Dr. Maneesha Phadke
corresponding author e-mail: maneesha2605@gmail.com
Abstract
The whole mankind is at a vulnerable stage at present due to a unique challenge brought on by the 2019 Coronavirus Disease (COVID-19). The recent pandemic is likely to bring stressful times for all leading to universal psychosocial impact, economic burden along with mass hysteria or mass fear of COVID-19, termed as “coronaphobia”. The implied lockdown across the globe due to high infectivity and fatality rate resulting in a plethora of psychological consequences. In order to prevent disease spread and help to develop herd immunity, forced quarantine is implied world over to combat COVID-19. It can give rise to several psychosocial impacts in the general population across different strata of community. Some of the effects seen as a result may be experienced in the long run such as depression, excessive worry, acute panic, anxiety, stress, obsessive behaviors, hoarding, paranoia and some serious effects such as post-traumatic stress disorder (PTSD). News spread via different platforms of social media has added to people’s anxiety and stigmatization at times. Frontline workers are at higher-risk of contracting the disease and are experiencing difficult outcomes in form of burnout, anxiety, fear of transmitting infection, feeling of incompatibility, depression, increased substance-dependence and PTSD. At the same time the most vulnerable class is senior citizens and children who require special attention along with people with different types of chronic ailments. This review has been undertaken to understand the psychosocial impact of COVID-19 pandemic on different strata of society.
Keywords: Psychosocial, COVID-19, SARS-CoV2, Social media, Pandemic, Quarantine, Mental health, Stigmatization, Telemedicine
References
[1] Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents 2020;55:105924.
[2] Pulla P. Covid-19: India imposes lockdown for 21 days and cases rise. BMJ 2020;368:m1251.
[3] Kluge HNP. Statement on physical and mental health key to resilience during COVID-19 pandemic. http://www.euro.who.int/en/health-topics/ health-emergencies/coronavirus-covid-19/statements/statement-physicaland-mental-health-key-to-resilience-during-covid-19-pandemic (accessed on 30th March, 2020).
[4] Depoux A, Martin S, Karafillakis E, Bsd RP, Wilder-Smith A, Larson H. The pandemic of social media panic travels faster than the COVID-19 outbreak. J Trav Med 2020. taaa031.
[5] Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, Liu X, Fuller CJ, Susser E, Lu J, Hoven CW. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatr 2009;54:302e11.
[6] Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912e20.
[7] Robertson E, Hershenfield K, Grace SL, Stewart DE. The psychosocial effects of being quarantined following exposure to SARS: a qualitative study of Toronto health care workers. Can J Psychiatr 2004;49:403e7.
[8] Barbisch D, Koenig KL, Shih FY. Is there a case for quarantine? Perspectives from SARS to Ebola. Disaster Med Public Health Prep 2015;9:547e53.
[9] Jeong H, Yim HW, Song YJ, Ki M, Min JA, Cho J, Chae JH. Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiol Health 2016;38:e2016048.
[10] Liu X, Kakade M, Fuller CJ, Fan B, Fang Y, Kong J, et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatr 2012;53:15e23.
[11] Zarocostas J. How to fight an infodemic. Lancet 2020;395:676.
[12] Malta M, Rimoin AW, Strathdee SA. The coronavirus 2019-nCoV epidemic: is hindsight 20/20? EClinicalMedicine 2020;20:100289.
[13] Chong MY, Wang WC, Hsieh WC. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry 2004;185:127e33.
[14] McAlonan GM, Lee AM, Cheung V. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can J Psychiatr 2007;52:241e7.
[15] Sim K, Chua HC. The psychological impact of SARS: a matter of heart and mind. CMAJ 2004;170:811e2.
[16] Su TP, Lien TC, Yang CY, Su YL, Wang JH, Tsai SL, et al. Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. J Psychiatr Res 2007;41:119e30.
[17] Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatr 2009;54:302e11.
[18] Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3:e203976.
[19] Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry 2020;7:e14.
[20] Biswas P, Chatterjee S. Hand hygiene compliance among doctors in a tertiary care hospital of India. Indian J Pediatr 2014;81:967e8. [54] Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry 2020;7:e15e6.
[21] Chan-Yeung M. Severe acute respiratory syndrome (SARS) and healthcare workers. Int J Occup Environ Health 2004;10:421e7. [56] Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020;7:228e9.
[22] Carville O, Court E, Brown KV. Hospitals tell doctors they’ll Be fired if they speak out about lack of gear. Bloomberg 2020. https://www.bloomberg.com/ news/articles/2020-03-31/hospitals-tell-doctors-they-ll-be-fired-if-theytalk-to-press (accessed on 2nd April, 2020).
[23] India Today. Kolkata landlords evict medical professionals, Resident Doctor’s Association steps. https://www.indiatoday.in/india/story/bengal-kolkatalandlords-evict-medical-professionals-coronavirus-1659333-2020-03-25; 2020 (accessed on 2nd April, 2020).
[24] Harvey A. Covid-19: medical schools given powers to graduate final year students early to help NHS. BMJ 2020;368:m1227.
[25] Remmerswaal D, Muris P. Children’s fear reactions to the 2009 Swine Flu pandemic: the role of threat information as provided by parents. J Anxiety Disord 2011;25:444e9.
[26] Dubey S, Dubey MJ, Ghosh R, Chatterjee S. Children of frontline COVID-19 warriors: our observations. J Pediatr 2020 (Accepted manuscript, In press).
[27] Yang Y, Li W, Zhang Q, Zhang L, Cheung T, Xiang YT. Mental health services for older adults in China during the COVID-19 outbreak. Lancet Psychiatry 2020;7:e19.
[28] Liem A, Wang C, Wariyanti Y, Latkin CA, Hall BJ. The neglected health of international migrant workers in the COVID-19 epidemic. Lancet Psychiatry 2020;7:e20.
[29] 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:e100213.
[30] The Washington Post. In India, the world’s biggest lockdown has forced migrants to walk hundreds of miles home.. https://www.washingtonpost. com/world/asia_pacific/india-coronavirus-lockdown-migrant-workers/ 2020/03/27/a62df166-6f7d-11ea-a156-0048b62cdb51_story.html; 2020 (accessed on 1st April, 2020).
[31] Coronavirus BBC. Anger as migrants sprayed with disinfectant in India. https://www.bbc.com/news/world-asia-india-52093220; 2020 (accessed on 1st April, 2020).
[32] Singh AK, Misra A. Editorial: herd mentality, herds of migrants/people, and COVID-19 in India. Diabetes Metab Syndr 2020;14:497.
[33] Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Publ Health 2020;17:1729.
[34] 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:e100213.
[35] Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. Int J Environ Res Publ Health 2020;17:E2032.
[36] Mental Health Expert Views: Meet your mental health experts for COVID-19 related stress. https://biotechexpressmag.com/mental-health-expert-views-meet-your-mental-health-experts-for-covid-19-related-stress/