MIXED ANXIETY-DEPRESSIVE ADAPTATION DISORDERS IN THE PRESENCE OF THE COVID-19 EPIDEMIC
DOI:
https://doi.org/10.31082/1728-452X-2020-213-214-3-4-46-52Keywords:
COVID-19, stress, adaptation disorders, anxiety, depression, stress protectors, tranquilizersAbstract
In the presence of the COVID-19 epidemic, due to quarantine measures, millions of people around the world are under the stress of infection and have to adapt to new conditions of social functioning. The high risk of developing of mixed anxiety-depressive adaptation disorders in the presence of COVID-19 quarantine measures determines the relevance of this study.
Study purpose. To study the prevalence and clinical level of mixed anxiety-depressive disorders in medical personnel under the COVID-19 quarantine regime.
Material and methods. 51 employees of the Republican national enterprise on the right of economic jurisdiction “Republican scientific and practical center of mental health” (RSPCMH) were examined: doctors, junior and medium-level medical personnel. The main study method is psychometric (Hospital Anxiety and Depression Score – HADS).
Results and discussion. The work presents an analytical review of literature data on the problem of adaptation disorders and current international studies on mental disorders in medical workers under the COVID-19 quarantine regime. According to the results of this study, affective disorders in the form of depressive and anxiety-depressive reactions within the framework of adaptation disorders were detected in 37.3% of the medical staff of the RSPCMH.
Conclusions. It was found that the higher the risk of COVID-19 infection, the more often depression is detected and in departments with a lower risk of infection, more often mixed anxiety-depressive disorders are detected. Preventive measures aimed at increasing the stress tolerance of medical workers are recommended.
References
Coronavirus disease (COVID-19) Pandemic. Geneva: World Health Organization, March 23, 2020. Available from: https://www.who.int/emergencies/diseases/novel coronavirus 2019 (accessed April 4, 2020).
Mosolov SN. Psychiatric Services Strategies During the COVID-19 Pandemic. Sovremennaia terapiia psikhicheskikh = Current Therapy of Mental Disorders. 2020;2:26-32. DOI: 10.21265/PSYPH.2020.53.59536 (In Russ.)
Reporting by Keith Kelland, edited by William McLean. Available from: https://www.reuters.com/article/us-health-coronavirus-mentalhealth/u-n-warns-of-global-mental-health-crisis-due-to-covid-19-pandemic-idUSKBN22Q0AO.
Schwartz BJ. New APA survey on public anxiety over COVID-19. High Anxiety in America Over COVID-19 – Medscape. – Mar 28, 2020.
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence // Lancet. – 2020. – Vol. 395 (10227). – P. 912–920. DOI: 10.1016/50140-6736(20)30460-8
London RT. Is COVID-19 leading to a mental illness pandemic? Presented by ID Practitioner in MDedge Infectious disease. Available from: https://www.mdedge.com/infectiousdisease/article/219612/coronavirusupdates/covid-19-leading- mental- illness pandemic (accessed April 4, 2020).
Goldberg JF. Psychiatry’s niche role in the COVIDE19 pandemic. J Clin Psychiatry. 2020;81(3):20com13363. DOI: 10.4088/JCP.20com13363
Jeste DV, Lee EE, Cacioppo S. Battling the modern behavioral epidemic of loneliness: Suggestions for research and interventions. JAMA Psychiatry. 2020 Mar 4. DOI: 10.1001/jamapsychiatry.2020.0027. Online ahead of print
Aleksandrovsky Yu.A., Chekhonin V.P. Aleksandrovskii Iu.A., Chekhonin V.P. Klinicheskaia immunologiia pogranichnykh psikhicheskikh rasstroistv [Clinical immunology of borderline mental disorders]. M.: GEOTAR-Media, 2005. 235 p.
Mehta P, McAuley DF, Brown M, et al. HLH Across Speciality Collaboration, UK. COVID-19: consider cytokine storm syndromes and immunosuppression. Lancet. 2020;395(10229):1033–1034. DOI: 10.1016/S0140-6736(20)30628-0
Cannon WВ. Bodily changes in pain, hunger, fear and rage. - Boston: C. T. Branford Co., 1929.
Hans Selye. Stress without distress: Translation from English. M.: Progress, 1979. 124 p.
China Newsweek. Collective infections of coronavirus among 50 patients and 30 health workers in one psychiatric hospital in Wuhan. Shanghai Obs. 020. https://www.jfdaily.com/news/detail?id=208584 (accessed Feb 17, 2020; in Chinese).
Ivanets NN, Kinkulkina MA, Avdeeva TI, Iziumina TA. The possibility of using standardized self-report anxiety and depression scales in elderly patients: depression scales/questionnaires in elderly. Zhurnal nevrologii i psikhiatrii im. C.C. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry. 2016;10:51-59 (In Russ.)
Angst J, Vollrath M, Merikangas KR, Ernst С. Comporbidity of anxiety and depression in the Zurich Cohort Study of young adults // Comorbidity of Mood and Anxiety Disorders / Maser JD, Cloninger CR. – Washington: DC American Psychiatric Press. – 1991. – P. 123-153
Doarn CR. Telemedicine and psychiatry: a natural match. mHealth. 2018;4:60. DOI: 10.21037/mhealth.2018.12.04
Lee SM, Lee HY, Lee MK, et al. Development of Korean disaster mental health support guidelines: results of a scoping review and a Delphi survey. Psychiatry Investig. 201;16(2):130–138. DOI: 10.30773/pi.2018.11.14
Garriga M, Agasi I, Fedida E, et al. The role of Mental Health Home Hospitalization Care during the COVID-19 pandemic. Acta Psychiatr Scand. 2020 May;141(5):479-480. DOI: 10.1111/acps.13173
Нeznanov NG, Mosolov SN, Ivanov MV. Psikhofarmakoterapiia // Psikhiatriia. Natsionalnoe rukovodstvo [Psychopharmacotherapy // Psychiatry. National leadership]. M.: GEOTAR-Media, 2018. P. 1627–1736
Stein DJ. Pharmacotherapy of adjustment disorder: a review. World J Biol Psychiatry. 2018;19(Suppl.1):S46–S52. DOI: 10.1080/15622975.2018.1492736
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