Covid-19 and patients with psychosis: What are the views of mental health professionals on the changes and problems created?
Published:
Apr 30, 2025
Keywords:
psychosis psychosis and Covid-19 patients with psychosis mental health professionals psychotic disorders
Abstract
The aim of this article is to investigate the opinions of mental health professionals, regarding both the changes and the problems created in the lives of patients with psychosis and their families, during the Covid-19 pandemic. In more detail, the changes and problems of patients with psychosis and their families, the existing social policy for these patients and their families and the proposals for the future were studied. Qualitative research was conducted using semi-structured interviews. Our study included ten mental health practitioners. Easy sampling was used in the sample selection. The ELMEPA Department of Social Work has approved the project. The findings revealed that the Covid-19 epidemic had an impact on the daily lives of people with psychosis. Their condition relapsed, and their symptoms worsened. At the same time, they felt a lot of loneliness and had to adjust the way they approached their treatment. Their families suffered financially, materially, socially and psychologically. Although there were procedures to deal with Covid 19, the needs produced by patients with psychosis and their families were not satisfied.
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References
Ainoff, S. R., Mork, E., Barrett, E. A., Simonsen, C., Ten Velden Hegelstad, W., Lagerberg, T. V., Melle, I., & Romm, K. L. (2022). Locked out during COVID-19 lockdown—an online survey of relatives of people with psychotic and bipolar disorders in Norway. BMC Public Health, 22(1), 294. https://doi.org/10.1186/s12889-022-12625-y
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Barlati, S., Nibbio, G., & Vita, A. (2021). Schizophrenia during the COVID-19 pandemic. Current Opinion in Psychiatry, 34(3), 203–210. https://doi.org/10.1097/YCO.0000000000000702
Centers for Disease Control and Prevention. (n.d.). COVID-19 Testing: What You Need to Know. Retrieved from https://www.cdc.gov
Chaudhary, A. M. D., Musavi, N. B., Saboor, S., Javed, S., Khan, S., & Naveed, S. (2022). Psychosis during the COVID-19 pandemic: A systematic review of case reports and case series. Journal of Psychiatric Research, 153, 37–55. https://doi.org/10.1016/j.jpsychires.2022.06.041
Cohen, L., Manion, L., & Morrison, K. (2008). Μεθοδολογία εκπαιδευτικής έρευνας. Εκδόσεις Μεταίχμιο.
Estradé, A., Onwumere, J., Venables, J., Gilardi, L., Cabrera, A., Rico, J., Hoque, A., Otaiku, J., Hunter, N., Kéri, P., Kpodo, L., Sunkel, C., Bao, J., Shiers, D., Bonoldi, I., Kuipers, E., & Fusar-Poli, P. (2023). The lived experiences of family members and carers of people with psychosis: A bottom-up review co-written by experts by experience and academics. Psychopathology, 56(5), 371–382. https://doi.org/10.1159/000528513
Fischer, M., Coogan, A. N., Faltraco, F., & Thome, J. (2020). COVID-19 paranoia in a patient suffering from schizophrenic psychosis - a case report. Psychiatry Research, 288, 113001. https://doi.org/10.1016/j.psychres.2020.113001
Gale, N., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology, 13(1), 117. https://doi.org/10.1186/1471-2288-13-117
Gallo, V. (2021). Η επιδημιολογία της πανδημίας COVID-19. Στο Η. Κονδύλης & Α. Μπένος (Επιμ.), COVID-19. Πανδημία και οι σύγχρονες απειλές στη δημόσια υγεία (σ. 31-54). Εκδόσεις Τόπος.
Γεωργάκα, Ε., & Ζήση, Α. (2022). Ζώντας με την ψύχωση: Βιογραφικές διαδρομές ανθρώπων που βιώνουν ακραίες ψυχικές εμπειρίες [Μονογραφία]. Κάλλιπος, Ανοικτές Ακαδημαϊκές Εκδόσεις. http://dx.doi.org/10.57713/kallipos-25
Gonzalez-Blanco, L., Dal Santo, F., Garcia-Alvarez, L., de la Fuente-Tomas, L., Moya Lacasa, C., Paniagua, G., Saiz, P. A., Garcia-Portilla, M. P., & Bobes, J. (2020). COVID-19 lockdown in people with severe mental disorders in Spain: Do they have a specific psychological reaction compared with other mental disorders and healthy controls? Schizophrenia Research, 223, 192–198. https://doi.org/10.1016/j.schres.2020.07.018
Haddad, C., Dib, J. E., Akl, N., Hallit, S., & Obeid, S. (2022). COVID-19 and psychosis, depression, obsession and quality of life in Lebanese patients with schizophrenia: Any changes after 5 months of quarantine? BMC Psychology, 10(1), 32. https://doi.org/10.1186/s40359-022-00750-7
Hoşgelen, E. I., & Alptekin, K. (2021). Letter to the Editor: The impact of the COVID-19 pandemic on schizophrenia patients. Turkish Journal of Psychiatry, 32(3), 219–221. https://doi.org/10.5080/u26175
Kaplan, H. I., Sadock, B. J., & Grebb, J. A. (2000). Ψυχιατρική. Ιατρικές εκδόσεις Λίτσας.
Κιουλάνη, Α. (2021). Επιπτώσεις της πανδημίας στον πληθυσμό [Μεταπτυχιακή εργασία, Ελληνικό Ανοικτό Πανεπιστήμιο]. https://apothesis.eap.gr/handle/repo/50586
Kiran, E. (2020). Prominent issues about the social impacts of COVID-19. Gaziantep University Journal of Social Sciences (COVID-19 Special Issue), 752–766. https://doi.org/10.21547/jss.787779
Κονδύλης, Η., Ταραντίλης, Φ., Σερέτης, Σ., & Μπένος, Α. (2021). Η επιδημία του Covid-19 στην Ελλάδα: Μία κριτική αποτίμηση των πολιτικών αντιμετώπισής της. Στο Η. Κονδύλης & Α. Μπένος (Επιμ.), COVID-19. Πανδημία και οι σύγχρονες απειλές στη δημόσια υγεία (σ. 31-54). Εκδόσεις Τόπος.
Κονταξάκης, Β. Π., Κόλλιας, Κ. Θ., & Χαβάκη-Κονταξάκη, Μ. Ι. (2008). Πρώιμες ψυχωσικές εκδηλώσεις: Σημεία, συμπτώματα & παρεμβάσεις. Εκδόσεις Βήτα.
Κοντιάδης, Ξ. (2020). Πανδημία, βιοπολιτική και δικαιώματα: Ο κόσμος μετά τον Covid-19. Εκδόσεις Καστανιώτη Α.Ε.
Kring, A. M., Davison, G. C., Neale, J. M., & Johnson, S. L. (2010). Ψυχοπαθολογία. Εκδόσεις Gutenberg.
Λαγουτάρη, Π. (2021). Ψυχολογικές επιπτώσεις στον πληθυσμό λόγο της πανδημίας Covid-19 [Μεταπτυχιακή διατριβή, Ελληνικό Ανοικτό Πανεπιστήμιο]. https://apothesis.eap.gr/handle/repo/51118
Lal, S., Abdel-Baki, A., & Lee, H. (2022). Telepsychiatry services during COVID-19: A cross-sectional survey on the experiences and perspectives of young adults with first-episode psychosis. Early Intervention in Psychiatry, 17(4), 368–377. https://doi.org/10.1111/eip.13332
Μαλλιώρα, Σ. (2023). Πρόδρομα συμπτώματα ψύχωσης και προτάσεις διαχείρισης τους [Μεταπτυχιακή διατριβή, Δημοκρίτειο Πανεπιστήμιο Θράκης]. https://repo.lib.duth.gr/jspui/bitstream/123456789/16617/1/MallioraS_2023.pdf
Μάνος, Ν. (1997). Βασικά στοιχεία κλινικής ψυχιατρικής. Εκδόσεις Επιστημονικών Βιβλίων και Περιοδικών.
Messina, A., & Signorelli, M. S. (2023). COVID-19 associated psychosis. Industrial Psychiatry Journal, 32(2), 215–221. https://doi.org/10.4103/ipj.ipj_27_23
Mork, E., Aminoff, S. R., Barrett, E. A., Simonsen, C., Hegelstad, W., Lagerberg, T. V., Melle, I., & Romm, K. L. (2022). COVID-19 lockdown—who cares? The first lockdown from the perspective of relatives of people with severe mental illness. BMC Public Health, 22(1), 1104. https://doi.org/10.1186/s12889-022-13458-5
Moudatsou, M., Koukouli, S., Palioka, E., Pattakou, G., Teleme, P., Fasoi, G., Kaba, E., & Stavropoulou, A. (2021). Caring for patients with psychosis: Mental health professionals' views on informal caregivers' needs. International Journal of Environmental Research and Public Health, 18(6), 2964. https://doi.org/10.3390/ijerph18062964
Moudatsou, M., Stavropoulou, A., Rovithis, M., & Koukouli, S. (2023). Views and challenges of COVID-19 vaccination in the primary health care sector: A qualitative study. Vaccines, 11(4), 803. https://doi.org/10.3390/vaccines11040803
Moudatsou, M., Stavropoulou, A., Rovithis, M., & Koukouli, S. (2024). Evaluation of online counseling through the working experiences of mental health therapists amidst the COVID-19 pandemic. Healthcare, 12(4), 495. https://doi.org/10.3390/healthcare12040495
Newby, P. (2019). Μέθοδοι έρευνας στην εκπαίδευση. Εκδόσεις Πεδίο.
Okafor, A. J., & Monahan, M. (2023). Effectiveness of psychoeducation on burden among family caregivers of adults with schizophrenia: A systematic review and meta-analysis. Nursing Research and Practice, 2023, 2167096. https://doi.org/10.1155/2023/2167096
Penington, E., Lennox, B., Geulayov, G., Hawton, K., & Tsiachristas, A. (2022). The early impact of the COVID-19 pandemic on patients with severe mental illness: An interrupted time-series study in South-East England. European Psychiatry, 65(1), e31. https://doi.org/10.1192/j.eurpsy.2022.22
Piras, S., Casu, G., Casu, M. A., Orrù, A., Ruiu, S., Pilleri, A., Manca, G., & Marchese, G. (2014). Prediction and prevention of the first psychotic episode: New directions and opportunities. Therapeutics and Clinical Risk Management, 10, 241–253. https://doi.org/10.2147/TCRM.S55770
Ruggeri, M., Lasalvia, A., Santonastaso, P., Pileggi, F., Leuci, E., Miceli, M., Scarone, S., Torresani, S., Tosato, S., De Santi, K., Cristofalo, D., Comacchio, C., Tomassi, S., Cremonese, C., Fioritti, A., Patelli, G., Bonetto, C., & GET UP Group. (2017). Family burden, emotional distress and service satisfaction in first episode psychosis: Data from the GET UP trial. Frontiers in Psychology, 8, 721. https://doi.org/10.3389/fpsyg.2017.00721
Sanchez-Alonso, S., Ovejero, S., Barrigon, M. L., & Baca-Garcia, E. (2020). Psychotic relapse from COVID-19 quarantine: A case report. Psychiatry Research, 290, 113114. https://doi.org/10.1016/j.psychres.2020.113114
Σικελιανού, Δ. (2010). Κλινική ψυχοπαθολογία ενηλίκων. Εκδόσεις Διόνικος.
Stralin, P., & Hetta, J. (2019). First episode psychosis and comorbid ADHD, autism and intellectual disability. European Psychiatry, 55, 18–22. https://doi.org/10.1016/j.eurpsy.2018.09.007
Szmulewicz, A. G., Benson, N. M., Hsu, J., Hernán, M. A., & Öngür, D. (2021). Effects of COVID-19 pandemic on mental health outcomes in a cohort of early psychosis patients. Early Intervention in Psychiatry, 15(6), 1799–1802. https://doi.org/10.1111/eip.13113
Wood, L., Constant, C., & Byrne, A. (2021). Exploring the experience of acute inpatient mental health care from the perspective of family and carers of people experiencing psychosis: A qualitative thematic analysis study conducted during the COVID-19 pandemic. International Journal of Mental Health Nursing, 30(6), 1620–1629. https://doi.org/10.1111/inm.12915
Εθνική εκστρατεία εμβολιασμού. (n.d.). Γενικές πληροφορίες | Εμβολιασμός COVID-19. Retrieved from https://www.emvolio.gov.gr
Εθνικός Οργανισμός Δημόσιας Υγείας. (2020a). Covid-19 - Οδηγίες. Retrieved from https://www.eody.gov.gr
Ελληνικό Διαδημοτικό Δίκτυο Υγιών Πόλεων. (2016). Διαμόρφωση πολιτικής για την ψυχική υγεία από ομάδα εργασίας. Retrieved from https://www.eddyppy.gr/diamorfosi_politikis_gia_tin_psyhiki_ygeia_apo_omada_ergasias.pdf
Υπουργείο Υγείας. (2020). Επικαιροποίηση των μέτρων πρόληψης για την προστασία της δημόσιας υγείας και αντιμετώπισης κρουσμάτων ασθενών με κορονοϊό στις Μονάδες Ψυχικής Υγείας της χώρας (Γ3α,β/Γ.Π.οικ. 55378/09-09-2020). Τμήμα Α, Β. Retrieved from https://www.moh.gov.gr/articles/health/domes-kai-draseis-gia-thn-ygeia/c312-psyxikh-ygeia/8010-4h-epikairopoihsh-twn-metrwn-prolhpshs-gia-thn-prostasia-ths-dhmosias-ygeias-kai-antimetwpishs-kroysmatwn-asthenwn-me-koronaio-stis-monades-psyxikhs-ygeias-ths-xwras?fdl=18415
Νόμος 4682/2020, άρθρο 2, παρ. 2, Κατεπείγοντα μέτρα αποφυγής και περιορισμού της διάδοσης κορονοϊού, Εφημερίς της Κυβερνήσεως της Ελληνικής Δημοκρατίας (ΦΕΚ 76/Α’/03-4-2020).
