McCarron Robyn H, Swann Peter, Artingstall Jonathon, Burn Anne-Marie, Deakin Julia, Ellis Fiona, Gandamaneni Praveen Kumar, Griffith Joannah, Ireland Amanda, Leadbetter Jim, Man Joyce, Mitchell Simon, Praseedom Asha, Rokkou Ilyana, Rose Clare, Russell Ginny, Worsnip Patricia, Murray Graham K, Thompson Fiona
Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
University of Cambridge, Department of Psychiatry, Cambridge, UK.
Clin Neuropsychiatry. 2021 Oct;18(5):270-277. doi: 10.36131/cnfioritieditore20210505.
The COVID-19 pandemic has impacted community mental health, but the effect on psychiatric admissions is unknown. We investigated factors contributing to acute psychiatric admissions, and whether this changed during the first UK lockdown.
A retrospective case-note review study with an exploratory mixed-methods design to examine factors for psychiatric admissions following the first UK 2020 lockdown compared to the same time periods in 2019 and 2018.
Themes of psychopathology, risk, social stressors, community treatment issues, and physical health concerns were generated. The mean number of codes per case was 6.19 (s . d. = 2.43), with a mean number of categories per case of 3.73, (s. d. = 0.98). Changes in routines and isolation were common factors in the study year; accommodation and substance abuse were more prominent in the control year. Relationship stressors featured strongly in both groups. There were significantly more women (χ2(1, 98) = 20.80, < 0.00001) and older adults (χ2(1, 98) = 8.61, = 0.0033) in the study group than the control. Single people, compared to those in a relationship (χ2(1, ) = 4.46, 0.035), and people with affective disorders compared to psychotic disorders ((χ2(1, ) = 5.19, 0.023), were more likely to have a COVID-19 related admission factor.
Early stages of the COVID-19 pandemic amplified pre-existing psychosocial vulnerabilities with a disproportionate psychiatric admissions impact on the mental health of women, older adults and those with affective disorders.
新冠疫情对社区心理健康产生了影响，但对精神科住院情况的影响尚不清楚。我们调查了导致急性精神科住院的因素，以及在英国首次封锁期间这种情况是否发生了变化。
采用回顾性病例记录审查研究，运用探索性混合方法设计，以检查2020年英国首次封锁后精神科住院的因素，并与2019年和2018年同期进行比较。
得出了精神病理学、风险、社会压力源、社区治疗问题和身体健康问题等主题。每个病例的平均编码数为6.19（标准差=2.43），每个病例的平均类别数为3.73（标准差=0.98）。日常生活的变化和隔离是研究年份中的常见因素；在对照年份，住宿和药物滥用问题更为突出。人际关系压力源在两组中都很突出。研究组中的女性（χ2(1, 98)=20.80，P<0.00001）和老年人（χ2(1, 98)=8.61，P=0.0033）明显多于对照组。与处于恋爱关系中的人相比，单身人士（χ2(1, )=4.46，P=⹂0.035），以及患有情感障碍的人相比患有精神障碍的人（(χ2(1, )=5.19，P=⹂0.023），更有可能有与新冠相关的住院因素。
新冠疫情的早期阶段加剧了先前存在的心理社会脆弱性，对女性、老年人和患有情感障碍者的心理健康造成了不成比例的精神科住院影响。
