [FDA] approved]).…”

Section: Dong and Bouey (78) Have Raised Concerns About The National mentioning

confidence: 99%

“…Likewise, the transauricular vagus nerve stimulation (taVNS) may also be promising in reducing symptoms of depression. The transcranial direct current stimulation (tDCS) has already been tested for at-home use for conditions such as Parkinson's disease and could also be used to help with mental health symptoms (86). These new approaches could expand the treatment options for mental health professionals delivering care (e.g., via telehealth).…”

Section: Dong and Bouey (78) Have Raised Concerns About The National mentioning

confidence: 99%

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The impact of viral epidemics and pandemics on acute mental health service use: an integrative review

Bowman

Branjerdporn

Turner

et al. 2021

Health Psychology Review

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KT, CB, GB, and CS conceived the idea of the article; MK, NT, NJDR, screened and reviewed the abstracts and articles based on the inclusion/exclusion criteria; CB and GB reviewed the selected full-text articles with CS mediating any disagreements, and all authors agreed on papers included in the full review and took part in the data extraction of the common themes. All authors were involved in the drafting of the article, and have read and approved the final manuscript.

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“…Further, there are increasing concerns about the mental health (e.g., anxiety, mood) consequence of COVID-19 pandemic, resulting from the illness ( Nguyen et al, 2020 ), or more generally the stressors and society (medical care) disruptions associated with the COVID-19 pandemic ( Li Z. et al, 2020 ). tES has established efficacy to treat mental illness ( Kekic et al, 2016 ; Sagliano et al, 2019 ), with potential proposed applications in mitigating the mental health consequences related to COVID-19 ( Bikson et al, 2020 ; Castelo-Branco and Fregni, 2020 ; Caulfield and George, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Update on the Use of Transcranial Electrical Brain Stimulation to Manage Acute and Chronic COVID-19 Symptoms

Pilloni

Bikson

Badran

et al. 2020

Front. Hum. Neurosci.

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The coronavirus disease 19 (COVID-19) pandemic has resulted in the urgent need to develop and deploy treatment approaches that can minimize mortality and morbidity. As infection, resulting illness, and the often prolonged recovery period continue to be characterized, therapeutic roles for transcranial electrical stimulation (tES) have emerged as promising non-pharmacological interventions. tES techniques have established therapeutic potential for managing a range of conditions relevant to COVID-19 illness and recovery, and may further be relevant for the general management of increased mental health problems during this time. Furthermore, these tES techniques can be inexpensive, portable, and allow for trained self-administration. Here, we summarize the rationale for using tES techniques, specifically transcranial Direct Current Stimulation (tDCS), across the COVID-19 clinical course, and index ongoing efforts to evaluate the inclusion of tES optimal clinical care.

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Treating the mental health effects of COVID-19: The need for at-home neurotherapeutics is now

Cited by 31 publications

References 8 publications

An Integrated Blueprint for Digital Mental Health Services Amidst COVID-19

An Integrated Blueprint for Digital Mental Health Services Amidst COVID-19

The impact of viral epidemics and pandemics on acute mental health service use: an integrative review

Update on the Use of Transcranial Electrical Brain Stimulation to Manage Acute and Chronic COVID-19 Symptoms

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