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Longitudinal Examination of COVID-19 Public Health Measures on Mental Health for Rural Patients With Serious Mental Illness.
Riblet, Natalie B; Stevens, Susan P; Shiner, Brian; Cornelius, Sarah; Forehand, Jenna; Scott, Robert C; Watts, Bradley V.
  • Riblet NB; White River Junction Veterans Affairs Medical Center, White River Junction, VT 05009, USA.
  • Stevens SP; Department of Psychiatry and Dartmouth Institute, Geisel School of Medicine at Dartmouth College, Hanover, NH 03755, USA.
  • Shiner B; White River Junction Veterans Affairs Medical Center, White River Junction, VT 05009, USA.
  • Cornelius S; Department of Psychiatry, Geisel School of Medicine at Dartmouth College, Hanover, NH 03755, USA.
  • Forehand J; White River Junction Veterans Affairs Medical Center, White River Junction, VT 05009, USA.
  • Scott RC; Department of Psychiatry and Dartmouth Institute, Geisel School of Medicine at Dartmouth College, Hanover, NH 03755, USA.
  • Watts BV; Mental Health National Center for PTSD, White River Junction, VT 05009, USA.
Mil Med ; 186(9-10): e956-e961, 2021 08 28.
Article in English | MEDLINE | ID: covidwho-998429
Semantic information from SemMedBD (by NLM)
1. Serious mental illness PROCESS_OF Patients
Subject
Serious mental illness
Predicate
PROCESS_OF
Object
Patients
2. Sequela of disorder COEXISTS_WITH COVID-19
Subject
Sequela of disorder
Predicate
COEXISTS_WITH
Object
COVID-19
3. Serious mental illness PROCESS_OF Patients
Subject
Serious mental illness
Predicate
PROCESS_OF
Object
Patients
4. Sequela of disorder COEXISTS_WITH COVID-19
Subject
Sequela of disorder
Predicate
COEXISTS_WITH
Object
COVID-19
ABSTRACT

INTRODUCTION:

There is emerging evidence to support that the COVID-19 pandemic and related public health measures may be associated with negative mental health sequelae. Rural populations in particular may fair worse because they share many unique characteristics that may put them at higher risk for adverse outcomes with the pandemic. Yet, rural populations may also be more resilient due to increased sense of community. Little is known about the impact of the pandemic on the mental health and well-being of a rural population pre- and post-pandemic, especially those with serious mental illness. MATERIAL AND

METHODS:

We conducted a longitudinal, mixed-methods study with assessments preceding the pandemic (between October 2019 and March 2020) and during the stay-at-home orders (between April 23, 2020, and May 4, 2020). Changes in hopelessness, suicidal ideation, connectedness, and treatment engagement were assessed using a repeated-measures ANOVA or Friedman test.

RESULTS:

Among 17 eligible participants, 11 people were interviewed. Overall, there were no notable changes in any symptom scale in the first 3-5 months before the pandemic or during the stay-at-home orders. The few patients who reported worse symptoms were significantly older (mean age 71.7 years, SD 4.0). Most patients denied disruptions to treatment, and some perceived telepsychiatry as beneficial.

CONCLUSIONS:

Rural patients with serious mental illness may be fairly resilient in the face of the COVID-19 pandemic when they have access to treatment and supports. Longer-term outcomes are needed in rural patients with serious mental illness to better understand the impact of the pandemic on this population.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychiatry / Telemedicine / COVID-19 / Mental Disorders Type of study: Diagnostic study / Observational study / Risk factors Topics: Long Covid Limits: Aged / Humans Language: English Journal: Mil Med Year: 2021 Document Type: Article Affiliation country: Milmed

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychiatry / Telemedicine / COVID-19 / Mental Disorders Type of study: Diagnostic study / Observational study / Risk factors Topics: Long Covid Limits: Aged / Humans Language: English Journal: Mil Med Year: 2021 Document Type: Article Affiliation country: Milmed