Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points
IntroductionExternal stressors, such as COVID-19 pandemic and earthquake, can cause an increase in substance use and addictive behavior in persons with severe mental illnesses (SMI). We analyzed the changes and predictors of substance use and addictive behavior in SMI during these double disasters i...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1264875/full |
| _version_ | 1797390315942838272 |
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| author | Sara Medved Irena Rojnić Palavra Josefina Gerlach Sarah Levaj Laura Shields-Zeeman Felix Bolinski Zoran Bradaš Zoran Madžarac Igor Filipčić Igor Filipčić Igor Filipčić Martina Rojnić Kuzman Martina Rojnić Kuzman |
| author_facet | Sara Medved Irena Rojnić Palavra Josefina Gerlach Sarah Levaj Laura Shields-Zeeman Felix Bolinski Zoran Bradaš Zoran Madžarac Igor Filipčić Igor Filipčić Igor Filipčić Martina Rojnić Kuzman Martina Rojnić Kuzman |
| author_sort | Sara Medved |
| collection | DOAJ |
| description | IntroductionExternal stressors, such as COVID-19 pandemic and earthquake, can cause an increase in substance use and addictive behavior in persons with severe mental illnesses (SMI). We analyzed the changes and predictors of substance use and addictive behavior in SMI during these double disasters in Croatia.MethodsQuestionnaires exploring the presence of substance or behavior addiction disorder, mental ill health [Depression Anxiety Stress Scales-21 (DASS-21), Insomnia Severity Index (ISI), Perceived Stress Scale (PSS), Obsessive-Compulsive Inventory-Revised], coping mechanisms, and perceived social support [Multidimensional Scale of Perceived Social Support (MSPSS)] were administered among 90 participants with SMI included in the RECOVER-E study in May/June 2020 (first COVID-19 wave, Zagreb earthquake) and in December 2020/January 2021 (second COVID-19 wave, Petrinja earthquake).ResultsIn both time points, a major increase was observed in tobacco smoking (25.0%; 28.6%, respectively) predicted by discontinuation of antidepressants and higher DASS-21 score. Increased sedative use was observed (24.4%; 23.8%, respectively) predicted by higher PSS and ISI scores, lower MSPSS scores, antipsychotic discontinuation and not receiving community mental health team (CMHT) service.DiscussionIn persons with SMI during a double disaster special attention needs to be given to reducing mental-ill health and stress, providing social support and continuity of psychiatric care, through medications and CMHTs. |
| first_indexed | 2024-03-08T23:08:59Z |
| format | Article |
| id | doaj.art-e7240c6527b5474c9286cb53ffc379db |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-08T23:08:59Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-e7240c6527b5474c9286cb53ffc379db2023-12-15T09:43:04ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-12-011410.3389/fpsyt.2023.12648751264875Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two pointsSara Medved0Irena Rojnić Palavra1Josefina Gerlach2Sarah Levaj3Laura Shields-Zeeman4Felix Bolinski5Zoran Bradaš6Zoran Madžarac7Igor Filipčić8Igor Filipčić9Igor Filipčić10Martina Rojnić Kuzman11Martina Rojnić Kuzman12Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, CroatiaUniversity Psychiatric Hospital Sveti Ivan, Zagreb, CroatiaUniversity Psychiatric Hospital Sveti Ivan, Zagreb, CroatiaDepartment of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, CroatiaNetherlands Institute of Mental Health and Addiction (Trimbos Institute), Utrecht, NetherlandsNetherlands Institute of Mental Health and Addiction (Trimbos Institute), Utrecht, NetherlandsDepartment of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, CroatiaUniversity Psychiatric Hospital Sveti Ivan, Zagreb, CroatiaFaculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaIntroductionExternal stressors, such as COVID-19 pandemic and earthquake, can cause an increase in substance use and addictive behavior in persons with severe mental illnesses (SMI). We analyzed the changes and predictors of substance use and addictive behavior in SMI during these double disasters in Croatia.MethodsQuestionnaires exploring the presence of substance or behavior addiction disorder, mental ill health [Depression Anxiety Stress Scales-21 (DASS-21), Insomnia Severity Index (ISI), Perceived Stress Scale (PSS), Obsessive-Compulsive Inventory-Revised], coping mechanisms, and perceived social support [Multidimensional Scale of Perceived Social Support (MSPSS)] were administered among 90 participants with SMI included in the RECOVER-E study in May/June 2020 (first COVID-19 wave, Zagreb earthquake) and in December 2020/January 2021 (second COVID-19 wave, Petrinja earthquake).ResultsIn both time points, a major increase was observed in tobacco smoking (25.0%; 28.6%, respectively) predicted by discontinuation of antidepressants and higher DASS-21 score. Increased sedative use was observed (24.4%; 23.8%, respectively) predicted by higher PSS and ISI scores, lower MSPSS scores, antipsychotic discontinuation and not receiving community mental health team (CMHT) service.DiscussionIn persons with SMI during a double disaster special attention needs to be given to reducing mental-ill health and stress, providing social support and continuity of psychiatric care, through medications and CMHTs.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1264875/fulladdictionCOVID-19 pandemicsevere mental illnessearthquakecommunity mental health team(CMHT) |
| spellingShingle | Sara Medved Irena Rojnić Palavra Josefina Gerlach Sarah Levaj Laura Shields-Zeeman Felix Bolinski Zoran Bradaš Zoran Madžarac Igor Filipčić Igor Filipčić Igor Filipčić Martina Rojnić Kuzman Martina Rojnić Kuzman Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points Frontiers in Psychiatry addiction COVID-19 pandemic severe mental illness earthquake community mental health team (CMHT) |
| title | Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points |
| title_full | Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points |
| title_fullStr | Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points |
| title_full_unstemmed | Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points |
| title_short | Changes in substance use and engagement in gaming/gambling in persons with severe mental illness during the COVID-19 pandemic and earthquakes: a community study in two points |
| title_sort | changes in substance use and engagement in gaming gambling in persons with severe mental illness during the covid 19 pandemic and earthquakes a community study in two points |
| topic | addiction COVID-19 pandemic severe mental illness earthquake community mental health team (CMHT) |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1264875/full |
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