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. 2021 Aug;35(4):375-394.
doi: 10.1016/j.apnu.2021.05.002. Epub 2021 May 11.

The impact of the COVID-19 pandemic and its related restrictions on people with pre-existent mental health conditions: A scoping review

Louise Murphy  1 , Kathleen Markey  2 , Claire O' Donnell  3 , Mairead Moloney  4 , Owen Doody  5
Affiliations

The impact of the COVID-19 pandemic and its related restrictions on people with pre-existent mental health conditions: A scoping review

Louise Murphy et al. Arch Psychiatr Nurs. 2021 Aug.

Abstract

Context: Globally, governments have introduced a variety of public health measures including restrictions and reducing face-to-face contact, to control the spread of COVID-19. This has implications for mental health services in terms of support and treatment for vulnerable groups such as people with pre-existent mental health conditions. However, there is limited evidence of the impact of COVID-19 and its related restrictions on people with pre-existent mental health conditions.

Objectives: To identify the impact of COVID-19 and its related restrictions on people with pre-existent mental health conditions.

Methods: A scoping review of the literature was employed. Eight electronic databases (PsycINFO, Cochrane, Web of Science, MEDLINE, EMBASE, CINAHL, Scopus, Academic Search Complete) were searched and 2566 papers identified. 30 papers met the criteria for this review and findings were summarised under three key review questions.

Results: COVID-19 and its related restrictions have had a notable effect on people with pre-existent mental health conditions. Public health restrictions have contributed to increased levels of social isolation, loneliness, and reduced opportunities for people to connect with others. Reduced access to health services and treatments has compounded matters for those seeking support. Exacerbation and deterioration of symptoms are commonly reported and can lead to greater susceptibility to COVID-19 infection.

Implications: The importance of proactive planning, alternative accessible healthcare services and supports for vulnerable and at-risk groups is illuminated. Increased monitoring, early intervention and individually tailored care strategies are advocated. Recommendations revolve around the need for enhanced provision of remote support strategies facilitated using technology enhanced resources. ACCESSIBLE SUMMARY.

Keywords: COVID-19; Mental health disorder; Pre-existent mental health conditions; Scoping review and Service user; Vulnerability.

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Conflict of interest statement

None.

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. This is an unfunded research study with no conflicts of interests declared.

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

References

    1. Alonzi S., La Torre A., Silverstein M.W. The psychological impact of preexisting mental and physical health conditions during the COVID-19 pandemic. Psychological Trauma Theory Research Practice and Policy. 2020;12(S1):S236–S238. doi: 10.1037/tra0000840. - DOI - PubMed
    1. Anderson M., Perrin A., Jiang J. Pew Research Center; 2016. 13% of Americans don't use the internet. Who are they.https://www.pewresearch.org/fact-tank/2019/04/22/some-americans-dont-use... Retrieved from.
    1. Anderson S., Allen P., Peckham S., Goodwin N. Asking the right questions: Scoping studies in the commissioning of research on the organisation and delivery of health services. Health Research Policy and Systems. 2008;6(1):7–18. doi: 10.1186/1478-4505-6-7. - DOI - PMC - PubMed
    1. Aragona M., Barbato A., Cavani A., Costanzo G., Mirisola C. Negative impacts of COVID-19 lockdown on mental health service access and follow-up adherence for immigrants and individuals in socio-economic difficulties. Public Health. 2020;186:52–56. doi: 10.1016/j.puhe.2020.06.055. - DOI - PMC - PubMed
    1. Arksey H., O'Malley L. Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology. 2005;8:19–32. doi: 10.1080/1364557032000119616. - DOI

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