Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions
Objective This review assesses interventions and their effectiveness in mitigating psychological consequences from pandemic.Method Published English literatures were searched from four databases (Medline, PubMed, Embase and PsycINFO) from January 2020 and September 2021. A total of 27 papers with 29...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e060804.full |
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| author | Viroj Tangcharoensathien Angkana Lekagul Chawisa Suradom Peeraya Piancharoen Anamika Chattong |
| author_facet | Viroj Tangcharoensathien Angkana Lekagul Chawisa Suradom Peeraya Piancharoen Anamika Chattong |
| author_sort | Viroj Tangcharoensathien |
| collection | DOAJ |
| description | Objective This review assesses interventions and their effectiveness in mitigating psychological consequences from pandemic.Method Published English literatures were searched from four databases (Medline, PubMed, Embase and PsycINFO) from January 2020 and September 2021. A total of 27 papers with 29 studies (one paper reported three studies) met inclusion criteria. Cochrane risk-of-bias tool is applied to assess the quality of all randomised controlled trials (RCT).Results All studies were recently conducted in 2020. Publications were from high-income (13, 44.8%), upper middle-income (12, 41.4%) and lower middle-income countries (3, 10.3%) and global (1, 3.5%). Half of the studies conducted for general population (51.7%). One-third of studies (8, 27.6%) provided interventions to patients with COVID-19 and 20.7% to healthcare workers. Of the 29 studies, 14 (48.3%) were RCT. All RCTs were assessed for risk of biases; five studies (15, 35.7%) had low risk as measured against all six dimensions reflecting high-quality study.Of these 29 studies, 26 diagnostic or screening measures were applied; 8 (30.9%) for anxiety, 7 (26.9%) for depression, 5 (19.2%) for stress, 5 (19.2%) for insomnia and 1 (3.8%) for suicide. Measures used to assess the baseline and outcomes of interventions were standardised and widely applied by other studies with high level of reliability and validity. Of 11 RCT studies, 10 (90.9%) showed that anxiety interventions significantly lowered anxiety in intervention groups. Five of the six RCT studies (83.3%) had significantly reduced the level of depression. Most interventions for anxiety and stress were mindfulness and meditation based.Conclusions Results from RCT studies (11%, 78.6%) were effective in mitigating psychological consequences from COVID-19 pandemic when applied to healthcare workers, patients with COVID-19 and general population. These effective interventions can be applied and scaled up in other country settings through adaptation of modes of delivery suitable to country resources, pandemic and health system context. |
| format | Article |
| id | doaj-art-336aec3bffc34daf94d4ccf141b5f698 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-336aec3bffc34daf94d4ccf141b5f6982025-01-30T16:05:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-060804Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventionsViroj Tangcharoensathien0Angkana Lekagul1Chawisa Suradom2Peeraya Piancharoen3Anamika Chattong4International Health Policy Program, Ministry of Public Health, Thailand, Nonthaburi, Thailandsenior researcherPsychiatry, Chiang Mai University Faculty of Medicine, Chiang Mai, ThailandInternational Health Policy Program, Amphur Muang, Nonthaburi, ThailandInternational Health Policy Program, Amphur Muang, Nonthaburi, ThailandObjective This review assesses interventions and their effectiveness in mitigating psychological consequences from pandemic.Method Published English literatures were searched from four databases (Medline, PubMed, Embase and PsycINFO) from January 2020 and September 2021. A total of 27 papers with 29 studies (one paper reported three studies) met inclusion criteria. Cochrane risk-of-bias tool is applied to assess the quality of all randomised controlled trials (RCT).Results All studies were recently conducted in 2020. Publications were from high-income (13, 44.8%), upper middle-income (12, 41.4%) and lower middle-income countries (3, 10.3%) and global (1, 3.5%). Half of the studies conducted for general population (51.7%). One-third of studies (8, 27.6%) provided interventions to patients with COVID-19 and 20.7% to healthcare workers. Of the 29 studies, 14 (48.3%) were RCT. All RCTs were assessed for risk of biases; five studies (15, 35.7%) had low risk as measured against all six dimensions reflecting high-quality study.Of these 29 studies, 26 diagnostic or screening measures were applied; 8 (30.9%) for anxiety, 7 (26.9%) for depression, 5 (19.2%) for stress, 5 (19.2%) for insomnia and 1 (3.8%) for suicide. Measures used to assess the baseline and outcomes of interventions were standardised and widely applied by other studies with high level of reliability and validity. Of 11 RCT studies, 10 (90.9%) showed that anxiety interventions significantly lowered anxiety in intervention groups. Five of the six RCT studies (83.3%) had significantly reduced the level of depression. Most interventions for anxiety and stress were mindfulness and meditation based.Conclusions Results from RCT studies (11%, 78.6%) were effective in mitigating psychological consequences from COVID-19 pandemic when applied to healthcare workers, patients with COVID-19 and general population. These effective interventions can be applied and scaled up in other country settings through adaptation of modes of delivery suitable to country resources, pandemic and health system context.https://bmjopen.bmj.com/content/12/7/e060804.full |
| spellingShingle | Viroj Tangcharoensathien Angkana Lekagul Chawisa Suradom Peeraya Piancharoen Anamika Chattong Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions BMJ Open |
| title | Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions |
| title_full | Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions |
| title_fullStr | Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions |
| title_full_unstemmed | Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions |
| title_short | Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions |
| title_sort | living through the psychological consequences of covid 19 pandemic a systematic review of effective mitigating interventions |
| url | https://bmjopen.bmj.com/content/12/7/e060804.full |
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