Department of Psychiatry, Social Psychiatry, and Psychotherapy, Hanover Medical School, Hanover, Germany.
Eur Arch Psychiatry Clin Neurosci. 2021 Mar;271(2):259-270. doi: 10.1007/s00406-020-01228-6. Epub 2021 Feb 5.
On March 11th, 2020, the outbreak of coronavirus disease 2019 (COVID-19) was declared a pandemic. Governments took drastic measures in an effort to reduce transmission rates and virus-associated morbidity. This study aims to present the immediate effects of the pandemic on patients presenting in the psychiatric emergency department (PED) of Hannover Medical School. Patients presenting during the same timeframe in 2019 served as a control group. A decrease in PED visits was observed during the COVID-19 pandemic with an increase in repeat visits within 1 month (30.2 vs. 20.4%, p = 0.001). Fewer patients with affective disorders utilized the PED (15.2 vs. 22.2%, p = 0.010). Suicidal ideation was stated more frequently among patients suffering from substance use disorders (47.4 vs. 26.8%, p = 0.004), while patients with schizophrenia more commonly had persecutory delusions (68.7 vs. 43.5%, p = 0.023) and visual hallucinations (18.6 vs. 3.3%, p = 0.011). Presentation rate of patients with neurotic, stress-related, and somatoform disorders increased. These patients were more likely to be male (48.6 vs. 28.9%, p = 0.060) and without previous psychiatric treatment (55.7 vs. 36.8%, p = 0.089). Patients with personality/behavioral disorders were more often inhabitants of psychiatric residencies (43.5 vs. 10.8%, p = 0.008). 20.1% of patients stated an association between psychological well-being and COVID-19. Most often patients suffered from the consequences pertaining to social measures or changes within the medical care system. By understanding how patients react to such a crisis situation, we can consider how to improve care for patients in the future and which measures need to be taken to protect these particularly vulnerable patients.
2020 年 3 月 11 日，世界卫生组织宣布 2019 冠状病毒病（COVID-19）大流行。各国政府采取了严厉措施，以降低传播率和与病毒相关的发病率。本研究旨在展示 COVID-19 大流行对汉诺威医学院精神科急诊部（PED）就诊患者的即时影响。同期就诊的患者作为对照组。COVID-19 大流行期间，PED 就诊人数减少，1 个月内重复就诊人数增加（30.2%比 20.4%，p=0.001）。就诊的情感障碍患者减少（15.2%比 22.2%，p=0.010）。物质使用障碍患者更频繁地报告自杀意念（47.4%比 26.8%，p=0.004），而精神分裂症患者更常见被害妄想（68.7%比 43.5%，p=0.023）和幻视（18.6%比 3.3%，p=0.011）。神经症、应激相关和躯体形式障碍患者的就诊率增加。这些患者更可能是男性（48.6%比 28.9%，p=0.060），且无先前的精神科治疗（55.7%比 36.8%，p=0.089）。人格/行为障碍患者更常居住在精神病院（43.5%比 10.8%，p=0.008）。20.1%的患者表示心理幸福感与 COVID-19 之间存在关联。大多数患者受到社会措施或医疗保健系统内变化的影响。通过了解患者对这种危机情况的反应，我们可以考虑如何改善未来患者的护理，以及需要采取哪些措施来保护这些特别脆弱的患者。
