The longitudinal course of psychological distress and resilience in patients with serious mental illnesses during the first two years of the Covid-19 pandemic.

Autor: Post F; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Innsbruck, Austria. Electronic address: fabienne.post@i-med.ac.at., Schurr T; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Innsbruck, Austria., Frajo-Apor B; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Innsbruck, Austria., Tutzer F; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Innsbruck, Austria., Schmit A; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Innsbruck, Austria., Plattner B; Sanitary Agency of South Tyrol, General Hospital of Bolzano, Department of Psychiatry, Bolzano, Italy., Conca A; Sanitary Agency of South Tyrol, General Hospital of Bolzano, Department of Psychiatry, Bolzano, Italy., Fronthaler M; Sanitary Agency of South Tyrol, Therapy Center Bad Bachgart, Rodengo, Italy., Haring C; State Hospital Hall in Tyrol, Department of Psychiatry and Psychotherapy B, Hall in Tyrol, Austria., Holzner B; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Innsbruck, Austria., Huber M; Sanitary Agency of South Tyrol, General Hospital of Brunico, Department of Psychiatry, Brunico, Italy., Marksteiner J; State Hospital Hall in Tyrol, Department of Psychiatry and Psychotherapy A, Hall in Tyrol, Austria., Miller C; County Hospital Kufstein, Department of Psychiatry, Kufstein, Austria., Pardeller S; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Innsbruck, Austria., Perwanger V; Sanitary Agency of South Tyrol, General Hospital of Merano, Department of Psychiatry, Merano, Italy., Pycha R; Sanitary Agency of South Tyrol, General Hospital of Bressanone, Department of Psychiatry, Bressanone, Italy., Schmidt M; County Hospital Lienz, Department of Psychiatry, Lienz, Austria., Sperner-Unterweger B; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry II, Innsbruck, Austria., Hofer A; Medical University Innsbruck, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Innsbruck, Austria.
Jazyk: angličtina
Zdroj: Psychiatry research [Psychiatry Res] 2024 Sep; Vol. 339, pp. 116064. Date of Electronic Publication: 2024 Jun 27.
DOI: 10.1016/j.psychres.2024.116064
Abstrakt: The positive effects of resilience on psychological distress has been found in previous studies in samples not including the seriously mentally ill. The present study aimed to investigate the course of psychological distress and resilience in the first two years of the Covid-19 pandemic in patients with severe mental illness (SMI) and major depressive disorder without psychotic features (MDD) compared to healthy control subjects. 141 patients with SMI or MDD who had been admitted to a psychiatric ward in Tyrol (Austria) or South Tyrol (Italy) in 2019 and 584 community controls participated in a longitudinal online survey. Next to collecting sociodemographic data, psychological distress was evaluated using the Brief Symptom Checklist (BSCL) and resilience by the 13-Item Resilience Scale (RS-13). Psychological distress was consistently significantly higher while resilience was consistently significantly lower among both patient groups compared to healthy controls. In the patient samples, those with MDD consistently exhibited a significantly higher prevalence and level of psychological distress and significantly lower resilience. Resilience had a moderating effect on psychological distress especially in the MDD group. Our results suggest that MDD patients represent a particularly vulnerable group and findings imply that these patients would profit the most from trainings fostering resilience.
Competing Interests: Declaration of competing interest BH owns part of the IPRs of the CHES software tool. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
Externí odkaz: