Medium-term and peri-lockdown course of psychosocial burden during the ongoing COVID-19 pandemic: a longitudinal study on patients with pre-existing mental disorders
| Autor: | Thorgund Reh-Bergen, Sarah Trost, Mirjana Ruhleder, Claudia Bartels, Jens Wiltfang, Marit Treptow, Jörg Signerski-Krieger, Philipp Hessmann, Ulrike Schmidt, Jonathan Vogelgsang, Luisa Heß, Miriam Meiser, Michael Belz, Claus Wolff-Menzler, Björn H. Schott, Alexander Kratzenberg, Katrin Radenbach, Mona Abdel-Hamid |
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| Přispěvatelé: | RS: MHeNs - R3 - Neuroscience, Psychiatrie & Neuropsychologie |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Longitudinal study
medicine.medical_specialty IMPACT media_common.quotation_subject Adjustment disorders Peri Medizin therapy [Mental Disorders] Psychosocial stress PEOPLE Pandemic Adjustment disorder medicine Humans ANXIETY Pharmacology (medical) ddc:610 Longitudinal Studies Psychiatry Pandemics Biological Psychiatry Retrospective Studies media_common business.industry SARS-CoV-2 General Medicine epidemiology [COVID-19] medicine.disease DEPRESSION epidemiology [Mental Disorders] Mental health Coronavirus Psychiatry and Mental health Mental Health Communicable Disease Control Cohort Female Psychological resilience business Psychosocial |
| Zdroj: | European archives of psychiatry and clinical neuroscience, 272(5):757-771 European Archives of Psychiatry and Clinical Neuroscience, 272(5), 757-771. Springer European archives of psychiatry and clinical neuroscience 272(5), 757-771 (2022). doi:10.1007/s00406-021-01351-y |
| ISSN: | 0940-1334 |
| DOI: | 10.1007/s00406-021-01351-y |
| Popis: | While the COVID-19 pandemic continues, patients with pre-existing mental disorders are increasingly recognized as a risk group for adverse outcomes. However, data are conflicting and cover only short time spans so far. Here, we investigate the medium-term and peri-lockdown-related changes of mental health outcomes in such patients in a longitudinal study. A cohort of 159 patients comprising all major mental disorders (ICD-10 F0-F9) were interviewed twice with the Goettingen psychosocial Burden and Symptom Inventory (Goe-BSI) to evaluate psychosocial burden, psychiatric symptoms and resilience at the end of the first (April/May 2020) and the second lockdown in Germany (November/December 2020). For the primary outcome “psychosocial burden” ratings also comprised retrospective pre-pandemic (early 2020) and very early states during the pandemic (March 2020). For all diagnostic groups, psychosocial burden varied significantly over time (p p p = 0.044 and p = 0.037). The longitudinal course of psychosocial burden indicates an initial stress response, followed by a return to pre-pandemic levels even under recurrent lockdown conditions, mimicking symptoms of an adjustment disorder. Strategies for proactive, specific and continuous treatment have to address resilience capacities before their depletion in the pandemic aftermath, especially for patients with additional risk factors. |
| Databáze: | OpenAIRE |
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