COVID-19 inpatients with psychiatric disorders: Real-world clinical recommendations from an expert team in consultation-liaison psychiatry

Anmella, Gerard; Arbelo, Néstor; Fico, Giovanna; Murru, Andréa; Llach, Cristian-Daniel; Madero, Santiago; Gomes‐da‐Costa, Susana; Imaz, M.L.; López‐Pelayo, Hugo; Vieta, Eduard; Pintor, Luís

doi:10.1016/j.jad.2020.05.149

Cited by 56 publications

(59 citation statements)

References 15 publications

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“…The general public are extremely vulnerable to symptoms of depression during the COVID-19 pandemic. People with mental symptoms of depression should be identified and managed in a timely manner to improve their psychological health status [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Depression and Psychological-Behavioral Responses Among the General Public in China During the Early Stages of the COVID-19 Pandemic: Survey Study

Zhang¹,

Yang²,

Zhao³

et al. 2020

J Med Internet Res

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Background The COVID-19 pandemic has recently spread dramatically worldwide, raising considerable concerns and resulting in detrimental effects on the psychological health of people who are vulnerable to the disease. Therefore, assessment of depression in members of the general public and their psychological and behavioral responses is essential for the maintenance of health. Objective This study aimed to assess the prevalence of depression and the associated factors among the general public during the early stages of the COVID-19 pandemic in China. Methods A cross-sectional survey with convenience sampling was conducted from February 11 to 16, 2020, in the early stages of the COVID-19 outbreak in China. A self-administrated smartphone questionnaire based on the Patient Health Questionnaire-9 (PHQ-9) and psychological and behavioral responses was distributed to the general public. Hierarchical multiple regression analysis and multivariate logistic regression analysis were conducted to explore the associated factors of depression.aA cross-sectional survey with convenience sampling was conducted from February 11 to 16, 2020, in the early stages of the COVID-19 outbreak in China. A self-administrated smartphone questionnaire based on the Patient Health Questionnaire-9 (PHQ-9) and psychological and behavioral responses was distributed to the general public. Hierarchical multiple regression analysis and multivariate logistic regression analysis were conducted to explore the associated factors of depression. Results The prevalence of depression (PHQ-9 score ≥10) among the general public during the COVID-19 pandemic was 182/1342 (13.6%). Regression analysis indicated that feeling stressed, feeling helpless, persistently being worried even with support, never feeling clean after disinfecting, scrubbing hands and items repeatedly, hoarding food, medicine, or daily supplies, and being distracted from work or study were positively associated with depression, while social support and being calm were negatively associated with depression. Conclusions The general public suffered from high levels of depression during the early stages of the COVID-19 pandemic. Thus, COVID-19–related mood management and social support should be provided to attenuate depression in the general public.

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Section: Discussionmentioning

confidence: 99%

Depression and Psychological-Behavioral Responses Among the General Public in China During the Early Stages of the COVID-19 Pandemic: Survey Study

Zhang¹,

Yang²,

Zhao³

et al. 2020

J Med Internet Res

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“…Mental health support must be integrated in the public health response during COVID-19 pandemic, in particular among populations at higher risk for mental health consequences, such as first-line healthcare professionals. Even more, people with pre-existing mental health disorders are particularly vulnerable to the stressful situations derived from the pandemic outbreak and the confinement situation, which may result in relapses or worsening of psychiatric pre-existing conditions leading to hospitalization (Vieta et al, 2020;Yao et al, 2020), requiring individualized treatment (Anmella et al, 2020). These populations should not be overlooked, and mental health home hospitalization care has been proposed as an alternative to address this problem (Garriga et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Unravelling potential severe psychiatric repercussions on healthcare professionals during the COVID-19 crisis

Anmella

Fico

Roca

et al. 2020

Journal of Affective Disorders

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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“…51 As a result of the complexity of real-world clinical scenarios and the lack of case-centred recommendations, our CLP unit has issued practical recommendations for the psychopharmacological management of the most representative case scenarios that we have identified regarding patients who were admitted to hospital with COVID-19 who had psychiatric disorders, based on existing literature and clinical experience. 52 Another matter of concern has been what to do with patients requiring a psychiatric admission but who are also infected with SARS-CoV-2 (but who do not require admission because of respiratory problems). This has led to strict control of patients who need admission for psychiatric reasons using polymerase chain reaction-based tests and admissions into either (a) 'clean' psychiatric in-patient units; (b) 'COVID-19' psychiatric units, or (c) non-psychiatric COVID-19 hospital units with the support of CLP units.…”

Section: Towards a New Psychiatry In Times Of Pandemicmentioning

confidence: 99%

“…Enfermedad por el coronavirus (COVID-19). Ministerio de Sanidad -Gobierno de España 52. Data updated on the 9 July 2020.Cumulative incidence(n cases/100,000 inhabitants) Lleida: 160.72 cases/100 000 Cumulative incidence by provinces in Spain Barcelona: 9.04 cases/100 000 Epidemiological week nº 27 (29 June -5 July 2020) Cumulative incidences by province in Spain for epidemiological week 27 (29 June to 5 July 2020).…”

mentioning

confidence: 99%

A psychiatrist's perspective from a COVID-19 epicentre: a personal account

et al. 2020

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Background The COVID-19 pandemic has and will have a huge impact on mental health, especially in countries that have been significantly affected, such as Spain. Aims Here we aim to provide the perspectives of a group of psychiatrists from Barcelona, one of the epicentres of the pandemic so far, to highlight the potential fatality of a virus that caught us unaware and unprepared, and hopefully this article will be of aid to countries about to face the pandemic. Results The unprecedented situations that we have been faced with so far have included reconfiguring hospitals and the redeployment of healthcare professionals, with flexibility and adaptability key to managing the overload in demand. This has led to healthcare professionals being exposed to extremely stressful situations and they have had impossible decisions to make that may have mental health consequences, some of which may be severe and long lasting. Conclusions A rebound effect on mental health problems is to be expected in the medium and long term, especially for healthcare professionals and psychiatric patients, necessitating a strengthening of preventive approaches and policies for mental health along with a prompt reopening of mental health services. Ways to provide psychiatric healthcare in the immediate future need to be re-evaluated, and the development of telepsychiatry services is probably to be expected.

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COVID-19 inpatients with psychiatric disorders: Real-world clinical recommendations from an expert team in consultation-liaison psychiatry

Cited by 56 publications

References 15 publications

Depression and Psychological-Behavioral Responses Among the General Public in China During the Early Stages of the COVID-19 Pandemic: Survey Study

Depression and Psychological-Behavioral Responses Among the General Public in China During the Early Stages of the COVID-19 Pandemic: Survey Study

Unravelling potential severe psychiatric repercussions on healthcare professionals during the COVID-19 crisis

A psychiatrist's perspective from a COVID-19 epicentre: a personal account

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