Centre for Mental Health, Swinburne University of Technology, Hawthorn.
Department of Mental Health, St Vincent's Hospital, Melbourne, Australia.
Curr Opin Psychiatry. 2022 May 1;35(3):140-145. doi: 10.1097/YCO.0000000000000784. Epub 2022 Feb 7.
The COVID-19 pandemic has had a severe and widespread global impact but particularly for those with psychosis. This review summarizes recent evidence on the relationship between the COVID-19 pandemic and psychotic disorders, highlighting the risks faced by these individuals including the negative impacts on treatment services, complications from contracting COVID-19, and the acceptability of digital interventions.
Mortality, morbidity, and infection outcomes are among the worst for individuals with psychotic disorders. Presentation rates for psychotic disorders are elevated at emergency departments compared with before the COVID-19 pandemic; demand for inpatient services has increased, and there have been complications in access because of pandemic restrictions. COVID-19 related stressors have led to the exacerbation and incidence of psychotic symptoms among individuals with and without preexisting psychotic diagnoses. Digital interventions may be an acceptable method for maintaining patient contact and treatment during extended isolation.
More data is needed on the longitudinal trajectory for psychotic symptoms post-COVID-19 infection and pandemic restrictions to better support individuals with psychotic disorders. Development of a long-term pandemic management plan is needed to monitor and support psychiatric health across the population.
COVID-19 大流行对全球造成了严重且广泛的影响，但对精神病患者的影响尤其严重。本综述总结了 COVID-19 大流行与精神病性障碍之间关系的最新证据，重点介绍了这些人面临的风险，包括治疗服务中断、感染 COVID-19 的并发症，以及数字干预措施的可接受性。
精神病患者的死亡率、发病率和感染结果是所有人群中最严重的。与 COVID-19 大流行之前相比，急诊科的精神病性障碍就诊率升高；住院服务需求增加，由于大流行限制，服务获取变得复杂。与 COVID-19 相关的压力源导致了有和没有前驱精神病诊断的个体的精神病症状恶化和发生。在长期隔离期间，数字干预措施可能是维持患者联系和治疗的一种可接受的方法。
需要更多关于 COVID-19 感染和大流行限制后精神病症状的纵向轨迹的数据，以更好地支持精神病患者。需要制定长期的大流行管理计划，以监测和支持整个人群的精神健康。
