The effects of the COVID-19 outbreak and measures in patients with a pre-existing psychiatric diagnosis: A cross-sectional study.

Autor: Vissink CE; Department of Psychiatry, University Medical Center Utrecht Brain Center, Utrecht University, Heidelberglaan 100, Postal box 5500, A.01.216, Utrecht 3508 GA, the Netherlands., van Hell HH; Department of Psychiatry, University Medical Center Utrecht Brain Center, Utrecht University, Heidelberglaan 100, Postal box 5500, A.01.216, Utrecht 3508 GA, the Netherlands., Galenkamp N; Department of Psychiatry, University Medical Center Utrecht Brain Center, Utrecht University, Heidelberglaan 100, Postal box 5500, A.01.216, Utrecht 3508 GA, the Netherlands., van Rossum IW; Department of Psychiatry, University Medical Center Utrecht Brain Center, Utrecht University, Heidelberglaan 100, Postal box 5500, A.01.216, Utrecht 3508 GA, the Netherlands.
Jazyk: angličtina
Zdroj: Journal of affective disorders reports [J Affect Disord Rep] 2021 Apr; Vol. 4, pp. 100102. Date of Electronic Publication: 2021 Feb 01.
DOI: 10.1016/j.jadr.2021.100102
Abstrakt: Background COVID-19 has seriously affected physical and mental health world-wide,both due to spreading of the virus and due to the socially restrictive measures most governments have enforced. Increased anxiety, stress and depressive symptoms have been widely reported in the general population. The current study investigated the effects of COVID and the restrictive measures in the Netherlands on stress, anxiety and loneliness in patients with a pre-existing psychiatric disorder. Methods 189 patients with a pre-existing psychiatric disorder treated at the University Medical Center Utrecht (UMCU) provided consent to participate in an electronically provided survey. Questionnaires on anxiety, depressive symptoms, worry, stress and general health were completed by 148 participants. Results All patients reported heightened distress as well as the presence of depressive symptoms and loneliness during the initial phase of the restrictive measures. Patients could be divided into two major subgroups with either psychotic disorder ( n  = 71) and affective disorder ( n  = 86). Patients with affective disorders were more affected by the outbreak and accompanying socially restrictive measures than patients with psychotic disorders. Conclusions Our findings indicate negative mental health effects of the global COVID-19 pandemic and the restrictive measures in a particularly vulnerable population, with differential effects on diagnostic groups.
(© 2021 The Authors. Published by Elsevier B.V.)
Databáze: MEDLINE