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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...

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Autores principales: 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
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
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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.
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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
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