Abstract
BackgroundThe COVID-19 has spread across the globe in a short time and affected people's life, especially patients with severe mental disorders. Poor adherence to antipsychotics was usually associated with an increasing risk of relapse. This study investigated medication adherence status among patients with severe mental disorders in low-income families during COVID-19 outbreak and the influencing factors.MethodsTo select patients with severe mental disorders in low-income families in central China's Henan Province, we used multi-stage stratified random sampling method. Trained interviewers and psychiatrists collected questionnaire responses from the patients through face-to-face interviews or video interviews. Logistic regression models were used to examine factors that influence the status of medication adherence.ResultsA total of 24,763 valid questionnaires were collected between March 10, 2020, and March 31, 2020. The regular medication rate of patients with severe mental disorders in low-income families during the COVID-19 outbreak was 51.46%. Twelve factors were found to influence medication adherence of investigated individuals. Positive factors for regular medication were younger age, higher education level of patients and their guardians, higher medical expenditure, higher level of self-care ability, having subsidies for care and supervision, having disability certificate and personal care, etc.ConclusionsThe COVID-19 outbreak affected the medication adherence among patients with severe mental disorders in low-income families. The influencing factors are complicated and diverse, including psychological effects, traffic impact, and economy, etc. The government should pay more efforts on social assistance programs and flexibly deal with difficulties during public health emergencies like the COVID-19.
Highlights
The Corona Virus Disease 2019 (COVID-19) has spread across the globe in a short time and affected people’s life [1, 2]
In China, six diseases are defined as severe mental disorders, including schizophrenia, schizoaffective disorder, bipolar disorder, delusional disorder, intellectual disability with mental disorders and psychotic disorder due to epilepsy [4]
The present study focused on the medication adherence status among patients with severe mental disorders in low-income families during COVID-19 outbreak
Summary
The Corona Virus Disease 2019 (COVID-19) has spread across the globe in a short time and affected people’s life [1, 2]. According to the latest China Mental Health Survey, there are more than 16 million individuals with severe mental disorders in China [5]. These large amount of patients with severe mental disorders leads to a number of significant public health, economic and social problems [6, 7]. The COVID-19 has spread across the globe in a short time and affected people’s life, especially patients with severe mental disorders. This study investigated medication adherence status among patients with severe mental disorders in low-income families during COVID-19 outbreak and the influencing factors
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