Guiding future research on psychological interventions in people with COVID-19 and post COVID syndrome and comorbid emotional disorders based on a systematic review

ObjectiveThe COVID-19 pandemic has been emotionally challenging for the entire population and especially for people who contracted the illness. This systematic review summarizes psychological interventions implemented in COVID-19 and long COVID-19 patients who presented comorbid emotional disorders....

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Main Authors: Verónica Martínez-Borba, Laura Martínez-García, Óscar Peris-Baquero, Jorge Osma, Esther del Corral-Beamonte
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1305463/full
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author Verónica Martínez-Borba
Verónica Martínez-Borba
Laura Martínez-García
Laura Martínez-García
Óscar Peris-Baquero
Óscar Peris-Baquero
Jorge Osma
Jorge Osma
Esther del Corral-Beamonte
author_facet Verónica Martínez-Borba
Verónica Martínez-Borba
Laura Martínez-García
Laura Martínez-García
Óscar Peris-Baquero
Óscar Peris-Baquero
Jorge Osma
Jorge Osma
Esther del Corral-Beamonte
author_sort Verónica Martínez-Borba
collection DOAJ
description ObjectiveThe COVID-19 pandemic has been emotionally challenging for the entire population and especially for people who contracted the illness. This systematic review summarizes psychological interventions implemented in COVID-19 and long COVID-19 patients who presented comorbid emotional disorders.Methods and measures3,839 articles were identified in 6 databases and 43 of them were included in this work. Two independent researchers selected the articles and assessed their quality.Results2,359 adults were included in this review. Severity of COVID-19 symptoms ranged from asymptomatic to hospitalized patients; only 3 studies included long COVID-19 populations. Similar number of randomized controlled studies (n = 15) and case studies (n = 14) were found. Emotional disorders were anxiety and/or depressive symptoms (n = 39) and the psychological intervention most represented had a cognitive behavioral approach (n = 10). Length of psychological programs ranged from 1–5 sessions (n = 6) to 16 appointments (n = 2). Some programs were distributed on a daily (n = 4) or weekly basis (n = 2), but other proposed several sessions a week (n = 4). Short (5–10 min, n = 4) and long sessions (60–90 min, n = 3) are proposed. Most interventions were supported by the use of technologies (n = 18). Important risk of bias was present in several studies.ConclusionPromising results in the reduction of depressive, anxiety and related disorders have been found. However, important limitations in current psychological interventions were detected (i.e., duration, format, length, and efficacy of interventions were not consistently established across investigations). The results derived from our work may help to understand clinical practices in the context of pandemics and could guide future efforts to manage emotional suffering in COVID-19 patients. A stepped model of care could help to determine the dosage, length and format of delivery for each patient.Systematic review registration: PROSPERO 2022 CRD42022367227. Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022367227
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spelling doaj.art-750f3397a857467aa3feff23fe5189c92024-01-11T04:16:37ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-01-011110.3389/fpubh.2023.13054631305463Guiding future research on psychological interventions in people with COVID-19 and post COVID syndrome and comorbid emotional disorders based on a systematic reviewVerónica Martínez-Borba0Verónica Martínez-Borba1Laura Martínez-García2Laura Martínez-García3Óscar Peris-Baquero4Óscar Peris-Baquero5Jorge Osma6Jorge Osma7Esther del Corral-Beamonte8Institute for Health Research Aragón (IIS Aragón), Zaragoza, SpainDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, SpainInstitute for Health Research Aragón (IIS Aragón), Zaragoza, SpainDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, SpainInstitute for Health Research Aragón (IIS Aragón), Zaragoza, SpainDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, SpainInstitute for Health Research Aragón (IIS Aragón), Zaragoza, SpainDepartment of Psychology and Sociology, Universidad de Zaragoza, Zaragoza, SpainVillanova Royo Hospital, Zaragoza, SpainObjectiveThe COVID-19 pandemic has been emotionally challenging for the entire population and especially for people who contracted the illness. This systematic review summarizes psychological interventions implemented in COVID-19 and long COVID-19 patients who presented comorbid emotional disorders.Methods and measures3,839 articles were identified in 6 databases and 43 of them were included in this work. Two independent researchers selected the articles and assessed their quality.Results2,359 adults were included in this review. Severity of COVID-19 symptoms ranged from asymptomatic to hospitalized patients; only 3 studies included long COVID-19 populations. Similar number of randomized controlled studies (n = 15) and case studies (n = 14) were found. Emotional disorders were anxiety and/or depressive symptoms (n = 39) and the psychological intervention most represented had a cognitive behavioral approach (n = 10). Length of psychological programs ranged from 1–5 sessions (n = 6) to 16 appointments (n = 2). Some programs were distributed on a daily (n = 4) or weekly basis (n = 2), but other proposed several sessions a week (n = 4). Short (5–10 min, n = 4) and long sessions (60–90 min, n = 3) are proposed. Most interventions were supported by the use of technologies (n = 18). Important risk of bias was present in several studies.ConclusionPromising results in the reduction of depressive, anxiety and related disorders have been found. However, important limitations in current psychological interventions were detected (i.e., duration, format, length, and efficacy of interventions were not consistently established across investigations). The results derived from our work may help to understand clinical practices in the context of pandemics and could guide future efforts to manage emotional suffering in COVID-19 patients. A stepped model of care could help to determine the dosage, length and format of delivery for each patient.Systematic review registration: PROSPERO 2022 CRD42022367227. Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022367227https://www.frontiersin.org/articles/10.3389/fpubh.2023.1305463/fullCOVID-19 patientslong COVID-19 conditionspsychological interventionssystematic reviewemotional disorders
spellingShingle Verónica Martínez-Borba
Verónica Martínez-Borba
Laura Martínez-García
Laura Martínez-García
Óscar Peris-Baquero
Óscar Peris-Baquero
Jorge Osma
Jorge Osma
Esther del Corral-Beamonte
Guiding future research on psychological interventions in people with COVID-19 and post COVID syndrome and comorbid emotional disorders based on a systematic review
Frontiers in Public Health
COVID-19 patients
long COVID-19 conditions
psychological interventions
systematic review
emotional disorders
title Guiding future research on psychological interventions in people with COVID-19 and post COVID syndrome and comorbid emotional disorders based on a systematic review
title_full Guiding future research on psychological interventions in people with COVID-19 and post COVID syndrome and comorbid emotional disorders based on a systematic review
title_fullStr Guiding future research on psychological interventions in people with COVID-19 and post COVID syndrome and comorbid emotional disorders based on a systematic review
title_full_unstemmed Guiding future research on psychological interventions in people with COVID-19 and post COVID syndrome and comorbid emotional disorders based on a systematic review
title_short Guiding future research on psychological interventions in people with COVID-19 and post COVID syndrome and comorbid emotional disorders based on a systematic review
title_sort guiding future research on psychological interventions in people with covid 19 and post covid syndrome and comorbid emotional disorders based on a systematic review
topic COVID-19 patients
long COVID-19 conditions
psychological interventions
systematic review
emotional disorders
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1305463/full
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