2021
DOI: 10.3390/healthcare10010064
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Risk Factors for Relapse in People with Severe Mental Disorders during the COVID-19 Pandemic: A Multicenter Retrospective Study

Abstract: Background: Evidence suggests that different variables associated with the COVID-19 pandemic may increase the risk of relapse in people with Severe Mental Disorders (SMDs). However, no studies have yet looked closely at the different risk factors involved to determine their influence on the worsening of these patients’ illnesses. Objective: To analyze which variables related to the COVID-19 pandemic have increased the risk of relapse in patients with SMDs. Method: A multicenter retrospective cohort study in wh… Show more

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Cited by 6 publications
(4 citation statements)
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References 58 publications
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“…The COVID-19 pandemic has increased the risk of worsened mental health among people with mental health disorders. This worsening has been related to the symptoms of the infection but also to other preventable social circumstances, such as the loss of therapeutic interventions, the loss of employment, and low financial income [36,37]. The research shows that the increase in suicide rate in psychiatric patients during public health crises, such as pandemics, is connected with the fear of getting sick, becoming a burden to the family and a fear for life, anxiety, social isolation and distress [38].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The COVID-19 pandemic has increased the risk of worsened mental health among people with mental health disorders. This worsening has been related to the symptoms of the infection but also to other preventable social circumstances, such as the loss of therapeutic interventions, the loss of employment, and low financial income [36,37]. The research shows that the increase in suicide rate in psychiatric patients during public health crises, such as pandemics, is connected with the fear of getting sick, becoming a burden to the family and a fear for life, anxiety, social isolation and distress [38].…”
Section: Discussionmentioning
confidence: 99%
“…The feeling of fear of COVID-19, especially the fear of getting sick and dying, is significantly associated with a perceived level of distress [37][38][39][40]. The lowest and highest scores on the FCV-19S scale are recorded in East Asia and Spain (16 +/− 6; 18 +/− 5) and Australia (19 +/− 6), with a special risk for people who are younger, female, unemployed and students, as well as health care workers, while older people, men and those with better education showed lower values on the Fear of COVID-19 Scale [40][41][42].…”
Section: Discussionmentioning
confidence: 99%
“…The DASS questions were classified into three categories: 3, 5, 10, 13, 16, 17, and 21 assessed depressions; 2, 4, 7, 9, 15, 19, and 20 assessed anxieties; and 1, 6, 8, 11, 12, 14, and 18 assessed stress [21]. The following scoring scale was used to analyse the obtained finding: (a) depression: normal (0-4), mild (5-6), moderate (7-10), severe (11)(12)(13), and extremely severe (14 and above); (b) anxiety: normal (0-3), mild (4-5), moderate (6-7), severe (8)(9) and extremely severe (10 and above); and c) stress: normal (0-7), mild (8)(9), moderate (10)(11)(12), severe (13)(14)(15)(16) and extremely severe (17 and above).…”
Section: Study Instrument and Data Collectionmentioning
confidence: 99%
“…Besides, it is important to note that pandemics also have a profound impact on underprivileged and vulnerable communities, especially those with severe mental illnesses. People having severe mental health conditions are susceptible to relapse due to worry and anxiety caused by loss of employment and interventions [15]. The younger populations, such as adolescents and teenagers, also face many challenges, including concern about the current quarantine, future careers, and the impact of deferred graduation [16].…”
Section: Introductionmentioning
confidence: 99%