Leipzig University, Medical Faculty, Department of Psychiatry and Psychotherapy, Semmelweisstrasse 10, Haus 13, 04103 Leipzig, Germany.
Leipzig University, Medical Faculty, Department of Psychiatry and Psychotherapy, Semmelweisstrasse 10, Haus 13, 04103 Leipzig, Germany; University Leipzig Medical Center, Department of Psychiatry and Psychotherapy, Semmelweisstrasse 10, Haus 13, 04103 Leipzig, Germany.
Compr Psychiatry. 2022 Jul;116:152313. doi: 10.1016/j.comppsych.2022.152313. Epub 2022 Apr 9.
The COVID-19 pandemic and associated lockdown measures reduced well-being in the general population significantly and led to an increase in anxiety and depression symptoms, however, results on the impact on people with mental disorders are heterogeneous to date. The aim of this study was to investigate the mental health status, social support, perceived stress, and the medical care provision of people with mental disorders during the time period immediately after the first COVID-19 lockdown in spring 2020 in Germany.
Participants were people with mental disorders currently receiving treatment in the psychiatric outpatient department of the University Hospital Leipzig, Germany. Structured telephone interviews were administered to assess depressive symptoms, self-rated medical care provision, attitudes and social and emotional aspects of the pandemic (social support, perceived stress, loneliness, resilience, and agreeableness).
A total of N = 106 people completed the telephone interview. The most frequent clinician-rated diagnoses were attention deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD; n = 29, 27.4%) and obsessive-compulsive disorder (OCD; n = 24, 22.6%). The mean Patient Health Questionnaire-9 sum score was 10.91 (SD = 5.71) and the majority of participants (n = 56, 52.8%) reported clinically relevant depressive symptoms. A low self-rated medical care provision was significantly associated with higher depressive symptom load. In a regression analysis, higher perceived stress levels and low medical care provision significantly predicted depressive symptoms. Furthermore, 38.1% (n = 40) reported to feel relieved as a result of the restrictions and, due to previous experience in dealing with crisis, half of the participants (n = 53, 50.5%) stated they were better able to deal with the current situation than the general population.
This study emphasizes the importance of maintenance of medical care provision for people with mental disorders, as cancelled or postponed treatment appointments and perceived stress were associated with higher depressive symptoms. Regular treatment services showed to have a protective effect. In addition, a majority of people with mental disorders felt prepared for managing the COVID pandemic due to existing crisis management abilities. These resources should also be taken into account for further future treatment considerations.
German Clinical Trials Register (DRKS00022071).
COVID-19 大流行及相关封锁措施显著降低了普通人群的幸福感，并导致焦虑和抑郁症状增加，然而，迄今为止，关于其对精神障碍患者影响的结果存在差异。本研究旨在调查 2020 年春季德国首次 COVID-19 封锁后精神障碍患者的心理健康状况、社会支持、感知压力和医疗服务提供情况。
参与者为目前在德国莱比锡大学医院精神科门诊接受治疗的精神障碍患者。通过结构化电话访谈评估抑郁症状、自评医疗服务提供情况、对大流行的态度以及社会和情感方面（社会支持、感知压力、孤独感、韧性和随和性）。
共有 106 人完成了电话访谈。最常见的临床诊断为注意缺陷障碍/注意缺陷多动障碍（ADD/ADHD；n=29，27.4%）和强迫症（OCD；n=24，22.6%）。患者健康问卷-9 总分平均值为 10.91（SD=5.71），大多数参与者（n=56，52.8%）报告存在临床相关的抑郁症状。自评医疗服务提供不足与抑郁症状负荷较高显著相关。在回归分析中，较高的感知压力水平和较低的医疗服务提供显著预测抑郁症状。此外，38.1%（n=40）表示由于限制而感到宽慰，并且由于之前在应对危机方面的经验，一半的参与者（n=53，50.5%）表示他们比普通人群更能应对当前局势。
本研究强调了维持精神障碍患者医疗服务提供的重要性，因为取消或推迟治疗预约和感知压力与较高的抑郁症状相关。定期治疗服务显示出保护作用。此外，由于现有的危机管理能力，大多数精神障碍患者认为自己已经为管理 COVID 大流行做好了准备。这些资源也应考虑用于未来的治疗考虑。
德国临床试验注册（DRKS00022071）。
