Impact of the COVID-19 pandemic on mental health service use among psychiatric outpatients in a tertiary hospital

被引:39
作者
Seo, Jun Ho [1 ,3 ]
Kim, Se Joo [1 ]
Lee, Myeongjee [2 ]
Kang, Jee In [1 ]
机构
[1] Yonsei Univ, Inst Behav Sci Med, Coll Med, Yonsei Ro 50-1, Seoul 03722, South Korea
[2] Yonsei Univ, Dept Biomed Syst Informat, Biostat Collaborat Unit, Coll Med, Seoul, South Korea
[3] Yonsei Univ, Grad Sch, Coll Med, Seoul, South Korea
基金
新加坡国家研究基金会;
关键词
COVID-19; Mental health service use; Psychiatric disorder; Time-series analysis; MEDICATION; ADHERENCE; DROPOUT;
D O I
10.1016/j.jad.2021.04.070
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: The aim was to explore the impact of the COVID-19 pandemic on mental health service use ac-cording to mental disorder diagnosis among psychiatric outpatients. Methods: Psychiatric outpatient visits and patient diagnostic information were extracted from the EHR(electronic health records) of a Korean tertiary hospital during 3 months of the COVID-19 pandemic and 3 months before the COVID-19 outbreak. Visit rates of psychiatric outpatients according to primary psychiatric diagnosis category before and after the COVID-19 pandemic were compared using an over-dispersed Poisson regression model. The temporal associations between the number of daily outpatient visits and the daily number of newly confirmed cases were examined by time-series analysis within each diagnosis category. Results: Total daily outpatient visit rate was significantly reduced during the pandemic. Among the nine most prevalent diagnosis categories, the daily visit rates for anxiety disorders, depressive disorders, and schizophrenia-spectrum disorders were significantly reduced by about 29.8%, 14.8%, and 13.3% respectively. Time-series analysis showed significant temporal correlations between the daily number of newly confirmed cases and the daily visit rates for anxiety disorders and depressive disorders, whereas patients with schizophrenia-spectrum disorders showed no significant temporal association. Limitations: Potential confounding factors unrelated to the pandemic might have influenced the results. Conclusions: The present findings suggest that patients with anxiety or depressive disorders may have concerns regarding the spread of COVID-19, and may be more reluctant to visit psychiatry outpatient clinics. Delivery strategies for mental healthcare services, such as telepsychiatry, would be helpful to enhance continuity of care during the pandemic.
引用
收藏
页码:279 / 283
页数:5
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