School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Int J Environ Res Public Health. 2022 Jan 21;19(3):1181. doi: 10.3390/ijerph19031181.
The COVID-19 pandemic has had substantial impacts on citizens' daily living. Concerns over mental health issues are rising. Recent studies assessing the psychosocial impact of COVID-19 on the general public revealed alarming results. Meanwhile, the impact of the COVID-19 pandemic on mental health among patients with pre-existing psychiatric disorders remained unclear.
Patients diagnosed with anxiety disorders, depressive disorders, bipolar disorders, or schizophrenia were invited to complete a survey between July and October 2020. The survey collected information on subjects' demographics, accommodation status, changes in mental health status during the COVID-19 outbreak, and the factors that affect subjects' mental health during COVID-19. The primary outcome of this study was the change in mental health, defined by psychiatric symptom change and patient satisfaction on symptom control. The secondary outcomes were patients' emotional status-measured by the Depression, Anxiety and Stress Scale (DASS-21)-during the COVID-19 pandemic and factors that impacted patients' mental health during the COVID-19 pandemic.
Out of the 294 patients recruited, 65.0% were living in hostel while 35.0% were living in the community. The proportion of patients with 'unsatisfied' or 'very unsatisfied' mental disease control increased from 10.2% to 17.1% after the COVID-19 outbreak ( < 0.001). Under the DASS-21 questionnaire, 24.2% subjects, 32.6% subjects, and 18.9% subjects were classified as severe or extremely severe in terms of the level of depression, anxiety, and stress they experienced, respectively. Patients living in the community, patients with mood disorders, and female patients reported significantly worse control over anxiety and mood symptoms. The three major factors that affected patients' mental health during COVID-19 were 'reduced social activities', 'worries over people around getting infected', and 'reduced exercise'.
Psychiatric patients in general have poorer disease control after the COVID-19 outbreak. Patients in the community appeared to be more affected than patients residing in hostels. More efforts should be directed to screening patients with pre-existing mental health disorders to enable timely interventions.
COVID-19 大流行对公民的日常生活产生了重大影响。对心理健康问题的担忧正在上升。最近评估 COVID-19 对公众的社会心理影响的研究结果令人震惊。与此同时，COVID-19 大流行对患有先前存在的精神障碍的患者的心理健康的影响尚不清楚。
邀请患有焦虑症、抑郁症、双相情感障碍或精神分裂症的患者在 2020 年 7 月至 10 月期间完成一项调查。该调查收集了有关受试者人口统计学、住宿状况、COVID-19 爆发期间心理健康状况变化以及影响 COVID-19 期间受试者心理健康的因素的信息。本研究的主要结果是心理健康的变化，由精神症状的变化和患者对症状控制的满意度来定义。次要结果是 COVID-19 期间患者的情绪状态-由抑郁、焦虑和压力量表(DASS-21)测量-以及影响 COVID-19 期间患者心理健康的因素。
在招募的 294 名患者中，65.0%住在宿舍，35.0%住在社区。COVID-19 爆发后，对精神疾病控制“不满意”或“非常不满意”的患者比例从 10.2%上升到 17.1%（<0.001）。在 DASS-21 问卷中，分别有 24.2%、32.6%和 18.9%的受试者在抑郁、焦虑和压力方面被归类为严重或极度严重。住在社区的患者、患有情绪障碍的患者和女性患者报告说，焦虑和情绪症状的控制明显更差。COVID-19 期间影响患者心理健康的三个主要因素是“社交活动减少”、“周围人感染的担忧”和“运动减少”。
一般来说，COVID-19 爆发后，精神科患者的疾病控制情况更差。与住在宿舍的患者相比，住在社区的患者受到的影响似乎更大。应该加大力度对患有先前存在的心理健康障碍的患者进行筛查，以便及时进行干预。
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