[Effects of the COVID-19 pandemic on the mental health of patients with pre-existing psychopathology].

Revista espanola de salud publica Pub Date : 2024-04-25
Rosalía Hillers-Rodríguez, Adela San Vicente-Cano, Laura Portabales-Barreiro, Agustín Madoz-Gúrpide
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Abstract

Objective: Several studies stated greater impact on mental health among psychiatric population during the first wave of the COVID-19 pandemic. The aim of this paper was to study the pandemic effects more than a year after its outbreak on the mental state of adult patients with pre-existing psychopathology attending a Mental Health Center in Madrid (Spain).

Methods: A cross-sectional observational study was carried out with a sample of fifty-eight patients using a questionnaire that collected different descriptive variables. Results of the PHQ-9 Depression Scale, the GAD-7 Anxiety Scale, the IES-R Impact of Event Scale-Revised, the Clinical Global Impression scale CGI-GI, and the assessment of the professionals responsible for the patients about their clinical state were also collected. A descriptive analysis and binary logistic regression models were performed.

Results: There was a prevalence of 70% anxiety, 76% depression and 57% stress due to a stressful event more than one year after the start of the pandemic. Likewise, associations were found between the symptoms and certain clinical, mediating variables and gender.

Conclusions: The psychological state of patients with pre-existing psychopathology attended at the Mental Health Center is negatively affected by the COVID-19 pandemic up to a year and a half after its onset.

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[COVID-19大流行对原有精神病理学患者心理健康的影响]。
研究目的多项研究表明,在 COVID-19 大流行的第一波期间,精神疾病患者的心理健康受到了较大影响。本文旨在研究大流行爆发一年多后,对马德里(西班牙)一家精神健康中心就诊的已有精神病症的成年患者的精神状态产生的影响:方法:对 58 名患者样本进行了横断面观察研究,问卷收集了不同的描述性变量。此外,还收集了 PHQ-9 抑郁量表、GAD-7 焦虑量表、IES-R 事件影响量表修订版、CGI-GI 临床整体印象量表的结果,以及负责患者的专业人员对患者临床状态的评估。研究采用描述性分析和二元逻辑回归模型:结果:大流行开始一年多后,因压力事件导致的焦虑、抑郁和压力的发生率分别为 70%、76% 和 57%。同样,这些症状与某些临床变量、中介变量和性别之间也存在关联:结论:在心理健康中心就诊的原有心理疾病患者的心理状态受到了 COVID-19 大流行的负面影响,这种影响在大流行开始一年半后仍会持续。
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