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dc.contributor.authorTsheten, T
dc.contributor.authorChateau, D
dc.contributor.authorDorji, N
dc.contributor.authorPokhrel, HP
dc.contributor.authorClements, ACA
dc.contributor.authorGray, DJ
dc.contributor.authorWangdi, K
dc.date.accessioned2023-09-07T08:54:32Z
dc.date.available2023-09-07T08:54:32Z
dc.date.issued2023-04
dc.identifier.issn2772-3682
dc.identifier.issn2772-3682
dc.identifier.other100179
dc.identifier.urihttps://pearl.plymouth.ac.uk/handle/10026.1/21288
dc.description.abstract

The coronavirus disease 2019 (COVID-19) pandemic continues to impact mental health and wellbeing globally. There is a lack of scientific documentation highlighting the mental health impact of COVID-19 in Bhutan. We present the mental health burdens and control measures taken, and suggest ways to further strengthen mental health services in Bhutan. During the pandemic, a rise in depression and anxiety had been reported in Bhutan. Depression rose from an average prevalence of 9 per 10,000 between 2011 and 2019 to 16 per 10,000 in 2020 and 32 per 10,000 in 2021. Similarly, anxiety rose from an average prevalence of 18 per 10,000, to 29 per 10,000 in 2020, and 55 per 10,000 in 2021. Psychological impacts related to isolation due to lockdowns, economic losses, and poor coping abilities were associated with negative outcomes. Stigma and discrimination towards mental health disorders discouraged mentally distressed people from seeking care. In response to increased demand, Bhutan's government initiated a range of interventions including home delivery of medicines and tele-counselling to people in need of urgent mental health care. Mental health care in Bhutan can be further improved through investment in services and human resources, and decentralization of services to the community.

dc.format.extent100179-100179
dc.format.mediumPrint-Electronic
dc.languageen
dc.publisherElsevier BV
dc.subjectBhutan
dc.subjectCOVID-19
dc.subjectControl
dc.subjectGross national happiness
dc.subjectMental health
dc.subjectWellbeing
dc.titleImpact of COVID-19 on mental health in Bhutan: a way forward for action
dc.typejournal-article
dc.typeJournal Article
dc.typeReview
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/37020787
plymouth.volume11
plymouth.publisher-urlhttp://dx.doi.org/10.1016/j.lansea.2023.100179
plymouth.publication-statusPublished
plymouth.journalThe Lancet Regional Health - Southeast Asia
dc.identifier.doi10.1016/j.lansea.2023.100179
plymouth.organisational-group|Plymouth
plymouth.organisational-group|Plymouth|PS - Office of Vice Chancellor
plymouth.organisational-group|Plymouth|REF 2021 Researchers by UoA
plymouth.organisational-group|Plymouth|Users by role
plymouth.organisational-group|Plymouth|Users by role|Academics
plymouth.organisational-group|Plymouth|REF 2021 Researchers by UoA|UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
dc.publisher.placeEngland
dcterms.dateAccepted2023-03-07
dc.date.updated2023-09-07T08:54:15Z
dc.rights.embargodate2023-9-8
dc.identifier.eissn2772-3682
dc.rights.embargoperiodforever
rioxxterms.versionofrecord10.1016/j.lansea.2023.100179


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