key: cord-0997193-2g00d25q
authors: Shiozawa, Pedro; Uchida, Ricardo R.
title: An updated systematic review on the coronavirus pandemic: lessons for psychiatry
date: 2020-04-17
journal: Braz J Psychiatry
DOI: 10.1590/1516-4446-2020-0975
sha: 0bbf103d10bef764bc7cb567d8fad9787ec178e5
doc_id: 997193
cord_uid: 2g00d25q

nan

The main findings highlight the negative emotion and stress experienced by healthcare workers who treat infected patients. The main symptoms included de novo complaints of insomnia, anxiety, and feelings of hopeless, as well as the reactivation of previous disorders, such as depression, anxiety and even suicidal behavior. These mental health problems not only affect patients but also medical workers, which can lead to misunderstandings and poor decision making, and can also hinder the fight against COVID-19, as well as have lasting effects on individual well-being. It was also found that people with health anxiety tend to misinterpret benign bodily sensations and changes as dangerous, which increases hospital visits and, thus, the risk for infection itself. Some authors have focused on specific populations such as the homeless 5 and older adults. 6 Three important factors for overcoming the main difficulties in clinical practice emerge from reports on the Chinese mental health care response to the COVID-19 outbreak 1-7 : 1) multidisciplinary mental health teams (including psychiatrists, psychiatric nurses, clinical psychologists, and other mental health professionals) must be established; 2) up-to-date communication with reliable data about the COVID-19 outbreak is necessary; and 3) interventions (mainly psychological counseling) are needed for patients and healthcare providers directly involved in the outbreak (e.g., through electronic devices and apps).

Initial publications have addressed the overall psychological characteristics of patients and healthcare providers, as well as rapidly implemented interventions to cope with this catastrophic life-threatening scenario. Hopefully, the success of such efforts will become clear in the near future. In any biological disaster, fear, uncertainty, and stigmatization are common and may act as barriers to appropriate medical and mental health interventions Zhou 7 April 2020 Letter Intervention strategies

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