Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data
BackgroundThe coronavirus disease 2019 (COVID-19) pandemic and related countermeasures hinder health care access and affect mental wellbeing of non-COVID-19 patients. There is lack of evidence on distress and mental health of patients hospitalized due to other reasons than COVID-19—a vulnerable popu...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.872116/full |
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| author | Nicola Julia Aebi Nicola Julia Aebi Günther Fink Günther Fink Kaspar Wyss Kaspar Wyss Matthias Schwenkglenks Iris Baenteli Seraina Caviezel Anja Studer Sarah Trost Sibil Tschudin Rainer Schaefert Gunther Meinlschmidt Gunther Meinlschmidt Gunther Meinlschmidt the SomPsyNet Consortium |
| author_facet | Nicola Julia Aebi Nicola Julia Aebi Günther Fink Günther Fink Kaspar Wyss Kaspar Wyss Matthias Schwenkglenks Iris Baenteli Seraina Caviezel Anja Studer Sarah Trost Sibil Tschudin Rainer Schaefert Gunther Meinlschmidt Gunther Meinlschmidt Gunther Meinlschmidt the SomPsyNet Consortium |
| author_sort | Nicola Julia Aebi |
| collection | DOAJ |
| description | BackgroundThe coronavirus disease 2019 (COVID-19) pandemic and related countermeasures hinder health care access and affect mental wellbeing of non-COVID-19 patients. There is lack of evidence on distress and mental health of patients hospitalized due to other reasons than COVID-19—a vulnerable population group in two ways: First, given their risk for physical diseases, they are at increased risk for severe courses and death related to COVID-19. Second, they may struggle particularly with COVID-19 restrictions due to their dependence on social support. Therefore, we investigated the association of intensity of COVID-19 restrictions with levels of COVID-19-related distress, mental health (depression, anxiety, somatic symptom disorder, and mental quality of life), and perceived social support among Swiss general hospital non-COVID-19 inpatients.MethodsWe analyzed distress of 873 hospital inpatients not admitted for COVID-19, recruited from internal medicine, gynecology, rheumatology, rehabilitation, acute geriatrics, and geriatric rehabilitation wards of three hospitals. We assessed distress due to the COVID-19 pandemic, and four indicators of mental health: depressive and anxiety symptom severity, psychological distress associated with somatic symptoms, and the mental component of health-related quality of life; additionally, we assessed social support. The data collection period was divided into modest (June 9 to October 18, 2020) and strong (October 19, 2020, to April 17, 2021) COVID-19 restrictions, based on the Oxford Stringency Index for Switzerland.ResultsAn additional 13% (95%-Confidence Interval 4–21%) and 9% (1–16%) of hospital inpatients reported distress related to leisure time and loneliness, respectively, during strong COVID-19 restrictions compared to times of modest restrictions. There was no evidence for changes in mental health or social support.ConclusionsFocusing on the vulnerable population of general hospital inpatients not admitted for COVID-19, our results suggest that tightening of COVID-19 restrictions in October 2020 was associated with increased COVID-19-related distress regarding leisure time and loneliness, with no evidence for a related decrease in mental health. If this association was causal, safe measures to increase social interaction (e.g., virtual encounters and outdoor activities) are highly warranted.Trial registrationwww.ClinicalTrials.gov, identifier: NCT04269005. |
| first_indexed | 2024-04-13T04:18:51Z |
| format | Article |
| id | doaj.art-9466bc8870c646f7a0507ee4af78a11f |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T04:18:51Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-9466bc8870c646f7a0507ee4af78a11f2022-12-22T03:02:54ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-05-011310.3389/fpsyt.2022.872116872116Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital DataNicola Julia Aebi0Nicola Julia Aebi1Günther Fink2Günther Fink3Kaspar Wyss4Kaspar Wyss5Matthias Schwenkglenks6Iris Baenteli7Seraina Caviezel8Anja Studer9Sarah Trost10Sibil Tschudin11Rainer Schaefert12Gunther Meinlschmidt13Gunther Meinlschmidt14Gunther Meinlschmidt15the SomPsyNet ConsortiumSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandUniversity of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandUniversity of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandUniversity of Basel, Basel, SwitzerlandInstitute of Pharmaceutical Medicine (ECPM), University of Basel, Basel, SwitzerlandDepartment of Psychosomatic Medicine, University Hospital and University of Basel, Basel, SwitzerlandDepartment of Psychosomatic Medicine, University Hospital and University of Basel, Basel, SwitzerlandDepartment of Health Canton Basel-Stadt, Division of Prevention, Basel, SwitzerlandDepartment of Geriatric Medicine FELIX PLATTER, University of Basel, Basel, SwitzerlandDepartment of Obstetrics and Gynecology, University Hospital and University of Basel, Basel, SwitzerlandDepartment of Psychosomatic Medicine, University Hospital and University of Basel, Basel, SwitzerlandDepartment of Psychosomatic Medicine, University Hospital and University of Basel, Basel, SwitzerlandDivision of Clinical Psychology and Cognitive Behavioural Therapy, International Psychoanalytic University Berlin, Berlin, GermanyDivision of Clinical Psychology and Epidemiology, Department of Psychology, University of Basel, Basel, SwitzerlandBackgroundThe coronavirus disease 2019 (COVID-19) pandemic and related countermeasures hinder health care access and affect mental wellbeing of non-COVID-19 patients. There is lack of evidence on distress and mental health of patients hospitalized due to other reasons than COVID-19—a vulnerable population group in two ways: First, given their risk for physical diseases, they are at increased risk for severe courses and death related to COVID-19. Second, they may struggle particularly with COVID-19 restrictions due to their dependence on social support. Therefore, we investigated the association of intensity of COVID-19 restrictions with levels of COVID-19-related distress, mental health (depression, anxiety, somatic symptom disorder, and mental quality of life), and perceived social support among Swiss general hospital non-COVID-19 inpatients.MethodsWe analyzed distress of 873 hospital inpatients not admitted for COVID-19, recruited from internal medicine, gynecology, rheumatology, rehabilitation, acute geriatrics, and geriatric rehabilitation wards of three hospitals. We assessed distress due to the COVID-19 pandemic, and four indicators of mental health: depressive and anxiety symptom severity, psychological distress associated with somatic symptoms, and the mental component of health-related quality of life; additionally, we assessed social support. The data collection period was divided into modest (June 9 to October 18, 2020) and strong (October 19, 2020, to April 17, 2021) COVID-19 restrictions, based on the Oxford Stringency Index for Switzerland.ResultsAn additional 13% (95%-Confidence Interval 4–21%) and 9% (1–16%) of hospital inpatients reported distress related to leisure time and loneliness, respectively, during strong COVID-19 restrictions compared to times of modest restrictions. There was no evidence for changes in mental health or social support.ConclusionsFocusing on the vulnerable population of general hospital inpatients not admitted for COVID-19, our results suggest that tightening of COVID-19 restrictions in October 2020 was associated with increased COVID-19-related distress regarding leisure time and loneliness, with no evidence for a related decrease in mental health. If this association was causal, safe measures to increase social interaction (e.g., virtual encounters and outdoor activities) are highly warranted.Trial registrationwww.ClinicalTrials.gov, identifier: NCT04269005.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.872116/fullpandemicdepressionanxietyhealth-related quality of lifesocial support |
| spellingShingle | Nicola Julia Aebi Nicola Julia Aebi Günther Fink Günther Fink Kaspar Wyss Kaspar Wyss Matthias Schwenkglenks Iris Baenteli Seraina Caviezel Anja Studer Sarah Trost Sibil Tschudin Rainer Schaefert Gunther Meinlschmidt Gunther Meinlschmidt Gunther Meinlschmidt the SomPsyNet Consortium Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data Frontiers in Psychiatry pandemic depression anxiety health-related quality of life social support |
| title | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
| title_full | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
| title_fullStr | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
| title_full_unstemmed | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
| title_short | Association of Different Restriction Levels With COVID-19-Related Distress and Mental Health in Somatic Inpatients: A Secondary Analysis of Swiss General Hospital Data |
| title_sort | association of different restriction levels with covid 19 related distress and mental health in somatic inpatients a secondary analysis of swiss general hospital data |
| topic | pandemic depression anxiety health-related quality of life social support |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.872116/full |
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