dc.date.accessioned | 2021-08-30T17:37:12Z | |
dc.date.available | 2021-08-30T17:37:12Z | |
dc.date.created | 2021-06-24T09:52:15Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Kvarstein, Elfrida H Zahl, Kjell-Einar Stänicke, Line Indrevoll Pettersen, Mona Skjeklesæther Baltzersen, Åse-Line Johansen, Merete Selsbakk Eikenæs, Ingeborg Helene Ulltveit-Moe Arnevik, Espen Kristian Ajo Wilberg, Theresa Ajo Arnevik, Espen Pedersen, Geir . Vulnerability of personality disorder during COVID-19 crises: a multicenter survey of mental and social distress among patients referred to treatment. Nordic Journal of Psychiatry. 2021, 1-13 | |
dc.identifier.uri | http://hdl.handle.net/10852/87476 | |
dc.description.abstract | Background
Relational and emotional problems, dysregulation, self-harming or substance abuse often characterize personality disorders (PD). In Norway, COVID-19 restrictions led to an abrupt shutdown of services from 12 March 2020 also including specialized PD treatments.
Aims
The objective of this study was to investigate social and mental distress among patients with PDs during the first COVID-19 wave.
Design
A survey was distributed after the first COVID-19 wave (June–October 2020) among 1120 patients from 12 PD treatment units.
Results
The response rate was 12% (N = 133). The survey reflected impairment of occupational activity (53% <50% activity last 6 months), life quality (EQ-5D-VAS: 56, SD 19), and personality functioning (LPFS-BF ≥12: 81%, 35% avoidant PD, 44% borderline PD) and high levels of depression and anxiety (PHQ-9 ≥ 10: 84%, GAD-7 ≥ 10: 68%), 49% with health-related anxiety. Problem increase was reported for anxiety (28%), depression (24%), aggression (23%), substance use (14%), and 70% of parents had more child-care difficulties. Self-destructive behaviors (26%) did not increase. The majority (78%) reported increased or unchanged social isolation and loneliness. Occupational activity declined with negative effects on part-time jobs/rehabilitation. Therapist contact was mainly telephone-based (63% ≥ weekly contact). More severe personality problems, current depressive symptoms, and self-harming before 12 March were associated with more frequent consultations.
Conclusion
The survey confirms severe, enhanced levels of mental distress among patients receiving telephone-based consultations as the main alternative to specialized PD treatment during the COVID-19 shutdown. The most vulnerable patients received more frequent consultations and self-destructive actions did not increase. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.title | Vulnerability of personality disorder during COVID-19 crises: a multicenter survey of mental and social distress among patients referred to treatment | |
dc.type | Journal article | |
dc.creator.author | Kvarstein, Elfrida H | |
dc.creator.author | Zahl, Kjell-Einar | |
dc.creator.author | Stänicke, Line Indrevoll | |
dc.creator.author | Pettersen, Mona Skjeklesæther | |
dc.creator.author | Baltzersen, Åse-Line | |
dc.creator.author | Johansen, Merete Selsbakk | |
dc.creator.author | Eikenæs, Ingeborg Helene Ulltveit-Moe | |
dc.creator.author | Arnevik, Espen Kristian Ajo | |
dc.creator.author | Wilberg, Theresa | |
dc.creator.author | Ajo Arnevik, Espen | |
dc.creator.author | Pedersen, Geir | |
cristin.unitcode | 185,53,10,14 | |
cristin.unitname | Enhet voksenpsykiatri | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1918070 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Nordic Journal of Psychiatry&rft.volume=&rft.spage=1&rft.date=2021 | |
dc.identifier.jtitle | Nordic Journal of Psychiatry | |
dc.identifier.startpage | 1 | |
dc.identifier.endpage | 12 | |
dc.identifier.doi | https://doi.org/10.1080/08039488.2021.1942980 | |
dc.identifier.urn | URN:NBN:no-90101 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0803-9488 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/87476/2/Vulnerability%2Bof%2Bpersonality%2Bdisorder%2Bduring%2BCOVID-19%2Bcrises%253B%2Ba%2Bmulticenter%2Bsurvey%2Bof%2Bmental%2Band%2Bsocial%2Bdistress%2Bamong%2Bpatients%2Breferred%2Bto%2Btreatment.pdf | |
dc.type.version | PublishedVersion | |