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Open Access 13-02-2023 | COVID-19 | Original Paper

Lifestyles and Quality of Life of People with Mental Illness During the COVID-19 Pandemic

Authors: Giada Tripoli, Sofia Lo Duca, Laura Ferraro, Uzma Zahid, Raffaella Mineo, Fabio Seminerio, Alessandra Bruno, Vanessa Di Giorgio, Giuseppe Maniaci, Giovanna Marrazzo, Crocettarachele Sartorio, Alessandra Scaglione, Daniele La Barbera, Caterina La Cascia

Published in: Community Mental Health Journal | Issue 1/2024

Abstract

The COVID-19 pandemic has had a significant impact on the quality of life (QoL), daily lifestyle, and mental health of people suffering from a mental disorder. This study aimed to investigate the effects of the prolongation of the COVID-19 emergency on QoL and lifestyles in a sample of 100 outpatients at the Psychiatry Unit in Palermo University Hospital, Italy. QoL was measured through the 12-item Short Form Survey and the COV19-Impact on Quality of Life. Lifestyle changes during the pandemic were measured through the lifestyle change questionnaire. The majority of participants reported a great impact of COVID-19 on the QoL, and almost half reported worsened lifestyles. Worsened lifestyles were predictive of both poor mental and physical health related QoL. These results suggest that people with mental illness need interventions targeting lifestyles, and the mental health service in Italy should adjust to the ongoing pandemic, developing virtual treatments.

Batastini, A. B., Paprzycki, P., Jones, A. C. T., & MacLean, N. (2021). Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clinical Psychology Review, 83, 101944. https://doi.org/10.1016/j.cpr.2020.101944CrossRefPubMed

Beghi, M., Brandolini, R., Casolaro, I., Beghi, E., Cornaggia, C. M., Fraticelli, C., et al. (2021). Effects of lockdown on emergency room admissions for psychiatric evaluation: An observational study from the AUSL Romagna, Italy. International journal of psychiatry in clinical practice, 25(2), 135–139. https://doi.org/10.1080/13651501.2020.1859120CrossRefPubMed

Benudis, A., Re’em, Y., Kanellopoulos, D., Moreno, A., & Zonana, J. (2022). Patient and provider experiences of telemental health during the COVID-19 pandemic in a New York City academic medical center. Psychiatry Research, 311, 114496. https://doi.org/10.1016/j.psychres.2022.114496CrossRefPubMedPubMedCentral

Berghöfer, A., Martin, L., Hense, S., Weinmann, S., & Roll, S. (2020). Quality of life in patients with severe mental illness: A cross-sectional survey in an integrated outpatient health care model. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment Care and Rehabilitation, 29(8), 2073–2087. https://doi.org/10.1007/s11136-020-02470-0CrossRefPubMed

Burrai, J., Roma, P., Barchielli, B., Biondi, S., Cordellieri, P., Fraschetti, A., et al. (2020). Psychological and emotional impact of patients living in psychiatric treatment communities during Covid-19 lockdown in Italy. Journal of Clinical Medicine, 9(11), 3787. https://doi.org/10.3390/jcm9113787CrossRefPubMedPubMedCentral

Cancello, R., Soranna, D., Zambra, G., Zambon, A., & Invitti, C. (2020). Determinants of the lifestyle changes during COVID-19 pandemic in the residents of Northern Italy. International Journal of Environmental Research and Public Health, 17(17), 6287. https://doi.org/10.3390/ijerph17176287CrossRefPubMedPubMedCentral

Chapman, J. J., Hielscher, E., & Patterson, S. (2021). Preferences of people with mental illness for engaging in exercise programs under COVID-19 restrictions. Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists, 29(2), 175–179. https://doi.org/10.1177/1039856220975299CrossRefPubMed

Chen, J. A., Chung, W. J., Young, S. K., Tuttle, M. C., Collins, M. B., Darghouth, S. L., et al. (2020). COVID-19 and telepsychiatry: Early outpatient experiences and implications for the future. General Hospital Psychiatry, 66, 89–95. https://doi.org/10.1016/j.genhosppsych.2020.07.002CrossRefPubMedPubMedCentral

Costa, R., Bastos, T., Probst, M., Seabra, A., Abreu, S., Vilhena, E., et al. (2018). Association of lifestyle-related factors and psychological factors on quality of life in people with schizophrenia. Association of lifestyle-related factors and psychological factors on quality of life in people with schizophrenia. Psychiatry Research, 267, 382–393. https://doi.org/10.1016/j.psychres.2018.06.022CrossRefPubMed

Czysz, A. H., Nandy, K., Hughes, J. L., Minhajuddin, A., Fatt, C., & Trivedi, M. H. (2021). Impact of the COVID-19 pandemic on adults with current and prior depression: Initial findings from the longitudinal Texas RAD study. Journal of Affective Disorders, 294, 103–108.CrossRefPubMedPubMedCentral

D’Agostino, A., Demartini, B., Cavallotti, S., & Gambini, O. (2020). Mental health services in Italy during the COVID-19 outbreak. Lancet Psychiatry, 7(5), 385–387. https://doi.org/10.1016/S2215-0366(20)30133-4.CrossRefPubMedPubMedCentral

Das-Munshi, J., Chang, C. K., Dutta, R., Morgan, C., Nazroo, J., Stewart, R., et al. (2017). Ethnicity and excess mortality in severe mental illness: A cohort study. The Lancet Psychiatry, 4(5), 389–399.CrossRefPubMedPubMedCentral

De Girolamo, G., Cerveri, G., Clerici, M., Monzani, E., Spinogatti, F., Starace, F., et al. (2020). Mental Health in the Coronavirus disease 2019 emergency-the Italian response. JAMA Psychiatry, 77(9), 974–976. https://doi.org/10.1001/jamapsychiatry.2020.1276CrossRefPubMed

Fagiolini, A., Cuomo, A., & Frank, E. (2020). COVID-19 diary from a psychiatry department in Italy. The Journal of Clinical Psychiatry, 81(3), 20com13357. https://doi.org/10.4088/JCP.20com13357CrossRefPubMed

Fahy, Y., Dineen, B., McDonald, C., & Hallahan, B. (2021). The impact of COVID-19 on a cohort of patients treated with clozapine. Irish Journal of Psychological Medicine, 38(4), 249–257. https://doi.org/10.1017/ipm.2021.30CrossRefPubMed

Fiorenzato, E., Zabberoni, S., Costa, A., & Cona, G. (2021). Cognitive and mental health changes and their vulnerability factors related to COVID-19 lockdown in Italy. PloS one, 16(1), e0246204. https://doi.org/10.1371/journal.pone.0246204.CrossRefPubMedPubMedCentral

Fountoulakis, K. N., Karakatsoulis, G., Abraham, S., Adorjan, K., Ahmed, H. U., Alarcón, R. D., et al. (2021). Results of the COVID-19 mental health international for the general population (COMET-G) study. European Neuropsychopharmacology: The Journal of the European College of Neuropsychopharmacology, 54, 21–40. https://doi.org/10.1016/j.euroneuro.2021.10.004CrossRefPubMed

Guan, I., Kirwan, N., Beder, M., Levy, M., & Law, S. (2021). Adaptations and innovations to minimize service disruption for patients with severe mental illness during COVID-19: perspectives and reflections from an assertive community psychiatry program. Community Mental Health Journal, 57(1), 10–17. https://doi.org/10.1007/s10597-020-00710-8CrossRefPubMed

Guimond, S., Keshavan, M. S., & Torous, J. B. (2019). Towards remote digital phenotyping of cognition in schizophrenia. Schizophrenia Research, 208, 36–38. https://doi.org/10.1016/j.schres.2019.04.016CrossRefPubMed

Hao, F., Tan, W., Jiang, L., Zhang, L., Zhao, X., Zou, Y., et al. (2020). Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behavior and Immunity, 87, 100–106.CrossRefPubMed

Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., et al. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry, 7(6), 547–560. https://doi.org/10.1016/S2215-0366(20)30168-1CrossRefPubMedPubMedCentral

Hunsinger, N., Hammarlund, R., & Crapanzano, K. (2021). Mental health appointments in the era of COVID-19: Experiences of patients and providers. The Ochsner Journal, 21(4), 335–340. https://doi.org/10.31486/toj.21.0039CrossRefPubMedPubMedCentral

Hyler, S. E., Gangure, D. P., & Batchelder, S. T. (2005). Can telepsychiatry replace in-person psychiatric assessments? A review and meta-analysis of comparison studies. CNS Spectrums, 10(5), 403–413. https://doi.org/10.1017/s109285290002277xCrossRefPubMed

Kodraliu, G., Mosconi, P., Groth, N., Carmosino, G., Perilli, A., Gianicolo, E. A., et al. (2001). Subjective health status assessment: Evaluation of the Italian version of the SF-12 health survey. Results from the MiOS project. Journal of Epidemiology and Biostatistics, 6(3), 305–316. https://doi.org/10.1080/135952201317080715CrossRefPubMed

Li, W., Zhao, N., Yan, X., Zou, S., Wang, H., Li, Y., et al. (2021). The prevalence of depressive and anxiety symptoms and their associations with quality of life among clinically stable older patients with psychiatric disorders during the COVID-19 pandemic. Translational Psychiatry, 11(1), 75.CrossRefPubMedPubMedCentral

Liu, C. H., Stevens, C., Conrad, R. C., & Hahm, H. C. (2020). Evidence for elevated psychiatric distress, poor sleep, and quality of life concerns during the COVID-19 pandemic among U.S. young adults with suspected and reported psychiatric diagnoses. Psychiatry Research, 292, 113345.CrossRefPubMedPubMedCentral

Liu, S., Yang, L., Zhang, C., Xiang, Y. T., Liu, Z., Hu, S., et al. (2020). Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e17–e18. https://doi.org/10.1016/S2215-0366(20)30077-8CrossRefPubMedPubMedCentral

Ministry of Health. (2020). Covid-19 bollettino protezione civile. Retrieved from https://www.salute.gov.it/portale/nuovocoronavirus/dettaglioNotizieNuovoCoronavirus.jsp?

Muruganandam, P., Neelamegam, S., Menon, V., Alexander, J., & Chaturvedi, S. K. (2020). COVID-19 and severe mental illness: Impact on patients and its relation with their awareness about COVID-19. Psychiatry Research, 291, 113265.CrossRefPubMedPubMedCentral

Naslund, J. A., Whiteman, K. L., McHugo, G. J., Aschbrenner, K. A., Marsch, L. A., & Bartels, S. J. (2017). Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis. General Hospital Psychiatry, 47, 83–102. https://doi.org/10.1016/j.genhosppsych.2017.04.003CrossRefPubMedPubMedCentral

Peckham, E., Allgar, V., Crosland, S., Heron, P., Johnston, G., Newbronner, E., et al. (2021). Investigating smoking and nicotine dependence among people with severe mental illness during the COVID-19 pandemic: Analysis of linked data from a UK closing the gap cohort. BJPsych Open, 7(3), e86. https://doi.org/10.1192/bjo.2021.45CrossRefPubMed

Pfefferbaum, B., & North, C. S. (2020). Mental health and the Covid-19 pandemic. The New England Journal of Medicine, 383(6), 510–512. https://doi.org/10.1056/NEJMp2008017CrossRefPubMed

Pinkham, A. E., Ackerman, R. A., Depp, C. A., Harvey, P. D., & Moore, R. C. (2020). A longitudinal investigation of the effects of the COVID-19 pandemic on the mental health of individuals with pre-existing severe mental illnesses. Psychiatry Research, 294, 113493.CrossRefPubMedPubMedCentral

Presidenza del Consiglio dei Ministri (2020a). Decreto del Presidente del Consiglio dei Ministri 9 marzo 2020. Available online at: https://www.gazzettaufficiale.it/eli/id/2020/03/09/20A01558/sg

Presidenza del Consiglio dei Ministri (2020b). Decreto del Consiglio dei Ministri 11 marzo 2020. Available online at: https://www.gazzettaufficiale.it/eli/id/2020/03/11/20A01605/sg

Presidenza del Consiglio dei Ministri (2020c). Decreto del Presidente del Consiglio dei Ministri 3 novembre 2020. Available online at: https://www.gazzettaufficiale.it/eli/id/2020/11/04/20A06109/sg

Presidenza del Consiglio dei Ministri (2020d). Decreto del Consiglio dei Ministri 24 ottobre 2020. Available online at: https://www.gazzettaufficiale.it/eli/id/2020/10/25/20A05861/sg

Repišti, S., Jovanović, N., Rojnić Kuzman, M., Medved, S., Jerotić, S., & Ribić, E. (2020). How to measure the impact of the COVID-19 pandemic on quality of life: COV19-QoL – the development, reliability and validity of a new scale. Global Psychiatry, 3(2), 201–210. https://doi.org/10.2478/gp-2020-0016CrossRef

Resnick, B. (2020, May, 29). A third of Americans report anxiety or depression symptoms during the pandemic Vox. https://www.vox.com/science-and-health/2020/5/29/21274495/pandemic-cdc-mental-health.

Ruotolo, I., Berardi, A., Sellitto, G., Panuccio, F., Polimeni, A., & Valente, D. (2021). Criterion validity and reliability of SF-12 health survey version 2 (SF-12v2) in a Student population during COVID-19 pandemic: A cross-sectional study. Depression Research and Treatment. https://doi.org/10.1155/2021/6624378CrossRefPubMedPubMedCentral

Saarni, S. I., Viertiö, S., Perälä, J., Koskinen, S., Lönnqvist, J., & Suvisaari, J. (2010). Quality of life of people with schizophrenia, bipolar disorder and other psychotic disorders. The British Journal of Psychiatry: The Journal of Mental Science, 197(5), 386–394. https://doi.org/10.1192/bjp.bp.109.076489CrossRefPubMed

Salyers, M. P., Bosworth, H. B., Swanson, J. W., Lamb-Pagone, J., & Osher, F. C. (2000). Reliability and validity of the SF-12 health survey among people with severe mental illness. Medical Care, 38(11), 1141–1150. https://doi.org/10.1097/00005650-200011000-00008CrossRefPubMed

Shore, J. H. (2013). Telepsychiatry: Videoconferencing in the delivery of psychiatric care. American Journal Of Psychiatry, 170(3), 256–262. https://doi.org/10.1176/appi.ajp.2012.12081064CrossRefPubMed

Sohn, M., Koo, B. K., Yoon, H. I., Song, K. H., Kim, E. S., Kim, H. B., & Lim, S. (2021). Impact of COVID-19 and associated preventive measures on cardiometabolic risk factors in South Korea. Journal of Obesity & Metabolic Syndrome, 30(3), 248–260. https://doi.org/10.7570/jomes21046CrossRef

Solé, B., Verdolini, N., Amoretti, S., Montejo, L., Rosa, A. R., Hogg, B., et al. (2021). Effects of the COVID-19 pandemic and lockdown in Spain: Comparison between community controls and patients with a psychiatric disorder. Preliminary results from the BRIS-MHC STUDY. Journal of Affective Disorders, 281, 13–23.CrossRefPubMed

Spanakis, P., Heron, P., Walker, L., Crosland, S., Wadman, R., Newbronner, E., et al. (2021). Use of the internet and digital devices among people with severe mental ill health during the COVID-19 pandemic restrictions. Frontiers in Psychiatry, 12, 732735.CrossRefPubMedPubMedCentral

Sperling, J. D., Dalkner, N., Berndt, C., Fleischmann, E., Ratzenhofer, M., Martini, J., et al. (2021). Physical health profile and associated behavior during the COVID-19 pandemic in patients with bipolar disorder. Frontiers in Psychiatry, 12, 759694. https://doi.org/10.3389/fpsyt.2021.759694CrossRefPubMedPubMedCentral

Speyer, H., Jakobsen, A. S., Westergaard, C., Nørgaard, H., Jørgensen, K. B., Pisinger, C., et al. (2019). Lifestyle interventions for weight management in people with serious mental illness: A systematic review with meta-analysis, trial sequential analysis, and meta-regression analysis exploring the mediators and moderators of treatment effects. Psychotherapy and Psychosomatics, 88(6), 350–362. https://doi.org/10.1159/000502293CrossRefPubMed

Stubbs, B., Vancampfort, D., Hallgren, M., Firth, J., Veronese, N., Solmi, M., et al. (2018). EPA guidance on physical activity as a treatment for severe mental illness: A meta-review of the evidence and position statement from the European psychiatric association (EPA), supported by the international organization of physical therapists in mental health (IOPTMH). European Psychiatry: The Journal of the Association of European Psychiatrists, 54, 124–144. https://doi.org/10.1016/j.eurpsy.2018.07.004CrossRefPubMed

Sukut, O., & Ayhan Balik, C. H. (2021). The impact of COVID-19 pandemic on people with severe mental illness. Perspectives in Psychiatric Care, 57(2), 953–956. https://doi.org/10.1111/ppc.12618CrossRefPubMed

Teasdale, S. B., Ward, P. B., & Samaras, K. (2017). Dietary intervention in the dystopian world of severe mental illness: Measure for measure, then manage. Acta Psychiatrica Scandinavica, 135(2), 180. https://doi.org/10.1111/acps.12670CrossRefPubMed

Velthorst, E., Fett, A. J., Reichenberg, A., Perlman, G., van Os, J., Bromet, E. J., & Kotov, R. (2017). The 20-year longitudinal trajectories of social functioning in individuals with psychotic disorders. American Journal of Psychiatry, 174(11), 1075–1085. https://doi.org/10.1176/appi.ajp.2016.15111419CrossRefPubMed

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., & McIntyre, R. S. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity, 87, 40–48. https://doi.org/10.1016/j.bbi.2020.04.028CrossRefPubMedPubMedCentral

Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-Item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233. https://doi.org/10.1097/00005650-199603000-00003CrossRefPubMed

World Health Organization. (2020). Front matter. In The impact of COVID-19 on mental, neurological and substance use services: Results of a rapid assessment (pp. i–ii). World Health Organization. http://www.jstor.org/stable/resrep27862.1

Xu, X., Li, W., Zou, S., & Li, Y. (2020). The prevalence of insomnia symptoms and its association with quality of life among clinically stable older patients with psychiatric disorders in China during the COVID-19 outbreak. Research Square. https://doi.org/10.21203/rs.3.rs-95735/v1CrossRefPubMedPubMedCentral

Zhu, Y., Chen, L., Ji, H., Xi, M., Fang, Y., & Li, Y. (2020). The risk and prevention of Novel Coronavirus pneumonia infections among inpatients in psychiatric hospitals. Neuroscience Bulletin, 36(3), 299–302. https://doi.org/10.1007/s12264-020-00476-9CrossRefPubMedPubMedCentral

Title: Lifestyles and Quality of Life of People with Mental Illness During the COVID-19 Pandemic
Authors: Giada Tripoli
Sofia Lo Duca
Laura Ferraro
Uzma Zahid
Raffaella Mineo
Fabio Seminerio
Alessandra Bruno
Vanessa Di Giorgio
Giuseppe Maniaci
Giovanna Marrazzo
Crocettarachele Sartorio
Alessandra Scaglione
Daniele La Barbera
Caterina La Cascia
Publication date: 13-02-2023
Publisher: Springer US
Keyword: COVID-19
Published in: Community Mental Health Journal / Issue 1/2024
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-023-01095-0

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Lifestyles and Quality of Life of People with Mental Illness During the COVID-19 Pandemic

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