The impact of COVID-19 on individuals living with serious mental illness

Hamada, Kareem; Fan, Xiaoduo

doi:10.1016/j.schres.2020.05.054

Cited by 72 publications

(76 citation statements)

References 16 publications

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“…Supplementary Table 1 available at provides a summary of characteristics of the included studies in this review. 2,4-50…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, social isolation has been associated with poorer quality of life and paranoia, 12 as well as being a risk factor for suicide among patients with SSD. A potential increase in substance use during social isolation has also been presumed, 12 which could lead to further deterioration in this patient population. As such, maintaining connectedness through virtual means, as well as continuation of essential community services, is paramount for this patient population.…”

Section: Resultsmentioning

confidence: 99%

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Implications of the COVID-19 pandemic for patients with schizophrenia spectrum disorders: narrative review

Zhand

Joober

2021

BJPsych open

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Background COVID-19 was declared a pandemic in March 2020, by the World Health Organization. The pandemic has had unprecedented worldwide implications, in particular on marginalized populations. Aims The aim of this study is to review the impact of the pandemic on patients with schizophrenia spectrum disorders. Method A number of databases were searched for this review, including PubMed, EMBASE, PsycINFO and Google Scholar. Search terms included psychosis and COVID-19, schizophrenia and COVID-19, and severe mental illness and COVID-19. We included all English language papers and preprints. The final search was done on 15 July 2020. Results Forty-seven relevant studies were identified and included in this review. Studies were summarised into five main subcategories: potential impact of the COVID-19 pandemic on physical health outcomes of patients with schizophrenia spectrum disorders, impact on mental health outcomes, review of case reports and case series to date, treatment recommendation guidelines and risk of increased prevalence of psychosis. Conclusions Patients with schizophrenia spectrum disorders may be vulnerable to the effects of the COVID-19 pandemic. This patient population has a number of risk factors, including psychosocial adversities and illness related factors. Continuous monitoring and long-term studies of the impact of the pandemic on this patient population are required.

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“…Supplementary Table 1 available at provides a summary of characteristics of the included studies in this review. 2,4-50…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Implications of the COVID-19 pandemic for patients with schizophrenia spectrum disorders: narrative review

Zhand

Joober

2021

BJPsych open

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“…For example, individuals with SMI may experience symptom exacerbations due to increased stress and greater risk of relapse due to disruptions in treatment delivery and availability ( Chatterjee et al., 2020 ). Prevention strategies such as social distancing may also inadvertently worsen the symptoms of individuals with SMI, as these individuals may be more susceptible to isolation and loneliness ( Hamada and Fan, 2020 ). Indeed, the few available empirical studies examining current symptoms have reported greater depression, anxiety, and stress in individuals with self-reported affective disorders (i.e., bipolar disorder or major depressive disorder) as compared to individuals without an affective disorder ( Van Rheenen et al., 2020 ) and among individuals with SMI (i.e., bipolar disorder or psychotic disorder) relative to psychiatrically healthy controls ( González-Blanco et al., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

A Longitudinal Investigation of the Effects of the COVID-19 Pandemic on the Mental Health of Individuals with Pre-existing Severe Mental Illnesses

Pinkham

Ackerman

Depp

et al. 2020

Psychiatry Research

116

112

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Highlights Individuals with severe mental illnesses (SMI) may be at greater risk for negative mental health outcomes related to COVID-19. This study compared pre-pandemic ratings of symptoms to ratings made 2-4 months into the pandemic. Results showed no worsening of mood or psychotic experiences during the pandemic. Reports of well-being were higher during-pandemic as compared to pre-pandemic. Individuals with SMI are showing resilience in the early stages of the COVID-19 pandemic.

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“…The burden of schizophrenia care will be borne by the family, where it is not available in mental health services (Arun, Inbakamal, Tharyan, & Premkumar, 2018). During the COVID-19 pandemic, information about COVID-19 can worsen delusions, hallucinations, and irregular thinking that are usually experienced by schizophrenia patients (Hamada & Fan, 2020). On the other hand, physical distancing protocols aimed at reducing the spread of disease can increase the risk of loneliness and social isolation in this population.…”

Section: Discussionmentioning

confidence: 99%

“…The cost of mental health services, transportation to access distant mental health services, patient over-eating behavior, the need to supervise patients more than work, compensation for damage caused by the patient's violent behavior and low economic levels are the main factors toward the financial burden felt by the family. Physical distancing protocols can make patients experience significant emotional distress, and recurrence of psychotic symptoms, which results in an increased risk of hospitalization that can add to the family's financial burden (Hamada & Fan, 2020). In the current COVID-19 pandemic, we think that the global economic downturn will affect the income of family members, the risk of unilaterally terminating work, and falling income can be a risk factor for families in meeting the needs of the whole family.…”

Section: Discussionmentioning

confidence: 99%

Family Burden of Schizophrenia in Pasung During COVID-19 Pandemic: A Scoping Review

Ilmy

Noorhamdani

Windarwati

2020

INJEC

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Introduction: The long-term care in schizophrenia patients can cause care burdens, which will relate to the family's decision to do pasung. The perceived burden will be even heavier because of the COVID-19 pandemic. This review aims to identify the family care burden affecting pasung in schizophrenic patients during the COVID-19 pandemic. Methods: This scoping review was conducted by searching four databases, namely ProQuest, Science Direct, and EBSCO, and Google Scholar in the past ten years. This study uses the PRISMA 2009 protocol in filtering articles from the database. Researchers summarize based on the significance value for quantitative research, based on themes’ qualitative research, and discussed factors mentioned which may influence the family. Thus, we obtained 15 articles for final review. Results: The results obtained that the subjective burden felt by the family is a feeling of worry and sadness due to the patient's aggressive behavior and the safety of the patient, family, and environment. The objective burdens most felt by families are financial burdens, both medical costs, transportation to reach mental health services, and the cost of daily living. The COVID-19 pandemic will affect both types of care burdens, thereby affecting the quality of care for families with schizophrenia patients in pasung. Conclusion: Schizophrenia patients are one of the populations that are vulnerable to COVID-19. Nurse plays a role in the ability to overcome the burden of schizophrenia care and improve adaptation to the current pandemic to create optimal mental health in the community.

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The impact of COVID-19 on individuals living with serious mental illness

Cited by 72 publications

References 16 publications

Implications of the COVID-19 pandemic for patients with schizophrenia spectrum disorders: narrative review

Implications of the COVID-19 pandemic for patients with schizophrenia spectrum disorders: narrative review

A Longitudinal Investigation of the Effects of the COVID-19 Pandemic on the Mental Health of Individuals with Pre-existing Severe Mental Illnesses

Family Burden of Schizophrenia in Pasung During COVID-19 Pandemic: A Scoping Review

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