挪威 COVID-19 大流行期间精神病患者的心理困扰和自杀倾向:重复横断面研究

IF 4.1 Q1 PSYCHIATRY SSM. Mental health Pub Date : 2023-12-07 DOI:10.1016/j.ssmmh.2023.100286
Sneha Ojha , Suraj Bahadur Thapa
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引用次数: 0

摘要

背景精神病患者很容易受到2019年科罗纳病毒病(COVID-19)大流行造成的干扰。本研究旨在调查大流行对这些患者在封锁期间的心理健康症状和自杀倾向的影响。方法本重复横断面研究利用了 "COVID-19 大流行期间社区精神卫生中心患者的心理困扰与应对(PsyCo-COVID-19)"研究的数据,该研究于 2020 年 6 月至 7 月和 2021 年 3 月至 4 月期间分两个阶段进行。来自六家社区心理健康中心(CMHC)的261名参与者参加了这项研究,并填写了一份数字问卷,其中包括挪威语版迷你国际神经精神病学访谈(M.I.N.I. Plus)、霍普金斯症状核对表(HSCL-25)和创伤后应激障碍核对表(PCL-5)。结果与封锁第一阶段(33.7%)相比,封锁第二阶段(47.4%)报告患有创伤后应激障碍的患者比例更高。三分之一的参与者(33.7%)报告有高度自杀倾向。大流行病对心理健康的中度至严重影响与自杀风险显著增加有关(AOR = 3.12; 95% CI: 1.50, 6.48; p = 0.0001),而有子女(AOR = 0.35; 95% CI: 0.16, 0.76; p = 0.008)和有工作(AOR = 0.44; 95% CI: 0.23, 0.84; p = 0.013)则是保护因素。非挪威背景与较高的自杀风险有关(AOR = 2.59; 95% CI: 1.08, 6.19; p = 0.032)。在封锁的第二阶段,创伤后应激障碍和自杀率明显上升,这强调了大流行病对心理健康的持久影响。在压力和不确定性增加的时期,需要为精神病患者提供有针对性的干预和支持服务。医疗服务提供者应意识到自杀风险的增加,并提供适当的支持和干预,以防止不良后果的发生。
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Psychological distress and suicidality in psychiatric patients during the COVID-19 pandemic in Norway: A repeated cross-sectional study

Background

Psychiatric patients are vulnerable to disruptions caused by the Corona Virus Disease 2019 (COVID-19) pandemic. This study aimed to investigate the effects of the pandemic on mental health symptoms and suicidality among these patients during lockdowns.

Methods

This repeated cross-sectional study utilized data from “Psychological distress and Coping in Patients in Community Mental Health Centers during COVID-19 pandemic (PsyCo-COVID-19) " study, conducted in two phases between June–July 2020 and March–April 2021. It included 261 participants from six Community Mental Health Centers (CMHCs) who completed a digital questionnaire, including Norwegian version of Mini International Neuropsychiatric Interview Plus (M.I.N.I. Plus), Hopkins Symptoms Checklist (HSCL-25), Post-traumatic Stress Disorder Checklist (PCL-5).

Results

A higher percentage of patients reported PTSD during the second phase of lockdown (47.4%) compared to the first phase of lockdown (33.7%). A third of participants (33.7%) reported high levels of suicidality. Moderate to severe effects of pandemic on mental health were associated with a significantly higher risk of suicide (AOR = 3.12; 95% CI: 1.50, 6.48; p = 0.0001), while having children (AOR = 0.35; 95% CI: 0.16, 0.76; p = 0.008) and being employed (AOR = 0.44; 95% CI: 0.23, 0.84; p = 0.013) were protective factors. Non-Norwegian background was associated with a higher risk of suicide (AOR = 2.59; 95% CI: 1.08, 6.19; p = 0.032).

Conclusion

High prevalence of suicidality was found among patients in CMHCs in Norway, with a significant association with self-reported worsening of mental health. PTSD and suicidality increased significantly during the second phase of lockdown, emphasizing the lasting impact of the pandemic on mental health. Targeted interventions and support services are needed for psychiatric patients during times of increased stress and uncertainty. Healthcare providers should be aware of the increased risk of suicide and provide appropriate support and interventions to prevent adverse outcomes.

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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
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0
审稿时长
118 days
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