Psychological impact of the COVID-19 pandemic on individuals with serious mental disorders: A systematic review of the literature

Fleischmann, Eva; Dalkner, Nina; Fellendorf, Frederike T.; Reininghaus, Eva

doi:10.5498/wjp.v11.i12.1387

Cited by 34 publications

(35 citation statements)

References 97 publications

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“…Regarding UPCs in ER, we highlighted that living in a psychiatric facility or community is a factor associated with an increase of UPC during pandemic but not suffering from most psychiatric disorders or being treated in outpatient service, which, on the contrary, represent detrimental factors for UPC in outbreak. These results further identify in people already affected by a severe mental disorder the population most psychologically vulnerable to socio-environmental distress induced by COVID-19, as highlighted by other authors ( 68 ). We confirmed that the month of March 2020 was a detrimental factor for the number of UPCs in ER.…”

Section: Discussionsupporting

confidence: 81%

The Impact of COVID-19 Pandemic on Psychiatric Emergencies in Two Different Settings: Emergency Room and Community Mental Health Service

et al. 2022

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BackgroundThe SARS-CoV-2 pandemic caused a public health emergency with profound consequences on physical and mental health of individuals. Emergency Rooms (ER) and Community Mental Health Services (CMHS) played a key role in the management of psychiatric emergencies during the pandemic. The purpose of the study was to evaluate urgent psychiatric consultations (UPCs) in the ERs of the General Hospitals and in the CMHS of a Northern Italian town during the pandemic period.MethodsThis monocentric observational study collected UPCs carried out in ER from 01/03/2020 to 28/02/2021 (the so called “COVID-19 period”) and the demographic and clinical characteristics of patients who required UPCs in the 12-months period, comparing these data with those collected from 01/03/2019 to 29/02/2020 (the so called “pre-COVID-19 period”). The same variables were collected for UPCs carried out in CMHS from 01/03/2020 to 31/01/2021 and compared with those collected from 01/03/2019 to 31/01/2020. The data, were statistically analyzed through STATA 12-2011.ResultsIn ER, we reported a 24% reduction in UPCs during the COVID-19 period (n = 909) in comparison with the pre-COVID-19 period (n = 1,194). Differently, we observed an increase of 4% in UPCs carried out in CMHS during the COVID-19 period (n = 1,214) in comparison with the previous period (n = 1,162). We observed an increase of UPCs in ER required by people who lived in psychiatric facilities or with disability pension whereas more UPCs in CMHS were required by older people or those living in other institutions compared to the previous period. In the COVID-19 period, the most frequent reasons for UPCs in ER were aggressiveness, socio-environmental maladjustment and psychiatric symptoms in organic disorders whereas in CMHS we reported an increase of UPCs for control of psychopharmacology therapy and mixed state/mania.ConclusionIn light of our findings, we conclude that the most vulnerable people required more frequent attention and care in both ER and CMHS during pandemic, which disrupted individuals’ ability to adapt and induced many stressful reactive symptoms. In order to reduce the impact of the COVID-19 pandemic on mental health, psychological support interventions for the general population should be implemented, having particular regard for more psychologically fragile people.

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Section: Discussionsupporting

confidence: 81%

The Impact of COVID-19 Pandemic on Psychiatric Emergencies in Two Different Settings: Emergency Room and Community Mental Health Service

et al. 2022

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“…This could suggest that the subjects with more mental problems had some difficulties in undertaking a treatment program during the pandemic. Indeed, the SARS-CoV-2 pandemic had notoriously accentuated stress, anxiety, and depression in the general population [27], particularly in subjects with previous psychiatric symptomatology [28]. The comparison between patients visited during and outside the pandemic period (Supplementary Table S1) confirmed that depression and anxiety may have impacted the search for treatment during the pandemic in subjects with more psychiatric symptomatology.…”

Section: Discussionmentioning

confidence: 78%

In Patients with Obesity, Are Affective Temperaments Associated with Attrition? An Evaluation during and before the SARS-CoV-2 Pandemic

Marzola

Abbate-Daga

Scumaci³

et al. 2022

JCM

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Timely data on attrition from weight loss programs for patients with obesity during the SARS-CoV-2 pandemic are lacking, so we aimed to contribute to filling this gap in the literature by comparing attrition during or outside of the SARS-CoV-2 pandemic and its possible association with patients’ affective temperaments, psychopathology, and clinical variables. Two-hundred and eleven outpatients with obesity were recruited and completed the Temperament Evaluation of Memphis, Pisa, and San Diego Auto-questionnaire, Binge Eating Scale, Beck Depression Inventory, and State-Trait Anxiety Inventory. Those who dropped out during the pandemic period were mostly men, with younger age of weight gain, and with a larger waist circumference than completers. Patients with obesity who dropped out outside of the SARS-CoV-2 pandemic showed marked levels of depression, anxiety, binge eating episodes, and higher affective temperaments (but the hyperthymic one) when compared to their counterparts. The cyclothymic temperament slightly increased attrition (OR = 1.13, 95% CI 1.00–1.27 p = 0.05) outside the pandemic, while during the pandemic, male gender (OR = 3.50, 1.04–11.7, p = 0.04) was associated with attrition. These findings suggested that male patients with obesity are at particular risk of drop-out from weight-loss treatment during the SARS-CoV-2 pandemic; contrariwise, outside the pandemic, affective temperaments could be a useful baseline assessment for defining the attrition risk in these patients.

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“…A recent review showed an increase of psychiatric symptoms e.g. anxiety, depression and stress in individuals with AD during the pandemic [59] . Especially people with a low socioeconomic environment, lack of social support, inadequate information about COVID-19 and a shortage in mental health-services showed a mental-wellbeing impairment.…”

Section: Discussionmentioning

confidence: 99%

Willingness to be vaccinated against COVID-19 is equal in individuals with affective disorders and healthy controls

Fellendorf

Bonkat²,

Platzer³

et al. 2022

Vaccine: X

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Psychological impact of the COVID-19 pandemic on individuals with serious mental disorders: A systematic review of the literature

Cited by 34 publications

References 97 publications

The Impact of COVID-19 Pandemic on Psychiatric Emergencies in Two Different Settings: Emergency Room and Community Mental Health Service

The Impact of COVID-19 Pandemic on Psychiatric Emergencies in Two Different Settings: Emergency Room and Community Mental Health Service

In Patients with Obesity, Are Affective Temperaments Associated with Attrition? An Evaluation during and before the SARS-CoV-2 Pandemic

Willingness to be vaccinated against COVID-19 is equal in individuals with affective disorders and healthy controls

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