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The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

The COVID-19 pandemic could have major effects on already vulnerable individuals with psychiatric disorders. It is important to assess how different patient groups respond to stress related to the pandemic, and what additional factors influence it, including family-related stress, migration backgrou...

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Autores principales: Moran, James K., Bretz, Joachim, Winkler, Johanna, Gutwinski, Stefan, Brandl, Eva J., Schouler-Ocak, Meryam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192805/
https://www.ncbi.nlm.nih.gov/pubmed/34122174
http://dx.doi.org/10.3389/fpsyt.2021.642784
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author Moran, James K.
Bretz, Joachim
Winkler, Johanna
Gutwinski, Stefan
Brandl, Eva J.
Schouler-Ocak, Meryam
author_facet Moran, James K.
Bretz, Joachim
Winkler, Johanna
Gutwinski, Stefan
Brandl, Eva J.
Schouler-Ocak, Meryam
author_sort Moran, James K.
collection PubMed
description The COVID-19 pandemic could have major effects on already vulnerable individuals with psychiatric disorders. It is important to assess how different patient groups respond to stress related to the pandemic, and what additional factors influence it, including family-related stress, migration background, and sex. We conducted a survey in a sample of 294 psychiatric patients in a large outpatient clinic in Berlin, measuring level of distress in relation to COVID-19 lockdown as well as family-related distress. We also measured potential influencing factors such as media consumption and medical support. In the migration background group, we found that women had more lockdown related psychological distress than men. This was not apparent in those patients with a German background. We found that females were more strongly affected by family-related distress, particularly those with a migration background. People with PTSD were most strongly affected by family-related distress, whereas people with psychotic disorders and addiction reported the least distress. There were no effects of media consumption. There were no differences in ability to abide by the lockdown related restrictions across diagnoses. Our results support earlier findings on differential vulnerability of diagnostic groups to these stressors. Thus, clinicians can optimize treatment by taking family-related stressors into account particularly for females and people with a migrant background.
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spelling pubmed-81928052021-06-12 The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany Moran, James K. Bretz, Joachim Winkler, Johanna Gutwinski, Stefan Brandl, Eva J. Schouler-Ocak, Meryam Front Psychiatry Psychiatry The COVID-19 pandemic could have major effects on already vulnerable individuals with psychiatric disorders. It is important to assess how different patient groups respond to stress related to the pandemic, and what additional factors influence it, including family-related stress, migration background, and sex. We conducted a survey in a sample of 294 psychiatric patients in a large outpatient clinic in Berlin, measuring level of distress in relation to COVID-19 lockdown as well as family-related distress. We also measured potential influencing factors such as media consumption and medical support. In the migration background group, we found that women had more lockdown related psychological distress than men. This was not apparent in those patients with a German background. We found that females were more strongly affected by family-related distress, particularly those with a migration background. People with PTSD were most strongly affected by family-related distress, whereas people with psychotic disorders and addiction reported the least distress. There were no effects of media consumption. There were no differences in ability to abide by the lockdown related restrictions across diagnoses. Our results support earlier findings on differential vulnerability of diagnostic groups to these stressors. Thus, clinicians can optimize treatment by taking family-related stressors into account particularly for females and people with a migrant background. Frontiers Media S.A. 2021-05-28 /pmc/articles/PMC8192805/ /pubmed/34122174 http://dx.doi.org/10.3389/fpsyt.2021.642784 Text en Copyright © 2021 Moran, Bretz, Winkler, Gutwinski, Brandl and Schouler-Ocak. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Moran, James K.
Bretz, Joachim
Winkler, Johanna
Gutwinski, Stefan
Brandl, Eva J.
Schouler-Ocak, Meryam
The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany
title The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany
title_full The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany
title_fullStr The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany
title_full_unstemmed The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany
title_short The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany
title_sort differential impact of lockdown measures upon migrant and female psychiatric patients – a cross-sectional survey in a psychiatric hospital in berlin, germany
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192805/
https://www.ncbi.nlm.nih.gov/pubmed/34122174
http://dx.doi.org/10.3389/fpsyt.2021.642784
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