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Interventions to address mental health issues in healthcare workers during infectious disease outbreaks: A systematic review

Authors
  • Zaçe, D.1
  • Hoxhaj, I.1
  • Orfino, A.2
  • Viteritti, A.M.2
  • Janiri, L.3
  • Di Pietro, M.L.1
  • 1 Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
  • 2 Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
  • 3 cience and Orthopedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Type
Published Article
Journal
Journal of Psychiatric Research
Publisher
Elsevier Ltd.
Publication Date
Feb 13, 2021
Volume
136
Pages
319–333
Identifiers
DOI: 10.1016/j.jpsychires.2021.02.019
PMID: 33636688
PMCID: PMC7880838
Source
PubMed Central
Keywords
Disciplines
  • Review Article
License
Unknown

Abstract

Considering the importance of evidence on interventions to tackle mental health problems in healthcare workers (HCWs) during pandemics, we conducted a systematic review, aiming to identify and summarize the implemented interventions to deal with mental health issues of HCWs during infectious disease outbreaks and report their effectiveness. Web of Science, PubMed, Cochrane, Scopus, CINAHL and PsycInfo electronic databases were searched until October 2nd, 2020. Primary-data articles, describing any implemented interventions and their effectiveness were considered pertinent. Studies were screened according to the inclusion/exclusion criteria and subsequently data extraction was performed. Twenty-four articles, referring to SARS, Ebola, Influenza AH1N1 and COVID-19 were included. Interventions addressing mental health issues in HCWs during pandemics/epidemics were grouped into four categories: 1) informational support (training, guidelines, prevention programs), 2) instrumental support (personal protective equipment, protection protocols); 3) organizational support (manpower allocation, working hours, re-organization of facilities/structures, provision of rest areas); 4) emotional and psychological support (psychoeducation and training, mental health support team, peer-support and counselling, therapy, digital platforms and tele-support). These results might be helpful for researchers, stakeholders, and policymakers to develop evidence-based sustainable interventions and guidelines, aiming to prevent or reduce the immediate and long-term effect of pandemics on mental health status of HCWs.

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