Abstract

Mental health (MH) and illness reflect bio-psycho-social balance/imbalance and extend into multidimensional space. In the current pandemic, the entire area of MH/illness is at increased risk of contamination not only by infection, but also by numerous other aspects of this complex public health crisis. There are at least three mechanisms by which the COVID-19 pandemic can create new-onset mental conditions: 1) Psychological factor - increased degree of emotional suffering after extremely severe traumatic events or long-term life-threatening exposures; 2) Social factor - risks related to interaction with the environment: a) emotional deprivation; b) cognitive disintegration related to infodemia and c) existential, primarily economic fears that destabilize relationships (within the family and beyond); and 3) Biological factor - neuropsychiatric effects of the virus itself. In addition to the new-onset conditions, the pandemic also has an impact on people who already have a history of mental disorders. This review paper will present the most important information from relevant sources related to mental health and the COVID-19 pandemic related to the first year of exposure. Emphasis will be on research that has attracted attention with sample size and representativeness, as well as a reliable methodology, with the aim of not losing sight of the heterogeneity of the pandemic effects on mental health.

Highlights

  • Mental health (MH) and illness reflect bio-psycho-social balance/imbalance and extend into multidimensional space

  • This review paper will present the most important information from relevant sources related to mental health and the COVID-19 pandemic related to the first year of exposure

  • Emphasis will be on research that has attracted attention with sample size and representativeness, as well as a reliable methodology, with the aim of not losing sight of the heterogeneity of the pandemic effects on mental health

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Summary

Istraživanja psihičkih smetnji tokom pandemije u Srbiji

Kratke skale za detekciju (screening) psihičkog zdravlja - često korišćene u literaturi u vezi sa pandemijom - bez sumnje su široko dostupne i lake za upotrebu. Zaključeno je da je mesec dana nakon zaključavanja (lockdown) i proglašenja vanrednog stanja zbog pandemije COVID-19, 42,0% učesnika studije prijavilo simptome depresije, 44,5% simptome anksioznosti i 65% simptome stresa. Ovi rezultati ukazivali su na višu stopu smetnji u odnosu na istraživanja iz drugih sredina, ali su autori naglasili ograničenja studije: pristrasnost prema samoprijavljivanju na online ispitivanja, način uzorkovanja (metod grudve snega) i nezastupljenost osoba bez računara i/ili naloga na društvenim mrežama i slično, kao i nedovoljnu reprezentativnost uzorka prema starosti i polu [18]. U ovom poduhvatu kolega sa Filozofskog fakulteta Univerziteta u Novom Sadu korišćen je PHQ-4, kratka samoopisna mera simptoma anksioznosti (brige) i depresivnosti u poslednjih nedelju dana [19], ali je uz to po prvi put primenjena skala za merenje specifičnog stresa izazvanog COVID-19 pandemijom Novina u istraživanju Mihić i saradnika je primena instrumenta CSS koji uznemirenost izazvanu COVID-19 pandemijom ispituje kao višedimenzionalni konstrukt (slika 2)

Strah od virusa i kontaminacije
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