Background& aimes
Psychiatric admissions during the covid-19 pandemic were limited ignoring their possible benefit. The study focused on assessing the effect of the fear of covid on the mental health and well-being of inpatients as opposed to outpatients.
Methods
During the first lockdown, forty-four inpatients and day care patients (inpatient group) and 74 outpatients (outpatient group) were recruited after an informed consent procedure. Fear from the infection was assed using the Fear of COVID-19 (FCV–19S), severity of mental health symptomatology was evaluated with the outcome questionnaire-45 (OQ-45)., wellbeing was assessed with the Psychological well-being scale (PWB).
Outcomes
There was no difference between the inpatient group and outpatient group in their fear of COVID-19 levels.
FCV-19 predicted changes in the outpatient OQ total score (B = 2.21,
p <
0.001), OQ interpersonal relation subscale (B = 0.34,
p =
0.01), PWB total score (B = −0.05,
p <
0.001), PWB environmental mastery subscale (B = −0.07,
p <
0.001) and PWB positive relation subscale (B = −0.05,
p <
0.001), but not in the inpatient group.
Conclusions
Mental health and well-being of the outpatient group that had less therapeutic contact –unlike the inpatient group-correlated with the fear of covid. Supporting the hypothesis that intensive psychiatric therapy had a protective effect from the mental health consequences of “fear of covid”.