Cargando…
Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic and related countermeasures hinder health care access and affect mental wellbeing of non-COVID-19 patients. There is lack of evidence on distress and mental health of patients hospitalized due to other reasons than COVID-19—a vulnerable po...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113023/ https://www.ncbi.nlm.nih.gov/pubmed/35592378 http://dx.doi.org/10.3389/fpsyt.2022.872116 |
_version_ | 1784709510955270144 |
---|---|
author | Aebi, Nicola Julia Fink, Günther Wyss, Kaspar Schwenkglenks, Matthias Baenteli, Iris Caviezel, Seraina Studer, Anja Trost, Sarah Tschudin, Sibil Schaefert, Rainer Meinlschmidt, Gunther |
author_facet | Aebi, Nicola Julia Fink, Günther Wyss, Kaspar Schwenkglenks, Matthias Baenteli, Iris Caviezel, Seraina Studer, Anja Trost, Sarah Tschudin, Sibil Schaefert, Rainer Meinlschmidt, Gunther |
author_sort | Aebi, Nicola Julia |
collection | PubMed |
description | BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic and related countermeasures hinder health care access and affect mental wellbeing of non-COVID-19 patients. There is lack of evidence on distress and mental health of patients hospitalized due to other reasons than COVID-19—a vulnerable population group in two ways: First, given their risk for physical diseases, they are at increased risk for severe courses and death related to COVID-19. Second, they may struggle particularly with COVID-19 restrictions due to their dependence on social support. Therefore, we investigated the association of intensity of COVID-19 restrictions with levels of COVID-19-related distress, mental health (depression, anxiety, somatic symptom disorder, and mental quality of life), and perceived social support among Swiss general hospital non-COVID-19 inpatients. METHODS: We analyzed distress of 873 hospital inpatients not admitted for COVID-19, recruited from internal medicine, gynecology, rheumatology, rehabilitation, acute geriatrics, and geriatric rehabilitation wards of three hospitals. We assessed distress due to the COVID-19 pandemic, and four indicators of mental health: depressive and anxiety symptom severity, psychological distress associated with somatic symptoms, and the mental component of health-related quality of life; additionally, we assessed social support. The data collection period was divided into modest (June 9 to October 18, 2020) and strong (October 19, 2020, to April 17, 2021) COVID-19 restrictions, based on the Oxford Stringency Index for Switzerland. RESULTS: An additional 13% (95%-Confidence Interval 4–21%) and 9% (1–16%) of hospital inpatients reported distress related to leisure time and loneliness, respectively, during strong COVID-19 restrictions compared to times of modest restrictions. There was no evidence for changes in mental health or social support. CONCLUSIONS: Focusing on the vulnerable population of general hospital inpatients not admitted for COVID-19, our results suggest that tightening of COVID-19 restrictions in October 2020 was associated with increased COVID-19-related distress regarding leisure time and loneliness, with no evidence for a related decrease in mental health. If this association was causal, safe measures to increase social interaction (e.g., virtual encounters and outdoor activities) are highly warranted. TRIAL REGISTRATION: www.ClinicalTrials.gov, identifier: NCT04269005. |
format | Online Article Text |
id | pubmed-9113023 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-91130232022-05-18 Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data Aebi, Nicola Julia Fink, Günther Wyss, Kaspar Schwenkglenks, Matthias Baenteli, Iris Caviezel, Seraina Studer, Anja Trost, Sarah Tschudin, Sibil Schaefert, Rainer Meinlschmidt, Gunther Front Psychiatry Psychiatry BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic and related countermeasures hinder health care access and affect mental wellbeing of non-COVID-19 patients. There is lack of evidence on distress and mental health of patients hospitalized due to other reasons than COVID-19—a vulnerable population group in two ways: First, given their risk for physical diseases, they are at increased risk for severe courses and death related to COVID-19. Second, they may struggle particularly with COVID-19 restrictions due to their dependence on social support. Therefore, we investigated the association of intensity of COVID-19 restrictions with levels of COVID-19-related distress, mental health (depression, anxiety, somatic symptom disorder, and mental quality of life), and perceived social support among Swiss general hospital non-COVID-19 inpatients. METHODS: We analyzed distress of 873 hospital inpatients not admitted for COVID-19, recruited from internal medicine, gynecology, rheumatology, rehabilitation, acute geriatrics, and geriatric rehabilitation wards of three hospitals. We assessed distress due to the COVID-19 pandemic, and four indicators of mental health: depressive and anxiety symptom severity, psychological distress associated with somatic symptoms, and the mental component of health-related quality of life; additionally, we assessed social support. The data collection period was divided into modest (June 9 to October 18, 2020) and strong (October 19, 2020, to April 17, 2021) COVID-19 restrictions, based on the Oxford Stringency Index for Switzerland. RESULTS: An additional 13% (95%-Confidence Interval 4–21%) and 9% (1–16%) of hospital inpatients reported distress related to leisure time and loneliness, respectively, during strong COVID-19 restrictions compared to times of modest restrictions. There was no evidence for changes in mental health or social support. CONCLUSIONS: Focusing on the vulnerable population of general hospital inpatients not admitted for COVID-19, our results suggest that tightening of COVID-19 restrictions in October 2020 was associated with increased COVID-19-related distress regarding leisure time and loneliness, with no evidence for a related decrease in mental health. If this association was causal, safe measures to increase social interaction (e.g., virtual encounters and outdoor activities) are highly warranted. TRIAL REGISTRATION: www.ClinicalTrials.gov, identifier: NCT04269005. Frontiers Media S.A. 2022-05-03 /pmc/articles/PMC9113023/ /pubmed/35592378 http://dx.doi.org/10.3389/fpsyt.2022.872116 Text en Copyright © 2022 Aebi, Fink, Wyss, Schwenkglenks, Baenteli, Caviezel, Studer, Trost, Tschudin, Schaefert, Meinlschmidt and the SomPsyNet Consortium. 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 Aebi, Nicola Julia Fink, Günther Wyss, Kaspar Schwenkglenks, Matthias Baenteli, Iris Caviezel, Seraina Studer, Anja Trost, Sarah Tschudin, Sibil Schaefert, Rainer Meinlschmidt, Gunther Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
title | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
title_full | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
title_fullStr | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
title_full_unstemmed | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
title_short | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
title_sort | association of different restriction levels with covid-19-related distress and mental health in somatic inpatients: a secondary analysis of swiss general hospital data |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113023/ https://www.ncbi.nlm.nih.gov/pubmed/35592378 http://dx.doi.org/10.3389/fpsyt.2022.872116 |
work_keys_str_mv | AT aebinicolajulia associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT finkgunther associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT wysskaspar associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT schwenkglenksmatthias associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT baenteliiris associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT caviezelseraina associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT studeranja associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT trostsarah associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT tschudinsibil associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT schaefertrainer associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT meinlschmidtgunther associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata AT associationofdifferentrestrictionlevelswithcovid19relateddistressandmentalhealthinsomaticinpatientsasecondaryanalysisofswissgeneralhospitaldata |