Exploring mental health needs, coping and suitable service modalities for people affected by coronavirus disease 19

Bangladesh Journal of Psychiatry Pub Date : 2024-07-18 DOI:10.3329/bjpsy.v37i2.72778

F. H. Tamanna, A. Anik, Md Omar Faruk, Rubina Jahan, M. Mozumder, Ashique Selim

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Abstract

There was a general gap on coronavirus disease (COVID) 19 related mental health concerns and coping data from the peak period of pandemic. With the aim of ensuring evidence informed service delivery, this study explored mental health needs, coping mechanisms and preferred service modalities of the front-line healthcare workers (FLHWs), COVID 19 patients and family members of both patients and FLHWs. Sixty-three participants were included in this cross-sectional study which was conducted at the period from July 2020 to December 2020. The FLHWs and patients were recruited using purposive sampling from a COVID 19 dedicated hospital in Narayanganj while the family members were selected through the contact detailed shared by the FLHWs and the patients. Three mental health professionals conducted the interviews over the phone using a semi-structured qualitative interview guide. The findings of the study were presented in three broad categories, namely a) concerns around psychosocial health and wellbeing, b) coping with COVID 19 and its impacts and c) preferred modalities for psychosocial service delivery. The results showed that, low mood was most common (68.3%) followed by irritability and anger (65.1%) and concerns about the future (61.9%) among the participants. A very high number of participants (74%) reported an increase in religious activity and faith. As strategies to cope with the pandemic crisis, the participants most commonly reported engagement in entertainment (27%), taking care of relationships (21%) and engagement in spirituality (17%). The most preferred modality of service was self-help materials (49%; online videos, booklets, posters/leaflets) followed by webinars (12%) and online counselling (10%). However, to enable evidence informed service delivery during any severe pandemic such as COVID 19, the mental health needs of FLHWS and their family members must be addressed. Bang J Psychiatry 2023;37(2):38-45

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探讨冠状病毒疾病患者的心理健康需求、应对方法和合适的服务模式 19

关于冠状病毒病（COVID）19相关的心理健康问题和大流行高峰期的应对数据普遍缺乏。为了确保提供循证服务，本研究探讨了前线医护人员、冠状病毒19患者以及患者和前线医护人员家属的心理健康需求、应对机制和首选服务模式。这项横断面研究在 2020 年 7 月至 2020 年 12 月期间进行，共纳入 63 名参与者。前线家政服务人员和患者是从纳拉扬甘杰的一家 COVID 19 专用医院中采用目的性抽样的方式招募的，而家属则是通过前线家政服务人员和患者共享的详细联系方式选出的。三位精神卫生专业人员使用半结构化定性访谈指南进行了电话访谈。研究结果分为三大类，即 a) 围绕社会心理健康和福祉的关切；b) 应对 COVID 19 及其影响；c) 提供社会心理服务的首选模式。结果显示，情绪低落在参与者中最为常见（68.3%），其次是烦躁和愤怒（65.1%）以及对未来的担忧（61.9%）。很多参与者（74%）表示宗教活动和信仰有所增加。作为应对大流行病危机的策略，参与者最常见的是参与娱乐活动（27%）、处理人际关系（21%）和参与精神生活（17%）。最受欢迎的服务方式是自助材料（49%；在线视频、小册子、海报/传单），其次是网络研讨会（12%）和在线咨询（10%）。然而，要在任何严重流行病（如 COVID 19）期间提供有实证依据的服务，就必须满足 FLHWS 及其家庭成员的心理健康需求。Bang J Psychiatry 2023;37(2):38-45

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Bangladesh Journal of Psychiatry

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