دورية أكاديمية
أعرض في EDS

'The world somehow stopped moving': impact of the COVID-19 pandemic on adolescent psychiatric outpatients and the implementation of teletherapy.

التفاصيل البيبلوغرافية
العنوان: 'The world somehow stopped moving': impact of the COVID-19 pandemic on adolescent psychiatric outpatients and the implementation of teletherapy.
المؤلفون: Huscsava MM; Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria., Scharinger C; Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria., Plener PL; Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.; Department of Child- and Adolescent Psychiatry and Psychotherapy, Medical University of Ulm, Ulm, Germany., Kothgassner OD; Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
المصدر: Child and adolescent mental health [Child Adolesc Ment Health] 2022 Sep; Vol. 27 (3), pp. 232-237. Date of Electronic Publication: 2021 Jun 11.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Blackwell Country of Publication: England NLM ID: 101142157 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1475-357X (Print) Linking ISSN: 1475357X NLM ISO Abbreviation: Child Adolesc Ment Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Blackwell, c2002-
مواضيع طبية MeSH: COVID-19*, Adolescent ; Communicable Disease Control ; Humans ; Outpatients ; Pandemics/prevention & control ; SARS-CoV-2
مستخلص: Background: The COVID-19 pandemic results in disproportional consequences for psychiatric patients. Due to restraints in physical contacts, providers switched from face-to-face contacts to teletherapy, but prior experiences were mostly limited. The study aimed at assessing symptom dynamics, potentially increased adversities and factors influencing a successful transition into teletherapy in adolescent psychiatric outpatients during the COVID-19 pandemic.
Method: Thirty adolescent psychiatric outpatients participated in an interview-based study. The differential impact of the COVID-19 pandemic was measured by integrating patients' and psychiatrists' judgements.
Results: Patients who reported deteriorated symptoms and patients who showed (partial) improvement of symptomatology could be separated by feelings of isolation (specific to deterioration) and perceived reduction in school-associated stress (unique to improvement). Patients with worsening symptomatology showed a significantly higher degree of psychosocial disability before lockdown and at the first interview. Patients who deteriorated in their level of psychosocial functioning also reported negatively on teletherapy. These patients were verbally less differentiated concerning emotions and affect, reported introspection and rumination, and stated distinctly lower levels of perceived social support. Concerning adversities, no clear trend could be identified, but some patients reported increased domestic violence and neglect.
Conclusions: Patients with a higher degree of psychosocial disability suffer disproportionally from the crisis, so that an assessment of functioning should serve as a triage tool. Also, a screening of the perceived level of social support should be established before offering teletherapy. Additionally, the provision of strategies to enhance verbalisation and differentiation of emotions and affect might be beneficial.
(© 2021 The Authors. Child and Adolescent Mental Health published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.)
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فهرسة مساهمة: Keywords: COVID-19; Child and adolescent psychiatry; adolescents; mental health; pandemic; psychiatric disorders; teletherapy
تواريخ الأحداث: Date Created: 20210611 Date Completed: 20220817 Latest Revision: 20220911
رمز التحديث: 20231215
DOI: 10.1111/camh.12481
PMID: 34114730
قاعدة البيانات: MEDLINE
الوصف
تدمد:1475-357X
DOI:10.1111/camh.12481