Peripandemic psychiatric emergencies: impact of the COVID-19 pandemic on patients according to diagnostic subgroup.
Peripandemic psychiatric emergencies: impact of the COVID-19 pandemic on patients according to diagnostic subgroup.
复制标题
围腹精神病紧急情况：根据诊断亚组，共同研究对患者的影响。
DOI：
10.1007/s00406-020-01228-6
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发表时间：
2021-03
影响因子：
4.7
通讯作者：
Zindler T
中科院分区：
文献类型：
--
作者：
Seifert J;Meissner C;Birkenstock A;Bleich S;Toto S;Ihlefeld C;Zindler T
2020年3月11日，2019冠状病毒病（COVID-19）爆发被宣布为大流行。各国政府采取了严厉措施，努力降低传播率和与病毒有关的发病率。本研究旨在介绍大流行对汉诺威医学院精神病急诊科（PED）患者的直接影响。2019年同一时间段出现的患者作为对照组。在COVID-19大流行期间，PED就诊次数减少，1个月内重复就诊次数增加（30.2% vs. 20.4%, pBA = 0.001）。情感性障碍患者较少使用PED（15.2%比22.2%,pBA = 0.010）。自杀意念在物质使用障碍患者中更常见（47.4比26.8%,pBA = 0.004），而精神分裂症患者更常见的是迫害性妄想（68.7比43.5%,pBA = 0.023）和视觉幻觉（18.6比3.3%,pBA = 0.011）。神经症、应激相关和躯体形式障碍患者的出现率增加。这些患者多为男性（48.6比28.9%,pBA = 0.060），且既往未接受过精神治疗（55.7比36.8%,pBA = 0.089）。人格/行为障碍患者更常住在精神病院（43.5%比10.8%,pBA = 0.008）。20.1%的患者表示心理健康与COVID-19之间存在关联。大多数情况下，患者遭受的后果与社会措施或医疗保健系统的变化有关。通过了解患者对这种危机情况的反应，我们可以考虑如何在未来改善对患者的护理，以及需要采取哪些措施来保护这些特别脆弱的患者。在线版本包含补充材料，可在10.1007/s00406-020-01228-6获得。
On March 11th, 2020, the outbreak of coronavirus disease 2019 (COVID-19) was declared a pandemic. Governments took drastic measures in an effort to reduce transmission rates and virus-associated morbidity. This study aims to present the immediate effects of the pandemic on patients presenting in the psychiatric emergency department (PED) of Hannover Medical School. Patients presenting during the same timeframe in 2019 served as a control group. A decrease in PED visits was observed during the COVID-19 pandemic with an increase in repeat visits within 1 month (30.2 vs. 20.4%, pBA = 0.001). Fewer patients with affective disorders utilized the PED (15.2 vs. 22.2%, pBA = 0.010). Suicidal ideation was stated more frequently among patients suffering from substance use disorders (47.4 vs. 26.8%, pBA = 0.004), while patients with schizophrenia more commonly had persecutory delusions (68.7 vs. 43.5%, pBA = 0.023) and visual hallucinations (18.6 vs. 3.3%, pBA = 0.011). Presentation rate of patients with neurotic, stress-related, and somatoform disorders increased. These patients were more likely to be male (48.6 vs. 28.9%, pBA = 0.060) and without previous psychiatric treatment (55.7 vs. 36.8%, pBA = 0.089). Patients with personality/behavioral disorders were more often inhabitants of psychiatric residencies (43.5 vs. 10.8%, pBA = 0.008). 20.1% of patients stated an association between psychological well-being and COVID-19. Most often patients suffered from the consequences pertaining to social measures or changes within the medical care system. By understanding how patients react to such a crisis situation, we can consider how to improve care for patients in the future and which measures need to be taken to protect these particularly vulnerable patients. The online version contains supplementary material available at 10.1007/s00406-020-01228-6.
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影响因子：
5.1
作者：
Leaune E;Samuel M;Oh H;Poulet E;Brunelin J
通讯作者：
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影响因子：
15.1
作者：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.3109/13651501.2016.1174275
发表时间：
2016-01-01
影响因子：
3
作者：
Juhas, Michal;Agyapong, Vincent I. O.
通讯作者：
Agyapong, Vincent I. O.
影响因子：
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作者：
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通讯作者：
Daral, Ankit