COVID-19 Pandemic Burden in Severe Mental Disease Patients

Summary

Despite being originated in Wuhan, in the China mainland region of the Hubei, Italy has been the hardest-hit country in the world by the COVID-19 pandemic during the month of March.

Due to the uncontrollable spread of the contagion, the Italian Government has been forced to impose a series of restrictions and social distancing measures, culminating in the extension of lockdown to the entire Italian territory on March 8th.

During this period, the general population has been overwhelmed by feelings of worry, anxiety, and discomfort. The discomfort is reinforced by the lengthening of the lockdown, to the point that it may be considered as a mass model of chronic or subchronic mild stress.

The predictable effects of this stress on mental health have already been claimed, Post-traumatic symptoms were found in 7% among 285 Wuhan and surrounding cities' residents during the COVID-19 outbreak. A recent survey in the Italian general population reported similar outcomes.

In this context, the psychic conditions of the most fragile ones, i.e. those already affected by a severe mental disorder, represent a major concern. Having a history of psychiatric illness is regarded as one of the most relevant predictors of a negative psychological impact of quarantine. Patients with severe mental disorders may be among the hardest hit subjects, as they may be more vulnerable by the COVID-19 outbreak for a series of clinical and psychological factors. In the Italian context, the vulnerability of these patients may be increased by the lockdown of mental health services as a consequence of mass quarantine and optimization of health resources toward action to contrast COVID-19-related sanitary emergencies.

Despite several reports investigated the psychological effects of COVID-19 pandemic on health-care workers, COVID-19 affected people, or the general population, at the moment, no study has investigated the effects of the distress caused by fear of contagion and mass quarantine on severe mental disorder patients. The present study aimed at providing a first evaluation of anxiety, depressive, stress-related symptoms in these patients.

Conditions

• Psychological Distress
• COVID
• Severe Mental Disorder

Interventions

OTHER

PSS (Perceived Stress Scale)

Self-administered scale for the evaluation of the stress perceived by the subject in the last weeks

OTHER

GAD-7 (7-item Generalized Anxiety Disorder)

Self-administered scale for the evaluation of anxiety symptoms in the last weeks

OTHER

PHQ-9 (9-item Patient Health Questionnaire)

Self-administered scale for the evaluation of depressive symptoms in the last weeks

OTHER

SPEQ (Specific Psychotic Experiences Questionnaire) - Paranoia and Grandiosity Subscales

Self-administered scale for the evaluation of sub-threshold psychotic symptoms in the last weeks

OTHER

Zaritt Burden Interview

Self-administered scale for the evaluation of severe mental disorder patients' caregiver burden

Sponsors & Collaborators

• Federico II University

  lead OTHER

Eligibility

Min Age

18 Years

Max Age

70 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-04-10

Primary Completion

2020-04-20

Completion

2020-04-25

Countries

• Italy

Study Locations