Folgen der COVID-19-Pandemie für Menschen mit Schizophrenie, Demenz und Abhängigkeitserkrankungen

Adorjan, Kristina; Haußmann, Robert; Rauen, Katrin; Pogarell, Oliver

doi:10.1007/s00115-021-01105-0

Cited by 11 publications

(7 citation statements)

References 46 publications

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“…However, loss of day-to-day routines and social activities can be particularly challenging for people with SSDs, where planned daily activities, as well as regular social contact, are often essential pillars to maintain reality testing, mental stability and control negative symptoms. During inpatient psychiatric treatment, the lack of these protective factors might be particularly detrimental (Adorjan et al, 2021; Ma et al, 2020). Thus, it is likely that the risk-benefit-ratio of public infection containment strategies is different for people with SSDs compared to the general population.…”

Section: Discussionmentioning

confidence: 99%

How does the COVID-19 pandemic affect the personal lives and care realities of people with a schizophrenia spectrum disorder? A qualitative interview study

Kaltenboeck

Millinger

Stadtmann

et al. 2023

Int J Soc Psychiatry

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Background: The COVID-19 pandemic constitutes one of the greatest recent public crises. This study explored its influence on the lives and care realities of people with a schizophrenia spectrum disorder (SSD). Methods: Between October 2020 and April 2021, semi-structured in-depth interviews were conducted with 30 volunteers with SSDs receiving inpatient or outpatient treatment in Vienna (Austria). Interviews were audio-recorded, transcribed verbatim and analysed thematically. Results: Three main themes were identified. First, ‘Pandemic life is deprived, lonely and surreal – though certain aspects can be perceived as positive’. Second, ‘Bio-psycho-social support systems were struck at their core by the pandemic and were left severely compromised’. Last, ‘There is a complex interplay between one’s prior experience of psychosis and the experience of the COVID-19 pandemic’. The pandemic situation affected interviewees in various ways. For many, it led to a drastic reduction in day-to-day and social activities and contributed to an atmosphere of strangeness and threat. Bio-psycho-social support providers frequently suspended their services and offered alternatives were not always helpful. Participants indicated that whilst having an SSD might render them vulnerable to the pandemic situation, prior experience with psychotic crises can also provide knowledge, skills and self-confidence which enable better coping. Some interviewees also perceived aspects of the pandemic situation as helpful for recovering from psychosis. Conclusion: Healthcare providers must acknowledge the perspectives and needs of people with SSDs in present and future public health crises to ensure proper clinical support.

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Section: Discussionmentioning

confidence: 99%

How does the COVID-19 pandemic affect the personal lives and care realities of people with a schizophrenia spectrum disorder? A qualitative interview study

Kaltenboeck

Millinger

Stadtmann

et al. 2023

Int J Soc Psychiatry

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“…Mainly due to the pandemic and the resulting isolation of the residents, a rapid reduction in performance may have taken place. 85 …”

Section: Discussionmentioning

confidence: 99%

Changes in Selected Cognitive and Motor Skills as Well as the Quality of Life After a 24-Week Multidimensional Music-Based Exercise Program in People With Dementia

Prinz,

Schumacher,

Witte

2023

Am J Alzheimers Dis Other Demen

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The loss of independence is one of the greatest consequences of dementia. Multidimensional music-based exercise programs could counteract. The present study investigates the effects of such a program on people with dementia and bases on a 24-week intervention with three measurement time points. Sixty-nine people with dementia were randomly assigned to the intervention (n = 43) and control group (n = 26). The following outcome parameters were measured: leg strength, gait, grip strength, balance, reaction time, selected cognitive abilities, and quality of life. A mixed ANOVA with repeated measurement showed significant interaction effects between group and time. After 24-weeks in contrast to the control group the intervention group significantly improved in leg strength ( P = .001), balance ( P = .001), gait ( P = .001), grip strength (right P = .002, left P = .011), reaction time ( P = .003), global cognition ( P = .039), verbal fluency ( P = .002), attention ( P = .013) and quality of life ( P = .011). In conclusion, the program enhanced selected cognitive and motor skills and quality of life.

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“…B. Schizophrenien und andere psychotische Störungen, affektive Störungen wie Depressionen sowie Suchterkrankungen wesentliche Risikofaktoren für eine erhöhte Mortalität im Zuge einer COVID-19-Erkrankung (Coronavirus disease 2019) sind [ 5 – 9 ]. Gründe hierfür sind u. a. die verminderte psychiatrische Versorgung im Zuge der Pandemie, welche wichtige Routineuntersuchung erschwerte, die soziale Isolation als zusätzliche Belastung sowie die unerwünschten Arzneimittelwirkungen der Psychopharmaka (Gewichtszunahme, metabolisches Syndrom; [ 10 ]). Es ist zu befürchten, dass sich dadurch bei Menschen mit schweren psychischen Erkrankungen die bereits bestehende „mortality gap“ von 10 bis 20 Jahren weiter vergrößern wird [ 11 ].…”

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COVID-19-Impfung für Menschen mit schweren psychischen Erkrankungen

et al. 2023

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Hintergrund Schwere psychische Erkrankungen sind Risikofaktoren für SARS-CoV-2-bezogene Morbidität und Mortalität. Impfungen stellen einen wirksamen Schutz dar, weshalb hohe Impfraten bei Menschen mit psychischen Erkrankungen eine große Priorität haben sollten. Ziele der Arbeit (1) Identifikation von Risikogruppen für Nichtimpfung und erforderliche Strukturen und Maßnahmen für eine flächendeckende Impfung bei Menschen mit psychischen Erkrankungen, aus der Perspektive ambulanter Psychiater*innen und Nervenärzt*innen, (2) Einordnung der Ergebnisse in die internationale Literatur und (3) daraus abgeleitete Empfehlungen. Material und Methoden Qualitative Inhaltsanalyse der Fragen des COVID-Ψ-Ambulant-Onlinesurveys, welche die COVID-19-Impfungen betreffen, von n = 85 Psychiater*innen und Nervenärzt*innen in Deutschland. Ergebnisse Im Survey wurden insbesondere Menschen mit schizophrenen Psychosen, schweren Antriebsstörungen, geringer sozialer Einbindung und Wohnungslosigkeit als Risikogruppen für eine Nichtimpfung benannt. Als Maßnahmen wurden einerseits verstärkte und gezielte Information, Aufklärung und Motivation, andererseits einfach zugängliche Impfangebote durch Hausärzt*innen, Psychiater*innen und Nervenärzt*innen sowie komplementärer Institutionen als wichtig erachtet. Diskussion COVID-19-Impfungen sowie Information, Motivation und Zugangsunterstützung sollten durch möglichst viele Institutionen des psychiatrisch-psychotherapeutischen und komplementären Versorgungssystems in Deutschland systematisch angeboten werden. Zusatzmaterial online Die Onlineversion dieses Beitrags (10.1007/s00115-023-01477-5) enthält zusätzliche Tabellen. Beitrag und Zusatzmaterial stehen Ihnen auf www.springermedizin.de zur Verfügung. Bitte geben Sie dort den Beitragstitel in die Suche ein, das Zusatzmaterial finden Sie beim Beitrag unter „Ergänzende Inhalte“.

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Folgen der COVID-19-Pandemie für Menschen mit Schizophrenie, Demenz und Abhängigkeitserkrankungen

Cited by 11 publications

References 46 publications

How does the COVID-19 pandemic affect the personal lives and care realities of people with a schizophrenia spectrum disorder? A qualitative interview study

How does the COVID-19 pandemic affect the personal lives and care realities of people with a schizophrenia spectrum disorder? A qualitative interview study

Changes in Selected Cognitive and Motor Skills as Well as the Quality of Life After a 24-Week Multidimensional Music-Based Exercise Program in People With Dementia

COVID-19-Impfung für Menschen mit schweren psychischen Erkrankungen

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