First Episode Psychosis During COVID-19 Pandemic: Study in a Tertiary Care Psychiatric Hospital

Journal of Dhaka Medical College Pub Date : 2023-01-29 DOI:10.3329/jdmc.v30i2.56930

M. M. Maruf, B. R. Podder, Z. D. Laila, S. Parveen, F. Rahman, N. Khan, Z. Kamal

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Abstract

Background: Apart from being suffered from the Coronavirus disease 2019 (COVID-19), the pandemic has been associated with mental health conditions related to the fear of being affected by the virus, relative insufficiency of the healthcare system and the alleviating measures. We aimed to determine the types and associated sociodemographic factors of first episode psychosis (FEP) occurred during COVID-19 pandemic. Materials and methods: This was a cross-sectional study carried out at the outpatient department of National Institute of Mental Health (NIMH), Bangladesh. Individuals whose psychiatric symptoms were noticed for the first time during the covid outbreak, were included in the study using a convenient sampling technique during September, 2020 - December, 2020. After having informed written consent, data were collected through face-to-face interview of the respondents using a semistructured questionnaire. Psychotic features were elicited and psychiatric diagnoses were assigned by qualified psychiatrists after a thorough assessment according to Diagnostic and Statistical Manual of Mental Disorders, version 5 (DSM-5). Completed data of 288 respondents were analyzed using Statistical Package for Social Sciences (SPSS), version 24. The institutional review board of NIMH approved the research. Results: About three-fifths (58.3%) of the respondents suffered from first episode psychosis. Around half (47.0%) of the patients with psychosis was suffering from schizophrenia spectrum and other psychotic disorders and 39.3% from bipolar and related disorders. Majority (36.2%) of the respondents with FEP belonged to the age group of 20-29 years, with the mean age of 28.01±12.859 years. There was a significant association between gender and the presence of psychosis (p<.05). Conclusion: Majority of the FEP were schizophrenia spectrum and other psychotic disorders having a younger age of onset. J Dhaka Med Coll. 2021; 30(2) : 220-226

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COVID-19大流行期间的首发精神病:在三级精神病院的研究

背景:除了遭受2019冠状病毒病(COVID-19)的折磨外，此次大流行还与心理健康状况有关，这些健康状况与担心被病毒感染、卫生保健系统相对不足以及缓解措施有关。我们的目的是确定在COVID-19大流行期间发生的首发精神病(FEP)的类型和相关的社会人口学因素。材料和方法:这是一项横断面研究，在孟加拉国国家精神卫生研究所(NIMH)门诊部进行。在2020年9月至2020年12月期间，使用方便的抽样技术将在新冠疫情爆发期间首次注意到精神症状的个体纳入研究。在获得知情书面同意后，采用半结构化问卷对受访者进行面对面访谈，收集数据。根据《精神疾病诊断与统计手册》第5版(DSM-5)进行全面评估后，由合格的精神科医生得出精神病特征并进行精神病诊断。288名被调查者的完整数据使用SPSS (Statistical Package for Social Sciences)， version 24进行分析。NIMH的机构审查委员会批准了这项研究。结果:约五分之三(58.3%)的受访患者有首发精神病。大约一半(47.0%)的精神病患者患有精神分裂症谱系和其他精神障碍，39.3%患有双相情感障碍和相关障碍。年龄在20 ~ 29岁之间的患者占36.2%，平均年龄(28.01±12.859)岁。性别与精神病的存在有显著相关性(p< 0.05)。结论:FEP以精神分裂症谱系和其他精神障碍为主，发病年龄较轻。达卡医学院，2021;30(2): 220-226

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Journal of Dhaka Medical College

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