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Título : | Psychological distress in the face of a pandemic: an observational study characterizing the impact of COVID-19 on immigrant outpatient mental health |
Autor: | Serafini, Randal A. Powell, Samuel K. Frere, Justin J. Saali, Alexandra Krystal, Hannah L. Kumar, Vedika Yashaswini, Chittampalli Hernandez, Josimar Moody, Kate Aronson, Anne Meah, Yasmin Katz, Craig L. |
Palavras-chave: | COVID-19 - Mental health Telepsychiatry Vulnerable populations Anxiety Depression Distress |
Publicador: | Elsevier |
Data da publicação: | Jan-2021 |
Referência: | SERAFINI, R. A. et al. Psychological distress in the face of a pandemic: an observational study characterizing the impact of COVID-19 on immigrant outpatient mental health. Psychiatry Research, [S.l.], v. 295, Jan. 2021. |
Abstract: | Undocumented immigrants have disproportionately suffered during the novel coronavirus disease 2019 (COVID-19) pandemic due to factors including limited medical access and financial insecurity, which can exacerbate pandemic-associated distress. Psychological outcomes for immigrant outpatients were assessed after transition to telepsychiatry in March 2020. Mental health was assessed with Patient Health Questionnaire (PHQ-2) and Generalized Anxiety Disorder (GAD-2) inventories, a novel coronavirus-specific survey, and the Kessler Psychological Distress Scale (K10+). Feedback on telepsychiatry sessions and access to non-clinical resources were also gathered, after which multivariable linear regression modeling identified psychosocial factors underlying changes in distress levels. 48.57% and 45.71% of participants reported worsened anxiety and depression levels due to the pandemic, respectively. From March to April, PHQ-2 and GAD-2 scores significantly increased by 0.81 and 0.63 points, respectively. The average total psychological distress score was 23.8, with 60% of scores reflecting serious mental illness. Factors that most influenced K10+ scores included a pre-existing depressive disorder, food insecurity, and comfort during telepsychiatry visits. 93.75% of participants believed access to remote psychiatry helped their mental health during COVID-19. The negative impact of COVID-19 on mental health in vulnerable populations stems from medical and psychosocial factors such as pre-existing psychiatric conditions and unmet essential needs. |
URI: | https://www.sciencedirect.com/science/article/pii/S016517812033256X http://repositorio.ufla.br/jspui/handle/1/45820 |
Idioma: | en_US |
Aparece nas coleções: | FCS - Artigos sobre Coronavirus Disease 2019 (COVID-19) |
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