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COVID-19 and Severe Mental Illness: Impact on patients and its relation with
their awareness about COVID-19
#MMPMID32763536
Muruganandam P
; Neelamegam S
; Menon V
; Alexander J
; Chaturvedi SK
Psychiatry Res
2020[Sep]; 291
(?): 113265
PMID32763536
show ga
COVID-19 outbreak has promoted many public health measures in the general
population. However, its impact on a vulnerable population with severe mental
illness (SMI) is less addressed. Aim of this study was to determine the impact of
COVID -19 to patients with SMI and identify its relation with their COVID-19
knowledge. A cross-sectional telephonic survey among 132 patients with SMI who
were clinically stable before the COVID-19 pandemic was conducted. A 23 item
interview proforma comprising of self-reported knowledge related to COVID-19 by
patients and their illness and treatment status from their caregivers. Eleven
patients were completely not aware of the ongoing COVID-19 pandemic. Three fourth
of patients were not worried about getting COVID-19 and lacks adequate knowledge
to identify symptoms. Two-third of patients lacked adequate knowledge of
precautionary measures against COVID-19. One out of five patients lacked
knowledge of the mode of transmission and stopped their psychiatric treatment.
Thirty percent showed features of relapse of symptoms during this lockdown
period. In multivariate regression analysis, patients from lower socioeconomic
status, low literacy levels, with inadequate social support showed less knowledge
related to COVID-19. Mental health services which target this vulnerable
population during early disaster reduce the burden to the community.
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