Tele-Psychiatry during COVID-19 at HMC Peshawar

Authors

  • Wajid Ali Akhunzada
  • Darya Khan Laghari
  • Hooria Rasheed
  • Amer Abbas
  • Nadia Hameed
  • Sara Ayub
  • Huma Mughal

Keywords:

Tele-psychiatry, Covid-19, depression, anxiety, new patients and area of living.

Abstract

Objective: The main objectives of the current study were to find out the frequencies of Psychiatric disorders in the general population during COVID-19 and to compare the gender-based association between newly diagnosed patients during COVID-19 with already existing psychiatric patients in Peshawar to provide patient care on priority bases.

Methodology: This Cross-sectional design study was carried out in the Department of Psychiatry and Behavioral Sciences, HMC/MTI, from May to August 2020. Those patients who approached psychiatry OPD through video/audio online calls and could understand and respond to suggestions were included. The bio-data was collected, and DSM-5 criteria were used for diagnosis. Descriptive statistics were used for statistical significance, and the statistical package of social sciences (SPSS-21) was used for analysis and results.

Results: The results findings of the current study revealed that 59.3% of the patients approached for telepsychiatry consultation were from the district of Peshawar. Among them, 54% were female, and most patients were young married females (50.7%) with no job outside the home. The finding further revealed that most of the sample affected by psychiatric illness were uneducated (31.3%) and unemployed (28%). Furthermore, in the present findings, 46% of patients were diagnosed with depression, and 12% had Dissociative disorders.

Conclusion: It is concluded from the present study that in the Covid-19 Pandemic, primarily females who were married with no job description are more vulnerable to psychiatric illness. Furthermore, during Covid-19 mostly cases were reported with depression and dissociative disorders.

 

References

European Centre for Disease Prevention and Control. Coronavirus Disease 2019 (COVID-19) in the EU/EEA and the UK – Ninth update, 23 April 2020. Stockholm: ECDC; 2020.

Asadi-Pooya AA, Simani LL. Central nervous system manifestations of COVID-19: a systematic review. J Neurol Sci. 2020; 413: 116832. doi: 10.1016/j.jns.2020.116832. Epub 2020 Apr 11.

Asmundson GJ, Taylor S. Coronaphobia: Fear and the 2019-nCoV outbreak. Journal of Anxiety Disorders. 2020; 70: 102196. Published online 2020 Feb 10. doi: 10.1016/j.janxdis.2020.102196.

Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen. Psychiatr. 2020; 33(2): e100213. doi: 10.1136/gpsych-2020-100213.

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020; 288: 112954. doi: 10.1016/j.psychres.2020.112954.

Elbay RY, Kurtulmus A, Arpac?oglu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res. 2020; 290: 113130. doi: 10.1016/j.psychres.2020.113130.

Kokou-Kpolou CK, Megalakaki O, Laimou D, Kousouri M. Insomnia during COVID-19 Pandemic and lockdown: prevalence, severity, and associated risk factors in France population. Psychiatry Res. 2020; 290: 11312. doi: 10.1016/j.psychres.2020.113128. Epub 2020 May 26.

Voitsidis P, Gliatas I, Bairachtari V, Papadopoulou K, Papageorgiou G, Parlapani E et al. Insomnia during the COVID-19 Pandemic in a Greek population. Psychiatry Res. 2020; 289: 113076. doi: 10. 1016/j.psychres.2020.113076.

Liu N, Zhang F, Wei C, Jia Y, Shang Z, Sun L et al. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: gender differences matter. Psychiatry Res. 2020; 287: 112921. doi: 10.1016/j.psychres.2020.112921. Epub 2020 Mar 16.

Galea S, Merchant RM, Lurie N. The mental health consequences of COVID-19 and physical distancing: the need for prevention and early intervention. JAMA Intern Med. 2020; doi: 10.1001/jamainternmed.2020.1562.

Hwang TJ, Rabheru K, Peisah C, Reichman W, Ikeda M. Loneliness and Social Isolation during the COVID-19 Pandemic. Int. Psychogeriatr. 2020; 1-4. doi: org/10.1017/S1041610220000988.

Killgore WDS, Cloonan SA, Taylor EC, Dailey NS. Loneliness: a signature mental health concern in the era of COVID-19. Psychiatry Res. 2020; 290: 113117. doi: 10.1016/j.psychres.2020.113117.

Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 Pandemic: a cross-sectional study. Psychiatry Res. 2020; 288: 112936. doi: 10.1016/j.psychres. 2020.112936. Epub 2020 Apr 4.

Hubley S, Lynch S, Schneck C, Thomas M, Shore J. Review of key telepsychiatry outcomes. World J Psychiatry. 2016; 6(2): 269-282. doi: 10.5498/wjp.v6.i2.269.

American Psychiatric Association. Cautionary statement for forensic use of DSM-5. Diagnostic and statistical manual of mental disorders (5th ed). Washington, DC. 2013.

Serafini G, Parmigiani B, Amerio A, Aguglia A, Sher L, Amore M. The psychological impact of COVID-19 on the mental health in the general population. QJM. 2020; 113(8): 531-7. doi: 10.1093/qjmed/hcaa201.

Yu S. Uncovering the hidden impacts of inequality on mental health: a global study. Transl Psychiatry. 2018; 8: 98. doi: 10.1038/s41398-018-0148.

Jalnapurkar I, Allen M, Pigott AT. Sex differences in anxiety disorders: A review.

J Psychiatry Depress Anxiety. 2018; 4: 012. doi: 10.24966/PDA0150/100012.

Bell DNF, Blanchflower DG. Young people and the Great Recession. IZA Discussion Paper No. 5674. Available from: https://ssrn.com/abstract-1835313. doi: 10.2139/ssrn. 1835313.

Bao L, Li WT, Zhong BL. Feelings of loneliness and mental health needs and services utilization among Chinese residents during the COVID-19 epidemic. Global Health. 2021; 17: 51.

COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 Pandemic. 2021; 398(10312): 1700-12. doi: 10.1016/S0140-6736(21)02143-7. Epub 2021 Oct 8.

Bu F, Steptoe A, Fancourt D. Who is lonely in lockdown? Cross-cohort analyses of predictors of loneliness before and during the COVID-19 Pandemic. Public Health. 2020; 186: 31-4. doi: 10.1016/j.puhe.2020.06.036. Epub 2020 Aug 5.

Li LZ, Wang S. Prevalence and predictors of general psychiatric disorders and loneliness during COVID-19 in the United Kingdom. Psychiatry Res. 2020; 291: 113267. doi: 10.1016/j.psychres.2020.113267. Epub 2020 Jun 30.

Zhang Z, Feng Y, Song R, Yang D, Duan X. Prevalence of psychiatric diagnosis and related psychopathological symptoms among patients with COVID-19 during the second wave of the Pandemic. Global Health. 2021; 17(1):44. doi: 10.1186/s12992-021-00694-4.

Frasquilho D, Matos MG, Salonna F, Guerreiro D, Storti C, Gasper T et al. Mental health outcomes in times of economic Recession: a systematic literature review. BMC Public Health 2016; 16: 115. doi: 10.1186/s12889-016-2720-y.

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Published

29-03-2023

How to Cite

1.
Akhunzada WA, Laghari DK, Rasheed H, Abbas A, Hameed N, Ayub S, Mughal H. Tele-Psychiatry during COVID-19 at HMC Peshawar. J Liaq Uni Med Health Sci [Internet]. 2023 Mar. 29 [cited 2024 Nov. 22];22(01):64-7. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/796