Teilhabemöglichkeit, Partizipation, Inklusion und psychisches Befinden im Zusammenhang mit Ausgangsbeschränkungen aufgrund SARS-CoV-2

Abstract

Zusammenfassung Ziel der Studie Untersuchung der Auswirkungen der Coronapandemie und der in diesem Zusammenhang ausgesprochenen Ausgangsbeschränkungen auf Teilhabemöglichkeiten, Partizipation, Inklusionserleben und psychisches Befinden bei Personen, die sich mit Blick auf das Vorliegen einer akuten oder chronischen psychischen Störung unterschiedlichen Gruppen zuordnen lassen. Methodik Follow-up-Erhebung mittels Fragebogen zur Erfassung von Partizipation und sozialer Inklusion (F-INK), Index zur Messung von Einschränkungen der Teilhabe (IMET) und BSI-18 (n = 132). Ergebnisse In Abhängigkeit vom Vorliegen einer akuten oder chronischen psychischen Störung waren die Studienteilnehmer in ihren Teilhabemöglichkeiten sehr unterschiedlich betroffen. In keiner der untersuchten Gruppen kam es zu einem Anstieg psychischer Beschwerden. Schlussfolgerung Es fand sich kein Hinweis dafür, dass es zu Beginn der Coronapandemie und im Zusammenhang mit einer vierwöchigen Ausgangsbeschränkung zu negativen psychischen Folgen kam.

A longitudinal study on the COVID-19 pandemic and its divergent effects on social participation and mental health across different study groups with and without mental disorders

“…By completing a second follow-up survey, we have extended the findings of our previous study [8] and thus provided further evidence for a predominant resilience to the COVID-19 pandemic as well as the subsequent lockdown restrictions and physical distancing policy among the examined population groups. Although the lockdown restrictions may have led to more or less severe impairments in social participation and behavioural changes in our sample, these appeared to be tied to the strength of the official measures and, therefore, were only temporary.…”

“…Likewise, data from a panel in Germany showed unchanged levels of well-being in April 2020 compared to previous surveys completed between 2016 and 2019 [6]. Similar results suggesting resilience were found in a survey examining the mental and social health in the older German population [7], as well as a sample of the general population in Dresden before and four weeks after lockdown restrictions [8].…”

“…According to the results of another cross-sectional study involving several countries, more than half of the participants who reported a previous mental disorder also stated that their condition had worsened due to the COVID-19 pandemic [11]. In contrast, in our own study conducted in Germany, we found no detrimental effects on the psychological well-being of mentally ill participants four weeks after the implementation of lockdown restrictions, compared to their base levels recorded in surveys before the lockdown [8]. These results were consistent with the observations made by Martinelli and Ruggeri [12] in Italy.…”

COVID-19-Pandemie trifft auf Psyche der Bevölkerung: Gibt es einen Tsunami psychischer Störungen?

“…Aber es gibt auch eine Reihe von Studien, die Probleme (fehlender Längsschnitt, mangelnde Repräsentativität) auf die eine oder andere kreative Weise angehen, um doch zu belastbaren Resultaten zu kommen. [14].…”

Tele-Psychiatry Assessment of Post-traumatic Stress Symptoms in 100 Patients With Bipolar Disorder During the COVID-19 Pandemic Social-Distancing Measures in Italy

“…As the general population, subjects affected by pre-existing mental disorders faced several stressors during the period of national lockdown in Italy, such as isolation, loneliness, sudden bereavement without being able to bury their loved ones, and fear of ultimately and suddenly losing their own lives (11). Despite the fact that some authors did not find any detrimental effect of the COVID-19 outbreak on the social inclusion and well-being in subjects with mental health problems (12), pandemic concerns might have represented a significant stressor, particularly for subjects with severe mental illness, which were vulnerable to the risk of anxiety and mood relapse (13). Further, social distancing limited access to treatment and support centers, including mental health services, day programs, and congregate care settings, as well as limiting contact with families and loved ones, enduring increasingly prohibitive visitor policies (13)(14)(15)(16).…”