COVID-19 and psychosis, depression, obsession and quality of life in Lebanese patients with schizophrenia: Any changes after 5 months of quarantine?

BMC Psychology

Joseph E. Dib¹  Nadine Akl²  Chadia Haddad³  Souheil Hallit⁴  Sahar Obeid⁵ 

[1] Division of Psychiatry and Clinical Psychology, School of Medicine, University of Nottingham, Nottingham, UK;Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon;Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon;INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon;Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon;School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon;Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon;

关键词: Covid-19;    Quarantine;    Depression;    Quality of life;    Obsession;    Schizophrenia;   

DOI  :  10.1186/s40359-022-00750-7

来源: Springer

【 摘 要 】

BackgroundPrevious research revealed an absence of any previous studies reporting the impact that pandemics may have on psychotic symptomology, nor on the physical health of people with psychosis in response to the epidemics of the COVID-19. The direction of the impact of the COVID-19 on schizophrenia is unknown, as the risk of infection could vary from patients to patients according to clinical comorbidities, cognitive impairment, acute symptoms, and family support. To the best of our knowledge, no study has provided details on the variation of symptoms in patients with schizophrenia during the quarantine of COVID-19 outbreak. Therefore, the primary objective of the study is to investigate the variation of psychotic symptoms, depression, obsession and quality of life in patients with schizophrenia before and after 5 months of quarantine and evaluate factors associated with these variations during the quarantine period.MethodsA cross-sectional study was performed on a sample of 190 chronic patients institutionalized for schizophrenia for more than 1 year at the Psychiatric Hospital of the Cross. The baseline assessment was done in December 2019; the second assessment was done in August 2020 (5 months after the lockdown).ResultsGetting updates about the coronavirus minimally, some and most of the times were significantly associated with a decrease in positive psychotic and psychopathologic symptoms 5 months after quarantine compared to before it. Practicing religiosity some and all the time versus not was significantly associated with a decrease in negative, psychopathology symptoms and total PANSS score after 5 months of quarantine compared to before it. Finally, female gender (B = 1.77) was significantly associated with an increase in the WHO Domain 3 score (better social relations) after 5 months of quarantine compared to before it.ConclusionPatients with schizophrenia fare better symptomatically after 5 months of quarantine if they receive constant updates about COVID-19 and if they tended to practice religiosity.

【 授权许可】

CC BY