4.4 Review

Mental health in biological disasters: From SARS to COVID-19

Journal

INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY
Volume 67, Issue 5, Pages 576-586

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/0020764020944200

Keywords

Coronavirus disease 2019 (COVID-19); severe acute respiratory syndrome (SARS); biological disaster; mental health; religion; culture

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This review highlights mental health issues related to infectious diseases, especially in the context of the COVID-19 pandemic. Strategies such as identifying stressors, providing psychological first aid and debriefing, and emphasizing community resilience are crucial in mitigating the negative impact of disasters on mental health. Clear and timely psychoeducation can play a significant role in alleviating mental health issues during biological disasters like SARS and COVID-19.
Background: The outbreak of coronavirus disease 2019 (COVID-19), like severe acute respiratory syndrome (SARS), provokes fear, anxiety and depression in the public, which further affects mental health issues. Taiwan has used their experience of the SARS epidemic for the management of foreseeable problems in COVID-19 endemic. Aim/Objective: This review summarizes issues concerning mental health problems related to infectious diseases from current literatures. Results: In suspected cases under quarantine, confirmed cases in isolation and their families, health care professionals, and the general population and related effective strategies to reduce these mental health issues, such as helping to identify stressors and normalizing their impact at all levels of response as well as public information and communication messages by electronic devices. The importance of community resilience was also addressed. Psychological first aid, psychological debriefing, mental health intervention and psychoeducation were also discussed. Issues concerning cultures and religions are also emphasized in the management plans. Conclusion: Biological disaster like SARS and COVID-19 not only has strong impact on mental health in those being infected and their family, friends, and coworkers, but also affect wellbeing in general public. There are evidenced that clear and timely psychoeducation, psychological first aid and psychological debriefing could amileorate negative impact of disaster, thus might also be helpful amid COVID-19 pandemic.

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