Please use this identifier to cite or link to this item: http://repositorio.ufla.br/jspui/handle/1/45820
metadata.artigo.dc.title: Psychological distress in the face of a pandemic: an observational study characterizing the impact of COVID-19 on immigrant outpatient mental health
metadata.artigo.dc.creator: 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.
metadata.artigo.dc.subject: COVID-19 - Mental health
Telepsychiatry
Vulnerable populations
Anxiety
Depression
Distress
metadata.artigo.dc.publisher: Elsevier
metadata.artigo.dc.date.issued: Jan-2021
metadata.artigo.dc.identifier.citation: 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.
metadata.artigo.dc.description.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.
metadata.artigo.dc.identifier.uri: https://www.sciencedirect.com/science/article/pii/S016517812033256X
http://repositorio.ufla.br/jspui/handle/1/45820
metadata.artigo.dc.language: en_US
Appears in Collections:FCS - Artigos sobre Coronavirus Disease 2019 (COVID-19)

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