BACKGROUND: Hypertension is a prevalent health challenge in India, with a bidirectional link to depression. Recognizing the prevalence of depression among hypertensive patients and associated factors are important for better health outcomes.
METHODS: A comprehensive search was conducted in PubMed, Embase, Scopus, and Google Scholar databases to identify relevant studies. R software was used for analysis, employing a random effects model with a 95% confidence interval. Subgroup analyses were done to explore sources of heterogeneity within the included studies.
RESULTS: The prevalence of depression among hypertensive patients in India was 39.8% (95% CI: 28.6; 52.1). Despite a higher prevalence observed in South region (44.7%) compared to North (26.9%), the difference was not significant (p=0.39). Studies utilizing different assessment scales and varying sample sizes yielded similar prevalence. However, a temporal trend analysis indicated a higher prevalence in studies published between 2020 and 2023 (52.6%) compared to those published between 2016 and 2019 (35.5%) (p=0.03). Major factors associated with depression included lower socioeconomic status, low education level, female gender, uncontrolled hypertension, and COVID-19 related factors.
CONCLUSIONS: A significant proportion of hypertensive patients suffer from depression. Therefore, screening for depression in hypertensive patients is essential to improve hypertension management in India.

Loneliness and related constructs associated with isolation are public health problems with increasing prevalence. The aim of this umbrella was to collate and grade evidence analyzing actual and subjective loneliness as a health risk factor. Following prospective registration, a systematic search was conducted in Pubmed, Embase, Scopus, Web of Sciences, psycoINFO and Cochrane Library until August 2023. Systematic reviews assessing the association between actual and subjective loneliness with adverse health outcomes were selected. Risk of bias was evaluated using AMSTAR-2 tool. Data were tabulated and synthesis was narrative. A total of 13 systematic reviews was selected (four included meta-analysis). The methodological quality was critically low in 10 reviews (76.92%) and low in 3 (23.08%). Results showed that loneliness was related to poor well-being and increase the risk of negative mental and physical health. The available data suggested but did not allow the confirmation of a causal association. Most constructs of loneliness seem to be related to mental and physical health conditions. A preventive strategy ought to be recommended, especially for vulnerable populations.

Background: Although child maltreatment (CM) has been linked to health problems and poor psychosocial functioning, not all individuals exposed to CM develop or experience negative consequences later in life. This suggests that some individuals show resilience after being exposed to CM. However, conclusions have been limited by inconsistent findings across different CM subtypes and resilience domains.Objective: To develop a protocol for conducting a systematic review and meta-analysis to quantify associations between CM (overall and its subtypes) and resilience (global and its multiple domains) in adulthood, and to examine moderators and mediators of these associations.Method: PubMed, PsycINFO, Embase, Scopus, and Web of Science will be searched to identify relevant studies on the association between CM (exposure) and resilience (outcome) in adults (≥ 18 years). Data will be screened and extracted by at least two independent reviewers. The methodological quality of the included studies will be independently assessed with a modified version of the Newcastle-Ottawa Scale (NOS). If deemed viable, a meta-analysis will be conducted using a random effects model. Heterogeneity of evidence will be estimated with the I2 statistic, and publication bias will be assessed. The effects of potential moderators (e.g. timing and severity of CM, age, sex, family cohesion, socio-economic status, country/region) will be analysed using meta-regression and subgroup analyses, and meta-analytical structural equation modelling will be employed to synthesise indirect mediation effects. Candidate moderators and mediators (e.g. genetic factors, brain functioning, attachment style, personality traits, physical activity, and social support) will be also examined qualitatively.Conclusions: This protocol will facilitate a systematic review and meta-analysis that has the potential to enhance our knowledge about the association between CM exposure in early life and resilience in adulthood. Understanding associations and underlying mechanisms between CM and resilience is potentially important in informing prevention and interventions to sustain health and improve outcomes among adults with a history of CM.PROSPERO registration: CRD42023394120.
In this study protocol, we propose to quantitatively summarise the existing literature on the relationship between child maltreatment and resilience with regard to mental health consequences and psychosocial functioning later in life.This preregistered systematic review and meta-analysis will establish the procedures to investigate associations between an overall classification of child maltreatment and its different associated subtypes, and a global/trait classification of resilience and its different domains in adults.This protocol will further determine the analytical approach to explore and summarise effect moderators and mediators of the association between child maltreatment and resilience in adulthood.The resulting synthesis, that will be based on this protocol, could enhance our understanding of the strength of the association between child maltreatment and resilience and inform prevention strategies and clinical interventions to improve health and psychosocial functioning in adult survivors.

Patient navigation (PN) aims to improve timely access to healthcare by helping patients to \"navigate\" complex service provision landscapes. PN models have been applied in diverse healthcare settings including perinatal mental health (PMH). However, the practice models and implementation of PN programs vary widely, and their impact on engagement with PMH services has not been systematically investigated. This systematic narrative review study aimed to (1) identify and describe existing PMH PN models, (2) understand their effectiveness in improving service engagement and clinical outcomes, (3) review patient and provider perceptions, and (4) explore facilitators and barriers to program success. A systematic search of published articles/reports describing PMH PN programs/service delivery models targeting parents in the period from conception to 5 years postpartum was conducted. In total, 19 articles describing 13 programs were identified. The analysis yielded a number of commonalities and differences across program settings, target populations, and the scope of the navigator role. While there was promising evidence to support the clinical efficacy and impact on service utilization of PN programs for PMH, the current evidence base is sparse. Further research evaluating the efficacy of such services, and facilitators and barriers to their success, is warranted.
La meta de Navegación del Paciente (PN) es mejorar el acceso a tiempo a servicios de cuidado de salud por medio de ayudar a los pacientes a “navegar” los complejos esquemas de provisión de servicios. Los modelos PN han sido aplicados en diversos escenarios de cuidados de salud incluyendo la salud mental perinatal (PMH). Sin embargo, los modelos de la práctica e implementación de programas PN varían ampliamente, y su impacto en la participación de los servicios PMH no ha sido sistemáticamente investigada. Este estudio de revisión narrativa sistemática se propuso 1) identificar y describir modelos PMH PN existentes, 2) comprender su eficacia para mejorar la participación en el servicio y resultados clínicos, 3) examinar las percepciones de pacientes y proveedores, y 4) explorar factores facilitadores y barreras al éxito del programa. Se llevó a cabo una sistemática investigación de artículos/reportes publicados que describen modelos que proveen programas/servicios de PMH PN con enfoque en los padres en el período desde la concepción hasta los 5 años posteriores al parto. En total, se identificaron 19 artículos que describían 13 programas. Los análisis dieron como resultado un número de puntos comunes y diferencias a través de la composición de los programas, la población a la cual se dirigían, y el ámbito del papel del navegador. A pesar de que se observó una evidencia prometedora para apoyar la efectividad clínica y el impacto sobre la utilización del servicio de programas PN para PMH, la base actual de la evidencia es escasa. Es necesaria una posterior investigación para evaluar la efectividad de tales servicios, y puntos que los faciliten o barreras al éxito de éstos.
La Navigation du Patient (abrégé ici NP en français) a pour but d\'améliorer l\'accès rapide aux soins de santé en aidant les patients à « naviguer » un paysage complexe d\'offre de services. Les modèles NP ont été appliqués dans divers contextes de soins de santé y compris la santé mentale périnatale (SMP en français ici). Cependant les modèles de pratique et de mises en place de programmes NP varient grandement, et leur impact sur l\'engagement avec des services SMP n\'a pas encore été examiné systématiquement. Cette étude narrative systématique s\'est donnée pour but de 1) identifier et décrire les modèles NP existants, 2) comprendre leur efficacité à améliorer d\'engagement du service et ses résultats cliniques, 3) passer en revue les perceptions du patient et du prestataire, et 4) explorer ce qui facilite et fait obstacle au succès du programme. Une recherche systématique d\'articles/rapports publiés décrivant des modèles de prestation de NP SMP visant des parents dans la période de la conception à 5 ans postpartum a été faite. En tout 19 articles décrivant 13 programmes ont été identifiés. L\'analyse a produit un nombre de points communs et de différences au travers des contextes des programmes, des populations ciblées et de la portée du rôle de navigateur. Bien qu\'il y ait des preuves promettantes soutenant l\'efficacité clinique et l\'impact de l\'utilisation de services des programmes NP pour la SMP la base de preuves actuelle est éparse. Des recherches supplémentaires évaluant l\'efficacité de tels services ainsi que les facteurs de facilitation et les barrières au succès sont nécessaires.
innennavigation (PN) zielt darauf ab, den rechtzeitigen Zugang zur Gesundheitsversorgung zu verbessern, indem den Patient:innen geholfen wird, in der komplexen Landschaft der Leistungserbringung zu „navigieren“. PN-Modelle wurden in verschiedenen Bereichen der Gesundheitsversorgung angewandt, darunter auch in der perinatalen psychischen Gesundheit (perinatal mental health; PMH). Die Praxismodelle und die Umsetzung von PN-Programmen sind jedoch sehr unterschiedlich und ihre Auswirkungen auf die Inanspruchnahme von PMH-Diensten wurden bisher nicht systematisch untersucht. Diese systematische, narrative Übersichtsstudie zielte darauf ab, 1) bestehende PN-Modelle in der PMH zu identifizieren und zu beschreiben, 2) ihre Effektivität bei der Verbesserung der Inanspruchnahme von Diensten und klinischen Ergebnissen zu verstehen, 3) die Wahrnehmungen von Patient:innen und Trägern zu überprüfen und 4) Erleichterungen und Hindernisse für einen Erfolg des Programms zu untersuchen. Eine systematische Suche nach veröffentlichten Artikeln/Berichten wurde durchgeführt, die PMH PN-Programme/Dienstleistungsmodelle beschreiben und sich an Eltern in der Zeit von der Empfängnis bis 5 Jahre nach der Geburt richten. Insgesamt wurden 19 Artikel identifiziert, die 13 Programme beschreiben. Die Analyse ergab eine Reihe von Gemeinsamkeiten und Unterschieden zwischen den Programmsettings, den Zielgruppen und dem Umfang der Rolle der Navigation. Obwohl es vielversprechende Belege für die klinische Wirksamkeit und Auswirkungen auf die Inanspruchnahme von PMH-Diensten durch PN-Programme gab, ist die derzeitige Evidenzbasis dürftig. Weitere Forschungsarbeiten zur Bewertung der Wirksamkeit solcher Dienste sowie der Faktoren und Hindernisse für ihren Erfolg wären berechtigt.
患者ナビゲーション (PN) は、患者が複雑なサービス提供の風景を「ナビゲート」する手助けをすることによる、タイムリーな医療へのアクセス改善を目的としている。PNモデルは、周産期メンタルヘルス (PMH) を含む多様な医療環境で適用されてきた。しかし、PNプログラムの実践モデルや実施方法は様々であり、PMHサービスへの参加に与える影響については体系的に調査されていない。本系統的なナラティブレビュー研究は、1) 既存のPMH PNモデルの特定と記述、2) サービス参加と臨床結果の改善におけるその有効性の理解、3) 患者とサービス提供者の認識のレビュー、4) プログラム成功の促進因子と障壁の探求を目的としたものである。妊娠から産後5年までの親を対象としたPMH PNプログラム/サービス提供モデルについて記述された発表論文/報告書の系統的検索を行った。その結果、13のプログラムについて記述された19の論文が確認された。分析の結果、プログラムの設定、対象集団、ナビゲーターの役割の範囲において、多くの共通点と相違点が見出された。PMHのためのPNプログラムの臨床的有効性とサービス利用への影響を支持する有望な根拠があったが、現在のエビデンス基盤はまばらであった。このようなサービスの有効性、および成功の促進要因と障壁を評価するさらなる研究が必要である。.
患者导航 (PN) 旨在通过帮助患者“导航”复杂的医疗服务环境, 改善及时获得医疗保健的机会。PN模型已应用于包括围产期心理健康 (PMH) 在内的各种医疗环境中。然而, PN项目的实践模式和实施差异很大, 其对参与PMH服务的影响尚未得到系统调查。本系统叙述性综述研究旨在:1) 识别和描述现有的PMH PN模型, 2) 了解它们在改善服务参与和临床结果方面的有效性, 3) 审查患者和提供者的看法, 以及4) 探索项目成功的促进因素和障碍。对描述从受孕到产后5年期间针对父母的PMH PN项目或服务交付模型的已发表文章或报告进行了系统检索。总共确定了描述13个项目的19篇文章。分析结果显示, 项目设置、目标人群和导航员职责范围存在一些共性和差异。虽然存在很有希望的证据支持PMH PN项目的临床疗效和对服务利用的影响, 但目前的证据基础还不充分。有必要进一步研究评估这类服务的功效以及项目成功的促进因素和障碍。.
يهدف برنامج تصفح المرضى (PN) إلى تحسين الوصول في الوقت المناسب إلى الرعاية الصحية من خلال مساعدة المرضى على “تصفح” الأنظمة المعقدة لتقديم الخدمات. وقد تم تطبيق نماذج تصفح في بيئات رعاية صحية متنوعة بما في ذلك الصحة النفسية في الفترة المحيطة بالولادة (PMH). ومع ذلك ، فإن نماذج الممارسة وتنفيذ برامج PN تختلف بشكل كبير ، ولم يتم التحقيق بشكل منهجي في تأثيرها على المشاركة في خدمات الفترة المحيطة بالولادة. هدفت هذه المراجعة المنهجية إلى 1) تحديد ووصف نماذج تصفح الخدمات (PM) في خدمات (PMH) الحالية ، 2) فهم فعاليتها في تحسين المشاركة في الخدمات والنتائج الاكلينيكية ، 3) مراجعة تصورات المريض ومقدمي الخدمات ، 4) استكشاف العوامل الميسرة والعوائق التي تحول دون نجاح البرنامج. تم إجراء بحث منهجي للمقالات / التقارير المنشورة التي تصف برامج تصفح الخدمات ونماذج تقديم الخدمة التي تستهدف الوالدين في الفترة من الحمل إلى 5 سنوات بعد الولادة. وبشكل إجمالي ، تم تحديد 19 مقالة تصف 13 برنامجاً. أسفر التحليل عن عدد من القواسم المشتركة والاختلافات عبر سياقات البرنامج والفئة المستهدفة ونطاق دور المتصفح. بينما كانت هناك أدلة واعدة لدعم الفعالية الإكلينيكية والتأثير على استخدام الخدمة لبرامج تصفح الخدمات الصحية ، فإن قاعدة الأدلة الحالية قليلة. هناك ما يبرر إجراء مزيد من البحوث لتقييم فعالية هذه الخدمات ، والعوامل الميسرة والعوائق التي تحول دون نجاحها.

Background: Traumatic events can cause social tension, anxiety, panic and other psychological crises, and can even cause post-traumatic stress disorder (PTSD) and suicide. Physical activity has a good role in promoting mental health, and has a great application prospect in individual psychological intervention after traumatic events. However, no systematic review of the relationship between physical activity and individual mental health after traumatic events affecting many people has been published so far, which makes it impossible for people to understand the research status in this field from a holistic perspective.Objective: This review explores the relationship between physical activity and individual psychology, physiology, subjective quality of life and well-being after traumatic events, so as to provide some valuable clues or enlightenment for individual psychological intervention after traumatic events.Method: Relevant literature was searched in five databases, summarised, sorted and studied.Results: Thirty-three study papers were included in this review, the main study findings include: (1) Physical activity is positively correlated with individual mental resilience and subjective well-being after traumatic events, and negatively correlated with anxiety, depression, tension and PTSD. (2) Individuals with higher levels of physical activity have better mental health status after traumatic events than those who do not regularly engage in physical activity. (3) Physical activity can promote sleep quality, self-efficacy, subjective quality of life and various physiological functions of those experiencing traumatic events. (4) Physical activity (including exercise) is regarded as one of the preferred nursing measures to buffer against mental stress and maintain physical and mental health for those experiencing traumatic events.Conclusion: The level of physical activity is positively correlated with individual physical and mental health before and after traumatic events. Physical activity can be used as one of the effective measures to improve individual mental health after traumatic events.
Physical activity can be used as one of the important measures to improve mental health of those experiencing traumatic events.Regular physical activity can reduce the impact of traumatic events on mental health, both before and after the events.

According to the literature, hospitalised patients with mental disorders have a higher risk of developing cavities and periodontal disease than the general population, associated with the motor difficulty to perform adequate oral hygiene, to the adverse effects caused by drugs for the control of psychiatric symptoms, as well as the lack of oral care and clinical care. The aim was to carry out a systematic review of the literature on the oral health status of hospitalised patients with mental disorders (MD). A systematic search of the literature was carried out in PubMed, according to the PRISMA statement methodology, through the MeSh health descriptors \"Dental Caries\" and \"Mental Disorders\" in February 2017. According to the different filters that were applied, 14 articles describing the oral health status were obtained-through the DMF-T index (teeth with cavities, teeth with restorations, missing teeth and teeth with necessary extraction)-of hospitalised patients with MD. The recognition of the importance of oral health by health professionals, carers and family members should be promoted; the oral cavity should be explored to determine the state of health in addition to instructing patients and support personnel in oral hygiene; mental health institutions should establish an intervention programme to eliminate oral infectious sites and then implement a multidisciplinary preventive programme to maintain oral health according to the MD diagnosis.

Parents have experienced considerable challenges and stress during the COVID-19 pandemic, which may impact their well-being. This meta-analysis sought to identify: (1) the prevalence of depression and anxiety in parents of young children (Los padres han experimentado retos considerables y estrés durante la pandemia del COVID-19, lo cual puede tener un impacto en su bienestar. Este metaanálisis busca identificar: 1) la prevalencia de la depresión y ansiedad en los padres de niños pequeños (Les parents ont fait l\'expérience de défis considérables et d\'un stress considérable durant la pandémie du COVID-19, ce qui peut impacter leur bien-être. Cette méta-analyse s\'est donné pour but d\'identifier: 1) la prévalence de la dépression et de l\'anxiété chez les parents de jeunes enfants (<âge 5) durant la pandémie du COVID-18, et 2) les facteurs de modération sociodémographique (par exemple, l’âge du parent, le fait d’être d\'une minorité raciale) et méthodologique (par exemple, la qualité de l’étude) qui expliquent l\'hétérogénéité dans les étudies. Une recherche systématique a été faite au travers de quatre banques de données du premier janvier 2020 au 3 mars 2021. Un total de 18 études ne se recoupant pas (8981 participants), toutes focalisées sur la santé mentale maternelle, ont rempli les critères d\'inclusion. Des méta-analyses à effet aléatoire approprié ont été faites. Les estimations de prévalences regroupées pour une dépression cliniquement importante et des symptômes d\'anxiété pour les mères de jeunes enfants durant la pandémie de COVID-19 étaient respectivement de 26,9% (95% CI: 21,3-33,4) et de 41,9% (95% CI: 26,7-58,8). La prévalence d\'une dépression cliniquement élevée et de symptômes d\'anxiété était plus élevée en Europe et en Amérique du Nord et chez les mères plus âgées. Les symptômes dépressifs cliniquement élevés étaient plus bas dans les études avec un pourcentage plus élevé d\'individus de minorités raciales. Par comparaison les symptômes d\'anxiété cliniquement élevés étaient plus haut dans les études de moindre qualité d’étude et dans les échantillons avec des mères très éduquées. Les politiques et les ressources visant des améliorations dans la santé mentale maternelle sont essentielles.
“When the Bough Breaks“: Ein systematisches Review und eine Meta-Analyse psychischer Symptomatiken bei Müttern von Kleinkindern während der COVID-19-Pandemie Eltern waren während der COVID-19-Pandemie erheblichen Herausforderungen und Stress ausgesetzt, was ihr Wohlbefinden beeinträchtigt haben könnte. Zum einen untersucht die vorliegende Metaanalyse die Prävalenz von Depressionen und Angst bei Eltern von Kleinkindern (< 5 Jahre) während der COVID-19-Pandemie. Zum anderen wurde nach soziodemografischen Moderatoren (z. B. Alter der Eltern, ethnische Zugehörigkeit) sowie methodischen Moderatoren (z. B. Studienqualität) gesucht, die die Heterogenität zwischen Studien erklären. Für den Zeitraum vom 1. Januar 2020 bis zum 3. März 2021 wurde eine systematische Suche in vier Datenbanken durchgeführt. Insgesamt 18 sich nicht überschneidende Studien (mit 8.981 Teilnehmer:innen), alle mit einem Fokus auf die Gesundheit von Müttern, erfüllten die Einschlusskriterien. Eine Random-Effects Metaanalyse wurde durchgeführt. Die gepoolten Prävalenzschätzungen für klinisch signifikante Depressions- und Angstsymptome bei Müttern von Kleinkindern während der COVID-19-Pandemie lagen bei 26,9 % (95 % CI: 21,3-33,4) bzw. 41,9 % (95 % CI: 26,7-58,8). Die Prävalenz klinisch erhöhter Depressions- und Angstsymptome war in Europa und Nordamerika sowie bei älteren Müttern höher. Klinisch erhöhte Depressionssymptome waren in Studien mit einem höheren Anteil an Personen, die einer ethnischen Minderheit angehörten, geringer. Im Vergleich dazu waren klinisch erhöhte Angstsymptome in Studien mit geringer Studienqualität und in Stichproben mit hoch gebildeten Müttern häufiger. Politische Maßnahmen und Ressourcen, die die psychische Gesundheit von Müttern fördern, sind unerlässlich.
枝が折れるとき:COVID-19パンデミック中の幼児の母親のメンタルヘルス症状に関する系統的レビューとメタ分析 親達はCOVID-19パンデミックの間に大きな挑戦とストレスを経験しており、それは彼らの幸福に影響を与える可能性がある。本メタ分析は、1) COVID-19パンデミック中の幼児 (5歳以下) の親の抑うつと不安の有病率、および、2) 社会人口統計学的 (例、親の年齢、人種的社会的少数派) および、研究間の異質性を説明する方法論的モデレーター (例、研究の質) を特定しようと試みるものである。2020年1月1日から2021年3月3日までの4つのデータベースで、体系的な検索が行われた。どれも母親のメンタルヘルスに焦点を当てた、重複のない計18の研究 (参加者8,981人) が選択基準を満たした。変量効果メタ分析が実施された。COVID-19パンデミック中の幼児の母親の臨床的に有意な抑うつと不安症状のプールされた有病率の推定値は、それぞれ26.9% (95% CI:21.3-33.4) と41.9% (95%　CI:26.7-58.8) だった。臨床的に抑うつと不安症状の悪化の有病率は、ヨーロッパと北アメリカ、そして年配の母親の間で高かった。人種的に社会的少数派の割合の高い研究では、臨床的に抑うつ症状悪化の割合は低かった。比較すると、臨床的に不安症状の悪化は、研究の質が低い研究や高学歴の母親のサンプルでより高かった。母親のメンタルヘルスの改善を目標とする政策と社会資源が不可欠だ。.
父母在COVID-19大流行期间经历了相当大的挑战和压力, 这可能会影响他们的健康。这项荟萃分析旨在确定: 1) 在COVID-19大流行期间, 幼儿 (<5岁) 父母的抑郁和焦虑患病率;2) 解释研究异质性的社会人口统计学 (例如, 父母年龄, 被种族歧视) 和方法的调节因素 (例如, 研究质量) 。从2020年1月1日到2021年3月3日, 对四个数据库进行了系统搜索。共有18项非重叠研究 (8981名参与者) 符合纳入标准, 所有研究均关注于产妇心理健康。对数据进行了随机效应荟萃分析。在 COVID-19 大流行期间, 幼儿母亲的临床显著抑郁和焦虑症状的合并患病率估计值分别为26.9% (95% CI: 21.3-33.4) 和41.9% (95% CI: 26.7-58.8)。在欧洲、北美以及年长的母亲中, 临床上抑郁和焦虑症状升高的患病率较高。在被种族歧视个体比例较高的研究中, 其临床上抑郁症状升高的患病率较低。相比之下, 在研究质量较低的研究中以及受过高等教育的母亲样本中, 临床上焦虑症状升高的患病率更高。旨在改善产妇心理健康的政策和资源至关重要。.
عندما ينكسر الغصن: مراجعة منهجية وتحليل تلوي لأعراض الصحة النفسية لدى أمهات الأطفال الصغار أثناء جائحة كوفيد-19 واجه الآباء تحديات وضغوط كبيرة خلال جائحة كوفيد-19، والتي قد تؤثر على رفاههم. سعى هذا التحليل التلوي إلى تحديد: 1) انتشار الاكتئاب والقلق لدى آباء الأطفال الصغار (أقل من 5 سنوات) أثناء وباء كوفيد-19 ، و 2) العوامل الديموغرافية الوسيطة (على سبيل المثال ، عمر الوالدين ، كونهم أقلية) والجوانب المنهجية (على سبيل المثال ، جودة الدراسة) التي تفسر عدم التجانس بين الدراسات. تم إجراء بحث منهجي عبر أربع قواعد بيانات من 1 يناير 2020 إلى 3 مارس 2021. اشتمل البحث على 18 دراسة غير متداخلة (8981 مشاركًا) ، ركزت جميعها على الصحة النفسية للأمهات ، واستوفت معايير التضمين. أجريت التحليلات التلوية ذات التأثير العشوائي. وكانت تقديرات الانتشار المجمعة لأعراض الاكتئاب والقلق عند أمهات الأطفال الصغار خلال جائحة كورونا حوالي ٪26.9 و 41.9٪ على التوالي. وكان انتشار أعراض الاكتئاب والقلق المرتفعة أعلى في أوروبا وأمريكا الشمالية وبين الأمهات الأكبر سنًا. بينما كانت هذه الأعراض أقل في الدراسات التي أجريت على نسبة أعلى من الأفراد من مجموعة الأقليات العنصرية. بالمقارنة ، كانت أعراض القلق المرتفعة سريريًا أعلى بين الدراسات ذات الجودة المنخفضة وفي العينات ذات الأمهات المتعلمات تعليماً عالياً. وبذلك تعتبر السياسات والموارد التي تستهدف تحسين الصحة النفسية للأم ضرورية.

BACKGROUND: This systematic review summarises the existing evidence on the implementation of technology-based mental healthcare models in the primary care setting.
METHODS: A systematic search was conducted (MEDLINE, Embase, CENTRAL) in August 2019 and studies were selected according to predefined eligibility criteria. The main outcomes were clinical effectiveness, adherence to primary treatment and cost of implementation.
METHODS: Studies with an experimental or quasi-experimental design that evaluated the implementation of technology-based mental healthcare models were included.
RESULTS: Five articles met the inclusion criteria. The models included technological devices such as tablets, cellphones and computers, with programs and mobile apps that supported decision-making in the care pathway. These decisions took place at different times, from the universal screening phase to the follow-up of patients with specific conditions. In general, the studies showed a decrease in the reported symptoms. However, there was great heterogeneity in both the health conditions and the outcomes, which hindered a quantitative synthesis. The assessment of risk of bias showed low quality of evidence.
CONCLUSIONS: There is not enough evidence to support the implementation of a technology-based mental healthcare model. High quality studies that focus on implementation and effectiveness outcomes are needed to evaluate the impact of technology-based mental healthcare models in the primary care setting.

In order to address the complexity of needs of dependent older people, multidimensional and person-centered needs assessment is required. The objective of this review is to describe met and unmet needs of dependent older people, living in the community or in institutions, and the factors associated with those needs. Selection criteria included papers about need asessment which employed the Camberwell Assesment of Need for the Elderly (CANE). A search through MEDLINE, SCOPUS, WOS and CINHAL databases was carried out. Twenty-one articles were finally included. Unmet needs were found more frequently in psychosocial areas (mainly in \"company\", \"daytime activities\" and \"psychological distress\") and in institutionalized population. In addition, unmet needs were often associated with depressive symptoms, dependency, and caregiver burden. Discrepancies between self-reported needs and needs perceived by formal and informal caregivers were identified. It is important that professionals and caregivers try to make visible the perspective of older people and their psychological and social needs, particularly when the person is dependent, depressed or cognitively impaired.

BACKGROUND: According to the literature, hospitalised patients with mental disorders have a higher risk of developing cavities and periodontal disease than the general population, associated with the motor difficulty to perform adequate oral hygiene, to the adverse effects caused by drugs for the control of psychiatric symptoms, as well as the lack of oral care and clinical care.
OBJECTIVE: To carry out a systematic review of the literature on the oral health status of hospitalised patients with mental disorders (MD).
METHODS: A systematic search of the literature was carried out in PubMed, according to the PRISMA statement methodology, through the MeSh health descriptors \"Dental Caries\" and \"Mental Disorders\" in February 2017 RESULTS: According to the different filters that were applied, 14 articles describing the oral health status were obtained - through the DMF-T index (teeth with cavities, teeth with restorations, missing teeth and teeth with necessary extraction)- of hospitalised patients with MD.
CONCLUSIONS: The recognition of the importance of oral health by health professionals, carers and family members should be promoted; the oral cavity should be explored to determine the state of health in addition to instructing patients and support personnel in oral hygiene; mental health institutions should establish an intervention programme to eliminate oral infectious sites and then implement a multidisciplinary preventive programme to maintain oral health according to the MD diagnosis.