COVID-19 pandemic and mental health: digital training to support patients in psychosomatic rehabilitation
JMIR Mental health. July 2, 2021. doi: 10.2196 / 30610. Online ahead of print.
BACKGROUND: The COVID-19 pandemic has greatly affected people’s mental health and psychological well-being. More specifically, people with a pre-existing mental health disorder seem more altered by confinement measures posing as major stressors. Medical rehabilitation treatment can help cope with these stressors. The Internet and digital applications provide a platform for contributing to and researching regular processing.
OBJECTIVE: Using Internet assessments, this study investigated individuals from the general population and patients in medical and psychosomatic rehabilitation clinics. Levels of depression, anxiety, loneliness and perceived stress during the COVID-19 pandemic, common concerns related to COVID-19, and intention to use digital apps were compared. In addition, we examined whether participation in digital trainings on the Internet before and during the rehabilitation stay, as well as the perceived usefulness of digital trainings are associated with improved mental health after rehabilitation.
METHODS: A large-scale online cross-sectional study was conducted among a study sample from the general population (n = 1812) in Germany from May 2020 to April 2021. In addition, a longitudinal study was conducted in using the Internet among a second study sample of psychosomatic rehabilitation patients at two measurement points, before (n = 1719) and after (n = 738) rehabilitation, between July 2020 and April 2021. Validated questionnaires and adapted elements have been used to assess mental health and corona concerns. . The digital trainings have been evaluated. Propensity score matching, multivariate analyzes of covariance, exploratory factor analysis, and hierarchical regression analyzes were performed.
RESULTS: Patients in psychosomatic rehabilitation clinics reported increased symptoms of depression, anxiety, loneliness, and stress (F (4 2028) = 183.74, P <.001 p2=".27)" relative to the general population. patients perceived greater satisfaction in communicating with healthcare professionals p had less financial worries .001 but higher household concerns compared symptoms of depression anxiety loneliness and stress were lower after rehabilitation than before rehabilitation. psychosomatic reported a intention use common apps digital trainings regarding workouts offered during stay usefulness goal training was associated decrease d post-rehabilitation participation group therapy for an overall change .01 from pre post>
CONCLUSIONS: This study validated the increased mental health constraints of psychosomatic rehabilitation patients compared to the general population and the potentials of rehabilitation treatments. The digital rehabilitation components are promising tools that can prepare patients for their rehabilitation stay, well integrated with face-to-face therapy during rehabilitation treatment and support follow-up.