COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses

Abstract Individuals with severe mental illnesses (SMIs) may be disproportionately vulnerable to COVID-19 infection and psychological distress. This study investigated the prevalence of engagement in COVID-19 preventative behaviors, predictors of these behaviors, and COVID-19-related psychological d...

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Autores principales:	Amy E. Pinkham, Robert A. Ackerman, Colin A. Depp, Philip D. Harvey, Raeanne C. Moore
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/3cb31ea6208349fe83276a122a1b9276
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spelling	oai:doaj.org-article:3cb31ea6208349fe83276a122a1b92762021-12-02T10:44:06ZCOVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses10.1038/s41537-021-00136-52334-265Xhttps://doaj.org/article/3cb31ea6208349fe83276a122a1b92762021-02-01T00:00:00Zhttps://doi.org/10.1038/s41537-021-00136-5https://doaj.org/toc/2334-265XAbstract Individuals with severe mental illnesses (SMIs) may be disproportionately vulnerable to COVID-19 infection and psychological distress. This study investigated the prevalence of engagement in COVID-19 preventative behaviors, predictors of these behaviors, and COVID-19-related psychological distress. One hundred and sixty-three individuals with SMIs (94 with schizophrenia spectrum illnesses and 69 with affective disorders) and 27 psychiatrically healthy comparison participants were recruited from ongoing studies across 3 sites, to complete a phone survey querying implementation of 8 specific COVID-19 preventative behaviors that participants engaged in at least once in the past month as well as standard assessments of depression, anxiety, perceived stress, loneliness, and coping. Data were collected between 3 April 2020 and 4 June 2020. The large majority of our SMI sample, which consisted of outpatients with relatively mild symptom severity, endorsed engaging in multiple preventative behaviors. Relatively few differences were found between groups; however, individuals with SMI were less likely to work remotely than healthy individuals and individuals with schizophrenia spectrum illness were less likely to stay home as a preventative measure, wear face masks, and work remotely than individuals with affective disorders. Differences in staying home remained after controlling for potential confounds. Although individuals with SMI reported more psychological distress related to COVID-19, this distress was largely unrelated to engagement in preventative behaviors. The large majority of individuals with SMI in this outpatient sample, regardless of broad diagnostic category, reported performing multiple behaviors intended to prevent COVID-19 infection at least once a month and reported distress associated with the pandemic. These findings suggest a good level of awareness of COVID-19 among stable outpatients with SMI. The degree to which more acutely ill persons with SMI engage in such preventative behaviors, however, remains to be examined.Amy E. PinkhamRobert A. AckermanColin A. DeppPhilip D. HarveyRaeanne C. MooreNature PortfolioarticlePsychiatryRC435-571ENnpj Schizophrenia, Vol 7, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571
spellingShingle	Psychiatry RC435-571 Amy E. Pinkham Robert A. Ackerman Colin A. Depp Philip D. Harvey Raeanne C. Moore COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses
description	Abstract Individuals with severe mental illnesses (SMIs) may be disproportionately vulnerable to COVID-19 infection and psychological distress. This study investigated the prevalence of engagement in COVID-19 preventative behaviors, predictors of these behaviors, and COVID-19-related psychological distress. One hundred and sixty-three individuals with SMIs (94 with schizophrenia spectrum illnesses and 69 with affective disorders) and 27 psychiatrically healthy comparison participants were recruited from ongoing studies across 3 sites, to complete a phone survey querying implementation of 8 specific COVID-19 preventative behaviors that participants engaged in at least once in the past month as well as standard assessments of depression, anxiety, perceived stress, loneliness, and coping. Data were collected between 3 April 2020 and 4 June 2020. The large majority of our SMI sample, which consisted of outpatients with relatively mild symptom severity, endorsed engaging in multiple preventative behaviors. Relatively few differences were found between groups; however, individuals with SMI were less likely to work remotely than healthy individuals and individuals with schizophrenia spectrum illness were less likely to stay home as a preventative measure, wear face masks, and work remotely than individuals with affective disorders. Differences in staying home remained after controlling for potential confounds. Although individuals with SMI reported more psychological distress related to COVID-19, this distress was largely unrelated to engagement in preventative behaviors. The large majority of individuals with SMI in this outpatient sample, regardless of broad diagnostic category, reported performing multiple behaviors intended to prevent COVID-19 infection at least once a month and reported distress associated with the pandemic. These findings suggest a good level of awareness of COVID-19 among stable outpatients with SMI. The degree to which more acutely ill persons with SMI engage in such preventative behaviors, however, remains to be examined.
format	article
author	Amy E. Pinkham Robert A. Ackerman Colin A. Depp Philip D. Harvey Raeanne C. Moore
author_facet	Amy E. Pinkham Robert A. Ackerman Colin A. Depp Philip D. Harvey Raeanne C. Moore
author_sort	Amy E. Pinkham
title	COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses
title_short	COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses
title_full	COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses
title_fullStr	COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses
title_full_unstemmed	COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses
title_sort	covid-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3cb31ea6208349fe83276a122a1b9276
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COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses

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