Soumaya Benmaarmar, Hind Bourkhime, Ibtissam El Harch, Karima El Rhazi
The level and determinants of empathy among medical students from Arabic speaking countries: A systematic review
GMS journal for medical education
back table contents previous article next article commentaryfull accessmental health response covid19 outbreak chinajunying zhou md phd liu liu md pei xue md xiaorong yang bn xiangdong tang md phdjunying zhousearch papers author md phd liu liusearch papers author md pei xuesearch papers author md xiaorong yangsearch papers author bn xiangdong tangsearch papers author md phdpublished online7 may 2020httpsdoiorg101176appiajp202020030304aboutsectionspdfepub toolsadd favoritesdownload citationstrack citations shareshare onfacebooktwitterlinked inemail transmission 2019 novel coronavirus covid19 1 widely rapidly spread around world march 11 2020 world health organization announced covid19 pandemic 2 rapid transmission mortality risk covid19 infection may increase risk mental health problems among healthy individuals general public worsen preexisting psychiatric problems psychiatric patients although data still gathered constellation difficult feelings psychological distress including panic worries depression could triggered fear possible infection quarantined hospitals home social isolation even shortage protective geara number mental health surveys associated covid19 outbreak conducted different vulnerable populations include infected patients medical staff students general population liu et al reported results multicenter survey conducted among 1563 medical staff members found prevalence depression anxiety 51 45 respectively 3 far data mental health repercussions covid19 pandemic outpatient populations available thus conducted questionnaire survey february 25 march 9 2020 among outpatients sought care departments psychiatry neurology sleep medicine west china hospital sichuan university chengdu china selfreport questionnaire completed outpatients provided consent via wechatbased survey program questionnaire star total 2065 3441 patients completed survey including 589 new patients 1476 existing patients prevalence rates mental health problems related covid19 outbreak including anxiety defined total score 5 generalized anxiety disorder 7item scale depression defined total score 5 patient health questionnaire 9item scale insomnia defined total score 8 insomnia severity index 255 169 262 respectively furthermore 209 patients n300 preexisting psychiatric disorders n1434 reported deterioration mental health condition related pandemic particular transportation restrictions isolation home fear crossinfection hospitals inevitably become major concerns barriers treatment patients outbreak survey also showed 245 new patients including anxiety n46 depression n37 insomnia n79 psychosis n21 could receive timely diagnoses treatment similarly 220 existing patients diagnosed mental disorders including depression bipolar disorders schizophrenia n315 could receive routine psychiatric care suspended hospital visits consequently 181 patients n259 selfreduced medication dosages 172 patients n247 stopped taking medication could gain access prescriptions physicians outbreak lifetime prevalence mental disorders 166 among adults china 4 millions psychiatric patients may face barriers help seeking timely management mental health condition longterm repercussions viral pandemic management psychiatric patients warrant investigation nonetheless data reiterate importance implementing appropriate mental health care measures face covid19 pandemicin response covid19 outbreak ongoing measures concerted efforts china emphasize importance dealing potentially concurrent mental health crisis january 26 2020 national health commission china released principles emergency psychological crisis intervention covid19 pandemic 5 mental health hotlines quickly established across china provided public counseling psychological services telephone internet widely used deliver mental health care services social media platforms eg wechat weibo used share strategies guidelines education programs managing potential mental distress addition series selfhelp handbooks psychological care associated covid19 published china association mental health medical institutions universitiesfurthermore number hospitals china initiated telemedicine services patients need outbreak covid19 january 26 2020 west china hospital sichuan university one leading hospitals china opened free online outpatient service involving 100 medical doctors across specialties online outpatient service created mainly provide prescriptions existing patients offer consultation new patients hospital collaborated commercial courier services deliver medication patients homes cost date thousands patients received health care provided online outpatient service interestingly 74 patients mental disorders n136 survey sought online help medical care thus need promote online mental health care services across china manage mental health problems pandemicthe longterm outcomes mental health interventions community hospital settings need evaluation determine ameliorate negative effects viral outbreaks general public especially among vulnerable patients mental health problemssleep medicine center zhou xue tang department anesthesiology translational neuroscience center liu outpatient department yang west china hospital sichuan university chengdu chinasend correspondence dr zhou email protectedthe authors report financial relationships commercial intereststhe authors thank clinic nurses departments psychiatry neurology sleep medicine west china hospital sichuan universityreferences1 lu r zhao x li j et al genomic characterisation epidemiology 2019 novel coronavirus implications virus origins receptor binding lancet 2020 395565574crossref medline google scholar2 world health organization directorgenerals opening remarks media briefing covid19 11 march 2020 httpswwwwhointdgspeechesdetailwhodirectorgeneralsopeningremarksatthemediabriefingoncovid1911march2020google scholar3 liu yang l zhang c et al online mental health services china covid19 outbreak lancet psychiatry 2020 7e17e18crossref medline 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disorders people infected coronavirus sarscov2 literature review22 september 2020 polish journal public health vol 129 4 volume 177issue 7 july 01 2020pages 574575 metrics keywordsoutpatient psychiatrytreatment discontinuationcovid19coronavirustelemedicinetelehealthtelepsychiatrythe authors thank clinic nurses departments psychiatry neurology sleep medicine west china hospital sichuan universitypdf download history accepted 14 april 2020 published online 7 may 2020 published print 1 july 2020