Ramdas Ransing1
Eugene Boon Yau Koh2
Rodrigo Ramalho3
Renato de Filippis4†
Mariana Pinto da Costa5,6
Victor Pereira-Sanchez7
Isa Multazam Noor8
Mohammadreza Shalbafan9*- 1Department of Psychiatry, Clinical Neurosciences, and Addiction Medicine, All India Institute of Medical Sciences, Guwahati, Assam, India
- 2Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
- 3Department of Social and Community Health, School of Population Health, The University of Auckland, Auckland, New Zealand
- 4Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
- 5Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
- 6Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
- 7Department of Child and Adolescent Psychiatry, New York University Grossman School of Medicine, New York, NY, United States
- 8Department of Psychiatry, Faculty of Medicine, Yayasan Rumah Sakit Islam Indonesia (YARSI) University, Jakarta, Indonesia
- 9Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
The World Health Organization (WHO) has officially declared that COVID-19 is no longer a public health emergency, highlighting that this does not mean the disease is no longer a global threat (1). On the other hand, the mental health burden is expected to rise due to various factors, such as the global economic crisis, phenomena such as complicated grief and vaccine hesitancy, and the long-term consequences of COVID-19 itself (2, 3). The COVID-19 pandemic highlighted existing research and professional capacity gaps at a global level during a time when local preparedness and responses were critical (4). In turn, it also sped up the consolidation of existing collaborative networks of mental health professionals at a global scale and promoted the emergence of others (5). As per the Mental Health Preparedness and Action Framework (MHPAF), this is not the time to let our guard down (6). Instead, this is the time to reinforce and extend existing collaborations and develop further ones when needed in order to face the remaining threats of the COVID-19 pandemic and the rise of mental health needs.
Early-career psychiatrists (ECPs), connatural with technology and globalization, have been leading prominent efforts in terms of collaborative networks. Outstanding examples of this are the ECPs Section of the World Psychiatric Association (WPA), the World Network of Psychiatric Trainees (WNPT), and the Global Mental Health Think Tank (7, 8). During the COVID-19 pandemic, these collaborative networks served as powerful hubs for connection, peer support, brainstorming, and execution of academic collaborative ideas, synergies, and new, multidisciplinary teams (5). Furthermore, these international, web-based, multidisciplinary, and multicultural networks have been hubs for support, discussion, research, and action in perennial and emergent challenges of global psychiatry and mental health (5). They assisted ECPs in understanding the global state of mental health and mental healthcare in areas such as awareness, stigma, digitalization, inequities, racism, and discrimination (5). Their efforts led to numerous and impactful academic outputs related to COVID-19 and global mental health, such as protocols, guidelines, frameworks, and other scholarly publications and presentations (5).
The post-COVID-19 era presents an opportunity to continue to build beyond these existing networks. ECPs from every continent should be provided with an opportunity to explore and confront local and global challenges hand-in-hand with colleagues and friends worldwide. The return to in-person activities and the reduction of online work may reduce the frequency of remote virtual interactions and threaten the power of online-based networks. But there are clear opportunities to mix local and international collaboration and take advantage of in-person and at-a-distance opportunities via a “hybrid-new normal”. For example, while academic exchange programs have already started to pick up their previous pace (9, 10), we will probably see a more hybrid model after the pandemic, with in-person exchanges fulfilling a more targeted role within a larger scheme of virtual interactions (11). Still, this type of collaboration requires significant funding and resources to succeed. We urge governments, non-governmental organizations, professional associations, and philanthropic foundations to support and fund these collaborative research initiatives to sustain meaningful impact.
Overall, collaborative research on mental health in the post-COVID-19 era has the potential to improve our understanding of mental health conditions and develop effective interventions on a global scale. As members of global collaborative networks ourselves, we have identified five priority areas for research in the times to come (Table 1). The Mental Health Preparedness and Action Framework (MHPAF) was used to identify these research priorities (6).
Table 1. Research priorities for ECPs.
Still, it is important to acknowledge that the potential rise of mental health issues in the near future is not the only threat we are facing at a global level. We also face the ongoing demand to address global challenges such as climate change, armed conflicts, and forced migrations. The COVID-19 pandemic has provided the opportunity for the world to unite with a shared goal, transcending local and national differences. We should continue moving forward in a similar spirit when facing these and any future challenge. In terms of international collective actions, not all global actors often prioritize global equity (12). However, the pandemic has proven the value of ensuring the active and fair participation of all actors—particularly the Global South, often the most affected by these threats—in the global discussion and collective action. A post-COVID-19 world would benefit immensely from building upon this learning.
Author contributions
All authors listed have made a substantial, direct, and intellectual contribution to the work and approved it for publication.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
References
1. UN News. WHO Chief Declares End to COVID-19 as a Global Health Emergency. (2023). Available online at: https://news.un.org/en/story/2023/05/1136367 (accessed May 7, 2023).
2. Vadivel R, Shoib S, El Halabi S, El Hayek S, Essam L, Gashi Bytyçi D, et al. Mental health in the post-COVID-19 era: challenges and the way forward. Gen Psych. (2021) 34:e100424. doi: 10.1136/gpsych-2020-100424
3. Adiukwu F, Kamalzadeh L, Pinto da Costa M, Ransing R, de Filippis R, Pereira-Sanchez V, et al. The grief experience during the COVID-19 pandemic across different cultures. Ann Gen Psychiatry. (2022) 21:18. doi: 10.1186/s12991-022-00397-z
4. Yalcin N, Bayraktar I, Karabulut E, de Filippis R, Jaguga F, Karaliuniene R, et al. Is everyone invited to the discussion table? A bibliometric analysis COVID-19-related mental health literature. Glob Ment Health. (2022) 9:366–74. doi: 10.1017/gmh.2022.37
5. Ransing RS, Pinto Da Costa M, Pereira-Sanchez V, Adiukwu F, Orsolini L, Gonzalez-Diaz JM, et al. Peer learning, research, and support in times of the COVID-19 pandemic: a case study of the early career psychiatrists model. Acad Psychiatry. (2021) 45:613–8. doi: 10.1007/s40596-021-01464-5
6. Ransing R, Adiukwu F, Pereira-Sanchez V, Ramalho R, Orsolini L, Teixeira ALS, et al. Mental health interventions during the COVID-19 pandemic: a conceptual framework by early career psychiatrists. Asian J Psychiatr. (2020) 51:102085. doi: 10.1016/j.ajp.2020.102085
7. Pinto da Costa M. Early career psychiatrists - history, 2020 and beyond. World Psychiatry. (2020) 19:127–8. doi: 10.1002/wps.20712
8. Virani S, Pereira-Sanchez V. World network of psychiatric trainees hosts forum on psychiatric trainees and mothers: challenges and joys. PN. (2021) 56. doi: 10.1176/appi.pn.2021.10.25
9. Naskar C, Cheung G, Pinto da Costa M, Ramalho R. Online academic mentoring - experiences from a virtual international exchange program for early career psychiatrists. Asian J Psychiatr. (2022) 78:103287. doi: 10.1016/j.ajp.2022.103287
10. Pinto da Costa M, Cheung G, Larnaout A, Ramalho R, Rojnic Palavra I, Shalbafan M. The World Psychiatry Exchange Program: expanding the world of early career psychiatrists. World Psychiatry. (2023). [Epub ahead of print].
11. Shalak K, Pinto da Costa M. Participating in a virtual Gaining Experience programme during the COVID-19 pandemic and wartime-a Ukrainian's experience at King's College London. Postgrad Med J. (2023) qgad034. doi: 10.1093/postmj/qgad034. [Epub ahead of print].
Keywords: mental health, mental disorders, psychiatry, collaborations, COVID-19 pandemic
Citation: Ransing R, Koh EBY, Ramalho R, de Filippis R, Pinto da Costa M, Pereira-Sanchez V, Noor IM and Shalbafan M (2023) Collaborative research on mental health in the post-COVID-19 era: an early career psychiatrists' perspective. Front. Psychiatry 14:1230059. doi: 10.3389/fpsyt.2023.1230059
Received: 27 May 2023; Accepted: 25 July 2023;
Published: 24 August 2023.
Edited by:
Mosad Zineldin, Linnaeus University, SwedenReviewed by:
Rahim Badrfam, Alborz University of Medical Sciences, IranAtefeh Mohammadjafari, Tehran University of Medical Science, Iran
Rūta Karaliūnienė, Rhein Mosel Fachklinik, Germany
Copyright © 2023 Ransing, Koh, Ramalho, de Filippis, Pinto da Costa, Pereira-Sanchez, Noor and Shalbafan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Mohammadreza Shalbafan, shalbafan.mr@iums.ac.ir
†ORCID: Renato de Filippis orcid.org/0000-0001-6928-1224