Addressing mental health in patients and providers during the COVID-19 pandemic

Elizabeth A Werner; Cara E Aloisio; Ashlie D Butler; Kristina M D'Antonio; Jennifer M Kenny; Anika Mitchell; Samsiya Ona; Catherine Monk

doi:10.1016/j.semperi.2020.151279

Addressing mental health in patients and providers during the COVID-19 pandemic

Semin Perinatol. 2020 Nov;44(7):151279. doi: 10.1016/j.semperi.2020.151279. Epub 2020 Jul 21.

Authors

Elizabeth A Werner¹, Cara E Aloisio², Ashlie D Butler², Kristina M D'Antonio², Jennifer M Kenny², Anika Mitchell², Samsiya Ona², Catherine Monk³

Affiliations

¹ Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.
² Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.
³ Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York; New York State Psychiatric Institute, From Columbia University Irving Medical Center, New York, NY 10032. Electronic address: cem31@cumc.columbia.edu.

Abstract

The pandemic, and the associated changes to pregnancy and postpartum experiences, can lead to profound psychological reactions including panic, hyperarousal, sleep disturbance, anxiety, depression, and traumatic stress disorders. Providers face compassion fatigue and shared trauma. In this article, we describe the mental health outcomes known to date in regard to the novel coronavirus disease 2019 pandemic for obstetric patients and their providers as well as therapeutic approaches, including our novel embedded mental health service, to address these mental health needs.

Publication types

Research Support, N.I.H., Extramural
Review

MeSH terms

Anxiety / psychology
Anxiety / therapy
COVID-19*
Compassion Fatigue / psychology*
Compassion Fatigue / therapy
Depression / psychology
Depression / therapy
Female
Humans
Mental Health
Mental Health Services
Obstetrics*
Organizational Policy
Physicians / psychology*
Pregnancy
Pregnancy Complications / psychology*
Pregnancy Complications / therapy
Pregnant Women / psychology*
Psychological Trauma / psychology*
Psychological Trauma / therapy
Psychotherapy
Psychotherapy, Group
SARS-CoV-2
Sleep Wake Disorders
Stress Disorders, Post-Traumatic / psychology
Stress Disorders, Post-Traumatic / therapy
Stress Disorders, Traumatic, Acute / psychology
Stress Disorders, Traumatic, Acute / therapy
Telemedicine
Visitors to Patients

Grants and funding

R01 HD092062/HD/NICHD NIH HHS/United States