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    Impact of the COVID-19 pandemic on patients with pre-existing anxiety disorders attending secondary care.

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    Authors
    Plunkett, R
    Costello, S
    McGovern, M
    McDonald, C
    Hallahan, B
    Issue Date
    2020-06-08
    Keywords
    ANXIETY DISORDERS
    COVID-19
    obsessive compulsive disorder
    CORONAVIRUS
    
    Metadata
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    Journal
    Irish journal of psychological medicine
    URI
    http://hdl.handle.net/10147/630722
    DOI
    10.1017/ipm.2020.75
    PubMed ID
    32507119
    Abstract
    Objectives: To examine the psychological and social impact of the COVID-19 pandemic on patients with established anxiety disorders during a period of stringent mandated social restrictions. Methods: Semi-structured interviews were conducted with 30 individuals attending the Galway-Roscommon Mental Health Services with an International Classification of Diseases diagnosis of an anxiety disorder to determine the impact of the COVID-19 restrictions on anxiety and mood symptoms, social and occupational functioning and quality of life. Results: Twelve (40.0%) participants described COVID-19 restrictions as having a deleterious impact on their anxiety symptoms. Likert scale measurements noted that the greatest impact of COVID-19 related to social functioning (mean = 4.5, SD = 2.9), with a modest deleterious effect on anxiety symptoms noted (mean = 3.8, SD = 2.9). Clinician rated data noted that 8 (26.7%) participants had disimproved and 14 (46.7%) participants had improved since their previous clinical review, prior to commencement of COVID-19 restrictions. Conditions associated with no 'trigger', such as generalised anxiety disorder, demonstrated a non-significant increase in anxiety symptoms compared to conditions with a 'trigger', such as obsessive compulsive disorder. Psychiatric or physical comorbidity did not substantially impact on symptomatology secondary to COVID-19 mandated restrictions. Conclusions: The psychological and social impact of COVID-19 restrictions on individuals with pre-existing anxiety disorders has been modest with only minimal increases in symptomatology or social impairment noted.
    Item Type
    Article
    Language
    en
    EISSN
    2051-6967
    ae974a485f413a2113503eed53cd6c53
    10.1017/ipm.2020.75
    Scopus Count
    Collections
    Galway University Hospitals

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