Covid-19 - Psychological research and treatment

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Jonathan Edwards said:
Familiar marketing stunt in the Guardian just now:

"It doesn’t stop when the virus is under control and there are few people in hospital. You’ve got to fund the long-term consequences."

From the President of the Royal College of Psychiatrists.
https://www.theguardian.com/society...hreat-to-mental-health-since-second-world-war
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I agree to a degree. There will be some people and families who will suffer the mental consequences for a long time down the road. Loved ones lost, not able to say goodbye to them. Long striven-for livelihoods destroyed. Etc. One of my grandfathers was pretty comfortably off, albeit by no means rich, but the Wall Street Crash took it all from him, and he never really recovered from that.

They may be secondary consequence of Covid, but to the people affected that is academic.
 
Sly Saint said:
yes as there probably were/are after all wars and disasters, but I doubt that a course of CBT will solve it.
The efforts would be better spent on trying to support people in practical ways that will make a difference.
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I don't see any mention of CBT in the article. It seems to simply be saying there will be many people who will suffer mental health consequences and that many of those will need help. I'm not going to criticise an article for some indiscretion that it has no evidence of it exhibiting. I've learnt in my life that people you invariably disagree with, can sometimes show considerable wisdom; and the converse of course. Mental health is real, and the need for psychiatric help is sometimes real - proper psychiatric help that is.
 
Mental health in the UK during the COVID-19 pandemic: cross-sectional analyses from a community cohort study
  1. Ru Jia1,
  2. Kieran Ayling1,
  3. Trudie Chalder2,
  4. Adam Massey1,
  5. Elizabeth Broadbent3,
  6. Carol Coupland1,
  7. Kavita Vedhara1
Abstract
Objectives Previous pandemics have resulted in significant consequences for mental health. Here, we report the mental health sequelae of the COVID-19 pandemic in a UK cohort and examine modifiable and non-modifiable explanatory factors associated with mental health outcomes. We focus on the first wave of data collection, which examined short-term consequences for mental health, as reported during the first 4–6 weeks of social distancing measures being introduced.

Design Cross-sectional online survey.

Setting Community cohort study.

Participants N=3097 adults aged ≥18 years were recruited through a mainstream and social media campaign between 3 April 2020 and 30 April 2020. The cohort was predominantly female (n=2618); mean age 44 years; 10% (n=296) from minority ethnic groups; 50% (n=1559) described themselves as key workers and 20% (n=649) identified as having clinical risk factors putting them at increased risk of COVID-19.

Main outcome measures Depression, anxiety and stress scores.

Results Mean scores for depression (
mml-math-1.gif
=7.69, SD=6.0), stress (
mml-math-2.gif
=6.48, SD=3.3) and anxiety (
mml-math-3.gif
= 6.48, SD=3.3) significantly exceeded population norms (all p<0.0001). Analysis of non-modifiable factors hypothesised to be associated with mental health outcomes indicated that being younger, female and in a recognised COVID-19 risk group were associated with increased stress, anxiety and depression, with the final multivariable models accounting for 7%–14% of variance. When adding modifiable factors, significant independent effects emerged for positive mood, perceived loneliness and worry about getting COVID-19 for all outcomes, with the final multivariable models accounting for 54%–57% of total variance.

Conclusions Increased psychological morbidity was evident in this UK sample and found to be more common in younger people, women and in individuals who identified as being in recognised COVID-19 risk groups. Public health and mental health interventions able to ameliorate perceptions of risk of COVID-19, worry about COVID-19 loneliness and boost positive mood may be effective.
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full paper
https://bmjopen.bmj.com/content/10/9/e040620.full
 
Sly Saint said:
Mental health in the UK during the COVID-19 pandemic: cross-sectional analyses from a community cohort study
  1. Ru Jia1,
  2. Kieran Ayling1,
  3. Trudie Chalder2,
  4. Adam Massey1,
  5. Elizabeth Broadbent3,
  6. Carol Coupland1,
  7. Kavita Vedhara1

full paper
https://bmjopen.bmj.com/content/10/9/e040620.full
Click to expand...

Hair samples capture Covid’s stressful toll
Anxiety, depression and other mental health disorders have all increased during the pandemic, but what impact does this have on our physical health? The work of Professor Kavita Vedhara and her team looks at how Covid stress could be affecting not just our minds but our bodies too.
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With the help of Senior Research Fellow Kieran Ayling, PhD student Ru Jia, Professor in Medical Statistics Carol Coupland, Dr Adam Massey, a former student and Director of Cortigenix, and Professor Trudie Chalder at King’s College London, a large-scale study was designed within days, and within a month over 3,000 people had been recruited.

Building on the team’s existing expertise, they decided to look not only at the psychological impacts of the lockdown, but also the physical effects by measuring the levels of the stress hormone cortisol in hair samples. The group had previously used this approach to measure stress in women undergoing IVF.
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https://www.nottingham.ac.uk/vision/hair-samples-capture-covids-stressful-toll
 
Lucibee said:
Just to update - this now seems to have been removed, but Wayback has a copy or two: https://web.archive.org/web/20200722020729/https://www.eapm.eu.com/wp-content/uploads/2018/06/EACLPP_Turner_MUS_2002.pdf
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It's utterly sickening that she claimed that some people with idiopathic illnesses "do not even want to be cured" and enjoy "secondary gains".The most depressing thing about this document is just how out of touch many doctors are. They have no interest whatsoever in listening to patient experience. You ask a BPS doctor about ME, LC, or any (as of 2023) unexplained condition and you get:
  • It's just somaticized depression
  • Patients love to collect diagnoses
  • Patients subconsciously want to be sick
  • Secondary gains
  • Excessive worry about or focus on symptoms
You ask people who've actually suffered these illnesses and you usually hear:
  • Previously healthy before onset
  • Can affect anyone, even elite athletes
  • Often rapid onset
  • Completely inconsistent with deconditioning or fear of activity. As someone said in "Fatigue can shatter a person" by Ed Yong, "Why would we all just stop?"
  • Extremely low quality of life
  • Having an illness or symptoms isn't the main source of emotional distress, poor quality of life, stigma, and discrimination are
  • Instead of secondary gains, there are "secondary losses." People lose careers, homes, friends, family, spouses, hobbies, intimacy, and often, their dignity.
 
If you were going to seek secondary gains, ME is the last means you would choose to do it by. The cost-benefit ratio is extraordinarily poor, about as bad as it gets.

All clowns like this are doing is indulging in their own personal prejudices and bigotry, lightly disguised with pseudo-medical sophistry. It is just straight abuse of the weak.

But there is always a market for it.
 
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