In connection with the COVID-19 pandemic and its consequences, the question of how personal time constructs are modified becomes highly relevant. In particular, it is important to understand the specifics of the personality’s time perspective in patients who have undergone COVID-19 in varying degrees of severity.

To study the time perspective of personality in patients who have undergone COVID-19 in medium and severe forms.

The study was conducted from February to April 2022. The first group of the sample (the medium form with hospitalization) consisted of 52 respondents (46.2% - men, 53.8% - women, M age =31.2 years; S=6.7). The second group (severe form with hospitalization) consisted of 48 patients (60% - men and 40% - women, M age =33.0 years; S=7.8). We used: “The questionnaire of the time perspective of the personality of F. Zimbardo (Short version)”; (Zimbardo, Boyd, 1997; Syrtsova, 2008), the “Scale of Time experience” questionnaire (Golovakha, Kronik, 2008) and the descriptive analysis.

Respondents with a medium form of the disease have more developed hedonistic present (3.2±0.6), future (3.8±0.4) and positive past (3.7±0.6). The negative past (2.6±0.7) and fatalistic present (2.4±0.6) are the least represented in their lives. Respondents with a severe form have a more developed negative past (3.4±0.7), hedonistic present (3.4±0.4), future (3.7±0.5) and positive past (3.6±0.7). The fatalistic present is the least represented in their life (3.0±0.5). When analyzing the factors of time experiencing, it was revealed that respondents with a medium form perceive time as moderately continuous (3.4± 0.8), moderately tense (3.4± 0.8) due to pronounced emptiness and compactness, and also treat time on average not very positively (3.2± 1.0). Respondents with a severe form also perceive time as moderately continuous (3.4± 0.7), rather tense (4.1±1.1) due to pronounced saturation, compactness and rapidity, while they treat time on average moderately positively (2.5± 0.9).

The time perspective in patients with medium form is characterized by planning and achieving future goals, and these respondents also show a fairly high degree of acceptance of their own past, in which any experience is an experience that contributes to development and led to today’s state. In respondents with a severe form, along with normative scores on the positive past scale, there is also an increase in negative perception of the past, which is reflected in an increased degree of rejection of their own past, causing disgust, full of pain and frustration, as well as a hedonistic, risky attitude to time and life, while an orientation towards pleasure, excitement, excitement, enjoyment in the present and lack of concern for future consequences or sacrifices in favor of future rewards. Assistance and help to such respondents should be in the focus of specialists of the relevant profile.

None Declared

Since stress and anxiety are significant manifestations of psychological distress during the COVID-19 pandemic, we studied their role in making a decision about vaccination.

To study the relationship between the intention to be vaccinated against COVID-19 with health anxiety and stress levels.

The methodological complex includes the author’s socio-demographic questionnaire (Pervichko, 2020, 2021, 2022); the questionnaire “Scale of perceived stress-10” (Ababkov, 2016); the questionnaire “Perceptions of the COVID-19 pandemic” (Pervichko et al., 2020), developed on the basis of the Russian-language version of the E. Broadbent’s short questionnaire about the perception of disease (Broadbent, 2006); the State-Trait Anxiety Inventory (STAI) (Spielberger, 2002) and the “Short Health Anxiety Inventory” (Pervichko et al., 2020).

The study involved 232 respondents who did not have COVID-19 (average age – 29.1 ± 13.7 years). Among the respondents, 68.5% have already been vaccinated, 23.3% do not plan to be vaccinated and 8.2% plan to perform the procedure.

The methodological complex includes the author’s socio-demographic questionnaire (Pervichko, 2020, 2021, 2022); the questionnaire “Scale of perceived stress-10” (Ababkov, 2016); the questionnaire “Perceptions of the COVID-19 pandemic” (Pervichko et al., 2020), developed on the basis of the Russian-language version of the E. Broadbent’s short questionnaire about the perception of disease (Broadbent, 2006); the State-Trait Anxiety Inventory (STAI) (Spielberger, 2002) and the “Short Health Anxiety Inventory” (Pervichko et al., 2020).

The study involved 232 respondents who did not have COVID-19 (average age – 29.1 ± 13.7 years). Among the respondents, 68.5% have already been vaccinated, 23.3% do not plan to be vaccinated and 8.2% plan to perform the procedure.

Higher health anxiety, situational anxiety, perceived stress, and greater perceived life threat due to coronavirus contribute to COVID-19 immunization procedures, which is accompanied by perceptions of greater control of the pandemic.

None Declared

Steroids are a necessary treatment for hypoxic respiratory failure; however there are many side effects that should be taken into account. A 44- year-old-woman with asthma and no past psychiatric history was admitted due to COVID-19 pneumonia and Respiratory syncytial virus (RSV) infection, presenting hypoxic respiratory failure. After two days of intravenous methylprednisolone administration, the patient presented acute psychosis and agitation.

It has been previously described that steroid use can cause effects such as mania, anxiety, agitation, delirium and psychosis amongst other. However they are a necessary treatment in respiratory illnesses and are sometimes unavoidable.

The aim was to examine the appropriate medical response to steroid induced psychosis in patients with acute hypoxic failure.

A bibliographical review was done in PubMed database searching recent cases of steroid induced psychosis using the words (“Steroid”, “Psychosis” and “COVID-19”).

According to literature, it has been shown that partial or complete reduction of steroid use and/or use of psychotropic has been successfully used to treat steroid induced psychosis. Following the research it was decided to reduce intravenous methylprednisolone dose from 20mg/ 8h to 20mg/12h and start oral haloperidol 5mg/8h the first 24h and reducing the dose progressively as the patient recovered. After the first 24 hours the patient presented adequate response to steroids as well as partial response to antipsychotic treatment; presenting no further agitation, absence of hallucinations and partial persistence of the persecutory delusion. A couple of days later there was complete remission of the psychotic symptoms and the patient was on the way to recovery from COVID-19 and RSV.

There is evidence that suggests that medications such as steroids used to treat COVID-19 and other respiratory illnesses can lead to psychotic episodes. It is very important to pay attention to possible side effects when treating with steroids and evaluate the patient history as well as suggest having a follow up visit after the hospital discharge.

None Declared

The health impact of the COVID-19 pandemic has been widely recognized in both physical and mental health. Relatively little attention has been paid to patients with delusional disorder (DD).

Our goal was to synthesize the known mental and physical health consequences of the COVID-19 pandemic in patients diagnosed with DD.

A systematic review was carried out using the PubMed and Scopus database (2019-October 2022) following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Search terms: “delusional disorder” or “delusional disorder” AND “COVID-19 OR SARS-CoV2.” Inclusion criteria: 1)DD according to DSM/ICD, 2)languages: English, French, German and Spanish, 3)studies reporting health consequences of COVID-19 pandemic. From a total of 615 records, 6 were included: meta-analysis (n=1), cross-sectional studies (n=2), retrospective study (n=1), case reports (n=2).

A full third of patients with psychosis (including DD) presented with increased psychiatric symptom severity, reportedly activated by increased daily life stress. Suicidal behavior was reported in a previously undiagnosed DD patient in association with a worsening clinical picture. Perhaps surprisingly, admissions for DD in 2020 were lower than in 2019. The duration of hospitalization was, however, longer. There was a report of new onset DD with delusional material centred on COVID. There was also a report of COVID-19 symptoms being more severe in DD patients than in the larger community.

Health emergencies affect the seriously mentally ill more than other community members. Awareness and outreach can help to maintain treatment adherence and minimize risk of psychotic exacerbation.

None Declared

The COVID-19 Anxiety Syndrome Scale (C-19ASS) is a reliable and valid tool developed for assessing unhealthy coping strategies that arise due to fear and threat of COVID-19.

The main aim of this study was to validate the Turkish version of the C-19ASS. Additionally, we explored the relationship between COVID-19 anxiety syndrome, personality traits, and psychological variables.

We recruited 296 Turkish adults using the convenience sampling method. Participants completed the Turkish version of the C-19ASS and a battery of measures assessing COVID-19 anxiety, health anxiety, well-being, personality traits, and social adaptation. A Confirmatory Factor Analysis (CFA) was conducted on the C-19ASS, and validity was evaluated by analyzing correlations with other instruments.

The results of CFA have confirmed a 9-item two-factor structure. The Turkish version of the C-19ASS showed adequate internal consistency, convergent validity, and incremental validity. Hierarchical regression analysis revealed that C-19ASS Perseveration is a significant negative predictor of well-being when controlling for age, COVID-19 anxiety, health anxiety, personality traits, and social adaptation.

The Turkish version of the C-19ASS was found to be a reliable and valid measure of the COVID-19 anxiety syndrome. C19-ASS may be a helpful follow-up tool for examining specific psychological symptoms of the COVID-19 pandemic.

None Declared

Frontotemporal dementia behavioral variant (bvFTD) is the most common subtype of frontotemporal dementia, characterized by early and often severely disabling alterations in personality and social conduct that carry a huge impact on the patient, family, and society.

The aim of the study was to correlate the clinical data collected from our patient with relevant literature and discuss the diagnosis of bvFTD in the context of the COVID-19 pandemic.

Case report and a systematic review of the literature.

The middle-aged female patient we examined presented an array of psychiatric symptoms, including cognitive, behavioral, and personality changes that emerged in two months after a mild form of SARS-CoV-2 infection. Objectively, a cranial CT scan displayed frontal and anterior temporal lobe atrophy. The rapid and severe decline of the patient’s mental faculties throughout the last year, along with the circumstances in which the pathology developed, raised a question about the etiological factors that contributed to this early-onset dementia.

Although diagnostic criteria are useful, frontotemporal dementia may be difficult to differentiate from other conditions because there are no disease-specific biomarkers. Correlations between the COVID-19 infection and the fulminant bvFTD symptoms remain unclear and require further investigations.

None Declared

The Coronavirus disease (COVID-19) pandemic affected the mental health of many individuals, especially vulnerable communities, who have experienced multiple traumas.

To examine the prevalence and associated factors of likely major depressive disorder (MDD) among inhabitants of Fort McMurray.

A study adopted a cross-sectional design, and questionnaires were distributed online. Sociodemographic, COVID-19-related, and clinical data were obtained. The Patient Health Questionnaire (PHQ-9) scale was used to assess likely MDD. SPSS version 25 used employed to analyze the data.

The prevalence of likely MDD among participants was 45%. Participants who desire mental health counselling are more likely to exhibit depression symptoms during the COVID-19 pandemic (OR = 5.48; 95% CI: 1.95–15.40). History of depression (OR = 4.64; 95% CI: 1.49–14.44) and hypnotics (OR = 5.72; 95% CI: 1.08–30.30) were more likely to experience depression symptoms during the pandemic than other participants without a history. Participants who received absolute support from the employer (OR = 3.50; 95% CI: 1.24–9.82) were protective against depression symptoms amid the pandemic.

Clinical factors and employer support are associated with depression symptoms during the pandemic. Communities that have experienced multiple traumas need to reduce any psychopathology, and governmental bodies need to implement holistic policies to increase support to individuals during traumatic eras like the CVID-19 pandemic.

None Declared

The new coronavirus disease (COVID-19) has important physical and mental health implications at short and long term. Some inflammatory parameters are implicated in the maintenance of psychiatric symptoms, especially those of anxiety and depression. Additionally, growing literature attributes a role to interoception in several mental health conditions.

We investigated the involvement of the interoception in COVID-19 survivors and its possible associations with psychopathological and inflammatory variables.

Our study included 57 people surviving COVID-19 at one month follow-up after recovery. Individual interoceptive accuracy (IA) measure was obtained through heart-beat perception task. A measure of accuracy in external time perception (TA) was also obtained asking people to mentally produce a duration of 10s. Each participant completed State-Trait Anxiety Inventory - STAI-Y; Zung Self-Rating Depression Scale - ZSDS; Beck Depression Inventory - BDI-II; Impact of Events Scale - IES-R and Multidimensional Assessment of Interoceptive Awareness - MAIA. Peripheral inflammation markers were obtained in a subsample of 40 people by a blood sampling conducted at the time of admission and discharge from hospital. Correlation, regression and GLM analyses were performed with SPSS. Mediation analysis were performed with Hayes’ Process tool.

TA is not associated with IA, symptomatological measures and bodily awareness. Trusting is the only aspect of body awareness associated with IA (p=.021). Noticing (p=.010), Not-distracting (p=.009), Not-worrying (p=.012) and Trusting (p=.001) predict anxiety psychopathology. Poor IA predict anxiety symptomatology (p=.004) and part of this effect is mediated by Trusting [Fig.1]. In the end, platelets count at the time of hospitalization negatively correlates with anxiety symptoms (p=.003).

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COVID-19 hospitalization could be considered a psychophysical traumatic experience which involved mental and physical health and the connection and integration between them. It’s necessary to deepen the different facets of body awareness and IA in post-covid stages and to study how interoceptive dimensions change over time. Further research is needed to investigate the specific role of platelets in prominent anxiety psychopathology detected in COVID-19 survivors, wondering about their possible involvement in the dysfunctional interoception process too.

None Declared

By the end of October 2022, COVID-19 had infected more than 629 million people, with more than 6,5 million deaths worldwide.

During the pandemic, there have not been any specific antiviral drugs to effectively treat COVID-19, but non-specific drugs have been used and may improve the prognosis of high-risk patients with the disease. A vaccine is then considered the effective choice to stop this pandemic. The vaccine campaign against COVID-19 has been launched in Morocco since February 2021. This campaign has sparked great controversy over its effectiveness and safety in Morocco, as well as abroad, especially after the launch of the 3rd booster dose of the vaccine.

We sought to assess individual perceptions among the medical profession regarding vaccination against COVID-19 in Morocco and to determine preferences among this particular population in order to facilitate vaccination coverage.

It is a descriptive and analytical cross-sectional study on doctors of different medical specialties and general medicine students in Morocco. Data collection was done through an anonymous self-administered questionnaire completed online. The measuring instruments used were a questionnaire containing 29 questions. In addition to socio-demographic questions (age, sex, household composition and employment), the rest of the questionnaire aims to examine Moroccan doctors’ perceptions on COVID-19 vaccination, attitudes, beliefs and knowledge about the vaccine. Some survey items were adapted from other similar surveys, while others were created by the research team of the psychiatry laboratory of the CHU of Tangier. The data is grouped and then analyzed by statistical software (SPSS v26).

There were 162 respondents with an average age of 26.52% with 66.7% of participants being female. 96% of doctors were vaccinated, 87.3% of them with 2 doses. 74% were vaccinated by Sinopharm, 23.5% by Astra Zeneca, 9.4% by Pfizer and 0.7% by Janssen. 68% had post-vaccination side effects. For unvaccinated doctors, 43% say they are not convinced of its usefulness, 28.5% find that there is not enough experience on its effectiveness and 14.3% report that they have a disease that contraindicates the vaccine.

For vaccinated doctors, 80% declare that they were vaccinated out of conviction and 20% out of obligation. 60% of our sample are against the obligation of the vaccination pass in public places, on the other hand 67% find that vaccination can stop the spread of the virus and 60% are ready to receive an annual vaccination if necessary.

Physicians’ acceptance of the COVID-19 vaccine is important, as they are often a trusted source of vaccine information. Their vaccination can then positively influence the population, hence the need to integrate them into future awareness and prevention programs.

None Declared

Déjà vu is a condition characterized by the experience of recognizing a current situation as familiar with the awareness that the recognition is inappropriate (Pasic et al. Psychiatria Danubina; 30, 21–25). This phenomenon has been well described in temporal lobe epilepsy, and is thought to be caused by abnormal synchronization in the corticolimbic network. While the etiology of neuropsychiatric symptoms in long COVID is still not well demarcated, studies have found that the virus attacks the temporal lobe and limbic system; therefore, we suggest that the ongoing symptoms of déjà vu, in this case, may be a manifestation of long COVID.

To illustrate a unique case of persistent déjà vu after severe infection with COVID-19 virus.

The patient is a 79-year-old female with a pertinent past medical history of generalized anxiety disorder, major depressive disorder, and prior hospitalization for delirium who presented with a chief complaint of being tired of living the same day. The patient was hospitalized eight months prior for a severe COVID-19 infection that now requires continuous oxygen therapy. Since leaving the hospital, the patient began to develop episodic confusion, memory impairment, and tinnitus which gradually improved. However, the patient developed severe distress due to a constant feeling of déjà vu characterized by a sense of familiarity with events in her daily life. There was no history of loss of consciousness, abnormal involuntary movements, or other semiology related to seizures. Due to distress caused by the déjà vu symptoms, the patient also endorsed depression, anxiety, and insomnia, with deterioration of quality of life.

MRI showed mild volume loss and multifocal regions, including bilateral temporal lobes, of subcortical and periventricular high T2/FLAIR signal abnormality consistent with chronic white matter microangiopathy. MOCA score was 24/30, and the dissociative experiences scale score was 15.36/100. The patient continues to be treated for her depression, insomnia and anxiety with escitalopram 10mg daily and mirtazapine 7.5mg at night as a neuropsychological assessment and electroencephalogram are done.

The incidence of neurological symptoms is more than 80% in severe cases of COVID-19 (Douaud et al. Nature; 604,697–707). This patient was likely predisposed to developing these symptoms due to her age and psychiatric history. Déjà vu occurs in temporal lobe epilepsy, schizophrenia, and depersonalization disorders, all of which affect the limbic-temporal lobe networks (Pasic et al. Psychiatria Danubina; 30, 21–25). Signal abnormalities in the medial temporal lobe are one of the findings seen on MRI in patients with neuropsychiatric symptoms after severe COVID-19 infection. We propose that the persistent déjà vu phenomenon along with cognitive impairments described in this case are manifestations of long COVID.

None Declared

Health workers faced many challenges during the Pandemic of COVID-19. Continuous work stress and workload may affect their physical and mental health.

The study aimed to evaluate mental health among healthcare workers after the four peaks of COVID-19.

We conducted a cross-sectional study on personnel working in a COVID-19 unit after four waves. We carried out a self-administrated questionnaire that included sociodemographic and professional data. To assess the level of depression, anxiety and stress symptoms we used the depression anxiety and stress scale (DASS 21).

The study included 69 healthcare workers. Their mean age was 31.7 ± 6.32 years and 52.2 % of them were male. Thirty-two per cent were technicians, 29% were administrators and 21,7% were nurses. Sixty-eight per cent had either direct or indirect contact with positive patients. The vast majority of them were vaccinated against SARS COV2 and 72,5 % received more than 1 dose. Regarding DASS-21, we found that 10,1% presented mild to moderate stress, 23% had mild to moderate anxiety and 16% had mild to moderate depression symptoms. Depression was correlated with the male gender (p=0.03).

Our study showed a regression in terms of stress levels, anxiety, and depression among healthcare workers after the fourth wave, announcing the amelioration of mental health in case the pandemic gets to its end. A tight follow-up remains needed.

None Declared

The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact on educational systems and the well-being of the university staff. The mental health of university staff can affect their ability to work.

Our study aimed to assess the association between the well-being of university staff and their workability during the COVID-19 pandemic.

We conducted a cross-sectional study among university staff in Sfax, Tunisia. We collected data between September and October 2021 using a self-administered questionnaire including socio-professional characteristics, the Work Ability Score (WAS) and the Arabic version of the Mental Health Continuum-Short form.

Our sample was composed of 62 university staff. The respondents’ mean age was 51.4±6.7 years and 67.7% were female. The average job tenure was 17.9 ± 8 years. The mean score of WAS was 7.5±1.8. The mean scores of emotional well-being, social well-being and psychological well-being were 8.5±4.2, 12.6±6.1, and 19.9±7.3, respectively. Sixty-one per cent of participants reported languishing to moderate mental health, and 39% % were flourishing. The workability of participants was significantly associated with their well-being (p = 0.04).

Having good mental health improves the worker’s ability to work. Taking care of mental health is crucial to guarantee better efficacy at work.

None Declared

During the COVID-19 pandemic, there has been a peak of occupational dermatoses associated with Personal Protective Equipment (PPE) among healthcare workers (HCWs). The resulting dermatological damage might have an impact on the quality of life.

We aimed to evaluate the dermatological life quality of the HCWs due to PPE use.

The study was conducted in a group of HCWs from Hedi Chaker hospital in Sfax, Tunisia. Data were gathered between march and may 2021 using a self-administered questionnaire including socio-professional characteristics, evaluation of skin lesions, evaluation of the infection-prevention practices and the Arabic version of the Dermatology Life Quality Index (DLQI).

Our sample was composed of 190 HCWs. The respondents’ mean age was 32.5 ± 6.5 years and 54.7% were female. The average job tenure was 6.6 ± 5.8 years. Doctors represented 22.1 %, nurses 13.6% and cleaning staff 64.3 % of participants. The prevalence of skin lesions due to PPE among HCWs was 51.6%. The mean time of mask use was 15.4 ± 9.1 hours. The daily hand washing frequency was >10 times/day in 85.3 % of participants. The mean DLQI score was 3.3 ± 4.3. According to this index, it was found that these skin lesions had no effect, small effects, moderate effects and very large effects on the lives of 43.9%, 34.7%, 12.2%, and 9.2% of participants, respectively. The DLQI was correlated with hand washing frequency (p = 0.014, r = 0.204) and the time of mask use ( p = 0.038, r = 0.172).

Skin lesions among HCWs are frequent during the covid-19 pandemic. These lesions influence the quality of life of the HCWs. This risk gets higher with excessive preventive measures. It is critical to provide training on the prevention of skin lesions associated with PPE wearing and hand hygiene before and during the period of use of preventive measures.

None Declared

COVID-19 has been a stressful experience for healthcare providers (HCP), and created an additional distress on dialysis HCP since patients have greater risk of infection, symptom severity and death.

We aimed to investigate the level of psychological difficulties in Turkish dialysis HCP during the early outbreak period.

Participants filled an online survey including a screening questionnaire, Depression Anxiety Stress Scale-21 (DASS-21) and Multidimensional Scale of Perceived Social Support (MSPSS). Chi-Square, Fisher’s exact, Mann- Whitney- U, Kruskal Wallis, Spearman correlation and linear regression analyses were conducted.

Getting infected with COVID-19 and transmitting the disease to their beloveds were the major concerns of HCP. DASS-21 scores were higher in participants who were single and without children, having trouble in finding equipment or worrying about finding equipment in the future, being in contact with COVID-19(+) people; who increased tobacco and alcohol use, and who declared sleep, appetite, somatic problems. Worries about getting COVID-19 [(94.6%) vs. (90.6%) vs. (84.7%); p<0.001] and shortage of equipment [(52.9%) vs. (29.4%) vs. (26.3%); p<0.001]; sleep [(62.2%) vs. (43.5%) vs. (34%); p<0.001] and somatic problems [(58.4%) vs. (50%) vs. (28.2%); p<0.001] and DASS-21 scores [(5-21) vs. (3-15) vs. (0-12); p<0.001] were higher in nurses.

Worries and lifestyle changes associated with the outbreak are related to psychological difficulties. Adequate level of knowledge, self-protection and social support are important issues for HCP. While we recommend the HCP to express and share their worries; institutions should focus on the psychological status of the staff and provide immediate interventions.

None Declared

Covid-19 is believed to be one of the most impactful events of the 21’s century,

Pressure related to this pandemic was put on every of the health system especially residents.

Medical residents whose hierarchical position is particular, in the framework of their training they are subjected to an increased level of stress due to the constant pressure of training and the current challenges of being in the front line of the pandemic.

The aim of our study is to evaluate the presence of stress in medical residents.

Using a self-evaluation questionnaire with two parts, the first exploring age, sexe, history of medical, surgical and psychiatric disorders the second part exploring stress with the French version of PSS-10 (preveived stress scale).

Concerning our descriptive statistcs: among our 140 residents, percentage of male and female residents were almost equal with 2,85% of them already had a record of an anxiety disorder’s follow-up, 71,4% had a moderate stress level and 8,6% had high stress level.

Our study led us to the following conclusion, stress is a component that affects the quality and the work performed by the vast majority of health care workers.

None Declared

Nurses are one of the pillars of the health system, their constant presence with the patients requires a sequence of shifts and nights in the hospital, this aspect has been accentuated during the new pandemic, and undoubtedly impacts their sleep.

We propose to study in this paper the effect of on-call duty on the quality of sleep of nurses.

We used a questionnaire made of two parts, we managed to explore in the first par sociodemographic status of our nurses, the second part was the French version of ISI (Insomnia Severity Index) exploring insomnia, satisfaction of sleep and their functioning.

Regarding descriptive statistiques, from our 90 results, the mean age was 30,9 +/- 6.63, women were equal to men in this study 5% had depressive disorder and 2% anxious disorder, in this study: 68,9% had insomnia 2,5% of them has severe insomnia.

Indeed, insomnia, the satisfaction regarding sleep amongst nurses and there day to day functioning was altered due to recent pandemic.

None Declared

Vaccination against SARSCov-19 all over Europe reached over 80% of adult population confronting the pandemic burden on National Health Systems. On the contrary large parts of population remained unvaccinated. These groups are mainly individuals with poor socioeconomic status and psychiatric patients

to determine the ratio of fully vaccinated patients among the hospitalized and outpatient of Psychiatric Hospital of Attika. The reason of vaccination avoidance recorded by the clinician

The study has done retrospectively and included 2583 psychiatric patients who are hospitalized or are visiting the Outpatient clinic. A concise questionnaire was formed to record the main reason of avoidance (Denial/Medical Issues/ Loss of follow up/ other)

520 out of 2583 (21%) remained not fully vaccinated throughout the pandemic and denial by the patient was the main reason (55%). The reasons recorded at the patient’s file by the physician are shown at table 1.Table 1

main reasons of vaccine avoidance.

Psychiatric patients belong to a high probability group for vaccine avoidance. In our study the frequency of unvaccinated psychiatric patients found greater than healthy population and the main reason is patient decision not to consent. Loss of information, distrust, inadequate social help are causes of poor decision making and consequent low quality health services

None Declared

The current SARS Covid-19 pandemic has negatively affected primary care and health system services provided to chronically ill patients, such as patients with Diabetes Mellitus, Dyslipidemia and Hypertension.

The recording of the number of unfulfilled scheduled visits of Psychiatric patients who are monitored in the Pathological Outpatient Clinic of Arterial Hypertension at the Psychiatric Hospital of Attica due to non-attendance, before the pandemic (9/2018 -2/2020) and during its evolution (3/2020-2 /2022).

The study was done retrospectively and included 1515 patients with a Psychiatric history and concomitant Hypertension who were examined at Outpatient Clinics during the aforementioned time intervals. The rates of missed scheduled visits, as well as discontinuation of treatment without a doctor’s indication were compared and the statistical method used was χ2 with a significance level of p<0.05.

The percentage of scheduled appointments that did not take place due to patient no-shows during the pre-pandemic period was 22% (550/2500). During the pandemic the non-attendance rate increased to 36% (1132/3145). The increase in the rate of missed appointments was statistically significant with p<0.001. Correspondingly, the difference in recorded discontinuation of treatment was statistically significant, 26% (523/2011) versus 33% 743/2252).

Στην παρούσα μελέτη διαπιστώνεται στατιστικά σημαντική αύξηση της μη προσέλευσης Ψυχιατρικών ασθενών στα Παθολογικά Εξωτερικά Ιατρεία τη περίοδο της πανδημίας. Επίσης το πρόβλημα της μη συμμόρφωσης στη συνιστώμενη αγωγή διογκώθηκε καθώς καταγράφηκε μεγαλύτερο ποσοστό μη συνιστώμενης διακοπής αγωγής για την Αρτηριακή Υπέρταση .

None Declared

The current SARS Covid-19 pandemic has negatively affected primary care and health system services provided to chronically ill patients, such as patients with Diabetes Mellitus

The comparison of glycemic regulation as demonstrated by the levels of glycated hemoglobin HbA1c % in Psychiatric patients monitored at the Psychiatric Hospital of Attica before the pandemic (9/2018 -2/2020) and during its progression (3/2020-2/2022)

The study was done retrospectively and included 543 diabetic patients who were examined in Outpatient Clinics during the aforementioned time intervals. HbA1c % levels were measured in peripheral blood and at least two measurements were averaged for each patient. The statistical method used to compare the mean value of HbA1c % was the paired t-test and the level of significance was p<0.05.

The mean of the mean values of HbA1c % before the pandemic was 7.22% while (sd 6.6-7.9) while during the pandemic period it was 8.56% (sd 7.1-9.9). The t score was calculated as 3.3 with a significance level of p=0.0165 (p<0.05).

n the present study, a statistically significant increase in the HbA1c % of the Diabetic patients of the Psychiatric Hospital over the last two years is found, which indicates a worsening of the glycemic control of this particular group of patients. It is worth noting that 24 out of 543 (4.4%) missed a scheduled follow-up visit, while the greater variation in HbA1c % values during the second period indicates the varied way the pandemic affected the behavior of psychiatric patients

None Declared

The Severe Acute Respiratory Syndrome Coronavirus (COVID-19) pandemic not only impacted on physical but also mental health of the patients. We investigated the prevalence and associated factors of depression, anxiety among hospitalized patients with COVID-19. Rajavithi hospital is a supra-tertiary hospital which was the frontline in the first wave and gets referral SARS CoV-2 cases from other parts of Thailand.

We investigated the prevalence and associated factors of depression, anxiety among hospitalized patients with COVID-19.

A cross-sectional study was designed to evaluate prevalence of depression, anxiety and associated factors among 93 hospitalized COVID-19 patients between 1 July 2020 – 31March 2021. Depression and anxiety were measured with Thai Hospital Anxiety and Depression (Thai HADS).

Prevalence of depression was 5.4 %, prevalence of anxiety was 2.2 % Depression was associated with age greater than or equal to 60 years old (p-value = 0.028) and requiring supplemental oxygen therapy (p-value = 0.021).

This study shows low prevalence of depression and anxiety in hospitalized patients with COVID-19. Depression was significantly related with elderly and supplemental oxygen therapy. Elderly is vulnerable to depression during treatment and patients who require supplemental oxygen therapy. Severity of the disease might affect neuroinflammatory responses which can relate to depression. Furthermore, severity of disease puts patients in more isolation or guilt that might lead to depression.

None Declared