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印度阿萨姆邦人群中求救者概况及远程心理咨询服务利用情况:一项新冠疫情期间的探索性研究

Profile of distress callers and service utilisation of tele-counselling among the population of Assam, India: an exploratory study during COVID-19.

作者信息

Hazarika Mythili, Das Bornali, Das Shyamanta, Baruah Atanu, Sharma Nivedita, Barua Chandamita, Das Jayashree, Choudhury Sandamita, Hazarika Dyuksha, Sarma Phulen, Bhandari Samrat Singh

机构信息

Department of Psychiatry, Gauhati Medical College Hospital, Guwahati, Assam, India.

Department of Emergency Medicine, Gauhati Medical College Hospital, Guwahati, Assam, India.

出版信息

Open J Psychiatry Allied Sci. 2021 Jan-Jun;12(1):7-12. doi: 10.5958/2394-2061.2021.00001.x.

DOI:10.5958/2394-2061.2021.00001.x
PMID:33163629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7644027/
Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic has affected people globally by causing psychological, social, and economic chaos. The Assam Police, India started telephone helplines to address the psychological issues.

AIMS

To evaluate the sociodemographic profile of the distress callers, their psychosocial concerns, the interventions provided by the service provider, and whether the service users were satisfied with the intervention(s) or not.

METHOD

It was a cross-sectional study done during the period of lockdown (7-24 April 2020). All the callers who called the helpline were screened for anxiety, depression, suicidal thoughts (when required), and the psychosocial issues which they were facing were explored. They were provided the psychological intervention(s) at the appropriate time, and they were asked to rate their experience at the end.

RESULTS

A total of 239 callers used the tele-counselling services. The majority of callers were male (79.1%). Most of the callers were between 19-35 years of age group (66.5%), married (52.5%), and graduates (31%). Two-thirds of the callers called to seek guidance for their own issues and one-third for their relatives or friends. Callers had anxiety (46%), depressive disorder (8.3%), and depressive symptoms not qualifying for depressive disorder (14%), and suicidal thoughts (5.44%). The commonest intervention provided to the callers was supportive (77.8%), followed by psychoeducation (30.5%), cognitive behaviour therapy (24.7%), relaxation (23.6%) and behaviour therapy (13.4%). Most of the callers utilised more than one type of therapy. Overall, most of the callers were satisfied and appreciated the tele-counselling services.

CONCLUSION

The findings could help in formulating psychological interventions to improve the mental health of vulnerable groups in the post-COVID-19 period to reduce psychiatric morbidity and mortality.

摘要

背景

2019年冠状病毒病(COVID-19)大流行通过造成心理、社会和经济混乱影响了全球各地的人们。印度阿萨姆邦警方开通了电话热线以解决心理问题。

目的

评估求助者的社会人口学特征、他们的心理社会问题、服务提供者提供的干预措施,以及服务使用者是否对干预措施满意。

方法

这是一项在封锁期间(2020年4月7日至24日)进行的横断面研究。对所有拨打热线的求助者进行焦虑、抑郁、自杀念头(必要时)筛查,并探讨他们面临的心理社会问题。在适当的时候为他们提供心理干预措施,并在最后要求他们对自己的体验进行评分。

结果

共有239名求助者使用了电话咨询服务。大多数求助者为男性(79.1%)。大多数求助者年龄在19至35岁之间(66.5%),已婚(52.5%),且为毕业生(31%)。三分之二的求助者打电话是为自己的问题寻求指导,三分之一是为亲属或朋友。求助者存在焦虑(46%)、抑郁症(8.3%)、不符合抑郁症诊断标准的抑郁症状(14%)以及自杀念头(5.44%)。为求助者提供的最常见干预措施是支持性干预(77.8%),其次是心理教育(30.5%)、认知行为疗法(24.7%)、放松疗法(23.6%)和行为疗法(13.4%)。大多数求助者使用了不止一种治疗方法。总体而言,大多数求助者对电话咨询服务感到满意并表示赞赏。

结论

这些研究结果有助于制定心理干预措施,以改善COVID-19后时期弱势群体的心理健康,降低精神疾病的发病率和死亡率。

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