A population-based cohort to investigate the impact of COVID-19 on socioeconomic inequalities in mental health care in Italy (CoMeH): study protocol

Social Psychiatry and Psychiatric Epidemiology, Год журнала: 2025, Номер unknown

Опубликована: Фев. 14, 2025

The Covid and Mental Health (CoMeH) cohort was established to assess the impact of COVID-19 pandemic on use mental health care services in Italy short long term, with a particular focus socioeconomic and/or citizenship inequalities. CoMeH includes all residents for at least two years one three vast catchment areas (N = 5,167,043), aged ≥ 10 assisted by National Service (NHS) general practitioner (GP) area residence. Primary outcomes interest are following indicators use: first access any service (MHCS), total number accesses MHCS, consumption psychiatric drugs, or psychological outpatient visits, residential day days spent facilities, emergency department (ED) admissions, inpatient admissions hospitals. Initial findings show that incident MHCS users were 3.2% population Bergamo Local Authority (LHA), 3.5% Rome 2 LHA, 4.4% Tuscany Region. overall crude incidence rate 3.3% pre-COVID-19 period 2.6% during pandemic. Prescriptions disorder (57.2%) ED (25.1%) main reasons enrollment. Compared population, people conditions older more often female. distribution deprivation index overlapped population. Immigrants younger, socioeconomically deprived, entered study an admission. This focused through evaluation hospitalizations, accesses, use, drug prescriptions. We also evaluated inequalities census-based migration status. Finally, we analyzed infection outcome cohort.

Язык: Английский

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Factors Associated with Leaving Ambulatory Psychiatric Treatment in a Large, Academic Health System During the COVID-19 Pandemic

Psychiatric Quarterly, Год журнала: 2025, Номер unknown

Опубликована: Март 19, 2025

Язык: Английский

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A Population-based Cohort to Investigate the Impact of Covid-19 on Socioeconomic Inequalities in Mental Health Care in Italy (Comeh): Cohort Profile

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Янв. 29, 2024

Abstract Background The CoMeH cohort was established to assess the impact of COVID-19 pandemic on use mental health services in Italy short and long term, with a particular focus socioeconomic and/or citizenship inequalities. Methods All residents subjects for at least 2 years, aged ≥ 10 assisted by an NHS general practitioner (GP) area residence, three vast catchment areas (N = 5,167,043). Primary outcomes interest are following indicators care services’ use: first access any service, total number accesses services, consumption psychiatric drugs, or psychological outpatient visits, residential day days spent facilities, emergency inpatient admissions hospitals. Results Incident users were 3.2% population Bergamo LHA, 3.5% Rome2 4.4% Tuscany Region. overall crude incidence rate 3.3% pre-COVID-19 period 2.6% during pandemic. Prescriptions disorder (57.2%) ED (25.1%) main reasons enrollment. Compared population, people conditions older more often female. distribution incident deprivation index overlapped that population. Immigrants younger, socioeconomically deprived, entered study admission. Discussion We will through evaluation hospitalization, emergency, drug prescriptions. also evaluate inequalities census-based migration status. Finally, we analyze infection outcome cohort.

Язык: Английский

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Admissions to psychiatric inpatient services and use of coercive measures in 2020 in a Swiss psychiatric department: An interrupted time-series analysis

PLoS ONE, Год журнала: 2023, Номер 18(7), С. e0289310 - e0289310

Опубликована: Июль 27, 2023

The CoVID pandemic and the associated lockdown had a significant impact on mental health services. Inpatient services faced challenge of offering acute psychiatric while implementing strict infection control measures. There is, however, lack studies investigating use coercive measures during their relation to hospitalizations symptom severity.To investigate effects outbreak admissions, seclusion severity.Using routine data from 2019 2020 gathered in Department Psychiatry at Geneva University Hospitals, we performed an interrupted time series analysis. This included number hospitalizations, proportion people who experienced average severity symptoms as measured by Health Nations Outcome Scale (HoNOS). Dependent variables were regressed variable using regression model with bootstrapped standard errors.Hospitalizations decreased over (b = -0.57, 95% CI: -0.67; -0.48, p < .001). A structural break (supremum Wald test: .001) was observed 12th week 2020. inverse relationship between admissions proportions subject 0.21, -0.32; -0.09, statistically marginally HoNOS scores admission -1.28, -2.59, 0.02, .054).Our results show that decrease hospital admissions. correlated greater seclusion. higher burden difficult implementation might explain this coercion.

Язык: Английский

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Incidence of Panic Disorder Diagnoses After Celebrity Disclosures of Panic Disorder in South Korea

JAMA Network Open, Год журнала: 2024, Номер 7(7), С. e2420934 - e2420934

Опубликована: Июль 10, 2024

The persistent stigma associated with mental health conditions is a major challenge worldwide. Celebrities may improve this by openly discussing their own issues, potentially influencing public attitudes and encouraging individuals to seek treatment for these conditions.

Язык: Английский

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Changes in psychiatric disorder incidence patterns during the COVID-19 pandemic in Korea: a study using the nationwide universal health insurance data

BMC Psychiatry, Год журнала: 2024, Номер 24(1)

Опубликована: Дек. 5, 2024

Abstract Background Few studies have evaluated the incidence of various psychiatric disorders during coronavirus disease (COVID-19) pandemic using hospital visit data for entire population a nation. We used Korea’s universal compulsory health insurance to conduct descriptive analysis evaluate changes in disorder COVID-19 pandemic. Methods Hospital related were retrieved from National Health Insurance Database. First-ever diagnosis specific each Korean was identified (from January 2015 February 2023) and monthly age-standardized rates calculated. An interrupted time-series estimate counterfactual observed compared difference-in-difference framework. Results Compared pre-pandemic period, there decrease [percentage rate (95% confidence intervals)] organic mental [-14.6% (-18.4, -10.9)] psychoactive substance [-12.9% (-17.5, -8.3)] However, anxiety [8.8% (3.1, 14.6)], behavioral syndromes associated with physiological disturbances [8.1% (4.2, 11.9)], retardation [8.6% (3.0, 14.2)], psychological developmental [19.6% (11.5, 27.7)], childhood- adolescent-onset emotional [45.1% (28.4, 61.8)], unspecified diseases [51.8% (39.8, 63.8)] increased. Conclusions Psychological patterns changed substantially South Korea. Various pandemic-related stressors, such as disrupted lifestyles accessibility, may influenced these changes. The causes public consequences require further evaluation.

Язык: Английский

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Adult Mental Health Presentations to Emergency Departments in Victoria, Australia between January 2018 and October 2020: Changes Associated with COVID-19 Pandemic Public Health Restrictions

Psychiatric Quarterly, Год журнала: 2023, Номер 95(1), С. 33 - 52

Опубликована: Ноя. 8, 2023

Abstract The COVID-19 pandemic and associated public health measures altered patterns of help-seeking for mental health, with increases in emergency department utilisation reported. We examined the association between restrictions adult (ED) presentations Victoria, Australia, through secondary analysis data from 39 EDs across state. Participants were all patients (18+ years) presenting 1 January 2018 31 October 2020 or intentional self-harm. main outcome was number each condition, by patient age, socioeconomic status (SES), location, ED triage category. used a Poisson regression model to compare predicted monthly based on trends 2018, 2019 (up March), observed during initial months (1 April 2020). There an average 4,967 per month pre-COVID-19 January–31 March 2020) 5,054 period April–31 Compared incidence, eating disorder increased 24.0% period, primarily among higher SES females aged 18–24 years. Developmental/behavioural decreased 19.7% age groups. Pandemic overall some disorders increasing others decreasing. Accessibility acute services needs be addressed meet changing demand ensure are responsive changes resulting future challenges.

Язык: Английский

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Effects of the Covid-19 pandemic on the continuity of sexual and reproductive health care in the maternity ward of a health and social promotion centre in Burkina Faso: a qualitative study

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Апрель 15, 2024

Abstract Background The COVID-19 pandemic has significantly impacted the continuity of maternity care in Burkina Faso. This study aimed to compare volumes in-person visits and explore experiences healthcare providers users regarding ward a Health Social Promotion Center (HSPC) before, during after lockdown Ouagadougou, Methods We conducted multimethod, cross-sectional exploratory with phenomenological approach. Monthly health administrative data family planning visits, antenatal deliveries, postnatal during, were collected compared. Qualitative through semi-structured interviews thematically analyzed. Results found that led decline demand for healthcare, as people afraid contracting COVID-19. was particularly true pregnant women who had recently given birth. also disrupted supply essential medicines medical supplies, which made it difficult provide quality care. qualitative analysis allowed us highlight three themes: representation respondents on COVID-19, their perception effectiveness barrier measures times COVID-19: picture efficacy Despite these challenges, could find ways maintain Conclusion concludes However, have care, provides recommendations improving future.

Язык: Английский

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The impact of the COVID-19 pandemic on hospital admissions for psychiatric disorders: results from the multicentre CoMeH study on the Italian population Running title: The impact of COVID-19 on hospital admissions for psychiatric disorders

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Окт. 18, 2024

Background. To evaluate the impact of COVID-19 pandemic on hospital admissions for psychiatric disorders, with a focus patients’ socioeconomic and demographic characteristics and/or diagnostic group type admission. Methods. Open cohort individuals aged ≥ 10 years resident at least two in one three large areas Italy. The outcome was first admission disorder (First Mental Health Admission: FMHA) during study period (January 2018–December 2021). Municipality residence, sex, census tract deprivation index, citizenship, were considered as covariates interest. Incidence rate ratios FMHAs estimated via an interrupted time series (ITS) analysis using step-change negative binomial model. Moreover, ITS conducted monthly number to temporal trend FMHAs. Results. Of 5,159,363 subjects enrolled, 11,171 had FMHA period. incidence decreased after outbreak pandemic, overall by level citizenship. Immigrants from high migration pressure countries (HMPCs) greater reduction COVID-19. A decrease observed all diagnoses, only exceptions being post-traumatic stress related which increased. Involuntary also increased dramatically pandemic. Younger age (< 34) associated higher risk hospitalization. In following post-outbreak (March 2020-December 2021), moderate but significant growing observed, although not reaching pre-pandemic levels. more robust increase found especially patients eating while disorders low Conclusions. considerable, some cases dramatic, hospitalizations disorders. However, effect appeared temporary, suggesting that expectations dramatic surge mental health issues due could have been overemphasized, short term. Longer follow-up surveys are needed.

Язык: Английский

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Stigma Experience and Mental Health of Vulnerable Groups: Focusing on the COVID-19 Period

Journal of Korean Neuropsychiatric Association, Год журнала: 2024, Номер 63(4), С. 225 - 225

Опубликована: Янв. 1, 2024

Язык: Английский

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