COVID-19 Pandemisi Dönemindeki KORDEP (Koronavirüs Online Ruhsal Destek Programı) Verilerinin İncelenmesi

Öz

Amaç: Mevcut araştırmada pandemi sırasında ruhsal zorlanma yaşayan bireyler için online (telefon/video) hizmet veren KORDEP (Koronavirüs Online Ruhsal Destek Programı) hattının başvuru ve takip süreçlerinin incelenmesi amaçlanmıştır. Yöntem: Araştırmaya; KORDEP hattını Mayıs 2020-Ağustos 2021 tarihleri arasında arayan bireylerin (n=2433) verileri dahil edilmiştir. Mükerrer arayan bireylerin sadece ilk aramaları araştırmaya dahil edilmiş ve 2187 bireyin bilgileri değerlendirilerek araştırma gerçekleştirilmiştir. Görüşme sırasında risk değerlendirmesinde tarama soruları olarak alanda çalışan klinisyenlerce oluşturulmuş, depresyon, anksiyete, stres sürecinde en sık karşılaşılan semptomları sorgulayan sorulardan oluşan bir form tasarlanarak kullanılmıştır. Bulgular: Toplamda 2167 çağrının KORDEP tarafından yanıtlanarak kaydedildiği sistemde; arayanların %92,4’ü kendisi için, %7,6’sı ise yakınları için başvuruda bulunmuşlardır. Risk değerlendirilmesi yapılan 1208 (%55,2) bireyin 586’sı (%48,5) uyku düzeninde bozulmalar olduğunu belirtmişlerdir. 65 yaş üstü veya kronik rahatsızlığı olan ailesi üyesi bulunan bireylerde bulunmayanlara göre daha fazla anksiyete belirtileri, aşırı sağlık kaygıları, depresif duygu durum, dikkat güçlüğü, tahammülsüzlük, öfkeli davranış ve uyku iştah değişikliği durumları saptanmıştır. Karantina ya da izolasyon sürecinde olan bireylerde karantina ya da izolasyon sürecinde olmayan bireylere göre daha fazla anksiyete belirtileri, aşırı sağlık kaygıları ve uyku iştah değişikliği durumları saptanmıştır. Sonuç: COVID-19 pandemisi ile birlikte tüm dünyada yaygınlaşan online danışma hattı uygulamaları olağan yüz yüze görüşme hizmetinden faydalanma olanağı bulunmayan ya da erişimde kısıtlılıkların olduğu durumlarda önemli imkânlar sunabilmesi açısından kıymetlidir.

Anahtar Kelimeler

• COVID
• destek hattı
• çevirimiçi
• ruh sağlığı

Examination of KORDEP (Coronavirus Online Mental Support Program) Data During the COVID-19 Pandemic Period

Abstract

Objective: The aim of this study is examination of the application and follow-up processes of the KORDEP (Coronavirus Online Mental Support Program) line, which provides online (phone/video) service for individuals experiencing mental distress during the pandemic. Method: Individuals who called the KORDEP line between May 2020 and August 2021 (n=2433) were included in the study. Only the first calls of individuals who called repeatedly were included in the research and the research was conducted by evaluating the information of 2187 individuals. During the interview, a form consisting of questions that were created by clinicians working in the field and questioned the most common symptoms during depression, anxiety and stress was designed and used as screening questions in risk assessment. Results: A total of 2167 calls were answered and recorded by KORDEP; 92.4% of the callers applied for themselves and 7.6% for their relatives. Of the 1208 (55.2%) individuals who underwent risk assessment, 586 (48.5%) reported sleep disturbances. Individuals over 65 years of age or with a family member with chronic illness had more anxiety symptoms, excessive health concerns, depressive mood, attention difficulties, intolerance, angry behavior and sleep appetite changes than those without. Individuals who were in quarantine or isolation had more anxiety symptoms, excessive health concerns and sleep appetite changes than individuals who were not in quarantine or isolation. Conclusion: Online counseling hotline applications, which have become widespread all over the world with the COVID-19 pandemic, are valuable in terms of providing important opportunities in cases where there is no opportunity to benefit from the usual face-to-face interview service or where there are limitations in access.

Keywords

• COVID
• mental health
• online support

Kaynakça

1. Belleville G, Ouellet MC, Morin CM (2019) Post-traumatic stress among evacuees from the 2016 Fort McMurray wildfires: exploration of psychological and sleep symptoms three months after the evacuation. Int J Environ Res Public Health, 16:1604.
2. Berdullas SS, Gesteira CS, Morán NR, Fernández HJR, Santolaya F, Sanz Fernánde J et al. (2020) El teléfono de asistencia psicológica por la COVID-19 del ministerio de sanidad y del consejo general de la psicología de España: características y demanda. Rev Esp Salud Publica, 94:e202010138.
3. Bi̇lge M (2020) Türkiye’de Covid-19 Pandemi sürecinde dezavantajlı bireylere yönelik uygulamaların incelenmesi: “Vefa sosyal destek grubu” örneği. Tıbbi Sosyal Hizmet Dergisi, 16:101–114.
4. Brülhart M, Klotzbücher V, Lalive R, Reich SK (2021) Mental health concerns during the COVID-19 pandemic as revealed by helpline calls. Nature, 600:121-126.
5. Brülhart M, Lalive R (2020) Daily suffering: helpline calls during the Covid-19 crisis. Covid Economics, 19:143–158.
6. Druss BG (2020) Addressing the COVID-19 pandemic in populations with serious mental illness. JAMA Psychiatry, 77:891-892.
7. Duan L, Zhu G (2020) Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry, 7:300–302.
8. Fu W, Wang C, Zou L, Guo Y, Lu Z, Yan S et al. (2020) Psychological health, sleep quality, and coping styles to stress facing the COVID-19 in Wuhan, China. Transl Psychiatry, 10:225.

9. Iqbal Y, Jahan R, Yesmin S, Selim A, Siddique SN (2021) COVID-19-related issues on tele-counseling helpline in Bangladesh. Asia Pac Psychiatry, 13:e12407.
10. Jensen T, Holgersen MG, Jespersen MS, Blomberg SN, Folke F, Lippert F et al. (2021) Strategies to handle increased demand in the COVID-19 crisis: A coronavirus EMS support track and a web-based self-triage system. Prehosp Emerg Care, 25:28–38.
11. Kozloff N, Mulsant BH, Stergiopoulos V, Voineskos AN (2020) The COVID-19 global pandemic: implications for people with schizophrenia and related disorders. Schizophr Bull, 46:752–757.
12. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N et al. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open, 3:e203976.
13. Lal RR, Gupta A, Gupta U, Singh U, Jain D (2021) Eldercare helpline: connecting with older people to mitigate the effects of the Covid-19 crisis in Jaipur, India. Working with Older People, 26:44–52.
14. Ministry of Health (2020) COVID-19 (SARS-CoV-2 Enfeksiyonu): Genel Bilgiler, Epidemiyoloji ve Tanı. Ankara, TC. Sağlık Bakanlığı.
15. Monreal-Bartolomé A, López-Del-Hoyo Y, Cabrera-Gil I, Aguilar-Latorre A, Puebla-Guedea M, Boira S et al. (2022) Analysis of the calls received during the COVID-19 lockdown by the mental health crisis helpline operated by the Professional College of Psychology of Aragon. Int J Environ Res Public Health, 19:2901.
16. Ohannessian R (2015) Telemedicine: Potential applications in epidemic situations. European Research in Telemedicine, 4:95–98.
17. Peppou LE, Economou M, Skali T, Papageorgiou C (2021) From economic crisis to the COVID-19 pandemic crisis: evidence from a mental health helpline in Greece. Eur Arch Psychiatry Clin Neurosci, 271:407–409.
18. Pierce M, Hope H, Ford T, Hatch S, Hotopf M, John A et al. (2020) Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry, 7:883–892.
19. Pietrabissa G, Simpson SG (2020) Psychological consequences of social isolation during COVID-19 outbreak. Front Psychol, 11:2201.
20. Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y (2020) A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr, 33:e100213.
21. Ransing R, Kar SK, Menon V (2020) National helpline for mental health during COVID-19 pandemic in India: New opportunity and challenges ahead. Asian J Psychiatr, 54:102447.
22. Ratna SD (2020) Problems shared in psychiatry helpline of a teaching hospital in eastern Nepal during COVID-19 pandemic lockdown. In Insights on the Depression and Anxiety, 4:37–39.
23. Ravindran S, Channaveerachari NK, Seshadri SP, Kasi S, Manikappa SK, Cherian AV et al. (2020) Crossing barriers: Role of a tele-outreach program addressing psychosocial needs in the midst of COVID-19 pandemic. Asian J Psychiatr, 53:102351.
24. Scerri J, Sammut A, Cilia Vincenti S, Grech P, Galea M, Scerri C et al. (2021) Reaching out for help: calls to a mental health helpline prior to and during the COVID-19 pandemic. Int J Environ Res Public Health, 18:4505.
25. Taylor S (2022) The psychology of pandemics. Annu Rev Clin Psychol, 18:581-609.
26. Torales J, O’Higgins M, Castaldelli-Maia JM, Ventriglio A (2020) The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry, 66:317–320.
27. TPD (2022) Türkı̇ye Psı̇kı̇yatrı̇ Derneğı̇ Telepsı̇kı̇yatrı̇ Uygulama Rehberı̇. Türkiye Psikiyatri Derneği, Ankara.
28. TTB (2021) Teletıp Uygulamalarına Yönelik Türk Tabipleri Birliği Etik Kurulu Görüşü. Ankara, Türk Tabipler Birliği (https://www.ttb.org.tr/userfiles/files/teletip_hakkinda_gorus.pdf).
29. Turkington R, Mulvenna M, Bond R, Ennis E, Potts C, Moore C et al. (2020) Behavior of callers to a crisis helpline before and during the COVID-19 pandemic: quantitative data analysis. JMIR Ment Health, 7:e22984.
30. Vadivel R, Shoib S, El Halabi S, El Hayek S, Essam L, Gashi Bytyçi D et al. (2021) Mental health in the post-COVID-19 era: challenges and the way forward. Gen Psychiatr, 34:e100424.
31. Voitsidis P, Gliatas I, Bairachtari V, Papadopoulou K, Papageorgiou G, Parlapani E et al. (2020) Insomnia during the COVID-19 pandemic in a Greek population. Psychiatry Res, 289:113076.
32. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS et al. (2020) Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health, 17:1729.
33. Wang PS, Gruber MJ, Powers RE, Schoenbaum M, Speier AH, Wells KB et al. (2008) Disruption of existing mental health treatments and failure to initiate new treatment after Hurricane Katrina. Am J Psychiatry, 165:34–41.
34. WHO (2020) Coronavirus disease (COVID-19): Risks and safety for older people. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19-risks-and-safety-for-older-people (Accessed 2.1.2023).
35. WHO (2023) Coronavirus Disease-(covid-19). https://www.who.int/news-room/fact-sheets/detail/coronavirus-disease-(covid-19). (Accessed 1.11.2024)
36. Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z et al. (2009) The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry, 54:302–311.
37. Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L et al. (2020) Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord, 277:55–64.
38. Zhou X, Snoswell CL, Harding LE, Bambling M, Edirippulige S, Bai X et al. (2020) The role of telehealth in reducing the mental health burden from COVID-19. Telemed J E Health, 26:377–379.