Psychisch krank in Krisenzeiten: Subjektive Belastungen durch COVID-19

Frank, Andreas; Hörmann, Sophia; Krombach, Julia; Fatke, Bastian; Holzhüter, Fabian; Frank, Wolfgang; Sondergeld, Rebecca; Förstl, Hans; Hölzle, Patricia

doi:10.1055/a-1179-4230

Cited by 22 publications

(20 citation statements)

References 26 publications

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“…The psychological distress observed in autoimmune arthritis seems to be shared with some chronic diseases, including cardiovascular diseases [50], asthma and COPD [51], cancer [52,53], and psychiatric disorders [44,54,55]; whereas patients with other chronic conditions, such as multiple sclerosis [56] and, surprisingly, patients with diabetes, do not seem to have particularly suffered from the negative psychological consequences of COVID-19-induced lockdown, even though, for diabetes patients, their levels of adherence to treatment and lifestyle habits were reported to be significantly reduced [57]. The reason for these discrepancies among chronic conditions is difficult to interpret and may be ascribed to differences in study populations, such as age (i.e., older in arthritis than in multiple sclerosis or type I diabetes), gender (i.e., predominance of the female gender in arthritis than in type I diabetes), but also on the illness itself, such as severe inflammatory joint pain, stiffness and, consequently, functional limitation pathognomonic of autoimmune arthritis, which are closely dependent on tight medical monitoring, and can quickly impact the psychological well-being of these patients.…”

Section: Discussionmentioning

confidence: 99%

Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy

et al. 2020

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Lockdowns imposed by governments worldwide as a way to limit the spread of severe atypical respiratory syndrome-coronavirus-2 (SARS-CoV2) have had heavy psychological and economic consequences. Arthritis patients are a vulnerable population at an increased risk of peritraumatic stress. This could be due to several reasons, including the fear of shortage of medicine and difficulty receiving periodical medical checks. In the present case-control study, psychological distress in patients with autoimmune arthritis during the coronavirus disease 2019 (COVID-19) pandemic were investigated. An electronic survey was conducted to gather information on the perceived change in the emotional state, general health (GH), fatigue, joint pain, and disease activity during the lockdown, in 100 patients with autoimmune arthritis and 100 controls. Mental health status was measured using the Depression, Anxiety and Stress Scale (DASS-21). The COVID-19 Peritraumatic Distress Index (CPDI) was used to assess the frequency of peritraumatic stress disorders related to COVID-19. Patients reported a significant worsening of perceived GH (36% vs. 7%; p < 0.001), a significantly higher mean CPDI score (p < 0.001) than controls. Using multivariate analysis, arthritis patients had significantly higher CPDI scores (+3.67 points; p = 0.019), independent of depression, anxiety, and stress symptoms, comorbidities, and sociodemographic and lifestyle characteristics. Logistic regression analysis showed that the risk of reporting worsened GH was 9-fold higher in patients than controls (p < 0.001). Patients with autoimmune arthritis are at higher risk of psychological distress related to COVID-19 pandemic; thus targeted intervention should be designed to strengthen coping capacity in this vulnerable population.

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Section: Discussionmentioning

confidence: 99%

Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy

et al. 2020

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“…Position papers and editorials published so far emphasize the negative impact of a lockdown on physical and psychological variables for athletes and for the sporting world as a whole (e.g., Andreato et al, 2020;Mehrsafar et al, 2020; see overview by Lim and Pranata, 2020). Stress, anxiety, and/or depression appear to be the most frequently mentioned negative consequences (e.g., Andreato et al, 2020;Frank et al, 2020;Mehrsafar et al, 2020;Schinke et al, 2020;Tingaz, 2020) or as Spitzer summarized it: "When we talk about the psychology of the corona pandemic, we talk about anxiety and loneliness" (2020, p. 279). Additionally, other emotions such as anger, frustration, denial, sadness, helplessness, fear, and/or an enormous sense of loss (AASP (Association for Applied Sport Psychology) Blog, 2020) may be related to the corona crisis.…”

Section: Stressmentioning

confidence: 99%

Amateur and Recreational Athletes’ Motivation to Exercise, Stress, and Coping During the Corona Crisis

et al. 2021

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The COVID-19 pandemic has negatively impacted mobility worldwide. As a corollary, the health of top- and lower-level athletes alike is profoundly reliant on movement and exercise. Thus, the aim of this study is to understand impacts of the COVID-19 pandemic lockdown on athletes’ motivation to exercise and train. In detail, we aim to better understand who (i.e., demographic, sport-specific, and psychological state and trait variables) reported a change in motivation to train due to the lockdown, why they reported lower motivation (i.e., open-ended questions on problems), what they did to help themselves, what support they received from others, and what they are looking forward to after the lockdown (i.e., open questions). Questionnaire data and answers to these open-ended questions were assessed via an online questionnaire, completed by 95 amateur and recreational athletes during the first COVID-19 lockdown in Germany (April to mid-May 2020). Results show that greater numbers of female athletes are less motivated to train in comparison to male athletes (p = 0.029). No differences in motivation were found regarding type of sport (individual vs. team sport) and number of competitions during the year. Also, more motivated to train amateur and recreational athletes showed lower athletic identity than athletes who reported no change in motivation to exercise during the lockdown (p = 0.03). Additionally, differences in state emotional, perceived stress, and personality variables (i.e., orientation to happiness, volition) were found between athletes who stated that they were less motivated to train compared to athletes who reported no changes in motivation. In particular, closure of sports facilities and social distancing measures were perceived to be highly problematic. Even though athletes received emotional support, organized themselves via routines and schedules, and trained using online tools, they predominately stated that they wished that their coaches would have supported them more. Understanding the impacts of a pandemic-related lockdown on athletes’ motivation, athletes’ coping strategies, and their desired support will help better support them in future crises.

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“…Über besonders gefährdete Gruppen wie Personen mit vorbestehenden psychischen Erkrankungen und Substanzgebrauchsstörungen kann die vorliegende Studie keine spezifischen Aussagen machen. Diese Menschen erfahren durch die Pandemie und die Einschränkungsmaßnahmen besonders weitreichende negative Konsequenzen 25 26 , die das Risiko von Symptomexazerbationen erhöhen. Auch zur Frage der diskutierten Zunahme des Suizidrisikos in der Bevölkerung aufgrund ökonomischer Verschlechterungen und sozialer Distanzierung 27 kann unsere Studie keinen Beitrag leisten.…”

Section: Diskussionunclassified

“…Große Bedeutung für das psychische Befinden während der Krise haben individuelle Risiko- und Resilienzfaktoren. Neben der Ausweitung von Hilfsangeboten für Menschen mit psychischen Störungen 25 26 sind deshalb Initiativen zur Vermittlung von Strategien zur Belastungsreduktion und Resilienzförderung zu begrüßen, die derzeit von relevanten Fachgesellschaften für eine breitere Öffentlichkeit angeboten werden (z. B.…”

Section: Konsequenzen Für Klinik Und Praxisunclassified

Psychisches Befinden in der Bevölkerung während der COVID-19-Pandemie

et al. 2020

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Zusammenfassung Ziel der Studie Zusammenhangsanalyse von wahrgenommenen Alltagsbelastungen während der COVID-19-Krise und Persönlichkeitsaspekten mit dem aktuellen psychischen Befinden in der Bevölkerung sowie Vergleich der psychischen Symptomatik mit einem Survey von 2018. Methodik Zufallsstichprobe aus der Bevölkerung (n = 721), die zu coronabezogenen Einschätzungen, Persönlichkeitsaspekten und aktuellem psychischen Befinden (WHO-5, PHQ-D) schriftlich befragt wurde. Ergebnisse Angst um die Gesundheit Nahestehender, Belastungen durch Ausgangsbeschränkungen und vermehrter Substanzkonsum sowie psychische Risiko- und Resilienzfaktoren trugen im statistischen Modell unabhängig zur Vorhersage des psychischen Befindens bei. Ausprägungen und Häufigkeiten psychischer Symptomatik unterschieden sich nicht zwischen 2018 und 2020. Schlussfolgerung Dies ist eine erste Studie in Deutschland, die Ergebnisse aus einer bevölkerungsbezogenen Zufallsstichprobe zu Determinanten psychischen Befindens während der COVID-19-Krise und einen Vergleich der psychischen Symptomatik mit einer präpandemischen Referenzstichprobe vorlegt.

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Psychisch krank in Krisenzeiten: Subjektive Belastungen durch COVID-19

Cited by 22 publications

References 26 publications

Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy

Psychological Distress in Patients with Autoimmune Arthritis during the COVID-19 Induced Lockdown in Italy

Amateur and Recreational Athletes’ Motivation to Exercise, Stress, and Coping During the Corona Crisis

Psychisches Befinden in der Bevölkerung während der COVID-19-Pandemie

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