1
|
[Psychological support for long Covid patients during a rehabilitation stay]. REVUE DE L'INFIRMIERE 2022; 71:26-28. [PMID: 36509476 DOI: 10.1016/j.revinf.2022.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Covid long affects each patient differently. This disorder can occur in people with both severe and mild forms of the disease. It is often a series of symptoms that disrupt different areas of life in a very variable way. These symptoms can change rapidly. Moreover, several symptoms are associated and fluctuate (between aggravation and recovery) during very variable periods, which leads to a mosaic diagnosis and engages the need for multidisciplinary management.
Collapse
|
2
|
Loiseau M, Ecarnot F, Meunier-Beillard N, Laurent A, Fournier A, François-Purssell I, Binquet C, Quenot JP. Mental Health Support for Hospital Staff during the COVID-19 Pandemic: Characteristics of the Services and Feedback from the Providers. Healthcare (Basel) 2022; 10:healthcare10071337. [PMID: 35885862 PMCID: PMC9324679 DOI: 10.3390/healthcare10071337] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 06/27/2022] [Accepted: 07/07/2022] [Indexed: 01/01/2023] Open
Abstract
French authorities created mental health support services to accompany HCWs during the pandemic. We aimed to obtain feedback from staff providing these mental health support services within French hospitals to identify positive and negative features and avenues for improvement. A mixed-methods study was performed between 1 April and 30 June 2020. We contacted 77 centres to identify those providing mental health support services. We developed a questionnaire containing questions about the staff providing the service (quantitative part), with open questions to enable feedback from service providers (qualitative part). Of the 77 centres, 36 had mental health support services; 77.8% were created specifically for the epidemic. Services were staffed principally by psychologists, mainly used a telephone platform, and had a median opening time of 8 h/day. Thirty-seven professionals provided feedback, most aged 35–49 years. For 86.5%, it was their first time providing such support. Median self-reported comfort level was 8 (interquartiles 3–10), and 95% would do it again. Respondents reported (i) difficulties with work organisation, clinical situations, and lack of recognition and (ii) a desire for training. This study suggests that mental health support needs to be adapted to the needs of HCWs, both in terms of the content of the service and the timing of delivery.
Collapse
Affiliation(s)
- Mélanie Loiseau
- Service de Médecine Légale, CHU Dijon, Cellule d’Urgence Médico-Psychologique CUMP-21, 21000 Dijon, France; (M.L.); (I.F.-P.)
| | - Fiona Ecarnot
- EA3920, University of Burgundy Franche-Comté, 25000 Besancon, France
- Department of Cardiology, University Hospital Besancon, 25000 Besancon, France
- Correspondence:
| | - Nicolas Meunier-Beillard
- Clinical Epidemiology/Clinical Trials Unit, Clinical Investigation Center, INSERM, CIC 1432, Dijon University Hospital, 21000 Dijon, France; (N.M.-B.); (C.B.); (J.-P.Q.)
| | - Alexandra Laurent
- Laboratoire de Psychologie, Dynamiques Relationnelles Et Processus Identitaires (PsyDREPI), Université Bourgogne Franche-Comté, 21000 Dijon, France; (A.L.); (A.F.)
- Service d’Anesthésie et de Réanimation, CHU Dijon-Bourgogne, 21000 Dijon, France
| | - Alicia Fournier
- Laboratoire de Psychologie, Dynamiques Relationnelles Et Processus Identitaires (PsyDREPI), Université Bourgogne Franche-Comté, 21000 Dijon, France; (A.L.); (A.F.)
| | - Irene François-Purssell
- Service de Médecine Légale, CHU Dijon, Cellule d’Urgence Médico-Psychologique CUMP-21, 21000 Dijon, France; (M.L.); (I.F.-P.)
| | - Christine Binquet
- Clinical Epidemiology/Clinical Trials Unit, Clinical Investigation Center, INSERM, CIC 1432, Dijon University Hospital, 21000 Dijon, France; (N.M.-B.); (C.B.); (J.-P.Q.)
| | - Jean-Pierre Quenot
- Clinical Epidemiology/Clinical Trials Unit, Clinical Investigation Center, INSERM, CIC 1432, Dijon University Hospital, 21000 Dijon, France; (N.M.-B.); (C.B.); (J.-P.Q.)
- Service de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, 21000 Dijon, France
- Équipe Lipness, Centre de Recherche INSERM UMR1231, 21000 Dijon, France
- Espace de Réflexion Éthique Bourgogne Franche-Comté (EREBFC), 21000 Dijon, France
| |
Collapse
|
3
|
Abstract
The practice of care in a psychiatric service, whether outpatient or inpatient, appears more than ever to be a personal commitment. How can we conceive it despite the difficulties of the profession, which make new professionals hesitate to join it? There is now open talk of a "crisis in psychiatry", of professionals leaving the profession. However, many observers and caregivers manage to give meaning to this demanding profession, at the crossroads between disciplines and institutions. The activity is constantly evolving, shaped as much by the advent of multiple theoretical frameworks as by societal movements. The number of people using this discipline, which is now also called "mental health" care, is constantly increasing, while at the same time all the players are struggling to recruit professionals. However, patients who have become users can testify to the quality of the caregivers.
Collapse
Affiliation(s)
- Arnaud De Jésus
- Centre hospitalier du Pays d'Eygurande (CHPE), La Cellette, 19340 Monestier-Merlines, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France
| | - Sophie Narvaez
- Centre hospitalier du Pays d'Eygurande (CHPE), La Cellette, 19340 Monestier-Merlines, France
| | - Jean-Pierre Bouchard
- Institut psycho-judiciaire et de psychopathologie (IPJP), Centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France; Unité pour malades difficiles, Pôle de psychiatrie médico-légale, Centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Statistics and Population Studies Department, Faculty of Natural Sciences, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape-Town, South Africa.
| |
Collapse
|
4
|
Padmanabhanunni A, Pretorius TB, Stiegler N, Bouchard JP. A serial model of the interrelationship between perceived vulnerability to disease, fear of COVID-19, and psychological distress among teachers in South Africa. ANNALES MEDICO-PSYCHOLOGIQUES 2022; 180:23-28. [PMID: 34866639 PMCID: PMC8629722 DOI: 10.1016/j.amp.2021.11.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 11/25/2021] [Indexed: 12/15/2022]
Abstract
The current study examined the serial relationship between perceived vulnerability to disease, fear of COVID-19, anxiety, and psychological distress among school teachers. Participants were South African school teachers (n = 355) who completed the Perceived Vulnerability to Disease Questionnaire, Fear of COVID-19 Scale, trait scale of the State-Trait Anxiety Inventory, Beck Hopelessness Scale, and the Centre for Epidemiological Depression Scale. A path analysis confirmed that teachers who appraised themselves as more susceptible to disease, experienced heightened levels of fear of COVID-19, which led to heightened levels of anxiety, depression, and hopelessness. Specifically, germ aversion and perceived infectability were separately associated with heightened fear of COVID-19, which in turn was associated with heightened anxiety. This serial relationship was associated with heightened levels of hopelessness and depression. The current study extends research on the impact of the COVID-19 pandemic among a distinct subgroup of the population.
Collapse
Affiliation(s)
- Anita Padmanabhanunni
- Department of Psychology, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape-Town, South Africa,Auteur correspondant. University of the Western Cape, Private Bag X17, Bellville, 7535 Cape-Town, South Africa
| | - Tyrone B. Pretorius
- Department of Psychology, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape-Town, South Africa
| | - Nancy Stiegler
- Department of Statistics and Population Studies, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape-Town, South Africa
| | - Jean-Pierre Bouchard
- Department of Statistics and Population Studies, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape-Town, South Africa,Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89, rue Cazeaux Cazalet, 33410 Cadillac, France,Unité pour malades difficiles (UMD), pôle de psychiatrie médico-légale (PPML), centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France
| |
Collapse
|
5
|
Mboua PC, Siakam C, Nguépy Keubo FR. [Trauma and resilience associated with the COVID-19 pandemic in the cities of Bafoussam and Dschang in Cameroon]. ANNALES MEDICO-PSYCHOLOGIQUES 2021; 179:812-817. [PMID: 34776514 PMCID: PMC8570645 DOI: 10.1016/j.amp.2021.03.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 03/30/2021] [Indexed: 12/15/2022]
Abstract
INTRODUCTION The emergence of the Covid-19 pandemic in Cameroon, as in Africa and around the world, was marked by a suddenness and unpredictability that fascinated the imagination. The considerable psychic and social repercussions of the pandemic mobilized a significant anguish of death. The sudden onset of the pandemic was followed by spectacular, high-profile deaths that fascinated the imagination, listing it in the order of traumatic events, provoking reactions of astonishment, flight and avoidance. GOAL The objective of this study is to determine the symptomatology of post-traumatic stress disorder, as well as the resilience, associated with the Covid-19 pandemic in the Western Region of Cameroon. METHODOLOGY The research was carried out following the model of general population mental health surveys. The availability of area frames (sampling) made it possible to opt for probabilistic calculations. First and second year master's students in clinical psychology from Dschang University were involved in data collection. They benefited from a two-day seminar on data collection techniques in the general population. The calculated sample size is 384 households. The anticipated response rate, set at 90%, made it possible to increase robustness and to anticipate a total sample of 424 households, spread over 3 districts of Bafoussam and Dschang, according to the choice previously made. The study followed the ethical provisions of the Helsinki Protocol. The data collection tools used are: the Impact of Event Scale-Revised and the Connor-Davidson Resilience Scale. RESULTS 409 subjects were recruited, representing a completion rate of 106.5%. 70.7% of subjects exhibited symptoms of PTSD. These symptoms are more often mild (40.9%) or moderate (25.6%). Women are more affected (73.7%) by PTSD than men (67.9%). In addition to sex and age, area of residence and marital status, appear to be significantly associated with symptoms of PTSD: subjects under 35 years of age have a significantly higher prevalence rate than those over 35; the rate of PTSD is significantly higher in subjects living in urban areas than in those living in rural areas; single subjects are more affected by PTSD (40.1%) than married subjects (26.7%). The average score recorded on the CD-RISC is 64.3, the standard deviation is 15.3 and the coefficient of variation is 24%. This average falls into the second quartile of the distribution, indicating average resilience. CD-RISC scores are not affected by gender, age, marital status, level of education, or occupational status. These characteristics are therefore not factors of resilience. CONCLUSION The Covid-19 pandemic has had a psychological impact in Cameroon which has made it a major psychosocial stressor. More than 6 in 10 people have symptoms of PTSD. But this symptomatology is often weak or moderate, testifying to an effective resilience, to balance the traumatic effects of the pandemic.
Collapse
Affiliation(s)
- Pierre Célestin Mboua
- Institut de psychotraumatologie et de Médiation (IPM), Université de Dschang, BP 20357 Yaoundé, Cameroun,Auteur correspondant
| | - Christian Siakam
- Ministère des Mines, de l'Industrie et du Développement Technologique, Dschang, Cameroun
| | | |
Collapse
|
6
|
The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18158034. [PMID: 34360334 PMCID: PMC8345711 DOI: 10.3390/ijerph18158034] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 07/23/2021] [Accepted: 07/23/2021] [Indexed: 11/16/2022]
Abstract
(1) Background: While in many countries, the psychiatric and mental health sectors had been in crisis for years, the onset of a novel coronavirus pandemic impacted their structures, organizations, and professionals worldwide. (2) Methods: To document the early impacts of the COVID-19 health crisis on psychiatry and mental health sectors, a systematic review of the international literature published in 2020 was conducted in PubMed (MEDLINE), Cairn.info, and SantéPsy (Ascodocpsy) databases. (3) Results: After applying inclusion and exclusion criteria, 72 articles from scientific journals were selected, including papers documenting the early impact of the COVID-19 pandemic on the organization of psychiatric care delivery, work processes in psychiatry and mental health units, and personal experiences of mental health professionals. This review identified the contributions aimed at preventing the onset of mental disorders in the early stages of the health crisis. It lists the organizational changes that have been implemented in the first place to ensure continuity of psychiatric care while reducing the risk of SARS-CoV-2 transmission. It questions the evolution of the rights and duties of mental health professionals in the first months of the pandemic. (4) Discussion and conclusions: Although this literature review exclusively documented the early impacts of the COVID-19 health crisis, it is of significant interest, as it pictures the unprecedent situation in which psychiatry and mental health care professionals found themselves in the first stages of the pandemic. This work is a preliminary step of a study to be conducted with mental health professionals on an international scale—the Psy-GIPO2C project—based on more than 15 group interviews, 30 individual interviews, and 2000 questionnaires. The final aim of this study is to formulate concrete recommendations for decision-makers to improve work in psychiatry and mental health.
Collapse
|
7
|
Delpech L, Sudres JL, Bouchard JP. [Depression and music therapy: the receptive composite montage with a projective focus]. REVUE DE L'INFIRMIERE 2021; 70:38-40. [PMID: 34238497 DOI: 10.1016/j.revinf.2021.04.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Depression is a frequent mood disorder that requires a consensual therapeutic arsenal combining psychotropic drugs and psychotherapies. When depression requires hospitalization, particularly in the context of a major depressive disorder, having an integrative tool that induces a state of relaxation, positive mood and anticipation within twenty minutes is useful for patients and care teams. The Receptive Projective Composite Montage is a standardized music therapy device with evaluated effectiveness that can fulfill this role.
Collapse
Affiliation(s)
- Lionel Delpech
- Université de Toulouse Jean-Jaurès, centre d'études et de recherches en psychopathologie et psychologie de la santé, UFR de psychologie, 5 allées Antonio-Machado, 31058 Toulouse cedex 9, France
| | - Jean-Luc Sudres
- Université de Toulouse Jean-Jaurès, centre d'études et de recherches en psychopathologie et psychologie de la santé, UFR de psychologie, 5 allées Antonio-Machado, 31058 Toulouse cedex 9, France
| | - Jean-Pierre Bouchard
- Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Unité pour malades difficiles, pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France.
| |
Collapse
|
8
|
Fernández VÁ, Bouchard JP. [COVID-19 in Spain: the psychological impact of the pandemic on nurses]. REVUE DE L'INFIRMIERE 2020; 69:33-35. [PMID: 33129475 DOI: 10.1016/j.revinf.2020.08.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Spain is one of the European countries most affected by COVID-19. The pandemic has had significant psychological consequences in the general population. Nurses involved in the management of this sudden and major health crisis were particularly impacted on a psychological level. In this article, a global overview is presented including negative and positive factors of the nurses' experiences in the two main cities of Spain affected by the virus: Madrid and Barcelona.
Collapse
Affiliation(s)
- Víctor Álvarez Fernández
- Centre d'accueil spécialisé dans le repérage et le traitement des traumatismes psychiques, centre hospitalier de Cadillac, 31, rue des Cavaillès, 33310 Lormont, France; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France
| | - Jean-Pierre Bouchard
- Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Unité pour malades difficiles, pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France.
| |
Collapse
|
9
|
Stiegler N, Bouchard JP. South Africa: Challenges and successes of the COVID-19 lockdown. ANNALES MEDICO-PSYCHOLOGIQUES 2020; 178:695-698. [PMID: 32836300 PMCID: PMC7250766 DOI: 10.1016/j.amp.2020.05.006] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
At the beginning of March 2020, South Africa (59 million inhabitants) was hit by the pandemic of COVID-19 and soon became the most affected country in Africa by the SARS-CoV-2 virus. From one single case on March 5th, the number of cases increased rapidly, forcing the South-African Government to swiftly react and place the country under strict lockdown for six weeks. The strategy of the South African Government bore fruits with a contained spread of the virus. If the number of positive cases at the end of the lockdown reached 5647, the number of fatal casualties was limited to 103 deaths. The lockdown was overall well respected, even if serious problems of food supply soon occurred in informal settlements, leading to riots and confrontation with security forces. Indeed, populations were obedient, but not being able to practice sport or outdoors activities appeared heavy. The constant fear of the poorest not to have enough money to pay rent and buy food (even if the Government organised food parcels’ distributions), and to find less and less work was echoed by the fear of losing jobs among those more privileged. Despite the risk of an economic crisis, the South African Government has continued on the reasonable path of containing the pandemic with ending the lockdown at a slow pace, in five phases.
Collapse
Affiliation(s)
- Nancy Stiegler
- Statistic and Population Studies Department, Faculty of Natural Sciences, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535, South Africa
| | - Jean-Pierre Bouchard
- Institut Psycho-Judiciaire et de Psychopathologie (IPJP)/Institute of Forensic Psychology and Psychopathology, Cadillac hospital centre, 10, avenue Joseph-Caussil, 33410 Cadillac, France.,Unit for Difficult Patients, Cadillac hospital centre, 10, avenue Joseph-Caussil, 33410 Cadillac, France
| |
Collapse
|