Impact of the COVID-19 pandemic on patients with pre-existing anxiety disorders attending secondary care
Impact of the COVID-19 pandemic on patients with pre-existing anxiety disorders attending secondary care
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DOI：
10.1017/ipm.2020.75
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发表时间：
2021-06-01
影响因子：
5.1
通讯作者：
Hallahan, B.
中科院分区：
文献类型：
--
作者：
Plunkett, R.;Costello, S.;Hallahan, B.
目的探讨在严格的社会限制条件下，新冠肺炎疫情对焦虑症患者的心理和社会影响。方法采用半结构式访谈的方法，对30名使用《国际焦虑症疾病分类》的患者进行半结构式访谈，以确定新冠肺炎限制措施对焦虑和情绪症状、社会和职业功能以及生活质量的影响。结果12名(40.0%)参与者认为新冠肺炎限制措施对他们的焦虑症状有有害影响。利克特量表测量表明，新冠肺炎对社交功能的影响最大(Mean=4.5，SD=2.9)，对焦虑症状的影响不大(Mean=3.8，SD=2.9)。临床医生评分数据指出，8名(26.7%)参与者自新冠肺炎限制开始之前的上次临床回顾以来，病情有所改善，14名(46.7%)参与者有所改善。与强迫症等无“触发因素”的情况相比，与无“触发因素”的情况(如广泛性焦虑症)相比，焦虑症状并没有显著增加。除新冠肺炎强制限制外，精神或身体上的共病对症状学没有实质性影响。结论新冠肺炎限制对既往焦虑障碍患者的心理和社会影响不大，仅注意到症状或社会损害的微小增加。
ObjectivesTo examine the psychological and social impact of the COVID-19 pandemic on patients with established anxiety disorders during a period of stringent mandated social restrictions.MethodsSemi-structured interviews were conducted with 30 individuals attending the Galway-Roscommon Mental Health Services with an International Classification of Diseases diagnosis of an anxiety disorder to determine the impact of the COVID-19 restrictions on anxiety and mood symptoms, social and occupational functioning and quality of life.ResultsTwelve (40.0%) participants described COVID-19 restrictions as having a deleterious impact on their anxiety symptoms. Likert scale measurements noted that the greatest impact of COVID-19 related to social functioning (mean = 4.5, SD = 2.9), with a modest deleterious effect on anxiety symptoms noted (mean = 3.8, SD = 2.9). Clinician rated data noted that 8 (26.7%) participants had disimproved and 14 (46.7%) participants had improved since their previous clinical review, prior to commencement of COVID-19 restrictions. Conditions associated with no 'trigger', such as generalised anxiety disorder, demonstrated a non-significant increase in anxiety symptoms compared to conditions with a 'trigger', such as obsessive compulsive disorder. Psychiatric or physical comorbidity did not substantially impact on symptomatology secondary to COVID-19 mandated restrictions.ConclusionsThe psychological and social impact of COVID-19 restrictions on individuals with pre-existing anxiety disorders has been modest with only minimal increases in symptomatology or social impairment noted.