An integrative approach towards prevention & management of psychological illnesses during COVID 19 crisis

  • Dr. Radhika Pukale Final Year Post Graduate Scholar, P.G. Department of Kayachikitsa, National Institute of Ayurveda, Jaipur, Rajasthan, INDIA.
  • Dr. Deepti Sharma Post Graduate Scholar, National Institute of Ayurveda, Jaipur, Rajasthan, INDIA.
  • Dr. Harish Bhakuni Assistant Professor, P.G. Department of Kayachikitsa, National Institute of Ayurveda, Jaipur, Rajasthan, INDIA.
  • Dr. Kiran Krishnia Post Graduate Scholar, National Institute of Ayurveda, Jaipur, Rajasthan, INDIA.
Keywords: COVID-19, Psychological illness, Janapdoudhwamsa, Manasa, Satva

Abstract

Widespread outbreaks of infectious disease, such as COVID-19, are associated with psychological distress and symptoms of mental illness. To date (June 29th, 2020), over 10,021,401 confirmed cases and 499,913 deaths attributable to this disease have been reported. Ayurveda though being an ancient life science clearly mentions about such disease conditions. A detailed chapter on Janapadodhwansa in Charaka Samhita explains epidemic disease and its etiological factors. Adharma as the root cause of Janapadodhwansa. The current article is a narrative review of the existing literature on mental health symptoms and interventions relevant to the COVID-19 pandemic. Psychiatric and psychological problems that were present before the pandemic and the Patho-plastic effects of the pandemic on these problems; the responses to social isolation and lockdown; the psychological response to the diagnosis public responses to those with symptoms suggestive of COVID-19 infection, as well as the aftermath ofthe infection. Timely identification of high-risk groups especially those with prior mental health issues, are essential to prevent extreme events such as suicide and other impulsive behaviors. Acharya Charaka has described Chikitsa Siddhant to be followed during Janapadoudhwamsa; Karma Panchavidham, Rasayananamupyoga. Langhan, Langhan-Pachana and Doshavasechan. Harsha Prinananam - Cheerful mind best in bringing delightfulness. Charaka has also stated that the disease of a patient having Pravara-Sattva recovers quickly as compared to patients of Avara-Sattva. Also, body and mind follow and influences each other i.e. any kind of change in mental status results in both physiological as well as psychological variation from normalcy.

Downloads

Download data is not yet available.

References

World Health Organization, (2020). Mental health and psychosocial considerations during the COVID-19 outbreak, 29 june 2020 (No. WHO/2019-nCoV/MentalHealth/2020.1). World Health Organization,

Bao Y., Sun Y., Meng S., Shi J., Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;22(395): e 37–e 38

Goyal K, Chauhan P, Chhikara K, Gupta P, Singh MP. Fear of COVID 2019: First suicidal case in India! Asian J Psychiatry. 2020;49: 101989. pmid:32143142

Li Z., Ge J., Yang M., Feng J., Qiao M., Jiang R., Bi J., Zhan G., Xu X., Wang L., Zhou Q., Zhou C., Pan Y., Liu S., Zhang H., Yang J., Zhu B., Hu Y., Hashimoto K., Jia Y., Wang H., Wang R., Liu C., Yang C. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav. Immun. 2020;10(20)

Liu S., Yang L., Zhang C., Xiang Y.T., Liu Z., Hu S., Zhang B. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e17–e18.

Armitage R, Nellums LB (2020). COVID-19 and the consequences of isolating the elderly. The Lancet. Public Health, 2667(20), 30061.

UNWOMEN.unwomen.org/en/digital-library/multimedia/ 2020/4/inforgraphic-covid19-violenceagainst-womenand girls

Nishant Shukla, Review article Ayurvedic approach to communicable diseases – an overview

Nishant Shukla, Review article Ayurvedic approach to communicable diseases – an overview

Inter-Agency Standing Committee (2017). Reference group for mental health and psychosocial support in emergency settings. A common monitoring and evaluation framework for mental health and psychosocial support in emergency settings. Geneva: IASC.

Kulkarni K, Adarsha AM, Parthasarathy R, Philip M, Shashidhara HN, Vinay B et al. (2019). Concurrent Validity and Interrater Reliability of the “Clinical Schedules for Primary Care Psychiatry”. Journal of neurosciences in rural practice, 10(03):483-8.

Duan L, Zhu G (2020). Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry, 1;7(4):300-2.

Minding our minds during COVID-19. Document released by Ministry of Health and Family welfare, st31 March 2020.

Garriga M, Pacchiarotti I, Kasper, S, et al. 2016. Assessment and management of agitation in psychiatry: Expert consensus. The World Journal of Biological Psychiatry 17, 86– 128. https://doi.org/10.3109/15622975.2015.1132007

Daily Life and Coping during Corona Virus Disease 19. Centre for Disease Control and Prevention. Available at https://www.cdc.gov/coronavirus/2019-ncov/daily-lifecoping/index.html [Assessed thon 04 April 2020].

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. (2020) The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395:912–20.

Vaidya Yadavji Trikamji Acharya, Charak Samhita of Agnivesa Elaborated by Charaka and Dridhbala with the Ayurved Dipika Commentary by Chakrapani, edition 2014, Varanasi,ChaukhambaSurbhartiPrakashan, 241p.

P.V. Sharma, Susruta Samhita, reprint 2005, Varanasi, ChaukhambhaVisvabharati, 2005, 44p.8. Vaidya Yadavji Trikamji Acharya, Charak Samhita of Agnivesa Elaborated by Charaka and Dridhbala with the Ayurved Dipika Commentary by Chakrapani, edition 2014, Varanasi, ChaukhambaSurbhartiPrakashan, 297p.

P.V. Sharma, Susruta Samhita, reprint 2005, Varanasi, ChaukhambhaVisvabharati, 2005, 44p

Sushruta, Sushruta Samhita, Ayurveda Tattva Sandipika Hindi Commentary, Shastri Ambikadutta, chikitsasthana, Vranaupakramniyaadhyaya (1), Section 2 Pg 5., Chaukhambha Sanskrit Sansthan, Varanasi, 2010

Sushruta, Sushruta Samhita, Ayurveda Tattva Sandipika Hindi Commentary, Shastri Ambikadutta, sutra sthana, dravadravyavidhi(45), (17 shloka) Pg219., Chaukhambha Sanskrit Sansthan, Varanasi, 2010

KavirajAtrideva Gupta, AstangHrdayam, reprint 2009, Varanasi, ChaukhambhaPrakashan, 135p.

Vaidya YadavjiTrikamji Acharya, Charak Samhita of Agnivesa Elaborated by Charaka and Dridhbala with the Ayurved Dipika Commentary by Chakrapani, edition 2014,

Harish Chandra Singh Kushwaha, Carak Samhita – second part, Reprint 2012 Varanasi,Chaukhamba Orientalia, 1p.

Harish Chandra Singh Kushwaha, Charak Samhita – second part, Reprint 2012,Varanasi, Chaukhamba Orientalia, 43p.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Sutrasthana, Yajjahapurushiyaadhyaya (25; 40), P. 469, Chaukhambha Bharti Academy, Varanasi, 2013.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Sutrasthana, Yajjahapurushiyaadhyaya (25; 40), P. 469, Chaukhambha Bharti Academy, Varanasi, 2013.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Sutrasthana, Yajjahapurushiyaadhyaya (25; 40), P. 469, Chaukhambha Bharti Academy, Varanasi, 2013

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, Shastri Kashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Ayurvedasamutthaniya Rasayanapadaadhyaya (1[4]; 30-35), P. 58, Chaukhambha Bharti Academy, Varanasi, 2012.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Sutrasthana, Arthedashamahamuliyaadhyaya (30; 15), P. 584, Chaukhambha Bharti Academy, Varanasi, 2013.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Sutrasthana, Arthedashamahamuliyaadhyaya (30; 15), P. 584, Chaukhambha Bharti Academy, Varanasi, 2013

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Sutrasthana, Naveganadharniyaadhyaya (7; 27-28), P. 160, Chaukhambha Bharti Academy, Varanasi, 2013.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Sutrasthana, Indriyopkramaniyaadhyaya (8; 17), P. 181, Chaukhambha Bharti Academy, Varanasi, 2013.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Shreerasthana, purusha vichayashareeraadhyaya (5; 12), P. 891, Chaukhambha Bharti Academy, Varanasi, 2013.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Jwarachikitsaadhyaya (3; 331), P. 171, Chaukhambha Bharti Academy, Varanasi, 2012

Sushruta, Sushruta Samhita, Ayurveda Tattva Sandipika Hindi Commentary, Shastri Ambikadutta, Uttar tantra, Jwarapratishedhaadhyaya (39; 265), P. 262, Chaukhambha Sanskrit Sansthan, Varanasi, 2010

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, Shastri Kashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Rajayakshmachikitsaadhyaya (8; 189), P. 303, Chaukhambha Bharti Academy, Varanasi, 2012

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Unmadachikitsaadhyaya (9; 92), P. 326, Chaukhambha Bharti Academy, Varanasi, 2012.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Unmadachikitsaadhyaya (9; 86), P. 325, Chaukhambha Bharti Academy, Varanasi, 2012.

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Apasmarachikitsa adhyaya (10; 63), P. 338, Chaukhambha Bharti Academy, Varanasi, 2012

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Atisarachikitsa adhyaya (19; 12), P. 562, Chaukhambha Bharti Academy, Varanasi, 2012

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, Shastri Kashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Vishachikitsa adhyaya (23; 222-223), P. 663, Chaukhambha Bharti Academy, Varanasi, 2012

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, Chikitsasthana, Madatyayachikitsa adhyaya (24; 157), P. 690, Chaukhambha Bharti Academy, Varanasi, 201

Agnivesha, Charak Samhita, Vidyotini Hindi Commentary, ShastriKashinatha and Chaturvedi Gorakhanatha, vimana sthana, Janapadhaudhwansa adhyaya (44), P. 703, Chaukhambha Bharti Academy, Varanasi, 2012

CITATION
DOI: 10.21760/jaims.v5i04.985
Published: 2020-08-31
How to Cite
Dr. Radhika Pukale, Dr. Deepti Sharma, Dr. Harish Bhakuni, & Dr. Kiran Krishnia. (2020). An integrative approach towards prevention & management of psychological illnesses during COVID 19 crisis. Journal of Ayurveda and Integrated Medical Sciences, 5(04), 292-300. https://doi.org/10.21760/jaims.v5i04.985
Section
Review Article