The Medium-Term Impact of COVID-19 Lockdown on Referrals to Secondary Care Mental Health Services: A Controlled Interrupted Time Series Study

被引：42

作者：

Chen, Shanquan ^{[1
]}

She, Rui ^{[2
]}

Qin, Pei ^{[3
]}

Kershenbaum, Anne ^{[1
,4
]}

Fernandez-Egea, Emilio ^{[1
,4
]}

Nelder, Jenny R. ^{[1
]}

Ma, Chuoxin ^{[5
]}

Lewis, Jonathan ^{[4
]}

Wang, Chaoqun ^{[6
]}

Cardinal, Rudolf N. ^{[1
,4
]}

机构：

[1] Univ Cambridge, Dept Psychiat, Cambridge, England

[2] Chinese Univ Hong Kong, Jockey Club Sch Publ Hlth & Primary Care, Hong Kong, Peoples R China

[3] Shenzhen Univ, Dept Biostat & Epidemiol, Hlth Sci Ctr, Shenzhen, Peoples R China

[4] Cambridgeshire & Peterborough NHS Fdn Trust, Cambridge, England

[5] Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge, England

[6] Cent China Normal Univ, Coll Publ Adm, Wuhan, Peoples R China

来源：

FRONTIERS IN PSYCHIATRY | 2020年 / 11卷

基金：

英国医学研究理事会;

关键词：

COVID-19; SARS-CoV-2 coronavirus pandemic; lockdown; secondary care mental health services; controlled interrupted time series analysis; comorbidity; OLDER-ADULTS; DEPRESSION; CHINA;

D O I：

10.3389/fpsyt.2020.585915

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

To date, there is a paucity of information regarding the effect of COVID-19 or lockdown on mental disorders. We aimed to quantify the medium-term impact of lockdown on referrals to secondary care mental health clinical services. We conducted a controlled interrupted time series study using data from Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), UK (catchment population similar to 0.86 million). The UK lockdown resulted in an instantaneous drop in mental health referrals but then a longer-term acceleration in the referral rate (by 1.21 referrals per day per day, 95% confidence interval [CI] 0.41-2.02). This acceleration was primarily for urgent or emergency referrals (acceleration 0.96, CI 0.39-1.54), including referrals to liaison psychiatry (0.68, CI 0.35-1.02) and mental health crisis teams (0.61, CI 0.20-1.02). The acceleration was significant for females (0.56, CI 0.04-1.08), males (0.64, CI 0.05-1.22), working-age adults (0.93, CI 0.42-1.43), people of White ethnicity (0.98, CI 0.32-1.65), those living alone (1.26, CI 0.52-2.00), and those who had pre-existing depression (0.78, CI 0.19-1.38), severe mental illness (0.67, CI 0.19-1.15), hypertension/cardiovascular/cerebrovascular disease (0.56, CI 0.24-0.89), personality disorders (0.32, CI 0.12-0.51), asthma/chronic obstructive pulmonary disease (0.28, CI 0.08-0.49), dyslipidemia (0.26, CI 0.04-0.47), anxiety (0.21, CI 0.08-0.34), substance misuse (0.21, CI 0.08-0.34), or reactions to severe stress (0.17, CI 0.01-0.32). No significant post-lockdown acceleration was observed for children/adolescents, older adults, people of ethnic minorities, married/cohabiting people, and those who had previous/pre-existing dementia, diabetes, cancer, eating disorder, a history of self-harm, or intellectual disability. This evidence may help service planning and policy-making, including preparation for any future lockdown in response to outbreaks.

引用

页数：11

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