Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A Case-Control Study with Service and Research Implications for Immunopsychiatry.
Identifieur interne : 000010 ( PubMed/Curation ); précédent : 000009; suivant : 000011Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A Case-Control Study with Service and Research Implications for Immunopsychiatry.
Auteurs : Fengyi Hao ; Wanqiu Tan [République populaire de Chine] ; Li Jiang ; Ling Zhang ; Xinling Zhao ; Yiran Zou ; Yirong Hu ; Xi Luo ; Xiaojiang Jiang [République populaire de Chine] ; Roger S. Mcintyre [Canada] ; Bach Tran [Viêt Nam] ; Jiaqian Sun [Singapour] ; Zhisong Zhang [République populaire de Chine] ; Roger Ho [Singapour] ; Cyrus Ho [Singapour] ; Wilson Tam [Singapour]Source :
- Brain, behavior, and immunity [ 1090-2139 ] ; 2020.
Abstract
This study aimed to assess and compare the immediate stress and psychological impact experienced by people with and without psychiatric illnesses during the peak of 2019 coronavirus disease (COVID-19) epidemic with strict lockdown measures. Seventy-six psychiatric patients and 109 healthy control subjects were recruited from Chongqing, China and completed a survey on demographic data, physical symptoms during the past 14 days and a range of psychiatric symptoms using the Impact of Event Scale- Revised (IES-R), Depression, Anxiety and Stress Scale (DASS-21) and Insomnia Severity Index (ISI). IES-R measures PTSD symptoms in survivorship after an event. DASS -21 is based on tripartite model of psychopathology that comprise a general distress construct with distinct characteristics. The mean IES-R, DASS-21 anxiety, depression and stress subscale and ISI scores were higher in psychiatric patients than healthy controls (p<0.001). Serious worries about their physical health, anger and impulsivity and intense suicidal ideation were significantly higher in psychiatric patients than healthy controls (p<0.05). More than one-third of psychiatric patients might fulfil the diagnostic criteria post-traumatic stress disorder (PTSD). More than one-quarter of psychiatric patients suffered from moderately severe to severe insomnia. Respondents who reported no change, poor or worse physical health status and had a psychiatric illness were significantly more likely to have higher mean IES-R, DASS depression, anxiety and stress subscale scores and ISI scores (p<0.05). This study confirms the severity of negative psychological impact on psychiatric patients during the COVID-19 epidemic with strict lockdown measures. Understanding the psychological impact on psychiatric patients during the COVID-19 pandemic has the potential to provide insight into how to develop a new immunopsychiatry service. Further research is required to compare pro-inflammatory cytokines between psychiatric patients and healthy controls during the pandemic.
DOI: 10.1016/j.bbi.2020.04.069
PubMed: 32353518
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<front><div type="abstract" xml:lang="en">This study aimed to assess and compare the immediate stress and psychological impact experienced by people with and without psychiatric illnesses during the peak of 2019 coronavirus disease (COVID-19) epidemic with strict lockdown measures. Seventy-six psychiatric patients and 109 healthy control subjects were recruited from Chongqing, China and completed a survey on demographic data, physical symptoms during the past 14 days and a range of psychiatric symptoms using the Impact of Event Scale- Revised (IES-R), Depression, Anxiety and Stress Scale (DASS-21) and Insomnia Severity Index (ISI). IES-R measures PTSD symptoms in survivorship after an event. DASS -21 is based on tripartite model of psychopathology that comprise a general distress construct with distinct characteristics. The mean IES-R, DASS-21 anxiety, depression and stress subscale and ISI scores were higher in psychiatric patients than healthy controls (p<0.001). Serious worries about their physical health, anger and impulsivity and intense suicidal ideation were significantly higher in psychiatric patients than healthy controls (p<0.05). More than one-third of psychiatric patients might fulfil the diagnostic criteria post-traumatic stress disorder (PTSD). More than one-quarter of psychiatric patients suffered from moderately severe to severe insomnia. Respondents who reported no change, poor or worse physical health status and had a psychiatric illness were significantly more likely to have higher mean IES-R, DASS depression, anxiety and stress subscale scores and ISI scores (p<0.05). This study confirms the severity of negative psychological impact on psychiatric patients during the COVID-19 epidemic with strict lockdown measures. Understanding the psychological impact on psychiatric patients during the COVID-19 pandemic has the potential to provide insight into how to develop a new immunopsychiatry service. Further research is required to compare pro-inflammatory cytokines between psychiatric patients and healthy controls during the pandemic.</div>
</front>
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<Month>05</Month>
<Day>02</Day>
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<Title>Brain, behavior, and immunity</Title>
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<ArticleTitle>Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A Case-Control Study with Service and Research Implications for Immunopsychiatry.</ArticleTitle>
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<Abstract><AbstractText>This study aimed to assess and compare the immediate stress and psychological impact experienced by people with and without psychiatric illnesses during the peak of 2019 coronavirus disease (COVID-19) epidemic with strict lockdown measures. Seventy-six psychiatric patients and 109 healthy control subjects were recruited from Chongqing, China and completed a survey on demographic data, physical symptoms during the past 14 days and a range of psychiatric symptoms using the Impact of Event Scale- Revised (IES-R), Depression, Anxiety and Stress Scale (DASS-21) and Insomnia Severity Index (ISI). IES-R measures PTSD symptoms in survivorship after an event. DASS -21 is based on tripartite model of psychopathology that comprise a general distress construct with distinct characteristics. The mean IES-R, DASS-21 anxiety, depression and stress subscale and ISI scores were higher in psychiatric patients than healthy controls (p<0.001). Serious worries about their physical health, anger and impulsivity and intense suicidal ideation were significantly higher in psychiatric patients than healthy controls (p<0.05). More than one-third of psychiatric patients might fulfil the diagnostic criteria post-traumatic stress disorder (PTSD). More than one-quarter of psychiatric patients suffered from moderately severe to severe insomnia. Respondents who reported no change, poor or worse physical health status and had a psychiatric illness were significantly more likely to have higher mean IES-R, DASS depression, anxiety and stress subscale scores and ISI scores (p<0.05). This study confirms the severity of negative psychological impact on psychiatric patients during the COVID-19 epidemic with strict lockdown measures. Understanding the psychological impact on psychiatric patients during the COVID-19 pandemic has the potential to provide insight into how to develop a new immunopsychiatry service. Further research is required to compare pro-inflammatory cytokines between psychiatric patients and healthy controls during the pandemic.</AbstractText>
<CopyrightInformation>Copyright © 2020. Published by Elsevier Inc.</CopyrightInformation>
</Abstract>
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<AffiliationInfo><Affiliation>The First People's Hospital of Chongqing Liang Jiang New Area, Chongqing. China.</Affiliation>
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<Initials>Y</Initials>
<AffiliationInfo><Affiliation>The First People's Hospital of Chongqing Liang Jiang New Area, Chongqing. China.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Neurology, Daping Hospital, Army Medical University, Chongqing, China.</Affiliation>
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<AffiliationInfo><Affiliation>Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, United States of America; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Psychological Medicine, National University Health System, Singapore.</Affiliation>
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<AffiliationInfo><Affiliation>Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.</Affiliation>
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<Month>04</Month>
<Day>27</Day>
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<MedlineTA>Brain Behav Immun</MedlineTA>
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<Keyword MajorTopicYN="N">PTSD</Keyword>
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<Month>04</Month>
<Day>23</Day>
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<Month>04</Month>
<Day>25</Day>
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<ArticleId IdType="pii">S0889-1591(20)30626-7</ArticleId>
<ArticleId IdType="doi">10.1016/j.bbi.2020.04.069</ArticleId>
<ArticleId IdType="pmc">PMC7184991</ArticleId>
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