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Bidirectional Associations Between Covid-19 Infection And Mental Disorders

Published online by Cambridge University Press:  01 September 2022

M. Turki ,
S. Blanji ,
A. Daoud ,
S. Ellouze ,
M. Abdellatif ,
N. Gargouri ,
N. Halouani  and
J. Aloulou
M. Turki
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
S. Blanji*
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
A. Daoud
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
S. Ellouze
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
M. Abdellatif
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
N. Gargouri
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
N. Halouani
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
J. Aloulou
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

The COVID-19 pandemic brought unbearable psychological pressure to people worldwide, because of serious threats to one’s physical health and life. From early stages of this pandemic, concerns have been raised about its effect on mental health. However, we still know little whether pre-existing psychiatric disorder (PD) affects the susceptibility and evolution of this infection.

Objectives

We aimed to assess the interactions between COVID-19 infection and PD.

Methods

We conducted a litterature review through pubmed database, using the keywords :«COVID 19», «psychiatry», «mental disorders», « schizophrenia », « anxiety », « depression », «insomnia».

Results

On one hand, prior surveys suggested that the infection is associated with increased incidence of a first psychiatric symptom. Mental health disturbances mostly include anxiety, depression, sleep disturbances, cognitive impairment and post-traumatic stress disorder. On the other hand, recent studies showed that patients with pre-existing mental disorders were associated with high susceptibility to be infected, increased risk of intensive care unit admission and a high mortality. The susceptibility to contracting COVID-19 was associated with pre-existing mood disorders, anxiety, and attention-deficit hyperactivity disorder. Infection severity was associated with pre-existing or subsequent mood disorders and sleep disturbances; or a pre-extisting schizophrenia. Mortality is increased in patients diagnosed with schizophrenia.

Conclusions

The complicated interactions between COVID-19 infection and PD have several implications. Enhanced psychiatric follow-up should be considered for survivors of COVID-19. Besides, early detection and intervention for PD are needed to control morbidity and mortality induced by the COVID-19 infection.

Disclosure

No significant relationships.

Keywords

COVID19psychiatryMental Disorders
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S497
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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