Effects of COVID-19 Pandemic on the Mental Health of Women and Treatment of Mental Disorders in the Unani System of Medicine: An Overview

Article ID: e150523216947 Pages: 9

  • * (Excluding Mailing and Handling)

Abstract

Background: The world miserably collapsed when the COVID-19 (Coronavirus disease) pandemic was going out of control. The ongoing crisis has damaging effects on the mental health of individuals, predominantly women, in both developed and developing countries. Women in developing countries, both as frontline workers and at home, are at increased risk of mental health problems (specifically mental disorders). A few observational studies related to the COVID- 19 pandemic have reported a higher prevalence of mental health problems like stress, anxiety, depression, insomnia, fear, delirium, hysteria etc. among women compared to men. Thus, understanding the effects of the COVID-19 pandemic on women's mental health are as important to discuss as their physical health effects.

Objective: The Unani System of Medicine (USM) has a holistic approach to preventing, treating, and curing mental disorders. The present article aimed to provide an overview of the effects of the COVID-19 pandemic on women's mental health and its containment measures described in classical Unani texts besides their relevance in the current outbreak.

Materials and Methods: A manual literature survey of classical Unani literature such as Firdaus- al-hikmat, Al Qanoon-fit-tib, Zakheera Khwarzam Shahi, and Kamilus Sana was conducted to collect the information available on the strategic approaches of health promotion and disease prevention in Unani Medicine. To obtain the appropriate English equivalent words for Unani terms and the scientific name of the drugs, “Standard Unani Medical Terminology” and “Classification of Unani Drugs” were consulted, respectively. Many pharmacological books and papers were considered from PubMed, Google Scholar etc.

Results: According to the literature review results, Unani doctors have pushed the adoption of personalised and predictive methods for preserving health and preventing diseases. The main focus is to treat the fragile population, i.e., women affected by mental illnesses.

Conclusion: The present article emphasizes the mental health problems among women provoked by the COVID-19 pandemic, their possible etiopathogenesis, prevention, and psychological, regimental and pharmacological management of the USM.

Graphical Abstract

[2]
Palacio ACA. Mental health: A global priority. Revista Colombiana de Psiquiatría (English ed) 2022; 51(2): 81.
[http://dx.doi.org/10.1016/j.rcpeng.2022.06.003] [PMID: 35753980]
[3]
Liu N, Zhang F, Wei C, et al. Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res 2020; 287(March): 112921.
[http://dx.doi.org/10.1016/j.psychres.2020.112921] [PMID: 32240896]
[4]
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020; 395(10227): 912-20.
[http://dx.doi.org/10.1016/S0140-6736(20)30460-8] [PMID: 32112714]
[5]
Siddiqui AF, Wiederkehr M, Rozanova L, Flahault A. Situation of india in the COVID-19 pandemic: India’s initial pandemic experience. Int J Environ Res Public Health 2020; 17(23): 8994.
[http://dx.doi.org/10.3390/ijerph17238994] [PMID: 33276678]
[6]
Chavan V, Chavan A. COVID-19 pandemic and women mental health. J Med Sci 2021; 14(4): 266-8.
[7]
Thibaut F, van Wijngaarden-Cremers PJM. Women’s mental health in the time of COVID-19 pandemic. Fronti Glob Women’s Health 2020; 1: 588372.
[http://dx.doi.org/10.3389/fgwh.2020.588372] [PMID: 34816164]
[8]
Ongaro G, Cincidda C, Sebri V, et al. A 6-month follow-up study on worry and its impact on well-being during the first wave of COVID-19 pandemic in an Italian sample. Front Psychol 2021; 12(October): 703214.
[http://dx.doi.org/10.3389/fpsyg.2021.703214] [PMID: 34721150]
[9]
Greenhalgh T, Knight M, A’Court C, Buxton M, Husain L. Management of post-acute COVID-19 in primary care. BMJ 2020; 370(17): m3026.
[http://dx.doi.org/10.1136/bmj.m3026] [PMID: 32784198]
[10]
Singh K, Xin Y, Xiao Y, et al. Impact of the COVID-19 pandemic on chronic disease care in India, China, Hong Kong, Korea, and Vietnam. Asia Pac J Public Health 2022; 34(4): 392-400.
[http://dx.doi.org/10.1177/10105395211073052] [PMID: 35067078]
[11]
Anjum DR, Ansari S, Khan Q, Siddiqui A. Fundamentals of unani system of medicine-a review. Euro J Biomed Pharm Sci 2017; 4(9): 219-23.
[12]
Poulakou-Rebelakou E, Karamanou M, George A. The impact of ancient Greek medicine in India: The birth of Unani medicine. Acta Med Hist Adriat 2015; 13(2): 323-8.
[PMID: 27604201]
[13]
Alavi S. Unani medicine in the nineteenth-century public sphere. Indian Econ Soc Hist Rev 2005; 42(1): 101-29.
[http://dx.doi.org/10.1177/001946460504200104]
[14]
Nifras MMM, Fatheena JF, Muthalib AM. Unani perspective of sehar (insomnia). RE:view 2021; 9(5): 762-76.
[15]
Journal I, Advance O, Fatma S, Anjum R. Sleep. Physiology & Its Concept in Unani Medicine 2020; (October): 1321-7.
[16]
Ahmed SKA, Ansari TH, Khan TN. Ismail Jurjani’s description of psychiatric disorders in Zakhria Khwarizam Shahi. Int J Curr Adv Res 2020; 9(6D): 22602-4.
[17]
Li N, Han L, Peng M, et al. Maternal and neonatal outcomes of pregnant women with COVID-19 pneumonia: A case-control study. J Chem Inf Model 2020; 53(9): 287.
[PMID: 32249918]
[18]
Liu H, Wang LL, Zhao SJ, Kwak-Kim J, Mor G, Liao AH. Why are pregnant women susceptible to COVID-19? An immunological viewpoint. J Reprod Immunol 2020; 139: 103122.
[http://dx.doi.org/10.1016/j.jri.2020.103122] [PMID: 32244166]
[19]
Street AE, Dardis CM. Using a social construction of gender lens to understand gender differences in posttraumatic stress disorder. Clin Psychol Rev 2018; 66: 97-105.
[http://dx.doi.org/10.1016/j.cpr.2018.03.001] [PMID: 29580673]
[20]
Campbell AM. An increasing risk of family violence during the COVID-19 pandemic: Strengthening Strengthening community collaborations to save lives. Forensic Sci Int 2020; 2.
[21]
Almeida M, Shrestha A, Stojanac D, Miller L. The impact of the COVID-19 pandemic on women report. RandstadCa 2020. Available from: https://content.randstad.ca/hubfs/2020-WTTW/The impact of the COVID-19 pandemic on women report.pdf?utm_campaign =2020011&utm_medium=email
[22]
Arzamani N, Soraya S, Hadi F, Nooraeen S, Saeidi M. The COVID-19 pandemic and mental health in pregnant women: A review article. Front Psychiatry 2022; 13: 949239.
[http://dx.doi.org/10.3389/fpsyt.2022.949239] [PMID: 36203829]
[23]
Micelli E, Cito G, Cocci A, et al. Desire for parenthood at the time of COVID-19 pandemic: An insight into the Italian situation. J Psychosom Obstet Gynaecol 2020; 41(3): 183-90.
[http://dx.doi.org/10.1080/0167482X.2020.1759545] [PMID: 32379999]
[24]
Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord 2020; 277(August): 5-13.
[http://dx.doi.org/10.1016/j.jad.2020.07.126] [PMID: 32777604]
[25]
Berthelot N, Lemieux R, Garon-Bissonnette J, Drouin-Maziade C, Martel É, Maziade M. Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic. Acta Obstet Gynecol Scand 2020; 99(7): 848-55.
[http://dx.doi.org/10.1111/aogs.13925] [PMID: 32449178]
[26]
Gao S, Su S, Zhang E, et al. Psychological health status in postpartum women during COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord 2022; 319: 99-111.
[http://dx.doi.org/10.1016/j.jad.2022.08.107] [PMID: 36087790]
[27]
Pao C, Guintivano J, Santos H, Meltzer-Brody S. Postpartum depression and social support in a racially and ethnically diverse population of women. Arch Women Ment Health 2019; 22(1): 105-14.
[http://dx.doi.org/10.1007/s00737-018-0882-6] [PMID: 29968129]
[28]
Farren J, Jalmbrant M, Ameye L, et al. Post-traumatic stress, anxiety and depression following miscarriage or ectopic pregnancy: a prospective cohort study. BMJ Open 2016; 6(11): e011864.
[http://dx.doi.org/10.1136/bmjopen-2016-011864] [PMID: 27807081]
[29]
Nanda K, Lopez LM, Grimes DA, Peloggia A, Nanda G. Expectant care versus surgical treatment for miscarriage. Cochrane Database Syst Rev 2012; 2012(3): CD003518.
[http://dx.doi.org/10.1002/14651858.CD003518.pub3]
[30]
McKinlay AR, Fancourt D, Burton A. Factors affecting the mental health of pregnant women using UK maternity services during the COVID-19 pandemic: A qualitative interview study. BMC Pregnancy Childbirth 2022; 22(1): 313.
[http://dx.doi.org/10.1186/s12884-022-04602-5] [PMID: 35413807]
[31]
Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020; 17(5): 1729.
[http://dx.doi.org/10.3390/ijerph17051729] [PMID: 32155789]
[32]
Galbally M, Watson SJ, Lewis AJ, van IJzendoorn MH. Parenting stress, maternal depression and child mental health in a Melbourne cohort before and during the COVID‐19 pandemic. J Paediatr Child Health 2022; 58(11): 2051-7.
[http://dx.doi.org/10.1111/jpc.16155] [PMID: 36371627]
[33]
Romito P, Pellegrini M, Saurel-Cubizolles MJ. Intimate partner violence against women during the COVID-19 lockdown in Italy: A multicenter survey involving anti-violence centers. Violence Against Women 2022; 28(9): 2186-203.
[http://dx.doi.org/10.1177/10778012221079374] [PMID: 35481785]
[34]
Li JTS, Lee CP, Tang WK. Changes in mental health among psychiatric patients during the COVID-19 pandemic in Hong Kong-a cross-sectional study. Int J Environ Res Public Health 2022; 19(3): 1181.
[http://dx.doi.org/10.3390/ijerph19031181]
[35]
Bottalico L, Charitos IA, Kolveris N, et al. Philosophy and hippocratic ethic in ancient greek society: Evolution of hospital-sanctuaries. Open Access Maced J Med Sci 2019; 7(19): 3353-7.
[http://dx.doi.org/10.3889/oamjms.2019.474] [PMID: 31949542]
[36]
Ibn Sina AAHIA. Alqanoon Fit Tib (Urdu Translation by Kantoori GH).
[37]
Majusi AIA. Kamil-us-Ṣana‘a (Urdu Translation by Kantoori GH) Vol-I, Part1. New Delhi: CCRUM 2010.
[38]
Shamsi M, Haghverdi F, Changizi Ashtiyani S. A brief review of Rhazes, Avicenna, and Jorjani’s views on diagnosis of diseases through urine examination. Iran J Kidney Dis 2014; 8(4): 278-85.
[PMID: 25001133]
[39]
Khan MA. Akseer-e- Azam (Urdu Translation by Kabiruddin HM). New Delhi: Idara kitab-ul-Shifa 2011.
[40]
Neisser A, Ogston A, Koch R, Pfeiffer R. From Matula to Mass Spectrometry. Origins 2005.
[41]
Razi AMBZ. Al Hawi fit Tib (Urdu translation by CCRUM)Vol-23. New Delhi: CCRUM, Ministry of Health and Family Welfare, Govt. of India 1997.
[42]
Jurjani I. Zakheera Khwarzam Shahi. New Delhi: Idara kitab-Us-Shifa 2010.
[43]
Raban Ṭabri AHABS. Firdaus-ul-Hikmat (Urdu Translation by Sambhali MAS). New Delhi: Idara kitab-ul-Shifa 2010.
[44]
Ṭabari ar. Firdaus-ul-Hikmat Fit Tibb (Urdu Translation by Nadvi HRA). New Delhi: CCRUM 2010.
[45]
Tabari AHAIM. Moalajat Buqratiyah (Urdu Translation by CCRUM).
[46]
Baghdadi IH. Kitab-al-Mukhtarat Fit Tibb. New Delhi: CCRUM 2004; Vol. 1.
[47]
Kabeeruddin H. Kulliyat-e-Nafeesi. New Delhi: Idara Kitabul Shifa 1954.
[48]
Ibn Sina AAHIA. Kulliyat-e-Qanoon (Urdu Translation by Kabiruddin HM). New Delhi: Aijaz Publication House 2006.
[49]
Tibb-e-Akbar AA. Deoband. Faisal publications 1890.
[50]
Rushd AW I. Kitabul Kulliyat (Urdu Translation). Lahor: Maktaba Daniyal 2017.
[51]
Simon GE, VonKorff M. Prevalence, burden, and treatment of insomnia in primary care. Am J Psychiatry 1997; 154(10): 1417-23.
[http://dx.doi.org/10.1176/ajp.154.10.1417] [PMID: 9326825]
[52]
Parveen A, Parveen R, Akhatar A, Parveen B, Siddiqui KM, Iqbal M. Concepts and quality considerations in unani system of medicine. J AOAC Int 2020; 103(3): 609-33.
[http://dx.doi.org/10.5740/jaoacint.19-0284] [PMID: 31547901]
[53]
Nafis IB. Kulliyat-e-Nafisi (Urdu Translation by Kabiruddin HM). New Delhi: Idara Kitab-us-Shifa 1954.
[54]
Nikhat S, Fazil M. Overview of COVID-19; its prevention and management in the light of Unani medicine. Sci Total Environ 2020; 728: 138859.
[http://dx.doi.org/10.1016/j.scitotenv.2020.138859] [PMID: 32334163]
[55]
Khan MA. Muheet-i Azam. New Delhi. Central Council for Research in Unani Medicine. 2012; I: pp. 319-20.
[56]
Kabiruddin M. Makhzan al-Mufradat. New Delhi: Aijaz Publishing House 2000.
[57]
Ardakani MRS, Farjadmand F, Rahimi R. Makhzan al adviyeh and pointing to the scientific names of medicinal plants for the first time in a persian book. Traditional and Integrative Medicine 2018; 3(4): 186-95.
[58]
Baghdadi IH. Kitab-al-Mukhtarat Fit Tibb. New Delhi: CCRUM 2004; Vol. 4.
[59]
Khan HA. Karachi: Madina Publishing Company. 1983; p. 363-7.
[60]
Baghdadi IH. Kitab-al-Mukhtarat Fit Tibb. New Delhi: CCRUM 2004; Vol. 2.
[61]
MA K. Muheet-i Azam. New Delhi: CCRUM 2018; IV.
[62]
Ghani MN. Khazain al-Advia.
[63]
Killgore WDS. Psychological resilience during the COVID-19 lockdown. Psych Res J 2020; 291: 113216.
[64]
Meng H, Xu Y, Dai J, Zhang Y, Liu B, Yang H. Analyze the psychological impact of COVID-19 among the elderly population in China and make corresponding suggestions. Psychiatry Res 2020; 289(1): 1-3.
[65]
Mensah A. Job stress and mental well-being among working men and women in europe: The mediating role of social support. Int J Environ Res Public Health 2021; 18(5): 2494.
[http://dx.doi.org/10.3390/ijerph18052494] [PMID: 33802439]
[66]
Landman-Peeters KMC, Hartman CA, van der Pompe G, den Boer JA, Minderaa RB, Ormel J. Gender differences in the relation between social support, problems in parent-offspring communication, and depression and anxiety. Soc Sci Med 2005; 60(11): 2549-59.
[http://dx.doi.org/10.1016/j.socscimed.2004.10.024] [PMID: 15814180]
[67]
Available from: www.SID.ir
[68]
The pandemic has hurt women's health. This is why that's bad for everyone. 2022. Available from: https://www.gavi.org/vaccineswork/pandemic-has-hurt-womens-health-why-thats-bad-everyone (Accessed on: 2023 Feb 1).