ArticleEuropean archives of psychiatry and clinical neuroscience2022
Medium-term and peri-lockdown course of psychosocial burden during the ongoing COVID-19 pandemic: a longitudinal study on patients with pre-existing mental disorders.
Article in European archives of psychiatry and clinical neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Changes in Prevalence and Severity of Domestic Violence During the COVID-19 Pandemic: A Systematic Review.Frontiers in psychiatry · 2022Pooled it
- Dissociative symptoms during the SARS-CoV-2 pandemic situation in mental health patients.Borderline personality disorder and emotion dysregulation · 2026Article
- The impact of the COVID-19 pandemic on mental and psychosocial functioning, quality of life, and recovery in adults with severe mental illness: Findings from Dutch longitudinal cohorts.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
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- [Effects of the COVID-19 pandemic on the mental health of patients with pre-existing psychopathology].Revista espanola de salud publica · 2024Observational
- Abstinence duration and psychopathology among addiction outpatients during 18 months of COVID-19.Frontiers in psychiatry · 2024Article
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- Evaluating Spatial, Cause-Specific and Seasonal Effects of Excess Mortality Associated with the COVID-19 Pandemic: The Case of Germany, 2020.Journal of epidemiology and global health · 2023Article
- Trajectories of Adjustment Disorder and Well-Being in Austria and Croatia during 20 Months of the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Psychiatric Symptoms in Acute and Persisting Forms of COVID-19 Associated with Neural Autoantibodies.Antibodies (Basel, Switzerland) · 2023Review
- Mental health symptoms 1 year after the COVID-19 outbreak in Spain: The role of pre-existing mental disorders and their type.Journal of affective disorders · 2022Article
- Resilience of people with chronic medical conditions during the COVID-19 pandemic: a 1-year longitudinal prospective survey.BMC psychiatry · 2022Article
- Medium-term and peri-lockdown course of psychosocial burden during the ongoing COVID-19 pandemic: a longitudinal study on patients with pre-existing mental disorders.European archives of psychiatry and clinical neuroscience · 2022Article
- Mental health during the COVID-19 pandemic, impact of childhood trauma in psychiatric disorders, and predictable biomarkers for bipolar disorder.European archives of psychiatry and clinical neuroscience · 2022Article
- Stable through the COVID-19 pandemic: Results from a longitudinal telephone interview study in psychiatric outpatients.PloS one · 2022Article
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- Social Factors Predict Distress Development in Adults With Pre-existing Mental Disorders During the Coronavirus Disease 2019 Pandemic.Frontiers in psychology · 2022Article
- Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data.Frontiers in psychiatry · 2022Article
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18 authors at 6 institutions in 5 countries.
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Abstract
While the COVID-19 pandemic continues, patients with pre-existing mental disorders are increasingly recognized as a risk group for adverse outcomes. However, data are conflicting and cover only short time spans so far. Here, we investigate the medium-term and peri-lockdown-related changes of mental health outcomes in such patients in a longitudinal study. A cohort of 159 patients comprising all major mental disorders (ICD-10 F0-F9) were interviewed twice with the Goettingen psychosocial Burden and Symptom Inventory (Goe-BSI) to evaluate psychosocial burden, psychiatric symptoms and resilience at the end of the first (April/May 2020) and the second lockdown in Germany (November/December 2020). For the primary outcome "psychosocial burden" ratings also comprised retrospective pre-pandemic (early 2020) and very early states during the pandemic (March 2020). For all diagnostic groups, psychosocial burden varied significantly over time (p < 0.001) with an increase from the pre-pandemic to the initial phase (p < 0.001), followed by a steady decrease across both lockdowns, normalizing in November/December 2020. Female gender, high adjustment disorder symptom load at baseline and psychiatric comorbidities were risk factors for higher levels and an unfavorable course of psychosocial burden. Most psychiatric symptoms changed minimally, while resilience decreased over time (p = 0.044 and p = 0.037). The longitudinal course of psychosocial burden indicates an initial stress response, followed by a return to pre-pandemic levels even under recurrent lockdown conditions, mimicking symptoms of an adjustment disorder. Strategies for proactive, specific and continuous treatment have to address resilience capacities before their depletion in the pandemic aftermath, especially for patients with additional risk factors.
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