Open Access Open Access  Restricted Access Subscription Access

Post-COVID Stress Disorder: An Emerging Upshot of the COVID-19 Pandemic


Affiliations
1 Drug Standardization Unit (Homoeopathy), Central Council for Research in Homoeopathy, Under Ministry of AYUSH, Government of India, Hyderabad, Telangana, India
2 Department of Clinical Pharmacy and Pharmacology, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia
 

Globally mental disorders pose a disproportionately raising threat due to the disability and mortality they cause. An introspective insight into the mortality data shows that suicide is the second most common cause of death in the young. As World Health Organization (WHO) very rightly envisaged that mental health plays an integral part in the overall health and well-being as constituted in its definition for health “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. Mental disorders are a major threat to public health and their management is visualized to be of utmost significance and challenge to the medical fraternity1. Currently, the sweep of the COVID-19 pandemic has created a significant psychological impact amongst the community. It has thrown a common man into grave distress, displeasure, and uncertainty in turn disrupting their normal living2. A recent survey on the Indian population showed a prevalence of 28.2% of people suffering from Posttraumatic Stress Disorder (PTSD) during the peak of the pandemic and probably can be called as Post-COVID Stress Disorder which shows the intensity and depth of the trauma people have underwent during the present day. Historically when looked at, the conditions that prevailed in previous pandemics and other traumatic situations as earthquakes and tsunami, etc., the major public health concern observed as an immediate aftermath of any traumatic event (TE) is PTSD3, 4. In the Mental Health Surveys conducted by WHO, the lifetime prevalence of PTSD is estimated to be 3.9% of the population amongst multiple nations and 5.6% among those who are exposed to trauma. The overall prevalence of PTSD during natural disasters has been estimated to be 12% and 6.5% incidence due to a medical illness. Globally the prevalence of traumatic events found to be common. And in a country like India, the socio-economic and orthodox cultural aspects contribute to the increased risk of lifetime PTSD among the trauma exposed. 50% of the PTSD patients reported persistent symptoms and very minority of them are receiving quality mental health care, thus creating a challenge in the treatment of PTSD. Childhood trauma and other co-morbidities also pose major hurdles in the management of PTSD5, 6, 7. In a study conducted in the youth of China who are home-quarantined immediately after 1 month of the COVID-19 outbreak, 12.8% were diagnosed with PTSD8. An online survey of 3500 people in Spain showed a 15.8% prevalence of PTSD. Many other studies showed the same prevalence of PTSD during this pandemic which indicates the significance of PTSD emerging as a global public health emergency9. The various reasons for PTSD during COVID-19 times can be summarized as below: 1. Shock due to quarantine/isolation. 2. Mental trauma due to severe illness and hospitalization. 3. Morbid fear of contracting infection and new strains. 4. Visualizing the death of near and dear. 5. Financial burden due to loss of job/income. 6. Stress and shock due to continuous watching daily news updates. 7. Domestic violence/Sexual abuse due to caught back at unknown places and staying at home. 8. Imaginary fear of adverse reactions from new vaccines. 9. Social isolation stigma from the community. 10. Morbid Fear about future.

Keywords

No keywords.
User
Notifications
Font Size

  • Mental health action plan 2013 - 2020 [Internet]. Who.int.2021 [cited 1 February 2021]. Available from: https://www.who.int/publications/i/item/9789241506021
  • Ponnam HB. Psychometric Assessment of Morbid Fear of COVID-19 and Its Homoeopathic Management - A Treatment Perspective through Case Reports. Homoeopathic Links. 2020; 33(3):235–240. https://doi.org/10.1055/s-0040-1714375.
  • Singh SP, Khokhar A. Prevalence of Posttraumatic Stress Disorder and Depression in General Population in India During COVID-19 Pandemic Home Quarantine [published online ahead of print, 2020 Nov 16]. Asia Pac J Public Health. 2020; https://doi.org/10.1177/1010539520968455
  • Rise in post-traumatic disorders [Internet]. The Hindu [Accessed on 1st Feb 2021]. Available from: https://www.thehindu.com/sci-tech/health/rise-in-post-traumaticstressdisorder-survey/article32481461.ece
  • Sareen J. Posttraumatic stress disorder in adults: Epidemiology, pathophysiology, clinical manifestations, course, assessment, and diagnosis. UpToDate. Edited by Stein MB, Friedman M; Waltham, MA. 2021 [Internet]. [Accessed 14th Feb 2021]. Available from: https://www.uptodate.com/contents/posttraumatic-stress-disorderin-adults-epidemiology-pathophysiology-clinicalmanifestations-course-assessment-and-diagnosis
  • Kessler RC, Rose S, Koenen KC, Karam EG, Stang PE, Stein DJ et al. How well can post-traumatic stress disorder be predicted from pre-trauma risk factors? An exploratory study in the WHO World Mental Health Surveys. World Psychiatry. 2014; 13:265-74. https://doi.org/10.1002/ wps.20150
  • Koenen KC, Ratanatharathorn A, Ng L, MacLaughlin KA, Bromet EJ, Stein DJ et al. Posttraumatic stress disorder in the World Mental Health Surveys. Psychol Med. 2017; 47(13):2260-2274. https://doi.org/10.1017/ S0033291717000708
  • Liang L, Gao T, Ren H, et al. Post-traumatic stress disorder and psychological distress in Chinese youths following the COVID-19 emergency. J Health Psychol. 2020; 25(9):11641175. https://doi.org/10.1177/1359105320937057.
  • Gonzalez-Sanguino C, Ausin B, Castellanos MA, Saiz J, Lopez-Gomez A, Ugidos C et al. Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain Behav Immun. 2020; 87:172-76. https://doi.org/10.1016/j.bbi.2020.05.040
  • Dong L, Bouey. Public Mental Health Crisis during COVID19 Pandemic, China. Emerging Infectious Diseases. 2020; 26(7):1616–1618.
  • Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry. 2020; 7(4):300-2.
  • Minding our minds during COVID-19. [Internet]. https://www.mohfw.gov.in/. 2021 [cited 2 February 2021]. Available from: https://www.mohfw.gov.in/pdf/ MindingourmindsduringCoronaeditedat.pdf
  • Psychosocial issues among Migrants during COVID-19. [Internet]. https://www.mohfw.gov.in/. 2021 [cited 2 February 2021]. Available from: https://www.mohfw.gov.in/pdf/RevisedPsychosocialissuesofmigrants COVID19.pdf
  • Mental Health in the times of COVID-19 Pandemic Guidance for General Medical and Specialized Mental Health Care Settings [Internet]. http://nimhans.ac.in/. 2021 [cited 2 February 2021]. Available from: http://nimhans.ac.in/wp-content/uploads/2020/04/MentalHealthIssuesCOVID-19NIMHANS.pdf

Abstract Views: 134

PDF Views: 72




  • Post-COVID Stress Disorder: An Emerging Upshot of the COVID-19 Pandemic

Abstract Views: 134  |  PDF Views: 72

Authors

Hima Bindu Ponnam
Drug Standardization Unit (Homoeopathy), Central Council for Research in Homoeopathy, Under Ministry of AYUSH, Government of India, Hyderabad, Telangana, India
Butchi Raju Akondi
Department of Clinical Pharmacy and Pharmacology, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia

Abstract


Globally mental disorders pose a disproportionately raising threat due to the disability and mortality they cause. An introspective insight into the mortality data shows that suicide is the second most common cause of death in the young. As World Health Organization (WHO) very rightly envisaged that mental health plays an integral part in the overall health and well-being as constituted in its definition for health “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. Mental disorders are a major threat to public health and their management is visualized to be of utmost significance and challenge to the medical fraternity1. Currently, the sweep of the COVID-19 pandemic has created a significant psychological impact amongst the community. It has thrown a common man into grave distress, displeasure, and uncertainty in turn disrupting their normal living2. A recent survey on the Indian population showed a prevalence of 28.2% of people suffering from Posttraumatic Stress Disorder (PTSD) during the peak of the pandemic and probably can be called as Post-COVID Stress Disorder which shows the intensity and depth of the trauma people have underwent during the present day. Historically when looked at, the conditions that prevailed in previous pandemics and other traumatic situations as earthquakes and tsunami, etc., the major public health concern observed as an immediate aftermath of any traumatic event (TE) is PTSD3, 4. In the Mental Health Surveys conducted by WHO, the lifetime prevalence of PTSD is estimated to be 3.9% of the population amongst multiple nations and 5.6% among those who are exposed to trauma. The overall prevalence of PTSD during natural disasters has been estimated to be 12% and 6.5% incidence due to a medical illness. Globally the prevalence of traumatic events found to be common. And in a country like India, the socio-economic and orthodox cultural aspects contribute to the increased risk of lifetime PTSD among the trauma exposed. 50% of the PTSD patients reported persistent symptoms and very minority of them are receiving quality mental health care, thus creating a challenge in the treatment of PTSD. Childhood trauma and other co-morbidities also pose major hurdles in the management of PTSD5, 6, 7. In a study conducted in the youth of China who are home-quarantined immediately after 1 month of the COVID-19 outbreak, 12.8% were diagnosed with PTSD8. An online survey of 3500 people in Spain showed a 15.8% prevalence of PTSD. Many other studies showed the same prevalence of PTSD during this pandemic which indicates the significance of PTSD emerging as a global public health emergency9. The various reasons for PTSD during COVID-19 times can be summarized as below: 1. Shock due to quarantine/isolation. 2. Mental trauma due to severe illness and hospitalization. 3. Morbid fear of contracting infection and new strains. 4. Visualizing the death of near and dear. 5. Financial burden due to loss of job/income. 6. Stress and shock due to continuous watching daily news updates. 7. Domestic violence/Sexual abuse due to caught back at unknown places and staying at home. 8. Imaginary fear of adverse reactions from new vaccines. 9. Social isolation stigma from the community. 10. Morbid Fear about future.

Keywords


No keywords.

References