The Menninger Clinic, Houston, TX 77035, USA.
The Menninger Clinic, Houston, TX 77035, USA; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 12301 Main St, Houston, TX 77030, USA; The University of Houston Downtown, Houston, TX 77002, USA.
Psychiatry Res. 2022 Oct;316:114758. doi: 10.1016/j.psychres.2022.114758. Epub 2022 Jul 30.
While the negative effects of Coronavirus Disease-2019 (COVID-19) on general mental health are well-established, less is known about the impact on those with severe mental illness. Thus, this study examined symptom severity among psychiatric inpatients admitted prior to versus during the COVID pandemic. Self-reported anxiety (GAD-7), depression (PHQ-9), emotional dysregulation (DERS-SF), sleep quality (PSQI), nightmares (DDNSI), and suicidal ideation (SBQ-R) were examined in 470 adults (n = 235 admitted pre-pandemic) and 142 children and adolescents (n = 65 admitted pre-pandemic) at admission. Adults also completed measures of disability (WHODAS) and substance use (WHOASSIST). Adults admitted during the COVID pandemic reported significantly higher levels of anxiety [p < .001, partial η=0.18], depression [p < .001, partial η=0.06], emotion dysregulation [p < .001, partial η=0.05], nightmares [p = .013, partial η=0.01], and disability [p < .001, partial η=0.04] compared to adults admitted pre-COVID. Levels of anxiety [p = .005, partial η=0.05], depression [p = .005, partial η=0.06], and sleep quality [p = .011, partial η=0.05] were significantly higher among adolescents admitted during COVID compared to pre-COVID. The findings help identify areas of prioritization for future mental health prevention/intervention efforts for future disease outbreaks.
虽然 2019 年冠状病毒病（COVID-19）对一般心理健康的负面影响已得到充分证实，但对患有严重精神疾病的人的影响知之甚少。因此，本研究检查了 COVID 大流行之前和期间入院的精神科住院患者的症状严重程度。在 470 名成年人（n=235 名在大流行前入院）和 142 名儿童和青少年（n=65 名在大流行前入院）入院时，自我报告了焦虑症（GAD-7）、抑郁症（PHQ-9）、情绪调节障碍（DERS-SF）、睡眠质量（PSQI）、噩梦（DDNSI）和自杀意念（SBQ-R）。成年人还完成了残疾（WHODAS）和物质使用（WHOASSIST）的测量。在 COVID 大流行期间入院的成年人报告的焦虑水平显著更高[p <.001，部分η=0.18]，抑郁水平[p <.001，部分η=0.06]，情绪调节障碍[p <.001，部分η=0.05]，噩梦[p=.013，部分η=0.01]和残疾[p <.001，部分η=0.04]，与 COVID 前入院的成年人相比。在 COVID 期间入院的青少年的焦虑水平[p=.005，部分η=0.05]、抑郁水平[p=.005，部分η=0.06]和睡眠质量[p=.011，部分η=0.05]显著更高。这些发现有助于确定未来疾病爆发时优先考虑未来心理健康预防/干预工作的领域。
