مجله روانپزشکی و روانشناسی بالینی ایران
سال بیست و ششم شماره 3 (پیاپی 102، پاییز 1399)

 After the outbreak of a new viral disease in Wuhan, China, in late December 2019, COVID-19 in a very short time and rapidly became a global pandemic. Through a systematic review, the present paper investigated the requirements of Mental Health Services during the COVID-19 outbreak.

A comprehensive search was conducted through PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information (ISI), and Scopus. PsychINFO and CINAHL data banks were also searched. The primary roots for the development of the search strategy developed based on the keywords of “Covid”, “mental health”, “care”, “services”. All relevant studies were included without any limitation of publication time or the papers’ language as it was not possible to conduct a formal systematic review given the nature of the publications. Instead, it was decided to conduct a mixed systematic and complementary narrative review covering different interested domains.

 Out of 80 papers, after excluding duplications, 58 articles were selected for the refinement process. Three refining steps based on the titles, abstracts, and full texts led to data extraction from 4 eligible papers. Considering the importance of the problem, related findings, key points, and research findings were summarized and presented in terms of critical components of infrastructure and resources, including policy for at-risk groups, different approaches to mental health service delivery, indirect contexts for mental health service delivery, follow-up attitudes, and complementary research. The results of the study indicate that many studies considered the consequences of physical aspects and diagnostic symptoms. Thus, aspects of mental health have been either less focused or even neglected. In mental health consequences, immediate attention and intensive programs to assess mental health, preparation for support and treatment, and prevention services are emphasized.

 During the implementation of mental health interventions, to improve services and to consider the limitations and challenges of implementing programs, it is necessary to pay attention to the attitudes of target groups and their preferences.

 Acute attacks of epidemics and the physical risk have adverse severe psychological effects on children due to their lower protective capacity.
This study aimed to determine home quarantine’s psychological effect because of Coronavirus (COVID-19) on parental stress and its relationship with anxiety and depression in children.

 This research was conducted during 17-26 March 2017 - the initial stages of the Iranian people’s public call for quarantine - in Guilan province. The study’s statistical population included all children aged 5 to 12 years and their parents who were purposefully sampled, and 181 people responded voluntarily to the Child Symptom Inventory-4 (CSI-4)-Parental Form and the Impact of Event Scale-Revised (IES-R). For data analysis, the Pearson correlation coefficient, independent t-test, and regression analysis were used.

 After eliminating the effect of demographic variables, it was found that more parents› scores on the intrusion subscale (β=0.568, P=0.004) and hyperarousal (β=0.772, P<0.0001) could predict more anxiety scores. None of the IES-R components in parents could predict children’s depression scores (P>0.05). In general, the higher parental scores on IES-R, the more likely the child to have anxiety scores (β=0.258, P=0.011) and depression (β=0.325, P<0.0001) in children.

 Based on the results, it can be said that the psychological effect of home quarantine caused by Covid-19 pandemic in parents can have a devastating impact on children’s anxiety and depression, and these results necessitate the training programs of psychological support for parents and their children.

 The sudden outbreak of Coronavirus (COVID-19) as a deadly disease worldwide has caused widespread psychological problems and physical problems. Given the importance of preventing and controlling mental health problems in patients with this disease, the present study was conducted to investigate the Perceived Stress level of health care and non- health care in Exposed to COVID-19 pandemic.

 This is a descriptive-cross-sectional study conducted in April 2020. A total of 528 medical and non-medical workers entered the study by simple sampling method. Include criteria as follows Employees exposed to the Coronavirus (COVID-19) who had access to a smartphone. People with a history of mental illness were excluded from the study. The tools used included a demographic questionnaire, and the Cohen 10-item Perceived Stress Scale distributed online via the mobile phone.

 Among 528 participants in the study, the majority (68.2%) were married (52.7%) were male, and (47.3%) were in the age group of 46-46 years. Most research units (90.2%) had moderate stress, and (4.2%) had severe stress. The Kruskal–Wallis test showed that students were more stressed than formal and contract workers. In comparison with the averages in the Mann-Whitney test, women were more stressed than men. People who were not taking medication had more stressed than people who were taking medication. Also, people with therapeutic occupations were more stressed than Non-therapeutic jobs.

The findings of the present study showed the need for more vulnerable groups in society such as women, students, and staff of therapeutic occupations in the Coronavirus (COVID-19) crisis prevention and care, which should be reviewed by effective coping strategies and epidemic disease management, access to healing resources and psychological services system should be further strengthened for this group. Also, the planning of national strategies and first aid in crises should be emphasized through telemedicine and online services

 The prevalence of Coronavirus and its health-related psychosocial consequences is one of the most important human social events of the 21st century. Nurses, due to close contact with patients, are vulnerable to be infected with Covid-19. Therefore, they face severe psychological consequences. This study aimed to determine the relationship between Corona’s anxiety and nursing care behaviors in working in Corona referral hospitals in Kerman in 2020.

 The present study is cross-sectional descriptive-correlational research. Sampling was performed by the census method. A total of 166 nurses entered the study. In the present study, three demographic questionnaires, the Corona Disease Anxiety Scale (CDAS) and Caring Behaviors Inventory (CBI) were used. The analysis was done using Descriptive and Inferential statistics SPSS V. 18 software

 The overall score of Corona anxiety among the nurses was 21.39±9.8, and the overall score of the nursing behavior of the studied nurses was 109.7±4.2 with a range of 94 to 118. Spearman’s correlation coefficient showed that there was no significant relationship between corona anxiety and caring behaviors.

 The present study showed that nurses working in corona wards suffer from moderate anxiety, and the level of caring behaviors provided by nurses was optimal. According to the current study findings, it is suggested that during the outbreak of emerging and epidemic diseases, to reduce nursing staff’s anxiety, coping strategies and resilience skills, and problem-solving, managers should pay more attention.

 Healthcare workers involved in the fight against corona are at high risk for depression and anxiety; therefore, this study aimed to predict Corona anxiety in nurses based on perceived social support and a sense of coherence.

The research method was descriptive and correlational. The present study’s statistical population consisted of all nurses working in hospitals and clinics in Rasht, employed in 2020, and 200 people participated in the survey online and through virtual networks. Data collection tools included the Corona anxiety Scale, Multidimensional Scale of Perceived Social Support, and Sense of Coherence Inventory-(SOC)13 Scale. Data were analyzed using the Pearson correlation test and simultaneous regression analysis using SPSS V. 23 software.

Corona anxiety in nurses had a negative and significant relationship with perceived social support (β=-0.581; P<0.03) and sense of coherence(β=-0.672; P<0.001). Perceived social support and a sense of coherence of 42% of variance predicted Corona anxiety scores in nurses (P<0.01).

Therefore, perceived social support and a sense of coherence play an essential role in nurses’ Corona anxiety. Therefore, educating nurses to increase the understanding of cohesion to empower and implement understandable support programs is recommended.

 The most critical issue that the young generation faces is cyberspace, which has increased irrationally with the coronavirus outbreak. The present study aimed to identify cyberspace’s role in lifestyle, promoting health, and coronary anxiety in young people.

 The research method is descriptive post-event. The community included all undergraduate students of Tabriz Azad University, of which 307 people participated in the study through an online call answer to a Researcher-Made Questionnaires, which designed to measure the use of cyberspace, Corona Anxiety Questionnaire and the Lifestyle Promoters. Data were analyzed by multivariate analysis of variance and Post Hoc test.

 The findings show the components of lifestyle promoting health, subscales of spiritual growth (P=0.001), responsibility (P=0.016), interpersonal relationships (p=0.033), exercise (P=0.009) as well as the overall score of lifestyle (P=0.001); And one of the components of Corona Anxiety is a subscale of psychological symptoms (P=0.001) and also the total score of Corona Anxiety (P=0.001) in groups related to the use of cyberspace is significant, And students who spent more than four hours using cyberspace scored lower on health-promoting lifestyles and higher on coronary anxiety components.

 The excessive use of cyberspace has played a negative role in improving the health of students. Excessive and very little use of cyberspace also increases students’ anxiety, and in this regard, it is suggested that students manage the use of virtual social networks.

 The Covid-19 has caused anxiety and stress in people all over the world. One of the most vulnerable groups during this epidemic are people with psychiatric disorders. In this study, we investigate the leading causes of concern among patients with psychiatric disorders and their families during and after hospitalization. The purpose of this study is to improve the care and service given to these patients and their caregivers regarding their concerns.

 In this study, 48 patients with psychiatric disorders hospitalized from late February to late April 2020 in the Iran Psychiatric Hospital were contacted by telephone. They completed a questionnaire related to the covid-19 pandemic and the problems caused by it during and after their hospitalization.

 Inability to meet with family and the fear of infection to Covid-19 were among the main concerns of these patients at the time of admission. Their most worrying factors after discharge were the negative impact of quarantine on the recurrence of psychiatric illness. On the other hand, the most significant concern during the hospitalization of a patient with Covid-19 is the caregivers of these patients after discharge and the inaccessibility to a physician.

 The Covid-19 pandemic has caused challenges in treating psychiatric patients; thus, this study suggests some solutions such as providing a safe place for doctors to visit the patients, recommending the patients and the caregivers to observe self-hygiene protocols, and seeing patients virtually.

Following the prevalence of COVID-19 and quarantine, the requirement to observe safety and hygiene during this period has left various effects on the psychological and social aspects of society. Because people with different personality traits have shown different behaviors for safety attentions during the quarantine, the present study aimed to examine and test a model of personality and cognitive antecedents of health considerations COVID-19.

For this purpose, a sample of 220 people working in education and universities, were evaluated online and through social networks. Participants completed the safety considerations questionnaire (safety behavior and safety attitude), internal locus of control, NEO questionnaire. The proposed model was evaluated through Structural Equation Modeling (SEM) AMOS-23 and SPSS V. 23. The bootstrap procedure by Preacher and Hayes (2008) was used for testing indirect relationships.

The results showed that the designed model had good fit indicators. Apart from the relationship between agreeableness and internal locus of control (negative relationship), other relationships between variables were reported to be positive and direct. The position of internal locus of control also played the role of a complete mediator.

The conscientiousness trait activates the internal locus of control construct, and consequently, the person tends to observe health behaviors. In other words, the whole conscientiousness effect leads to the observance of hygienic principles through the intervention and occupation of the cognitive structure of the locus of control (full mediator). The simple relationship between neuroticism and the locus of control, which was reported to be negative (-0.20), changed to (0.23) due to interaction with the conscientious variable. Explaining this change in signs and values indicates that a linear interpretation of the data cannot be provided. Therefore, it can be said that creating some concern in people about health messages and critical and searching following Coronavirus information along with conscientiousness, can provide profitable conditions for the tendency towards health behaviors.

 In the context of the epidemic of coronavirus and its psychological effect, it is necessary to develop appropriate tools for measuring the aspects of its psychological pathology. Therefore, this study aims to determine coronavirus anxiety›s psychometric properties using a 5-point Likert scale (Sherman A. Lee) in the Iranian statistical population. 

 In this study, 399 men and women from the adult population of Kermanshah were studied by the available sampling method. The Fear of COVID-19 Scale (FCV-19S), Difficulties in Emotion Regulation Scale(DERS), as well as the second version of the Acceptance and Action Questionnaire (AAQ-II) were used for convergent validity and divergent validity, respectively. Internal consistency method using Cronbach’s alpha was used to analyze data, and confirmatory factor analysis using Lisrel-8.8 software was used for construct validity.

 Cronbach’s alpha was found to be 91.5 for the scales overall score. CAS found a positive and significant correlation between the coronavirus anxiety scale and the sub-components of difficulty in emotion regulation (except for problems engaging in goal-directed behaviors). Still, he also found that there was a negative correlation between acceptance and action. Furthermore, the results of the confirmatory factor analysis indicated that the single-factor structure is well-suited

 Covid-19 related anxiety can be disproportionate and unnecessary and cause many psychological problems. The Iranian version of the coronavirus anxiety Scale reflected desirable validity and reliability and could be used as a short and valid screening tool for measuring coronavirus anxiety measurement.