Online mental health services in China during the COVID-19 outbreak
Identifieur interne : 000489 ( Pmc/Corpus ); précédent : 000488; suivant : 000490Online mental health services in China during the COVID-19 outbreak
Auteurs : Shuai Liu ; Lulu Yang ; Chenxi Zhang ; Yu-Tao Xiang ; Zhongchun Liu ; Shaohua Hu ; Bin ZhangSource :
- The Lancet. Psychiatry [ 2215-0366 ] ; 2020.
Url:
DOI: 10.1016/S2215-0366(20)30077-8
PubMed: 32085841
PubMed Central: 7129099
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Online mental health services in China during the COVID-19 outbreak</title><author><name sortKey="Liu, Shuai" sort="Liu, Shuai" uniqKey="Liu S" first="Shuai" last="Liu">Shuai Liu</name><affiliation><nlm:aff id="aff1">Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">The Third People's Hospital of Qinghai Province, Xining, China</nlm:aff></affiliation></author><author><name sortKey="Yang, Lulu" sort="Yang, Lulu" uniqKey="Yang L" first="Lulu" last="Yang">Lulu Yang</name><affiliation><nlm:aff id="aff1">Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</nlm:aff></affiliation></author><author><name sortKey="Zhang, Chenxi" sort="Zhang, Chenxi" uniqKey="Zhang C" first="Chenxi" last="Zhang">Chenxi Zhang</name><affiliation><nlm:aff id="aff1">Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</nlm:aff></affiliation></author><author><name sortKey="Xiang, Yu Tao" sort="Xiang, Yu Tao" uniqKey="Xiang Y" first="Yu-Tao" last="Xiang">Yu-Tao Xiang</name><affiliation><nlm:aff id="aff4">Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macau Special Administrative Region, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff5">Center for Cognition and Brain Sciences, University of Macau, Macau Special Administrative Region, China</nlm:aff></affiliation></author><author><name sortKey="Liu, Zhongchun" sort="Liu, Zhongchun" uniqKey="Liu Z" first="Zhongchun" last="Liu">Zhongchun Liu</name><affiliation><nlm:aff id="aff6">Department of Psychiatry, Renmin Hospital, Wuhan University, Wuhan, China</nlm:aff></affiliation></author><author><name sortKey="Hu, Shaohua" sort="Hu, Shaohua" uniqKey="Hu S" first="Shaohua" last="Hu">Shaohua Hu</name><affiliation><nlm:aff id="aff7">Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff></affiliation></author><author><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name><affiliation><nlm:aff id="aff1">Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32085841</idno><idno type="pmc">7129099</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7129099</idno><idno type="RBID">PMC:7129099</idno><idno type="doi">10.1016/S2215-0366(20)30077-8</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000489</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000489</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Online mental health services in China during the COVID-19 outbreak</title><author><name sortKey="Liu, Shuai" sort="Liu, Shuai" uniqKey="Liu S" first="Shuai" last="Liu">Shuai Liu</name><affiliation><nlm:aff id="aff1">Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff3">The Third People's Hospital of Qinghai Province, Xining, China</nlm:aff></affiliation></author><author><name sortKey="Yang, Lulu" sort="Yang, Lulu" uniqKey="Yang L" first="Lulu" last="Yang">Lulu Yang</name><affiliation><nlm:aff id="aff1">Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</nlm:aff></affiliation></author><author><name sortKey="Zhang, Chenxi" sort="Zhang, Chenxi" uniqKey="Zhang C" first="Chenxi" last="Zhang">Chenxi Zhang</name><affiliation><nlm:aff id="aff1">Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</nlm:aff></affiliation></author><author><name sortKey="Xiang, Yu Tao" sort="Xiang, Yu Tao" uniqKey="Xiang Y" first="Yu-Tao" last="Xiang">Yu-Tao Xiang</name><affiliation><nlm:aff id="aff4">Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macau Special Administrative Region, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff5">Center for Cognition and Brain Sciences, University of Macau, Macau Special Administrative Region, China</nlm:aff></affiliation></author><author><name sortKey="Liu, Zhongchun" sort="Liu, Zhongchun" uniqKey="Liu Z" first="Zhongchun" last="Liu">Zhongchun Liu</name><affiliation><nlm:aff id="aff6">Department of Psychiatry, Renmin Hospital, Wuhan University, Wuhan, China</nlm:aff></affiliation></author><author><name sortKey="Hu, Shaohua" sort="Hu, Shaohua" uniqKey="Hu S" first="Shaohua" last="Hu">Shaohua Hu</name><affiliation><nlm:aff id="aff7">Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff></affiliation></author><author><name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name><affiliation><nlm:aff id="aff1">Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</nlm:aff></affiliation><affiliation><nlm:aff id="aff2">Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</nlm:aff></affiliation></author></analytic><series><title level="j">The Lancet. Psychiatry</title><idno type="ISSN">2215-0366</idno><idno type="eISSN">2215-0374</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Xiang, Y T" uniqKey="Xiang Y">Y-T Xiang</name></author><author><name sortKey="Yang, Y" uniqKey="Yang Y">Y Yang</name></author><author><name sortKey="Li, W" uniqKey="Li W">W Li</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kang, L" uniqKey="Kang L">L Kang</name></author><author><name sortKey="Li, Y" uniqKey="Li Y">Y Li</name></author><author><name sortKey="Hu, S" uniqKey="Hu S">S Hu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chan, Ssc" uniqKey="Chan S">SSC Chan</name></author><author><name sortKey="So, Wkw" uniqKey="So W">WKW So</name></author><author><name sortKey="Wong, Dcn" uniqKey="Wong D">DCN Wong</name></author><author><name sortKey="Lee, Ack" uniqKey="Lee A">ACK Lee</name></author><author><name sortKey="Tiwari, A" uniqKey="Tiwari A">A Tiwari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y Wang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Lancet Psychiatry</journal-id><journal-id journal-id-type="iso-abbrev">Lancet Psychiatry</journal-id><journal-title-group><journal-title>The Lancet. Psychiatry</journal-title></journal-title-group><issn pub-type="ppub">2215-0366</issn><issn pub-type="epub">2215-0374</issn><publisher><publisher-name>Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32085841</article-id><article-id pub-id-type="pmc">7129099</article-id><article-id pub-id-type="publisher-id">S2215-0366(20)30077-8</article-id><article-id pub-id-type="doi">10.1016/S2215-0366(20)30077-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Online mental health services in China during the COVID-19 outbreak</article-title></title-group><contrib-group><contrib contrib-type="author" id="au10"><name><surname>Liu</surname><given-names>Shuai</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff2" ref-type="aff">b</xref><xref rid="aff3" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="au20"><name><surname>Yang</surname><given-names>Lulu</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff2" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au30"><name><surname>Zhang</surname><given-names>Chenxi</given-names></name><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff2" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au40"><name><surname>Xiang</surname><given-names>Yu-Tao</given-names></name><xref rid="aff4" ref-type="aff">d</xref><xref rid="aff5" ref-type="aff">e</xref></contrib><contrib contrib-type="author" id="au50"><name><surname>Liu</surname><given-names>Zhongchun</given-names></name><xref rid="aff6" ref-type="aff">f</xref></contrib><contrib contrib-type="author" id="au60"><name><surname>Hu</surname><given-names>Shaohua</given-names></name><xref rid="aff7" ref-type="aff">g</xref></contrib><contrib contrib-type="author" id="au70"><name><surname>Zhang</surname><given-names>Bin</given-names></name><email>zhang73bin@hotmail.com</email><xref rid="aff1" ref-type="aff">a</xref><xref rid="aff2" ref-type="aff">b</xref></contrib></contrib-group><aff id="aff1"><label>a</label>Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China</aff><aff id="aff2"><label>b</label>Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China</aff><aff id="aff3"><label>c</label>The Third People's Hospital of Qinghai Province, Xining, China</aff><aff id="aff4"><label>d</label>Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macau Special Administrative Region, China</aff><aff id="aff5"><label>e</label>Center for Cognition and Brain Sciences, University of Macau, Macau Special Administrative Region, China</aff><aff id="aff6"><label>f</label>Department of Psychiatry, Renmin Hospital, Wuhan University, Wuhan, China</aff><aff id="aff7"><label>g</label>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</aff><pub-date pub-type="pmc-release"><day>19</day><month>2</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>19</day><month>2</month><year>2020</year></pub-date><elocation-id></elocation-id><permissions><copyright-statement>© 2020 Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder>Elsevier Ltd</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><related-article related-article-type="article-reference" id="d32e170" ext-link-type="doi" xlink:href="10.1016/S2215-0366(20)30046-8"></related-article></article-meta></front><body><p id="para10">At the start of 2020, the 2019 coronavirus disease (COVID-19), originating from Wuhan in Hubei province, started to spread throughout China. As a result of the rapidly increasing numbers of confirmed cases and deaths, both medical staff and the public have been experiencing psychological problems, including anxiety, depression, and stress.<xref rid="bib1" ref-type="bibr">1</xref>, <xref rid="bib2" ref-type="bibr">2</xref> Since January, 2020, the National Health Commission of China have published several guideline documents, starting with the notification of principles for emergency psychological crisis intervention for the COVID-19 epidemic on January 26, then the notice on establishing psychological assistance hotlines for the epidemic on February 2, and most recently, guidelines for psychological assistance hotlines during the COVID-19 epidemic on February 7.<xref rid="bib3" ref-type="bibr"><sup>3</sup></xref></p><p id="para20">During the severe acute respiratory syndrome epidemic in 2003, internet services and smartphones were not widely available. Therefore, few online mental health services were provided for those in need.<xref rid="bib4" ref-type="bibr"><sup>4</sup></xref> The popularisation of internet services and smartphones, and the emergence of fifth generation (5G) mobile networks, have enabled mental health professionals and health authorities to provide online mental health services during the COVID-19 outbreak. Fast transmission of the virus between people hinders traditional face-to-face psychological interventions. By contrast, provision of online mental health services is safe. To date, several types of online mental health services have been implemented widely for those in need during the outbreak in China.</p><p id="para30">Firstly, as of Feb 8, 2020, 72 online mental health surveys associated with the COVID-19 outbreak could be searched for via the WeChat-based survey programme Questionnaire Star, which target different populations, including medical staff (23 of the surveys), patients with COVID-19 (one survey), students (18 surveys), the general population (nine surveys), and mixed populations (21 surveys); in Hubei province (five surveys), other provinces (15 surveys), all provinces, municipalities, and autonomous regions (36 surveys), and unspecified areas of China (16 surveys). One such multicentre survey involving 1563 medical staff, with our centre at Nanfang Hospital, Southern Medical University (Guangzhou, China) as one of the study sites, found the prevalence of depression (defined as a total score of ≥5 in the Patient Health Questionnaire-9) to be 50·7%, of anxiety (defined as a total score of ≥5 in the Generalized Anxiety Disorder-7) to be 44·7%, of insomnia to be 36·1% (defined as a total score of ≥8 in the Insomnia Severity Index), and of stress-related symptoms (defined as a total score of ≥9 in the Impact of Events Scale-Revised) to be 73·4%. These findings are important in enabling health authorities to allocate health resources and develop appropriate treatments for medical staff who have mental health problems.</p><p id="para40">Secondly, online mental health education with communication programmes, such as WeChat, Weibo, and TikTok, has been widely used during the outbreak for medical staff and the public. In addition, several books on COVID-19 prevention, control, and mental health education have been swiftly published and free electronic copies have been provided for the public. As of February 8, 29 books associated with COVID-19 have been published, 11 (37·9%) of which are on mental health, including the “Guidelines for public psychological self-help and counselling of 2019-nCoV pneumonia”, published by the Chinese Association for Mental Health.</p><p id="para50">Finally, online psychological counselling services (eg, WeChat-based resources) have been widely established by mental health professionals in medical institutions, universities, and academic societies throughout all 31 provinces, municipalities, and autonomous regions in mainland China, which provide free 24-h services on all days of the week. Online psychological self-help intervention systems, including online cognitive behavioural therapy for depression, anxiety, and insomnia (eg, on WeChat), have also been developed. In addition, several artificial intelligence (AI) programmes have been put in use as interventions for psychological crises during the epidemic. For example, individuals at risk of suicide can be recognised by the AI programme Tree Holes Rescue,<xref rid="bib5" ref-type="bibr"><sup>5</sup></xref> by monitoring and analysing messages posted on Weibo, and alerting designated volunteers to act accordingly.</p><p id="para60">In general, online mental health services being used for the COVID-19 epidemic are facilitating the development of Chinese public emergency interventions, and eventually could improve the quality and effectiveness of emergency interventions.</p></body><back><ref-list id="bibl10"><title>References</title><ref id="bib1"><label>1</label><element-citation publication-type="journal" id="sbref10"><person-group person-group-type="author"><name><surname>Xiang</surname><given-names>Y-T</given-names></name><name><surname>Yang</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>W</given-names></name></person-group><article-title>Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed</article-title><source>Lancet Psychiatry</source><year>2020</year><comment>published online Feb 4.</comment><pub-id pub-id-type="doi">10.1016/S2215-0366(20)30046-8</pub-id></element-citation></ref><ref id="bib2"><label>2</label><element-citation publication-type="journal" id="sbref20"><person-group person-group-type="author"><name><surname>Kang</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Hu</surname><given-names>S</given-names></name></person-group><article-title>The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus</article-title><source>Lancet Psychiatry</source><year>2020</year><comment>published online Feb 5.</comment><pub-id pub-id-type="doi">10.1016/S2215-0366(20)30047-X</pub-id></element-citation></ref><ref id="bib3"><label>3</label><element-citation publication-type="other" id="sbref30"><person-group person-group-type="author"><collab>National Health Commission of China</collab></person-group><article-title>Guidelines for psychological assistance hotlines during 2019-nCoV pneumonia epidemic</article-title><comment>(in Chinese).</comment><ext-link ext-link-type="uri" xlink:href="http://www.nhc.gov.cn/jkj/s3577/202002/f389f20cc1174b21b981ea2919beb8b0.shtml" id="interrefs30">http://www.nhc.gov.cn/jkj/s3577/202002/f389f20cc1174b21b981ea2919beb8b0.shtml</ext-link><year>Feb 7, 2020</year></element-citation></ref><ref id="bib4"><label>4</label><element-citation publication-type="journal" id="sbref40"><person-group person-group-type="author"><name><surname>Chan</surname><given-names>SSC</given-names></name><name><surname>So</surname><given-names>WKW</given-names></name><name><surname>Wong</surname><given-names>DCN</given-names></name><name><surname>Lee</surname><given-names>ACK</given-names></name><name><surname>Tiwari</surname><given-names>A</given-names></name></person-group><article-title>Improving older adults' knowledge and practice of preventive measures through a telephone health education during the SARS epidemic in Hong Kong: a pilot study</article-title><source>Int J Nurs Stud</source><volume>44</volume><year>2007</year><fpage>1120</fpage><lpage>1127</lpage><pub-id pub-id-type="pmid">16857203</pub-id></element-citation></ref><ref id="bib5"><label>5</label><element-citation publication-type="book" id="sbref50"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Y</given-names></name></person-group><chapter-title>The Chinese suicides prevented by AI from afar</chapter-title><year>Nov 9, 2019</year><publisher-name>BBC World Service</publisher-name><ext-link ext-link-type="uri" xlink:href="https://www.bbc.com/news/technology-50314819" id="interrefs40">https://www.bbc.com/news/technology-50314819</ext-link></element-citation></ref></ref-list><ack><p>We declare no competing interests.</p></ack></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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