Losing psychiatric or psychological follow-up during the first COVID-19 confinement in Portugal: outcomes in mental health
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Other documents of the author: Gomes, M; Silva Moreira, P.; Ferreira, S.; Couto, B.; Machado-Sousa, M.; Raposo-Lima, C.; Sousa, N.; Picó-Pérez, Maria; Morgado, P.
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comunitat-uji-handle2:10234/8033
comunitat-uji-handle3:10234/8636
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Title
Losing psychiatric or psychological follow-up during the first COVID-19 confinement in Portugal: outcomes in mental healthAuthor (s)
Date
2023Publisher
Cambridge University PressBibliographic citation
Gomes M, Silva Moreira P, Ferreira S, et al. Losing psychiatric or psychological follow-up during the first COVID-19 confinement in Portugal: outcomes in mental health. European Psychiatry. 2023;66(S1):S593-S593. doi:10.1192/j.eurpsy.2023.1239Type
info:eu-repo/semantics/articleVersion
info:eu-repo/semantics/publishedVersionAbstract
Introduction: The COVID-19 outbreak imposed several periods of
lockdown to stop the pandemic, with a determinant impact on
access to mental health services. In Portugal, the first State of
Emergency was declared ... [+]
Introduction: The COVID-19 outbreak imposed several periods of
lockdown to stop the pandemic, with a determinant impact on
access to mental health services. In Portugal, the first State of
Emergency was declared on the 18th of March 2020, with the
obligation of mandatory confinement and circulation restriction.
Restrictive measures were alleviated on the 2nd of May 2020.
Objectives: We aimed to investigate the impact of the first confinement on the maintenance or loss of psychiatric and psychological follow-up. Also, we aimed to explore the outcomes in the
mental health of losing psychiatric or psychological consultations.
Methods: We conducted an online survey among the Portuguese
population to evaluate demographic, clinical and mental health
variables (STAI, DASS-21, PHQ, OCI-R, Quality of Life [QoL]
and PSS). Individuals were invited to answer the survey at two
timepoints: third week of March 2020 and third week of May 2020.
Concerning the first timepoint, we used independent t-tests to
compare the mental health variables in the individuals who loss
and who did not lose consultations. Then, we evaluated the impact
of losing consultations across time in those individuals who continued responding in the second timepoint, through a Linear Fixed
Model. All the analyses were performed using JASP software.
Results: From the total sample (n=2040), 334 individuals (84.4%
female gender) had psychiatric and/or psychological consultations previously to the confinement. In March 2020, the individuals who
maintained the consultations (35.0%) showed best mental health
indicators in the QoL Self Evaluation (p=0.002), QoL Satisfaction
(p=0.037), STAI State (p<0.001), DASS-21 (p=0.001), PHQ
(p<0.001), OCI-R (p=0.002) and PSS (p<0.001). Among the
matched individuals who answered the survey in May 2020
(n=93), we found that the group who maintained follow-up
(n=24) did not improve significantly more than the other group
(n=69) for any of the mental health variables in study.
Conclusions: The results indicate that stopping psychiatric and
psychological follow-up represented worse mental health outcomes
at the beginning of the first confinement. However, anxiety feelings
improved at the end of the first confinement, which happened
independently of psychiatric/ psychological follow-up. [-]
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