Evidence map›Paper›PMID 37791091›Full record

ArticleClinical neuropsychiatry2023

The Impact of Covid-19 Pandemic on Mental Health Services: A Comparison Between First Psychiatric Consultations Before and After the Pandemic.

Ivano Caselli, Marta Ielmini, Alessandro Bellini, Silvio Marchetti, Giulia Lucca, Erica Vitiello, Manuel Glauco Carbone, Camilla Callegari

Open access · greenAbstract read
In one paragraph

Article in Clinical neuropsychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Utilization of mental health services during the first year of the COVID-19 pandemic - a systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Pooled it
  2. Article
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

8 authors at 3 institutions in 1 country.

Ivano CaselliDepartment of Medicine and Surgery, Section of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), Italy.
Marta IelminiDepartment of Medicine and Surgery, Section of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), Italy.
Alessandro BelliniDepartment of Applied and Psychobehavioural Sciences, Section of Psychiatry, University of Pavia, Via Adolfo Ferrata, 5, 27100 Pavia (PV), Italy.
Silvio MarchettiDepartment of Medicine and Surgery, Section of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), Italy.
Giulia LuccaDepartment of Medicine and Surgery, Section of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), Italy.
Erica VitielloDepartment of Medicine and Surgery, Section of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), Italy.
Manuel Glauco CarboneDepartment of Medicine and Surgery, Section of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), Italy.
Camilla CallegariDepartment of Medicine and Surgery, Section of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), Italy.
University of Insubria · ITUniversity of Pavia · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: A high rate of onset or exacerbation of several mental disorders has been observed during the COVID-19 pandemic. However, the risk contributing to mental distress during the pandemic remains unclear. The study aims to evaluate the risk of the onset of mental disorders by comparing the number of requests for the first psychiatric consultation before and after the COVID-19 pandemic at the psychiatric outpatient services of Varese, a small town in Northern Italy. Method: This observational retrospective study aims to compare the requests for the first psychiatric consultation at the outpatient services of Varese during the 14-month period before COVID-19 pandemic (from 1st January 2019 to 28th February 2020) versus the 14-month period after the pandemic (from 1st March 2020 to 31st May 2021) extracted from the server SIPRL-Psicheweb database (Sistema Informativo della Psichiatria, Lombardy Region). For each patient, socio-demographic features and clinical data (psychiatric diagnosis, psychiatric comorbidities, previous psychiatric records, and previous hospitalization in the psychiatric ward) were collected. Results: Three hundred ninety-five consultations were made during the pre-COVID period and 346 during the post-COVID period. No statistically significant difference was found between the number of first consultation requests in the two periods evaluated but a slight decrease in the total number during the pandemic period (395 vs 346; p=0.07) can be noticed. In the subjects of the pre-COVID group, a statistically significant association was detected with no previous psychiatric records ("absent") and with stressor-related disorders. In the post-COVID group, a statistically significant correlation between "present" previous records and anxiety-depressive disorders emerged. Conclusions: It has been observed that anxiety-depressive disorders increased in the post-COVID-19 period compared to the pre-COVID-19, instead of stressor-related disorders. This might be because stressor-related disorders may be treated by general practitioners with no psychiatric interventions. Most of the first consultations during the period of the COVID-19 pandemic were for patients who already had contact with psychiatric services.The study shows an increasing request for care by more severe patients in the first phase of the SARS-CoV-2 pandemic. Further research is needed to investigate the long-term impact of the COVID-19 pandemic on emergency departments and hospital services.

Indexed as

COVID-19mental healthpandemic periodpsychiatric consultationpsychiatric diagnosis

Identifiers

PMID37791091
PMCPMC10544244
OpenAlexW4387326283

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.