Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophrenia
Introduction During the Covid Outbreak, the deployment of psychiatric phone-based consultations (PbC) became a large necessity. Objectives The main objective of our study was to assess, 4 months after the end of the lockdown, the degree of satisfaction of the PbCs compared to that of usual face-...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2021-04-01
|
| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821009329/type/journal_article |
| _version_ | 1797617638396919808 |
|---|---|
| author | E. Kiesmann J. Mallet V. Charlot C. Dubertret |
| author_facet | E. Kiesmann J. Mallet V. Charlot C. Dubertret |
| author_sort | E. Kiesmann |
| collection | DOAJ |
| description |
Introduction
During the Covid Outbreak, the deployment of psychiatric phone-based consultations (PbC) became a large necessity.
Objectives
The main objective of our study was to assess, 4 months after the end of the lockdown, the degree of satisfaction of the PbCs compared to that of usual face-to-face consultations (FC) in young adults presenting a first episode of psychosis (FEP) or entering schizophrenia (SCZ).
Methods
All patients beneficiated from PbCs conducted by hospital care staff during lockdown. A 15-items questionnaire evaluating satisfaction was carried out remotely (score ranging from 1 to 10). Primary outcome was satisfaction with consultation allowing the comparison of a group preferring FC (FC+) against a group in favor or equivalent of PbC (PbC +).
Results
30 patients were recruited (mean age 26.93 years old (4.9 SD), Male 56%. Diagnoses were SCZ 60% and FEP 40%. 20/30 participants belonged to (FC+) group. Total scores of satisfaction for the PbC differed between the (PbC+) group (mean 9 (1.69 SD)) and (FC+) group (mean 6.80, (1.32 SD)) p < 0.05. The (FC+) group tends to have PbC more frequently (40%) than the (PbC+) group (10%) and to find the phone interface more stressfull (40%) than the PbC+ group (10%). The (FC+) group tends to less wish (40%) PbC follow up in future than the (PbC+) group (90%).
Conclusions
This study shows that the PbCs were favorably evaluated by a third of the patients. The anxiety-inducing experience of the PbC in the (FC+) group could be explained by the severity of their pathology.
|
| first_indexed | 2024-03-11T07:58:41Z |
| format | Article |
| id | doaj.art-533a1a9085484b94aadf6a5b68485648 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:58:41Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-533a1a9085484b94aadf6a5b684856482023-11-17T05:05:11ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S348S34810.1192/j.eurpsy.2021.932Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophreniaE. Kiesmann0J. Mallet1V. Charlot2C. Dubertret3Psychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, FrancePsychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, FrancePsychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, FrancePsychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, France Introduction During the Covid Outbreak, the deployment of psychiatric phone-based consultations (PbC) became a large necessity. Objectives The main objective of our study was to assess, 4 months after the end of the lockdown, the degree of satisfaction of the PbCs compared to that of usual face-to-face consultations (FC) in young adults presenting a first episode of psychosis (FEP) or entering schizophrenia (SCZ). Methods All patients beneficiated from PbCs conducted by hospital care staff during lockdown. A 15-items questionnaire evaluating satisfaction was carried out remotely (score ranging from 1 to 10). Primary outcome was satisfaction with consultation allowing the comparison of a group preferring FC (FC+) against a group in favor or equivalent of PbC (PbC +). Results 30 patients were recruited (mean age 26.93 years old (4.9 SD), Male 56%. Diagnoses were SCZ 60% and FEP 40%. 20/30 participants belonged to (FC+) group. Total scores of satisfaction for the PbC differed between the (PbC+) group (mean 9 (1.69 SD)) and (FC+) group (mean 6.80, (1.32 SD)) p < 0.05. The (FC+) group tends to have PbC more frequently (40%) than the (PbC+) group (10%) and to find the phone interface more stressfull (40%) than the PbC+ group (10%). The (FC+) group tends to less wish (40%) PbC follow up in future than the (PbC+) group (90%). Conclusions This study shows that the PbCs were favorably evaluated by a third of the patients. The anxiety-inducing experience of the PbC in the (FC+) group could be explained by the severity of their pathology. https://www.cambridge.org/core/product/identifier/S0924933821009329/type/journal_articleCovid-19telepsychiatryfirst episode of psychosisschizophrenia |
| spellingShingle | E. Kiesmann J. Mallet V. Charlot C. Dubertret Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophrenia European Psychiatry Covid-19 telepsychiatry first episode of psychosis schizophrenia |
| title | Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophrenia |
| title_full | Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophrenia |
| title_fullStr | Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophrenia |
| title_full_unstemmed | Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophrenia |
| title_short | Telepsychiatry care during the COVID-19 outbreak in young adults with a first episode of psychosis or entering schizophrenia |
| title_sort | telepsychiatry care during the covid 19 outbreak in young adults with a first episode of psychosis or entering schizophrenia |
| topic | Covid-19 telepsychiatry first episode of psychosis schizophrenia |
| url | https://www.cambridge.org/core/product/identifier/S0924933821009329/type/journal_article |
| work_keys_str_mv | AT ekiesmann telepsychiatrycareduringthecovid19outbreakinyoungadultswithafirstepisodeofpsychosisorenteringschizophrenia AT jmallet telepsychiatrycareduringthecovid19outbreakinyoungadultswithafirstepisodeofpsychosisorenteringschizophrenia AT vcharlot telepsychiatrycareduringthecovid19outbreakinyoungadultswithafirstepisodeofpsychosisorenteringschizophrenia AT cdubertret telepsychiatrycareduringthecovid19outbreakinyoungadultswithafirstepisodeofpsychosisorenteringschizophrenia |