Worsening of pre-existing psychiatric conditions during the COVID-19 pandemic

Gobbi, Susanna; Płomecka, Martyna Beata; Ashraf, Zainab; Radziński, Piotr; Neckels, Rachael; Lazzeri, Samuel; Dedić, Alisa; Bakalović, Asja; Hrustić, Lejla; Skórko, Beata; haghi, Sarvin Es; Almazidou, Kristina; Rodríguez-Pino, Luis; Beyza, A.; Jabeen, Hafsa; Waller, Verena; Shibli, Dana; Behnam, Mehdi A; Arshad, Ahmed; Barańczuk-Turska, Zofia; Haq, Zeeshan; Qureshi, Salah U.; Jawaid, Ali

doi:10.1101/2020.05.28.20116178

Cited by 13 publications

(18 citation statements)

References 32 publications

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“…Although the suicide scale does not have a cut-off point, any score greater than 0 could be considered risky, in the present study there are low scores and almost half of participants have at least suicidal ideation, this result is supported by previous studies that have found that during the COVID-19 pandemic, people with psychological disorders have worsened their condition, which is associated with a higher risk of suicide (Gobbi et al, 2020;Gunnell et al, 2020;Plomecka et al, 2020). Furthermore, as stated by Sheffler et al (2021) in their interpersonal theory of suicide, confinement and pandemic have increased social isolation, the conviction of not being necessary or useful, and the exposure to suffering from losses and deaths.…”

Section: Discussionsupporting

confidence: 82%

Efectos Psicológicos Del Confinamiento Por Pandemia De Covid-19 en Una Muestra en Tratamiento De Adicciones en España

Cardona¹

2022

haaj

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Objectives: Describe, compare and identify the relationship among perceived stress, coping strategies and emotional regulation, the impact of confinement, psychological distress, hopelessness, and suicidality. Method: Online administration of the PSS, COPE, ERQ, IES-R, SCL-90-R, BHS, and Okasha Suicide Scale questionnaires to 35 adults in addiction treatment, 24 men (68.67%) and 11 women (31.43%), aged 24 to 61 years (mean = 42.8; SD = 10.1) selected by non-probabilistic convenience sampling. Results: There are high scores in the strategies aimed at emotional regulation, average scores in passive coping strategies and hopelessness, and low scores in the other variables. There are differences by gender, educational level, group of cohabitants, and type of treatment resource. The first multivariate model includes a positive association of perceived stress with anxiety and treatment in the detoxification unit, and a negative association with phobic anxiety. The second model includes positive associations of the impact of the event with planning, abandonment of efforts, personal growth and hopelessness, and negative relationship with positive reinterpretation. Conclusions: Although confinement has increased addictive behaviors worldwide, receiving psychotherapeutic support is a protective factor in mental health. ResumenObjetivos: Describir, comparar e identificar la relación entre estrés percibido, estrategias de afrontamiento y regulación emocional, impacto del confinamiento, malestar psicológico, desesperanza y suicidalidad. Método: Administración online de los cuestionarios PSS, COPE, ERQ, IES-R, SCL-90-R, BHS y Escala de suicidio de Okasha a 35 adultos en tratamiento de adicciones, 24 hombres (68.67%) y 11 mujeres (31.43%), con edades entre 24 a 61 años (media = 42.8; D.E.= 10.1) seleccionados mediante muestreo no probabilístico por conveniencia. Resultados: Se presentan puntuaciones altas en las estrategias dirigidas a la regulación emocional, puntuaciones medias en estrategias de afrontamiento pasivas y desesperanza, y puntuaciones bajas en las demás variables. Existen diferencias por género, nivel educativo, grupo de convivientes y tipo de recurso de tratamiento. El primer modelo multivariado incluye asociación positiva del estrés percibido con ansiedad y tratamiento en Unidad de desintoxicación, y asociación negativa con ansiedad fóbica. El segundo modelo incluye asociaciones positivas del impacto del evento con planificación, abandono de esfuerzos, crecimiento personal y desesperanza, y relación negativa con reinterpretación positiva. Conclusiones: Aunque el confinamiento ha incrementado las conductas adictivas a nivel mundial, recibir apoyo psicoterapéutico es un factor protector en salud mental.

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Section: Discussionsupporting

confidence: 82%

Efectos Psicológicos Del Confinamiento Por Pandemia De Covid-19 en Una Muestra en Tratamiento De Adicciones en España

Cardona¹

2022

haaj

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“…However, the authors of this cross-sectional study were unable to prove that these findings were a direct result of the pandemic and/or lockdown restrictions [10]. 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].…”

Section: Introductionmentioning

confidence: 77%

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

Mergel

Schützwohl

2021

Soc Psychiatry Psychiatr Epidemiol

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Purpose With the rapid spread of COVID-19 and the restrictions imposed in many parts of the world, there is growing concern about its impact on mental health. This longitudinal study investigated the social participation, social inclusion and psychological well-being in adults with and without mental disorders before the beginning of the pandemic, as well as during and after strict lockdown restrictions in Germany. Methods The sample (n = 106) consisted of three groups: participants with a chronic mental disorder, with an acute mental disorder, and without a mental disorder at the time of the initial survey. Parameters of interest were assessed using the Measure of Participation and Social Inclusion for Use in People with a Chronic Mental Disorder (F-INK), the Index for the Assessment of Health Impairments (IMET) and the Brief Symptom Inventory (BSI-18). Results The perceived impairments in social participation and the associated changes in behaviour varied depending on the presence of a mental disorder at the time of the initial survey and were largely temporary, i.e. limited to the period of strict lockdown restrictions. We found no further detrimental effects on mental health 4 weeks after lockdown or later, when a policy of physical distancing was in place. Conclusion Overall, our findings suggest a general resilience to the official restrictions and measures as well as the pandemic itself. However, further efforts are needed to improve the situation of people with chronic mental disorders and their limited opportunities for social participation.

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“…Additionally, among 331 individuals who were abstaining from alcohol pre‐COVID, 18.7% reported a relapse during the pandemic (Sun et al, 2020 ). Finally, in a study of 2734 patients with a variety of mental health conditions, 66% reported a worsening of their psychiatric state (Gobbi et al, 2020 ). The documented worsening of psychological symptoms in those with pre‐existing mental health conditions demonstrates the critical need to investigate exactly how the COVID‐19 pandemic has affected the psychological health of this population subgroup.…”

Section: Introductionmentioning

confidence: 99%

“…While many studies have focused on how individuals with specific mental health conditions have been affected by the COVID‐19 pandemic, few studies have examined multiple mental health conditions in the same study or compared the impact of the COVID‐19 pandemic across different mental health conditions. Indeed, studies that have considered multiple mental health conditions have combined across diagnoses rather than examine diagnoses separately (e.g., Gobbi et al, 2020 ). Additionally, most studies have relied on quantitative methods to investigate the effects of the COVID‐19 pandemic on psychological health.…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID‐19 pandemic on the psychological health of individuals with mental health conditions: A mixed methods study

et al. 2021

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Objectives This study explored how the coronavirus disease 2019 (COVID‐19) pandemic has affected individuals with mental health conditions. Methods Participants were 477 adults (82% female) who reported a past‐year mental health condition. They completed an online survey that included an open‐ended question. Mixed methods analysis was conducted. Results While all mental health conditions were moderately impacted by the COVID‐19 pandemic, self‐reported impact on anxiety disorder and obsessive‐compulsive disorder symptoms was greater than for all other mental health symptoms. Thematic analysis revealed five themes: (1) the contribution of the pandemic to worsening mental health; (2) life interruptions due to the pandemic; (3) increased loneliness/isolation; (4) upsides of the pandemic; and (5) normalization of the anxieties previously experienced by those with mental health conditions. Conclusion Individuals with pre‐existing mental health conditions reported a worsening of symptoms during the COVID‐19 pandemic. Governments and organizations must focus on supporting and increasing access to treatment for this population.

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Worsening of pre-existing psychiatric conditions during the COVID-19 pandemic

Cited by 13 publications

References 32 publications

Efectos Psicológicos Del Confinamiento Por Pandemia De Covid-19 en Una Muestra en Tratamiento De Adicciones en España

Efectos Psicológicos Del Confinamiento Por Pandemia De Covid-19 en Una Muestra en Tratamiento De Adicciones en España

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

Impact of the COVID‐19 pandemic on the psychological health of individuals with mental health conditions: A mixed methods study

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