Online mental health services in China during the COVID-19 outbreak
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WeChat features various platforms, such as text or voice messaging, real-time video or voice communications, and payment.
“It features various platforms, such as text or voice messaging, real-time video or voice communications, and payment”
From Effectiveness of a videoconferencing group-based dyad acceptance and commitment therapy on the quality of life of chronic heart failure patients and their family caregivers: A study protocol for a randomized controlled trial (2024) · cites this paper as [70]
The main text describes WeChat as a communication programme and mentions WeChat-based surveys, counselling resources, and self-help interventions (page not provided). It does not specify text or voice messaging, real-time video or voice communication, or payment features. (LLM, conf=0.82)
Experimental — accuracy not yet measuredWeChat has been integrated into every aspect of human life in China.
“and has been integrated into every aspect of human life in China [70].”
From Effectiveness of a videoconferencing group-based dyad acceptance and commitment therapy on the quality of life of chronic heart failure patients and their family caregivers: A study protocol for a randomized controlled trial (2024) · cites this paper as [70]
The main text describes widespread use of WeChat for mental health education, surveys, counselling, and self-help during the COVID-19 outbreak in China. It does not support the broader claim that WeChat is integrated into every aspect of life in China. (LLM, conf=0.85)
Experimental — accuracy not yet measuredGovernment-mandated physical distancing restrictions necessitated a rapid shift away from in-person mental health services to digitally delivered services.
“Government-mandated physical distancing restrictions necessitated a rapid shift away from in-person mental health services to digitally delivered services (eg, teletherapy, videoconferencing, eHealth, and mobile health) [2].”
From Synchronous Web-Based Psychotherapy for Mental Disorders From a Health Quality Perspective: Scoping Review (2023) · cites this paper as [2]
The main text (page not supplied) says that virus transmission hindered face-to-face psychological interventions and that online mental health services were widely implemented in China. It does not attribute that change to government-mandated distancing restrictions or document a rapid shift from existing in-person services; its examples also do not establish every digital format listed in the citing sentence. (LLM, conf=0.88)
Experimental — accuracy not yet measuredResearchers have called for such mental health research and policy regulations to serve all individuals more effectively.
“Researchers have called for such mental health research and policy regulations to serve all individuals more effectively (7,17-20).”
From A proposed framework based on literature review of online contextual mental health services to enhance wellbeing and address psychopathology during covid-19 (2020) · cites this paper as [19]
In the paper’s main text (page not specified), the authors describe mental health surveys that could help authorities allocate resources and guidelines for psychological assistance. They also suggest online services could improve emergency interventions. They do not call for new policy regulations or claim these measures would serve all individuals. (LLM, conf=0.82)
Experimental — accuracy not yet measuredOnline mental health has advantages and possible disadvantages.
“It is crucial to acknowledge the need and advantage of online mental health while being cautious to pay attention to possible disadvantages (8,19,20,24).”
From A proposed framework based on literature review of online contextual mental health services to enhance wellbeing and address psychopathology during covid-19 (2020) · cites this paper as [19]
In the section “Online mental health services in China during the COVID-19 outbreak” (page not provided), the paper describes online services as safe when face-to-face interventions are hindered and says they could improve emergency interventions. Our copy does not identify possible disadvantages or advise caution about them, so it supports only the advantages portion of the claim. (LLM, conf=0.88)
Experimental — accuracy not yet measured
The online approach could be an alternative to the offline approach.
“Emerging evidence has proven that the online approach could be an alternative to the offline approach (Liu et al., 2020).”
From The Online Strength-Informed Acceptance and Commitment Therapy Among COVID-19-Affected Adolescents. (2022) · cites this paper as Liu et al., 2020
In “Online mental health services in China during the COVID-19 outbreak” (page unavailable), the authors say face-to-face interventions were hindered by viral transmission, while online services were safe and widely implemented. This supports online services as a possible alternative during the outbreak, but the paper does not establish that evidence has proven them an alternative to offline care generally. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe staff mental health pathway was formulated based on evidence from prior studies.
“The DOP in liaison with human resources department formulated an evidence based pathway (Chen et al., 2020; Liu et al., 2020; Zhang et al., 2020) to address mental health needs of HCWs.”
From Integrating mental health in COVID-19 crisis: Staff mental health referral pathway (2020) · cites this paper as Liu et al., 2020
Video conferencing is allowing people to work and attend classes from home, online services are supporting mental health and digital platforms are enabling community-mobilization efforts by providing ways to assist those in need.
“Video conferencing is allowing people to work and attend classes from home 111 , online services are supporting mental health 112 and digital platforms are enabling community-mobilization efforts by providing ways to assist those in need 113 .”
From Digital technologies in the public-health response to COVID-19 (2020) · cites this paper as [112]
Medical health workers are at risk of allostatic overload.
“Thus, the presence of these symptoms in addition to the life status of daily fighting against COVID-19 suggests that they must cope with psychological distress and are at risk of allostatic overload [9].”
From Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China (2020) · cites this paper as [9]
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Self-citation
- Authors
- Liu, S., Yang, L., Zhang, C., Xiang, Y.-T., Liu, Z., Hu, S., & Zhang, B.
- Affiliations
- Qinghai No.3 People's Hospital (CN)
- Nanfang Hospital (CN)
- University of Macau (MO)
- Wuhan University (CN)
- First Affiliated Hospital Zhejiang University (CN)
- Corresponding author
- Zhang, Bin
- Venue
- The Lancet Psychiatry
- Publisher
- Elsevier BV
- Published
- 2020-04
- Volume
- 7
- Issue
- 4
- Pages
- e17-e18
- ISSN
- 2215-0366 (ISSN-L)
- PMC
- PMC7129099
- OpenAlex
- W3007805683
- Cited by
- 1,992
- References
- 3
- Citations by year
- 2026: 23 · 2025: 64 · 2024: 98 · 2023: 214 · 2022: 403 · 2021: 581 · 2020: 603 · 2019: 2 · 2018: 1 · 2013: 2
- FWCI
- 180.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Lancet Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- online mental health services, COVID-19 pandemic, psychological crisis intervention, anxiety, depression, stress, healthcare workers, public mental health, China
- MeSH terms
- COVID-19, China, Counseling, Disease Outbreaks, Emergency Medical Services, Humans, Mental Health, Mental Health Services, Pneumonia, Viral, Public Health, Telemedicine, Practice Guidelines as Topic, Coronavirus Infections, Internet
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