Department of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185 Rome, Italy.
Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Via degli Apuli 1, 00185 Rome, Italy.
Int J Environ Res Public Health. 2021 Mar 30;18(7):3567. doi: 10.3390/ijerph18073567.
Many studies investigated the psychological impact of lockdown measures on the general population, while few studies focused on the psychiatric population. This study aimed to investigate the role of therapeutic communities in the management and containment of symptoms of patients with psychosis living in psychiatric residential facilities. Data were collected at two different points: November 2019 (Coronavirus disease 19 had not yet spread) and April 2020 (during the lockdown in Italy). Twenty-two study participants were recruited from three residential accredited psychiatric facilities. During lockdown, the patients showed a small increase in symptomatology in terms of emotional isolation. In addition, it was been observed significant differences in certain functional areas of the behavior, measured as lower inclination towards violent behaviors during lockdown, and higher scores in substance abuse and medical impairment. The lockdown condition could represent a form of containment; daily routines, along with adequate social support, are important aspects of the stability and the level of behavioral functioning of psychiatric patients. Social support and continuity of care offered by psychiatric communities can be an effective safeguard against the psychological impact of the COVID-19 epidemic.
许多研究调查了封锁措施对普通人群的心理影响，而很少有研究关注精神科人群。本研究旨在调查治疗社区在管理和控制居住在精神科住院设施中的精神病患者的症状方面的作用。数据是在两个不同的时间点收集的：2019 年 11 月（当时新冠病毒尚未传播）和 2020 年 4 月（意大利封锁期间）。从三家经过认证的精神病住院机构中招募了 22 名研究参与者。在封锁期间，患者在情绪隔离方面表现出症状略有增加。此外，还观察到某些行为功能领域存在显著差异，表现为在封锁期间对暴力行为的倾向较低，以及药物滥用和医疗损害的评分较高。封锁状态可能代表一种遏制形式；日常生活和适当的社会支持是精神科患者稳定和行为功能水平的重要方面。精神病社区提供的社会支持和持续的护理可能是防止新冠疫情对心理健康产生影响的有效保障。
