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Article

Risk Factors for Relapse in People with Severe Mental Disorders during the COVID-19 Pandemic: A Multicenter Retrospective Study

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Santa Ana Hospital, 18009 Granada, Spain
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Axarquía Hospital, 29700 Málaga, Spain
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Virgen de Valme University Hospital, 41014 Sevilla, Spain
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Infanta Leonor University Hospital, 28031 Madrid, Spain
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José Germain University Hospital, 28911 Madrid, Spain
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Department of Psychology, Faculty of Education Sciences, University of Córdoba, 14071 Córdoba, Spain
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Author to whom correspondence should be addressed.
Academic Editors: Fabrizia Giannotta and Yunhwan Kim
Healthcare 2022, 10(1), 64; https://doi.org/10.3390/healthcare10010064
Received: 30 November 2021 / Revised: 27 December 2021 / Accepted: 28 December 2021 / Published: 30 December 2021
(This article belongs to the Special Issue Mental Health in Times of Pandemic: Protective and Risk Factors)
Background: Evidence suggests that different variables associated with the COVID-19 pandemic may increase the risk of relapse in people with Severe Mental Disorders (SMDs). However, no studies have yet looked closely at the different risk factors involved to determine their influence on the worsening of these patients’ illnesses. Objective: To analyze which variables related to the COVID-19 pandemic have increased the risk of relapse in patients with SMDs. Method: A multicenter retrospective cohort study in which data were collected from 270 patients with mental disorders who had been under follow-up in day hospitals during the year 2020. Results: The proportion of full mental health inpatient admissions was significantly higher in those who lost their employment (40.7% vs. 18.1%; p = 0.01), in those who were not receiving psychotherapy interventions (33.9% vs. 16.6%; p = 0.006), and in those who were not receiving occupational therapy (25.7% vs. 13.6%: p = 0.013). Significant associations were detected between urgent mental health consultations, the number of COVID-19 symptoms (B = 0.274; p = 0.02), and the low-income group (1.2424 vs. 0.4583; p = 0.018). Conclusions: COVID-19 symptoms and certain consequences of the pandemic, such as loss of employment, economic hardship, and loss of interventions, have brought about clinical worsening in people with SMDs. Knowledge of these factors is important for health-related decision-making in future outbreaks or pandemics. View Full-Text
Keywords: COVID-19; severe mental disorders; associated factors COVID-19; severe mental disorders; associated factors
MDPI and ACS Style

Sánchez-Guarnido, A.J.; Huertas, P.; Garcia-Solier, R.; Solano, M.; Díez, B.; León, M.; Herruzo-Cabrera, J. Risk Factors for Relapse in People with Severe Mental Disorders during the COVID-19 Pandemic: A Multicenter Retrospective Study. Healthcare 2022, 10, 64. https://doi.org/10.3390/healthcare10010064

AMA Style

Sánchez-Guarnido AJ, Huertas P, Garcia-Solier R, Solano M, Díez B, León M, Herruzo-Cabrera J. Risk Factors for Relapse in People with Severe Mental Disorders during the COVID-19 Pandemic: A Multicenter Retrospective Study. Healthcare. 2022; 10(1):64. https://doi.org/10.3390/healthcare10010064

Chicago/Turabian Style

Sánchez-Guarnido, Antonio J., Paloma Huertas, Rosario Garcia-Solier, Miguel Solano, Beatriz Díez, Marta León, and Javier Herruzo-Cabrera. 2022. "Risk Factors for Relapse in People with Severe Mental Disorders during the COVID-19 Pandemic: A Multicenter Retrospective Study" Healthcare 10, no. 1: 64. https://doi.org/10.3390/healthcare10010064

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