Cargando…
How COVID-19 Phases Have Impacted Psychiatric Risk: A Retrospective Study in an Emergency Care Unit for Adolescents
Dramatic events during the COVID-19 pandemic have acutely impacted the psychosocial environment worldwide, with negative implications for mental health, particularly for more vulnerable children and adolescents with severe psychiatric illnesses. Some data suggest that the pandemic waves may have pro...
Autores principales: | , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9776965/ https://www.ncbi.nlm.nih.gov/pubmed/36553364 http://dx.doi.org/10.3390/children9121921 |
_version_ | 1784855988433584128 |
---|---|
author | Mucci, Maria Lenzi, Francesca D’Acunto, Giulia Maria Gazzillo, Marisa Accorinti, Ilaria Boldrini, Silvia Distefano, Giacomo Falcone, Francesca Fossati, Beatrice Giurdanella Annina, Roberto Paese, Silvia Salluce, Carmen Troiano, Irene Fratoni, Cinzia Fabiani, Deborah Liboni, Francesca Masi, Gabriele |
author_facet | Mucci, Maria Lenzi, Francesca D’Acunto, Giulia Maria Gazzillo, Marisa Accorinti, Ilaria Boldrini, Silvia Distefano, Giacomo Falcone, Francesca Fossati, Beatrice Giurdanella Annina, Roberto Paese, Silvia Salluce, Carmen Troiano, Irene Fratoni, Cinzia Fabiani, Deborah Liboni, Francesca Masi, Gabriele |
author_sort | Mucci, Maria |
collection | PubMed |
description | Dramatic events during the COVID-19 pandemic have acutely impacted the psychosocial environment worldwide, with negative implications for mental health, particularly for more vulnerable children and adolescents with severe psychiatric illnesses. Some data suggest that the pandemic waves may have produced different psychopathological consequences, further worsening in the second phase of the pandemic, compared to those in the first lockdown, soon after March 2020. To test the hypothesis of a further worsening of psychiatric consequences of COVID-19 in the second lockdown compared to the first lockdown, we focused our analysis on a consecutive sample of youth referred to a psychiatric emergency unit for acute mental disorders in the time period between March 2019–March 2021. The sample, consisting of 241 subjects (123 males and 118 females, ranging in age from 11 to 17 years), was divided into three groups: Pre-Lockdown Group (PLG, 115 patients); First Lockdown Group (FLG, 65 patients); and Second Lockdown Group (SLG, 61 patients). Patients in the SLG presented more frequently with non-suicidal self-injuries (NSSIs), suicidal ideation, and suicidal behavior, while no significant differences in self-harm were found between PLG and FLG. Eating disorders were more frequent in both the FLG and SLG, compared to the PLG, while sleep problems were higher only in the SLG. Furthermore, patients in the SLG presented with more frequent psychological maltreatments and neglect, as well as with psychiatric disorders in the parents. Adverse traumatic experiences and internalizing disorders were significantly associated with an increased risk of suicidality. Intellectual disability was less represented from the PLG to SLG, and similarly, the rate of ADHD was lower in the SLG. No differences were found for the other psychiatric diagnoses. This information may be helpful for a better understanding and management of adolescents with severe emotional and behavioral disorders after the exposure to long-lasting collective traumas. |
format | Online Article Text |
id | pubmed-9776965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-97769652022-12-23 How COVID-19 Phases Have Impacted Psychiatric Risk: A Retrospective Study in an Emergency Care Unit for Adolescents Mucci, Maria Lenzi, Francesca D’Acunto, Giulia Maria Gazzillo, Marisa Accorinti, Ilaria Boldrini, Silvia Distefano, Giacomo Falcone, Francesca Fossati, Beatrice Giurdanella Annina, Roberto Paese, Silvia Salluce, Carmen Troiano, Irene Fratoni, Cinzia Fabiani, Deborah Liboni, Francesca Masi, Gabriele Children (Basel) Article Dramatic events during the COVID-19 pandemic have acutely impacted the psychosocial environment worldwide, with negative implications for mental health, particularly for more vulnerable children and adolescents with severe psychiatric illnesses. Some data suggest that the pandemic waves may have produced different psychopathological consequences, further worsening in the second phase of the pandemic, compared to those in the first lockdown, soon after March 2020. To test the hypothesis of a further worsening of psychiatric consequences of COVID-19 in the second lockdown compared to the first lockdown, we focused our analysis on a consecutive sample of youth referred to a psychiatric emergency unit for acute mental disorders in the time period between March 2019–March 2021. The sample, consisting of 241 subjects (123 males and 118 females, ranging in age from 11 to 17 years), was divided into three groups: Pre-Lockdown Group (PLG, 115 patients); First Lockdown Group (FLG, 65 patients); and Second Lockdown Group (SLG, 61 patients). Patients in the SLG presented more frequently with non-suicidal self-injuries (NSSIs), suicidal ideation, and suicidal behavior, while no significant differences in self-harm were found between PLG and FLG. Eating disorders were more frequent in both the FLG and SLG, compared to the PLG, while sleep problems were higher only in the SLG. Furthermore, patients in the SLG presented with more frequent psychological maltreatments and neglect, as well as with psychiatric disorders in the parents. Adverse traumatic experiences and internalizing disorders were significantly associated with an increased risk of suicidality. Intellectual disability was less represented from the PLG to SLG, and similarly, the rate of ADHD was lower in the SLG. No differences were found for the other psychiatric diagnoses. This information may be helpful for a better understanding and management of adolescents with severe emotional and behavioral disorders after the exposure to long-lasting collective traumas. MDPI 2022-12-08 /pmc/articles/PMC9776965/ /pubmed/36553364 http://dx.doi.org/10.3390/children9121921 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Mucci, Maria Lenzi, Francesca D’Acunto, Giulia Maria Gazzillo, Marisa Accorinti, Ilaria Boldrini, Silvia Distefano, Giacomo Falcone, Francesca Fossati, Beatrice Giurdanella Annina, Roberto Paese, Silvia Salluce, Carmen Troiano, Irene Fratoni, Cinzia Fabiani, Deborah Liboni, Francesca Masi, Gabriele How COVID-19 Phases Have Impacted Psychiatric Risk: A Retrospective Study in an Emergency Care Unit for Adolescents |
title | How COVID-19 Phases Have Impacted Psychiatric Risk: A Retrospective Study in an Emergency Care Unit for Adolescents |
title_full | How COVID-19 Phases Have Impacted Psychiatric Risk: A Retrospective Study in an Emergency Care Unit for Adolescents |
title_fullStr | How COVID-19 Phases Have Impacted Psychiatric Risk: A Retrospective Study in an Emergency Care Unit for Adolescents |
title_full_unstemmed | How COVID-19 Phases Have Impacted Psychiatric Risk: A Retrospective Study in an Emergency Care Unit for Adolescents |
title_short | How COVID-19 Phases Have Impacted Psychiatric Risk: A Retrospective Study in an Emergency Care Unit for Adolescents |
title_sort | how covid-19 phases have impacted psychiatric risk: a retrospective study in an emergency care unit for adolescents |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9776965/ https://www.ncbi.nlm.nih.gov/pubmed/36553364 http://dx.doi.org/10.3390/children9121921 |
work_keys_str_mv | AT muccimaria howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT lenzifrancesca howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT dacuntogiuliamaria howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT gazzillomarisa howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT accorintiilaria howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT boldrinisilvia howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT distefanogiacomo howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT falconefrancesca howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT fossatibeatrice howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT giurdanellaanninaroberto howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT paesesilvia howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT sallucecarmen howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT troianoirene howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT fratonicinzia howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT fabianideborah howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT libonifrancesca howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents AT masigabriele howcovid19phaseshaveimpactedpsychiatricriskaretrospectivestudyinanemergencycareunitforadolescents |