📦 mcguinlu / COVID_suicide_living

📄 2022-06-17_results.csv · 84 lines
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84"title","abstract","authors","link","date","subject","source","initial_decision","q0","q1","q2","q3","q4","q5","q6","q7","q8","q9","q10","q11","q12","q13","q14","q15","q16","q17","q18","q19","q20","q21","q22","q23","q24","q25","q26","q27","q28","q29","q30","q31","q32","q33","q34","q35","q36","q37","q38","q39","q40","q41","q42","q43","q44","q45","q46","q47","q48","q49","q50","q51","q52","q53","q54","q55","q56","q57","q58","q59","q60","q61","q62","q63","q64","q65","q66","q67","q68","q69","q70","q71","q72","q73","q74","q75","q76","q77","q78","q79","q80","exclusion_reason","extraction_date","expert_decision","ID","o1"
"Prevalence of COVID-19 and Long COVID in Collegiate Student Athletes from Spring 2020 to Fall 2021: A Retrospective Survey","Symptomatic COVID-19 and post-COVID conditions, also referred to as post-acute sequelae of SARS-CoV-2 (PASC) or Long COVID, have been widely reported in young, healthy people, but their prevalence has not yet been determined in student athletes. We surveyed a convenience sample of 18 collegiate school administrators, representing about 7,000 student athletes. According to their survey responses, 9.8% of student athletes tested positive for COVID-19 in spring 2020 and 25.4% tested positive in the academic year of fall 2020 to spring 2021. About 4% of student athletes who tested positive from spring 2020 to spring 2021 developed Long COVID, defined as new, recurring, or ongoing physical or mental health consequences occurring 4 or more weeks after SARS-CoV-2 infection. This study highlights that Long COVID occurs in healthy collegiate athletes and merits a larger study to determine population-wide prevalence.","Daisy Massey; Sharon Saydah; Blythe Adamson; Andrew Lincoln; Douglas Aukerman; Ethan Berke; Robby Sikka; Harlan Krumholz","https://medrxiv.org/cgi/content/short/2022.06.12.22276048","20220616","","medRxiv","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32900,""
"Mental health of healthcare workers in England during the COVID-19 pandemic: a longitudinal cohort study","Objective To examine variations in impact of the COVID-19 pandemic on the mental health of all types of healthcare workers (HCWs) in England over the first 17 months of the pandemic. Method We undertook a prospective cohort study of 22,501 HCWs from 18 English acute and mental health NHS Trusts, collecting online survey data on common mental disorders (CMDs), depression, anxiety, alcohol use, and PTSD, from April 2020 to August 2021. We analysed these data cross-sectionally by time period (corresponding to periods the NHS was under most pressure), and longitudinally. Data were weighted to better represent Trust population demographics. Results The proportion of those with probable CMDs was greater during periods when the NHS was under most pressure (measured by average monthly deaths). For example, 55% (95%CI 53%, 58%) of participants reported symptoms of CMDs in April-June 2020 versus 47% (95%CI 46%, 48%) July-October 2020. Contrary to expectation, there were no major differences between professional groups (i.e. clinical and non-clinical staff). Younger, female, lower paid staff, who felt poorly supported by colleagues/managers, and who experienced potentially morally injurious events were most at risk of negative mental health outcomes. Conclusion Among HCWs, the prevalence of probable CMDs increased during periods of escalating pressure on the NHS, suggesting staff support should be increased at such points in the future, and staff should be better prepared for such situations via training. All staff, regardless of role, experienced poorer mental health during these periods, suggesting that support should be provided for all staff groups.","Danielle Lamb; Rafael Gafoor; Hannah Scott; Ewan Carr; Sharon Stevelink; Rosalind Raine; Matthew Hotopf; Neil Greenberg; Siobhan Hegarty; Ira Madan; Paul Moran; Richard Morriss; Dominic Murphy; Anne Marie Rafferty; Scott Weich; Sarah Dorrington; Simon Wessely","https://medrxiv.org/cgi/content/short/2022.06.16.22276479","20220616","","medRxiv","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32901,""
"Capturing the experiences of UK healthcare workers during the COVID-19 pandemic: A structural topic modelling analysis of 7,412 free-text survey responses","Background Healthcare workers (HCWs) have provided vital services during the COVID-19 pandemic, but existing research consists of quantitative surveys (lacking in depth or context) or qualitative interviews (with limited generalisability). Structural Topic Modelling (STM) of large-scale free-text survey data offers a way of capturing the perspectives of a wide range of HCWs in their own words about their experiences of the pandemic. Methods In an online survey distributed to all staff at 18 geographically dispersed NHS Trusts, we asked respondents, Is there anything else you think we should know about your experiences of the COVID-19 pandemic?. We used STM on 7,412 responses to identify topics, and thematic analysis on the resultant topics and text excerpts. Results We identified 33 topics, grouped into two domains, each containing four themes. Our findings emphasise: the deleterious effect of increased workloads, lack of PPE, inconsistent advice/guidance, and lack of autonomy; differing experiences of home working as negative/positive; and the benefits of supportive leadership and peers in ameliorating challenges. Themes varied by demographics and time: discussion of home working decreasing over time, while discussion of workplace challenges increased. Discussion of mental health was lowest between September-November 2020, between the first and second waves of COVID-19 in the UK. Discussion Our findings represent the most salient experiences of HCWs through the pandemic. STM enabled statistical examination of how the qualitative themes raised differed according to participant characteristics. This relatively underutilised methodology in healthcare research can provide more nuanced, yet generalisable, evidence than that available via surveys or small interview studies, and should be used in future research.","Danielle Lamb; Liam Wright; Hannah Scott; Bethany Croak; Sam Gnanapragasam; Mary Jane Docherty; Neil Greenberg; Matthew Hotopf; Sharon Stevelink; Rosalind Raine; Simon Wessely","https://medrxiv.org/cgi/content/short/2022.06.16.22276487","20220616","","medRxiv","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32902,""
"Impact of COVID-19 on College Students' at One of the Most Diverse Campuses in the United States: A Factor Analysis of Survey Data","Objective: This survey study is designed to understand the impact of the COVID-19 pandemic on stress among specific sub-populations of college students. Design, Settings and Participants: An online questionnaire was sent to the students from University of Nevada, Las Vegas between 2020 October and December to assess the psychological impact of COVID-19. A total of 2,091 respondents signed the consent form online and their responses were collected. Methods: The Perceived Stress levels of college students were analyzed via exploratory factor analysis of a survey of college students, which was collected at the University of Nevada, Las Vegas (UNLV). An explanatory factor analysis was carried out on the Perceived Stress Scale (PSS-10) results. We subsequently analyzed each factor using stepwise linear regression that focused on various socio-demographic groups. Results: A two-factor model was obtained using the explanatory factor analysis. After comparing with the past studies that investigated the factor structure of the PSS-10 scale, we identified these two factors as ""Anxiety"" and ""Irritability"". The subsequent stepwise linear regression analysis suggested that gender and age (P< 0.01) are significantly associated with both factors. However, the ethnicities of students are not significantly associated with both factors. Conclusions: To our knowledge, this is the first study that assessed the perceived stress of university students in the US during the COVID-19 pandemic. We showed that the PSS-10 scale could be summarized as a two-factor structure through an exploratory factor analysis. A stepwise regression approach was used and we found both of the factors are significantly associated with the gender of the participants. However, we found no significant association between both factors and ethnicity. In summary, our findings will help identify students with higher risk for stress and mental health issues in pandemics and future crises.","Bowen Liu; Edward Huynh; Chengcheng Li; Qing Wu","https://medrxiv.org/cgi/content/short/2022.06.14.22276416","20220616","","medRxiv","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32903,""
"Moral injury and psychological wellbeing in UK healthcare staff","Background: Potentially morally injurious events (PMIEs) can negatively impact mental health. The COVID-19 pandemic may have placed healthcare staff at risk of moral injury. Aim: To examine the impact of PMIE on healthcare staff wellbeing. Method: 12,965 healthcare staff (clinical and non-clinical) were recruited from 18 NHS-England trusts into a survey of PMIE exposure and wellbeing. Results: PMIEs were significantly associated with adverse mental health symptoms across healthcare staff. Specific work factors were significantly associated with experiences of moral injury, including being redeployed, lack of PPE, and having a colleague die of COVID-19. Nurses who reported symptoms of mental disorders were more likely to report all forms of PMIEs than those without symptoms (AOR 2.7; 95% CI 2.2, 3.3). Doctors who reported symptoms were only more likely to report betrayal events, such as breach of trust by colleagues (AOR 2.7, 95% CI 1.5, 4.9). Conclusions: A considerable proportion of NHS healthcare staff in both clinical and non-clinical roles report exposure to PMIEs during the COVID-19 pandemic. Prospective research is needed to identify the direction of causation between moral injury and mental disorder as well as continuing to monitor the longer term outcomes of exposure to PMIEs.","Victoria Williamson; Danielle Lamb; Matthew Hotopf; Rosalind Raine; Sharon Stevelink; Simon Wessely; Mary Jane Docherty; Ira Madan; Dominic Murphy; Neil Greenberg","https://medrxiv.org/cgi/content/short/2022.06.16.22276476","20220616","","medRxiv","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32904,""
"From the Editor's desk","The articles are written on some important adult education issues of our time such as therapeutic landscape learning after the COVID 19 pandemic;professional learning in police education;lifelong learning and adult education in Japan;second chance learning in Africa;and adult education and processes of empowerment for people with mental health issues. Drawing on the theory of 'therapeutic landscapes', the paper claims the virtual craft group was able to support lifelong learning and wellbeing by bringing women together in a community of practice, reducing social isolation of individuals and developing new knowledge and skills socially and relationally, including increasing their support network and building friendships. Anh Le and Stephen Billetts article, 'Lifelong learning and adult education in Japan provides an overview and insight into adult learning in Japan, an area which currently has a dearth of research. The authors claim in Sweden the Folk High School system, is a part of Popular Adult Education, in the spirit of lifelong learning education, it holds a unique position in the Swedish education system as learning is directed to the whole person, and the knowledge and learning that is provided are related to a persons whole life experience.","Ollis, Trace","https://www.google.com/search?q=From+the+Editor's+desk","","Database: ProQuest Central; Publication type: article; Publication details: Australian Journal of Adult Learning; 62(1):3-7, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32905,""
"Organic Personality Disorder Following Mixed Sars-Cov-2 And Herpes Simplex Viral Encephalitis","We describe a 30-year-old functionally active male, who had sudden onset of fever, sever headache, altered sensorium followed by neck rigidity for 3 days duration. Nasopharyngeal swab for covid 19 was taken suspecting covid 19 encephalitis which turned out to be positive. CT brain revealed a hypodense lesion in the left anterior temporal lobe. CSF analysis showed lymphocytosis and elevated protein. RT-PCR of CSF detected HSV DNA. Patient was treated in an intensive care unit with intravenous antiviral drugs and was given oxygen support for hypoxemia. HIV was seronegative. After 2 weeks, there was significant alteration of the habitual pattern of premorbid behavior. Patient was brought to the psychiatric OPD with complaints of altered emotional behavior characterized by emotional lability, unprovoked aggression, reduced ability to persevere with goal directed activities and significant cognitive impairment. On MSE, patient has perseveration of speech, labile affect with no thought or perceptual disturbances. Combined infection of COVID 19 and HSV encephalitis is a rare entity, posing a dilemma of possible causative factor for the neuropsychiatric manifestation. Neuropsychiatric manifestations of HSV encephalitis include personality/behavioral change, seizures and cognitive impairment. No such recognized syndromes have been identified with covid 19 encephalitis except for delirium, depressive and anxiety states and post-traumatic stress disorder. The possible pathophysiology behind covid 19 encephalitis causing neuropsychiatric manifestation is immune/antibody mediated mechanism. Hence in this case, the contribution of SARS-CoV-2 causing such neuropsychiatric manifestation cannot be ruled out. References 1. A first case of meningitis/encephalitis associated with SARS-Coronavirus2 Takeshi Moriguchi 1, Norikazu Harii 2, Junko Goto 3, Daiki Harada 3, Hisanori Sugawara 3, Junichi Takamino 3, Masateru Ueno 3, Hiroki Sakata 3, Kengo Kondo 3, Natsuhiko Myose 3, Atsuhito Nakao 4, Masayuki Takeda 5, Hirotaka Haro 6, Osamu Inoue 7, Katsue Suzuki-Inoue 8, Kayo Kubokawa 9, Shinji Ogihara 10, Tomoyuki Sasaki 8, Hiroyuki Kinouchi 11, Hiroyuki Kojin 12, Masami Ito 12, Hiroshi Onishi 13, Tatsuya Shimizu 13, Yu Sasaki 13, Nobuyuki Enomoto 14, Hiroshi Ishihara 15, Shiomi Furuya 12, Tomoko Yamamoto 12, Shinji Shimada 16 2. Postviral autoimmune encephalitis: manifestations in children and adults Harald PrÃ¼ss 1","Nivedita, S.; Keerthana, Neelakandan, S.; Merolin Jaya, Sheela, Saravana, Jothi","https://www.google.com/search?q=Organic+Personality+Disorder+Following+Mixed+Sars-Cov-2+And+Herpes+Simplex+Viral+Encephalitis","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S677-S677, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32906,""
"Health Related Quality Of Life And Depression In Older Adults With Knee Osteoarthritis Pain - Cross-Sectional Telephonic Survey In Covid 19 Pandemic","Background In a situation of COVID 19 pandemic subjects suffering from osteoarthritis pain will be suffering from mental and physical symptoms due to lockdown and there will be difficulty to assess the healthcare facility. According to the World Mental Health Atlas (2014), the number of psychiatrist per lakh of population in India was 0.75, with even lesser number of psychologists and psychiatric social workers. Even the median number of psychiatrists is only 0.2/100,000 in India as opposed to a global median of 3/100,000 population. Telepsychiatry can bring about a revolution as in capacity building by leveraging digital technology in the present situation. This study helps to find those KOA subjects who are suffering depression and to improve their quality of life by providing them aids of treatment. Aims and Objectives Aim To study the health-related quality of life and depression in subjects with knee osteoarthritis pain. Objectives PRIMARY 1. To study the health-related quality of life in older adult subjects with knee osteoarthritis pain. 2.To study the severity of depression in older adult subjects with knee osteoarthritis pain. SECONDARY 1.To study the relation between health-related quality of life and knee osteoarthritis pain in older adult subjects. 2.To study the relation between knee osteoarthritis pain and depression. 3.To study the relation between health-related quality of life and depression among studied older adult subjects. Methods Subjects aged more than 50 full filling selection criteria are recruited from the Department of Orthopaedic Surgery, KGMU, Lucknow. 1.Mobile numbers of subjects from the records available in the department of Orthopaedics were collected from JANUARY 2018 to JANUARY 2020 2.Subjects those who were on treatment for knee osteoarthritis from the department of Orthopaedic Surgery were contacted over telephone and recruited according to the selection criteria for the study. Call was recorded after taking consent. 3.Subjects were contacted during the daytime 10 am -2pm. If patients subjects and attenders were not comfortable with the time, they were asked for the suitable time to contact them. 4.Subjects were approached for three times. If not answering for three times they were considered as out of reach 5.Survey was completed in maximum 2 sessions,15 minutes each if the subject was not comfortable in answering in a single session. 6.Proper introduction of doctor calling them was given to the subjects and attenders and the purpose of telephone call was informed to the subjects and attenders. 7.After the informed consent which has been recorded on the telephone subjects were interviewed on the basis of sociodemographic questionnaire. 8.Following basic interview subjects were evaluated using scales which includes PHQ-9, SF-12 and WOMAC. 9.HR QOL was measured by SF-12 which includes general health, limitation of activities, physical health, emotional health and social activities. 10.PHQ-9 to assess the diagnosis and severity of depression was applied. 11.WOMAC scale was applied which gives the status of pain, stiffness and physical disabilities. 12.Each assessment took 20-30 minutes. All the answers given over phone were recorded by the principal investigator. 13.If subjects and attenders, ask for advice regarding the treatment were addressed properly following guidance from consultants. 14.For the subjects with depression, advice was given to consult the geriatric mental health helpline number of KGMU. 15.Subjects were divided into 2 main groups depressed and non-depressed and also divided into three groups based on KL grading into KL grade 2, KL grade 3 and KL grade 4 and further analysis was done accordingly. Ethics UNIVERSITY ETHICS COMMITTEE-103rd ECM II B-Thesis/P24, N0;1391/Ethics/2020 Results Results showed that there is significant difference in pain and general health related quality of life based on the KL grading of Knee osteoarthritis.(P=0.02,P=0.04)There is significant difference in pain between males and females and females have more severity of pain,(p=0.001) Am ng the depressed and non-depressed group, depressed group have more pain ,(P=0.026) There is significant difference in pain based on duration of Knee osteoarthritis, (p=0.05).There is significant difference in physical function between depressed and non- depressed group, depressed group having more physical dysfunction. There is significant association between stiffness and health related quality of life, P=0.001. Pain is positively correlated with depression,(P=0.001). Study concluded that pain and general health related quality of life worsens with higher grading of Knee osteoarthritis. Pain is more in females and depressed group. Physical function is lesser in depressed group. As stiffness increases health related quality of life decreases. Pain increases as the duration of Knee osteoarthritis increases and pain is correlated with pain. Discussion Depression in the elderly may emerge because of general medical illnesses, especially those, such as OA, that cause prolonged suffering, leading the patient to physical disability and loss of autonomy. The impact of depression is important, since depressed individuals are more likely to report chronic pain, or pain of greater intensity. This fact can be a complicating factor in the process of treatment adherence and may still increase the perception of pain. The depressive disorder, when associated with physical illness, can cause the emergence of anxiety symptoms. Women have higher rates of depression, anxiety and need family support and it is more common in age above 60. Conclusion The studies previously done ordinarily incorporate pain and function scores however have not regularly included psychosocial factors evaluating QoL, which likewise impacts how patients feel, work, and endurance. Study concluded that there is significant difference in pain and general health related quality of life based on the KL grading of KOA. Pain and general health related quality of life worsens with higher grading of KOA. There is significant difference in pain between males and females and depressed and non-depressed group. Pain is more in females and depressed group. There is significant difference in physical function between depressed and non-depressed group. Physical function is lesser in depressed group. There is significant difference in pain based on duration of Knee osteoarthritis. Pain increases as the duration of KOA increases. As stiffness increases health related quality of life decreases. Pain is positively correlated with depression. 73rd Annual National Conference of Indian Psychiatric Society 2022 January 20 - 23, Vizag Conventions, PM Palem, Visakhapatnam Theme : Bridging Minds... Connecting Generations","Nimitha, K. J.; Singh, Bhupendra, Srivastava, R. N.; gangwar, Radhe Shyam, Kumar, Rakesh","https://www.google.com/search?q=Health+Related+Quality+Of+Life+And+Depression+In+Older+Adults+With+Knee+Osteoarthritis+Pain+-+Cross-Sectional+Telephonic+Survey+In+Covid+19+Pandemic","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S634-S635, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32907,""
"Study assessing symptoms of anxiety, depression and sleep quality disturbances in post-Covid-19 Mucormycosis patients admitted for in-patient treatment admitted at a tertiary care hospital","Background: Mucormycosis (previously : zygomycosis) is a rare and serious fungal infection caused by a group of molds called mucormycetes. There are five major clinical forms of Mucormycosis;gastrointestinal, disseminated, rhinocerebral , cutaneous and pulmonary, of which the latter 3 are the most common.There have been no studies conducted on the association of anxiety and depression with Mucormycosis. Materials and Methods : 50 sample size. Conducted in the special Mucormycosis ward at DY Patil Hospital. Scales used were HADS and GSQS. Assessment done on Day5 and Day15 of admission. Results: 50 post-Covid-19 Mucormycosis patients were analysed. 31 patients were males, whereas 19 patients were females. The age group was 18-70.Out of the 50 patients, 32 had Cutaneous type of Mucormycosis;15 had Pulmonary type of Mucormycosis and 3 had Rhinocerebral type of Mucormycosis. HADS Score was significantly higher on Day 15 (21.02 Â± 8.35;P = 0.0000) as compared to Day 5 (17.0 Â± 7.69;P = 0.0000) in all patients. GSQS Score was significantly higher on Day 15 (7.10 Â± 3.04;P = 0.0000) as compared to Day 5 (4.34 Â± 2.80;P = 0.0000) in all patients. Conclusion: Anxiety and Depressive symptoms , along with sleep quality impairment was observed in patients of post-Covid-19 Mucormycosis.","Nair, Aditya S.","https://www.google.com/search?q=Study+assessing+symptoms+of+anxiety,+depression+and+sleep+quality+disturbances+in+post-Covid-19+Mucormycosis+patients+admitted+for+in-patient+treatment+admitted+at+a+tertiary+care+hospital","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S527-S527, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32908,""
"Burnout and happiness among post graduate students during COVID-19 pandemic: A mixed method study in the tertiary care hospital of southern Odisha","Background Acute stress and changing working environment due to COVID-19 pandemic has led to burnout and decline in happiness among PG residents. Aim : To measure the levels of burnout and happiness among PG students and explore their perception on burnout, mental health issues faced and coping strategies during the pandemic. Materials & Methods : A mixed method study was conducted among 120 PG students of M.K.C.G Medical College selected through stratified random sampling from 1 March 2021 to 31st Aug 2021. Maslach Burnout Inventory, subjective happiness scale and in-depth interview guide were used to collect data. Exploratory data analysis of quantitative data and thematic analysis of verbatim transcript data were done. Results : 1. Scores on Maslach burnout inventory [ Component ( Mean, SD ) ] : Emotional Exhaustion (EE) (30.65, 5.56) , Depersonalisation (DP) (12.6, 5.12) , Personal Accomplishment (PA) (25.34, 5.08). 2. Score on subjective happiness scale : Mean 17.3, (SD 2.79). 3. Marital status was significantly associated with different grades of DP. 4. The quartiles of subjective happiness score were significantly associated with years of PG study. 5. Thematic analysis: Codes: 60 , Categories: 20, Subthemes: 5 Conclusion : Postgraduation year and marital status were two significant factors on burnout and happiness. Their â€œFear of getting infectedâ€, â€œDeployment in Frontline without adequate trainingâ€, â€œImpaired socialization and leisure activitiesâ€, â€œBlurring of boundary between personal and work lifeâ€ were the major stressors. Socialisation was a dominant force on the quality of life among PG students.","Mukherjee, Srijeeta, Mishra, Biswakalyan, Tripathy, Chandra Sekhar, Sahu, Bibhu Kalyan","https://www.google.com/search?q=Burnout+and+happiness+among+post+graduate+students+during+COVID-19+pandemic:+A+mixed+method+study+in+the+tertiary+care+hospital+of+southern+Odisha","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S609-S609, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32909,""
"Digital Technology and Media Use by Adolescents: Latent Class Analysis","Background: Digital technology and media use is integral to adolescentsâ€™ lives and has been associated with both positive and negative health consequences. Previous studies have largely focused on understanding technology behaviors and outcomes within adolescent populations, which can promote assumptions about adolescent technology use as homogeneous. Furthermore, many studies on adolescent technology use have focused on risks and negative outcomes. To better understand adolescent digital technology use, we need new approaches that can assess distinct profiles within study populations and take a balanced approach to understanding the risks and benefits of digital technology use. Objective: The purpose of this study was to identify profiles of adolescent technology use within a large study population focusing on four evidence-based constructs: technology ownership and use, parental involvement, health outcomes, and well-being indicators. Methods: Adolescent-parent dyads were recruited for a cross-sectional web-based survey using the Qualtrics (Qualtrics International, Inc) platform and panels. Technology use measures included ownership of devices, social media use frequency, and the Adolescentsâ€™ Digital Technology Interactions and Importance scale. Parent involvement measures included household media rules, technology-related parenting practices, parent social media use frequency, and the parent-child relationship. Health outcome measures included physical activity, sleep, problematic internet use, and mental health assessments. Well-being indicators included mental wellness, communication, and empathy. We used latent class analysis (LCA) to identify distinct profile groups across the aforementioned 4 critical constructs. Results: Among the 3981 adolescent-parent dyads recruited, adolescent participants had a mean age of 15.0 (SD 1.43) years;a total of 46.3% (1842/3981) were female, 67.8% (2701/3981) were White, and 75% (2986/3981) lived in a household with an income above the poverty line. The LCA identified 2 discrete classes. Class 1 was made up of 62.8% (2501/3981) of the participants. Class 1 participants were more likely than Class 2 participants to report family-owned devices, have lower technology importance scores, have household technology rules often centered on content, have positive parent relationships and lower parent social media use, and report better health outcomes and well-being indicators. Conclusions: Findings from this national cross-sectional survey using LCA led to 2 distinct profile groups of adolescent media use and their association with technology use and parent involvement as well as health and well-being outcomes. The two classes included a larger Class 1 (Family-Engaged Adolescents) and a smaller Class 2 (At-Risk Adolescents). The findings of this study can inform interventions to reinforce positive technology use and family support.","Moreno, Megan A.; Binger, Kole, Zhao, Qianqian, Eickhoff, Jens, Minich, Matt, Yalda Tehranian, Uhls","https://www.google.com/search?q=Digital+Technology+and+Media+Use+by+Adolescents:+Latent+Class+Analysis","","Database: ProQuest Central; Publication type: article; Publication details: JMIR Pediatrics and Parenting; 5(2), 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32910,""
"Newer Determinants of an Old Problem: Factors for Suicidal Behaviour in the Current Era","BACKGROUND: The national record crime bureau of India reported more than 1.53 lakh suicide in 2020, which is the highest in the last decade. Suicide can be considered a public health problem. Suicide risk assessment is complex, having contributions from biopsychosocial and environmental influences. We aim to discuss the role of COVID Pandemic, behavioural addictions and climate change in suicidality. FINDINGS: COVID has brought grief, physical disability, loss of employment and financial constraints, loneliness, and scarcity of healthcare resources. Isolation and pandemic related anxiety can lead to self-harm ideation in certain vulnerable populations like elderly, homeless, dependent and those having chronic physical and mental illnesses. Additionally, there is a high probability of neuropsychiatric symptoms in individuals with post-COVID syndrome with an increase in suicidal behaviour. Behavioural addictions like gambling disorder, gaming disorder and sexual addictions have a high association with suicidality. Premorbid impulsivity, male gender, unemployment, comorbidities and poor support have been demonstrated to have a higher association in people with a behavioural addiction and suicidality. Increased suicide risk along with other neuropsychiatric complications has been reported due to poor air quality, increased temperature & rainfall changes. Natural disasters like hurricanes or earthquakes are known to have both acute and long term impacts on mental health & suicidality with higher impact on environmentally motivated migrants and displaced populations. CONCLUSION: There is a convincing association of these three conditions in increasing suicide risk, making these an issue of global concern. Robust scientific evidence should be generated for the same which can then guide clinicians & policymakers to act decisively on the issue.","Mohapatra, Satyakam, Panda, Udit Kumar, Parida, Manoj Kumar","https://www.google.com/search?q=Newer+Determinants+of+an+Old+Problem:+Factors+for+Suicidal+Behaviour+in+the+Current+Era","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S643-S644, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32911,""
"Effects Of Lockdown On Sleep Pattern In The General Population During Covid-19 Pandemic","Background and aim: COVID-19 Pandemic hit India in January 2020. In order to curb the spread of the virus, a nationwide lockdown was instated on March 24th. The lockdown has had an adverse psychological impact on the general population. Sleep is essential because of its many benefits for mental and physical health. Lack of sleep can impair both mental and physical functioning like decision making, mood changes, anxiety symptoms, jeopardize immune response, increase accidents and increase medical expenditures. The current study was aimed at assessing the sleep patterns during the pandemic in the general public. Material and method: This was a cross sectional, observational descriptive survey study conducted through social media platforms. Socio demographic data such age, gender, marital status, etc along with sleep schedules, working routine was assessed using a semi structured proforma. Insomnia Severity Index (ISI) and Patient Health Questionnaire- 4 (PHQ-4) were tools used to assess insomnia;depression and anxiety respectively. Result: A total of 124 subjects were included in the study. Sleep patterns revealed a delay in routine bed times, with a reduction in sleep quality and increase in total sleep duration. Moderate to severe insomnia was seen in 9% of patients and 29% had subthreshold insomnia. Anxiety was found in 19% and 22% had depressive symptoms. Conclusion: Lockdown due to the COVID 19 pandemic was associated with changes in sleep pattern, quantity and quality of night-time sleep and had also led to manifestation of emotional symptoms in the general population.","Mishra â€“ Lf, Kshirod K.; Reshamvala â€“ Lom/A, Ahmed M.; Sathe â€“ Lom/H, Harshal, John â€“ Lf, Sally","https://www.google.com/search?q=Effects+Of+Lockdown+On+Sleep+Pattern+In+The+General+Population+During+Covid-19+Pandemic","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S537-S537, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32912,""
"Review Study on the impact of COVID-19 on Mental Health in the workplace and on working people","Method: This literature study proceeded a search engine using Google Scholar, PubMed, and Scopus, using keywords SARS-CoV-2, COVID-19 pandemic, occupational health and safety, mental health, psychological disorders, COVID 19 and working people, workplace organization and selected 30 articles out of thirty 20 articles were analyzed corroding to researchers need. Previous literature has focused on the impact of the COVID-19 pandemic on social and economic infrastructure and the instabilities that are evidenced as a consequence of the coronavirus outbreak. 2 A number of studies have identified the abrupt drop in the global economy and the responses of the global stock market as evidenced in reported stock indices. 2 Studies have also shown a significant increase in the suicide rates. 3,4 and the economic slump has resulted in millions of people facing job loss or job insecurity. 5 There is a need for companies to adopt new methods of working that recognise the impact of the pandemic on the workforce and their families. Studies also show that the inevitable changes made to both work-related and other organisational structures introduced to keep people safe have had negative consequence on mental health of the people they seek to protect. 6 THE IMPACT OF THE COVID-19 PANDEMIC ON MENTAL HEALTH IN THE WORKPLACE AND ON THE WORKFORCE There are a number of studies on earlier epidemics such as SARS, Ebola, and so on, which evidence the emotional distress seen in the general public at times of health crisis. The evidence shows that mental health professionals and the people responsible for implementing the rules and or social order are adversely affected and suffer from mental health issues such as PTSD, depression, anxiety, and so on after the outbreak of the pandemic7.","Menon, Sheila, Bhagat, Vidya","https://www.google.com/search?q=Review+Study+on+the+impact+of+COVID-19+on+Mental+Health+in+the+workplace+and+on+working+people","","Database: ProQuest Central; Publication type: article; Publication details: Research Journal of Pharmacy and Technology; 14(12):6725-6731, 2021.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32913,""
"Virtual Reality Behavioral Activation for Adults With Major Depressive Disorder: Feasibility Randomized Controlled Trial","Background: Major depressive disorder (MDD) is a global crisis with increasing incidence and prevalence. There are many established evidence-based psychotherapies (EBPs) for depression, but numerous barriers still exist;most notably, access and dissemination. Virtual reality (VR) may offer some solutions to existing constraints of EBPs for MDD. Objective: We aimed to examine the feasibility, acceptability, and tolerability of using VR as a method of delivering behavioral activation (BA) for adults diagnosed with MDD during a global pandemic and to explore for signs of clinical efficacy by comparing VR-enhanced BA (VR BA) to a standard BA treatment and a treatment as usual control group for individuals diagnosed with MDD. Methods: A feasibility trial using a 3-armed, unblinded, randomized controlled pilot design was conducted. The study took place remotely via Zoom telehealth visits between April 8, 2020, and January 15, 2021. This study used a 3-week, 4-session protocol in which VR BA participants used a VR headset to complete their BA homework. Feasibility was measured using dropout rates, serious adverse events, completion of homework, an adapted telepresence scale, the Simulator Sickness Questionnaire, the Brief Agitation Measure, and an adapted Technology Acceptance Model. Efficacy was assessed using the Patient Health Questionnaireâ€“9. Results: Of the 35 participants assessed for eligibility, 13 (37%) were randomized into VR BA (n=5, 38%), traditional BA (n=4, 31%), or a treatment as usual control (n=4, 31%). The mean age of the 13 participants (5/13, 38% male;7/13, 54% female;and 1/13, 8% nonbinary or third gender) was 35.4 (SD 12.3) years. This study demonstrated VR BA feasibility in participants with MDD through documented high levels of acceptability and tolerability while engaging in VR-induced pleasurable activities in conjunction with a brief BA protocol. No adverse events were reported. This study also illustrated that VR BA may have potential clinical utility for treating MDD, as the average VR BA participantâ€™s clinical severity decreased by 5.67 points, signifying a clinically meaningful change in severity from a moderate to a mild level of depression as per the Patient Health Questionnaireâ€“9 score. Conclusions: The findings of this study demonstrate that VR BA is safe and feasible to explore for the treatment of MDD. This study documented evidence that VR BA may be efficacious and justifies further examination in an adequately powered randomized controlled trial. This pilot study highlights the potential utility that VR technology may offer patients with MDD, especially those who have difficulty accessing real-world pleasant activities. In addition, for those having difficulty accessing care, VR BA could be adapted as a first step to help people improve their mood and increase their motivation while waiting to connect with a health care professional for other EBPs. Trial Registration: ClinicalTrials.gov NCT04268316;https://clinicaltrials.gov/ct2/show/NCT04268316 International Registered Report Identifier (IRRID): RR2-10.2196/24331","Margot, Paul, Bullock, Kim, Bailenson, Jeremy","https://www.google.com/search?q=Virtual+Reality+Behavioral+Activation+for+Adults+With+Major+Depressive+Disorder:+Feasibility+Randomized+Controlled+Trial","","Database: ProQuest Central; Publication type: article; Publication details: JMIR Mental Health; 9(5), 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32914,""
"Pattern and prevalence of various psychiatric co-morbidities in post operative patients of mucormycosis in Vindhya region","Corona virus disease 19 (Covid-19) was declared as global pandemic by WHO in March 2021. India has witnessed two waves of Covid 19 in the month of March 2021 and March 2022. Due to improper use of steroids in the treatment of these patients post covid mucormycosis patients has increased drastically in the second wave. This resulted in overall increase of psychiatric illness in these patients. Introduction: Post operative patients of mucormycosis were left with number of psychiatric disorders like depression, adjustment disorder, anxiety, post traumatic disorder etc. Covid per se as well as mucormycosis infection led to long term emotional and mental trauma to the patient. Aims and objectives: To study the magnitude and prevalence of the psychiatric illnesses. To quantify anxiety and depression amongst these patients. Methodology: Study site: Department Of Psychiatry, Dept of Ophthamology, Dept of otorhinolaryngology SSMC, Rewa (MP) Study Design: Hospital based Cross sectional study Study Duration: 06 months Selection Criteria Inclusion Diagnosed patients according to ICD 10 DCR Operated cases of mucormycosis Diagnosed case of mucormycosis after Covid 19 infection Give written informed consent Exclusion Patient requiring ICU Care Not willing for consent Assessment: General, systemic & mental status examination. Scales: HAMD, HAMA Results: Result will be subjected to statistical analysis and will be presented directly. Conclusion: This study enables us to focus on various psychiatric co-morbidities and to establish temporal co-relationship between emergences of psychiatric symptoms post operatively, their pattern and prevalence.","Maravi, Prashant, Mishra, Nimisha, Ahuja, Sunil K.; Mishra, Dheerendra K.","https://www.google.com/search?q=Pattern+and+prevalence+of+various+psychiatric+co-morbidities+in+post+operative+patients+of+mucormycosis+in+Vindhya+region","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S587-S587, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32915,""
"Determination of Covid-19 Fear and Affecting Factors of Midwifery Department Students","Aim: This study was aimed to determine the fear of COVID-19 and the factors affecting the students studying in the midwifery department. Method: This school-based and descriptive study was counducted between November and December 2020. The universe of the study is 257 students who continue their education in Yozgat Bozok University Health Sciences Faculty Midwifery Department. The sample was made up of 250 students who participated in the study. Study data were collected online via the Personal Information Form and the Fear of COVID-19 Scale. Result: The mean scores of the Covid-19 Fear Scale of the students were 19.08 Â± 5.87 (min. = 7, max. = 35). The factors that cause fear were insufficient information on COVID-19 and low income level (p &lt;0.05). Students' age, classes, residential areas, social support status, employment status and current mental health problems did not affect the level of fear (p &gt;0.05). Conclusion: According to the research findings, midwifery students experience a moderate fear of COVID-19. Insufficient information on COVID-19 and low income level affected fear of COVID-19. As a result, it is recommended to organize structured education programs regarding the COVID-19 process and to identify and support students who are in critical condition in socio-economic terms.","Mamuk, Rojjin PhD, Akarsu, Rukiye Hobek PhD","https://www.google.com/search?q=Determination+of+Covid-19+Fear+and+Affecting+Factors+of+Midwifery+Department+Students","","Database: ProQuest Central; Publication type: article; Publication details: International Journal of Caring Sciences; 15(1):395-405, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32916,""
"Role of nurses in combating Depression: A module based Workshop for Nursing Officers","Depression is a significant contributor to work related disability, morbidity and mortality. Further, depression is associated with significant economic burden and disturbance in all the domains of life. Due to COVID pandemic and associated losses, psychological morbidity especially depression has increased significantly. There is a disproportionate shortage of mental health professionals in our country. Hence, there is an unwarranted need to prevent as well as treat depression. In this context, the World Health Organization highlighted the role of nurses in mental health care through project ATLAS. Project ATLAS with the help of International Council of Nurses demonstrated that there is lack of proper training in mental health for nurses and recommended that training in mental health must be incorporated in nursing curriculum In this background, the present Workshop is planned to train Nursing officers at AIIMS Jodhpur, a tertiary care institute in north-western India for combating depression by providing the following modules for building up skills for the appropriate roles. Module 1: Screening for depression and history taking Module 2: Assessing suicidal risk and intervention Module 3: Treatment including Psychoeducation, Medication adherence, Behavioral activation, Modified Electroconvulsive therapy procedure","Mamta, Ms, Nebhinani, Naresh","https://www.google.com/search?q=Role+of+nurses+in+combating+Depression:+A+module+based+Workshop+for+Nursing+Officers","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S672-S672, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32917,""
"Maritime workers and their global health: Need to improve scientific knowledge and prevention","Recently, the World Health Organisation (WHO) declared seafarers as essential workers and recommended they have priority access to COVID-19 vaccination [6]. [...]maritime workers have a high rate of occupational accidents. Most of them are linked to human factors and work performance [9]. [...]depression, boredom and fatigue have been described as risk factors [9-11]. Improving and building of Cohort studies, creating Exposure assessment and Prevention measures, improving Equity, Health, and Education. 1 ORPHY Laboratory, University Brest, Brest, France 2 Occupational and Environmental Diseases Center, Teaching Hospital, Brest, France 3 French Society of Maritime Medicine Brest, Brest, France 4 Centre for Maritime Health and Society, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark 5 Universidad Metropolitana de EducaciÃ³n Ciencia y TecnologÃa.","Lucas, David, Corman, Victorita, Jensen, Olaf C.; Denisenko, Ilona, Lucero-Prisno, Don E.; III, Canals, Maria L.","https://www.google.com/search?q=Maritime+workers+and+their+global+health:+Need+to+improve+scientific+knowledge+and+prevention","","Database: ProQuest Central; Publication type: article; Publication details: Journal of Global Health; 12, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32918,""
"Youth Caregivers: Before, During, and After the Pandemic","The estimated 5.4 million children in the United States providing unpaid care, support, and assistance to their family members and other individuals are called ""youth caregivers."" Before the COVID-19 pandemic, youth caregivers existed on the fringes of American society, without recognition in state or federal policy. They experience higher levels of social isolation, depression, anxiety, and absenteeism from school in comparison to their non-caregiving peers. The pandemic has only served to widened the disparities they face. This article presents recommendations for research, policy, and practice to build a more equitable ""Post-COVID-19"" society for youth caregivers.","Lewis, Feylyn","https://www.google.com/search?q=Youth+Caregivers:+Before,+During,+and+After+the+Pandemic","","Database: ProQuest Central; Publication type: article; Publication details: Generations Journal; 45(3):1-12, 2021.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32919,""
"DepresiÃ³n, ansiedad y estrÃ©s en estudiantes universitarios antes y durante los primeros tres meses de cuarentena por COVID-19 Depression, anxiety and stress in college students before and during the first three months of COVID-19 lockdown","IntroducciÃ³n: Distintos sÃntomas de malestar psicolÃ³gico y los motivos de consumo se han asociado con el consumo de alcohol de los estudiantes universitarios. El aislamiento social, preventivo y obligatorio (ASPO) por la COVID-19 redujo la circulaciÃ³n al mÃnimo, impactÃ³ en la salud mental de los universitarios y generÃ³ cambios en diversas conductas, incluido el consumo de alcohol. Objetivos: Analizar la relaciÃ³n de sÃntomas de ansiedad, depresiÃ³n y estrÃ©s y los motivos de consumo con el consumo de alcohol de los estudiantes universitarios argentinos antes y durante los primeros 3 meses del ASPO, asÃ como examinar si los motivos de consumo median la relaciÃ³n entre malestar psicolÃ³gico y consumo de alcohol. MÃ©todos: Completaron una encuesta online 2 muestras de estudiantes, una antes del ASPO (n = 125;media de edad, 23,87 Â± 3,27 aÃ±os;el 73,6% mujeres) y otra durante este (n = 174;24,32 Â± 3,64 aÃ±os;el 78,2% mujeres). Resultados: El consumo de alcohol y los motivos social y de mejora disminuyeron en los estudiantes durante el ASPO. Comparados con el grupo antes del ASPO, las asociaciones del malestar psicolÃ³gico y los motivos de consumo con el consumo de alcohol fueron mÃ¡s consistentes en el grupo durante el ASPO. En el anÃ¡lisis multivariado, los motivos de afrontamiento explicaron una frecuencia incrementada de consumo de alcohol en los universitarios durante el ASPO. Conclusiones: Resulta necesario prestar especial atenciÃ³n a la salud mental de los universitarios que han sufrido cambios en sus rutinas como consecuencia de las restricciones implementadas a partir de la pandemia.","Leonangeli, Sebastian, Michelini, Yanina, Montejano, Gabriela Rivarola","https://www.google.com/search?q=DepresiÃ³n,+ansiedad+y+estrÃ©s+en+estudiantes+universitarios+antes+y+durante+los+primeros+tres+meses+de+cuarentena+por+COVID-19+Depression,+anxiety+and+stress+in+college+students+before+and+during+the+first+three+months+of+COVID-19+lockdown","","Database: EuropePMC; Publication type: article; Publication details: Revista colombiana de psiquiatria;2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32920,""
"Case of Late onset Paranoid Schizophrenia following COVID 19 infection: A Case Report","Background: COVID 19 is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease has spread worldwide, leading to ongoing pandemic. Although it is most often linked with respiratory symptoms, it might result in neuropsychiatric complications Case description: A 76 year old female patient presented with symptoms of auditory hallucinations since last 9 months. She reported hearing of derogatory voices of multiple persons discussing about her continuously. She developed persecutory delusions few weeks later. She had symptoms of COVID 19 infection 1 month prior to the onset of psychiatric symptoms and was tested positive for the same. She was started on tab. Risperidone 2mg/day later increased to 3mg/day and tab. Trihexiphenidyl 2mg/day. With antipsychotic treatment, there was significant improvement. The delusions resolved and hallucinations reduced by around 80%, according to patient. Discussion: Emerging research indicates that COVID 19 is multi-systemic vascular disease affecting several organs. Numerous influenza virus strains already been implicated in development of mental illnesses such as acute psychosis, schizophrenia, depressive disorders and anxiety disorders.","Kumar P, Venkata Rahul, Bipeta, Rajshekhar","https://www.google.com/search?q=Case+of+Late+onset+Paranoid+Schizophrenia+following+COVID+19+infection:+A+Case+Report","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S692-S692, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32921,""
"Impact Of Covid 19 On Mental Health And Quality Of Life","Background- The novel coronavirus disease emerged and rapidly spread to countries all over the world. This study aimed to assess the impact of covid 19 among COVID-19 survivors after their successful treatment at home or discharge from the COVID-19 treatment center. Methods- This was a cross-sectional, hospital-based study performed among 200 COVID-19 survivors after 3-6 months . The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression. Posttraumatic Stress Disorder (PTSD)-Checklist (PCL) and Brief OC Scale were used to measure PTSD and OC symptoms. Data were analyzed by descriptive and inferential statistics using the SPSS. Results - It was seen that Older COVID-19 survivors (=50 years) were more likely to show symptoms of depression and anxiety (P &lt; 0.001) compared to younger ones. Furthermore, COVID-19 survivors who were =50 years of age had a greater level of PTSD compared to younger ones;similar trends were seen in those experiencing OC symptoms. In the present study , majority were obsessed with fears of contamination and an equal number had compulsive handwashing. conclusion- Anxiety, depression, PTSD, and OC symptoms are common among the COVID-19 survivors and that underscores the need to diagnose and manage mental health morbidities among these survivors long after their recovery from COVID-19.","kumar, Kanika, Modi, Lipsy, Goyal, Arvind","https://www.google.com/search?q=Impact+Of+Covid+19+On+Mental+Health+And+Quality+Of+Life","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S562-S562, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32922,""
"Condiciones mÃ©dicas, sÃntomas de ansiedad y depresiÃ³n durante la pandemia por COVID-19 en una muestra poblacional de Lima, PerÃº Medical conditions, symptoms of anxiety, and depression during the COVID-19 pandemic in a population sample of Lima, Peru","IntroducciÃ³n: El objetivo de este estudio es determinar diferencias entre el nÃºmero de condiciones mÃ©dicas subyacentes, depresiÃ³n y ansiedad, al controlar por las covariables edad, sexo y educaciÃ³n completa. MÃ©todos: Los participantes (n = 484) indicaron el nÃºmero de condiciones mÃ©dicas presentes durante la encuesta, incluyendo tambiÃ©n el PHQ-9 y GAD-7 para evaluar la depresiÃ³n y la ansiedad respectivamente. Resultados: Se hallaron diferencias entre los grupos de afecciones mÃ©dicas y los valores combinados de PHQ-9 y GAD-7 despuÃ©s de controlar por las covariables mencionadas (F4,954 = 5,78;Wilksâ€™ <U+039B> = 0,95;p &lt; 0,0005). Las pruebas univariadas mostraron diferencias para PHQ-9 (F2,478 = 8,70;p &lt; 0,0005) y GAD-7 (F2,478 = 11,16;p &lt; 0,0005) entre los 3 grupos. Finalmente, el anÃ¡lisis post-hoc mostrÃ³ diferencias entre los participantes con una condiciÃ³n mÃ©dica y sin ninguna condiciÃ³n mÃ©dica (PHQ-9: MD = 1,82;IC95%, 0,25-3,40;GAD-7: MD = 1,73;IC95%, 0,55-2,91) y entre participantes con mÃ¡s de 1 afecciÃ³n mÃ©dica y participantes sin afecciÃ³n mÃ©dica (PHQ-9: MD = 3,10;IC95%, 1,11-5,10;GAD-7: MD = 2,46;IC95%, 0,97-3,95). Conclusiones: Nuestros resultados indican que las personas que tuvieron una afecciÃ³n mÃ©dica durante la pandemia de COVID-19 son mÃ¡s propensas a desarrollar sÃntomas graves de ansiedad y depresiÃ³n.","KrÃ¼ger-Malpartida, Hever, Arevalo-Flores, Martin, Anculle-Arauco, Victor, Dancuart-Mendoza, Mauricio, Pedraz-Petrozzi, Bruno","https://www.google.com/search?q=Condiciones+mÃ©dicas,+sÃntomas+de+ansiedad+y+depresiÃ³n+durante+la+pandemia+por+COVID-19+en+una+muestra+poblacional+de+Lima,+PerÃº+Medical+conditions,+symptoms+of+anxiety,+and+depression+during+the+COVID-19+pandemic+in+a+population+sample+of+Lima,+Peru","","Database: EuropePMC; Publication type: article; Publication details: Revista colombiana de psiquiatria;2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32923,""
"Neuropsychiatric Aspects of COVID-19","Background COVID-19 pandemic has led to widespread psychosocial distress. In addition to pandemic associated psychological distress, there is increasing evidence to suggest direct effects of the COVID- 19 virus itself and the subsequent host immunologic response on Central Nervous System manifesting in the form of wide range of neuropsychiatric complications in both acute and post recovery phase. Neuropsychiatric manifestations The data available from similar epidemics of SARS and MERS CoV, revealed common neuropsychiatric manifestations including (a) Neurological: Headache, Impaired sensorium ranging from mild drowsiness to delirium and coma, dysfunction of olfaction and taste sensation, seizures, encephalitis, encephalopathy, Guillain-Barre syndrome (GBS), acute cerebrovascular events, narcolepsy and other neuromuscular and demyelinating processes (b) Psychiatric: Depressed mood, anxiety, impaired memory and insomnia in acute phase and even in post-illness stage, depressed mood, insomnia, anxiety, irritability, memory impairment, fatigue, traumatic memories and sleep disorder were frequently reported. A diverse group of presentations, increasingly referred to as â€œlong Covid,â€ is also being described in patients who reported with wide variety of symptoms including disabling fatigue and cognitive difficulties, persisting for many months after acute infection. Psychoneuroimmunology of COVID-19 Though exact neurotropism of SARS-CoV-2 is unknown , the present available data based on laboratory studies on SARS-CoV-2 and research on its taxonomically similar coronaviruses such as SARS-COV and MERS-COV suggest its potential to enter the CNS via angiotensin converting enzyme 2 receptors. Other mechanisms causing CNS dysfunction include cytokine driven inflammatory responses and wider systemic effects such as endotheliopathy, breakdown of the blood-brain barrier, and clotting abnormalities. Additional mechanisms for neuropsychiatric disorders include autoimmunity and psychological trauma of life threatening illness and pandemic related socioeconomic stressors. The relative contributions of these mechanisms to neuropsychiatric sequelae remain largely unknown. Role of psychiatrist Psychiatrist has an important role in not only managing concerns, fears, and misconceptions at the local community and broader public level but also in early identification, prevention, and treatment of COVID-19 related neuropsychiatric manifestations, and hence should be an integral part of COVID-19 treating team. Management The management of neuropsychiatric complications of COVID requires a multidisciplinary team input due to the multisystemic nature of the illness, particularly in severe cases. Adopting bio-psychosocial strategies and judicious use of psychotropic medications is essential for better results. Conclusion Covid-19 is likely to have important neuropsychiatric effects in both the short and longer term. Although the mechanisms to neuropsychiatric complications is still under study, the better understanding will not only augment screening of at-risk individuals but also help in prevention and management of these neuropsychiatric complications.","Khadse, Vaibhav","https://www.google.com/search?q=Neuropsychiatric+Aspects+of+COVID-19","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S616-S616, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32924,""
"IMPACT OF COVID-19 PANDEMIC IN PATIENTS WITH PRE-EXISTING MENTAL ILLNESS VISITING OUTPATIENT DEPARTMENT OF TERTIARY HEALTH CARE CENTRE- A CROSS SECTIONAL OBSERVATIONAL STUDY","Background - COVID-19 pandemic has had a negative impact on mental health. While there has been extensive work on the effect of pandemic on the mental health of the general population, studies on the impact of pandemic on people with mental illness are limited. Aims- The study aimed to ascertain Psychological impact of COVID-19 pandemic in patients with pre-existing mental illness and its correlation with clinical, socio-demographical factors. Methodology â€“ 100 participants aged 18-65 years, who visited Psychiatry OPD, were included. The psychological impact due to life stress was assessed using the Impact of Event Scale. Current Psycho-pathology was assessed by DASS-21 scale. The perceived loneliness and social isolation were assessed by De Jong Gierveld Loneliness Scale. Results- Out of 100 participants, 55% reported to have faced difficulties during pandemic, 64% reported worsening of mental illness, 40% faced difficulty in accessing medications, resulting in non-compliance. 61% managed to visit hospital during pandemic, while 35% could not access consultation services. Only 4% sought teleconsultation. Psychological impact of COVID was found to be positively correlated with the perceived loneliness and social isolation during quarantine(r=11.619, p=0.01). Discussion- These results depict a significant impact of COVID-19 pandemic on mental health patients with psychiatric illness that is exacerbated by social isolation. Quarantine and social distancing lead to elevated levels of loneliness and social isolation, which in turn produce repercussions on mental health. Also family dynamics and difficulty to access mental health care, appear to play a significant role. Conclusion- These results highlight a significant impact of COVID-19 pandemic on mental health of psychiatric patients and elucidates prominent association with demographic factors and the difficulty to access mental health care. There is need to strengthen telepsychiatry services in recent times.","Khadanga, Poornima, Mithra, Raman Sree Pruthvi, Pawar, Gaurav, Jha, Urmi","https://www.google.com/search?q=IMPACT+OF+COVID-19+PANDEMIC+IN+PATIENTS+WITH+PRE-EXISTING+MENTAL+ILLNESS+VISITING+OUTPATIENT+DEPARTMENT+OF+TERTIARY+HEALTH+CARE+CENTRE-+A+CROSS+SECTIONAL+OBSERVATIONAL+STUDY","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S532-S533, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32925,""
"Mental Health Support Group: A model to create Mental Health Workforce for Health Care","The COVID pandemic led to an increase in psychological issues. These issues were even more prominent among the Health Care Workers (HCWs) as they had significant risk factors such as long working hours, direct exposure to infection, isolation and quarantine, seeing loss around them, fear of carrying the virus home etc. It is important to address their psychological issues. The already existing mental health resources are limited in terms of numbers as well as accessibility. This led to a need to create a mental health workforce at the local level for the HCWs. We present the inception, training and service delivery of such a model from a medical college as a model to involve various disciplines and categories of staff to create a workforce. This can serve as a feasible model across different settings and for different target populations. The symposium will be presented in the following heads- 1.Background and Inception- Dr Dinesh Kataria 2.Training of workforce- Dr Prerna Kukreti 3.Service Delivery- Dr Bhavuk Garg","Kataria, Dinesh, Kukreti, Prerna, Garg, Bhavuk","https://www.google.com/search?q=Mental+Health+Support+Group:+A+model+to+create+Mental+Health+Workforce+for+Health+Care","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S625-S625, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32926,""
"ENT/Audiology Department of Samoa welcomes the introduction of the Pneumococcal Conjugate Vaccine (PCV) into the national childhood immunisation program","The Pacific Island region is estimated to have among the highest levels of otitis media (middle ear infections) and secondary hearing loss in the world [3], and a public health approach has already been advocated for its prevention, early identification, and management in the Pacific Islands [4]. The significant factors contributing to pneumococcal carriage and density continue to be young age, residential location, living with young children, low family income, and symptoms of upper respiratory tract infection [10]. Again, the lesson we can draw from the Papua New Guinean experience is that PCV is but one part of a package of public health care measures: childhood immunisations should not overshadow the role of environmental health measures in reducing the risk of infections. Ear disease, hearing loss, and PCV introduction in Samoa â€“ the way forward At this time, the foreseeable challenge in Samoa is restoring public confidence in childhood immunisations and achieving optimal immunisation coverage rates through health promotion activities [14].","Kaspar, Annette, Mishra, Akshaya, Leach, Amanda, Sione, Pifeleti","https://www.google.com/search?q=ENT/Audiology+Department+of+Samoa+welcomes+the+introduction+of+the+Pneumococcal+Conjugate+Vaccine+(PCV)+into+the+national+childhood+immunisation+program","","Database: ProQuest Central; Publication type: article; Publication details: Journal of Global Health; 12, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32927,""
"The Experiences of Parents of Children with Thalassemia Major in Turkey: A Qualitative Study","Background: Invasive medical procedures and their complications of Thalassemia Major still affect the quality of life of all patients and their caregivers. Aim: This study evaluates the experiences of parents of children with Thalassemia Major. Method: The qualitative phenomenological method was used to determine the parents' experiences. The study sample included 14 parents who met the inclusion criteria. Individual interviews, an introductory information form and a semi-structured interview form were used for data collection. The data were analyzed with Colaizzi's sevenstep method. Results: Four themes of the interviews were established: unprecedented psychosocial distress, social support, financial burden and concern about children in the future Parents stated that they experienced shock, sadness, fear, stress, depression, death anxiety, fatigue and burnout. Especially with the COVID-19 epidemic in our country, parents stated that their lives became more difficult and their concerns about their children increased. Conclusions: Healthcare staffs need to understand parents' psychosocial distress and coping strategies to provide support and guidance from the outset of treatment and care. It is recommended that interventions be planned and implemented in a way that maximizes the quality of life of children and families.","Karakul, Atiye R. N. PhD, Oymak, Yesim M. D.; Karapinar, Tuba Hilkay M. D.","https://www.google.com/search?q=The+Experiences+of+Parents+of+Children+with+Thalassemia+Major+in+Turkey:+A+Qualitative+Study","","Database: ProQuest Central; Publication type: article; Publication details: International Journal of Caring Sciences; 15(1):424-434, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32928,""
"Coping with continuing pandemic: Role of Social Psychiatry Proposal from the World Association of Social Psychiatry (WASP)","Covid-19 pandemic has been an unprecedented crisis seen by the humanity in the last two years with a magnitude no less than the two world wars. Globally, more than 260 million cases have been reported and more than 5 million deaths have been attributed to Covid-19 till the end of November 2021. Despite introduction of the vaccine nearly a year ago, though there has been a big hope of controlling the pandemic, there have been repeated rises in infections due to the mutations in virus, like the coming of Delta, Delta plus and Omicron variants, which are increasingly infectious. There have already been two waves of the pandemic with the second wave being very lethal in India. The pandemic had both direct as well as indirect effects on mental health of the population across allover the world. Many countries had to resort to lockdowns to control the spread of infection, which had serious economic consequences, adding to the mental and social distress. Other infection control measures like quarantine and social isolation, and inability of the persons with existing mental illnesses to access treatment further added to the problem. Introduction of vaccine brought some hope, but it has been a great challenge to cover such a huge population with vaccine alongwith dealing with vaccine hesitancy. This symposium being proposed by the World Association of Social Psychiatry. The symposium will assess the current situation with focus on psychosocial aspects, social psychiatry approach used to deal with the mental health issues, challenges ahead and the lessons learnt to deal with any future challenges of similar nature. Chair: Rachid Bennegadi, President, WASP;Gautam Saha, President, IPS Proposer: Rakesh K Chadda Current situation - Roy Abraham Kallivayalil Social psychiatry approach - Debasish Basu Challenges ahead- Ramarao Gogineni Lessons learnt - Rakesh K Chadda","Kallivayalil, Roy Abraham, Chadda, Rakesh K.; Basu, Debasish, Gogineni, Ramarao","https://www.google.com/search?q=Coping+with+continuing+pandemic:+Role+of+Social+Psychiatry+Proposal+from+the+World+Association+of+Social+Psychiatry+(WASP)","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S638-S638, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32929,""
"Depression and Anxiety in inpatients of dedicated COVID-19 Hospital","Background: COVID-19 is a RNA virus predominantly involving lungs causing mild to severe respiratory illness. Psychiatric disorders are much common in COVID 19 pandemic including depression 33% prevalence and anxiety 28% prevalence in general population(1). The interactions between immune systems and neurotransmitters(2), neurotrophism(3) and psychological stressors(4) emerged as a mechanisms underpinning mood disorders, psychosis. However no studies are done in Indian population in estimating burden of Anxiety and depression in inpatients of dedicated COVID-19 hospital. Aims: 1. To estimate the burden of depression and anxiety in COVID 19 positive patients in a tertiary hospital. 2. To evaluate its relationship with inflammatory markers. Methods: Patients were screened during tele-couselling after taking verbal consent using GAD7 and PHQ-9 questionnaire to assess anxiety and depression. Patients were examined in the wards;those patients who fulfill diagnostic criteria for depression and anxiety according to ICD-10 were included. Routine inflammatory markers sent during admission were noted, patients are followed up during course of hospital stay, and treatment response was noted. Results: Prevalence of depression is 13.6% and anxiety 17.8% in hospitalized patients with moderate to severe COVID 19 infection. Females suffered more for both anxiety and depression. Positively correlated with inflammatory markers especially serum LDH and baseline systemic immune inflammatory index (SII) which reflects immune response and systemic inflammation to infection. Conclusion: Programs should be designed to reduce the stress in general population in collaboration with mental health professionals. 1. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res. 2020 Sep;291:113190. doi: 10.1016/j.psychres.2020.113190. Epub 2020 Jun 7. PMID: 32563745;PMCID: PMC7276119. 2. Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, Melloni EMT, Furlan R, Ciceri F, Rovere-Querini P;COVID-19 BioB Outpatient Clinic Study group, Benedetti F. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020 Oct;89:594-600. doi: 10.1016/j.bbi.2020.07.037. Epub 2020 Jul 30. PMID: 32738287;PMCID: PMC7390748. 3. Rogers J, Chesney E, Oliver D, Pollak T, McGuire P, Fusar-Poli P et al. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic. The Lancet Psychiatry. 2020;7(7):611-627. 4. Choi EPH, Hui BPH, Wan EYF. Depression and Anxiety in Hong Kong during COVID-19. Int J Environ Res Public Health. 2020 May 25;17(10):3740. doi: 10.3390/ijerph17103740. PMID: 32466251;PMCID: PMC7277420.","Jeevan, Y. M.","https://www.google.com/search?q=Depression+and+Anxiety+in+inpatients+of+dedicated+COVID-19+Hospital","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S566-S567, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32930,""
"Are the Collaborative Video Consultations module in Diploma in Primary Care Psychiatry helpful","Introduction: The â€˜Diploma in Primary Care Psychiatryâ€™ (DPCP) is a 1-year, module-based, digitally-driven, hybrid format, distance education training program conducted by Tele-Medicine Centre, Department of Psychiatry at National Institute of Mental Health and Neurosciences, Bengaluru for in-service MBBS doctors [Primary Care Doctors (PCDs)] of various states. This course can catalyze Indiaâ€™s National Mental Health Program for the capacity building of PCDs. We discuss the outcome of â€œCollaborative Video Consultationâ€ (CVC) modules that mimics real-time expert guidance for the DPCP course conducted for MBBS in-service doctors of Bihar, India. Methodology: In one year, we supervised 217 CVCs. We examined the diagnostic concurrence between PCDs and tele-psychiatrists, reviewed the CVCs, and generated learning themes. Results: Among the total sample (n=217), 64 (29.9%) patients had Severe Mental Disorders, 73(32.8%) had Common Mental Disorders, and 36(14.7%) had substance use disorders. The diagnostic concurrence was 83%, with a kappa agreement of 0.77 (p&lt;0.001). Learning themes that emerged ranged from diagnostic clarification to enhancement of clinical skills. Discussion: It is the first study to evaluate the impact of the CVC module. The 83% diagnostic concordance reflects on the overall effectiveness of the training modules. The learning themes that emerged were quite diverse and involved various aspects of psychiatric care. Hence, this training model in a post-COVID world is a feasible and scalable option for training primary care doctors in India, leading to a reduced treatment gap and global burden of disease. Introduction: Primary healthcare provides universally accessible â€˜essential healthcareâ€™ to individuals and families in the community. In India, the prevalence of psychiatric disorders in the National Mental Health Survey from a representative adult population was 10.6%1, and the treatment gap is more than 70% for all psychiatric disorders. Psychiatric disorders are major contributors to the global health burden1. To address this, empowering Primary Care Doctors (PCDs) in identifying, assessing, and managing first-line psychiatric illness in a primary care setting is the feasible strategy given the countryâ€™s inadequate psychiatrist to patient ratio. The concept of comprehensive primary healthcare services has been highlighted by the Bhore committee2 and demonstrated to be feasible through the landmark Bellary model3. However, with a population of 1.4 billion, India needs more novel methods to implement and sustain community psychiatry services through District Mental Health Program (DMHP). After the Mental Health care Act (MHCA) 20174, mental health services delivery in the community and deinstitutionalization have become a legal mandate in India. Since 2015 there has been a paradigm shift in the district mental health program delivery in Bihar state5 through an innovative, collaborative model between NIMHANS, National Health Mission (NHM) state health society, Bihar. The DMHP program has successfully trained several health care providers from Bihar Doctors and nurses from Bihar over the last three years. In 2017-18, eleven district medical officers were trained to initiate DMHP services.6 Despite this, there was a need to better prepare the primary doctors in psychiatry to provide mental healthcare services, especially given the lack of formal Psychiatric training beyond two weeks in undergraduate in most medical colleges. PCD training in mental health care involves several logistic challenges such as inadequate undergraduate training in psychiatry, time constraints in learning due to their hectic clinical work, lack of adequate human resources, and failure of multiple capacity-building programs through traditional classroom training. To overcome these challenges, Diploma in Primary Psychiatry (DPCP), a 1-year modular-based digitally-driven hybrid training program, was conceptualized by the Telemedicine Centre, Department of Psychiatry at Nationa Institute of Mental Health and Neurosciences) (NIMHANS) Bengaluru for DMHP capacity building. This course can be the catalyst to further mobilize Indiaâ€™s National Mental Health Program for the capacity building of PCDs. DPCP program was designed to cater to PCDs training in psychiatry with minimal disruption to their clinical duties with the incentive of career enhancement through an additional diploma degree. This program was initiated first with PCDs of Uttarakhand in collaboration with the State Government. The Uttarakhand DPCP program was reasonably effective and paved the way to conceptualizing other telemedicine-based innovative approaches to mental health capacity enhancement7. This study discusses the outcome of one of the modules, the Collaborative Video Consultation Module (CVC) (on-the-job supervised training by a board-certified psychiatrist) of the DPCP program for in-service MBBS doctors from Bihar. To evaluate the outcome of this training program, this paper focuses on assessing PCDâ€™s ability to diagnose psychiatric disorders and their perception of learnings from the CVC module. Methodology: This paper was based on findings from the DPCP program conducted for in-service MBBS doctors of Bihar from February 2020 to March 2021. The overview of the program has been explained in brief below. So far, Telemedicine Centre, NIMHANS, Bengaluru, awarded DPCP to 20 in-service MBBS doctors of Uttarakhand. It follows the hybrid model of training with initial brief (5 days) onsite training at a tertiary care psychiatry department (NIMHANS), which has classroom sessions, consultation-based training (real-time observations of psychiatric assessments of patients and management), and also visit a DMHP center to understand the working of DMHP. This brief onsite module followed by everything digital modules aiming for direct skill transfer using adult learning principles (andragogy)8. The details about different modules of DPCP are described elsewhere9(https://pubmed.ncbi.nlm.nih.gov/32361210/) (https://pubmed.ncbi.nlm.nih.gov/30166682/). In continuation with the collaboration and to enable the provision of DMHP services across all districts of Bihar, primary care doctors from 19 districts of Bihar and 3 Prisons were enrolled in a one-year DPCP program. The curriculum for DPCP is Clinical Schedules of Primary Care Psychiatry version 2.2(CSP), which has a validated screening procedure and a heuristic point of care manual designed for PCDs10. The 22 PCDs came to NIMHANS from 17th February 2020 to 22nd February 2020. In this module, PCDs were trained in psychiatric history-taking and mental state examination through clinical demonstration and onsite classes. In-Person consultation-based training in the outpatient clinic was conducted at First contact and follow-up outpatient services of the Department of Psychiatry, NIMHANS, Bengaluru. All PCDs underwent didactic teaching sessions in Common mental disorders (CMDs), teaching sessions on specialized topics such as Emergency psychiatry, Geriatric Psychiatry, Child and Adolescent Psychiatry, Forensic and legal aspects of psychiatry, along with a visit to DMHP services at Chikkaballapur district, about 70 km from Bangalore, Karnataka. They also received orientation on Tele- On-Consultation-Training sessions and made them familiarised with the digital modules of DPCP and the telemedicine platforms. On returning to their workplace- District hospital settings, Digital Modules were initiated. This paper focuses on findings from the collaborative video consultation (CVC) module conducted throughout the course, especially after Tele on-consultation training module. CVC module Format: In the CVC module, instant video consultation is sought by trainee PCDs from tele-psychiatrist, which is a real-time second opinion from a board-certified psychiatrist. The Tele-psychiatrist was available to the PCDs during working hours and occasionally for emergency cases, anytime for discussion/advice. PCDs choose to discuss their selected patients to decide the best treatment for them or any ifficulty in diagnosis. Some of these patients were also seen in follow-ups up to 6 months whenever these patients visit these doctors (one of the criteria of formative assessment of DPCP course). Soon after CVC, a tele-psychiatrist enters all clinical data in a specially designed proforma containing learning points and whether PCD felt skill enhancement or not from each CVC. Diagnosis of the patient population is made as per clinical schedules of primary care psychiatry. Whenever clinical presentation is not allowing CSP diagnoses, ICD-10 CDDG diagnosis is considered. PCDs discussed several cases ranging from children, adolescents with mental health issues to elderly individuals with psychiatric complaints. PCDs were also actively involved in providing care to psychiatry patients who could not follow up with their treating psychiatrists during the 1st wave of the COVID 19 pandemic and travel restrictions during the lockdown. They also discussed patients presenting to emergencies with psychiatric disorders. The PCDs were motivated and actively involved in helping patients who needed psychiatry care, including counseling patients in isolation centers. Diagnostic concurrence was evaluated from similarities/differences in PCD and tele-psychiatrist diagnosis. The authors screened all the data entered in the CVC, and pre-defined learning themes were generated. The learning themes were finalized after agreement by all the authors. Data were analyzed using SPSS version 27.011. Results: In the past year, 217 CVCs were conducted for 15 PCDs as a part of the CVC module. The socio-demographic of these 217 cases are as follows (Table 2)Table 1 CVC module case discussion sheetDateTimeVerbal consent of patient/CaregiversCase descriptionPCD DiagnosisTele-psychiatrist diagnosisCMD/SMD SUDAdvisedLearning pointsDuration ofSessionTable 2 Socio-demographic profile of the CVC sample (n=217)SociodemographicMean (SD)/n (%)Age34.84 (15.75)Gender Male147 (67.7)Gender Female68 (31.3) The mean age of the clinical sample was 34 years (S. D â€“ 15.75). The gender distribution of the sample has shown that males were more than females. Table 3 shows the psychiatric diagnosis made by the psychiatrist of the total sample. 64 (29.9%) of the patients had SMD (Severe Mental Disorders), 73 (32.8%) had CMD (Common Mental Disorders), and 36 (14.7%) had substance use disorders.Table 3 Psychiatric diagnosis of the total sample (n=217) by Tele-psychiatristPsychiatric Diagnosisn%Adapted primary care psychiatric diagnoses as per CSP manual Depressive disorder209.2 Generalized anxiety disorder2511.5 Panic disorder115.06 Somatization disorder73.2 Psychosis5726.3 Alcohol disorders73.2 Tobacco addiction20.9 Mixed anxiety and Depressive disorder136Non-CSP diagnosis (ICD-10 CDDG) Mental & behavioral disorders due to use of cannabinoids (F12)62.8 Mental & behavioral disorders due to use of opioids (F11)83.7 Mental & behavioral disorders due to use of sedatives or hypnotics (F13)52.3 Mental & behavioral disorders due to multiple drugs and use of other psychoactive substances (F19)83.7 Bipolar affective disorder current episode mania with psychotic symptoms (F31.2)62.8 Bipolar affective disorder current episode severe depression with psychotic symptoms (F31.5)10.5 Obsessive-compulsive disorder (F42)41.8 Dissociative disorders (F44)31.4 Personality disorders (F60)31.4 Intellectual Developmental Disorders (F70)41.8 Sleep Disorders83.7 Headache20.9 Organic mental disorders41.8 Not Yet Diagnosed136Table 4 Diagnostic concurrence between PCDs and tele-psychiatristDiagnosisnPercentagekappaPConcordance180/217840.78&lt;0.001CSP-Concordance123/151870.83&lt;0.001Non-CSP Concordance57/66750.71&lt;0.001 Table 5 shows the diagnostic concurrence between PCD doctors and Tele-psychiatrists on the psychiatric diagnosis. Among diagnostic discordance, the distribution of psychiatric diagnosis was analyzed and presented below.Table 5 Distribution of psychiatric diagnosis among discordant diagnosisTele-psychiatrist diagnosisnPCD diagnosisDepressive d sorder1Anxiety disorder3Sleep disordersAnxiety disorders2Major Depressive disorder1Psychosis1Sleep disordersSomatization1Not yet diagnosedAlcohol dependence & related disorders1Psychosis1Not yet diagnosedPsychosis4Depressive disorder1Anxiety disorder2Mixed anxiety depression1Not yet diagnosedPersonality disorders2Anxiety disorders1Depressive disorderBipolar affective disorder2Depressive disorder1Psychosis1Alcohol dependence & relatedCannabis dependence & related disorders1PsychosisIntellectual Development Disorders (IDD)2PsychosisSleep disorder1Depressive disorderNot yet diagnosed1Psychosis3Anxiety disorderHeadache (Table 6) shows the descriptive analysis of the pre-defined learning themes obtained from PCD doctors at the end of each discussion.Table 6 Learning themes in PCDs after CVC discussionLearning ThemesFrequencyPercentageScreening for Psychiatric Disorders 31.4Symptomatology 2210.1Diagnostic clarification146.5Pharmacology - In drug dose/duration/side-effects/compliance2712.4Non-pharm management e.g., motivational interviewing104.6Identification of referral red flags136Handling difficult cases156.9Atypical presentations62.8Special population - Adolescent, pregnancy, elderly167.4Learning areas of error146.5Enhancement of clinical skills7735.5Table 7 Type of treatment received by clinical sample (n=17)Type of treatmentnPercentagePharmacotherapy + Counselling19087.6Antidepressants12238Antipsychotics6234.6Mood stabilizers63.7Only Counselling2712.4 Discussion: The study results demonstrate that PCDs could accurately diagnose psychiatric disorders with statistically significant (kappa value: 0.78) diagnostic concordance between PCDs diagnosis and tele-psychiatrist diagnoses. The learning acquired during CVCs demonstrated by the learning themes ranged from understanding psychopathology, arriving at a diagnosis, and planning treatment. The maximum number of CVCs who conducted the learning theme was the enhancement of their advanced clinical skills. Of the 217 CVCs, the PCDs prescribed both pharmacological and also non-pharmacological management (counseling) in a maximum number of patients (n=190, 87.6%) Assessing the effectiveness of a training program is essential;effectiveness is measured in several parameters such as knowledge attitude and practices of the trainee health workers through structured questionnaires, assessing patient outcomes, and evaluating the skill acquired12 . Collaborative Video Consultations (CVC) module is an instant video consultations module with trainer tele-psychiatrist on selected general patients, wherein, Tele-OCT module focused on imbibing basic clinical skills for identification and management of commonly presenting psychiatric illness in a PCD among consecutive general practice patients. At the same time, CVCs (which can be equated to second opinion through video consultations) are PCD-driven modules that focus on enhancing their skills obtained in the Tele-OCT module 13. In CVC, the initial screening of the patient is done by PCDs and reaches out to tele-psychiatrist in case of any clarification/difficulty for these selected patients. It is the first study to evaluate the impact of the CVC module. Since PCDs would have completed a minimum of one session of Tele-OCT before CVCs, it is expected that PCDs have been trained already in rapid screening and management of psychiatric disorders. Of the total CVC consultations, 83% had diagnostic concordance with kappa agreement of 0.78 which means to say that PCDs were able to diagnose most of the cases which reflect on the overall effectiveness of the DPCP program, in particular, the Tele-OCT module pointing towards achieving adequate competency to provide mental health care which is essential for assessing the impact of any medical training program14. The CVC module helped PCDs to sustain confidence secondary to real time positive feedback experience. This has also been proved in an earlier study on the impact of the overall effectiveness of training programs for PCDs in Bihar15. Gask L et al. (1998), in the pre-digital era, had discu sed the application of video feedback (playing of recorded videos of patient consultations) of training in mental health skills to address areas requiring improvement16, CVC which can be considered as an innovative digital module enables to provide real-time confidence maintaining feedback to the PCDs;thus the discordance of 17% also can be taken on a positive note as PCDs were able to identify their areas of error/doubts and bring it to discussion with tele-psychiatrist. On assessing the descriptive of learning themes, it has been shown that PCDs perceive skill enhancement in 35.5% of case discussions. This is in line with the objectives of CVCs, as basic training would have been done in previous modules, and CVCs essentially result in skill enhancement in the assessment, diagnosis, and management of psychiatric cases. CVCs allowed the Tele psychiatrists to observe and help the PCDs to refine and help PCDs gain new skills, the importance of knowledge transfer and case-based reader acceptance, which has been demonstrated in a study by Fleury, MJ et al. 2012 wherein they studied qualitative aspects of training of general practitioner in psychiatry17. Learning themes also reflected 7.4% of learning happened in special population management. PCDs need to be aware of psychiatric issues in special populations such as the elderly and pregnant women to facilitate appropriate and timely referrals and emergency management. Other learning themes such as handling complex cases, referral red flags, and atypical case presentations will likely help PCDs identify patients requiring specialist management. Some learning themes such as screening for psychiatric illness, diagnosis, and pharmacological management also reflect building upon their learned skills through Tele-OCT and getting practiced at CVC discussions. The documenting of the learning points enabled the tele-psychiatrist to assess the areas wherein PCD would require more handholding. The traditional classroom training focuses on knowledge transfer, whereas the CVC focuses on skill transfer using a bottom-up approach, in line with the adult learning principles. Though the training aimed to provide essential DMHP services, additional skills were also imbibed, as demonstrated by the various learning themes discussed in our study results. The CVC module also enabled the PCDs to collaboratively engage with the tele-psychiatrist, which would, in turn, will allow them to provide collaborative care under DMHP and be team leaders. In the absence of psychiatrists and difficulty to access the limited specialty psychiatric services, training of PCDs in psychiatry is vital;the CVC module is probably preliminary evidence that without such training, many individuals with mental health issues would remain undiagnosed and untreated and continue to be in the â€œfunctional treatment gapâ€ among primary care attendees3. The learning and the training would serve the purpose of task sharing and task shifting in mental health, which is an effective strategy to address the treatment gap under the current scenario. Strengths & Limitations: This study is the first study to evaluate the effectiveness of the CVC module of the DPCP program by assessing the diagnostic concurrence. This study also involves a qualitative component of assessing learning themes, through which it assesses PCDâ€™s perception about CVC discussions. This study also shows the feasibility of providing instant video consultations to all PCDs amidst the Covid pandemic. Follow-up data were not available, which is an essential limitation of this study. The authors are planning to incorporate it in future studies. Conclusion: In this study, we have discussed the implication of CVC on the training of PCDs and their skills. The study demonstrates the positive impact of the CVC on the training of PCDs in primary care psychiatry. Capacity-building training programs should employ training modules such as the CVC for effective training and better patient care. Such modules may be used not just to PCDs but to other cadres of the he lth care workforce. The symptomatic and functional outcomes of CVC-treated patients have to be studied in the future. The cost-effectiveness and impact on service provision need to be studied in the future. Further, there is also a need to assess and compare the various training formats in primary care psychiatry and its impact. Funding: The Training Program was funded by the State Health Society,Government of Bihar Acknowledgements: The researchers would like to thank the Doctors, Nurses who took up the training and were selflessly strived for ensuring best patient care. The Authors thank patients and families for their cooperation. We thank the NIMHANS Administration for their support in conducting the training program. We would like to express our gratitude to the Government of Bihar Administrators without whose efforts and collaboration this program would not have been possible. References: (Endnotes) 1. Sagar R, Dandona R, Gururaj G, Dhaliwal RS, Singh A, Ferrari A, Dua T, Ganguli A, Varghese M, Chakma JK, Kumar GA. The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990â€“2017. The Lancet Psychiatry. 2020 Feb 1;7(2):148-61. 2. Duggal R. Bhore Committee (1946) and its relevance today. 3. Van Ginneken N, Jain S, Patel V, Berridge V. The development of mental health services within primary care in India: learning from oral history. International journal of mental health systems. 2014 Dec;8(1):1-4. 4. Mental Health Care act 2017. 5. Mantri G. Many Indian states have less than 10 psychiatrists: These govt figures tell a shocking story. The News Minute. 6. Malathesh BC, Bairy BK, Kumar CN, Nirisha PL, Gajera GV, Pandey P, Manjunatha N, Ganesh A, Mehrotra K, Bhaskarapillai B, Gunasekaran DM. Impact Evaluation of Technology Driven Mental Health Capacity Building in Bihar, India. Psychiatric Quarterly. 2021 Sep 12:1-2 7. Pahuja E, Kumar TS, Uzzafar F, Manjunatha N, Kumar CN, Gupta R, Math SB. An impact of a digitally driven primary care psychiatry program on the integration of psychiatric care in the general practice of primary care doctors. Indian Journal of Psychiatry. 2020 Nov;62(6):690. 8. Knowles M. Andragogy: An emerging technology for adult learning. London, UK. 1996. 9. Pahuja E, Santosh KT, Harshitha N, Manjunatha N, Gupta R, Kumar CN, Math SB, Chandra PS. Diploma in primary care psychiatry: An innovative digitally driven course for primary care doctors to integrate psychiatry in their general practice. Asian journal of psychiatry. 2020 Apr 23;52:102129-. 10. Kulkarni K, Adarsha AM, Parthasarathy R, Philip M, Shashidhara HN, Vinay B, Manjunatha N, Kumar CN, Math SB, Thirthalli J. Concurrent validity and interrater reliability of the â€œclinical schedules for primary care psychiatryâ€. Journal of neurosciences in rural practice. 2019 Jul;10(03):483-8. 11. Nie NH, Bent DH, Hull CH. SPSS: Statistical package for the social sciences. New York: McGraw-Hill;1975. 12. Caulfield A, Vatansever D, Lambert G, et al WHO guidance on mental health training: a systematic review of the progress for nonspecialist health workers BMJ Open 2019;9:e024059. doi: 10.1136/ bmjopen-2018-024059 13. Pahuja E, Kumar S, Kumar A, Uzzafar F, Sarkar S, Manjunatha N, Balhara YP, Kumar CN, Math SB. Collaborative video consultations from tertiary care based telepsychiatrist to a remote primary care doctor to manage opioid substitution therapy clinic. Journal of Neurosciences in Rural Practice. 2020 Jul;11(03):498- 501. 14. Andrzej Wojtczak (2002) Glossary of medical education terms: Part 1, Medical Teacher, 24:2, 216- 219, DOI: 10.1080/01421590220120722 15. Malathesh BC, Bairy BK, Kumar CN, Nirisha PL, Gajera GV, Pandey P, Manjunatha N, Ganesh A, Mehrotra K, Bhaskarapillai B, Gunasekaran DM. Impact Evaluation of Technology Driven Mental Health Capacity Building in Bihar, India. Psychiatric Quarterly. 2021 Sep 12:1-2. 16. Linda Gask and Richard Morriss (1999). Training general practitioners in mental health skills. Epidemiologia ePsichiatria Sociale, 8, pp 79-84 doi:10.1017/S1121 89X00007570 17. Fleury, MJ., Imboua, A., AubÃ©, D. et al. General practitioners' management of mental disorders: A rewarding practice with considerable obstacles. BMC Fam Pract 13, 19 (2012). https://doi. org/10.1186/1471-2296-13-19","Jayasankar, Pavithra, Nirisha, P. Lakshmi, Manjunatha, Narayana, Kumar, Channaveerachari Naveen, Gajera, Gopi V.; Malathesh, Barikar C.; Pandey, Praveen, Suhas, Satish, Ohri, Uma, Kumar, Rajesh, Bajpai, Preeti, Kumar, Rajesh, Math, Suresh Bada","https://www.google.com/search?q=Are+the+Collaborative+Video+Consultations+module+in+Diploma+in+Primary+Care+Psychiatry+helpful","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S516-S520, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32931,""
"Study of Psychopathology in family members of patients who died due to Covid-19 â€“ A door-to-door survey","BACKGROUND- The lack of preparedness among suddenly bereaved persons is shown to be associated with higher mortality among the bereaved than when the deceased had a known pre-existing morbidity(1). Most deaths due to COVID-19 came as a sudden surprise for unprepared family members. However,there are no studies or research that are being conducted regarding the psychopathology of family members of patients who died of COVID-19. AIMS/OBJECTIVES- To study proportion of psychiatric illness in family members of patients who died of COVID-19. To find the association between the death of an earning member & psychiatric illnesses in the family. METHODS- We began a door-to-door survey in an urban locality begetting permission from the Institutional Ethics Committee. After obtaining informed consent, 40 families of COVID-19 patients were identified,whose members were interviewed using a semi-structured proforma. The deaths due to COVID19 occurred between the months of Marchâ€™21 and Juneâ€™21 and the interviews were carried during Augustâ€™21. Data collected was tabulated and analysed statistically and results were obtained. RESULTS - Of the 79 participants 11 had psychiatric illness. The proportion of psychiatric illness was observed to be 13.924% and the most common illnesses observed were depression (54.5%) followed by adjustment disorder (36.7%) and anxiety (18.2%). Of these 79 participants 15 (18.9%) had lost an earning member,of which 4 (26.7%) participants developed a psychiatric illness. The proportion of participants with psychiatric illness who lost an earning member of the family was 26.7% which was more than that in non-earning group (10.9%). But this difference is not statistically significant. CONCLUSION- We observed that family members of patients who died of COVID-19 are more prone for psychopathology. Various psychopathologies were seen in this study of which the most common psychopathology was depression. Further studies are required for the family members of patients who died due to COVID-19. Reference: â€¢ Shah SM, Carey IM, Harris T, DeWilde S, Victor CR, Cook DG. The effect of unexpected bereavement on mortality in older couples. American Journal of Public Health. 2013 Jun;103(6):1140-5.","Jaiswal, Sanjana, Gawande, Sushil, Kirpekar, Vivek","https://www.google.com/search?q=Study+of+Psychopathology+in+family+members+of+patients+who+died+due+to+Covid-19+â€“+A+door-to-door+survey","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S533-S533, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32932,""
"Mental healthcare delivery for patients hospitalized with COVID-19 Presenting/ proposing authorâ€™s contact details","The COVID-19 pandemic has stretched the healthcare system its limits, largely remaining a puzzle with no definitive treatment and ever emerging variants. The overwhelming psychological stress on such patients (observed devastation, concerns about deterioration, physical isolation, social discriminations) and the CNS effects of SARS-CoV-2 infection together may lead to various psychiatric symptoms like insomnia, depressive mood, anxiety, aggressive outbursts and even suicidal ideations. Literature suggests that up to 35% have depressive symptoms, 28% have anxiety and 20% may have impaired consciousness and confusion which is linked with severe progression of disease. Persons with mental illnesses are at a higher risk of contracting viral infections because of a myriad of factors, such as a chronically dysregulated innate immune system, cognitive and higher motor functioning, and sometimes deficient personal hygiene. The recommendations and necessary social isolation can limit the continuation of tailored care, support and treatment for these patients. The situation worsens when these patients develop COVID-19 and require hospitalization for management, away from familiar caregivers and receive care through the barriers of personal protective equipment (PPE). All patients admitted at our hospital were screened for need of mental healthcare telephonically and received counselling, with in person consultation provided as required on a case-to-case basis for further management. The experience sharing of COVID-19 recovered health care professionals via audio announcement system was initiated to boost the morale of patients. All the patients were managed within COVID-19 isolation protocols. The current evidence, unique experience, novel approach at screening and support, learnings and future directions for mental healthcare delivery in a dedicated COVID-19 hospital (DCH) will be discussed. 1. Conceptual overview and mental healthcare delivery in a DCH: Jaiswal SV. 2. Psychiatric symptoms in COVID-19 & case discussion: Jyrwa S. COVID-19 in patients with mental illness & case di","Jaiswal, Vijay, Suyog, Jaiswa, S. V.; Vaidyanathan, S.; Jyrwa, S.","https://www.google.com/search?q=Mental+healthcare+delivery+for+patients+hospitalized+with+COVID-19.+Presenting/+proposing+authorâ€™s+contact+details","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S650-S650, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32933,""
"Evaluation of the Effect of Patient Education and Strengthening Exercise Therapy Using a Mobile Messaging App on Work Productivity in Japanese Patients With Chronic Low Back Pain: Open-Label, Randomized, Parallel-Group Trial","Background: Artificial intelligenceâ€“assisted interactive health promotion systems are useful tools for the management of musculoskeletal conditions. Objective: This study aimed to explore the effects of web-based video patient education and strengthening exercise therapy, using a mobile messaging app, on work productivity and pain in patients with chronic low back pain (CLBP) receiving pharmacological treatment. Methods: Patients with CLBP were randomly allocated to either the exercise group, who received education and exercise therapy using a mobile messaging app, or the conventional group. For patient education, a web-based video program was used to provide evidence-based thinking regarding the importance of a cognitive behavioral approach for CLBP. The exercise therapy was developed in accordance with the recommendations for alignment, core muscles, and endogenous activation, including improvement of posture and mobility for proper alignment, stimulation and/or strengthening of deep muscles for spinal stability, and operation of intrinsic pain for the activation of endogenous substances by aerobic exercise. Both groups continued to receive the usual medical care with pharmacological treatment. The end points were changes in work productivity, pain intensity, quality of life, fear of movement, and depression. The observation period for this study was 12 weeks. An analysis adjusted for baseline values, age at the time of consent acquisition, sex, and willingness to strengthen the exercise therapy was performed. Results: The exercise and conventional groups included 48 and 51 patients, with a mean age of 47.9 years (SD 10.2 years;n=27, 56.3% male patients) and 46.9 years (SD 12.3 years;n=28, 54.9% male patients) in the full analysis set, respectively. No significant impact of these interventions on work productivity was observed in the exercise group compared with the conventional group (primary end point: Quantity and Quality method;0.062 vs 0.114;difference between groups -0.053, 95% CI -0.184 to 0.079;P=.43). However, the exercise group showed consistently better trends for the other end points than did the conventional group. Compared with the conventional group, the exercise group showed a significant improvement in the symptoms of low back pain (3.2 vs 3.8;difference between groups -0.5, 95% CI -1.1 to 0.0;P=.04), quality of life (EuroQoL 5 Dimensions 5 Level: 0.068 vs 0.006;difference between groups 0.061, 95% CI 0.008 to 0.114;P=.03), and fear of movement at week 12 (-2.3 vs 0.5;difference between groups -2.8, 95% CI -5.5 to -0.1;P=.04). Conclusions: This study suggests that patient education and strengthening exercise therapy using a mobile messaging app may be useful for treating CLBP. This study does not reveal the effect of therapeutic interventions on CLBP on work productivity. Thus, further research is required to assess work productivity with therapeutic interventions. Trial Registration: University Hospital Medical Information Network Clinical Trials Registry UMIN000041037;https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046866","Itoh, Naohiro, Mishima, Hirokazu, Yoshida, Yuki, Yoshida, Manami, Oka, Hiroyuki, Matsudaira, Ko","https://www.google.com/search?q=Evaluation+of+the+Effect+of+Patient+Education+and+Strengthening+Exercise+Therapy+Using+a+Mobile+Messaging+App+on+Work+Productivity+in+Japanese+Patients+With+Chronic+Low+Back+Pain:+Open-Label,+Randomized,+Parallel-Group+Trial","","Database: ProQuest Central; Publication type: article; Publication details: JMIR mHealth and uHealth; 10(5), 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32934,""
"Psychological problems among health care workers in a tertiary care centre during covid-19 pandemic: a qualitative study","Background: Thousands of health care personnel are engaged in fighting the COVID-19 pandemic. Health care workers (HCWs) who are engaged in caring for COVID-19 positive cases may manifest features of psychological distress and even disorders. Objectives: To have an in-depth understanding of the mental health problems experienced by the HCWs engaged in delivering care to COVID-19 cases in a tertiary care centre;and also, their preoccupations, apprehensions and felt needs during that period. Methods: A qualitative study was undertaken among the health care workers of a tertiary care teaching centre in Northern Kerala. In-depth Interviews (IDIs) and Focus Group Discussions (FGDs) were undertaken among the HCWs including doctors, nurses, nursing assistants and last-grade assistant workers involved in giving care to COVID-19 patients. IDIs and FGDs were conducted till redundancy of information. All IDIs and FGDs were recorded, transcribed and translated to English. The translated data was analysed by free-listing, pile-sorting. domain identification, coding and summarizing. Results: 12 IDIs and 3 FGDs were conducted involving different stakeholders like doctors (faculty members and Junior Residents), nurses, nursing assistants, last-grade assistants and administrators. Increase in psychological problems like anxiety and depression were described by the participants. Physical problems were reported in relation to use of PPE kit. Psychosocial problems like isolation of health care workers by neighbours and family members were also reported. Conclusions: Anxiety and depressive symptoms as well psychosocial problems are the common problems seen in HCWs engaged in COVID-19 duty.","Indu, P. V.; Tharayil, Harish M.; Chitra, D.; Ayirolimeethal, Anithakumari, Harsha, V.; Padmanabhan, Anu, Moidu, Afeefa, Rajula, K. P.; Vidyadharan, Varsha","https://www.google.com/search?q=Psychological+problems+among+health+care+workers+in+a+tertiary+care+centre+during+covid-19+pandemic:+a+qualitative+study","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S559-S559, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32935,""
"Psychological Coping and Resilience among Kashmiri Population during Covid-19 Pandemic","Background Research has shown that the human response to mass crises or disasters can be varied, ranging from chronic anxiety, depression and posttraumatic stress to resilience and recovery. This in turn depends upon different coping strategies used by individuals and various socio-cultural factors of the region. Although a few studies have been done to assess the resilience during Covid-19 pandemic, they are limited to a particular target population and cannot be generalized to different populations of the world. Aims This study was planned to assess the various coping strategies used by the people of Kashmir and the level of their resilience during the Covid-19 pandemic. Methods It was a cross sectional descriptive study done at three districts of Kashmir (Baramulla, Srinagar, Shopian). Convenient sampling method was used and a total of 310 people were included in the study. Mental illness was ruled out using GHQ-12. Coping strategies were assessed by using Brief COPE and resilience was measured by using Connor-Davidson Resilience Scale. Data was analyzed using SPSS (23.0 version) software. Results The mean age of the sample population was 34 years. The most common coping methods used were religion (mean 6.13, SD=1.41), active coping (mean 5.59, SD=1.36) and acceptance (mean 5.56, SD=1.52). The mean resilience score of the study population was 65.87 (SD=13.7) which indicates high resilience level. Resilience had significant positive correlation with active coping,r(308)=.36,p=.001;acceptance,r(308)=.27,p=.001;positive reframing,r(308)=.26,p=.001;planning,r(308)=.23,p=.001 and emotional support,r(308)=.19,p=.001. Conclusion The general Kashmiri population had a high resilience level in the wake of Covid-19 pandemic. Religion was the most commonly used coping mechanism. Positive coping mechanisms may lead to increased resilience among people during mass crisis or pandemics.","Hussain, Tajamul, Pandith, Mudasir Hassan, Imtiyaz, Bushra, Shah, Sameer Ahmad, Bhat, Farooq Ahmad, Majeed, Mir Humayun, Ali Wani, Mudasir","https://www.google.com/search?q=Psychological+Coping+and+Resilience+among+Kashmiri+Population+during+Covid-19+Pandemic","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S615-S615, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32936,""
"Cross-Sectional Associations between Living and Built Environments and Depression Symptoms among Chinese Older Adults","In this study, we explored the cross-sectional associations between living and built environments and depression among older Chinese adults. Data from 5822 participants were obtained. Depression symptoms were evaluated through the use of the Patient Health Questionnaire (PHQ-9), with a score higher than 4 categorized as having depression symptoms. The living environment was assessed by asking about dust in the environment and barrier-free facilities. We considered the presence of amenities within a 10 min walking distance and the proportion of green space within an 800 m distance from participantsâ€™ dwellings to reflect the built environment. Data were analyzed by multilevel logistic regression. Participants living in a non-dusty environment with proximity to green space had a lower risk of depression (non-dusty environment: OR = 0.784, 95% CI = 0.642, 0.956;green space: OR = 0.834, 95% CI = 0.697, 0.998). However, having no access to barrier-free facilities and hospital proximity increased the depression risk (barrier-free facilities: OR = 1.253, 95% CI = 1.078, 1.457;hospital: OR = 1.318, 95% CI = 1.104, 1.574). Dusty environments, access to barrier-free facilities and proximity to hospitals and green spaces were associated with depression symptoms among older Chinese adults.","Hou, Fangfang, Han, Xiao, Wang, Qiong, Zhou, Shuai, Zhang, Jingya, Shen, Guodong, Zhang, Yan","https://www.google.com/search?q=Cross-Sectional+Associations+between+Living+and+Built+Environments+and+Depression+Symptoms+among+Chinese+Older+Adults","","Database: ProQuest Central; Publication type: article; Publication details: International Journal of Environmental Research and Public Health; 19(10):5819, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32937,""
"A study on behavioural problems in children and adolescents during COVID pandemic and its impact on the mental wellbeing of parents- an online survey","Background: The COVID-19 pandemic has led to unprecedented changes in the lives of billions of children due to national containment measures and school closures. The minors are particularly vulnerable to behavioural difficulties amidst the uncertainties. Increased responsibilities in the parents are adding to their mental turmoil. Hence, it is imperative that the issue is addressed to halt an emerging Mental Health pandemic. Aims: The study aimed at assessing behavioral problems of children and adolescents during home confinement and its correlation with mental well-being of the parents. Method: The study used an internet-based questionnaire covering sociodemographic and clinical variables, completed by 250 parents of children between 4-17 years of age. Strengths and difficulties questionnaire (SDQ) for behavioral problems in children and Adult Well-being Scale for parents was used for evaluation. Statistical analysis was done by Pearson Correlation and ANOVA test. Results: Emotional (t=2.102, p=0.05) and Hyperactivity (t=2.15, p=0.03) scores were more in boys as compared to girls. Conduct (t=4.87, p&lt;0.01), Hyperactivity (t=4.46, p&lt;0.01) and emotional (t=2.54, p=0.01) problems were positively associated with the use of online platforms with increased screen time showing a statistically significant correlation with psychopathology. Total difficulty score showed positive correlation with depression (r=0.28, p&lt;0.01), anxiety (r=0.27, p&lt;0.01) and irritability (r=0.34, p&lt;0.01) in parents. Discussion: The results reflect that childrenâ€™s disruptive and emotional problems increased with the increased screen time which could be due to social skills deficit in an unexpected setting of school closure and home confinement. This negatively impacts parentsâ€™ well-being as shown in our results in keeping with previous studies conducted. Conclusion: The study revisits the negative impact of behavioral problems in children on parental wellbeing which has increased manifold in stressful times of today. The importance of ameliorating distress of parents as well as targeting problematic behaviors is crucial for positive mental health.","Gupta, Nimisha, khadanga, Poornima","https://www.google.com/search?q=A+study+on+behavioural+problems+in+children+and+adolescents+during+COVID+pandemic+and+its+impact+on+the+mental+wellbeing+of+parents-+an+online+survey","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S540-S540, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32938,""
"Suicidal Ideation among University Students: A Moderated Mediation Model Considering Attachment, Personality, and Sex","The present study aimed to examine the link between attachment, personality traits, and suicidal ideation with consideration of the potential moderating role of age and sex. The Suicidal History Self-Rating Screening Scale, the Personality Inventory for DSM-5-Brief Form, and the Attachment Style Questionnaire were administered to 183 students. There was a significant indirect effect of need for approval on suicidal ideation via detachment. Moreover, the moderated mediation models of need for approval and preoccupation with relationships on suicidality via negative affectivity were significant in men, but not women, whereas the moderated mediation model of need for approval on suicidality via detachment was significant in women, but not men. Young men and women seem at risk for increased suicidal ideation based on specific attachment and personality characteristics, which should be considered for the development of prevention and therapeutic interventions.","Granieri, Antonella, Casale, Silvia, Sauta, Maria Domenica, Franzoi, Isabella Giulia","https://www.google.com/search?q=Suicidal+Ideation+among+University+Students:+A+Moderated+Mediation+Model+Considering+Attachment,+Personality,+and+Sex","","Database: ProQuest Central; Publication type: article; Publication details: International Journal of Environmental Research and Public Health; 19(10):6167, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32939,""
"COVID-19 pandemic Effects and after effects on people with Neurodevelopmental Disorders and their Families","COVID-19 has disrupted everyday life worldwide and is the first disease event since the 1918 H1N1 Spanish influenza (flu) pandemic. The extensive damage wreaked by historical pandemics on health, economy, and society was a function of pathogen characteristics and lack of public health resources. In particular this pandemic has worsened neurodevelopmental disorders ADHD, ASD,IDD with an increase in MH, Psychosocial consequences in children and parents.Many of the NDDs are illnesses of life span and require multiple supportive, life enhancing interventions.COVID Pandemic increased phobias,anxiety,clinginess, distraction, irritability, depression, mood lability, impaired social interaction, sleep disturbances, low self-esteem, substance use disorder, and suicide. In India,USA and around the globe Parents and caregivers are experiencing much turmoil. They are increasingly burdened by the changing nature of caring for their children and other family members. May cause caregivers to experience intense distress, anxiety, loneliness, agitation,depression, social withdrawal and other challenging behaviors. There is evidence that there is a higher risk for those residing in residential group homes.Parents are finding themselves simultaneously expected to play the role of parent, special education teacher, and individual aide, all the while having to provide care for other children in the home and juggle work-from-home. children with NDD and families need evaluations, treatments and supports by professionals, as the ongoing pandemic can exacerbate the current challenges and provide ways of handling, coping.Also focus on identification of long-term control strategies that balance consideration of health in at risk populations, societal behavior, and economic impact. ANCIPS 2022","Gogineni, Rama Rao, Punnoose, Varghese","https://www.google.com/search?q=COVID-19+pandemic+Effects+and+after+effects+on+people+with+Neurodevelopmental+Disorders+and+their+Families","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S639-S639, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32940,""
"Social and behavioral vulnerability, pregnancy, and negative mental health outcomes in the US during the Covid-19 pandemic","The novel coronavirus (Covid-19) pandemic has had a significant impact on the mental health of the general U.S. population. Extant literature has increasingly linked social vulnerabilities, risky behavior, and limited social and psychological resources to the growing mental health crisis during the virus's spread. The purpose of this study was to examine the impact of pertinent social vulnerabilities and subjective risk factors for both men and women on mental health (i.e., depression, anxiety, isolation) with a closer examination of the influence of pregnancy during the pandemic on mental health. The sample included 740,640 respondents participating in the U.S. Covid-19 Trends and Impact Survey that was deployed between February and March 2021. Descriptive statistics and ordinary least squares regression models are presented with a focus on the factors that shape negative mental health outcomes, particularly on the disparities between pregnant and non-pregnant women relative to men, but also subjective/perception factors (e.g., fear/worry) and social vulnerabilities. Results show that pregnant women were at significantly greater risk of negative mental health outcomes at this stage of the pandemic than either men or non-pregnant women. Overall, respondents who were younger, without children in the household, unemployed, worried generally about infection or their finances, or had ever tested positive for Covid were also more likely to report feelings of anxiety, isolation, and depression than their counterparts. Pregnant women may be especially vulnerable to depression, anxiety, and isolation during the pandemic and our findings suggest the importance of developing targeted mental health support for this sub-population.","Godleski, Stephanie A.; Harris, Casey T.; Fitzpatrick, Kevin M.; Kothari, Ammina","https://www.google.com/search?q=Social+and+behavioral+vulnerability,+pregnancy,+and+negative+mental+health+outcomes+in+the+U.S.+during+the+Covid-19+pandemic","","Database: EuropePMC; Publication type: article; Publication details: AIMS public health; 9(2):331-341, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32941,""
"Impact of SARS-CoV-2 (COVID-19) on the mental health of healthcare professionals: a systematic review","Background: In times of this global pandemic situation, population's mental health is compromised, especially in those groups that are at the forefront of defense against the virus such as healthcare professionals. The objective of this study was to analyze the impact of the SARS-CoV-2 outbreak on healthcare professionals' mental health.","Garcia-Iglesias, J. J.; Gomez-Salgado, J.; Martin-Pereira, J.; Fagundo-Rivera, J.; Ayuso-Murillo, D.; Martinez-Riera, J. R.; Ruiz-Frutos, C.","https://www.google.com/search?q=Impact+of+SARS-CoV-2+(COVID-19)+on+the+mental+health+of+healthcare+professionals:+a+systematic+review","","Database: GIM; Publication type: article; Publication details: Revista Espanola de Salud Publica; 94(e202007088), 2020.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32942,""
"Mapping data opportunities relating to food, nutrition and health in the COVID-19 pandemic","18 Table 1Proposed data framework in relation to health, food, nutrition, and the COVID-19 pandemicFood Production & Supply Food Access Food Choices & Dietary patterns Nutritional status & comorbidities Health/disease outcomes Health & Nutrition Services Individual/Household Allotment use/gardening metrics;Policies and incentives Proportion of expenditure on food;Food bank use;Food insecurity;Coping strategy index;Social mobility (across generations and in the shorter term);Numbers moving into (and out of) poverty Food preferences;Food purchasing;Food preparation;Food consumption;Food waste;Breastfeeding Primary/secondary health care records Physical activity;Mental health;Wearable device data;Chronic disease management;Health insurance data Access to sanitation & potable water;Use of universal healthcare services;Use of nutrition/dietitian services;Use of mental health services Regional/National Production indices of specific food groups;Production values;Export/import quantities & values;Dietary energy supply adequacy;Share of dietary energy supply derived from cereals, roots and tubers;Protein supply;Protein supply of animal origin;Local food production;Organic agriculture;Policies and incentives for farmers;Local or Community initiatives Cereal import dependency;Population living in poverty;Un/Employment rates;Proportion of expenditure on food;Food prices (food basket & food groups);Food bank use;Financial aid for families;Food emergency services;Disruption food provision services (schools, community kitchens, etc.);Food delivery services Purchasing patterns (supermarkets, grocery stores, take away, restaurants);Food waste;Food advertisement;Supplement sales;Policies & incentives promoting specific foods Low birthweight;Stunting/wasting;Overweight & obesity;Micronutrient deficiencies Hospital admissions;Prescribed/OTC drugs purchasing;Mortality rates (disease-specific & all cause) Provision of sanitation services & potable water;Universal healthcare services;Nutrition/dietitian part of universal healthcare;Mental health part of universal healthcare;Healthcare services disruption;Hospital admission patterns Global UN Food and Agriculture Organisation (FAO) surveillance data Global Hunger Index;Global Food Security Index Global Dietary Database WHO, UNICEF and Global Nutrition Report surveillance data WHO and Global Burden of Disease and CDC (with regional equivalents) surveillance data Commonwealth Association of Dietitians and Nutritionists, Euro ean Federation of Associations of Dietitians (with regional equivalents) Discussion/ConclusionThis collaborative framework is the first step towards the development of a better understanding of the impact of COVID-19 on food, nutrition, and health systems. Limited data availability and disruption in routine data collection as well as other nutrition assessments during the pandemic are challenges that might limit the potential of the proposed framework. Next steps will include formal research and data gap analysis and the identification, as well as utilisation, of other indicators that could be used as proxies of the variables identified.","Crocombe, Dominic, Buckner, Luke, Marjorie Lima do, Vale, Macinich, Elaine, Almoosawi, Suzana, Ray, Sumantra","https://www.google.com/search?q=Mapping+data+opportunities+relating+to+food,+nutrition+and+health+in+the+COVID-19+pandemic","","Database: ProQuest Central; Publication type: article; Publication details: BMJ Nutrition, Prevention & Health; 5(Suppl 1):A12-A13, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32943,""
"Psychedelic Mystical Experience: A New Agenda for Theology","When the link between psychedelic drugs and mystical states of experience was first discovered in the 1960s, Huston Smith challenged scholars in religion and philosophy to consider the implications. Very few took up his challenge. Beginning in 2006, hundreds of studies have linked psychedelics not just to mystical states of experience but to potential treatments for many mental health disorders. Regulatory approval for therapies is on the horizon, and hundreds of millions of people worldwide could be treated. Research findings challenge the underlying rationale of the War on Drugs, leading to decriminalization of specific psychedelic drugs or to authorization of their use in mental health contexts. Religious institutions are slowly adapting, with some referring to psychedelics as sacraments or as pathways to deeper spirituality. Religious leaders are also beginning to speak out publicly in support of careful use of these drugs, and some are training to become â€œpsychedelic chaplainsâ€ to work alongside mental health professionals administering these drugs. Scholars in theology and religion are encouraged to engage these trends, to explore challenging philosophical and theological issues surrounding mystical states of experience in general, and to consider the long-term cultural impact of the most recent psychedelic research.","Cole-Turner, Ron","https://www.google.com/search?q=Psychedelic+Mystical+Experience:+A+New+Agenda+for+Theology","","Database: ProQuest Central; Publication type: article; Publication details: Religions; 13(5):385, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32944,""
"A Cross-Sectional Study on Attitude towards Preventive Measures Against Covid-19 among Pregnant Women at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun-State, Nigeria","Background: Pregnant women experience changes in their immune status and physical body making them more vulnerable to virus related respiratory infections. This study assesses attitude towards preventive measures against COVID -19 among pregnant women at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria. Objectives: To assess attitude towards preventive measures against COVID -19 among pregnant women. Methods: A descriptive cross-sectional study was adopted for the study. Convenient sampling technique was used to select 431 pregnant women. Data was collected using standardized questionnaire on the research subject adopted from Erfani, Shahriarirad, Ranjbar, Mirahmadizadeh & Moghadami, (2020) and World Health Organization's survey tool and guidance on prevention of COVID-19 (WHO, 2020) and analyzed using SPSS version 24 software. Results: Findings showed that 431 respondents participated in the study, the mean age Â± SD of the respondents was 30.6 Â± 4.5. Almost all (97.2%) of them were married and majority (90.3%) were from monogamous family settings. It also revealed that 64.7% of the respondents had positive attitude towards preventive measures against COVID - 19 while 35.3% had negative attitude. Parity (P= 0.036), religion (P = 0.017), level of education (P= 0.002) , income (P= 0.012) added statistically significantly to the prediction of attitude towards experience of psychological distress Conclusion: The study concludes that majority of pregnant women had positive attitude towards preventive measures against COVID - 19.","Clara, T. Adetoye R. N. MSc, Adebukunola, O. Afolabi R. N. MSc, Adedapo, O. Adetoye Mbbs Fwacs, Oluwagbenga, E. Adelami R. N. BNSc, Abigail, A. Abioye R. N. MSc, Kolade, A. Afolabi MBChB PhD, Temidayo, O. Avwioro R. N. MSc","https://www.google.com/search?q=A+Cross-Sectional+Study+on+Attitude+towards+Preventive+Measures+Against+Covid-19+among+Pregnant+Women+at+Obafemi+Awolowo+University+Teaching+Hospitals+Complex,+Ile-Ife,+Osun-State,+Nigeria","","Database: ProQuest Central; Publication type: article; Publication details: International Journal of Caring Sciences; 15(1):361-370, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32945,""
"A Machine Learning Approach for Detecting Digital Behavioral Patterns of Depression Using Nonintrusive Smartphone Data (Complementary Path to Patient Health Questionnaire-9 Assessment): Prospective Observational Study","Background: Depression is a major global cause of morbidity, an economic burden, and the greatest health challenge leading to chronic disability. Mobile monitoring of mental conditions has long been a sought-after metric to overcome the problems associated with the screening, diagnosis, and monitoring of depression and its heterogeneous presentation. The widespread availability of smartphones has made it possible to use their data to generate digital behavioral models that can be used for both clinical and remote screening and monitoring purposes. This study is novel as it adds to the field by conducting a trial using private and nonintrusive sensors that can help detect and monitor depression in a continuous, passive manner. Objective: This study demonstrates a novel mental behavioral profiling metric (the Mental Health Similarity Score), derived from analyzing passively monitored, private, and nonintrusive smartphone use data, to identify and track depressive behavior and its progression. Methods: Smartphone data sets and self-reported Patient Health Questionnaire-9 (PHQ-9) depression assessments were collected from 558 smartphone users on the Android operating system in an observational study over an average of 10.7 (SD 23.7) days. We quantified 37 digital behavioral markers from the passive smartphone data set and explored the relationship between the digital behavioral markers and depression using correlation coefficients and random forest models. We leveraged 4 supervised machine learning classification algorithms to predict depression and its severity using PHQ-9 scores as the ground truth. We also quantified an additional 3 digital markers from gyroscope sensors and explored their feasibility in improving the modelâ€™s accuracy in detecting depression. Results: The PHQ-9 2-class model (none vs severe) achieved the following metrics: precision of 85% to 89%, recall of 85% to 89%, F1 of 87%, and accuracy of 87%. The PHQ-9 3-class model (none vs mild vs severe) achieved the following metrics: precision of 74% to 86%, recall of 76% to 83%, F1 of 75% to 84%, and accuracy of 78%. A significant positive Pearson correlation was found between PHQ-9 questions 2, 6, and 9 within the severely depressed users and the mental behavioral profiling metric (r=0.73). The PHQ-9 question-specific model achieved the following metrics: precision of 76% to 80%, recall of 75% to 81%, F1 of 78% to 89%, and accuracy of 78%. When a gyroscope sensor was added as a feature, the Pearson correlation among questions 2, 6, and 9 decreased from 0.73 to 0.46. The PHQ-9 2-class model+gyro features achieved the following metrics: precision of 74% to 78%, recall of 67% to 83%, F1 of 72% to 78%, and accuracy of 76%. Conclusions: Our results demonstrate that the Mental Health Similarity Score can be used to identify and track depressive behavior and its progression with high accuracy.","Choudhary, Soumya, Thomas, Nikita, Ellenberger, Janine, Srinivasan, Girish, Cohen, Roy","https://www.google.com/search?q=A+Machine+Learning+Approach+for+Detecting+Digital+Behavioral+Patterns+of+Depression+Using+Nonintrusive+Smartphone+Data+(Complementary+Path+to+Patient+Health+Questionnaire-9+Assessment):+Prospective+Observational+Study","","Database: ProQuest Central; Publication type: article; Publication details: JMIR Formative Research; 6(5), 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32946,""
"Covid-19 Restrictions and the Effects of Physical Activity on Mental Health in Midwestern Adolescent Adaptive Athletes","Background: The COVID-19 pandemic and related lockdowns in 2020 negatively impacted high school students, with increased depression and anxiety especially in athletes who participated in team sports. For adolescents with disabilities, physical activity provides physical and mental health benefits;however, the impact of COVID-19 related adaptive sports cancellations have not been thoroughly investigated. Hypothesis: Adaptive athletes with lower activity levels during a period of COVID-19 related restrictions will have worse scores of depression, anxiety, and quality of life. Methods: Institutional Review Board (IRB) exemption was granted. Adaptive athletes ages 12-21 were identified through Midwestern adaptive athletic associations. Athletes completed a survey between June 2020 and January 2021 including Patient Health Questionairre-9 Item (PHQ-9) for depression, General Anxiety Disorder-7 Item (GAD-7) anxiety, Pediatric Functional Activity Brief Scale (PFABS) for activity level, and Pediatric Quality of Life Inventory 4.0 (PedsQL) for quality of life. PFABS and PedsQL were modified as appropriate to adaptive athletes. Univariate analysis was performed using chi-square tests to assess the association between activity and mental health. Student T-tests were used for multivariate analysis to assess the role of sex, grade in school, and individual vs team sport participation on quality of life. Results: Twenty-four respondents completed the survey in its entirety, with majority from Wisconsin, Minnesota, and Illinois. Demographics are shown in Table 1. There was no significant association between physical activity levels and GAD-7 (R2=-0.040), PHQ-9 (R2=-0.020) or PedsQL (R2=-0.043). Activity levels of adaptive sports athletes did not differ by gender, sport type or school grade (Table 1). Discussion: Unlike previous work in able-bodied adolescents, we found no correlation between physical activity and scores related to depression and anxiety among adolescent adaptive sports athletes during COVID-19. Additionally, there were no difference in activity levels nor mental health scores by gender, sport type nor school grade, a proxy for age. While, the sample size in this study was a fraction of those used in previous work, adaptive athletes are a small proportion of adolescent athletes. Adaptive athletes, who face greater challenges in society on a daily basis, may have had lower quality of life measures at baseline or more sophisticated coping mechanisms already in place providing fortitude in mental health in the face of the pandemic. Conclusion: In a small cohort of adaptive athletes in the Midwest region of the USA, sport related cancellations had no association with mental health scores from June 2020 to January 2021.Table 1. Demographics and Activity Level","Choe, Joshua, Azerf, Saji, Lang, Pamela","https://www.google.com/search?q=Covid-19+Restrictions+and+the+Effects+of+Physical+Activity+on+Mental+Health+in+Midwestern+Adolescent+Adaptive+Athletes","","Database: EuropePMC; Publication type: article; Publication details: Orthopaedic journal of sports medicine; 10(5 suppl2), 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32947,""
"Community Innovation and Regional Sustainability: A Case Study of Environmental Health Education in Siaogang Hospital, Kaohsiung Medical University","Kaohsiung Municipal Siaogang Hospital is located in southern Kaohsiung City, a major nexus of land, sea, and air transportation. Thus, the hospital is on the frontlines of strengthening Kaohsiung International Airport's epidemic prevention measures and preventing the spread of COVID-19 and other epidemic viruses to Taiwan from other countries. Kaohsiung Medical University integrates on-campus academic research, teaching services, and medical institution resources and has long promoted community care plans in conjunction with the public sector. A disused public sector space repurposed by the university into a distinctive day care center is being further used as a servicelearning platform linking medical education to communities, allowing university students to enter the community and apply what they have learned to improve quality of life, community health, and well-being. ""Happy Kaohsiung Healthy City-Siaogang District Environmental Education and Health Promotion Sustainable Development Plan"", which responds to the issues and needs of air pollution and health promotion in the city's Siaogang District, designates Kaohsiung Municipal Siaogang Hospital as the core base of local practice, connecting multidisciplinary schools and units as well as crossregional resources to promote practical programs such as air quality talent education, environmental testing and research, campus health education and publicity, air pollution syllabus, and community care and care, fulfilling the university's social responsibilities.","Chen, Szu-Chia, Kuo, Chao-Hung","https://www.google.com/search?q=Community+Innovation+and+Regional+Sustainability:+A+Case+Study+of+Environmental+Health+Education+in+Siaogang+Hospital,+Kaohsiung+Medical+University","","Database: ProQuest Central; Publication type: article; Publication details: Hu Li Za Zhi; 69(3):13-18, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32948,""
"Mianserin-Induced Peripheral Edema and Review of the Literature","Peripheral edema is characterized by interstitial fluid accumulation in the extravascular compartment. Use of psychotropic drugs can cause edema either directly or by causing systemic disease. We present a case of bilateral ankle edema reaching up to the middle of both legs in a 50-year-old female patient, which is considered to be a result of the use of mianserin 10 mg/day. Dramatic regression was observed in the patient's edema 15 days after the cessation of mianserin. This is the second case in the literature that demonstrated peripheral edema associated with mianserin. Clinicians need to know about the management of edema and edema associated with the use of antidepressants. [Psychiatr Ann. 2022;52(5):213â€“216.]","Burak Erman, MenkÃ¼, Cosar, BehÃ§et","https://www.google.com/search?q=Mianserin-Induced+Peripheral+Edema+and+Review+of+the+Literature","","Database: ProQuest Central; Publication type: article; Publication details: Psychiatric Annals; 52(5):213-216, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32949,""
"The Use of Telepsychiatry during Coronavirus Disease 2019: A Cross-sectional Study on Demographic and Clinical Profile of Those who Sought Help by Using this Facility","Aim: We aimed to study the demographic and clinical profile of patients who sought teleconsultation for psychiatric disorders from august 2020 to January 2021. Materials & Methods: In this cross-sectional descriptive study, data was retrieved from the telepsychiatry services and was analyzed to examine the demographic and clinical parameters of patients. Results: Atotal of 3444 teleconsultations were sought with a mean age of 37.78 Â± 15.08. About 80% of the patients were in the age group of 20-60 years. Females outnumbered males with 1938 (56.3%) females and 1538 (43.7%) males. Mood disorders were the most frequent diagnosis with Major Depressive Disorder in 1572 (45.6%) and Bipolar Disorder in 636 (18.5%). Co-morbidity was present in 234 (6.8%) of the study group. The mean psychotropics prescribed were 1.95 Â± 0.84. One, two, three and four psychotropics were prescribed in 918 (26.7%), 1470 (42.7%), 900 (26.1%) and 42 (1.2%) respectively. Those aged &lt; 20 years or = 60 years prescribed psychotropics at lower rates in comparison to the 20-60 years age group. Female patients had a significantly higher rate of psychotropic prescription than male patients. Three or four psychotropics were prescribed to those with co-morbidity at a significantly higher rate. Conclusion: Demographic and clinical profile of patients seeking treatment through telepsychiatry was found to be comparable with face-to-face outpatient consultations. Clinical Significance: With the development of clinical, operational, legal, and ethical guidelines for telepsychiatry practice, the systematic application of Information and Communication Technologies to the practice of mental healthcare is being rapidly adopted.","Bhat, Bilal Ahmad, Roub, Fazl E.; Rauf, Insha, Shah, Iqra Rasheed, Hussain, Arshad","https://www.google.com/search?q=The+Use+of+Telepsychiatry+during+Coronavirus+Disease+2019:+A+Cross-sectional+Study+on+Demographic+and+Clinical+Profile+of+Those+who+Sought+Help+by+Using+this+Facility","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S557-S558, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32950,""
"Examining Anxiety Treatment Information Needs: Web-Based Survey Study","Background: Several treatments for anxiety are available, which can make treatment decisions difficult. Resources are often produced with limited knowledge of what information is of interest to consumers. This is a problem because there is limited understanding of what people want to know when considering help for anxiety. Objective: This study aimed to examine the information needs and preferences concerning treatment options for anxiety by assessing the following: what information people consider to be important when they are considering treatment options for anxiety, what information people have received on psychological and medication treatment in the past, how they received this information in the past, and whether there are any differences in information needs between specific samples and demographic groups. Methods: Using a web-based survey, we recruited participants from a peer-support association website (n=288) and clinic samples (psychology, n=113;psychiatry, n=64). Results: Participants in all samples wanted information on a broad range of topics pertaining to anxiety treatment. However, they reported that they did not receive the desired amount of information. Participants in the clinic samples rated the importance of information topics higher than did those in the self-help sample. When considering the anxiety treatment information received in the past, most respondents indicated receiving information from informational websites, family doctors, and mental health practitioners. In terms of what respondents want to learn about, high ratings of importance were given to topics concerning treatment effectiveness, how it works, advantages and disadvantages, what happens when it stops, and common side effects. Conclusions: It is challenging for individuals to obtain anxiety-related information on the range of topics they desire through currently available information sources. It is also difficult to provide comprehensive information during typical clinical visits. Providing evidence-based information on the web and in a brochure format may help consumers make informed choices and support the advice provided by health professionals.","Bernstein, Matthew T.; Reynolds, Kristin A.; Jakobson, Lorna S.; Stoesz, Brenda M.; Alcolado, Gillian M.; Furer, Patricia","https://www.google.com/search?q=Examining+Anxiety+Treatment+Information+Needs:+Web-Based+Survey+Study","","Database: ProQuest Central; Publication type: article; Publication details: JMIR Formative Research; 6(5), 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32951,""
"Prevalence of and factors associated with depressive and anxiety symptoms among people living with HIV infection in Davao City, Philippines","Depression and anxiety are common among people living with human immunodeficiency virus (PLWHIV) infection. In this study, we aimed to determine the prevalence of and factors associated with depression and anxiety among PLWHIV infection in Davao City, Philippines, in order to inform programs to minimize these mental health conditions in the study population. Study subjects were chosen from patients who accessed the HIV and AIDS Core Team (HACT) Clinic at an urban tertiary care hospital in Davao City, Philippines, during August-September 2019. Eligible study subjects were asked to complete the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder (GAD-7) questionnaire to assess their depressive and anxiety symptoms. Selected factors were evaluated to determine their association with depressive and anxiety symptoms. A total of 145 subjects were included in the study, 95.9% male. The study subject mean (+or- standard deviation) age was 33.0 (+or- 8.4) years old. Among study subjects, 51.7% and 41.4% had symptoms of depression and anxiety, respectively. Factors significantly associated with depressive symptoms were being aged 25-34 years (adjusted prevalence ratio (aPR)=1.55;95% confidence interval (CI): 1.06-2.26;p-value=0.023) compared to being aged &gt;34 years and being unemployed (aPR=1.62;95% CI: 1.15-2.29;p-value=0.006) compared to being employed. The factor significantly associated with anxiety symptoms was being aged 25- 34 years (aPR=1.61;95% CI: 1.03-2.51;p-value=0.038) compared to being aged &gt;34 years. In summary, a high prevalence of depressive and anxiety symptoms was observed among our study subjects;younger age and being unemployed were associated with depressive symptoms and being younger was associated with anxiety symptoms. We conclude there is a need for a program to reduce depression and anxiety in the study population. Further studies are needed to determine what specific interventions can reduce these mental health symptoms in this vulnerable study population.","Bernabe, R. C.; Jr.; Regencia, Z. J. G.; Baja, E. S.","https://www.google.com/search?q=Prevalence+of+and+factors+associated+with+depressive+and+anxiety+symptoms+among+people+living+with+HIV+infection+in+Davao+City,+Philippines","","Database: GIM; Publication type: article; Publication details: Southeast Asian Journal of Tropical Medicine and Public Health; 53(2):123-141, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32952,""
"Putting research into practice: knowledge translation and implementation for action on nutrition","The transfer of research evidence into practice has been historically slow, and requires an integration of many elements, including quality evidence, supportive physical and intellectual environments, and facilitation, as discussed at the NNEdPro Sixth International Summit on Nutrition and Health. Examples of applying clinical research into practice focused on the use of group consultations (also known as group clinics or shared medical appointments) to support behaviour change, the role of dietary micronutrients during the COVID-19 pandemic and the potential of Precision Nutrition. An emerging area from early implementation evidence includes group consultations, also known as shared medical appointments, as discussed by Dr Fallows. Group consultations have been shown to improve clinical outcomes for some patient groups (e.g., HbA1c, lipids, BMI), as well as improve self-care and health education, and patient and clinician satisfaction. These groups have been piloted throughout the UK both face-to-face and virtually, with initial findings suggesting they are feasible and acceptable to patients and clinicians. Further work is needed to assess whether these could be cost-effective when scaled-up in National Health Service UK primary care. During the COVID-19 pandemic, there has been increasing emphasis on the central role of nutrition in health, including the role of dietary micronutrients, as discussed by Dr Van Dael and Shane McAuliffe. Nutrition plays an important role in immunity, yet the nutritional status of the most vulnerable population groups is likely to deteriorate further due to the health and socio-economic impacts of the novel coronavirus. Thus, implementation of this evidence into health care practice is key. Precision Nutrition, defined as an â€˜approach that uses information on individual characteristics to develop targeted nutrition advice, products or servicesâ€™, offers an exciting opportunity to further individualise dietary advice for behaviour change, as discussed by Dr Kohlmeier and Dr Hernandez. Precision nutrition is underpinned by the recognition that individuals differ in many important ways due to identifiable molecular traits and can be utilised to determine personalised weight loss interventions based on genetic variants. Use of implementation science is in line with one of the six cross-cutting pillars of the Nutrition Decade: Aligned health systems for universal coverage of nutrition actions. Dr Bell, an Advanced Accredited Practising Dietitian in Australia, provided an overview of key implementation science models and frameworks. Implementation frameworks such as the Action Research Framework, the Knowledge to Action Cycle, and the Spread and Sustain Framework, are underpinned by knowledge creation, effective education, and culture change. Dr Bell then highlighted how theoretical frameworks have provided guidance for the implementation of real world, complex nutrition interventions, including the Systematised Interdisciplinary Program for Implementation and Evaluation (SIMPLE) in Australia, and the More-2-Eat program in Canada.","Bell, Jack, Fallows, Ellen, Peter Van, Dael, McAuliffe, Shane, Kohlmeier, Martin, Alfredo Martinez, Hernandez, Adamski, Melissa, Ray, Sumantra, Crocombe, Dominic, Marjorie Lima do, Vale","https://www.google.com/search?q=Putting+research+into+practice:+knowledge+translation+and+implementation+for+action+on+nutrition","","Database: ProQuest Central; Publication type: article; Publication details: BMJ Nutrition, Prevention & Health; 5(Suppl 1):A1, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32953,""
"Ownership, Use of, and Interest in Digital Mental Health Technologies Among Clinicians and Young People Across a Spectrum of Clinical Care Needs: Cross-sectional Survey","Background: There is currently an increased interest in and acceptance of technology-enabled mental health care. To adequately harness this opportunity, it is critical that the design and development of digital mental health technologies be informed by the needs and preferences of end users. Despite young people and clinicians being the predominant users of such technologies, few studies have examined their perspectives on different digital mental health technologies. Objective: This study aims to understand the technologies that young people have access to and use in their everyday lives and what applications of these technologies they are interested in to support their mental health. The study also explores the technologies that youth mental health clinicians currently use within their practice and what applications of these technologies they are interested in to support their clientsâ€™ mental health. Methods: Youth mental health service users (aged 12-25 years) from both primary and specialist services, young people from the general population (aged 16-25 years), and youth mental health clinicians completed a web-based survey exploring technology ownership, use of, and interest levels in using different digital interventions to support their mental health or that of their clients. Results: A total of 588 young people and 73 youth mental health clinicians completed the survey. Smartphone ownership or private access among young people within mental health services and the general population was universal (611/617, 99%), with high levels of access to computers and social media. Youth technology use was frequent, with 63.3% (387/611) using smartphones several times an hour. Clinicians reported using smartphones (61/76, 80%) and video chat (69/76, 91%) commonly in clinical practice and found them to be helpful. Approximately 50% (296/609) of the young people used mental health apps, which was significantly less than the clinicians (<U+03C7>23=28.8, n=670;P&lt;.001). Similarly, clinicians were significantly more interested in using technology for mental health support than young people (H3=55.90;P&lt;.001), with 100% (73/73) of clinicians being at least slightly interested in technology to support mental health compared with 88% (520/591) of young people. Follow-up tests revealed no difference in interest between young people from the general population, primary mental health services, and specialist mental health services (all P&gt;.23). Young people were most interested in web-based self-help, mobile self-help, and blended therapy. Conclusions: Technology access is pervasive among young people within and outside of youth mental health services;clinicians are already using technology to support clinical care, and there is widespread interest in digital mental health technologies among these groups of end users. These findings provide important insights into the perspectives of young people and clinicians regarding the value of digital mental health interventions in supporting youth mental health.","Bell, Imogen H.; Thompson, Andrew, Valentine, Lee, Adams, Sophie, Alvarez-Jimenez, Mario, Nicholas, Jennifer","https://www.google.com/search?q=Ownership,+Use+of,+and+Interest+in+Digital+Mental+Health+Technologies+Among+Clinicians+and+Young+People+Across+a+Spectrum+of+Clinical+Care+Needs:+Cross-sectional+Survey","","Database: ProQuest Central; Publication type: article; Publication details: JMIR Mental Health; 9(5), 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32954,""
"Psychopathological symptoms during COVID-19 quarantine in Spanish general population: a preliminary analysis based on sociodemographic and occupational-contextual factors","Background: Coronavirus (COVID-19) pandemic disease forced different countries to adopt quarantine measures. These actions could have an impact on mental health in the general population. The objective of this study was to analyze the differences in psychopathological symptoms shown by Spanish general population during the COVID-19 quarantine based on sociodemographic, occupational and environmental-contextual variables.","Becerra-Garcia, J. A.; Gimenez Ballesta, G.; Sanchez-Gutierrez, T.; Barbeito Resa, S.; Calvo Calvo, A.","https://www.google.com/search?q=Psychopathological+symptoms+during+COVID-19+quarantine+in+Spanish+general+population:+a+preliminary+analysis+based+on+sociodemographic+and+occupational-contextual+factors","","Database: CAB Abstracts; Publication type: article; Publication details: Revista Espanola de Salud Publica; 94(e202006059), 2020.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32955,""
"A study on Mental Health assessment among the Resident Doctors, House Surgeons, during the Corona virus Disease-2019 pandemic","A study on Mental Health assessment among the Resident doctors, House surgeons during the Corona virus Disease-2019 pandemic in Mamata Medical College Introduction: Medical students and health care professional are more anxious and depressed than their peers, and the prevalence of various mental health problems is on the raise. The corona virus disease 2019 (COVID-2019) pandemic has had far-reaching psychosocial consequences on the medical professionals. Aims and objectives: The aim of this study is to assess the mental status of Resident doctors and House surgeons at Mamata medical college during COVID -19 Pandemic and lockdown. Materials and methods: A questionnaire-based, cross-sectional study. General health questionnaire with 28 items (GHQ-28) was adapted to GoogleForms and circulated among healthcare professionals from MamataMedical College, Khammam. Results: This study included 105 medical professionals including House surgeons and Resident doctors practicing in different clinical departments, working at Mamata Medical college, khammam,Telangana. Mean age for the study sample is 25.28years, there were 43 male and 62 female at total of 105 medical professionals out of which 17 were male House surgeons and 35 female house surgeons, 26 were male residents and 27 female residents. In this study 70 participants have scored &gt;23 GHQ score. Females were shown to have higher GHQ score &gt;23 than the male participants Conclusion: Mental health issues are very common among medical professionals, which may be aggravated now during the COVID-19 pandemic. The factors such as uncertainty caused by pandemic, female sex were associated with greater mental health issues.","Bangaru, Sudheer, Challuri, Prashanth, Machavarapu, Raghuram, Mallepalli, Pramod K. R.; Babu, Ravulapati Sateesh, Sakamudi, Manjula","https://www.google.com/search?q=A+study+on+Mental+Health+assessment+among+the+Resident+Doctors,+House+Surgeons,+during+the+Corona+virus+Disease-2019+pandemic","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S610-S610, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32956,""
"Psychological effect of mild to moderate COVID-19 on hospitalised patients","Background: Widespread outbreaks of COVID-19 are associated with symptoms of psychological distress in the patients. Apart from physical and economic, this disease has taken a huge mental and emotional toll on the patients, their caretakers, family and the health care workers. Aim: To assess the psychological impact on hospitalised patients with mild to moderate COVID-19. Materials and Methods: All adult patients above the age of 18 years with RTPCR confirmed diagnosis of COVID 19 admitted in our COVID Hospital were included in the study after obtaining informed consent. Patients requiring ICU were excluded. They were assessed with a self made Socio demographic proforma, Depression, anxiety, stress scale (DASS 21) and Psycho Social Assessment (PSA) score for COVID-19. Results: 40 % of the patients showed significant psychological impact which was predicted using the scales. In this study, female gender, being a student, presence of physical symptoms, comorbid illnesses, contact history were associated with higher rates of anxiety and depression. Further results will be presented heneforth. Conclusion: Social isolation, hospitalisation, financial insecurity, and being more susceptible to COVID-19 infections are associated with higher levels of psychological distress. Psychological crisis interventions targeting the high risk populations with heavy psychological stress should come up to reduce the negative psychosocial impact on public mental health.","Aziz, Sadaf, Chaudhary, Suprakash, Saldanha, Daniel","https://www.google.com/search?q=Psychological+effect+of+mild+to+moderate+COVID-19+on+hospitalised+patients","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S599-S600, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32957,""
"Reasons for Suicides Related to the Pandemic Caused by the New Coronavirus: Integrative Review","Background: the pandemic caused by the new coronavirus emerged in China and brought a hard reality to the world population. The disease as well as its preventive measures, in addition to affecting people's physical health, is also affecting their mental health. The impact caused by the pandemic can lead people to put their lives at risk through suicidal acts. Objective: to investigate in the literature the reasons for suicides related to the pandemic caused by the new coronavirus. Methodology: it is an integrative review of articles published in 2020 through searches on Google Scholar and the National Library of Medicine - PubMed, based on the guiding question: what is the literature approach on the reasons for suicides related to the pandemic caused by the new coronavirus? Results: the new coronavirus (SARS-CoV-2) and the social isolation brought damage to the population's mental health. In the articles analyzed, it was observed that the reasons for the suicides associated with the pandemic are related to fear of the disease and of spreading it, economic recession and fear of losing the job, isolation, depression and obsession. Conclusions: it is necessary to pay attention to the reasons that lead individuals to put their lives at risk as a result of the pandemic and to create measures to protect the population's mental health.","Aydogdu, Ana Luiza Ferreira","https://www.google.com/search?q=Reasons+for+Suicides+Related+to+the+Pandemic+Caused+by+the+New+Coronavirus:+Integrative+Review","","Database: ProQuest Central; Publication type: article; Publication details: International Journal of Caring Sciences; 15(1):247-254, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32958,""
"A Cross-Sectional Study on The Correlation between Psychological Distress and Eating Behaviours of Young Adults During the Covid-19 Pandemic","Background Since the onset of COVID-19 pandemic, an increasing level of anxiety, depression and stress are being reported along with a dramatic shift in daily routine, living and eating patterns of young individuals. Aims The study aimed to explore the associations between the psychosocial impact of the COVID 19 pandemic in India, depressive symptomatology, anxiety/stress levels and disordered eating behaviours among adults aged between 18-35years. Methods This was a community based, cross sectional study conducted during August 2021. An online survey was circulated, wherein 110 adults participated. Questions about socio-demographic, lifestyle and eating behaviours were asked. Coronavirus Impact Scale (CIS), Depression, Anxiety, Stress Scale (DASS-21) and Three Factor Eating Questionnaire Revised 18-item version (TFEQ-R18) were used. Pearsonâ€™s correlation analysis was used. Results A total of 101 valid responses were used for statistical analysis. 51% respondents reported mild change in daily routine while 49% reported stress and discord in their families due to the pandemic. Almost 10% of the respondents reported features suggestive of moderate depression and anxiety, while 1.9% reported bingeing on food almost every day in the past month. A positive association was observed between the scores of coronavirus impact scale and that of depression (r=0.366, p=0.000), anxiety (r=0.402, p=0.000), stress (r=0.416, p= 0.000) and uncontrolled eating (r=0.198, r=0.047). Conclusion The COVID-19 pandemic has led to increasing psychological distress and also disordered eating patterns, particularly of bingeing types. Thus, screening of this age group for psychiatric disorders becomes important in order to formulate future targeted interventions.","Awasthi, Snigdha, Ephraim, Rufus","https://www.google.com/search?q=A+Cross-Sectional+Study+on+The+Correlation+between+Psychological+Distress+and+Eating+Behaviours+of+Young+Adults+During+the+Covid-19+Pandemic","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S607-S607, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32959,""
"Antidepressant-like Activity of Patchouli Oil var Tapak Tuan (Pogostemon cablin Benth) via Elevated Dopamine Level: A Study Using Rat Model","Essential oils are gaining popularity for their use in treating depression, including that extracted from patchouli leaves and stems (Pogostemon cablin). Herein, we used patchouli oil (PO) containing a high amount of patchouli alcohol derived from P. cablin var. Tapak Tuan. The aim of this study was to investigate the antidepressant potential of PO, with a variety of patchouli alcohol concentrations obtained from a separation process using vacuum distillation with different temperature ranges. The initial patchouli oil (iPO) was traditionally distilled by a local farmer and further distilled using a rotary evaporator at temperature ranges of 115â€“160 Â°C (POF-1);120â€“160 Â°C (POF-2), and 125â€“160 Â°C (POF-3), resulting in products with different patchouli alcohol concentrations. POF-3, with the highest patchouli alcohol content of 60.66% (based on gas chromatography-mass spectrometry), was used for cooling crystallization, resulting in 100% patchouli alcohol crystal (pPA). A tail suspension test (TST) was performed on a rat model to screen the antidepressant potential of iPO and its derivatives. The TST results revealed that POF-3 had the best antidepressant-like effect and was second only to the fluoxetine-based antidepressant, KalxetinÂ®, where both groups had significant reductions of immobility time post-treatment (p &lt; 0.0001). Other than patchouli alcohol, POF-3 also contained ledol and trans-geraniol, which have been reported for their antidepressant-related activities. Brain dopamine levels increased significantly in the group treated with POF-3 (p &lt; 0.05 as compared with the control group), suggesting its primary anti-depressant mechanism. These findings suggest the potential of vacuum-distilled patchouli oil in reducing depression via dopamine elevation.","Astuti, Puji, Khairan, Khairan, Marthoenis, Marthoenis, Hasballah, Kartini","https://www.google.com/search?q=Antidepressant-like+Activity+of+Patchouli+Oil+var.+Tapak+Tuan+(Pogostemon+cablin+Benth)+via+Elevated+Dopamine+Level:+A+Study+Using+Rat+Model","","Database: ProQuest Central; Publication type: article; Publication details: Pharmaceuticals; 15(5):608, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32960,""
"Health anxiety in patients presenting to Psychiatry outpatient department of a Tertiary care hospital during COVID-19 pandemic","Background Corona virus disease-2019(covid-19) pandemic has had a huge impact on mental health of individuals across the world. Many studies assessed the psychological impact of the pandemic across various demographic groups. Present study attempted to assess health anxiety in patients presenting to psychiatry outpatient department during the pandemic. Aim To study health anxiety during covid-19 pandemic among patients presenting to psychiatry outpatient department of a tertiary care hospital Methods A cross-sectional study was conducted between May and August2021 in the psychiatric out-patient department of medical college hospital after approval from institutional ethics committee. A semi-structured proforma with covid-19 related questions and Short Health Anxiety inventory (SHAI) were applied after obtaining written informed consent from participants. Results Mean health-anxiety score of the participants was 24.5Â±8.7. 60% of the study participants never tested positive for covid and recorded higher health anxiety scores. 35% of them delayed their visit to the outpatient department due to fear of contacting covid. Conclusions It is important to identify health anxiety and its effects on patients during a pandemic and address issues such as delay in seeking first consultation and follow-up due to fear of contacting infection and apply this knowledge to future pandemics.","Anupama, V. V.; Monalisa, Kakumanu, Srivastava, Anurag","https://www.google.com/search?q=Health+anxiety+in+patients+presenting+to+Psychiatry+outpatient+department+of+a+Tertiary+care+hospital+during+COVID-19+pandemic","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S550-S550, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32961,""
"Wellbeing and healthcare priority settings in Sweden at the beginning of the COVID-19 omicron wave","IntroductionThe COVID pandemic proves that a sustainable of healthcare system is dependent both on resources and a consensus about which values should guide the decision makers to appropriately set priorities for resource allocation. There is not clear how exactly the decision makers choose the priorities for spending, but there were differences between and within countries. For example, in Sweden, where healthcare system has a pronounced public character and a declared emphasis on equity and solidarity, there was a high variation between and within regions with respect to how resources were used for treatment, prevention, and vaccination. This article is an explorative analysis of the respondentsâ€™ wellbeing and their preferences regarding priority-setting in healthcare in Sweden during December 2021, when the extremely high infection risk of the Omicron sparked significant concern among global experts and politicians.MethodsOur web-survey was answered by1000 respondents from the web panel Userneeds. The sample is representative with respect age, gender, and geographical region for the adult population of Sweden. The respondents are invited to imagine that they are decision-makers in the health care system and decide for six hypothetical choice situations, where the resources are allocated to save the life of patients at risk of dying due to suicide, pancreatic cancer, breast cancer and acute heart attack. In addition to the choices, the survey also includes questions about the individualâ€™s demographic and socio-economic characteristics, their well-being, their risk for and experience (their own and/or someone near them) with suicide, pancreatic cancer, breast cancer and acute heart attack.ResultsOur preliminary results show that regardless of their age, people with a high value of life-satisfaction and with no experience related to suicide, pancreatic cancer, breast cancer and acute heart attack tend to allocate resources for relatively young patients suffering do to suicide and breast cancer.","AndrÃ©n, Daniela","https://www.google.com/search?q=Wellbeing+and+healthcare+priority+settings+in+Sweden+at+the+beginning+of+the+COVID-19+omicron+wave","","Database: ProQuest Central; Publication type: article; Publication details: BMJ Global Health; 7(Suppl 2):A9, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32962,""
"Psychological intervention in Pandemic Related Pregnancy Stress among women pregnant during COVID-19: An Experience from South Kashmir, India","Background and objectives Pregnancy the most challenging period of womenâ€™s lives were greatly hit by the Coronavirus pandemic and lockdown implemented to curtail the spread of infection in the community has also affected antenatal care. The present study was aimed to find out the effectiveness of mental health education programmes in pandemic related pregnancy stress among women pregnant during COVID-19. Material and methods A combination of descriptive and experimental research design was used. The stress related to COVID 19 was measured using the Pandemic-Related Pregnancy Stress Scale (PREPS) in 123 pregnant females. The compact mental health education intervention programme specially designed for COVID-19 was administered in the experimental group of 61 pregnant females. The stress levels were compared with 61 pregnant females of the control group who were not exposed to the mental health education programme. The results were compared and evaluated for the effectiveness of mental health education programmes in combating the stress during this pandemic. The programme was reintroduced during the second COVID-19 wave and results were accordingly analysed. Results From the study, we found there exists a significant difference in the COVID 19 pandemic related pregnancy stress between control and experimental groups. The mean scores of PREPS preparedness of the experimental group before and after the intervention was 3.36Â±0.89 and 1.25Â±0.81 respectively. A t-value of 12.38 was found which is statistically significant at a CI of 95% (1.77 to 2.44). Similarly, the mean score of PREPS infection of experimental group before and after the intervention was 3.36Â±0.91 and 1.28Â±0.71 and for PREPS positive appraisal of the experimental group before and after the intervention was 1.27Â±0.90 and 3.34Â±11.58 respectively The t-value of 11.58 was found which is statistically significant at CI of 95% (-2,42 to -1.71). However, in control the mean scores for PREPS subscales before and after were almost the same (3.34Â±0.71 and 3.34Â±0.71, 4.04Â±0.91 and 3.94Â±0.80, 2.27Â±0.90 and 2.01Â±0.80). The t-values were statistically insignificant. Therefore from the results, we conclude that in both the experimental and control group the PREPS subscale scores were higher before intervention and reduced to significant levels after intervention in the experimental group however, there was no significant change in stress levels in the control group who were not exposed to the intervention programme. There was also a significant improvement in positive appraisal in pregnant females who received mental health education. Similar results were found during the second COVID-19 wave. Conclusion Pandemic related pregnancy stress had increased and can be of unfavourable consequences regarding mother and infants health. Therefore, early intervention to improve self-care and motivate women to approach the self in a way that entails inculcating and exercising things that inevitably enhance physical and mental health. At the same time refraining from the contrary thereby dispensing with professional medical help will eventually improve the overall mental health of pregnant females.","Amin, Rehana, Nazir, Tanzeela, Margoob, Mushtaq Ahmad, Margoob, Mushtaq Ahmad","https://www.google.com/search?q=Psychological+intervention+in+Pandemic+Related+Pregnancy+Stress+among+women+pregnant+during+COVID-19:+An+Experience+from+South+Kashmir,+India","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S592-S593, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32963,""
"Depression, Anxiety and Stress in pregnant females who tested positive for COVID-19- a Cross-sectional study from South Kashmir India","Background It is evident that the Novel Coronavirus Diseases pandemic inevitably resulted in increased stress and anxiety in the general population. Pregnancy is a challenging period, and COVID-19 has added risk to women pregnant during the pandemic. Aim The present study was aimed to assess the emotional difficulties in pregnant females who tested positive for COVID-19. The current study estimated the prevalence of depression, anxiety, and stress among 63 pregnant ladies who tested positive for COVID-19. Material and Methods The patients were interviewed in the outpatient department of the child and maternity clinic 2weeks after the infection. The interview scale used was DASS-21. The data was analysed using Chi-square and Fisherâ€™s exact test. Results We found the mean age of participants was 33.5Â±7.4. We found that 38.1% of the females were having positive bad obstetric history. The Prevalence of depression, anxiety and stress were 33.32%, 50.83%, and 60.3% respectively. In correlation analysis, notably bad obstetric history and working females were significant independent factors for higher levels of depression, anxiety and stress. The depression was also found more in literate females and in third trimester. Conclusion The study indicates high levels of emotional difficulties in pregnant females who tested positive for COVID-19. This calls for extra measures to promote the mental health and resilience of pregnant females, especially during a crises situation.","Amin, Rehana, Maqbool, Mohammad, Nazir, Tanzeela, Maqbool, Masood","https://www.google.com/search?q=Depression,+Anxiety+and+Stress+in+pregnant+females+who+tested+positive+for+COVID-19-+a+Cross-sectional+study+from+South+Kashmir+India","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S593-S594, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32964,""
"A Study on the psychological stress, perceived social support and coping strategies of junior doctors working in different medical colleges in Kolkata during the period of current COVID-19 pandemic","BACKGROUND: - The COVID-19 pandemic has forced the healthcare workers into an unprecedented situation. They are having increased workload along with fear of infection of this highly contagious disease leading to a psychological distress. Recent studies have showed pooled prevalence of depression and anxiety to be as high as 22.8% and 23.2% respectively. Perceived Social support and coping strategies affect the outcome of the stress perceived. AIMS & OBJECTIVES: - This descriptive, observational and cross-sectional study is done to assess the prevalence of perceived stress, depression and anxiety among healthcare worker and to find there association with the perceived social support and coping strategies used. METHODS:- Data was collected online. All the junior doctors were sent google forms containing questions of Depression Anxiety Stress Scale (DASS-21item scale) scale, Multidimensional Scale for social support and Brief Resilient Coping scale. Link of the form was sent to all available contacts and all the eligible responses, taking into consideration of inclusion and exclusion criteria, were considered for analysis. RESULT:- High prevalence of anxiety and depression were found among healthcare worker with significant correlation to the perceived social support and coping strategies used. CONCLUSION:- This study found out that prevalence of depression and anxiety among healthcare worker is high in this covid era.","","https://www.google.com/search?q=A+Study+on+the+psychological+stress,+perceived+social+support+and+coping+strategies+of+junior+doctors+working+in+different+medical+colleges+in+Kolkata+during+the+period+of+current+COVID-19+pandemic","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S552-S552, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32965,""
"Stress in Healthcare Workers during COVID-19 Pandemic: A Cross-sectional online study from Northern India","Background : The healthcare workers being a vulnerable population during the COVID-19 pandemic is facing many mental health problems. Stress is one of the major issues which can lead to anxiety, depression and sleep problems. Stress can be due factors like fear of getting infected with the virus or spreading it to the family members, uncertainty related to running out of supplies of groceries or medications, troubled sleeping or recurrent thought of the virus, etc. An understanding of the magnitude of the stress causing factors will be helpful in planning and guiding the resources in a proper direction during and in future pandemics. Aim : To estimate the magnitude of covid related stress and its relation with the sociodemographic and clinical variables. Methodology: It was a cross-sectional online study. The study proforma included the semi-structured proforma and COVID Stress Scale (CSS). Results and Discussion : A total of 326 responses were received of which 311 were analysed. Higher mean scores were observed in the compulsive checking ( 6.15, SD 4.77) and danger and contamination subscale ( 5.94, SD4.74) of CSS while lower scores were observed in traumatic stress domain(1.59, SD3.36). Age, gender, marital status and category of healthcare professional were significant for xenophobia, while traumatic stress and socioeconomic consequence were significant in case who were married. A history of COVID-19 infection leads to more compulsive checking for COVID-10 infection and related information.","","https://www.google.com/search?q=Stress+in+Healthcare+Workers+during+COVID-19+Pandemic:+A+Cross-sectional+online+study+from+Northern+India","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S600-S601, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32966,""
"Ring up and care: Experience from clinician initiated telephonic follow-up for older persons with mental illness","Background: Tele-psychiatry has grown exponentially during COVID-19 pandemic. As regular out-patient services were shutdown, we initiated a telephonic follow up consultation from Geriatric Mental Health department, for patients who had their first face to face consultation up-to 2 months prior to pandemic induced lock down with the intent to maintain the continuity of care. Methods: In this background we are reporting our experience of this unique initiative, in terms of acceptance of service, status of patients, compliance and barriers to care. The data is reviewed and reported descriptively after obtaining the Institutional Ethic Committee approval. Results: A total of 179 patients (N=179) were rung up and 120 could be contacted, among which 8 patients had deceased at the time of call. Hundred and eight patients (108) consented for tele-follow up consultation, whose mean age was 68.76Â±7.22 years. Majority of patients (74.07%) were still symptomatic at the time of follow-up call and expressed their felt need for psychiatric care which was unmet. Forty patients (39.22%) had stopped prescribed medicines. Unavailability of consultation as well as psychotropic medicines in the locality were the major reasons for poor compliance. Sixteen patients (14.8.1%) required urgent referral to the nearby district mental health service. Conclusion: Clinician initiated telephonic follow-up was well received. This initiative has uncovered hurdles to care and unmet needs of patients of geriatric psychiatry in such unprecedented situation and would help in improving the preparedness.","","https://www.google.com/search?q=Ring+up+and+care:+Experience+from+clinician+initiated+telephonic+follow-up+for+older+persons+with+mental+illness","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S619-S619, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32967,""
"Psychological impact of COVID-19 on healthcare professionals and general population in India- A Cross-sectional Study","Context- COVID 19 pandemic is having a psychological impact not only on the frontline healthcare worker but also on the general population. The comparative data on psychological impact of COVID 19 pandemic on healthcare professional and general population is limited. Aim: To assess the psychological impact of COVID-19 pandemic on healthcare worker and general populations in India and to find the difference between the two groups. Material and Methods: Sample comprised of 840 participants according to inclusion/exclusion criteria. The participants were given the online survey after applying The Checklist for Reporting Results of Internet E-Survey (CHERRIES). The survey link (Google Forms) was sent to each participant via Email and WhatsApp. E- Survey comprised of a semi-structured sociodemographic details, medical history proforma and Depression Anxiety Stress Scales-21 (DASS-21). Each participants were contacted for any queries and to maintain the validity of the scales used. Statistical Analysis used: To analyze the differences in psychological impact, mean score of depression, anxiety and stress between the two groups were compared using the Independent Samples Mann-Whitney U test. The chi-squared test was used to analyze the differences in categorical variables between the two groups. Statistical analysis was performed Microsoft Excel. Results: The significant difference was found between the two groups i.e. the healthcare professionals and general population in the prevalence of stress (P=0.033) with level higher among the healthcare workers. The healthcare professionals, who were involved in direct care of covid 19 patients were found to have significantly higher level of stress( P= 0.006 ) and anxiety (P=0.002) than those who were not directly involved. Conclusion: Study reveals that the prevalence of depression, anxiety and stress was not significantly different among the healthcare workers and general population. Significant difference was found in prevalence of anxiety and stress in healthcare workers involved in the care of Covid-19 patients and the healthcare professionals not involved. Psychological intervention may be considered for the healthcare professionals involved covid-19 patients.","","https://www.google.com/search?q=Psychological+impact+of+COVID-19+on+healthcare+professionals+and+general+population+in+India-+A+Cross-sectional+Study","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S598-S598, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32968,""
"Psychiatry Morbidity in Covid 19 Patients in A Tertiary Care Hospital - A Telepsychiatric Interview","INTRODUCTION: COVID 19 possess a serious threat to the physical as well as the mental health.COVID 19 has negatively affected mental health and increased the incidence of psychological crisis.Historically, telepsychiatry has experienced a substantial evolutionary period with the expansion of the internet.The development of telepsychiatry will likely be viewed in the future in terms of the eras of before,during,and after COVID 19. AIM: To study the psychiatric morbidity in COVID affected patients through telepsychiatry. MATERIALS AND METHODS: This was a retrospective chart review of data collected from April 2020 to June 2021 through audio only telephone calls.The COVID positive and suspect COVID patients admitted in different wards and Intensive care unit at Kilpauk Medical College Hospital,Chennai were included in the study.All the patients were given Patient Health Questionnaire(PHQ-9) and Generalized Anxiety Disorder(GAD-7) by trained investigators.Appropriate statistical analysis done and results are obtained. The Results will be discusssed at the time of presentation.","","https://www.google.com/search?q=Psychiatry+Morbidity+in+Covid+19+Patients+in+A+Tertiary+Care+Hospital+-+A+Telepsychiatric+Interview","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S571-S571, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32969,""
"The place of Long Acting Injectables (LAI) in the treatment of Schizophrenia: Current perspectives","Long acting injectables antipsychotics (LAIs) preparations were introduced for the first time in 1960s for management of schizophrenia. Over the years, many LAIs have been introduced. A recent meta-analysis of prospective and retrospective studies evaluating the effectiveness of LAIs vis-Ã -vis oral antipsychotics in patients with schizophrenia have demonstrated superiority of LAIs over oral antipsychotics in reducing rehospitalization rates, illness severity/chronicity, have lower all cause discontinuation rates and improved medication adherence. However, despite all these findings, oral antipsychotics form the bulk of the prescriptions for patients with psychotic disorders. The prescription rates for LAIs by the psychiatristsâ€™ all across the World show wide variation with rates ranging from 6% to 80%. Several factors influence the prescription of LAIâ€™s, including the attitudes of psychiatrists, nursing staff, patients and their relatives, stigmatizing views regarding LAIs, issues related to patient autonomy, fear of side-effects, cost related issues etc. This symposium will deal with the following aspects in greater detail: 1. The current evidence of LAIs in the management of Schizophrenia: Sandeep Grover 2. The patientâ€™s and caregiversâ€™ perspectives about LAIs: Swapnajeet Sahoo 3. The psychiatristsâ€™ perspectives about LAIs: Aseem Mehra 14/09/2021, Kurnool, A.P To Dr Gowtam Saha President Indian Psychiatry Society (IPS) drgautam@ancips2022.com Through Proper Channel Sub: Proposal for a Symposium at ANCIPS, 2022 Respected sir, Greeting on behalf of my Psychiatry friends & Colleagues. I am Dr M Shivashanker Reddy, currently working as Assistant Professor, Dept. of Psychiatry, Viswabharathi Medical College & Hospital, Kurnool. As world is recovering from pangs of COVID19, we are thrilled to know that there will be 73rd ANCIPS being planned in 2022 at Vishakhapatnam, A.P. On this prestigious, National conference, we like to propose a symposium on a burning issue: â€œClimate Change and its impact of Mental Health.â€ This is one of the important issue and talking point among the experts and social media. I am sure sir, this symposium will meet the expectations of organizers and participants. The topics under this symposium and speakers are listed as below: Topic 1: Climate Change: Disaster in the pipeline Dr Dinakaran D, MD, PDF, Assistant professor, Centre for Psychosocial Support in Disaster Management, NIMHANS, Bangalore Topic 2: Climate and its Bearing on Mental Health Dr Ravi kumar N, MD, (Ex-NIMHANS) Consultant Psychiatrist, VARMA Super-speciality Hospital, West Godavari (dt), A.P Topic 3: Does Climate Change increase the prevalence of Mental illness Dr Venkata Lakshmi Narasimha, MD, DM (Ex-NIMHANS) Assistant Professor, Department of Psychiatry, AIIMS, Deoghar, Jharkhand. Topic 4: Climate Change and its impact on Cognition & Cognitive disorders Dr Shivashanker Reddy M, MD, DM (Ex-NIMHANS) Assistant Professor, Department of Psychiatry, Viswabharathi Medical College and General Hospital, Kurnool (dt), A.P Topic 5: Mitigation strategies to decrease the impact of climate change on Mental Health Dr Jayakrishnan M, MD, DM (Ex-NIMHANS) Consultant Psychiatrist, IQRAA Hospital, Kozikhode, Kerala Warm Regards & Respects Dr Shivashanker Reddy 91-9739148894 Shivakmc55@gmail.com/brianpsyclinic@gmail.com","","https://www.google.com/search?q=The+place+of+Long+Acting+Injectables+(LAI)+in+the+treatment+of+Schizophrenia:+Current+perspectives","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S647-S647, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32970,""
"Parenting In The Era Of Information Overload","Presenting authorâ€™s contact details: Shivanad B Hiremath Assistant Professor Department of Psychiatry KIMS,Hubli, Karnataka Mobile: 7760072812, bhshiv@gmail.com Author and co-authorsâ€™ details: Prabeesh Nair Senior Resident Department of Psychiatry KIMS,Hubli, Karnataka Mobile: 8296405029 drprabeeshnair@gmail.com Niranjan Ittannavar Psychiatrist Central Prison Vijayapur, Karnataka Mobile: 7019691434 Niranjan1334@gmail.com Saudhamini Bhat Senior Resident Department of Psychiatry KIMS,Hubli, Karnataka Mobile: 9980043250 drsaudhaminibhat@gmail.com Chaithra S Hiremath Consultant Psychiatrist Aantharya Neuro-Psychiatric centre Hosur, Hubli, Karnataka Mobile: 7760483036, chaitravhm@gmail.com : Parenting is an incredibly challenging as well as rewarding job, which has a strong influence on the childâ€™s mental health along with the overall growth and development of the children. From the first-time humans walked on the earth till now through the various ages, parenting has constantly evolved to adapt itself to time and society. The recent years has seen more involvement of the Indian parents in their childrenâ€™s growth due to growing awareness and information explosion. And the Covid-19 pandemic catalyzed the speed even more, nudging the parentsâ€™ even greater role in emotional, social and educational development of their children. Transitioning the spread of information majorly from printed materials to digital media has led to exponential rise in the creation of sources of information as well as itâ€™s dissipation. This has made digital media an integral part of our personal, social, academic and professional lives. Both the information as well as connectivity it provides has been immense. In fact, during the lockdowns digital media has been the only source for that same. Due to the sheer volume of information created on digital platforms, lots of these go unscrutinized thus many times misinformation starts creeping in various sources. Also, the allure of the digital media can shift our healthy dependence on digital media to the unhealthy range. Thus, for a new parent it presents two-fold problem. One-fold where the learning new parent has to both filter out the misinformation from sources as well as assimilate the vast information on parenting well, so that the quality of parenting isnâ€™t compromised. The second fold is to determine the right amount of involvement of digital media in the parentsâ€™ and childrenâ€™s lives, so that neither the too much involvement negatively affect the physical, mental and social health nor the suboptimal involvement deprive them of necessary knowledge, skills set and social well- being to keep up with the world, let alone progress in life. In this symposium, the speakers will be discussing about the advantages and disadvantages of parenting in digital age, aspects of online/ e-learning, home schooling as alternative solution, achieving balance between healthy parenting and digital evolution. Individual topics and speaker details: 1.Introduction, historical evolution and need for the discussion: Shivanand B Hiremath 2.Influence of digital media on parenting: Prabeesh Nair 3.Parental role in digital learning: Niranjan Ittannavar 4.Homeschooling as a alternative solution: Saudhamini Bhat 5.Healthy parenting in the digital age: Chaithra S Hiremath Lost: Never to be Found ? Understanding and Addressing Grief 1.Dr Sona Kakar MD Consultant Psychiatrist Talk Time Clinic Hyderabad drsonakakar@gmail.com 2.Dr Ajit Bhide MD Emeritus Consultant in Psychiatry St. Marthaâ€™s Hospital Bengaluru drajitbhide@gmail.com Grief is one of the most painful experiences in relation to mankind. It is universal and inevitable if there is a loss. Ironically every single moment we are losing something, be it time, money, our dreams or relationships. Grief can be normal but might take pathological dimensions, As psychiatrists dealing with patients who have lost a loved one, we need to be well informed about this human experience consequent to loss. In order to help a patient in grief, we have to underst nd this complex and painful phenomenon. We need also to look at ways to help the patient minimize his trauma and resolve the grief. This symposium seeks to understand the emotion of grief, its relation to loss, differentiate it from other emotions with the help of case discussions and literature and look at ways to address it in clinical practice. Resistant Depression Under the Scanner 1.Dr Sona Kakar MD Consultant Psychiatrist Talk Time Clinic Hyderabad drsonakakar@gmail.com 2.Dr Vipul Singh MD Government Medical College Kannauj drvipulsingh@yahoo.co.in Depression is one of the common clinical presentations in our practice. In a few patients we may notice Resistant Depression which creates distress and hopelessness in the patient and helplessness in the treating psychiatrist. This often requires a close observation of the symptoms and the use of adjunctive therapies and treatments. In this symposium we would like to closely scrutinize evolving strategies in the management of Resistant Depression and will cover both biological and Psychotherapeutic interventions which have shown promise through research.","","https://www.google.com/search?q=Parenting+In+The+Era+Of+Information+Overload","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S645-S645, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32971,""
"Impact of COVID19 on sleep quality of health care professionals","Background: The outbreak of the 2019 novel coronavirus disease (COVID-19) not only caused particularly large public health problems, but also caused great psychological distress, especially for medical staff. Sleep problems, such as poor sleep quality, are common in the health care profession due to high level of work-related stress. Poor sleep quality could result in serious health consequences, such as hypertension, exhaustion, burnout, and depression. Objectives: To examine the sleep quality of healthcare professionals during the COVID-19 pandemic and its correlation with the socio-demographic data Methods: A cross sectional study was conducted using online Google forms. It included demographic data like age, gender, hours of covid duty and Pittsburgh sleep quality index (PSQI) questionnaire among healthcare professionals of tertiary care covid hospital and the responses were recorded. Data was analysed using Microsoft office and SPSS trial version 25. The mean, frequencies, correlations and significance were assessed. Results: Total of 189 healthcare professionals responded to the study. The mean age of the participants was 25.05yrs and 64% were females. 71.4% of the respondents were postgraduates. Pittsburgh sleep quality index with cut off score of &gt;5 have showed that 65% of the participants were having poor sleep quality. There was a significant correlation between Pittsburgh sleep quality index and duty hours. Conclusion: Poor sleep quality among healthcare workers could impair their cognitive abilities and their clinical decision-making. Therefore, looking after the mental health of healthcare professionals during the COVID-19 pandemic is necessary.","","https://www.google.com/search?q=Impact+of+COVID19+on+sleep+quality+of+health+care+professionals","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S689-S689, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32972,""
"Impact of COVID-19 pandemic on psychological health and quality of sleep: An online survey from West Bengal","Background: As a preventive measure to combat COVID-19 pandemic, India has undergone â€œlockdownâ€ since March 25, 2020. The pandemic and lockdown can impose a psychological impact in the form of fear, anxiety, stress and insomnia etc. Aims and Objective: The aim of the current study is to assess the magnitude of anxiety, depression, stress and poor sleep quality among the adult population of Kolkata, West Bengal amidst COVID-19 pandemic. Materials and Methods: By this online survey using Google forms, a total of 435 responses were received. The online questionnaire comprises of Socio-demographic characteristics, COVIDâ€”19 Anxiety Scale (CAS), Perceived Stress Scale 4 (PSS 4), Patient Health Questionnaire-9 (PHQ 9) and Insomnia Severity Index (ISI). Results: COVID-19 related anxiety were almost similar across age groups, sex, marital and educational status. PSS score was found higher in =25 years and &gt;40 years age group, those not currently married, students and homemakers. Patient Health Questionnaire scores were found significantly different across all background characteristics categories except for the level of education whereas Insomnia Severity index Scale scores were found significantly more among subjects not currently married and among subjects who were working from home. Conclusions: The current study provides evidence towards the negative psychological impact of the pandemic and reminds us about the need for widespread psychiatric services during and after pandemic.","","https://www.google.com/search?q=Impact+of+COVID-19+pandemic+on+psychological+health+and+quality+of+sleep:+An+online+survey+from+West+Bengal","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S551-S552, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32973,""
"Establishing Good Practices Model for Comprehensive School Mental Health Promotion: An Orientation Training Workshop","Good mental health is critical to childrenâ€™s happiness and success in school life. It has been proven through research that students who receive social-emotional and mental health support achieve better academically. Health and well-being as a developmental goal is well articulated in National Education Policy (NEP) 2020. The covid-19 pandemic has impacted the psychosocial wellbeing of children and adolescents across the country. The WHO (2016) report on mental health estimates nearly 20% of children and adolescents are suffering from disabling mental illnesses worldwide. Suicide rates and self-harm attempts of Indian adolescents are one of the highest in the world, accounting for 25% of deaths in boys and 50-75% of deaths in girls aged 10-19 years. In recent times of Covid-19, a large spectrum of mental health issues affecting young minds and families have been reported. Schools are most impactful agents of change when it concerns the mental health and well-being of the students as these are the critical periods of studentâ€™s lives. It is the need of the hour to design a program for adaptive and positive behavior that enabling children and adolescents to deal effectively with the demands and challenges of everyday life. Developing core life skills from the early years in school through the Life Skills Education Paradigm is such a program which helps in evolving their awareness and creates responsible and empowered citizens for the country. Here students as â€˜Life Skills and Wellbeing Ambassadorsâ€™ can play a vital role in creating a participatory climate for behavioral change and adapt to strengthen their inclusive environment. â€˜The Adolescent Peer Educators Leadership Program for enriching Life Skills, Holistic Health and Wellbeing of studentsâ€™ by Expressions India, has been a model of implementation in many parts of the country. The workshop will provide an opportunity to learn the methodology and implementation of Life Skills Training program. Establishing a life skills initiative at national level requires an infrastructure capable of developing a life skills program of widespread relevance and acceptability as well as managing the implementation and evaluation of the program over time. The hands-on training workshop for School Mental Health in India shall go a long way in promoting positive climate of psychosocial well-being in the school and minimizing the impact of mental health conditions. Name of proposed session speakers: a) Dr. Rushi, Associate Professor and Head, Department of Clinical Psychology, ABVIMS, Dr Ram Manohar Lohia Hospital, New Delhi Contact number: 9910457770 Email: rushi_arshad@hotmail.com b) Dr. Jitendra Nagpal, Sr. Consultant Psychiatrist and Incharge, Institute of Mental Health and Life Skills Promotion, Moolchand Medcity, New Delhi, Program Director - Expressions India: The National Life Skills, Values Education & School Wellness Program. Contact number: 9810054860 Email: jnagpal10@gmail.com","","https://www.google.com/search?q=Establishing+Good+Practices+Model+for+Comprehensive+School+Mental+Health+Promotion:+An+Orientation+Training+Workshop","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S654-S655, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32974,""
"COVID and Mental Health: The Challenge and aftermath","Department of psychiatry, Armed Forces Medical College (AFMC), Pune was involved since beginning in addressing the issues of mental health due to the COVID-19 pandemic and conducting research. The department collaborated with various agencies including government of India (GOI) in their outreach activities. Col Jyoti Prakash, Professor Psychiatry, AFMC, Pune had an honour of running a Defence Research Development Organisation (DRDO) made COVID hospital in Bihar. Office of Principal Scientific Advisor to GOI, had selected our department to collaborate with C-DAC (Centre for development of advanced computing) & NIMHANS towards creation of â€˜National Digital Wellness Programâ€™ delivered over smart phones- MANAS - Mental health And Normalcy Augmentation System for YoungISTAN - Young Indians: Smart, Talented & Natural. Project MANAS is in progress. The department conducted research on mental health impact on general population, Healthcare workers, COVID patients and their families. Last but not the least, we have managed mental health issues including grief arising during the pandemic. This symposium aims to highlight myriad mental health challenges of COVID 19 and aftermath. The symposium will cover COVID-19 mental health impact, administrative role, shades of grief and positive mental health by four speakers. Speaker 1 - COVID and anxiety: Col VS Chauhan, Professor of Psychiatry, AFMC, Pune Speaker 2 - Challenges of running a COVID hospital : Col Jyoti Prakash, Professor Psychiatry, AFMC, Pune Speaker 3 - Many shades of Grief: Col Rajiv Saini, Senior Advisor in Psychiatry, Military Hospital, Pathankot Speaker 4 - Positive mental health: Surg Cmde Kaushik Chatterjee, Professor & HoD Psychiatry, AFMC, Pune","","https://www.google.com/search?q=COVID+and+Mental+Health:+The+Challenge+and+aftermath","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S649-S649, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32975,""
"Assessment of Change in Severity of Stress, Anxiety and Depression in Covid-19 Patients During Hospital Stay â€“ A Cross-sectional Study","Background â€“ COVID 19 illness is associated with psychological impairments. Whether this impairment is due to illness itself or inpatient stay also contributes to it needs to be ascertained. Present study was done to assess the change in severity of stress, depression and anxiety in COVID-19 patients on the day of hospital admission and on the day of discharge and its association with clinical variables. Methods â€“ A cross sectional study design with sample of 104 patients admitted in the COVID wards. Socio-demographic and COVID related clinical variables and laboratory parameters were recorded. The severity of stress (PSS scale), anxiety (HAM-A scale) and depression (HAM-D scale) was assessed on the day of hospital admission & on the day of discharge. Association between change in severity of these and other variables was assessed. Results Significant increase in severity of stress, anxiety and depression was found during indoor stay of Covid-19 patients. Severity increased despite improvement in physical status of subjects. There was no significant association of increased severity of stress, anxiety, depression with demographic variables and laboratory parameters. Conclusion â€“ There was a significant increase in level of stress, anxiety and depression during the inpatient stay despite improvement in clinical symptoms, with minimal association with demographic and clinical variables. INTRODUCTION Since the beginning of COVID 19 pandemic, issues related to mental health has been highlighted repeatedly. Apparently fear of the consequences of this deadly disease has led to increase in stress, anxiety and depression in COVID hospitalized patients.[1]The psychosocial stressors are not only limited to those who were infected but are also exacerbated in the un-infected individuals.[2] Various factors that may be responsible for this include the direct effect of virus in central nervous system, the neuropsychiatric effects of inflammatory markers, the psychological impact of contact isolation and the stigma of getting infected, and disrupted social functions associated with serious illness.[4] Few studies from other countries have shown that most of the hospitalized COVID 19 patients report increased symptoms of anxiety and depression during their inpatient stay. This was significantly associated with occupation status, level of education and severity of Covid-19 illness. [2, 3] However, most of published research available on psychological impact of COVID 19 had focussed more on healthcare workers [11,12,25] and general public or outpatient setting. [13]To our knowledge, there is no literature from India that had assessed change in severity of stress, anxiety and depression in COVID 19 and its associated variables during their hospital stay as indoor patients in Covid-19 Ward. The primary objective of present study was to assess the change in severity of stress, anxiety and depression in COVID-19 patients on the day of admission and on the day of discharge. Secondary objective was to find any association between the change in severity of stress, anxiety and depression with socio-demographic and Covid 19 related clinical variables. METHODS Study Setting â€“COVID inpatient ward in a tertiary care medical college. Study Design â€“A cross-sectional study design with assessment of subjects at two points- 1st on the day of admission and 2nd on the day of discharge. Sample size â€“All the subjects admitted to COVID wards over two months period between 25th May 2021 and 24th July 2021 were approached for their willingness to participate in the study. We could recruit total 104 subjects who met eligibility criteria and gave informed consent. Eligibility Criteria - Inclusion criteria â€“ 1. Patients above 18 years of age with positive COVID RT-PCR report. 2. Patients admitted to Covid-19 ward in the tertiary care hospital. Exclusion criteria â€“ the following patients were excluded: 1. Only Rapid Antigen Test positive 2. Only HRCT suggestive of typical pneumonia 3. Pre-existing psychiatric illness and substance abuse except nicotine 4. Non-invasive ventilation support or medically unstable 5. Persons with impaired capacity Ethical aspects â€“ As per institutionâ€™s policy for research on human subjects approval from the Scientific Advisory Committee (SAC) and then from Ethics Committee for Research on Human Subjects (ECRHS) of the institute was obtained. Written informed consent was obtained from all the participants and they were explained about their right to leave the study at any point of time without any impact on their ongoing treatment for Covid-19 illness. No additional financial burden was put on the subjects by participation in study. Assessments â€“ Subjectâ€™s socio-demographic and clinical information was recorded anonymously in a pre-designed and pilot tested format. Information included sex, age, marital status, employment status, education, income of head of family and details of primary care giver. The socio-economic status was classified using Kuppuswamy scale. We also recorded clinical variables related to COVID-19 illness like Heart Rate, temperature, Blood pressure, respiratory rate, Oxygen saturation (SPO2) on the day of admission and on the day of discharge to assess clinical improvement in Covid-19 illness. Severity of stress, Depression and anxiety were also assessed at same two time points. Level of stress was assessed using perceived stress scale (PSS) which classifies stress level into Mild stress (0-13), Moderate stress (14-26), Severe stress (27-40). [4,5] The severity of anxiety was assessed using Hamilton Anxiety rating scale (HAM-A). Total score obtained can be classified into No anxiety (0-7), mild anxiety (8-14), moderate anxiety (15-23), severe anxiety (&gt;24). [6] Severity of depression was assessed using Hamilton Depression rating scale (HAM-D). Total score obtained classifies severity of depression as no depression (0-7) mild depression (8-16), moderate depression (17-23), severe depression (&gt;24). [7] Both these scales are already validated to estimate the change in severity of anxiety and depression over a period in time.[8] Laboratory investigations like d-dimer, ferritin, Lactate Dehydrogenase, Erythrocyte Sedimentation Rate, C-Reactive Protein were recorded only once during the inpatient stay. Statistical analysis - The collected data was analysed using SPSS (Statistical Software for social Sciences) software version 25. Initially descriptive statistics was carried out for the variables using appropriate measures of central tendency. Association between the severity of stress, anxiety and depression with socio-demographic and clinical variables was done using the Wilcoxon Signed Ranks Test and spearmanâ€™s correlation. Significance was set with 95% confidence level and p value &lt; 0.05 was taken as significant. RESULTS Majority of the patients were male (63.4%) with male to female ratio of 1.7. Maximum patients were in the age group of 31-40 years (35.5%) followed by 51 - 60 years (27.8%) and 41-50 years (24.2%). Most were from the rural area (79%), belonging to Hindu religion (95.2%) and had education up to middle school (34.6%). The participants were at clerk level (41.3%), married (85.6%), had full time job (79%). As per Kuppuswamy scale, the subjects could be classified as upper middle (10%), lower middle (67%), upper lower (23%) and none belonged to upper and lower class.Spouse (67%) were the most common caregivers. Average IPD stay in covid-19 ward was 8.23 (2.9). Table-1 shows change in severity of stress, anxiety, depression and clinical variables measured at two cross sections. It is evident that more number of patients experienced higher levels of stress, anxiety and depression at the time of discharge despite being sent to their homes to stay with their family members.Table 1 Severity of Stress, anxiety and depression as measured on day of admission and day of discharge from COVID-19VariableSeverityOn day of Admission N (%)On day of discharge N (%)Significance (p value)Stress PSS)Mild66 (63.46)46 (44.23)0.0054Moderate 33 (31.73)41 (39.42)0.2479Severe05 (4.80)17 (16.35)0.0069Anxiety (HAM-A)No Anxiety63 (60.57)53 (50.9)0.1614Mild16 (15.38)21 (20.19)0.3684Moderate14 (13.46)22 (21.15)0.1436Severe01 (0.96)08 (7.69)0.0173Depression(HAM-D)No Depression88 (84.61)77 (74.03)0.0602Mild12 (11.53)19 (18.26)0.1739Moderate02 (1.9)5 (4.8)0.2463Severe02 (1.9)3 (2.8)0.6691 Change in stress level, anxiety and depression and the Covid -19 related clinical variables from day of admission to on day of discharge is stated in Table-2. Compared to the assessment on the day of admission, there was significant increase in the level of stress, anxiety and depression on the day of discharge, despite favourable improvement in physical condition as indicated by covid-19 related clinical variables (temperature, pulse rate, blood pressure and oxygen saturation) as listed in the table. This indicates that itâ€™s not the clinical severity of Covid-19 illness itself that causes psychological distress, but inpatient stay and factors associated with it, may also lead to psychological distress in patients admitted to Covid-19 wards.Table 2 Change in stress level, anxiety and depression and the Covid -19 related clinical variables from day of admission to on day of dischargeVariablesPSSHAM-AHAM-DTemperaturePulse RateRespiratory rateBP SystolicBP DiastolicOxygen Saturation Mean value (SD) on Admission10.30 (9.10)6.05 (6.54)3.78 (4.57)99.01 (1.54)90 (9.79)32 (32.8)123.96 (9.75)82.82 (6.14)94.28 (10.2)Mean value (SD) on Discharge15.08 (9.88)8.57 (8.65)4.91 (5.83)98.17 (0.60)84 (6.28)26 (9.73)120.55 (5.56)80.56 (5.56)96.98 (9.88)Difference-4.78-2.52-1.130.84663.412.26-2.7Z-4.93b-4.18b-3.20b-5.94a-5.72a-3.11a-3.38a-3.74a-7.49bP value0.0000.0000.0010.0000.0000.0020.0010.0000.000 Wilcoxon Signed Ranks Test. p&lt;0.01 is highly significant, a=based on positiveranks, b=based on negative rank Table-3 demonstrates association between demographic variables, laboratory parameters with change in levels of stress, anxiety and depression during hospital stay. Among the demographic variables, there is a weak negative but significant association between perceived stress and level of education. There is no significant association with other demographic and pathological variables.When considering the increase in the level of anxiety during hospital stay, there is a weak negative but significant association with total stay and level of education. While, there is weak positive but significant association between increased level of anxiety and income, d-dimer levels. There is no significant association with other demographic and pathological variables. For change in level of depression there is a weak negative but significant association between total stay and SGOT levels. There is no significant association with other demographic and pathological variables.Table 3 Association of the demographic and pathologicalvariables with the change the level of stress, Anxiety and Depression during the hospital stayVariables PSSHAMA HAMDTotal Stay in Covid Ward-0.147/NS-0.271(r)/0.005** -0.285/0.003**Urban / rural Locality0.021/NS-0.008/NS0.050/NSEducation-0.196/0.046*-0.246/0.012*-0.052/NSIncome of family0.131/NS0.279/0.004**0.004/NSOccupation0.165/NS0.126/NS0.020/NSEmployment status of subjects-0.111/NS0.025/NS0.037/NSInteraction with caregiver0.085/NS0.128/NS-0.054/NSSocio-economic Status0.085/NS0.128/NS-0.057/NSHaemoglobin-0.050/NS-0.079/NS0.128/NSLymphocyte percentage0.040/NS-0.065/NS-0.051/NSNeutrophil percentage0.046/NS0.105/NS0.116/NSSGOT-0.156/NS-0.126/NS-0.2370.017*Lactate Dehydrogenase (LDH)-0.026/NS0.070/NS0.014/NSD-DIMER0.110/NS0.214/0.035*0.174/NS Spearmanâ€™s correlation. *p&lt;0.05 is statistically significant, **p&lt;0.01 is statistically highly significant, NS = Not significant DISCUSSION Findings of present study reveal that as compared to day of admission, many more subjects with covid-19 illness experienced significantly higher level of stress, anxiety and depression at the time of discharge. This is happening despite clinical improvement in th se subjects. For demographic variables, in line with previously published studies, a higher proportion of patients in our study were in the age group of 31 â€“ 60 years, more than half were male, belonged to rural region, had some education,and majority were doing clerical jobs or any part time jobs,and belonged to lower middle class.[1,2] A recent study conducted to assess the level of stress anxiety and depressions during hospitalization reported similar demographic profile with majority participants being male, married and had good level of education and were employed.[1] Few studies which were of cross sectional nature suggested high levels of anxiety as a form of psychological stress, especially following the isolation to seek treatment of COVID 19 infection. [2, 9] Our study had assessed these at two points and the level of stress, anxiety and depression was found to be more on the day of the discharge from hospital than on day of admission. In contrast to this, a study from Israel found that the level of anxiety and depression decreased one month following hospitalization. [15] Some studies included the past psychiatric illness and substance use as a variable, but we excluded the subjects with pre-existing or past psychiatric illness from our study to avoid confounding effect. [1,2] Authors in an Italian study evaluated COVID 19 patients in the emergency department and then screened for psychopathology approximately 1 month after initial emergency department evaluation. It was found that 56% of patients screened positive in at least one psychiatric domain. Approximately 31% screened positive for depression, 42% for anxiety, and 28% for obsessive-compulsive symptoms. [10] In our study there was no association between interaction with care giver and severity of stress, anxiety and depression, however few studies also found that isolation and lack of support from care givers and relatives was the key factor for anxiety and depression where less social supports led to more anxiety and depressive symptoms and more depression was found in caregivers. [3,15,21] A study conducted in Wuhan China, the prevalence rate of depression and anxiety was found to be 21% and 16.4% respectively. [14] Few other studies also reported psychological distress after hospital discharge. [17, 18, 23] In our study severity of stress, anxiety and depression is not strongly associated with demographic and social variables, may be due to strong social support and intact family bonding in Indian settings. Depression was also found in quarantined patients. The family support & social interaction was alleviating factor. [24] This differs from findings of studies from other countries which reported that lack of social support for patients with COVID-19 being associated with depression and socioeconomic status bearing major impact on severity of depression. [18,19,20] Present study was unique from our country to assess the change in the severity level of stress, anxiety and depression during hospital stay in indoor patients of Covid-19 illness. Findings of our study highlight need for inclusion of psychological screening and appropriate management of all patients admitted to Covid-19 ward. Similar recommendations had been made by other authors. Cognitive Behavioural Therapy was found to be effective in reducing psychological distress in patients. [22] Among our subjects, all those with significant levels of anxiety and depression were provided treatment at the time of discharge itself. They were informed to be on regular follow in psychiatry OPD after discharge from the ward. After completion of study and preliminary analysis of data, to reduce the stress of admitted patients, we conducted stress management sessions in COVID wards itself as an initiative of our department. STRENGTHS AND LIMITATIONS The major strength is this is the first study in India which has assessed the change in levels of stress, anxiety and depression during the inpatient [IPD] stay of COVID 19 patients and initiated appropriate management for same. The results of the study should be interpreted with the limitations of it being a single centre study with assessment of only inpatients and cross-sectional design of the study. CONCLUSIONS There was a significant increase in level of stress, anxiety and depression during the inpatient stay of COVID 19 patients despite improvement in fever and respiratory distress. This change was associated with level of their income and some lab parameters. However, majority of the demographic and clinical variables had no significant impact on increased level of stress, anxiety and depression. Findings highlight the need for appropriate intervention for their psychological health as an essential part of care in COVID wards. CONFLICTS OF INTEREST: None REFERENCES 1. Zandifar, A., Badrfam, R., YazdaniS., et al. Prevalence and severity of depression, anxiety, stress and perceived stress in hospitalized patients with COVID-19. J Diabetes MetabDisord2020;19:1431â€“1438. 2. Parker C, Shalev D, Hsu I, et al. Depression, Anxiety, and Acute Stress Disorder Among Patients Hospitalized With COVID-19: A Prospective Cohort Study. J Acad Consult Liaison Psychiatry2021;62(2):211-219. 3. Kong X, Zheng K, Tang M, Kong F, Zhou J, Diao L, et al. Prevalence and factors associated with depression and anxiety of hospitalized patients with COVID-19. MedRxiv 2020 Jan 1. 4. Leung DY, Lam T-h, Chan SS. 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Prevalence and predictors of posttraumatic stress disorder, depression and anxiety among hospitalized patients with coronavirus disease 2019 in China. BMC psychiatry. 2021 Dec;21(1):1-8. 15. Dorman-Ilan S, Hertz-Palmor N, Brand-Gothelf A, Hasson- Ohayon I, Matalon N, Gross R, Chen W, Abramovich A, Afek A, Ziv A, Kreiss Y. Anxiety and depression symptoms in COVID-19 isolated patients and in their relatives. Frontiers in psychiatry. 2020 Oct 14;11:1042. 16. Matalon N, Dorman-Ilan S, Hasson-Ohayon I, Hertz-Palmor N, Shani S, Basel D, Gross R, Chen W, Abramovich A, Afek A, Ziv A. Trajectories of post-traumatic stress symptoms, anxiety, and depression in hospitalized COVID-19 patients: A onemonth follow-up. Journal of Psychosomatic Research. 2021 Apr 1;143:110399. 17 Prakash J, Dangi A, Chaterjee K, Yadav P, Srivastava K, Chauhan VS. Assessment of depression, anxiety and stress in COVID-19 infected individuals and their families. medical journal armed forces india. 2021 Jul 1;77:S424-9. 18. Beck K, Vincent A, Becker C, et al. Prevalence and factors associated with psychological burden in COVID-19 patients and their relatives: A prospective observational cohort study. PLoS One. 2021;16(5):e0250590. 19. Faber M, Ghisletta A, Schmidheiny K. A lockdown index to assess the economic impact of the coronavirus. Swiss J Econ Stat. 2020;156(1):11. 20. Li Z, Ge J, Feng J, et al. Less Social Support for Patients with COVID-19: Comparison with the Experience of Nurses. Front Psychiatry. 2021;12:554435. 21. Gallagher S, Wetherell MA. Risk of depression in family caregivers: unintended consequence of COVID-19. BJPsych Open. 2020;6(6):e119. 22. Li J, Li X, Jiang J, Xu X, Wu J, Xu Y, Lin X, Hall J, Xu H, Xu J, Xu X. The effect of cognitive behavioral therapy on depression, anxiety, and stress in patients with COVID-19: a randomized controlled trial. Frontiers in psychiatry. 2020;11. 23. Samrah SM, Al-Mistarehi AH, Aleshawi AJ, Khasawneh AG, Momany SM, Momany BS, Za'nouneh FJ, Keelani T, Alshorman A, Khassawneh BY. Depression and coping among covid-19- infected individuals after 10 days of mandatory in-hospital quarantine, irbid, jordan. Psychology Research and Behavior Management. 2020;13:823. 24. Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, Miao J, Zhang C, Yang Y, Sun W, Zhu S. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine. 2020 Jul 1;24:100443. 25. Sun N, Wei L, Wang H, Wang X, Gao M, Hu X, Shi S. Qualitative study of the psychological experience of COVID-19 patients during hospitalization. Journal of Affective Disorders. 2021 Jan 1;278:15-22.","","https://www.google.com/search?q=Assessment+of+Change+in+Severity+of+Stress,+Anxiety+and+Depression+in+Covid-19+Patients+During+Hospital+Stay+â€“+A+Cross-sectional+Study","","Database: EuropePMC; Publication type: article; Publication details: Indian journal of psychiatry; 64(Suppl 3):S594-S598, 2022.","WHO","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32976,""
"Prevalence and Associated Factors of Anxiety and Depression among Medical Interns during the Third Wave of COVID-19 Pandemic in Oman","","","https://doi.org/10.4103/ijnpnd.ijnpnd_70_21","20220401","","Scopus","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32977,""
"Understanding self-harm urges and behavior amongst non-binary young adults: A grounded theory study","","","https://doi.org/10.1080/19359705.2022.2073310","20220101","","Scopus","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32978,""
"Stress, Depression, Anxiety, and Burnout among Healthcare Workers during the COVID-19 Pandemic: A Cross-sectional Study in a Tertiary Centre","","","https://doi.org/10.2174/18744346-v16-e2203140","20220101","","Scopus","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32979,""
"Widespread ST depression and ST elevation in avR in severe hypokalaemia","","","https://doi.org/10.1080/00015385.2021.1889217","20220101","","Scopus","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32980,""
"The Emotional Anatomy of Lockdown","Throughout the COVID-19 pandemic, policy makers have tried to balance the effectiveness of lockdowns (or stay-at-home orders) with their potential mental health costs. Yet, two years into the pandemic, we are still lacking solid evidence about the emotional toll of lockdowns. Across two intensive longitudinal datasets with 14,511 observations collected in Australia in 2021 (total N = 441), we compare the degree, persistence, and regulation of peopleâ€™s emotions on days in and out of lockdown. We find that lockdowns take an emotional toll, but that this toll is relatively mild. In lockdown, people experienced slightly more negative and slightly less positive emotion; returned to a mildly negative emotional state more quickly; and used low-effort emotion regulation strategies. We conclude that people are resilient to the challenges lockdowns pose to personal and social well-being.","Ella Moeck et al.","https://share.osf.io/preprint/E00FC-EBD-FDD","20220617","PsyArXiv|Social and Behavioral Sciences; PsyArXiv|Social and Behavioral Sciences|Emotion","PsyArXiv","Undecided","","","","","","","","","","","","","False","False","","","","","False","False","False","","False","False","False","False","False","False","False","False","False","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","2022-06-17","",32981,""