Psychotherapy for Healthcare Provider During COVID-19 Pandemic: An Evidence Based Clinical Review

Hamzah Shatri, Rudi Putranto, Edward Faisal, Fita Fitrianti, Kresna Adhiatma, Putri Zulmiyusrini, Sonya Farah Diba, Petrin R Lukman


Background: health workers are one of the groups affected physically as well as psychologically from the pandemic. Recent studies showed many of the health workers reported experiencing anxiety, depression, and insomnia. This study aims to identify psychotherapy as a psychological health intervention, for healthcare workers during the COVID-19 pandemic. Methods: an evidence based clinical review of psychotherapy as a psychological health intervention, reported in the literature, which is developed for healthcare workers during the COVID-19 pandemic. The review was conducted following set out for Evidence-based clinical review by searching the following digital libraries: PubMed, ProQuest, Cochrane, and Google Scholar. Results: six publications were selected. The identified psychotherapy used as a mental or psychological intervention for healthcare workers during COVID-19 consists of supportive psychotherapy, psychoeducation, social support, and music therapy. Overall, it shows that psychotherapy, especially supportive psychotherapy, can reduce anxiety, depression, and insomnia. Conclusion: the physiological condition of health workers needs to get attention during the COVID-19 pandemic. Although there is no standard of therapy yet, psychotherapy could be an option as it is proven to be able to reduce anxiety, depression, and insomnia.


internal medicine; medical journal; psychosomatic; psychotherapy; healthcare workers; COVID-19


Worldometer.COVID-19 CORONAVIRUS PANDEMIC [Internet]. 2020 [updated 2020. Available from:

Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020; 395:912-20.

Spoorthy MS, Pratapa SK, Mahant S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review. Asian J Psychiatry. 2020;51:102119.

Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA. 2020;3(3):e203976-e203976.

Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behavior Immun. 2020;88: 901-7.

Cai H, Tu B, Ma J, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of Coronavirus disease 2019 (COVID-19) in Hubei, China. Med Sci Monit. 2020;26:e924171-1.

Mohindra R, Ravaki R, Suri V, Bhalla A, Singh SM. Issues relevant to mental health promotion in frontline health care providers managing quarantined/isolated COVID19 patients. Asian J Psychiatr. 2020;51: 102084.

Kang L, Li Y, Hu S, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry. 2020;7(3):e14.

Inchausti F, MacBeth A, Hasson-Ohayon I, Dimaggio G. Psychological intervention and COVID-19: what we know so far and what we can do. J Contemporary Psychotherapy. 2020;1-8.

Siwek J, Gourlay ML, David C. Slawson DC, Shaughnessy AF. How to write an evidence-based clinical review article. Am Fam Physician. 2002; 65(2):251-8.

Ping NPT, Shoesmith WD, James S, Nor Hadi NM, Yau EKB, Lin LJ. Ultra brief psychological interventions for COVID-19 pandemic: Introduction of a locallyadapted brief intervention for mental health and psychosocial support service. Malays J Med Sci. 2020;27:51-6.

Blake H, Bermingham F, Johnson G, Tabner A. Mitigating the psychological impact of COVID-19 on healthcare workers: A digital learning package. Int J Environ Res Public Health. 2020;17:2997.

Buselli R, Baldanzi S, Corsi M, et al. Psychological care of health workers during the COVID-19 outbreak in Italy: Preliminary report of an Occupational Health Department (AOUP) responsible for monitoring hospital staff condition. Sustainability. 2020;12(12): 5039.

Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19). China. Med Sci Monit. 2020.;26:e923549. doi:10.12659/MSM.923549.

Giordano F, Scarlata E, Baroni M, Receptive music therapy to reduce stress and improve wellbeing in Italian clinical staff involved in COVID-19 pandemic: a preliminary study. The Arts in Psychotherapy. 2020;70: 101688.

Sheraton M, Deo N, Dutt T, Surani S, Hall-Flavin D, Kashyap R. Psychological effects of the COVID 19 pandemic on healthcare workers globally: A systematic review. Psychiatry Res. 2020;292.

Muller AE, Hafstad EV, Himmels JPW, et al. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review. Psychiatry Res. 2020; 293:113441. Published online 2020 . doi: 10.1016/j.psychres.2020.113441

Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020;9(3):241-7.

Chanda ML, Levitin DJ. The neurochemistry of music. Trends Cognitive Sci. 2013;17(4):179-93.

Lopez RB, Denny BT, Fagundes CP. Neural mechanisms of emotion regulation and their role in endocrine and immune functioning: A review with implications for treatment of affective disorders. Neuroscience & Biobehavioral Reviews. 2018;95: 508-14.

Olff M, De Vries GJ, Güzelcan Y, Assies J, Gersons BPR. Changes in cortisol and DHEA plasma levels after psychotherapy for PTSD. PNI. 2007;(32):619-26.

Etkin A, Pittenger C, Polan HJ, Kandel ER. Toward a neurobiology of psychotherapy: Basic science and clinical applications. J Neuropsychiatry Clin Neurosci. 2005;17:145-58.

Schlosser N, Wolf OT, Wingenfeld K. Cognitive correlates of hypothalamic–pituitary–adrenal axis in major depression. Expert Rev Endocrinol Metab. 2011;6(1): 109-26.

Dichter GS, Felder JN, Petty C, Bizzell J, Ernst M, Smoski MJ. The effects of psychotherapy on neural responses to rewards in major depression. Biol Psychiatry. 2009;66(9):886-97.

Buchheim A, Viviani R, Kessler H, et al. Changes in prefrontal-limbic function in major depression after 15 months of long-term psychotherapy. PLoS ONE. 2012; 7(3):e33745. doi:10.1371/ journal pone 00337453.

Hölzel BK, Carmodyc J, Vangela M, et al. Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res. 2011;19:36–43.

Goldapple K, Segal Z, Garson C, et al. Modulation of cortical-limbic pathways in major depression: treatment-specific effects of cognitive behavior therapy. Arch Gen Psychiatry. 2004;61:34-41.

Viinamaki H, Kuikka J, Tiihonnen J, et al. Changes in monoamine transport density related to clinical treatment: a case controlled study. Nordic J Psychiatry. 1998;55:39–44.

Tsigos C, Chrousos GP. Hypothalamic-pituitary–adrenal axis, neuroendocrine factors and stress. J Psychosom Res. 2002;53:865–71.

Widjaja FF, Shatri H, Putranto R. Health issues among healthcare workers during COVID-19 pandemic: a psychosomatic approach. Acta Med Indones. 2020;52(2):172-6.

Shatri H, Faisal E, Putranto R. Mass panic disarter management in COVID-19 pandemic. Acta Med Indones. 2020;52(2):179-84.

Pau K, Ahmad A, Tang HY. Crisis, disaster, and trauma counseling: implication for the counseling profession. J Crit Rev. 2020;7(8):736-39.

Reyes G, Elhai JD. Psychosocial interventions in the early phases of dissarters. Psychotherapy: Theory, Research, Practice, Training. 2004;41:399-411.

Litz BT, Gray MJ, Bryant RA, Adler AB. Early intervention for trauma: current status and future directions. Clinical Psychology: Science and Practice. 2002;9:112-34.

Grover S, Avasthi A, Jagiwala M. Clinical practice guidelines for practice of supportive psychotherapy. Indian J Psychiatry. 2020;62:173-82.

Harari E. Supportive psychotherapy. Australasian Psychiatry. 2015;22:440-2.

Cohen RE. Mental health services for victims of disasters. World Psychiatry. 2002;1:149-52.

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