Evidence map›Paper›PMID 32771661›Full record

ArticlePublic health2020

Negative impacts of COVID-19 lockdown on mental health service access and follow-up adherence for immigrants and individuals in socio-economic difficulties.

M Aragona, A Barbato, A Cavani, G Costanzo, C Mirisola

Open access · greenAbstract read
In one paragraph

Article in Public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 4 pooled it
12.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 4 syntheses or guidelines pooled it, 182 citations in OpenAlex.

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  4. Exploring the Impact of COVID-19 on Mental Health Outcomes in Children and Adolescents: A Systematic Review.International journal of environmental research and public health · 2020
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

M AragonaNational Institute for Health, Migration and Poverty (INMP), Rome, Italy. Electronic address: massimiliano.aragona@inmp.it.
A BarbatoNational Institute for Health, Migration and Poverty (INMP), Rome, Italy.
A CavaniNational Institute for Health, Migration and Poverty (INMP), Rome, Italy.
G CostanzoNational Institute for Health, Migration and Poverty (INMP), Rome, Italy.
C MirisolaNational Institute for Health, Migration and Poverty (INMP), Rome, Italy.
Institute of Marine Engineering · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLockdown measures in response to the coronavirus disease 2019 (COVID-19) pandemic can have serious mental health effects on the population, especially in vulnerable groups, such as those living in poor socio-economic conditions, those who are homeless, migrant workers and asylum seekers/refugees. In addition, these vulnerable groups frequently have greater difficulty accessing health services and in treatment adherence. The aim of this study is to estimate the impact of the COVID-19-related lockdown on service utilisation and follow-up adherence in an Italian mental health outpatient service for migrants and individuals in socio-economic difficulties. STUDY

designThe design of this study is a retrospective cross-sectional study.

methodsAll patients who visited the mental health outpatient service in the months of February and March in the years 2017-2020 were included in the study. To compare service utilisation before and after the lockdown, the number of patients who visited the mental health outpatient service for psychiatric interview were recorded. Follow-up adherence was calculated as the percentage of patients who visited in February and subsequently attended a follow-up visit in March of the same year.

resultsThe number of patients who visited the outpatient service between February 2017 and February 2020 was continuously increasing. In March 2020, fewer patients visited the service for psychiatric interview, in line with the introduction of lockdown measures. In addition, the number of the patients who visited in February 2020 and returned for their follow-up visits in March 2020 declined from approximately 30% over the same months in 2017-2019 to 17.53% in March 2020.

conclusionsThe lockdown-related reduction in numbers of patients accessing the mental health service makes it difficult to help vulnerable populations during a period of time in which their mental health needs are expected to increase. Moreover, the reduction seen in follow-up compliance increases the risk of treatment discontinuation and possible relapse. Proactive alternative strategies need to be developed to reach these vulnerable populations.

Indexed as

PovertyAdultCoronavirus InfectionsCOVID-19Cross-Sectional StudiesEmigrants and ImmigrantsFacilities and Services UtilizationFemaleHealth Services AccessibilityHumansIll-Housed PersonsItalyMaleMental Health ServicesMiddle AgedPandemicsCoronavirusHomelessImmigrantsMental healthRefugeesService utilisation

Identifiers

PMID32771661
PMCPMC7409736
OpenAlexW3047789373

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.