Covid-19 Pandemisi ve Toplum Ruh Sağlığı
Özet
COVID-19 pandemisi, fiziksel sağlığın yanı sıra toplum ruh sağlığı üzerinde de derin ve çok yönlü olumsuz etkilere yol açarak önemli bir halk sağlığı sorunu haline gelmiştir. Karantina, sosyal izolasyon ve ekonomik belirsizlikler gibi faktörler; depresyon, anksiyete, obsesif kompulsif bozukluklar, madde kullanımı ve ev içi şiddet olaylarında küresel ölçekte belirgin bir artışa neden olmuştur. Bu süreçte özellikle yoğun iş yükü ve enfeksiyon riski altındaki sağlık çalışanları, hassas durumdaki kadınlar, uzaktan eğitimle rutinleri değişen çocuk ve ergenler, yalnızlık ve ölüm kaygısı yaşayan yaşlılar ile önceden psikiyatrik rahatsızlığı bulunan bireyler ruh sağlığı açısından en yüksek risk gruplarını oluşturmaktadır. Pandemi döneminde rutin zihinsel sağlık hizmetlerinin kesintiye uğraması bu sorunları daha da derinleştirmiştir. Bu olumsuz etkileri azaltmak ve toplum ruh sağlığını iyileştirmek adına ruh sağlığı bütçelerinin artırılması, psikolojik ilk yardım eğitimlerinin yaygınlaştırılması ve tele-psikiyatri, mobil sağlık uygulamaları ile dijital platformlar aracılığıyla uzaktan destek mekanizmalarının etkin bir şekilde kullanılması kritik bir önem taşımaktadır.
The COVID-19 pandemic has led to profound and multifaceted negative impacts on public mental health alongside physical health, becoming a significant public health issue. Factors such as quarantine, social isolation, and economic uncertainties have caused a distinct global increase in depression, anxiety, obsessive-compulsive disorders, substance abuse, and domestic violence. During this period, healthcare workers under heavy workloads and infection risks, vulnerable women, children and adolescents whose routines changed with remote education, elderly individuals experiencing loneliness and mortality anxiety, and individuals with pre-existing psychiatric disorders constitute the highest risk groups regarding mental health. The disruption of routine mental health services during the pandemic has further deepened these issues. In order to mitigate these negative effects and improve public mental health, it is of critical importance to increase mental health budgets, generalize psychological first aid training, and effectively utilize remote support mechanisms through tele-psychiatry, mobile health applications, and digital platforms.
Referanslar
WHO. Constitution. (24.12.2021 tarihinde https://www.who.int/about/governance/constitution adresinden ulaşılmıştır).
WHO. Mental health:Fact sheet. (24.12.2021 tarihinde https://www.euro.who.int/__data/assets/pdf_file/0004/404851/MNH_FactSheet_ENG.pdf adresinden ulaşılmıştır).
WHO. Mental disorders. (24.12.2021 tarihinde https://www.who.int/news-room/fact-sheets/detail/mental-disorders adresinden ulaşılmıştır).
Güleç C, Paksoy N. E. Toplum Ruh Sağlığı. Güler Ç, Akın L. (ed.), Halk Sağlığı Temel Bilgiler içinde. Ankara: Hacettepe Üniversitesi Yayınları; 2012. p. 1821-1853.
Öztek Z. Halk Sağlığı Kuramlar Ve Uygulamalar. Ankara: Bireklam Arısı; 2020.
WHO. Mental Health. (24.12.2021 tarihinde https://www.who.int/health-topics/mental-health#tab=tab_2 adresinden ulaşılmıştır).
WHO. Mental Health. (24.12.2021 tarihinde https://www.who.int/news-room/facts-in-pictures/detail/mental-health adresinden ulaşılmıştır).
WHO. Coronavirus disease (COVİD-19) Pandemic. (24.12.2021 tarihinde https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov adresinden ulaşılmıştır).
WHO. WHO Coronavirus Dashboard. (02.01.2022 tarihinde https://covid19.who.int/ adresinden ulaşılmıştır).
WHO. Coronavırus Dısease (Covıd-19) Outbreak: Rıghts, Roles And Responsıbılıtıes Of Health Workers, Includıng Key Consıderatıons For Occupatıonal Safety And Health. (24.12.2021 tarihinde https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf adresinden ulaşılmıştır).
WHO. Coronavirus disease (COVİD-19) Pandemic. (24.12.2021 tarihinde https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov adresinden ulaşılmıştır).
Simon NM, Saxe GN, Marmar CR. Mental Health Disorders Related to COVID-19–Related Deaths. JAMA. 2020;324(15): 1493-1494. doi:10.1001/jama.2020.19632
Winkler P, Formanek T, Mlada K et al. Increase in prevalence of current mental disorders in the context of COVID-19:analysis of repeated nationwide crosssectional surveys. Epidemiology and Psychiatric Sciences. 2020;173(29): 1–8. doi: https://doi.org/10.1017/NS2045796020000888
WHO. Mental Health and Covid-19. (24.12.2021 tarihinde https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/publications-and-technical-guidance/noncommunicable-diseases/mental-health-and-covid-19, adresinden ulaşılmıştır).
Chaturvedi SK. Covid-19, Coronavirus and Mental Health Rehabilitation at Times of Crisis. J. Psychosoc. Rehabil. Ment. Health. 2020;7, 1–2. doi: https://doi.org/10.1007/s40737-020-00162-z
Türk Tabipler Birliği Covid-19 Pandemisi Altıncı Ay Değerlendirme Raporu. COVID-19 Pandemi Sürecinde Ruh Sağlığı. (9.12.2021 tarihinde https://www.ttb.org.tr/kutuphane/covid19-rapor_6/covid19-rapor_6_Part71.pdf adresinden ulaşılmıştır).
Campion J, Javed A, Sartorius N. Addressing the public mental health challenge of COVID-19. Lancet Psychiatry. 2020;7(8): 657-659. doi: 10.1016/S2215-0366(20)30240-6
Ergönen AT, Biçen E, Ersoy, G. COVID-19 Salgınında Ev İçi Şiddet, The Bulletin of Legal Medicine. 2020;25: 48-57. doi: 10.17986/blm.2020.v25i.1408
Usher K, Bhullar N, Durkin J. et al. Family Violence and COVID‐19: Increased Vulnerability and Reduced Options for Support, International Journal of Mental Health Nursing. 2020;7: 1-4. doi: https://doi.org/10.1111/inm.12735
WHO. Mental Health&Covid-19. (24.12.2021 tarihinde https://www.who.int/teams/mental-health-and-substance-use/mental-health-and-covid-19, adresinden ulaşılmıştır).
Reger MA, Stanley IH., Joiner TE. Suicide Mortality and Coronavirus Disease 2019—A Perfect Storm?, JAMA Psychiatry. 2020;77(11): 1093-1094. doi: 10.1001/jamapsychiatry.2020.1060
SSRN Electronic Journal. Thunström L, Newbold SC, Finnoff SC et al. The benefits and costs of flattening the curve for COVID-19. (23.12.2021 tarihinde https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3561934, adresinden ulaşılmıştır).
Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. European Psychiatry, 2020; 1 (63), 1–2. https://doi.org/10.1192/j.eurpsy.2020.35
Kumar A, Nayar KR. COVID 19 and its mental health consequences. Journal of Mental Health. 2021;30(1): 1-2. doi: 10.1080/09638237.2020.1757052
Minihan E, Gavin B , Kelly B. D. et al. COVID-19, Mental Health And Psychological First Aid. Irish Journal of Psychological Medicine, 2020;37: 259–263.
Torales J, O’Higgins M, Castaldelli-Maia J.M. Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. International Journal of Social Psychiatry 2020;4(66): 317–320.
Heitzman J. Impact of COVID-19 pandemic on mental health. Psychiatr. Pol. 2020;54(2): 187–198. doi:: https://doi.org/10.12740/PP/120373
WHO. Infodemic. (24.12.2021 tarihinde https://www.who.int/health-topics/infodemic#tab=tab_1 adresinden ulaşılmıştır).
Thombs BD, Bonardia O, Ricea DB et al. Curating evidence on mental health during COVID-19: A living systematic review. Journal of Psychosomatic Research. 2020;110113(133): 1-3. doi: https://doi.org/10.1016/j.jpsychores.2020.110113
WHO. Substantial investment needed to avert mental health crisis. (24.12.2021 tarihinde https://www.who.int/news/item/14-05-2020-substantial-investment-needed-to-avert-mental-health-crisis adresinden ulaşılmıştır).
Xiong J, Orly Lipsitz O, Nasri F et al. Impact Of COVID-19 Pandemic On Mental Health In The General Population: A Systematic Review. Journal of Affective Disorders. 2020;277: 55–64. doi: https://doi.org/10.1016/j.jad.2020.08.001
Pan R, Zhang L, Pan J. The Anxiety Status of Chinese Medical Workers During the Epidemic of COVID-19: A Meta-Analysis, Psychiatry investigation. 2020;17(5): 475–480. doi: https://doi.org/10.30773/pi.2020.0127
Chen Q, Liang M, Li Y et al. Mental Health Care for Medical Staff in China During the COVID-19 Outbreak, The Lancet Psychiatry. 2020;7(4): 15-16.
Vindegaard N, Benros ME. COVID-19 Pandemic And Mental Health Consequences: Systematic Review Of The Current Evidence. Brain, Behavior, and Immunity. 2020;89: 531–542. doi: https://doi.org/10.1016/j.bbi.2020.05.048
O’Connor RC, Wetherall K, Cleare S et al. Mental health and well-being during the COVID-19 pandemic: longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study. The British Journal of Psychiatry. 2021;218: 326–333. doi: 10.1192/bjp.2020.212
Gloster AT, Lamnisos D, Lubenko J, et al. Impact of COVID-19 pandemic on mental health: An international study. PLoS ONE. 2020; 15(12): 1-20. doi: https://doi.org/10.1371/journal.pone.0244809
WHO. COVID-19: Occupational health and safety for health workers: interim guidance, 2 February 2021. (24.12.2021 tarihinde https://www.who.int/publications/i/item/WHO-2019-nCoV-HCW_advice-2021-1 adresinden ulaşılmıştır).
Gold JA. Covid-19: adverse mental health outcomes for healthcare workers. BMJ. 2020;1815(369): 1-2. doi: 10.1136/bmj.m1815
Braquehais MD, Vargas-Ca´ceres S, Go´mez-Dura´n E, et al. The Impact Of The Covıd-19 Pandemic On The Mental Health Of Healthcare Professionals. QJM: An International Journal of Medicine, 2020;9(113): 613–617. doi: 10.1093/qjmed/hcaa207
Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ. 2020;1642(369): 1-11. doi: https://doi.org/10.1136/bmj.m1642
Di Tella M, Romeo A, Benfante A. Mental health of healthcare workers during the COVID-19 pandemic in Italy. J Eval Clin Pract. 2020;26: 1583–1587. doi: 10.1111/jep.13444
Kartoğlu ÜH, Yıldız ÖK. Gelecek İçin Geçmişi Okumak:Pandemik Notlar. İstanbul. Karist Baskı Çözümleri Ltd. Şti;2021
Spoorthy MS, Pratapa S.K, Mahant S. Mental Health Problems Faced By Healthcare Workers Due To The COVID-19 Pandemic–A Review. Asian Journal of Psychiatry. 2020;102119(51): 1-4. doi: https://doi.org/10.1016/j.ajp.2020.102119
Tsamakıs K, Rızos E, Manolıs AJ, COVID-19 pandemic and its impact on mental health of healthcare professionals. Experımental And Therapeutıc Medıcıne. 2020;19: 3451-3453. doi: 10.3892/etm.2020.8646
WHO. 6 Priorities for women and health. (24.12.2021 tarihinde https://www.who.int/news-room/spotlight/6-priorities-for-women-and-health adresinden ulaşılmıştır).
Almeida M, Shrestha AD, Stojanac D, et al. The impact of the COVID-19 pandemic on women’s mental health. Archives of Women's Mental Health. 2020;23: 741–748. doi: https://doi.org/10.1007/s00737-020-01092-2
WHO. COVİD-19 And Violence Against Women. (24.12.2021 tarihinde https://www.who.int/reproductivehealth/publications/covid-19-vaw-infographics/en/ adresinden ulaşılmıştır).
Essadek A, Rabeyron T. Mental health of French students during the Covid-19 pandemic. Journal of Affective Disorders 2020;277: 392–393. doi: 10.1016/j.jad.2020.08.042
Liu J.J, Bao Y, Huang X. Mental health considerations for children quarantined because of COVID-19. Lancet Child Adolesc Health. 2020;4(5): 347-349. doi: 10.1016/S2352-4642(20)30096-1.
Holmes E. A, O'Connor RC, Perry VH, et al. Multidisciplinary Research Priorities for the Covid-19 Pandemic: A Call for Action for Mental Health Science, The Lancet Psychiatry. 2020;7: 547-560. doi: https://doi.org/10.1016/S2215-0366(20)30168-1
Ho CSH, Chee CYI, Ho RCM. Mental Health Strategies to Combat the Psychological Impact of COVID-19 Beyond Paranoia and Panic. Academy of Medicine. 2020;49(3): 155-160.
Percudani M, Corradin M, Moreno M, et al. Mental Health Services in Lombardy during COVID-19 outbreak. Psychiatry Research. 2020;112980(288): 1-3. doi: https://doi.org/10.1016/j.psychres.2020.112980
Qiu J, Shen B, Zhao M, et al. A Nationwide Survey of Psychological Distress Among Chinese People in the COVID-19 epidemic: Implications and Policy Recommendation. General Psychiatry. 2020;33: e100213. doi: 10.1136/gpsych-2020-100213
Tian F, Li H, Tian S, et al. Psychological Symptoms of Ordinary Chinese Citizens Based on SCL-90 During the Level I Emergency Response to COVID-19. Psychiatry Research. 2020; 288: 112992. doi: https://doi.org/10.1016/j.psychres.2020.112992
WHO. Older People&Covid-19. (24.12.2021 tarihinde https://www.who.int/teams/social-determinants-of-health/demographic-change-and-healthy-ageing/covid-19 adresinden ulaşılmıştır).
Vahia IV, Jeste DV, Reynolds CV. Older Adults and theMental Health Effects of COVID-19. American Medical Association. 2020;22 (324): 2253-2254.
WHO. The impact of COVID-19 on mental, neurological and substance use services: results of a rapid assessment. (24.12.2021 tarihinde https://www.who.int/publications/i/item/978924012455, adresinden ulaşılmıştır).
D'Agostino A, Demartini B, Cavallotti S. Mental health services in Italy during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(5): 385–387. doi: 10.1016/S2215-0366(20)30133-4
Figueroa C.A, Aguilera A. The Need for a Mental Health Technology Revolution in the COVID-19 Pandemic. Front. Psychiatry. 523(11): 1-5. doi: 10.3389/fpsyt.2020.00523
Keshavan M, Torous J. COVID-19, Mobile Health And Serious Mental Illness. Schizophrenia Research. 2020;218: 36–37. doi: https://doi.org/10.1016/j.schres.2020.04.013
