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Mental Problems of Healthcare Workers During COVID-19 Pandemic

Yıl 2021, Cilt: 2 Sayı: 3, 83 - 90, 30.12.2021
https://doi.org/10.51261/yiu.2021.00035

Öz

The epidemic of COVID-19, which started in Wuhan province of China and rapidly turned into a pandemic worldwide, affected all individuals in the society in different directions and levels. Depression, anxiety, stress and sleep disorders are among the mental problems experienced by healthcare workers during the epidemic. These problems not only affect the mental state and well-being of the employees negatively, but also affect their job satisfaction and quality service delivery. The purpose of this study to examine the mental problems affecting health workers, what factors affecting these problems, and what mental health support approaches can be done for health workers in cases of epidemics. Accordingly, a detailed literature review was made and published studies on the subject were compiled. It is inevitable that health managers will work to strengthen the workers mentally.

Kaynakça

  • Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. The Lancet 2020;395 10224 :e37-e38. https:// doi.org/10.1016/ S0140-6736 20 30309-3
  • Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus 2019-nCoV in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences 2020;74 4 :281. doi:10.1111/pcn.12988
  • Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry 2020;7:547-60. https:// doi.org/10.1016/
  • Chew NW, Lee GK, Tan BY, Jing M, Goh Y, Ngiam NJ, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity 2020;88:559-565. doi: 10.1016/j.bbi.2020.04.049
  • Wang S, Wen X, Liu Dong Y, Hu Cui M. Psychological influence of Coronovirus disease 2019 COVID-19 pandemic on the general public, medical workers and patients with mental disorders and its countermeasures. Psychosomatics 2020; https://doi.org/10.1016/j.psym.2020.05.005
  • Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian Journal of Psychiatry 2020;102066. https://doi.org/10.1016/j. ajp.2020.102066
  • Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, Ng CH. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry 2020;7 3 :228-229. https://doi.org/10.1016/S2215- 0366 20 30046-8
  • Liu Y, Li J, Feng Y. Critical care response to a hospital outbreak of the 2019-nCoV infection in Shenzhen, China. Crit Care 2020;24:56. https://doi. org/10.1186/s13054-020-2786-x
  • Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity 2020;88: 901-907. https://doi.org/10.1016/j. bbi.2020.05.026
  • Chen Y, Zhou H, Zhou Y, Zhou F. Prevalence of self-reported depression and anxiety among pediatric medical staff members during the COVID-19 outbreak in Guiyang, China. Psychiatry Research 2020;288:113005. doi: 10.1016/j. psychres.2020.113005
  • Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross- sectional survey. Psychiatry Research 2020;112954. https://doi.org/10.1016/j. psychres.2020.288:112954
  • Zaka A, Shamloo SE, Fiorente P, Tafuri A. COVID-19 pandemic as a watershed moment: A call for systematic psychological health care for frontline medical staff. Journal of Health Psychology. 2020;25 7 :883-887. https://https://doi. org/10.1177/1359105320925148
  • Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC., et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. The British Journal of Psychiatry 2004;185 2 :127-133. doi:10.1192/bjp.185.2.127
  • Zhang SX, Liu J, Jahanshahi AA, Nawaser K, Yousefi A, Li J, Sun S. At the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19. Brain, Behavior, and Immunity 2020;87:144-146. https://doi.org/10.1016/j. bbi.2020.05.010
  • Jahanshahi AA, Dinani MM, Madavani AN, Li J, Zhang SX. The distress of Iranian adults during the Covid-19 pandemic - More distressed than the Chinese and with different predictors. Brain Behav Immun. 2020;87:124-125. doi:10.1016/j.bbi.2020.04.081
  • Zhou M, Tang F, Wang Y, Nie H, Zhang L, You G, Zhang M. Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China. Journal of Hospital Infection 2020;105:183-187. https://doi. org/10.1016/j.jhin.2020.04.012
  • Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama 2020;323 21 :2133-2134. doi:10.1001/jama.2020.5893
  • Shechter A, Diaz F, Moise N, Anstey DE, Ye S, Agarwal S, et al. Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. General Hospital Psychiatry 2020;66:1-8. https://doi.org/10.1016/j.genhosppsych.2020.06.007
  • Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry 2020;7 3 :e14. https://doi.org/10.1016/S2215- 0366 20 30047-X
  • Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian nurses’ knowledge and anxiety toward COVID-19 during the current outbreak in Iran. Archives of Clinical Infectious Diseases 15 COVID-19 . 2020; e102848 doi: 10.5812/ archcid.102848
  • Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, Zhang B. Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry 2020;7 4 :e17-e18. https://doi.org/10.1016/S2215-0366 20 30077-8
  • Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. COVID-19-Pandemie: Belastungen des medizinischen Personals [COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review]. Psychiatr Prax 2020;47 4 :190-197. doi:10.1055/a-1159-5551
  • Zhang SX, Liu J, Jahanshahi AA, Nawaser K, Li J, Alimoradi H. When the storm is the strongest: The health conditions and job satisfaction of Healthcare staff and their associated predictors during the epidemic peak of COVID-19. MedRxiv. 2020; https://doi.org/10.1101/2020.04.27.20082149
  • Zhang SX, Sun S, Jahanshahi AA, Alvarez-Risco A, Ibarra VG, Li J, Patty-Tito RM. Developing and testing a measure of COVID-19 Organizational Support of Healthcare Workers–Results from Peru, Ecuador, and Bolivia. Psychiatry Research 2020;113174. https://doi.org/10.1016/j.psychres.2020.113174
  • Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: Immediate Psychological Impact on 5062 Health Workers. MedRxiv. 2020; https://doi. org/10.1101/2020.02.20.20025338
  • Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, Cheng AS. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiology & Infection 2020;148:1-17. doi:10.1017/S0950268820001107
  • Lai J, Ma S, Wang Y, et al. Factors Associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3 3 :e203976. doi:10.1001/jamanetworkopen.2020.3976
  • Labrague LJ, De los Santos J. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among front line nurses. Research Square 2020;1-18. doi: 10.21203/rs.3.rs-35366/v1
  • Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: immediate psychological impact on 5062 health workers. MedRxiv. 2020; doi: 10.1101/2020.02.20.20025338.
  • Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and Psychosomatics 2020;89 4 :242-250. doi: 10.1159/000507639
  • Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research 2020;112936. doi: 10.1016/j.psychres.2020.112936
  • Zhang SX, Chen J, Jahanshahi AA, Alvarez-Risco A, Dai H, Li J, Patty- Tito R. Succumbing to the COVID-19 pandemic: Healthcare workers not satisfied and intend to leave their jobs. Medrxiv. 2020; doi: https://https://doi. org/10.1101/2020.05.22.20110809
  • Su JA, Weng HH, Tsang HY, Wu JL. Mental health and quality of life among doctors, nurses and other hospital staff. Stress and Health: Journal of the International Society for the Investigation of Stress 2009;25 5 :423-430. https://doi.org/10.1002/smi.1261
  • Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. The Canadian Journal of Psychiatry 2009;54 5 :302-311. doi: 10.1177/070674370905400504
  • Rubin GJ, Harper S, Williams PD, Öström S, Bredbere S, Amlôt R, Greenberg N. How to support staff deploying on overseas humanitarian work: a qualitative analysis of responder views about the 2014/15 West African Ebola outbreak. European Journal of Psychotraumatology 2016;7 1 :30933. https://doi. org/10.3402/ejpt.v7.30933
  • Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. Jama 2020;323 15 :1439-1440. doi:10.1001/ jama.2020.3972
  • Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020;368:m1211. https://doi.org/10.1136/bmj.m1211
  • Lima CKT, de Medeiros Carvalho PM, Lima IDAS, de Oliveira Nunes JVA, Saraiva JS, de Souza RI, et al. The emotional impact of Coronavirus 2019- nCoV new Coronavirus disease . Psychiatry Research 2020;112915. https:// doi.org/10.1016/j.psychres.2020.112915
  • World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020 No. WHO/2019-nCoV/ Mental Health/2020.1 . World Health Organization 2020 .

COVID-19 Pandemi Sürecinde Sağlık Çalışanlarının Yaşadıkları Mental Sorunlar

Yıl 2021, Cilt: 2 Sayı: 3, 83 - 90, 30.12.2021
https://doi.org/10.51261/yiu.2021.00035

Öz

Çin’in Wuhan eyaletinde başlayarak bütün dünyada hızla bir pandemiye dönüşen COVID-19 salgını toplumdaki bütün bireyleri farklı açılardan ve farklı düzeylerde etkilemiştir. Sağlık çalışanlarının salgın sırasında yaşadığı mental problemler arasında depresyon, anksiyete, stres, uyuma bozuklukları yer almaktadır. Bu problemler çalışanların sadece ruhsal durumunu ve iyilik halini olumsuz yönde etkilemekle kalmayıp, iş doyumunu ve kaliteli hizmet sunumunu da etkilemektedir. Bu çalışmanın amacı; COVID-19 salgını sürecinde sağlık çalışanlarını etkileyen mental problemler, bu problemleri etkileyen faktörler ve salgın durumlarında sağlık çalışanlarını mental yönden destekleyecek yaklaşımların neler olabileceğini incelemektir. Bu doğrultuda, detaylı bir literatür taraması yapılarak konu hakkında yayımlamış araştırmalar derlenmiş ve sağlık yöneticilerinin pandemi döneminde sağlık çalışanlarını ruhsal yönden güçlendirecek çalışmalar yapmasının kaçınılmaz olduğu kanısına varılmıştır.

Kaynakça

  • Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. The Lancet 2020;395 10224 :e37-e38. https:// doi.org/10.1016/ S0140-6736 20 30309-3
  • Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus 2019-nCoV in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences 2020;74 4 :281. doi:10.1111/pcn.12988
  • Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry 2020;7:547-60. https:// doi.org/10.1016/
  • Chew NW, Lee GK, Tan BY, Jing M, Goh Y, Ngiam NJ, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity 2020;88:559-565. doi: 10.1016/j.bbi.2020.04.049
  • Wang S, Wen X, Liu Dong Y, Hu Cui M. Psychological influence of Coronovirus disease 2019 COVID-19 pandemic on the general public, medical workers and patients with mental disorders and its countermeasures. Psychosomatics 2020; https://doi.org/10.1016/j.psym.2020.05.005
  • Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian Journal of Psychiatry 2020;102066. https://doi.org/10.1016/j. ajp.2020.102066
  • Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, Ng CH. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry 2020;7 3 :228-229. https://doi.org/10.1016/S2215- 0366 20 30046-8
  • Liu Y, Li J, Feng Y. Critical care response to a hospital outbreak of the 2019-nCoV infection in Shenzhen, China. Crit Care 2020;24:56. https://doi. org/10.1186/s13054-020-2786-x
  • Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity 2020;88: 901-907. https://doi.org/10.1016/j. bbi.2020.05.026
  • Chen Y, Zhou H, Zhou Y, Zhou F. Prevalence of self-reported depression and anxiety among pediatric medical staff members during the COVID-19 outbreak in Guiyang, China. Psychiatry Research 2020;288:113005. doi: 10.1016/j. psychres.2020.113005
  • Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross- sectional survey. Psychiatry Research 2020;112954. https://doi.org/10.1016/j. psychres.2020.288:112954
  • Zaka A, Shamloo SE, Fiorente P, Tafuri A. COVID-19 pandemic as a watershed moment: A call for systematic psychological health care for frontline medical staff. Journal of Health Psychology. 2020;25 7 :883-887. https://https://doi. org/10.1177/1359105320925148
  • Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC., et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. The British Journal of Psychiatry 2004;185 2 :127-133. doi:10.1192/bjp.185.2.127
  • Zhang SX, Liu J, Jahanshahi AA, Nawaser K, Yousefi A, Li J, Sun S. At the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19. Brain, Behavior, and Immunity 2020;87:144-146. https://doi.org/10.1016/j. bbi.2020.05.010
  • Jahanshahi AA, Dinani MM, Madavani AN, Li J, Zhang SX. The distress of Iranian adults during the Covid-19 pandemic - More distressed than the Chinese and with different predictors. Brain Behav Immun. 2020;87:124-125. doi:10.1016/j.bbi.2020.04.081
  • Zhou M, Tang F, Wang Y, Nie H, Zhang L, You G, Zhang M. Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China. Journal of Hospital Infection 2020;105:183-187. https://doi. org/10.1016/j.jhin.2020.04.012
  • Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama 2020;323 21 :2133-2134. doi:10.1001/jama.2020.5893
  • Shechter A, Diaz F, Moise N, Anstey DE, Ye S, Agarwal S, et al. Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. General Hospital Psychiatry 2020;66:1-8. https://doi.org/10.1016/j.genhosppsych.2020.06.007
  • Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry 2020;7 3 :e14. https://doi.org/10.1016/S2215- 0366 20 30047-X
  • Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian nurses’ knowledge and anxiety toward COVID-19 during the current outbreak in Iran. Archives of Clinical Infectious Diseases 15 COVID-19 . 2020; e102848 doi: 10.5812/ archcid.102848
  • Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, Zhang B. Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry 2020;7 4 :e17-e18. https://doi.org/10.1016/S2215-0366 20 30077-8
  • Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. COVID-19-Pandemie: Belastungen des medizinischen Personals [COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review]. Psychiatr Prax 2020;47 4 :190-197. doi:10.1055/a-1159-5551
  • Zhang SX, Liu J, Jahanshahi AA, Nawaser K, Li J, Alimoradi H. When the storm is the strongest: The health conditions and job satisfaction of Healthcare staff and their associated predictors during the epidemic peak of COVID-19. MedRxiv. 2020; https://doi.org/10.1101/2020.04.27.20082149
  • Zhang SX, Sun S, Jahanshahi AA, Alvarez-Risco A, Ibarra VG, Li J, Patty-Tito RM. Developing and testing a measure of COVID-19 Organizational Support of Healthcare Workers–Results from Peru, Ecuador, and Bolivia. Psychiatry Research 2020;113174. https://doi.org/10.1016/j.psychres.2020.113174
  • Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: Immediate Psychological Impact on 5062 Health Workers. MedRxiv. 2020; https://doi. org/10.1101/2020.02.20.20025338
  • Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, Cheng AS. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiology & Infection 2020;148:1-17. doi:10.1017/S0950268820001107
  • Lai J, Ma S, Wang Y, et al. Factors Associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3 3 :e203976. doi:10.1001/jamanetworkopen.2020.3976
  • Labrague LJ, De los Santos J. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among front line nurses. Research Square 2020;1-18. doi: 10.21203/rs.3.rs-35366/v1
  • Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: immediate psychological impact on 5062 health workers. MedRxiv. 2020; doi: 10.1101/2020.02.20.20025338.
  • Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and Psychosomatics 2020;89 4 :242-250. doi: 10.1159/000507639
  • Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research 2020;112936. doi: 10.1016/j.psychres.2020.112936
  • Zhang SX, Chen J, Jahanshahi AA, Alvarez-Risco A, Dai H, Li J, Patty- Tito R. Succumbing to the COVID-19 pandemic: Healthcare workers not satisfied and intend to leave their jobs. Medrxiv. 2020; doi: https://https://doi. org/10.1101/2020.05.22.20110809
  • Su JA, Weng HH, Tsang HY, Wu JL. Mental health and quality of life among doctors, nurses and other hospital staff. Stress and Health: Journal of the International Society for the Investigation of Stress 2009;25 5 :423-430. https://doi.org/10.1002/smi.1261
  • Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. The Canadian Journal of Psychiatry 2009;54 5 :302-311. doi: 10.1177/070674370905400504
  • Rubin GJ, Harper S, Williams PD, Öström S, Bredbere S, Amlôt R, Greenberg N. How to support staff deploying on overseas humanitarian work: a qualitative analysis of responder views about the 2014/15 West African Ebola outbreak. European Journal of Psychotraumatology 2016;7 1 :30933. https://doi. org/10.3402/ejpt.v7.30933
  • Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. Jama 2020;323 15 :1439-1440. doi:10.1001/ jama.2020.3972
  • Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020;368:m1211. https://doi.org/10.1136/bmj.m1211
  • Lima CKT, de Medeiros Carvalho PM, Lima IDAS, de Oliveira Nunes JVA, Saraiva JS, de Souza RI, et al. The emotional impact of Coronavirus 2019- nCoV new Coronavirus disease . Psychiatry Research 2020;112915. https:// doi.org/10.1016/j.psychres.2020.112915
  • World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020 No. WHO/2019-nCoV/ Mental Health/2020.1 . World Health Organization 2020 .
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Derleme
Yazarlar

Özlem Özaydın Bu kişi benim

Özden Güdük Bu kişi benim

Yayımlanma Tarihi 30 Aralık 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 2 Sayı: 3

Kaynak Göster

AMA Özaydın Ö, Güdük Ö. COVID-19 Pandemi Sürecinde Sağlık Çalışanlarının Yaşadıkları Mental Sorunlar. YIU Saglik Bil Derg. Aralık 2021;2(3):83-90. doi:10.51261/yiu.2021.00035