Effects of the COVID-19 pandemic and lockdown in Spain: comparison between community controls and patients with a psychiatric disorder

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• dc.contributor.author Solé, Brisa
• dc.contributor.author Verdolini, Norma
• dc.contributor.author Amoretti, Silvia
• dc.contributor.author Montejo, Laura
• dc.contributor.author Rosa, Adriane R.
• dc.contributor.author Hogg, Bridget
• dc.contributor.author García-Rizo, Clemente
• dc.contributor.author Mezquida, Gisela
• dc.contributor.author Bernardo, Miquel
• dc.contributor.author Martínez-Aran, Anabel
• dc.contributor.author Vieta, Eduard
• dc.contributor.author Torrent, Carla
• dc.date.accessioned 2021-10-08T07:26:54Z
• dc.date.issued 2021
• dc.description.abstract Background: The aim of this study was to evaluate potential differences about the effects of the COVID-19 pandemic and lockdown between community controls (CC) and patients with a mental illness (MI) in a Spanish population during the state of emergency. Methods: Individuals with a psychiatric condition and the general population were invited to complete an anonymous online survey. Bivariate analyses were used to compare them in a broad range of measures: sociodemographic, clinical variables, behavioral changes related to the lockdown and coping strategies to face it. Two groups of different psychiatric disorders were compared: depression or anxiety disorders (D+A) versus bipolar disorder and schizophrenia related disorders (BD+SCZ). Results: 413 CC and 206 MI were included in the study. CC reported to use more adaptive coping strategies as following a routine, talking to friends/relatives, practicing physical exercise and maintaining a balanced diet. MI reported significantly more anxiety and depression symptoms during the lockdown when compared to CC. Gaining weight, sleep changes, and tobacco consumption were more prevalent in the MI group. The D+A group showed significantly more psychological distress and negative expectations about the future, suffered more sleep disturbances when compared to BD+SCZ, whilst reported to practice more exercise. Limitations: psychiatric disorders were self-reported. Conclusions: Imposed restrictions and uncertainty during confinement had a higher psychological impact in individuals with a psychiatric illness, with less healthy behavior strategies to face the situation. Developing interventions to mitigate negative mental health outcomes among this vulnerable population will be essential in the coming months.
• dc.format.mimetype application/pdf
• dc.identifier.citation Solé B, Verdolini N, Amoretti S, Montejo L, Rosa AR, Hogg B, et al. Effects of the COVID-19 pandemic and lockdown in Spain: comparison between community controls and patients with a psychiatric disorder. J Affect Disord. 2021 Feb 15; 281: 13-23. DOI: 10.1016/j.jad.2020.11.099
• dc.identifier.doi http://dx.doi.org/10.1016/j.jad.2020.11.099
• dc.identifier.issn 0165-0327
• dc.identifier.uri http://hdl.handle.net/10230/48606
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/754550
• dc.rights © Elsevier http://dx.doi.org/10.1016/j.jad.2020.11.099
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword COVID-19
• dc.subject.keyword Anxiety
• dc.subject.keyword Bipolar disorder
• dc.subject.keyword Depression
• dc.subject.keyword Mental health
• dc.subject.keyword Pandemics
• dc.subject.keyword Psychotic disorders
• dc.title Effects of the COVID-19 pandemic and lockdown in Spain: comparison between community controls and patients with a psychiatric disorder
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion