The (mis)government in the COVID-19 pandemic and the psychosocial implications: discipline, subjection, and subjectivity.
Janaína Quinzen Willrich, Luciane Prado Kantorski, Ariane da Cruz Guedes and 3 others
PMID 35323837WHAT IT FOUND
People using an online therapeutic listening chat described fear of contamination, death, job loss and anxiety, plus sadness and distress from isolation.
The records show pandemic distress, not that chat care improved outcomes.
Key findings
01People using the online therapeutic listening service reported anxiety and fear about catching or spreading COVID-19, lack of hospital beds, and losing work or income.
02They also described sadness, difficulty getting out of bed, guilt, crying, insomnia and distress linked to isolation, family separation and news.
03The care records showed 81 assisted people, with most contacts lasting 31 to 60 minutes; 56 had punctual listening, 22 had 2 to 8 contacts, and 3 had 22 to 52 contacts.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study analysed records from one online therapeutic listening chat in Brazil, so the people described may not represent all people affected by the pandemic. Only people who agreed to participate and were assisted through the chat were included, so those who did not seek help are absent. The service was delivered by nurses, psychologists and occupational therapists, so the study cannot separate the contribution of any one profession or component. The analysis is qualitative and theoretical; it did not measure symptom change, compare groups or test whether the chat improved care. The authors note the theme is ongoing and lacks robust studies for comparison.
Declared interests
No funding or conflict of interest statement is provided in the supplied text.
The easy way to misread this
Do not read these records as proof that therapeutic listening chat reduced anxiety or depression. The study analysed what people reported and interpreted it through a theoretical framework; it did not measure symptom change or compare a treated group with an untreated group.