Impacts des conditions de vie durant le confinement sur les personnes souffrant de maladies psychiatriques

Abstract

IntroductionIndividuals with psychiatric disorders have been the focus of vigilance during the COVID-19 pandemic. The goal of this retrospective study was to estimate the influence of the living conditions of these people, on the evolution of their mood during the first lockdown in spring 2020 in France. MethodA questionnaire was proposed to 86 patients with psychiatric illnesses followed in ambulatory care, in order to evaluate their living conditions, their psychological resources and their perception of the health crisis. Patients responded to scales designed to assess perceived changes in anxiety and depressive symptoms during confinement. Analyses of variance and comparison of means were performed in order to study the variables that were significantly explanatory on the evolution of the disorders. ResultsA majority of patients reported stability of anxiety and depression symptoms during confinement. Alterations in lifestyle, such as an increase in sleep disturbance and smoking, had an effect on anxiety or depression. Occupational activities such as self-care, sports or outings influenced symptomatology. The ability to build on past experiences or to project positively into the future had an effect on symptomatology. DiscussionThese data highlight the specificities of the constraints encountered in lockdown by individuals previously suffering from psychiatric illnesses. Our results point out resources to be considered in adjusting the care modalities of these patients.