Community Mental Health Center of Campobasso, Department of Mental Health - ASReM, Campobasso, Italy.
Riv Psichiatr. 2022 Sep-Oct;57(5):238-245. doi: 10.1708/3893.38746.
The covid-19 pandemic/lockdown had a great impact on Severe Mental Illnesses (SMI) on the following variables: adherence to protective measures, infection, Covid-related psychopathology, stress related symptoms exacerbation, social relationship loss and higher mortality risk. InteGRO, a new effective salutogenic-psychoeducational approach, has been designed to help people with SMI manage their life-stress and achieve personal recovery goals through improved social functioning. Positive outcomes after pandemic/lockdown in patients trained with InteGRO and also their opinion about its usefulness are discussed.
All above mentioned variables were collected in a 1-year observational study (March 2020-2021) for all patients trained with InteGRO. In April 2021 patients were asked to respond to: an ad hoc semi-structured in-depth telephone interview, the Stress-Scale, the Brief Psychiatric Rating-Scale, the Personal and Social Performance Scale.
37 people out of 41 underwent the observational study. The overall outcome was good: one patient with asymptomatic infection, 40/41 vaccinated, a very low (2/37) trend of hospital admissions similar to previous years, very high personal and social functioning as well as low level of stress. In the interview, patients answered they found the InteGRO Training very useful, above all the meetings concerning Defining Goal and Problem-Solving. They often felt their desire to socialize was prompted by InteGRO training.
These results suggest InteGRO had a good impact on SMI patients to face pandemic/lockdown, with high level of personal and social functioning. They also suggest using structured salutogenic psychoeducational programs in public health services can be useful to promote life-skills to face traumatic events. Further studies are needed to understand the duration of these improvements and outcomes.
新冠疫情/封锁对严重精神疾病（SMI）产生了以下变量的重大影响：保护措施的遵守、感染、与新冠相关的精神病理学、应激相关症状恶化、社会关系丧失和更高的死亡率。InteGRO 是一种新的有效的健康促进心理教育方法，旨在通过提高社会功能帮助 SMI 患者管理生活压力并实现个人康复目标。讨论了接受 InteGRO 培训的患者在疫情/封锁后的积极结果及其对其有用性的看法。
对所有接受 InteGRO 培训的患者进行了为期 1 年的观察性研究（2020 年 3 月至 2021 年），收集了上述所有变量。2021 年 4 月，要求患者通过专门的半结构式深入电话访谈、应激量表、简明精神病评定量表、个人和社会表现量表进行回复。
在 41 名患者中，有 37 名患者完成了观察性研究。总体结果良好：1 名无症状感染者，40/41 人接种疫苗，住院人数呈极低（2/37）趋势，与往年相似，个人和社会功能非常高，应激水平非常低。在访谈中，患者回答他们发现 InteGRO 培训非常有用，尤其是有关定义目标和解决问题的会议。他们经常感到 InteGRO 培训促使他们渴望社交。
这些结果表明 InteGRO 对 SMI 患者应对疫情/封锁产生了积极影响，具有较高的个人和社会功能。它们还表明，在公共卫生服务中使用结构化的健康促进心理教育计划可以帮助培养应对创伤事件的生活技能。需要进一步研究以了解这些改善和结果的持续时间。
