Clinical Features of First-episode Psychoses During the COVID-19 Pandemic

INTRODUCTION: The pandemic of the new coronavirus infection has become one of the most significant global social shocks in the past decade. It influenced the lifestyle of many people, including those with mental disorders. AIM: To compare the psychopathological structure of psychotic states in yo...

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Autores principales:	Vladimir A. Zyablov, Mikhail A. Gusev, Vasilyi S. Chizhikov
Formato:	article
Lenguaje:	EN RU
Publicado:	Eco-Vector 2021
Materias:	covid-19 psychosis first-episode psychosis acute and transient psychotic disorders panss Psychiatry RC435-571 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/1bd1890284a248ebb12223369afba46e
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spelling	oai:doaj.org-article:1bd1890284a248ebb12223369afba46e2021-11-30T16:05:53ZClinical Features of First-episode Psychoses During the COVID-19 Pandemic2712-76722713-291910.17816/CP85https://doaj.org/article/1bd1890284a248ebb12223369afba46e2021-11-01T00:00:00Zhttps://consortium-psy.com/jour/article/viewFile/85/pdfhttps://doaj.org/toc/2712-7672https://doaj.org/toc/2713-2919INTRODUCTION: The pandemic of the new coronavirus infection has become one of the most significant global social shocks in the past decade. It influenced the lifestyle of many people, including those with mental disorders. AIM: To compare the psychopathological structure of psychotic states in young patients (up to 40 years old) with first-episode psychosis before the COVID-19 pandemic and during the COVID-19 pandemic. METHODS: The research was conducted at the First psychotic episode clinic of the Mental-health clinic No. 1 n.a. N.A. Alexeev, Moscow, Russia. In total, 66 patients were enrolled, who met the inclusion criteria: first-in-life admission to a mental healthcare unit that occurred during the spring of 2019 (control group) or spring 2020 (experimental group), diagnosis on admission that belonged to the group Acute and transient psychotic disorders (F23.XX) of ICD-10. Patients with a disability or concurrent somatic or neurologic conditions were excluded from the study. Assessment of clinical and psychopathological characteristics with the allocation of the leading syndrome within the psychotic state, psychometric assessment according to the PANSS scale was carried out, the above indicators were compared between the experimental and control group. RESULTS: We observed statistically insignificant increase in the rates of affective and catatonic subtypes of psychoses, a decrease in the rate of the delusional subtype of paranoid syndrome. PANSS scores differed significantly for different clinical subtypes of psychoses, although the differences between the experimental and control groups showed no statistical significance. Additionally, in spring 2020, a considerable decrease in the total number of hospitalizations was revealed. CONCLUSIONS: The differences in the clinical and psychopathological structure of psychotic states revealed during the COVID-19 pandemic were statistically insignificant. Additional results of the study may indicate a decrease in the availability of mental healthcare for patients with psychoses, which requires further investigation.Vladimir A. ZyablovMikhail A. GusevVasilyi S. ChizhikovEco-Vectorarticlecovid-19psychosisfirst-episode psychosisacute and transient psychotic disorderspanssPsychiatryRC435-571PsychologyBF1-990ENRUConsortium Psychiatricum, Vol 2, Iss 3, Pp 27-33 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	covid-19 psychosis first-episode psychosis acute and transient psychotic disorders panss Psychiatry RC435-571 Psychology BF1-990
spellingShingle	covid-19 psychosis first-episode psychosis acute and transient psychotic disorders panss Psychiatry RC435-571 Psychology BF1-990 Vladimir A. Zyablov Mikhail A. Gusev Vasilyi S. Chizhikov Clinical Features of First-episode Psychoses During the COVID-19 Pandemic
description	INTRODUCTION: The pandemic of the new coronavirus infection has become one of the most significant global social shocks in the past decade. It influenced the lifestyle of many people, including those with mental disorders. AIM: To compare the psychopathological structure of psychotic states in young patients (up to 40 years old) with first-episode psychosis before the COVID-19 pandemic and during the COVID-19 pandemic. METHODS: The research was conducted at the First psychotic episode clinic of the Mental-health clinic No. 1 n.a. N.A. Alexeev, Moscow, Russia. In total, 66 patients were enrolled, who met the inclusion criteria: first-in-life admission to a mental healthcare unit that occurred during the spring of 2019 (control group) or spring 2020 (experimental group), diagnosis on admission that belonged to the group Acute and transient psychotic disorders (F23.XX) of ICD-10. Patients with a disability or concurrent somatic or neurologic conditions were excluded from the study. Assessment of clinical and psychopathological characteristics with the allocation of the leading syndrome within the psychotic state, psychometric assessment according to the PANSS scale was carried out, the above indicators were compared between the experimental and control group. RESULTS: We observed statistically insignificant increase in the rates of affective and catatonic subtypes of psychoses, a decrease in the rate of the delusional subtype of paranoid syndrome. PANSS scores differed significantly for different clinical subtypes of psychoses, although the differences between the experimental and control groups showed no statistical significance. Additionally, in spring 2020, a considerable decrease in the total number of hospitalizations was revealed. CONCLUSIONS: The differences in the clinical and psychopathological structure of psychotic states revealed during the COVID-19 pandemic were statistically insignificant. Additional results of the study may indicate a decrease in the availability of mental healthcare for patients with psychoses, which requires further investigation.
format	article
author	Vladimir A. Zyablov Mikhail A. Gusev Vasilyi S. Chizhikov
author_facet	Vladimir A. Zyablov Mikhail A. Gusev Vasilyi S. Chizhikov
author_sort	Vladimir A. Zyablov
title	Clinical Features of First-episode Psychoses During the COVID-19 Pandemic
title_short	Clinical Features of First-episode Psychoses During the COVID-19 Pandemic
title_full	Clinical Features of First-episode Psychoses During the COVID-19 Pandemic
title_fullStr	Clinical Features of First-episode Psychoses During the COVID-19 Pandemic
title_full_unstemmed	Clinical Features of First-episode Psychoses During the COVID-19 Pandemic
title_sort	clinical features of first-episode psychoses during the covid-19 pandemic
publisher	Eco-Vector
publishDate	2021
url	https://doaj.org/article/1bd1890284a248ebb12223369afba46e
work_keys_str_mv	AT vladimirazyablov clinicalfeaturesoffirstepisodepsychosesduringthecovid19pandemic AT mikhailagusev clinicalfeaturesoffirstepisodepsychosesduringthecovid19pandemic AT vasilyischizhikov clinicalfeaturesoffirstepisodepsychosesduringthecovid19pandemic
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Clinical Features of First-episode Psychoses During the COVID-19 Pandemic

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