Revista de psiquiatria y salud mental最新文献

{"title":"Schizophrenia and the COVID-19 pandemic: A narrative review from the biomedical perspective.","authors":"Krzysztof Kowalski,&nbsp;Błażej Misiak","doi":"10.1016/j.rpsm.2023.04.002","DOIUrl":"https://doi.org/10.1016/j.rpsm.2023.04.002","url":null,"abstract":"<p><p>The outbreak of the Coronavirus Disease 2019 (COVID-19) pandemic in 2020 caused a rapid worsening of global mental health. Patients with severe mental disorders, including schizophrenia, are at higher risk of being infected. The neuroinvasive potential of the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) has been confirmed. The aim of this article was to present a narrative and comprehensive review of multidimensional associations between schizophrenia and COVID-19 with special emphasis on common biological pathways. Online searches were performed in the PubMed database and covered the publication period until September 17, 2022. Search terms included \"psychosis\", \"schizophrenia\", \"inflammation\" and \"COVID-19\". Viewed as a neuroinflammatory state, schizophrenia shares several neurobiological mechanisms with the COVID-19. Environmental stress, common comorbidities of schizophrenia and adverse effects of antipsychotic treatment are associated with the higher severity and mortality of the COVID-19. Additionally, more frequent relapses of psychosis have been observed, and might be related to lower treatment adherence. In the context of clinical manifestation, higher level of negative symptoms has been identified among patients with schizophrenia during the pandemic. Improvements in mental health care policy and treatment adjustment are necessary to protect people with schizophrenia who are the population that is particularly vulnerable to the consequences of the COVID-19 pandemic. Future research will show if prenatal infection with the SARS-CoV-2 increases a risk of psychosis.</p>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2023-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volume alterations of the hippocampus and amygdala in patients with schizophrenia and persistent auditory hallucinations.","authors":"Marta Perez-Rando,&nbsp;Carlota Penades-Gomiz,&nbsp;Pablo Martinez-Marin,&nbsp;Gracián García-Martí,&nbsp;Eduardo J Aguilar,&nbsp;Maria J Escarti,&nbsp;Eva Grasa,&nbsp;Iluminada Corripio,&nbsp;Julio Sanjuan,&nbsp;Juan Nacher","doi":"10.1016/j.rpsm.2023.05.002","DOIUrl":"https://doi.org/10.1016/j.rpsm.2023.05.002","url":null,"abstract":"<p><strong>Introduction: </strong>Auditory hallucinations (AH) are one of the most prevalent symptoms of schizophrenia. They might cause several brain alterations, especially changes in the volumes of hippocampus and amygdala, regions related to the relay and processing of auditory cues and emotional memories.</p><p><strong>Material and methods: </strong>We have recruited 41 patients with schizophrenia and persistent AH, 35 patients without AH, and 55 healthy controls. Using their MRIs, we have performed semiautomatic segmentations of the hippocampus and amygdala using Freesurfer. We have also performed bilateral correlations between the total PSYRATS score and the volumes of affected subregions and nuclei.</p><p><strong>Results: </strong>In the hippocampus, we found bilateral increases in the volume of its hippocampal fissure and decreases in the right fimbria in patients with and without AH. The volume of the right hippocampal tail and left head of the granule cell layer from the dentate gyrus were decreased in patients with AH. In the amygdala, we found its left total volume was shrunk, and there was a decrease of its left accessory basal nucleus in patients with AH.</p><p><strong>Conclusions: </strong>We have detected volume alterations of different limbic structures likely due to the presence of AH. The volumes of the right hippocampal tail and left head of the granule cell layer from the dentate gyrus, and total volume of the amygdala and its accessory basal nucleus, were only affected in patients with AH. Bilateral volume alterations in the hippocampal fissure and right fimbria seem inherent of schizophrenia and due to traits not contemplated in our research.</p>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9876563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep brain stimulation and digital monitoring for patients with treatment-resistant schizophrenia and bipolar disorder: A case series.","authors":"Miquel Bioque,&nbsp;Jordi Rumià,&nbsp;Pedro Roldán,&nbsp;Diego Hidalgo-Mazzei,&nbsp;Laura Montejo,&nbsp;Antonio Benabarre,&nbsp;Joaquín Gil-Badenes,&nbsp;Javier Tercero,&nbsp;Eduard Parellada,&nbsp;Eduard Vieta","doi":"10.1016/j.rpsm.2023.05.001","DOIUrl":"https://doi.org/10.1016/j.rpsm.2023.05.001","url":null,"abstract":"<p><strong>Aim: </strong>The use of deep brain stimulation (DBS) has been recently extended for treating resistant psychiatric disorders, but the experience in patients with schizophrenia-related disorders and bipolar disorder (BD) is scarce.</p><p><strong>Method: </strong>We conducted an observational, one-year longitudinal study to evaluate the effects of DBS in four treatment-resistant patients with schizophrenia, schizoaffective, and BD, included in a pilot, last-resource protocol. Patients were digitally monitored for objective assessment of behavioral changes.</p><p><strong>Results: </strong>After one year of its initiation, DBS of the nucleus accumbens (in subjects N2, N3, and N4) and subgenual anterior cingulate cortex (in N1) produced a significant clinical improvement, associated with decreases in the Clinical Global Impression (from 5.25±0.5 to 3.5±1, p=0.035) and in the Hamilton Depression Rating Scale (HADRS scores, from 14.5±6.56 to 1.5±1.29, p=0.020). We observed a notable, durable therapeutic response in two patients from this cohort (N1 and N3), a clinically relevant relief in a third (N2), and a lack of a significant response in the last one (N4). Maintenance electroconvulsive therapy sessions could be discontinued in the three patients that responded to DBS (N1-3). There were no side effects or relevant changes in cognitive functioning. There were relevant differences between physical activity and sleep time among the four participants.</p><p><strong>Conclusions: </strong>These results suggest initial evidence that DBS may be an effective and safe alternative for treating complex and resistant forms of schizophrenia-related disorders and BD. Digital monitoring may help to capture objective measures of behavioral changes after the intervention.</p>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41126781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Koro-like syndrome in Huntington's disease.","authors":"Saul Martinez-Horta,&nbsp;Jesus Perez-Perez,&nbsp;Jaime Kulisevsky","doi":"10.1016/j.rpsm.2023.01.006","DOIUrl":"https://doi.org/10.1016/j.rpsm.2023.01.006","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49681819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital mental health interventions for anxiety and depressive symptoms in university students during the COVID-19 pandemic: A systematic review of randomized controlled trials","authors":"Ilaria Riboldi ,&nbsp;Daniele Cavaleri ,&nbsp;Angela Calabrese ,&nbsp;Chiara Alessandra Capogrosso ,&nbsp;Susanna Piacenti ,&nbsp;Francesco Bartoli ,&nbsp;Cristina Crocamo ,&nbsp;Giuseppe Carrà","doi":"10.1016/j.rpsm.2022.04.005","DOIUrl":"10.1016/j.rpsm.2022.04.005","url":null,"abstract":"<div><p>University students are particularly vulnerable to mental health issues, with anxiety and depression identified as the most common conditions. During the COVID-19 pandemic, social distancing, self-isolation, and difficulties linked to online teaching and learning have increased their burden of anxiety and depressive symptoms. Thus, the urgent need to intervene in favour of these vulnerable subjects, together with the difficulties in delivering in-person interventions because of lockdowns and restrictions, has led to prioritize digital mental health strategies. This study aimed at systematically reviewing the existing literature on digital mental health interventions targeting anxiety and depressive symptoms in university students during the COVID-19 emergency. Systematic searches of Medline, Embase, and PsycInfo databases identified eight randomized controlled trials. Regarding anxiety symptoms, digitally delivered cognitive behavioural therapy, dialectical behaviour therapy, and mind-body practice techniques emerged as valid strategies, while digital positive psychology and mindfulness-based interventions showed mixed results. On the other hand, digitally delivered dialectical behaviour therapy and positive psychology interventions have shown some efficacy in reducing depressive symptoms. Overall, the available literature, albeit of low quality, seems to support the role of digital interventions in promoting the mental health of university students during the COVID-19 pandemic.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"16 ","pages":"Pages 47-58"},"PeriodicalIF":9.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9212872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9785291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and fMRI-based response predictors to mindfulness-based cognitive therapy in obsessive-compulsive disorder: Study protocol for a randomised clinical trial.","authors":"Neus Miquel-Giner, Muriel Vicent-Gil, Ignacio Martínez-Zalacaín, Daniel Porta-Casteras, Lorea Mar, Marina López-Solà, Jessica R Andrews-Hanna, Carles Soriano-Mas, José Manuel Menchón, Narcís Cardoner, Pino Alonso, Maria Serra-Blasco, Clara López-Solà","doi":"10.1016/j.rpsm.2022.11.002","DOIUrl":"10.1016/j.rpsm.2022.11.002","url":null,"abstract":"<p><strong>Background: </strong>Around 40-50% of patients with obsessive-compulsive disorder (OCD) suffer from obsessions and compulsions after receiving first-line treatments. Mindfulness-based cognitive therapy (MBCT) has been proposed as a reasonable augmentation strategy for OCD. MBCT trains to decentre from distressful thoughts and emotions by focusing on them voluntarily and with consciousness. This practice develops alternative ways to deal with obsessions, which could increase non-reactivity behaviours and, in turn, reduce compulsions. This study aims to investigate the efficacy of MBCT to improve OCD symptoms. Secondly, it pursues to investigate which socio-demographic, clinical, and neurobiological characteristics mediate or moderate the MBCT response; and identify potential biomarkers of positive/negative response.</p><p><strong>Methods: </strong>This study is a randomised clinical trial (RCT) of 60 OCD patients who do not respond to first-line treatments. Participants will be randomised to either an MBCT program or treatment as usual. The MBCT group will undergo 10 weekly sessions of 120min. Principal outcome: change in OCD severity symptoms using clinician and self-reported measures. Also, participants will undergo a comprehensive evaluation assessing comorbid clinical variables, neuropsychological functioning and thought content. Finally, a comprehensive neuroimaging protocol using structural and functional magnetic resonance imaging will be acquired in a 3T scanner. All data will be obtained at baseline and post-intervention.</p><p><strong>Discussion: </strong>This study will assess the efficacy of mindfulness in OCD patients who do not achieve clinical recovery after usual treatment. It is the first RCT in this subject examining clinical, neuropsychological and neuroimaging variables to examine the neural patterns associated with the MBCT response.</p><p><strong>Clinical trials registration: </strong>NCT03128749.</p>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":" ","pages":"58-59"},"PeriodicalIF":5.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of COVID-19 pandemic on the quality of life of healthcare workers and the associated factors: A systematic review","authors":"Liliana Cruz-Ausejo ,&nbsp;David Villarreal-Zegarra ,&nbsp;C. Mahony Reátegui-Rivera ,&nbsp;Miguel Burgos ,&nbsp;Ana L. Vilela-Estrada ,&nbsp;Gabriel Castro ,&nbsp;Héctor Collantes ,&nbsp;Anthony Copez-Lonzoy","doi":"10.1016/j.rpsm.2022.11.003","DOIUrl":"10.1016/j.rpsm.2022.11.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic has exacerbated health issues in healthcare workers which in turn impacts their quality of life.</p></div><div><h3>Objective</h3><p>This review aimed to (i) analyze the impact of the COVID-19 pandemic on the quality of life of healthcare professionals and (ii) identify the associated factors with quality of life.</p></div><div><h3>Materials and methods</h3><p>We conducted a systematic review using the PRISMA guidelines previously registered in PROSPERO (CRD42021253075). The searched in Web of Science, Scopus, MEDLINE and EMBASE databases included original articles published till May 2021.</p></div><div><h3>Results</h3><p>We found 19 articles and 14,352 professionals in total, the median age ranged from 29 to 42.5 years and 37% of the studies used the WHOQOL-BREF instrument to assess the outcome. The report was heterogeneous, 7 studies described global scores and 9 by domains. Depression, anxiety and stress were commonly reported factors affecting professional's quality of life and this was significantly lower among professionals working with COVID-19 patients compared to their counterparts.</p></div><div><h3>Conclusion</h3><p>COVID-19 frontline workers perceived lower quality of life, which was mainly associated with psychological states such as the aforementioned besides to working conditions like not being previously trained in COVID-19 cases. On the other hand, social support, resilience and active coping could improved their quality of life.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"16 ","pages":"Pages 11-24"},"PeriodicalIF":9.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9769413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health symptoms one year after acute COVID-19 infection: Prevalence and risk factors","authors":"Marco Colizzi ,&nbsp;Maddalena Peghin ,&nbsp;Maria De Martino ,&nbsp;Giulia Bontempo ,&nbsp;Valentina Gerussi ,&nbsp;Alvisa Palese ,&nbsp;Miriam Isola ,&nbsp;Carlo Tascini ,&nbsp;Matteo Balestrieri","doi":"10.1016/j.rpsm.2022.05.008","DOIUrl":"10.1016/j.rpsm.2022.05.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Emerging evidence suggests that mental health symptoms in COVID-19 survivors are higher than expected, possibly indicating that such symptoms are more likely to develop post-infection than just persist as a residual component of the acute phase. It is thus imperative to investigate the potential development of a post-COVID mental health syndrome in the longer-term and identify its risk factors.</p></div><div><h3>Material and methods</h3><p>A prospective study investigated mental health symptoms associated with COVID-19 and its determinants over a 12-month period following the disease onset in all consecutive adult inpatients and outpatients with COVID-19 attending a tertiary referral hospital from March to May 2020.</p></div><div><h3>Results</h3><p>A total of 479 patients (female, 52.6%) were followed-up for 12 months after COVID-19 onset. Of them, 47.2% were still presenting with at least one symptom. While most symptoms subsided as compared to COVID-19 onset (all <em>p</em> <!-->&lt;<!--> <!-->0.001), a significant increase was observed only for symptoms of psychiatric disorders (10.2%) and lack of concentration and focus (20%; all <em>p</em> <!-->&lt;<!--> <!-->0.001). Patients presenting with symptoms related to multiple body systems 12 months after contracting COVID-19 (all <em>p</em> <!-->≤<!--> <!-->0.034) were more likely to suffer from mental health domain-related symptoms at follow-up. Also, a higher risk of presenting with lack of concentration and focus 12 months post infection was found in those suffering of psychiatric symptoms at COVID-19 onset (<em>p</em> <!-->=<!--> <!-->0.005).</p></div><div><h3>Conclusions</h3><p>Findings of this study may have important public health implications, as they underlie the increased need for mental health support in COVID-19 survivors.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"16 ","pages":"Pages 38-46"},"PeriodicalIF":9.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9212931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9785293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urgent care and suicidal behavior in the child and adolescent population in a psychiatric emergency department in a Spanish province during the two COVID-19 states of alarm","authors":"Vicent Llorca-Bofí,&nbsp;Marina Adrados-Pérez,&nbsp;Marta Sánchez-Cazalilla,&nbsp;Giovanni Torterolo,&nbsp;Laura Arenas-Pijoan,&nbsp;Esther Buil-Reiné,&nbsp;Eugènia Nicolau-Subires,&nbsp;Carla Albert-Porcar,&nbsp;Lucía Ibarra-Pertusa,&nbsp;Margarita Puigdevall-Ruestes,&nbsp;María Irigoyen-Otiñano","doi":"10.1016/j.rpsm.2022.03.003","DOIUrl":"10.1016/j.rpsm.2022.03.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 outbreak and lockdown may have an impact in mental health among youth, but reports of psychiatry emergency department encounters in young Spanish population are scarce. The aim of this study is to characterize the reasons for psychiatric urgent care of youth during COVID-19 pandemic in our hospital.</p></div><div><h3>Material and methods</h3><p>This cross-sectional study compare visits to the psychiatry emergency department and their characteristics in young patients in the province of Lleida before and after the pandemic with special attention to the two states of alarm and suicidal behavior. Information regarding sociodemographic status, chief complaints, diagnosis, characteristics of suicidal behavior, and other data were obtained from the electronic medical records.</p></div><div><h3>Results</h3><p>Within the total psychiatric emergency attendances, youth patients increased a 83.5% in the second state of alarm (<em>p</em> <!-->=<!--> <!-->0.001). In this period patients were younger (<em>p</em> <!-->=<!--> <!-->0.006), had less psychiatric history (<em>p</em> <!-->=<!--> <!-->0.017) and their living conditions changed with an increase of those living with relatives (<em>p</em> <!-->=<!--> <!-->0.004). Suicidal ideation care increased without statistical significance (<em>p</em> <!-->=<!--> <!-->0.073). Multiple logistic regression identifies independent risk factors for suicidal behavior being female (OR: 2.88 [1.39–5.98]), living with relatives (OR: 3.49 [1.43–8.54]), and having a diagnosis of depression (OR: 6.34 [3.58–11.24]).</p></div><div><h3>Conclusions</h3><p>The number of young people seen in psychiatric emergencies during the chronic stage of the pandemic increased, and these were getting younger and without previous psychiatric contact. The trend to higher rates of suicidal ideation indicates that youth experienced elevated distress during these periods, especially women, living with relatives and presenting depression.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"16 ","pages":"Pages 76-83"},"PeriodicalIF":9.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9212908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9785294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological impact of COVID-19 lockdown on a population with serious mental illness. A prospective cohort study","authors":"Borja Pedruzo ,&nbsp;Ana Catalan ,&nbsp;Claudia Aymerich ,&nbsp;Marta Bordenave ,&nbsp;Olatz Estevez ,&nbsp;Diego Aurofio Gómez ,&nbsp;Jon Herrero ,&nbsp;María Laborda ,&nbsp;Gonzalo Mancebo ,&nbsp;Ania Martínez ,&nbsp;Malein Pacho ,&nbsp;Ana Paniagua ,&nbsp;José Luis Pérez ,&nbsp;Miguel Ángel González-Torres","doi":"10.1016/j.rpsm.2022.04.004","DOIUrl":"10.1016/j.rpsm.2022.04.004","url":null,"abstract":"<div><h3>Introduction</h3><p>COVID-19 has spread worldwide since its appearance at the end of 2019. In Spain, 99-day long home confinement was set from March 15th 2020. Previous studies about events requiring situations of isolation suggested that mental health problems may occur among the general population and, more specifically, vulnerable groups such as individuals with serious mental illness (SMI). This study aims to assess the psychological effect of confinement in patients with mental illness admitted to an inpatient psychiatric unit.</p></div><div><h3>Method</h3><p>In this longitudinal study, IDER (State-Trait Depression Inventory) and STAI (State-Trait Anxiety Inventory) questionnaires were used at two different times (at the beginning and after the lockdown) of the pandemic to evaluate the depression and anxiety symptoms, respectively, in a population of patients who had been previously admitted to the Psychiatry Unit of the Basurto University Hospital.</p></div><div><h3>Results</h3><p>95 participants completed the IDER questionnaire in the first measurement, with a mean score of 24.56 (SD<!--> <!-->=<!--> <!-->8.18) for state and 23.57 (SD<!--> <!-->=<!--> <!-->8.14) for trait. In the case of STAI, the mean score was 27.86 (SD<!--> <!-->=<!--> <!-->15.19) for the state and 30.49 (SD<!--> <!-->=<!--> <!-->14.71) for the trait. No differences between the first and the second time were found in anxiety and depression levels. People with personality disorders presented high levels of anxiety.</p></div><div><h3>Conclusions</h3><p>Individuals with a personality disorder showed the highest scores in anxiety and depression. Nevertheless, strict confinement did not affect this population, despite the literature that evidences that the pandemic has worsened people's mental health with SMI.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"16 ","pages":"Pages 59-67"},"PeriodicalIF":9.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9212956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9416636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}