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Coronavirus Disease 2019 (COVID-19) and Psychiatric Sequelae in South Africa: Anxiety and Beyond
Ugasvaree Subramaney1, Andrew Wooyoung Kim2,3, Indhrin Chetty1
1Department of Psychiatry, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Area 459, Charlotte Maxexe Johannesburg Academic Hospital, Jubilee Road, Parktown 2193, Po Box 10411, Vorna Valley 1686, Johannesburg, South Africa, Tel: (011)7172712 082822 4530, Fax (011) 7172423.
Insights
The COVID-19 pandemic presents significant psychiatric challenges beyond anxiety, impacting public mental health. Increased awareness and preparedness are crucial for managing these widespread mental health conditions.
Area of Science:
- Psychiatry
- Public Health
- Infectious Diseases
Background:
- The COVID-19 pandemic has created unprecedented global health challenges.
- Growing evidence indicates a significant link between COVID-19 infection and psychiatric comorbidity.
- Novel presentations of severe morbidity and mortality are being observed across medical disciplines.
Purpose of the Study:
- To expand the understanding of COVID-19's psychiatric sequelae beyond anxiety.
- To examine documented and potential future mental health conditions arising from COVID-19 infection and the pandemic.
- To assess the pandemic's secondary effects on public mental health.
Main Methods:
- An extensive review of global psychiatric literature was performed.
- The review focused on psychopathological presentations in COVID-19 patients, both reported and anticipated.
- Analysis included direct infection impacts, secondary effects, and lifestyle changes.
Main Results:
- Anxiety and anxiety disorders are the most frequently reported psychiatric presentations linked to COVID-19.
- COVID-19 infection and pandemic-related lifestyle changes contribute to a wide spectrum of psychopathologies and neuropsychiatric issues.
- South Africa faces unique challenges due to pre-existing societal conditions and health system burdens, necessitating preparedness for rising psychiatric cases.
Conclusions:
- Enhanced awareness of COVID-19-related psychiatric conditions is vital for early detection and effective treatment.
- Proactive health system preparation is essential to manage the increasing mental health burden associated with the pandemic.
- Improved screening and treatment strategies can lead to better health outcomes for individuals and the population.
Background:
The 2019 coronavirus (COVID-19) pandemic has brought unprecedented challenges to the health sector nationwide and internationally. Across all disciplines, unique and novel modes of presentation with substantial morbidity and mortality are being encountered, and growing evidence suggests that psychiatric comorbidity is likely among COVID-19 patients.
Objective:
This article aims to broaden the current discussion on the psychiatric sequalae of COVID-19, which has largely focused on anxiety, and examine the recently documented psychiatric sequelae of COVID-19 infection, the secondary effects of the pandemic on public mental health, and future psychiatric conditions that may arise due to COVID-19.
Methods:
We conducted an in-depth review of the current global psychiatric literature and describe the wide range of psychopathological presentations reported among past COVID-19 patients worldwide and those that are expected to emerge.
Results:
Current discussions in the psychiatric literature on COVID-19 report anxiety and anxiety disorders as a predominant set of clinical presentations during the pandemic. The impacts of direct COVID-19 infection, associated psychopathological sequelae, and drastic lifestyle changes due to the COVID-19 pandemic in South Africa, are associated with a broad range of psychopathologies and other neuropsychiatric presentations. Pre-existing societal conditions and burdens on the health system in South Africa prompt healthcare providers and public health planners to accordingly prepare for the expected rise in new psychiatric presentations.
Conclusion:
Greater awareness of the various psychiatric conditions attributed to COVID-19 infection may allow for earlier screening, more effective treatment, and greater positive health outcomes and better prepare health systems to address the growing pandemic in South Africa.
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