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COVID-19 lockdown in people with severe mental disorders in Spain: Do they have a specific psychological reaction compared with other mental disorders and healthy controls?
González-Blanco, Leticia; Dal Santo, Francesco; García-Álvarez, Leticia; de la Fuente-Tomás, Lorena; Moya Lacasa, Carlota; Paniagua, Gonzalo; Sáiz, Pilar A; García-Portilla, María Paz; Bobes, Julio.
  • González-Blanco L; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, Spain; Department of Psychiatry, Universidad de Oviedo, Oviedo, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain; Inst
  • Dal Santo F; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, Spain; Department of Psychiatry, Universidad de Oviedo, Oviedo, Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain; Instituto Universitario de Neurociencias del Principado de Asturias (INEUROPA),
  • García-Álvarez L; Department of Psychiatry, Universidad de Oviedo, Oviedo, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain; Instituto Universitario de Neurociencias del Principado de Asturias (INEU
  • de la Fuente-Tomás L; Department of Psychiatry, Universidad de Oviedo, Oviedo, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain; Instituto Universitario de Neurociencias del Principado de Asturias (INEU
  • Moya Lacasa C; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, Spain.
  • Paniagua G; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, Spain.
  • Sáiz PA; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, Spain; Department of Psychiatry, Universidad de Oviedo, Oviedo, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain; Inst
  • García-Portilla MP; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, Spain; Department of Psychiatry, Universidad de Oviedo, Oviedo, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain; Inst
  • Bobes J; Servicio de Salud del Principado de Asturias (SESPA), Oviedo, Spain; Department of Psychiatry, Universidad de Oviedo, Oviedo, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain; Inst
Schizophr Res ; 223: 192-198, 2020 09.
Article in English | MEDLINE | ID: covidwho-670449
ABSTRACT
The COVID-19 pandemic and the lockdown restrictions could have adverse consequences for patients with severe mental disorders (SMD). Here, we aim to compare the early psychological impact (depression, anxiety, and stress responses, intrusive and avoidant thoughts, and coping strategies) on people with SMD (n = 125) compared with two control groups common mental disorders (CMD, n = 250) and healthy controls (HC, n = 250). An anonymous online questionnaire using a snowball sampling method was conducted from March 19-26, 2020 and included sociodemographic and clinical data along with the DASS-21 and IES scales. We performed descriptive and bivariate analyses and multinomial and linear regression models. People with SMD had higher anxiety, stress, and depression responses than HC, but lower scores than CMD in all domains. Most people with SMD (87.2%) were able to enjoy free time, although control groups had higher percentages. After controlling for confounding factors, anxiety was the only significant psychological domain with lower scores in HC than people with SMD (OR = 0.721; 95% CI 0.579-0.898). In the SMD group, higher anxiety was associated with being single (beta = 0.144), having COVID-19 symptoms (beta = 0.146), and a higher score on the stress subscale of DASS-21 (beta = 0.538); whereas being able to enjoy free time was a protective factor (beta = -0.244). Our results showed that patients with SMD reacted to the pandemic and the lockdown restrictions with higher anxiety levels than the general public, and suggesting this domain could be a criterion for early intervention strategies and closer follow-up.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Anxiety Disorders / Psychotic Disorders / Stress, Psychological / Bipolar Disorder / Depression / Depressive Disorder / COVID-19 Type of study: Cohort study / Etiology study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Schizophr Res Journal subject: Psychiatry Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Anxiety Disorders / Psychotic Disorders / Stress, Psychological / Bipolar Disorder / Depression / Depressive Disorder / COVID-19 Type of study: Cohort study / Etiology study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Schizophr Res Journal subject: Psychiatry Year: 2020 Document Type: Article